Significant Differences In Knowledge Research Articles

Evaluating a WeChat-Based Intervention to Enhance Influenza Vaccination Knowledge, Attitude, and Behavior Among Chinese University Students Residing in the United Kingdom: Controlled, Quasi-Experimental, Mixed Methods Study.

University students, who often live in close quarters and engage in frequent social interaction, face a heightened risk of influenza morbidity. Still, vaccination rates among this group, particularly Chinese students, remain consistently low due to limited awareness and insufficient access to vaccinations. This study examines the effectiveness of a cocreated WeChat-based intervention that targets mainland Chinese university students in the United Kingdom, aiming to improve their knowledge, attitude, and behavior (KAB) toward seasonal influenza vaccination. A quasi-experimental mixed methods design was used, incorporating an intervention and comparison group, with baseline and follow-up self-reported surveys. The study was conducted from December 19, 2022, to January 16, 2023. The primary outcome is the KAB score, which was measured before and after the intervention phases. System-recorded data and user feedback were included in the analysis as secondary outcomes. A series of hypothesis testing methods were applied to test the primary outcomes, and path analysis was used to explore the relationships. Our study included 596 students, of which 303 (50.8%) were in the intervention group and 293 (49.2%) were in the control group. The intervention group showed significant improvements in knowledge, attitude, and intended behavior scores over time, whereas the control group had only a slight increase in intended behavior scores. When comparing changes between the 2 groups, the intervention group displayed significant differences in knowledge and attitude scores compared to the control group, while intended behavior scores did not significantly differ. After the intervention, the actual vaccination rate was slightly higher in the intervention group (63/303, 20.8%) compared to the control group (54/293, 18.4%). Path analysis found that the intervention had a significant direct impact on knowledge but not on attitudes; knowledge strongly influenced attitudes, and both knowledge and attitudes significantly influenced intended behavior; and there was a strong correlation between intended and actual behavior. In the intervention group, participants expressed a high level of satisfaction and positive review of the content and its use. This study demonstrates how a WeChat intervention effectively improves KAB related to seasonal influenza vaccination among Chinese students, highlighting the potential of social media interventions to drive vaccination behavior change. It contributes to the broader research on digital health intervention effectiveness and lays the groundwork for tailoring similar interventions to different health contexts and populations.

Assessment of ICU nurses' competency towards delirium among critically ill patients.

ICU nurses play a critical role in managing delirium in critically ill patients, yet their competency in this area remains under-explored. To assess ICU nurses' competency including their knowledge, practice, and attitudes toward delirium among critically ill patients. A correlational descriptive study was conducted with 67 nurses in the medical intensive care unit at Suez Canal University Hospitals. Data was collected using an online survey and analyzed using descriptive statistics, ANOVA, and Pearson's correlation. Nurses showed a moderate knowledge level (M = 8.55), a low practice level (M = 6.62), and positive attitudes (M = 21.65) toward ICU delirium. ANOVA results indicated significant differences in practice scores based on educational level, F (2, 64) = 3.361, p = .041, and in knowledge scores based on ICU experience, F(3, 63) = 6.455, p < .001. Nurses with Master of Science in Nursing (MSN) degrees had higher practice scores than those with diplomas or Bachelor of Science in Nursing (BSN) degrees. There were no significant differences in knowledge and attitude scores based on educational level or age. Gender differences were minimal, with male nurses slightly outperforming female nurses. Correlation analysis showed positive relationships between age, education, ICU experience, and ICU nurses' levels of knowledge and practice. ICU nurses demonstrate a knowledge-practice gap in delirium management. Targeted educational interventions, mentorship programs, and a focus on practical skills are essential to enhance delirium care. These findings highlight the urgent need for comprehensive delirium education and training programs for ICU nurses. By improving nurses' knowledge and practice, healthcare organizations can significantly enhance the early detection, prevention, and management of delirium, ultimately leading to improved patient outcomes and reduced length of stay in the ICU.

