Changes In Level Of Knowledge Research Articles

Enhancing Non-Communicable Disease Management in Elderly Families: A Community Outreach Initiative

Non-communicable diseases (NCDs) are a significant public health concern, particularly among elderly families. Limited access to healthcare resources and inadequate disease management exacerbation the impact of NCDs on this vulnerable population. This study aimed to implement a community outreach initiative focused on enhancing non-communicable disease management in elderly families. A comprehensive intervention was designed, including health education workshops, individualized health assessments, and the establishment of support networks. Pre- and post-intervention assessments were conducted to measure changes in knowledge levels, health status, health management practices, health behaviors, and family resilience among elderly families. Following the intervention, there was a substantial improvement in knowledge regarding NCDs and their management. Additionally, participants exhibited enhanced health status and more effective health management practices. Positive changes in health behaviors, such as regular exercise and balanced nutrition, were also observed. Moreover, family resilience significantly increased, strengthening their ability to cope with health challenges. The community outreach initiative demonstrated significant positive outcomes in non-communicable disease management among elderly families. Targeted interventions can play a role in empowering this demographic, improve their health and well-being, and encouraging community-based health services.

Community participation in clean and healthy living as an effort to improve the quality of health

In efforts to improve public health, it is necessary to implement clean and healthy living behaviours in the community to achieve a better standard of living. One strategy that can be used to earn a degree in public health is to provide education on public awareness of the importance of implementing a clean and healthy lifestyle. Community service activities aim to evaluate the impact of counselling on the level of knowledge and attitudes of the community related to clean and healthy living. The method involves organising counselling sessions in several communities through active community participation. We used pre-counseling and post-extension surveys to measure changes in knowledge levels and attitudes. Results showed a significant increase in people's knowledge levels after counselling. Interactive counselling sessions and clear information delivery successfully provided a better understanding of clean and healthy living principles. It concluded with the active participation of the community, the involvement of community leaders, and the use of relevant supporting materials. These findings have positive implications for developing health education programmes at the community level. Increased knowledge and attitudes are expected to change people's behaviour towards a healthier lifestyle.

IMPACT OF NFSM ON CHANGE IN KNOWLEDGE LEVEL OF BENEFICIARY AND NON-BENEFICIARY FARMERS ABOUT RECOMMENDED PACKAGE OF PRACTICES OF CHICKPEA

National Food Security Mission (NFSM) is a centrally sponsored scheme launched in 2007-08, with mission aims to increasing the productivity at the individual farmers through the adoption of improved technologies and farming practices. To assess the effectiveness of the NFSM-pluses in Rajasthan state the chickpea crop is select for this study because India is the single largest producer of chickpea in the world and it is called as King of Pulses. The study was conducted in two Agro-climatic zones of the Rajasthan state i.e. Ic (Hyper arid partial irrigated) and zone IIIa (Semi-arid eastern plains). From these zones 120 Beneficiary Farmers (BFs) and 120 Non-beneficiary Farmers (NBFs) were selected randomly from selected village. Thus, total sample size of 240 respondents. The findings of study shows that majority of beneficiary farmers (46.67%) and non-beneficiary farmers (40 per cent) had medium knowledge level about recommended package of practices of chickpea. According to practice wise extent of knowledge it was found that both BFs and NBFs possessed maximum knowledge level for practice like Time of sowing with (91.53 MPS & 74.03 MPS) and assigned first rank while last rank order assigned for the practices like Physiological aspects (59.50MPS), Plant protection measures (42.25 MPS) and Weed management due to lack of knowledge, its complexity and risky application to the crop. The comparative data related to extent level of knowledge between BFs and NBFs show significance difference in all packages of practice of chickpea cultivation except the Irrigation Management show good impact of NFSM on change in knowledge level of beneficiary farmers of both Agro-climatic zones. The value of rank correlation (rs) was 0.61 which shows positive rank correlation between beneficiary and non-beneficiary farmer’s knowledge level.

