Age Of Respondents Research Articles

Fourth COVID anniversary: does our practice have changed? The case of ENT outpatient consultations in Cameroon — a national cross-sectional survey

BackgroundIn Cameroon, the COVID-19 disease has demonstrated shortcomings in preventing nosocomial infections at both collective and individual levels. This study aimed to identify practice changes in ENT outpatient consultations in Cameroon inducted by the COVID-19 pandemic.MethodsThis was a descriptive cross-sectional study that took place in March 2024. A Google Form was submitted to ENT practitioners online across Cameroon. It consisted of 20 questions grouped into socio-professional and clinical data.ResultsSixty-four practitioners responded to the questionnaire. The average age of respondents was 36, with extremes of 31 and 70. The sex ratio was 0.35 in favor of women. In terms of experience, 47.7% had been practicing for less than 10 years. A total of 91.3% practiced in public health facilities. Before the COVID-19 outbreak, attitudes towards respiratory diseases were as follows: wearing of masks by suspected patients (4.3%), information posters in waiting rooms (13%), constant use of disinfectant gel (26.1%), wearing of masks by practitioners (0%), wearing of gloves (54.5%), wearing of gowns (87%), constant hand hygiene after each consultation (26.1%), and regular surface hygiene (30.4%). All precautions were improved after 4 years of the pandemic except wearing eye protection.ConclusionENT practice has been strongly impacted by the COVID-19 pandemic, and many measures still need to be taken to improve infection control in hospitals in Cameroon.

Conspiratorial thinking in a 50-state survey of American adults.

While the NIMH Research Domain Criteria framework stresses understanding how neuropsychiatric phenotypes vary across populations, little is known outside of small clinical cohorts about conspiratorial thoughts as an aspect of cognition. We conducted a 50-state non-probability internet survey conducted in 6 waves between October 6, 2022 and January 29, 2024, with respondents age 18 and older. Respondents completed the American Conspiratorial Thinking Scale (ACTS) and the 9-item Patient Health Questionnaire (PHQ-9). Survey-weighted regression models were used to examine sociodemographic and clinical associations with ACTS score, and associations with vaccination status. Across the 6 survey waves, there were 123,781 unique individuals. After reweighting, a total of 78.6% of respondents somewhat or strongly agreed with at least one conspiratorial idea; 19.0% agreed with all four of them. More conspiratorial thoughts were reported among those age 25 - 54, males, individuals who finished high school but did not start or complete college, those with household income between $25,000 and $50,000 per year, and those who reside in rural areas, as well as those with greater levels of depressive symptoms. Endorsing more conspiratorial thoughts was associated with a significantly lower likelihood of being vaccinated against COVID-19. A substantial proportion of US adults endorsed at least some conspiratorial thinking, which varied widely across population subgroups. The extent of correlation with non-vaccination suggests the importance of considering such thinking in designing public health strategies.

The impact of demographic change on value set validity and obsolescence.

To investigate the contribution of demographic trends in countries' age and gender composition to value set validity and obsolescence. Time-trade off (TTO) valuation data from 3 EQ-5D-3L value sets of 20 years or older from the United Kingdom, Japan, and the United States were re-analyzed using Bayesian heteroskedastic Tobit models with sex and age group-specific scale parameters. Original value sets were obtained by weighting the original preference structures with the countries' original demographic composition at the time of the data collection. Updated value sets were created using the original preference structure weighted using the countries' most recent demographic composition. The differences between the original and updated value sets were monitored and compared based on 95% credible intervals. The gender and age composition of the investigated countries changed in all 3 countries over time. The modelled health state preferences also depended on the respondents' gender and age. However, the overall impact of this demographic change on the investigated value sets was negligeable in all 3 countries and this finding was robust to accounting for the impact of ethnicity trends in the United States. Value sets may become redundant and obsolete for various reasons, but demographic change was not identified as a contributing factor.

Preferences for Hypertension Care in Malawi: A Discrete Choice Experiment Among People Living with Hypertension, With and Without HIV.

