Parental Knowledge of Pre-Hospital Management of Avulsed Permanent Tooth in Children at Kath

BACKGROUND: Permanent tooth avulsion is one of the severe forms of dental traumatic injuries. The immediate action taken at the site of the accident is crucial to the prognosis of the tooth. Replantation is considered as the treatment of choice. OBJECTIVE: The study was undertaken to assess the knowledge of parents who accompany their children to the pediatric dental clinic, KATH on the pre-hospital management of avulsed permanent tooth in children. METHODS: A researcher administered structured questionnaire was used to collect data on the knowledge of pre-hospital management of avulsed permanent tooth from 83 parents who accompanied their wards to the pediatric dental clinic at KATH. RESULTS: A total of 83 parents were involved in the study. 30 (36%) were males while 53 (64%) were females. The majority of the parents (57%) were either university trained or had attended college of education. Only 32 parents (39%) were aware of the possibility of replantation. Majority of the parents chose non-physiologic media as the transport media of choice and only 10% would attempt self-replantation before seeking professional help. 76 parents (92%) had no previous education on pre-hospital management of avulsed tooth. CONCLUSION: The results obtained from this study indicate that parental knowledge on pre-hospital management of avulsed permanent tooth is low hence the need for massive public educational campaigns.

Community Knowledge and Attitude about Burns First Aid (BFA) in Jazan, Saudi Arabia

Introduction and Significance: Burn injury (BI) is a considerable health issue which is responsible for around 300,000 deaths and affecting about 11 million people every year worldwide. In Saudi Arabia, the prevalence of BIs array from 112 to 518 per 100,000 per year. The appropriate awareness of performing first aid could facilitate to improve the outcomes of burns. Purpose and Objectives: To appraise the community that acknowledges burns, first aid, and associated factors among the community population in Jazan City, Saudi Arabia. The paper aims to identify limitations to encourage additional research and persuade legislators to develop improved burn-injury care recommendations and training programs. Materials and Methods: An observational-based sample survey was conducted among the people who live in Jazan City aging 13 years or more, during April 5 to May 5, 2023. Data collection was done by a validated online self-administrated questionnaire sent randomly to community members in different parts of Jazan City via social media platforms. Collected data were coded and cleaned by an excel program, and finally exported on SPSS 26.0 software. The variables were analyzed using descriptive statistics like frequencies and percentages. Also, the Chi-square test was used to investigate the relation between different variables, with a significance value of P Results: This study included 243 participants (about 62%) among them were mostly male participants (151) having a university degree. The majority of participants 75% did not take any form of BFA training in the past. This study shows that 69.9% of the participants have inadequate awareness, despite 72% having a constructive attitude towards burn first aid. Previous burn-related first aid training was significantly associated with participants’ knowledge of BFA at a p-value less than 0.05. Conclusion: This study indicates a high frequency of Jazan population having inadequate knowledge of burn first aid despite the high prevalence of a favorable attitude. There is a need to develop an effective nationwide burn prevention program and early burn first aid treatment in Saudi Arabia and promote a consistent guideline for burn first aid.

A Survey on the Current Situation of Prehospital First Aid about Knowledge, Belief and Behavior among University Students in Jingzhou

Objective: To understand the current situation of prehospital first aid knowledge, attitude and behavior of university students in Jingzhou City. Methods: A prehospital first aid knowledge questionnaire and the convenience sampling method were used to survey 307 university students in Jingzhou City. Results: The mean score of prehospital first aid knowledge of university students in Jingzhou City was 12.85 ± 2.643, the mean score of attitude was 50.73 ± 4.114, and the mean score of behavior was 39.05 ± 8.898;There was a statistically significant difference in the scores of prehospital first aid knowledge, attitude, and behavior of university students depending on whether or not they had received prehospital first aid training (P P Conclusion: Jingzhou University students have a positive attitude toward pre-hospital first aid, but the knowledge level and behavior are low, which suggests that the government, society and the school should create good conditions to promote the improvement of pre-hospital first aid knowledge and ability.

