scholarly journals Review on Overview of Substance Abuse among Medical Practitioners

2021 ◽  
pp. 43-47
Author(s):  
Mandar Ghanshyam Bhugaonkar ◽  
Rakesh Kumar Jha ◽  
Sarju Zilate
Keyword(s):  
Health Care ◽  
Substance Abuse ◽  
Drug Abuse ◽  
Health Care Workers ◽  
English Language ◽  
Medical Practitioners ◽  
Substituted Amphetamines ◽  
Care Workers ◽  
Drug Violence ◽  
Brain And Behavior

Substance Misuse, also known as substance abuse, is a disease marked by a harmful habit of using illicit or legal substances or medications such as alcohol, heroin, cocaine, or substituted amphetamines such as methamphetamine and MDMA. Drug abuse deeply impact physician's brain and behavior such that they are unable to control the use of drug to the point that it interferes with the ability to function which may harm patients and cause medical errors. The fact is, physicians can easily access various opioids and substituted amphetamines. This article review is the examination of existing published research articles on substance abuse among health care workers. This literature was reviewed using PubMed and google scholar search criteria set so that all the article could be found in English language along with certain keywords such as Health care workers, addiction, opioids, drug abuse. I gone through various articles, of which 10 articles related to study. It was found that substance abuse in medical workers were greater than general people and keeps increasing at an alarming rate. The most favored drug by health care workers is alcohol, the incidence of opioids and some nonopioids anesthetic agent abuse. Especially propofol, most commonly used by anesthetic department and emergency medicine. There is wide difference between general public and health care workers regarding drug abuse. Although Health care workers had a better prognosis but 10%-15% of health care are workers susceptible to drug violence at some point in their lives.

Telemedicine (or Teleconsultation?) Practice Guidelines of India: A Game changer or a half-hearted attempt amid COVID-19? (Preprint)

2020 ◽  
Author(s):  
Venkatesh U ◽  
Aravind Gandhi P
Keyword(s):  
Health Care ◽  
Practice Guidelines ◽  
Health Care Workers ◽  
Data Security ◽  
Patient Relationship ◽  
Medical Practitioners ◽  
Care Workers ◽  
The Government ◽  
First Time ◽  
Game Changer

UNSTRUCTURED Telemedicine is where health care intersects with Information Technology. In India, there has been no statutory regulations or official guidelines, specific for Telemedicine practice and allied matters, so far. For the first time, Government of India has released Telemedicine Practice Guidelines for Registered Medical Practitioners on March 25, 2020, amid the COVID-19 outbreak. Through this paper, we would like to initiate the discussion on the features of the guidelines, limitations, and its significance in times of COVID-19 pandemic. The guidelines are with a restricted scope for providing medical consultation to patients, excluding other aspects of Telemedicine such as research and evaluation, and the continuing education of health-care workers. The guidelines have elaborated on the eligibility for practicing Telemedicine in India, the modes and types of Teleconsultation, delved into doctor-patient relationship, consent, & management protocols, touched upon the data security & privacy aspects of the Teleconsultation. After releasing the guidelines, Telescreening of public for COVID-19 symptoms is being advocated by the Government of India. COVID-19 National Teleconsultation Centre (CoNTeC) has been initiated, which connects the doctors across the India to AIIMS in real-time for accessing expert guidance on treatment of the COVID-19 patients.

scholarly journals Strengths and Barriers in Achieving “Green Status” of Breastfeeding; The Story of Frontline Health Care Workers in Sri Lanka

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 151-151
Author(s):  
Thilini Agampodi ◽  
Neerodha Dharmasoma ◽  
Thushari Dissanayaka ◽  
Iresha Koralagedara ◽  
Janith Warnasekara ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Sri Lanka ◽  
Health Care Workers ◽  
Health Workers ◽  
Medical Practitioners ◽  
Knowledge And Skills ◽  
Funding Sources ◽  
Care Workers ◽  
Grass Root Level

