High Level Of Knowledge Research Articles

Knowledge, attitudes and practices of intangible cultural heritage among youth in Sichuan, China: a cross-sectional study

PurposeThe preservation and transmission of intangible cultural heritage (ICH) relies heavily on the interest and commitment of younger generations. In Sichuan, China, youths serve as a conduit and steward to the inheritance passed down from previous generations. Knowledge, attitudes and practices (KAP) studies have been advantageous in providing insights into a community’s knowledge, attitudes and behaviors towards safeguarding heritage. This study investigates the KAP of Sichuan youth regarding ICH.Design/methodology/approachThe study employed a quantitative methodology, utilizing a survey questionnaire on the KAP dimensions. The study involved 384 youths between the ages of 15 and 24 across 21 cities in Sichuan, China. Statistical analyses were conducted using both descriptive and inferential statistics.FindingsThe results of the study showed that Sichuan youths had a high level of knowledge of ICH and a high level of positive attitudes towards ICH but scored in the moderate range for ICH practices. There were significant differences in the knowledge of ICH among youths of different ages and education levels. In addition, there was a strong correlation between knowledge and attitudes, a strong correlation between knowledge and practices and a moderate correlation between attitudes and practices.Originality/valueThis study is the first to investigate the KAP of ICH among youth in Sichuan, China. The findings of this study suggest that several areas—such as ICH categorization (knowledge), approaches to safeguarding ICH (knowledge), levels of satisfaction with ICH safeguarding effectiveness (attitudes), ICH product purchasing (practices) and membership to clubs or associations aimed at safeguarding ICH (practices)—need to be further strengthened. Reinforcement in these areas will encourage positive behaviors and perspectives among the younger generation and facilitate in the management of ICH by institutions or organizations.

Evaluating a Virtual Flipped Classroom Approach to Nurse Practitioner Telehealth Competency Development.

Evidence supports the use of multi-modal approaches to develop nurse practitioner (NP) students' telehealth competency. A virtual flipped classroom approach that included eLearning, interactive webinars, and virtual standardized patient (SP) simulations was implemented and evaluated to teach NP students to use telehealth and other connected health technologies to improve care for underserved populations. Analysis of data from multiple-choice quizzes, surveys, and SP evaluations indicated students achieved high levels of knowledge, met the learning objectives, demonstrated above-average competency during telehealth simulations that improved over time, and were highly satisfied with the learning experiences. The educational benefits of a flipped classroom can be realized within a fully online learning experience. Future research should examine the effects of repeated simulation opportunities on telehealth competency development. [J Nurs Educ. 2024;63(8):546-551.].

Unraveling the Complexity of the Gluten-Free Sugar-Free Diet: An Analysis of Parental Struggles in Providing Nutrition for Children with Special Needs

This study aims to explore the level of parental knowledge regarding the Gluten-Free Sugar-Free (GFSF) diet and to identify the various challenges they face in its implementation for children with special needs. Using a quantitative survey approach, data were collected from 48 participating parents. Results showed that 50% of respondents had a high level of knowledge about the GFSF diet, 37.5% had moderate knowledge, and 12.5% had basic knowledge. No respondents had low knowledge. However, all respondents (100%) reported experiencing significant challenges in implementing the GFSF diet, including difficulties in accessing food ingredients, costs, and lack of practical knowledge. These findings indicate the need for more targeted interventions to support parents in overcoming these challenges, including improving the accessibility and affordability of GFSF products and providing educational programs tailored to their specific needs. This study provides important insights for developing effective strategies to support the health and well-being of children with special needs through the GFSF diet.

Evaluation of health literacy levels and COVID-19 awareness among tuberculosis patients.

For Tuberculosis (TB) and COVID-19 infections, whose transmission modes and preventive measures are similar, compliance with preventive measures and treatment is closely related to Health Literacy (HL) levels. This study aimed to evaluate the HL levels, and COVID-19 awareness of TB patients treated and followed up in TB Dispensaries serving under the Çankaya District Health Directorate of Ankara Province. A questionnaire including socio-demographic characteristics, COVID-19 knowledge level questions, and Health literacy scale-European union-Q16 questions were applied face-to-face to the registered TB patients. Mann-Whitney U and Spearman Correlation tests were used in the analysis. The mean age of the 107 participants (response rate: 89.1%) was 48.4 years; 42.1% were women. 56.5% of the patients were newly diagnosed, and 11.1% had resistant TB. 43.5% of the participants have had COVID-19; 23.1% thought they had disruptions in their TB treatment period due to the pandemic. The HL level of 23.1% was adequate. There was a moderate positive correlation between the HL scale score and the COVID-19 knowledge level questions (r = 0.468; p < 0.001). COVID-19 knowledge level was higher in those with adequate HL levels (p < 0.001). The higher level of knowledge about COVID-19 in TB patients with sufficient HL levels suggests the importance of increasing the HL order in the effective fight against the pandemic and possible new outbreaks.

