ISSN 2347-2251
Manuscripts should be carefully checked for grammatical and punctuation errors. All papers undergo peer review. Please note that all articles published in this journal represent the opinions of the authors and do not necessarily reflect the official policy of the Journal of Indo-American Journal of Pharma and Bio Sciences of the journals to publish paper.
Academic doctors' views of complementary and alternative medicine (CAM) and i...home
Despite the caution or scepticism towards CAM expressed by doctors in this study, more open
doctor-patient communication about CAM may enable doctors' potential concerns about CAM to be addressed,
or at least enhance their knowledge of what treatments or therapies their patients are using. Offering CAM to
patients may serve to enhance patients' treatment choices and even increase doctors' fulfilment in their practice.
However, given the recurring concerns about lack of scientific evidence expressed by the doctors in this study,
perceptions of the evidence base may remain a significant barrier to greater integration of CAM within the NHS.
Academic doctors' views of complementary and alternative medicine (CAM) and i...home
There has been a marked increase in the use of complementary and alternative medicine (CAM)
in the UK population in recent years. Surveys of doctors' perspectives on CAM have identified a variety of views
and potential information needs. While these are useful for describing the proportions of doctors who hold
particular attitudes towards CAM, they are less helpful for understanding why. In addition, while the views of nonacademic
doctors have begun to be studied, the perspective and rationales of academic doctors remains underresearched.
It seems important to investigate the views of those with a research-orientation, given the emphasis
on the need for more scientific evidence in recent debates on CAM.
Patient-Reported Outcomes in Cancer Care - Zeena NackerdienZeena Nackerdien
PROs should be integral to evidence-based cancer care. Here I summarize the latest expert opinions on the subject in the form of a conversation between two oncologists. This information should be helpful to healthcare practitioners and patients alike. As always, please consult your own medical doctors for case-by-case advice.
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
Academic doctors' views of complementary and alternative medicine (CAM) and i...home
Despite the caution or scepticism towards CAM expressed by doctors in this study, more open
doctor-patient communication about CAM may enable doctors' potential concerns about CAM to be addressed,
or at least enhance their knowledge of what treatments or therapies their patients are using. Offering CAM to
patients may serve to enhance patients' treatment choices and even increase doctors' fulfilment in their practice.
However, given the recurring concerns about lack of scientific evidence expressed by the doctors in this study,
perceptions of the evidence base may remain a significant barrier to greater integration of CAM within the NHS.
Academic doctors' views of complementary and alternative medicine (CAM) and i...home
There has been a marked increase in the use of complementary and alternative medicine (CAM)
in the UK population in recent years. Surveys of doctors' perspectives on CAM have identified a variety of views
and potential information needs. While these are useful for describing the proportions of doctors who hold
particular attitudes towards CAM, they are less helpful for understanding why. In addition, while the views of nonacademic
doctors have begun to be studied, the perspective and rationales of academic doctors remains underresearched.
It seems important to investigate the views of those with a research-orientation, given the emphasis
on the need for more scientific evidence in recent debates on CAM.
Patient-Reported Outcomes in Cancer Care - Zeena NackerdienZeena Nackerdien
PROs should be integral to evidence-based cancer care. Here I summarize the latest expert opinions on the subject in the form of a conversation between two oncologists. This information should be helpful to healthcare practitioners and patients alike. As always, please consult your own medical doctors for case-by-case advice.
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
Effectiveness of structured education on safe handling and disposal of chemot...SriramNagarajan16
Aim
To evaluate the effectiveness of structured education on safe handling and disposal of chemotherapeutic drugs among nursing
students
Participants and setting
A pre-experimental one group pre-test – post-test design was adopted for this study. The study was conducted in Vandhana
school of Nursing, Kodhad, telugana, India. The investigator selected 40 nursing students who fulfilled the inclusion criteria
were selected by using simple random sampling technique.
Intervention
Data was collected regarding demographic variable, knowledge and attitude of the diploma in nursing students on safe
handling and disposal of chemotherapeutic drugs.The investigator assessed the level of knowledge and attitude of the
diploma in nursing students by using structured questionnaire and modified three point Likert Scale and by using checklist
through one to one teaching by lecture, demonstration, video clippings and verbalization. Structured teaching programme was
conducted on the same day on group wise each group consists of 17members. Data collection was done in English the
questionnaire was distributed to each nursing students. At the end of the teaching the doubts were cleared. Then 10 minutes
was allotted for discussion.
Measurement and findings
The analysis finding indicates clearly that 36% of students had inadequate knowledge and 46% of them had negative attitude
regarding safe handling and disposal of chemotherapeutic drugs. A well planned structured teaching programme given to the
same group. The effectiveness of programme showed high level of significant at p<0.001 level. It showed that structured
teaching programme was an effective method to improve the knowledge and attitude.
Conclusion
The pharmacist-based interventions improved the knowledge of nursing students in cytotoxic drug handling. Further
assessment may help to confirm the sustainability of the improved practices
Conversations About Financial Issues in Routine Oncology Practices: A Multice...Melissa Paige
"We performed qualitative thematic analysis of 529 unique patient encounters from two National Cancer Institue-designated cancer centers and an academic-led county safety-net hospital that were audio recorded prospectively during a three-site communication study"
Use of complementary and alternative medicine by cancer patients at the Unive...home
CAM use is common among cancer patients in Nigeria. Most users do not obtain the
expected benefits, and adverse events are not uncommon. Every clinician in the field of oncology
should ask his/her patients about the use of CAM; this knowledge will enable them to better
counsel the patients
10 STRATEGIC POINTS 2
Ten Strategic Points
Grand Canyon University
DNP-815- O502: Scientific Underpinnings
10 Strategic Points Table
(Use this table to complete the 10 Strategic Points document for your project.)
10 Strategic Points
Comments/Feedback
Broad Topic Area
Impact of Medication Administration Errors on 3-4-Year-old Leukemia Patients
Literature Review
A. Verghese, A., Charlton, B., Kassirer, J. P., Ramsey, M., & Ioannidis, J. P. (2015). Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. The American journal of medicine, 128(12), 1322-1324.
The article looks at the “Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes” from the American journal of medicine. It takes into consideration the fact that, the oversights in the corporeal assessment are a medical fault which aren’t studied via chart evaluation. Furthermore, the article states that these oversights in the corporeal assessments may be the primary contributors to the neglected or late diagnosis besides unnecessary exposure to contrast as well as radiation on the Leukemia patients. Either the authors indicate that the incorrect treatments resulting from these delays leads to unfavorable results like fainting on the Leukemia patient, lack of appetite on the side of the patient, worsening the Leukemia conditions which eventually can lead to early death of the patient.
