Educational Seminars Research Articles

Knowledge Gaps Regarding Allergic Rhinitis among the Patients Visiting Community Pharmacies of Lahore, Pakistan

Introduction: Allergic rhinitis is a varied disorder characterized by symptoms such as sneezing, nasal blockage, nasal itching, and a runny nose. This study assessed the knowledge of patients about Allergic rhinitis and to identify knowledge gaps in patient’s understanding along with the factors that may impact knowledge regarding the disease. Methods: A cross-sectional observational study design was implemented to collect data from patients visiting community pharmacies of Lahore on a structured questionnaire (self-developed) containing 12 items related to knowledge. The questionnaire was distributed to physician diagnosed Allergic rhinitis patients. The questionnaire with closed-ended questions was completed by 240 participants of both genders as sampled through random sampling procedure. The study spanned over a period of eight months. Results: Among 240 respondents, 81.3% were students and majority were female (58.3%). It revealed that only 33.3% of respondents demonstrated adequate knowledge about Allergic rhinitis, while 66.7% demonstrated inadequate knowledge. Among demographic variables, female respondents presented better knowledge compared to the male population. Moreover, education status was positively associated with knowledge of respondents. Low education status of study subjects was observed to be the reason for knowledge gap among respondents. The p-values<0.05 were considered statistically significant. Conclusion: This study highlights a significant gap in respondent’s knowledge, emphasizing the need for targeted education and intervention. Low literacy rate was the major factor negatively associated with respondents’ knowledge of Allergic rhinitis. Improved knowledge is crucial to promoting good practices and achieving desired outcomes. Educational interventions and seminars should be conducted at public health sectors to enhance awareness in the general population.

The Reliability of YouTube as an Information Resource for Parents About Retinopathy of Prematurity.

To investigate the quality and reliability of YouTube videos about retinopathy of prematurity (ROP) to direct parents of infants with the disease to access more accurate content. The term "retinopathy of prematurity" has been searched on YouTube containing all of the videos between January 2 and February 2, 2024. The first 200 videos were evaluated by two ophthalmologists. Duplicated-split videos, videos shorter than 60 seconds, videos presented in languages other than English or with an incomprehensible accent, and videos unrelated to ROP were excluded. Video uploaders, types, continental origins, durations, and viewer interactions were noted. DISCERN, The Journal of the American Medical Association (JAMA), and the Global Quality Score (GQS) scoring systems were used to evaluate the quality of the videos. The mean quality of all videos was poor in all scoring systems. Academic societies and medical institutes scored highest in video uploaders, followed by physicians; patient experience videos had the lowest quality. Of the video types, the medical education seminars were of the highest quality. Although a strong positive correlation was detected between video duration and video quality, this same strong correlation was not observed between viewer interactions and video quality. There was no significant difference between video origins in terms of video quality. It would be wiser to direct the parents of patients with ROP to watch longer videos uploaded by the academic community, medical institute, or physicians, and to watch the medical training seminars. Also, it might be important to warn them not to take user interactions too seriously. [J Pediatr Ophthalmol Strabismus. 20XX;XX(X):XXX-XXX.].

A student-community partnership to enhance cancer research training

BackgroundDespite the importance of community involvement in research, little formal training in community outreach and engagement (COE) is offered to cancer research trainees. A collaboration between the Office of COE and the Office of Cancer Research Training and Education Coordination (CRTEC) at the Sidney Kimmel Comprehensive Cancer Center at Jefferson led to the COE-CRTEC Trainee Working Group, a unique program in which trainees in cancer research each created a novel COE initiative.MethodsFour cancer research trainees were selected to serve as COE Program Liaisons (CPLs), each aligned with one of the four cancer center research programs. Each CPL developed, implemented, and evaluated a project that enhanced the bidirectional relationship between their research and the community. Trainees were provided a modest budget, support from the Office of COE, and a requirement to complete the project within one academic year.ResultsProjects included a cancer education seminar for older adults at a senior center, a prostate cancer education and screening event at a predominantly African American church, a video demonstrating a day in the life of a skin cancer researcher, and a podcast that featured SKCCC investigators answering research questions from community members.ConclusionStudents who would not typically be exposed to COE training gained experience developing, implementing, and evaluating community-based initiatives. Projects were diverse in topic and approach, reflecting the diversity of the trainees and the community. Allowing trainees, those who are the next generation of cancer researchers, to design community-based research may lead to more patient-centered research in the future.

