Need For Continuing Education Research Articles

한국 청소년의 아침 식사 유형에 따른 영양소 섭취 상태 및 아침식사의 질 평가

Objectives This study is to evaluate the quality of breakfast and compare the nutritional intake by breakfast type of Korean adolescents. Methods This study analyzed data from 3,779 adolescents aged 12 to 18 who participated in the National Health and Nutrition Survey conducted from 2016 to 2019. Breakfast was classified as ‘rice’, ‘bread’, ‘noodles’, ‘cereal’, and ‘others’ based on the main food consumed. Differences in general characteristics by breakfast type were ana-lyzed, and nutrient intake and nutrient intake ratio relative to daily nutrient intake standards were used for the analysis. Additionally, the study derived the contribution rate and nutrient density of daily nutrient intake from breakfast. Results Regarding the type of breakfast consumed by adolescents, rice ranked first at about 45%, followed by bread, cereal, and noodles. The breakfast skipping rate was higher among female adolescents at 43.03% com-pared to males at 35.57%. Rice and bread tended to account for most of the energy and protein intake, and cereals accounted for the highest daily intake of vitamins and minerals. The contribution rate of breakfast to daily energy intake was about 23-24% for rice and noodles, about 18% for bread, and about 14% for cereal. Conclusions The results of this study suggest that rice is an excellent breakfast diet for Korean adolescents. However, the high rate of breakfast skipping among adolescents suggests the need for efficient and continuous nutritional education about regular breakfast.

Intensive care nurses’ and nurse anaesthetists’ motivation to enrol in an academic master’s program: A qualitative study

Background: Nurses worldwide are increasingly working in environments characterized by healthcare reforms, complex patient care and technological advancements that require the integration of evidence-based practice. There is also a growing need for continuous education, systematic competence research and competence assessment instruments to meet the rapid changes in critical and anaesthesia care settings. Aim: The aim of this study was to explore and describe anaesthetists’ (NAs) and intensive care nurses’ (ICNs) motivation for enrolling in an academic master’s program. Method: A qualitative study was carried out, using focus groups. Data were analysed by means of qualitative content analyses. The participants were 11 students from an academic master’s program at a Norwegian university. Findings: The participants’ motivation was linked to the theme “improving patient care through continuous learning” and supported by three categories: understanding research; learning to argue within an intraprofessional team; improving and further developing the NAs and ICNs professions. Conclusion: Continuous learning to improve patient care for the critically ill was the main motivating factor for NAs and ICNs to enrol in an academic master’s program. NAs and ICNs enrolled in the academic master’s program with little or no support from the hospitals, and they reported that, in a busy ward, the time available for learning is scarce. The finding that NAs and ICNs desire continuous learning is relevant for hospital leaders who struggle to achieve patient safety goals and retain/recruit highly competent advanced nurses.

Nutritional support for oral cancer patients: What every nurses should know?

This paper discusses the important role of nutritional support in nursing care for patients with oral cancer, a condition that is becoming more common worldwide. Unfortunately, malnutrition often goes unnoticed, making treatment complications worse and reducing survival rates. By working together and using evidence-based practices, nurses can address these challenges by providing personalized nutritional interventions for each patient. Regular nutritional assessments, comprehensive care plans, and patient education are crucial parts of this approach, helping patients manage treatment side effects and achieve better results. However, nurses face obstacles like ethical dilemmas, limited resources, and healthcare disparities. This highlights the need for continuous education and advocacy to improve care and enhance the well-being of people diagnosed with oral cancer.

Knowledge, Awareness, Attitudes and Practices toward Perimenopausal Symptoms among Saudi Females.

