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PubMed2005

Reactions of Indian adolescents to the 9/11 terrorist attacks.

OBJECTIVE: There is information about the impact of disasters and trauma on children, but little is known about the effects of terrorism particularly in India. (i) To assess the knowledge of the 9/11 terrorist attacks to the school going adolescents of India who were miles away from the actual incident. (ii) To compare the reactions to this event among the boys and girls. METHODS: The study used a survey design with a self-report questionnaire administered to 406 students in 6 schools of standards 9-12. The questionnaire was administered within 3 weeks of occurrence of this event. The mean age of the subjects was 16.34 years (SD= 1.22; range= 13-20) and 44.1% were boys. RESULTS: All the students were aware about this event. Awareness that the twin towers were hit was in 81.06 but only 51.94% knew that Pentagon was also hit. All the children knew who the prime suspect was although only 12.62% were aware about the country to which he belonged. The source of knowledge of the events was the television in 74.7% of the adolescents and 17.95% of them viewed foreign news channels additionally to the Indian channels to gather details about the event. Newspaper, radio and internet were the sources of information in 44.17%, 3.4% and 3.5% children respectively. Of the adolescents who gathered information from the television, 84.7% agreed that there had been an increase in their TV viewing time since the event and it was more than one hour per day in 47.5% of them. None of the students supported the terrorist attacks. The number of students with negative stressors was significantly more than the ones who were unaffected (p 0.0001). The girls were significantly more affected than the boys and while the former expressed anger the latter were more fearful and sad. (p 0.05) The idea of USA going for war against Afghanistan was supported by 69.4% and one third of them believed that such an event might adversely affect India. The adolescents who had witnessed the events on television were more fearful and shocked than the ones who read about the event in the print media (p 0.05). CONCLUSION: This study emphasizes the adverse reactions in the minds of adolescents in India to terrorist events even though they did not directly witness the events of September 11,2001. The role of media exposure in causing stress is also revealed. Pediatricians should be aware of the adverse effects of terrorism in the minds of the children and should be able to identify and help those who are in need.

Adolescent↗
PubMed1989

Appropriate sex education for black teens.

This article is based on a year-long study of 207 low-income black youths. The major purpose of the research was twofold: (1) to study black teens' perceptions of family relationships in an effort to identify family member(s) who had the most potential for encouraging greater contraceptive responsibility and influencing teens' decisions about being or becoming sexually active, and (2) to study dating and sexual behavior, attitudes toward contraception, and sources of information, in an effort to identify more specific sex education needs of black teens and provide a basis for delineating pertinent characteristics of an effective sex education curriculum.

Adolescent↗
PubMed2001

Psychosocial and educational intervention trials in prostate cancer.

OBJECTIVES: To describe the nature and focus of published educational intervention trials in prostate cancer in the last 10 years and to examine the state of the research in this particular area of knowledge. DATA SOURCES: Health science and psychosocial electronic databases were searched for studies reporting trials of educational or psychosocial interventions for men with prostate cancer and for the partners or families of these men. CONCLUSIONS: Interventions were characterized by the aspect of the illness trajectory that was targeted. The majority of the studies focused on managing the disease, treatments, and side effects. IMPLICATIONS FOR NURSING PRACTICE: Psychosocial stressors and uncertainty are pervasive throughout the prostate cancer trajectory. Knowledge of psychosocial and educational interventions that have been tested is critical for nurses working with these patients and their families.

Adaptation, Psychological↗
PubMed2006

Knowledge and attitudes regarding AIDS among female commercial sex workers at Hyderabad City, Pakistan.

