Patient Attitudes Research Articles

ANALYTICAL STUDY ON FACTORS AFFECTING THE ATTITUDE AND PERSPECTIVES OF FEMALE PATIENTS ON THE USE OF ARTIFICIAL INTELLIGENCE IN THE ASSESSMENT OF SCREENING MAMMOGRAMS

Background: Breast cancer is one of the most common cancers among Indian women, with an incidence of 25.8 per 100,000 women according to the Ministry of Health and Family Welfare. Late detection is responsible for poor quality of life (QOL), and it is the leading cause of death. Studies have shown that people are positive towards AI performing assessment tasks in healthcare in general and in mammography screening. Moreover, it is challenging to implement strategies based on self-breast inspection or do mammography in rural regions or low and middle income nations for a variety of reasons. Objective: This study was conducted to assess the perception and attitude of various female patients reporting to the radiology unit of a tertiary care centre regarding the use of Artificial Intelligence in routine mammogram screening. Study Design: A cross sectional questionnaire based study was conducted female patients attending the radiology unit of a tertiary Care Centre in Central Kerala. Methods: After obtaining, informed written consent was taken from the study participants. A predesigned, pretested, validated checklist was used to collect the required data. The Knowledge, attitude and practice was ascertained through Likerts scale and scoring done accordingly. Statistical tests of significance was employed to assess the possible associations between various variables with the knowledge, attitude and perceptions regarding Artifical Intelligence based Mammogram Results: Among the 170 study subjects analysed, 68.6% had a satisfactory knowledge about Artificial intelligence. Among the 170 study subjects analysed, 86% had a good attitude about being screened through AI enabled mammogram techniques. 92% of the total study subjects registered for mammogram had done it based on self choice. The association between age and willingness to get screened was found to be statistically significant. It was also seen that there was a statistically very high significance between Knowledge regarding AI and the independent decision to get screened. There was also a statistically significant association between age and scores >60% regarding knowledge and attitude regarding the vaccination among the study subjects. Conclusions: Majority of the study population was having a satisfactory knowledge regarding AI usage in healthcare.

Pain Perception, Knowledge, Attitude, and Diet Diversity in Patients Undergoing Fixed Orthodontic Treatment: A Pilot Study.

This study aimed to determine the correlation between pain perception and knowledge, attitude, and diet diversity in patients undergoing fixed orthodontic treatment. A total of 103 patients (15-40 yrs.; 67 females, 36 males) undergoing orthodontic treatment with a 0.022-inch slot (MBT prescription) in both arches were recruited. Information on pain perception, knowledge, attitude, and diet diversity scores was collected through validated questionnaires using visual analogue scale and close-ended questions at one time point. The correlation between variables was analyzed using the Pearson's correlation coefficient. Of the patients, 48.5% were aged 15 to 19 years old, with 65% females and 73.8% of Chinese ethnicity. Approximately 90% of the orthodontic patients perceived low levels of pain from orthodontic treatment, and 98% had a positive attitude toward orthodontic treatment. The patients had a good level of knowledge (Mean: 6±0.65). Approximately 49.5% of patients reported having moderate diet diversity. No significant correlation was found between pain perception and knowledge, or pain perception and diet diversity (r=0.062, p=0.534). However, a significant weak negative correlation (r=-0.289, p<0.05) between pain perception and attitude was observed. Patients undergoing fixed orthodontic treatment presented with overall low pain perception, a positive attitude, and good knowledge about their treatment with moderate diet diversity. Informing the patient in advance about different orthodontic procedures encourages a positive attitude and facilitates patient cooperation. An interprofessional approach involving nutritionists can provide a holistic patient approach during orthodontic treatment.

