Similar Questions Research Articles

Comparison of barriers to effective nurse-patient communication in COVID-19 and non-COVID-19 wards

BackgroundCommunication is a basic need of humans. Identifying factors that prevent effective nurse-patient communication allows for the better implementation of necessary measures to modify barriers. This study aims to compare the barriers to effective nurse-patient communication from the perspectives of nurses and patients in COVID-19 and non-COVID-19 wards.Materials and methodsThis cross-sectional descriptive study was conducted in 2022. The participants included 200 nurses (by stratified sampling method) and 200 patients (by systematic random sampling) referred to two conveniently selected hospitals in Shahroud, Iran. The inclusion criteria for nurses were considered having at least a bachelor’s degree and a minimum literacy level for patients to complete the questionnaires. Data were collected by the demographic information form and questionnaire with 30 and 15 questions for nurses and patients, which contained similar questions to those for nurses, based on a 5-point Likert scale. Data were analysis using descriptive indices and inferential statistics (Linear regression) in SPSS software version 18.ResultsThe high workload of nursing, excessive expectations of patients, and the difficulty of nursing work were identified by nurses as the main communication barriers. From the patients’ viewpoints, the aggressiveness of nurses, the lack of facilities (welfare treatment), and the unsanitary conditions of their rooms were the main communication barriers. The regression model revealed that the mean score of barriers to communication among nurses would decrease to 0.48 for each unit of age increase. Additionally, the patient’s residence explained 2.3% of the nurses’ barriers to communication, meaning that native participants obtained a mean score of 2.83 units less than non-native nurses, and there was no statistically significant difference between the COVID and non-COVID wards.ConclusionIn this study, the domain of job characteristics was identified by nurses as the major barrier, and patients emphasized factors that were in the domain of individual/social factors. There is a pressing need to pay attention to these barriers to eliminate them through necessary measures by nursing administrators.

A Claim of Conscience: The Duty to Prove Oneself a Resistor

An important question that arises as regards a member in a gravely unjust system is whether by any act of “resistance,” undertaken at personal risk, he or she proved himself to be set against that system. This was the question posed by de-Nazification experts employed by the U.S. military in occupied Germany after World War II.1 A similar question is posed today by social movements, such as Black Lives Matter, reacting against historical racism in the United States. We argue that, today, those who in conscience, as members of a gravely unjust system, have wanted to reject vaccinations developed or tested using cell lines derived from abortion, should be understood and evaluated in the same way. We believe that such an approach provides perhaps the best hope for the re-invigoration of society through the pro-life ideals embodied in the “gospel of life.”

Investigating students’ insight after attending a planetarium presentation about the apparent motion of the Sun and stars

We present two studies to investigate the extent to which attending a planetarium presentation increases secondary school students’ understanding of the apparent motion of the Sun and stars. In the first study, we used the Apparent Motion of Sun and Stars (AMoSS) test in a pretest/post-test/retention test setting to measure learning gains and improved insight of 404 students (16- to 17-year-olds) after attending a classical planetarium presentation at the Brussels Planetarium. The AMoSS test is a questionnaire on the daily and yearly apparent motion and the observer’s position. It consists of six multiple-choice questions about the Sun and six similar multiple-choice questions about the stars. We asked the students to explain their choices. The learning gains are rather small and the scores improve more on the Sun questions than on the star questions. This difference is largest for questions about the yearly apparent motion. We found that this is due to the fact that many students copy their knowledge about the Sun to the stars. Based on the results of this survey, we developed a new planetarium presentation with particular attention to the use of the celestial sphere model. We also developed a learning module that prepares students at school for this planetarium presentation. In a second study, we measured the learning gains after attending this new planetarium presentation among 339 students, also 16- to 17-year-olds. Some school groups had worked through the preparatory learning module at school and others had not. We find that the learning gains on the star questions are significantly higher than in the first study, due to better scores on the yearly apparent motion questions. In this regard, it is notable that we do not see significant differences between those students who prepared the presentation at school and those who did not. In the second study, the number of students who answer all questions correctly after attending the planetarium presentation or working through the learning module increases, but only significantly for those students who worked through the learning module at school. Published by the American Physical Society 2024

Reinforcements in the face of ongoing threats: a case study from a critically small carnivore population

