Knowledge Scores Research Articles

Public Awareness of the Symptoms and Risk Factors of Thyroid Disease in Saudi Arabia.

Thyroid disorders are a common manifestation of hormonal disorders that result from either excessive or insufficient production of thyroid hormones and the swelling of the thyroid gland. A lack of information and awareness of the signs and risk factors of thyroid problems can lead to untreated patients, thereby harming public health. Observational cross-sectional research was conducted in the Al-Baha region of Saudi Arabia, with 531 residents selected from the general population. The data were analyzed using SPSS to derive significant insights, and questionnaires were used to collect the data. The results revealed that 79 (14.9%) of the participants had been diagnosed with thyroid disease. The risk factors for thyroid diseases reported were as follows: female gender (386, 72.7%); exposure to radiation (329, 62.0%); smoking (312, 58.8%); family history (300, 56.5%); and insufficient or excess intake of iodine (277, 52.2%).Only 110 (20.7%) of the participants knew that the use of amiodarone medication is a risk factor for thyroid diseases. The symptoms reported included fatigue (430, 81.0%), feeling cold, and weight gain (409, 77.0%); neck lump (379, 71.4%); depression (367, 69.1%); and hair loss (336, 63.3%). Early diagnosis (426, 80.2%), a well-exercised program (394, 74.2%), and a well-balanced diet (392, 73.8%) were the prevention methods reported by a majority of the participants. The study results revealed an average score of 13.57±2.11, with a minimum knowledge score of 0 and a maximum of 25. A statistically significant difference was observed in knowledge scores based on the participant's gender, age, education level, previous diagnosis with thyroid diseases, family history of thyroid diseases, and having performed thyroid gland investigation with p-values <0.05 (<0.001, 0.019, 0.027, <0.001, 0.023, and 0.031), respectively. Nearly half of the participants had low knowledge scores regarding the risk factors and clinical manifestations of thyroid diseases. Although a sizable proportion of participants demonstrated awareness of some clinical presentations and prevention methods, there are serious knowledge gaps regarding the risk factors and symptoms of thyroid disease among the general population in the Al-Baha region. There is a need for targeted health education programs to improve public awareness of risk factors and early detection and prevention measures of thyroid diseases to improve the quality of life among community members.

“3 + X D” structured report in radiology standardized resident training: Can it meet high-level teaching objectives?

PurposeTo evaluate the impact of the innovative “3 + X D” structured report (SR) designed based on Bloom’s taxonomy on the learning outcomes of radiology residents during standardized training. MethodsThis is a prospective study that recruited 120 radiology residents from our hospital between 2020 and 2022. Randomly selected 60 residents from the 2020 grade to constituted the control group, and randomly selected 60 residents from the 2021 grade to formed the experimental group. The former group was trained utilizing the Free-text Reports (FTR) template, while the latter group received training with the “3 + X D” structured reports (SR) template. The learning outcomes of both groups was evaluated utilizing both objective and subjective measures. Objective assessments encompassed examinations of theoretical knowledge, diagnostic skills, and total scores, aligning with the cognitive domains of remembering, understanding, applying, and analyzing as outlined by Bloom’s Taxonomy. Subjective assessments, on the other hand, comprised survey questionnaires administered to residents and feedback from clinical instructors, which correlated with the higher-order cognitive level of analyzing, evaluating, and creating within Bloom’s Taxonomy. ResultsOn 60 residents (mean age, 24.15 years ± 2.11[SD]; 25 male) from control group, and 60 residents (mean age, 24.58 years ± 1.88 [SD]; 27 male) from experimental group. Following the training, significant improvements were observed in the theoretical knowledge, diagnostic skills, and total scores for both groups (p < 0.001). Furthermore, the experimental group demonstrated significantly higher diagnostic skills and total scores compared to the control group (p < 0.001). However, no significant difference was observed in the theoretical knowledge exam between the two groups (p = 0.236). The questionnaire used for subjective assessments had good reliability (Cronbach α was 0.826) and acceptable validity (The KMO was 0.692). Additionally, the survey questionnaires indicated that the experimental group rated higher than the control group in terms of cultivating imaging thinking ability, diagnostic confidence, diagnostic speed, and the convenience of the templates (p < 0.001). Clinicians’ feedback scores for the experimental group markedly surpassed those for the control group (p < 0.05). ConclusionsUtilizing the “3 + X D” SR template grounded in Bloom’s taxonomy for training, the professional competency of radiology residents, particularly their diagnostic skills, saw a marked enhancement, successfully meeting the higher-level educational objectives. Consequently, the “3 + X D” SR template is highly recommended for the standardized training of radiology residents.

