scholarly journals Lack of knowledge on acute stroke in children, adolescents and adults from public schools

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
I C Salles ◽  
G B Gouvea ◽  
M Calderaro ◽  
V S Monteiro ◽  
R F Correa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Public Schools ◽  
Prior Experience ◽  
Signs And Symptoms ◽  
Warning Signs ◽  
Funding Sources ◽  
Level Increase ◽  
Adolescents And Adults ◽  
Associated Risk Factors ◽  
Acute Headache

Abstract Introduction Stroke is an important cause of disability and death in adults worldwide. However, it is preventable in most cases. This community-based study investigated students' stroke knowledge, emergency medical services (EMS) activation, associated risk factors, warning signs and symptoms, and prior experience from different educational levels. Methods We conducted the survey with a structured questionnaire between March 2019 and December 2020. Results Students from the elementary school (n=1,187, ∼13 y.o., 14% with prior experience, 51% women), high school (n=806, ∼17 y.o., 13% with prior experience, 47% women) and University (n=1,961, ∼22 y.o., 9% with prior experience, 66% women) completed the survey. Among the students, the awareness of stroke general knowledge, associated risk factors, and warning signs and symptoms varied between 42–66%. When stimulated, less than 52% of the students associated stroke with hypercholesterolemia, smoking, diabetes, and hypertension. When stimulated, 62–65% of students recognised arm weakness, facial drooping, and speech difficulty; only fewer identified acute headache (43%). Interestingly, 67% knew the EMS phone number; 81% were willing to have stroke education included at school, and 75.2% found it essential and mandatory. Female, higher education and prior experience were associated with higher scores of stroke risk factors (OR: 1.28, 95% CI: 1.10–1.48; OR: 2.12, 95% CI:1.87–2.40; and OR: 1.46, 95% CI: 1.16–1.83; respectively), and signs and symptoms (OR: 2.22, 95% CI: 1.89–2.60; OR: 3.30, 95% CI: 2.81–3.87; and OR: 2.04, 95% CI: 1.58–2.63; respectively). Conclusion Being female, having prior experience, and a higher educational level increase the identification of associated risk factors and warning signs and symptoms. Stroke awareness should be emphasized among schoolchildren and adolescents. FUNDunding Acknowledgement Type of funding sources: None.

Abstract TP199: Stroke Awareness in Argentina, the Sifhon Population Survey

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Daiana E Dossi ◽  
Maximiliano A Hawkes ◽  
Mauricio F Farez ◽  
Maia M Gomez Schneider ◽  
Nicolas A Torres ◽  
...  
Keyword(s):  
Risk Factors ◽  
Distribution System ◽  
Population Survey ◽  
Large Population ◽  
Family Doctor ◽  
Specific Treatment ◽  
Signs And Symptoms ◽  
Warning Signs ◽  
Public Media ◽  
Stroke Awareness

Introduction: Stroke awareness in Latin America is scant. We conducted a large population survey in 13 provinces in Argentina to assess knowledge of cerebrovascular disease. Methods: We distributed 110,000 multiple-choice anonymous questionnaires using the house distribution system of a bottled water dispensing company, assessing information regards age, gender, educational level, general stroke information, attitude towards symptoms and treatment. Percentages of each choice were recorded for every question and a multivariate analysis was performed. Results: A total of 12,710 surveys were returned, age 51±17 years, 69% women. Almost 95% reported prior knowledge of the disease, 50% through public media, 37% through a relative/friend that had a stroke and 8% through their family doctor. The Spanish acronym for accidente cerebrovascular , ACV, was the most frequently identified name for stroke (79%), the Spanish equivalent to cerebral attack was used by 7% and 0,4% used the term “ictus”. Only 29% knew about TIA but 69% identified stroke risk factors. Although 73% recognized their signs and symptoms, 11% misinterpreted them as a heart attack and 34% ignored that stroke can present with severe headache. Although 73% considered the disease potentially disabling/fatal, 40% ignored its frequency. If symptoms, 25% would call 911 and 50% would go to an emergency room by own means. Only 63% knew the existence of a specific treatment. Lowest degree of knowledge was seen in young, single, non-university men. Conclusion: This study represents the largest general public stroke awareness survey in Spanish speaking populations. Respondents showed excellent recognition of risk factors, warning signs and need of a rapid response. The population had little knowledge of prevalence, severity, TIA, and acute treatment. Public media appear to have an essential role in education.

