Evaluation of successfulness of a capacity building workshop on smokeless tobacco and areca nut cessation conducted among Dental Surgeons of Sri Lanka: A cross sectional study

Abstract Background- Prevalence of smoking in Sri Lanka shows a gradual reduction whilst the use of smokeless tobacco and areca nut shows an increasing trend. At present, to the best of our knowledge only a few well-structured smokeless tobacco (SLT)/areca nut (AN) cessation programmes are conducted in Sri Lanka, which is a gross underachievement considering that betel chewing related oral squamous cell carcinoma being the commonest cancer in Sri Lankan males. As General Dental Practitioners (GDP) do not contribute significantly to SLT/AN cessation activities at present, capacity building programmes on SLT/AN control were carried out. The study evaluated the knowledge, attitude and practices related to SLT/AN control among dental surgeonsMethods: Following an one day educational programme on smokeless tobacco / areca nut control, two self-administered questionnaires were used to assess the improvement of knowledge and change of attitudes among 663 GDPs . Results - 27.1% of the participants had received formal tobacco cessation training in the past. Majority had a good knowledge on harmful effects of SLT but not on areca nut. Their knowledge on the current legislation on SLT control in Sri Lanka and carcinogenicity of areca nut was not satisfactory. Almost all agreed that proper counseling leads to patient quitting the habit, a formal training is necessary to conduct tobacco control activities and it should be the part of the regular treatment modalities. More than 80% of the participants believed that they should support strict legislation. Almost 50% agreed on tobacco and areca nut free environment in their dental clinics. Most important factors leading to poor involvement in tobacco cessation activities were lack of expertise and inadequate educational material, not breach of patient privacy and lack of financial incentives. Surprisingly, 20.1% of the dental surgeons had consumed smokeless tobacco / areca nut products in the past and only a few were current users of tobacco and/or areca nut. Conclusions - Well planned workshops are efficient in improving knowledge, practices and attitudes of dental surgeons towards SLT/AN cessation.

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Evaluation of successfulness of a capacity building workshop on smokeless tobacco and areca nut cessation conducted among Dental Surgeons of Sri Lanka: A cross sectional study

10.21203/rs.3.rs-31033/v4 ◽

2020 ◽

Author(s):

Ruwan Duminda Jayasinghe ◽

PR Jayasooriya ◽

H Amarasinghe ◽

PVKS Hettiarachchi ◽

BSMS. Siriwardena ◽

...

Keyword(s):

Sri Lanka ◽

Capacity Building ◽

Smokeless Tobacco ◽

Financial Incentives ◽

Tobacco Cessation ◽

Treatment Modalities ◽

Areca Nut ◽

Patient Privacy ◽

The Past ◽

Dental Practitioners

Abstract Background- Prevalence of smoking in Sri Lanka shows a gradual reduction whilst the use of smokeless tobacco and areca nut shows an increasing trend. At present, to the best of our knowledge only a few well-structured smokeless tobacco (SLT)/areca nut (AN) cessation programmes are conducted in Sri Lanka, which is a gross underachievement considering that betel chewing related oral squamous cell carcinoma being the commonest cancer in Sri Lankan males. As General Dental Practitioners (GDP) do not contribute significantly to SLT/AN cessation activities at present, capacity building programmes on SLT/AN control were carried out. The study evaluated the knowledge, attitude and practices related to SLT/AN control among dental surgeonsMethods: Following an one day capacity building programme/workshop on smokeless tobacco / areca nut control, two self-administered questionnaires were used to assess the improvement of knowledge and change of attitudes among 663 GDPs . Results - 27.1% of the participants had received formal tobacco cessation training in the past. Majority had a good knowledge on harmful effects of SLT but not on areca nut. Their knowledge on the current legislation on SLT control in Sri Lanka and carcinogenicity of areca nut was not satisfactory. Almost all agreed that proper counseling leads to patient quitting the habit, a formal training is necessary to conduct tobacco control activities and it should be the part of the regular treatment modalities. More than 80% of the participants believed that they should support strict legislation. Almost 50% agreed on tobacco and areca nut free environment in their dental clinics. Most important factors leading to poor involvement in tobacco cessation activities were lack of expertise and inadequate educational material, not breach of patient privacy and lack of financial incentives. Surprisingly, 20.1% of the dental surgeons had consumed smokeless tobacco / areca nut products in the past and only a few were current users of tobacco and/or areca nut. Conclusions - Well planned workshops are efficient in improving knowledge, practices and attitudes of dental surgeons towards SLT/AN cessation.