The Level of Knowledge of Special Education Teachers about Bullying Behavior Amongstudents with Learning Disabilities (SDG'S): A Study IN Irbid, Jordan

Purpose: This study aims to investigate the knowledge of special education teachers concerning bullying behaviors towards students with learning disabilities in resource rooms in Irbid city, Jordan, and to explore their perceived roles in addressing this issue. Theoretical Reference: The study is grounded in theories of special education, bullying prevention, and teacher roles in supporting students with disabilities. It considers the intersection of these areas to understand teachers' awareness and responses to bullying incidents. Method: A self-designed questionnaire was administered to special education teachers in Irbid city, Jordan, focusing on their awareness and intervention strategies related to bullying behaviors. The questionnaire underwent validity and reliability assessments to ensure its appropriateness for the study. Statistical analyses, including means, standard deviations, and t-tests, were employed to analyze the data. Results and Conclusion: Special education teachers demonstrated a high level of knowledge regarding bullying behaviors among students with learning disabilities. However, their perceived role in mitigating bullying was found to be moderate. Significant differences in knowledge were observed based on educational qualifications and years of teaching experience, while no significant differences were found based on gender. Implications of Research: The findings suggest a need for targeted professional development and support for special education teachers to enhance their effectiveness in addressing bullying incidents involving students with learning disabilities. Policymakers and educational leaders could use these insights to develop comprehensive strategies and resources that empower teachers and promote a safer learning environment for all students. Originality/Value: This study contributes original insights into the specific context of bullying behaviors within resource rooms for students with learning disabilities in Jordan. It adds value by highlighting factors influencing teachers' awareness and responses, which can inform both educational practice and policy development aimed at improving inclusivity and support for vulnerable student populations.

Rabies in the Endemic Region of Algeria: Knowledge, Attitude and Practice (KAP) Survey among University Students.

(1) Background: Rabies is a neglected zoonosis considered to be one of the most significant health threats in the world, responsible of thousands of deaths globally. Algeria is one of the main countries of concern, with more than 15 deaths and more than 100,000 bites by rabid-suspected animals being reported annually. This study was conducted to evaluate the level of knowledge, attitudes and practice (KAP) toward this disease among university students in the endemic region of Algeria. (2) Methods: a cross-sectional online survey was conducted between June 2023 and March 2024 using a self administered questionnaire. (3) Results: a total of 409 students completed the questionnaire. Overall, 91.2% of them were singles, 70.7% were females, and two-thirds (66%) were between their twenties and thirties in regard to age. The majority were studying for Bachelor's degrees, and the most represented fields of study were Humanities (31.5%) and Natural and Life Sciences (29.1%).The findings revealed a moderate level of knowledge (63% of correct responses), a positive attitude, and appropriate practices. However, the surveyed students have certain gaps in their information regarding disease transmission, its risk factors, and its clinical signs. In addition, some of them have also shown some negative attitudes, including approving of the systematic killing of a dog who bites someone regardless of its vaccine status (59.2%), and inappropriate practices, especially in regard to unawareness of the importance of early washing of bite wounds, which was reported among 64.5% of the surveyed students. The study also revealed the association of health sciences education with knowledge (AOR: 2.723, CI 95%: 1.317-5.634), attitude (AOR: 2.306, CI 95%: 1.113-4.779) and practice (AOR: 3.560, CI 95%: 1.632-7.769), and the effect of the high level of knowledge on the attitude of surveyed students (AOR: 1.607, CI 95%: 1.052-2.456). (4) Conclusion: These results provide the first report regarding rabies KAP among Algerian university students. Based on these results, the health deciders could adopt their preventive strategy by raising awareness of the less-informed categories, which would consequently affect their behaviors regarding this fatal disease.

Orthoflavivirus surveillance in the Netherlands: Insights from a serosurvey in horses & dogs and a questionnaire among horse owners.