AbstractReinforcements are a well‐established tool for alleviating small population pressures of inbreeding and genetic diversity loss. Some small populations also suffer from specific threats that pose a discrete selective pressure, like diseases. Uncertainty about reinforcing diseased populations exists, as doing so may increase disease prevalence and disrupt potential adaptive processes. However, without assisted gene flow, isolated populations are at high risk of extinction. Tasmanian devils (Sarcophilus harrisii) are a useful case study to test whether reinforcements can alleviate small‐population pressures where there is an ongoing disease pressure. We investigated demographic, genome‐wide and functional genetic diversity, and disease consequences of reinforcing a small population (<20 animals) that was severely impacted by devil facial tumour disease. Released animals from one source population successfully bred with incumbent individuals, tripling the population size, improving genome‐wide and functional diversity and introducing 26 new putatively functional alleles, with no common alleles lost and no increase in disease prevalence. Results suggest, in the case of Tasmanian devils, reinforcements can alleviate small‐population pressures without increasing disease prevalence. Because no common functional alleles were lost, it is likely that any adaptive processes in response to the disease may still occur in the reinforced population, perhaps even with greater efficiency due to reduced genetic drift (due to larger population size). Our study is presented as a comprehensive worked example of the IUCN's guidelines for monitoring reinforcements, to showcase the value of genetic monitoring in a richly monitored system and provide realistic approaches to test similar questions in other taxa.

Images, clusters and types – Making sense of (large) image corpora and related practices in and with digital media

In November 2021, the Visual Communication Division of the German Communication Association (DGPuK) celebrated its 20th anniversary at the University of Trier with a one-year pandemic delay. Marion G. Müller, Katharina Christ and Christof Barth organized an excellent conference to mark the occasion and to reflect on past and current trends, topics, and challenges in visual communication research. Resuming the thematic scope of the division’s first conference held in Hamburg in 2000, the conference focused on “The power of images – Images of power. On visual political communication in digital contexts.” While analyses of press photography in the tradition of political iconology were the main approaches twenty years ago, the program of the anniversary conference demonstrated diversified thematic foci and methodological approaches. The presentations examined a broad range of visual digital media and visual communication exerted by various actors ranging from the press to politicians to activists and citizens. Concurrently, we also saw a considerable diversity concerning methodological approaches and a rising influence of computational methods for analyzing the increasingly large numbers of images in digital media environments. With the panel “Image type / image cluster analysis as an approach to analyzing large numbers of images in online environments,” a discussion on diverse methodological approaches and their potentials and challenges among our members started. After the conference, we decided to open up our internal discussion and reach out to international colleagues working on similar questions. The long-term result is this Thematic Section on diverse methods for structuring image data corpora drawing on different traditions of visual analysis.

Higher derivatives of functions with given critical points and values

Let f:Bn→R\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$f: B^n \\rightarrow {{\\mathbb {R}}}$$\\end{document} be a d+1\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$d+1$$\\end{document} times continuously differentiable function on the unit ball Bn\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$B^n$$\\end{document}, with maxz∈Bn‖f(z)‖=1\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\mathrm{max\\,}_{z\\in B^n} \\Vert f(z) \\Vert =1$$\\end{document}. A well-known fact is that if f vanishes on a set Z⊂Bn\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$Z\\subset B^n$$\\end{document} with a non-empty interior, then for each k=1,…,d+1\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$k=1,\\ldots ,d+1$$\\end{document} the norm of the k-th derivative ||f(k)||\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$||f^{(k)}||$$\\end{document} is at least M=M(n,k)>0\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$M=M(n,k)>0$$\\end{document}. A natural question to ask is “what happens for other sets Z?”. This question was partially answered in Goldman and Yomdin (Lower bounds for high derivatives of smooth functions with given zeros. arXiv:2402.01388), Yomdin (Anal Math Phys 11:89, 2021), Yomdin (J Singul 25:443–455, 2022) and Yomdin (Higher derivatives of functions vanishing on a given set. arXiv:2108.02459v1). In the present paper, we ask a similar (and closely related) question: what happens with the high-order derivatives of f, if its gradient vanishes on a given set Σ\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\Sigma $$\\end{document}? And what conclusions for the high-order derivatives of f can be obtained from the analysis of the metric geometry of the “critical values set” f(Σ)\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$f(\\Sigma )$$\\end{document}? In the present paper, we provide some initial answers to these questions.