scholarly journals Knowledge about Cervical Cancer Early Warning Signs and Symptoms, Risk Factors and Vaccination among Students at a Medical School in Al-Ahsa, Kingdom of Saudi Arabia

2014 ◽  
Vol 15 (6) ◽  
pp. 2529-2532 ◽  
Author(s):  
Abdulaziz Ahmed Al-Darwish ◽  
Abdullah Fouad Al-Naim ◽  
Khalid Saleh Al-Mulhim ◽  
Nasser Khaled Al-Otaibi ◽  
Mohammed Saad Morsi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cervical Cancer ◽  
Saudi Arabia ◽  
Medical School ◽  
Early Warning ◽  
Signs And Symptoms ◽  
Warning Signs ◽  
Kingdom Of Saudi Arabia ◽  
Early Warning Signs

scholarly journals Assessment of Knowledge on Risk Factors, Warning Signs, and Early Treatment Approaches of Stroke among Community Adults in North India: A Telephone Interview Survey

2019 ◽  
Vol 10 (03) ◽  
pp. 417-422 ◽  
Author(s):  
Manik Chhabra ◽  
Sai Krishna Gudi ◽  
Muhammed Rashid ◽  
Puneet Sharma ◽  
Shubham Sharma ◽  
...  
Keyword(s):  
Risk Factors ◽  
Early Treatment ◽  
Treatment Options ◽  
Signs And Symptoms ◽  
Warning Signs ◽  
North India ◽  
Cross Sectional ◽  
Treatment Approaches ◽  
Window Period ◽  
Study Participants

Abstract Background As stroke is a catastrophic illness, knowing its risk factors, early signs and symptoms, and management strategies could potentially prevent morbidity and mortality among the people. Objectives The aim of this study is to determine the public cognizance of risk factors, signs and symptoms, and early treatment options available for stroke with particular emphases on thrombolysis, and its window period. Materials and Methods A cross-sectional telephonic interview-based survey was conducted in the states of Punjab, Haryana, and Himachal Pradesh of North India from August 2017 to December 2017. Results Of 350 respondents those participated in the survey with a mean age ± standard deviation of 39.93 ± 13.41  years, hypertension was found to be the most common risk factor among the study participants (n = 205, 58.57%) and 28.85% of the study participants were not aware of the risk factors, whereas 46% of the participants were not aware of warning signs of stroke. The window period of thrombolysis was compared with gender, and it was found that the higher number of male participants (n = 49) adduced the right window of thrombolysis (0–4.5  hours) as compared with the female participants (n = 26). Conclusions Survey results suggested that there exists scant information about risk factors, alarming signs, and early treatment approaches among community adults toward stroke. In this regard, there is an immense need to conduct awareness camps related to stroke to educate the vulnerable public.

Abstract TP392: Life in the F.A.S.T. Lane: Improving Stroke Patient and Family Education by Using F.A.S.T

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Noella C West
Keyword(s):  
Risk Factors ◽  
Education Program ◽  
Signs And Symptoms ◽  
Educational Programs ◽  
Warning Signs ◽  
Comfort Level ◽  
Medical Attention ◽  
Individual Risk ◽  
Evidenced Based ◽  
Individual Risk Factors