A Study to assess the effectiveness of planned teaching program on knowledge regarding eating disorder among adolescents girls studying in 9th and 10th standard in selected school of Bilaspur (C.G.)

The objective of the study is to assess the pre-test and post-test knowledge score regardingeating disorder among adolescents girls, effectiveness of planned teaching program regardingeating disorder among adolescent girls and to find out the association between level ofknowledge with selected socio demographic variables of adolescent girls.Quantitative research approach using pre-experimental research design one group pre-testpost-test design. Purposive sampling technique was used. Self-structured questionnaire usedto assess knowledge score.Majority 98.33% (59) sample age ranges between 15-16 years, 88.33% (53) of sample reside in urbanarea, 36.67% (22) subjects were 8th pass, 78.33% (47) subjects belongs to joint family, 43.33% (26)subjects father is farmer, 55% (33) subjects has previous knowledge about eating disorder.The mean post- test knowledge score 10.05 is higher than the mean pre- test knowledge score 5.33,mean difference is 4.72. The calculated ‘t’ value = 3.2065 is higher than the table value of ‘t’ = 2.00hence, the research hypothesis H1 which indicate the planned teaching programme on knowledgeregarding eating disorder was significantly effective in increasing the knowledge of subject.There is no significant association between the pre -test knowledge scores of sample with the age,residential area, type of family and previous knowledge about eating disorder. There is significantassociation between the pre -test knowledge scores of sample with educational qualification andsocio-economic income .Hence H2 accepted.

Analysis of Longitudinal Trajectory and Influencing Factors of Supportive Care Needs in Colorectal Cancer Patients With Enterostomy.

The aim of this study was to understand the dynamic changes in the needs of patients with enterostomy during the 3 months after discharge and its possible influencing factors. A prospective observational design. This study investigated the supportive care needs of patients who underwent colorectal cancer surgery with colostomy in three Chinese hospitals from May 2023 to October 2023 during the 3 months following discharge from the hospital. The growth mix model was used to describe the needs trajectory and analyse the heterogeneity of the trajectory. Univariate analysis was used to find the factors that might affect the heterogeneity of needs trajectory of patients with enterostomy, and then logistic regression analysis was used to determine the influencing factors of the heterogeneity of needs trajectory of patients with enterostomy. The reporting of this study adhered to the STROBE checklist. A total of 232 patients with enterostomy completed follow-up. There was heterogeneity in the developmental trajectories of supportive care needs of enterostomy patients and the trajectories of the five dimensions of supportive care needs. The heterogeneity factors affecting the trajectory of supportive care needs included the enterostomy patient's psychosocial adjustment score, type of enterostomy, and educational background and the heterogeneity factors affecting the five dimensions trajectory of supportive care needs include psychosocial adjustment score, tumour staging, type of enterostomy, smoking, chemotherapy and enterostomy self-care knowledge score. The needs of patients with enterostomy within 3 months after discharge were dynamic. Identifying and meeting the unmet needs of patients with enterostomy was crucial to improving the health-related quality of life of patients with enterostomy. None. The needs of patients with enterostomy were dynamic, with the needs of most patients with enterostomy decreasing within 3 months of discharge, but some patients with enterostomy continued to have high needs at 3 months after discharge, and clinical nurses were expected to pay special attention to these patients.

Evaluation of Knowledge, Attitudes and Practices for Hepatitis B Virus Infection Among Primary Healthcare Physicians in Georgia.

