Abstract WP164: An Assessment of Stroke Knowledge in the Coulee Region Community

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Mouhammed Kabbani ◽  
Katherine Riley ◽  
Angela L Smith ◽  
Andrew Borgert ◽  
John Gabbert ◽  
...  
Keyword(s):  
Delayed Presentation ◽  
Gis Technology ◽  
Exact Test ◽  
Demographic Groups ◽  
Level Of Knowledge ◽  
Stroke Education ◽  
Low Levels ◽  
Middle Aged Adults ◽  
Stroke Knowledge ◽  
Targeted Approach

Introduction: Delayed presentation to the hospital persists as a significant barrier to early intervention of stroke with tPA treatment. Community knowledge about stroke symptoms is moderate at best and not parallel with behavior. Objective: To assess our community’s level of knowledge about stroke to direct the development of targeted educational efforts. Methods: Members of communities in our regional stroke alert locations were asked to complete a 15-item survey that included questions about basic demographics, stroke symptoms, behavior actions and interest in and barriers to attending stroke education. Surveys were collected from local businesses, online and in public venues. Overall scores were calculated by summing the number of correct responses and, with the exception of questions pertaining to the BEFAST mnemonic, subtracting the number of incorrect or unmarked responses. Reported metrics include overall survey scores and demographics of survey respondents. Total scores were compared between demographic groups via the Wilcoxon Rank Sum, while question level comparisons utilized the χ2 or Fisher’s exact test. GIS technology was applied to identify geographic clusters of different knowledge levels. Results: Among 1118 participants, 86% had low levels of stroke knowledge as defined by a survey score of ≤ 70% accuracy (medium = 71-89%; high ≥ 90-100%). Knowledge was low throughout most of our community with isolated pockets of higher knowledge in outlying areas. Awareness was highest (though still low) among females, middle-aged adults (36-55 yo), those with post-high school degrees, and those with previous formal stroke education. In case of stroke, older adults (55+ yo) were least likely to call 9-1-1. Only 21.6% of participants were likely or highly likely to attend stroke education. Conclusions: The level of stroke knowledge in our community is low. People tend to not be interested in attending formal stroke education outside of their regular day. Efforts must be made to raise awareness about stroke symptoms and treatment in order to increase more positive outcomes following stroke. Incorporating stroke education into work and school curriculums will be our targeted approach.

Abstract W P364: Advanced Stroke Life Support: Making a Difference in Stroke Care

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Amy Jones ◽  
Gladys Campbell
Keyword(s):  
Student Satisfaction ◽  
Life Support ◽  
Treatment Options ◽  
Educational Experience ◽  
Practice Session ◽  
Value Analysis ◽  
Hands On ◽  
Post Test ◽  
Stroke Education ◽  
Stroke Knowledge

Background and Purpose: A Comprehensive Stroke Center provides many opportunities for interactions with smaller facilities. Needs identified by our community facility partners was a standardized and effective neurological assessment of the stroke patient that could be performed by all staff and staff stroke education. Investigation into the Advanced Stroke Life Support (ASLS) course provided information that would serve as a blueprint to resolve both education needs. Method: Six staff members were certified as ASLS Instructors. ASLS course has been provided using didactic and hands on participation for scoring of patients with the Miami Emergency Neurologic Deficit (MEND) exam and stroke education. Participants were given a pre-test at the beginning of the educational experience, followed by a post test at the conclusion of class. Lectures included overview of five major stroke syndromes, basic MEND exam knowledge and scoring requirements, followed by review of treatment options and care provided once hospitalized. The learning opportunity was enhanced by interactive hands on session by each participant through performing the MEND exam on fellow participants and scoring of the MEND exam on scenario based test patients. Use of the interactive practice session with immediate feedback from instructors was key elements of student satisfaction and perceived learning during the educational experience. Results: Initial class evaluations and changes in pre and post test scores indicate an increase in participant stroke knowledge. 47 of 50 failed the pre-test with scores ranging from 35 to 85. Upon posttest all participants passed with scores ranging from 80 to 100. There was an increase in proficiency using the MEND exam from the initial practice session to use during the test patient scenarios. Additional survey results will be obtained using post class value analysis survey at least three months after class completion to demonstrate participants’ ability to apply knowledge to practice setting. Conclusion: Completion of ASLS course provides an increase of stroke knowledge that promotes application of information learned to care of stroke patients in practice settings.

