AWARENESS ABOUT BREAST, CERVICAL AND ORAL CANCERS AMONG THE NURSING AND PARAMEDICAL STAFF OF A HOSPITAL IN CENTRAL INDIA

2021 ◽  
pp. 26-28
Author(s):  
Sumit Gupta ◽  
Dheerendra Kumar sachan ◽  
Akshay Kumar Nigam ◽  
Vikas Pal ◽  
Chinki Bansal ◽  
...  
Keyword(s):  
Risk Factors ◽  
Central India ◽  
Knowledge Score ◽  
Detection Methods ◽  
Medical College ◽  
Oral Cancers ◽  
Paramedical Staff ◽  
Post Test ◽  
Advanced Stages ◽  
Study Setting

BACKGROUND: Breast, cervical and oral cancers are the leading causes of cancers in India. High mortality with these cancers is due to presentation in the advanced stages. In India, doctors practically cannot treat each and every patient due to a huge doctor: patient ratio. In such a situation, nursing and paramedical staff can be helpful in providing their services in identication, screening and diagnosing of these cancers. AIM: The present study was undertaken with an aim to evaluate the awareness of nurses and paramedical staff regarding breast, cervical and oral cancers. STUDY SETTING AND DESIGN: The prospective, observational study was conducted at at Smt. Rajmata Vijyaraje Sindhia Medical College & Hospital, Shivpuri and at District Hospital, Shivpuri. PARTICIPANTS AND METHODS: 300 nursing and paramedical staff working in the above institutions were enrolled after verbal consenting. A self-administered structured questionnaire was administered to them. After an intervention in the form of discussion, the same questionnaire was readministered. The data from these questionnaires were evaluated and results presented. This questionnaire consisted of sections related to prevention, risk factors, associated symptoms and detection methods. RESULTS: Before intervention, 17.3% participants had knowledge about prevention, 19% about risk factors, 10% about the symptoms and 8% about early detection technique. After intervention, there was an improvement in these domains. The mean post-test knowledge score was signicantly higher than pre-test knowledge score (P<0.05). CONCLUSION: Overall we found that nursing and paramedical staff lack knowledge about these three major cancers. After imparting knowledge, there was an improvement in their knowledge. To make these nursing and paramedical staff competent enough to identify, screen, diagnose these cancers, there is requirement of knowledge centers.

scholarly journals FREQUENCY OF STROKE IN HYPERTENSIVE PATIENTS

2014 ◽  
Vol 21 (03) ◽  
pp. 484-488
Author(s):  
Ashok Kumar Lohano ◽  
Adnan Samie ◽  
Noor Nabi Siayal
Keyword(s):  
Risk Factors ◽  
Intracerebral Hemorrhage ◽  
Cross Sectional Study ◽  
Medical Department ◽  
Cross Sectional ◽  
Medical College ◽  
Long Duration ◽  
History Of ◽  
Study Setting ◽  
Improve Patient

Objective: To determine the frequency of intracerebral hemorrhage inhypertensive patients. Study design: Cross sectional study. Setting: This study was conductedat Medical department of Peoples Medical College & Hospital Nawabshah, from 01-01-2012 to31-12-2012. Material and methods: Admitted patient through emergency department withhistory of hypertension more than two years, meeting the inclusion criteria taken consent fromattendant. Patient was referred for C.T scan brain presence of hyperdense area was consideredas intracerebral hemorrhage. Inclusive criteria were age >20 years, either sex and patients withhistory of hypertension more than two year with any two or more sign and symptoms like suddenunconsciousness or with hemiplegia, hemiparesis, dysarthria. Aphasia, cranial nerve palsies.Exclusion criteria were age less than 20 years, normotensive patients with cerebral hemorrhageand patients with traumatic hemorrhage. Results: Among 281 patients that had stroke, therewere 147 males and 134 females with a sex ratio males: female 1:1. Mean age of patientsadmitted with intracerebral hemorrhage was 37.89 ± 7.33 years with an average age amongmales and females was same. Duration of hypertension was greater than 20-25 years in most ofthe patients nearly 63.7%. Patients with long duration of diabetes and hypertension presentedwith intracerebral hemorrhage. Nearly all the patients with intracerebral hemorrhage weresmokers 145, only 2 patients were non smokers and nearly all had long history of smoking. The127 patients who presented with intracerebral hemorrhage were obese. All risk factors werestatistically significant and were responsible for intracerebral hemorrhage. Conclusions:Hypertension is a risk factor for intra cerebral hemorrhage. An effort should be made to controlblood pressure and other modifiable risk factors to reduce incidence of intra cerebralhemorrhage and improve patient outcomes.

