Building Environmental Health and Genomics Literacy among Healthcare Providers Serving Vulnerable Communities: An Innovative Educational Framework

This study addresses healthcare providers’ knowledge deficits in environmental health and genetics, and primarily focuses on student nurses and nurses serving marginalized, low-income communities frequently exposed to environmental toxicants. Our approach to improve public health is unique, combining hands-on modeling exercises with case-based lessons in addition to three targeted 40 min lectures on toxicology. These lectures included the team’s community-based environmental health research among Indigenous peoples of the U.S. The hands-on approach employed DNA and protein molecular models designed to demonstrate normal and dysfunctional molecules, as well as genetic variants in world populations. The models provided learners with visuals and an experience of “learning by doing.” Increased awareness of the effects of environmental toxicants is the first step toward improving health care for exposed communities. We measured knowledge gains by pre- and post-tests among student nurses and nurses serving Native Americans living both in urban and rural areas of the U.S. (n = 116). The modeling lessons illustrated genetic variants in liver proteins common in Native peoples and their resulting health vulnerabilities. Participants were engaged and enthusiastic; and pre- and post-test results reported substantial knowledge gains and a greater understanding of genetic susceptibility (p < 0.0001). Our study demonstrates the utility of this framework across diverse populations and remote communities.

Role of the Media in Health-Related Awareness Campaigns on Perception of COVID-19: A Pre-post Study in the General Population of Pakistan

Medical preparedness and community education are the most valuable preventive tools for combatting the COVID-19 pandemic. This study aims to assess the role of media public health awareness campaigns on the knowledge of the general population about COVID-19 in Rawalpindi, Pakistan. A quantitative study using a pre-post design among 384 respondents was conducted. A structured questionnaire was administered to the participants twice: The first response (t1) from participants was filled in during the 1st week in February 2020 before any confirmed cases were reported in the country, and the second response (t2) was completed 1 month after the first case detection in Pakistan (March 2020). Media health awareness campaigns were launched just after the detection of the first case in Pakistan. Exposure to the media and knowledge relating to COVID-19 increased over time. Whereas, only a quarter of respondents judged the isolation of suspected cases in quarantine to be important to prevent the spread of infection in society at t1, more than half did so at t2. Socio-demographic characteristics were not significantly associated with knowledge (gains). However, more frequent use of electronic media is associated with greater knowledge gains from t1 to t2. The findings of this study provide evidence that awareness and knowledge related to COVID-19 symptoms and preventive measures increased significantly over time. The increased frequency of following the media indicates that health awareness campaigns are important for enhancing the knowledge of the general public regarding COVID-19.

Animal-Visitor Interactions and the Visitor Experience: Visitor Behaviors, Attitudes, Perceptions, and Learning in the Modern Zoo

Animal-Visitor Interactions (AVIs) have become commonplace in zoological institutions and facilities globally. However, most AVI research focuses on the effects of visitors on the welfare of animals, with considerably fewer studies examining the visitor experience itself. Furthermore, robust evaluations of the efficacy of zoo education programs and engagements for increasing visitor awareness of conservation issues, and for fostering long-term pro-conservation behavior changes in them, are under-researched. This paper reviews the current literature that pertains to the effects of zoo visitation and AVIs on visitor perceptions, beliefs, and attitudes. We briefly note some of the known effects that zoo visitors have on zoo animals, then explore the effects that factors such as enclosure design, animal visibility and behaviors, and AVIs can have on visitors’ overall experience whilst attending the zoo. We suggest that future research needs to more closely examine the relationships and interactions between zoo visitors and zoo animals; why some zoo visitors over others repeat visitation; what the differences in beliefs and attitudes may be between “zoo visitors” and “non-zoo visitors” (i.e., other general public); and to make a concerted effort to understand: (1) what visitors do after they leave the zoo, and (2) whether visitors adopt long-term pro-conservation behaviors into their daily lives. We further suggest that future research needs to start investigating indirect measures related to the visitor experience, such as: (a) individual conservation support outside of the zoo; (b) internet activity; (c) changes in sustainable purchasing practices related to knowledge gains; (d) financial investment in sustainable or ethical companies after knowledge gains; (e) and the longitudinal effects of zoo visits.

Next generation sequencing

Next Generation Sequencing led to major knowledge gains in the molecular life sciences. But the new technology provides data that pose new challenges to both science and society. New fields of research are emerging and questions of identity on the basis of genetic analyses are being negotiated.

Organizational-Level Moderators Impacting Tobacco-Related Knowledge Change after Tobacco Education Training in Substance Use Treatment Centers

Tobacco use is disproportionately elevated among patients with substance use disorders relative to the general U.S. population. Tobacco interventions are lacking within substance use treatment centers (SUTCs) due to lack of knowledge and training. This study examined knowledge gain and the organizational factors that might moderate knowledge gains following tobacco education training provided to employees (N = 580) within 15 SUTCs that were participating in a tobacco-free workplace program. The number of total annual patient visits, unique annual patient visits, number of full-time employees, and organizational readiness for implementing change (ORIC) as assessed prior to implementation were examined as potential moderators. Results demonstrated significant knowledge gain (p < 0.001) after training overall; individually, 13 SUTCs had significant knowledge gain (p’s < 0.014). SUTCs with fewer total annual patient visits and fewer full-time employees showed greater knowledge gains. The ORIC total score and all but one of its subscales (Resource Availability) moderated knowledge gain. SUTCs with greater initial Change Efficacy (p = 0.029), Valence (p = 0.027), and Commitment (p < 0.001) had greater knowledge gain than SUTCs with lower scores on these constructs; SUTCs with greater Task Knowledge (p < 0.001) regarding requirements for change exhibited less knowledge gain. Understanding the organizational-level factors impacting training effectiveness can inform efforts in organizational change and tobacco control program implementation.

Pulmonary Vein Stenosis: Incremental Knowledge Gains to Improve Outcomes

Pulmonary vein stenosis remains a considerable clinical challenge, with high mortality still present in children with progressive disease. In this review, we discuss the clinical spectrum of pulmonary vein stenosis and what is known about the etiology and potential modifying and contributing factors in progressive pulmonary vein stenosis.

Scarcity

Chapter 6 takes stock of the main empirical findings detailed in chapters 2 through 5; reflects on their key implications for media, culture, and society; examines how the distinct analytical and methodological apparatus of this book generates knowledge gains that go beyond the analysis of information abundance; and highlights the need for rebalancing the dynamics of institutional power and individual agency in accounts of the social consequences of digital technologies, and for dealing with the lack of certainty about the structural and cultural basis of contemporary society. To bring the account full circle, the chapter closes with a serendipitous encounter that marks the final destination of this journey, in an Argentine landmark located some twenty blocks away from where the book began.