Authors: Milko Zanini, Gianluca Catania, Marco Di Nitto, Lara Delbene, Stefania Ripamonti, Maria Emma Musio and Annamaria Bagnasco
Abstract:
Background: Malnutrition is a widespread issue among older people, significantly impacting health outcomes. Nutritional interventions can improve health, but their
success often depends on the attitudes.....
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Authors: Milko Zanini, Gianluca Catania, Marco Di Nitto, Lara Delbene, Stefania Ripamonti, Maria Emma Musio and Annamaria Bagnasco
Background: Malnutrition is a widespread issue among older people, significantly impacting health outcomes. Nutritional interventions can improve health, but their
success often depends on the attitudes and knowledge of healthcare workers. Aim: This
study assesses healthcare workers’ attitudes toward older people’s nutrition using the
validated Italian version of the Staff Attitudes to Nutritional Nursing Geriatric care scale
(SANN-G), focusing on staff in nursing homes in Northern Italy. Methods: A cross-sectional
study was conducted with 1789 healthcare workers from 41 facilities. The SANN-G questionnaire measured attitudes across five dimensions: nutritional norms, habits, assessment,
intervention, and individualization. Data were collected online and on paper, with descriptive and inferential statistical analyses (chi-square and ANOVA) performed using R
software (R-4.4.2 for Windows). Results: Most healthcare workers were female (68.59%)
and aged 41–50 (33.31%), with nursing assistants comprising 35.83%. Only 23.48% scored
positively on the SANN-G scale, with most exhibiting neutral or negative attitudes. Healthcare workers who attended a malnutrition course were more likely to exhibit positive
attitudes toward nutrition, particularly in the dimension of norms, assessment, intervention, and individualization. Younger healthcare workers, with the role of nurses and who
attended a course on malnutrition, were more likely to have positive attitudes, while older
healthcare workers and with the role of physicians tended to show neutral or negative
attitudes. Conclusions: Education on malnutrition improves healthcare workers’ attitudes
toward older adults’ nutrition, especially among younger nurses. The low percentage
of positive attitudes (23.48%) underscores the need for broader education programs to
enhance nutritional care quality.
Keywords: nutrition of older people; malnutrition intervention; healthcare workers’ attitudes; nursing home care
Authors: Fouziah Almouqati, Judith Daire, Catherine Catanach, Jean-Louis deSousa, Sam Quill and Mohamed Estai
Abstract:
Background/Objectives: Despite the availability of screening services, the rate of
diabetic retinopathy (DR) screening continues to be suboptimal in Australia, necessitating
improvement. However, improving DR screening rates requires a.....
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Authors: Fouziah Almouqati, Judith Daire, Catherine Catanach, Jean-Louis deSousa, Sam Quill and Mohamed Estai
Background/Objectives: Despite the availability of screening services, the rate of
diabetic retinopathy (DR) screening continues to be suboptimal in Australia, necessitating
improvement. However, improving DR screening rates requires a more comprehensive
understanding of the factors influencing adherence to the screening recommendations.
This study aimed to explore the factors that influence adherence to DR screening among
people with diabetes attending a community screening clinic in Australia. Methods: This
qualitative study included purposively patients with diabetes recruited from a nurse-led
community screening clinic in Australia. Semi-structured interviews were conducted to explore barriers and enablers impacting patient adherence to DR screening recommendations.
The interview data were analyzed thematically using NVivo based on the socio-ecological
model, with salience identified by the frequency of the theme. Results: A total of 22 participants completed the interview, including 10 females with a mean age of 60 ± 16.2 years. The
interviews identified several factors that improved adherence to DR screening guidelines,
including (a) knowledge of the connection between DR and diabetes and the importance of
the screening, (b) the care provider’s recommendations, and (c) pre-booked appointments
and automatic invitations. Beyond these factors, clinic staff interactions, family support,
fear of vision loss, flexible clinic hours, and transportation accessibility also facilitate DR
screening adherence. Conclusions: The present study identified key multi-level factors
influencing adherence to DR screening. While these findings from a single clinic provide
valuable insights to inform screening strategies, larger multi-center studies are needed to
validate their broader applicability across diverse healthcare settings and populations.
