scholarly journals Pharmacists’ Insights and Behaviors in Preventing the Misuse of Topical Corticosteroids in Pakistan: A Mixed-Method Study

Cosmetics ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 72
Author(s):  
Sadia Shakeel ◽  
Shagufta Nesar ◽  
Wajiha Iffat ◽  
Hina Rehman ◽  
Samreen Aziz ◽  
...  
Keyword(s):  
Patient Education ◽  
Potential Role ◽  
Adverse Drug Events ◽  
Phase 1 ◽  
Further Education ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Over The Counter ◽  
Topical Corticosteroids ◽  
And Behaviors

Topical corticosteroids (TCs) misuse has become a common issue for healthcare professionals and patients, particularly in Pakistan, as no stringent laws or rules are prohibiting the selling of over-the-counter medicines. The present study was designed to examine pharmacists’ insights and behaviors regarding TCs and their potential role in preventing the misuse of TCs in Pakistan. The study was a cross-sectional mixed-methods research design (phase 1, quantitative; and phase 2, qualitative) conducted from January to June 2021. The pharmacists working in various settings in Karachi were approached through different social media platforms. Data were collected through a web link of an online questionnaire with 30 closed-ended questions. Different statistical methods were employed for tabulating the quantitative data, while inductive thematic analysis was directed to classify themes from the qualitative data and to conclude findings. The mean cumulative knowledge score was 10.59 ± 1.63. The community pharmacists knew more about the available over-the-counter TCs (p = 0.041). The experienced pharmacists were more conversant than fresh pharmacists, regarding the mode of action (p = 0.008), choice of TC potency (p = 0.001), and most common local and systemic adverse effects of TCs (p = 0.001). Overall, respondents had a favorable attitude, with more than 80% agreeing that pharmacists could ensure that important safety issues are communicated with patients, and assist considerably in avoiding TC misuse. Analysis of data has produced 7 themes, 10 sub-themes, and 30 categories. Major themes included: use and misuse of TCs, adverse drug events due to TCs, cosmeto-vigilance, patient education, referral to a physician, and future perspectives for preventing TC misuse. The respondents were well versed with the dilemma of TCs misuse, and they considered patient characteristics, free availability of TCs, and lack of physician-pharmacist coordination as the major reasons. The major barriers for patient education stated by nearly all the respondents were a lack of time and lack of material/information for counseling. They emphasized the need for stringent legal strategies and the enforcement of current drug-control regulations, so that TCs are not supplied without appropriate prescriptions. The present findings indicate that pharmacists had appropriate knowledge and a positive attitude towards their potential role in preventing the misuse of TCs. Further education and sensitization in areas of deprived knowledge will undoubtedly aid in the prevention of TCs misuse by the community.

scholarly journals Prescribers’ Knowledge, Attitudes and Behaviors on Antibiotics, Antibiotic Use and Antibiotic Resistance in Jordan

Antibiotics ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 858
Author(s):  
Reema A. Karasneh ◽  
Sayer I. Al-Azzam ◽  
Mera Ababneh ◽  
Ola Al-Azzeh ◽  
Ola B. Al-Batayneh ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
Antibiotic Prescribing ◽  
Prescribing Practices ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Attitudes And Behaviors ◽  
And Behaviors ◽  
Ease Of Access

More research is needed on the drivers of irrational antibiotic prescribing among healthcare professionals and to ensure effective prescribing and an adequate understanding of the issue of antibiotic resistance. This study aimed at evaluating prescribers’ knowledge, attitudes and behaviors about antibiotic use and antibiotic resistance. A cross-sectional study was conducted utilizing an online questionnaire and included physicians and dentists from all sectors in Jordan. A total of 613 prescribers were included (physicians n = 409, dentists n = 204). Respondents’ knowledge on effective use, unnecessary use or associated side effects of antibiotics was high (>90%), compared with their knowledge on the spread of antibiotic resistance (62.2%). For ease of access to the required guidelines on managing infections, and to materials that advise on prudent antibiotic use and antibiotic resistance, prescribers agreed in 62% and 46.1% of cases, respectively. 28.4% of respondents had prescribed antibiotics when they would have preferred not to do so more than once a day or more than once a week. Among respondents who prescribed antibiotics, 63.4% would never or rarely give out resources on prudent use of antibiotics for infections. The findings are of importance to inform antibiotic stewardships about relevant interventions aimed at changing prescribers’ behaviors and improving antibiotic prescribing practices.

