scholarly journals Impacto del método “Instrucción por pares” con el apoyo de “clickers” en el aprendizaje de Matemáticas Básicas / Impact ot the “Peer Instruction Method” supported by “Clickers” on Basic Maths Learning

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Rafael Enrique Escudero
Keyword(s):  
Equal Treatment ◽  
Peer Instruction ◽  
Summer Period ◽  
Joint Research ◽  
Chi Square ◽  
Before And After ◽  
Post Test ◽  
Good Learning ◽  
Student’S T ◽  
The Impact

ABSTRACTThis study was intended to promote greater interaction between students and focusing your attention on the under-lying concepts studied in the course basic math, in exchangefor the material in sequence presented in textbooks and class notes. The study was conducted during the first half of 2012 (2012-10) and the 2012 summer period (2012 20), through a process of joint research quantitatively and qualitatively. The number of students treated in 2012 (10) was 249 and 10in the summer period. Of the 249 randomly took a course of 37 students which was a pretest at the start of the course without having received treatment. In the last week, was applied a posttestwhen the student had received the Peer Instruction Meth-od. Equal treatment is made with the summer course. The samples came from normal distributions, which found using the Shapiro-Wilk and Chi square statistical. Found significant differences between the averages of the posttest and pretest in both courses, for which was applied a test for paired as a study before and after samples student's t. For the Group of 37 students t = 5.87212 with p = 0.0000296539 < 0.05. The Group of 10 students t = 4.39678 with p = 0.00172844 < 0.05. The confidence level was of 95%. Surveys were conducted to measure the impact qualitatively, Likert type to all students, in which stood a high favorability (more than 80%) of the method in terms of more dynamic classes, greater motivation, good learning environment, greater participation, sufficient time to answer questions and improvement in learning.RESUMENEste estudio tuvo como propósito promover una mayor interacción entre los estudiantes y enfocar su atención en los conceptos subyacentes estudiados en la asignatura Matemáticas Básicas, a cambio de presentar el material en secuencia como en los libros de textos y las notas de clase. El estudio se realizó durante el primer semestre del 2012 (2012 10) y el periodo intersemestral del 2012 (2012 20), mediante un proceso de investigación mixta cuantitativa y cualitativamente. El número de estudiantes tratado en 2012 (10) fue de 249 y en el intersemestral de 10. De los 249 se tomó aleatoriamente un curso de 37 estudiantes a los que se les aplicó un pre test al inicio del curso sin haber recibido el tratamiento del método y en la última semana, se aplicó un post test. Igual tratamiento se hizo con el curso intersemestral. Las muestras provinieron de distribuciones normales, lo que se comprobó usando los estadísticos Chi Cuadrado y Shapiro-Wilk. Se encontraron diferencias significativas entre las medias de los post test y pre test, en ambos cursos, para lo cual se aplicó una prueba t de student para muestras pareadas, por ser un estudio antes y después. Para el grupo de 37 estudiantes t = 5.87212 con un p = 0.0000296539 < 0.05. En el grupo de 10 estudiantes t = 4.39678 con un p = 0.00172844 < 0.05. En ambos casos a un nivel de confiabilidad de 95%. Para medir el impacto cualitativamente, se realizaron encuestas tipo Likert a la totalidad de estu-diantes, en las que se destacaron una alta favorabilidad (más del 80%) del método en cuanto a clases más dinámicas, mayor motivación, buen ambiente de aprendizaje, mayor participación, tiempo suficiente para responder las preguntas y mejora-miento en el aprendizaje.

scholarly journals Effect of intensive training in improving older women's knowledge and support for infant vaccination in Nigerian urban slums: a before-and-after intervention study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Folusho Mubowale Balogun ◽  
Olayinka Samson Bamidele ◽  
Eniola Adetola Bamgboye
Keyword(s):  
Child Care ◽  
Older Women ◽  
Urban Slum ◽  
Chi Square ◽  
Intensive Training ◽  
Participatory Learning ◽  
Infant Vaccination ◽  
Before And After ◽  
Student’S T ◽  
The Impact

