Background:Low awareness of common pediatric eye conditions,such as amblyopia,conjunctivitis,and myopia in rural Chiang Rai,Thailand,prompted the development of a specialized curriculum.This curriculum aimed to provid...Background:Low awareness of common pediatric eye conditions,such as amblyopia,conjunctivitis,and myopia in rural Chiang Rai,Thailand,prompted the development of a specialized curriculum.This curriculum aimed to provide individuals serving these areas with resources to educate and disseminate information within their communities.Methods:A one-hour curriculum covering the causes,signs,diagnosis,treatment,and prevention of amblyopia,conjunctivitis,and myopia was delivered virtually to public health students at a Thai university and in-person to students at this university and rural community members.The in-person seminar included hands-on activities and simulations of these eye conditions.Knowledge acquisition and retention were assessed using pre-tests,immediate post-tests,and one-month post-tests.Results:The seminar was attended by 87 virtual public health students,111 in-person public health students,and 40 in-person rural community members.All groups showed significant improvement in test scores from pre-test to immediate post-test(P<0.001).In-person students had 1.57 times the odds of answering correctly on the immediate post-test compared to virtual students,despite no significant difference in baseline knowledge.However,the subset of in-person students who did not receive bilingual materials showed no significant difference in immediate post-test performance compared to virtual students(P>0.05).Although public health students had more than twice the odds of answering correctly at pre-test compared to rural community members,there were no significant differences between groups on the immediate post-test(P>0.05).Conclusion:A brief seminar significantly improved understanding and retention of pediatric eye conditions,achieving similar levels of understanding among public health students and rural community members,regardless of initial knowledge on this topic.In-person,hands-on seminars with educational materials in participants'preferred language proved more effective than virtual ones in achieving these improvements.展开更多
目的探讨腹腔镜胆总管探查术(LCBDE)一期缝合术后胆漏的危险因素。方法检索PubMed、Embase、Cochrane Library、Web of Science、知网、万方、维普等数据库1990年1月1日至2022年5月1日关于LCBDE一期缝合术后胆漏危险因素的临床研究。中...目的探讨腹腔镜胆总管探查术(LCBDE)一期缝合术后胆漏的危险因素。方法检索PubMed、Embase、Cochrane Library、Web of Science、知网、万方、维普等数据库1990年1月1日至2022年5月1日关于LCBDE一期缝合术后胆漏危险因素的临床研究。中文检索词:胆总管结石、腹腔镜胆总管探查、胆漏、危险因素。英文检索词:choledocholithiasis、common bile duct stone、laparoscopic common bile duct exploration、LCBDE、bile leakage。对研究报道数量≥3的指标进行Meta分析。结果最终纳入7项研究共930例患者,其中男431例,女499例。Meta分析结果显示,术前血ALB<35 g/L的患者术后胆漏发生率明显高于术前血ALB≥35 g/L的患者(OR=2.23,95%CI:1.16~4.28);术中胆总管切开长度<1.5 cm的患者术后胆漏发生率明显低于切开长度≥1.5 cm的患者(OR=0.42,95%CI:0.20~0.87);胆总管连续缝合患者术后胆漏发生率明显低于间断缝合患者(OR=0.51,95%CI:0.29~0.90);胆总管直径<1 cm的患者术后胆漏发生率明显高于胆总管直径≥1 cm的患者(OR=4.00,95%CI:2.23~7.17)。结论选择胆总管直径<1 cm患者,术前纠正血ALB水平,术中切开胆总管长度控制1.5 cm以内,切口采用连续缝合可有效降低LCBDE一期缝合术后胆漏发生风险。展开更多
基金supported by the National Institutes of Health(Bethesda,MD)through the P30 EY010572 core grantthe Malcolm M.Marquis,MD Endowed Fund for Innovation+1 种基金an unrestricted grant from Research to Prevent Blindness(New York,NY)to the Casey Eye Institute,Oregon Health&Science UniversityAdditional support was provided by Oregon Health&Science University Global Health。
文摘Background:Low awareness of common pediatric eye conditions,such as amblyopia,conjunctivitis,and myopia in rural Chiang Rai,Thailand,prompted the development of a specialized curriculum.This curriculum aimed to provide individuals serving these areas with resources to educate and disseminate information within their communities.Methods:A one-hour curriculum covering the causes,signs,diagnosis,treatment,and prevention of amblyopia,conjunctivitis,and myopia was delivered virtually to public health students at a Thai university and in-person to students at this university and rural community members.The in-person seminar included hands-on activities and simulations of these eye conditions.Knowledge acquisition and retention were assessed using pre-tests,immediate post-tests,and one-month post-tests.Results:The seminar was attended by 87 virtual public health students,111 in-person public health students,and 40 in-person rural community members.All groups showed significant improvement in test scores from pre-test to immediate post-test(P<0.001).In-person students had 1.57 times the odds of answering correctly on the immediate post-test compared to virtual students,despite no significant difference in baseline knowledge.However,the subset of in-person students who did not receive bilingual materials showed no significant difference in immediate post-test performance compared to virtual students(P>0.05).Although public health students had more than twice the odds of answering correctly at pre-test compared to rural community members,there were no significant differences between groups on the immediate post-test(P>0.05).Conclusion:A brief seminar significantly improved understanding and retention of pediatric eye conditions,achieving similar levels of understanding among public health students and rural community members,regardless of initial knowledge on this topic.In-person,hands-on seminars with educational materials in participants'preferred language proved more effective than virtual ones in achieving these improvements.
文摘目的探讨腹腔镜胆总管探查术(LCBDE)一期缝合术后胆漏的危险因素。方法检索PubMed、Embase、Cochrane Library、Web of Science、知网、万方、维普等数据库1990年1月1日至2022年5月1日关于LCBDE一期缝合术后胆漏危险因素的临床研究。中文检索词:胆总管结石、腹腔镜胆总管探查、胆漏、危险因素。英文检索词:choledocholithiasis、common bile duct stone、laparoscopic common bile duct exploration、LCBDE、bile leakage。对研究报道数量≥3的指标进行Meta分析。结果最终纳入7项研究共930例患者,其中男431例,女499例。Meta分析结果显示,术前血ALB<35 g/L的患者术后胆漏发生率明显高于术前血ALB≥35 g/L的患者(OR=2.23,95%CI:1.16~4.28);术中胆总管切开长度<1.5 cm的患者术后胆漏发生率明显低于切开长度≥1.5 cm的患者(OR=0.42,95%CI:0.20~0.87);胆总管连续缝合患者术后胆漏发生率明显低于间断缝合患者(OR=0.51,95%CI:0.29~0.90);胆总管直径<1 cm的患者术后胆漏发生率明显高于胆总管直径≥1 cm的患者(OR=4.00,95%CI:2.23~7.17)。结论选择胆总管直径<1 cm患者,术前纠正血ALB水平,术中切开胆总管长度控制1.5 cm以内,切口采用连续缝合可有效降低LCBDE一期缝合术后胆漏发生风险。