Women's knowledge about perimenopause plays a crucial role in shaping their perception of related illnesses, influencing coping strategies, treatment adherence, and the overall management of this life stage. This cross-sectional study assessed the awareness, knowledge, attitudes, and practices regarding perimenopause among 409 Saudi women attending primary healthcare centers. Participants completed a structured questionnaire addressing demographic data, awareness, knowledge, attitudes, and practices related to perimenopause. While 75.3% of the participants were aware of perimenopause, only 17.4% could identify more than 10 out of 20 perimenopause symptoms. Commonly recognized symptoms included menstrual irregularity (67.7%), mood swings (66.0%), and mood fluctuations (50.4%). Only 23.0% had optimal knowledge about perimenopause complications. Additionally, 73.3% had not consulted a doctor for perimenopause-related issues. An analysis of the overall knowledge score showed a mean (SD) = 14.82 (5.64) out of 34. The level of knowledge was independently associated with a higher educational level, more frequent perimenopause symptoms, and regular doctor visits. This study reveals high awareness but insufficient knowledge among Saudi women regarding perimenopause symptoms and complications associated with higher perimenopause morbidity and a lack of engagement with healthcare professionals. It underscores the need for early and continued education on perimenopause, improved doctor-patient communication, and specific interventions to boost knowledge and attitudes toward perimenopause.

Nurses' knowledge and practice of thrombolytic therapy in the emergency department of King Salman Hospital: A comparative analysis

This study aimed to assess the knowledge and practice of nurses regarding thrombolytic therapy for patients with acute myocardial infarction (AMI) in the emergency department of King Salman Specialist Hospital, Hail, Saudi Arabia. Using a descriptive, correlational, cross-sectional design, data were collected from staff nurses in the emergency department through a questionnaire that included their demographic details and assessed their knowledge and practice concerning thrombolytic therapy. Analysis methods such as frequency and percentage, ANOVA, t-test, and bivariate analysis were utilized. Findings showed that nurses had an acceptable level of knowledge and practice with scores of 1.18 (SD=.361) and 1.29 (SD=.391), respectively. There was no significant difference in knowledge based on gender, age, or years of experience. However, years of experience significantly affected practice levels. The study highlights that while demographic factors do not majorly influence knowledge of thrombolytic therapy, experience plays a crucial role in the practical application of this knowledge in the emergency care of AMI patients. In conclusion, nurses at King Salman Specialist Hospital demonstrated competent knowledge and practice in administering thrombolytic therapy to AMI patients, underscoring the importance of experience in enhancing practical skills. This suggests a need for continuous education and training to maintain high standards of care in emergency departments.

Factors Associated with Inappropriate Use of Antibiotics Among Animal Health Professionals in Selected Districts of Rwanda, 2021.

Antibiotic resistance is a global health concern. Humans can acquire antibiotic resistance through human-to-human transmission, from the environment, via the food chain, and through the contact with animals. The National Action Plan on antimicrobial resistance 2020-2024 highlights the prudent use of antibiotics in veterinary activities as the key element in keeping antibiotics effective. We determined the factors associated with misuse of antibiotics among animal health professionals in Rwanda. This was a cross-sectional study that enrolled animal health field professionals from five districts, where stratified random sampling was used to select one district by each province of Rwanda. Structured questions were used during face-to-face interviews. The misuse of antibiotics was defined as the use of antibiotics for reasons other than treatment, the non-completion of required courses, or the use of a high dose (i.e., an overdose) of antibiotics. We collected socio-demographic data of respondents, as well as elementary knowledge and perceptions on veterinary antibiotics and antibiotic resistance. A backward stepwise logistic regression model was used to identify the factors that were predictive of the inappropriate use of antibiotics. There were 256 respondents to the survey. Of those, 198 were male and 58 were female. Almost three quarters of respondents (n = 174/256; 68%) reported the misuse of antibiotics at least once in the previous 12months. The final logistic regression analysis identified the following factors to be predictive of antibiotics misuse: aged ≤ 24years (aOR 0.92; 95% CI [0.88, 0.96]; p < 0.001); low trust in veterinary antibiotics available in the local market (aOR 8.45; 95% CI [4.18, 17.07]; p < 0.01), insufficient knowledge about basic understanding of antibiotics and antibiotic resistance (aOR 2.78; 95% CI [1.38, 5.58], p < 0.01) and not acquiring any continuing education (aOR 1.97; 95% CI [1.02, 4.19]; p = 0.04). This study identified inadequate perceptions of proper antibiotic use among animal health professionals. There is a need for continuous education on appropriate antibiotic use among animal health professionals to lessen the negative impact of antibiotic resistance on public health security.