Effectiveness of different strategies to teach empathy among medical students: A randomized controlled study

ObjectivesTo explore the effectiveness of two educational strategies for teaching empathy to medical students, focusing on their skills and on the theoretical knowledge and self-perception of empathy by patients, professors, and observers. MethodsThis is a randomized controlled study. Clerkship students were divided into two groups: an active group - Role Play and Reflection Group(RRG), and a more traditional group - Lecture Presentation Group(LPG). They were assessed pre- and post-intervention using the Jefferson Empathy Scale(JSPE), ESWIM Empathy Scale, CARE, empathic skills through simulated patient encounters, and a theoretical knowledge test. ResultsA total of 169 students were included. The RRG had higher scores (d=0.81) and greater gains (d=0.82) in empathic skills than the LPG. However, there were no significant differences in knowledge or other scales. Upon assessing skill acquisition (Post–Pre gains), there was a significant increase in both groups for all outcomes, except for JSPE in the LPG group and ESWIM for both groups. ConclusionMedical empathy can be taught, and active learning methodologies can lead to better outcomes, especially on the ability to provide empathic care. Practice implicationsThese findings reinforce existing literature and helps medical schools make informed decisions regarding their teaching methodologies. Trial registryhttps://ensaiosclinicos.gov.br/rg/RBR-8rwx89c.

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.

COVID-19 hand hygiene practices and its barriers among health care workers in a low-resource setting: a cross-sectional study in Nigeria

Abstract Background Poor hand hygiene (HH) among health care workers (HCWs) in low-resource healthcare settings has continued to increase the spread of infectious diseases, including COVID-19. The present study aimed to assess the knowledge, attitude, adherence, and barriers to HH practices among HCWs during the COVID-19 pandemic in Nigeria. Methods The study was an online cross-sectional survey using a tailored questionnaire distributed through chain referral sampling among southern Nigerian HCWs during the first wave of the COVID-19 pandemic (February to August 2020). The primary outcomes were knowledge, attitude, adherence to HH guidelines, and the barriers limiting compliance with the guidelines. Data were analysed using percentage, frequency, mean, standard deviation, one-way ANOVA, and multiple linear regression. The study timeline was from 15 April to 31 July 2020. Results Four hundred and fifty-four HCWs (236 males and 218 females) participated in the study. The participants had a moderate knowledge of standard HH protocol (mean ± SD) 62.45 ± 10.82%, positive attitude 84.34 ± 11.32%, and high adherence to the standard guidelines 81.21 ± 9.49%. There was no significant difference in knowledge, attitude, and adherence across the healthcare professions. Increasing age (β = 0.186, p &lt; 0.003) and knowledge (β = 0.229, p &lt; 0.001), and decreasing negligence (β = − 0.178, p = 0.004), and forgetfulness (β = − 0.159, p = 0.012) were the significant predictors of effective HH practices. Conclusion Nigerian HCWs had moderate knowledge, a positive attitude, and adhered to the standard HH practices during the COVID-19 pandemic. However, the major barriers were institutional-based factors such as the inadequate supply of HH items, competing job demands, emergencies, increased workload, and personal characteristics such as age, poor knowledge, negligence, and forgetfulness. We recommend that hospital management provide their staff with adequate HH materials and continued infectious disease training.