Keywords: diabetic retinopathy; mass screening; patient compliance; health knowledge;
attitudes; practice; primary prevention; nurses; community health; health services accessibility
Authors: Haneen Alrawashdeh, Ahsan Sethi, Ahmed Awaisu and Banan Mukhalalati
Abstract:
Background: Experiential learning is a vital component of health-professional
education. It provides students with the opportunity to apply their knowledge in real-life
settings before becoming licensed practitioners. Preceptors (i.e.,.....
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Authors: Haneen Alrawashdeh, Ahsan Sethi, Ahmed Awaisu and Banan Mukhalalati
Background: Experiential learning is a vital component of health-professional
education. It provides students with the opportunity to apply their knowledge in real-life
settings before becoming licensed practitioners. Preceptors (i.e., practice educators) play a
crucial role in developing students’ professional skills and competencies, as well as shaping
their attitude during their clinical training. Ensuring preceptors’ quality and preparedness
is a key aspect in students’ experiential learning due to the important impact of the provided
training on the quality of the students’ learning experience. There is a knowledge gap
about the desired attributes of pharmacy preceptors in the Gulf region, specifically Qatar,
highlighting the need to explore preceptors’ views on this topic. Purpose: The aim of this
scoping review is to identify the available tools in the literature to explore the desirable
attributes of pharmacy preceptors as clinical educators. The objectives are to explore the
reported desirable attributes of clinical preceptors in the published literature and select and
utilize an appropriate tool to identify the desirable attributes of pharmacy preceptors in
Qatar. Methods: The scoping review was designed to identify the relevant original research
articles, which were published in English language, utilizing CINAHL, ERIC, ProQuest,
and PubMed databases. Key concepts were preceptorship, attributes, pharmacy, and tools.
Quantitative and mixed-methods study designs were included. The included articles were
summarized according to their design, setting, population, and outcomes. The validity of
the used instruments in these studies was reported. Results: A total of six articles qualified
for inclusion into the full screening and were used to inform the results of this review. Skills
like being a role model, assessment, and feedback expertise were of the highly important
attributes to different populations (i.e., students, graduates, and preceptors). The review
revealed the need for more validated tools in pharmacy research to increase the knowledge
about the desired qualities of preceptors. Finally, a list of the most reported attributes in
the literature was created after grouping all the reported attributes into five categories:
(1) knowledge, teaching, and presentation skills; (2) professionalism and development
skills; (3) communication skills; (4) supportive mentoring; and (5) enthusiasm and interest.
Conclusions: the top three identified attributes were related to communication, assessment
and feedback, and professionalism. The results of this review demonstrated a lack of
well-designed and validated tools in pharmacy research that can be used to explore the
desirable attributes of pharmacy preceptors. This necessitates further research to develop
and validate a new appropriate tool to ultimately understand the perceptions of pharmacy
preceptors on this topic. Including more databases in the research could have enriched
the findings.
Authors: Roy Netzer, Netanel Levi, Kayla Ganchrow, Yfat Naan and Michal Elboim-Gabyzon
Abstract:
Background/objectives: Malnutrition and sarcopenia are interrelated health
concerns among the elderly. Each condition is associated with increased mortality, morbidity, rehospitalization rates, longer hospital stays, higher healthcare costs, and.....
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Authors: Roy Netzer, Netanel Levi, Kayla Ganchrow, Yfat Naan and Michal Elboim-Gabyzon
Background/objectives: Malnutrition and sarcopenia are interrelated health
concerns among the elderly. Each condition is associated with increased mortality, morbidity, rehospitalization rates, longer hospital stays, higher healthcare costs, and reduced
quality of life. Their combination leads to the development of “Malnutrition–Sarcopenia
Syndrome” (MSS), characterized by reductions in body weight, muscle mass, strength,
and physical function. Despite being preventable and reversible through nutritional and
physical interventions, the clinical competence of physical therapists (PTs) in managing
MSS remains underexplored. This study aims to assess the clinical competency of PTs in
MSS management. Methods: An anonymous cross-sectional survey was conducted from
January to August 2024 among 337 certified PTs in Israel, using the “Qualtrics” platform.
