Xi Jinping,general secretary of the Communist Party of China(CPC)Central Committee,stressed that we should adhere to the“two integrations”(namely,integrating the basic tenets of Marxism with China’s specific realit...Xi Jinping,general secretary of the Communist Party of China(CPC)Central Committee,stressed that we should adhere to the“two integrations”(namely,integrating the basic tenets of Marxism with China’s specific realities and fine traditional culture),root ourselves in Chinese soil,carry forward the Chinese cultural heritage,and strengthen the academic foundation.We should accelerate the building of an independent knowledge system for Chinese philosophy and social sciences,and formulate original concepts and develop systems of academic discipline,research and discourse,drawing on China’s rich experience of advancing human rights.In the face of changes of a magnitude not seen in a century,in the historic process of advancing the great rejuvenation of the Chinese nation on all fronts through Chinese modernization,we should and must strengthen our theoretical self-consciousness and confidence in the path of Chinese modernization.We need to enhance human rights research,develop the human rights theoretical system and paradigm that are based on Chinese realities and express Chinese voice,and an independent Chinese knowledge system for human rights.展开更多
Non-communicable diseases (NCDs) are on the rise worldwide and in developing countries like Botswana. Unhealthy eating habits and lack of proper nutrition knowledge cause non-communicable diseases and affect adolescen...Non-communicable diseases (NCDs) are on the rise worldwide and in developing countries like Botswana. Unhealthy eating habits and lack of proper nutrition knowledge cause non-communicable diseases and affect adolescents. It is in adolescence that eating habits are formed that persist till adulthood. Lifestyle interventions are needed to curb NCDs in adolescents. This paper reports the findings of a study that aimed to validate a lifestyle intervention program and its effect on food intake, physical activity, and nutrition knowledge. It was a clustered randomized control trial study conducted in four (4) junior secondary schools. There were 46 participants, 21 in the control and 25 in the intervention arm, who were blindly assigned to each arm by a statistician. Information and skills on nutrition were imparted using the Information, Motivation, and Behavioral Skills model. The program was implemented for eight (8) weeks hourly after school. A questionnaire was used to collect data pre- and post-intervention. Number, proportion, percentage, and independent t-test (mean and SD or median and IQR, p-value) were calculated using numerical and categorical data. The findings showed that the lifestyle intervention was valid, and there was a slight decrease in the intake of sweets among participants in both trial arms (p = 0.066). There was no significant difference in terms of food intake. Only a small number of participants still ate a few fruits, and there was no change in vegetable intake in both trial arms (p = 0.641). There was no change in the intake of fried foods in both trail arms (p = 0.402). Regarding nutrition knowledge, there was a slight significant difference of p = 0.079 between the trial arms. Though the effect of the lifestyle intervention program was not statistically significant, the results are promising, especially if the duration could be increased to a longer period and a larger sample size included.展开更多
Objective:To assess knowledge levels regarding seasonal influenza and its vaccine among high-risk Malaysian urban dwellers and identify factors associated with both knowledge acquisition and vaccination behavior.Metho...Objective:To assess knowledge levels regarding seasonal influenza and its vaccine among high-risk Malaysian urban dwellers and identify factors associated with both knowledge acquisition and vaccination behavior.Methods:This is a cross-sectional study conducted between April-July 2024 in two urban communities in Malaysia.High-risk participants(n=390)including adults≥65 years or aged 18+with chronic illnesses,were recruited through convenience sampling from public areas.Knowledge was assessed using a validated 12-item questionnaire(Cronbach'sα=0.977),categorized as good(7-12 points)or poor(0-6 points).Primary outcomes included knowledge scores,vaccination uptake rates,and associated demographic and clinical factors.Multivariate logistic regression identified independent predictors of good knowledge and vaccination behavior.Results:A total of 390 respondents were included in this study The mean age of the respondents were(58.4±12.7)years,and the majority of them were aged 65 or above(113/390,29.0%),males(212/390,54.4%),and of Chinese ethnicity(363/390,93.1%).Though 68.7%(268/390;95%CI 63.9%-73.2%)demonstrated good influenza knowledge,only 12.1%(47/390;95%CI 9.0%-15.8%)received annual vaccination.Independent predictors of good knowledge included female sex(aOR 1.65,95%CI 1.04-2.62,P=0.034),tertiary education(aOR 8.76,95%CI 2.79-27.51,P<0.001),diabetes(aOR 2.68,95%CI 1.07-6.69,P=0.035),and vaccination history(aOR 1.89,95%CI 1.09-3.28,P=0.024).Only 24.4%(95/390)respondents received physician vaccination recommendations.Social media constituted the primary information source(34.6%vs.24.4%from physicians).Conclusions:A substantial knowledge-behavior gap exists in influenza vaccination among high-risk Malaysian adults.Despite good knowledge levels,vaccination rates remain critically low,highlighting that knowledge alone is insufficient to drive vaccination behavior.Low physician recommendation rates represent a critical missed opportunity for prevention.Healthcare system interventions focusing on provider education,systematic vaccination recommendations,and evidence-based social media campaigns are essential to improve vaccination coverage in high-risk populations.展开更多
