Educational Efforts Research Articles

Multicenter exploration of specialist palliative care in patients with left ventricular assist devices – a retrospective study

BackgroundThe number of advanced heart failure patients with left ventricular assist devices (LVAD) is increasing. Despite guideline-recommendations, little is known about specialist palliative care involvement in LVAD-patients, especially in Europe. This study aims to investigate timing and setting of specialist palliative care in LVAD-patients.MethodsWe conducted a retrospective multicenter study in 2022. Specialist palliative care services in German LVAD-centers were identified and invited to participate. Forty adult LVAD-patients (mean age 65 years (SD 7.9), 90% male) from seven centers that received a specialist palliative care consultation during hospitalization were included.ResultsIn 37 (67.3%) of the 55 LVAD-centers, specialist palliative care was available. The median duration between LVAD-implantation and first specialist palliative care contact was 17 months (IQR 6.3–50.3 months). Median duration between consultation and death was seven days (IQR 3–28 days). 65% of consults took place in an intensive/intermediate care unit with half of the patients having a Do-Not-Resuscitate order. Care planning significantly increased during involvement (advance directives before: n = 15, after: n = 19, p < 0.001; DNR before: n = 20, after: n = 28, p < 0.001). Symptom burden as assessed at first specialist palliative care contact was higher compared to the consultation requests (request: median 3 symptoms (IQR 3–6); first contact: median 9 (IQR 6–10); p < 0.001) with a focus on weakness, anxiety, overburdening of next-of-kin and dyspnea. More than 70% of patients died during index hospitalization, one third of these in a palliative care unit.ConclusionsThis largest European multicenter investigation of LVAD-patients receiving specialist palliative care shows a late integration and high physical and psychosocial symptom burden. This study highlights the urgent need for earlier integration to identify and address poorly controlled symptoms. Further studies and educational efforts are needed to close the gap between guideline-recommendations and the current status quo.

From the Screen to the Streets: Technology-Facilitated Violence Against Public Health Professionals

This qualitative study sought to explore the experiences of public health professionals in Canada who were targets of harassment, abuse, and threatening behavior during the COVID-19 pandemic. Public health professionals from across Canada who held responsibility for public health measures in their respective jurisdictions participated in in-depth interviews. Using constructivist grounded theory and constant comparative analysis a cycle of violence was identified. Results revealed that as infections and deaths due to COVID-19 began to rise across the globe, participants engaged in efforts to educate the public through mainstream media and social media. While education efforts were generally positively received at the onset of the pandemic, as collective frustration with public health restrictions rose and misinformation began to proliferate, social media fueled outrage and polarization, and public anger began to focus on public health officials. Harassment, abuse, and threats on social media were followed by threats delivered through telephone and paper mail, and finally direct physical threats and confrontation—which were then glorified and amplified on social media. As reported by others, harassment and abuse were particularly virulent for public health professionals who were women or visible minority individuals. We conclude that the pattern of abuse identified in this study is reminiscent of the cycle of violence previously identified with respect to those who become radicalized on social media. These findings serve as a poignant example from which to develop guidelines for all professionals and researchers at risk of online abuse both in the health sector and beyond.

Health Education for Sustainable E-Waste Management

A combination of ever-increasing device usage and lightning-fast technological advancements has led to a critical problem: electronic waste. One technique to encourage people to dispose of their electronic waste in a more sustainable fashion is to raise their level of green literacy. Using a literature review approach, this study examines green literacy programs as they pertain to e-waste management. After that, it evaluates the programs' effectiveness and makes recommendations for further developments. This publication uses a thorough literature review technique as its research method. The scholarly sources used were journals, academic books, research reports, and policy documents. The selection of sources was based on their relevance, credibility, and contribution to understanding key themes related to green literacy, public health education, and behavior change in e-waste management practices. Additionally, the analysis focused on the intersection between educational interventions, awareness campaigns and global health initiatives, especially those targeting vulnerable populations such as children and pregnant women. The findings demonstrate that while green literacy can raise public knowledge and comprehension of the significance of responsible e-waste management, there are still obstacles to its widespread adoption. By using social media, communities, and educational institutions, green literacy has the potential to raise awareness about the risks of e-waste and the significance of recycling. However, challenges such as public apathy and limited access to recycling facilities continue to impede the implementation of green literacy. The community, along with the governmental and private sectors, must work together to address these issues and encourage the sustainable disposal of electronic trash. Ongoing education and awareness efforts utilizing many communication platforms, including social media, the media, and educational programs in communities and schools, are necessary to improve e-waste management. In order to create easily accessible recycling facilities and launch programs that reach different societal levels, the government must collaborate with the commercial sector and non-governmental organizations.

