Knowledge Practical Attitude of Health Professionals on Breast Cancer at the Hospital of the District of the Commune IV of Bamako

Introduction: The level of knowledge and attitude of health professionals about breast cancer are important determinants. General objective: To study the knowledge, attitude and practice of health professionals of the hospital of the district of the commune IV on breast cancer. Methodology: This was a cross-sectional, prospective, descriptive, qualitative and quantitative study. The study period was from 01 October 2022 to December 2022. Results: In one week of survey, 110 health workers (intern, obstetrician nurse, general practitioners and specialists) received the survey sheet, 80 health workers informed it, a participation rate of 73%. The male sex was most represented at 63.75% with a sex ratio of 1.76. The average age was 39.59 years with extremes of 22 and 61 years. The clinical signs evoked by the participants were: breast nodule (81.25%), followed by breast discharge (48.75%). In relation to risk factors: interns and obstetrician nurses had no good knowledge, 51.72% of general practitioners had good knowledge, 43.48% of specialist doctors had good knowledge, and 5.88% of the wise had good knowledge. Conclusion: Breast cancer is a common pathology around the world, health professionals are at the forefront of the fight against breast cancer, and this fight cannot be effective without trained personnel.

Assessing healthcare workers’knowledge and confidence in the diagnosis,management and prevention of Monkeypox

BACKGROUND Monkeypox(Mpox),is a disease of global public health concern,as it does not affect only countries in western and central Africa.AIM To assess Burundi healthcare workers(HCWs)s’level of knowledge and confidence in the diagnosis and management of Mpox.METHODS We conducted a cross-sectional study via an online survey designed mainly from the World Health Organization course distributed among Burundi HCWs from June-July 2023.The questionnaire comprises 8 socioprofessional-related questions,22 questions about Mpox disease knowledge,and 3 questions to assess confidence in Mpox diagnosis and management.The data were analyzed via SPSS software version 25.0.A P value<0.05 was considered to indicate statistical significance.RESULTS The study sample comprised 471 HCWs who were mainly medical doctors(63.9%)and nurses(30.1%).None of the 22 questions concerning Mpox knowledge had at least 50%correct responses.A very low number of HCWs(17.4%)knew that Mpox has a vaccine.The confidence level to diagnose(21.20%),treat(18.00%)or prevent(23.30%)Mpox was low among HCWs.The confidence level in the diagnosis of Mpox was associated with the HCWs’age(P value=0.009),sex(P value<0.001),work experience(P value=0.002),and residence(P value<0.001).The confidence level to treat Mpox was significantly associated with the HCWs’age(P value=0.050),sex(P value<0.001),education(P value=0.033)and occupation(P value=0.005).The confidence level to prevent Mpox was associated with the HCWs’education(P value<0.001),work experience(P value=0.002),residence(P value<0.001)and type of work institution(P value=0.003).CONCLUSION This study revealed that HCWs have the lowest level of knowledge regarding Mpox and a lack of confidence in the ability to diagnose,treat or prevent it.There is an urgent need to organize continuing medical education programs on Mpox epidemiology and preparedness for Burundi HCWs.We encourage future researchers to assess potential hesitancy toward Mpox vaccination and its associated factors.

Relationship of Periodontal Status and Dental Caries Status with Oral Health Knowledge, Attitude and Behavior among Professional Students in India

Aim To find the relationship of periodontal status and dental caries status with oral health knowledge, attitude, behavior, among professional students in India. Methodology In a cross sectional study, a total of 825 students （males： 577, females： 248） fi＇om six professions were surveyed using a self administered structured questionnaire including 41 multiple choice questions and the WHO Oral Health Assessment Form （1997）. The data was analyzed using the SPSS version 13.0 to perform the Student＇s t-test, ANOVA test, Scheffe＇s test and Chi-square test, linear regression analysis. Results The mean percentage scores of the students for knowledge were 53.25 ±15.05; for attitude 74.97±20.48; and for behavior 59.09 ±18.77. The percentage of students with calculus score was found to be significantly high （43.8%）. The percentage of professional students with DMFT〉4 was 14.1% and the percentage of students with decayed teeth was 46.2%. The regression analysis showed that the oral health behavior of the students was dependent on the attitude （P〈0.001）, but showed no significant linear relation with the knowledge. Also, that the mean DMFT score was dependent on the oral health behavior （P〈0.05）, but showed no significant relationship with the knowledge and attitude of the students. The periodontal status was independent on the knowledge, but showed a significant relationship with attitude and behavior of the students. Conclusion A positive attitude and adherence to good oral hygiene behaviors is associated with better oral health.

