Pub Date : 2023-04-30DOI: 10.47363/jmhc/2023(5)230
M. Mulla, Anupama Mudhol
In maxillofacial trauma patients mandibular fractures are more common, among which condylar region is the most frequent site of fracture accounting for 25-30%. Management of Condylar fracture is most controversial topic in maxillofacial trauma. This study is aimed at comparing the outcome of closed and open reduction of condylar fractures.
{"title":"Treatment Outcome Following Closed and Open Reduction of Condylar Fractures – A 3 Year Clinical Prospective Study","authors":"M. Mulla, Anupama Mudhol","doi":"10.47363/jmhc/2023(5)230","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)230","url":null,"abstract":"In maxillofacial trauma patients mandibular fractures are more common, among which condylar region is the most frequent site of fracture accounting for 25-30%. Management of Condylar fracture is most controversial topic in maxillofacial trauma. This study is aimed at comparing the outcome of closed and open reduction of condylar fractures.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48448172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-31DOI: 10.47363/jmhc/2023(5)228
Frank Nduu Nawej
During a recent routine vaccination session for children aged 0 to 11 months at the Padre Pio hospital center in Lubumbashi, a midwife administered twice the dose of the same injectable poliomyelitis vaccine (IPV) to an infant while only one dose was indicated. The child subsequently presented with some digestive disorders such as vomiting and diarrhea that required 24-hour observation in the emergency reception unit. The occurrence of this incident required the holding of a meeting with the various stakeholders. The aim was to examine the possible cause(s) of this incident, to be able to determine whether it was a fault attributable to the vaccinator or whether it was a systemic problem, the aim being to improve the safety of the practice of vaccination by preventing the occurrence of similar situations.
{"title":"Feedback from an Adverse Event Associated with Medication Error Type Care. Case of the Saint Padre Pio Hospital Centre in Lubumbashi in the Democratic Republic of Congo","authors":"Frank Nduu Nawej","doi":"10.47363/jmhc/2023(5)228","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)228","url":null,"abstract":"During a recent routine vaccination session for children aged 0 to 11 months at the Padre Pio hospital center in Lubumbashi, a midwife administered twice the dose of the same injectable poliomyelitis vaccine (IPV) to an infant while only one dose was indicated. The child subsequently presented with some digestive disorders such as vomiting and diarrhea that required 24-hour observation in the emergency reception unit. The occurrence of this incident required the holding of a meeting with the various stakeholders. The aim was to examine the possible cause(s) of this incident, to be able to determine whether it was a fault attributable to the vaccinator or whether it was a systemic problem, the aim being to improve the safety of the practice of vaccination by preventing the occurrence of similar situations.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46552767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-31DOI: 10.47363/jmhc/2023(5)227
Farid Gharagozloo, Robert Poston
In 1986, the US Congress passed the Health Care Quality Improvement Act of 1986. (HCQIA) was designed to protect the health and safety of the public by 1) enhancing the Peer Review process through protection for peer review members from lawsuits, and 2) providing a national repository for reported information regarding medical malpractice payments and adverse actions involving physicians, which among other things, would monitor the movement of incompetent or unprofessional physicians. The framers of HCQIA did not foresee that in 2023, hospitals and employers will invariably deny employment and/or hospital privileges based on an NPDB report outlining loss of hospital privileges or relinquishment of hospital privileges under investigation. Such an adverse report by NPDB results in the inability of the physician to obtain employment or practice in a hospital. Therefore, in 2023, the unintended consequence of the reporting of adverse peer review actions by NPDB, an agency of the Federal Government, can violate the constitutional and civil rights of the said physicians.