Dietary Practices of Cancer Outpatients at Nyeri County Referral Hospital, Kenya; A Cross Sectional Survey

The global burden of non-communicable diseases remains unacceptably high and Kenya is among the countries experiencing an epidemiological transition from the communicable to non-communicable diseases. In Kenya, cancer is the second leading cause of non-communicable disease related mortalities after the cardiovascular diseases and Nyeri County is among the counties that are leading in this burden of non-communicable diseases. This study sought to assess the dietary practices of the cancer patients on chemotherapy at Nyeri County and Referral Hospital in comparison with the recommended dietary practices. Analytical cross-sectional study design was employed and the data on the dietary practices was collected using a 24-hour recall and a Food Frequency Questionnaire (FFQ). Sixty one percent of the respondents were female while 39% were male. Sixty one percent had acquired primary school education and half of the respondents survive on a monthly income of between 0-10,000. Breast cancer was the most common cancer type in the population (39%), followed by esophageal and throat cancer at 14.5% and gastric cancer at 14%. Prostate cancer was the most prevalent among the male respondents at 11%. The mean energy intake of the respondents was 1068+- 520 Kcals which was not meeting the requirements as per the ESPEN clinical guidelines on cancer. The dietary patterns identified from the research were, excessive consumption of foods from the starchy foods and the fats category (65.1%) and less than half (41.9%) were not attaining the minimum daily requirements of the fruit’s servings recommended by the World Health Organization (WHO). Nutrition education and counselling is key in improving the dietary practices among the cancer patients. However, 44.19% had not received nutrition education and counselling regarding the appropriate diet to consume in the course of their treatment. This study found out that the dietary practices of the cancer patients do not meet the recommended clinical guidelines on cancer nutrition and almost half of the population had not received nutrition education and counselling services. Social and behavior change is one of the possible strategies that could be adopted to deliver nutrition information to the population, to improve the knowledge, attitude and dietary practices of cancer patients in Kenya, which in turn will improve their nutrition outcomes.

The relationship between insight and coping attitudes in bipolar disorder patients

ABSTRACT Bipolar disorder is thought to determine the insights and coping attitudes that affect a patient’s compliance with treatment, which can positively affect the prognosis of the disease. This study aimed to investigate the relationship between insight and coping attitudes in bipolar disorder patients. This descriptive study was carried out with 127 volunteer patients who were diagnosed with bipolar disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and who were in a euthymic state. The Personal Information Form, Beck Cognitive Insight Scale (BCIS) and Scale of Coping Attitudes (COPE) were used as data collection tools. We found positive correlations between the total COPE score, the total BCIS score and the self-reflectivity subscale score of the BCIS. A positive and significant correlation was also determined between the BCIS subscales and total scores and coping attitudes toward adaptation with the COPE subscales (p < 0.05). A positive and significant relationship was found between the insight scores and total coping scores of the patients and their coping attitudes toward adaptation. We found that when patients’ levels of insight increased, their coping attitudes toward adaptation were used more frequently. This study revealed that individuals with high self-reflectivity can cope more effectively with the situations they face.

Biobanking, digital health and privacy: the choices of 1410 volunteers and neurological patients regarding limitations on use of data and biological samples, return of results and sharing

BackgroundThe growing diffusion of artificial intelligence, data science and digital health has highlighted the role of collection of data and biological samples, thus raising legal and ethical concerns regarding its use and dissemination. Further, the expansion of biobanking, from the basic collection of frozen specimens to the virtual biobanks of specimens and associated data that exist today, has given a revolutionary potential on healthcare systems, particularly in the field of neurological diseases, due to the inaccessibility of central nervous system and the need of non-invasive investigation approaches. Informed Consent (IC) is considered mandatory in all research studies and specimen collections, and must specifically take into account the ethical respect to the individuals to whom the used biological material and data belong.MethodsWe evaluated the attitudes of patients with neurological diseases (NP) and healthy volunteers (HV) towards the donation of biological samples to a biobank for future research studies on neurological diseases, and limitations on the use of data, related to the requirements set by the General Data Protection Regulation (GDPR). The study involved a total of 1454 subjects, including 502 HVs and 952 NPs, recruited at Santa Lucia Foundation IRCCS, Rome, from 2020 to 2024.ResultsWe found that (i) almost all subjects agreed with the participation in biobanking (ii) and authorization to genetic studies (HV = 99.1%; NP = 98.3%); Regarding the return of results, (iii) we found a statistically significant difference between NP and HV, the latter preferring not to be informed of potential results (HV = 43%; NP = 11.3%; p < 0.0001); (iv) a small number limited the sharing inside European Union (EU) (HV = 4.6%; NP = 6.6%), whereas patients were more likely to refuse transfer outside EU (HV = 7.4%; NP = 10.7% p = 0.05); (v) nearly all patients agreed with the use of additional health data from EMR for research purposes (98.9%).ConclusionsConsent for the donation of material for research purposes is crucial for biobanking and biomedical research studies that use biological material of human origin. Here, we have shown that choices regarding participation in a neurological biobank can be different between HVs and NPs, even if the benefit for research and scientific progress is recognized. NP have a strong interest in being informed of possible results but limit sharing of samples, highlighting a perception of greater individual or relative benefit, while HV prefer a wide dissemination and sharing of data but not to have the return of the results, favoring a possible benefit for society and knowledge. The results underline the need to carefully manage biological material and data collected in biobanks, in compliance with the GDPR and the specific requests of donors.