scholarly journals Effectiveness of teacher training conducted at Chitwan Medical College, Bharatpur, Nepal

2015 ◽  
Vol 5 (2) ◽  
pp. 1-5
Author(s):  
G P Dhungana ◽  
R M Piryani ◽  
M L Chapagain ◽  
M Neupane
Keyword(s):  
Teaching And Learning ◽  
Knowledge Score ◽  
P Value ◽  
Medical College ◽  
Adequate Knowledge ◽  
Before And After ◽  
Post Test ◽  
The Mean ◽  
Teachers Training ◽  
Experimental Group

Teaching and learning are equally important for the teacher. For teaching to be effective, whereby participants learn better, training of teachers is imperative. Teacher’s training is one of the important aspects of faculty development at Chitwan Medical College (CMC) and this study was done to assess the effectiveness of the teachers’ training pre test, post test experimental group design. In pre test, only 5.6% of the participants had adequate knowledge whereas after teacher’s training, 27.7 % had adequate knowledge. The mean (±SD) knowledge score before and after the intervention was 26.7±5.6 and 33.6 ± 5.6 respectively. The percent change in knowledge after intervention was 25.8 was statistically significant p value <0.001 .Which suggesting that the teachers’ training was an effective intervention.

scholarly journals Effect of learning package on knowledge and practice regarding self care and child care among women undergoing caesarean section at bankurasammilani medical college and hospital, bankura,West Bengal

2021 ◽  
Vol 4 (2) ◽  
pp. 48-53
Author(s):  
Madhumita Sarkar
Keyword(s):  
Experimental Study ◽  
Caesarean Section ◽  
West Bengal ◽  
Knowledge Score ◽  
Medical College ◽  
Post Test ◽  
Quasi Experimental ◽  
The Mean ◽  
Knowledge And Practice ◽  
Experimental Group

A quasi experimental study on “effect of learning package on knowledge and practice regarding self-care and child care among women undergoing caesarean section at Bankura Sammilani Medical College and Hospital, Bankura, West Bengal” was conducted to find out the knowledge and practice and its association with selected factors among subjects and also the effect of learning package. Conceptual framework was developed based on Ludwig Von Bertalanffy’s system model. A quasi experimental study design was adopted. Convenience sampling technique was used to select 64 antenatal women. Structured interview schedule and structured knowledge questionnaire were used to collect data. Significant findings on statistical analysis of data were revealed that the mean post-test knowledge score (18.68) and practice score (26.06) of experimental group are higher than the mean post-test knowledge score (7.93) and mean post-test practice score (17.71) of control group with true mean difference in both the cases (“t” values 16.79, 15.18, p=0.05) which concludes that the learning package is effective to improve the knowledge and enhance the practice among the subjects. Educational level was found significant in relation to knowledge and practice scores among experimental group.

scholarly journals Knowledge of Medical Communication-Skills Among Pre-clinical Undergraduate Medical Students: a pre-test post-test experimental study.

2020 ◽  
Author(s):  
Sameer Timilsina ◽  
Sirisa MD Ka ◽  
Barun Shrestha ◽  
Gopendra Prasad Deo
Keyword(s):  
Medical Students ◽  
Communication Skills ◽  
Negative Attitude ◽  
Knowledge Score ◽  
Attitude Scale ◽  
First Year ◽  
Undergraduate Medical Students ◽  
Post Intervention ◽  
Medical College ◽  
Post Test

Abstract Background Effective physician-patient communication is integral to building confidence, improving compliance, satisfaction and avoiding mishaps and malpractice suits. Communication-skills (CS) training is an internationally accepted essential component of medical education. This study aims to assess the communication-skills knowledge of pre-clinical undergraduate medical students pre- and post- CS course. We expect an improvement in CS knowledge post-intervention. Methods Between March and September 2019, 100 first year pre-clinical undergraduate medical students at Chitwan Medical College were enrolled in CS course. Attitude towards learning CS using communication skills attitude scale (CSAS) and assessment on knowledge of CS was conducted pre- and post-intervention. The intervention included 10 team-based learning (TBL) sessions on selective study areas based on Calgary-Cambridge model. Additionally, students’ demographic profile was collected at the start of the intervention. Results Among 100 students, 70% were males and 30% females. Positive attitude towards learning CS improved by 5%. Statistically significant progress was noted in post-intervention mean scores implying CS to be teachable and learnable. (Wilcoxon Signed ranks test z=-6.178 p<0.001). Knowledge on medical CS improved in the study participants irrespective of sex, entry-type, past-educational institute or attitude. Students with pre-intervention negative attitude showed marked improvement in post-intervention knowledge score (z=-5.674 p<0.001). Conclusion The intervention was effective in increasing students’ knowledge of medical CS, but we did not assess the skills of the students. Continuation of this study is recommended to explore whether CS training could actually improve soft skills of medical students in our part of the world.