{"title":"Constitutional Violations by the Health Care Quality Improvement Act (HCQIA) and the Reporting by the National Practitioner Databank (NPDB): Focusing on the Preservation of the Civil Rights of Physicians","authors":"Farid Gharagozloo, Robert Poston","doi":"10.47363/jmhc/2023(5)227","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)227","url":null,"abstract":"In 1986, the US Congress passed the Health Care Quality Improvement Act of 1986. (HCQIA) was designed to protect the health and safety of the public by 1) enhancing the Peer Review process through protection for peer review members from lawsuits, and 2) providing a national repository for reported information regarding medical malpractice payments and adverse actions involving physicians, which among other things, would monitor the movement of incompetent or unprofessional physicians. The framers of HCQIA did not foresee that in 2023, hospitals and employers will invariably deny employment and/or hospital privileges based on an NPDB report outlining loss of hospital privileges or relinquishment of hospital privileges under investigation. Such an adverse report by NPDB results in the inability of the physician to obtain employment or practice in a hospital. Therefore, in 2023, the unintended consequence of the reporting of adverse peer review actions by NPDB, an agency of the Federal Government, can violate the constitutional and civil rights of the said physicians.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135877547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-28DOI: 10.47363/jmhc/2023(5)222
Annaporna Singh, Daulath Singh
Background: Chronic hepatitis C virus (HCV) infection affects more than 70 million people worldwide, is a systemic disease and has been implicated as a risk factor for cardiovascular disease (CVD). Objective: We sought to study the association between risk of CVD between 0-12 month and 12-24 months of HCV treatment initiation. Methods: 567,956 Hepatitis C patients without prior history of CVD were identified in the Cerner Health Facts database. Of these, 1446 patients received HCV treatment. We included both demographic and as covariates in the multivariate logistic regression model. To control for baseline differences among treatment and control groups, propensity score matching (PSM) comparative analysis was used to adjust for potential confounding baseline characteristics between these two groups, and finally 2892 patients (1:1 match) (1446 in each group) were enrolled in the final analysis. Results: There was no statistically significant association between CVD and treatment of HCV (at both 0-12 and 12-24 months). The odds of developing CVD for females were 1.52 times greater than males during the first 12 months of treatment. Advanced age was also associated with a high risk of CVD during the initial 12 months (OR 1.05 95% CI 1.03-1.07). HCV patients with HIV were 45% less likely to experience CVD Expanded =0.55, 95% CI: 0.33- 0.91, p<0.05) compared to those without HIV for 12-24 months. Treatment’s association with the development of cardiac arrhythmias was not statistically significant between 0-12 months or 12-24 months. Older age was associated with a higher risk of cardiac arrhythmias following 0-12 months after treatment with OR 1.08 95% CI 1.04-1.12. There was also a significantly high risk of arrhythmias with hypothyroidism for 0-12 months (OR 4.23 95% CI 1.48-12.08) Conclusion: Female sex and advanced age were associated with increased odds of CVD, and advanced age and hypothyroidism were associated with increased odds of arrhythmias development during the first 12 months of treatment. Further studies are needed to explore this in a prospective fashion.
{"title":"Effect of Hepatitis C Treatment on Risk of Developing Cardiovascular Disease and Cardiac Arrhythmias","authors":"Annaporna Singh, Daulath Singh","doi":"10.47363/jmhc/2023(5)222","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)222","url":null,"abstract":"Background: Chronic hepatitis C virus (HCV) infection affects more than 70 million people worldwide, is a systemic disease and has been implicated as a risk factor for cardiovascular disease (CVD). Objective: We sought to study the association between risk of CVD between 0-12 month and 12-24 months of HCV treatment initiation. Methods: 567,956 Hepatitis C patients without prior history of CVD were identified in the Cerner Health Facts database. Of these, 1446 patients received HCV treatment. We included both demographic and as covariates in the multivariate logistic regression model. To control for baseline differences among treatment and control groups, propensity score matching (PSM) comparative analysis was used to adjust for potential confounding baseline characteristics between these two groups, and finally 2892 patients (1:1 match) (1446 in each group) were enrolled in the final analysis. Results: There was no statistically significant association between CVD and treatment of HCV (at both 0-12 and 12-24 months). The odds of developing CVD for females were 1.52 times greater than males during the first 12 months of treatment. Advanced age was also associated with a high risk of CVD during the initial 12 months (OR 1.05 95% CI 1.03-1.07). HCV patients with HIV were 45% less likely to experience CVD Expanded =0.55, 95% CI: 0.33- 0.91, p<0.05) compared to those without HIV for 12-24 months. Treatment’s association with the development of cardiac arrhythmias was not statistically significant between 0-12 months or 12-24 months. Older age was associated with a higher risk of cardiac arrhythmias following 0-12 months after treatment with OR 1.08 95% CI 1.04-1.12. There was also a significantly high risk of arrhythmias with hypothyroidism for 0-12 months (OR 4.23 95% CI 1.48-12.08) Conclusion: Female sex and advanced age were associated with increased odds of CVD, and advanced age and hypothyroidism were associated with increased odds of arrhythmias development during the first 12 months of treatment. Further studies are needed to explore this in a prospective fashion.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43392818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-28DOI: 10.47363/jmhc/2023(5)223