Background and Purpose: Quality educational programs for stroke awareness promote early medical attention which lead to improved recovery and clinical outcomes. The implementation of an evidence-based education program using F.A.S.T. improved community awareness of both the signs and symptoms of stroke along with awareness of individual risk factors. The purpose of this quality enhancement initiative was to determine the efficacy of specific stroke education and the effects on the community for prompt medical treatment of suspected stroke when warning signs and symptoms are identified. Methods: A quality improvement pre-test/post-test design project was conducted to evaluate the implementation and impact of an evidenced-based patient/family centered education program regarding using F.A.S.T. and identifiable risk factors. Questions formulated using the Kirkpatrick Model. GetWell Rounds and Marabella application was used electronically at the beside to gather data. Outcomes were measured using a 10-point Likert scale in 311 patients and their caregivers at a busy level one trauma center over 5 months. As a result, creation of hospital wide education including videos, key discharge components and community outreach was newly implemented. Results: This evidenced-based initiative contributed to a significant increase in patients/families understanding of stroke signs and symptoms and recognition of individual risk factors that were modifiable. The highest level of improvement is comfort level explaining F.A.S.T. In addition, patient and caregiver survivors as well as non-stroke population participation in the community stroke programs have increased. Conclusions: Identifying stroke symptoms and acting rapidly can lower death and disability, but public awareness of stroke warning signs, symptoms and risk factors remains poor. Stroke educational programs are needed to improve community knowledge and behaviors to increase early treatment and potentially decreasing mortality. The community focused level is important to getting the message out and about stroke factors; therefore, developing cultural awareness is crucial.

scholarly journals Lung cancer awareness and palliative care interventions implemented in Africa: A systematic scoping review’

2020 ◽  
Author(s):  
Ugochinyere Ijeoma Nwagbara ◽  
Themba G Ginindza ◽  
Khumbulani W Hlongwana
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Lung Cancer ◽  
Palliative Care ◽  
Scoping Review ◽  
Signs And Symptoms ◽  
Warning Signs ◽  
World Health ◽  
Cancer Awareness

Abstract Background: Lung cancer is the most common cancer and cause of cancer-related deaths, responsible for nearly one in five deaths across the globe. In low and middle-income countries (LMICs), lung cancer is often diagnosed at a late stage due to poor public knowledge and awareness of the signs and symptoms of lung cancer. It is believed that increasing the awareness about lung cancer is key to reducing the diagnosis and treatment delays. Early implementation of palliative care has also been reported to improve a patient’s quality of life, symptom burden, and even survival. The aim of this paper was to map evidence on lung cancer awareness and palliative care interventions implemented in Africa.Methods: A scoping review was performed following the method of Arksey and O’Malley. Systematic searches were performed using EBSCOhost platform. A keyword search from the following electronic databases were conducted: PubMed/MEDLINE, Google Scholar, Science Direct, World Health Organization (WHO) library, and grey literature. The screening was guided by the inclusion and exclusion criteria. The quality of the included studies was determined by Mixed Method Appraisal Tool (MMAT). A thematic content analysis was used to present the narrative account of the reviews, and NVivo version 11 was employed to extract themes from all included studies.Results: A total of 2886 articles were screened, and 236 met the eligibility criteria. Furthermore, 167 articles were also excluded following abstract screening. Sixty-nine (69) articles were selected for full-article screening by two researchers with 9 being selected for independent detailed data extraction for this synthesis. These studies were also subjected to methodological quality assessment. Of the nine included studies, eight studies described at least one lung cancer warning signs and symptoms, while one study described the effectiveness of palliative care for lung cancer. Eight articles recognized the level of lung cancer knowledge, risk factors and awareness of warning signs and symptoms in LMICs, mostly Africa and Asia.Conclusions: Most of the participants were aware of tobacco use as a risk factor for lung cancer, but the majority still had limited knowledge on the other pre-disposing risk factors. There is limited evidence on the palliative treatment of symptoms, and majority of patients continued to suffer from uncontrolled symptoms and unmet needs. Therefore, the urgent need for timely access to palliative care to be introduced from diagnosis to end of life to improve the quality of life of the lung cancer patients and their families.

scholarly journals Knowledge on Signs and Risk Factors in Stroke Patients

2020 ◽  
Vol 9 (8) ◽  
pp. 2557
Author(s):  
Raúl Soto-Cámara ◽  
Jerónimo J. González-Bernal ◽  
Josefa González-Santos ◽  
José M. Aguilar-Parra ◽  
Rubén Trigueros ◽  
...  
Keyword(s):  
Higher Education ◽  
Risk Factors ◽  
Correct Response ◽  
Signs And Symptoms ◽  
Multivariate Regression Analysis ◽  
Warning Signs ◽  
University Hospital ◽  
Stroke Patients ◽  
Stroke Event ◽  
Cross Sectional