Abstract A128: Adherence to mammography screening guidelines by family history of breast cancer in Guam: Preliminary results of HIPIMR study

Abstract Background: In Guam, breast cancer is the most common cancer affecting women, accounting for approximately 34% of all cancer cases. The risk of developing breast cancer is higher for women with a first-degree relative diagnosed with the disease (FHBC). The American Cancer Society recommends annual mammograms for women aged 45-54, with the option to start screening at 40-44. For women aged 55 and older, biennial or annual screenings are advised. Our study aims to investigate the relationship between having a first-degree relative with breast cancer (FHBC) and adherence to these screening guidelines. Methods: This research utilizes preliminary data from the Hawai‘i and Pacific Island Mammography Registry (HIPIMR), a collaborative effort between the University of Hawai‘i Cancer Center and the University of Guam Cancer Research Center, which collects health and breast imaging data in Hawai‘i and Guam. Logistic regression was used to assess the association between having a first-degree relative with breast cancer (FHBC) and adherence to breast cancer screening guidelines. The analysis was conducted across different ethnic groups and adjusted for education and age. Results: The study included 1,017 women who filled out a risk factor questionnaire, including questions about FHBC, before undergoing screening mammography at a clinic in Guam from November 2023 to May 2024. Among the participants, almost 40% were CHamoru, 41% Filipino, 5% Micronesian, 7.4% Asian, and 4.4% White. Of the 1,017 participants, 18.3% reported having a FHBC, and 37.1% did not meet the screening guidelines. Women with FHBC were more likely to meet screening recommendations than those without FHBC (OR=1.63, 95% CI: 1.12, 2.38, adjusted for age and education). Micronesian women (OR=0.54, 95% CI: 0.30, 0.97) and Asian women (OR=0.50, 95% CI: 0.31, 0.82) were less likely to follow screening guidelines compared to Filipino women, after adjusting for age and education. Conclusion: Women with a FHBC were more likely to follow screening guidelines. However, a significant percentage of women in Guam do not adhere to these recommendations, particularly Micronesian women, who also have the highest rates of breast cancer in Guam. Therefore, more outreach and education efforts are needed to improve breast cancer screening adherence in this population. Acknowledgement: This research was funded by the National Cancer Institute: The University of Guam/University of Hawaii Cancer Center Partnership to Advance Cancer Health Equity, Grant U54CA143728 (University of Guam)/Grant U54CA143727 (University of Hawaii Cancer Center). Citation Format: Reina Evangelista, Su Bin Jin, John Shepherd, Grazyna Badowski. Adherence to mammography screening guidelines by family history of breast cancer in Guam: Preliminary results of HIPIMR study [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 A128.

Abstract B036: Native American cancer prevention outreach strategies: Approaches developed for outreach teams working with Native Nations and Native American urban communities

Abstract Community-directed outreach activities developed to provide cancer education and/or to promote cancer screening are quite varied and difficult to evaluate. The published literature offers few recent descriptions of cancer education efforts or interventions designed to enhance awareness of cancer risks or screening recommendations for specific underserved populations, e.g., Native Americans. Furthermore, the National Institute of Health’s guidance for Community Outreach Cores provided in Funding Opportunities for Center awards, is brief and offers few parameters and examples. This brevity is most evident in comparison with the lengthy descriptions provided for Research and Education Cores. This elusive language may be purposeful, recognizing the diversity of communities and technical assistance needed by research teams. The challenge, Outreach Cores use quite different approaches and generally do not share effective strategies that could be tested with other communities. The Outreach Core of the National Cancer Institute funded Native American Cancer Prevention Partnership (NACP), has employed several innovative strategies in the 2019-2024 funding period. To encourage increased national dialogue about culturally appropriate cancer-related outreach with underserved communities and outreach support for research teams, two strategies of the NACP Outreach Core are described. The intention is to contribute to the limited outreach literature and to inspire emerging or existing cores developing plans for engaging underserved communities and/or supporting research teams involved in community-based work. One NACP approach involves the development of a podcast series to provide cancer-related education and personal stories specifically by public health practitioners, health care providers and Native American patients, for Native American audiences. The second approach was designed to enhance research teams’ skills in reporting their activities and outcomes with communities. The Community Dissemination and Application Training (C-DAT) was developed to improve institutional and investigator capacity to conduct respectful research and share relevant research findings with Native American communities. C-DAT was supplemented with a Directory for Reaching Relatives Using Media (DRRUM), that contributes to investigators’ knowledge of dissemination venues used in Native American communities The DRRUM provides contacts and additional information on regional Native Nations or Native serving social media platforms/groups and tribal radio stations. NACP’s outreach activities are shared in an effort to initiate a Best Practices Inventory upon which outreach cores and interventions could draw. Unfortunately, evaluation continues to be a challenge, and is generally limited to reach and does not address impact. Citation Format: Nicolette Teufel-Shone, Carol Goldtooth-Begay. Native American cancer prevention outreach strategies: Approaches developed for outreach teams working with Native Nations and Native American urban communities [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 B036.

