scholarly journals Impact of a theory-informed and user-centered stroke information campaign on the public’s behaviors, attitudes, and knowledge when facing acute stroke: a controlled before-and-after study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Julie Haesebaert ◽  
Caroline Laude ◽  
Anne Termoz ◽  
Estelle Bravant ◽  
Nathalie Perreton ◽  
...  
Keyword(s):  
Public Awareness ◽  
Warning Signs ◽  
Trial Registration ◽  
Information Campaign ◽  
Link Type ◽  
Significant Difference ◽  
Before And After ◽  
Attitudes And Knowledge ◽  
Before And After Study ◽  
User Centered

Abstract Background Public awareness of stroke symptoms is a key factor to ensure access to reperfusion strategies in due time. We designed and launched a regional theory-informed and user-centered information campaign and assessed its impact on emergency medical services (EMS) calls for stroke suspicion, time-to-call, and public attitudes and awareness concerning stroke. Methods A controlled before-and-after study was conducted during 3 sequential time-periods in 2 separate counties. Key messages of the campaign were underpinned by stroke representations and the theory of planned behavior, and focused on recognition of stroke warning signs and the need to call EMS urgently. The campaign included posters, leaflets, adverts and films displayed in bus and subway stations, internet, social networks, and local radio. Outcome measures on behavior, attitudes, and knowledge were assessed before the launch of the campaign, at 3 months, and 12 months. Results The number of EMS calls for stroke suspicion increased by 21% at 12 months in the intervention county and this change was significantly different to that observed in the control county (p = 0.02). No significant changes were observed regarding self-reported attitudes in case of stroke. An 8% significant increase in recognizing at least 2 stroke warning signs was observed in the intervention county (p = 0.04) at 3 months, while it did not change significantly in the control county (p = 0.6). However, there was no significant difference in warning sign recognition between both counties (p = 0.16). Conclusion The campaign significantly improved public’s behavior of calling EMS, although stroke knowledge was not improved as much as expected. Repeating these campaigns over time might further help improve timeliness and access to reperfusion strategies. Trial registration Clinical Trial Registration-URL: http://www.clinicaltrials.gov. Unique identifier: NCT02846363.

scholarly journals Impact of a theory-informed and user-centered stroke information campaign on the public’s behaviors, attitudes, and knowledge when facing acute stroke: a controlled before-and-after study. Cover title: Impact of the ReACT stroke campaign

2020 ◽  
Author(s):  
Julie Haesebaert ◽  
C. Laude ◽  
A. Termoz ◽  
E. Bravant ◽  
N. Perreton ◽  
...  
Keyword(s):  
Public Awareness ◽  
Warning Signs ◽  
Warning Sign ◽  
Information Campaign ◽  
Clinical Trial Registration ◽  
Significant Difference ◽  
Before And After ◽  
Attitudes And Knowledge ◽  
Before And After Study ◽  
User Centered

Abstract Background: Public awareness of stroke symptoms is a key factor to ensure access to reperfusion strategies in due time. We designed and launched a regional theory-informed and user-centered information campaign and assessed its impact on emergency medical services (EMS) calls for stroke suspicion, time-to-call, and public attitudes and awareness concerning stroke.Methods: A controlled before-and-after study was conducted during 3 sequential time-periods in 2 separate counties. Key messages of the campaign were underpinned by stroke representations and the theory of planned behavior, and focused on recognition of stroke warning signs and the need to call EMS urgently. The campaign included posters, leaflets, adverts and films displayed in bus and subway stations, internet, social networks, and local radio. Outcome measures on behavior, attitudes, and knowledge were assessed before the launch of the campaign, at 3 months, and 12 months.Results: The number of EMS calls for stroke suspicion increased by 21% at 12 months in the intervention county and this change was significantly different to that observed in the control county (p=0.02). No significant changes were observed regarding self-reported attitudes in case of stroke. An 8% significant increase in recognizing at least 2 stroke warning signs was observed in the intervention county (p=0.04) at 3 months, while it did not change significantly in the control county (p=0.6). However, there was no significant difference in warning sign recognition between both counties (p=0.16).Conclusion: The campaign significantly improved public’s behavior of calling EMS, although stroke knowledge was not improved as much as expected. Repeating these campaigns over time might further help improve timeliness and access to reperfusion strategies.Clinical Trial Registration-URL: http://www.clinicaltrials.gov. Unique identifier: NCT02846363.

scholarly journals Impact of a theory-informed and user-centered stroke information campaign on the public’s behaviors, attitudes, and knowledge when facing acute stroke: a controlled before-and-after study.