scholarly journals Sociodemographic factors associated with pregnant women's level of knowledge about oral health

2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Wander Barbieri ◽  
Stela Verzinhasse Peres ◽  
Carla de Britto Pereira ◽  
João Peres Neto ◽  
Maria da Luz Rosário de Sousa ◽  
...  
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Oral Health Promotion ◽  
Cross Sectional ◽  
Significance Level ◽  
Exact Test ◽  
Adequate Knowledge ◽  
Level Of Knowledge

ABSTRACT Objective To evaluate knowledge on oral health and associated sociodemographic factors in pregnant women. Methods A cross-sectional study with a sample of 195 pregnant women seen at the Primary Care Unit Paraisópolis I, in São Paulo (SP), Brazil. For statistical analysis, χ2 or Fisher's exact test and multiple logistic regression were used. A significance level of 5% was used in all analyses. Results Schooling level equal to or greater than 8 years and having one or two children were associated with an adequate knowledge about oral health. Conclusion Oral health promotion strategies during prenatal care should take into account sociodemographic aspects.

scholarly journals Effects of school-based intervention by emergency medical technicians on students and their parents: a community-based prospective study of the Akashi project

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e016780 ◽  
Author(s):  
Shinya Tomari ◽  
Chiaki Yokota ◽  
Kunihiro Nishimura ◽  
Tenyu Hino ◽  
Satoshi Ohyama ◽  
...  
Keyword(s):  
Emergency Medical Technicians ◽  
Educational Materials ◽  
Community Based ◽  
School Based ◽  
Public Elementary Schools ◽  
Emergency Medical ◽  
Stroke Awareness ◽  
Stroke Education ◽  
The City ◽  
Stroke Knowledge

ObjectiveStroke lessons for youth provided by emergency medical technicians (EMTs) may be an effective strategy to facilitate early intervention for patients with stroke. The aim of this study was to examine how effective EMT-led lessons on stroke awareness for schoolchildren were at disseminating stroke information.Setting, participants and outcome measuresThe study was performed in the city of Akashi, Hyogo, Japan (Akashi project). Children (aged 9–10 years old) at 11 public elementary schools and their parents were enrolled in this study. EMTs from the firefighting headquarters provided lessons on stroke to the children using our educational materials between September 2014 and October 2015. Each child was given our educational materials to take home and discuss stroke with their parents. The children and their parents answered questionnaires on stroke knowledge before, immediately and at 3 months after the lesson.ResultsA total of 763 children and 489 parents were enrolled (ie, 64% of children). The scores of either stroke symptoms or risk factors were significantly higher immediately and at 3 months after the lesson, compared with before the lesson, both in children and the parents (p<0.01). Compared with the baseline in both groups (58% in children, 83% in parents), the meaning of the FAST mnemonic at 3 months (88%, 94%), as well as at immediately after the lesson (90%, 89%), was significantly higher (p<0.001).ConclusionStroke education by EMTs was effective in increasing stroke awareness in elementary school children, as well as their parents.

scholarly journals Willingness to Use an Approved COVID-19 Vaccine: Cross-National Evidence on Levels and Individual-Level Predictors

2020 ◽  
Author(s):  
Marie Fly Lindholt ◽  
Frederik Juhl Jørgensen ◽  
Alexander Bor ◽  
Michael Bang Petersen
Keyword(s):  
Herd Immunity ◽  
Total N ◽  
Demographic Groups ◽  
Individual Level ◽  
Political Sources ◽  
Low Levels ◽  
Willingness To Use ◽  
High Willingness ◽  
Western Democracies ◽  
Cross National

The management of the COVID-19 pandemic critically hinges on the approval of safe and effective vaccines but, equally importantly, on high willingness among lay people to use vaccines when approved. To facilitate vaccination willingness via effective health communication, it is key to understand both levels of skepticism towards an approved COVID-19 vaccine and the demographic, psychological and political sources of this skepticism. To this end, we examine the levels and predictors of willingness to use an approved COVID-19 vaccine in large, representative surveys from eight Western democracies that differ both politically and in terms of the severity of the pandemic: Denmark, France, Germany, Hungary, Sweden, Italy, United Kingdom, and United States (total N = 9,889). The data reveal large variation in vaccination willingness, both across and within countries ranging from 79 % in Denmark to 38 % in Hungary. Thus, most national levels fall below current best estimates for the required threshold for reaching herd immunity. Across national and demographic groups, the analyses demonstrate that a lack of vaccination willingness is associated with low levels of trust in authorities, conspiracy-related beliefs and a lack of concern about COVID-19. These factors also account for cross-national levels in vaccine willingness.

