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Fotocópia
Id: 172629
Autor: Pintó, Xavier; Trias Vilgut, Ferran; Rius Taruella, Joan; Mairal Sallán, Esther.
Título: Actitud clínica ante la dislipemia en pacientes con elevado riesgo cardiovascular en España. Estudio ALMA / Dyslipidemia management in patients with high cardiovascular risk in Spain. ALMA study
Fuente: Aten. prim. (Barc., Ed. impr.);50(1):35-43, ene. 2018. graf, tab.
Idioma: es.
Resumen: Objetivo: Evaluar la actitud de los médicos de atención primaria (MAP) y de atención especializada (MAE) ante el tratamiento de pacientes con dislipemia, especialmente en aquellos con factores de riesgo cardiovascular (RCV). Diseño: Estudio observacional, descriptivo, multicéntrico, basado en una encuesta. Emplazamiento: Diferentes áreas sanitarias de España. Participantes: 1.402 MAP y 596 MAE. Mediciones principales: Perfil de los médicos, hábitos de tratamiento en pacientes con dislipemia. Resultados: El 84,3% consideraban el RCV para establecer el tratamiento. El objetivo de concentración de cLDL en pacientes sin factores de RCV fue < 130 mg/dl y < 160 mg/dl para el 51,9 y el 29,0%, respectivamente. En pacientes con hipertensión, tabaquismo o diabetes el objetivo de cLDL fue < 100 mg/dl para el 49-55%, mientras que en pacientes con complicación cardiovascular, cardiopatía isquémica o ictus fue < 70 mg/dl para el 71-88%. El fármaco de elección en pacientes sin factores de RCV fue atorvastatina (66%), mientras que en pacientes con diabetes, enfermedad renal o síndrome metabólico fue pitavastatina (80-89%). Los MAE mostraron una mayor tendencia que los MAP a considerar un objetivo de cLDL < 70 mg/dl en pacientes con antecedentes de ictus (77,5% vs 66,8%) o enfermedad coronaria (92,1% vs 80,6%) (p < 0,0001), y una mayor preferencia por el tratamiento combinado al no alcanzar el objetivo de cLDL (58,1% vs 50,2%; p = 0,0013). Conclusiones: Aunque el cálculo del RCV se acepta de forma general, existe disparidad en los objetivos del cLDL. Los MAE consideran unos objetivos más ambiciosos y la asociación de fármacos hipolipemiantes con más frecuencia que los MAP (AU)

Objective: To assess the attitude of primary care (PCPs) and specialized care (SCPs) physicians towards the general set of patients with dyslipidemia, particularly those with cardiovascular risk factors. Design: Observational, descriptive, multi-center study based on a survey. Location: Different healthcare regions in Spain. Participants: 1,402 PCPs, and 596 SCPs. Main measurements: Physician's profile, routine practices in the management of patients with dyslipidemia. Results: 84.3% took the global cardiovascular risk into account when prescribing the treatment. Target LDL-C concentration in patients without cardiovascular risk factors was < 130 mg/dL and <160mg/dL for 51.9% and 29.0% of physicians, respectively. In smokers and patients with hypertension or diabetes, the LDL target was < 100 mg/dL for 49-55% of physicians, whereas in patients with cardiovascular complication, ischemic cardiopathy or stroke, target LDL-C was < 70 mg/dL in 71-88% of them. First-line treatment for patients without cardiovascular risk factors was atorvastatin (66%), whereas in patients with diabetes, kidney disease or metabolic syndrome, most physicians (80-89%) used pitavastatin. SCPs showed a greater trend than PCPs to establish a LDL-C target of < 70 mg/dL in patients with previous stroke (77.5% vs 66.8%) or coronary disease (92.1% vs 80.6%) (P < .0001), as well as to prescribe a combined treatment in patients not achieving the target LDL-C concentrations (58.1% vs 50.2%, P = .0013). Conclusions: Although CVR assessment is generally accepted, there is broad disagreement in defining the objectives of LDL-C. Most often than PCPs, the SCPs consider more ambitious targets for LDL-C and the association of lipid-lowering drugs (AU)
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Texto completo SciELO España
Id: 171680
Autor: Carrillo Algarra, Ana Julia; Moreno Rubio, Fanny; Massiel Sierra, Samarha.
Título: Actitud positiva, pilar básico del paciente trasplantado para gozar una nueva oportunidad de vida / Positive attitude: basis for a patient after a transplant to enjoy a new life opportunity
Fuente: Index enferm;26(4):295-298, oct.-dic. 2017.
Idioma: es.
Resumen: Este relato biográfico tiene por objeto describir las vivencias de una persona adulta que utiliza la actitud positiva para afrontar múltiples dificultades posteriores al trasplante renal, de forma tan efectiva que le permite continuar con su proyecto de vida. El informante es un profesional a quien le diagnosticaron insuficiencia renal, sin embargo, no tuvo que someterse a tratamiento dialítico, gracias a que su hermano decide donarle uno de sus riñones. A pesar de que resulta compatible, el informante tiene que afrontar complicaciones postoperatorias del trasplante que lo llevan incluso a estar hospitalizado en la unidad de cuidados intensivos. Sobresale la actitud positiva y los cuidados del equipo de salud como aspectos indispensables en el proceso de recuperación, ya que le permiten afrontar las complicaciones y los cambios radicales en el estilo de vida desde la preparación del receptor hasta que es dado de alta (AU)