Zoonotic arboviruses (arthropod-borne) of the Orthoflavivirus genus, such as West Nile virus (WNV), Usutu virus (USUV) and Tick-borne encephalitis virus (TBEV), are emerging in Northwestern Europe and pose a threat to both human and animal health. In the Netherlands, passive symptomatic surveillance (notification of clinical cases) in horses is one of the main pillars for the early detection of WNV. For such passive surveillance to work properly, horse owners and veterinarians need to recognize symptoms and report suspected cases to the authorities. Currently, little is known about the seroprevalence of orthoflaviviruses in domestic animals in the Netherlands. Therefore, this study aims at identifying the seroprevalence of WNV and USUV in horses and dogs in the Netherlands. Additionally, this study seeks to evaluate the knowledge and perceptions of Dutch horse owners towards mosquito-borne viruses. A cross-sectional serosurvey in horses and dogs was conducted between May 2021 and May 2022. Serum samples were screened using an ELISA and doubtful and positive samples were confirmed by Virus Neutralization Tests for WNV, USUV and TBEV. A validated questionnaire, the MosquitoWise survey, was used to assess the knowledge and perceptions of Dutch horse owners towards mosquito-borne viruses between July and October 2022. The serosurvey revealed a low seroprevalence for WNV in horses and no WNV-positive dogs were found. Similarly, a low USUV seroprevalence was found in dogs. The MosquitoWise survey revealed a high knowledge level for horse owners and high awareness of WNV vaccination but a more limited intent to vaccinate. The low seroprevalences of WNV and USUV indicate many dogs and horses remain susceptible, offering opportunities for trend analysis and surveillance. However, despite multiple recent detections of WNV, USUV, and TBEV in humans, the role of dogs and horses in early detection of human cases is debatable. High awareness among horse owners and the absence of detected equine WNV cases highlight this uncertainty. Continued surveillance is crucial for detecting increased virus circulation and protecting both animal and human health.

The Knowledge Acquired by Parents in Pregnancy Monitoring Consultations.

(1) Pregnancy surveillance nursing consultations in the pandemic context have undergone some changes, namely the restriction of accompanying persons. In this sense, assessing the knowledge acquired by parents in pregnancy surveillance is of great importance. Since there are no studies on the subject in the period before the pandemic, we will only assess the knowledge acquired by parents in pregnancy monitoring. (2) For this reason, the aim of our study is to evaluate the knowledge acquired by parents in pregnancy surveillance. (3) This study is descriptive, cross-sectional and quantitative in nature, with a sample of 196 couples. A questionnaire was administered about the knowledge acquired by parents in pregnancy surveillance nursing consultations. (4) Pregnant mothers and their partners reported having some knowledge. The classification was assessed using a questionnaire with quantifiable response options from 1 to 5 points. Items with a score of 1 indicate a low level of knowledge and 5 indicates a higher level of knowledge. (5) We can verify that the level of knowledge acquired by the pregnant mother during the pregnancy surveillance nursing consultation is higher than the level of knowledge acquired by the father during the same consultation. Most parents consider it important to receive information through the pregnancy surveillance nursing consultations carried out by Maternal and Obstetric Health Nurse Specialists (midwives).

The Guidelines for Enhancing Knowledge and Proficiency in Food Decoration Skills: RMUTP

The purpose of this study was to examine the level of knowledge and skills related to food decoration, and to identify consistent study activities for each academic year in the food service industry&amp;#39;s student program through correspondence analysis. The population was 304 people. The results demonstrated a high level of knowledge and behavioral learning in the area of artistic skills. An analysis of the correlation between the academic year and activities aimed at enhancing knowledge, skills, and creativity in the art of food decoration revealed that the 1st year students engaged in activities related to analyzing food decoration design, the 2nd year students focused on the fundamentals of food decoration, the 3rd year students explored visual elements and art principles in food design and decoration, and the 4th year students assessed their ability to design food decorations before class. Activities to enhance art skills involved 1st year students participating in exhibitions, 2nd year students participating in artificial decoration activities, and 3rd and 4th year students participating in culinary workshops and learning about food decoration techniques. Activities to enhance creativity involved the 1st and 2nd students creating images from points, the 3rd students participating in art camp activities, and the 4th students learning how to add value to food through plating and photography.