Abstract B048: Qualitative analysis of fieldnote and interview data for planning a food bank- based breast cancer screening intervention

Abstract Among individuals and communities with low-income, the experience of food insecurity is associated with greater delays in recommended mammography screening and late-stage breast cancer at diagnosis. Community-based interventions that address barriers to breast cancer screening in diverse communities of women with food insecurity can increase screening uptake, ultimately improving cancer health equity. In partnership with Sacramento Food Bank and Family Services (SFBFS), the largest non-profit provider of social services in Sacramento County, this study identified barriers and facilitators to implementing a breast cancer screening intervention in a food distribution setting, assessing the preliminary acceptability and logistical feasibility of the proposed intervention. Qualitative data about food bank distribution events and the clients served was collected over 24 weeks using participant observation with semi-structured fieldnotes and interviews, then analyzed via directed content analysis guided by the well-defined domains and determinants in the Consolidated Framework for Implementation Research (CFIR) and coded using Dedoose software. Fieldnotes were completed for 12 community food distribution events, and 20 stakeholder interviews were conducted with purposefully sampled food bank staff (N=10) and female clients (N=10) who regularly attend events. The results of this qualitative analysis identified barriers and facilitators to implementation in all CFIR domains, describing current workflows for food distribution events and existing health education efforts, capacity, client engagement logistics and modes of delivery, and resources available or needed to support implementation. Prominent CFIR determinants included characteristics of individuals, specifically the innovation recipients’ capability and motivation to receive a breast cancer screening intervention in this context. Participants often pointed out their awareness of important preventative behaviors such as nutrition while also acknowledging barriers such as time constraints, accessibility of breast cancer screening services, and culturally-specific health beliefs and practices. Determinants in the outer setting, inner setting, innovation characteristics, and process that relate to the overall theme of sustainability were identified as potential barriers including financing, the availability of resources, internal and external pressure to change, and the process of engaging with clients while they are at the food distribution event. Facilitators included buy-in from SFBFS leadership and staff, and the benefit of collaborating with reputable local partners. Intervention format should include tailored messaging that is culturally appropriate and empowers individuals to obtain recommended screening. Content of the intervention should provide interactive assistance that facilitates local support for screening eligibility and services. Overall, there was consensus that promoting breast cancer screening in the food distribution setting was beneficial and welcomed by all stakeholders. Citation Format: Charlotte L. Kerber, Julie HT Dang, Daniel J. Pasillas-Pablo, Jocelyn T. Canty, Laura Fejerman. Qualitative analysis of fieldnote and interview data for planning a food bank- based breast cancer screening intervention [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 B048.

Abstract B113: Cervical cancer stigma in the Caribbean: Implications for prevention