The survey assessed prior familiarity with MSS concepts, MSS knowledge levels, screening
and treatment skills, attitudes and beliefs toward MSS management, and interprofessional
collaboration practices. Results: While 52% of PTs were familiar with MSS, familiarity
with diagnostic guidelines was low (EWGSOP2: 3.6%; GLIM: 0.6%). The MSS knowledge
score was moderate, but screening and treatment skills were low. Attitudes toward MSS
management were moderately positive, but self-belief in diagnosing and treating MSS
was low. Interprofessional collaboration was limited, particularly in malnutrition care.
PTs familiar with MSS had higher knowledge, better skills, more positive attitudes and
beliefs, and greater interprofessional collaboration. Conclusions: Significant gaps exist
in the clinical competency of Israeli PTs in MSS management. Integrating MSS content
into physical therapy curricula and providing continuing professional development are
necessary to enhance competencies. Equipping PTs with essential tools, clarifying roles, and
promoting interprofessional collaboration can optimize MSS management and improve
patient outcomes.
Keywords: malnutrition–sarcopenia syndrome; physical therapists; clinical competency;
knowledge; attitude and beliefs; screening and treatment skills; interprofessional collaboration
Background/Objectives: Fibromyalgia syndrome (FMS) is a chronic, debilitating
condition characterized by widespread pain, fatigue, and psychological distress. There is a
lack of qualitative studies on the unique experiences of.....
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Background/Objectives: Fibromyalgia syndrome (FMS) is a chronic, debilitating
condition characterized by widespread pain, fatigue, and psychological distress. There is a
lack of qualitative studies on the unique experiences of patients with FMS in Arab countries,
particularly through social media. Despite the availability of diagnostic criteria, diagnosing
and managing patients remains challenging. This study aimed to describe the experiences
of patients with FMS in Arab countries, their understanding of the illness, and perceptions
of treatment. Methods: A qualitative study was conducted using a content analysis of
patients’ narratives published in a supportive group, describing their experiences with
fibromyalgia. The dataset included 2305 quotes from 192 main posts and 2113 comments
collected between 2019 and 2024. Results: The analysis of the posts and associated comments revealed six main themes: patients’ experiences with the syndrome, symptoms,
searching for a doctor, pharmacological management, self-management, and the impact of
fibromyalgia and peer support. Most posts and comments focused on patients’ experiences
with self-management approaches and coping strategies, highlighting significant noncompliance with therapeutic modalities. Factors influencing patients’ experiences and decisions
included their relationship with physicians, medication side effects, personal fears, and
physical and mental health. Conclusions: Patients with FMS in Arab countries face similar
challenges to those in other regions, including physical, psychological, social, and economic
impacts. Many patients reject conventional therapeutic management strategies and adopt
coping mechanisms to mitigate adverse effects and healthcare costs. The findings suggest
that the physician–patient relationship, as well as the physician’s knowledge and attitude
toward fibromyalgia syndrome, are the cornerstones of gaining patients’ trust.
Authors: Mohammed A. Alnuhait, Hana A. Althobaiti, Meshari H. Alharbi, Raef A. Alahmadi, Yasser E. Althubaiti, Abdulrahman A. Alsaedi, Abdullah S. Alshammari, Mahmoud E. Elrggal, Mohammed
Abstract:
Introduction: As the pharmaceutical advertising landscape evolves with digital advancements, this study examines public awareness and perceptions of medication advertisements in Saudi
Arabia. It focuses on the effects.....