The Impact of a Brief Educational Seminar on Pediatric Pain-focused Cognitive-Behavioral Therapy for School Providers.

Pediatric chronic pain is common and can be detrimental to children's social, emotional, and school functioning. Nonpharmacological approaches to chronic pain, like cognitive- behavioral therapy (CBT), can be effective. Schools could provide children with chronic pain access to these interventions. However, school professionals (ie, nurses and mental health providers) are seldom trained in CBT, creating a barrier to accessing such help. A seminar was created to introduce CBT strategies for chronic pediatric pain to school professionals. Feasibility, acceptability, and self-reported knowledge gained from the seminar were examined. Two introductory seminars (~2.5 h each) were held separately for the Michigan Association of School Nurses and the health department of Northwest Michigan (n = 71 total). The seminar provided an understanding of pain and pain-focused CBT strategies (eg, activity pacing, positive self-statements, and psychoeducation). Fifty-two school nurses, 16 mental health professionals, and 3 participants (unidentified title) rated program acceptability and self-reported knowledge of CBT before and after training (1 = strongly disagree, 5 = strongly agree). Of the respondents, 89.6% agreed the training was helpful, and 87.5% were interested in additional training. For all questions relating to knowledge of CBT, a mixed-model interaction showed a meaningful, increase of at least 1 point (on a 5-point Likert Scale), F(2, 69.83) = 3.93, P = 0.024. This study underscores the feasibility and acceptability of training school health providers in CBT for pediatric chronic pain. This project also established key partnerships in Michigan to expand future work in this realm with more comprehensive training and assessment of outcomes.

Family, Friends, and Financial Know-How: Influences on Students' Intentions to Pursue Entrepreneurship, with the Moderating Role of Self-Efficacy

<p>ABSTRACT</p><p>The decline in unemployment rates in Indonesia is a major focus of the government, with entrepreneurship considered a potential solution. This study aims to examine the influence of family economic education, peer groups, economic literacy, and self-efficacy on students' entrepreneurial intentions. The research adopts a quantitative approach, utilizing a survey method with a Likert scale distributed to 292 students actively enrolled in universities in the Greater Jakarta area (Jabodetabek). Data analysis was conducted using <em>Partial Least Square Structural Equation Modeling</em> (PLS-SEM). The results indicate that family economic education and peer groups have a positive and significant effect on economic literacy and entrepreneurial intentions. Economic literacy was found to mediate the influence of family economic education and peer groups on entrepreneurial intentions. Furthermore, self-efficacy moderates the relationship between economic literacy and entrepreneurial intentions, enhancing the impact of economic literacy on entrepreneurial intentions when self-efficacy is high.</p><p>This research offers valuable insights for developing entrepreneurship education programs that involve families and create positive peer interactions among students. It suggests the need for educational institutions to integrate family-based economic education workshops and seminars, as well as establish entrepreneurship clubs and networking events to foster a conducive environment for entrepreneurial growth. Strengthening self-efficacy through personal development programs is also recommended to ensure that students can effectively apply their economic literacy in entrepreneurial contexts. These combined efforts can significantly enhance entrepreneurial intentions among students, contributing to reducing unemployment rates and promoting economic growth in Indonesia.</p>