Abstract Background: Cervical cancer is still a major threat in the Caribbean region. Stigma may be a contributor to low screening and HPV vaccination practices, but it has been understudied in the region. The study aims to assess stigma among a Caribbean non- patient population in Jamaica, Grenada and Trinidad and Tobago. Methods: A cross-sectional study involving 1207 participants was conducted using a trans-created Cancer Stigma Scale for the Caribbean context and additional measures on cervical cancer and HPV vaccine knowledge and beliefs were added. Cancer stigma was assessed across six sub-domains Severity, Personal Responsibility, Awkwardness, Avoidance, Policy Opposition and Financial Discrimination. The data were collected online between October 2022 and March 2023. Descriptive statistics for characteristics of socio- demographic and variables associated with cancer stigma were run. ANOVA tests compared factor scores with multi categorised variables using SPSS. Results: Levels of cancer stigma were low but varied across the six domains with the severity domain showing high scores (40.1%-77.4%). The majority of the participants disagreed with banks refusing to give loans to people with cancer (85.1%). Under policy opposition (93.0%) agreed that more government funding should be spent on cancer care and treatment. Social rejection was significantly higher in Grenada when compared to both Jamaica and Trinidad and Tobago. More than a third of the participants (35.6%) agreed that the fear of family reaction and rejection may discourage women from getting a further diagnosis after an abnormal Pap smear. Younger participants showed less stigma than older participants. Those aged 18-25 also differed from those aged 26-35 and 56-65 for the factors of Policy Opposition and Severity respectively. In all cases the older age group had higher mean scores. Social impact factors of shame and social rejection are predictors of cancer stigma with p &amp;lt; 0.001 and p = 0.050 respectively. Married/cohabiting individuals had more negative responses than divorced persons across all three factors of Shame, Social Rejection and Social Isolation. The majority of our participants were female 81.4% and fell between the ages of 18-35 years (56.8%). Discussion: Cancer stigma is understudied in the Americas. Our results show that cancer stigma varies by several important factors including stigma domain, and participant demographics e.g. age and gender. The findings indicate that interventions and educational efforts targeting cancer stigma ought to be included in cancer prevention and control efforts. Targeted evidenced-based strategies for reducing stigma include featuring cancer survivors especially prominent survivors like celebrities, and employing mass media public health campaigns. A reduction in cancer stigma may lead to increased prevention, screening, and treatment of cervical cancer. Citation Format: Diadrey-Anne Sealy, Kamilah Thomas- Purcell, Althea Bailey, Gaole Song, Kimlin Ashing. Cervical cancer stigma in the Caribbean: Implications for prevention [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 B113.

Private well water stewardship in rural Georgia

This study sought to identify the psychosocial influences on the practice of well stewardship behaviors (water testing, water treatment, and well maintenance) in rural Georgia, USA. Three interventions (education, the provision of household water treatment systems [HWTS], and both education and HWTS) were evaluated using a four-group, randomized controlled trial. A total of 64 private well owners completed a pretest measuring psychosocial factors and stewardship behaviors before receiving an intervention. Following a 104-day waiting period, participants completed a posttest and interviews were conducted to identify the barriers and facilitators to use (S1 File). Pretest results showed that 34% of well owners have ever tested their water and that only 25% treat their water before consumption. The education-only intervention showed no influence on stewardship behaviors, resulted in no new water tests and had no impact on psychosocial factors. The HWTS-only intervention had no significant effect on testing and treatment behaviors, though it had a significant effect on abilities (R2 = .87, p&lt; 0.05) and self-regulation (R2 = 1.0, p&lt;0.01). The intervention of both education and HWTS had no effect on testing and no significant effect on treatment behaviors, though had a significant effect on abilities (R2 = .84, p&lt;0.05) and self-regulation (R2 = .93, p&lt;0.05). This study identified three barriers to the use of HWTS: beliefs, knowledge, and functionality. Two factors (piece of mind and ease of use) were identified as facilitators to the use of HWTS. The results of this study indicate that providing water treatment systems does not guarantee use and that current educational efforts provided by state and local health departments may be ineffective.

Evaluation of the Turkish Population's Knowledge about Dental Implants

Aim: Dental implants have become the most preferred treatment method for tooth loss. The aim of this study is to evaluate the knowledge and preferences of individuals living in Turkey regarding dental implants. Material and Method: In this research, a multiple-choice questionnaire was administered to assess individuals' knowledge levels and reasons for preference concerning dental implants. The survey was conducted online among men and women aged 18-79 who had never undergone implant treatment, residing in various provinces of Turkey. The statistical analysis of the obtained data was performed using the SPSS program and the chi-square test. Results: A total of 429 individuals participated in the study, including 196 men (45.7%) and 233 women (54.3%). Of the participants, 47.9% learned about the concept of dental implants from dentists, and 57.6% reported having partial knowledge. A majority of 67.7% preferred to have implant treatment performed by a specialist dentist. 87.8% believed that dental implants are not harmful to health after treatment. Most participants indicated that the most crucial factor in the preference for implants is the dentist's recommendation (54.2%). Conclusion: This study provides significant data for understanding the knowledge levels and factors influencing the preferences of individuals regarding dental implants. While highlighting the critical role of dentists in providing information and guidance, it also underscores the need to increase awareness about dental implants among the general population. Accordingly, broader informational and educational efforts are necessary to promote more widespread and correct application of dental implant treatments.