Factors associated with gaps in naloxone knowledge: evidence from a 2022 great plains survey

BackgroundThe rising prevalence of fast-acting opioids in the USA suggests the increased need for non-professional first responder administration of naloxone. Effective administration of naloxone during an overdose requires that bystanders are familiar with, have access to, and know how to use naloxone.MethodsDrawing on a statewide, address-based sample of Nebraskan adults, we used logistic regression to predict the likelihood of respondents’ familiarity with, access to, and competency to administer naloxone. Our independent variables included measures indicating proximity to drug use, perceived community stigma toward people who use drugs, and demographic data.ResultsThere were significant gaps in naloxone knowledge in Nebraska. Although 74.8% of respondents were familiar with naloxone, only 18.2% knew how to access it and 18.0% knew how to use it. Being close to an overdose experience, lifetime illicit opioid use, being close to a person who uses opioids, and having access to illicit opioids were not significantly associated with naloxone familiarity, access, or competency among respondents in Nebraska’s two largest cities, Omaha and Lincoln. Outside of these cities, being close to a past overdose experience and access to illicit opioids was associated with higher odds of naloxone access and competency, but lifetime opioid use and being close to a person who uses opioids were not. Finally, among those familiar with naloxone, a higher perception of community stigma toward people who use opioids generally was associated with lower odds of naloxone access and competency. Higher perception of community stigma toward people who use heroin, methamphetamines, and cocaine, however, was associated with higher odds of naloxone access.ConclusionsOur findings highlight the continued need for education on naloxone with a specific focus on access and competency to further reduce opioid-related overdose deaths. Specific focus should be placed on promoting naloxone knowledge among people with a higher likelihood of needing to administer naloxone to reduce otherwise avoidable deaths. Further work is needed to understand differences in the relationship between substance-specific perceived stigma and its association with naloxone access.

(225) Hard-flaccid Syndrome: A Survey of Sexual Medicine Practitioners’ Knowledge and Experience

Abstract Introduction Hard-flaccid syndrome (HFS) is a condition of male sexual dysfunction (MSD) that has become a relatively new focus in online forums and urologic conferences. It is a poorly understood syndrome characterized by chronic pain, a partially rigid penis while in a flaccid state, and erectile dysfunction. HFS primarily affects men in their second and third decade of life, but its exact pathophysiology remains uncertain, with hypotheses suggesting a combination of physical and psychological factors. Consequently, an evidence-based understanding of HFS is lacking within the sexual medicine community. Objective Identify and quantify the current level of understanding of HFS in the sexual medicine academic society. Methods A survey was provided to sexual medicine practitioners at the 2023 American Urological Association (AUA) who attended a plenary focusing on sexual medicine. Each survey form included a screening question to determine familiarity with HFS. If they were familiar with HFS, there were multiple additional questions querying experience with HFS in their patients, modalities of diagnosis, preferred therapy options, in addition to others. These answers were then extracted onto a spreadsheet and analyzed. Results According to the registration reports from the 2023 AUA conference, there were 37 attendees at the sexual medicine plenary. A total of 36 survey responses were submitted. Of these, 35 were urologists and 1 responder was a mental health professional. Among the respondents, 8 (35%) acquired knowledge about HFS through colleagues, 6 (26%) mentioned medical journals, 4 (17%) mentioned conferences, 4 (17%) mentioned patients, and 1 (5%) stated that they first heard about it from an online pelvic floor therapist. Regarding the diagnostic approach for HFS in their practice, 17 responders considered clinical history, 16 relied on patient self-diagnosis, and 1 utilized imaging, although the specific imaging modality was not specified. Most respondents (74%) indicated that they had seen 1-10 patients with HFS, with 4 and 2 respondents reporting 11-20 and 21-50 patients, respectively. In terms of their beliefs about HFS as a legitimate condition, 12 responders expressed confidence in its existence, while 7 remained uncertain. Most respondents (11) suggested pelvic floor therapy as the optimal approach, with 10 recommending combination therapy. Conclusions This analysis highlights the ongoing lack of familiarity with HFS among professionals. This project provides valuable insights into the current understanding of this complex condition. The outcome emphasizes the critical need for continued education and research on HFS to improve diagnostic accuracy, enhance patient care, and develop effective treatment strategies. Disclosure No.