Knowledge of Students in Health and Non-Health Studies about Diabetes Mellitus Type 1

Aim: The aim of this research paper is to examine and compare the knowledge of students in health and non-health studies about diabetes mellitus type 1. Namely, the research examined whether the respondents are sufficiently educated about the disease itself, treatment and preventive measures of diabetes type 1. Their knowledge was examined with regards to their age, gender and the type of studies they attend.Respondents and methods: The research was conducted as a cross-sectional study. 101 respondents participated in the research. An anonymous online questionnaire was used as a measuring instrument, which was created for the purpose of this research. The research was conducted in July and August 2022.Results: Most respondents have good knowledge about diabetes mellitus, which is evident in the correct answers to the questions in the survey questionnaire. Statistically, significant differences were found in the students’ knowledge with regards to their age, gender and type of study. Respondents who participate in health studies have a higher level of knowledge than respondents who do not participate in health studies. Female respondents have a higher level of knowledge than male respondents. Older respondents also have greater knowledge about the disease itself.Conclusion: Students who study health studies show a higher level of knowledge than students of other studies. Most of the respondents were well educated about type 1 diabetes mellitus. Diabetes is one of the biggest public health problems nowadays, and measures of prevention and education of the population should be implemented as much as possible in kindergartens, primary and secondary schools, colleges, hospitals, and the health system.

Rabies Realities: Navigating Barriers to Rabies Control in Rural Zambia-A Case Study of Manyinga and Mwansabombwe Districts.

Rabies persists as a longstanding issue in Zambia, despite being preventable. The current control measures, including dog vaccination, population control, and movement restriction, guided by 'The Control of Dogs Act Chapter 247 of the Laws of Zambia', have not yielded the desired impact in many areas of the country including Manyinga and Mwansabombwe districts. These two districts continue to report low dog vaccination rates, unrestricted dog movements, and escalating cases of animal and human rabies, along with dog bites. Aligned with global aspirations to achieve zero human rabies cases by 2030, this study scrutinizes the determinants and obstacles hampering the execution of rabies control initiatives in Manyinga and Mwansabombwe. Spanning approximately 11 months, this cross-sectional study gathered pre- and post-vaccination data from 301 households in Manyinga and 100 households in Mwansabombwe. Questionnaires probed knowledge, attitudes, and practices related to rabies prevention and control. A transect survey, key informant interviews, and assessment of rabies vaccination and dog bite records complemented the data collection. Findings revealed that 88.0% of respondents from both districts possessed knowledge about rabies, confirming affected species and transmission. Moreover, 76.8% in Manyinga and 88.6% in Mwansabombwe were acquainted with rabies prevention and control methods. Concerning dog owners, 89.0% were aware of rabies, 66.0% understood its prevention and control, and the majority identified bites as the primary mode of transmission. Despite the high level of knowledge recorded during the survey, the implementation of preventive measures was low, which was attributed to low levels of law enforcement by the local government authority, inadequate staffing in the veterinary department, unwillingness to pay for dog vaccinations, and unavailability of rabies vaccine at the veterinary office in both districts. Vaccination coverage stood at 64.0% in Manyinga and 21.0% in Mwansabombwe. Notably, education and occupation exhibited a positive significant association with rabies knowledge. In terms of dog bite cases, Manyinga recorded 538 dog bite cases from 2017 to June 2022, while Mwansabombwe recorded 81 dog bite and 23 jackal bite cases from 2021 to June 2022. The study underscores critical knowledge gaps in rural areas and emphasizes the imperative for enhanced public education and awareness programs, improved rabies surveillance, free mass vaccination campaigns, and community engagement to augment vaccination coverage and knowledge about rabies.

Assessment of Motivations, Treatment Risks, and Oral Health in Adults with Fixed Orthodontic Care: A Cross-Sectional Study.