Abstract Background One of the strategies for improving vaccination uptake is to make communities understand the importance of immunization and this is expected to drive the demand for vaccines. Building the capacity of older women who supervise child care in Africa may improve infant vaccination in underserved communities. This study determined the impact of training of older women on their knowledge and support for infant vaccination in selected urban slum communities in Ibadan, Nigeria. Methods This was a before-and-after study that enrolled women aged ≥35 years. They were trained with a manual and short video using participatory learning methods over an 8 month period. The content of their training includes importance of immunization timeliness and completion, how vaccines work and how to be advocates and supporters of infant vaccination. Their knowledge and support for infant vaccination at baseline were compared with post training values using Student’s t test and Chi square test with the level of significance set at 5%. Results There were 109 women with mean age 55.8 ± 11.6. they had a mean of 5.7 ± 2.1 training sessions. At the end of the training, their knowledge about infant vaccination and the support they give to it increased from 4.8 ± 3.8 to 10.7 ± 0.6, and 3.1 ± 3.5 to 8.1 ± 1.7 respectively. Those with good knowledge about infant vaccination increased significantly from 37(33.9%) to 82(82.8%), while those with good support for the same increased from 31(28.4%) to 85(85.9%). Women who were ≤ 64 years significantly had improved knowledge after the training compared to the older ones. Those with post secondary education had better knowledge and greater support for infant vaccination at baseline. However, there was no difference in the knowledge and support for infant vaccination among the women across the different educational levels after the training. Conclusions Participatory learning improved the knowledge about, and support for infant vaccination among older women supervising child care in these urban slum communities. Similar training may be extended to comparable settings in order to improve demand for infant vaccination.

scholarly journals A Randomized, Controlled, Parallel-Group, Trial on the Effects of Melatonin on Fatigue Associated with Breast Cancer and Its Adjuvant Treatments

2021 ◽  
Vol 20 ◽  
pp. 153473542098834
Author(s):  
Abdolazim Sedighi Pashaki ◽  
Kamal Mohammadian ◽  
Saeid Afshar ◽  
Mohammad Hadi Gholami ◽  
Abbas Moradi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Adjuvant Chemotherapy ◽  
Intervention Group ◽  
Chi Square ◽  
Significance Level ◽  
Severe Fatigue ◽  
Before And After ◽  
Brief Fatigue Inventory ◽  
Chi Square Test ◽  
Student’S T

Objective: Fatigue associated with malignant conditions and their treatments is a disabling condition. This trial assessed the anti-fatigue effects of melatonin coadministration during adjuvant treatment of patients with the breast cancer. Material and Methods: Patients with breast cancer were randomly assigned to receive melatonin or placebo during adjuvant chemotherapy and radiotherapy. Thirty-seven patients were randomly enrolled in each group. The mean ages of patients in the intervention and control groups were 50.47 ± 10.79 and 46.05 ± 10.55 years, respectively ( P = .223). The intervention group received oral melatonin (18 mg/day) from 1 week before until 1 month after the adjuvant radiotherapy. The level of fatigue was assessed before and after intervention using Brief Fatigue Inventory (BFI) in both groups. To analyze data, the Student’s t-test and the Chi-square test were used at a significance level of P ≤ .05. Results: The BFI score was similar before the intervention in both groups, however, after the intervention, it was significantly lower in the melatonin group ( P < .001). Moreover, the frequency of severe fatigue in the melatonin group was significantly lower than in the placebo group after intervention (42.1% vs 83.3%, P < .001). Conclusion: Coadministration of melatonin during adjuvant chemotherapy and radiotherapy of women with breast cancer decreased the levels of fatigue associated with the malignant condition and its treatments.

Abstract P841: The Impact of a Dedicated Pediatric Stroke Discharge Plan Upon Parent Preparedness for Clinic: Before and After the Start of Covid-19

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Cindy Nederveld ◽  
Vivian Thompson ◽  
Jacqueline Murray ◽  
Jennifer L Armstrong ◽  
Megan Barry ◽  
...  
Keyword(s):  
Multidisciplinary Care ◽  
Clinic Visit ◽  
Outpatient Setting ◽  
Pediatric Stroke ◽  
Chi Square ◽  
Discharge Plan ◽  
Before And After ◽  
Appointment Time ◽  
Chi Square Analysis ◽  
The Impact