Knowledge and skills of neonatal resuscitation of health professionals at a university teaching hospital of Northwest Ethiopia

BACKGROUND:Competency in neonatal resuscitation is critical in the delivery rooms,neonatology units and pediatrics intensive care units to ensure the safety and health of neonates. Each year,millions of babies do not breathe immediately at birth,and among them the majority require basic neonatal resuscitation. Perinatal asphyxia is a major contributor to neonatal deaths worldwide in resource-limited settings. Neonatal resuscitation is effective only when health professionals have sufficient knowledge and skills. But malpractices by health professionals are frequent in the resuscitation of neonates. The present study was to assess the knowledge and skills of health professionals about neonatal resuscitation.METHODS:An institution based cross-sectional study was conducted in our hospital from February15 to April 30,2014. All nurses,midwives and residents from obstetrics-gynecology(obsgyn),midwifery and pediatric departments were included. The mean scores of knowledge and skills were compared for sex,age,type of profession,qualification,year of service and previous place of work of the participants by using Student's t test and ANOVA with Scheffe's test. A P value <0.05 was considered statistically significant.RESULTS:One hundred and thirty-five of 150 participants were included in this study with a response rate of 90.0%. The overall mean scores of knowledge and skills of midwives,nurses and residents were 19.9(SD=3.1) and 6.8(SD=3.9) respectively. The mean knowledge scores of midwives,nurses,pediatric residents and obs-gyn residents were 19.7(SD=3.03),20.2(SD=2.94),19.7(SD=4.4) and 19.6(SD=3.3) respectively. Whereas the mean scores of skills of midwives,nurses,pediatric residents and obs-gyn residents were 7.1(SD=4.17),6.7(SD=3.75),5.7(SD=4.17) and 6.6(SD=3.97) respectively.CONCLUSIONS:The knowledge and skills of midwives,nurses and residents about neonatal resuscitation were substandardized. Training of neonatal resuscitation for midwives,nurses and residents should be emphasized.

Analysis on professional knowledge and skill level of pharmaceutical perso nnel in Shanxi

[目的] 分析陕西省药学人员专业知识技能水平情况,为卫生部门制定相关政策提供理论依据. [方法]利用调查问卷调查了 428名陕西省药学人员的专业知识技能水平,并利用多元线性回归、Peuon系数 法等方法对影响因素进行分析.[结果]陕西省药学人员专业技能的平均得分为67.68分,高于90分的占 0.47%,80-90分的占19.39%,70- 80分的占33.64%; 总分与学历呈负相关,与工作岗位、职称呈正相关. [结论]陕西省药学人员的理论成绩得分不高,研究生和本科人员的总分明显高于其他学历人员,学历、职 称和工作岗位是影响其药学知识的因素.

