Good Awareness Research Articles

Evaluation of the current use and impact of the United Kingdom Clinical Pharmacy Association (UKCPA) handbook of perioperative medicines

Abstract Introduction Originally a paper-based resource, the UKCPA Handbook of Perioperative Medicines1 moved online in 2019 and the website was updated in March 2024, with improved functionality. The resource aims to standardise management of medication during the perioperative period by providing evidence-based advice and guidance for healthcare professionals, removing the need for local Trust guidelines. Aim To evaluate current use of, and opinions of users of, the UKCPA Handbook of Perioperative Medicines. Methods Usage data, including engagement rate and time and frequently accessed monographs, was obtained for 4th-March-2024 to 29th-May-2024 from Google Analytics and the website dashboard. Further usage information and user opinion was collected using a 9-question survey hosted on Survey Monkey and disseminated via UKCPA’s ‘X’ account and Surgery and Theatres Committee, plus NHS England non-medical pre-operative association network. Ethical approval was not required as this was a service evaluation.2 Results Analytics Most (79%, 23158) users are from the United Kingdom where the engagement rate is 64%. Outside the UK most users are from Australia (1858), Ireland (785) and the United States (575). The average engagement time is 3-minutes and 42-seconds. Frequently accessed monographs include antiplatelets (aspirin, clopidogrel), direct oral anticoagulants (apixaban, edoxaban) and diabetic medication (sodium glucose co-transporter 2 inhibitors, insulin). Survey Of the 237 responses received, individual question completion rates varied. 72% (170) of respondents were aware of the Handbook of which 89% (151) use it, with 22% (34) having it as their sole resource. Respondents were predominantly from NHS secondary care sector and comprised of pharmacists (24%, 58), pre-assessment nurses (21%, 49) and anaesthetists (19%, 44). Most (84%, 133) users access it via desktop. 85% (132) of respondents either “strongly agreed” or “agreed” that it has a professional appearance, 82% (128) that it has good search functionality and 80% (126) that they could find the required information. Discussion and conclusion The Handbook is mostly accessed within the United Kingdom, where it has a good engagement rate.3 However, there is usage on a global scale from countries including Australia, Ireland, USA, NZ, Canada, and Germany. Monographs for medicines considered ‘high-risk’ or where there is potential controversy about their perioperative management are the most accessed. There is good awareness of the Handbook from respondents, with the majority of those familiar with it using it in their area of work. It is expected that those who are aware of the Handbook would be more likely to respond to the survey. The Handbook is mainly used within the NHS secondary care setting, where most surgical procedures take place. However, it is likely that due to how the survey was disseminated, this influenced the healthcare professional groups that responded. In general, the Handbook is deemed to have a professional appearance, good search functionality and includes information that healthcare professionals require. The aim of the Handbook is to provide a standardised, evidence-based resource for healthcare professionals for perioperative medicines management. The survey results indicate that there is still variation in practice with centres choosing to use it in conjunction with other guidelines as opposed to their sole resource.

Patterns of handwashing among healthcare workers in APIN Public Health initiatives supported states in Southwest Nigeria

BackgroundEffective hand hygiene is crucial for preventing healthcare-associated infections (HAIs) among healthcare workers (HCWs) and patients. This study aimed to assess handwashing practices among HCWs providing routine HIV care to People Living with HIV (PLHIV) and to compare hand hygiene patterns among clinical and non-clinical health workers in APIN Public Health Initiatives-supported states in Southwest Nigeria.MethodsA cross-sectional study was conducted among HCWs providing routine HIV care to PLHIV in selected healthcare facilities across APIN-supported states (Oyo, Ogun, and Ondo) from January to June 2024. Data on handwashing patterns and compliance factors were collected using a semi-structured questionnaire. A total of 588 respondents were recruited using multi-stage stratified cluster sampling. Descriptive analysis was performed, hand hygiene patterns among clinical and non-clinical health workers were compared, and chi-square statistics determined the associations, with a p-value of < 0.05 considered significant.ResultsThe study found that 56.5% of participants had good awareness of handwashing practices, and 54.6% demonstrated good compliance. Additionally, 65.5% reported washing hands before and after routine activities. Handwashing awareness (60.3%) and compliance (60.5%) rates were highest among clinical professionals. Major barriers to handwashing included inadequate water supply, lack of materials, being too busy, and forgetfulness. Profession was significantly associated with hand hygiene awareness (odds ratio [OR] = 1.504, confidence interval [CI] = 1.075–2.104), while age (OR = 0.613, CI = 0.442–0.851) and profession (OR = 1.888, CI = 1.347–2.645) were significantly associated with compliance.ConclusionThe study highlights suboptimal handwashing practices among healthcare workers, with non-clinical workers demonstrating lower awareness and compliance to hand hygiene standards compared to clinical staff despite working in the same environment. Therefore, future tailored training sessions and interventions should be prioritized for non-clinical health workers.