Bioinformatics and personalized medicine in the U.S.: A comprehensive review: Scrutinizing the advancements in genomics and their potential to revolutionize healthcare delivery

This study provides a comprehensive review of the role of bioinformatics in personalized medicine, particularly focusing on its integration with genomics and the consequent revolution in healthcare delivery. The primary objective was to explore how bioinformatics facilitates the transition from traditional healthcare practices to more personalized, predictive, and patient-centered medical treatments. Utilizing a systematic literature review and content analysis, the study examined peer-reviewed articles, conference proceedings, and reports from key databases like PubMed, Web of Science, and Scopus, focusing on publications from 2010 to 2023. Key findings highlight the significant advancements in genomic sequencing technologies and their application in personalized therapeutics. The integration of bioinformatics tools in healthcare systems has shown a substantial impact on patient care, emphasizing the importance of ethical and economic considerations, data privacy, and security. The study also revealed the crucial role of collaborations and partnerships within the industry and healthcare systems for the advancement of personalized medicine. The future landscape of genomic medicine presents both opportunities and challenges, particularly in disease prediction, prevention, and treatment. The study concludes with strategic recommendations for healthcare practitioners and policymakers, emphasizing the need for continuous education, robust policy frameworks, and equitable access to personalized medicine. Future research directions include the development of advanced bioinformatics tools, exploration of ethical implications, and understanding barriers to clinical integration. This study underscores the transformative potential of bioinformatics in revolutionizing healthcare delivery and patient care.

Medical Adhesives Related Skin Injury (MARSI): Nursing Expertise that Improves Patient Care and Comfort

This study aimed to evaluate the knowledge and practical application of information related to Medical Adhesive-Related Skin Injuries (MARSI) among nurses working in inpatient departments of selected hospitals in Bhubaneswar. A total of 230 participants were included, and a descriptive research design was employed for data collection using a structured questionnaire through purposive sampling. The analysis, conducted using IBM SPSS version 23, revealed that the majority of nurses exhibited moderate knowledge of MARSI (92%), with 8% possessing high knowledge. In terms of practical application, 60% demonstrated good practice scores, 38% had average scores, and 2% displayed poor scores. Comparison of knowledge scores between Intensive Care Unit (ICU) and General Ward nurses indicated a statistically significant difference, with ICU nurses scoring higher. While demographic factors showed no significant impact on knowledge levels, participation in workshops/seminars was positively associated with increased knowledge. The findings underscore the need for continuous education and training to enhance nurses' understanding and implementation of MARSI prevention and management practices, emphasizing the importance of ongoing efforts to raise awareness and adherence to best practices. The study suggests future research should focus on developing effective educational programs and interventions to reduce MARSI incidence in healthcare settings.

Knowledge Regarding Therapeutic Hypothermia and Its Uses Among Staff Nurses of Selected Hospitals

Therapeutic hypothermia, also known as targeted temperature management, has gained prominence in recent years for its diverse applications in healthcare, particularly in critical care and emergency medicine. To ensure its effective utilization, it is imperative to assess the knowledge of healthcare professionals, including staff nurses, who play a crucial role in its implementation. A descriptive research design was employed for this study. Non-probability purposive sampling was used to select a sample of staff nurses from selected hospitals. The findings of this study indicate that there is no significant association between the knowledge scores of staff nurses regarding therapeutic hypothermia and its applications and their socio-demographic variables. This suggests that the level of knowledge among staff nurses remains consistent across different demographic groups. Therapeutic hypothermia is a critical intervention in modern healthcare, and it is essential for healthcare professionals, including staff nurses, to possess adequate knowledge about its principles and applications. While this study did not identify significant variations in knowledge based on socio-demographic factors, it highlights the need for continuous education and training to ensure that staff nurses are well-equipped to deliver optimal care to patients who may benefit from therapeutic hypothermia. Further research is encouraged to explore the effectiveness of educational interventions in enhancing knowledge and practice in this area.