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Authors: Mohammed A. Alnuhait, Hana A. Althobaiti, Meshari H. Alharbi, Raef A. Alahmadi, Yasser E. Althubaiti, Abdulrahman A. Alsaedi, Abdullah S. Alshammari, Mahmoud E. Elrggal, Mohammed
Introduction: As the pharmaceutical advertising landscape evolves with digital advancements, this study examines public awareness and perceptions of medication advertisements in Saudi
Arabia. It focuses on the effects of regulatory frameworks and evaluates how they influence public
understanding and attitudes toward these advertisements. Method: A cross-sectional study was
conducted using an electronic survey in Saudi Arabia in December 2023. The survey was distributed
on social media platforms and reached a diverse sample of 440 participants. It covered public perception and attitudes toward drug advertisements, knowledge of regulatory laws, and preferences
regarding advertising mediums. Results: Out of the 440 participants in the study, who were primarily employees with bachelor’s degrees, there was a clear awareness of drug advertisements. The
average age of the group was 33 years, and a significant portion (71.1%) held a bachelor’s degree,
with 51.1% being employed. The findings revealed that 25.5% of participants frequently noticed
drug ads, while 22.7% saw them very often. Although many found the ads informative, there were
significant concerns about unrealistic expectations and the risk of overmedication; 89.8% believed the
ads set unrealistic expectations about the effectiveness of medications. Additionally, 60.7% thought
that celebrity endorsements might mislead the audience, and 91.1% felt that ads should provide
more detailed information about potential risks and side effects. Regarding preferred advertising
platforms, mobile apps and websites were favored (47%), followed closely by social media (46.4%).
A striking 93.2% of participants believed that drug ads on social media should be subject to stricter
regulations, and 96.4% wanted more proactive monitoring of online advertising. Many also reported
using other sources, such as medical review sites, to verify medication information. Conclusions:
Pharmaceutical advertising in Saudi Arabia must balance ethical transparency with educational
value. The influence of digital platforms underscores the necessity for stricter regulation and accurate
information dissemination. A collaborative approach is essential to align advertising practices with
public health interests and regulatory standards.
Keywords: perceptions; awareness; pharmaceutical advertising; medication promotion; Saudi Arabia;
Middle EastIntroduction: As the pharmaceutical advertising landscape evolves with digital advancements, this study examines public awareness and perceptions of medication advertisements in Saudi
Arabia. It focuses on the effects of regulatory frameworks and evaluates how they influence public
understanding and attitudes toward these advertisements. Method: A cross-sectional study was
conducted using an electronic survey in Saudi Arabia in December 2023. The survey was distributed
on social media platforms and reached a diverse sample of 440 participants. It covered public perception and attitudes toward drug advertisements, knowledge of regulatory laws, and preferences
regarding advertising mediums. Results: Out of the 440 participants in the study, who were primarily employees with bachelor’s degrees, there was a clear awareness of drug advertisements. The
average age of the group was 33 years, and a significant portion (71.1%) held a bachelor’s degree,
with 51.1% being employed. The findings revealed that 25.5% of participants frequently noticed
drug ads, while 22.7% saw them very often. Although many found the ads informative, there were
significant concerns about unrealistic expectations and the risk of overmedication; 89.8% believed the
ads set unrealistic expectations about the effectiveness of medications. Additionally, 60.7% thought
that celebrity endorsements might mislead the audience, and 91.1% felt that ads should provide
more detailed information about potential risks and side effects. Regarding preferred advertising
platforms, mobile apps and websites were favored (47%), followed closely by social media (46.4%).
A striking 93.2% of participants believed that drug ads on social media should be subject to stricter
regulations, and 96.4% wanted more proactive monitoring of online advertising. Many also reported
using other sources, such as medical review sites, to verify medication information. Conclusions:
Pharmaceutical advertising in Saudi Arabia must balance ethical transparency with educational
value. The influence of digital platforms underscores the necessity for stricter regulation and accurate
information dissemination. A collaborative approach is essential to align advertising practices with
public health interests and regulatory standards.