Aim: This cross-sectional study aims to investigate the reasons why adults seek orthodontic treatment, their perceived treatment risks, oral hygiene habits, and awareness of oral health. Materials and Methods: This study, which involved 246 adults, used a self-report questionnaire to collect sociodemographic data and examine the participants' understanding of oral health, self-assessment of oral health status, adherence to oral hygiene routines, and use of oral hygiene products. In addition, the reasons for opting for orthodontic treatment, negative associations, and expected outcomes were examined. The collected data were subjected to statistical analysis, including descriptive and regression methods. Results: The results showed that factors such as previous oral health education and regular use of specialized toothbrushes, including rotary toothbrushes, were significantly associated with higher knowledge levels (p < 0.05). However, daily oral hygiene practices were suboptimal, with the low utilization of aids: only 58.9% reported using interdental brushes, and 36.6% used dental floss regularly. Commonly reported dental problems included food debris between teeth (46.3%), tartar (35.4%), and tooth sensitivity to cold (26.4%). The primary motivations for orthodontic treatment were aesthetic improvement (63.8%), enhancements in oral function (49.6%), and addressing psychosocial concerns (42.7%). In contrast, the most frequently mentioned negative aspects associated with fixed orthodontic treatment were aesthetic concerns (30.9%), treatment duration (27.6%), and mouth ulcers (24.0%). Conclusions: Based on the research findings, regular oral hygiene education is recommended for adult patients considering fixed orthodontic therapy, including the use of additional tools such as interdental brushes and floss to improve oral health and reduce the risk of complications during treatment. The importance of chemical compounds in dentifrices and mouthwashes cannot be overstated, as they play a crucial role in addressing various dental issues. In addition, it is crucial to carefully weigh the pros and cons of therapy and to visit a dentist regularly to maintain oral health and monitor progress during treatment.

Knowledge, attitude, and practice of e-cigarette use among undergraduate students: A comparative study between China and Indonesia.

The health risks associated with e-cigarettes are currently the focus of tobacco control efforts and public health initiatives. Given that China and Indonesia have the highest rates of adult smoking worldwide, it is imperative to gain a comprehensive understanding of e-cigarette prevalence among college students in these two nations. From May to June 2023, a cross-sectional study was employed to conduct an online questionnaire survey among college students in three universities located in Kunming (China) and Jakarta (Indonesia), respectively. The chi-squared test was utilized to compare the rates/ratios, while binary logistic regression analysis was applied to examine the factors influencing e-cigarette knowledge, attitude, and practice. A total of 1327 individuals were included in the investigation. The proportion of Indonesian students (75.6%) with a high level of e-cigarette knowledge was lower than that observed among Chinese students (87.4%) (χ2=29.7, p<0.001). Additionally, the prevalence of e-cigarette use among Indonesian students (9.4%) was higher compared to their Chinese counterparts (3.0%) (χ2=22.32, p<0.001). Binary logistic regression analysis revealed that age, place of residence, studies, gender, and e-cigarette use by friends and family, significantly influenced knowledge levels and attitudes toward e-cigarettes in both countries (p<0.05). Despite the positive knowledge, attitudes, and practices towards e-cigarettes among undergraduate students in both countries, a notable knowledge gap exists concerning the harmful effects of e-cigarettes. Chinese students had better e-cigarette knowledge and demonstrated lower usage rates, suggesting that heightened awareness plays a favorable role in preventing e-cigarette use. Furthermore, it becomes imperative for policymakers and health educators to focus on specific factors, such as the influence of close friends and family members, as well as the area of residence.

Survey of Pesticide Use between Mango Farmers Practicing Area-Wide Integrated Pest Management and Conventional Farming in West Java, Indonesia

Mango farmers in Indonesia rely heavily on pesticides to control a variety of pests and diseases, with tephritid fruit flies being a major pest of the crop. To reduce pesticide use, Area-Wide Integrated Pest Management (AW-IPM) to control fruit flies was trialed and introduced in 2015 and has now been successfully implemented in several districts in West Java, Indonesia. This study surveyed pesticide use in mango farms adopting AW-IPM and those practicing conventional pest control methods. Purposive and Snowball sampling methods were used to select and interview 83 mango farmers to assess farmers knowledge and practices of pesticide use between the two groups. The farmers surveyed consisted of those that have adopted AW-IPM of fruit flies and conventional farmers, meaning those that did not adopt AW-IPM. The results of the survey revealed that compared to conventional farmers, the AW-IPM farmers had a high level of knowledge of pesticides and most of them were aware of pesticide-related environmental risks and adopted better and safer practices. Overall, storage of pesticides within living areas was reported by 10% of respondents, and most respondents (75%) adopted unsafe practices when disposing of used pesticide containers, such as selling them to plastic waste collectors. Half of all the respondents reported and experienced at least one symptom of a pesticide-related health problems. This study contributes to a better understanding of potential pesticide exposure and risks to mango farmers in Indonesia. A pesticide management training program for the mango farming community is badly needed.

Maternal skepticism regarding children's vaccination in Jordan: Investigating the knowledge, attitude, and adherence.