B. Hockings, J. K., Owolabi, D. K., Broyles, J. E., & Wheelis, S. C. (2017). Impact of medication administration error on over 3 years Leukemia patients and the stimulating factors in acute leukemia and stem cell transplant patients. Supportive Care in Cancer, 25(6), 1853-1858.
The authors of this article explored the “Impact of medication administration error on over 3 years Leukemia patients and the stimulating factors in acute leukemia and stem cell transplant patients.” This article is from supportive care in cancer and it was retrieved from Google Scholar. The article authors acknowledge the fact that, the medication administration errors lead to severe impacts on the health conditions of the patient more especially the ones who are 3 – 4 years of Leukemia. According to the authors, the impacts associated with the medication administration errors may lead to worsening of the health condition of the patient, the rate of Leukemia advancement into higher stages may also increase with treatment or managing of this deadly disease being more complicated. The authors argue that using erroneous medicines, the Leukemia advancement increases without the knowledge of the patient which makes even the survival chances of the patient to reduce due to stress upon realizing that there was an error in his or her medication.
C. Douer, D. (2016). Efficacy and safety of vincristine sulfate liposome injection in the treatment of adult acute lymphocytic leukemia. The oncologist, 21(7), 840-847.
...
A Study on Patient Satisfaction towards Cancer Hospitalijtsrd
A cancer diagnosis places considerable stress on patients and their families. They find themselves discomfort with the strange health system making serious decisions with long term consequences living with uncertainness about the nature, cause and indefinite progress of the disease living with a disrupted family, work, social life and facing the possibility of becoming increasingly dependent on others. Dhivya. S | Harshath. S "A Study on Patient Satisfaction towards Cancer Hospital" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-6 , October 2019, URL: https://www.ijtsrd.com/papers/ijtsrd29274.pdf Paper URL: https://www.ijtsrd.com/management/consumer-behaviour/29274/a-study-on-patient-satisfaction-towards-cancer-hospital/dhivya-s
Decision makers in the healthcare field like doctors, patients and policy makers need access to clinical evidence to address issues that have bearing on the health of the population and the treatment prescribed and thereby on the financials implications of the healthcare industry.
Knowledge and attitudes towards complementary and alternative medicine among ...home
Majority of the medical students were familiar with the CAM methods widely used in Turkey, while
most of them had positive attitudes towards CAM as well as willingness to receive training on the subject, and they
were likely to recommend CAM methods to their patients in their future professional lives. With its gradual scientific
development and increasing popularity, there appears a need for a coordinated policy in integrating CAM into the
medical curriculum, by taking expectations of and feedback from medical students into consideration in setting
educational standards
Skin Cancer Screening
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
Participation of the population in decisions about their health and in the pr...Pydesalud
Póster presentado por Lilisbeth Perestelo en el congreso Summer Institute for Informed Patient Choice (SIIPC14) celebrado del 25 al 27 de junio de 2014 en Dartmouth, Hanover (EEUU). Web: http://siipc.org
Contacto: lperperr@gobiernodecanarias.org
Objective: To evaluate the utility of a targeted lecture in improving FP awareness amongst clinicians.
Design: This is a dual institution, prospective survey-based study assessing if an educational lecture can increase the likelihood of FP consideration, discussion, and referral.
ISSN 2321 – 9602
It appears that you are providing information about the publication process of IAJAVS International Journal of Advanced Veterinary and Animal Science. it seems to prioritize a fast publication schedule while maintaining rigorous peer review of the journals in research.
Indo-American Journal of Agricultural and Veterinary Sciences appears to be a reputable journal that values both the speed of publication and the quality of research in the fields of agriculture and veterinary sciences. Researchers interested in submitting their work to this journal of the journalism research.
Effectiveness of structured education on safe handling and disposal of chemot...SriramNagarajan16
Aim
To evaluate the effectiveness of structured education on safe handling and disposal of chemotherapeutic drugs among nursing
students
Participants and setting
A pre-experimental one group pre-test – post-test design was adopted for this study. The study was conducted in Vandhana
school of Nursing, Kodhad, telugana, India. The investigator selected 40 nursing students who fulfilled the inclusion criteria
were selected by using simple random sampling technique.
Intervention
Data was collected regarding demographic variable, knowledge and attitude of the diploma in nursing students on safe
handling and disposal of chemotherapeutic drugs.The investigator assessed the level of knowledge and attitude of the
diploma in nursing students by using structured questionnaire and modified three point Likert Scale and by using checklist
through one to one teaching by lecture, demonstration, video clippings and verbalization. Structured teaching programme was
conducted on the same day on group wise each group consists of 17members. Data collection was done in English the
questionnaire was distributed to each nursing students. At the end of the teaching the doubts were cleared. Then 10 minutes
was allotted for discussion.
Measurement and findings
The analysis finding indicates clearly that 36% of students had inadequate knowledge and 46% of them had negative attitude
regarding safe handling and disposal of chemotherapeutic drugs. A well planned structured teaching programme given to the
same group. The effectiveness of programme showed high level of significant at p<0.001 level. It showed that structured
teaching programme was an effective method to improve the knowledge and attitude.
Conclusion
The pharmacist-based interventions improved the knowledge of nursing students in cytotoxic drug handling. Further
assessment may help to confirm the sustainability of the improved practices
Conversations About Financial Issues in Routine Oncology Practices: A Multice...Melissa Paige
"We performed qualitative thematic analysis of 529 unique patient encounters from two National Cancer Institue-designated cancer centers and an academic-led county safety-net hospital that were audio recorded prospectively during a three-site communication study"
Use of complementary and alternative medicine by cancer patients at the Unive...home
CAM use is common among cancer patients in Nigeria. Most users do not obtain the
expected benefits, and adverse events are not uncommon. Every clinician in the field of oncology
should ask his/her patients about the use of CAM; this knowledge will enable them to better
counsel the patients
10 STRATEGIC POINTS 2
Ten Strategic Points
Grand Canyon University
DNP-815- O502: Scientific Underpinnings
10 Strategic Points Table
(Use this table to complete the 10 Strategic Points document for your project.)