scholarly journals ASSESSMENT OF KNOWLEDGE, PRACTICES, AND ATTITUDE OF HAND HYGIENE AMONG UNIVERSITY NURSING AND OPTOMETRY UNDERGRADUATE STUDENTS IN THEIR FINAL YEAR OF TRAINING

2021 ◽  
Vol 21 (2) ◽  
pp. 226-233
Author(s):  
Janitha Plackal Ayyappan ◽  
Virgina Varghese ◽  
Galal Mohammed Ismail
Keyword(s):  
Patient Safety ◽  
Nursing Students ◽  
Hand Hygiene ◽  
Undergraduate Students ◽  
Hygiene Practice ◽  
Cross Sectional ◽  
Exact Test ◽  
Knowledge Practices ◽  
Cross Transmission ◽  
Level Of Knowledge

Safe Hand hygiene practice is considered the most essential component of patient safety. Especially when it comes to health professionals; students are exposed to their clinical practice in the first years of their education. This accelerates the chances of getting infection via cross-transmission of hands through the healthcare worker to the patient is the most common quantitative cross-sectional, questionnaire-based survey was carried out to investigate the level of knowledge, practices, and attitude of Hand hygiene among university nursing and optometry undergraduate students in their final year of training. A total of one hundred and forty-three subjects took part in the survey of which 73 nursing students and 70 optometry students. Fisher’s exact test was applied to test the level of Knowledge on practice and attitude. And the correlation coefficient r=-1 to +1   with P>0.05 was obtained. To add, using an observational checklist will be the ideal way to assess the hand hygiene practice in the clinical area. Moreover, add a mandatory component as patient safety into the curricula of the undergraduate students of allied health will enhance patient safety more effectively.

scholarly journals Increased Incidence of Perforated Appendicitis in Children During COVID-19 Pandemic in a Bavarian Multi-Center Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Frank-Mattias Schäfer ◽  
Johannes Meyer ◽  
Stephan Kellnar ◽  
Jakob Warmbrunn ◽  
Tobias Schuster ◽  
...  
Keyword(s):  
Open Surgery ◽  
Perforated Appendicitis ◽  
Control Group ◽  
Delayed Presentation ◽  
Perforation Rate ◽  
Exact Test ◽  
Fisher's Exact Test ◽  
Fisher’S Exact Test ◽  
Multi Center Study ◽  
Center Study

Introduction: Since early 2020 the COVID-19 pandemic and statutory preventive reorganization of treatment capacities with cancellation of elective surgery as well as curfew regulations led to vastly decreased utilization of primary health care.Materials and Methods: To assess whether there are negative effects on pediatric acute care in Bavaria during the spring 2020 lockdown a state-wide retrospective multi-center study was performed to analyze the rate of perforated appendicitis during lockdown. Children who have been operated on during the corresponding period in 2018/19 served as control group.Results: Overall, 514 patients (292 boys, 222 girls) were included (2020: 176 patients; 2019: 181 patients; 2018: 157 patients). Median age was 11.2 years. Four hundred thirty-nine patients (85.4%) underwent laparoscopic surgery, 69 (13.4%) open surgery and 1.2% underwent conversion from laparoscopic to open surgery. In 2020 a perforation rate of 27.8% (49/176 patients) was found, in 2018–2019 perforation rate was 20.7% (70/338 patients, p = 0.0359, Cochran-Mantel-Haenszel-Test). Subgroup analysis showed that in younger patients (≤ 11.2 years), in 2020 perforation rate was significantly higher with 37.6% (32/85 patients), while 22.2% (39/176) in 2018/2019 (p = 0.014, Fisher's exact test).In boys perforation rate was significantly higher in 2020 with 35.0% (35/100 patients) compared to 21.4% in 2018–2019 (p = 0.0165, Fisher's exact test).Conclusion: During the period of curfew regulations in Bavaria the rate of perforated appendicitis in childhood increased significantly, especially in younger children and boys. Potentially this has to be attributed to delayed presentation to pediatric surgery care. Because of potential long-term sequelae of perforated appendicitis these adverse effects during curfew have to be taken into account for future political decision making to ensure reasonable patient care and avoid collateral damage in near-future or on-going pandemic situations.