Hypertension is the most common non-communicable disease diagnosed among people in sub-Saharan Africa. However, little is known about client preferences for hypertension care. We performed a discrete choice experiment in Malawi among people with hypertension, with and without HIV. Participants were asked to select between two care scenarios, each with six attributes: distance, waiting time, provider friendliness, individual or group care, antihypertensive medication supply, and antihypertensive medication dispensing frequency (three versus one month). Eight choice sets (each with two scenarios) were presented to each individual. Mixed effects logit models quantified preferences for each attribute. Estimated model coefficients were used to predict uptake of hypothetical models of care. Between July 2021 and April 2022 we enrolled 1003 adults from 14 facilities in Malawi; half were living with HIV and on ART for a median of 11years. Median age of respondents was 57years (IQR 49-63), 58.2% were female, and median duration on antihypertensive medications was 4years (IQR 2-7). Participants strongly preferred seeing a provider alone versus in a group (OR 11.3, 95% CI 10.4-12.3), with stronger preference for individual care among those with HIV (OR 15.4 versus 8.6, p < 0.001). Three-month versus monthly dispensing was also strongly preferred (OR 4.2; 95% CI 3.9-4.5). 72% of respondents would choose group care if all other facility attributes were favorable, although PLHIV were less likely to make this trade-off (66% versus 77%). These findings have implications for the scale-up of hypertension care in Malawi and similar settings.

Polish infection control nurses’ burnout in the context of cooperation of different hospital professionals during COVID-19 pandemic

BackgroundsInfection control nurses’ job are crucial for patient and healthcare workers safety. However, effective infections prevention is based on the interdisciplinary team work, involving almost all hospital employees professionals. Difficulties in cooperation in such a team, especially prolonged ones, as well as crisis situations, may cause burnout. The aim of the study was to determine burnout among infection control nurses working during the COVID-19 pandemic in the context of difficulties in cooperation with different professionals working in hospitals.MethodsThe observational study was conducted between May and September 2021, using an online survey questionnaire consisting of two parts: describing difficulties in ICNs cooperation with different hospital professionals and Maslach Inventory Burnout scale, describing emotional exhaustion (EE), depersonalization (DP) and personal accomplishment rates (PA). Correctly completed online surveys were obtained from 177 participants.ResultsMost of the respondents (176 of 177) were women, working in public hospitals (81.48%). All respondents had considerable experience in work as nurses - the median was 30 years. However, the median experience in the ICNs position was 12 years. Median age of respondents was 51 years. The median level of EE was 31.0, w ith the range 23.0 to 39.0. For DP it was 5.0, with the range 3.0 and 11.5, while for PA – 24.0 (19.0–29.0). The highest values of EE were observed in the context of high level of difficulties with cooperation with management – the median was 36.0. DP was lowest among nurses declaring the lowest difficulties in cooperation with doctors. For PA the lowest level was observed in the group declaring high difficulties in the cooperation with doctors – median 22.0, with range 14.0–29.0.ConclusionsThe surveyed ICNs had higher rates of EE and PA than nurses working with patients, both before and during the pandemic. The level of burnout found in the ICN study group reached a level correlating in other studies with the intention to quit the job. The obtained results indicate the need to include effective training in the skills of working in multidisciplinary teams and the art of communication and achieving goals by ICNs.

Post-war status of water supply, sanitation, hygiene and related reported diseases in Tigray, Ethiopia: A community-based cross-sectional study

Water, sanitation and hygiene (WASH) associated diseases remain a global public health issue and linked with Sustainable Development Goal 6. In November 2020, a war broke out in Tigray, Ethiopia, resulting in a negative health consequence. The post war status of WASH and its associated diseases are not documented. The aim of this study was to assess the status of drinking water, sanitation and hygiene practices and the prevalence of WASH-associated diseases in Tigray, Ethiopia following the war. A community-based cross-sectional study was conducted in 24 randomly selected accessible districts of Tigray, Ethiopia. A standardized questionnaire was used to collect data from households in the study. Data was collected from 2338 households. Descriptive statistics and binary logistic regression were used to analyze the data. The average age of respondents was 28.7 years (SD = 6.2). The majority of respondents 2030 (86.8%) were married and 1698 (72.6%) were rural residents. Nearly one third of the respondents were uneducated and around 40% have either radio or TV as means of communication. More than half (55.2%) of the respondents had a family size of over 5.A quarter (25%, 95% CI: 23.3, 26.8) of study participants had access to a basic water supply. Less than a tenth (7.7%, 95% CI: 6.6, 8.8) of households had access to basic sanitation. Basic hand washing was available in 2% of households. Malaria, diarrhoea, skin infection and eye infection were the common reported disease in the community. Marital status, family size, place of residence and liquid waste management were the most important predictors of reported diseases.Access to basic water, sanitation and hygiene services was low, and the prevalence of malaria, diarrhoea and skin infections was higher. There were differences in WASH services and reported diseases according to zone and place of residence (urban-rural). Post war, improved access to basic water, sanitation and hygiene services is recommended to prevent WASH-associated diseases in Tigray, Ethiopia. Furthermore, the prevention oriented policy of the country needs better implementation to reduce preventable diseases and ensure better health status in the community.