Underutilization of Injectable Parkinson's Disease Medication: An Analysis of Neurologist and Patient Perspectives.

We hypothesized that many neurologists underestimate patients' willingness to self-administer injectable Parkinson's disease (PD) medication. To evaluate patient and physician perceptions contributing to underutilization of PD medications for acute OFF episodes. Data were collected using an online survey including n = 4063 PD patients experiencing OFF episodes and n = 200 neurologists. 89% of patients were willing to self-inject rescue therapies to treat acute OFF episodes. After reviewing patient survey data, 54% of general neurologists and 37% of movement disorder specialist (MDS) demonstrated a change in perceptions about patients' willingness to use self-injected therapies (P < 0.05). 37% of general neurologists and 21% of MDS indicated a greater likelihood of prescribing these treatments (P < 0.05). Most patients suffering from OFF episodes would be willing to self-inject to abort their symptoms. Neurologists underestimate this patient acceptance. Understanding patient attitudes and further education about rescue therapies is likely to increase use of these therapies.

The relationship between addiction profile and parental attitudes in patients with opioid use disorder

ABSTRACT Background and objective We aimed to compare the perceived parental attitudes experienced by adults with opioid use disorder (OUD) with a healthy group and to examine its effect on the addiction profile. Methods Our study included 71 male patients diagnosed with OUD based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria and 71 male volunteers. Patients included in the study and healthy control group were subjected to the Sociodemographic Data Form (SDF), Young Parenting Inventory (YPI), Childhood Trauma Questionnaire (CTQ), and Addiction Profile Index (API) after the psychiatric examination. Results Most YPI subscales were significantly higher in the OUD group compared to the healthy control group (p < .05). A multivariate regression analyses model was statistically significant (x2 = 81,969, p < .001) with a Nagelkerke R2 value of 0.58. Family history of alcohol use disorder/substance use disorder (AUD/SUD), YPI belittling/criticizing (mother), YPI overprotective/anxious (mother), YPI pessimistic/fearful (mother), YPI restricted/emotionally inhibited (mother), and YPI pessimistic/fearful (father) were found to be independent predictors of the risk of developing OUD. Conclusion Critical, overprotective, and withdrawn parental attitudes, along with a family history of AUD/SUD, may predict OUD risk. This suggests the potential value of integrating parental-focused therapy into OUD treatment.

Patient attitudes toward the AI doctor.

Patient attitudes toward the AI doctor.

Блокада нервов нижней конечности: показания и преимущества

An inadequate approach to the choice of anesthetic care during surgery and in the postoperative period leads to numerous complications, chronic pain, decreased quality of life, as well as to the formation of a negative patient attitude and dissatisfaction with anesthetic care. Currently, there is a constant search for optimal methods of anesthetic management, especially in high-risk patients. Objective. To summarize and present current information on lower limb nerve blockade. Materials and methods. During the research work, an analysis of dissertations on this topic for 2014–2023 was carried out, and Internet resources Elibrary, Cyberleninka, PubMed for the last 9 years were used, since there are not enough literary sources on this topic from 2018 to 2023. Results. An analysis of Russian and foreign literature for 2014–2023 was given, devoted to such a type of anesthetic management as lower limb nerve blockade. Indications, anatomical features, methods, complications in femoral, obturator and sciatic nerve blockades are described. Conclusion. Due to the use of ultrasound navigation, neuromuscular stimulation, catheter technologies, it has become possible to perform peripheral blockades with a minimal risk of complications, as well as to carry out extended peripheral blockades, which allows to speed up the postoperative recovery of patients. Due to the lack of influence of peripheral blockades on hemodynamics, a smaller number of severe complications inherent in central blockades, anesthesiologists increasingly prefer peripheral blockades when choosing a method of anesthetic support for operations on the lower extremities. This type of anesthesia is offered as an alternative to neuraxial blockades, especially in elderly patients with a high class of physical condition.