COMPARATIVE STUDY OF KNOWLEDGE AND PREVENTIVE PRACTICES AMONG ADULTS REGARDING DENGUE IN SELECTED RURAL AND URBAN AREAS OF KHURDA DISTRICT, ODISHA

A comparative study to assess the knowledge and preventive practices among adults regarding dengue in selected rural and urban areas of khurda district, odisha. The objective of the study was to assess and compare the knowledge and practices of adults regarding dengue and its prevention in selected rural and urban areas of Khurda, and to correlate knowledge with practices in both settings. The investigator utilized a descriptive survey research approach, incorporating both correlational and comparative designs. She selected adults 50 from rural and 50 from urban area of khurda district by non-probability convenience sampling technique. Data were gathered using a valid and reliable checklist along with a semi-structured interview schedule. The study revealed that urban residents have better mean knowledge and practices regarding dengue prevention compared to rural residents. While the majority of both rural (98%) and urban (100%) participants recognized fever and rash as signs of dengue, few were aware that headache, muscle pain, joint pain, and pain behind the eyes are also symptoms. A significant difference in knowledge was observed between rural and urban participants (z = 2.3), but no significant difference in practice (z = 1.9). There was a moderately positive correlation between knowledge and practice for both rural (r = 0.78) and urban (r = 0.42) residents, indicating that increased knowledge leads to better practices. his study has potential applications across various areas of nursing, including education, practice, research, and administration. It could be expanded by replicating it with a larger randomized sample in a different setting. Additionally, a comparative study could be carried out to examine the knowledge of dengue and its prevention between nursing students and general college students.

Preparing for a Career at the Intersection of Geography and Computing: Availability and Access to Training Along Geocomputational Career Pathways

The growth of the geospatial services industry is increasing the demand for a workforce with training at the intersection of geography and computing (i.e., geocomputation) in terms of skills, knowledge, and disciplinary background. To be more effective at increasing the supply of geocomputational professionals, we need to better understand the existing educational pathways that are available to acquire knowledge and skills in geography, computing, or both. In this article, we aimed to enhance our understanding of the current standing of geocomputational career pathways by (1) articulating the existing curriculum pathways from school to career and identifying broadening participation challenges associated with training opportunities; and (2) identifying specific gaps in knowledge, skills, and training needs and opportunities between geographers, computer scientists, and the geospatial technology industry. Our analysis of a survey of geocomputational professionals identified significant differences in knowledge, skills, and access to training between different educational pathways and between different demographic groups.

Effect of theme game-based learning on psychiatric violence risk assessment and response knowledge, skills, and self-confidence of nursing students: A randomized controlled trial

BackgroundTheme game-based learning has the potential to enrich student learning experiences, leading to improved learning outcomes. Yet, there remains a research gap regarding its application in addressing psychiatric violence, leaving uncertainties about the comparative advantages of theme game-based learning over situational simulation learning strategies. ObjectivesThe goal was to measure the effect of integrating theme game-based learning into psychiatric violence risk assessment and response training on nursing student psychiatric violence-related knowledge, skills, and self-confidence. DesignThis study was a randomized controlled, pre-test, and post-test trial. SettingThe study was conducted at a medical university in Guangzhou, Guangdong, China. ParticipantsThere were 103 third-year nursing undergraduates (intervention group = 51, control group = 52) in the study. MethodsAn Objective Structured Clinical Exam and the Workplace Violence Management Ability Assessment Questionnaire for Intern Nursing Students were used to assess student skills. The knowledge test and the Confidence in Coping with Patient Aggression Instrument were used to measure student knowledge and self-confidence level before and after intervention. ResultsNursing students in the theme game-based group demonstrated significantly superior skills and confidence in violence risk assessment and response compared with students in the situational simulation group (p < 0.001, p = 0.039, p = 0.006, respectively). However, there was no significant difference in knowledge of violence risk assessment and response between the two groups (p = 0.510). ConclusionTheme game-based learning in psychiatric violence risk assessment and response training appeared effective in enhancing the violence management abilities of nursing students.