Antenatal depression and drug use among deaf and hard-of-hearing birthing parents: results from a U.S. National Survey.

This study aimed to investigate antenatal depression and drug use among deaf and hard-of-hearing (DHH) birthing parents who use American Sign Language (ASL), spoken English, or bilingually both ASL and English. DHH participants in the United States responded to the Survey on Pregnancy Experiences of Deaf and Hard-of-Hearing Women. Respondents self-reported their antenatal depression diagnoses and drug use (i.e., pain relievers, cannabis, or illicit drugs) during their last pregnancy. Poisson regression models were used to estimate prevalence ratios, adjusting for age, race/ethnicity, education, marital status, and parity. The average age of respondents (n = 587) was 35 years. Respondents were predominantly non-Hispanic white (80%), college educated (60%), and married (74%). Relative to DHH English-speakers, DHH ASL-users had lower prevalence of reporting antenatal depression diagnosis (aPR = 0.40, 95% CI: 0.23 to 0.72). DHH people who reported antenatal depression diagnosis had higher prevalence of reporting antenatal drug use (PR = 2.34, 95% CI: 1.65 to 3.33). There were no significant associations between preferred language and antenatal drug use. DHH ASL-users are less likely to report receiving an antenatal depression diagnosis compared to DHH English-speakers. Given well-documented patient-provider communication barriers among DHH ASL-users, it is unclear if the lower prevalence observed in this study is the result of inadequate or inaccessible screening during pregnancy. Future work should consider universal use of linguistically appropriate screening tools for DHH birthing parents in both clinical and research settings.

Family Death During Upbringing and Maladaptive Personality Traits

Major depression and other serious mental health concerns appear to follow parental or sibling death for many child and adolescent survivors. While grief and depression remain a central focus in bereavement research, the impact of sibling and parental death on personality development remains incompletely understood. This study focused on coarser personality adaptations that may occur in response to childhood or adolescent grief. Analysis was conducted on a crowdsourced survey sample (N = 2,398) which included respondents with parent (n = 143) or sibling (n = 102) death prior to age of 17. Parental death was associated with Callousness and Hostility as personality dimensions. Sibling death was linked to higher Callousness, Hostility, Physical Aggression, Depressivity, and Hypomanic trait scores. Callousness elevations (>1 SD) were more common among respondents classified in the sibling and parental bereavement groups (ORs of 3.02 & 2.17, respectively). Significant differences were found after control of variance associated with respondent age and childhood adversity exposure count. Parent and sibling suicide exclusions reduced trait differences between the bereaved and nonbereaved respondents. Sibling death was associated with more trait differences and larger effect sizes than parental loss. Questions remain regarding the nature of the psychological conditions that differentiate normative, resilient, and callous personality adaptations in the aftermath of early family tragedy. The prognostic value of the DSM-5-TR traumatic bereavement specifier was discussed.