This biographical narrative aims to describe the experience of an adult using a positive attitude in order to face multiple difficulties after having a kidney transplant, this strategy allowed him to continue his life project. The informant is a professional who was diagnosed with kidney failure and did not have dialysis treatment, because his brother decided to donate him one of his kidneys. Although this kidney was compatible, the informant faced postoperative complications after the transplant leading him to be hospitalized in the intensive care unit. It is important to highlight the positive attitude and quality care of the health team as an indispensable aspect in the recovery process of the patient, giving as a result an adequate confrontation of the complications and radical changes in the individualïs lifestyle that began with the preparation of the recipient until the discharging from the hospital (AU)
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Fotocópia
Id: 171114
Autor: Abellán, J; Sáez-Gallego, NM; Reina, R.
Título: Evaluación de las actitudes hacia la discapacidad en Educación Física: Efecto diferencial del sexo, contacto previo y la percepción de habilidad y competencia / Avaliação das atitudes em relação à deficiência na Educação Física: efeito diferencial do sexo, contato anterior e percepção de habilidade e competência / Evaluation of attitudes towards disability in Physical Education: Differential effect of sex, previous contact and skill and competence perception
Fuente: Cuad. psicol. deporte;18(1):133-140, ene. 2018. tab.
Idioma: es.
Resumen: El objetivo del estudio es examinar las actitudes hacia la discapacidad de alumnos de Educación Secundaria Obligatoria en Educación Física, comparando las diferencias en función del sexo, de la edad, del contacto previo con personas con discapacidad y de la habilidad deportiva y competitividad percibida. Doscientos noventa y cuatro estudiantes de Educación Secundaria Obligatoria de tres centros de Castilla - La Mancha (14.54 ± 1.31 años) formaron parte de este estudio. Para el análisis de las actitudes hacia la discapacidad se utilizaron dos instrumentos: ôThe Attitudes towards Inclusion of Students with Disabilities in Physical Educationö (AISDPE) (Reina, Hutzler, Íñiguez Santiago, y Moreno-Murcia, 2016), y la ôEscala de Actitud hacia el Alumnado con Discapacidad en Educación Físicaö (EAADEF) (Íñiguez-Santiago, Férriz, Martínez-Galindo, Cebrián-Sánchez, y Reina, 2017). Los resultados muestran que contactos más íntimos o frecuentes relacionados con la inclusión (como tener un amigo/a o familiar con discapacidad o realizar deporte inclusivo) se relacionarían con una actitud más positiva hacia la discapacidad, en contraposición a los contactos más superficiales o puntuales (compartir aula o clases de EF). Además, la habilidad y competitividad percibida se presentan como posibles variables mediadoras en el proceso de una potencial inclusión efectiva (AU)

The aim of the study is to examine the attitudes towards the disability of students of Compulsory Secondary Education in Physical Education, comparing the differences according to sex, age, previous contact with people with impairments and the skill and competence perception. Two hundred ninety - four students from three centers of Castilla - La Mancha (14.54 ± 1.31 years) took part of this study. In order to analyze the attitudes towards disability, two instruments were used: ôThe Attitudes toward Inclusion of Students with Disabilities in Physical Educationö (AISDPE) (Reina, Hutzler, Íñiguez-Santiago, and Moreno-Murcia, 2016); Attitude's towards Students with Disabilities in Physical Education ô(EAADEF) (Íñiguez-Santiago, Férriz, Martínez-Galindo, Cebrián-Sánchez, and Reina, 2017). The results show that more intimate or frequent contacts related to inclusion (such as having a friend or family member with disability or engaging in inclusive sport) would be related to a more positive attitude towards disability, as opposed to more superficial or specific contacts Classroom or EF classes). In addition, the perceived ability and competitiveness are presented as possible mediating variables in the process of a potential effective inclusion (AU)