A case of confusion: context matters when using reference images on exams

Instructors utilize reference figures from textbooks, journals, and other sources on quizzes and exams to illustrate concepts that would otherwise be diffcult to convey using written text. Examples within biomedical teaching include anatomical images and graphs that students are expected to analyze or interpret. However, the use of a figure may cause confusion and lead students to select an incorrect answer. As such, instructors must evaluate the use of figures to ensure that they enhance students’ ability to correctly answer the question rather than hinder it. This report shows an example where the inclusion of a reference figure led to the majority of students incorrectly answering a question.Over 6 semesters in a master’s level graduate neuroscience course between 2019 and 2021, the same question was used with and without a reference figure in a variety of contexts to determine the factors that contributed to students overwhelmingly selecting an incorrect answer. In the question, students were asked to identify neuroarchitectural adaptations in the somatosensory cortex following amputation. To determine the correct answer, students needed to integrate knowledge of the discriminative touch sensory pathways with knowledge of cortical plasticity.In semesters where the figure was presented without specific teaching interventions, 57% of students selected an incorrect answer that utilized the proximity of cortical sites but was not supported by the signaling pathways. In these semesters, only 39% of students correctly answered. In semesters where the figure was not used, 94% of students correctly answered the question while only 6% of students selected the most common incorrect answer when the figure was present.Teaching interventions were introduced during two semesters in an attempt to “teach the question.” Students were asked to read primary literature on the topic, additional examples and cases were introduced, and in one semester, a similar practice question using was given to the students. Students were then presented with the question containing the image. 56% of students selected the most common incorrect answer while only 42% of students correctly answered the question.While no formal survey of the students was conducted, anecdotal evidence from student offce hours, directed inquiries, and casual conversations indicate that students generally felt that use of the figure, when present, was critical to answering the question and many reported that using the figure led them to prioritize their knowledge of cortical plastic adaptations over that of the signaling pathways.These results demonstrate the importance of carefully utilizing reference images on questions for quizzes and exams. The visual cues of the image can be powerful stimuli for students when analyzing the information and can sometimes lead to incorrect answers on the assessment. This work was supported by internal funding from the Georgetown University Graduate School of Biomedical Sciences and Georgetown University Medical Center’s Center for Innovation and Leadership in Education (CENTILE). This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Emulation of randomized trials of direct oral anticoagulants with claims data and implications for new Factor XI inhibitors.

Direct oral anticoagulants (DOACs) revolutionized the management of thromboembolic disorders. Clinical care may be further improved as Factor XIs undergo large-scale outcome trials. What role can non-randomized database studies play in expediting understanding of these drugs in clinical practice? The RCT-DUPLICATIVE Initiative emulated the design of eight DOAC randomized clinical trials (RCT) using non-randomized claims database studies. RCT study design parameters and measurements were closely emulated by the database studies and produced highly concordant results. The results of the single database study that did not meet all agreement metrics with the specific RCT it was emulating were aligned with a meta-analysis of six trials studying similar questions, suggesting the trial result was an outlier. Well-designed database studies using fit-for-purpose data came to the same conclusions as DOAC trials, illustrating how database studies could complement RCTs for Factor XI inhibitors-by accelerating insights in underrepresented populations, demonstrating effectiveness and safety in clinical practice, and testing broader indications.

Decoding Factors Influencing Mental Health Help-Seeking in Asian International Students: A Correlational Survey Study

This study investigates the effects of gender, age, perceived socioeconomic status, and attitudes toward mental health treatment, alongside the awareness and accessibility of mental health services, on the propensity of Asian international undergraduate and graduate students in U.S. colleges to seek mental health support. Utilizing an online survey, responses from a diverse group of 116 participants, aged 18 and above, from universities across the nation were examined through correlation analysis. Findings indicated no significant gender differences in attitudes toward mental health treatment. However, factors such as higher educational level, superior socioeconomic background, longer U.S. residency, and increased awareness and accessibility of mental health services positively influenced attitudes. This quantitative study extends previous qualitative research addressing similar questions, filling a gap by offering broader empirical insights into this population’s mental health service utilization. The outcome underscores the need for university counseling centers to develop targeted interventions that acknowledge the needs of Asian international students. Future research should explore the longitudinal impacts of these factors on mental health help-seeking behaviors to inform ongoing service improvement.

