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Awareness and knowledge of common eye diseases among the academic staff (non-medical faculties) of University of Malaya.

A cross sectional study was conducted to assess the level of awareness and knowledge of common eye diseases (cataract, glaucoma, diabetic retinopathy and refractive errors) among 473 academic staff (non-medical faculties) of University Malaya. The awareness of cataract was in 88.2%, diabetic retinopathy in 83.5%, refractive errors in 75.3% and glaucoma in 71.5% of the study population. The knowledge about all the above common eye diseases was moderate, except presbyopia which was poor. Multivariate analysis revealed that females, older people, and those having family history of eye diseases were significantly more aware and more knowledgeable about the eye diseases. Health education about eye diseases would be beneficial to seek early treatment and prevent visual impairment in the society.

Adult↗

Blood glucose awareness training in Dutch type 1 diabetes patients: one-year follow-up.

BACKGROUND: American studies have shown positive effects of Blood Glucose Awareness Training (BGAT) on the recognition of hypoglycaemia. We evaluated the effects of BGAT among Dutch patients, and compared individual training with training in the original group format. METHODS: Fifty-nine type 1 diabetes patients participated in BGAT in either a group (n = 37) or an individual (n = 22) setting. Before and one year after training they performed up to 70 measurements, two to four a day, at home on a handheld computer. During each measurement they estimated their blood glucose (BG), indicated whether they would be participating in traffic and raised their BG on the basis of their estimation, and then measured their BG. The incidence of severe hypoglycaemia and traffic accidents was also assessed. RESULTS: BGAT had positive effects on hypoglycaemic awareness, decisions not to drive and to raise the blood glucose during hypoglycaemia, severe hypoglycaemic episodes and traffic accidents. The accuracy of BG estimations only improved after group training, while after individual training patients tended to measure more or more extremely high BG values. CONCLUSION: The training improved awareness of hypoglycaemia, and seems worthy of implementation in The Netherlands.

Adult↗

Unconscious perception or not? An evaluation of detection and discrimination as indicators of awareness.

Most investigations of unconscious perception use a dissociation design in which an awareness variable (e.g., detection) is compared with a perceptual processing variable (e.g., identification). Unconscious perception is inferred when the awareness variable lacks sensitivity to the stimulus but evidence of perceptual processing is still obtained. In two studies we examined the relationship between word identification and detection (Study 1) or discrimination (words vs. nonwords; Study 2) with a variety of techniques. In both studies, dissociations suggestive of unconscious perception occurred when the data were examined with subjective threshold approaches, but these differences disappeared when the variables were compared with techniques derived from signal detection theory (SDT). These results do not support unconscious perception in subjective threshold paradigms. In addition, detection appears to be the most sensitive and appropriate task for assessing stimulus awareness, provided that several SDT assumptions are met.

Awareness↗

Awareness, attitudes, and beliefs of the general public towards HIV/AIDS in Hyderabad, a capital city from South India.

CONTEXT: Information is the first step in human immunodeficiency virus (HIV) prevention. Ignorance about the disease and how the virus is transmitted can generate fear and prejudice towards those who are infected. AIM: To assess the awareness, attitudes, and beliefs of the general public toward HIV/AIDS in Hyderabad, the capital city of Andhra Pradesh. SETTING AND DESIGN: A cross-sectional study conducted for a period of 2 months in 2004 on 800 individuals living in Hyderabad. MATERIALS AND METHODS: A survey was conducted with a questionnaire titled 'General Population Behavioral Surveillance Survey.' The survey used a 5-part, 65-item questionnaire eliciting information about the knowledge of HIV (10 items), modes of transmission (20 items), ways of prevention (10 items), society's attitude toward HIV (15 items), and finally evaluation of Government's measures (10 items). RESULTS: Approximately 80.63% (645/800) of the study population were sketchily aware of HIV/AIDS, but had incorrect perceptions about the mode of transmission or prevention. Despite the vigorous outreach programmes, which the government and other organizations had carried out in the city, many people had several misconceptions about HIV or about people living with HIV/AIDS. CONCLUSION: As it was observed that awareness was more among the literates, the Government and Health educators should provide tailor-made education programmes for those at the lower education levels.

Acquired Immunodeficiency Syndrome↗

Turkish patients with osteoarthritis: their awareness of the side effects of NSAIDs.