O objetivo do estudo é analisar as atitudes em relação à deficiência dos alunos do Ensino Secundário em Educação Física, comparando as diferenças com base no sexo, idade, contato prévio com pessoas com deficiência e capacidade atlética percebida e competitividade. Duzentos e noventa e quatro alunos do ensino secundário três centros de Castilla - La Mancha (14,54 ± 1,31 anos) fizeram parte deste estudo. Para a análise das atitudes em relação à deficiência foram utilizados dois instrumentos: ôAs atitudes para a inclusão de alunos com deficiência em Educação Físicaö (AISDPE) (Reina, Hutzler, Íñiguez-Santiago, e Moreno-Murcia, 2016), e ôScale atitude para Estudantes com Deficiência em Educação Física ô(EAADEF) (Íñiguez-Santiago, Férriz, Martínez-Galindo, Cebrián-Sánchez, e Reina, 2017). Os resultados mostram que a maioria dos contatos íntimos ou frequentes relacionadas com a inclusão (como ter um amigo / ou membro da família com deficiência ou fazer desporto inclusive) se relacionam com uma atitude mais positiva em relação à deficiência, por oposição aos contatos mais superficiais ou ponto (partilha sala de aula ou aulas de educação física). Além disso, habilidade e competitividade percebida são apresentados como possível processo de variáveis mediadoras incluindo potencial efetivo (AU)
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Fotocópia
Id: 170909
Autor: Jiménez Arroyo, Vanesa; Rangel Flores, Yesica Yolanda.
Título: Las representaciones sociales como marco para comprender las respuestas humanas en el cuidado enfermero / Representações sociais como um quadro para a compreensão das respostas humanas nos cuidados de enfermagem / Social representations as a framework for understanding human responses in nursing care
Fuente: Cult. cuid;21(49):147-154, sept.-dic. 2017.
Idioma: es.
Resumen: Las repuestas humanas son complejas y dependen de manera relevante de las condiciones sociales, culturales, económicas y políticas de los contextos micro, meso y macro en los que las personas se desenvuelven. El profesional de enfermería requiere desarrollar una perspectiva epistémica, filosófica y metodológica que le posibilite comprender que las maneras en que las personas se posicionan frente a los procesos salud-enfermedad no derivan exclusivamente de una decisión personal, sino también de una postura colectivamente construida. El objetivo del ensayo es reflexionar sobre las aportaciones que hace la teoría de las representaciones sociales (RS) a la comprensión de la complejidad de las respuestas humanas frente al cuidado. Para la construcción del ensayo se revisaron las aportaciones de autores clásicos a la teoría de las RS, estos aportes se reflexionan desde experiencias del cuidado de la salud. Se identifica que este marco teórico posibilita explicar la diversa complejidad y variabilidad de las respuestas humanas de las personas frente a los procesos de salud y enfermedad, y de los contextos sociales e históricos en que los sujetos y su grupo social se desarrollan (AU)

Respostas humanas são complexas e de-pendem fortemente das condições sociais, culturais, económicos e políticos do micro, meso e macro em que as pessoas vivem contextos. A enfermeira precisa desenvolver uma perspectiva epistemológica, filosófica e metodológica que lhe permite compreender as maneiras pe-las quais as pessoas estão posicionados con-tra processos de saúde-doença não derivam exclusivamente de uma decisão pessoal, mas também uma postura construído coletivamente. O objetivo deste artigo é refletir sobre as contribuições feitas pela teoria das representações sociais (RS) para a compreensão da com-plexidade das respostas humanas a cuidados humanos. Eles foram revistos contribuições clássicas para a teoria da RS autores refletem suas contribuições são baseadas em experiên-cias de cuidados de saúde. Identificou-se que este quadro teórico permite explicar a comple-xidade e variabilidade das respostas humanas de pessoas processos de saúde e doença, e contextos sociais e históricos nos quais os indiví-duos que enfrentam variados e desenvolver seu grupo social (AU)