Abstract Objectives The achievements in breastfeeding in Sri Lanka are due to multiple factors and the work of frontline health care workers: public health midwives (PHMs) was crucial. Objective of this study is to explore the strengths and constraints of PHMs in optimizing breastfeeding practices in the Sri Lankan community. Methods We conducted a series of focus group discussions with PHMs in three different areas in Anuradhapura district Sri Lanka. Transcribed data were analyzed thematically to identify the types of strengths and constraints. Results Thirty six PHMs participated in the focus groups conducted. The well-established public health system that introduces and reinforce knowledge and skills on breastfeeding assured that mothers will adhere to the current recommendations on EBF. PHMs agreed on the support given by the hospital labor room, theatres and Lactation Management Center on early initiation and EBF. However, emphasis on attachment to breast rather than discharging a newborn on cup feeding was mentioned. PHMs devotion on establishing proper breastfeeding during the early postpartum home visits, the respect and acceptance of PHM by the mother and the community and the knowledge and skills they possess on breastfeeding counseling were highlighted. Irrational prescription of formula by medical practitioners, negative verbal comments by in-laws and unfavorable attitudes of mothers of high social class were seen as social obstacles to promote EBF. The PHMs seem to work with many barriers which could compromise care provision for mothers and children. Inability to attend for the home visit early due to scheduled work, the increased time needed to spent to counsel mothers and subsequent restriction of the daily duties, high population density and having to cover the vacant areas through out, excessive documentation work were problems needed to be addressed with regard to service enhancement. Conclusions The PHMs role is inevitable and Sri Lanka needs to enhance and facilitate service provision of grass root level health workers to optimize promotion, protection and support for EBF. Funding Sources No funding source.

scholarly journals Tai Chi and workplace wellness for health care workers

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R A Cocchiara ◽  
B Dorelli ◽  
A Mannocci ◽  
G La Torre
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Case Report ◽  
Health Care Workers ◽  
English Language ◽  
Tai Chi ◽  
Workplace Wellness ◽  
Beneficial Effects ◽  
Positive Effects ◽  
Care Workers

Abstract Background Several studies show the positive effects of new non-medical therapies known as complementary and alternative medicines (CAMs). In this context, the discipline of tai chi is obtaining a wider consensus because of its many beneficial effects both on the human body and mind. Objective The aim of this study was to perform a systematic review of the scientific literature concerning the relationship between tai chi practice and wellness of health care workers (HCW) in their professional setting. Methods The research was performed in September 2019, investigating the databases Cinahl, Scopus, Web of Science, and PubMed. Full-text articles, written in English language and published after 1995, were taken into account. No restrictions regarding the study design were applied. A quality assessment was developed using AMSTAR, Jadad, Newcastle-Ottawa Scale, INSA, and CASE REPORT scale. Six papers were finally included: Three clinical trials, one observational study, one systematic review, and one case report. The methodological quality of the included studies was judged as medium level. Conclusions This systematic review suggests the potential impact of interventions such as tai chi as tools for reducing work-related stress among healthcare professionals. Keywords: Tai chi, Workplace Wellness, Nursing Key messages Tai chi, Workplace Wellness, Nursing. Health Professional, Stress, Workplace Wellbeing.

Developing Methods for Preventing and Detecting Substance Abuse in the Operating Room: A Disease Approach

1993 ◽  
Vol 6 (4) ◽  
pp. 159-164 ◽  
Author(s):  
Frank C. Castellano
Keyword(s):  
Health Care ◽  
Substance Abuse ◽  
Substance Use ◽  
Operating Room ◽  
Health Care Workers ◽  
Disease Model ◽  
Occupational Hazard ◽  
Anesthesia Providers ◽  
Care Workers ◽  
Anesthesia Residents

Substance abuse is an occupational hazard for health care workers in the operating room setting. Anesthesiologists have a higher rate of substance abuse than their physician counterparts. Anesthesia residents have the highest incidence of substance abuse among anesthesia providers. By creating a disease model for substance abuse, pharmacists may be better able to understand, detect, and prevent substance abuse in the operating room area. The development of comprehensive methods for dispensing and monitoring controlled substance use in the operating room should include systems that limit exposure, provide accountability and consistency, and provide education for the medical staff.

scholarly journals The Global Cholera Pandemic Reaches Chinese Villages: Population Mobility, Political Control, and Economic Incentives in Epidemic Prevention, 1962–1964