Evaluating Dentists' Understanding of Dry Mouth Management: An International Cross-Sectional Study.

Studying dentists' knowledge of dry mouth management is crucial for effective diagnosis and treatment, improving patient outcomes and oral health. This study aimed to evaluate their knowledge and awareness of dry mouth and its predictors. A pre-validated online survey was administered to a convenience sample of dentists across six countries. The questionnaire evaluated knowledge in various domains, including predisposing factors, diagnosis, clinical signs and symptoms, and management of dry mouth. A total of 884 dentists participated. Knowledge and awareness of dry mouth management varied significantly between countries (p < 0.05). Overall, 34.3% of participants demonstrated good knowledge, while 53.7% had moderate knowledge. Regarding management awareness, 55.4% had good awareness and 35.5% had moderate awareness. A majority (69.2%) showed good knowledge of common signs, symptoms, and consequences of dry mouth. Significant predictors of better knowledge and awareness included the country of practice and attendance at continuing education courses on dry mouth. The findings suggest that dentists in the surveyed countries require improved education on dry mouth and its management. Dental educators and healthcare planners can use this data to design targeted continuing education activities to enhance knowledge and awareness of dry mouth.

Self-awareness Regarding Obesity and Specific Therapy in Patients with Overweight or Obesity and Cardiovascular Diseases from Moscow Region

Objective: Despite the proven effectiveness of lifestyle interventions and specific medications in the treatment of obesity, little is known about their use in real-world practice. . Aims: To study the awareness of patients about the problem of overweight/obesity, as well as the clinical practice of non-drug and drug therapy according to the survey Material and Methods: Eligible patients were recruited from the prospective outpatient registry of patients with cardiovascular diseases. The design of the study was a cross-sectional cohort singlecentre. All of the included patients completed a specifically designed questionnaire. The study included 295 patients (mean age 66.8 ± 11.8 years) with a body mass index (BMI) of ≥ 25 kg/m2. One hundred eight (36.6%) individuals were overweight, 124 (42.2%) had first-class obesity, 42 (14.2%) had second-class obesity, and 21 (7.1%) patients had third-class obesity. Results: 252 patients (85.4%) were informed of being overweight/obese, and all of them received non-drug recommendations for the treatment of obesity. Anti-obesity medications (AOM) were recommended only to 25 (8.5%) patients: 3 – overweight, 11 – obesity class I, 6 obesity class II, and 5 – obesity class III. Twenty-one (7.1%) patients took the prescribed medications (84% adherence). The drugs were more often taken by patients with class II and III disease (40.5% and 57.1% of patients, respectively). Overweight (8.5%) and class I obesity (18.0%) patients took these drugs less often (p &lt; 0.0001). Conclusion: The results of the survey have demonstrated good awareness of patients about their obesity/overweight and quite frequent use of non-drug obesity therapy. However, the rate of AOM prescription was extremely low.

Parental Awareness, Understanding, and Factors of Stunting among Preschool Children

Undernutrition, including stunting, is a global issue, with significant prevalence in Asia, including Malaysia. Stunting, characterized by low height-for-age in children under five, is a critical health concern. This study focused on parents in Puncak Alam, Selangor, to assess their awareness and understanding of stunting factors. Using a cross-sectional quantitative approach with 137 participants, the study found that most parents had a good awareness and understanding of stunting. Parental education emerged as a key factor influencing understanding. These findings can guide policymakers and health professionals in reducing stunting and improving children's health in Malaysia.