Correlation Study of Neurotransmitter and Immune Levels in Pre-Hospital Emergency Nurses with Post-Traumatic Stress Disorder

Objective: To investigate the occurrence of PTSD in pre-hospital emergency nurses and its related factors, and to compare the differences of neurotransmitter and immune-related factors between pre-hospital emergency nurses who experienced traumatic events and those who did not develop PTSD and healthy people. How: Post-traumatic Stress Disorder Self-Rating Scale (PCL-C) tests were performed on pre-hospital emergency nurses in PTSD group, non-PTSD group and healthy control group, and the plasma monoamine neurotransmitters and serum cytokines were determined by double-antibody sandwich ABC-ELISA assay using enzyme-linked adsorption kit provided by Shanghai Xitang Biotechnology Co., Ltd. Results: 1) There were statistically significant differences in PCL-C scores between PTSD group, non-PTSD group and healthy group (p α between PTSD group, non-PTSD group and healthy group (p Conclusion: Pre-hospital emergency nurses should have early psychological intervention and guidance to reduce the occurrence of PTSD in emergency and emergency nurses.

Characteristic-knowledge-aided spectral detection of high frequency first-order sea echo

To detect high frequency （HF） first-order sea echo spectra contaminated with ships, ionosphere interference, and other, a new characteristic-knowledge-aided detection method is proposed. With 2-D image features in range-Doppler spectrum, the trend of first-order sea echoes is extracted as indicative information by a multi-scale filter. Detection rules for both single and splitting first-order sea echoes are given based on the characteristic knowledge combining the indicative information with the global characteristics such as amplitude, symmetry, continuity, etc. Compared with the classical algorithms, the proposed method can detect and locate the first-order sea echo in the HF band more accurately especially in the environment with targets/clutters smearing. Experiments with real data verify the validity of the algorithm.

HIV and AIDS related knowledge, beliefs and attitudes among rural communities hard to reach in Sudan

Background and Objective: There is a rising concern about Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) related knowledge in rural communities of Sudan. This study focuses on determining the extend of knowledge, beliefs, and attitudes about HIV/ AIDS among rural communities difficult to access in the six States of Sudan. Subjects and Methods: Six thousand and one hundred twenty five respondents were interviewed through the method of house-to-house visits. A structured questionnaire was administered by research assistants recruited from the Faculty of Medicine, Khartoum University during a rural residency campaign in six states of Central, Eastern and Northern Sudan during 2008/2009. Results: Of the total interviewees, 48% were aware of the HIV/AIDS risk;46% reported to have good health seeking behaviors for HIV/AIDS. 54.4% of women reported to have better knowledge about the disease than men (45.6%). 38% (2005) had not heard of safety use of condom whereas 16% (320) had used it. Logistic regression revealed that 5.3% of knowledge about the disease was explained by gender, education and religion adjusted over age of the respondents. Conclusions: Mass media were the most common source of information about the existent risk of HIV/AIDS in rural communities. These findings could assist Sudanese National Aids Programme (SNAP), healthcare providers and policymakers to develop informative materials and health education programs to educate rural community is about the risk of HIV/AIDS.

Knowledge Level about HIV/AIDS among Reproductive Men in Five Counties in China

To understand the HIV/IDS knowledge level and its influential factors among reproductive men in China so as to provide scientific evidence for preventive measures. Methods Cross-sectional survey, system random sample and constructed questionnaire were used in this study. There were 1 285 male subjects who had filled in anon）,mous questionnaires. Results There were significant differences on the HIV/IDS knowledge level in different counties and different demographic characteristic people. Major inJluential factors inchtded area, urban/rural, marriage, educational level, age, consultation about HIV/AIDS. Conclusion It is necessary to strengthen the training of HIV/AIDS knowledge among reproductive men.