Background: The Colorado Pediatric Stroke Program provides comprehensive, multidisciplinary care for pediatric stroke patients and their families. The team, which includes dedicated inpatient and outpatient nurse coordinators, instituted a plan to support the transition from the inpatient to outpatient setting. Purpose: A survey was used to determine family preparedness for clinic and ease of scheduling their appointment. The data were collected before and after enacting remote scheduling and telehealth visits due to the COVID-19 pandemic. Methods: Our team provided educational materials and an outpatient appointment time to families at time of discharge starting in 2019. In January 2020, the stroke clinic staff surveyed parents and guardians about their preparedness for clinic. Telehealth encounters were initiated due to COVID-19 in March 2020, with staff conducting RedCAP surveys by telephone. The survey measured several components of visit preparedness and satisfaction including: understanding of diagnosis, reason for referral prior to clinic visit, familiarity with the stroke team prior to clinic visit, and ease in appointment scheduling. We compared results before and after March 2020 via two-tailed chi-square analysis or two-tailed Fischer’s test. Results: Prior to telehealth, families favorably reported responses with 92% (47/52) knowing the reason for referral, 86% (42/49) receiving educational material prior to clinic, and 84% (42/50) reporting familiarity with our team. All patients (50/50) reported that scheduling was easy. Only scheduling ease had a significant change during the pandemic, with 11% (2/11) of patients reporting difficulties with scheduling after starting telehealth ( P=0.03 ). Conclusion: Childhood stroke is a disease with significant morbidity and mortality, requiring close follow-up care. Families report robust preparedness for clinic after the implementation of a comprehensive discharge plan. Although small numbers, remote scheduling and telehealth transition may present previously unseen barriers to scheduling during the pandemic. During abrupt changes in clinical operations additional scheduling resources may be needed to ensure continuity of care.

scholarly journals Importance of physiotherapy/nursing multidisciplinary integration about update newborn position in the neonatal intensive care unit

2015 ◽  
Vol 28 (3) ◽  
pp. 437-445 ◽  
Author(s):  
Vanessa da Silva Neves Moreira Arakaki ◽  
Alana Monteiro de Oliveira ◽  
Trícia Bogossian ◽  
Viviane Saraiva de Almeida ◽  
Gustavo Dias da Silva ◽  
...  
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Physical Therapist ◽  
Body Position ◽  
Effective Care ◽  
Before And After ◽  
Student’S T ◽  
The Impact ◽  
Clinical Stability

AbstractIntroduction The high-risk newborns may require long periods of hospitalization until they reach clinical stability for hospital discharge. Avoiding babies to be in only one body position may be an effective way to cause respiratory and neuro-psycho-motor benefits, comfort and preventing pressure ulcers.Objectives This study investigated the impact of physiotherapy/nursing integration in update on body positioning of the newborn in the Neonatal Intensive Care Unit.Methods A questionnaire was administered to nurses and nursing technicians of the neonatal unit of Maternity School of UFRJ and nurses of the Advanced Course in Neonatal Nursing from the same institution. Two classes were taught by the physical therapist of the sector and the questions answered before and after these lessons. It was also a brief characterization of professional participants of the study. We used the Student's t test to compare the correct answers before (PRE) and after (POST) the classes, considering p < 0.05.Results There was a significant increase in the degree of knowledge of nurses and nursing technicians when compared the responses before (nurses: 68.8%; technicians: 70.1%) and after classes (nurses: 78.4 %; technicians: 88.9%). The nurses were less than five years of graduated (45%) and little time of professional experience in neonatology (60%). Forty-seven percent of technicians had less than five years of training and 82% had less than 10 years of experience.Conclusion The use of training by the nursing staff was significant, showing the importance of multidisciplinary approach and the integration of knowledge in the search for a humanized and effective care.

scholarly journals Personal and social training as a part of class teachers’ lifelong learning

2018 ◽  
Vol 8 (2) ◽  
pp. 24-39 ◽  
Author(s):  
Zuzana Geršicová ◽  
Silvia Barnová
Keyword(s):  
Social Development ◽  
Lifelong Learning ◽  
Personal Development ◽  
Family Background ◽  
Further Education ◽  
Training Methods ◽  
Pedagogical Training ◽  
Before And After ◽  
Post Test ◽  
The Impact