The Dependence of the Learning Efficiency on the Academic Motivation of Adults Studying in the Conditions of Extended Education

Introduction. The relevance of studying the designated topic lies in the lack of knowledge of the connection between motivation and learning effectiveness. The problem of studying motivation is caused by the versatility and complexity of quantitative measurement.Purpose. The study aims to investigate the relationship between motivation to learn online and its effectiveness in additional education among adult learners.Materials and Methods. The sample group consisted of 60 online school students. The following methodological tools were used: the Academic Motivation Scales by Gordeeva, Sychev, and Osin; the Motivation for Professional Development Test by Zamfir and Rean; the Motives for Choosing a Profession by Grinshpun; The author’s Efficiency of Extended Education Questionnaire.Results. It is established that the dominant educational motives of adult students in the conditions of additional education are the motives of self-development, self-esteem, and achievement. Direct correlations between motivation indicators and learning effectiveness are revealed: Cognitive motivation has a strong direct relationship with study intensity (r = 0.853), with changes in knowledge level (r =0.898) and with the overall effectiveness of learning (r =0.838). Motivation for achievement was found to be associated with changes in behaviour (r = 0.825), a change in income level (0.756) and general progress (0.835).Discussion and Conclusion. The empirical data analysis indicates high values of participation and changes in the behaviour of adult learners, which indicates that the effectiveness of learning is expressed in subjective and objective factors. Based on the results obtained, recommendations are made to improve the effectiveness of adult education under conditions of additional education. In conclusion, it is emphasized that high interest in knowledge affects the effectiveness of adult learning, and motivation for self-development and achievement leads to behaviour change.

Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 3. Expansion of population coverage of key interventions

BackgroundThis is the third in a series of 10 articles describing the Curamericas/Guatemala Maternal and Child Health Project, 2011–2015, and its effectiveness in improving the health and well-being of 15,327 children younger than 5 years of age and 32,330 women of reproductive age in the Department of Huehuetenango in180 communities that make up the municipalities of San Sebastian Coatán, Santa Eulalia, and San Miguel Acatán. The Project combined the Census-Based, Impact-Oriented (CBIO) Approach with the Care Group Approach and the Community Birthing Center (Casa Materna Rural) Approach. This combined approach we refer to as CBIO+. The Project trained women volunteers every two weeks (in Care Groups) to provide health education to neighboring households. Messages focused on the promotion of maternal and newborn health, nutrition, prevention and treatment of acute respiratory infection and diarrhea in children, and immunizations.MethodsHousehold knowledge, practice and coverage (KPC) surveys were executed at baseline in January 2011 and at endline in June 2015 to measure changes in levels of knowledge of danger signs, key household practices (such as Essential Newborn Care and handwashing), and health service utilization (such as antenatal care and care seeking for a child with signs of pneumonia) in two separate Project Areas (Area A with 41 months and Area B with 20 months of full intervention implementation).ResultsFor the 24 indicators of the interventions under the Project’s control, statistically significant improvements were observed for 21 in Area A and 19 in Area B. However, for some of the interventions that required support from the government's Extension of Coverage Program (immunization, family planning, and vitamin A administration) no improvements were noted because of the cessation of the program by the government after Project implementation began. In both Areas A and B one-half of the indicators improved by at least two-fold.ConclusionThis community-based Project has been effective in quickly achieving marked improvements in indicators for interventions that are important for the health of mothers and children. These achievements are notable in view of the challenging context in which the Project was implemented.

The enhanced recovery after surgery (ERAS) protocol in elderly patients with acute cholecystitis: A retrospective study.