Differences in Burn Wound Size Estimation Between Points of Referral and the Burn Unit: Experience at a Major Burn Center in Southwestern Nigeria

Background. Accurate burn wound size estimation is important for resuscitation and subsequent management. It is also important for the development of referral guidelines in Nigeria. Objective. To establish whether a significant discrepancy exists in burn size estimation between referral centers and burn units. Methods. A retrospective review of burn patients managed at the burn unit of a premier tertiary hospital in Ibadan, southwestern Nigeria, between January 1, 2016, and October 31, 2019 was conducted. Patients’ demographic and other characteristics, inclusive of TBSA estimation from point of referral and the burn unit, were retrieved and analyzed. Results. A total of 96 burn injury records were found for the study period, with a male-to-female ratio of 1.3:1. Thirty-five records (36.5%) included no burn size estimation by the referring physician. There was a statistically significant difference in TBSA estimation between referring physicians and burn unit physicians (P = .015). Burn wounds were more likely to be overestimated than underestimated (P = .016). Overestimation is more likely with minor burns and in pediatric patients. Underestimation was more likely in adults. Conclusion. There is a significant difference in burn size estimation between burn unit physicians and referring physicians. This finding underscores the need for continuous education on burn estimation to aid proper referral and management.

Development of a Protocol for the Direct Breastfeeding of Premature Infants in Neonatal Intensive Care Units.

This study aimed to develop a direct breastfeeding protocol for premature infants admitted to neonatal intensive care units (NICUs) and investigate its efficacy. Direct breastfeeding increases the amount and duration of breastfeeding. However, NICUs have low direct feeding rates owing to medical staff anxiety, lack of knowledge and experience, and fear of overwork. Accordingly, this study developed a protocol for direct breastfeeding in the NICU and evaluated its effect. The protocol was developed through a literature review, expert validation, and preliminary investigation. Its application effects were identified using a nonexperimental, evidence-based research design targeting premature infants, their mothers, and NICU nurses. The protocol comprised 5 areas and 23 items. Application of the protocol resulted in continuous weight gain of the infants and increased self-efficacy in the mothers' direct breastfeeding ( t = 3.219, P = .004). Significant increases were noted in NICU nurses' direct breastfeeding activities ( t = 3.93, P < .001), breastfeeding rates in the NICU ( P = .037), and direct breastfeeding rates ( P = .007). Results underscore the value of an evidence-based protocol for improving breastfeeding rates in premature infants. This study highlights the need for continuous nursing education on protocol applications and human resource support.

CUIDADO DOMICILIAR DA CRIANÇA EM USO DE TRAQUEOSTOMIA: PERSPECTIVA DOS CUIDADORES NO CONTEXTO AMAZÔNICO

ABSTRACT Objective: To describe caregivers’ perception of tracheostomized children about the challenges in discharge to their homes in the Amazonian context. Method: A descriptive, qualitative study was conducted with 16 caregivers of tracheostomized children who experienced dehospitalization in a children’s hospital in Rio Branco - Acre - Brazil. Saturation-defined sampling, data collected with a semi-structured script from August to December 2021, submitted to Bardin Content Analysis. Results: the analysis resulted in four categories: (1) feelings experienced with the use of the tracheal device; (2) routine tracheostomy care that caregivers consider important; (3) questions and reports about tracheal aspiration; and (4) conduct in the face of complications in children using tracheostomy. Final remarks: the fear of learning the tracheal aspiration technique and of being discharged from the hospital reinforces the need for early and continuous education for caregivers, focusing on routine and emergency care for tracheostomized children.

Continuing Education Needs of Speech-Language Pathologists for Assessing and Treating Children With Cleft Palate: A National Analysis Across Areas of Varying Population Density.

The purpose of this study was to identify training gaps and continuing education (CE) needs for speech-language pathologists (SLPs) in evaluating and treating children with cleft palate across and among areas of varying population density. An anonymous 35-question survey lasting approximately 10-15 min was created in Qualtrics based on a previously published study. The survey information and link were electronically distributed to American Speech-Language-Hearing Association (ASHA)-certified SLPs through ASHA listservs, social media, individual-state SLP organizations, and an e-mail list of publicly listed SLPs. A total of 359 survey responses were collected. Respondents varied in terms of age, type of certification, practice location, and clinical experience with cleft palate, with the largest percentage (46.7%) of respondents in a school-based setting. Only 28.5% reported currently feeling comfortable treating children with cleft palate. Respondents reported conventions/conferences (25.4%) and webinars (23.2%) were the most helpful resources, but DVDs were frequently not used for CE. Information from the child's cleft team (84.4%) and mentors/colleagues (70%) were considered high-quality resources. Respondents indicated information on treatment of articulation (79.2%) and resonance (78.4%) disorders as well as specific therapy techniques (76.9%) would be very helpful for clinical practice. Population density significantly influenced how respondents ranked the perceived helpfulness and quality of different resources as well as desired topics for future resources. There is a continued need for adequate training and CE opportunities for SLPs, particularly related to assessing and treating children with cleft palate. Increased access to high-quality CE resources will be key to filling educational gaps present for SLPs, especially in areas of low-population density. https://doi.org/10.23641/asha.24891423.