Abstract Introduction: The presented paper deals with the issues of the work of class teachers and their further education in the field of personal and social training. The main goal of the research was to find out about changes in personal and social development after the realization of social-pedagogical training. Methods: On the level of personal development, the authors were interested in the field of values and attitudes. On the level of social development, they focused on the changes in communication and opinion scales. The changes in the above fields were measured by means of a pre-test and a post-test which were administered before and after the realization of the training. Results: In the participants of the realized research, the research team, to a certain extent, succeeded in reducing prejudice and beliefs and the participants learnt about the necessity of considering students’ individual abilities and specific environmental influences on their behavior and manifestations at school. On the level of opinions, there was a shift towards a stronger belief in the significance of the impact of the environment and the family background on students’ behaviour and their personality traits. Discussion: The presented data are the results of a pilot probe and have brought initial insights related to the presented issues for the purposes of a longer and deeper research, which is in the phase of its realization. Limitations: As the project was realized with ten groups of teachers showing a deep interest in participating in it, it is not our ambition to generalize the obtained results; nevertheless, we find them interesting and inspiring. Conclusions: Along with knowledge from pedagogy and psychology, class teachers need a huge amount of creativity, ideas, techniques and methods, which can promote the development of students’ value orientation. The authors can see a clear perspective for teachers’ lifelong learning here

scholarly journals EFEKTIVITAS PENDEKATAN SCIENCE ENVIRONMENT TECHNOLOGY AND SOCIETY BERBASIS CTL TERHADAP HASIL BELAJAR

2021 ◽  
Vol 2 (1) ◽  
pp. 140-148
Author(s):  
Arif Rahman Hakim ◽  
Muhammad Sururuddin ◽  
Nur Haqiqi
Keyword(s):  
Learning Outcomes ◽  
Science Learning ◽  
Hypothesis Test ◽  
Test Results ◽  
Technology And Society ◽  
Validity And Reliability ◽  
Chi Square ◽  
Normality Test ◽  
Before And After ◽  
Post Test

This study aims to determine the effectivenes of the CTL based SETS approach to student science learning outcomes in fourth grade. This type of research used in this study is an experimental research design using one group pretest-posttes. The sample used was 27 peoples who were grade IV. Data collection techniques using observation and test descriptions to determine student learning outcomes that are assessed using an assessment rubric. Before the data were analyzed, the instrument was tested for validity and reliability. After the research was carried out and the data collected, the pre-test and post-test results were analyzed. The pretest result reached an average of 64.98 into the sufficient category. Then at the posttest the average overall score is 71.28 in the good category. For the requirement test, data analysis was carried out by using the chi-square normality test, while the hypothesis testing technique used the t-test. Hypothesis test results obtained tcount>ttable. It means the conclution that there are differences in student science learning outcomes before and after the Science, Environment, Technology, And Society approaches are used based on CTL in grade IV SDN 6 Masbagik Selatan in the 2020/2021 academic year.

scholarly journals Intervenção em cuidados paliativos: conhecimento e percepção dos enfermeiros

2018 ◽  
Vol 12 (5) ◽  
pp. 1325
Author(s):  
Hashilley Alberto da Silva ◽  
Gleice Kelle Beserra Viana ◽  
Ana Karine Girão Lima ◽  
Carla Monique Lopes Mourão ◽  
Ana Luiza Almeida de Lima
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Care Hospital ◽  
Chi Square ◽  
Calidad De Vida ◽  
Before And After ◽  
Data Collection Instrument ◽  
Post Test ◽  
Nursing Quality