BACKGROUND/AIMS: The study aim was to determine the awareness of Turkish osteoarthritis patients of the side effects of non-steroidal anti-inflammatory drugs. METHODS: The patients were interviewed by 138 doctors regarding the level of their knowledge of the side effects of non-steroidal anti-inflammatory drugs. RESULTS: A total of 3,755 patients (female/male: 3/1, 35% > 65 years) were included in the study. 35.5% of the patients were aware of side effects of non-steroidal anti-inflammatory drugs. 85.4% and 11.5% were aware of the gastrointestinal and other system-related side effects, respectively. 51% had learned of the side effects from doctors, 19.8% received information from the package inserts, 21.3% had experienced side effects, and 10.0% and 0.8% had learned from their friends and pharmacist, respectively. CONCLUSIONS: Turkish osteoarthritis patients have a moderate level of knowledge of side effects of non-steroidal anti-inflammatory drugs. Defining factors for knowledge of side effects of non-steroidal anti-inflammatory drugs were geographical region, socio-economic level and gender. This study reveals the physician's responsibility to educate patients about the side effects of non-steroidal anti-inflammatory drugs.

Aged↗

The nurse's role in promoting breast awareness to women.

Breast awareness is now a recognised part of health promotion and has replaced previous guidance on breast self-examination for women. Since it was introduced in the early 1990s, along with the breast awareness five-point code, it has become a key element in the strategy to detect breast cancer at an early stage. Despite this, confusion about breast awareness persists, with women still wanting to know how to examine their breasts properly.

Attitude to Health↗

Awareness and training need of biomedical waste management among undergraduate students, Andhra Pradesh.

Total 463 undergraduate students (216 males & 247 females) of ASRAM medical college of Andlira Pradesh were surveyed regarding awareness about biomedical waste management. Most of the students have heard about biomedical waste. Some of them were aware that it causes health hazards. But knowledge about category of wastes, duration of waste storage, responsibility of waste, type of bags used for collection, identification of Biohazard symbol was poor. Awareness of Biomedical waste. management and Handling rule 1998 was also poor. There were gaps in various aspects of Biomedical waste management among medical students. Appropriate training or inclusion of a topic in undergraduate medical curriculum can fulfill this.

Awareness↗

Lack of awareness and treatment of hyperlipidemia in type II diabetes in a community survey.

Cardiovascular disease is the leading cause of morbidity, disability, and death among patients with type II (non-insulin-dependent) diabetes mellitus. Moreover, hyperlipidemia is also common among these patients. Despite this, there are virtually no data regarding the level of awareness and treatment of hyperlipidemia among diabetic subjects at the community level. We therefore examined 374 Mexican-Americans and 86 non-Hispanic whites with type II diabetes identified in an epidemiologic survey that involved 3279 Mexican-Americans and 1847 non-Hispanic whites who resided in San Antonio, Tex. More than 40% of the diabetic subjects were hyperlipidemic according to the criteria of the National Cholesterol Education Program, and an additional 23% had hypertriglyceridemia and/or low levels of high-density lipoprotein cholesterol. By contrast, less than one fourth of the nondiabetic subjects were hyperlipidemic. Only approximately 25% of non-Hispanic whites with diabetes were aware of their hyperlipidemia, and less than 10% were receiving treatment. Awareness and treatment were even less frequent among Mexican-Americans with diabetes. Community physicians should be encouraged to give early attention to the management of lipid disorders in their diabetic patients.

Adult↗

Effect of flunitrazepam (Rohypnol) on awareness during anaesthesia for caesarean section.

The incidence of awareness was compared in three groups of patients undergoing elective or emergency Caesarean section, using pethidine alone or pethidine plus flunitrazepam (Rohypnol), as adjuvants to nitrous oxide: oxygen, muscle relaxant technique of general anaesthesia. The use of 0.03 mg/kg body weight of flunitrazepam was associated with a low incidence (4%) of awareness, cardiovascular stability, postoperative sedation and anterograde amnesia. The reduced incidence of awareness is probably due to increased depth of anaesthesia and anterograde amnesic effect produced by the drug.

Adult↗

Survey of public awareness and knowledge of cleft palate.

The purpose of this survey was to determine the general public's awareness and knowledge of cleft palate. Telephone questionnaires were completed by a random sample of 1,200 persons, 200 in each of six cities within four states. The results indicated only limited information and awareness of cleft palate. Suggestions for improving general public awareness and educational programs are discussed.

