Sensitivity to change of the Beach Questionnaire to behaviour, attitudes and knowledge related to sun exposure: quasi-experimental before-after study

Background: Health questionnaires must present accredited measurement properties such as validity, reliability and sensitivity to change, the latter being essential for interventions to be planned and for evaluating their effectiveness. The aim of this study was to evaluate the sensitivity to change of a Beach Questionnaire.Methods: Quasi-experimental before-after study carried out in 2011, for a study population of adolescents attending schools in the Costa del Sol. First, the questionnaire was administered to the adolescents, after which a multicomponent educational intervention was carried out; finally, three months later, the same questionnaire was re-administered to the same adolescents. Changes were assessed in the categories of each item, using the McNemar test, and the changes in the scores, standardised to a range of 0–100, using the Student t test for paired samples, and including the mean of the differences and the 95% confidence interval. The level of statistical significance was set at p < 0.05.Results: 228 adolescents, aged 14–17 years, and 55.3% were girls. Statistically significant changes were observed in sunburn experiences, exposure to the sun at mid-day and attitudes to sun exposure and suncreams. For the seven items related to knowledge about sun exposure, a higher rate of correct answers was observed. The analysis of changes, within the standardised range, revealed a significant improvement in the scores for sun exposure habits (MD 4.33; CI 95% 2.2-6.5), attitudes to sun exposure (MD 2.22; CI 95% 1.2-3.2) and knowledge (MD 9.10; CI 95% 7.1-11.1), but not in those for sun-protection practices (MD 0.23; CI 95% -1.2-1.7).Conclusions: The Beach Questionnaire on behaviour, attitudes and knowledge related to sun exposure is the first such instrument in Spanish language to provide sufficient sensitivity to change. It constitutes a useful tool for epidemiologic research into photoprotection and for skin cancer prevention programmes.The authors would like to acknowledge support from the Research Department of the Costa del Sol Hospital

Serotonin reuptake inhibitor antidepressants (SSRIs) against atherosclerosis

Selective serotonin reuptake inhibitors (SSRIs) are a class of drug widely used for treatment of mood disorders, including depression and cardiovascular disease. A search for related articles in the PubMed database was attempted. It covered studies, reports, reviews and editorials of the last 5 years. Pro-inflammatory cytokines, such as TNF-alpha, IL-I and IL-6, stimulate central serotonin (5-HT) neurotransmission and are over-expressed in depression, which has been linked with hypothalamic-pituitary-adrenal axis (HPA) hyperactivity. They have also been implicated in the pathogenesis and progression of other stress-induced disorders, like myocardial infarction (MI) and coronary heart disease (CHD), as they seem to modulate cardiovascular function by a variety of mechanisms. Biological mechanisms like these may explain the link between depression and CHD. There are a variety of environmental factors as well as genetic factors that might influence the pharmacogenetics of antidepressant drugs. New generation selective serotonin reuptake inhibitor antidepressants (SSRIs) causing a reduced cardiovascular morbidity and mortality may be related to serotonin platelet abnormalities in depressed patients that are effectively treated by SSRIs. SSRIs such as fluoxetine, paroxetine, sertraline and citalopram are not only considered to be free from the cardiotoxicity of their predecessors but also to function as safe and efficacious agents against depression, platelet activation, atherosclerosis and development and prognosis of coronary heart disease. However, there is a need for more studies in order to establish the exact biochemical mechanisms that are responsible for these diseases and the immunoregulatory effects of chronic use of SSRI medications

Antibiotic prescription practices of pediatricians and pediatric residents in hospital care in Greece