2020 ◽  
Author(s):  
Julie Haesebaert ◽  
C. Laude ◽  
A. Termoz ◽  
E. Bravant ◽  
N. Perreton ◽  
...  
Keyword(s):  
Public Awareness ◽  
Public Attitudes ◽  
Warning Signs ◽  
Warning Sign ◽  
Information Campaign ◽  
Significant Difference ◽  
Before And After ◽  
Attitudes And Knowledge ◽  
Before And After Study ◽  
User Centered

Abstract Background Public awareness of stroke symptoms is a key factor to ensure access to reperfusion strategies in due time. We designed and launched a regional theory-informed and user-centered information campaign and assessed its impact on emergency medical services (EMS) calls for stroke suspicion, time-to-call, and public attitudes and awareness concerning stroke.Methods A controlled before-and-after study was conducted during 3 sequential time-periods in 2 separate counties. Key messages of the campaign were underpinned by stroke representations and the theory of planned behavior, and focused on recognition of stroke warning signs and the need to call EMS urgently. The campaign included posters, leaflets, adverts and films displayed in bus and subway stations, internet, social networks, and local radio. Outcome measures on behavior, attitudes, and knowledge were assessed before the launch of the campaign, at 3 months, and 12 months.Results The number of EMS calls for stroke suspicion increased by 21% at 12 months in the intervention county and this change was significantly different to that observed in the control county (p = 0.02). No significant changes were observed regarding self-reported attitudes in case of stroke. An 8% significant increase in recognizing at least 2 stroke warning signs was observed in the intervention county (p = 0.04) at 3 months, while it did not change significantly in the control county (p = 0.6). However, there was no significant difference in warning sign recognition between both counties (p = 0.16).Conclusion The campaign significantly improved public’s behavior of calling EMS, although stroke knowledge was not improved as much as expected. Repeating these campaigns over time might further help improve timeliness and access to reperfusion strategies.

scholarly journals Impact of a theory-informed and user-centered stroke information campaign on the public’s behaviors, attitudes, and knowledge when facing acute stroke: a controlled before-and-after study.

2020 ◽  
Author(s):  
Julie Haesebaert ◽  
C. Laude ◽  
A. Termoz ◽  
E. Bravant ◽  
N. Perreton ◽  
...  
Keyword(s):  
Public Awareness ◽  
Public Attitudes ◽  
Warning Signs ◽  
Warning Sign ◽  
Information Campaign ◽  
Significant Difference ◽  
Before And After ◽  
Attitudes And Knowledge ◽  
Before And After Study ◽  
User Centered

Abstract Background: Public awareness of stroke symptoms is a key factor to ensure access to reperfusion strategies in due time. We designed and launched a regional theory-informed and user-centered information campaign and assessed its impact on emergency medical services (EMS) calls for stroke suspicion, time-to-call, and public attitudes and awareness concerning stroke. Methods: A controlled before-and-after study was conducted during 3 sequential time-periods in 2 separate counties. Key messages of the campaign were underpinned by stroke representations and the theory of planned behavior, and focused on recognition of stroke warning signs and the need to call EMS urgently. The campaign included posters, leaflets, adverts and films displayed in bus and subway stations, internet, social networks, and local radio. Outcome measures on behavior, attitudes, and knowledge were assessed before the launch of the campaign, at 3 months, and 12 months. Results: The number of EMS calls for stroke suspicion increased by 21% at 12 months in the intervention county and this change was significantly different to that observed in the control county (p=0.02). No significant changes were observed regarding self-reported attitudes in case of stroke. An 8% significant increase in recognizing at least 2 stroke warning signs was observed in the intervention county (p=0.04) at 3 months, while it did not change significantly in the control county (p=0.6). However, there was no significant difference in warning sign recognition between both counties (p=0.16). Conclusion: The campaign significantly improved public’s behavior of calling EMS, although stroke knowledge was not improved as much as expected. Repeating these campaigns over time might further help improve timeliness and access to reperfusion strategies.

scholarly journals Impact of a theory-informed and user-centered stroke information campaign on the public’s behaviors, attitudes, and knowledge when facing acute stroke: a controlled before-and-after study.