ASSESSMENT OF THE COMPETENCE APPROACH OF DENTISTS OF VARIOUS SPECIALTIES IN PROVIDING MEDICAL CARE TO PATIENTS WITH INCREASED TOOTH ABRASION

BACKGROUND. This study examines the main aspects of the competence-based approach of dentists in the treatment of patients with increased tooth erasure (TSL). TSL is a serious problem that can lead to various diseases of the oral cavity, as well as tooth loss. The competence-based approach of dentists in the treatment of patients with TSL plays a key role in the prevention and treatment of this disease. A study examining the knowledge of dentists in providing care to patients with TSL will reveal the level of training of specialists in this field. This will allow us to assess the need for additional training and advanced training of dentists for the effective treatment of patients with TSL. The results of the study can be used to improve the work of dental institutions and educational programs for dentists. This will improve the quality of dental care, improve the prognosis of the disease in patients with TSL and reduce the risk of complications. AIM. To evaluate the knowledge of dental care for patients with increased tooth abrasion among dentists of different specialties. MATERIALS AND METHODS: The research is based on the results of a sociological survey using the questionnaire method of 175 dentists of different specialties. The survey of doctors was conducted according to the questionnaire developed by the authors "Assessment of professional competence in the tactics of managing patients with TSL by dentists of different profiles." The questionnaire included general information about the respondent (age, specialty), questions related to TSL (concept, complaints, symptoms, prevention of TSL, treatment), assessment of the questionnaire procedure. RESULTS. The study demonstrated a relatively low competence approach of dentists of various specialties in the prevention and treatment of patients with TSL. CONCLUSION: Dentists have demonstrated a low competence approach to the prevention and treatment of TSL. The lack of interaction between dentists in the treatment of TSL was determined. The results of the conducted sociological study, along with the high prevalence of TSL, determined the need to develop clinical recommendations for the prevention and treatment of TSL.

Experiential Marketing and Electronic Word of Mouth on Consumer Loyalty Through Consumer Satisfaction at Jember Mini Zoo Tourist Attraction

The purpose of this study was to determine the role of satisfaction in mediating the influence of experiential marketing and electronic word of mouth on consumer loyalty through consumer satisfaction at the Jember Mini Zoo tourist attraction. This study uses explanatory research. The population in this study were visitors to the Jember Mini Zoo tourist attraction. The method used in this study was purposive sampling. The age of respondents in this study was at least 18 years old with the consideration that this age can make wise decisions. Respondents were visitors to the Jember Mini Zoo tourist attraction at least 2 times. The sample size in this study was 14 x 10 = 140 respondents. The data analysis method used Structural Equation Modeling (SEM) with the Amos application. The results showed that Experiential marketing on satisfaction showed a significant positive effect. Electronic word of mouth on Satisfaction showed a significant positive effect. Experiential marketing on consumer loyalty showed a significant positive effect. Electronic word of mouth on consumer loyalty showed a significant positive effect. Consumer satisfaction on consumer loyalty showed a significant positive effect. Experiential marketing on consumer loyalty through consumer satisfaction showed a significant positive effect. Electronic word of mouth on consumer loyalty through consumer satisfaction shows a significant positive influence.

Prevalence of Perinatal Depression and Its Associated Risk Factors among Nepalese Women in Kathmandu, Nepal.

Perinatal mental health is a major public health issue that arises during pregnancy and/or after birth, with substantial implications for social, parental, and maternal functioning, as well as overall quality of life. The study aimed to determine the prevalence of perinatal depression and its associated risk factors among women who visited a maternity hospital in Kathmandu, Nepal. A cross-sectional study was conducted at the Paropakar Maternity and Women's Hospital in Kathmandu. A total of 300 women in their perinatal period were interviewed. The Edinburgh Perinatal Depression Scale (EPDS) was used to measure perinatal depression. The Poisson regression model was used to determine risk factors associated with perinatal depression. The mean age of respondents was 25.5 (SD 4.5) years; average age during their first pregnancy was 23.5 (SD 3.7) years; and 53.7% of respondents were in the antenatal period. The prevalence of depressive symptoms (EPDS ≥ 10) was 40% (95% CI 31.4% to 45.8%). Unsupportive family members (adjusted prevalence ratio [aPR] 2.23; 95% CI 1.75-2.86), postnatal period (aPR 2.64; 95% CI 1.97-3.53), complications faced during delivery (aPR 1.76; 95%CI 1.30-2.39), history of intimate partner violence (aPR 0.48; 95% CI 0.36-0.64), and first pregnancy at the age of ≤25 years (aPR 0.61; 95% CI 0.42-0.88) were identified as key risk factors of perinatal depression. Strong family support and the active involvement of partners in counselling can contribute to alleviating perinatal depression symptoms. Targeted interventions in health and well-being services should be implemented to address mental health burden during both pregnancy and postpartum periods.