A Brief History of the Development of Modern Psychological Astrology

Abstract In this article, we aim to provide a summary of the development of modern psychological astrology over the past century in terms of its esoteric and scientific historical antecedents, highlighting the contributions of the Theosophists on the one hand and C.G. Jung on the other, while discussing not only the complex interrelationships between the two but also other important authors and relevant historical aspects. By tracing the links between psychology and Western esotericism we also try to illustrate that, although being apparently two very separate fields, they are connected in several ways, both because of the similar questions they pose, because of certain historical processes that have influenced them, and because of the common subject matter they address—the human mind or soul.

A comparative study of the judicial construction of scientific credibility in climate litigation

AbstractAlthough the value of climate science in the courtroom is widely acknowledged, few studies have evaluated how judges achieve a scientifically sound grounding for their rulings. Drawing insights from legal culture and science and technology studies, we compare the determination of scientific credibility in leading climate cases in Europe and the United States. Judges on both sides of the Atlantic answer similar questions about scientific facts and commonly use authoritative reports and testimonies from qualified experts. However, while judges in the Netherlands, France and Germany find value in the political mandates of international or national bodies that generate scientific reports, American judges seek to keep scientific expertise from the influence of policy considerations. We make sense of this difference by identifying two competing ideals of expertise, namely the ‘view of everyone’ ideal in Europe and the ‘view from nowhere’ ideal in the United States. Although climate science is often articulated in universalist terms, the cultural embeddedness of adjudication means that the evaluation of credibility varies by jurisdiction.

Concordance between SARS-CoV-2 index individuals and their household contacts on index individual COVID-19 transmission cofactors: a comparison of self-reported and contact-reported information

BackgroundFollowing the outbreak of the COVID-19 pandemic, several clinical trials have evaluated postexposure prophylaxis (PEP) among close contacts of an index individual with a confirmed SARS-CoV-2 infection. Because index individuals do not directly inform the efficacy of prevention interventions, they are seldom enrolled in COVID-19 PEP studies. However, adjusting for prognostic covariates such as an index individual’s COVID-19 illness and risk behaviors can increase precision in PEP efficacy estimates, so approaches to accurately collecting this information about the index individual are needed. This analysis aimed to assess whether surveying household contacts captures the same information as surveying the index individual directly.MethodsREGN 2069/CoVPN 3502, a randomized controlled trial of COVID-19 PEP, enrolled household contacts of SARS-CoV-2 index individuals. CoVPN 3502-01 retrospectively enrolled and surveyed the index individuals. We compared responses to seven similar questions about the index individuals’ transmission cofactors that were asked in both studies. We estimated the percent concordance between index individuals and their household contacts on each question, with 50% concordance considered equivalent to random chance.ResultsConcordance between index individuals and contacts was high on the most objective questions, approximately 97% (95% CI: 90–99%) for index individual age group and 96% (88–98%) for hospitalization. Concordance was moderate for symptoms, approximately 85% (75–91%). Concordance on questions related to the index individual’s behavior was only slightly better or no better than random: approximately 62% (51–72%) for whether they received COVID-19 treatment, 68% (57–77%) for sharing a bedroom, 70% (59–79%) for sharing a common room, and 49% (39–60%) for mask wearing at home. However, while contacts were surveyed within 96 h of the index individual testing positive for SARS-CoV-2, the median time to enrollment in CoVPN 3502-01 was 240 days, which may have caused recall bias in our results.ConclusionsOur results suggest a need to survey index individuals directly in order to accurately capture their transmission cofactors, rather than relying on their household contacts to report on their behavior. The lag in enrolling participants into CoVPN 3502-01 also highlights the importance of timely enrollment to minimize recall bias.

Utilizing genomic signatures to gain insights into the dynamics of SARS-CoV-2 through Machine and Deep Learning techniques