The Role of Thai Local Herbs and Ingredients in Promoting Post-Pandemic Wellness and Medical Tourism for Sustainable Development Goal 3: A Critical Review of the Literature

Objective: To investigate the therapeutic properties of local Thai herbs and ingredients, assess the scientific evidence on Thai traditional medicine, explore the cultural significance and traditional knowledge, analyze the potential of Thai herbs in post-pandemic wellness, and examine the role of Thai traditional medicine in medical tourism and its contribution to SDG 3.Material and Methods: This article presents a comprehensive and rigorous critical review of the literature conducted systematically, including thorough data extraction, systematic search, and analysis of relevant studies. Results: The literature review explores the results of various studies on the efficacy and safety of local Thai herbs and ingredients and the potential impacts of medical tourism on sustainability. The review reveals that Thai traditional medicine, incorporating practices, demonstrates promising therapeutic benefits for conditions such as inflammation and respiratory infections. However, challenges exist in terms of standardization and regulation, necessitating further research in order to establish safety and efficacy. While medical tourism benefits Thailand economically, concerns arise regarding social inequalities and environmental impacts. Integrating traditional medicine into medical tourism and adopting sustainable practices can mitigate any adverse effects. These findings highlight the importance of investments in research, education, technology, and sustainable tourism practices that promote traditional medicine, enhance patient care, and position Thailand as a leader in post-pandemic wellness and sustainable development.Conclusion: The discussion emphasizes the need for continued research, education, and regulation in order to promote the integration of traditional medicine into the healthcare system, enhance the safety and efficacy of its practices, and position Thailand as a leader in medical tourism and post-pandemic wellness.

Point-of-Care Ultrasound for the Diagnosis of Frequent Cardiovascular Diseases: A Review.

Point-of-care ultrasound (POCUS) has emerged as an indispensable diagnostic tool in cardiology, particularly within the emergency department. This narrative synthesis provides a comprehensive exploration of POCUS applications in cardiovascular diseases, elucidating its multifaceted roles and addressing challenges. The review delves into the technical attributes of POCUS, emphasizing its non-invasive nature, radiation-free qualities, and suitability for non-radiologists. It navigates through educational strategies, stressing the importance of structured programs for the seamless integration of POCUS into clinical practice. Highlighting its efficacy, the synthesis discusses POCUS applications in various scenarios such as dyspnea, chest pain, cardiac arrest, aortic dissection, pericardial effusion, and pulmonary embolism. Beyond acute care, the review explores the role of POCUS in outpatient and inpatient settings, focusing on chronic and acute heart failure, valvular heart diseases, and more. Acknowledging operator-dependent challenges and the need for continuous education, the review underscores the transformative potential of POCUS across diverse healthcare settings. This narrative synthesis accentuates POCUS as a valuable and versatile diagnostic tool in cardiology, offering efficiency, safety, and cost-effectiveness. Despite challenges, POCUS stands out as a transformative addition to clinical practices, poised to enhance patient outcomes and reshape the landscape of cardiovascular diagnostics.

Knowledge, attitude and practice of community pharmacists toward irritable bowel syndrome, Sudan