Factors Associated with Self-Reported Health (SRH) among Nepalese Older Men

Background: Self-reported health (SRH) is a subjective measurement tool of overall health status. It integrates with the biological, social, mental, and functional aspects of individuals. The aim of this article is to assess the SRH and its correlates among community-living older men from Nepal. Methods: This study uses the secondary data collected by the Central Department of Population Studies at Tribhuvan University (TU). This study includes community-dwelling male elderly aged 60+ in the Pharping area of Kathmandu. For this study, there were 657 valid responses. A simple and direct question was used “In general, how do you rate your general health?” Its answer was recorded on the 5-point Likert scale “Very Good to Very Bad”. Results: The mean age of the participants was 69.51 years. The majority of respondents (75.9%) live with family members. People who reported poor SRH were 17.0%. Many of them have physical health problems (73.2%) and mental health problems (57.2%). Mental health problems, age of respondents, physical health problems, satisfaction with current living arrangements, walking efficiency, adequate income sources, Insecurity feelings, Income sufficient to fulfill the basic needs, and current working were correlated with SRH. However, linear regression shows that satisfaction with walking efficiency, physical health, and working situation, were significant predictors of SRH. Conclusion: This analysis suggests that working, walking ability, physical health problems, and financial adequacy are significantly associated with self-rated health. Identifying these variables through self-rated status can support the planning of actions aimed at improving the health of the community living older adult men in Nepal.

Professional Competence among Indian Executives

The present paper is an empirical inquiry into the implications of personal and organizationalvariables of the executives in achieving their professional targets. The study is based on the empirical datapertaining to 126 executives functioning in 126 large scale, public and private manufacturing and serviceorganization in the state of Karnataka.The study indicates, the executives in the Indian context exhibit high level of professional competence.Further, the finding indicate that, professional competence is the function of age, as the age ofrespondents increases the level of professional competence also increases. The urban background ofthe respondents seems to be distant advantage in determining the professional competence.Coming to the organizational variables the findings indicate that, executives in manufacturing firms tendto be more competent then executives in service organizations.However, the level of professional competence seems to vary in depend of sector and age of theorganization. The findings refute the general belief that, executives in the private sector are morecompetent. Further, the findings seem to suggest such beliefs are unfounded and such generalizationsare unwarranted

Assessment of the public knowledge, attitudes, and perceptions of Nigerians regarding preparedness for future pandemics

IntroductionPandemics are global health crises that have caused millions of deaths, enormous socio-economic disruptions, and considerable public and global health security consequences. This study assessed Nigerians’ knowledge, attitudes, and perceptions regarding preparedness for the next pandemics.MethodsA cross-sectional questionnaire-based national survey was conducted among 1276 respondents in Nigeria to determine public knowledge, attitudes, and perceptions of preparedness for future pandemics. Descriptive and inferential statistics were used for analyses.ResultsOf the 1276 respondents to this survey, > 50% had not heard of the Spanish flu and Zika disease. Approximately half (594) of the respondents did not consider antimicrobial resistance a possible cause of future pandemics. Over an average proportion of respondents reported unsatisfactory knowledge (655, 51.3%) and poor perceptions (695, 54.5%) about pandemic preparedness. The respondents’ good knowledge and satisfactory attitudes toward pandemic preparedness decreased with age. The respondents' education, age, and state of residence were significantly associated with good knowledge, satisfactory attitudes, and positive perceptions of pandemic preparedness with respondents with tertiary education levels being at least two times more likely to have these positive outcomes.ConclusionThis study revealed serious gaps in Nigerians’ knowledge, attitudes, and perceptions of their readiness for upcoming pandemics. To protect Nigerians’ health, emphasis should be placed on these issues by all stakeholders, including the government.