H. Houchi, Yuuri Houchi
Introduction: Loxoprofen sodium was selected as a commonly used medicine. The loxoprofen sodium tablets are marketed by 22 companies in Japan. The 22 different packaging types for this single active ingredient are served. We investigated the specifications printed on the 10-tablet blister pack. Methods: Regarding specifications printing, using the 22 loxoprofen sodium products, the survey items included how many times each of the specific printing was printed on the 10-tablet blister pack. About the questionnaire survey, a question I assessed the desired number of specifications. Question II assessed the direct printing of the drug name on each of the tablets and the size of tablet. The target population of the survey consisted of prescribing doctors, nurses, pharmacists, and non-healthcare workers. Result: The number of instances in which the drug name was listed ranged from 3 to 22 on the 10-tablet blister pack. The tablet identification code was printed ranged 0 - 10. Eleven products had no medical effect information on the pack. The expiration date was printed on two products. The serial number was not printed on one product. On the questionnaire survey, the desired number of instances that the standard dose was printed was significantly higher for nurses and pharmacists than for prescribing doctors and non-healthcare workers. Nurses considered information about medical effects to be important. Pharmacists demanded more barcodes. Several identification codes were requested by health care professionals. Although many of the tablets were 9 mm in size, the respondents desired smaller tablets. Conclusion: There were gaps between the amount of information printed on the pack and that was considered desirable by healthcare professionals and non-healthcare workers. Our findings indicate that multiple items are considered useful for developing packages for oral drugs marketed in the future as well as in ensuring safe and secure pharmacological therapy
{"title":"Investigation of Information Printed on The Blister Pack of Loxoprofen Sodium Tablets","authors":"H. Houchi, Yuuri Houchi","doi":"10.47363/jmhc/2023(5)223","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)223","url":null,"abstract":"Introduction: Loxoprofen sodium was selected as a commonly used medicine. The loxoprofen sodium tablets are marketed by 22 companies in Japan. The 22 different packaging types for this single active ingredient are served. We investigated the specifications printed on the 10-tablet blister pack. Methods: Regarding specifications printing, using the 22 loxoprofen sodium products, the survey items included how many times each of the specific printing was printed on the 10-tablet blister pack. About the questionnaire survey, a question I assessed the desired number of specifications. Question II assessed the direct printing of the drug name on each of the tablets and the size of tablet. The target population of the survey consisted of prescribing doctors, nurses, pharmacists, and non-healthcare workers. Result: The number of instances in which the drug name was listed ranged from 3 to 22 on the 10-tablet blister pack. The tablet identification code was printed ranged 0 - 10. Eleven products had no medical effect information on the pack. The expiration date was printed on two products. The serial number was not printed on one product. On the questionnaire survey, the desired number of instances that the standard dose was printed was significantly higher for nurses and pharmacists than for prescribing doctors and non-healthcare workers. Nurses considered information about medical effects to be important. Pharmacists demanded more barcodes. Several identification codes were requested by health care professionals. Although many of the tablets were 9 mm in size, the respondents desired smaller tablets. Conclusion: There were gaps between the amount of information printed on the pack and that was considered desirable by healthcare professionals and non-healthcare workers. Our findings indicate that multiple items are considered useful for developing packages for oral drugs marketed in the future as well as in ensuring safe and secure pharmacological therapy","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45167400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-31DOI: 10.47363/jmhc/2023(5)221
S. Brennan, R. Sykes
The use of 1-1 support in care homes within the healthcare system in England and Wales is a recognised protective safeguard. However, it is not without its controversies and conflicts as it can prove to be both a highly restrictive and expensive intervention. This paper will examine the use of 1-1 support within care homes for people who present with behaviours that challenge. It will record the findings from a review of 1-1 support for 23 service users over a 30-month period. It will also make a number of recommendations to make 1-1 support an effective, therapeutic, person centred and a correctly targeted resource.