Knowledge and awareness regarding thyroid disorder among paramedical students

Background: Thyroid disease ranks as the second most common endocrine disorder worldwide, following diabetes. In India, the prevalence mirrors global trends, with approximately 42 million individuals affected, accounting for one in ten adults. Methods: A cross-sectional study was conducted with 1064 paramedical students aged 18-25 years. The study received approval from the institutional ethics committee, and informed consent was obtained from all participants. Data on knowledge and awareness were collected using a questionnaire. Statistical analysis, including frequency, mean, standard deviation, percentage was performed using SPSS version 2.0. Results: The study found that 31.86% of students had a low level of knowledge about thyroid disorders, while 24.90% demonstrated a high level of knowledge on thyroid symptoms. Additionally, 8.17% of students showed good awareness of thyroid disorders, whereas 42.01% had low awareness levels. Third-year students aged 20-22 exhibited higher awareness (12.40%) of lifestyle factors and preventive measures affecting thyroid health. Conclusions: There were significant gaps in knowledge and awareness of thyroid disorders among paramedical students. Enhancing education and outreach efforts could help bridge these gaps, empowering individuals to recognize symptoms, seek timely diagnoses, and access appropriate treatment.

INCREASING PUBLIC AWARENESS IN DRUG USE THROUGH SMART COMMUNITY MOVEMENT USING DRUGS (SCMUD)

The community tends to try to overcome health problems through easier and more cost-efficient methods. This triggers the tendency of the community to self-medicate. Self-medication is the use of drugs by individuals, not based on a doctor's prescription, but based on the individual's initiative. This community service aims to increase awareness of using drugs through Smart Community Movement Using Drugs (SCMUD) in the Bulakdawung community, Parang village, Banyakan district, Kediri regency. The activity was carried out on May 17, 2024, by providing Health Counseling to mothers who accompany their children to study groups, with lecture and question and answer methods, the media used was the leaflet of awareness of using drugs. The results of the activity were 21 mothers with most elementary school education backgrounds (80.95%), work as housewives (95.23%), less knowledge about awareness of using drugs (71.42%), good attitudes awareness of using drugs (66.67%) and drug use behavior in the family (80.9%) and those lacking 19.1%. After being given health education regarding the safe use of drugs through the Smart Community Movement Using Drugs, the community increasingly understands and carries out awareness to avoid the negative impacts of self-medication and provide appropriate treatment for family members who are sick and utilize health service centers appropriately. It was concluded that the activity can increase public awareness in the use of drugs through health counseling.

Assessment of self-care practices & associated factors among hypertensives in urban slum areas of Mysuru city: A community-based cross-sectional study.

Background & objectives Hypertension is a significant modifiable risk factor for cardiovascular diseases (CVDs) and premature mortality worldwide, particularly affecting low- and middle- income countries (LMICs). This study focused on evaluating self-care practices among hypertensive affected individuals in urban slum areas of Mysuru city, India, and explore associated factors and their relationship with hypertension control levels. Methods A community based cross-sectional study was carried out from March 2022 to August 2023, enrolling 650 hypertensive affected individuals from 63 urban slums of Mysuru city. Data on sociodemographic characteristics, self-care practices, and hypertension control were collected using structured questionnaires and standardized scales. Descriptive statistics and chi-square tests were used for data presentation and analyses. Results Among the participants, 62.9 per cent reported poor self-care awareness, and only 37.1 per cent had good self-care awareness. Factors such as age group, education, occupation, type of family, marital status, socioeconomic status, and hypertension control showed significant associations with self-care scores (P≤0.001). However, no significant association was found between gender and self-care scores. Interpretation & conclusions This study highlights the critical need for comprehensive interventions integrating self-care awareness into existing health programmes to address the growing burden of hypertension, particularly in urban slum populations. By prioritizing self-care education and empowerment, healthcare stakeholders can equip individuals with the necessary knowledge and skills for effective hypertension management, thus improving health outcomes at individual level and also reducing public health impact of hypertension.

Brain health and national neurological societies: Results of the European Academy of Neurology survey on brain health awareness and areas of implementation for European countries.

The European Academy of Neurology (EAN) has adhered to the global plan for reducing the burden of neurological disorders and promoting brain health launched by the World Health Organisation (WHO), the WHO Intersectoral Global Action Plan on Epilepsy and Other Neurological Disorders. This study reports the results of an EAN survey among national neurological societies (NNSs) on their awareness of brain health policies. The EAN survey on the current state of national brain health policies was conducted among the 47 presidents of the NNSs affiliated with the EAN, with the aim of developing the best strategy for close collaboration among stakeholders. From June 2023 to February 2024, 36/47 responses (77%) were collected. Among respondents, 67% were in contact with their Ministry of Health and 78% were aware of and in contact with one or more national neurological patient organisation, while 17% had no contacts with any association. Ninety-two percent declared a high to medium degree of awareness of the need to support brain health and of brain health plans and strategies in their country. Our findings suggest good awareness of the importance of brain health and of the strategies implemented at the national level among the EAN-affiliated NNSs and representatives. Efforts towards improvement may be directed towards cooperation between NNSs and political institutions, as well as patient organisations, to optimise brain and global public health and neurological care in each country.