Hubungan Tingkat Activity Daily Living dengan Tingkat Depresi pada Pasien Stroke di RSUD Prof Dr Margono Soekarjo Purwokerto

Stroke is the largest cause of disability worldwide and is second to heart disease. Problems often faced by stroke patients include the inability to perform activity daily living (ADL) due to decreased motor function. This inability causes many stroke patients to experience depression. Knowing the relationship between the level of activity daily living with the level of depression in stroke patients at Prof. Dr. Margono Soekarjo Purwokerto Hospital. This study is an observational quantitative study, with a cross sectional approach. The sample used in the study was stroke patients who did inpatient Adenium Prof Dr Margono Soekarjo Purwokerto Hospital as many as 48 respondents who were taken using nonprobability sampling technique. Data collection was done using a questionnaire, then processed and analyzed using Fisher's Exact Test. The average age of respondents is 56-65 years or the late elderly category, the gender of most respondents was female (58.3%). The education level of most respondents is elementary education (43.8), while the most dominant disease history is respondents who have a history of disease (60.4%). The ADL level of stroke patients in the Adenium room of Prof. Dr. Margono Soekardjo Purwokerto Hospital was mostly in the severe category (52.1%). The level of depression in stroke patients in the Adenium room of Prof. Dr. Margono Soekardjo Purwokerto Hospital mostly had depression in the mild category (45.8%). There is a relationship between the level of ADL with depression in stroke patients in the Adenium room of Prof. Dr. Margono Soekarjo Purwokerto Hospital.

Low public awareness opens up new opportunities for highlighting milk as an iodine dietary source

This international survey provides insights into public awareness of the importance of iodine as an essential trace mineral in human health along with knowledge of iodine dietary sources. The online questionnaire included sociodemographic aspects and dietary iodine consumer awareness on 7-point Likert-type questions. A total of 4,704 questionnaires from 16 countries were considered. Answers were analyzed through a multiple regression linear model including country, gender, age, education level, and employment status as fixed effects. Respondents were moderately aware of the importance of fish (4.86) and seafood (4.90) as dietary iodine sources, but less aware of milk as a primary iodine source (3.32). Respondent awareness varied considerably across countries. Age, education level, and employment status only modified their perception when asked about fish and seafood as a source of iodine, with elderly respondents, those highly educated and of working age being more aware of their relevance as dietary iodine sources. Respondent knowledge did not vary by age, education level, employment status, or gender when asked about cereals, vegetables and fruits, meat and milk as iodine-rich food sources. Consequently, labeling milk and dairy products as an iodine-rich food source should be considered. Public authorities can consider the results from this survey in promotional campaigns to improve the awareness of different iodine sources and their beneficial effect on health.

Knowledge Regarding Respectful Maternity Care during Labor among 3rd Year Midwifery Students at Dhaka Nursing College, Dhaka, Bangladesh

Background: Respectful maternity care (RMC) is the fundamental right of the pregnant mother. It is recommended by the World Health Organization (WHO) and refers to care that maintains dignity, privacy, and confidentiality and ensures freedom from harm and mistreatment. Materials and Methods: This study aimed to assess the level of knowledge regarding respectful maternity care during labour among 3rd-year midwifery students at DNC, Dhaka, Bangladesh. A descriptive cross-sectional study was conducted with a population of 50 students who were conveniently selected from DNC, Dhaka, Bangladesh. A structured, self-administered questionnaire was used for data collection. Data were analyzed using descriptive statistics such as frequency and percentages, mean and standard deviation. This study used an Excel sheet and a scientific calculator for data analysis. Results: The result demonstrated that the mean age of respondents was 21.84 (±0.76) years, ranging from (20- 23) years. 90% of them were Muslim. Only 12% of the respondents were married. Findings showed that among all of the respondents’ (8%) had poor knowledge, (22%) had good knowledge, (18%) had average knowledge, (36%) had very good knowledge and only (16%) had excellent knowledge. The overall mean score for RMC knowledge was 76.2 ± 11.58. Conclusion: The current study concluded that respondents'' understood respectful maternity care well. For strengthening the excellent knowledge of every respondent, there needs OSCA, developing regular training programs, seminars and monitoring feedback regarding RMC is recommended

Are high school cardiopulmonary resuscitation education mandates working? Insights from a high school survey on CPR knowledge, attitudes, and readiness