Enhanced recovery after surgery (ERAS) protocol is a perioperative management theory aimed at reducing the injury of surgical patients and accelerating postoperative recovery. It has been widely recognized and applied in elective surgery. This study aimed to evaluate the clinical value of the ERAS protocol during the perioperative period of laparoscopic cholecystectomy in elderly patients with acute cholecystitis. This study aimed to evaluate the clinical value of the ERAS protocol during the perioperative period of laparoscopic cholecystectomy in elderly patients with acute cholecystitis. We collected medical data from 126 elderly patients with acute cholecystitis from October 2018 to August 2021. Among the 126 patients, 70 were included in the ERAS group and 56 in the traditional group. We analyzed the clinical data and postoperative indicators of the 2 groups. No significant differences were observed regarding the general characteristics of the 2 groups (P > .05). The ERAS group had significantly earlier time to first flatus, time to first ambulation, and time to solid intake, compared with the traditional group (P < .001); additionally, the ERAS group had significantly shorter stay and gentler feeling of postoperative pain (P < .001). Furthermore, the ERAS group had significant incidences of lower postoperative lung (P = .029) and abdominal cavity infection (P = .025) compared to the traditional group. No significant difference was observed regarding the incidences of other postoperative complications between the 2 groups (P > .05). The ERAS protocol helps reduce elderly patients' stress reactions and accelerate postoperative recovery. Thus, it is effective and beneficial to implement the ERAS protocol during the perioperative period of elderly patients with acute cholecystitis.

Factors Contributing to the Acceptability of Second Dose of Measles Vaccine among Children in Livingstone District, Zambia

Introduction: Measles is a viral disease that is a major public health problem in both developed and developing countries. It is a contagious disease resulting from infection with the measles virus and is still responsible for more than 100,000 deaths per year. Although vaccination is one of the most successful and cost-effective public health interventions to reduce mortality and morbidity, approximately 1.4 million children worldwide die from vaccine-preventable diseases each year. In Zambia, MCV2 was 66% below WHO recommended target of 95%. This study therefore assessed the acceptability of second dose measles vaccination services among caretakers/mothers with children less than two years of age in Livingstone, Zambia. Methods: The study used analytical cross-sectional study design. A logistic regression analysis was performed to identify factors associated with acceptability of the second dose of measles vaccine. A semi structured questionnaire was administered to collect data on socio demographic characteristics and factors related to acceptability of the second dose of measles vaccine. SPSS version 26.0 was used for descriptive and inferential analysis at 5% level of significance. Results: There was no statistically significant difference in acceptability of the second dose of measles vaccine by gender, marital status, type of employment, income level, socio-cultural and traditional beliefs, and education level. However, there was a statistically significant difference in acceptability of the second dose of measles vaccine by knowledge level of second dose of measles vaccine. A Chi square test result indicated that second dose acceptability was higher with less children than that of respondents with many children (χ2(5) = 15.3, p and knowledge levels (χ2(2) = 14.8, p Changes in knowledge level from medium to high reduced the odds of second dose measles vaccine acceptability. Furthermore, this study showed that acceptance of the second measles vaccination increased from mothers/caretakers with low knowledge (3.6%) to medium knowledge (13.3%) and finally high knowledge (83.1%). Conclusion: Tailored messaging to increase knowledge among mothers and caregivers on the importance of the second dose of measles vaccine is critical in improving acceptability. Therefore, the researchers recommend that the health providers should continue to raise awareness associated with the low acceptability of the second dose of measles vaccine and improve on child preventable diseases such as measles.

Effect of School-Based Educational Interventions on the Knowledge of Malaria and Dengue Among Higher Secondary School Children in Chennai, India: A Pre and Post-intervention Study.

Introduction: School children are a means to reach and sensitize the community on the prevention of seasonal diseases such as malaria and dengue. The current study aims to determine the impact of school-based educational interventions on the knowledge of students toward the prevention and control of malaria and dengue in higher secondary schools.Methods: This pre- and post-intervention study was conducted in three higher secondary schools in Zone IV, North Chennai, from September to December 2021. A total of 284 students in the age group of 13-17 years participated in the study. School-based educational interventions were delivered through PowerPoint-assisted lectures, participatory group activities, and demonstration of mosquito larvae and their control. The impact of the interventions as the change in knowledge level was analyzed using McNemar’s test, with a p-value of <0.05.Results: Educational interventions led to the improvement in knowledge about malaria symptoms, such as fever (43.7% to 76.1%; p<0.001), chills (45.1% to 82.4%; p<0.001), and headache (46.1% to 86.6%; p<0.001), and the knowledge of Aedes mosquito bites as the cause of dengue transmission enhanced (41.9% to 92.2%; p<0.001). Similarly, there was an increase in knowledge on the identification of vector mosquito breeding sites inside the house (11.9% to 67.9%; p<0.001) and outside the house (10.9% to 69.7%; p<0.001) and mosquito net usage (21.5% to 76.1%; p<0.001) after the interventions.Conclusion: School-based educational interventions had a significant impact on enhancing the knowledge on the prevention and control of malaria and dengue among school children. Involving school children can strengthen existing malaria and dengue prevention and control strategies in endemic areas.