{"title":"Making 1-1 Support Person Centred and an Effective Therapeutic Intervention","authors":"S. Brennan, R. Sykes","doi":"10.47363/jmhc/2023(5)221","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)221","url":null,"abstract":"The use of 1-1 support in care homes within the healthcare system in England and Wales is a recognised protective safeguard. However, it is not without its controversies and conflicts as it can prove to be both a highly restrictive and expensive intervention. This paper will examine the use of 1-1 support within care homes for people who present with behaviours that challenge. It will record the findings from a review of 1-1 support for 23 service users over a 30-month period. It will also make a number of recommendations to make 1-1 support an effective, therapeutic, person centred and a correctly targeted resource.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42740251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-31DOI: 10.47363/jmhc/2023(5)220
Frank Nduu Nawej
Employment is a social determinant of health whose ambivalence is a well-established fact. Unemployment is therefore detrimental not only to the health of the unemployed but also to that of their families. Research even suggests that they (the unemployed and their family members) would be more likely to die prematurely than others. On the other hand, a safe job is conducive to the good health of the workers, to their well-being and it brings them satisfaction on the professional level. Nevertheless, the ambivalent nature of work means that it can also determine poor health for workers insofar as “the social organization of work, the mode of management and social relations in the workplace have an impact on the health.” This article aims to identify the organizational and social factors that have a negative impact on the health of health workers and in the light of social determinants and hospital magnetism, to propose a nonexhaustive list of recommendations for redesigned health human resource (HHR) management.
{"title":"Rethinking the Management of Health Human Resources in Light of Social Determinants and Hospital Magnetism","authors":"Frank Nduu Nawej","doi":"10.47363/jmhc/2023(5)220","DOIUrl":"https://doi.org/10.47363/jmhc/2023(5)220","url":null,"abstract":"Employment is a social determinant of health whose ambivalence is a well-established fact. Unemployment is therefore detrimental not only to the health of the unemployed but also to that of their families. Research even suggests that they (the unemployed and their family members) would be more likely to die prematurely than others. On the other hand, a safe job is conducive to the good health of the workers, to their well-being and it brings them satisfaction on the professional level. Nevertheless, the ambivalent nature of work means that it can also determine poor health for workers insofar as “the social organization of work, the mode of management and social relations in the workplace have an impact on the health.” This article aims to identify the organizational and social factors that have a negative impact on the health of health workers and in the light of social determinants and hospital magnetism, to propose a nonexhaustive list of recommendations for redesigned health human resource (HHR) management.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43148579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.47363/jmhc/2022(4)218
Chee Ping Fadzel Wong, Hew Huei Sze
Introduction: Overweight has become a serious health problem around the world and it is necessary to find the best strategic to prevent it. Therefore, the objective of this study was to investigate the effects of oat consumption for four weeks on body mass index, waist-hip ratio and physical fitness performance among overweight university students. Methodology: A total of 30 subjects (age: 22.7 ± 1.9 years; body weight: 77.5 ± 16.6 kg; body mass index: 29.8 ± 4.8 kg.m-2) participated in this study. Subjects consumed oat twice a day for four weeks. Anthropometry measurements such as body mass index and waist-hip ratio were measured at pre and post of four week intervention study. Physical fitness performance tests such as push-up, sit-up and plank were also measured at pre and post of four weeks intervention study. Results: This study found there was a signification reduction in body weight and body mass index between pre and post of four weeks intervention study (p<0.05). Body weight and body mass index decreased by 1.16 ± 1.36 kg (1.50%) and 0.46 ± 0.48 kg/m2 (1.54%), respectively. However, there was no significant difference in waist-hip ratio between pre and post of four weeks intervention study (p>0.05). For physical fitness performance tests, there were significant improvements in the push-up, sit-up and plank test between the pre and post of four weeks intervention study (p<0.05). Conclusion: This study found that consumption of oat for four weeks was effective in reducing body weight, body mass index and improving physical fitness performance among overweight university students. However, more researches are still warranted to reconfirm these findings at different population and intervention protocols.