Peningkatan Kemampuan Literasi Pemanfaatan Simplisia Tanaman Obat Herbal untuk Kesehatan Keluarga

Indonesia has a variety of plants with various health benefits. Communities in small linkages such as families, RT, and RW can utilize family medicinal plants (TOGA) to maintain stamina so that immunity remains optimal. Educational efforts to utilize TOGA simplisia were carried out in the form of community service in Sumorame, Candi District, Sidoarjo Regency. A total of 38 participants attended the training. The methods used in this activity include counseling and workshops. The knowledge domain of traditional medicine increased by 47.6 points higher than the pretest. A total of 26 participants (68.4%) stated that they often used TOGA. The reasons for using TOGA include natural remedies (n = 22; 57.9%), maintaining stamina and health (n = 12; 31.6%), and first aid when sick before seeing a doctor (n = 4; 10.5%). During the training, participants mentioned 2 to 6 parts of TOGA with their properties. Participants received information about TOGA and its utilization from social media (15%), and mass media (10-14%). The information sources from academics are still low (3%). The community has the potential to use TOGA which can be considered to maintain health in the long term. They already know its utilization from generations and mass media information. Continuous education by academics and health workers is needed for public health and to drive the economy.

The evolution of public attention in acute kidney injury and continuous renal replacement therapy: trends analysis from 2004 to 2024.

Acute kidney injury (AKI) and the need for Continuous Renal Replacement Therapy (CRRT) are critically important health concerns. This study analyzes global and regional Internet search queries to understand public attention in AKI and CRRT over time. We used Google Trends™ to analyze search queries for AKI and CRRT from January 2004 to March 2024. The study examined global trends and detailed insights from the United States, including state-by-state breakdowns. We identified patterns, peaks of attention, and temporal trends in public attention, comparing regional variations across the US and top-ranking countries worldwide. Global attention in AKI peaked in October 2022, with Portugal, Zambia, and Spain showing the highest regional attention. Within the United States, peak attention was in February 2008. Tennessee, Pennsylvania, and West Virginia were the top states that paid attention to AKI. Attention in CRRT peaked globally in March 2024. South Korea, Saudi Arabia, and Bahrain have led the global attention to CRRT. In the United States, peak attention was in April 2020. West Virginia, Tennessee, and Kentucky showed the highest state-specific attention in CRRT. This study reveals significant temporal and geographical variations in online search patterns for AKI and CRRT, suggesting evolving public attention to these critical health issues. This knowledge can guide the development of targeted public health initiatives, enhance medical education efforts, and help healthcare systems tailor their approach to improving awareness and outcomes in kidney health across diverse populations.