OBJECTIVE: To determine the level of knowledge and attitudes regarding AIDS among female commercial sex workers (FCSWs) in Hyderabad City, Sindh, Pakistan. DESIGN: A cross-sectional survey. PLACE AND DURATION OF STUDY: Red light area of Hyderabad City, Sindh, Pakistan, from March to July 2004. SUBJECTS AND METHODS: A pre-designed questionnaire was administered to see the level of knowledge and attitudes regarding AIDs among FCSWs. In this regard, a total of 61 FCSWs were interviewed after getting informed consent. RESULTS: Mean age of the FCSWs was 27 years. Majority was uneducated and unmarried. All respondents had heard the word AIDS but no one knew about the word HIV as well as its meaning. All respondents believed that AIDS is a preventable disease and they knew some method of prevention. Television was most common source of knowledge. FCSWs had inadequate knowledge in terms of signs and symptoms and the treatment of disease. CONCLUSION: FCSWs of the Hyderabad city had insufficient knowledge and various misconceptions regarding AIDS. Therefore, there is a need for their education and improvement in socioeconomic status. There is also the need of further studies with substantial statistical work to generate more accurate data in this regard.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Characteristics of participants visiting the Canada on the move website.

BACKGROUND: The Internet is a potential medium to attain large groups of Canadians for physical activity monitoring and interventions, however, little is known about the characteristics of participants who could be recruited on a national level. Our objectives were to determine: 1) the extent to which our sample was representative of the Canadian population; 2) the demographic, social-cognitive and physical activity behaviour, and environmental characteristics of one-time and multi-time users of the Canada on the Move website; and 3) whether certain recruitment strategies were more likely to reach specific demographic subgroups. METHODS: Web-based self-report measures were collected on demographic, social-cognitive, physical activity behaviour, and environmental factors. Descriptive statistics were employed to address the study's research objectives. RESULTS: Significant differences (p<0.001) were found between our total sample and 2001 Canadian census/Canadian Community Health Survey (CCHS) data on all demographic and physical activity behaviour measures. One-time and multi-time users significantly differed on age (p<0.005) and being responsible for children under age 13 (p=0.01). No differences existed between the groups on any of the social-cognitive, behavioural or environmental variables. Source of knowledge about the Canada on the Move website between one-time and multi-time users was not significantly different. CONCLUSION: The Canada on the Move website presents a viable approach to reaching diverse demographic groups. Further work needs to be undertaken to: 1) develop engaging websites; 2) detail the monitoring of the web-based access information; 3) integrate the website with other organizations promoting physical activity; and 4) expand the number of recruitment sources.

Adolescent↗
PubMed2006

Fasting: an important issue in asthma management compliance.

BACKGROUND: Fasting, neither eating nor drinking anything between dawn (sahur time) and sundown (iftar time), may have an important role in the treatment and follow-up of asthmatic patients in countries where most of the population is Muslim. OBJECTIVE: To analyze the effects of fasting on outpatient asthmatic patients. METHODS: One hundred twenty-one fasting patients were evaluated for attendance at follow-up visits, attitudes about undergoing diagnostic investigations, and opinions and practices regarding medication use during fasting. Their sources of knowledge about asthma, fasting, and medication consumption were also evaluated. RESULTS: Ninety percent of fasting patients reported no harm with respect to religion of visiting physicians while fasting. Although 96% of the patients stated that inhaled medication could be used, only 13% continued to use medication in the same manner as when they were not fasting. Most patients rearranged their medication-consumption hours. Although 96% of the patients received general information about asthma from their physicians, rates of receiving information about the fasting-medication use relationship from physicians and religious sources were similar (37% and 32%, respectively). CONCLUSION: Most Muslim asthmatic patients do not consider asthma to be a drawback to fasting, and they continue fasting by rearranging their medication consumption times. During Ramadan, patients should be questioned about this subject and should be followed up carefully for asthma control at regular visits.

Adult↗
PubMed1991

Study of immunisation: knowledge, attitude and practice.

A study was conducted to find out the knowledge, attitude and practice of preventive health care among the industrial workers by interviewing the workers of Durgapur Steel Plant, Durgapur and their family members who attended the health unit. The study revealed that 7.98% of the industrial workers were not aware of preventive aspects of health care. Most of this group were illiterate, rural in origin with family income less than Rs 1000 per month. Female child and the third and fourth child were more neglected. Main source of knowledge about preventive health care is mass media. Trade unions did not play any role in health education. There is seasonal variations in number of immunisation and drop out. Most common reason for drop out was negligency on the part of the parent and the parents remaining out of station. About 1% of the workers believed in other than scientific system of medicine.

Child↗
PubMed2006

Participation and knowledge related to a nursing home admission decision among a working age population.