Abstract B102: Impact of previous genetic counseling and reaction to genetic test results among Hispanic/Latino colorectal cancer patients in ENLACE: A cancer Moonshot study

Abstract Background: Inequities in access to genetic testing exist among Hispanic/Latino (H/L) individuals, a population disproportionately affected by colorectal cancer (CRC) burden. Past studies demonstrate the value of genetic counseling (GC) on improving patient understanding of genetic testing utility, but few studies have focused on H/L individuals. Therefore, we assessed the impact of having prior-GC on genetic testing knowledge among patients enrolled in the ENLACE study, a NCI-Moonshot-funded study of participant engagement in genomic characterization among H/L CRC patients. Methods: The ENLACE study enrolled participants from two healthcare facilities since 2022: Los Angeles General Medical Center (LA Gen, a safety-net hospital) and USC Norris Comprehensive Cancer Center (Norris, a university medical center). Baseline surveys to assess sociodemographic characteristics, genetic literacy and comprehension (GLAC), and genetic knowledge (KnowGene) were evaluated. Following somatic and germline return-of-results (ROR), Feelings About genomiC Testing Results (FACToR) for germline sequencing, the impact of somatic testing on cancer patient knowledge, attitudes, and expectations, and Decisional Regret for genomics research participation were evaluated. Results: A total of 105 H/L CRC participants completed surveys at baseline, and 39 post ROR. Most were recruited at LA Gen (n = 72), are male (n = 56), and Mexico-born (n = 55). Fifty participants (33, LA Gen; 17, Norris) had GC prior to study enrollment. No difference was found in the sociodemographic characteristics of participants with prior-GC by facility (p = 0.24). When stratified by prior-GC and facility there were no differences in GLAC and KnowGene scores, using univariate analysis (all p-values &amp;gt; 0.05). Post-ROR total FACToR score, which ranges from 0-48 with higher scores indicating greater functional impairment, was low with a median of 11 (IQR = 5.0-23.0) and no differences were seen for prior-GC or without (p = 0.2). Participants had low decisional regret with a median score of 2.5 (IQR = 0-25.0), on a 0-100 scale. When examining opinions about genetic testing in cancer care, 84% (n = 33) of patients agreed or strongly agreed that genetic testing based on today’s technology would significantly improve their cancer treatment and care. Conclusion: There was no association with prior-GC and baseline genetic knowledge scores. Post-ROR, the cohort had low functional impairment and decisional regret from genetic testing, suggesting that these H/L patients have a favorable reaction to their genetic test results. A limitation of this evaluation is that it does not consider the effect of GC during ROR, completed for some patients, on post-ROR responses. As the study progresses, larger numbers will allow us to stratify by germline test results and dosage of GC. These findings support the need for impactful genetics education tools and communication methods to ensure greater understanding of genetics for H/L individuals to maximize genetic testing utility. Citation Format: Natalia Gutierrez, Joel Sanchez Mendez, Julie O. Culver, Charite R. Ricker, Carmen Chavez, Lucia Enriquez, Sandra Algaze, John D. Carpten, Heinz-Josef Lenz, Mariana C. Stern. Impact of previous genetic counseling and reaction to genetic test results among Hispanic/Latino colorectal cancer patients in ENLACE: A cancer Moonshot study [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B102.