Awareness↗

Students' awareness of and attitudes to AIDS.

Students' attitudes to and knowledge and awareness of the acquired immune deficiency syndrome (AIDS) was assessed by questionnaire. The recent information campaign reached a high proportion of the sample of 1063 students and television was the most memorable medium. Students were generally aware that AIDS was not associated with social contact but there was confusion about the risk of infection from donating or receiving blood, with 17.9% of blood donors now less willing to donate blood. Most of the students were aware that the condom reduces the risk of spread of AIDS sexually but there was no indication of widespread condom usage among the 399 students who admitted they were sexually active; 39.1% of this group used condoms alone or with other protection. Almost half the sample (47.6%) would like to have the opportunity to have their blood tested for the AIDS virus; 96 students would prefer this to be at a clinic and 59 of them would not wish their family doctor to know the result. A high proportion of the sample considered that AIDS victims should be cared for at home or in a special hospice.

Acquired Immunodeficiency Syndrome↗

"Memory of the future": an essay on the temporal organization of conscious awareness.

The classical tripartite concept of time divided into past/present/future components, has been applied to the analysis of the functional cerebral substrate of conscious awareness. Attempts have been made to localize and to separate the neuronal machineries which are responsible for the experience of a past, a present, and a future. One's experience of a past is obviously related to one's memories. Memory mechanisms (in the conventional sense) have a well known functional relation to superficial and deep parts of the temporal lobe. Some such mechanisms presumably have a more widespread distribution. The experience of a present or a "Now-situation" is mediated by the sensory input. This input also exerts a role for conscious awareness of an inner Now-situation, independent of current afferent impulses, as shown by numerous observations on sensory deprivation. The main discussion is devoted to the experience of a future. Evidence is summarized that the frontal/prefrontal cortex handles the temporal organization of behaviour and cognition, and that the same structures house the action programs or plans for future behaviour and cognition. As these programs can be retained and recalled, they might be termed "memories of the future". It is suggested that they form the basis for anticipation and expectation as well as for the short and long-term planning of a goal-directed behavioural and cognitive repertoire. This repertoire for future use is based upon experiences of past events and the awareness of a Now-situation, and it is continuously rehearsed and optimized. Lesions or dysfunctions of the frontal/prefrontal cortex give rise to states characterized by a "loss of future", with consequent indifference, inactivity, lack of ambition, and inability to foresee the consequences of one's future behaviour. It is concluded that the prefrontal cortex is responsible for the temporal organization of behaviour and cognition due to its seemingly specific capacity to handle serial information and to extract causal relations from such information. Possibly the serial action programs which are stored in the prefrontal cortex are also used by the brain as templates for extracting meaningful (serial) information from the enormous, mainly non-serial, random, sensory noise to which the brain is constantly exposed. Without a "memory of the future" such an extraction cannot take place.

Awareness↗

Public awareness survey: the Maryland Poison Center and Mr. Yuk, 1981 and 1975.

A telephone survey of residents of metropolitan Baltimore was conducted in 1981 to assess awareness of the Maryland Poison Center and a program based on the Mr. Yuk poisoning warning symbol. The results of 280 telephone interviews are compared with a similar survey conducted 6 years earlier by the Maryland Poison Center. When faced with a harmful exposure, the most common response in the 1981 survey (32.9 percent) was to call the poison center. That response was only the fourth most frequent answer (14.5 percent) in the 1975 survey. Calling a physician or taking the person to a physician was the most frequent response in 1975 (29.5 percent) but only the fourth most frequent in 1981 (15.0 percent). Of the respondents who would call a poison center, 55.7 percent in the 1981 survey knew the center's telephone number or had ready access to it. Public awareness of Mr. Yuk remained at approximately 60 percent in both surveys. Persons familiar with the warning symbol in the latest survey were three times as likely to call the poison center as those who were not aware of it.

Attitude to Health↗

Family awareness demonstrated by family practice residents: physician behavior and patient opinions.