The global spread of the SARS-CoV-2 pandemic, originating in Wuhan, China, has had profound consequences on both health and the economy. Traditional alignment-based phylogenetic tree methods for tracking epidemic dynamics demand substantial computational power due to the growing number of sequenced strains. Consequently, there is a pressing need for an alignment-free approach to characterize these strains and monitor the dynamics of various variants. In this work, we introduce a swift and straightforward tool named GenoSig, implemented in C++. The tool exploits the Di and Tri nucleotide frequency signatures to delineate the taxonomic lineages of SARS-CoV-2 by employing diverse machine learning (ML) and deep learning (DL) models. Our approach achieved a tenfold cross-validation accuracy of 87.88% (± 0.013) for DL and 86.37% (± 0.0009) for Random Forest (RF) model, surpassing the performance of other ML models. Validation using an additional unexposed dataset yielded comparable results. Despite variations in architectures between DL and RF, it was observed that later clades, specifically GRA, GRY, and GK, exhibited superior performance compared to earlier clades G and GH. As for the continental origin of the virus, both DL and RF models exhibited lower performance than in predicting clades. However, both models demonstrated relatively higher accuracy for Europe, North America, and South America compared to other continents, with DL outperforming RF. Both models consistently demonstrated a preference for cytosine and guanine over adenine and thymine in both clade and continental analyses, in both Di and Tri nucleotide frequencies signatures. Our findings suggest that GenoSig provides a straightforward approach to address taxonomic, epidemiological, and biological inquiries, utilizing a reductive method applicable not only to SARS-CoV-2 but also to similar research questions in an alignment-free context.

Unsupervised question-retrieval approach based on topic keywords filtering and multi-task learning

Currently, the majority of retrieval-based question-answering systems depend on supervised training using question pairs. However, there is still a significant need for further exploration of how to employ unsupervised methods to improve the accuracy of retrieval-based question-answering systems. From the perspective of question topic keywords, this paper presents TFCSG, an unsupervised question-retrieval approach based on topic keyword filtering and multi-task learning. Firstly, we design the topic keyword filtering algorithm, which, unlike the topic model, can sequentially filter out the keywords of the question and can provide a training corpus for subsequent unsupervised learning. Then, three tasks are designed in this paper to complete the training of the question-retrieval model. The first task is a question contrastive learning task based on topic keywords repetition strategy, the second is questions and its corresponding sequential topic keywords similarity distribution task, and the third is a sequential topic keywords generation task using questions. These three tasks are trained in parallel in order to obtain quality question representations and thus improve the accuracy of question-retrieval task. Finally, our experimental results on the four publicly available datasets demonstrate the effectiveness of the TFCSG, with an average improvement of 7.1%, 4.4%, and 3.5% in the P@1, MAP, and MRR metrics when using the BERT model compared to the baseline model. The corresponding metrics improved by 5.7%, 3.5% and 3.0% on average when using the RoBERTa model. The accuracy of unsupervised similar question-retrieval task is effectively improved. In particular, the values of P@1, P@5, and P@10 are close, the retrieved similar questions are ranked more advance.

Optimal non-absolute domains for the Hardy operator minus identity

We characterize the optimal non-absolute domain for the Hardy operator minus the identity, in the Lebesgue space Lp(0,∞), 1≤p≤∞. We also address a similar question for the dual Hardy operator minus the identity.

Educating vulnerable communities about diabetes: Can a fotonovela work?

Objectives: This study evaluated the effects of reading different versions of a fotonovela about diabetes in resource-poor settings in South Africa. Design: An experimental study was conducted with 411 participants, comparing a fotonovela with a younger protagonist, a similar fotonovela version with an older protagonist and a no message control condition. Differences between the two fotonovela versions were analysed for two age groups of readers (25–49 years, and 50 years and older). Setting: Community centres in vulnerable communities in the South African provinces of the Western Cape, the Northern Cape and Gauteng. Method: In the experimental conditions, participants completed a questionnaire after reading one of the fotonovela versions. Participants in the control condition answered similar questions without having read a fotonovela. Results: Both fotonovela versions resulted in more diabetes knowledge than the control condition. Limited positive effects were found for attitudes and behavioural intentions. In the younger participant group, age similarity between the protagonist and readers resulted in knowledge gain, while in the older participant group, no such effect was found. In both age groups, no age similarity effects were found for attitudes or behavioural intentions. Conclusion: This study confirms that fotonovelas can be an effective means of health communication. Furthermore, for a narrative on a health topic for which age is relevant, it can be beneficial to choose a young protagonist. For readers from the same age group, the impact of the story on knowledge acquisition may then be greatest, while for older readers, the age of the protagonist does not seem to influence the knowledge effects of the story.