scholarly journals A PROGRAMME TO ENHANCE KNOWLEDGE ON GLASGOW COMA SCALE AMONG THE NURSES

2021 ◽  
Vol 9 (01) ◽  
pp. 686-690
Author(s):  
Gitumoni Konwar ◽  
◽  
Monmili Engtipi ◽  
Keyword(s):  
Glasgow Coma Scale ◽  
Knowledge Score ◽  
Coma Scale ◽  
Medical College ◽  
Knowledge Questionnaire ◽  
Instructional Module ◽  
Post Test ◽  
Level Of Knowledge ◽  
Study Participants ◽  
The Impact

Background and objective:ToAssesstheknowledge gain after use of aSelfInstructionalModuleonGlasgow Coma Scale among the nurses working in Gauhati Medical College and Hospital, Guwahati, Assam. The aim of the study was to determine the existing knowledge on Glasgow Coma Scale and the impact of Intervention regarding the Glasgow ComaScale in terms of knowledge enhancement. Methods: Pre-experimental One group pre-test post-test evaluative study comprising 40 nurses selected with lottery method was done with a Questionnaire. On the first day pre test was conducted using knowledge questionnaire regarding Glasgow Coma Scale and the Self Instructional Module were then given to the respondent on the same day after completion of the pre test. The post test was conducted on the 8th day. Results: The study findings revealed that mean pre-test knowledge score was 12.600 with SD 4.754 and mean post-test knowledge score was 17.425 with SD 3.478 with calculated t (39) = -10.339, p< 0. 05indicates that there was statistically significant increase in the post knowledge score. Findings of the study also indicated that there was statistical significant association between pre -test knowledge score of staff nurses with selected socio- demographic variables like age and working experience (p<0.05). Conclusion: Findings of thestudy has increased the level of knowledge among the nurses after the administration of Self- Instructional Module. Therefore, it is to be concluded that the present study participants benefited by Self Instructional Module(SIM).

scholarly journals Oral Squamous Cell Carcinoma on Gingiva, Edentulous Ridge, and Retromolar Pad: A Case Series

Oral ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 159-167
Author(s):  
Lucio Lo Russo ◽  
Eleonora Lo Muzio ◽  
Giuseppe Colella ◽  
Maria Eleonora Bizzoca ◽  
Vera Panzarella ◽  
...  
Keyword(s):  
Case Series ◽  
Medical Consultation ◽  
Clinical Aspects ◽  
University Hospitals ◽  
Clinical Appearance ◽  
Oral Cancers ◽  
Presenting Symptoms ◽  
Medical Evaluation ◽  
Significant Incidence ◽  
Advanced Stages

(1) Background: Gingival cancer has a significant incidence and is often diagnosed at advanced stages. The aim of this paper is to highlight its clinical aspects on the basis of a case series analysis in order to promote awareness and improve the diagnosis process. (2) Methods: Oral cancers diagnosed and treated at three Italian University Hospitals over ten years were retrospectively investigated. Cancer location on the gingiva, edentulous ridge, and retromolar pad was addressed. Data regarding clinical features, stage at the diagnosis, and time from presenting symptoms to first medical consultation were retrieved. (3) Results: Thirty-three cancers located on the gingiva, edentulous ridge, and retromolar pad were retrieved from 276 total oral cancer cases (11.9%). A median of 50 days (range 2–300) passed for the patient to seek for a medical evaluation. At the time of diagnosis, 63.3% were advanced stage cancers, mainly located at the mandible (91%), especially in the retromolar pad (48.5%) and the edentulous alveolar ridge (24.2%). Lesions were red (45.5%), red and white (45.4%), or white (9.1%), appearing as an ulcer (69.7%), exophytic mass (12.1%) or flat lesion (12.1%). Sixty-six percent of cancers were completely asymptomatic, regardless their clinical appearance. A statistically significant association between the time from the presentation of symptoms to the first medical consultation and the cancers stage was found. (4) Conclusions: The clinical appearance of gingival cancer is very polymorphous; its understanding may be significant to improve patient education and early medical consultation.