Survey on AIDS related knowledge and attitude among married people of childbearing age in China

Objective:To learn about the current circumstances surrounding AIDS related knowledge,attitudes and relevant influential factors,and to provide recommendations for HIV/AIDS preven-tion and control.Methods:A cross sectional study was designed by the cluster sampling method,and a self-administered,closed,and anonymous questionnaire was administered.There were a total of 4,800 married people of childbearing age,from six counties,during the period November throughDecember,2003.Results:There were 4,693 valid questionnaires and the validity rate was 97.78%.The gen-eral correct rate of AIDS knowledge of the respondents was 63.60%.Factors such as sex,age,place of registered permanent residence and different areas had influence on the level of AIDSknowledge.Respondents knew more about AIDS transmission related knowledge than non-trans-mission related knowledge.Only 30.6% of respondents had heard about volunteer counseling andtesting(VCT)of AIDS,and just 8.5% of them thought that they had the possibility of being in-fected with HIV/AIDS,64.5% of participants were afraid of AIDS,66.5% of them thought thatHIV positive people should be quarantined,74.1% of them held that HIV positive people shouldbe forbidden to go to public places,and they would not like to have dinner(68.8%),shakehands(67.8%),or work(63.4%)with HIV positive people.Respondents of different sex,reg-istered permanent residence,education and living places had different attitudes towards HIV/AIDS.Conclusion:The AIDS knowledge level of respondents is below the goal of 75% up to 2005brought forward by National AIDS Office of China.It is very important to strengthen the Infor-mation,Education,Communication(IEC)on AIDS non-transmission related knowledge amongmarried people of childbearing age,especially those who are younger,lower educated and female.Furthermore,the knowledge about VCT should be publicized.More than half of the respondentshave negative attitudes towards AIDS patients.

Assessment of the Level of Knowledge, Attitude, and Practice with Regard to Care of People Living with HIV/AIDS among Nursing and Midwifery Students in Fako, Cameroon

Due to the chronic shortage of health personnel, nurses and midwives now play a fundamental role in the care and treatment of people living with HIV/ AIDS (PLHIV) in Cameroon. This study was therefore designed to assess the level of knowledge, attitude and practice with regard to care of PLHIV among nursing and midwifery students in Fako division of Cameroon. A survey was performed between May and July 2015, among 227 nursing and midwifery students (in their second to final year of study), selected from 8 government accredited training institutions in Fako division of Cameroon. An anonymous self-administered semi-structured questionnaire was used to collect data. The Pearson’s chi-square test, univariate and multivariate logistic regression analyses adjusting for possible confounders were all performed as part of the statistical analyses. The cutoff of statistical significance was set at p ≤ 0.05. Nursing and midwifery students had a moderate level of HIV/AIDS knowledge (average score of 7.02 on a scale of 11). Attitude towards PLHIV was generally positive (68.7%) but there were some misconceptions and prejudice about PLHIV, with considerable stigmatization (31.3%), unwillingness to share a room with someone infected with HIV (27.7%), and unwillingness to work on PLHIV (23.8%). Good HIV/AIDS knowledge was observed to be the sole independent predictor (p = 0.004) of positive attitude towards PLHIV. Fur-thermore the confidence of the respondents regarding care of PLHIV was generally moderate. Our results suggest the need for the development of a more appropriate education program in nursing and midwifery institutions in Fako division to reduce the discrepancies between the general knowledge, attitude and practice regarding care of PLHIV.

An Assessment of Comprehensive Knowledge of HIV/AIDS among Slum and Non-Slum Populations in Delhi, India

In order to design appropriate HIV prevention programs, it is important to examine the perception and knowledge of HIV/AIDS and methods of preventive. This article explores comprehensive knowledge of HIV/AIDS prevention methods among women and men in slum and non-slum areas in the National Capital Territory of Delhi, India. Data were drawn from the National Family Health Survey, 2005-06 (NFHS-3). The sample included 3096 women aged 15 - 49 years and 1321 men aged 15 - 54 years. Pearson Chi-square test and logistic regression analyses were conducted to examine the association between the study variables and the background characteristics of the slum and non-slum populations. Comprehensive knowledge of HIV/AIDS prevention methods was significantly lower among women and men in slum areas as compared with non-slum areas. Compared to men, women had less comprehensive knowledge of HIV/AIDS prevention methods in slum and non-slum areas, even after controlling for various demographic and socio-economic and exposure variables. Findings indicate that comprehensive knowledge of HIV prevention methods is low among women in slum areas. Interventions are needed to build knowledge of HIV transmission and prevention methods in this vulnerable group. Strategies to build awareness of HIV/AIDS could include mass media campaigns HIV/AIDS, and information, education and communication programs (IEC) on HIV/AIDS in slum areas.