Effectiveness of an Educational Seminar for Older Adults With Hearing Loss

Purpose: Despite the recognized benefits of aural rehabilitation (AR), its adoption has been limited. The purpose of this study was to investigate the effectiveness of group AR through an educational seminar for older adults with hearing loss, “Optimal Hearing,” evaluating the application of various patient-reported outcome measures. Method: Participants were older adults with hearing loss. The seminar covered content such as hearing loss and aging, audiogram interpretation, clear speech, lipreading, and hearing aids. Small group activities for personalized instruction also included: the Client Oriented Scale of Improvement (COSI), Communication Confidence Profile (CCP), and, a study-specific measure, the Optimum Hearing Questionnaire (OHQ). Results: Participants experienced significant improvements in various areas measured by the COSI. The CCP showed significant change in one item (confidence while conversing with friends in a noisy restaurant), while several items on the OHQ indicated significant changes postintervention. Conclusion: The findings suggest the potential clinical utility of these measures in group AR settings and the importance of individualized goal setting. Supplemental Material: https://doi.org/10.23641/asha.26824111

Accessibility of and Barriers to Long-Term Follow-Up Care for Childhood Cancer Survivors

Childhood cancer survivorship programs and long-term follow-up (LTFU) practices are inadequate in most regions of China. To understand the clinician and caregiver perceptions of LTFU care and to identify barriers to adherence to LTFU care in mainland China. This survey study had a 2-phase sequential mixed-methods approach, consisting of a cross-sectional survey followed by semistructured interviews. Participants included oncology clinicians recruited through an educational seminar on LTFU and caregivers recruited through convenience sampling. Data were collected from November 2022 to September 2023. The clinician survey and interview focused on the standards and resources for LTFU care at their practicing institution and barriers to the coordination of LTFU care. For caregivers, the survey and interview focused on their awareness of and participation in LTFU care and their opinions on future LTFU care visits. A total of 101 clinicians (28 [27.7%] male; 73 [72.3%] female; 46 [45.6%] aged >40 to 50 years) completed the survey (response rate: 90.2%) representing 32 institutions from 22 provinces. As for the caregivers' survey, 164 eligible participants (36 [22.0%] male; 128 [78.0%] female) were recruited (response rate: 20.2%). The majority of the caregivers had received a high school or greater education (96 [56.7%]) and were parents of CCSs diagnosed with leukemia (67 [40.9%]), lymphoma or solid tumors (47 [28.7%]), or conditions requiring hematopoietic stem cell transplantation (50 [30.5%]). Most clinicians (74 [73.3%]) reported providing late effects care, yet only 10 (13.5%) had a dedicated follow-up clinic for CCSs. Two-thirds (64 [63.4%]) reported that the LTFU plan for each survivor is solely determined by their clinical judgment. In structured interviews, all doctors admitted to deviating from published guidelines due to challenges in implementing screening recommendations in their settings. Barriers to providing LTFU services included patient-related factors (76 [75.2%]), survivor knowledge deficits (61 [60.4%]), and the absence of dedicated LTFU clinics (61 [60.4%]). Among caregivers responding to the survey, 60 (36.6%) had never heard of late effects. Overall, 22 of 26 caregivers (84.6%) who participated in the interviews were not aware of potential late effects, although 17 (68.0%) could articulate existing conditions and symptoms that their children were experiencing. In this mixed-methods study involving clinicians and caregivers, substantial disparities in the uniformity and accessibility of LTFU in China were observed, suggesting the imperative need for a standardized approach to LTFU care for survivors. This includes advocating for establishment of dedicated clinics, alongside an emphasis on enhanced education and training for both clinicians and caregivers.