RESUMOObjetivo: avaliar a percepção dos enfermeiros sobre cuidado paliativo antes e depois de uma intervenção. Método: estudo quantitativo, quase experimental, desenvolvido nas unidades de um hospital de atenção secundária. O instrumento de coleta de dados foi adaptado de um estudo realizado com anestesiologistas, esses foram analisados no programa Excel e organizados em tabelas, sendo aplicado o teste estatístico de qui-quadrado de Pearson, com tabelas que apresentam os valores obtidos dentro de categorias distintas, mas que eram relacionáveis. Foi calculada, também, a proporção das diferenças entre as respostas do pré-teste e pós-teste, sendo considerados significantes os resultados com p<0,05. Resultados: houve predominância dos profissionais antes da intervenção que escolheram a expressão Morte Digna para designar cuidado paliativo (72,9%). Após a intervenção, os profissionais escolheram a expressão Qualidade de Vida (55,9%). Conclusão: a percepção dos enfermeiros acerca dos cuidados paliativos foi deficiente. Esse fato esteve associado à deficiência na formação técnico-científica ainda na graduação. A intervenção realizada promoveu melhoria da compreensão de conceitos relacionados ao cuidado paliativo colaborando para a assistência diferenciada e promotora da qualidade de vida dos profissionais. Descritores: Cuidados Paliativos; Enfermagem; Qualidade de Vida; Assistência Hospitalar.ABSTRACTObjective: to evaluate nurses' perception of palliative care before and after an intervention. Method: quantitative, almost experimental study, developed in the units of a secondary care hospital. The data collection instrument was adapted from a study carried out with anesthesiologists, these were analyzed in the Excel program and organized into tables, being applied the statistical test of chi-square of Pearson, with tables that present the values obtained within distinct categories, but that they were relatable. The proportion of differences between pre-test and post-test responses was also calculated, and the results with p <0.05 were considered significant. Results: there was a predominance of professionals before the intervention who chose the term Digned Death to designate palliative care (72.9%). After the intervention, professionals chose the term Quality of Life (55.9%). Conclusion: nurses' perception about palliative care was deficient. This fact was associated to the deficiency in the technical-scientific formation still in the graduation. The intervention promoted an improvement of the understanding of concepts related to palliative care collaborating for differentiated assistance and promoting the quality of life of professionals  Descriptors: Palliative Care, Nursing, Quality of Life, Hospital Care.RESUMENObjetivo: evaluar la percepción de los enfermeros sobre el cuidado paliativo antes y después de una intervención. Método: estudio cuantitativo, casi experimental, desarrollado en las unidades de un hospital de atención secundaria. El instrumento de recolección de datos fue adaptado de un estudio realizado con anestesiólogos, se analizaron en el programa Excel y organizados en tablas, siendo aplicado el test estadístico de chi-cuadrado de Pearson con tablas que presentan los valores obtenidos dentro de categorías distintas, pero que eran relacionables. Se calculó, también, la proporción de las diferencias entre las respuestas del pre-test y post-test, siendo considerados significantes los resultados con p <0,05. Resultados: hubo predominancia de los profesionales antes de la intervención que eligieron la expresión Muerte Digna para designar cuidado paliativo (72,9%). Después de la intervención, los profesionales escogieron la expresión Calidad de Vida (55,9%). Conclusión: la percepción de los enfermeros acerca de los cuidados paliativos fue deficiente. Este hecho estuvo asociado a la deficiencia en la formación técnica-científica aún en la graduación. La intervención realizada promovió la mejora de la comprensión de conceptos relacionados al cuidado paliativo, colaborando para la asistencia diferenciada y promotora de la calidad de vida de los profesionales. Descriptores: Cuidados Paliativos, Enfermeira, Calidad de Vida, Atención Hospitalaria.

scholarly journals Ethnocentrism, Theoretical Awareness, and Intellectual Resistance in University Students’ Reading Behaviour

2021 ◽  
Vol 9 (4) ◽  
pp. 228
Author(s):  
Brahim Hiba
Keyword(s):  
Critical Pedagogy ◽  
Basic Function ◽  
General Idea ◽  
Critical Reading ◽  
Reading Habits ◽  
Convenience Sample ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
The Impact

