Irish journal of medical science
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Lab users should display an understanding of microbiology tests and avoid inappropriate requests which may yield negative clinical consequences. Our research addressed diagnostic stewardship education and the perspectives of paediatric hospital doctors on their (1) self-perceived knowledge, (2) motivators for test ordering, (3) proposed educational interventions and (4) preferred teaching modalities. ⋯ Formal diagnostic stewardship educational programmes should be integrated into post-graduate curriculums for both NCHDs and consultants. Focuses for educational interventions include; development of local diagnostic stewardship guidelines, teaching on the cost and accuracy of microbiology tests, senior supervision and role-modelling.
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This study aimed to identify the most commonly used tools by recent pharmacy graduates who successfully passed the Saudi Pharmacists Licensure Examination (SPLE). It also sought to evaluate which tools were perceived as the most useful and representative of the exam content, while considering their monetary value and offering recommendations for future candidates. ⋯ The most frequently used preparation tools included SPLE question banks created by pharmacists who had previously passed the exam, which were shared predominantly through Telegram channels and utilized by 89.1% of respondents. Creator-led SPLE preparation tools with social media engagement were used by 89.6% of participants, while 40.1% relied on books. Less commonly used tools included YouTube channels (27.8%) and website-based SPLE preparation resources available via CME platforms (4.12%). The tools rated as most useful were creator-led SPLE preparation tools with social media engagement (average score: 4.22/5) and question banks (average score: 4.2/5). These tools were also deemed the most representative of the SPLE content, scoring an average of 3.9/5 and 4.09/5, respectively. This research highlights the critical role of specialized preparation strategies in equipping pharmacy graduates for success in the Saudi Pharmacists Licensure Examination (SPLE). Among the tools evaluated, question banks and creator-led preparation courses, particularly those leveraging social media platforms, emerged as the most valued resources. These tools were not only widely utilized but also praised for their alignment with the actual exam content and the mentorship opportunities they provide, fostering confidence and readiness among candidates. The findings also point to a noticeable decline in the popularity of college-led courses and other traditional platforms. This trend suggests a growing preference for flexible, self-directed learning approaches that are tailored to meet the specific demands of the SPLE. Such approaches allow candidates to adapt their study schedules and focus on high-yield content, aligning with their individual preparation needs. In conclusion, the results underscore the importance of accessible, practical, and exam-focused preparation resources in improving SPLE outcomes. Future efforts should consider integrating the strengths of these tools into institutional support systems, potentially bridging the gap between formal education and licensure readiness. Further studies are recommended to explore the cost-effectiveness and long-term impact of these tools on professional development and practice readiness among pharmacy graduates.
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Chronic Obstructive Pulmonary Disease (COPD) is associated with physical limitations and significant social, psychological, and behavioral challenges. This study investigates the relationship between fatigue levels and psychosocial adjustment in COPD patients, considering their sociodemographic characteristics. ⋯ COPD patients experience moderate-to-high fatigue levels and challenges in psychosocial adjustment, with fatigue negatively influencing adjustment. Interventions should focus on enhancing coping strategies, addressing psychosocial needs, and leveraging social support systems to improve patient outcomes.
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Glomerular filtration rate (GFR) as a marker of kidney function is important in health and disease management because decreased kidney function is associated with all-cause and cardiovascular mortality, progression of kidney disease, predisposition to acute kidney injury (AKI), and for drug dosage modification. While measured glomerular filtration rate (mGFR) is acknowledged as the most accurate method for evaluating kidney function, it is at present not feasible to be applied in the clinical arena. Estimated glomerular filtration rate (eGFR) is preferred due to its convenience, cost-effectiveness, and seamless integration into standard clinical practice for kidney function evaluation. ⋯ Among the many available equations, the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation is the most recommended due to its robustness and accuracy across diverse patient populations. Strengths and limitations of different eGFR equations are discussed emphasizing the importance of selecting the appropriate equation based on specific patient demographics and clinical scenarios. There is need for regional validation studies to ensure the global applicability of these equations, considering the variations in population characteristics.
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Inflammatory bowel disease (IBD) is a chronic disease that includes Crohn's disease and ulcerative colitis. Studies found that 40-60% of women diagnosed with IBD have sexual dysfunction (SD). ⋯ The prevalence of SD was high in female IBD patients and its prevalence increased as disease activity increased. History of abdominal surgery in IBD was found to be associated with SD.