{"title":"Effects of 4-Week Supplementation of Oat on Body Mass Index, Waist-Hip Ratio and Physical Fitness Performance among Overweight University Students","authors":"Chee Ping Fadzel Wong, Hew Huei Sze","doi":"10.47363/jmhc/2022(4)218","DOIUrl":"https://doi.org/10.47363/jmhc/2022(4)218","url":null,"abstract":"Introduction: Overweight has become a serious health problem around the world and it is necessary to find the best strategic to prevent it. Therefore, the objective of this study was to investigate the effects of oat consumption for four weeks on body mass index, waist-hip ratio and physical fitness performance among overweight university students. Methodology: A total of 30 subjects (age: 22.7 ± 1.9 years; body weight: 77.5 ± 16.6 kg; body mass index: 29.8 ± 4.8 kg.m-2) participated in this study. Subjects consumed oat twice a day for four weeks. Anthropometry measurements such as body mass index and waist-hip ratio were measured at pre and post of four week intervention study. Physical fitness performance tests such as push-up, sit-up and plank were also measured at pre and post of four weeks intervention study. Results: This study found there was a signification reduction in body weight and body mass index between pre and post of four weeks intervention study (p<0.05). Body weight and body mass index decreased by 1.16 ± 1.36 kg (1.50%) and 0.46 ± 0.48 kg/m2 (1.54%), respectively. However, there was no significant difference in waist-hip ratio between pre and post of four weeks intervention study (p>0.05). For physical fitness performance tests, there were significant improvements in the push-up, sit-up and plank test between the pre and post of four weeks intervention study (p<0.05). Conclusion: This study found that consumption of oat for four weeks was effective in reducing body weight, body mass index and improving physical fitness performance among overweight university students. However, more researches are still warranted to reconfirm these findings at different population and intervention protocols.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45570657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-31DOI: 10.47363/jmhc/2022(4)219
B. Kunadian, Mumtaz Patel
Aim: Limited information exists on perceptions and professional development preferences on how trainees choose their sub-specialty. This study plan was set up to explore trainee cardiologists’ views of sub-specialty choice, with particular emphasis on career choices. Methods: This study was undertaken using questionnaires – “predetermined” through a web-based survey method. All cardiology trainees in the Health Education England North West (HEE NW) based in Merseyside and Manchester were asked to participate. This study had ethics approval from Edge Hill University and HEE research governance group. Results: The survey was sent to 49 trainees in the region and out of them 32 the completed survey. 25% were females, 66% were in their Specialty Training (ST) ST3-ST5 training, 78% had their under-graduate training in the UK, 94% were full time trainees and 69% were in the 30 to 35-year age group. The stimulating career, positive role model, family friendly and stable hours were found to be the key professional developmental factors in sub-specialty choice. Female friendly was less favored. Interference with family life, intellectually stimulating, and compensation and integration were key perception on sub-specialty choice. Adverse job conditions were not perceived as influential in sub-specialty choice. Prior clinical experience and easy access to training were the other factors influencing the trainee’s choice of sub- specialty. The adverse job conditions including exposure to radiation, unplanned on-calls and long operating time were associated with procedural related sub-specialties. The interference with family life, more financial benefit, positive role models, professional challenges and patient focus were associated with interventional Cardiology. Female friendly, family friendly, stable hours, compensation / integration were associated with imaging sub-specialty. Conclusion: Studying in depth into trainees’ perceptions and preferences may help in any efforts to make sub-specialty choice attractive and also help match work force to demand in the region.