Keywords: perceptions; awareness; pharmaceutical advertising; medication promotion; Saudi Arabia;
Middle East
Authors: Mohammed A. Alnuhait, Hana A. Althobaiti, Meshari H. Alharbi, Raef A. Alahmadi, Yasser E. Althubaiti, Abdulrahman A. Alsaedi, Abdullah S. Alshammari, Mahmoud E. Elrggal, Mohammed
Account Details mentioned below: For Electronic Fund Transfer: (NEFT/RTGS)
Introduction: The use of alcohol, tobacco, and other drugs (ATOD) is a leading cause
of preventable morbidity and mortality among adolescents. While traditional interventions have
targeted specific health-risk behaviors.....
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Introduction: The use of alcohol, tobacco, and other drugs (ATOD) is a leading cause
of preventable morbidity and mortality among adolescents. While traditional interventions have
targeted specific health-risk behaviors (e.g., substance use, initiation of sexual intercourse, truancy,
etc.), the evidence suggests that using a positive youth development (PYD) framework may have
positive impacts across a number of domains. Friday Night Live Mentoring (FNLM) is a PYD-based,
cross-age peer mentoring program that engages teams of older high school-aged youth to mentor
teams of middle school-aged youth in a structured, ongoing, one-on-one relationship. While studies
have demonstrated significant but small effect sizes of intergenerational youth mentoring programs
in which an adult mentor is paired with the youth mentee, research on cross-age mentoring programs
is limited. The purpose of the current study is to evaluate FNLM on its ability to improve participants’
knowledge, attitudes, skills, opportunities to develop caring relationships, school engagement, and
academic performance. Methods: A retrospective, pre–post survey was administered online to FNLM
participants across 13 California counties. Participants rated their knowledge and attitudes about
ATOD, skills, relationships with peers and adults, and academic indicators. Open-ended questions
gathered information about participants’ experiences in FNLM. Non-parametric related-samples
Wilcoxon signed rank tests (an alternative to paired t-test) were used to compare pre–post differences.
Participants were also asked two open-ended questions: “What are the best parts of FNLM?” and
“What, if anything, would you change?”. The responses to each question were reviewed, coded,
and analyzed according to key themes. Results: A total of 512 participants completed the survey
(287 mentors and 225 protégés). There were small but statistically significant improvements across all
items for both mentors and protégés. Qualitative analyses showed that most mentors and protégés
especially enjoyed getting to know and spend time with one another. Several mentors added that
it was rewarding to be a positive influence on or to make a positive difference in the protégé’s life.
Many youth stated that the relationships formed, especially with their partner, and the activities were
the best part of FNLM. The overwhelming majority would not change anything about the program.
Those who provided recommendations for program improvement suggested more activities or more
hands-on and engaging activities and more or longer meetings. Conclusion: FNLM actively engages
youth and provides them with support and opportunities that promote knowledge, skill development,
positive relationships, academic engagement, and success and raise awareness of the harms that
the use of alcohol, tobacco, and other drugs (ATOD) can cause. While ATOD use was low prior to
program participation, it was significantly lower after participating in the program.
Authors: Guilherme Reis de Santana Santos, Caíque Jordan Nunes Ribeiro, José Flávio Cerqueira dos Santos Júnior, Valdemar Silva Almeida, Rita de Cassia Dias Nascimento, Nilo Manoel Pereira Vieira Barreto, Ande
Abstract:
Background: Mpox is a viral zoonosis that has gained increased attention due to a global
outbreak in 2022, significantly impacting men who have sex with men (MSM). Vaccination.....