Knowledge about HIV and AIDS among Young Women

HIV and AIDS are a major health concern among women worldwide. It is important that women especially youths are educated about HIV and AIDS because they represent a window of opportunity for reversing HIV rates if effective prevention programs can reach them before they engage in risky sexual behaviour. Women are more vulnerable to HIV infection than men and play a central role in the concept of the family, in nurturing, protecting, and caring for the family. The aim of the study was to explore HIV and AIDS knowledge among young women. A qualitative exploratory approach using focus group discussions was used and content analysis was used to interpret the data. A total of 8 focus group discussions were conducted two study sites intervention and control site. The analysis revealed 6 themes namely definition of HIV and AIDS, seriousness of HIV and AIDS in the community, signs and symptoms, transmission of HIV, cure for HIV and AIDS and prevention. The findings showed that some participants had knowledge deficit on HIV and AIDS, therefore continued community sensitisation is essential.

Knowledge, Attitude and Practice Regarding HIV/AIDS among Students in China

HIV/AIDS remains one of the world’s most significant public health challenges, particularly in low and middle-income region. China has witnessed a moderate effect of global HIV/AIDS endemic for which HIV/AIDS awareness and prevention program have been developed and conducted. In China the university students are among the affected target population because of the recent development of casual attitude towards sex, the rapid economic revolution and degradation of traditional value. The purpose of this paper is to describe HIV/AIDS knowledge, attitudes, and practice and identify personal risk behaviors among students in China. Selection of the articles suitable for the review was done from 2007 to 2016 on the basis of their study regarding HIV/AIDS in accordance with different students of schools, undergraduate and postgraduate study. Knowledge of the students is accordance with their education level while attitude have no relation with the knowledge and still there is unsafe sexual practice present among students. Although students have good knowledge regarding HIV/AIDS, they have still negative attitude towards HIV/AIDS patients. There are still misconceptions especially concerning mosquitos and kissing as routes of transmission of HIV. There is difficulty in separating HIV from AIDS by many students. Due to insufficient knowledge regarding HIV/AIDS among school students many of them believe that there is a medicine that can cure HIV/AIDS. Comparatively Students are more focused on knowledge regarding HIV/AIDS rather than developing and maintaining safe sexual behavior among the students. We believe that the review will help to focus further into the more effective attitude based implementation of knowledge and practice among Chinese students.

HIV/AIDS-Related Knowledge among Secondary School Students in Bangladesh: A Cross-Sectional Study

Background and Aim of the Study: HIV/AIDS is best viewed as a major epidemic which poses serious challenges to mankind on a global scale. The aim of this study was to assess the HIV/AIDS-related knowledge among secondary school students in Bangladesh and investigate the association between secondary school students’ socio-demographic characteristics and their level of knowledge about HIV/AIDS. Methods: Following multistage random sampling technique, a total of 384 students aged 11-17 years were sampled from eight secondary schools and interviewed through a predesigned semi-structured questionnaire. Data analysis was done at three stages including descriptive statistics, bivariate analyses, and multivariate logistic regression. Results: The findings of the study revealed that more than half (55.26%) of the students were above 14 years of age and their ages ranged from 11 to 17 years. This study also found that around three-fourths of the students (75.78%) watched television. With regard to knowledge, this study demonstrated that around two-fifths of the students (36.98%) had very good knowledge about HIV/AIDS and their main sources of HIV/AIDS information were television, newspaper, radio, textbooks, and teachers. The bivariate results of the study indicated that students’ age, gender, type of school, household income, fathers’ and mothers’ literacy, and watching television were significantly associated with level of knowledge about HIV/AIDS. In addition, students’ age, mothers’ literacy, and watching television were found as the significant predictors of knowledge about HIV/AIDS. Watching television was documented as the best single predictor. Conclusion: The results of the study strengthen the assumption that there is an influence of students’ socio-demographic characteristics upon their knowledge about HIV/ AIDS. Moreover, this study suggests that more information on HIV/AIDS should be included in the textbooks of secondary school students in Bangladesh to enhance their knowledge about the taboo subject.