The number of nursing home admissions for working age people (age 18-64) in the USA has increased. Minimal attention has been given to examining their participation in the admission decision. We use a conceptual framework proposed by Ong and colleagues to examine patient and provider predictors of perceived involvement in the admission decision and their relationship to both knowledge and preferences for continued care. In-person interviews were conducted with an admissions cohort of 205 working age individuals in 17 Maryland, USA nursing homes. Similar to previous profiles, participants were predominately male, of minority ethnic status, and of lower socioeconomic status. Common clinical conditions included cardiac disease (49.8%) and diabetes (27.3%). Slightly over half reported a lot (42.1%) or a moderate (15.2%) level of involvement in the admission decision, while 27.9% reported no involvement. Patient race, insurance source and knowledge of the health care decision maker were related to perceived involvement. Minority ethnic group patients were less likely to be aware of alternate settings for care, while patients who knew the medical decision maker were more aware of alternate settings, as well as their expected length of stay. Participants who perceived greater involvement in the decision more often preferred continued care in the nursing home, relative to their own home or other settings. Ethical, practical and legal concerns support involving individuals in this health care decision. Ways to foster improved communication and interpersonal relationships between patients and their health care provider(s) are thus required.

Adolescent↗
PubMed1991

A profile of Australian women practicing breast self-examination.

Breast self-examination (BSE) and medical breast examination practices were studied in a group of 1,103 women without diagnosed breast cancer, randomly sampled to conform in age and social status with breast cancer cases from the population of Brisbane, Australia between 1981 and 1985. Relationships between these practices and sociodemographic factors, breast cancer risk indicators, health related behaviors and source of knowledge about BSE were analyzed. Overall, 63% of women reported performing BSE. BSE was practiced frequently (monthly or more). BSE frequency was only weakly associated with breast cancer risk indicators. It was more strongly linked with age, the 20-44 year group being more likely to examine their breasts occasionally and the women 65 years and over being less likely to examine their breasts. Married women were the most likely to practice BSE frequently and widowed or single women most likely never to practice. Women who underwent cervical smear testing were more likely to perform BSE than those who did not have smear tests. Women who learned BSE from their doctors as opposed to other sources practiced BSE more frequently and were more likely to practice BSE exactly as taught.

Adult↗
PubMed1992

Review of management of incidents involving exposure to blood in a London teaching hospital, 1989-91.

OBJECTIVE: To review management of incidents involving exposure to blood reported to an occupational health unit. DESIGN: Analysis of all reported incidents from January 1989 to June 1991. SETTING: London teaching hospital. SUBJECTS: 447 health care workers and students. MAIN OUTCOME MEASURES: Immunisation against hepatitis B virus before exposure, proportion of known source patients tested for hepatitis B surface antigen and HIV antibodies, and reasons for not testing known source patients. RESULTS: 447 incidents were reported: 337 sharps injuries and 110 other exposures. 310 staff reporting incidents (205 (82%) nurses) were already immune to hepatitis B virus, nearly always because of immunisation. 345 source patients were identified, 77 of whom had already been tested for hepatitis B surface antigen (28 positive results) and 58 for HIV antibodies (18 positive results). Of those not previously tested, 145 of 266 were subsequently tested for hepatitis B surface antigen (two positive) and 149 of 287 for HIV antibodies (none positive). The main reasons for not testing source patients were that the incident was not considered a risk, that the patient had gone home, and that the clinical team were unwilling to ask the patient. Specific hepatitis B immunoglobulin was given to 18 staff who were not immune and was avoided in 11 cases by a negative result for the patient. Prophylactic zidovudine was discussed but not given to any staff member. CONCLUSIONS: Management of exposure to blood is improved by widespread immunisation against hepatitis B virus and by knowledge of source patients' hepatitis B virus and HIV status.

Blood↗
PubMed1997

Mosques against malaria.

In a community-based malaria control project covering a predominantly Muslim population in the United Republic of Tanzania, difficulty was encountered in motivating people to have their mosquito nets reimpregnated with insecticide at six-monthly intervals. Education on this subject was therefore provided in mosques during Friday noon prayers. People who attended these services considered them an appropriate forum for discussing health concerns and viewed them as a credible source of information.