Effectiveness of structured teaching programme on knowledge regarding acute respiratory tract infections among mothers of under five children in selected rural area

Background: Acute respiratory tract infections cause the death of 4 million children under the age of 5 (annually). The factors of acute respiratory tract infections can be grouped into two categories, namely host and environment. Host includes factors such as malnutrition, immunization status, vitamin A deficiency, absence of breast-feeding, low birth weight and young age.Methods: Quasi experimental one group pre-test-post-test research design was adopted to conduct the study among 45 mothers of under five children residing in Mati, Rural area of Lucknow, Uttar Pradesh, who matched the inclusion criteria were selected through non-probability purposive sampling technique. On first day one pre-test followed by structured teaching programme was conducted and after seventh day post-test was taken. The data was analysed using descriptive and inferential statistics.Results: The results revealed that the mean post-test knowledge score was higher than mean pre-test knowledge score with standard deviation 15.31±1.84 and 7.06±1.25 respectively. The improvement of knowledge score is the mean difference of 8.25 which shows that there was a significant change in knowledge level of mothers of under five children.Conclusions: The study concluded that the structured teaching programme was effective in improving the level of knowledge regarding acute respiratory tract infections among mothers of under five children.

Developing Research Managers and Leaders through Management Development Programme in National Agricultural Research and Education System in India

To develop research managers and leaders in NARES, it is substantially important to enable existing and proposed managers to expand their understanding of the principles, techniques and approaches involved in management. To achieve this goal, ICAR-NAARM, offered a course “Management Development Programme on Leadership Development” for more than one decade. To assess and evaluate the performance of the participants in their respective institutions, the respondents and their reporting officers interviewed to determine whether programme has produced the desired effect. A total of 150 respondents and their reporting officers gave their views for this study. Based upon mean score and standard deviation, most of the respondents were average (62.67%), below average (19.33%) and above average (18%) before training, knowledge levels after training indicated, most of the respondents were average (66%), below average (17.33%) and above average (16.66%) whereas changes in knowledge levels indicated that, most of the respondents having average (63.33%), below average (18.66%) and above average (18%). For Behaviour, feedback received from the participants after 6 months and more period and the overall satisfaction level was around 3.89 out of 5.0, whereas overall results was around 3.42 out of 5.0.

Effectiveness of planned teaching programme on knowledge regarding dengue fever and its preventive measures among adult population in selected urban slums

Background: Dengue fever is the most critical mosquito-borne disease in the world caused by one of any of four serotypes of dengue virus. There has been a 30-fold increase in global incidence over the past fifty years. Epidemics of dengue result in human suffering, strained health services and massive economic losses.Methods: Quasi experimental one group pre-test-post-test research design was adopted to conduct the study among forty adults aged between twenty to 40 years residing in Janta Nagri, Urban slum, Lucknow, Uttar Pradesh, who matched the inclusion criteria were selected through non-probability purposive sampling technique. On day one pre-test followed by planned teaching programme was conducted and after seventh day post-test was taken. The data was analysed using descriptive and inferential statistics.Results: The results revealed that the mean post-test knowledge score was higher than mean pre-test knowledge score with standard deviation 20.15±4.02 and 7.67±3.11 respectively. The improvement of knowledge score is the mean difference of 12.5 which shows that there was a significant change in knowledge level of adult population.Conclusions: The study concluded that the planned teaching programme was effective in improving the level of knowledge regarding dengue fever and its preventive measures.