Pharmacies and use of antibiotics: a cross sectional study in 19 Arab countries

BackgroundThe rise of antimicrobial resistance, which is partially attributed to the overuse and/or misuse of antibiotics in health care, is one of the world’s largest public health challenges. The distribution of antibiotics in absence of a prescription in pharmacies is a significant contributor to the growing global public health crisis of antibiotic resistance. A pharmacist’s clinical and lawful knowledge of antibiotic provide has an impact on the proper way to dispense medication. There are few novel studies assessing pharmacists comprehension and experience in prescribing antibiotics in low- and middle-income countries, including those in the Arabian region.Objectives(I) assess pharmacy team members Knowledge about antibiotics as reported by individuals themselves and their behavior in dispensing antimicrobial without a prescription and (ii) find potential influences on this behavior.SettingPharmacists were chosen from various regions in Algeria, Bahrain, Egypt, Iraq, Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Palestine, Qatar, Saudi Arabia, Somalia, Sudan, Syria, Tunisia, the United Arab Emirates, and Yemen, based on their convenience and ease of access.MethodsA descriptive cross-sectional assessment among a random sample (n = 2833) of community pharmacists was conducted Utilizing a structured, validated, and questionnaire that underwent pilot testing, a comprehensive survey with four distinct sections covering biography, knowledge, practice, and attitude domains was employed.The main outcomeMeasures were knowledge, attitude, and practice toward dispensing antibiotics without prescription.ResultsOf the 3100 pharmacists reached, 2833 completed and return the questionnaires (response rate 91.3%). Most of the respondents were male (57.4%). Aged between 19 and 31 years old (76.2%). Most of them held a B.Sc. Degree (78.5%). Worked as staff pharmacists (73.2%). During the survey, it was discovered that there were gaps in their knowledge regarding antibiotic usage. A total of 45.7% of the respondents were unaware that antibiotics can be used as prophylaxis, while 33.3% did not recognize the consequences of making incorrect antibiotic choices. Regarding their practice patterns, 53.8% of the pharmacists admitted that they did not consistently adhere to guidelines when dispensing antibiotics. In terms of attitudes toward antibiotic usage, 36.8% disagreed with the guidelines of not supply antibiotics without a prescription, suggesting some variation in opinions among pharmacists on this matter. Additionally, a significant percentage (75%) believed that community pharmacists had qualifications to prescribe antibiotics for infections.ConclusionThe recent survey has shed light on the differences among pharmacists in regard to dispensing antibiotics without prescriptions and their understanding of resistance. The findings are concerning, indicating a deficient in of knowledge as regards the use of antibiotics. It is crucial to implement regulations and enhance education efforts to tackle the growing problem of resistance. Collaboration between healthcare professionals and awareness campaigns is essential in addressing this issue.

Systematic Literature on the Reform Efforts in Education in the United States

Education reform aims to create equitable learning environments for all students, fostering their contributions to American society. This study explores public concerns and strategies in education reform, utilizing ethnomethodology as its theoretical framework to examine practical reasoning methods. Reform efforts emphasize social collaboration and state directives, rooted in citizens' lived experiences. Key components include high standards and accountability, authentic assessment, active learning, community building, lifelong learning, and character education. The No Child Left Behind (NCLB) and Every Student Succeeds Act (ESSA) are pivotal in American politics, driving educational and social progress. NCLB emphasizes academic growth for disadvantaged students, while ESSA aims for equitable, high-quality education for all, preparing them for higher education and careers. Future research recommendations focus on individual instruction and strategies for active student engagement.

Predicting Pornography Use Based on Mental Health and Quality of Communication with Parents.

Pornography, encompassing explicit images, videos, audio, and written content, has adverse impacts on individuals' well-being. We aimed to explore the relationship between mental health and communication quality with parents and the use of pornography, considering the moderating effect of gender. Quantitative data collection and descriptive-correlation analysis were employed. The study included university students in Tehran, Iran during the 2021-2022 academic year. Through purposive sampling, 210 participants completed an online questionnaire on Porsline. The survey assessed pornography use, quality of communication with parents, and general health. SPSS 23 software facilitated correlation and hierarchical regression analysis. Gender significantly influenced pornography use (β=0.557). Anxiety symptoms (β=0.45) and social dysfunction (β=0.351) had significant positive effects on pornography use. Moreover, quality of relationships with parents, both mother (β=-0.47) and father (β=-0.27), exhibited negative associations with pornography use (P=0.01). High quality relationships with parents, lower anxiety and social dysfunction could potentially decrease the likelihood of pornography use on the internet. It is recommended that educational efforts and cultural interventions focus on protecting young adults from the negative effects of pornography use. Such interventions may include psychoeducational training on effective communication skills, mental health literacy, and stress management skills.

Exploring cooperative learning as a tool in civic education

ABSTRACT Background Civic participation is a fundamental element of democracy; therefore, upholding and supporting civic participation, especially among the upcoming generation, is important. Political efficacy – an individual’s understanding of their capacity to participate in civic life – has been found to exert an important influence on the expected civic participation of adolescents. The study reported in this article considers how civic participation can be supported through educational efforts to promote students’ political efficacy. Purpose The study is based on a formative intervention project in the tradition of cultural−historical activity theory (CHAT). Cooperative learning techniques were used in a Norwegian social studies classroom with students aged 13 and 14 to explore how the experience was connected to the students’ political efficacy. Methods The data underlying the research were drawn from focus group interviews with 14-year-old Norwegian students, in which the students evaluated and elaborated on their experiences in the cooperative learning period. Findings Cooperative learning has the potential to enhance students’ political efficacy, mainly by providing students with opportunities to practice democratic skills and through peers functioning as political role models. However, the students’ responses point towards tensions within the student group and between the classroom as a unit of learning and the expectations of the classroom as a unit of individuality and evaluation. These key contradictions may hinder the realisation of cooperative learning classrooms and limit the rehearsal space that could be favourable for political efficacy. Conclusions The study illustrates how using cooperative learning in the social studies classroom can be a way to enhance students’ political efficacy. Simultaneously, the classroom context contains historically developed contradictions that shape the students’ understanding of their classroom experiences.