Use Of Digital Technologies In Prosthodontic Clinical Practice Among Prosthodontists In Tamilnadu And Pondicherry

Background: Digital dentistry includes treatments performed by means of digital or computer-controlled components rather than using mechanical or electrical equipment. The advancement of digital technology and the commencement of Computer-Aided Design (CAD) and Computer-Aided Manufacturing (CAM) and 3D printing has brought large changes to the traditional manufacturing method, where manual work is carried out after oral impression taking. Aim: To conduct a questionnaire survey on use of digital technology in prosthodontic clinical practice among Prosthodontists in Tamilnadu and Pondicherry. Materials and methods: A cross-sectional questionnaire based online survey was undertaken amongst 183 Prosthodontists in Tamilnadu and Pondicherry (Group 1 – Both private practitioners and teaching faculty, Group 2 – Private practitioners, Group 3 – Teaching faculty). The questionnaire consisted of 21 questions which evaluated their awareness, knowledge and practices towards digital dentistry. Statistical analysis was done using Chi-square test in each group, using Statistical Package for the Social Sciences (SPSS) version 23.0. The p-value 0.05 was considered significant. Results: Majority of the study participants were private practitioners in the age group of 25 – 45 years(93%).Among the three groups private practitioners had good knowledge, practice and awareness about the application of digital technologies. Conclusion: Most of the participants were aware about digital technology in dentistry. The private practitioners showed better understanding about the digital technology. However, to make them familiar with CAD/CAM, dental education programs, workshops and hands on program should be conducted which will enable an emerging dentists who will be well versed with digital dentistry.

Pola Preferensi Politik Pemilih Pemula Di Kota Makassar

First-time voters are a fairly large segment of voters. This shows that First-Time voters are a large resource in politics in Indonesia. Indonesia as a democratic country certainly expects every element of society to be actively involved in every democratic process, including the first-time voter segment. First-time voters as an important segment then have quite good political awareness. Through this political awareness, a pattern of political preference formation will then be formed. First-time voters as a large political resource are of course highly expected to be able to participate, at least voting in elections. So far, existing research regarding First-time voters only places as mere objects. However, this research then examines in more depth the patterns of political preference formation that will influence the political behavior of first-time voters. This research is qualitative research with primary data obtained through in-depth interviews with high school students as research informants. Based on the research conducted, it appears that First-time voters in Makassar City have quite good political awareness, which is an implication of their better political knowledge. So, when making choices in an election, First-time voters have a tendency to make their own choices based on their political preferences. The pattern of forming political preferences of first-time voters is sociology, rationality and psychology. Keywords: Firs-time voters, Political Preferences, Political Awareness

Justice-centered best practices for accessibility to public buildings in a tier II city: Insights from a Delphi expert consensus

Background Despite beneficial progress in policies, awareness and advocacy, accessibility gaps exist in public buildings in India. Challenges achieving full inclusivity still exist, due to a lack of clear guidance for implementing accessible solutions. Retrofitting older buildings, particularly in developing tier II cities is a major challenge. The authors of this paper aimed to address this issue using a four-round Delphi method to generate a Justice-Centered Best Practices (JCBPs) for accessibility provisions for individuals with mobility disabilities. Methods Conducted in Udupi, the study involved experts including administrators, policy implementers, auditors, advocates, healthcare professionals, individuals with disabilities and their caregivers. In the first round, a 117-item list was generated through triangulation of three methods. In subsequent rounds, experts rated each item using a 5-point Likert scale on feasibility, affordability and priority. Responses were considered valid if the agreement reached ≥80% on the total score. The prioritised list of JCBPs was finalised at a consensus meeting. Results Out of forty-eight experts who began the study, 16 participated in the final meeting. The Wilcoxon signed rank test (p value&gt;0.05) of expert ranking indicated that the scoring of items remained consistent between the two rounds. A machine learning decision tree analysis identified items securing ≥ 80% agreement as the most reliable decision with an accuracy=71.43%. The McNemar’s Test p value=0.79 confirmed consistency of expert scoring on the items with high agreement rates. Conclusion Finally, 33 built and non-built environment items scored highest rank. Stakeholder engagement, use of low-cost technology solutions, coordination between public administrations, funding, good governance practice, awareness, and advocacy were few of the solutions that can help ensure accessibility is in place for individuals with mobility disabilities. The study methodology and findings create a robust foundation for evidence-based JCBPs for accessibility provisions for individuals with mobility disabilities.