Extended Breastfeeding in Poland: Knowledge of Health Care Providers and Attitudes on Breastfeeding Beyond Infancy

2018 ◽  
Vol 35 (2) ◽  
pp. 371-380 ◽  
Author(s):  
Barbara Baranowska ◽  
Marta Malinowska ◽  
Ewelina Stanaszek ◽  
Dorota Sys ◽  
Grażyna Bączek ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Health Professionals ◽  
Further Education ◽  
Self Report ◽  
Care Providers ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Level Of Knowledge ◽  
The Relationship

Background: Extended breastfeeding is rare in Poland, and lack of acceptance and understanding is often evident in public opinion. The ability to provide reliable information about breastfeeding beyond infancy depends on health professionals’ levels of knowledge and attitudes. They are considered by most parents in Poland to be authorities in the field of child nutrition. Research aims: To determine (1) the level of knowledge and the attitudes of Polish health professionals towards extended breastfeeding; (2) the relationship between personal breastfeeding experience and attitudes towards extended breastfeeding; and (3) the relationship between knowledge about breastfeeding beyond twelve months and attitudes towards breastfeeding beyond infancy. Methods: A one-group prospective, cross-sectional, self-report style survey was used. The convenience sample ( N = 495) comprised gynaecologists, neonatologists and midwives. Data were collected via an online questionnaire and the results were analyzed with the use of descriptive statistics, a chi-square independence test, Fisher’s exact test, post-hoc testing, and two-part tables using SPSS. Results: Most of the respondents (76.7%; n = 384) had a low level of knowledge about the benefits of breastfeeding beyond twelve months and even emphasized that this nutritional choice could have negative impacts. There was a positive correlation ( F = 105.847; p = < .01) between levels of knowledge and respondents’ attitudes towards breastfeeding beyond infancy. Attitudes were also influenced by the length of time respondents had breastfed. Conclusion: Healthcare providers have an insufficient level of knowledge about extended breastfeeding and need further education in this area.

scholarly journals Behavior of Medical Students toward Over-the-Counter Drugs in Comparison to Students from Other Faculties, Riyadh, Saudi Arabia

2021 ◽  
pp. 129-135
Author(s):  
Amar Fathi Mohamed Khalifa ◽  
Yasser Nabil AlKhudairy ◽  
Adel Ahmed Algahtani ◽  
Bandar Mohammed Abduljabbar ◽  
Fahad Majed Aldawsari ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Medical Students ◽  
Cross Sectional Study ◽  
P Value ◽  
Online Questionnaire ◽  
Self Medication ◽  
Cross Sectional ◽  
Over The Counter ◽  
Otc Drugs ◽  
Professional Guidance

Background: Over-the-counter-drugs (OTC) are drugs that can be obtained by patients without a prescription from a physician. In Saudi Arabia, it has been reported that more than half of university students practiced self-medication and used OTC drugs. Methods: An institutional-based cross-sectional study, among medical and non-medical students in Riyadh. The sample size was 421, by systemic random sampling. A pre-coded pre-tested online questionnaire was used. Data was analyzed using SPSS V 23. P-value ≤ 0.05 was considered significant. Results: There was no significant relationship between what the participants were majoring in and the usage of OTC drugs (p value= 0.373). Gender also had no relation with the use of OTC (p value= 0.168). Panadol appeared as the most commonly used OTC drug 62.9% for the relief of the most commonly mentioned factor which is headache 50.12%.  Conclusion: Medical education didn’t have much of an effect on the use of OTC drugs. Moreover, professional guidance or advice was not considered most of the time for taking OTC, but the majority of respondents portrayed good behavior towards usage of OTC.

scholarly journals Nutrition Education and Community Pharmacy: A First Exploration of Current Attitudes and Practices in Northern Ireland