Background:Given the suboptimal quality of end‐of‐life care among patients with cancer in China,promoting living wills is critical in this population.Living wills ensure that individuals can receive the medical care...Background:Given the suboptimal quality of end‐of‐life care among patients with cancer in China,promoting living wills is critical in this population.Living wills ensure that individuals can receive the medical care they desire during the terminal phase of an illness,maintain their dignity,and ultimately achieve a good death.However,current awareness and attitudes about living wills among Chinese patients with cancer remain unclear.We administered a questionnaire survey on living wills to patients with malignant tumors to assess their most important needs and increase understanding about living wills.Methods:In this cross‐sectional study using convenience sampling,inpatients with malignant tumors in Wuhan completed our questionnaire between July 2020 and June 2021.We collected patients'sociodemographic characteristics and details regarding their knowledge and attitudes about living wills.Results:Among 213 patients with malignant tumors,114(53.52%)had heard of living wills;125(58.69%)expressed their willingness to sign the“Five Wishes”living will document after learning about it through the questionnaire.Patients with malignant tumors had a high level of desire for the following living will items:the lives of family and friends return to normal as soon as possible after their death,maintaining personal hygiene and dignity,and remaining pain‐free.The knowledge level of patients with malignant tumors was related to their educational level(p<0.05)and self‐care ability(p<0.05).Conclusions:Patients with malignant tumors have a high need for comfort,cleanliness,and pain relief in the terminal stages.Patients with a higher level of education and those with poorer self‐care ability had greater knowledge and acceptance of living wills.Promotion can first be targeted toward more highly educated patients and can then be gradually expanded to other groups.展开更多
The“Opinions on Comprehensively Deepening Curriculum Reform to Fulfill the Fundamental Task of Strengthening Moral Education”,issued by China’s Ministry of Education in 2015,explicitly identified Project-Based Lear...The“Opinions on Comprehensively Deepening Curriculum Reform to Fulfill the Fundamental Task of Strengthening Moral Education”,issued by China’s Ministry of Education in 2015,explicitly identified Project-Based Learning(PBL)as a key strategy for cultivating students’core competencies.Since then,PBL has been widely implemented as a pilot initiative in primary and secondary schools,gaining increasing influence.Analyzing the intellectual foundations of PBL research in China can offer valuable insights into its theoretical and practical dimensions.This study uses CiteSpace to examine 156 PBL-related articles from the CSSCI database,revealing that the knowledge base of PBL research is primarily built on two major domains.The first is the theoretical foundation,characterized by frequently cited literature focusing on the conceptual framework,educational value,interdisciplinary approaches,core competency cultivation,and instructional objectives of PBL.The second is empirical research,where highly cited studies include case analyses across K–12 settings,general high schools,and higher education institutions.Moving forward,future research on PBL should explore its meaning and value from a dual-subject and integrated perspective,expand case studies to include vocational education,and further promote the interdisciplinary development of core competencies through PBL.展开更多
BACKGROUND:Identifying and managing medical emergencies presents challenges in healthcare,where familiarity with established algorithms is essential for high-quality care.This study assessed healthcare professionals’...BACKGROUND:Identifying and managing medical emergencies presents challenges in healthcare,where familiarity with established algorithms is essential for high-quality care.This study assessed healthcare professionals’ understanding of the latest resuscitation guidelines and explored their views on lifelong training models.METHODS:This cross-sectional study used two multiple-choice questionnaires with 50 questions developed by academic emergency and critical care consultants based on the 2021 Consensus on Science with Treatment Recommendations (CoSTRs) by the International Liaison Committee on Resuscitation(ILCOR).Healthcare staff involved in emergency coverage completed assessments on emergency management,self-evaluated their knowledge,and shared perspectives on continuous workplace education.RESULTS:Of the 1,427 distributed questionnaires,1,034 (72.5%) were completed.Knowledge gaps were more pronounced for pediatric algorithms from the European Resuscitation Council (ERC) and American Heart Association (AHA) compared to adult protocols (P<0.001).In multivariate logistic regression,being a physician,holding a Master of Science (MSc) degree,and younger age were independently associated with passing scores≥70%(all P<0.001).Most participants (97.3%) favored brief,employer-funded teamwork refresher sessions every4–6 months over the current four-year training model (0.6%)(P<0.001).CONCLUSION:This study highlights healthcare life support providers’ insufficient expertise in current resuscitation guidelines.The importance of short-format retraining,upskilling,and reskilling programs with post-training assessments is evident,as most respondents expressed a strong learning motivation to participate if employer-funded.展开更多