Basic life support:knowledge and attitude of medical/paramedical professionals

BACKGROUND:Basic life support(BLS),a key component of the chain of survival decreases the arrest-cardiopulmonary resuscitation interval and increases the rate of hospital discharge.The study aimed to explore the knowledge of and attitude towards basic life support(BLS)among medical/paramedical professionals.METHODS:An observational study was conducted by assessing response to self prepared questionnaire consisting of the demographic information of the medical/paramedical staff,their personnel experience/attitude and knowledge of BLS based on the 2005 BLS Guidelines of European Resuscitation Council.RESULTS:After excluding incomplete questionnaires,the data from 121 responders(27 clinical faculty members,21 dental and basic sciences faculty members,29 house officers and 44 nurses and health assistants)were analyzed.Only 9(7.4%)of the 121 responders answered≥11,53(43%)answered 7-10,and 58(48%)answered<7 of 15 questions correctly.The clinical faculty members,house officers and nurses/HA had a mean score of 7.4±3.15,7.37±2.02 and 6.63±2.16 respectively,while dental/basic sciences faculty members attained a least mean score of 4.52±2.13(P<0.001).Those who had received cardiopulmonary resuscitation(CPR)training within 5 years obtained a highest mean score of 8.62±2.49,whereas those who had the training more than 5 years back or no training obtained a mean score of 5.54±2.38 and 6.1±2.29 respectively(P=0.001).Those who were involved in resuscitation frequently had a higher median score of 8 in comparison to those who were seldom involved or not involved at all(P<0.001).CONCLUSIONS:The average health personnel in our hospital lack adequate knowledge in CPR/BLS.Training and experience can enhance knowledge of CPR of these personnel.Thus standard of CPR/BLS training and assessment are recommended at our hospital.

Is current training in basic and advanced cardiac life support(BLS & ACLS) effective? A study of BLS & ACLS knowledge amongst healthcare professionals of North-Kerala

BACKGROUND:Healthcare professionals are expected to have knowledge of current basic and advanced cardiac life support(BLS/ACLS) guidelines to revive unresponsive patients.METHODS:Across-sectional study was conducted to evaluate the current practices and knowledge of BLS/ACLS principles among healthcare professionals of North-Kerala using pretested self-administered structured questionnaire.Answers were validated in accordance with American Heart Association's BLS/ACLS teaching manual and the results were analysed.RESULTS:Among 461 healthcare professionals,141(30.6%) were practicing physicians,268(58.1%) were nurses and 52(11.3%) supporting staff.The maximum achievable score was 20(BLS15/ACLS 5).The mean score amongst all healthcare professionals was 8.9±4.7.The mean score among physicians,nurses and support staff were 8.6±3.4,9±3.6 and 9±3.3 respectively.The majority of healthcare professionals scored <50%(237,51.4%);204(44.3%) scored 51%-80%and 20(4.34%)scored >80%.Mean scores decreased with age,male sex and across occupation.Nurses who underwent BLS/ACLS training previously had significantly higher mean scores(10.2±3.4) than untrained(8.2±3.6,P=0.001).Physicians with <5 years experience(P=0.002) and nurses in the private sector(P=0.003)had significantly higher scores.One hundred and sixty three(35.3%) healthcare professionals knew the correct airway opening manoeuvres like head tilt,chin lift and jaw thrust.Only 54(11.7%) respondents were aware that atropine is not used in ACLS for cardiac arrest resuscitation and 79(17.1%) correctly opted ventricular fibrillation and pulseless ventricular tachycardia as shockable rhythms.The majority of healthcare professionals(356,77.2%) suggested that BLS/ACLS be included in academic curriculum.CONCLUSION:Inadequate knowledge of BLS/ACLS principles amongst healthcare professionals,especially physicians,illuminate lacunae in existing training systems and merit urgent redressal.

Analysis on the Causes of Existing Problems of Professional Knowledge of Western Rural Teachers Under the Urban and Rural Educational Planning Background

This paper adopts the self-designed questionnaire to make investigations and interviews with the rural middle and primary school teachers in Chengdu and Chongqing districts about the professional development problems of western rural teachers, and refers to the educational literature materials in western rural areas. Through a comprehensive analysis, it is known that the professional knowledge status of western rural teachers is worrying, and the reason is mainly caused by the location, policy, economy, society, continuing education and teachers＇ own factors.