EP.TU.443Improving the Skills and Safety at Workplace: Training on the Use of the AirSeal Insufflation System in Laparoscopic Surgery

AimsAccording to Good Surgical Practice set by the RCS England, surgeons need to keep themselves up to date and maintain the competence in all areas of their practice. Literature and guidelines recommended the use of AirSeal insufflation in laparoscopic surgery for the safety during the first surge of Covid-19. Our objectives were to measure the level of knowledge and confidence of surgical trainees in using the AirSeal insufflation system in laparoscopic surgery at our institution and to help trainees achieve competence.MethodMultiple small group training sessions were delivered to 14 surgical doctors adhering to safety protocols. The concept of the AirSeal insufflation system, its benefits, limitations, set up and troubleshooting were delivered using lectures, videos and hands-on training. The change in level of knowledge and confidence in practical skills were assessed by analyzing the responses to the questionnaire completed before and after the course.Results60% reported increase in knowledge of the AirSeal system50% reported increase in confidence of the practical skillsThe mean rating for usefulness and satisfaction of the advanced training sessions was 9 out of 10.ConclusionThe dramatic improvement in self-perceived confidence of practical skills and knowledge of the AirSeal system was achieved among surgical doctors. Adaptation to the situation and introduction of this advanced technology to the trainees in elective and emergency settings helped promote the skills and safety at workplace during this pandemic especially with the support of flexible training sessions.

Impact of interprofessional service-learning on the effectiveness of knowledge transfer of antimicrobial resistance to Hong Kong elders: a quasi-experiment

BackgroundCommunity perception on antimicrobials plays a role in driving the development of antimicrobial resistance (AMR). The aim of the study was to evaluate the impact of interprofessional service-learning on the effectiveness of AMR knowledge transfer in Hong Kong elders aged 65 or above and students from university and secondary schools.MethodsA quasi-experimental pretest–posttest controlled study was carried out from July 2018 to March 2019 for elderly subjects and a pre- and post-test were conducted in students from May to August 2018. Elderly subjects were recruited from the university-based community outreach program. The community outreach team consisted of both university and secondary school students. Students were provided with training of geriatric care and AMR before they reached out to the community. The one-to-one intervention with the aid of video and verbal explanation to educate the elderly about the definition, causes, and consequences of AMR, and preventive measures against AMR was provided. Questionnaires on knowledge of antibiotics and AMR were used as tools to reflect on the effectiveness for both students and elderly subjects. The questionnaire was completed twice, before and 1 week after the intervention. Chi-square test, t tests and regression analysis were used to analyze the data.ResultsA total of 93 Chinese elders, 61 of them in the intervention group and 32 in the control group participated in the study. The score obtained by the intervention group increased from 40.1 to 83.3% (p < 0.001) following intervention, while that of control group increased from 33.0 to 44.0% (p < 0.001). The increase attained in the intervention group was significantly greater than that of the control group (p < 0.001). A total of 95 secondary students and 88 university students have completed the pre-post questionnaires with 42.21% and 13% increment in AMR knowledge after the training (p < 0.001).ConclusionThe significant change in knowledge level showed effective AMR knowledge transfer to both elders and students. The study could be used as a reference when allocating resources to implement effective interprofessional service-learning for better community health education in elderly populations.Trial registration: This study was approved by the Chinese University of Hong Kong Survey and Behavioural Research Ethics Committee in December 2018 (Ref no. SBRE-18-214).