2020 ◽  
Author(s):  
Julie Haesebaert ◽  
C. Laude ◽  
A. Termoz ◽  
E. Bravant ◽  
N. Perreton ◽  
...  
Keyword(s):  
Public Awareness ◽  
Warning Signs ◽  
Warning Sign ◽  
Information Campaign ◽  
Unique Identifier ◽  
Significant Difference ◽  
Before And After ◽  
Attitudes And Knowledge ◽  
Before And After Study ◽  
User Centered

Abstract Background: Public awareness of stroke symptoms is a key factor to ensure access to reperfusion strategies in due time. We designed and launched a regional theory-informed and user-centered information campaign and assessed its impact on emergency medical services (EMS) calls for stroke suspicion, time-to-call, and public attitudes and awareness concerning stroke.Methods: A controlled before-and-after study was conducted during 3 sequential time-periods in 2 separate counties. Key messages of the campaign were underpinned by stroke representations and the theory of planned behavior, and focused on recognition of stroke warning signs and the need to call EMS urgently. The campaign included posters, leaflets, adverts and films displayed in bus and subway stations, internet, social networks, and local radio. Outcome measures on behavior, attitudes, and knowledge were assessed before the launch of the campaign, at 3 months, and 12 months.Results: The number of EMS calls for stroke suspicion increased by 21% at 12 months in the intervention county and this change was significantly different to that observed in the control county (p=0.02). No significant changes were observed regarding self-reported attitudes in case of stroke. An 8% significant increase in recognizing at least 2 stroke warning signs was observed in the intervention county (p=0.04) at 3 months, while it did not change significantly in the control county (p=0.6). However, there was no significant difference in warning sign recognition between both counties (p=0.16).Conclusion: The campaign significantly improved public’s behavior of calling EMS, although stroke knowledge was not improved as much as expected. Repeating these campaigns over time might further help improve timeliness and access to reperfusion strategies.Clinical Trial Registration-URL: http://www.clinicaltrials.gov. Unique identifier: NCT02846363.

scholarly journals Evaluation of maxillary first molar rotation during direct miniscrew-supported maxillary canine retraction: a before-and-after study

2021 ◽  
Vol 45 (1) ◽  
Author(s):  
Reem M. AlShazly ◽  
Ahmad F. Almohammad ◽  
Hend Salah ElSayed ◽  
Amr Ragab EL-Beialy
Keyword(s):  
Clinical Trial ◽  
Mean Difference ◽  
Trial Registration ◽  
Maxillary Canine ◽  
Canine Retraction ◽  
Link Type ◽  
Before And After ◽  
The Mean ◽  
Canine Distalization ◽  
Before And After Study

Abstract Background Extraction of the first premolar followed by canine retraction into the extraction space is a common treatment in orthodontics. Molar rotation occurs when they are used as anchorage units for the canine distalization. The aim of this single-arm clinical trial was to evaluate the maxillary first molar rotation during maxillary canine retraction with elastic power chains and direct miniscrew anchorage. Results The mean difference between pre-retraction and post-retraction molar rotation was 1.89° ± 0.6 which was statistically insignificant. Conclusion The use of miniscrews for direct anchorage can eliminate unwanted rotation of the maxillary first molars during canine retraction. Trial registration ClinicalTrials.gov, NCT04887974. Registered on May 6, 2021- Retrospectively registered https://clinicaltrials.gov/ct2/show/NCT04887974?id=NCT04887974&draw=2&rank=1.

scholarly journals Randomized, placebo-controlled, double-blind, pilot trial to investigate safety and efficacy of Cerebrolysin in patients with aneurysmal subarachnoid hemorrhage

BMC Neurology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Peter Y. M. Woo ◽  
Joanna W. K. Ho ◽  
Natalie M. W. Ko ◽  
Ronald P. T. Li ◽  
Leo Jian ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Adverse Effects ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Pilot Trial ◽  
Delayed Cerebral Ischemia ◽  
Trial Registration ◽  
Study Group ◽  
Double Blind ◽  
Link Type ◽  
Significant Difference