Understanding patient attitudes towards the use of AI in medical diagnosis using Necessary Conditions Analysis

The recent years have brought a rapid growth in the use of artificial intelligence (AI), particularly in medical applications. One of the areas where AI can find application is in medical diagnostics. AI has the potential to revolutionize the field of medical diagnostics by improving the predictive accuracy, speed and efficiency of the diagnostic process. The literature provides many studies on the applications of AI in medical diagnostics, including the attitudes of medical personnel towards this technology. However, few studies focus on evaluating the use of AI in medicine from the perspective of consumers. The article concerns the issue of using artificial intelligence in medical diagnostics. The authors analyse the attitudes of potential patients towards medical applications of AI. They examine the factors determining social acceptance of AI usage in medical diagnostics. They use a new research method based on necessity logic - Necessary Condition Analysis (NCA).

Knowledge, attitude, and practice of patients, health care practitioners, and road-traffic safety regulators on patients’ return to driving policy after recovery from musculoskeletal disorders

Background: Returning to driving is a major concern for many individuals who had developed the driving skill before injury or disease. This study evaluated the knowledge, attitude, and practice of patients, health care practitioners, and road-traffic safety regulators on patients’ return to driving policy after recovery from musculoskeletal disorders (MSDs). Methods: The study was a cross-sectional design. Participants were aged 18–80 years and comprised patients recovering from MSDs, health care practitioners, and road-traffic safety regulators. Questionnaires were distributed to patients who were managed for MSDs, health care practitioners involved in the management of MSDs, and road-traffic safety regulators. Questionnaires seeking relevant information on knowledge, attitude, and practice of patients’ return to driving for each category of participants were distributed in this wise: 320 questionnaires to patients, 355 to health care practitioners, and 300 to road-traffic safety regulators. Descriptive statistics of frequency and percentages were used to summarize the data, while χ2 was used to analyze associations among variables at P &lt; 0.05. Results: The health care practitioners’ knowledge of return to driving policy after MSDs was fair (125, 41.8%); however, with a good practice score (259, 86.6%). Both the health care practitioners and road-traffic safety regulators had positive attitudes. The patients exhibited poor knowledge (122, 60.7%), negative attitude (126, 62.4%), and poor practice (160, 79.6%) toward return to driving regulation (P= 0.0001). One hundred seventy-four (58.2%) of the health care practitioner respondents reported determining patients’ return to driving after MSDs, while 137 (68.2%) patient respondents recommended health care practitioners and road-traffic safety regulators collaboration in patient’s return to driving. Conclusions: Return to driving policy after recovery from MSDs is a collaborative effort hinged on health care practitioners’ evaluation and a driving retest by the road-traffic safety regulators. Health care practitioners and road-traffic safety regulators have good to fair knowledge of patients return to driving policy, while patients have poor knowledge and negative attitudes to return to driving.

Knowledge, attitude, and practices towards diabetes and diabetic retinopathy among diabetic patients at Medical Palestinian Complex, Ramallah

Diabetes Mellitus (DM) is a worldwide growing burden. Diabetes and its complications constitute a major morbidity burden among the Palestinian population. The main aim of this study was to document the knowledge, attitude, and practices (KAP) of diabetic patients towards diabetes and diabetic retinopathy. This cross-sectional study was conducted over two months at a Medical Palestinian Complex (PMC) outpatient clinic in Ramallah. Fifty diabetic patients were included in the study, and the KAP of patients was assessed using a verbally administered questionnaire. Patients were placed in different categories, such as "good/poor" knowledge, "positive/negative" attitude, and "good/poor" practice. The study involved 50 participants, primarily male, with an average age of 54 years. Overall, knowledge and attitude scores regarding diabetes and diabetic retinopathy were found to be poor, while practice scores were suboptimal for diabetes and poor for diabetic retinopathy. The main barrier to regular follow-up was inadequate knowledge about the importance of eye check-ups. While there was no significant difference in knowledge or attitude towards diabetes and diabetic retinopathy, participants with higher education levels and income demonstrated better practice scores. Additionally, a positive attitude towards diabetes and diabetic retinopathy was associated with better diabetes practice. KAP regarding DM and DR were generally poor among the patients. So, there is an urgent need to improve education and awareness of DM and DR among diabetics, as it is a powerful tool for controlling the disease and its complications by improving patient compliance with treatment and follow-up.