PSLBI-4 Influence of gender on animal science research funding from the National Institute of Food and Agriculture

Abstract According to the National Academies of Sciences, Engineering, and Medicine, females and males in science disciplines obtain bachelor’s degrees at or near parity, yet females are not equally represented in academic faculty positions. This is true for agricultural fields including the animal sciences. The USDA’s National Institute of Food and Agriculture (NIFA) administers the Agriculture and Food Research Initiative (AFRI), a flagship competitive grants program that funds research, education, and extension efforts with a total appropriation of $445 million in 2024. Our objective was to determine the difference between genders for submission rates (i.e., number of standard and seed grant applications submitted), peer reviewers of grant applications, and success rates (i.e., number of grant awards/number of applications submitted) in the main animal related AFRI program area priorities. All applications submitted to AFRI programs in animal genomics, reproduction, health, nutrition and growth, and welfare during yr 2013-2022 were evaluated. Gender was assigned to Project Directors (PD) and peer reviewers using first names as input into Gender API software (Gender-API.com; Passau, Germany) with ≥ 95% accuracy and ≥ 20 database occurrences used as quality filters and binary outcomes only (i.e., male or female). Effect of gender on submission rates, peer review panel compositions, and success rates were then analyzed using Pearson’s Chi-squared tests with P ≤ 0.05 considered significant. Results: A total of 3,757 applications were submitted, of which 2,761 (73%) PD genders were assigned and analyzed further. Overall, the proportional submission rate for females was 28% and for males was 72%. Submission rates for females increased (P = 0.0614) over time ranging from 22% in 2013 to 33% in 2021. Submission rates differed by gender across programs (P &amp;lt; 0.0001) and ranged from 23% female in animal reproduction to 48% female in animal welfare. Across 48 panels, 41% of panelists were female; no differences were identified for the proportion of female panelists over time (P = 0.9509) or by program (P = 0.9298). Overall, the funding success rate for females was 23% and for males was 22%. Success rates did not differ between genders over time (P = 0.9080) or by program (P = 0.9094). Females submitted less than one-half as many applications as did males, but the proportion of submissions by females increased over time. This trend remained consistent despite challenges of relocation of NIFA and COVID-19 during this time. Overall, the proportion of NIFA panelists who were female exceeded the proportion of applications submitted by females. Funding success rates did not differ by gender and increased for both genders over time. These results indicate that although differences in gender existed for application submission rate and panel composition, these differences did not impact funding success rate of applications in animal science programs at NIFA, which did not differ between genders.

DEVELOPMENT POP-UP BOOK: A LEARNING MEDIA TO REDUCE FOOD LOSS AND FOOD WASTE IN JUNIOR HIGH SCHOOL STUDENTS

The development of interesting learning media needs to be done to attract students' interest. Food loss and food waste are quite serious problems because the effects of food loss and food waste are very detrimental to humans. One of the learning media that can be developed as an educational effort related to the problem of food waste and food loss, namely pop-up books. The purpose of this study was to determine the results of the validity, effectiveness, and practicality of pop-up books to train students to reduce food loss and food waste. The research design used research and design (R&amp;D). The participants in this study were class VII in one of the Surabaya city junior high schools in the Even Semester 2021/2022. The instruments used in the study, namely: feasibility test instruments for media experts, media feasibility test instruments for material experts, food loss and food waste literacy questions, and response questionnaires. Data collection techniques, namely: written tests, observations and surveys with paper &amp; pencil. Data analysis techniques for validity use a Likert scale by finding the average, effectiveness is analyzed using Normalized change, and practicality is analyzed using a response questionnaire by finding the percentage of each indicator. The results of this study, material expert validators obtained a percentage of 90% and media expert validators obtained a percentage of 93%. The effectiveness of this media obtained a score of &lt;c&gt; = 0.67 with the interpretation of moderate improvement. The practicality of this media obtained a percentage of 93% with a very good interpretation. Pop-up book food loss and waste is a feasible media to be used in learning to train and reduce food loss and food waste.