Assessing Knowledge of Vietnamese Nurses about Prevention and Treatment of Anaphylaxis: A Cross-Sectional Study

Background: Anaphylaxis greatly affects the psychology of patients as well as medical staff. Therefore, knowing about the way of prevention and treatment of anaphylaxis by nurses plays a key role in improving patient's caring services. Objectives: This study was conducted to describe the current state of nurse’s knowledge about the prevention and treatment of anaphylaxis and collect some relative factors. Methods: An analytical cross-sectional study was conducted with 82 nurses from March to May 2022. The questionnaire included 31 items to assess nurses' knowledge about anaphylactic state, anaphylaxis prevention, and treatment. The Chi-square test was used to compare categorical variables. Results: Most nurses had correct knowledge about anaphylactic symptoms, and common causes, with 82.9% and 81.7%. The percentage of nurses with good knowledge about anaphylaxis prevention and treatment recorded a moderate level (76.8%). Only 27.2% of nurses did not know about the type of new drug used for anaphylaxis treatment, while 28.2% recognized adrenalin dosage being used for adults. There were significant differences in knowledge about anaphylaxis prevention and treatment of nurses and ages, years of work, and number of times being trained on anaphylaxis (p&lt;0.05). Conclusion: Nursing knowledge about anaphylaxis prevention and treatment was a moderate level, in particular, knowledge about drugs for emergency treatment of anaphylaxis was limited. Therefore, training sessions need to focus on helping nurses for better understanding of the medicines and the way of using them to be proactive in emergency reactions.

Knowledge, attitude, and practices towards diabetes and diabetic retinopathy among diabetic patients at Medical Palestinian Complex, Ramallah

Diabetes Mellitus (DM) is a worldwide growing burden. Diabetes and its complications constitute a major morbidity burden among the Palestinian population. The main aim of this study was to document the knowledge, attitude, and practices (KAP) of diabetic patients towards diabetes and diabetic retinopathy. This cross-sectional study was conducted over two months at a Medical Palestinian Complex (PMC) outpatient clinic in Ramallah. Fifty diabetic patients were included in the study, and the KAP of patients was assessed using a verbally administered questionnaire. Patients were placed in different categories, such as "good/poor" knowledge, "positive/negative" attitude, and "good/poor" practice. The study involved 50 participants, primarily male, with an average age of 54 years. Overall, knowledge and attitude scores regarding diabetes and diabetic retinopathy were found to be poor, while practice scores were suboptimal for diabetes and poor for diabetic retinopathy. The main barrier to regular follow-up was inadequate knowledge about the importance of eye check-ups. While there was no significant difference in knowledge or attitude towards diabetes and diabetic retinopathy, participants with higher education levels and income demonstrated better practice scores. Additionally, a positive attitude towards diabetes and diabetic retinopathy was associated with better diabetes practice. KAP regarding DM and DR were generally poor among the patients. So, there is an urgent need to improve education and awareness of DM and DR among diabetics, as it is a powerful tool for controlling the disease and its complications by improving patient compliance with treatment and follow-up.

The Influence of Health Promotion Interventions Counseling and Peer Education Groups on Clean and Healthy Living Behaviors of Students in Islamic Boarding Schools

Background: The concept of healthy students is related to clean and healthy living behavior (PHBS) in the Islamic boarding school environment, which combines clean and healthy living behavior (PHBS) in educational institutions and the home environment. Aims: To determine the effect of counseling and peer education groups on the clean and healthy living behavior of students at the Irsyadul Ibad Islamic boarding school. Method: This research is an experimental study using a factorial design with two variables, counseling and peer education. The research sample was 84 students divided into 4 different groups, namely the combination group (counseling and peer education), the counseling group, the peer education group, and the control group. Each group lives in a different dormitory. The health promotion intervention was carried out for 15 days with 10 meetings to discuss clean and healthy living behavior. The statistical tests used were paired t-test and Wilcoxon to determine the differences in values before and after treatment. Kruskall Wallis and Mann Whitney were used to determine the differences in the scores of each group. Results: There are significant differences in knowledge and attitude values before and after treatment, namely: combination group (counseling and peer education), Knowledge p= 0.003, attitude p= 0.009, Knowledge counseling group p= 0.001, attitude p= 0.030 peer group education knowledge p= 0.000, attitude p= 0.001 and control group knowledge p= 0.067, attitude p= 0.053. There are differences in knowledge and attitudes in each group, namely the combination group (counseling and peer education), with the control group, knowledge p = 0.000, attitude = 0.000, counseling group with the control group, knowledge p = 0.000, attitude p = 0.000 peer education group with the control group knowledge p=0.000 attitude p= 0.000. Combination group (counseling and peer education), with knowledge counseling group p=0.063 attitude p= 0.134 combination group (counseling and peer education), with peer education knowledge p=0.079, attitude p=0.095. Counseling group with peer education group knowledge p= 0.332, attitude p=0.424. Conclusion: Combination groups (counseling and peer education), counseling groups, and peer education groups influence clean and healthy living behavior among students at the Irsyadul Ibad Islamic Boarding School.