Patients perception of orthodontic treatment - A questionnaire based study

The patient perception of malocclusion is important in determining orthodontic treatment. The purpose of this study was to determine participant’s perception, attitude, dental awareness, motivation, factors influencing the necessity of treatment and considerations before opting for orthodontic treatment. A questionnaire-based survey including 14 questions, was conducted for 160 participants who came to OPD of Department of Orthodontics, BBDCODS or at private clinics for any dental problem or those who had queries for orthodontic treatment.A google form with multiple choice questions was created to assess the patient’s perception of Orthodontic treatment to investigate aesthetic concern, functional problems, psychological concern, Orthodontic awareness, and other reasons for seeking orthodontic treatment. The data of responses of participants was analysed on google form application itself with the help of spread sheet, pie charts and graphs. The study revealed that aesthetics was the main concern for getting treatment whereas functional concern was less frequently reported. Patient believed that the treatment could make them more beautiful. This survey-based questionnaire helped in assessing the patient perception and attitude towards Orthodontic treatment. Aesthetic was the major issue for seeking orthodontic treatment, and also motivating factor for the start of treatment. Cost and duration of the treatment were major barrier for the start of the orthodontic treatment.

A Qualitative Study of the Knowledge of Metabolic Syndrome, Attitudes about Lifestyle Modifications, and Preferences for Lifestyle Interventions among Patients with Cancer and Metabolic Syndrome.

Metabolic syndrome is a group of disorders-hypertension, dyslipidemia, obesity, and insulin resistance-that together increase the risk of coronary heart disease, stroke, and diabetes. Although ~60% of cancer patients have metabolic syndrome, which increases their risk of mortality, oncology providers lack clear guidance about its management. The development of metabolic syndrome lifestyle interventions requires a better understanding of these patients' knowledge, attitudes, and intervention preferences in order to inform management. During 2022-2023, 19 adult cancer patients with metabolic syndrome engaged in semistructured interviews focused on metabolic syndrome and lifestyle interventions. Interviews were analyzed using hybrid thematic analysis involving deductive and inductive coding. The findings indicated that patients lack knowledge about metabolic syndrome, were motivated to prioritize lifestyle modifications, and expressed strong interest in personalized care plans focused on healthy lifestyle rather than simply on weight loss. As part of their tailored intervention plans, participants desired clear communication with, and coordination of care among, their medical team and shared decision-making with providers about treatment decisions. The findings indicate that patients with metabolic syndrome want collaborative, patient-centered care, tailored interventions, and practical implementation strategies. This research will be used to inform the development of future lifestyle interventions for patients diagnosed with metabolic syndrome based on their identified needs and preferences.

Prospective interviews to understand patient attitudes towards digitalisation of clinic in medical ophthalmology: a quality improvement project

Prospective interviews to understand patient attitudes towards digitalisation of clinic in medical ophthalmology: a quality improvement project

Exercise is medicine: how should medicine embrace exercise as a key therapeutic tool?

Background: As chronic diseases and the aging population increase, exercise is becoming more and more essential along with medical treatment for recovering and maintaining individuals’ physical health. Furthermore, the demand for exercise-based interventions in this context is growing. Although most healthcare professionals recognize the effectiveness and necessity of exercise, the “Exercise is Medicine” initiative has not been established in clinical settings. We aim to discuss the effectiveness and importance of exercise in the treatment and management of diseases and how exercise should be considered a key therapeutic tool in medicine.Current Concepts: Exercise-related mechanisms and their influence on body structure and function should be considered in disease management. It is necessary to understand these interactions and monitor their effects on the entire body. During recovery after an injury, exercise rehabilitation is provided as program customized according to the phase and function levels, the clinical pathway of which is feasible and effective. Exercise programs for maintaining the functioning and physical and mental health of people with disabilities should be developed by considering individuals’ functional levels, disability types, and conditions. Correct posture, microbreaks, and regular exercise are key to managing musculoskeletal pain.Discussion and Conclusion: To ensure the effectiveness of the “Exercise is Medicine” initiative, exercise should be included in the National Health Insurance System after clarifying the indications and clinical effectiveness of exercise therapy and defining specific procedures. Furthermore, increased awareness and changes in the attitude of healthcare professionals and patients toward exercise are necessary. It is now time for the medical community to ponder over and pool its wisdom on how to adopt exercise as a key therapeutic tool.