Community service initiative: Empowering Mothers in Wongsorejo, Banyuwangi, East Java to Prevent Stunting Through Education and Complementary Feeding Circle Demonstrations

The challenge of stunting in Indonesia remains critical, with the National Basic Health Research of 2018 indicating a high prevalence rate of 30.8%. Addressing stunting effectively requires targeted interventions and behavior change strategies. This community service project aimed to tackle stunting in Wongsorejo, Banyuwangi, East Java, through a comprehensive approach focused on nutrition and complementary feeding practices. The initiative was structured around three main activities: a seminar on stunting, counseling on complementary feeding, and a cooking demonstration. The seminar aimed to enhance understanding of stunting, including its causes, consequences, and preventive measures, with a specific focus on the role of mothers. The counseling sessions were designed to educate mothers about the implementation of complementary feeding circles to ensure their infants receive adequate nutrition. The cooking demonstration provided practical guidance on preparing nutritious complementary foods using local ingredients. This community service project targeted mothers in the Wongsorejo area, along with representatives from local health centers and community leaders. The objective was to improve knowledge and practices related to stunting prevention, nutrition, and healthy feeding habits. Methods included educational seminars, interactive counseling, and practical demonstrations. Overall, this project seeks to empower mothers with the necessary knowledge and skills to combat stunting, thereby contributing to improved child health and nutrition in the Wongsorejo community. The effectiveness of these activities was evaluated through pre- and post-intervention assessments.

Human Resource Empowerment Regarding the Operation of TPS 3R Assets

This article provides an overview of the empowerment of Human Resources that have TPS 3R Assets. Berat Kulon, Kemlagi District is one of the villages that has the potential for the best TPS 3R asset management in Mojokerto Regency, which was originally able to rise with the large amount of waste in the operation of Village Assets, namely TPS 3R. Precisely since the Corona pandemic in early 2020, there has been a spike in the amount of waste in this village which then resulted in piles of garbage everywhere, however, there are also small groups of residents who take advantage of this momentum to increase the economic income of residents around Berat Kulo Village, one of which is by managing waste into handicrafts in the form of bags, but this business did not have time to develop, after the pandemic, residents returned to sugar cane farming which has indeed been very much pursued by residents. The purpose of this service is to emphasize building awareness of empowering Human Resources (HR) through the operation of TPS 3R Assets. Utilizing the Asset Based Community Development (ABCD) approach, the results of the community service are 1) Implementation of human resource empowerment for the operation of TPS 3R Assets and 2) Assistance in the operation of TPS 3R Assets through, a) Waste Management Education Seminar through TPS 3R, b) Implementation of the August 17th competition in the context of environmental cleanliness creativity, c) Procurement of garbage signs, and d) Procurement of garbage bins.

Abstract B082: Design Studios for Health to identify distinct outreach events and interventions to reduce the burden of cancer among Hispanic/Latino and Black adults in a major southwestern metropolitan region

Abstract Introduction: Cancer is the second leading cause of death in Arizona. While there was a 7% decrease in cancer mortality among Arizonans from 2016-2020, more work is needed to decrease cancer incidence and mortality among racial and ethnic minorities, including Black and Hispanic/Latino populations. Further, it is critical to engage community members to identify cancer-related priorities, brainstorm feasible and acceptable community-based interventions, and co-create community-academia-healthcare solutions to reduce cancer disparities. Methods: The team conducted a series of Design Studios for Health (DSH) – guided listening sessions to foster community involvement, facilitate knowledge exchange, and identify the priorities and concerns for cancer prevention and control in the Black and Hispanic/Latino communities. Each DSH session included introductions, information dissemination, and breakout sessions with a moderator and a notetaker. The first DSH sessions were held in February 2024 via Zoom, one for Black community members (n=14) and one for Hispanic/Latino community members (n=14). In March 2024, an in-person DSH aimed to bring together all previous participants from both communities (n=27). This session deepened collaborations and knowledge exchange, building on insights from the initial sessions. The iterative nature of DSH ensured continuous refinement and co-creation of precision health solutions based on feedback and the data collected. Results: DSH participants identified the following cancer priorities: breast, skin, cervical, prostate, colorectal, and stomach cancers. They emphasized the need for community-shared information on survivorship resources, prevention (shared via social media), symptoms, costs, payment options, resource guides for community health workers, and guidance on navigating medical and insurance payments. Recommendations for academic partners included offering workshops and educational seminars on cancer prevention, using university space to host community cancer prevention events, alternating event locations in the metropolitan region to reach multiple underserved communities, hosting community fairs with multiple cancer education and screening opportunities, forming community advisory boards focused on cancer prevention and control, and organizing local forums to share cancer prevention and control resources. To support local organizations and health education outreach, they recommended creating additional training on cancer, e.g. for community health workers, to enhance public dissemination. Future directions: Based on these findings, our team is developing interactive, virtual, games-based cancer education to help dispel myths about cancer prevention and control. We are collaborating with community health workers to increase the accessibility of cancer prevention, screening, and resource education at pop-up cancer screening events (October and November 2024) held in areas of Phoenix serving low-income, racially, and ethnically diverse communities. Citation Format: Alexis M. Koskan, Maricarmen Vizcaino, Maissa Khatib, Tina M. Brown, Dorothy D. Sears. Design Studios for Health to identify distinct outreach events and interventions to reduce the burden of cancer among Hispanic/Latino and Black adults in a major southwestern metropolitan region [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B082.