Pharmacy ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 27 ◽  
Author(s):  
Pauline Douglas ◽  
Helen McCarthy ◽  
Lynn McCotter ◽  
Siobhan Gallen ◽  
Stephen McClean ◽  
...  
Keyword(s):  
Northern Ireland ◽  
Nutrition Education ◽  
Phase 1 ◽  
Community Pharmacists ◽  
Education Programme ◽  
Training Programme ◽  
Phase 2 ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Attitudes And Practices

Community pharmacist is one of the most prominent and accessible healthcare professions. The community pharmacists’ role in healthcare is evolving, with opportunities being taken to reduce pressure on primary care services. However, the question remains of how well community pharmacists are equipped for this changing role. This was a sequentially designed study using a mix of methods to explore nutrition education among community pharmacists in Northern Ireland. It consisted of two phases. Phase 1 was a cross-sectional exploration to map the attitudes and practice of Northern Ireland (NI) pharmacists towards diet-related health promotion and disease prevention. An online questionnaire with open and closed questions to gain both quantitative and qualitative responses was developed and distributed to community pharmacists practising in NI. A total of 91% considered nutrition important in reducing the global burden of disease. While the majority (89%) believed patients would value nutritional advice from a pharmacist, 74% were not confident in providing advice to a patient with diabetes. From the consensus gained in Phase 1 a nutrition education intervention (Phase 2) for pre-registration pharmacists was developed using the Hardens 10 question system. The training programme was advertised to pre-registration pharmacy students in NI. It was delivered by nutrition experts who have education qualifications. The intervention was evaluated using a before and after questionnaire that assessed knowledge, attitudes, and practice (KAP). Phase 2 did find sustained improvement from the baseline in KAP but there was a decline from immediately post-training to three months post-training. This suggests the need to further embed nutrition education. The education programme was found to be effective for the target population and sets the stage for the development of an implementation strategy for a wider roll-out with evaluation.

scholarly journals SELF-PERCEIVED COMPETENCE OF NEW DENTAL GRADUATES IN PAKISTAN – A MULTIINSTITUTION STUDY

2021 ◽  
Vol 71 (3) ◽  
pp. 739-43
Author(s):  
Haroon Shahid Qazi ◽  
Kamran Ali ◽  
Josephine Cockerill ◽  
Daniel Zahra ◽  
Ulfat Bashir Raja ◽  
...  
Keyword(s):  
Clinical Skills ◽  
Perceived Competence ◽  
Cross Sectional Study ◽  
Further Education ◽  
Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
New Graduates ◽  
Dental Hospital ◽  
The Uk

Objective: To investigate the self-perceived competence of house-officers from three dental institutions in Pakistan. Study Design: Cross-sectional study. Place and Duration of Study: Islamabad Dental Hospital, Fatima Memorial Dental Hospital and Islamic International Dental Hospital, from Jan to Dec 2018. Methodology: House-officers from three dental institutions were invited to participate in a cross-sectional study. A previously validated preparedness assessment scale was used to gauge the perceptions and experiences of the participants on a range of clinical, cognitive and affective skills. The results were compared to data from Dental Foundation Trainees in the UK. Results: In total 128 house-officers responded to the online questionnaire (18 participants were excluded due to missing data). All but four participants were in the 20-25 years age group (96.4%). The mean overall score of participants was 70/100 (SD ± 11.71). Self-perceived competence was reported to be low for clinical skills in radiography, crowns, cast-partial dentures and endodontics on multi-rooted teeth. Conclusions: This study investigated self-perceived competence amongst new graduates and provides information for comparison with data from Foundation Dentists in the UK. Pakistani House-Officers felt less prepared than Dental Foundation Trainees in 49/50 attributes. Several areas were identified where graduates from both countries may benefit from further education, training and consolidation. The findings may be of interest to dental educators and other stakeholders.Keywords: , , ,

scholarly journals Knowledge and Behaviors Toward COVID-19 Among US Residents During the Early Days of the Pandemic: Cross-Sectional Online Questionnaire

10.2196/19161 ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e19161 ◽  
Author(s):  
John M Clements
Keyword(s):  
United States ◽  
Online Survey ◽  
The United States ◽  
Purchasing Behavior ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Lower Odds ◽  
Institutional Review ◽  
Point Increase ◽  
And Behaviors