10 Strategic Points
Comments/Feedback
Broad Topic Area
Impact of Medication Administration Errors on 3-4-Year-old Leukemia Patients
Literature Review
A. Verghese, A., Charlton, B., Kassirer, J. P., Ramsey, M., & Ioannidis, J. P. (2015). Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. The American journal of medicine, 128(12), 1322-1324.
The article looks at the “Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes” from the American journal of medicine. It takes into consideration the fact that, the oversights in the corporeal assessment are a medical fault which aren’t studied via chart evaluation. Furthermore, the article states that these oversights in the corporeal assessments may be the primary contributors to the neglected or late diagnosis besides unnecessary exposure to contrast as well as radiation on the Leukemia patients. Either the authors indicate that the incorrect treatments resulting from these delays leads to unfavorable results like fainting on the Leukemia patient, lack of appetite on the side of the patient, worsening the Leukemia conditions which eventually can lead to early death of the patient.
B. Hockings, J. K., Owolabi, D. K., Broyles, J. E., & Wheelis, S. C. (2017). Impact of medication administration error on over 3 years Leukemia patients and the stimulating factors in acute leukemia and stem cell transplant patients. Supportive Care in Cancer, 25(6), 1853-1858.
The authors of this article explored the “Impact of medication administration error on over 3 years Leukemia patients and the stimulating factors in acute leukemia and stem cell transplant patients.” This article is from supportive care in cancer and it was retrieved from Google Scholar. The article authors acknowledge the fact that, the medication administration errors lead to severe impacts on the health conditions of the patient more especially the ones who are 3 – 4 years of Leukemia. According to the authors, the impacts associated with the medication administration errors may lead to worsening of the health condition of the patient, the rate of Leukemia advancement into higher stages may also increase with treatment or managing of this deadly disease being more complicated. The authors argue that using erroneous medicines, the Leukemia advancement increases without the knowledge of the patient which makes even the survival chances of the patient to reduce due to stress upon realizing that there was an error in his or her medication.
C. Douer, D. (2016). Efficacy and safety of vincristine sulfate liposome injection in the treatment of adult acute lymphocytic leukemia. The oncologist, 21(7), 840-847.
...
A Study on Patient Satisfaction towards Cancer Hospitalijtsrd
A cancer diagnosis places considerable stress on patients and their families. They find themselves discomfort with the strange health system making serious decisions with long term consequences living with uncertainness about the nature, cause and indefinite progress of the disease living with a disrupted family, work, social life and facing the possibility of becoming increasingly dependent on others. Dhivya. S | Harshath. S "A Study on Patient Satisfaction towards Cancer Hospital" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-6 , October 2019, URL: https://www.ijtsrd.com/papers/ijtsrd29274.pdf Paper URL: https://www.ijtsrd.com/management/consumer-behaviour/29274/a-study-on-patient-satisfaction-towards-cancer-hospital/dhivya-s
Decision makers in the healthcare field like doctors, patients and policy makers need access to clinical evidence to address issues that have bearing on the health of the population and the treatment prescribed and thereby on the financials implications of the healthcare industry.
Knowledge and attitudes towards complementary and alternative medicine among ...home
Majority of the medical students were familiar with the CAM methods widely used in Turkey, while
most of them had positive attitudes towards CAM as well as willingness to receive training on the subject, and they
were likely to recommend CAM methods to their patients in their future professional lives. With its gradual scientific
development and increasing popularity, there appears a need for a coordinated policy in integrating CAM into the
medical curriculum, by taking expectations of and feedback from medical students into consideration in setting
educational standards
Skin Cancer Screening
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
Participation of the population in decisions about their health and in the pr...Pydesalud
Póster presentado por Lilisbeth Perestelo en el congreso Summer Institute for Informed Patient Choice (SIIPC14) celebrado del 25 al 27 de junio de 2014 en Dartmouth, Hanover (EEUU). Web: http://siipc.org
Contacto: lperperr@gobiernodecanarias.org
Objective: To evaluate the utility of a targeted lecture in improving FP awareness amongst clinicians.
Design: This is a dual institution, prospective survey-based study assessing if an educational lecture can increase the likelihood of FP consideration, discussion, and referral.
ISSN 2321 – 9602
It appears that you are providing information about the publication process of IAJAVS International Journal of Advanced Veterinary and Animal Science. it seems to prioritize a fast publication schedule while maintaining rigorous peer review of the journals in research.
Indo-American Journal of Agricultural and Veterinary Sciences appears to be a reputable journal that values both the speed of publication and the quality of research in the fields of agriculture and veterinary sciences. Researchers interested in submitting their work to this journal of the journalism research.
Scientific development is an ever-evolving journey, driven by the exchange of data and ideas among researchers across the globe.One such remarkable publication dedicated to facilitating this exchange within the fields of Pharmacy and Bio Sciences is the Indo-American Journal of Pharma and Bio Sciences of the published research.
It appears that you have provided information about the "Indo-American Journal of Agricultural and Veterinary Sciences" . This journal seems to be an international online publication in English, published quarterly. It emphasizes fast publication while maintaining a rigorous peer-review process of the published research.
It appears that you have provided information about the "Indo-American Journal of Agricultural and Veterinary Sciences" . This journal seems to be an international online publication in English, published quarterly. It emphasizes fast publication while maintaining a rigorous peer-review process of the published research.
The Indo-American Journal of Agricultural and Veterinary Sciences appears to be a scholarly journal focused on publishing research within the fields of agriculture and veterinary sciences of the journal publishers.
ISSN 2347-2251
Manuscripts should be carefully checked for grammatical and punctuation errors. All papers undergo peer review. Please note that all articles published in this journal represent the opinions of the authors and do not necessarily reflect the official policy of the Journal of Indo-American Journal of Pharma and Bio Sciences of the journal for research.
It seems like you're providing information about the publication process of the International Journal of Advanced Publication Practices. This information outlines the fast publication schedule and peer-review process by the journal of the appears to prioritize a fast and efficient publication process while maintaining the quality and integrity of the research it publishes of the original research papers.
Indo-American Journal of Agricultural and Veterinary Sciences .It sounds like the journal you're referring to has a broad scope covering various aspects of Agricultural Sciences and Veterinary Medicine. The topics listed indicate a comprehensive range of fields within these discipline and submitting manuscripts to this journal can explore research and review articles of the journalism research.
The Indo-American Journal of Pharma and Bio Sciences plays a crucial role in the scientific community by providing a platform for the exchange and dissemination of research findings in the fields of Pharmacy and Bio Sciences is the sscope and journal of the journal research paper.