Introduction: The administration of antibiotics for the treatment of pediatric illnesses is common, reaching one third of pediatric patients. This paper aims to identify the antibiotic prescription practices of pediatricians and to explore the associations between prescribing practices and a series of socio-demographic and professional determinants in Greece. Material and Method: A cross-sectional study was conducted in public hospitals providing secondary and tertiary pediatric care from January to July 2012. A self-administered questionnaire was developed and tested in a pilot study, focusing on respondents’ characteristics, their practices and attitudes related to prescribing antibiotics in common childhood diseases, diagnostic uncertainty, and parental demand. Multivariate regression analysis was performed. Results: In total, 275 physicians responded to the questionnaire (61% response rate). The majority of the physicians prescribed antibiotics empirically in possible group A streptococcus infections (56.9%) and implemented the “watchful waiting” approach in acute otitis media (65.5%); further, they did not feel diagnostic uncertainty (74%) and were not affected by parental demand (81%). Finally, when prescribing, they did not take into consideration the drug cost (64.4%). Gender, physicians’ experience, and the type of hospital (specialized or general hospital) were identified as prognostic factors of prescribing practices. Conclusion: Our findings could provide decision-makers with insights into how to manage physicians’ prescription practices in order to reduce the high rates of antibiotic consumption that Greece is facing nowadays. © 2015 Bentham Science Publishers

The validity and reliability of a questionnaire on the knowledge and attitudes of nurses about ethics

OBJECTIVE The translation and validation of a questionnaire for use with the Greek population regarding the knowledge, views and attitudes of nurses on ethic issues in the context of daily clinical practice. METHOD A structured questionnaire for use with nurses in the English language on knowledge of law and ethics and the role of an ethics committee in the healthcare system was prepared for use in the Greek setting. The questionnaire was translated into Greek and back, translated by 4 translators and an independent researcher. The validity of the Greek version of the questionnaire was documented by two methods, face validity and the content validity, by 5 experts and 10 nurses. The reliability of the questionnaire was based on test-retest reliability in the responses of 20 nurses who were working in a general hospital in Greece from November to December 2020. RESULTS In the assessment of face validity, the majority of the experts stated that the questionnaire described the concepts of the subject for which it was designed to measure. The content validity index of the research questionnaire ranged from 0.8 to 1.00. On 60 of the 70 questions and sub-questions a score of 1.00 was recorded, proving complete agreement between the experts (0.86), and the content validity scale was 0.97. The test-retest reliability showed that the majority of the 70 questions were rated with good or very good agreement, above 0.6, but 10 questions were rated with low agreement, and 11 questions with moderate. CONCLUSIONS The questionnaire demonstrated an appropriate level of face and content validity, according to the experts, with a high index. It also showed high reliability, and a high percentage of agreement between nurses on whom it was tested. This instrument is simple, easy to understand and to complete and is suitable for application at all levels of nursing in the Greek health services. © Athens Medical Society

Influenza vaccination among nurses in Greece

Seasonal influenza has become a serious public health problem worldwide, and vaccination is recognized as the most effective preventative measure. However, data suggest that influenza vaccination rates are generally low among health care workers. The present study showed that the vaccination rates for influenza among nurses are 21.2%. © 2012 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved

Attitudes of health professionals towards the stigma surrounding depression in times of economic crisis

Introduction: The stigma of mental illness and the ensuing social exclusion are due to the lack of knowledge on the causality of mental illness. Aim: The purpose of this study was to record the stigmatic attitudes of health professionals towards depression, patients suffering from it and the available therapeutic approaches. Material and Methods: The sample of the study included 609 health professionals working in the General Hospital of Corinth. The collection of the empirical material was performed using an anonymous questionnaire. The statistical analysis was performed with the statistical program SPSS 17.0. Results: Although the health professionals showed more optimistic attitudes towards the abilities of the mentally ill, they seem to maintain stereotypes, proving that stigmatization of the mentally ill and prejudice around mental illness continue to exist. Participants identified psychosocial and psychotherapeutic interventions as the most effective forms of therapy, such as supportive social destination (74.4%), healthy eating and physical activity (67.9%), psychoanalysis (60.6%), relaxation techniques (60.5%) and counselling (53.2%), recording ambivalent attitudes towards psychiatric medicines, questioning their effectiveness. The economic crisis has had a direct impact on health professionals as well burdened their psyche (78.3%) and created problems in everyday work (86.7%). Conclusion: Health professionals must be protagonists, free from the stigma attached to mental illness as only in this way will they be able to transmit optimism and feelings of acceptance. © SAGE Publications