Asbtract Background There are limited neuroprotective treatment options for patients with aneurysmal subarachnoid hemorrhage (SAH). Cerebrolysin, a brain-specific proposed pleiotropic neuroprotective agent, has been suggested to improve global functional outcomes in ischemic stroke. We investigated the efficacy, safety and feasibility of administering Cerebrolysin for SAH patients. Methods This was a prospective, randomized, double-blind, placebo-controlled, single-center, parallel-group pilot study. Fifty patients received either daily Cerebrolysin (30 ml/day) or a placebo (saline) for 14 days (25 patients per study group). The primary endpoint was a favorable Extended Glasgow Outcome Scale (GOSE) of 5 to 8 (moderate disability to good recovery) at six-months. Secondary endpoints included the modified Ranking Scale (mRS), the Montreal Cognitive Assessment (MOCA) score, occurrence of adverse effects and the occurrence of delayed cerebral ischemia (DCI). Results No severe adverse effects or mortality attributable to Cerebrolysin were observed. No significant difference was detected in the proportion of patients with favorable six-month GOSE in either study group (odds ratio (OR): 1.49; 95% confidence interval (CI): 0.43–5.17). Secondary functional outcome measures for favorable six-month recovery i.e. a mRS of 0 to 3 (OR: 3.45; 95% CI 0.79–15.01) were comparable for both groups. Similarly, there was no difference in MOCA neurocognitive performance (p-value: 0.75) and in the incidence of DCI (OR: 0.85 95% CI: 0.28–2.59). Conclusions Use of Cerebrolysin in addition to standard-of-care management of aneurysmal SAH is safe, well tolerated and feasible. However, the neutral results of this trial suggest that it does not improve the six-month global functional performance of patients. Clinical trial registration Name of Registry: ClinicalTrials.gov Trial Registration Number: NCT01787123. Date of Registration: 8th February 2013.

scholarly journals Effects of different plasma target concentrations of remifentanil on the MACBAR of sevoflurane in children with laparoscopic surgery

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dan Wang ◽  
Juan Xu ◽  
Xiao-Lin Yang ◽  
Yan-Xia Guo ◽  
Ping-Ping Jiang ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Laparoscopic Herniorrhaphy ◽  
Sequential Method ◽  
Link Type ◽  
Carbon Dioxide Pneumoperitoneum ◽  
Adrenergic Response ◽  
Significant Difference ◽  
Child Patients ◽  
Plasma Target ◽  
Before And After

Abstract Background To investigate the effects of different plasma target concentrations of remifentanil on the minimum alveolar concentration (MAC) for blocking adrenergic response (BAR) of sevoflurane in children with laparoscopic herniorrhaphy. Methods Seventy-five children with 3-7 years old scheduled for laparoscopic herniorrhaphy were randomly divided into group R0, group R1, and group R2 according to different remifentanil plasma target concentration (0, 1, and 2 ngml-1), respectively. The MACBAR of sevoflurane was determined by the up-and-down and sequential method in each group. The concentrations of epinephrine and noradrenaline were also determined at corresponding time points. Results A total of 52 child patients were used among the anticipated 75 patients. In groups R0, R1, and R2, the MACBAR of sevoflurane was (3.29 ± 0.17) %, (2.12 ± 0.10) % and (1.29 ± 0.11) %, respectively, and a significant difference was found among the three groups (P<0.05). The changes of epinephrine and noradrenaline concentrations in each group before and after insufflation of carbon dioxide pneumoperitoneum showed no significant differences. Conclusion Remifentanil by target-controlled infusion can effectively reduce the MACBAR of sevoflurane during laparoscopic surgery in children. At a similar effect of MACBAR, both the changes of epinephrine and noradrenaline concentrations are not affected by the infusion of different remifentanil target concentrations. Trial registration The trial was registered at http://www.chictr.org.cn(ChiCTR1800019393, 8, Nov, 2018).

scholarly journals Comparing the attitudes and knowledge of psychiatric residents about psychotherapy before and after the psychotherapy rotation

2020 ◽  
Vol 8 (2) ◽  
pp. 255-261
Author(s):  
Ali Nazeri astaneh ◽  
Neda Ali Beigi ◽  
Farzad Nassirifar
Keyword(s):  
Comparative Method ◽  
Negative Attitudes ◽  
Negative Stereotypes ◽  
Psychiatric Residents ◽  
Significant Difference ◽  
Before And After ◽  
Attitudes And Knowledge ◽  
The Difference ◽  
Knowledge And Attitude ◽  
Rehabilitation Sciences