What are the character values contained in martial arts and how are they integrated into Character Education? Literature review

Character education is not easy to do in the world of education. Need a good synergy between a series of ongoing learning. Especially with sports specifically taking a role in character education efforts. To achieve physical education by using sports, one part of sports is martial arts. This research departs from the idea that martial arts training provides an opportunity to teach character with the value of traditions and activities contained therein. With different activities and customs from several martial arts and lasting for a long time will form habits (including character values) to behave as designed. The research was conducted using literature review. Data base searching used by Scopus and then analysed with PRISMA Steps. The search was conducted in Scopus using the keywords "value AND education AND in AND martial AND arts", "discipline AND education AND in AND martial AND arts and "the AND value AND of AND discipline AND in AND martial AND arts". After reviewing based on PRISMA steps, 17 relevant articles were obtained. Based on the analysis conducted, there are character values in martial arts (Silat, Tae Kwon do, karate, Judo, Wushu, MMA, Wrestling). Both internalization processes occur through continuous habituation with cultural customs that are unique to each branch of martial arts. The cultivation of character values is also influenced by the quality of the trainers as well as the mastery of character, techniques, and tactics in the martial arts. It is important to note that character education through martial arts is very effective and must be well designed, including in routine activities, ceremonies, exercises, and levels. This process needs to be familiarized and guided by experts who understand cultural techniques and tactics. Keywords: Discipline, character values, character education, martial arts.

A Survey on the Management of Patients with Severe Traumatic Brain Injury During Pregnancy: The MAMA Study.

Trauma, including traumatic brain injury (TBI), is the leading cause of nonobstetric maternal mortality during pregnancy. Few data are available regarding the optimal management of pregnant patients with TBI, leading to a lack of dedicated guidelines. We performed an international survey to examine the management of severe TBI in pregnant patients, focusing on monitoring, therapy, and intensive care practices. This survey, endorsed by the World Society of Emergency Surgery, was composed of a questionnaire with 79 items divided into four sections: (1) general information (items 1-7), (2) management of the maternal-fetal unit (items 8-43), (3) management of intracranial hypertension (items 44-76), and (4) specific considerations (items 77-79). One hundred and twenty-two physicians from 110 centers in 35 countries responded. The main findings related to TBI care in pregnant patients included the following: (1) a lack of availability of a specific TBI protocol in pregnancy; (2) an increase in the utilization of magnetic resonance imaging as the primary neuroimaging tool; (3) higher hemoglobin thresholds for transfusion; and (4) a lower utilization of therapeutic hypothermia, neuromuscular blocking agents, and barbiturate coma. We also report large variability in the timing of cesarean section in pregnant patients with TBI (≥ 23weeks of gestation) needing an emergency craniotomy (simultaneously 23% vs. later cesarean section 50.8%). Great variability in the management of pregnant patients with severe TBI was identified worldwide from the results of our survey. These findings, highlighting the lack of robust evidence on this topic, will be helpful to stimulate future investigations and to promote educational efforts on this difficult scenario.

Contributions and Impact of Health Communication Research to Vaccination Efforts and Acceptance

ABSTRACT Vaccines (a medical product) and vaccination recommendations (expert advice on who should receive, when, and how often) have grown in importance and prominence in the past 15 years, including because of a recent COVID-19 pandemic. This essay highlights contributions from vaccine and vaccination-related health communication research since 2010. This research has had significant impacts – that is, visible and discernible positive effects – on the ways health communication is undertaken broadly (e.g. at the campaign level) and at the health care provider-patient level (e.g. conversations with parents and patients regarding vaccine benefits, risks, and safety). As this essay illustrates, health communication research has resulted in greater use of formative research to guide vaccination campaign and education efforts, better identification and understanding of the factors behind vaccination delay and declination, and greater recognition that communication efforts can fail to achieve desired outcomes or generate unintended consequences. Health communication research has also documented the powerful influence of healthcare provider communication on parent and patient understanding and compliance with immunization recommendations. Importantly, this research has also shown the characteristics of provider-patient communication matter much. Healthcare providers must have or establish a high degree of trust, be well-versed in vaccine efficacy and safety, and be adept at using their personal experiences, information tailoring/personalization, and evidence-based communication strategies to increase the likelihood of success.