Adult↗
PubMed2000

Parasitic infections and maternal awareness of preschool children in Karmouz district, Alexandria.

Intestinal parasitic infections are widespread especially among preschool children living in poor areas. Also pediculosis has been perceived as a public health nuisance for decades. A cross-sectional study was conducted on 256 children and their mothers in a poor urban district to assess mothers' knowledge and practices as regards parasitic infections and infestations that may be present in her preschool child, and to correlate the presence of these infections with her awareness. A pre-designed questionnaire that included socio-demographic data, items to assess mothers' knowledge of sources and preventive measures of parasitic infections and infestations and her practices was completed. A stool sample was collected from children and examined using formol-ether technique and Sellotape technique was used to detect Enterobius vermicularis. Pediculus capitis was diagnosed by inspection of the scalp and was found to be the most prevalent parasite found in 58.9% of those children followed by Enterobius vermicularis in 46%. A strong positive association between pediculosis and enterobiasis was detected (phi coefficient = 0.956, p < 0.001). Socioeconomic level affected both knowledge and practices scores where one point change in knowledge score or socioeconomic score caused an increase in practice score of 0.279 and 0.071, respectively. Also higher risk of pediculosis was found to be significantly associated with female sex and low socioeconomic level. An increase of one point in practice score showed a decrease in the log likelihood ratio of enterobiasis of 14.3%. The majority of mothers (77.3%) were found to be aware that their children had a parasitic infection, which was significantly associated with results of stool analysis. This indicates that awareness building is not enough to be of practical benefit. Appropriate and detailed control methods of parasitic infections and pediculosis must be taught and applied by parents and community. Socio-economic development, organized health programs and motivation should be undertaken to help today's children.

Adult↗
PubMed1994

Who uses Norplant. A study from Finland.

OBJECTIVE: Although Norplant implantable contraceptives were introduced first in Finland, their use has been infrequent. The objective of this study was to investigate what kind of women use Norplant in Finland, who suggested its use, and from what source women get their information on Norplant. METHODS: A questionnaire was mailed to all women having had Norplant inserted one to two years before the study initiation (June 1992) in seven family-planning clinics in the Helsinki city area (n = 262). After one reminder, the response rate was 82%. RESULTS: Most of the users were 25-34 years old, and many of them had had a previous abortion. Half of the women were still considering a (subsequent) child. All the women had used some birth control method before Norplant and reported several problems with it. Women reported that they themselves had chosen Norplant, but physicians and nursing staff in the family-planning clinic were their most important information sources. Most women considered that they had received sufficient information before insertion regarding both the good and bad aspects of the method. CONCLUSIONS: Women with previous abortions are a special users' group for Norplant, even though most users are in no way exceptional women.

Abortion, Induced↗
PubMedDate not supplied

Characteristics of injectable contraceptive users in a low-income population in Texas.

Among 600 women at 17 family planning clinics in Texas who expressed interest in using the hormonal injectable depot medroxyprogesterone acetate (DMPA), 536 (89%) actually received the injectable. Thirty percent of the DMPA recipients were younger than 21 and 77% were not married. The average numbers of pregnancies and births were 1.9 and 1.2 per woman; one-third of the women had had at least one abortion. The majority of women receiving DMPA (66%) were using it to space births. Their main sources of information about the method were friends (42%) and health care providers (37%), and the most commonly reported reason for its use was dissatisfaction with previous contraceptive methods.

Adult↗
PubMed1992

Update on pregnancy, condom use, and prevalence of selected sexually transmitted diseases in adolescents.

Adolescent pregnancy and its consequences continue as major sources of morbidity in the United States. A teenager who becomes a parent is at a significant disadvantage in becoming a contributing adult, both psychosocially and economically. The physician who cares for adolescents has the responsibility of helping parenting teens to find needed support so that they will be able to overcome this significant hurdle. Attention from public agencies has focused on increasing condom use as one approach to adolescent pregnancy prevention. The major advantage of using condoms is that they also prevent transmission of sexually transmitted diseases. Of note is that level of knowledge about condoms is not related to their use, and engaging in high-risk behaviors is related to a decreased likelihood of condom use. With rates of condom use estimated at less than 50%, rates of sexually transmitted disease remain high, as reported in recent surveys.