Vaccination is critical to every responsible healthcare system, yielding several health and economic benefits. However, skepticism is a major challenge to vaccination adherence among parents globally. Mothers are primary decision-makers on children's vaccination; therefore, this study aims to assess maternal knowledge, attitudes, and adherence to children's routine vaccination in Jordan, identify the main sources of related information, and explore the awareness and hesitancy related to elective vaccination, which is not incorporated into the national vaccination program (e.g., varicella, flu, meningitis, and meningococcal vaccines). A descriptive, cross-sectional design was conducted to collect data from 533 Jordanian mothers between August and November 2023. Participant mothers completed an online self-administered questionnaire comprising demographics, knowledge, attitudes, and adherence to children's vaccination. The surveyed mothers in general exhibited high levels of knowledge, attitudes, and adherence concerning children's vaccination and a relatively moderate level of adherence concerning elective vaccines. The mothers' perspectives of reluctance towards elective vaccines were explored. The primary healthcare center and physicians were the most prevalent sources of mothers' vaccine-related information. Future efforts should implement tailored health education campaigns that address specific knowledge gaps, such as misconceptions about contraindications and side effects, promote awareness about elective vaccines, and engage healthcare providers to facilitate informed decision-making among Jordanian mothers and improve children's vaccination coverage.

Transgender, Gender-Diverse, and Nonbinary Experiences in Physical Therapy: A Descriptive Qualitative Study.

The objective was to explore experiences with and identify barriers and facilitators of utilizing physical therapy for people who identify as transgender, gender diverse, and nonbinary (TGNB). A qualitative descriptive design was employed using semistructured interviews conducted in New Zealand. Eligible participants were individuals who were 12years old or older, who self-identified as TGNB, and who had accessed physical therapy at a community-based clinic that also provides a gender-affirming service. Participants were recruited via email invitation to the clinic database. Interview data were analyzed using reflexive thematic analysis. Demographics are reported descriptively. Seventeen individuals (15-64years old and identifying as 11 different genders) participated. All participants reported physical therapist experiences relating to 1 or more of the following 4 themes: challenging cisnormativity at policy, environmental, clinic, and therapist levels; safety and trust throughout the clinical experience, including clinic credibility for being a safe provider, clinic displays of TGNB inclusivity, implementation of safe clinic processes, and respectful therapist interactions; inclusive experiences in a clinic that provided affordable care and took active steps to understand and affirm TGNB identities and with physical therapists who had a high level of knowledge of TGNB-specific health issues and took a biopsychosocial approach to care; and sensitivity to body discomfort or dysphoria triggers. Barriers to and facilitators of care were identified at policy, environmental, clinic, and therapist levels. People who identify as TGNB face challenges to accessing safe and culturally sensitive physical therapy. However, there are achievable areas for improvement at policy, environmental, clinic, and physical therapist levels to gain trust and engagement in care for the TGNB community. This study provides a detailed exploration of TGNB physical therapist experiences and identifies specific areas of improvement for TGNB physical therapy care to provide clinicians and physical therapy clinics insights into the provision of safe and culturally sensitive physical therapy.

Farmers’ Knowledge in Improved Maize Production Practices in Katni District of Madhya Pradesh, India

The study was conducted in Katni district of Madhya Pradesh where maize as a main crop in kharif season. A total of 120 respondents were selected purposively from 10 villages under Bohariband block where production and productivity is high. Descriptive research design was followed for the present study and data were collected through interview method by using pre-structured interview schedule, appropriate statistical analysis was done to draw the logical conclusions. The study revealed that 48.33 per cent of farmers belonged to middle age group, majority (56.67%) of farmers belonged to low level of land holding i.e. less than 1 ha., majority (55.00%) of farmers belonged to middle family size. The finding also revealed that majority of farmers belongs to 27.50 per cent education i. e illiterate, majority (65.00%) of farmers have agriculture only as an occupation, 49.17 per cent of farmers belongs to low level of income i.e less than Rs. 50,000. The finding also revealed that 55.00 per cent of the farmers had medium level of knowledge towards improved maize production practice followed by 27.50 per cent and 17.50 per cent of the farmers with low and high level of knowledge respectively.