Ergonomic awareness and practices to prevent musculoskeletal disorder among healthcare workers in UAE: A cross-sectional study

BackgroundHealth professionals are at a higher risk of developing WMSD due to the nature of their work. Ergonomic awareness and practice promote workers' general well-being and safety in the workplace. AimAssess the ergonomic awareness and practice among healthcare workers in the UAE, its relationship with demographic variables and determine the prevalence of musculoskeletal disorders (MSDs) in this population. MethodThis was a cross-sectional study among 307 healthcare workers from hospitals in Dubai, Ajman, and Sharjah in the UAE. A self-administered online questionnaire was used for data collection. Chi-square tests were used to assess associations between variables. ResultsIn the present study, the majority were female (77.4%). Concerning the nationalities, non-EMR (71.4%) and EMR (28.6%). The majority fell within the age group of 30–39 (39%). Regarding work experience, 58% had over ten years of experience. Results showed that 89.3% had good ergonomic awareness, while 63.5% demonstrated good ergonomic practices. Musculoskeletal Disorders (MSDs) were reported by 89.6% of participants, with the most common areas of pain being the lower back, neck, and shoulders. Education level was significantly associated with ergonomic awareness (p < 0.05). Age (P < 0.05) and years of experience (P < 0.01) were significantly associated with ergonomic practice. A significant association was observed between MSD and ergonomic awareness (P < 0.01), with good awareness associated with reported pain. ConclusionA significant occurrence of musculoskeletal disorders (MSDs), particularly in the neck, low back, and shoulders. The association was observed with education and ergonomic awareness, age and years of experience with practice and MSD and awareness.

Awareness on obstetric fistula and associated factors among women health development army, in the South Gondar zone, Amhara region, Ethiopia: A cross sectional study.

Obstetric fistula is a severe birth injury that profoundly impacts women's health, social well-being, economic stability, and psychological state. While it can be prevented with timely emergency obstetric care, a significant barrier in many developing regions, including the study area, is the lack of awareness among women. This study aimed to evaluate the level of awareness about obstetric fistula and the factors influencing it among the Women Health Development Army in the South Gondar zone of the Amhara region, Ethiopia, in 2020. A community-based cross-sectional study was done from July to December 2020, involving 633 women. Participants were selected using a multistage stratified sampling method. Data were collected using a pretested, interviewer-administered structured questionnaire. Data entry was performed using EpiData version 3.1, and analysis was conducted with SPSS version 23.0. Multivariable logistic regression models were employed to identify influencing factors, with a p < 0.05 considered statistically significant. This study found that 55.3% (95% CI, 51.6%-57.2%) of study participants had a good awareness of obstetrics fistula. Significantly associated factors include; no history of ANC (AOR = 0.52: 95% CI, 0.31, 0.86), living >30 min away from a health facility (AOR = 0.43: 95% CI, 0.23, 0.81), no history of abortion (AOR = 0.37: 95% CI, 0.19, 0.72), Injectable and implant users (AOR = 3.60: 95% CI, 1.98, 6.53), having four to six pregnancy (AOR = 1.87: 95% CI, 1.22, 2.87) and lack of communication material in the house (AOR = 0.19: 95% CI, 0.10, 0.37). This study found that 55.3% of women have a good awareness of obstetrics fistula. ANC follow-up history, abortion history, type of family planning, type of communication, number of pregnancies, availability of health facility, and distance of health facility were significantly associated with awareness of obstetric fistula. Hence, local and national efforts should be made to enhance access to information at home and basic maternal health services including antenatal care.