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Evaluation of successfulness of a capacity building workshop on smokeless tobacco and areca nut cessation conducted among Dental Surgeons of Sri Lanka: A cross sectional study

10.21203/rs.3.rs-31033/v5 ◽

2021 ◽

Author(s):

Ruwan Duminda Jayasinghe ◽

PR Jayasooriya ◽

H Amarasinghe ◽

PVKS Hettiarachchi ◽

BSMS. Siriwardena ◽

...

Keyword(s):

Sri Lanka ◽

Capacity Building ◽

Smokeless Tobacco ◽

Financial Incentives ◽

Tobacco Cessation ◽

Treatment Modalities ◽

Areca Nut ◽

Patient Privacy ◽

The Past ◽

Dental Practitioners

Abstract Background- Prevalence of smoking in Sri Lanka shows a gradual reduction whilst the use of smokeless tobacco and areca nut shows an increasing trend. At present, to the best of our knowledge only a few well-structured smokeless tobacco (SLT)/areca nut (AN) cessation programmes are conducted in Sri Lanka, which is a gross underachievement considering that betel chewing related oral squamous cell carcinoma being the commonest cancer in Sri Lankan males. As General Dental Practitioners (GDP) do not contribute significantly to SLT/AN cessation activities at present, capacity building programmes on SLT/AN control were carried out. The study evaluated the knowledge, attitude and practices related to SLT/AN control among dental surgeonsMethods: Following an one day capacity building programme/workshop on smokeless tobacco / areca nut control, two self-administered questionnaires were used to assess the improvement of knowledge and change of attitudes among 663 GDPs. Results - 27.1% of the participants had received formal tobacco cessation training in the past. Majority had a good knowledge on harmful effects of SLT but not on areca nut. Their knowledge on the current legislation on SLT control in Sri Lanka and carcinogenicity of areca nut was not satisfactory. Almost all agreed that proper counseling leads to patient quitting the habit, a formal training is necessary to conduct tobacco control activities and it should be the part of the regular treatment modalities. More than 80% of the participants believed that they should support strict legislation. Almost 50% agreed on tobacco and areca nut free environment in their dental clinics. Most important factors leading to poor involvement in tobacco cessation activities were lack of expertise and inadequate educational material, not breach of patient privacy and lack of financial incentives. Surprisingly, 20.1% of the dental surgeons had consumed smokeless tobacco / areca nut products in the past and only a few were current users of tobacco and/or areca nut. Conclusions - Well planned workshops are efficient in improving knowledge, practices and attitudes of dental surgeons towards SLT/AN cessation.

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Evaluation of successfulness of a capacity building workshop on smokeless tobacco and areca nut cessation conducted among Dental Surgeons of Sri Lanka: A cross sectional study

10.21203/rs.3.rs-31033/v3 ◽

2020 ◽

Author(s):

Ruwan Duminda Jayasinghe ◽

PR Jayasooriya ◽

H Amarasinghe ◽

PVKS Hettiarachchi ◽

BSMS. Siriwardena ◽

...

Keyword(s):

Sri Lanka ◽

Capacity Building ◽

Tobacco Control ◽

Smokeless Tobacco ◽

Financial Incentives ◽

Tobacco Cessation ◽

Treatment Modalities ◽

Areca Nut ◽

The Past ◽

Dental Practitioners

Abstract Background- Prevalence of smoking in Sri Lanka shows a gradual reduction whilst the use of smokeless tobacco and areca nut shows an increasing trend. At present, to the best of our knowledge only a few well structured smokeless tobacco/areca nut cessation programmes are conducted in Sri Lanka, which is a gross underachievement considering that betel chewing related oral squamous cell carcinoma being the commonest cancer in Sri Lankan males. As General Dental Practitioners (GDP) do not contribute significantly to smokeless tobacco / areca nut cessation activities at present, capacity building programmes on smokeless tobacco/ areca nut control were carried out. The study evaluated the knowledge, attitude and practices related to smokeless tobacco/ areca nut control among dental surgeonsMethods: Following an one day educational programme on smokeless tobacco / areca nut control, two self administered questionnaires were used to assess the improvement of knowledge and change of attitudes among 663 GDPs .Results - 27.1% of the participants them had received formal tobacco cessation training in the past. Majority had a good knowledge on harmful effects of smokeless tobacco but not on areca nut. Their knowledge on the current legislation on smokeless tobacco control in Sri Lanka and carcinogenicity of areca nut was not satisfactory. Almost all agreed that proper counseling leads to patient quitting the habit, a formal training is necessary to conduct tobacco control activities and it should be the part of the regular treatment modalities. More than 80% of the Dental surgeons believed that they should support strict legislation. Almost 50% agreed on tobacco and areca nut free environment in their dental clinics. Most important factors leading to poor involvement in tobacco cessation activities were lack of expertise and inadequate educational material, not breach of patient privacy and lack of financial incentives. Surprisingly, 20.1% of the dental surgeons had consumed smokeless tobacco / areca nut products in the past and only a few were current users of tobacco and/or areca nut.Conclusions - Well planned workshops are efficient and cost effective in improving knowledge, practices and attitudes of Dental surgeons towards smokeless tobacco / areca nut cessation.