{"title":"Factors Associated with Subspecialty Choice of Cardiology Trainees in the North West of England: Forced by Vacancy or have a Clear Plan of Future?","authors":"B. Kunadian, Mumtaz Patel","doi":"10.47363/jmhc/2022(4)219","DOIUrl":"https://doi.org/10.47363/jmhc/2022(4)219","url":null,"abstract":"Aim: Limited information exists on perceptions and professional development preferences on how trainees choose their sub-specialty. This study plan was set up to explore trainee cardiologists’ views of sub-specialty choice, with particular emphasis on career choices. Methods: This study was undertaken using questionnaires – “predetermined” through a web-based survey method. All cardiology trainees in the Health Education England North West (HEE NW) based in Merseyside and Manchester were asked to participate. This study had ethics approval from Edge Hill University and HEE research governance group. Results: The survey was sent to 49 trainees in the region and out of them 32 the completed survey. 25% were females, 66% were in their Specialty Training (ST) ST3-ST5 training, 78% had their under-graduate training in the UK, 94% were full time trainees and 69% were in the 30 to 35-year age group. The stimulating career, positive role model, family friendly and stable hours were found to be the key professional developmental factors in sub-specialty choice. Female friendly was less favored. Interference with family life, intellectually stimulating, and compensation and integration were key perception on sub-specialty choice. Adverse job conditions were not perceived as influential in sub-specialty choice. Prior clinical experience and easy access to training were the other factors influencing the trainee’s choice of sub- specialty. The adverse job conditions including exposure to radiation, unplanned on-calls and long operating time were associated with procedural related sub-specialties. The interference with family life, more financial benefit, positive role models, professional challenges and patient focus were associated with interventional Cardiology. Female friendly, family friendly, stable hours, compensation / integration were associated with imaging sub-specialty. Conclusion: Studying in depth into trainees’ perceptions and preferences may help in any efforts to make sub-specialty choice attractive and also help match work force to demand in the region.","PeriodicalId":93468,"journal":{"name":"Journal of medicine and healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42486202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-31DOI: 10.47363/jmhc/2022(4)209
A. Curcio, Antonietta Incarnato
Iron deficiency (ID) and iron-deficiency anemia (IDA) are still frequent conditions in several patients’ settings. Oral iron supplementation is one of available treatments of IDA, representing a convenient strategy since is cost-saving, effective and does not require intravenous (IV) access. However, often traditional oral iron therapies, mainly based on ferrous sulphate, are poorly tolerated, and with low iron absorption, causing gastrointestinal adverse events and limiting adherence to treatment and efficacy. The aim of this study is to evaluate the efficacy and safety of a new oral iron supplementation based on Ferric Sodium EDTA, in combination with vitamin C, folic acid, copper gluconate, zinc gluconate and selenomethionine (Ferachel forte®) for IDA treatment in real-life clinical practice. Patients (N=103) were allocated to treatment with this new formulation at dosage of 1 tab/day, containing 30 mg of iron for 72 days. Patients were evaluated at basal conditions (T0), after 24 and 72 days of therapy (T1 and T2, respectively), collecting blood parameters of hemoglobin (Hb) and sideremia, evaluated as primary objective. The secondary outcomes were symptoms improvement (evaluated through a 4-points score) and safety profile of oral therapy. Treatment with Ferric Sodium EDTA in combination with vitamin C, folic acid, copper gluconate, zinc gluconate and selenomethionine (Ferachel Forte®) showed improvements statistically significant (P < 0.001) of Hb and sideremia levels both at time T1 and T2. Symptoms evaluation showed an almost total resolution of symptomatology after only 72 days of therapy, and treatment was safe and well tolerated. In conclusion, this study confirmed the efficacy and the safety of the new oral iron formulation evaluated, for IDA patients in real-life clinical practice.
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