Climate-conscious pharmacy practice: An exploratory study of community pharmacists in Ontario.

Climate change remains a significant challenge to global health. The health care system is a major contributor of greenhouse gas (GHG) emissions. While pharmacists are aware of climate change as an important societal issue, there is little known about the level of implementation of climate-conscious practices in community pharmacies throughout Ontario. An interview-based system was developed to gather insights from pharmacists regarding their perspectives on climate change and identify strategies to involve them in sustainable practices. Convenience and snowball sampling techniques were used to recruit pharmacists. Interviews were conducted by phone or Zoom, and transcripts were developed and analyzed for common themes using a qualitative method. Twenty-four community pharmacists were interviewed. Three overarching themes emerged: 1) there is a knowledge and awareness gap in the pharmacy profession; 2) before pharmacists can prioritize sustainable practices, they must first address more immediate concerns in the pharmacy; 3) sustainable practice integration requires employment and regulatory changes as relying solely or extensively on the good intentions of frontline pharmacists is insufficient. While pharmacists show concern about the environmental impacts of their work, sustainable practice integration is very limited in community pharmacies across Ontario. There are many challenges and barriers to address. This includes closing the knowledge and awareness gap by incorporating climate-related topics into pharmacy curricula and providing educational seminars and resources for practicing pharmacists. In addition, improving workflow, changing standard operating procedures at a corporate level and providing incentives for implementing eco-friendly practices are crucial steps to address time and financial limitations. To manage patient safety concerns, providing resources that consider climate considerations as a secondary objective, when clinically appropriate for the patient, is the right approach to engage pharmacists. Lastly, advocating for employment and regulatory changes will be necessary for large-scale, durable changes to pharmacy practice.

SEMINAR EDUKASI DAN PENCEGAHAN BULLYING DI SDN 1 PASIR TANGKIL OLEH MAHASISWA KKM UNIVVERSITAS BINA BANGSA

The bullying education and prevention seminar was organized by Bina Bangsa University's 72nd Student Work Study (KKM) group on August 6, 2024 at SDN 1 Pasir Tangkil, Warunggunung District, Lebak Regency. This activity aims to provide students, teachers, and school staff with a deep understanding of the importance of preventing and overcoming bullying in the school environment. Through various interactive sessions, participants were invited to understand the definition of bullying, recognize the early signs, and learn how to respond and prevent bullying behavior. The material presented included an explanation of the types of bullying, the psychological and social impact on victims, and the important role of teachers and students in creating a safe and supportive environment. The seminar also emphasized the importance of cooperation between schools and parents in addressing bullying issues. The results of this activity are expected to raise awareness among students and teachers to actively contribute to the prevention of bullying, thus creating a more harmonious and violence-free school environment. The success of this seminar is an important first step in building an anti-bullying culture in elementary schools, especially at SDN 1 Pasir Tangkil.