Guardians of the clams: a decadal monitoring effort of endangered giant clams by citizen scientists

ABSTRACT Giant clams are highly conspicuous marine bivalves in the tropical oceans because of their large shells and colourful outer mantle tissues. This makes them an appropriate iconic species for both trained and untrained citizen science surveys. In Singapore, because of good public awareness of giant clams, they are often reported by citizen scientists, who document marine species using photography. Furthermore, these opportunistic records are captured in a comprehensive public blog (Wild Shores of Singapore; https://wildshores.blogspot.com) with specific details of the field surveys. This study presents the first feasible effort in establishing a long-term dataset based on citizen science observations to report giant clam species-level population status and trends over time. Between 2011 and 2020, citizen scientists covered 8.53 km2 of intertidal reef areas and consistently recorded only two giant clam species (Tridacna squamosa and T. crocea) annually. Despite the more comprehensive coverage and sampling of reef areas, the citizen scientists did not encounter the other native species: Hippopus hippopus, T. gigas and T. maxima. Also, the respective densities of T. squamosa and T. crocea were 0.00120 and 0.00034 individuals per 100 m2, which makes them the smallest known giant clam populations in the Indo-Pacific region. Regardless, the sampling efforts of citizen scientists were generally similar across the years, but future surveys could adapt different survey protocols for the respective giant clam species. Findings from this study also support the marine conservation efforts in Singapore, such as using active intervention measures to protect their giant clams. Additionally, lessons learnt from these citizen science observations can be harnessed to encourage monitoring of giant clams throughout the Indo-Pacific region.

Off-Label Pediatric Medication Prescribing and Dispensing: Awareness and Attitudes among Community Pharmacists: A Questionnaire-Based Study.

Off-label practice in pediatrics requires relentless engagement from all the health professionals involved. Community pharmacists are the last ones in the prescribing-dispensing chain; therefore, they have the key responsibility of verifying the correctness of a treatment. A cross-sectional study was conducted for assessing the awareness and views of Romanian community pharmacists, regarding off-label drugs in the pediatric population, through a 28-item questionnaire comprising five sections of different topics (general knowledge, frequency of prescribing and dispensing off-label medication, views, and attitudes). The sample size was 236 questionnaires with a response rate of 41.11%. A statistical analysis of the obtained data was performed with GraphPad Prism v.9. The results indicate that 55.1% of the community pharmacists have a good general knowledge and awareness regarding the off-label practice, although the legal frame is unclear. The responses highlight a high frequency of prescribing and request of medication for respiratory conditions (45.3%) and antibiotics (23.5%), with a concerning gap regarding the adverse events related to the off-label treatments (56.7%). A very small percentage of pharmacists (7.1%) contact a fellow healthcare professional when encountering an off-label prescription. In conclusion, in addition to the pharmacist's conduct towards the best interest of the patient, there is a clear need to improve the doctor-pharmacist collaboration in order to make an off-label treatment successful.

Researchers experience and views on participants’ comprehension of informed consent in clinical trials in Malawi: a descriptive qualitative study

BackgroundInformed consent is the cornerstone of research ethics. One of its goals is that participants enter research with an understanding of what their participation entails. This paper is a study on how researchers understand the informed consent process. Previous studies have looked at this topic from a research participant perspective. However, few studies focus on the perspectives of the researchers. Therefore, this is an important paper that highlights an important issue (informed consent) from the perspective of those who administer it during research.MethodsIn-depth interviews were conducted with 18 researchers from 3 different research centers in Malawi working in clinical trials. The data was analyzed using open code utilizing the thematic approach to qualitative data.ResultsThis study identified that researchers have good awareness of the role of informed consent, how important it is for participants to understand the given information and ways to adjust their practice accordingly when obtaining it in order to enhance participant understanding. According to the research staff, most participants do not really understand all the concepts of the study at the initial visit, they gain more understanding during subsequent visits. It was emphasized that the best method of facilitating informed consent is reading the informed consent to the participant, thus a face-to-face conversation. Long and complex informed consent was identified as one of the barriers to participant understanding of the informed consent. Shortening the informed consent form and having additional conversation with the participants was suggested as one way of improving participant comprehension.ConclusionMost of the participants understand much of the information during subsequent visits as you keep reminding them since informed consent is an ongoing process. Existing relationship or trust between a participant and a researcher, may influence participants’ decision and misguide their understanding on the purpose of the study. Adequate time should be allocated to informed consent discussions. Shortening the informed consent forms and having additional conversations with potential participants may help improve their understanding.

Knowledge and Attitudes of Blood Donors Toward Sickle Cell Anemia in Ibadan.