It seems like you're providing information about the publication process of the International Journal of Advanced Publication Practices. This information outlines the fast publication schedule and peer-review process by the journal of the appears to prioritize a fast and efficient publication process while maintaining the quality and integrity of the research it publishes of the journal paper publication.
Scientific development is an ever-evolving journey, driven by the exchange of data and ideas among researchers across the globe.One such remarkable publication dedicated to facilitating this exchange within the fields of Pharmacy and Bio Sciences is the Indo-American Journal of Pharma and Bio Sciences of the journals to publish paper.
It appears that you have provided information about the "Indo-American Journal of Agricultural and Veterinary Sciences" . This journal seems to be an international online publication in English, published quarterly. It emphasizes fast publication while maintaining a rigorous peer-review process of the journal for research.
Indo-American Journal of Agricultural and Veterinary Sciences". It appears to be an international online journal that publishes research and review articles in English on topics related to agriculture and veterinary sciences is the journal of the research publish journal.
The Indo-American Journal of Agricultural and Veterinary Sciences appears to be a scholarly journal focused on publishing research within the fields of agriculture and veterinary sciences of the journals in research.
The Indo-American Journal of Pharma and Bio Sciences is an online international journal that publishes articles quarterly.It's important to note that the specific policies, guidelines, and the editorial board of IAJPB may change over time, so it's advisable to visit the journal's official website or contact the journal of the materials science journal.
The Indo-American Journal of Pharma and Bio Sciences is an online international journal that publishes articles quarterly.It's important to note that the specific policies, guidelines, and the editorial board of IAJPB may change over time, so it's advisable to visit the journal's official website or contact the journal of the research on journaling.
ISSN 2347-2251
Manuscripts should be carefully checked for grammatical and punctuation errors. All papers undergo peer review. Please note that all articles published in this journal represent the opinions of the authors and do not necessarily reflect the official policy of the Journal of Indo-American Journal of Pharma and Bio Sciences of the all journal.
Indo-American Journal of Agricultural and Veterinary Sciences appears to be a reputable journal that values both the speed of publication and the quality of research in the fields of agriculture and veterinary sciences. Researchers interested in submitting their work to this journal of the journal research paper.
The Journal of Indo-American Journal of Pharma and Bio Sciences is the appears to have a broad scope covering various fields related to Pharmaceutical Sciences and Biological Sciences of the journal publishes various types of content, including research articles, reviews, and short communications of the journals public.
India Orthopedic Devices Market: Unlocking Growth Secrets, Trends and Develop...Kumar Satyam
According to TechSci Research report, “India Orthopedic Devices Market -Industry Size, Share, Trends, Competition Forecast & Opportunities, 2030”, the India Orthopedic Devices Market stood at USD 1,280.54 Million in 2024 and is anticipated to grow with a CAGR of 7.84% in the forecast period, 2026-2030F. The India Orthopedic Devices Market is being driven by several factors. The most prominent ones include an increase in the elderly population, who are more prone to orthopedic conditions such as osteoporosis and arthritis. Moreover, the rise in sports injuries and road accidents are also contributing to the demand for orthopedic devices. Advances in technology and the introduction of innovative implants and prosthetics have further propelled the market growth. Additionally, government initiatives aimed at improving healthcare infrastructure and the increasing prevalence of lifestyle diseases have led to an upward trend in orthopedic surgeries, thereby fueling the market demand for these devices.
As a business owner in Delaware, staying on top of your tax obligations is paramount, especially with the annual deadline for Delaware Franchise Tax looming on March 1. One such obligation is the annual Delaware Franchise Tax, which serves as a crucial requirement for maintaining your company’s legal standing within the state. While the prospect of handling tax matters may seem daunting, rest assured that the process can be straightforward with the right guidance. In this comprehensive guide, we’ll walk you through the steps of filing your Delaware Franchise Tax and provide insights to help you navigate the process effectively.
Improving profitability for small businessBen Wann
In this comprehensive presentation, we will explore strategies and practical tips for enhancing profitability in small businesses. Tailored to meet the unique challenges faced by small enterprises, this session covers various aspects that directly impact the bottom line. Attendees will learn how to optimize operational efficiency, manage expenses, and increase revenue through innovative marketing and customer engagement techniques.
Remote sensing and monitoring are changing the mining industry for the better. These are providing innovative solutions to long-standing challenges. Those related to exploration, extraction, and overall environmental management by mining technology companies Odisha. These technologies make use of satellite imaging, aerial photography and sensors to collect data that might be inaccessible or from hazardous locations. With the use of this technology, mining operations are becoming increasingly efficient. Let us gain more insight into the key aspects associated with remote sensing and monitoring when it comes to mining.
Memorandum Of Association Constitution of Company.pptseri bangash
www.seribangash.com
A Memorandum of Association (MOA) is a legal document that outlines the fundamental principles and objectives upon which a company operates. It serves as the company's charter or constitution and defines the scope of its activities. Here's a detailed note on the MOA:
Contents of Memorandum of Association:
Name Clause: This clause states the name of the company, which should end with words like "Limited" or "Ltd." for a public limited company and "Private Limited" or "Pvt. Ltd." for a private limited company.
https://seribangash.com/article-of-association-is-legal-doc-of-company/
Registered Office Clause: It specifies the location where the company's registered office is situated. This office is where all official communications and notices are sent.
Objective Clause: This clause delineates the main objectives for which the company is formed. It's important to define these objectives clearly, as the company cannot undertake activities beyond those mentioned in this clause.
www.seribangash.com
Liability Clause: It outlines the extent of liability of the company's members. In the case of companies limited by shares, the liability of members is limited to the amount unpaid on their shares. For companies limited by guarantee, members' liability is limited to the amount they undertake to contribute if the company is wound up.
https://seribangash.com/promotors-is-person-conceived-formation-company/
Capital Clause: This clause specifies the authorized capital of the company, i.e., the maximum amount of share capital the company is authorized to issue. It also mentions the division of this capital into shares and their respective nominal value.
Association Clause: It simply states that the subscribers wish to form a company and agree to become members of it, in accordance with the terms of the MOA.
Importance of Memorandum of Association:
Legal Requirement: The MOA is a legal requirement for the formation of a company. It must be filed with the Registrar of Companies during the incorporation process.
Constitutional Document: It serves as the company's constitutional document, defining its scope, powers, and limitations.
