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INNOSC Theranostics and
            Pharmacological Sciences                            Knowledge, perception, and practices of ecopharmacovigilance



            2.1.1 Ethical approval                             disposal methods, as well as information on EPV, was

            The study protocol and final questionnaire were approved   conducted, along with consultations with subject matter
                                                                     57-59
            by the Ethics Committee of Armed Forces Medical College,   experts.   The questionnaire was developed in English.
            Dhaka.  Informed  consent  was  obtained  from  all  willing   2.2.2. Questionnaire contents
            students before they participated in the study. The study
            adhered to the principles of the Helsinki Declaration on   The final questionnaire consisted of several sections and 25
            human subjects in medical research.                structured questions. The first section included four questions
                                                               about  the respondents’  socio-demographic information,
            2.1.2. Study site                                  such as age, gender, year of study, and whether they had any
                                                               first-degree relatives in the medical field. Furthermore, four
            The study was conducted at Armed Forces Medical College,   more questions were designed to assess the respondents’
            Mugda Medical College and Hospital, and Shahabuddin   understanding of EPV and environmental contamination
            Medical College, Dhaka.                            from drugs, including safe drug disposal procedures, their
            2.1.3. Study duration                              awareness of EPV, the impact of veterinary diclofenac
                                                               residues on several Asian Gyps (bird) populations, and the
            The study was conducted over a period of 3 months, from   effects of oral contraceptive pill residues on frog sterility and
            August to October 2024.                            the feminization of male fish in aquatic environment.

            2.1.4. Study population                              The second section of the study consisted of nine
            All 3 -and 4 -year undergraduate medical students were   questions  designed  to  evaluate  medical  students’
                rd
                      th
            invited to participate in the study. Informed consent was   perceptions of EPV. These questions were framed using
            obtained from all interested students before the study   a 5-pointLikert scale (1 = strongly agree, 2 = agree,
            began.                                             3 = neutral, 4 = disagree, and 5 = strongly disagree). This
                                                               section aimed to assess the students’ opinions, attitudes,
            2.1.5. Sample size                                 and  beliefs  on  responsible  pharmaceutical  management
                                                               and its ecological implications. Furthermore, the final
            Approximately400 medical students were initially included   section of the questionnaire consists of eight questions that
            in the sampling frame, with 200 students from the 3 -year   evaluate participant’s daily behavior and practices related
                                                     rd
            and 200 from the 4 -year from each medical college. From   to the management, disposal, and storage of medications.
                           th
            this list, 300 medical students were randomly selected to   These questions were developed based on a thorough
            participate in the study, with 160 students from the 3  year   literature review and discussions among the authors.
                                                     rd
            and 140 from the 4  year. Respondents were provided with
                           th
            hard copies of the questionnaire. The first page included an   2.2.3. Validity and reliability of questionnaire
            explanatory letter describing the survey’s objectives. They   The questionnaire’s content was reviewed and verified by
            were instructed to complete the questionnaire and return   two selected experts in the relevant field, both of whom
            it to the researchers within 1 h. Respondents who refused   were medical college academicians.  Their comments
                                                                                             60
            to participate in the study or failed to return the completed   were  carefully  considered,  and necessary revisions were
            questionnaire within the given time frame were excluded.  made accordingly. The questionnaire was then forwarded
            2.1.6. Sampling method                             through private email to 30 volunteer faculty members for
                                                               their comments and answers. Based on their feedback, the
            Enrolment was based on voluntary participation from   questionnaire was further revised to improve clarity and
            those willing to participate.                      ensure a better understanding of the questions.
            2.2. Data collection                               2.4. Data analysis
            2.2.1. Development of the structured questionnaire  Data analysis was performed using descriptive statistics.

            A structured, self-administered questionnaire was   Continuous data were expressed as mean ± standard
            developed to address the research question, focusing   deviation, while nominal data were expressed as percentages.
            on several aspects of medical personnel’s knowledge,   Statistical analysis was carried out using the Statistical
            perceptions, and practices regarding the storage of unused   Package for the Social Sciences version 26.0 for Windows.
            pharmaceuticals and the improper disposal of expired
            and unused medications, which can ultimately affects the   3. Results
            ecosystem. To finalize the content, a thorough literature   The socio-demographic characteristics of the students are
            review of published studies on medicine storage and   shown in Table 1. The mean age of the participants was


            Volume 8 Issue 3 (2025)                         62                               doi: 10.36922/itps.7678
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