A nationwide serosurvey among adults in 2021 showed a 2.7% (95% confidence interval [CI]: 2.3%-3.4%) prevalence of hepatitis B. Our analysis evaluates knowledge, attitudes and practices (KAP) for hepatitis B virus (HBV) infection among primary healthcare physicians (PHPs) in Georgia. We randomly selected 550 PHPs from medical facilities in Georgia's six largest cities. Using bivariate ordinal regression, we assessed the association of socio-demographic factors with an ordinal knowledge score (low/middle/high). Multivariable logistic regression was performed to calculate adjusted odds ratios (aOR) and 95% CI to determine associations between HBV knowledge score and practices. Of 550 selected PHPs, 506 (92.0%) agreed to participate. Among them, 62.8% scored in the medium or high knowledge tertiles, 72.7% were confident in diagnosing HBV infection, 37.3% were confident in managing patients with hepatitis B; 47.4% reported being screened for and 26.2% reported being vaccinated against HBV infection. Compared to those with low knowledge scores, PHPs with a high score were less likely to recommend activities not supported by evidence, such as: the use of 'hepatoprotective' medications (aOR 0.43, 95% CI 0.25-0.73), caesarean sections (aOR 0.47, 95% CI 0.27-0.82) and withholding breastfeeding (aOR 0.57, 95% CI 0.34-0.96) to prevent HBV transmission. The majority of PHPs were confident in diagnosing HBV infection, but only one in three were confident in managing patients with hepatitis B. PHPs with higher HBV knowledge were less likely to provide inaccurate instructions to their patients. These findings will help to develop awareness and education campaigns supporting HBV elimination in Georgia.

Determining the Hydration Knowledge Level, Attitudes and Behaviors of Athletes In Different Sport Events

This research aimed to examine the hydration knowledge level, attitudes and behaviors of athletes in different sport events. A total of 553 athletes, 123 (22.2%) females and 430 (77.8%) males, were included in the research conducted with the screening model. The data was obtained by using the "Personal Information Form" and the "Hydration Knowledge, Attitude and Behavior Survey". T-test for independent groups and one-way analysis of variance were used in the analysis of data. When the research findings were examined, it was determined that there were statistically significant differences in athletes' attitudes and behavior according to gender, attitude according to sport type, knowledge and behavior according to age groups, knowledge, attitude and behavior according to sports age, and knowledge and behavior according to their educational status. As a result, it was determined that the athletes' general knowledge scores were at a high level, while their attitude and behavior scores were at a medium level.

Inclusivity-based intervention to enhance religious tolerance among junior high school students

This community service program is inspired by indications or trends of religious intolerance among students in Indonesia. We designed this community service as a preventive intervention to enhance the understanding and levels of religious tolerance among junior high school students. The intervention emphasizes the importance of nationalism towards the Unitary State of the Republic of Indonesia (Indonesian: Negara Kesatuan Republik Indonesia/NKRI) and religious moderation as enhancing factors of religious tolerance. Fifty-eight students of SMPN 10 Kota Malang participated in the pre-test and post-test. Data analysis built upon paired sample t-tests with bootstrapping. The results indicated that, first, general knowledge scores regarding religious tolerance (e.g., the meaning or definition of religious tolerance, positive impacts of religious tolerance) and specific knowledge about forms of religious tolerance were significantly higher at the post-test stage compared to the pre-test. Secondly, the intervention proved effective in enhancing religious tolerance, particularly in terms of interreligious respect and politics, as their scores at the post-test stage were significantly higher compared to the pre-test. The third finding showed that participants positively evaluated the community service activities in terms of their objectives, implementation, and outcomes. Participants also perceived the community service activities as beneficial in fulfilling their need for a better understanding of religious tolerance. Overall, the empirical findings in this community service program imply that inclusivity in society plays a crucial role in enhancing religious tolerance among junior high school students.

Application of Alfalfa App in the management of oral anticoagulation in patients with atrial fibrillation: a multicenter randomized controlled trial

BackgroundIn recent years, mobile medical technology has made great progress in chronic disease management, but its application in patients with atrial fibrillation (AF) still needs to be clarified.ObjectiveThis study aims to determine whether the newly developed smartphone app for patients with AF (Alfalfa App) can improve anticoagulation knowledge, drug treatment compliance, and satisfaction of AF patients.MethodsAlfalfa App integrates the functions of patient education, remote consultation, and medication reminder through a simple user interface. From June 2020 to December 2020, patients with AF were recruited in five large tertiary hospitals in China. Patients were randomly divided into the Alfalfa App or routine nursing groups. Patients’ knowledge, medication adherence, and satisfaction with anticoagulation were assessed using validated questionnaires at baseline, 1 month, and 3 months.ResultsIn this randomized controlled trial, 113 patients with AF were included, 57 patients were randomly assigned to the Alfalfa App group, and 56 patients were randomly assigned to the routine nursing group. Forty-eight patients in the Alfalfa App group completed a three-month follow-up, and 48 patients in the routine nursing group completed a three-month follow-up. Basic demographic data were comparable between the two groups. The average age of AF patients was 61.65 ± 11.01 years old, and 61.5% of them were male. With time (baseline to 3 months), the knowledge scores of the Alfalfa App group (P<.001) and the routine nursing group (P = .002) were significantly improved, the compliance scores of the routine nursing group(P<.001) and Alfalfa App group(P<.001) significantly improved. Compared with the routine nursing group, patients’ knowledge level and medication compliance using the Alfalfa App at 1 month and 3 months were significantly higher (all P < .05). There were significant differences in knowledge and compliance scores between the two groups with time (all P < .05). The satisfaction degree of drug treatment in the Alfalfa App group was significantly better than that in the routine nursing group (all P < .05).ConclusionsAlfalfa App significantly improved the anticoagulation knowledge, drug treatment compliance, and satisfaction of AF patients. In oral anticoagulation management for AF patients, mobile medical technology that integrates the functions of patient education, remote consultation, and medication reminder may be helpful.Trial registrationRegistration number, ChiCTR1900024455. Registered on July 12, 2019.