Online monthly discussion module of simulation-based teaching: Effect on knowledge

Online discussion forums engage learners in higher-level thinking, allowing them to explore topics in much greater depth. One such formal online professional discussion platform is the two-year Foundation for Advancement of International Medical Education and Research (FAIMER) Fellowship offered by the Christian Medical College Ludhiana (CMCL) - FAIMER Regional Institute (CMCL-FRI). In this study, we report the results of a survey conducted among FAIMER fellows after attending online discussions on Simulation-based teaching (SBT) to evaluate their change in knowledge levels on the topic. This was a retrospective analysis of pre-moderation and post-moderation questionnaire responses. The questions/statements were designed to cover the entire range of topics planned to be discussed during the moderation month.: While the median score between the pre-moderation and post-moderation month questionnaires remained the same, the average score showed an increase from 9.5 to 10.37. The number of fellows who scored the maximum possible score of 12 showed a significant increase from 2.94% to 23.33% between the pre-session to the post-moderation month questionnaires (p-value=0.015). The percentage of respondents who answered the questions correctly in the post-moderation month questionnaire showed an increase over the pre-moderation month questionnaire in 10 out of 12 questions, with the increase being highly significant in 2 out of these 10 questions. Attending online ML web discussions leads to an increase in knowledge levels among participants and is an effective way to introduce medical educationists to essential concepts in medical education.

OC-0318 A novel eLearning tool for ongoing radiation therapist education on pelvic radiotherapy late effects

Purpose or Objective The late effects (LEs) of pelvic radiotherapy (RT) have a significant detrimental impact on a patient's quality of life;as such, within the UK there is a national drive to improve aftercare, with enhanced provision of patient information through the National Health Service (NHS) and various charities. A requirement to improve Radiation Therapists' knowledge, awareness and confidence surrounding pelvic LEs has been observed, highlighting a demand for further training. Traditional pedagogical methods pose barriers within busy clinical settings, thus eLearning methods may prove more feasible. This study aimed to investigate the effectiveness of a novel, interactive eLearning tool as an innovative pedagogical approach to increase Radiation Therapists' knowledge and confidence on the LEs of pelvic RT, and to improve their perception of their professional responsibilities to provide such patient information. Materials and Methods The study was conducted within a single UK RT institution over a 12-month period with a recruitment of 27 Radiation Therapists. Our novel eLearning tool was designed, implemented and disseminated to participants via the hospital's Blended Learning portal, providing flexible, asynchronous access. Pre- and post-intervention Likert-scale questionnaires and focus groups were utilised to provide baseline assessment and ascertain changes in levels of knowledge, confidence and perceived responsibility surrounding pelvic RT LEs. Statistical analysis using a Wilcoxon signed-rank test was conducted on paired data from pre- and post-intervention questionnaires (n=23) to provide quantitative results, whilst thematic analysis provided qualitative results. Results Whilst this was a mixed-methods study, the quantitative results are presented here. Statistically significant increases in knowledge (p=0.002), confidence (p=0.006) and responsibility (p=0.026) surrounding pelvic RT LEs were reported following the eLearning intervention compared to baseline scores, rejecting the null hypothesis. Examples of the results are shown in figures 1 and 2. $Φg Conclusion We believe this study is the first of its kind, investigating eLearning to improve pelvic RT LE knowledge, confidence and responsibility amongst UK Radiation Therapists. Our novel, robust eLearning tool proved successful in achieving these aims, and the eLearning tool has now been disseminated across all NHS hospitals within the regional ‘Cancer Alliance' and is also being used at a novel pelvic RT LEs clinic. This has led to increased knowledge of pelvic RT LEs across the wider oncology team, including consultants, nurses and other professionals. Project recommendations have led to introduction of a new Masters module on LEs at a UK University, further enhancing the knowledge of the Radiation Therapist workforce. With the severe, ongoing impact of COVID-19 on healthcare departments, such innovative online tools are crucial to ensure staff have remote, asynchronous access to learning content.