Knowledge levels and attitudes of health care professionals toward patients with hepatitis C infection

AIM:To study knowledge levels and attitudes of health care providers toward patients with hepatitis C virus infection in Guilan,a northern province of Iran.METHODS:This cross-sectional study was performed on 239 health care professionals from the Razi Hospital,including doctors,nurses,and operating room technicians.The questionnaires consisted of questions on demographic characteristics,knowledge levels,and attitudes toward hepatitis C patients.The questionnaire was tested in a pilot study and validated by Cronbach' s alpha coefficient.Data were analyzed using SPSS16 software.RESULTS:The mean ± SD knowledge score was 17.43 ± 2.65(from a total of 22).51.9% of the participants achieved scores higher than the mean.There was a significant relationship between knowledge score and age(P = 0.001),gender(P = 0.0001),occupational history(P = 0.0001),and educational history(P = 0.027).There was also a significant relationship between attitude level and age(P = 0.002),gender(P = 0.0001),occupational history(P = 0.0001),and educational history(P = 0.035).Physicians were significantly more knowledgeable and showed more positive attitudes.There was a positive correlation between knowledge and attitude scores(P = 0.02).CONCLUSION:Discriminatory attitudes are common among health care providers toward hepatitis C patients.It is therefore necessary to improve their knowledge level and attitude toward this disease.

Assessment of Knowledge, Attitudes and Support of Health Professionals towards Biobanks in Eastern Morocco

Background: Health professionals play a key role in increasing the rate of biobanking participation. Here, we assessed the knowledge and attitude of health professionals in Eastern Morocco towards biobanks and their willingness to recruit patients into biobanks. Methods: A cross-sectional study carried out among health professionals working in various public and private health centers in Eastern Morocco. The data were obtained using a self-administered anonymous questionnaire. Results: 600 health professionals were included in the study. Only 37.5% of them had knowledge of biobanks. Associations analysis showed that among health professionals, physicians had more knowledge of biobanks (OR = 2.50, p = 0.000), and health professionals working at the University Hospital had more knowledge of biobanks compared to those working in the other participating health centers (p Conclusions: This study indicates that health professionals in Eastern Morocco showed a notable lack of knowledge about biobanks. However, the majority were willing to donate their own biospecimens and supported the recruitment of patients into biobanks. This study was a good opportunity to raise awareness among health professionals about the interest of biobanks in the development of biomedical research in Eastern Morocco.

Knowledge of Health Professionals on Essential Newborn Care in Bamako, Mali

Despite existing policies on training health professionnels in essential newborn care (ENC), neonatal mortality still remains high in Mali. Our work aimed to assess the level of knowledge of health staff about ENC. Material and methods: From March 20th to April 20th, 2016, we interviewed newborn care providers at the six reference health centers and the Gabriel Touré University Hospital Center in Bamako. Results: In total, we interviewed 407 newborn care providers with a sex ratio of 0.52. Interviewees had over five years work experience in 62.1%. They considered a low Apgar score as an indication for neonatal resuscitation in 89%, regardless of profile (p = 0.1583). They knew the good aspiration technique in 54%, with nurses and midwives more knowledgeable (p ) of the reference health centers (p = 0.0000). The interviewees knew the indication and rate of ventilation in 30.2% and 16.0%, respectively. About one third (34%) thought oxygen administration should be systematic during ventilation. The knowledge level on ventilation was the lowest in the group of general practitioners (p = 0.0063 for oxygen indication and p for the technique). Knowledge level for other ENC components (temperature maintenance, eyes care, breastfeeding) were higher. The knowledge of the delay of the breasting did not correlated with either the profile (p = 0.0857) or the place of practice. The knowledge of the first bath was dependent on both the professional profile (p = 0.0002) and the reference level (p = 0.0238). Conclusion: The level of knowledge of health professionnels on ENC should be improved. This will involve the integration of ENC in initial training curricula along with an appropriate continuing training policy thereafter.

Personal Tacit Knowledge and Global Learning Professional Competencies—Multi-Dimensional Relationships

Global learning professional competencies (GLPCs) are essential for college students to be able to address the impact of globalization in the 21st century. Organizations and society-at-large look to higher education to prepare college students with GLPCs. In addition, there is a body of literature that suggest personal tacit knowledge enhance GLPCs. However, researchers have done little from an empirical perspective to determine the relationship between the use of P-T K and enhancement of GLPCs, hence the purpose of this study. The statistical results revealed significant correlations, p st century knowledge society through use of P-T K.