Background Sickle cell anemia (SCA) is a common condition of public health concern in Nigeria. Different therapeutic approaches have been developed to manage SCA, including blood transfusion. In a bid to develop a sustainable solution to the blood supply pool, the SmileBuilders Initiative organizes a blood donation drive (Donate-A-Pint Project) quarterly in Ibadan, Nigeria. This study aimed to assess the awareness, knowledge, and attitudes of blood donors in Ibadan, Nigeria, towards SCA. Methods A descriptive cross-sectional study was conducted at the University College Hospital Blood Bank in Ibadan over a period of three months. A validated questionnaire, based on similar studies in Nigeria, was used to collect data from blood donors. The SPSS version 23 was used for data analysis, and the chi-square test of independence assessed associations between variables, with a significance level of 0.05. Results Among 205 donors, 68.8% were male, and 42.4% were in the age category of ≥25 years. Most donors (60.0%) were university students. While 12.3% had never heard of SCA, 79.5% were aware of their genotype. Regarding the intrauterine diagnosis of hemoglobin SS (HbSS), 20.0% would allow pregnancy, 31.7% would abort, and 48.3% were undecided. Most respondents (73.2%) had good knowledge of SCA (mean score = 7.0/10.0). If partners were found to have SCA after marriage, 42.9% were undecided. Knowledge of SCA was significantly associated with sex (p = 0.017) and education level (p = 0.001). Conclusion Blood donors in Ibadan have good knowledge, awareness, and attitudes toward SCA. However, more health education would benefit the population.

Intraoperative Incidental Internal Carotid Artery Injury in Extended Endoscopic Endonasal Approaches—Causes, Prevention, and Management: A Technical Note

AbstractIn spite of good anatomical awareness, the position of internal carotid artery (ICA) can be tricky in an intraoperative setup with disease causing very significant distortion of anatomy and shift of carotid artery and its branches. A 45-year-old gentleman presented with complaints of left hemicranial headache and painless progressive vision loss in both eyes (left more than right) for 8 months. A probable clinico-radiological diagnosis of meningioma was reached. Intraoperatively, bleeding occurred from left side ICA, control of which was achieved using a long gauze piece used as conventional nasal pack with crushed muscle beneath the gauze piece along with abdominal fat, which was further reinforced with Surgicel. The parasellar ICA is the most common segment injured. Dehiscent or bulging canal of ICA, presence of pseudoaneurysm, attachment of sphenoid septae to the canal, displacement by the lesion, nonenlarged sella because of small size of lesion or vertically oriented lesions, and vessel wall abnormalities increase the risk of injury. It is very essential to have a preoperative discussion involving the skull base surgeons (neurosurgeons and otorhinolaryngologists), neuroradiologists, and neuroanesthetists regarding the complications expected in the case. In case of ICA bleed, the target should be to achieve a temporary hemostasis. In small tears, cottonoids for pressure and bipolar for cauterization will help stop the bleeding, while in larger tears, giving moderate pressure using crushed muscle and cottonoids to achieve intra-operative hemostasis should be tried. After intraoperative hemostasis, the patient needs to be shifted to angiography suite for endovascular stent placement.

Analysis of high school students' awareness of the psychosocial effects of internet addiction

The present study aims to determine secondary school students' awareness of the psychosocial consequences of Internet addiction and to investigate differences in the level of awareness based on students' sociodemographic characteristics (Sex, grade level, number of family members, parent's marital status, education and occupation of the parents, and the family's monthly income). A cross-sectional descriptive study was conducted from December 10, 2022, to December 30, 2023. The sample included (765) secondary school students were (375 males and 390 females). The population was composed of 10th and 12th grade students withdrawn from ten high schools located in the Babylon Governorate in Iraq. The results of the study revealed a variation in participants’ awareness of their knowledge of the psychosocial effects of Internet addiction, as more than half of them (57.5%) recorded a fair level of awareness, while (40.1%) of them recorded a good level, and only (2.4%) exhibited a waek level of awareness. Furthermore, the data revealed notable gender and grade-level differences in psychosocial awareness. Females exhibited a higher level of awareness (51.5%) compared to males. Additionally, students in the 10-grade showed a relatively higher rate of good psychosocial awareness (44.9%). It is necessary to understand the demographic factors in shaping awareness of the effects of Internet addiction, which helps in developing targeted intervention strategies to enhance awareness and improve students' control behaviors.