Background: There is a pressing need to contribute evidence to the improvement in the early identification of signs and symptoms associated with strokes, and address the treatment-seeking delays. The objective of this study is to describe the knowledge regarding the warning signs and risk factors (RFs) among stroke patients, as well as of their attitudes toward a suspected event, and the analysis of its possible relationship with the socio-demographic and clinical characteristics of these patients. Method: A cross-sectional study was designed, in which all stroke patients admitted consecutively to the Burgos University Hospital (Spain) were included. The principal outcomes were the patient’s ability to identify two RFs and two warning signs and the patient’s hypothetical response to a possible stroke event. The possible factors associated with the knowledge of warning signs, RFs, and the correct response to a new event were studied using univariate and multivariate regression analysis. Results: A total of 529 patients were included. Having a higher education level or a history of prior stroke were associated with a greater degree of knowledge of warning signs (odds ratio (OR) 3.19, 95% confidence interval (CI) 1.70–5.74, p = 0.003; OR 3.54, 95%CI 2.09–5.99, p ≤ 0.001, respectively), RFs (OR 3.15, 95%CI 1.75–5.67, p = 0.008; OR 4.08, 95%CI 2.41–6.91, p = 0.002, respectively), and the correct response to a possible stroke (OR 1.82, 95%CI 1.16–2.86; p = 0.030; OR 2.11, 95%CI 1.29–3.46, p = 0.022, respectively). Conclusion: Knowledge of warning signs or stroke RFs is low in the hospitalized patients. A previous stroke or secondary/higher education levels are the predictor factors that increase the probability of knowledge of warning signs, RFs, or reaction to possible event.

scholarly journals Incidence and Predicted Risk Factors of Pressure Ulcers in Surgical Patients: Experience at a Medical Center in Taipei, Taiwan

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Ling Fu Shaw ◽  
Pao-Chu Chang ◽  
Jung-Fen Lee ◽  
Huei-Yu Kung ◽  
Tao-Hsin Tung
Keyword(s):  
Risk Factors ◽  
Pressure Ulcers ◽  
Medical Center ◽  
Signs And Symptoms ◽  
Nursing Intervention ◽  
Initial Study ◽  
Surgical Patients ◽  
Study Cohort ◽  
Associated Risk Factors ◽  
Type Of Surgery

Purpose. To explore the context of incidence of and associated risk factors for pressure ulcers amongst the population of surgical patients.Methods. The initial study cohort was conducted with a total of 297 patients admitted to a teaching hospital for a surgical operation from November 14th to 27th 2006 in Taipei, Taiwan. The Braden scale, pressure ulcers record sheet, and perioperative patient outcomes free from signs and symptoms of injury related to positioning and related nursing interventions and activities were collected.Results. The incidence of immediate and thirty-minute-later pressure ulcers is 9.8% (29/297) and 5.1% (15/297), respectively. Using logistic regression model, the statistically significantly associated risk factors related to immediate and thirty-minute-later pressure ulcers include operation age, type of anesthesia, type of operation position, type of surgery, admission Braden score, and number of nursing intervention after adjustment for confounding factors.Conclusion. Admission Braden score and number of nursing intervention are well-established protected factors for the development of pressure ulcers. Our study shows that older operation age, type of anesthesia, type of operation position, and type of surgery are also associated with the development of pressure ulcers.

scholarly journals Knowledge of hypertensive patients on risk factors and warning signs of stroke

2021 ◽  
Vol 8 (8) ◽  
pp. 8-12
Author(s):  
Absar Ahmed Qureshi ◽  
◽  
Shadia Hamoud Alshahrani ◽  
Premalatha Paulsamy ◽  
Dr. Ghadha Mohammed Ali AL –Asbi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Demographic Data ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Warning Signs ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Stroke Risk Factors ◽  
Study Results