Irritable Bowel Syndrome (IBS) is a common disorder affecting around 20% of the populations worldwide. Treatment of IBS typically focuses on managing predominant symptoms and the pathophysiology, such as the visceral hypersensitivity. This study was conducted to assess community pharmacist knowledge, attitude and practice of Irritable Bowel Syndrome in Khartoum locality.A descriptive cross-sectional study was done. The study was performed among all community pharmacist working at the pharmacies in the study area. Ethical approval from the Ministry of health was first granted (NUSU2021/3-5), then approvals was obtained from each of pharmacy administration. Pharmacists that were registered by Sudan medical counsel, while pharmacy technician and other staff were excluded. Association among variables was assessed through chi-square test, all tests were considered significant when p <0.05.Most of the pharmacist were females (68%, n= 70). Fifty-eight percent (n=60) had good knowledge about IBS. Ninety-three percent (n=96) knew the common symptoms. Eighty-six percent (n=89) of the participants reported that the diagnosis of IBS was based on symptoms. Although the knowledge score was good, but their knowledge about medications and lifestyle modifications was poor. Good attitude was noticed in 55% (n= 57) of the pharmacists. Sixty-one percent (n=63) of pharmacists agree with that they need courses regarding IBS. Fifty-one percent (n= 53) of them agreed with IBS has become one of the most health problems they were involved. Also fifty-one percent (n=53) of them agree with that the symptoms of IBS never disappear. Regarding practice, 63% (n= 65) of pharmacists had good practice.Majority of the participants had good knowledge and attitude and practice about IBS. The need for continuous education was recommended by the participants.

Comparing knowledge, attitudes, and practices in cardiovascular disease prevention and health promotion between community and hospital pharmacists in Saudi Arabia: A cross-sectional study

PurposeSaudi Arabia is one of the leading nations in the world in terms of the high frequency of chronic diseases and their associated risk factors. Knowledge and awareness are crucial for pharmacists to play an active role in the prevention of cardiovascular diseases (CVD). The current study assessed the pharmacists' knowledge, attitude, and practice to determine the potential differences with respect to their respective practice settings toward CVD prevention and related health promotions. MethodsIt is a cross-sectional study targeted the registered pharmacists in the Kingdom of Saudi Arabia. An online questionnaire was prepared, and the link was circulated through various social media platforms. Descriptive statistics, multivariate linear regression analysis and chi square test were used to analyze the data accordingly. ResultsA total of 324 pharmacists were included in the study. Among these, 157 (48.4 %) were community pharmacists, and the remaining were hospital pharmacists (51.6 %). No significant differences in knowledge scores were observed between community and hospital pharmacists. The mean attitude score among community and hospital pharmacists was found to be 26.40 ± 5.125 and 25.09 ± 5.393 respectively, which was statistically significant (p = 0.026). Similarly, the total practice scores across the settings were statistically significant (p = 0.02). Gender plays a significant role in terms of knowledge scores among both community and hospital pharmacists (p = 0.016 & 0.029). Gender, professional practice experience, and number of prescriptions handled and prescriptions with CVD medications showed significant differences in the distribution of positive attitudes and good practice frequency between community and hospital pharmacists. ConclusionIt is evident that there is a deficiency in knowledge among hospital pharmacists compared to community pharmacists. Which indicates that there is a need for a rigorous continuous pharmacy education covering the fundamental aspects of CVD primary prevention and health promotion among pharmacists, given more focus on hospital pharmacists.

An analytical investigation into noise levels in public health sector neonatal intensive care units in the eThekwini District

Background. Noise is a known environmental stressor in the neonatal intensive care unit (NICU), as it may result in adverse effects on preterm neonates because of the unique vulnerability and physiological immaturity of their central nervous systems. Objective. To investigate noise levels in public sector NICUs in the eThekwini District, KwaZulu-Natal Province, South Africa. Methods. An analytical observational study design with purposive sampling of public sector hospitals was used. Noise was continuously measured with a sound level meter in a central location for 48 hours on 2 consecutive days (Sunday and Monday) in the four NICUs. A sample of noise sources, as well as their frequency of occurrence, was identified through direct observation and a frequency spectrum analysis using one-third octave bands. Data were analysed using descriptive and inferential statistics. Results. This study included one tertiary hospital and three regional hospitals in the eThekwini District. Mean noise levels exceeded international recommendations of an A-weighted equivalent continuous sound level (LAeq) of 45 A-weighted decibel (dBA) and an A-weighted maximum sound level (LAmax) of 65 dBA in all four hospitals. The most frequently occurring sources of noise were staff conversations (30.9%, Hospital A), device alarms (21.0%, Hospital B) and closing metal pedal bins (20.0%, Hospital B). Mean LAeqs &gt;45 BA were found in the mid and high frequencies (250 Hz - 6 300 Hz) in all hospitals, particularly during the afternoon. Conclusion. The findings emphasise the need for continuous noise monitoring, awareness and education among healthcare professionals in the NICU. Future research should expand on existing findings and focus on interventions for noise control in NICUs.