FP8.1 - Environmental Sustainability and Surgery: what are the attitudes and barriers to implementing sustainable change in operating theatres? A Qualitative Study

Abstract Aims Sustainability in surgery is an increasingly important focus in the bid to halt climate change. This study aimed to better understand how environmentally sustainable change can be made in theatre environments by exploring attitudes of healthcare professionals and patients, and identifying barriers to implementing change. Methods A mixed-method qualitative study was undertaken involving a national survey of 157 healthcare professionals (HCP’s), and follow-up semi-structured interviews with ten HCP’s and five patients. Participants were targeted via the survey and public engagement mailing lists. Interviews were informed by a topic guide developed with responses from the survey. Data were analysed thematically and presented as major topic themes. Results 100% of participants agreed that operating theatres needed to make sustainable changes and reduce waste. Respondents understanding of the key issues centred around physical waste production and its effect on climate change. HCP’s identified issues around infection prevention and challenging current behaviour, whilst patients focused on maintaining current standards. Barriers to change included safety concerns, current clinical pressures, single-use culture and the perceived resistance to change within the NHS. HCP’s identified staff habits, lack of information and patient expectations as a barrier, whilst patients identified cost to be the main issue. Conclusions This study provides key insights into the current attitudes and perceived barriers of HCP’s and patients to implementing environmental change in surgery and aligned working environments. These provide useful data to aid future change strategies and implementation and ensure effective sustainable changes are made and delivered in theatre environments.

Antimicrobial resistance related knowledge, attitude and practice of general practitioners, patients and farmers: A cross-sectional study in Uzbekistan

ObjectivesThe objective was to identify antimicrobial resistance related knowledge, attitudes and practice gaps of general practitioners, patients and farmers. MethodsCross-sectional, mixed-mode (in-person and distance) survey conducted out among the key antimicrobial prescribers and consumers in Uzbekistan, from March to October 2020. We calculated knowledge and attitude scores and applied multivariable adaptive linear regression. ResultsData were collected from 718 adults (236 - GPs, 251 - patients and 231 - farmers) aged 18 years and older. 66.5 % (n = 157) of general practitioners didn't base their antimicrobials prescription on guidelines. A third were not familiar with the delayed antibiotic prescriptions strategy. Most general practitioners prescribe antibiotics on patients' request; one third if patients have fever, almost 60 % (n = 142) if patients have cough with sputum.Majority of patients believed that antibiotics can cure influenza and cold. Every third farmer thought that antibiotics is an antiviral and every fifth a tool to increase productivity. Almost two third of them used antibiotics to protect livestock/poultry/fish from disease.For all three groups, the strongest predictor for the right attitude was the knowledge level. ConclusionsAll three groups had knowledge gaps in the form of misconception and problem underestimation which manifests itself as a wrong practice. Interventions are needed at the national, institutional and individual levels, in particular in the trainings of general practitioners and farmers.

A study to assess the Knowledge, expressed Practice and Attitude regarding Diabetic Foot care in patient with Diabetes at Mathura Das Mathur Hospital Jodhpur

This study was to assess the knowledge, expressed practice and attitude regarding diabetic foot care in patient with diabetes “A study to assess the knowledge, expressed practice and attitude regarding diabetic foot care in patient with diabetes at Mathura Das Mathur Hospital Jodhpur” was conducted by Barkha Blossam Francis at Government College of Nursing, Jodhpur. 100 samples were selected using Non – probability convenient sampling technique The knowledge used questionnaire, practice checklist, attitude scale method to assess the knowledge, expressed practice and attitude regarding diabetic foot care in patient with diabetes. The majority of samples 49% had poor knowledge, 39% had good practice score and 46% had favorable attitude in the diabetic foot care in patient with diabetes mellitus. Data showed that that there is no relation found between the knowledge regarding diabetic foot care among patients with diabetes mellitus with the selected demographical variables, in terms of gender, religion, area of living, duration of illness diagnosed, type of diabetes, presence of diabetic complications, with the selected demographical variables. And there is relation found between knowledge regarding diabetic foot care among patients with diabetes mellitus with expressed practice and attitude of diabetic patient. There is positive correlation between knowledge, expressed practice and attitude of diabetes patients.