Introduction: The evidence show that the attitudes to any specialty can be improved as a result of a skillful and interested presentation and negative attitudes toward psychiatry can be the particular target in clinical and non-clinical courses [1]. The present study aimed to compare the attitudes and knowledge of psychiatric residents about psychotherapy before and after the psychotherapy rotation. Methodology: The present study was a descriptive research using causal-comparative method. The population consisted of all psychiatric residents in the universities of Tehran in 2018-2019. The study was a census and all residents were asked to participate if they were willing to. From different universities of medical sciences including Iran, Shahid Beheshti, Tehran, Social Welfare and Rehabilitation Sciences, 27, 24, 25, and 41 subjects were included in the study, respectively. The total number of subjects was 117. The researcher-made questionnaire was used for three groups of residents to assess their psychiatric attitudes and knowledge: the residents who passed the theoretical and practical psychotherapy courses, the residents who have not yet passed the psychotherapy course, and those who were passing the theoretical course. Cronbach's alpha coefficients for internal consistency of attitude and knowledge were 0.953 and 0.985, respectively. Findings: one-way variance analysis test was used to analyze the variables. According to the results of this test, there was a significant difference among the psychiatric residents in terms of knowledge and attitude (p<0.01). Moreover, regarding the means obtained for each group, it can be said that the residents who passed the theoretical and practical courses of psychotherapy had higher mean in attitude and knowledge than the other two groups; the difference was statistically significant. Conclusion: in any educational relationship, the attitudes of educators and learners play a key role in effectiveness and success. The psychotherapy course can change the negative stereotypes about psychiatry in psychiatrists and provide an important opportunity to change their negative attitudes.

Does increased duration of consultant presence affect length of hospital stay for unplanned admissions in acute paediatrics?: an observational before-and-after analysis using administrative healthcare data

2016 ◽  
Vol 102 (6) ◽  
pp. 516-521 ◽  
Author(s):  
Daniel Cromb ◽  
Chris Carter ◽  
Claire Lemer ◽  
C Ronny Cheung
Keyword(s):  
Hospital Stay ◽  
Workforce Planning ◽  
Length Of Hospital Stay ◽  
Readmission Rates ◽  
Healthcare Data ◽  
Diagnostic Thresholds ◽  
Significant Difference ◽  
Before And After ◽  
Unplanned Admissions ◽  
Before And After Study

ObjectivesThis study aims to review whether implementation of increased duration of consultant presence is associated with reduction in length of hospital stay (LoS) in children with an unplanned admission to hospital.Method (design/setting/participants/interventions/outcome measures)An observational before-and-after study of all unplanned general paediatric admissions to a UK hospital between 1 September 2012 and 31 August 2015, comparing LoS and readmission rates before and after implementation of a policy mandating consultant review within 12 hours of unplanned hospital admission.Results5367 inpatient admissions were analysed: 3386 prior to implementation of the policy and 1981 afterwards. There was no significant difference in median LoS between the two groups or in readmission rates at 24 hours, 48 hours or 7 days. However, among children who stayed in hospital for under 24 hours, and those who were discharged with a diagnosis of acute gastroenteritis, consultant review within 12 hours of admission was associated with a shorter LoS—respectively, 16 hours 23 min versus 15 hours 45 min (p=0.01) and 28 hours 46 min versus 19 hours 41 m (p<0.01).ConclusionsIncreased duration of consultant presence was not associated with significant impact on LoS, other than in admissions of brief duration and in gastroenteritis, where diagnosis is based on clinical judgement in the absence of objective diagnostic thresholds. Future studies should focus on whether these results are generalisable across other settings, and other measures of cost-effectiveness of early consultant review, given the major implications on resource and workforce planning of such policies.

The Effectiveness of a Psychoeducational Group Program with Inpatients Being Treated for Chronic Mental Illness

2010 ◽  
Vol 38 (5) ◽  
pp. 657-666 ◽  
Author(s):  
Zekiye Cetinkaya Duman ◽  
Nazmiye Kocaman Yildirim ◽  
Alp Ucok ◽  
Filiz Er ◽  
Turkan Kanik
Keyword(s):  
Mental Illness ◽  
Warning Signs ◽  
Chronic Mental Illness ◽  
Emergency Plan ◽  
Medication Effects ◽  
Number Of Patients ◽  
Significant Difference ◽  
Before And After ◽  
History Of ◽  
Program Content

The aim in this study was to measure the effectiveness of a psychoeducation program with inpatients who had chronic mental illness and a history of repeat hospitalization for this. A questionnaire was developed to evaluate the program content was completed by 46 patients before and after they took part in the program. The questionnaire assessed patients' management of the illness, medication effects and side effects, warning signs of relapse, and ways of developing an emergency plan. With the exception of 1 question, there was a significant difference in the number of patients who responded to the items of the questionnaire between the pre- and posttests. The results of the study showed that the patients were able to learn about complex material presented in a short but well-structured training program during a brief typical inpatient stay.

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