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Knowledge, Attitudes and Practices Related to Smokeless Tobacco and Areca Nut Cessation Among Dental Surgeons in Sri Lanka

10.21203/rs.3.rs-31033/v1 ◽

2020 ◽

Author(s):

Ruwan Duminda Jayasinghe ◽

PR Jayasooriya ◽

H Amarasinghe ◽

PVKS Hettiarachchi ◽

BSMS. Siriwardena ◽

...

Keyword(s):

Sri Lanka ◽

Tobacco Control ◽

Smokeless Tobacco ◽

Financial Incentives ◽

Tobacco Cessation ◽

Treatment Modalities ◽

Areca Nut ◽

Patient Privacy ◽

Attitudes And Practices ◽

The Past

Abstract Background: Prevalence of smoking in Sri Lanka shows a gradual reduction whilst the use of smokeless tobacco and areca nut shows an increasing trend. At present adequate numbers of smokeless tobacco / areca nut cessation counseling programs are not being carried out in Sri Lanka. As the Dental surgeons could play a significant role in smokeless tobacco / areca nut cessation activities, capacity building programmes for dental surgeons on smokeless tobacco/ areca nut control were carried out. The study was planned to evaluate the knowledge, attitude and practices related to smokeless tobacco/ areca nut control among dental surgeons.Methods: A cross sectional study was conducted. Two questionnaires were used to assess the improvement of knowledge and change of attitudes following programmes on smokeless tobacco / areca nut control. Results: There were 663 participants in the study. 27.1% of them had received formal tobacco cessation training in the past. Majority had a good knowledge on harmful effects of smokeless tobacco but not on areca nut. Their knowledge on the current legislation on smokeless tobacco control in Sri Lanka and carcinogenicity of areca nut was not satisfactory. Almost all agreed that proper counseling leads to patient quitting the habit, a formal training is necessary to conduct tobacco control activities and it should be the part of the regular treatment modalities. More than 80% of the Dental surgeons believed that they should support strict legislation. Almost 50% agreed on tobacco and areca nut free environment in their dental clinics. Most important factors leading to poor involvement in tobacco cessation activities were lack of expertise and inadequate educational material, not breach of patient privacy and lack of financial incentives. Surprisingly, 20.1% of the dental surgeons had consumed smokeless tobacco / areca nut products in the past and only a few were current users of tobacco and/or areca nut. Conclusions: Well planned workshops are efficient and cost effective in improving knowledge, practices and attitudes of Dental surgeons towards smokeless tobacco / areca nut cessation.

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Evaluation of Successfulness of Capacity Building Programmes on Smokeless Tobacco and Areca Nut Cessation

Asian Pacific Journal of Cancer Prevention ◽

10.31557/apjcp.2021.22.4.1287 ◽

2021 ◽

Vol 22 (4) ◽

pp. 1287-1293

Author(s):

Ruwan Duminda Jayasinghe ◽

P.R Jayasooriya ◽

Hemantha Amarasinghe ◽

PVKS Hettiarachchi ◽

BSMS Siriwardena ◽

...

Keyword(s):

Capacity Building ◽

Smokeless Tobacco ◽

Areca Nut

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Knowledge and Attitudes of Nursing Students Towards Smokeless Tobacco and Areca Nut Control in Central Province of Sri Lanka

Asian Pacific Journal of Cancer Care ◽

10.31557/apjcc.2020.5.3.133-138 ◽

2020 ◽

Vol 5 (3) ◽

pp. 133-138

Author(s):

PVKS Hettiarachchi ◽

Primal Jayasooriya ◽

Hemantha Amarasinghe ◽

BSMS Siriwardena ◽

Deepashika Wijerathne ◽

...