Edukasi Pijat Bayi Kepada Ibu Dengan Balita Kelurahan Sumber, Kota Surakarta

Baby massage is one of communication design from a person to a baby with so many benefits for the baby that receive baby massage. Sadly, the knowledge about baby massage in this community is not enough. Education about baby massage was given for a mother with 1 – 36 months old toddler that usually checking their child at RW 14 Kelurahan Sumber, Surakarta City, that aim to increase the knowledge about the definition to how to do baby massage. The education given by oral presentation and leaflet, and also a demo on how to do a baby massage. Leaflet that contains the theory given to audiences so the education can be applicated based on the instructions. Pretest and Posttest was given and contain some simple questions with “Yes/No” answers includes the knowledge of effects, contraindication, and procedure of baby massage and how of then their baby receive it. Pretest was given before the education and it results the knowledge of baby massage in mother with toddler were just about 30% and it increased after the education for 70% with similar questions after the education so it canbe conclude that publicly, especially people that usually checking their children, knows how to do baby massage.

Knowledge and practices regarding leishmaniasis in Portugal – Comparison between blood donors and health students/professionals

ObjectiveTo compare the current knowledge and practices regarding leishmaniasis among blood donors and health students and professionals, in Portugal. Material and methodsData were collected through the application of two questionnaires (one online and one in paper) with similar questions in two distinct cross-sectional independent studies, each targeting one of the groups. Descriptive statistics and hypothesis testing were performed using IBM® SPSS® Statistics. ResultsIn total, 3763 blood donors, 254 students and 232 professionals were included in the comparative analysis. Over 95% of students and professionals, but only around 70% of blood donors had previously heard of leishmaniasis. Over 90% of participants in each group admitted leishmaniasis affected animals, but only in the professional group over 90% were aware of human leishmaniasis. ConclusionsEven though canine leishmaniasis is recognized by many blood donors and by most students and professionals, awareness of the disease in humans is less common, highlighting the importance of promoting an approach to this infection through a One Health lens.

Exploring evidence selection with the inclusion network

Abstract Although systematic reviews are intended to provide trusted scientific knowledge to meet the needs of decision-makers, their reliability can be threatened by bias and irreproducibility. To help decision-makers assess the risks in systematic reviews that they intend to use as the foundation of their action, we designed and tested a new approach to analyzing the evidence selection of a review: its coverage of the primary literature and its comparison to other reviews. Our approach could also help anyone using or producing reviews understand diversity or convergence in evidence selection. The basis of our approach is a new network construct called the inclusion network, which has two types of nodes: primary study reports (PSRs, the evidence) and systematic review reports (SRRs). The approach assesses risks in a given systematic review (the target SRR) by first constructing an inclusion network of the target SRR and other systematic reviews studying similar research questions (the companion SRRs) and then applying a three-step assessment process that utilizes visualizations, quantitative network metrics, and time series analysis. This paper introduces our approach and demonstrates it in two case studies. We identified the following risks: missing potentially relevant evidence, epistemic division in the scientific community, and recent instability in evidence selection standards. We also compare our inclusion network approach to knowledge assessment approaches based on another influential network construct, the claim-specific citation network, discuss current limitations of the inclusion network approach, and present directions for future work.

Tsunami hazard perception and knowledge of alert: early findings in five municipalities along the French Mediterranean coastlines

Abstract. Along the French Mediterranean coastlines, most of the studies dealing with tsunamis have focused on hazards, evacuations, or effects of awareness actions, as opposed to hazard perception and knowledge of alert declared locally by the population. To bridge this gap, in this study, data collection yielded 750 responses coming from 150 people living and/or working in the tsunami evacuation zones of five municipalities (e.g., Bandol, Bastia, Cannes, Six-Fours-les-Plages, Sanary-sur-Mer). Early findings confirmed the tendency to underestimate tsunami hazard and a misunderstanding of the alert process. Interestingly, age or location of respondents explained differences between the five surveyed municipalities – more so than gender and residency status. Discrepancies are also observed when we compare the rate of correct answers for similar questions addressed in other areas in the NEAMTWS (North-eastern Atlantic, Mediterranean and connected seas Tsunami Warning System) region, thus confirming local effects. More surprisingly, the respondents who well perceive the tsunami hazard are not those who have a good knowledge of alerts, and the awareness actions do not really impact the tsunami knowledge we evaluated. Also, the results of this study could help local authorities to develop future tsunami awareness actions and to determine more suitable strategies to be applied in the short term at local scales.