Knowledge, attitudes, and support needs of obstetric and gynecological nurses and midwives toward perinatal mental health disorders screening in Central China: a multicenter cross-sectional survey.

The perinatal period is a time of increased vulnerability regarding maternal mental health status. Although guidelines and policies have been published for perinatal mental health disorders (PMHDs) screening in China, the knowledge, attitudes, and support needs of nurses and midwives toward implementing mental health screening programs during pregnancy remain unclear. Thus, this study aimed to investigate the knowledge of PMHDs, attitudes and support needs related to implementing mental health screening during pregnancy among obstetrics and gynecology (OB/GYN) nurses and midwives in the central region of China while identifying the related influencing factors. A cross-sectional survey was conducted in 14 cities in Hubei, China, using convenience sampling from July to October 2023. The Chinese version of the Perinatal Mental Health Knowledge Questionnaire, the Chinese version of the Perinatal Mental Health Attitudes Scale, and the Health Care Facilities Support Needs Scale were used to investigate the PMHDs knowledge, attitudes, and support needs of OB/GYN nurses and midwives, respectively. Data were analyzed using SPSS version 27.0. Descriptive and inferential statistics were performed, with a p-value of <0.05 considered statistically significant. The average scores for knowledge, attitudes, and support needs were 6.09 ± 1.99 (total score: 13), 47.67 ± 8.80 (total score: 80), and 29.35 ± 4.66 (total score: 35), respectively. After adjusting for years of nursing experience and years of obstetrics and gynecology nursing experience, the multivariate logistic regression analysis indicated that having mental health-related education or work experience [adjusted OR (aOR) = 1.43, p = 0.01], being midwives (aOR = 1.78, p < 0.001), and working in specialist maternity hospitals (aOR = 1.55, p < 0.001) were significantly associated with higher knowledge scores; having mental health related education or work experience (aOR = 1.59, p = 0.014) and working in specialist maternity hospitals (aOR = 1.42, p < 0.01) were significantly associated with higher support needs scores. OB/GYN nurses and midwives demonstrated insufficient knowledge and moderate attitudes toward PMHDs screening, and have great support need for PMHDs screening. To address these issues, medical organizations and relevant government sectors should enhance training for nurses and midwives on PMHDs and provide professional support to promote routine maternal mental health screening programs and improve perinatal mental health outcomes.

Awareness of Osteoporosis among Postmenopausal Women in Najran Region, Saudi Arabia: A Cross-Sectional Study

Introduction: Osteoporosis is characterized by a decrease in bone mass. Fractures due to osteoporosis are associated with chronic pain, limited mobility, increased mortality, and financial burdens. While osteoporosis is common in both genders, postmenopausal women are at increased risk. This study aims to evaluate the awareness of osteoporosis among postmenopausal women in the Najran region, Saudi Arabia, and to identify its associated factors. Methods: This cross-sectional study was conducted from April to June 2024. It evaluated osteoporosis awareness among 313 postmenopausal women in Najran, Saudi Arabia, excluding postmenopausal women who work as healthcare providers on hormone replacement therapy and with mental limitations. An online questionnaire assessed demographic and osteoporosis-related characteristics using the Osteoporosis Knowledge Assessment Tool (OKAT), an Arabic valid and reliable tool, had 20 questions rated on a three-point Likert scale (true, false, and I don’t know). Results: Out of 701 women, only 313 postmenopausal women were included. The median age was 53 years. Seventy-five percent (236) were married,145 (46%) had a university education or higher and 162 (52%) were housewives. Thirty-six percent (114) and 98 (31%) had a personal and family history of osteoporosis, respectively. The median age at puberty was 13 years, and 226 (72%) reported a history of regular menses previously. The mean knowledge score was 8.965±3.406. Among the participants, 43.5% had good knowledge of osteoporosis. Higher education levels were significantly associated with better knowledge (p=0.030), with those with a university education scoring higher than those with lower education levels. Conclusion: Although 43.5% of participants demonstrated good knowledge of osteoporosis, the majority had poor knowledge, highlighting a significant gap in awareness that needs to be addressed through targeted educational interventions