Keyword(s):

Nursing Students ◽

Sri Lanka ◽

Oral Cancer ◽

Smokeless Tobacco ◽

Cross Sectional Study ◽

Areca Nut ◽

Cancer Knowledge ◽

Cross Sectional ◽

Knowledge And Attitudes ◽

Significant Difference

Background: Use of smokeless tobacco (SLT) and areca nut (AN) is widespread in Sri Lanka. Several workshops to train healthcare workers on SLT/ AN cessation programmes (SLT/AN-CP) were carried out. Objective of the study was to evaluate the enhancement of knowledge and attitudes related to SLT/AN-CP among nursing students following a workshop. Methods: A cross sectional study was conducted with the use of two questionnaires. A total of 212 nursing students were assessed and the study group included 184 females (86.8%). Results: Results were analyzed according to the 3 main areas of the assessment, i.e knowledge related to Oral cancer, knowledge related to SLT, its effects and cessation practices and attitudes regarding SLT cessation counselling. Out of the eight questions to assess the knowledge related to oral cancer, five questions demonstrated a statistically significant difference (P<0.05) following the workshop when compared to the pre workshop knowledge. Even though, majority had a good knowledge on harmful effects of SLT and AN, it was interesting to note that 14.15 % of the participants were unaware about the fact that the oral cancer is the commonest cancer among Sri Lankan males. 96.7% agreed that proper counseling would lead patient to quit the habit. Conclusions: This preliminary study showed that the knowledge and attitude towards SLT/AN-CP among nursing students were satisfactory and effective workshops can be used to improve their knowledge and attitudes towards SLT/AN-CP especially in low economical settings

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Infective Aortic Valve Endocarditis Causing Embolic Consecutive ST-Elevation Myocardial Infarctions

Case Reports in Cardiology ◽

10.1155/2019/2487616 ◽

2019 ◽

Vol 2019 ◽

pp. 1-5

Author(s):

Kanksha Peddi ◽

Alexander L. Hsu ◽

Tomas H. Ayala

Keyword(s):

Myocardial Infarction ◽

Infective Endocarditis ◽

Aortic Valve ◽

Index Case ◽

Current Treatment ◽

Myocardial Infarctions ◽

Treatment Modalities ◽

The Past ◽

First Case ◽

St Elevation

ST-elevation myocardial infarction (STEMI) is a rare and potentially fatal complication of infective endocarditis. We report the ninth case of embolic native aortic valve infective endocarditis causing STEMI and the first case to describe consecutive embolisms leading to infarctions of separate coronary territories. Through examination of this case in the context of the previous eight similar documented cases in the past, we find that infective endocarditis of the aortic valve can and frequently affect more than a single myocardial territory and can occur consecutively. Further, current treatment modalities for embolic infective endocarditis causing acute myocardial infarction are limited and unproven. This index case illustrates the potential severity of complications and the challenges in developing standardized management for such patients.

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Endovascular Advances for Extracranial Carotid Stenosis

Neurosurgery ◽

10.1227/neu.0000000000000223 ◽

2014 ◽

Vol 74 (suppl_1) ◽

pp. S92-S101 ◽

Cited By ~ 1

Author(s):

Jorge L. Eller ◽

Travis M. Dumont ◽

Grant C. Sorkin ◽

Maxim Mokin ◽

Elad I. Levy ◽

...

Keyword(s):

Carotid Artery ◽

Carotid Endarterectomy ◽

Carotid Stenosis ◽

Carotid Artery Stenosis ◽

Carotid Artery Stenting ◽

Carotid Stenting ◽

Historical Background ◽

Treatment Modalities ◽

Endovascular Management ◽

The Past

Abstract Carotid artery stenting has become a viable alternative to carotid endarterectomy in the management of carotid stenosis. Over the past 20 years, many trials have attempted to compare both treatment modalities and establish the indications for each one, depending on clinical and anatomic features presented by patients. Concurrently, carotid stenting techniques and devices have evolved and made endovascular management of carotid stenosis safe and effective. Among the most important innovations are devices for distal and proximal embolic protection and new stent designs. This paper reviews these advances in the endovascular management of carotid artery stenosis within the context of the historical background.

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