Protection of Members: It protects the interests of the company's members by clearly defining the objectives and limiting their liability.
External Communication: It provides clarity to external parties, such as investors, creditors, and regulatory authorities, regarding the company's objectives and powers.
https://seribangash.com/difference-public-and-private-company-law/
Binding Authority: The company and its members are bound by the provisions of the MOA. Any action taken beyond its scope may be considered ultra vires (beyond the powers) of the company and therefore void.
Amendment of MOA:
While the MOA lays down the company's fundamental principles, it is not entirely immutable. It can be amended, but only under specific circumstances and in compliance with legal procedures. Amendments typically require shareholder
Personal Brand Statement:
As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
Unveiling the Secrets How Does Generative AI Work.pdfSam H
At its core, generative artificial intelligence relies on the concept of generative models, which serve as engines that churn out entirely new data resembling their training data. It is like a sculptor who has studied so many forms found in nature and then uses this knowledge to create sculptures from his imagination that have never been seen before anywhere else. If taken to cyberspace, gans work almost the same way.
3.0 Project 2_ Developing My Brand Identity Kit.pptxtanyjahb
A personal brand exploration presentation summarizes an individual's unique qualities and goals, covering strengths, values, passions, and target audience. It helps individuals understand what makes them stand out, their desired image, and how they aim to achieve it.
Cracking the Workplace Discipline Code Main.pptxWorkforce Group
Cultivating and maintaining discipline within teams is a critical differentiator for successful organisations.
Forward-thinking leaders and business managers understand the impact that discipline has on organisational success. A disciplined workforce operates with clarity, focus, and a shared understanding of expectations, ultimately driving better results, optimising productivity, and facilitating seamless collaboration.
Although discipline is not a one-size-fits-all approach, it can help create a work environment that encourages personal growth and accountability rather than solely relying on punitive measures.
In this deck, you will learn the significance of workplace discipline for organisational success. You’ll also learn
• Four (4) workplace discipline methods you should consider
• The best and most practical approach to implementing workplace discipline.
• Three (3) key tips to maintain a disciplined workplace.
Business Valuation Principles for EntrepreneursBen Wann
This insightful presentation is designed to equip entrepreneurs with the essential knowledge and tools needed to accurately value their businesses. Understanding business valuation is crucial for making informed decisions, whether you're seeking investment, planning to sell, or simply want to gauge your company's worth.
What are the main advantages of using HR recruiter services.pdfHumanResourceDimensi1
HR recruiter services offer top talents to companies according to their specific needs. They handle all recruitment tasks from job posting to onboarding and help companies concentrate on their business growth. With their expertise and years of experience, they streamline the hiring process and save time and resources for the company.
What is the TDS Return Filing Due Date for FY 2024-25.pdfseoforlegalpillers
It is crucial for the taxpayers to understand about the TDS Return Filing Due Date, so that they can fulfill your TDS obligations efficiently. Taxpayers can avoid penalties by sticking to the deadlines and by accurate filing of TDS. Timely filing of TDS will make sure about the availability of tax credits. You can also seek the professional guidance of experts like Legal Pillers for timely filing of the TDS Return.
What is the TDS Return Filing Due Date for FY 2024-25.pdf
journals to publish paper
1.
2. ISSN 2347-2251 www.iajpb.com
Knowledge, attitudes, and practices of oncology health
professionals on complementary medicines
P. Ershad Khan, P. Nishad Khan, Dr. C. S. Parameswari
Abstract
Context: About 50% of cancer patients use some kind of CAM, raising worries about possible drug interactions with standard cancer therapy. This
research aimed to investigate oncology staff members' CAM knowledge, attitudes, and behaviors in order to better understand how they may
contribute to the safe use of these therapies.
The purpose of this research was to evaluate the CAM knowledge, attitudes, and behaviors among oncology professionals in Australia.
MethodsThree national oncology professional organizations' members were surveyed through online questionnaire to assess their familiarity
with, and comfort with using, complementary and alternative medicine (CAM). Nine physicians, seventy nurses, and twenty pharmacists
responded to the survey, for a total of 99 completed forms. Sixty-eight point four percent of those polled felt unprepared to answer patients'
inquiries about CAMs because of a lack of expertise about the topic. Respondents, on the whole, agreed that CAMs play a supplementary function
in oncology, however they voiced certain safety concerns. The respondents said that fewer than 40% of their patients would be open to discussing
complementary and alternative medicine (CAM), with the absence of scientific evidence and guidelines for CAM usage being major hurdles to such
talks. Our research reveals that a lack of awareness of CAMs among cancer health professionals may cause them to be less confident when
advising patients and raises concerns about patient safety. This affects the way they talk about CAMs with patients and may explain why some
people don't tell their doctors they use CAMs. Education on CAMs in oncology would help raise clinicians' confidence in addressing these
treatments, leading to more patient disclosure of CAMs and safer treatment decision making for persons with cancer.
Keywords: knowledge, attitudes, practices, complementary and alternative medicine, oncology.
INTRODUCTION
The number of cancer patients who turn to CAM
(complementary and alternative medicine) has
increased during the last several decades. Twenty-five
percent of persons with cancer undergoing treatment
employed these methods prior to the 1990s. 1 Among
the previous decade, the use of CAM has climbed to an
average of 51% of patients2, with usage being more
prevalent in people with cancer than the general
population. 3
Given its prevalence, there is cause for worry over the
safety of standard anticancer therapy. Antiplatelet
activity observed in garlic and turmeric4 are examples
of biologically based CAMs that might impact bleeding
risk, and they may also modify the pharmacokinetics of
chemotherapy. agents. In the second scenario, the
therapeutic efficacy may be diminished, and the risk of
adverse effects and toxicity may rise. 5,6 In addition,
over half of cancer patients are not revealing CAM
usage to their physicians due to the doctors' apparent
lack of interest, understanding, or permission. 7
Considering their prevalence, it is important to learn
how oncology doctors now view CAMs. Two systematic
reviews of oncologists' and nurses' (or nurses') CAM
knowledge, attitudes, and practices (KAP) have been
published so far8 and 9, respectively. In most cases,
doctors and nurses were found to be woefully
uninformed about CAMs. Pharmacists were found to be
more neutral, while nurses were found to be more
encouraging of their patients' use of CAMs, while
oncologists and other physicians were shown to be more
likely to oppose CAM Process of integrating
complementary and alternative medicine
(CAM) into standard care.