The Role of EFL/ESL Teachers＇ Idiosyncratic Knowledge Base in Their Professional Development in the Postmethod Premise

The present paper examines an EFL/ESL teacher＇s potential in generating and developing his/her own knowledge base and theories of teaching and learning independent of the knowledge base manufactured by the ＂experts＂ in those fields. It also makes an effort to pave the way for them to go beyond the edge and advance towards an innovation that deviates from simple, certain, controlled and established ways of teaching and conducting researches towards complex, uncertain and less-controlled ones. It scrutinizes how instead of simply testing, ＂idealizing and reifying＂ the traditional, already established literature, an EFL/ESL teacher takes it as a point of departure in order to develop their own framework based on their practical experiences. The readymade professional theories and pedagogies are mostly generalizations--sometimes overgeneralizations---of the patrons of certain ideology to privilege a certain political or cultural group to place it over others. This usually sets barrier to an individual teacher＇s professional development since they are often set back from ＂theorizing what they practice and practice what they theorize＂ denying his/her idiosyncratic knowledge base that is convincingly capable of helping him/her grow professionally. It also leads to denying the teachers＇ and learners＇ socio-politico-cultural faiths that mould up a person as a whole. However, this paper also recognizes the traditional knowledge base as the ground for individual teachers to leap offand advance towards innovation.

Dimensions of professional knowledge

This study concern how professional knowledge is discussed, understood and employed by integration workers in an integration activity in Sweden called Civic Orientation. The changing and complex nature of integration work implies that integration workers need specialized knowledge to ensure quality of the activity. Defining what is meant by professional knowledge is especially important and to address these issues, this study focuses on what constitutes professional knowledge with respect to the efforts made to support immigrant integration. Our study reveals that professional knowledge in Civic Orientation encompasses the understanding and responding to the heterogeneity of the groups in daily interactions, developing standardized procedures;and knowledge about how to establishing a cumulative approach to knowledge in the organization. We argue that these motives are embedded in different perspectives on culture and knowledge. Furthermore, these different perspectives are expressed as tensions between values of creativity and standardization as well as between equality and heterogeneity.

Heterogeneous Image Knowledge Driven Visual Perception

Dear Editor,This letter is concerned with visual perception closely related to heterogeneous images.Facing the huge challenge brought by different image modalities,we propose a visual perception framework based on heterogeneous image knowledge,i.e.,the domain knowledge associated with specific vision tasks,to better address the corresponding visual perception problems.

Knowledge regarding celiac disease among healthcare professionals,patients and their caregivers in Turkey

BACKGROUND Celiac disease(CD)is one of the most prevalent chronic disorders.The clinical manifestations of CD are diverse and may present with gastrointestinal findings,extra-intestinal findings or no symptoms.Although there has been a marked increase in the prevalence of CD in the past 30 years,up to 95%of patients with CD remain undiagnosed.As most cases have atypical signs or no symptoms,the diagnosis of CD is either missed or delayed.In addition,one of the most important reasons for the delay in diagnosis may be the poor knowledge of healthcare professionals(HCPs)regarding CD.AIM To evaluate the knowledge of HCPs,patients and their caregivers(parents)regarding CD.METHODS The current study was carried out between June 2021 and February 2022 prospectively,as part of the Focus IN CD project.Patients with CD and their caregivers participated in the study from 6 different cities in Turkey.General practitioners,pediatricians,pediatricians with other subspecialities and pediatric gastroenterologists from different cities participated in the study.RESULTS The questionnaire was completed by 348 HCPs,34 patients with CD,and 102 mothers and 34 fathers of patients with CD.Most of the participants were general practitioners(37.07%).There were 89(25.57%)pediatricians and 72(20.69%)pediatric gastroenterologists in the study.The highest score in all categories was achieved by pediatric gastroenterologists.There were significant differences between the four groups of HCPs in terms of the subsections of overall mean score,epidemiology and clinical presentation,treatment and follow-up.No significant difference was found between the groups(patients with CD,mothers of patients with CD and fathers of patients with CD)in terms of the questionnaire subsections.CONCLUSION The level of knowledge on CD among HCPs,patients and their caregivers was unsatisfactory.We consider that it is necessary to increase awareness and to develop e-learning activities on CD among HCPs,patients and their caregivers.Consequently,they may benefit from e-learning programs similar to the one created as part of the EU-funded project Focus IN CD(https://www.celiacfacts.eu/focusincd-en).