This paper discusses the insightful and illuminating findings of teaching critical reading within the theoretical framework of critical pedagogy. More specifically, this paper examines the impact of a critical-reading course on students’ reading skills and beliefs about discourse production and interpretation. The course was conducted according to the principles of transformative participatory action research and, thus, a corpus of 50 essays, written by a convenience sample of 25 post-graduate students in the pre-test and post-test phases, was analyzed to examine the effect of the course on students’ reading-habits and their representations of different discourses. Pretest findings showed that most students used to think that discourses are innocent and ideology-free and that reading a text consists in understanding its general idea, extracting its writer’s viewpoint, making sense of its vocabulary, and paraphrasing it. As far as text’s function is concerned, most students used to believe that a text’s basic function is delivering information. In addition, most of them were unaware of the fact that a text has ideological and socio-political functions. Post-test findings revealed that students’ discourse awareness and reading habits have become more critical and developed at two levels: the worldview level and the meta-language level. The t-test statistics suggest that there is a significant difference of p˂.001 between students’ reading scores before and after the intervention. Therefore, the null hypothesis which says that there is no significant difference between studying critical reading from a critical pedagogy perspective and studying it from a functional or conventional perspective is false.

scholarly journals Anaerobic endurance of dance sport athletes

2020 ◽  
Vol 12 (1) ◽  
pp. 141-148
Author(s):  
Szymon Kuliś ◽  
Edyta Sienkiewicz-Dianzenza ◽  
Romuald Stupnicki
Keyword(s):  
Heart Rate ◽  
Interval Training ◽  
Accurate Method ◽  
Training Process ◽  
Specific Test ◽  
Training Cycle ◽  
Before And After ◽  
Post Test ◽  
The Impact ◽  
Individual Training

SummaryStudy aim: To assess the impact of an ordinary training week cycle lasting 6 months on the anaerobic endurance of dance sport athletes.Material and methods: Two couples of standard style and six couples of ten dance style, aged 14–26 years, of diverse competitive categories (E, D, B, A, S), were subjected to maximum runs 8 × 50 m spaced by 15-s intermissions, before and after half-year training. Running time of every run and post-run heart rate (HR) were measured. The results were expressed as running velocities (m/s) and R-R intervals for heart rates.Results: Velocities were significantly higher in the post-test (5.21 ± 0.21 m/s and 5.57 ± 0.34 m/s for women and men, respectively) than in the pre-test (5.13 ± 0.13 m/s and 5.39 ± 0.24 m/s, for women and men, respectively) (F1,14 = 14.70, p = 0.0018, η2 = 0.51) despite the fact that a significant decrease of speed in each successive run was noted (F7,98 = 82.19, p < 0.001, η2 = 0.85) for all of the participants in the pre-test and post-test.Conclusions: The half-year training cycle of dance sport couples had no significant impact on their anaerobic endurance. It seems that individual training plans should include dancing interval exercises and interval training. The performance index is a useful tool in monitoring the training process and can be used as an accurate method for evaluating the anaerobic predispositions of athletes. It is recommended to develop specific, test-suitable dancing exercises.

scholarly journals Peningkatan Perilaku PSK Menggunakan Buku Saku Dalam Pencegahan Dan Penanganan Penyakit Menular/ HIV Di Gunung Kemukus Kabupaten Sragen

2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Suyanto Suyanto ◽  
Dwi Susi Haryati
Keyword(s):  
Infectious Diseases ◽  
Sexually Transmitted Diseases ◽  
Economic Factors ◽  
Chi Square ◽  
Sexually Transmitted ◽  
Pocket Book ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
Handling Practices

Abstract: Pocket Books, PSK, Mount Kemukus. Some of the main reasons Woman Being prostitution as well as economic factors. To PSK is a choice that has a lot of risk one is contracting sexually transmitted diseases/ HIV and they have a big share in the spread of the disease. Thus there is no reason the prostitutes must have behaviors that can prevent and make the handling of infectious diseases/ HIV as a result the risk of becoming prostitutes. But until now they have not done well with their proven PSK contract some sexually transmitted diseases.Given the rise of the behavior before and after using a pocket book in the prevention and treatment of sexually transmitted diseases/ HIV PSK Mount Kemukus Sragen. This study was a quasi-experimental, using a pre-post test approach using a questionnaire. Enelitian population are the prostitutes in Mount Kemukus Sragen with samplel number as many as 30 people. Furthermore, the analysis using quadratic Kai Test (Chi Square) with the aid of a computer. The results showed that the behavior of infectious disease prevention / HIVsebelum and after given pocket book while there is no difference to the behavior of the handling of infectious diseases/ HIV there are significant differences. Based on these results the researchers advised to maintain good handling practices already and do efforts to improve prevention behaviors.

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