Knowledge, Awareness, and Perception of Dental Students Regarding Digital Dentistry in Egypt: A Cross-Sectional Study.

Introduction Dental students are the future of the dental profession, and since digital dentistry is becoming more prevalent, they must receive an education that incorporates digital workflows and practices. This study aimed to determine the level of dental students' knowledge, awareness, and perception (KAP) of digital dentistry, as well as the influence of the type of school funding and information source on these aspects. Methods A cross-sectional online survey was performed between September 2023 and March 2024. Dental students from Egyptian public and private universities constituted our study sample. A 22-item questionnaire with four sections was employed for data collection. The data were analyzed using IBM SPSS Statistics for Windows, Version 25, (Released 2017; IBM Corp., Armonk, NY, USA). Results Out of 390 responses, 213 (54.6%) were females, 218 (55.9%) were students, and 287 (73.6%) received computer-aided design/computer-aided manufacturing (CAD/CAM) training in their dental schools. Most of the participants had a moderate to high level of knowledge (48.50% and 43.60%, respectively); 73.10% showed a moderate level of awareness; and 73.60% had a high level of perception of digital dentistry. Additionally, it was shown that interns and participants who gained their knowledge from social media and attended hands-on workshops had significantly higher KAP scores (p ≤ 0.05). The knowledge and perception scores were also impacted by attending a private dental school (p ≤ 0.05). Furthermore, reading books or articles considerably raised participants' awareness, whereas sharing knowledge with peers greatly enhanced their knowledge (p ≤ 0.05). Conclusion Our study revealed a moderate to high level of knowledge, a moderate level of awareness, and a high level of perception about digital dentistry among the majority of participants. Moreover, it underscores the need for comprehensive digital dentistry educational courses, emphasizing practical hands-on training - especially in public dental schools - to equip future dentists with the necessary knowledge and skills.

The Influence of Flipcharts Educational Media on the Level of Mother’s Knowledge, Mother’s Attitudes and Children's OHIS

Dental caries in children is a public health problem that is difficult to control. Even though it is not life-threatening, dental caries affects the growth and development of children. The aim of this research is to see the effect of flipchart media on the level of maternal knowledge, maternal attitudes and children's OHIS scores. The research was conducted using a quasi-experimental design on 20 mother and child. Data analysis used the Wilcoxon test. The research results showed significant differences in maternal knowledge, maternal attitudes and children's OHIS. Flipcart educational media has been proven to be able to increase maternal knowledge, maternal attitudes and reduce children's OHIS

Knowledge and Awareness of Congenital Inguinal and Umbilical Hernia and Its Complications in the Pediatric Population Among Parents in Qassim Region, Saudi Arabia.

Background Congenital umbilical and inguinal hernias are prevalent in infants and children. The exact incidence of congenital umbilical hernias remains unclear due to their typically asymptomatic nature, resulting in limited medical attention-seeking by parents. As these hernias are associated with serious complications such as incarceration, strangulation, and, rarely, obstruction, timely recognition and early medical intervention play a critical role in preventing these complications. This study aimed to investigate the level of knowledge and awareness of congenital inguinal and umbilical hernia and its complications in the pediatric population among parents in the Qassim region of Saudi Arabia. Methodology This cross-sectional study was conducted among parents living in the Qassim region of Saudi Arabia. A self-administered questionnaire was sent to the targeted parents using an online survey. The questionnaire included sociodemographic data (i.e., gender, marital status, education), general awareness about umbilical and inguinal hernia, and a six-item questionnaire to measure parents' knowledge regarding umbilical and inguinal hernia. Results A total of 440 parents responded to our survey (30.9% males vs. 69.1% females). Overall, 49.5% had at least four or more children. Of the study participants, 19.8% knew of both umbilical and inguinal hernias. The overall median knowledge score of six knowledge items was2.00 (interquartile range = 2.00). Most parents (64.3%) had poor knowledge, and only 2.3% of them had good knowledge. Higher education, awareness of the meaning of congenital inguinal or umbilical hernias, and having children with a previous history of umbilical or inguinal hernia symptoms were the factors associated with increased knowledge. Conclusions The parents' knowledge regarding congenital umbilical or inguinal hernia was deficient. Parents with self-knowledge of the disease were likely to demonstrate better umbilical and inguinal hernia knowledge than the rest of the groups. This study highlights the importance of awareness campaigns in bridging the knowledge gap.