Knowledge, attitudes, and practices on leprosy among dermatology residents in the Philippines

Introduction: leprosy is a chronic bacterial infection caused by Mycobacterium leprae and Mycobacterium lepromatosis, primarily affecting the skin and peripheral nerves. Dermatologists play an important role in diagnosing and treating patients affected with leprosy and are equipped with adequate knowledge about the clinical presentation and management of patients with leprosy. Methods: a cross-sectional study was conducted on the knowledge, attitudes, and practices of leprosy among dermatology residents in the Philippines using a selfadministered online questionnaire. The study was conducted in two phases: Phase I was the development of the questionnaire, and Phase II was the survey proper, where the questionnaire was administered to dermatology residents in the Philippines via convenience sampling. Descriptive statistics appropriate for the study variables were used. Results: in Phase I of the study, a questionnaire was validated by three leprosy and infectious disease experts and pilot-tested on ten dermatology graduates in the year 2022, showing that items had high scores for validity and reliability. Phase II involved administering the survey to dermatology residents. Data showed that overall, 46 of 118 participants (38.98%) obtained a satisfactory score of 80% and higher on knowledge, 101 of 118 (85.59%) exhibited a positive attitude, and 116 of 118 (98.31%) had adequate practices. Moreover, first-year residents exhibit lower attitude scores than those in higher years, and no significant differences in knowledge and practices were found based on the practice setting. Conclusion: results of the study show that less than half of the included resident dermatologists had satisfactory knowledge of leprosy. However, we identified gaps in these physician’s knowledge, mainly in peripheral assessment nerve function, doses, and duration of treatment for leprosy peoples. On the other hand, participants were noted to have an overall positive attitude towards leprosy and adequate practices.

Impact of Dietary Counseling on Nutritional requirements and Mitigating Noncompliance behavior in Hemodialysis Patients: A Pilot Study

Abstract Introduction Hemodialysis is the most sought-after treatment modality in patients with end-stage renal disease. The success of hemodialysis depends on the patient's adherence to diet and fluid restrictions to a great extent. Nutritional health is a critical consideration, especially for hemodialysis patients. Nutritional education and counseling for renal disease patients significantly preserve renal function and overall well-being. Methods Quantitative research approach with a quasi-experimental crossover design to determine the effectiveness of dietary counseling on the nutritional requirement and noncompliance behavior of patients undergoing hemodialysis conducted at Mangala Kidney Hospital, Mangalore, Karnataka, India. Results The mean age among the participants was 46.07 + 9.67 years. Nearly half of the subjects, 11 (39.29%), had undergone dialysis for 1 to 5 years. Twenty-six (96.3%) had noncompliance behavior toward diet and fluid. Based on biochemical parameters, 20 (74.07%) were classified as low-risk noncompliance and 7 (25.92%) high-risk noncompliance behavior. A paired t-test showed that there is a significant difference in knowledge of nutritional requirements, t (26) = 6.30, p ≤ 0.001 at 5% level of significance, and noncompliance among the participants before and after the dietary counseling program as t (26) = –5.41, p ≤ 0.001 at 5% level of significance. Conclusion Implementing nurse-led counseling for hemodialysis patients can improve biochemical parameters and enhance understanding of dietary and fluid restrictions, positively impacting laboratory indicators.