8 Both evaluations, however, noted that heterogeneity in
KAP study designs prevented them from drawing any
firm conclusions. 8,9
Pharmaceutics
Dr.K.V. Subba Reddy Institute of Pharmacy
(Approved by AICTE,P.C.l New Delhi& Permanently Affiliated to JNTUA Anantapuramu
MOU with Government General Hospital &KMC, K urnool
3. In addition, previous studies conducted over the last
decade have either examined the KAPs of many
professions collectively (as in study 10) or have zeroed in
on the KAPs of a single profession.
8,11,12 Only one research was found that compared the
KAPs of various health professionals; Stub et al.13
examined the KAPs of Norwegian doctors, nurses, and
CAM practitioners with regards to CAM usage in cancer;
this study was published in 2018. The results of this
research indicate that medical professionals who have not
had formal CAM training are wary of their patients using
CAMs and are reluctant to have conversations with them
about the topic. This contradicts the findings of
complementary and alternative medicine (CAM)
practitioners and health professionals with formal
training in CAM treatments13, demonstrating that CAM
expertise may influence CAM-related attitudes and
behaviors.
This research seeks to be the first of its kind to examine
the KAPs of oncology physicians, nurses, and
pharmacists in Australia in regards to CAM use by cancer
patients.
METHOD
Individuals in the Sample
In Australia, oncology professionals made up the bulk
of this study's sample cohort. Three groups in
particular were involved: the Clinical Oncology
Society of Australia (COSA), the Cancer Nurses
Society of Australia (CNSA), and the Oncology and
Haematology Interest Group of the Society of Hospital
Pharmacists of Australia (SHPA) (SHPA). There are a
total of 2923 members of the COSA14 and CNSA15,
as reported in their yearly reports and corroborated by
SHPA. All active oncology physicians, nurses, and
pharmacists who are members of relevant professional
organizations were eligible to take part. No restrictions
were placed on participants based on their level of
oncology expertise or number of years in the field.
Study Tool Design
The definition of CAMs used in this study is taken from
the National Centre for Complementary and Integrative
Health (NCCIH). They classify CAMs into three
natural products, which includes herbs and
vitamins, and mind and body prac- tices, which
includes physical therapies and mindfulness
techniques like meditation and yoga; and other
com- plementary health approaches, which
comprises tradi- tional health systems and those
not in the other categories, such as Ayurveda,
traditional Chinese medi- cine, and homeopathy.
16
An online questionnaire was used to gather
information on people's beliefs, expectations, and
experiences with CAM for cancer treatment. With
their permission, we predominantly used the
survey produced by Lee et al.17 in their 2014 work
that studied the KAPs of American oncologists on
herbal supplements in oncology. The first part of
the questionnaire consisted of 10 multiple-choice
questions designed to test respondents' familiarity
with the topic of complementary and alternative
medicine (CAM) interactions with cancer
medicines and CAM indications in oncology.
The second part of the survey measured
participants' opinions by having them rate how
much they agreed with statements on the use of
CAM in oncology on a five-point Likert scale. As
part of the survey, participants were asked to rate
how crucial it was to bring up patient and
treatment-related aspects while discussing CAMs
with patients.
Practitioners were asked what proportion of their
patients they thought were using CAMs, what
proportion of their patients they had discussed
CAMs with, and what proportion of those
conversations they had started in the final phase of
the questionnaire analyzing practices. In addition,
respondents were asked to share their experiences
with supporting patients' use of CAMs and to
name any obstacles they've encountered when
bringing up the topic with their patients. While
using a Likert scale, we choose the most common
response to represent the population's norm when
answering the question.
The respondents were questioned in Section 4
whether they had any CAM training throughout
their undergraduate studies. After that, they were
asked about their demographics, including their
age, gender, greatest level of education, and
current occupation. Twenty-one medical
professionals at Townsville University Hospital
were used in a pilot study to examine the
questionnaire for clarity and accuracy. The results
from the trial run were discarded before the full
analysis was performed.
The use of SurveyMonkey for the dissemination of
the questionnaires was a convenient and reliable
method (Momentive, Waterford, NY, USA). A
survey was sent out to members of the COSA and
CNSA via their designated survey administrators,
and members of the SHPA Oncology and
Haematology Inter- est Group were able to
participate in the survey using the group's online
forum.
users are presented with a URL and encouraged to take
part in the study. This was a link to a website that
provided background on the study and survey.
Participants who gave their informed consent were sent
to a web-based survey. Two months later, we remem-
bered everyone in each group by email. Between
February 2021 and October 2021, you might fill out this
survey.
Statistics and Data Collection
4. In order to conduct statistical analysis, data from the
SurveyMonkey website were downloaded into a
Microsoft Excel (Microsoft Corporation, Red- mond, WA,
USA) spreadsheet and then imported into SPSS Version
25 (IBM Corp, Armonk, NY, USA). When comparing the
overall replies to those of physicians, nurses, and
pharmacists, we used chi-square tests and independent t-
tests to establish statistical significance.
RESULTS
A total of 127 persons gave their permission to be studied
during recruiting. Seventeen people didn't bother to
answer any of the questions. The remaining 11
respondents either did not complete the questionnaire or
did not provide their occupation. The final tally of
questionnaires analyzed was 99. This would enable
results to be reported with a 95% confidence level and a
9.68% margin of error, based on the total memberships of
the professional organizations that were surveyed.
There were nine medical physicians, seventy nurses, and
twenty pharmacists in this group. Table 1 displays the
results of our demographic survey. The majority of
respondents were women with advanced degrees in the
medical field. Doctors had a more equitable gender split
than other medical professionals (55.6% male, 44.4%
female; p 0.001 vs. 2.9% male, 97.1% female in the nursing
sector).
Knowledge
Ten multiple-choice questions were used to test students'
familiarity with the concepts of CAM interactions with
conventional cancer therapy and CAM indications in
cancer care. The majority of responders had scores
between 3 and 4. Separated by occupation, the average
score for physicians was 4.6, the average score for nurses
was 3.4, and the average score for pharmacists was 5.8. It
was revealed that pharmacists had a significantly higher
score than nurses (p 0.001, data not provided).