Enhancing trauma care in Ukraine amid conflict: A successful implementation of the modified advanced trauma life support course in an active war zone.

Following the 2022 Russian invasion, Ukraine's healthcare system suffered extensive damage, with over 1000 medical facilities destroyed, exacerbating the trauma care crisis. The absence of standardized trauma training left Ukrainian healthcare providers ill-equipped to manage the surge in trauma cases amid conflict. To bridge this gap, we implemented advanced trauma life support (ATLS) courses in Ukraine amid active warfare, aiming to enhance trauma care expertise among healthcare professionals. A consortium, including the International Medical Corps, Harvard Humanitarian Initiative, and others, responded to a request from the Ukrainian Ministry of Health. The ATLS curriculum, translated into Ukrainian, guided the training, with US-based instructors sent to Ukraine for teaching. Despite logistical challenges, such as missile attacks and curfews, the courses ran in multiple Ukrainian cities over 3months. Course effectiveness was evaluated through pre- and post-course knowledge tests, self-efficacy surveys, and satisfaction assessments. Ten ATLS courses trained 213 Ukrainian healthcare providers across five deployments. Significant improvements in knowledge scores (p<0.05) and enhanced self-reported confidence in trauma management were observed. Notably, no casualties were reported among instructors or students, highlighting program safety despite security challenges. Our study demonstrates successful ATLS course implementation in an active war zone, filling a critical gap in trauma education in Ukraine. Despite challenges, the program significantly enhanced participants' trauma care knowledge and confidence. Collaboration between international and local partners was pivotal. This model can serve as a valuable framework for trauma education globally, improving outcomes in conflict zones and resource-limited settings.

Knowledge, attitudes, and practices among medical students toward depression management: a cross-sectional study in China.

The prevalence of depression among university and college students in China is nearly one-quarter. This study aimed to investigate the knowledge, attitudes and practices (KAP) among medical students toward depression management. Depression, a significant public health issue, has a substantial impact on students, with a reported prevalence of 23.8% among university and college students in China. This web-based cross-sectional study was conducted between January 2023 and October 2023 at three medical universities in China. A self-administered questionnaire collected demographic information and assessed medical students' KAP on depression management. A total of 632 participants were enrolled in this study from three medical universities. Among them, 383 (60.60%) were female, and the participants were aged 20.17 years on average (SD ± 1.80). Most of their family members (521, 82.44%) were not in the medical profession. Using a validated 15-point knowledge scale, a 50-point attitude scale, and a 30-point practice scale, which covered areas such as symptom recognition, treatment approaches, and stigma related to depression, the mean knowledge, attitudes and practices scores were 10.55 ± 3.36 (possible range: 0-15), 41.72 ± 4.45 (possible range: 10-50) and 19.79 ± 5.44 (possible range: 6-30), respectively. Males had lower knowledge (p = 0.003). Only children had higher practice (p = 0.034). Urban residents had higher attitudes (p = 0.046). Higher income linked to better practice (p = 0.047). Freshmen scored higher across all KAP (p < 0.05). Medical family background linked to better knowledge (p = 0.005). The attitude scores were correlated with the practice scores (r = 0.403, p = 0.004). The structural equation model demonstrated that knowledge had direct effects on attitude and practice, as indicated by a path coefficient of 0.725 (p < 0.001) and 0.370 (p = 0.001), respectively. Furthermore, attitude had direct effects on practices, with a path coefficient of 0.509 (p < 0.001). The study revealed that medical students possessed sufficient knowledge and demonstrated active attitudes but exhibited limited practical skills in managing depression. In investigating the KAP of medical students, it is essential to integrate specific practical applications, such as role-playing scenarios and case studies, into the curriculum. These methods will emphasize the importance of knowledge, foster positive attitudes, and promote peer collaboration to enhance practical skills in depression management.