An Alarming Poor Knowledge with Moderate Confidence Towards Asthma Management among School Teachers: The Dunning–Kruger Effect

ABSTRACT Childhood asthma is a highly prevalent chronic illness with a large burden. Schools play an essential role in helping children with asthma manage their illness. This study assessed primary school teachers’ knowledge and confidence in managing children with asthma in Jordan. A descriptive correlational design was used. A total of 131 teachers from 10 primary schools participated in the study and completed the asthma knowledge questionnaire and the confidence scale. Findings demonstrated low teacher knowledge scores (10.47/32) yet moderate levels of confidence in asthma management (59.3/100). No correlation and no significant difference in knowledge and confidence were found between teachers based on their demographics. Findings from this study are consistent with prior research regarding poor knowledge and limited confidence in asthma management among school teachers. The overrated confidence might be explained by the Dunning–Kruger effect. Findings are discussed about supportive efforts to improve teachers’ knowledge and skills of asthma management in schools.

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.

Common practices of dental implant maintenance among dental hygienists working in the Netherlands - A survey.

Dental implant maintenance is crucial to obtain and maintain a healthy peri-implant situation. Although it is part of a dental hygienists (DH) scope of practice, the knowledge and common practices among DHs in the Netherlands are unclear. A web-based survey was distributed by the Dutch Association of DHs, by spreading survey QR codes and snowballing. The role of the different DH curricula 2- or 3-year diploma and a 4-year bachelor's degree is evaluated. In total, 165 (diploma: 73, bachelor: 92) DHs responded. Peri-implant diseases were well known (98%), indices and clinical symptoms were used to assess peri-implant tissues. A periodontal probe (97%) was used and bone loss was evaluated on radiographs (89%). Treatment was performed supra- and subgingivally (69%), mostly by titanium (45%) or plastic hand instruments (42%). Ultrasonic (52%) and air-abrasive (52%) devices were often used. The recall interval for maintenance was based on a risk-adjusted protocol (70%). DHs with a bachelor's received significantly more training compared to DHs with a diploma during primary education (p < 0.001). Diploma DHs mainly obtained their knowledge from continuing education (p = 0.04). In general, there was no significant difference in knowledge or common practices. The primary education of DHs with a 2- or 3-year diploma and a 4-year bachelor's varies. Due to the continuing education of diploma DHs, knowledge and common practices generally do not differ. Most DHs in the Netherlands perform implant maintenance. A periodontal probe and radiographs are used for examination. Instrumentation is performed supra- and subgingivally, usually with titanium or plastic hand instruments. The recall interval is based on a patient's risk assessment.

Effectiveness of Elderly Education on Level of Knowledge about Hypertension Prevention

Healthy elderly people are everyone's hope who do not experience illnesses such as hypertension. Discussion forums are activity carried out by the elderly at the posyandu so that the elderly can carry out prevention and early recognition of the symptoms of hypertension. The aim of the research was to determine the effectiveness of preventing hypertension by providing knowledge about hypertension. The method used quantitative with a Pretest-Posttest Control Group Design. Respondents were divided into two groups, namely the group receiving counseling and the control group. The research was conducted in 2023 at the North Singkawang Community Health Center. The results of the Wilcoxon Signed Ranks Test obtained a significance value of 0.000 &lt; 0.05 indicating that there was a significant difference in knowledge after being given education about hypertension prevention between the intervention group and the control group. The family plays a role in increasing efforts to prevent hypertension by exercising, eating healthy food and carrying out regular health checks. The elderly are expected to play an active role in hypertension control and prevention programs.