scholarly journals Atypical Endometrial Hyperplasia and Unexpected Cancers at Final Histology: A Study on Endometrial Sampling Methods and Risk Factors

Diagnostics ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. 474 ◽  
Author(s):  
Luca Giannella ◽  
Giovanni Delli Carpini ◽  
Francesco Sopracordevole ◽  
Maria Papiccio ◽  
Matteo Serri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Endometrial Hyperplasia ◽  
Probability Analysis ◽  
Secondary Outcome ◽  
Endometrial Sampling ◽  
Final Histology ◽  
Atypical Endometrial Hyperplasia ◽  
Post Test ◽  
Post Test Probability ◽  
Test Probability

Background: Up to 40% of women with atypical endometrial hyperplasia (AEH) can reveal endometrial cancer (EC) at hysterectomy. The pre-operative endometrial sampling method (ESM) and some independent cancer predictors may affect this outcome. The present study aimed to compare the rate of EC at hysterectomy in women with AEH undergoing dilation and curettage (D&C), hysteroscopically-guided biopsy (HSC-bio), or hysteroscopic endometrial resection (HSC-res). The secondary outcome was to compare the reliability of ESMs in women showing independent variables associated with EC. Methods: Two-hundred-and-eight consecutive women with AEH and undergoing hysterectomy between January 2000 and December 2017 were analyzed retrospectively. Based on pre- and post-test probability analysis for EC, three ESMs were compared: D&C, HSC-bio, and HSC-res. Univariate and multivariate analyses were performed to assess risk factors predicting cancer on final histology. Finally, the patient’s characteristics were compared between the three ESM groups. Results: D&C and HSC-bio included 75 women in each group, while HSC-res included 58 women. Forty-nine women (23.6%) revealed cancer at hysterectomy (pre-test probability). Post-test probability analysis showed that HSC-res had the lowest percentage of EC underestimation: HSC-res = 11.6%; HSC-bio = 19.5%; D&C = 35.3%. Patient characteristics showed no significant differences between the three ESMs. Multivariate analysis showed that body mass index ≥40 (Odds Ratio (OR) = 19.75; Confidence Intervals (CI) 2.193–177.829), and age (criterion > 60 years) (OR = 1.055, CI 1.002–1.111) associated significantly with EC. In women with one or both risk factors, post-test probability analysis showed that HSC-res was the only method with a lower EC rate at hysterectomy compared to a pre-test probability of 44.2%: HSC-res = 19.96%; HSC-bio = 53.81%; D&C = 63.12%. Conclusions: HSC-res provided the lowest rate of EC underestimation in AEH, also in women showing EC predictors. These data may be considered for better diagnostic and therapeutic planning of AEH.

U.S. adult knowledge of risk factors and signs of oral cancers: 1990

1995 ◽  
Vol 126 (1) ◽  
pp. 39-45 ◽  
Author(s):  
ALICE M. HOROWITZ ◽  
PARIVASH NOURJAH ◽  
HELEN C. GIFT
Keyword(s):  
Risk Factors ◽  
Oral Cancers

scholarly journals Didactic Model: Teaching the English Temporal System to Arabic Freshman Learners of English

2017 ◽  
Vol 19 (_sup1) ◽  
pp. 81-97
Author(s):  
Thana Hmidani
Keyword(s):  
Linguistic Competence ◽  
First Year ◽  
Language Awareness ◽  
Intensive English ◽  
First Year Students ◽  
Medical College ◽  
Temporal System ◽  
Post Test ◽  
And Control ◽  
Selection Of

This study took place at a medical college with 57 Arabic first-year students taking an intensive English course. The aim was to address the problems that learners experience when using the English tenses properly. The didactic model was developed and implemented in the study group only (27 students). Pre, mid-, and post-tests were administered to study and control groups at three points in time. The model is a selection of aspects from different methods combined aiming to lead participants to a higher level of linguistic competence in terms of language awareness, reading and writing skills, and vocubulary building. The results indicated statistically significant differences in the post-test between the two groups over time regarding the level of linguistic competence.

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