scholarly journals Knowledge, Attitude and Practice of Primary Care Physicians in Dealing with Acute Stroke in Indonesia

2021 ◽  
Author(s):  
Putu Jaya Kusuma ◽  
Lilik Djuari ◽  
Abdulloh Machin ◽  
Asra Al Fauzi
Keyword(s):  
Primary Care ◽  
Clinical Practice ◽  
Thrombolytic Therapy ◽  
Acute Stroke ◽  
Primary Care Physicians ◽  
P Value ◽  
Stroke Management ◽  
Significant Difference ◽  
Level Of Knowledge ◽  
Stroke Knowledge

Objective: There are still many things that interfere with the practice of effective acute stroke management, with one of them being the failure of health workers providing appropriate management. Hence, this study was conducted to evaluate the level of knowledge, attitude and practices of primary care physicians (PCPs) in acute stroke management in Indonesia.Material and Methods: This cross-sectional face-to-face survey was conducted among all PCPs, from 63 primary health care centres; from October, 2019 to January, 2020 in Surabaya, Indonesia. A self-designed questionnaire, consisting of 25 questions, based on several guidelines, was used as the instrument of this survey.Results: In total, 134 PCPs participated. The majority of their level of knowledge obtained was in the moderate category (51.5%), while the majority of their attitude and practices towards stroke were in the good category (67.9% and 75.2%). Nearly 75.0% of PCPs also knew about thrombolytic therapy, but only <50.0% knew the ‘golden period’ of thrombolytic therapy. A significant correlation was found between PCPs knowledge-attitude (p-value<0.001), knowledge-practices (p-value=0.002) and attitude-practices (p-value<0.001). There was also a significant difference in the level of stroke knowledge between PCPs, with different clinical practice experience (p-value=0.015). Better stroke knowledge tended to be obtained by PCPs with younger clinical practice experience.Conclusion: The level of knowledge, attitude and practices of PCPs in acute stroke management in Indonesia is good, but should still be improved; especially knowledge about the use of thrombolytic therapy and its ‘golden period.’

scholarly journals Anxiety and its influence on maternal breastfeeding self-efficacy

2021 ◽  
Vol 29 ◽  
Author(s):  
Luciana Camargo de Oliveira Melo ◽  
Marina Cortez Pereira Bonelli ◽  
Rosa Vanessa Alves Lima ◽  
Flávia Azevedo Gomes-Sponholz ◽  
Juliana Cristina dos Santos Monteiro
Keyword(s):  
Mental Health ◽  
Trait Anxiety ◽  
State Anxiety ◽  
Self Efficacy ◽  
Short Form ◽  
Descriptive Statistics ◽  
State Trait Anxiety Inventory ◽  
Exact Test ◽  
Low Levels ◽  
High Level

Objective: to identify the levels of anxiety and breastfeeding self-efficacy in puerperal women at the intervals of 60, 120, and 180 days postpartum; and to verify the influence of anxiety on breastfeeding self-efficacy among these puerperal women. Method: an analytical, longitudinal and prospective study, conducted with 186 puerperal women, and which used a sociodemographic and obstetric characterization questionnaire, the State-Trait Anxiety Inventory, and the Breastfeeding Self-Efficacy Scale - Short Form. The analyses were performed by means of descriptive statistics, and Fisher’s Exact Test was used. Results: most of the puerperal women presented low levels of trait anxiety (55.4%) and of state anxiety (66.2% at 60 days, 72.8% at 120 days, and 75.5% at 180 days), and a high level of self-efficacy (77.3% at 60 days, 75.3% at 120 days, and 72.1% at 180 days of puerperium). Low levels of trait anxiety and state anxiety were associated with high self-efficacy at 60 days (p=0.0142 and p=0.0159, respectively). Conclusion: it is necessary to pay greater attention to the mental health of puerperal women, considering that those who presented low levels of anxiety had higher levels of self-efficacy, a situation that can result in longer exclusive breastfeeding.