Knowledge and Practices of Health Professionals on the Optimization of Radiation Protection in Diagnostic Radiology in Children and Adults in the General Referral Hospitals of Bukavu in South Kivu, DRC

The aim of this research was to assess the knowledge and practices of radiological versus non-radiological health professionals on the optimisation of radiation protection in paediatric and adult radiology in BUKAVU hospitals. To achieve this, we surveyed a convenience sample of 73 health professionals including 23 radiologists working in the hospitals surveyed to assess knowledge and level of implementation of radiation protection principles. Also, physical parameters were taken for the calculation of entry doses in paediatric and adult radiology units for comparison with the International Commission on Radiological Protection (ICRP) diagnostic reference levels. After analysis of the data, the following was found: although radiologists have sufficient knowledge of radiation protection standards, technical constraints do not allow them to observe the dose limitation principle recommended by the ICRP. This is why several radiology departments, including those of the HPGRB, the MWANZI clinic and CIRIRI hospital, have proved to be very irradiating for children. However, radiologists and non-radiologists alike do not contribute positively to the optimisation of radiation protection in the diagnostic use of X-rays. Therefore, support in the implementation of radiation protection principles and regular monitoring of the units as well as replacement of non-standard equipment is necessary to promote patient and environmental safety by optimising radiation protection.

Low-Cost Federated Broad Learning for Privacy-Preserved Knowledge Sharing in the RIS-Aided Internet of Vehicles

High-efficiency and low-cost knowledge sharing can improve the decision-making ability of autonomous vehicles by mining knowledge from the Internet of Vehicles(IoVs).However,it is challenging to ensure high efficiency of local data learning models while preventing privacy leakage in a high mobility environment.In order to protect data privacy and improve data learning efficiency in knowledge sharing,we propose an asynchronous federated broad learning(FBL)framework that integrates broad learning(BL)into federated learning(FL).In FBL,we design a broad fully connected model(BFCM)as a local model for training client data.To enhance the wireless channel quality for knowledge sharing and reduce the communication and computation cost of participating clients,we construct a joint resource allocation and reconfigurable intelligent surface(RIS)configuration optimization framework for FBL.The problem is decoupled into two convex subproblems.Aiming to improve the resource scheduling efficiency in FBL,a double Davidon–Fletcher–Powell(DDFP)algorithm is presented to solve the time slot allocation and RIS configuration problem.Based on the results of resource scheduling,we design a reward-allocation algorithm based on federated incentive learning(FIL)in FBL to compensate clients for their costs.The simulation results show that the proposed FBL framework achieves better performance than the comparison models in terms of efficiency,accuracy,and cost for knowledge sharing in the IoV.

Nutritional Knowledge and Behavior of Professional Athletes in Khorramabad

Today it is proved that the lack of adequate nutritional knowledge leads to problems such as obesity, overweight and increased cardiovascular diseases. However, many obstacles such as poor financial support, lack of time and poor nutritional knowledge can influence achievement of optimal nutrition which is proportional to the level of the athlete＇s physical activity. The purpose of this study was to determine the level of nutritional knowledge and dietary behavior of athletes in Khorramabad in 2013. Professional athletes of Khorramabad, Iran, with more than one year of regular exercise and at least one course participating in national championships competitions were studied in this cross-sectional, descriptive-analytic study. The samples included 247 athletes aged 17-29 years. Their nutritional knowledge and behavior were measured by the nutritional knowledge and behavior inventory. Results： The results showed a significant difference in nutritional knowledge of athletes by gender and educational level; female athletes have higher nutritional knowledge than male athletes. A gender-dependent difference was found in nutritional behavior; despite their higher nutritional knowledge, female athletes have weaker nutritional behavior than male athletes. However, no significant correlation was found between BMI and nutritional knowledge and behavior of the athletes. Moreover, findings showed that nutritional knowledge and behavior could be significantly different in various sports.