Attitudes
Responses to statements on the use of CAMs in oncology
were used to gauge respondents' opinions, as shown in
Figure 1. The majority of respondents (68.7%) did not
think that their cultural or religious views influenced
their perspective on CAMs, and the majority (74.4%), did
not accept that CAMs had anticancer qualities. Nearly
seventy-two percent of those polled didn't think they
knew enough about CAMs to correctly answer questions
regarding them. The majority of people (58.6%) agreed
that CAMs might assist with side effects of cancer
therapy, and the majority (71.8%) and the majority
(63.6%) agreed that CAMs had favorable benefits on
psychological (71.8%) and physical (63.6%) symptoms.
Eighty-four percent of respondents said they would back
a patient's use of CAMs if none better were available, but
more than three-quarters (78.8%) agreed that patients
spend too much money on CAMs. As a final point, 92.9%
of those who took the survey expressed worry about
possible negative interactions between CAMs and
anticancer therapies.
A higher percentage of pharmacists (75% vs. 20.2% &
22.0%, respectively, p 0.001 & p = 0.004) reported feeling
confident in their ability to answer patients' inquiries
about CAMs. Nurses were more optimistic than
pharmacists (71.4 percentage points) regarding the
efficacy of CAMs in reducing adverse effects.
Table 1 Participant demographic data
Frequency (%)
Doctors,
frequency (%)
Nurses,
frequency (%)
Pharmacists,
frequency (%)
Gender
Male 14 (14.1%) 5 (55.6%) 2 (2.9%) 7 (35%)
Female 84 (84.8%) 4 (44.4%) 68 (97.1%) 12 (60%)
Prefer not to say 1 (1%) 0 0 1 (5%)
Highest education level
Health-related Postgraduate degree 48 (48.5%) 4 (44.4%) 34 (48.6%) 10 (50%)
Research-related postgraduate degree 8 (8.1%) 3 (33.3%) 4 (5.7%) 1 (5%)
Graduate diploma and graduate certificate 27 (27.3%) 0 24 (34.3%) 3 (15%)
Bachelor’s degree 16 (16.2%) 2 (22.2%) 8 (11.4%) 6 (30%)
5. Figure 1 Responses to attitude-related statements.
nurses vs 20% of pharmacists, p 0.001), alleviating
psychological symptoms (78.5% versus 40% of
pharmacists, p 0.001), and relieving physical problems
(76.3 versus 25% of pharmacists, p 0.001).
Respondents were then asked to indicate the relevance of
several aspects when discussing CAMs with patients in
the last half of this section. All respondents ranked the
safety of CAMs as either "most essential" or "very
important," making it clear that this is the issue that
stands out most. Patients' preferences (93.4%), clinical
experience (85.7%), and CAMs' efficacy (84.9%) followed
in order of importance.
Practices
First, we looked at how many patients respondents said
they had discussed CAMs with and how many patients
they estimated really used them (summarized in Table 2).
There was a correlation between the number of patients
that doctors thought were using CAMs and the number
of patients that they discussed CAMs with. Only about a
third of the time did medical professionals even start the
conversation about complementary and alternative
medicine.
Respondents stated they would reply as follows during
CAM talks with patients:
would be most inclined to support their patients’
CAM use (82.8% would often or sometimes
support) than dis- courage (70.4%) or remain
neutral (63.9%). Recommend- ing CAM was close
31.0
35.9
26.8
40.6
20.6
41.8
In the past 12 months what
is the percentage of your patients
or customers with a diagnosis
of cancer that currently
use CAM? (98 respondents)
In the past 12 months, with
approximately what percentage of
your patients or customers
with a diagnosis of cancer have
you discussed the topic of
CAM? (97 respondents)
Please estimate what percentage
of these discussions
about CAM were initiated
by you (90 respondents)
Table 2 Self-estimated practice patterns of respondents
Standard
Mean deviation
6. to evenly divided among all health professionals
(52.5% would often or sometimes recom- mend,
data not shown).
KAP on CAM by oncology professionals
Table 3 Barriers to discussion of CAM use with people with
cancer by all health professionals
Frequency Percentage
Do not believe in CAMs 14 14.3%
Limited time during consultation 32 32.7%
No interest in using CAMs 12 12.2%
Lack of scientific data on 78 79.6%
safety and efficacy
Lack of professional/hospital guidelines 63 64.3%
Other 18 18.4%
As can be seen in Table 3, there are certain medical
professionals that feel uncomfortable bringing up
complementary and alternative medicine (CAM) with
their patients. Lack of professional or hospital guidelines
(64%) and a lack of scientific evidence on safety and
efficacy (79.6%) were the two most common obstacles.
Education
Almost three quarters of participants (71.7% to be exact)
said that they had not gotten any knowledge on CAM in
their undergraduate degree. There was a statistically
significant difference between pharmacists (65%) and
nurses (18.6%, p 0.001, data not shown) in terms of the
percentage of respondents who reported having CAM
education.
DISCUSSION
This research surveyed oncology professionals in
Australia to ascertain their familiarity with
complementary and alternative medicine (CAM) and
their perspectives on its role in cancer treatment. Overall,
health care providers scored below 50% on the
knowledge evaluation and were unprepared to address
patients' inquiries concerning CAMs. The results of the
survey indicated that respondents thought CAMs may
complement conventional therapy. They did, however,
express worries regarding the security of CAMs. Most
health professionals claimed they were likely to support
their patients' use of CAMs, but less than half said they
had brought the topic up with their patients. Lack of
scientific proof regarding safety and efficacy was seen as
the greatest barrier to discussing these medicines with
patients.
consistent with the study's other results, which showed
that pharmacists were more likely to obtain training in
CAMs as part of their undergraduate curriculum than
nurses were. These findings point to the critical need of
CAM training for practitioners.
In a survey of American oncologists, Lee et al.17 reported
that when asked about herbal supplements' potential
interactions with standard cancer therapy, doctors gave
an average score of 1.8 out of 4 (45%). With our average of
the physicians' responses at 46%, this is in line with their
findings. In contrast to our finding of an average of 58%
from pharmacists, Harnett et al.18, who surveyed
Australian community and hospital pharmacists about
their KAPs toward CAM and cancer, found an average
score of 10 out of 16 (63%). The time difference in issue
may explain this mismatch. The absence of
standardization in questionnaires and the style of
knowledge evaluation (self- assessment vs. testing)
hinders the comparability of research, as was shown in
the systematic KAP review of health professionals. 8
The Effect of Information on Opinions
More over two-thirds of respondents felt they did not
know enough about CAMs to address their patients'
inquiries, despite the knowledge ratings. This indicates
that most medical professionals feel unprepared to
discuss complementary and alternative medicine with
their patients.