2013 ◽  
Vol 48 (3) ◽  
pp. 754-790 ◽  
Author(s):  
XIAOPING FANG
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Local Governments ◽  
Vaccination Campaign ◽  
Economic Incentives ◽  
Population Mobility ◽  
Registration System ◽  
Medical Practitioners ◽  
Care Workers ◽  
El Tor

AbstractIn 1961 the seventh global cholera pandemic, El Tor cholera, broke out in Indonesia. Between 1962 and 1964, El Tor infected the southeast coastal areas of China. This pandemic occurred at a time of significant reorganization for both the rural medical and health systems and the people's communes following the failures of the Great Leap Forward. This paper explores how local governments led rural medical practitioners, health care workers, and villagers to participate in the campaign against the spread of El Tor cholera despite the readjustment and retrenchment of the people's communes as social, administrative, and political units. I argue that, during this period of flux, the local government strengthened its control over rural medical practitioners by institutionalizing their daily work practices and reducing their freedom of movement, whilst simultaneously providing incentives for health care workers to join the vaccination campaign. The people's communes and the household-registration system after 1961 put further restrictions on population mobility. This cellularization of village society greatly facilitated the vaccination, quarantine, and epidemic-reporting processes, and contributed to the formation of an epidemic-prevention system and eventually a response scheme for managing public health emergencies in rural China. This process reflected the complexity of the mutual interactions between the political and medical systems under socialism.

scholarly journals Radiation protection among health care workers: knowledge, attitude, practice, and clinical recommendations: a systematic review

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Razieh Behzadmehr ◽  
Mahboobe Doostkami ◽  
Zohreh Sarchahi ◽  
Leila Dinparast Saleh ◽  
Rezvaneh Behzadmehr
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Radiation Protection ◽  
Health Care Workers ◽  
English Language ◽  
Attitude And Practice ◽  
Care Workers ◽  
Review Study ◽  
Knowledge Attitude And Practice

AbstractObjectivesThis study was performed to determine the knowledge, attitude, and practice (KAP) of health care workers (HCWs) towards radiation protection.MethodsIn this systematic review study, three international databases (Web of Science, PubMed, Scopus) were searched for related published articles in the English language from 1 January 2000 to 1 February 2020. The quality of the included studies was evaluated using the Hoy et al. tool.ResultsOut of the 1,848 studies examined, 41 studies that were performed on 11,050 HCWs were included in the final stage. The results indicated that in most studies, more than half (50%) of the participants had average knowledge. Furthermore, 60% of the participants had a positive attitude, but in most studies, they had average practice regarding radiation protection. The most important recommendation for improving KAP among the participants was incorporating radiation protection standards in the student curriculum.ConclusionConsidering the results of the study, further attention should be paid to proper education regarding radiation protection standards and improvement of HCW performance.

Burnout and Fear of Contagion as Factors in Aggressive Tendency of Health-Care Workers Treating People with Aids

2013 ◽  
Vol 41 (10) ◽  
pp. 1625-1634 ◽  
Author(s):  
Oluyinka Ojedokun ◽  
Erhabor Sunday Idemudia ◽  
Victoria Opeoluwa Kute
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care System ◽  
Health Care Workers ◽  
Physical Aggression ◽  
Health Workers ◽  
Medical Practitioner ◽  
Intervention Strategies ◽  
Medical Practitioners ◽  
Care Workers

We investigated the roles of burnout and perceived fear of contagion with AIDS among 130 medical practitioners and 112 nurses (N = 242) working in AIDS care in Nigeria, in relation to the level of their aggressive tendency toward people living with AIDS (PLWAs). Participants completed scales concerning perceived AIDS anxiety, burnout, and aggressive tendency. Results showed that perceived fear of AIDS, burnout, and category of staff (medical practitioner or nurse), respectively, were associated with the tendency to perpetrate aggression against PLWAs. The implication of these findings is that stakeholders in the health-care system in Nigeria and elsewhere should address any aggressive tendency of health workers in public-health settings in order to prevent the occurrence of actual physical aggression against clients. We recommend that consideration should be given to the factors implicated in this study when intervention strategies are being developed.

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