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Authors: Guilherme Reis de Santana Santos, Caíque Jordan Nunes Ribeiro, José Flávio Cerqueira dos Santos Júnior, Valdemar Silva Almeida, Rita de Cassia Dias Nascimento, Nilo Manoel Pereira Vieira Barreto, Ande
Background: Mpox is a viral zoonosis that has gained increased attention due to a global
outbreak in 2022, significantly impacting men who have sex with men (MSM). Vaccination for this
disease poses a public health challenge; because it carries a strong stigma, there may be greater
hesitancy in vulnerable groups. Objectives: This study aimed to determine the prevalence and
factors associated with Mpox vaccine hesitancy among Brazilian MSM. Methods: A cross-sectional
study was conducted between September and December 2022 using an online survey targeted at
MSM. Recruitment was carried out through social media and dating apps. The sample consisted of
1449 participants and the analysis involved bivariate logistic regression. Results: The prevalence of
Mpox vaccine hesitancy was 7.57%. The significant factors associated with hesitancy were primarily
related to sexual practices and attitudes towards Mpox exposure and diagnosis, such as not using
“glory holes” (aOR: 19.82; 95% CI: 1.60–245.69), reluctance to undergo pre- and post-exposure testing
for Mpox (aOR: 9.54; 95% CI: 5.52–16.48), and not knowing close contacts diagnosed with Mpox (aOR:
4.09; 95% CI: 1.72–9.73). Participants who would not take precautions after diagnosis (aOR: 3.00; 95%
CI: 1.27–7.07) and those who would not disclose their serological status (aOR: 1.93; 95% CI: 1.13–3.30)
also showed a higher likelihood of vaccine hesitancy. Conclusion: Public health strategies should
address these factors to expand knowledge about vaccination barriers, plan educational campaigns
with targeted messaging for the MSM population, and provide inclusive healthcare environments to
increase vaccine acceptance and reduce Mpox transmission in vulnerable groups.
Keywords: mpox; vaccine; hesitancy; men who have sex with men; stigma; discrimination; sexual
behavior; risk factors; vaccination acceptance
Authors: Guilherme Reis de Santana Santos, Caíque Jordan Nunes Ribeiro, José Flávio Cerqueira dos Santos Júnior, Valdemar Silva Almeida, Rita de Cassia Dias Nascimento, Nilo Manoel Pereira Vieira Barreto, Ande
Account Details mentioned below: For Electronic Fund Transfer: (NEFT/RTGS)
Background: Cervical cancer, predominantly caused by human papillomavirus, remains
a major public health issue globally and in Kazakhstan, where it ranks among the most common
cancers in women. A.....
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Background: Cervical cancer, predominantly caused by human papillomavirus, remains
a major public health issue globally and in Kazakhstan, where it ranks among the most common
cancers in women. A pilot HPV vaccination programme in Kazakhstan was suspended in 2017 due
to mass parental refusals, and it is planned to be restarted in the coming years. This study aims
to assess the knowledge, attitudes, barriers, and sources of information about HPV and the HPV
vaccine among healthcare professionals in Kazakhstan. Methods: A cross-sectional study (December
2022–May 2023) involving 1189 healthcare professionals in Kazakhstan used a self-administered
questionnaire. Statistical analysis included descriptive statistics, mean knowledge score, betweengroup comparisons, and binary logistic regression to identify factors linked to higher knowledge
and vaccine recommendation. Results: The study found that the average knowledge score for
HPV and the HPV vaccine among participants was 11 out of a possible 18. Correct answers to the
questionnaire were observed more frequently among physicians than among nurses (p < 0.001). In
our study, 72.6% of healthcare professionals expressed a positive intention to recommend the HPV
vaccine. The likelihood of recommending the HPV vaccine was significantly higher among those
with higher knowledge of HPV and its vaccine (OR 1.8; 95% CI 1.3–2.5; p < 0.001), those familiar
with cervical cancer patients (OR 2.0; 95% CI 1.5–2.8; p < 0.001), and those with positive attitudes
towards the COVID-19 vaccine and childhood vaccination (OR 2.3 and 1.5, respectively). Healthcare
professionals identified key barriers to HPV vaccination, including public mistrust (49.4%), fear of
side effects (45.9%), and insufficient knowledge among healthcare professionals themselves (30.3%).
Information from the internet, including articles and journals, was the most commonly used source
of information, followed by social media and colleagues. Conclusions: The disparities identified
call for a tailored, multifaceted communication strategy that addresses the diverse needs of health
professionals to address the differences in awareness between different groups, in order to ensure
successful implementation and coverage of HPV vaccination across Kazakhstan.