Respondents' concerns about the safety of CAM usage in
cancer were evident, and this may have an effect on
professionals' perspectives. Concern regarding
interactions was shared by over 90% of respondents, and
69.7% of those polled did not feel that CAMs are safe.
When asked about CAMs, most respondents agreed that
safety comes first. Finally, the most often identified
hurdles to CAM conversations were a lack of evidence on
safety and efficacy. It was also found in the health
professions evaluation that medical professionals were
worried about the side effects and interactions that may
occur while using CAM treatments alongside traditional
medicine. 8 These results suggest that future training
efforts should concentrate on ensuring that professionals
in these fields are adequately educated about the safety of
CAMs for persons with cancer. Furthermore, it implies
causality with the knowledge section results. Most
respondents felt unprepared to address CAMs with their
patients, which may translate to a more cautious outlook
on the topic of safety. The qualitative interviews with
oncologists and patients that Broom et al.19 conducted
in for cancer nurses to have conversations about CAMs
with their patients. Our recommendations are supported
by their observation that inexperience leads to a cautious
approach to CAM usage because of the possibility of
unintended consequences.
We also discovered that our respondents had
conservative views on the prevalence of CAMs, with an
average estimate of CAM use among their patients of
41.8%. When comparing the three professions, this was
greater than the estimated range of 25%-40% of patients
by physicians. 8 A 2019 systematic analysis, however,
indicated that CAMs were used by an average of 51% of
cancer patients worldwide during the preceding decade.
2 This shows that medical practitioners often
underestimate the prevalence of CAM use among their
patients.
7. When comparing pharmacists and nurses on their
perspectives on CAM's role in oncol- ogy, the former are
more likely to agree that CAMs are useful in treating the
side effects of cancer therapy and the physical and
psychological symptoms of cancer. This is consistent with
the findings from the review of health professionals,
which found that nurses generally supported the use of
CAMs in the treatment of symptoms and side effects,
while half of doctors supported CAM use as a
complementary to conventional treatment and
pharmacists were neutral on the use of CAMs for
symptomatic relief and improvement in quality of life. 8
A majority of our sample of oncologists had mixed
feelings about CAMs' place in the field, although they
were mostly favorable about their potential psychological
benefits. These results are consistent with those found by
a study of Italian hospital professionals conducted by
Beretta et al.11. Half of the oncologists polled thought
CAMs may be useful in cancer treatment. In contrast, a
study conducted by Yang et al.12 among Chinese
oncologists found that 95.3% of oncologists favored
integrative oncology, or the use of CAMs in conjunction
with traditional therapy. Note, however, that over half of
the doctors who filled out the poll considered themselves
integrative medicine practitioners; this might have
skewed the results.
Broom and Adams19, based on interviews, corroborate
our findings by suggesting that nurses are more likely to
use a patient-centered, holistic approach to treatment
when it comes to CAMs. Nurses were seen as more likely
to support a patient's use of CAM than physicians were
by respondents.
Influence on Practices
Responses to the practice section showed a general
trend to be less inclined to engage with patients’
CAM average of 40.6% of patients had a conversation
about complementary and alternative medicine (CAM)
usage. This finding is consistent with the findings of
Powers-James et al.20, who surveyed American
oncologists online and found that respondents
discussed CAMs with 41% of patients on average. The
Italian research by Berretta et al.11, on the other hand,
indicated that oncologists typically discussed
complementary and alternative medicine (CAM) with
49.2% of their patients. Since this was the first
investigation of KAPs in Italian doctors, relating CAM
usage by persons with cancer, the reason for the greater
rate in the later study is not immediately evident.
When looking at all three occupations combined,
an average of 36% of CAM conversations were
started by respondents. This is a little more than
the 25% of responding oncologists who initiated
conversations about CAMs reported by Powers-
James et al.20. This indicates that cancer healthcare
providers may be hesitant to initiate conversations
on CAMs, instead expecting patients to bring up
the topic first. Moreover, this supports the findings
of a comprehensive review of communication of
complementary and alternative medicine (CAM)
usage in cancer treatment, which found that a
primary reason patients did not disclose CAMs to
their health providers was because they had not
been asked. 7
A majority of physicians (63%) and a large majority
of nurses (93%), according to the assessment of
health professionals, are willing to assist patients
who desire to utilize CAMs.
8 Our findings are consistent with this range, with
82.8% of respondents expressing support for CAM
usage on a regular or occasional basis.
Nonetheless, it is worth noting that the second
most common behavior among our questioned
health professionals would be to discourage or stay
neutral towards mixing CAMs with conventional
treatment, suggesting that reactions made by
health professionals might be extremely diverse.
This is further shown by the almost even
splintering of opinion across respondents about
their own recommendation of CAM treatments.
While 57.6% of oncologists would prescribe CAMs,
the assessment of health professionals indicated
that just a small percentage of MDs and RNs
would make such a recommendation to their
patients. 8 It's also worth noting that 84.8% of those
who participated in our survey said they would
support a patient's use of complementary and
alternative medicine (CAM) if conventional
therapies had failed. This wide range of responses
shows that additional study is needed to
characterize how medical professionals interact
with cancer patients who use CAMs.
Weaknesses in the Research
The study had flaws, but then again, so does
any research. There was a disproportionate
lack of physicians and other medical
professionals in this sample. This might have
skewed the comparison between groups and
affected the results for this occupation.
Members were only reminded once to fill out
the survey according to the policies set out by
the COSA and CNSA. As a result, this may have
discouraged prospective volunteers from
taking part in our research..
CONCLUSION
To our knowledge, this is the first research to examine the
similarities and differences between the perspectives of
medical physicians, nurses, and pharmacists in regards to
the use of complementary and alternative medicine
(CAM) in oncology.
Our results imply that cancer health professionals'
knowledge, attitudes, and behaviors toward CAMs are
interconnected. Lack of confidence in addressing CAMs
with patients might be related to poor knowledge or a
perceived lack of awareness about CAMs. This would
cause cautious attitudes toward these therapies,
motivated by worries about their compatibility with
standard medical care. As a consequence, practitioners
may be hesitant to bring up CAMs with patients and may
react differently when patients express interest in or
commitment to CAMs. Filling up the gaps in CAMs'
8. knowledge might have a beneficial effect on people's
perspectives and choices. Health practitioners' comfort
level in discussing CAM usage with cancer patients might
be boosted by the creation of easily available, high-
quality, evidence-based material.
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