艾滋病(AIDS)预防宣讲对AIDS预防控制中基础知识、传播途径及预防措施知晓情况的影响

目的 探索分析艾滋病(acquired immunodeficiency syndrome,AIDS)预防宣教对AIDS预防控制中基础知识、传播途径以及预防措施知晓情况的影响。方法 选取2022年1月至2023年1月于本院咨询AIDS健康知识的80例高危群体视为观察对象,采取随机数表分组方法将其均分为对照组(常规AIDS宣讲,n=40例)、观察组(AIDS预防宣讲,n=40例),比较分析两组干预效果。结果观察组干预后AIDS基础知识知晓评分、传播渠道知晓评分、预防措施知晓评分、对AIDS正向态度率均高于对照组(P<0.05);观察组干预后AIDS患病率低于对照组(P<0.05)。结论 AIDS预防宣讲能提高AIDS高危群体对基础知识、传播途径、预防措施等知识的知晓率,降低AIDS患病率,改变其对AIDS的态度。

Systemic analysis of pre-hospital trauma emergency treatment in Zhengzhou

Objective: To analyze the data of pre-hospital emergency treatment in zhengzhou from 2007 to 2016, and evaluate the current situation of pre-hospital trauma emergency treatment, in order to provide a scientific basis for effective use of first aid resources and enhance success rate of trauma emergency treatment. Methods: Retrospective analysis was conducted based on pre-hospital emergency resources of Zhengzhou Emergency Medical Rescue Center from 2007 to 2016. Results: The total number of pre-hospital emergency treatment cases was 9305687 from 2007 to 2016 in Zhengzhou, of which 418882 were trauma cases. The top five causes of injury were traffic accident injury, cutting injury, beating injury, crushing injury and falling injury. The top five emergency treatments used were oxygen, hemostasis, dressing and fixation, fluid supplementation, analgesics and sputum aspiration. According to different directions of diagnosis, the pre-hospital emergency patients were divided into four groups:emergency treatment group, emergency observation group, admission to general ward group and admission to ICU group. There was no statistical difference in the ages among the four groups (P>0.05). There were significantly statistical differences in gender composition among the four groups, with more males than females (P<0.01). Significant statistical differences also showed in CRAMS scores among the four groups (P<0.01). Before and after the training of primary trauma care, there was no significant difference in the constituent ratio of the trauma (P>0.05), but the mortality of the trauma, the average arrival time, and the mean treatment time were significantly different (P<0.01). Conclusions: The number of pre-hospital emergency trauma patients increased year by year, but the constituent ratio changed little. CRAMS score is important for the patients triage. Through the training of primary trauma care, the constituent ratio of death was reduced, and the average treatment time was shortened.

Knowledge and Attitude of Health Care Workers toward Human Immunodeficiency Virus Infection in King Abdulaziz Medical City