Audiotapes of the visits of 50 new patients with 20 family practice residents were analyzed to determine how aware the residents were of their patients' families. The same patients' opinions about family awareness were elicited by interviews. Residents exhibited only limited family awareness. Despite this, patients thought that the residents showed more interest in family matters than they usually expected from a family physician. Patients thought the physicians were most interested in their family situations when they asked more questions about family matters. Physicians were seen as least interested when they asked few family questions and when they were absent from the examination room for a relatively high proportion of the visit. Physicians were much less likely to discuss family matters with a patient during a short visit for an acute problem than during a longer visit for a chronic problem or for health maintenance. Most patients identified physician attitudes and behaviors as more important obstacles to the discussion of family matters than patient attitudes. Patients generally wanted substantially more help from their family physician for family problems than they expected to receive.

Adult↗

Children's and adolescents' awareness of the physical and mental health risks associated with tattooing: a focus group study.

This article explores children's and adolescents' awareness of the physical and mental health risks associated with the increasing practice of tattooing. Twelve focus group discussions on attitudes toward tattoos and beliefs about normative behavior, health beliefs, awareness of the long-term consequences of tattooing, and stigmatization were conducted with 80 volunteers, six to 17 years of age. The videotaped discussions revealed that participants' were knowledgeable about tattoos and the process, and were aware that viral transmission and physical disfigurement were possible results. Generally, attitudes toward tattoos were negative, with almost all participants associating them with illicit type activities. However, a more favorable attitude toward small tattoos was discernible among females during early adolescence. Participants suggested that because of the location of tattoos, they might be embarrassing in some instances, and that because of their permanency, young people might regret having them later in life. Some participants revealed they had removed tattoos using crude implements. These data suggest an urgent need for research on prevention of unsafe use of tattooing and piercing implements.

Adolescent↗

Awareness and treatment of arterial hypertension in Poland.

In order to find out the general public's opinion on blood pressure (BP) control in Poland a poll was conducted on a representative sample of 2080 randomly selected subjects. Overall 71% of the subjects were aware of their BP level. The awareness of BP level increased progressively with age and education level. Among those who were aware of their BP level, 21% had hypertension. Only 43% of hypertensives were treated on a regular basis. Cigarettes were smoked by 33% of the patients. Only 16% of the hypertensives used a low-salt diet, and only 31% tried to reduce animal fat in their diet. More than a half of the hypertensives did not adjust their lifestyle and daily habits to the disease. In conclusion, these results indicate that the prevention and treatment of hypertension in Poland should be urgently improved.

Adolescent↗

[Awareness of the subjective vertical in weightlessness (results of Austrian-Russian experiment Optovert performed within the framework of the program Austromir, part III)].

Data about intersensory interactions and adaptations, dynamics of the adaptive shifts were obtained in short- and long-term space missions basing on the indices of the subjective optical vertical awareness evaluated in experiment "OPTOVERT" with the use of dedicated ingenious techniques and hard- and software. As was shown, the function of subjective optical vertical (SOV) awareness remained unaltered in microgravity; however, in the period of adaptation there was a significant growth of error in SOV awareness in the darkness, and against the vertical optokinetic stimulation. In prolonged microgravity SOV error returns to the norm both in the darkness and during stimulation while arising asymmetry differs from background in magnitude and directivity, exceeds the physiological norm and sustains throughout a mission. After flight the asymmetry magnitude and directivity gradually regain the background values.

Adaptation, Physiological↗

Awareness of the ozone layer and acceptance of a new CFC-free metered dose inhaler among asthmatic patients.

SETTING: University of Malaya Medical Centre, Kuala Lumpur, Malaysia. OBJECTIVE: To assess the awareness of the ozone layer and the acceptance of the new non-chlorofluorocarbon (CFC) propellant hydrofluoroalkane 134a salbutamol pressurised metered dose inhaler (MDI) Airomir among asthmatic patients. DESIGN: A total of 113 consecutive asthmatic patients aged 12 years and above from the out- and in-patient services of the hospital were interviewed using a questionnaire. RESULTS: Sixty-five per cent of the patients were aware of the existence of the ozone layer, 23% that CFCs play a role in ozone depletion, and only 10% that current MDIs contained CFCs. All the patients felt that pressurised MDIs should be made CFC-free after they had considered the role of CFCs in the destruction of the ozone layer. Eighty-one per cent of 94 patients who preferred the Airomir inhaler over a multi-dose dry powder inhaler for administering bronchodilator medications were willing to switch to the new inhaler once it became available on the market. CONCLUSION: Awareness of the damaging effect of CFCs on the ozone layer among asthmatic patients would encourage them to change to an ozone-friendly, CFC-free pressurised MDI.

Adolescent↗