Stroke is the largest cause of death worldwide and the primary cause of disability. As a result, it was required to investigate the level of hypertension patients' knowledge of risk factors and warning symptoms. A descriptive cross- sectional study carried out among 200 hypertensive patients who were selected using purposive sampling technique. The tool was constructed with three sections: demographic data, risk factor awareness, and stroke signs and symptoms. The study results show that he total mean of knowledge on risk factors of stroke was 11.73 with the SD of 2.17 and warning signs was 9.61 with the SD of 1.99. The gender, age and level of education had significant relationship with knowledge of the hypertensive patients on risk factors of stroke at p=0.05 level. The study concludes that the majority of hypertension patients had insufficient understanding of stroke risk factors and warning symptoms. Hence, the first priority should be to raise public knowledge of hypertension and support primary prevention in order to reduce the morbidity and mortality related to stroke. Keywords: Knowledge, Hypertensive Patients, Risk Factors, Warning Signs, Stroke

NEONATAL SEPSIS AND IDENTIFICATION OF RISK FACTORS: STUDY IN AVBRH HOSPITAL SAWANGI

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Pramod P. Singhavi
Keyword(s):  
Risk Factors ◽  
Neonatal Sepsis ◽  
Early Onset ◽  
Late Onset ◽  
Signs And Symptoms ◽  
Premature Rupture ◽  
Maternal Risk ◽  
Late Onset Sepsis ◽  
Early Onset Sepsis ◽  
Meconium Stained Amniotic Fluid

Introduction: India has the highest incidence of clinical sepsis i.e.17,000/ 1,00,000 live births. In Neonatal sepsis septicaemia, pneumonia, meningitis, osteomyelitis, arthritis and urinary tract infections can be included. Mortality in the neonatal period each year account for 41% (3.6 million) of all deaths in children under 5 years and most of these deaths occur in low income countries and about one million of these deaths are due to infectious causes including neonatal sepsis, meningitis, and pneumonia. In early onset neonatal sepsis (EOS) Clinical features are non-specific and are inefficient for identifying neonates with early-onset sepsis. Culture results take up to 48 hours and may give false-positive or low-yield results because of the antenatal antibiotic exposure. Reviews of risk factors has been used globally to guide the development of management guidelines for neonatal sepsis, and it is similarly recommended that such evidence be used to inform guideline development for management of neonatal sepsis. Material and Methods: This study was carried out using institution based cross section study . The total number neonates admitted in the hospital in given study period was 644, of which 234 were diagnosed for neonatal sepsis by the treating pediatrician based on the signs and symptoms during admission. The data was collected: Sociodemographic characteristics; maternal information; and neonatal information for neonatal sepsis like neonatal age on admission, sex, gestational age, birth weight, crying immediately at birth, and resuscitation at birth. Results: Out of 644 neonates admitted 234 (36.34%) were diagnosed for neonatal sepsis by the paediatrician based on the signs and symptoms during admission. Of the 234 neonates, 189 (80.77%) infants were in the age range of 0 to 7 days (Early onset sepsis) while 45 (19.23%) were aged between 8 and 28 days (Late onset sepsis). Male to female ratio in our study was 53.8% and 46% respectively. Out of total 126 male neonates 91(72.2%) were having early onset sepsis while 35 (27.8%) were late onset type. Out of total 108 female neonates 89(82.4%) were having early onset sepsis while 19 (17.6%) were late onset type. Maternal risk factors were identified in 103(57.2%) of early onset sepsis cases while in late onset sepsis cases were 11(20.4%). Foul smelling liquor in early onset sepsis and in late onset sepsis was 10(5.56%) and 2 (3.70%) respectively. In early onset sepsis cases maternal UTI, Meconium stained amniotic fluid, Multipara and Premature rupture of membrane was seen in 21(11.67%), 19 (10.56%), 20(11.11%) and 33 (18.33%) cases respectively. In late onset sepsis cases maternal UTI, Meconium stained amniotic fluid, Multipara and Premature rupture of membrane was seen in 2 (3.70%), 1(1.85%), 3 (5.56%) and 3 (5.56%) cases respectively. Conclusion: Maternal risk identification may help in the early identification and empirical antibiotic treatment in neonatal sepsis and thus mortality and morbidity can be reduced.

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