Adolescent↗
PubMed2005

Working at the check-in: consequences for health.

No body of literature exists related specifically to the occupational health of airport check-in workers. The problems encountered by airport check-in workers are typical of other service-sector occupations with similar work-related health hazards, particularly those characterized by a high level of demand with low worker control, performed predominantly by women. The knowledge gap could be narrowed by broadening the scope in both traditional occupational health and ergonomics studies to take into equal consideration jobs performed by women. In an attempt to reduce the knowledge gap specific to airport check-in workers, literature was reviewed on several other worker populations whose job characteristics include elements similar to airport check-in work: computer clerical workers, supermarket check-in workers, and airport baggage handlers. This cross-population review identified the major elements that have been studied in the comparison groups, compared with the factors examined in a study of check-in workers. The review demonstrates that jobs that may appear completely different from the outside, might, upon closer examination, have numerous common exposures from a variety of sources. Thus, knowledge about one job may be useful for another that has not been investigated. The literature review reveals that it would be useful to extend to airport check-in workers recommendations from studies of the three comparison populations.

Journal Article↗
PubMed2007

Factors influencing the development of evidence-based practice: a research tool.

AIM: The paper reports a study to develop and test a tool for assessing a range of factors influencing the development of evidence-based practice among clinical nurses. BACKGROUND: Achieving evidence-based practice is a goal in nursing frequently cited by the profession and in government health policy directives. Assessing factors influencing the achievement of this goal, however, is complex. Consideration needs to be given to a range of factors, including different types of evidence used to inform practice, barriers to achieving evidence-based practice, and the skills required by nurses to implement evidence-based care. METHODS: Measurement scales currently available to investigate the use of evidence in nursing practice focus on nurses' sources of knowledge and on barriers to the use of research evidence. A new, wider ranging Developing Evidence-Based Practice questionnaire was developed and tested for its measurement properties in two studies. In study 1, a sample of 598 nurses working at two hospitals in one strategic health authority in northern England was surveyed. In study 2, a slightly expanded version of the questionnaire was employed in a survey of 689 community nurses in 12 primary care organizations in two strategic health authorities, one in northern England and the other in southern England. FINDINGS: The measurement characteristics of the new questionnaire were shown to be acceptable. Ten significant, and readily interpretable, factors were seen to underlie nurses' relation to evidence-based practice. CONCLUSION: Strategies to promote evidence-based practice need to take account of the differing needs of nurses and focus on a range of sources of evidence. The Developing Evidence-Based Practice questionnaire can assist in assessing the specific 'evidencing' tendencies of any given group of nurses.

Clinical Nursing Research↗
PubMed2000

An outbreak of pyodermas among neonates caused by ultrasound gel contaminated with methicillin-susceptible Staphylococcus aureus.

OBJECTIVE: To investigate an outbreak of methicillin-susceptible Staphylococcus aureus (MSSA) infections in a neonatal clinic. DESIGN: Prospective chart review, environmental sampling, and genotyping by two independent methods: pulsed-field gel electrophoresis (PFGE) and randomly amplified polymorphic DNA polymerase chain reaction (RAPD-PCR). A case-control study was performed with 31 controls from the same clinic. SETTING: A German 1,350-bed tertiary-care teaching university hospital. RESULTS: There was a significant increase in the incidence of pyodermas with MSSA; 10 neonates in good physical condition with no infection immediately after birth developed pyodermas. A shared spatula and ultrasound gel were the only identified infection sources. The gel contained MSSA and was used for hip joint sonographies in all neonates. PFGE and RAPD-PCR patterns from 6 neonates and from the gel were indistinguishable and thus genetically related clones. The case-control study revealed no significant risk factor with the exception of cesarean section (P=.006). The attack rate by days of hip-joint sonography between April 15 and April 27, 1994, was 11.8% to 40%. CONCLUSIONS: Inappropriate hygienic measures in connection with lubricants during routine ultrasound scanning may lead to nosocomial S. aureus infections of the skin. To our knowledge this source of S. aureus infections has not previously been described.

Case-Control Studies↗