Potensi Pengembangan Ekonomi Kreatif dan Tantangan UMKM di Desa Cepokomulyo

The creative economy is a concept for realizing sustainable economic development based on creativity. Improving the welfare and prosperity of society in a country is very dependent on the level of economic development. Developing a village economy means making the village economy independent. Cepokomulyo Village is a village with an area that is mostly agricultural land and local crafts that have the potential to be marketed more widely. This makes it easier for people to explore economic potential through abundant fertile land to fulfill their daily activities. However, this potential has not been fully developed optimally due to limited infrastructure, human resources and market access. With this, KKN UIN Walisongo Semarang students play a role in empowering MSMEs to increase and disseminate the economic potential that exists in Cepokomulyo Village by carrying out several activities including holding educational seminars related to digitalization by inviting speakers who are experts in their fields to increase community insight into the economic and digital fields. marketing, providing skills training through processing village agricultural products, as well as helping to build marketing networks. This research uses qualitative research methods through primary and secondary data collection. Meanwhile, the subjects of this research are MSMEs in Cepokomulyo Village. It is hoped that the MSME development empowerment program will have an impact on effective and productive sales, higher quality, and products that can be recognized by all groups in order to compete at national and international levels, provide motivation to the community, and reach wider marketing reach.

Multidisciplinary Educational Program to Standardize Education and Management of Immune-related Adverse Events: Review and Outcomes of a Single-institution Initiative.

The use of immune checkpoint inhibitors (ICIs) as anticancer therapy across a variety of malignancies has led to durable efficacy in a subset of patients. However, associated side effects denoted immune-related adverse events (irAEs) have emerged and can result in substantial morbidity and mortality. Particularly early in the experience of using these agents, a lack of standardized education regarding irAEs among patients and clinical providers may have contributed to poor outcomes. Optimal management of these emerging toxicities depends on a coordinated institutional approach. We hypothesized that centralized educational programs and electronic health record (EHR)-based interventions, targeted both toward ICI-treated patients as well as patient-interfacing providers, would improve patient outcomes. We created a multidisciplinary team of clinicians and associated staff to direct a coordinated approach to the education and management of patients receiving ICIs across our institution. A 3-tiered approach was designed: patient-centered, internally centered, and externally centered. Multimedia educational products were produced for patients to improve knowledge and awareness of ICIs and associated irAEs. An EHR-based banner was deployed to improve identification of patients receiving ICIs across disciplines. Tailored educational seminars were provided to clinicians who interact with ICI-treated patients at all levels. Educational seminars were also offered to local physicians and institutions. We assessed patient uptake of educational products and surrogate patient outcomes to measure the potential impact of our interventions. Fox Chase Cancer Center (FCCC)-specific ICI identification cards were created and distributed to patients. By the end of the investigational period, 98.6% of ICI-treated patients reported receiving a card. An ICI-focused on-line portal was created accessible only to ICI-treated patients, with 9.4% of these patients accessing the portal in the first 6 months without marketing promotion. Deidentified surrogate clinical endpoints of corticosteroid use, direct referral unit (DRU) visits, and hospital admissions all improved during the study period. Institutionally directed educational initiatives are feasible at a free-standing academic cancer center and may lead to improved outcomes in patients developing irAEs from ICIs. More granular patient-specific data and studies at other types of institutions are necessary to determine the applicability of similar approaches on a broader scale.