Effectiveness of Farmer Field School and Conventional Extension Trainings on Knowledge Gain among Farm Women

The world extension forum over three-four decades emphasized the people centric bottom up approach in extension work.&#x0D; In mid 1970s world bank had introduced Training and Visit (T&amp;V) system of extension in 70 countries including India. This solely emphasized the dissemination of Green Revolution technologies to farmers, mainly in Asian and African countries with top down extension approach. Subsequently, FFS emerged in the rice paddy fields of the Philippines and Indonesia in the late 1980s where, Food and Agriculture Organization (FAO) had heavily involved from its incubation, development and spread to Asian, African countries and other parts of world in 1990s with the emphasis on bottom up approach and participatory extension services. This demanded a paradigm shift in extension purview and its methodology to factor upon farming fraternity participation in all possible ways. Despite that the technology transfer process remains unchanged and unrefined till now. The best features of extension methodologies are identified by making literature review pertaining to Farmer Field School (FFS) and Training and Visit (T&amp;V) method of extension trainings. Both Farmer Field School (FFS) and conventional extension training methodologies were used to train women groundnut growers in Pennagaram villages, Dharmapuri, India and the change in knowledge level and the effectiveness of methodologies were studied. In context, 29 important crop production practices in groundnut cultivation were identified and surveyed with 300 participants of which, 50% of participants ( n=150) exposed to FFS way of training and 50% of participants (n=150) exposed to T&amp;V way of training. Most (90-95%) of the survey respondents found that the FFS way of training as better effective than T&amp;V way of training. Similarly, the knowledge level of 80 to 85% of participants who participated FFS way of training found to be more than the participants who attended T&amp;V way of training.

Perioperative Peripheral Nerve Block Safety Education: A Quality Improvement Project

PurposeThe purpose of the quality improvement (QI) project was to improve patient safety by increasing the consistency of monitor application and oxygen administration during the placement of peripheral nerve blocks (PNBs), advance the knowledge of perianesthesia staff about PNB safety, and develop a PNB hospital policy. DesignQI project using the focus, analyze, develop, and execute model. MethodsThe project had two parts, an educational component that was deployed in the three hospitals (hospital A, hospital B, hospital C) and an observation component that was conducted in only one of the hospitals (hospital A). Baseline observation of monitor and oxygen application was recorded at hospital A for 3 months. Assessment of perioperative personnel's baseline knowledge regarding PNB safety was attained using a knowledge assessment tool in the three hospitals. Learners in the three hospitals were given a pretest and post-test to measure the change in knowledge level after a PNB safety presentation was given. Monitor and oxygen application during nerve block placements were observed and recorded after the PNB safety presentation at hospital A. Statistical analysis was completed to determine if significant differences in knowledge levels in the three hospitals and monitor and oxygen application at hospital A existed after an educational intervention was delivered to the perioperative teams. FindingsParticipants' knowledge level increased 13% overall with post-test scores greater than 90% after the educational intervention. Monitor application and administration of oxygen during PNB placement improved from 2% to 100% in a preliminary 3-week postintervention review. Systematic changes were implemented to facilitate adherence to best practice measures. ConclusionsPNB safety presentations significantly improved staff's knowledge regarding PNB procedures and potential problems. A multidisciplinary team approach was used to facilitate changes to improve electrocardiogram, blood pressure, pulse oximetry, and oxygen use in this patient population. A proposed PNB policy was accepted as a protocol. Patients are safer with increased monitoring.

Evaluating the effectiveness of let's talk period's high school educational outreach program: A pilot study.

Menorrhagia impacts ~40% of adolescent females, with about half having an underlying bleeding disorder, most commonly von Willebrand Disease (VWD). VWD affects ~1 in 1000 individuals, though many are unaware of their condition. Let's Talk Period (LTP) is an online knowledge translation platform aimed at increasing awareness of bleeding disorders symptoms, with a validated self-administered bleeding assessment tool (Self-BAT). To evaluate the effectiveness of the LTP high school outreach program in Grade 9 girls' health classes quantitatively, using baseline, post-presentation, and follow-up quiz scores, and qualitatively, with student and teacher feedback forms. The 75-minute in-class presentations, developed in alignment with the 2015 Ontario Curriculum for Grade 9 Health and Physical Activity, were led by a haemophilia nurse, clinical research assistant, and undergraduate student from the LTP team. Students completed baseline, post-presentation, and 4-6-week follow-up Kahoot quizzes featuring the same nine questions to evaluate change in knowledge levels and retention. Both student and teacher feedback were collected. There was a significant increase (p<0.001) from baseline to post-presentation scores, with a significant gain in knowledge, for all questions (p<0.01). Students found content related to the basics and management of menstruation to be most interesting. Many had constructive feedback on how the presentation method could be improved. On average, the presentations were rated an 8.6 of 10 by students and 8.75 of 10 by teachers. The LTP high school outreach program effectively increases student knowledge of menorrhagia and bleeding disorders. It was well-received by students and staff alike.