Human responses are complex and are based on how relevant social, cultural, eco-nomic and political micro, meso and macro in which people operate contexts conditions. The nurse needs an epistemological, philosophical and methodological perspective that allows him to understand the ways in which people are positioned against health-disease processes depend not only on a personal decision but a posture collectively built. The aim is to reflect on the contributions made by the theory of social representations (RS) to understanding the complexity of human responses to human care. For the construction of the document the contributions of classic authors to the theory of RS, these contributions reflect from the experiences of health care were recovered. It identifies possible that this theoretical frame-work to explain the complexity and variability of human responses of people facing processes of health and disease, and social and historical contexts in which subjects and develop their social group (AU)
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Fotocópia
Id: 170901
Autor: Sánchez-Gras, Selene.
Título: Imagen de la enfermería a través de la prensa escrita ¿necesitamos visibilizar los cuidados enfermeros? / Imagem da enfermagem por meio da imprensa. Será que precisamos visibilizar os cuidados enfermeiros? / Nursing's image in the press. Do we need greater recognition for nursing care?
Fuente: Cult. cuid;21(49):74-80, sept.-dic. 2017.
Idioma: es.
Resumen: Introducción: diversos estudios muestran que la imagen pública de las enfermeras no siempre coincide con su imagen profesional. La imagen social de una profesión está muy condicionada por la forma en que es reproducida en los medios de comunicación. Por ello, el objetivo del estudio fue presentar un análisis crítico y exhaustivo del tratamiento que recibe la profesión y el profesional de Enfermería en la prensa escrita. Material y método: en la primera fase del estudio se ha realizado una revisión bibliografía para conocer el estado de la cuestión. Posteriormente, se propone un estudio cualitativo y analítico utilizando como fuentes las noticias publicadas en la prensa escrita regional y nacional en las que aparece la Enfermería. Resultados: se seleccionaron y analizaron un total de 235 noticias. Tras el análisis de con-tenido de las mismas, emergieron 8 categorías que ayudan a explicar la imagen que se refleja de la enfermería en la prensa. Discusión / Conclusiones: en general, la imagen que tansmite la prensa es la imagen de alguien con un papel secundario asociado a otra profesión, sin responsabilidad, autonomía o capacidad en la toma de decisiones. Cambiar la imagen que transmitimos se encuentra en nuestras propias manos (AU)

Introdução: Vários estudos mostram que a imagem pública de enfermeiros nem sempre coincidem com a sua imagem profissional. A imagem social de uma profissão é muito con-dicionada pela forma como ele é reproduzido na mídia. Portanto, o objetivo do estudo foi apresentar uma análise crítica e abrangente do tratamento recebido pela profissão e do profis-sional de enfermagem na imprensa. Material e métodos: na primeira fase do estudo foi conduzido revisões de literatura de saber o estado da questão. Posteriormente, um estudo qualitativo e analítico utilizando como fontes publicadas em jornais regionais e nacionais em que notícias aparece Enfermagem é proposto. Resultados: Foram selecionados e analisados um total de 235 notícias. Após a análise do seu conteúdo, eles emergiram oito categorias que ajudam a explicar a imagem refletida da enfermagem na imprensa. Discussão / Conclusão: No geral, a imagem através da imprensa transmite é a imagem de alguém com um papel secundário associado a outra profissão, sem responsabilidade, autonomia ou habilidade na tomada de decisões. Você alterar a imagem que transmitimos esta-mos em nossas próprias mãos (AU)

Introduction: several studies show that the public image of nurses and their professional image are not related. The social image of a profession is very conditioned by the way it is represented in the media. Therefore, the aim of the study was to present a critical and exhaustive analysis of the treatment received by the profession and the professional nursing in the daily press. Material and Methods: in the first phase of the study has been conducted a literature reviews to know the status of the matter. Subsequently, is proposed a qualitative and analytical study about the sources published in regional and national newspapers in which news apperars nursing. Results: a total of 235 news were selected and analyzed. After analysis of their content, eight categories that help explain the reflected image of nursing in the press emerged. Discussion / Conclusions: in general, the image is transmitted in the press is the image of someone with a secondary role associated with another profession, without responsibility, autonomy or ability in decision process. This image must be changed by ourselves (AU)
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Id: 170896
Autor: Henkes Didoné, Poliana; Aumondi, Camila; Amora Ascari, Rosana.
Título: Percepción del paciente con cáncer sobre la práctica de los cuidados de enfermería / Percepção do paciente oncológico sobre a prática de cuidados de enfermagem / Cancer patient's perception of the practice of nursing care
Fuente: Cult. cuid;21(49):14-24, sept.-dic. 2017. tab, ilus.
Idioma: es.
Resumen: Objetivo: Conocer la percepción de los pacientes de cáncer sobre la práctica de los cui-dados de enfermería, especialmente los cuidados paliativos realizados en la consulta de un médico en un hospital público en el Oeste de Santa Catarina, sur de Brasil. Método: Estudio transversal, exploratorio y descriptivo de enfoque cualitativo, desarrollado con 10 pacientes con diagnóstico de cáncer hospitalizados en una clínica quirúrgica de un hospital público de Santa Catarina. Resultados: El foco de atención de enfermería se centran em aspectos del procedimiento técnico: la asistencia en la higiene, los cambios de apósito, infusiones venosas y comprobar los signos vitales, guiar al acompañante en los procedimientos y cuidados de enferme-ría. Conclusiones: Es necesario desarrollar estrategias para fortalecer la comunicación y la práctica de los cuidados paliativos por enfermeras en la atención del cáncer en pacientes quirúrgicos con el fin de contribuir a la promoción de la salud y la calidad de vida de estas personas (AU)