Diabetes specialist nurses' knowledge, skills, and personal attributes for providing competent health education practice, and its influencing factors: A cross-sectional survey

BackgroundThe number of diabetes specialist nurse as well as their knowledge and skills have increased in Gansu Province since 2017. However, China has not fully addressed how to improve their professional skills to deliver effective health education. AimsTo investigate the knowledge, skills, and personal attributes of competent health education practices among diabetes specialist nurses in Gansu Province, western China, and the potential influencing factors. DesignCross-sectional study. MethodsIn total, 178 diabetes specialist nurses from 45 hospitals participated in this study. Data were collected between December 2022 and April 2023 using the Nurse Health Education Competence Instrument (I-CepSE) and a self-report questionnaire. Descriptive and inferential statistics, including univariate and multiple linear regression analyses, were used to analyze data. ResultsThe mean scores of overall I-CepSE, knowledge, skills, and personal attributes were 218.77 ± 31.65, 77.80 ± 18.27, 103.95 ± 13.75 and 37.02 ± 4.73, respectively. A shortage of nursing staff and heavy workload (81.4 %), lack of cooperation from patients (56.5 %), lack of access to educational resources during work placement (54.2 %), and nurses' lack of knowledge/skills in health education (53.1 %) were common barriers to health education implementation. The regression models for the overall health education competence domain were significant (P < 0.001) with R2 values ranging from 31.9 % to 50.5 %. Education level and years of experience in diabetes-related care were found to be significant on all knowledge, skills, and personal attitude scales (P < 0.05), and age was associated with diabetes specialist nurses' skills and personal attitude scores (P < 0.05). ConclusionDiabetes specialist nurses demonstrated moderate to high levels of health education knowledge, skills, and attitudes. However, they lacked knowledge of pedagogical techniques and resources, with inadequate educational skills. This study suggests that reasonable nursing human resource allocation and continuous education and training are crucial for improving health education competence.

KNOWLEDGE AND BELIEFS TOWARDS PELVIC FLOOR MUSCLE TRAINING DURING PREGNANCY AND POSTPARTUM PERIOD; A CROSS-SECTIONAL OBSERVATIONAL STUDY IN THE URBAN POPULATION OF PAKISTAN

Background of the Study: This study aimed to assess knowledge and beliefs about pelvic floor muscle training to prevent urinary incontinence (UI) during pregnancy and postpartum in Karachi. Also, to determine the prevalence of urinary incontinence. Methodology: This cross-sectional study was conducted at the Department of Gynecology and Obstetrics, Dow University Hospital, Karachi. Non-probability sampling technique was done on N=380. QUID scale questionnaire and items to assess knowledge and beliefs were executed. Participants were invited either during their consultancy visit or post-delivery. The logistic regression analysis using SPSS Version 26.0 was performed to predict the knowledge level of PFMT, classification of gravida and parity, delivery type and other variables. Results: The study founded lack of awareness regarding pelvic floor muscle training and an inadequate level of knowledge during the antenatal period (n=168). It was found that 23.0% responded the question as they are currently “Doing Pelvic Floor Muscle Exercise” in the antenatal period. Logistic analysis showed that women with cesarean-section delivery have more probabilities of adequate knowledge (OR=1.65, 95% CI=1.03-2.64, p-value= 0.035). Women strongly believe that urine leakage is normal during pregnancy. Conclusion: The study concluded that stress incontinence and urge incontinence are most common among others. Lack of awareness regarding pelvic floor muscle training was found among both groups. In contrast, a high level of knowledge regarding pelvic floor muscles’ anatomy and function and urinary incontinence was found in the postpartum group.

Investigation of Failures of Three Precast Post-Tensioned Segmental Concrete (PSC) Box Girder Bridges During Construction

Considering the fast pace of construction development, with a consistent increase in the volume of traffic, both road and rail traffic in developing countries like India, which are constrained by the limitation of land availability, especially in built-up or urban areas, lateral expansion in transport facilities has become increasingly challenging. Under such circumstances, vertical expansion through the construction of long flyovers or elevated structures is the most viable solution to meet traffic demand. Road and railway bridges are complex structures by nature with respect to their design and construction requirements based on a high level of knowledge, expertise and experience. Hence, some structural failures are taking place even during the construction stage of bridges owing to material quality issues as well as human error, to name but a few of the causes. This paper presents three case studies related to the investigation process and the primary cause(s) of the collapse of three different precast concrete post-tensioned segmental concrete (PSC) box girder bridges in India, with the corresponding lessons learnt and proposed recommendations. This paper covers issues relating to the investigation of the reasons leading to the failures of three precast concrete PSC box girders and a few suggestions for remedial measures.