An Overview of the Energy Savings, Utilization, and Emission Reductions of Boilers

Industries and power plants use boilers extensively as a steam generating system. Boilers use a substantial amount of the world's energy supply. Much more fossil fuel can be saved and CO2 emissions can be decreased with even a slight increase in boiler efficiency. This paper outlines the energy consumption of boilers, the methods used to assess their energy efficiency, the losses that have occurred and their reasons, the role that maintenance activities play in preventing heat loss, the quantity of waste energy recovered, and the methods of raising public awareness of energy consumption. On the aforementioned subjects, the most recent published literature has been examined and reported. This includes journal articles, PhD and MSc theses, conference proceedings, reports, and online resources. The high temperature flue gas or boiler exhaust is discovered to be a significant source of energy loss. Also, for a variety of reasons, there are certain other inevitable losses. However, waste heat may be captured and used to provide power, heat, refrigeration effect, and other useful forms of energy utilizing a variety of methods. By doing planned maintenance, one may increase a boiler's efficiency and keep it operating at peak performance. Staff members must regularly participate in education programs and seminars aimed at raising knowledge about energy consumption. As a result, they will be better able to comprehend the significance of the energy utilized in the boiler system and the effects of their activities on it.

Cost-effectiveness of promoting population health management through education, seminars, and participatory learning for individuals diagnosed with chronic diseases

Population health management is a sustainable, strategic, and interprofessional collaboration that focuses on the health needs of individuals diagnosed with and living with chronic diseases. A chronic disease is defined as a longstanding health condition that persists for more than a year and requires ongoing medical care, such as heart disease, cancer, and diabetes. Since many chronic diseases are incurable, the management and financial burden of chronic diseases remain significant concerns for individuals, clinicians, and health-care systems. Preventing and managing chronic diseases through health promotion and education continues to be a fundamental cost-effective strategy. Educational seminars and participatory learning for individuals with chronic diseases play an important role in improving health outcomes and reducing health-care costs. This perspective aims to highlight objective insights into how health education contributes to cost-effectiveness and strategic population health management.

Empowering of Oncology Patients and Informal Caregivers: Analysis of an Interdisciplinary Seminar Model for Breast Cancer and Gyneco-Oncological Patients

Introduction: The interdisciplinary empowerment seminar aims to familiarize patients and informal caregivers (ICs) with supportive measures, focusing on understanding disease, therapy, and side effect management. Methods: The seminar, conducted in two courses over 1-month intervals prior to chemotherapy, included lectures, supportive materials, Q and A sessions, and individual discussions with experts in nutrition, exercise, psycho-oncology, and complementary medicine. Evaluation is based on a self-developed questionnaire and questionnaires on QoL (EORTC-QLQ-C30, BR23, CX24, OV28), anxiety and depression (HADS-D) at week 0, 5, 9, and 12. A control group with standard of care was evaluated at baseline and after 12 weeks. Results: Between October 2020 and May 2021, 19 patients and 9 ICs participated in the seminar. The control group included 20 patients. 96.4% of participants were highly satisfied with the seminar and would recommend it. QoL deterioration was more pronounced in the control group (control: week 0 = 67.6; week 12 = 61.7; intervention: week 0 = 60.8; week 12 = 60.7). This trend could not be proven by analysis of interaction (mixed ANOVA: p = 0.114). Increased confidence of participants’ knowledge about side effects was shown, and ICs reported higher confidence in knowledge and coping with the disease. Conclusions: The seminar received positive feedback and indicated increased knowledge and a trend toward better QoL preservation. Larger studies are needed for confirmation. The seminar effectively addressed unique needs, bolstering confidence and knowledge. Interdisciplinary patient and caregiver empowerment seminars can improve disease-related knowledge and positively affect QoL at the start of chemotherapy. Informational needs can be satisfied. Offering educational seminars and fostering individualized support networks can increase quality of care.

The importance of ward-based education in the postoperative assessment of free flaps