Abstract TP173: Stroke Education by Using a Comic Book and Animated Cartoon Improve Stroke Knowledge among Junior High School Students

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Tatsuo Amano ◽  
Chiaki Yokota ◽  
Yuki Sakamoto ◽  
Yuya Shigehatake ◽  
Yasuteru Inoue ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Junior High School ◽  
Junior High ◽  
Comic Book ◽  
Junior High School Students ◽  
School Students ◽  
Animated Cartoon ◽  
Stroke Education ◽  
Stroke Knowledge

Background and Purpose: We have reported that stroke lesson by stroke neurologists for junior high school students improved their stroke knowledge. For the next step, we investigated whether junior high school students could get the knowledge only by stroke education with a comic book and animated cartoon, which we produced to spread the stroke knowledge widely. Methods: We produce a comic book and a 10-minutes animated cartoon instructing stroke risk factors, stroke sign and symptoms, and encouraging immediate calling for emergent medical service (EMS) on identification of stroke signs and symptoms (the FAST message). Three stories were involved in this comic book and animated cartoon. The first one was a case of acute ischemic stroke treated successfully with hyperacute thrombolytic therapy. The remaining 2 stories were cases of transient ischemic attack; a case of preventing stroke successfully with an appropriate action of his family, but the other case of suffering from a completed stroke with delay of the hospital visit due to the lack of stroke symptom knowledge. From December 2011 to March 2012, 493 students in 15 classes of the 1 st grade (12 - 13 years old) of 3 junior high schools were enrolled. Each subject was distributed the comic book and watched the animated cartoon. Stroke lessons were not performed. Questionnaires on stroke knowledge were examined before, immediately after, and 3 months after the intervention. Results: Proportions of correct answer in all questions except arrhythmia were significantly higher immediately after the intervention than at baseline. At 3 month, higher proportions of correct answer for facial palsy, speech disturbance, hemiplegia, numbness of one side, calling 119 for stroke, alcohol drinking, smoking, and obesity were preserved as compared with those at baseline;75% vs. 33%, 91% vs. 60%, 79% vs. 52%, 58% vs. 51%, 79% vs. 52%, 90% vs. 85%, 96% vs.72%, 69% vs.54%, 35% vs.22%, respectively (p<0.05). Fifty six percentages of students answered correctly the FAST message. Conclusions: Stroke education by using our homemade comic book and animated cartoon improved knowledge about stroke among junior high school students.

A Study on The Second Year Students’ Ability to Comprehend Reading Text Based on The Level of Knowledge Questions at SMAN 1 Sijunjung

2020 ◽  
Vol 4 (3) ◽  
pp. 138-143
Author(s):  
Yessy Marzona
Keyword(s):  
Sampling Technique ◽  
Reading Test ◽  
Knowledge Question ◽  
Analysis Question ◽  
Reading Text ◽  
Level Of Knowledge ◽  
Low Levels ◽  
Second Year ◽  
Cluster Random Sampling ◽  
Low Ability

This study was designed to describe the ability of the second year students to comprehend reading text according to the levels of question at SMAN 1 Sijunjung. To be more specific it aimed at describing students’ ability to comprehend reading text according to the levels of knowledge question, comprehension question, application question and analysis question. This research was descriptive in nature. The population of this research was the second year students at SMAN 1 Sijunjung. The number of members of population was 165 students. The researcher took 80 students as the sample. In selecting sample, the researcher used stratified cluster random sampling technique. The data of this research were the students’ scores on comprehending text according to the levels of question. To take the data, the researcher used reading test. In analyzing the data, there were some steps she used: the first was presentation of raw scores and calculation of Mean and Standard Deviation. The second was classifying the students’ ability into high, moderate, and low ability. The third was determining the percentage of the students who had high, moderate, and low ability. The result of the data analysis showed that the ability of the second year students to comprehend reading text according to the levels of question at SMAN 1 Sijunjung was moderate. It was proved by the fact that 41 students (51.25%) had moderate ability. Specifically, the ability of the students to comprehend reading text at the level of knowledge question was moderate. It was proved by the fact that 53 students (66.25%) had moderate ability. Based on the findings above, it was suggested that the teachers give more exercises, beginning from the low levels of question to the high levels of question. It was also suggested to the teachers that they must promote a discussion to answer the questions on the texts being taught.

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