Exploring the multifunctional landscapes model in areas dominated by non-native tree plantations

Multifunctional landscapes offer an integrated approach to production, conservation, and human well-being. However, the challenges of implementing them in territories where plantations dominate are yet not well understood. This is the case in Chile, where plantations of non-native pines and eucalypts are extensively planted in its South-Central regions for timber and pulp. The resulting landscape homogenization, environmental degradation, and increased wildfire risk have caused and exacerbated conflicts, impacting biodiversity and the well-being of local communities and the Indigenous Mapuche Peoples.After the mega-wildfires in the region in 2023, science-policy discourse promoted the multifunctional landscapes model as a way to increase resilience. But what does this multifunctionality mean in challenging social-ecological contexts? Here, we aim to explore and deconstruct the multifunctional landscapes model in the context of the complex social-ecological systems of South-Central Chile. In this study, a review of the literature and semi-structured interviews with regional experts were used to better understand the challenges and opportunities presented by multifunctional landscapes.The results show a need to deepen the knowledge of how to move the model into practice, such as how to identify and decide compatible activities in the landscape. The thematic analysis of the interviews showed that restoration and water security are shared goals across the diverse actors in South-Central Chile. However, there were significant differences in knowledge, experiences and resources. While a number of landscape initiatives exist in the region, significant work is needed to build a common vision before the potential of multifunctional landscapes can be realized.

Assessing Hepatitis Awareness in Punjab: A Comprehensive Study on Public Service Message Effectiveness, Knowledge, and Health Beliefs

The study assessed the effectiveness of public service messages on hepatitis in Punjab, Pakistan, focusing on knowledge, preventive measures, and health beliefs using the Health Belief Model. The study utilized a multistage sampling technique and systematic random sampling to survey 760 respondents, including 384 general population members and 376 hepatitis patients, from the top five districts with the most common hepatitis, finding that public service messages’ effectiveness was insignificant among Hepatitis negative and hepatitis patients. The study found significant differences in knowledge about hepatitis among demographic variables such as age, background, educational qualification, respondent type, family history, and participation in health awareness activities, as tested through ANOVA and Pearson Chi-square tests. Moreover, the perceived susceptibility and perceived severity of hepatitis had a significant impact (R 2 =.635, F = 605.71, β1 =.36, β2 =.58, p-value =0.000 < 0.05.) on preventive measures to avoid hepatitis. The perceived barriers and perceived benefits of hepatitis had a significant impact (R 2 =.407, F = 238.96, β1 =.56, β2 = −.42, p-value =0.000) on the self-efficacy to execute positive behavior toward avoiding hepatitis. Perceived barriers negatively impact self-efficacy, while media exposure and health-related awareness about hepatitis do not significantly influence its knowledge.

The Effect of Stop Motion Video as An Examination Media on The Knowledge and Safe Behavior of PT. X Metal Casting Industry Workers in Klaten

A work accident is one of the risks that can occur in the metal casting industry. Workers' unsafe behavior is the primary cause of occupational accidents. The definition of unsafe behavior is any human behavior that can allow work accidents to occur to oneself or others. The preliminary study results found that 100% of workers had work accidents due to unsafe behavior, and out of 19 workers, 47.3% had insufficient knowledge about unsafe behavior. Counseling using video stop motion is one effort that can be used to overcome. This research aims to investigate the impact of counseling using video stop motion media on enhancing workers' knowledge and safety practices in the metal casting industry. This type of research is a quasi-experiment with a pre-test, post-test, and control group. The experimental group consisted of the workers in the finishing section, while the control group consisted of the workers in the induction section. The Wilcoxon test analysis reveals a significant difference in knowledge and behavior values between the pre-test and post-test, resulting from the use of video stop motion media. Media. The Mann-Whitney test showed a significant difference in the mean value of differences in knowledge and behavior in the pre-test and post-test between the experimental and control groups with a significance value of 0.000 (p &lt;0.05). Video stop motion has the effect of increasing the value of knowledge and safe action among industry workers.