Background The early days of the coronavirus disease (COVID-19) pandemic in the United States brought uncertainty in the knowledge about COVID-19 and what to do about it. It is necessary to understand public knowledge and behaviors if we are to effectively address the pandemic. Objective The aim of this study is to test the hypothesis that knowledge about COVID-19 influences participation in different behaviors including self-reports of purchasing more goods than usual, attending large gatherings, and using medical masks. Methods This study was funded and approved by the Institutional Review Board on March 17, 2020. The cross-sectional online survey of 1034 US residents aged 18 years or older was conducted on March 17, 2020. Results For every point increase in knowledge, the odds of participation in purchasing more goods (odds ratio [OR] 0.88, 95% CI 0.81-0.95), attending large gatherings (OR 0.87, 95% CI 0.81-0.93), and using medical masks (OR 0.56, 95% CI 0.50-0.62) decreased by 12%, 13%, and 44%, respectively. Gen X and millennial participants had 56% and 76% higher odds, respectively, of increased purchasing behavior compared to baby boomers. The results suggest that there is a politicization of response recommendations. Democrats had 30% lower odds of attending large gatherings (OR 0.70, 95% CI 0.50-0.97) and 48% lower odds of using medical masks (OR 0.52, 95% CI 0.34-0.78) compared to Republicans. Conclusions This survey is one of the first attempts to study determinants of knowledge and behaviors in response to the COVID-19 pandemic in the United States. A national, coordinated effort toward a pandemic response may ensure better compliance with behavioral recommendations to address this public health emergency.

scholarly journals PSYCHOLOGICAL IMPACT OF COVID-19 LOCKDOWN (PHASE 2) AMONG INDIAN GENERAL POPULATION: A CROSS-SECTIONAL SURVEY

2020 ◽  
pp. 1-6
Author(s):  
Pragati Kaurani ◽  
Kavita Batra ◽  
Himangini Rathore Hooja
Keyword(s):  
Mental Health ◽  
General Population ◽  
Psychological Health ◽  
Mental Health Problems ◽  
Phase 1 ◽  
Phase 2 ◽  
Snowball Sampling ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional

COVID-19 has caused unprecedented disruption of all spheres of life, including health, financial, and socio behavioral. Given the rampant nature of the pandemic, several nations, including India has instituted stringent public health measures, with one being nationwide lockdown, to mitigate COVID-19 transmission. Previous studies reported increased stress and anxiety levels among general population during phase 1 (complete) lockdown, however, the effect of extended lockdown (phase 2) on mental health outcomes remains the subject of investigation till today. Therefore, this cross-sectional study endeavors to assess the psychological outcomes among general population during phase 2 lockdown. The online questionnaire surveyed 627 individuals from the general population using a non-probability snowball sampling technique. Descriptive statistics, including the frequency distribution, mean and standard deviations were generated. Mean differences across groups were analyzed through independent-samples- t and analysis of variance tests. Consistent with previous studies, our results indicated a higher mean score of anxiety and stress among females compared to males. Young adults aged between 21-39 years had the highest mean stress and anxiety scores compared to other categories. The mean anxiety score increased from retired (M=3.96, SD=4.76, to students (M=7.04, SD=7.11), to unemployed (M=9.0, SD=6.53) occupation groups. The findings of this study highlight the need for designing psychosocial regulatory frameworks and suitable interventions to address the needs of those being mentally traumatized by the pandemic and associated lockdowns. The study also advocates for establishing psychological health monitoring and telepsychiatry systems for identifying and treating mental health problems.

scholarly journals A Multicultural Demographic Study to Analyze Antibiotic Prescription Practices and the Need for Continuing Education in Dentistry

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Mohmed Isaqali Karobari ◽  
Shahnawaz Khijmatgar ◽  
Rahul Bhandary ◽  
U. S. Krishna Nayak ◽  
Massimo Del Fabbro ◽  
...  
Keyword(s):  
Hypothesis Test ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Further Education ◽  
Evidence Based ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Oral Infections ◽  
First Choice ◽  
Antimicrobial Prescription