Background: Worldwide data shows that the stigma and discrimination for AIDS patients by health care providers have a negative impact on its epidemic. It discourages people from seeking care or being tested for HIV, thus reducing access to HIV/AIDS prevention. The study aims to evaluate the knowledge of the HCWs (health care workers) in King Abdulaziz Medical City about human immunodeficiency virus infection and their attitudes when?they encounter HIV/AIDS patients. Methodology: A cross-sectional study was designed to collect data using self-administered structured questionnaire from 90 health care workers. It was distributed among HCWs in different wards in King Abdulaziz Medical City in Riyadh in August 2014. Results: The study included a total number of 90 heath care workers, of which 31 were physicians and 59 were nurses. Around 81 (90%) of HCWs knew the causative agent for AIDS. Only 22 (24%) of HCWs knew the level of risk of HIV transmission following needle stick injury. Most of HCWs 66 (73%) knew that sexual practice was the most common mode of transmission. Around 27 (87%) of physicians and 33 (56%) of nurses were able to answer that antiretroviral therapy had the ability to control HIV-infection. In addition, 9 (10%) of HCWs believed that AIDS was curable. Conclusion: It was obvious from our study that there was some amount of general information and knowledge with our HCWs. However, an educational campaign will try to increase the level of awareness and clear any misconception or misleading theories about HIV infection with our health care workers.

Clinical Research of Pre-Hospital Emergency Care, Nursing, Infection Prevention and Control for Senile Osteoporotic Vertebral Compression Fracture during Epidemic Period

Background: Novel coronavirus pneumonia (NCP) and osteoporotic vertebral compression fractures (OVCF) are the high incidences of diseases in the elderly. During the epidemic period, if not treated in time, the complications are high and the mortality is high. If we do not pay attention to infection prevention and control in pre-hospital emergency care, it will lead to the first time infection of medical staff and in-hospital cross infection in emergency outpatient receiving area. The correct consideration of both and the establishment of perfect pre-hospital emergency treatment and infection prevention and control synchronous strategy is an important premise to ensure the stable, orderly and safe medical treatment. Objective: To explore the effect of synchronous implementation of pre-hospital emergency care, nursing and infection pre-vention and control for senile OVCF during the epidemic. In order to improve the efficiency of pre-hospital emergency care and prevent the spread of infection. Method: A total of 92 elderly patients with OVCF who received pre-hospital treatment in 18 hospitals in Zhangjiakou City during the epidemic prevention and control period from January 2020 to November 2022 and met the inclusion criteria were selected as research objects, including 24 males and 68 females, aged 65 - 82 (74.2 ± 2.2) years. All patients were associated with concomitant injuries and underlying diseases. All patients in this group underwent predictive pre-hospital rescue and infection prevention and control procedures. Results: All the 92 elderly patients with OVCF received timely pre-hospital treatment during the epidemic period, and no aggravation occurred of the 92 patients, 35 were in the high risk area, 10 were in the medium risk area, and 47 were in the low risk area. Exclude OVCF for NCP Patients were treated according to the conventional diagnosis and treatment principles. Suspected and confirmed cases are transferred to designated surgical hospitals for treatment. All patients were followed up 3 months, 6 months and 12 months after treatment. There was no death rate, high satisfaction of pre-hospital first aid, high diagnostic accuracy, and good curative effect. None of the rescue personnel had any infection rate, and no hospital infection transmission and nosocomial cross infection occurred. Conclusion: It is the first step to safely treat patients and prevent cross infection to establish a perfect synchronous strategy of pre-hospital first aid and infection prevention and control.

第一目击者急救知识技能导师培训模式探讨与实践

目的 分析2018—2022年湖南省第一目击者急救知识技能导师培训的情况,探讨适合我国第一目击者导师培训的特点及模式。方法 通过规范第一目击者急救知识技能导师培训的课程设计、信息化平台建设及质量管理控制,总结导师培训的特征及考核评价效果。结果 2018—2022年湖南省共培训第一目击者急救知识技能导师4 504名,主要由医护人员组成,占98.8%;83.42%为中级及以上职称。设计第一目击者急救知识技能导师培训课程和考核方式,导师经培训后考核,理论成绩为(96.11±3.61)分,心肺复苏操作评分为(90.49±2.90)分,AED使用评分为(90.37±3.09)分,创伤四项操作评分为(88.90±3.37)分。导师在理论课程、心肺复苏操作、AED使用、创伤四项操作四方面的掌握程度同质性较好。结论 第一目击者急救知识技能导师培训的模式具有科学性与合理性,值得进一步推广。