Community-Based Mycetoma Surveillance in Uganda: Identifying Knowledge Gaps and Training of Community Health Workers to Improve Case Detection.

Mycetoma is an uncommon and neglected tropical disease in Uganda. We aimed to assess baseline knowledge and provide community health workers (CHWs) in Northern Uganda with knowledge to identify and refer presumptive mycetoma cases. Between March and August 2023, we conducted a concurrent triangulation mixed methods study among CHWs in Gulu and Pader districts on mycetoma. We conducted a 1 day in person training on mycetoma. Quantitative data were collected before (pretest), immediately (immediate posttest) and six months (6-month posttest) after the training and results compared using paired sample t test or one-way ANOVA. Qualitative data were collected using four focused group discussions, audio recorded, and analyzed using thematic content analysis. Forty-five CHWs were enrolled, mostly male (66.7%, n = 30), with a median age of 36 years (IQR 29 43). Out of a total score of 18, the baseline mean knowledge score was 7±2.42, improving to 11±1.99 immediately posttest (p<0.001), and 10±2.35 at 6 months (p<0.001), without additional training. Significant knowledge improvements at 6 months were observed among female participants (p = 0.004), those aged 30 40 years (p = 0.031) or 40+ years (p = 0.035), and those with secondary education (p = 0.007). Over 6 months, CHWs screened 2,773 adults, identifying and referring 30 presumptive mycetoma cases. Qualitative findings revealed challenges and barriers to early identification and referral of mycetoma presumptive cases including limited knowledge, stigma, myths, lack of an indigenous name for mycetoma, delayed decision making, and transportation barriers. This study highlights a significant knowledge gap among CHWs about mycetoma, with substantial improvement following training. The identification of presumptive cases by CHWs reflects their potential in community-based surveillance, emphasizing the need to integrate well-trained CHW to lead efforts for mycetoma surveillance and capacity building to enhance health outcomes in Uganda.

A Study to Assess the Effectiveness of Video Assisted Teaching Programme on Knowledge, Attitude and Practice Regarding Renal Rehabilitation among Patients with Chronic Kidney Disease Who are Admitted in the Mamata General and Super Specialty Hospital, at Khammam, Telanagana

ABSTRACT Background: Kidneys are one of the vital organs in the human body. Kidneys perform vital functions like excretion of waste products, maintenance of water balance, thus maintaining the homeostasis. In addition, kidneys perform many other functions such as role in Homeostasis, Production of Erythrocyte, Endocrine function, Regulation of Blood Sugar and regulation of Blood Calcium level. Because the kidney performs a wide variety of functions, the effects of loss of renal function not only in kidney but also in other organ systems.Hemo dilaysis is used for clients with acute or irreversible renal failure and fluid and electrolyte imbalances. It is usually the treatment of choice when toxic agents, such as barbiturates after an over dose need to be removed quickly. The availability of the treatment for clients with end stage renal failure (ESRF) has become more prevalent. The population receiving hemo dilaysis now represents a wide cross-section of age rehabilitative potential of socio-economic status. Materials and Methods: For the present study, quantitative Evaluative Approach ,Pre – Experimental research design, one group pretest and one group post test design.The study was conducted in the Mamata General and super specialty Hospital at Khammam, Telangana. Results: The above table shows that the pre test mean knowledge score is 10.05 and standard deviation is 3.77 where as post test mean score is 18.02 and standard deviation is 3.36 and mean difference is 7.97, the paired ‘t’ test calculated value is 14.89, which is greater than table value with df value of 79at (p&lt;0.05) level. Conclusion: The main study was conducted in Mamata general and super specialty hospital, at Khammam, Telanagana . The sample sizes 30. The sample was selected by using non probability of convenient sampling technique among those fulfill the criteria.

Assessment of Knowledge and Practices Related to Non-Surgical Management of Osteoarthritis Among Patients in the Rural Community of Sri Ganganagar, Rajasthan.