Objetivo: Conhecer a percepção do paciente oncológico acerca da prática dos cuidados de enfermagem, especialmente dos cuidados paliativos realizados em uma clínica cirúrgica num hospital público no oeste catarinense, sul do Brasil. Método: Pesquisa transversal, exploratória e descritiva de abordagem qualitativa, desenvolvida com 10 pacientes com diagnóstico de neoplasia, internados em uma clínica cirúrgica de um hospital público no catarinense, após aprovação do Comitê de Ética em Pesquisa. Resultados: A ênfase dos cuidados de enfermagem envolveram aspectos procedimen-tais, tais como, auxílio na higiene, troca de curativos, infusões venosas e verificação dos sinais vitais, desacompanhados de orientações sobre procedimentos e cuidados de enfermagem. Conclusões: Fazse necessário o desenvolvimento de estratégias que fortaleçam a comunicação e a prática de cuidados paliativos pela enfermagem durante assistência oncológica em pacientes cirúrgicos, a fim de contribuir para a promoção da saúde e qualidade de vida desses individuos (AU)

Objective: To know the perception of can-cer patients about the practice of nursing care, especially palliative care performed in a doctor's surgery in a public hospital in western Santa Catarina, southern Brazil. Method: Cross-sectional, exploratory and descriptive study of qualitative approach, developed with 10 patients diagnosed with cancer, hospitalized in a surgical clinic of a public hospital in Santa Catarina, after approval by the Research Ethics Committee. Results: The focus of nursing care involved procedural aspects, such as assistance in hygiene, dressing changes, venous infusions and check vital signs, unaccompanied guidance on procedures and nursing care. Conclusions: It is necessary to develop strategies to strengthen communication and practice of palliative care by nurses in cancer care in surgical patients in order to contribute to the promotion of health and quality of life of these individuals. Descriptors: Nursing care, medical oncology, hospital care (AU)
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Fotocópia
Id: 168486
Autor: Grzelak, Teresa; Dutkiewicz, Agata; Paszynska, Elzbieta; Dmitrzak-Weglarz, Monika; Slopien, Agnieszka; Tyszkiewicz-Nwafor, Marta.
Título: Neurobiochemical and psychological factors influencing the eating behaviors and attitudes in anorexia nervosa
Fuente: J. physiol. biochem;73(2):297-305, mayo 2017.
Idioma: en.
Resumen: The aim of this study was to determine the characteristic features which contribute to inappropriate eating attitudes in people suffering from anorexia nervosa, based on an analysis of recent data. Factors influencing these attitudes have a genetic, neurobiological, biochemical, affective-motivational, cognitive, and behavioral background. Another important issue addressed in the paper is a description of the mechanism leading to continuous dietary restrictions. The altered activity of neurotransmitters modulating patients' moods after the consumption of food and a disturbed responsiveness to enterohormones enhance affective-motivational and cognitive aspects which, in turn, impede the improvement of eating behaviors. An understanding of the mechanisms behind the factors affecting the maintenance of inappropriate eating attitudes may contribute to greater effectiveness in the treatment of anorexia nervosa (AU)

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Id: 167700
Autor: Isla Pera, Pilar.
Título: Repercusiones de la diabetes en el niño y el adolescente / Impact of diabetes in children and adolescents
Fuente: Rev. Rol enferm;35(6):434-439, jun. 2012. ilus.
Idioma: es.
Resumen: La DM1 se puede presentar a cualquier edad, pero su mayor incidencia se observa en menores de 15 años, con mayor frecuencia en edad preescolar y especialmente prepuberal. Representa alrededor del 10% del total de formas de DM y constituye una de las alteraciones crónicas más frecuentes en la infancia y la adolescencia. La destrucción de las células β pancreáticas comporta un déficit absoluto de insulina en estos enfermos por lo que precisan tratamiento con insulina desde el momento del diagnóstico (AU)