Objectives. The objective of the study was to understand and analyze the prescription patterns of dentists across various demographic locations for managing oral infections and pain with antibiotics and explore the evidence-based practices by clinicians as well as the need for further education. Materials and methods. This cross-sectional study was carried out using an online questionnaire framed to explore the knowledge, attitude, and practices among dentists with varying levels of experience and qualifications, regarding antimicrobial prescription. The questions were validated from previous published studies that explored the knowledge, attitude, and practice (KAP) with respect to antimicrobial prescription. In total, N = 300 of dentists from four different countries responded to the online questionnaire out of which 53% were specialists while 47% were general dentists. After data collection, descriptive analysis was carried out along with a one-sided hypothesis test to depict the power of the sample. Results. It was seen from the results of the study that the first-choice antibiotics for 67.8% of dentists were found to be the β-lactam group while sulfonamides and tetracyclines at 20% were the second most prescribed group. Another important finding was that 45.6% of dentists ignored hypersensitivity testing before prescription of antibiotics even though 83.3% of the total dentists interviewed were aware of the increase in antibiotic resistance. Conclusion. In conclusion, the dentists are partially aware of the guidelines but need further training and education on antimicrobial prescription that enables evidence-based decision-making for better practices and outcomes.

scholarly journals Prescription-strength topical corticosteroids available over the counter: Cross-sectional study of 80 stores in 13 United States cities

2020 ◽  
Vol 82 (2) ◽  
pp. 524-525 ◽  
Author(s):  
Rebecca S. Kimyon ◽  
Jamie P. Schlarbaum ◽  
Yujie Linda Liou ◽  
Brandon L. Adler ◽  
Alyssa Breneman ◽  
...  
Keyword(s):  
United States ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Over The Counter ◽  
Topical Corticosteroids

scholarly journals Knowledge, Attitude and Practice of medical students towards COVID19 in Sudan, 2020: A cross sectional study among 19 universities

2021 ◽  
Author(s):  
Radi Tofaha Alhusseini ◽  
Mohammed Alfatih Abdoalgadir ◽  
Khabab Abbasher Hussien Mohamed Ahmed ◽  
Rua Isameldin Bakhiet Mohamed ◽  
Monzer Omer Ahmed Abdalla ◽  
...  
Keyword(s):  
Medical Students ◽  
Clinical Symptoms ◽  
Good Practice ◽  
Cross Sectional Study ◽  
Emerging Diseases ◽  
Further Education ◽  
Initial Symptom ◽  
Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional

Abstract Introduction: Since December 2019, an outbreak of severe respiratory infection (COVID-19) emerged in the city of Wuhan in China. It quickly spread around the world and is now a pandemic of epic proportions. Medical students are the future generation of doctors who will have to face this and any future similar catastrophe. The knowledge, awareness and practice of medical students toward Covid19 pandemic is of most importance as it demonstrates their preparedness to deal with this pandemic.Objective: To assess the knowledge, awareness and practice of medical students in 19 universities in Sudan about COVID 19.Methodology: This is a cross-sectional study done in 19 universities which have medical schools in Sudan. Data from at least 100 medical students from each university was included in the study. Data was collected using an online questionnaire in April 2020.Results: 2603 medical students from 19 universities were included. Overall good knowledge and practice were demonstrated by the medical students (88.9%) and (78.6%), respectively. Respondents answered that the most common clinical symptoms of COVID-19 were fever (51.9%), dry cough (40.5%). The main combination of clinical symptoms was dry cough, fatigue and fever in (27.7%), and the first initial symptom was headache (48.4%.).(60.2%) wear medical masks, (94.9%) said that avoiding crowded places protects against the spread of Covid19. (50.9%) have confidence that Sudan can win the battle against the COVID-19 with (48.6%) amongst males and (52.2%) amongst females. 69.0% agreed that COVID-19 will finally be successfully controlled.Conclusion: This study showed that medical students in Sudan demonstrated excellent Knowledge and good practice toward Covid19.Recommendations: Although the results were very positive, further education and awareness should be carried out to increase the preparedness of medical students towards such pandemics and public health modules should also focus more on the importance of the knowledge of newly emerging diseases and the practices toward them.

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