Background: Despite the theoretical and practical advantages of adjunct-based free flap failure detection, the introduction of ultrasonographic techniques has not changed free flap failures rates and their use remains secondary to clinical assessment. Our study aims to develop an educational framework to improve the confidence of nursing staff caring for free flaps, with an emphasis on early detection of flap failure, thereby improving postoperative outcomes. Methods: Nursing staff in intensive care units and surgical wards caring for free flaps completed standardised questionnaires either before or after an educational seminar detailing clinical and Doppler assessment of free flaps. Differences between cohorts were summarised descriptively with frequencies and percentages. Overall confidence scores for pre-education and post-education cohorts were compared. Results: Overall, 173 responses were collected. Most staff were from intensive care units (n = 114) and almost one-third completed surveys following the educational intervention (n = 51). Microsurgical ward staff had more experience in the postoperative care of free flaps than intensive care unit staff (29% vs 18% had experience caring for > 50 free flap cases). Confidence in assessing a free flap by clinical, implantable Doppler or external Doppler ultrasound was universally increased among ward staff compared to intensive care unit staff (p ≤ 0.007). Altogether, 51 per cent of intensive care unit staff had never identified a failing flap compared with 35 per cent of ward staff. Education increased confidence in managing and escalating failing flaps unanimously. Most failing flaps were identified by clinical assessment alone or combined with adjunct-based methods (94%). Conclusion: This study demonstrates that the provision of targeted education for nursing staff, both in intensive care units and on surgical wards, is useful for increasing confidence in the clinical assessment and early detection of free flap compromise. Increased confidence and improved clinical assessment may allow for early intervention and improved salvage rates for a threatened free flap, thereby improving patient outcomes.

Edukasi Anti-Bulyying Melalui Strategi Kolaboratif Aliansi Siswa-Guru Dalam Menciptakan Zona Bebas Perundungan di Sekolah Dasar

Bullying in elementary school is a serious problem that can negatively impact children's psychological and academic development. The main problem identified was the high rate of bullying in primary schools which negatively impacted students' emotional and academic well-being. The purpose of this educational seminar is to develop and implement anti-bullying strategies that involve the active participation of students and support from teachers, as well as to evaluate their effectiveness in creating a safe school environment. The method used involves designing a collaboration-based anti-bullying education program, training teachers and students, and implementing related activities. Data was collected through surveys, interviews, and observations to measure changes in bullying rates, student attitudes, and school climate. The results of the study showed that the implementation of collaborative strategies was effective in reducing the incidence of bullying and increasing students' awareness of positive behavior. In addition, there is an increase in student involvement in anti-bullying activities and stronger support from teachers. In conclusion, the collaborative strategy of the student-teacher alliance succeeded in creating a bullying-free zone at Sukaraja Elementary School. The program not only reduces bullying but also improves the overall school climate, demonstrating the importance of the involvement of all parties in bullying prevention efforts

An online, two-day educational seminar had no impact on disease-specific knowledge in patients with systemic sclerosis

Systemic sclerosis (SSc) is a multifaceted disease, and its diagnosis triggers substantial anxiety and uncertainty for those affected. Currently, there are no valid data describing the impact of disease-specific patient education on the disease knowledge available. We created a two-day, online educational seminar to provide SSc patients with disease-specific information. The primary objective of the study was to observe the change in the disease-specific knowledge of the patients. A total of 118 patients were randomized into an intervention group and a waiting list control group. The change in knowledge was assessed using a multiple-choice test. The intervention group completed the questionnaire before, directly after, and 3 months after the seminar, while the waiting list control group also took the test 3 months before the seminar to rule out nonspecific learning. The primary outcome measure was the score difference between baseline and 3 months after baseline. The study was registered in the German Clinical Trials Register (protocol code DRKS00024915). The educational seminar resulted in a small, but measurable, increase in knowledge. While the two tests in the waiting list control group prior to the seminar did not show a nonspecific increase in disease knowledge, the intervention led to a numerical increase in knowledge (mean ± sd score difference 0.34 ± 1.31, 95% CI (− 0.23; 0.86), p = 0.26) that did not reach statistical significance. Multiple linear regression analysis showed that being a member of a self-help group (β = 1.12; p = 0.03) is a positive predictor of a higher disease knowledge. Although highly appreciated by participants, a two-day online seminar may not be the most appropriate format to generate measurable disease-specific knowledge. Self-help group membership was a positive predictor of a higher level of disease-specific knowledge prior to the educational seminar and should be recommended to every affected person.