Introduction: Osteoarthritis (OA) is a degenerative joint disease that represents a major public health challenge, especially in rural communities where access to advanced healthcare is limited. This study aims to assess the knowledge, attitudes, and practices (KAP) related to the non-surgical management of osteoarthritis among patients in the rural district of Sri Ganganagar, Rajasthan, India. Method: A cross-sectional descriptive study was conducted among 234 adult OA patients aged 45 and above, residing in selected rural areas of Sri Ganganagar. Participants were recruited using convenience sampling from local health centers and community clinics. The data were analyzed using descriptive statistics, Chi-square tests, and correlation analyses to explore associations between demographic variables and KAP levels. Results: The study revealed that 29.9% of participants had adequate knowledge about OA, while 18.8% had inadequate knowledge. Regarding practices, 21.4% of participants demonstrated good practices in managing their OA symptoms, whereas 20.9% exhibited poor practices. Significant associations were found between age and education level with both knowledge and practice levels (p &lt; 0.05). A moderate positive correlation was observed between age and knowledge score (r = 0.45, p = 0.002), and a strong positive correlation was found between knowledge and practice scores (ρ = 0.60, p &lt; 0.001). Conclusion: The findings underscore the need for targeted health education programs in rural communities like Sri Ganganagar to bridge knowledge gaps and improve adherence to non-surgical OA management practices. Enhancing patient education and integrating healthcare providers in the patient education process could significantly improve OA management and patient outcomes in rural settings.

Knowledge &amp; Attitude among Parents of Children with Bronchial Asthma whom Attending Iraq Pediatric Hospital

Background: Asthma is a prevalent chronic condition in pediatric populations. The rising incidence, morbidity, and mortality rates associated with asthma have heightened public health concerns. Pediatric asthma imposes a substantial burden on affected children, their families, and the broader community. Effective asthma management encompasses regular monitoring, symptom control, and the prevention of exacerbations. Objectives: The study aimed to document the knowledge, attitudes of parents of children with asthma and to identify the factors associated with parent knowledge and attitude. Method: A study was conducted involving 205 parents of children under five years old with asthma, who attended the Karbala Pediatric Hospital between February 15 and May 15, 2023. A specially designed questionnaire was utilized, comprising three sections: the first section addressed socio demographic information of both children and parents, the second section evaluated the parents' knowledge, and the third section assessed the parents' attitudes. Responses were scored with one point for correct answers and zero points for incorrect or "I don't know" answers. Statistical analyses, including the Student's T-test, ANOVA, and linear regression, were employed to identify factors associated with parental knowledge. Results: The results indicated that the majority of participants were mothers, with a mean age of 29 years, and the majority of asthmatic children were male (69.3%), with a mean age of 34.4 months. It was found that 48.8% of participants had a poor knowledge score, while 61% had a poor attitude score. Key factors influencing knowledge scores included the family’s place of residence, the child’s birth order, the duration of the disease, the age at disease onset, the participant’s age, and the mother's educational level. Conclusion: Overall, the parents demonstrated limited knowledge and unfavorable attitudes regarding childhood asthma. Enhancing their understanding and attitudes could potentially lead to improved management practices among parents of children with asthma.

Knowledge and perception of asthma among parents of children with asthma.

Parents' knowledge is an integral part of healthcare quality, impacting treatment adherence, patient loyalty and healthcare utilisation in pediatric asthma. Parental knowledge is particularly crucial as parents influence decision-making for their child's healthcare. To assess parents' knowledge and perceptions of their children's asthma and to identify areas for weakness in therapeutic education. This is transversal survey study based on validated and translated self-administered questionnaire (Arabic asthma knowledge questionnaire AAKQ). The study was conducted in 2 departments: pediatric primary care department at Elomrane and pediatric pneumology outpatient clinics at Bechir Hamza children's hospital of Tunis during 6 months (March2022- October2022). One hundred forty-four parents were involved in the study. Most of the participants were mothers. The mean age was 38 years. Only 27,0% had higher education and smoking in parents was observed in 58% of cases. Our results showed moderate knowledge in 67,9% of participants. The mean of the total knowledge score was 57,7/85. Forty-six per cent of parents had poor knowledge for the first category of the questionnaire. The second category was the most successful part where only 14% had poor knowledge. The mean score of the third category was 13,5/20 with 35,4% of parents having poor knowledge. The mean of total knowledge was found to be higher among participants with higher education (P=0,000), when the gender of the child is masculine (P=0,038), when the parents were asked in Hospital of children of Tunis (P=0,003) and when there is a history of asthma in the siblings (P=0,05). No difference in caregiver's knowledge was based on their age or gender or history of asthma, on the age of the child, his hospitalization for asthma, his asthma control level or his compliance with medication. Knowledge of parents and their children suffering from asthma is acceptable but insufficient. An approach focusing on improving patient education skills is needed to help families understand and accept the disease and achieve optimal control.