BackgroundThe use of cardiopulmonary resuscitation (CPR) and automated external defibrillators (AEDs) significantly improve the chances of survival after out-of-hospital cardiac arrest. Subsequently, state laws mandate training in CPR and AED use for high school graduation. However, training and its impact vary and must be better understood. ObjectiveWe assessed the current CPR training mandates and their impact. MethodsWe performed a nationwide, cross-sectional, survey-based observational study of high schoolers in 9th to 12th grades in all 50 states from 2020 to 2022 (NCT04493970), assessing basic demographics, attitudes, knowledge and skills, and willingness to learn CPR and AED. ResultsWe had an 8% response rate, resulting in 2395 high school students surveyed. The mean age of respondents was 16.8 ± 0.7 years, with 52.5% female students. Of these, 86% underwent some form of training, and 25.1% had CPR training in the last year. Only 58.7% knew how to use an AED. Notably, 26.9% had previously witnessed CPR, and almost all (94%) realized the importance of learning CPR. Most respondents also believed recurrent and longitudinal would be beneficial. ConclusionSurprisingly, only a small cohort of students undergo CPR training even when it is mandatory. The quality of this training appears to be inadequate to impart appropriate confidence and knowledge levels. This suggests a need for a significant overhaul of CPR training mandates across the United States.

The most impactful endometriosis symptom: An international, cross-sectional, two-round survey study.

There is considerable variation in the types of symptoms experienced by people living with endometriosis, and it is unclear which symptoms impact people the most. This study aimed to identify the specific symptoms that are "most impactful" to people living with the condition. Two sequential online surveys were conducted. Women aged over 18 years with a diagnosis of endometriosis were eligible to participate. Participants first provided a free-text list of all the endometriosis symptoms they experienced (Survey 1, Australian only). Responses were condensed into a shorter list by grouping symptom types and selecting the top 20 most common and most impactful. Survey 2 (international) participants reviewed the list and selected all that they had experienced in the last 3 months, nominated one as their single "most impactful symptom", and rated its impact on one of five randomized scale types. Survey 1 and Survey 2 had 195 and 983 responses, respectively. The mean age of respondents was 30.8 ± 7.9 years. There were 275 separate symptom descriptions from Survey 1, which were condensed into 104 groups, of which 25 met criteria for inclusion in Survey 2. The most commonly experienced symptoms were abdominal pain (93% of respondents), bloating (92%), and fatigue (90%), and the symptoms nominated as causing the most impact were pelvic pain (20%), abdominal pain (15%), and cramps (7%). Nearly everyone (99.7%) in Survey 2 reported experiencing at least one pain symptom. The symptoms that generated the highest impact scores were infertility (99.8/100), irregular menstrual cycles (95.3/100), and constipation (92/100). The average impact score was 87.5/100. There was substantial variation in the symptom selected as causing the most impact, and the level of impact was high. A focus on measuring the "most impactful symptom" in future research may enable us to better capture and measure the true symptom experience.

Electricity Consumption Profile of Urban Households in Nsukka, Enugu State

In recent times, the uncontrollably rising global energy consumption has become a global problem with its attendant socio-economic and environmental consequences. Hence, this study utilized linear regression model to examine how households’ socio-economic attributes and use of appliances together determine electricity consumption and savings in Nsukka metropolis, Enugu state, Nigeria. Socio-economic variables found to have positive and significant effect on electricity consumption were age of working-class respondents, being married, household size, household active members, unemployed household members, prepaid and estimated electricity billing system, monthly income and high electricity supply hours. In terms of electrical appliances, high hours of electronics’ use per week, incandescent and LED bulbs usage, high number of bulbs, cooling hours of 9 and above per week, lighting hours of 16 and above and weekly heating hours were positively related to electricity consumption and statistically significant. We suggest that the creation of energy efficiency awareness at the household and educational institution levels should be vigorously pursued. Government should subsidize the prices of energy efficient appliances to encourage purchases by low-income earners. Constant overbilling of estimated and postpaid electricity users, as lamented by respondents in the survey, should be discouraged by electricity users. This will enable users to conserve energy and not waste energy as revenge tactics for overbilling. The promotion and full deployment of prepaid meters in the study area by electricity providers would go a long way in complementing the efforts for clean development mechanism in Nigeria.