The effect of nutrition intervention based on a Knowledge-Attitude-Practice questionnaire in the weight management of overweight and obese persons

Overweight and obesity are increasing worldwide and recently has been proposed to be considered as a disease condition by the World Health Organization. South Asians are prone to deposit higher percentage of body fat in lower BMI and hence towards the development of health issues associated with overweight. For adapting a suitable diet pattern and lifestyle, every person should have a sound knowledge on scientific methods of managing weight. The present study was undertaken with an aim to assess the role of a KAP based intervention in lifestyle modifications of obese and overweight respondents.This intervention was carried out in 66 respondents selected on the basis of criteria age (20-50years), BMI (23Kg/m- 50 Kg/m), regularity in follow up and compliance to the modifications suggested. The respondent’s data regarding demographic parameters (viz age, gender, occupation, education and monthly income), physical activity level, obesity history, anthropometric and biochemical parameters and dietary pattern were collected. Knowledge-Attitude- Practice questionnaire was designed through a pilot study. Nutrition education was carried out through audiovisual aids and information booklet. The respondents were followed up till 3 months, baseline and follow up data were tabulated and anlaysed using SAS software. Larger segment of respondents were elderly married females educated up to pre graduation level. Family obesity score values obtained ranged from 7-21 with a mean score of 16.11±3.84. Regression analysis of KAP scores against demographic variables revealed that family obesity score negatively influenced scores in all the three domains and education level negatively influenced attitude and practice scores. The knowledge, attitude scores, and practice scores demonstrated significant changes between pre intervention score and at all the post intervention scores (p value &amp;#60;0.001 in all domains). The results of the regression analysis showed that there was a strong influence of change in knowledge level in the change in attitude and practice scores in the immediate post intervention period but this influence was not reflected in the post intervention and final intervention phases. The significance of change in anthropometric and biochemical data were analysed using paired t test and concluded that the changes in anthropometric parameters were significant whereas the change in biochemical parameters were not significant. The mean values of change in dietary macronutrients from before to after suggest that there was decrease in intake of fat, carbohydrates and energy, and increase in fibre and protein. Rrespondents’ with good quality diet as indicated by AHEI above 51 had scored positively in knowledge, attitude and practice and the relation was statistically significant. It was concluded from this experiment that dietary quality had a strong influence on the nutritional status of overweight and obese persons and a nutrition intervention based on KAP questionnaire was effective in managing the weight and lifestyle pattern of the respondents.

Increasing Knowledge of HIV/AIDS in Adolescents using Video-Blogging

Video-Blogging (Vlog) is one of the media that is of interest to today's millennial youth because it contains audiovisuals and digital images so that it can attract the attention of teenagers. One of the health promotion strategies using Vlog is to increase adolescent knowledge about HIV / AIDS. This study aims to determine the effectiveness of health promotion using vlog media on the level of adolescent knowledge. This research is a quantitative study with a quasi-experimental, one group pre and post-test design without a control group and a descriptive correlation. The sampling techniques is using a purposive sampling technique as many as 64 students. Statistical test using Wilcoxon and Kendal's tau. The univariate results in this study were 45.3% male and 54.7% female, 43.8% information media from Radio/Tv / Internet. The results of the bivariate analysis were differences before and after health promotion (p-value = 0.000), but there was no significant relationship between vlog media and changes in knowledge levels (p-value = 0.249). The strategy to increase knowledge about HIV / AIDS in adolescents needs to be modified according to several other types of media so that the effectiveness of each media can be seen clearly.