DM1 can occur at any age, but its higher incidence seen in under 15 years of age with greater frequency in age preschool and especially prepuberal. It represents about 10 of the total number of forms of DM and is one of chronic disturbances more frequent in children and adolescents. The destruction of the pancreatic cells involves a total deficit of insulin in these patients by requiring treatment with insulin from the time of diagnosis (AU)
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Id: 165690
Autor: Katoue, Maram Gamal; Awad, Abdelmoneim I; Al-Jarallah, Aishah; Al-Ozairi, Ebaa; Schwinghammer, Terry L.
Título: Medical and pharmacy students' attitudes towards physician-pharmacist collaboration in Kuwait
Fuente: Pharm. pract. (Granada, Internet);15(3):0-0, jul.-sept. 2017. tab.
Idioma: en.
Resumen: Objective: To assess and compare the attitudes of medical and pharmacy students towards physician-pharmacist collaboration and explore their opinions about the barriers to collaborative practice in Kuwait. Methods: A cross-sectional survey of pharmacy and medical students (n=467) was conducted in Faculties of Medicine and Pharmacy, Kuwait University. Data were collected via self-administered questionnaire from first-year pharmacy and medical students and students in the last two professional years of the pharmacy and medical programs. Descriptive and comparative analyses were performed using SPSS, version 22. Statistical significance was accepted at p<0.05. Results: The response rate was 82.4%. Respondents had overall positive attitudes towards physician-pharmacist collaboration. Pharmacy students expressed significantly more positive attitudes than medical students (p< 0.001). Medical students rated the three most significant barriers to collaboration to be: pharmacists' separation from patient care areas (n=100, 70.0%), lack of pharmacists' access to patients' medical record (n=90, 63.0%) and physicians assuming total responsibility for clinical decision-making (n=87, 60.8%). Pharmacy students' top three perceived barriers were: lack of pharmacists' access to patients' medical record (n=80, 84.2%), organizational obstacles (n=79, 83.2%), and pharmacists' separation from patient care areas (n=77, 81.1%). Lack of interprofessional education was rated the fourth-largest barrier by both medical (n=79, 55.2%) and pharmacy (n=76, 80.0%) students. Conclusions: Medical and pharmacy students in Kuwait advocate physician-pharmacist collaborative practice, but both groups identified substantial barriers to implementation. Efforts are needed to enhance undergraduate/postgraduate training in interprofessional collaboration, and to overcome barriers to physician-pharmacist collaboration to advance a team approach to patient care (AU)

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Id: 165685
Autor: Dawood, Omar Thanoon; Hassali, Mohamed Azmi; Saleem, Fahad; Ibrahim, Inas Rifaat; Abdulameer, Aseel Hadi; Jasim, Hanan Hussein.
Título: Assessment of health seeking behaviour and self-medication among general public in the state of Penang, Malaysia
Fuente: Pharm. pract. (Granada, Internet);15(3):0-0, jul.-sept. 2017. tab.
Idioma: en.
Resumen: Background: Patients' behaviour in making decisions regarding health is currently changing from passive recipients to recipients who play an active role in taking action to control their health and taking self-care initiatives. Objectives: This study was conducted to evaluate the health seeking behaviour among general public and its associated factors; and to evaluate the medicine taking behaviour in public and the practice of self-medication. Methods: A cross-sectional study was undertaken among general public in Penang Island, Malaysia. A convenience sampling of 888 participants successfully completed the survey. Self-administered questionnaires were distributed among the residents in the north east of Penang Island. Results: This study showed that most of the participants chose to consult the physician when they experience any health problems (66.7%), followed by self-medication (20.9%). The first action for consulting the physician was significantly predicted by Malay respondents and retired people (OR 3.05, 95% CI 1.04-8.89). The prevalence of self-medication was 54%. The practice of self-medication was significantly associated with Chinese participants, educated people, people with alone living status and people with more self-care orientation. Conclusion: Increasing the awareness of the public about the rational choice of getting medical assistance is a very important issue to control their health. A health education program is needed to increase the awareness about the use of medicines among the general public and to enable them to make the right decisions relating to health problems (AU)

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BIREME/OPS/OMS - Centro Latinoamericano y del Caribe de Información en Ciencias de la Salud