Despite significant progress in the Prognostics and Health Management(PHM)domain using pattern learning systems from data,machine learning(ML)still faces challenges related to limited generalization and weak interpret...Despite significant progress in the Prognostics and Health Management(PHM)domain using pattern learning systems from data,machine learning(ML)still faces challenges related to limited generalization and weak interpretability.A promising approach to overcoming these challenges is to embed domain knowledge into the ML pipeline,enhancing the model with additional pattern information.In this paper,we review the latest developments in PHM,encapsulated under the concept of Knowledge Driven Machine Learning(KDML).We propose a hierarchical framework to define KDML in PHM,which includes scientific paradigms,knowledge sources,knowledge representations,and knowledge embedding methods.Using this framework,we examine current research to demonstrate how various forms of knowledge can be integrated into the ML pipeline and provide roadmap to specific usage.Furthermore,we present several case studies that illustrate specific implementations of KDML in the PHM domain,including inductive experience,physical model,and signal processing.We analyze the improvements in generalization capability and interpretability that KDML can achieve.Finally,we discuss the challenges,potential applications,and usage recommendations of KDML in PHM,with a particular focus on the critical need for interpretability to ensure trustworthy deployment of artificial intelligence in PHM.展开更多
This paper concentrates on the depth of vocabulary knowledge and vocabulary learning metacognitive strategies used by Chinese non-English majors in an independent college.Results show the depth of vocabulary knowledge...This paper concentrates on the depth of vocabulary knowledge and vocabulary learning metacognitive strategies used by Chinese non-English majors in an independent college.Results show the depth of vocabulary knowledge of the subjects only reaches the passing level.And metacognitive strategies are correlated significantly with the depth of vocabulary knowledge.展开更多
Background:Since the trauma knowledge of trauma providers correlates with the outcomes of injured patients,this study aims to assess the socio-demographic characteristics and levels of trauma knowledge of trainees in ...Background:Since the trauma knowledge of trauma providers correlates with the outcomes of injured patients,this study aims to assess the socio-demographic characteristics and levels of trauma knowledge of trainees in the China trauma care training(CTCT)program in addition to their post-course test results to provide support for the development of trauma care training programs and trauma systems in China.Methods:A cross-sectional study was conducted by collecting demographic information,hospital-related information and trauma knowledge of the trainees from 19 regions in China.All participants were assessed by questionnaires collecting the socio-demographic data,the trauma care knowledge levels and the information of the hospitals.Results:There were 955 males(78.9%)and 256 females(21.1%)enrolled.Among them,854 were physicians(70.5%),357 were registered nurses(29.5%).In addition,64 of them also played an administrative role in the hospitals(5.3%).The score of the trainees who were members of the emergency department staff(72.59±14.13)was the highest among the scores of all the personnel surveyed,followed by those of the trainees from the intensive care unit(ICU)(71.17±12.72),trauma surgery department(67.26±13.81),orthopedics department(70.36±14.48),general surgery department(69.91±14.79)and other departments(69.93±16.91),P=0.031.The score of the professors(73.09±15.05)was higher than those of the associate professors(72.40±14.71),lecturers(70.07±14.25)and teaching assistants(67.58±15.16),P<0.0001.The score of the individuals who attended experts’trauma lectures(72.22±14.45)was higher than that of individuals who did not attend the lectures(69.33±15.17),P=0.001.The mean scores before and after the training were 71.02±14.82 and 84.24±13.77,respectively,P<0.001.The mean score of trauma knowledge after the training of trainees from different provinces and with different educational backgrounds was higher than that before the training,with a statistically significant difference(P<0.05).Conclusions:The level of trauma knowledge of trauma care providers was associated with their department,professional position and previous participation in related academic conferences.Trauma care experience and participation in academic lectures and training program including CTCT may effectively improve individuals’level of trauma knowledge.展开更多
BACKGROUND: Administering oxygen therapy(OT) has an essential role in preventing/managing hypoxemia in both acute and chronic conditions. It should be adjusted to achieve the normal oxygen saturation of 94%–98% in mo...BACKGROUND: Administering oxygen therapy(OT) has an essential role in preventing/managing hypoxemia in both acute and chronic conditions. It should be adjusted to achieve the normal oxygen saturation of 94%–98% in most cases. This study aims to evaluate knowledge, attitude and practice(KAP) of nurses, paramedics, emergency medical technicians(EMTs) and Emergency Medical Services(EMS) physicians working at emergency departments(ED) in Riyadh, Saudi Arabia. METHODS: In this cross-sectional study, a structured questionnaire was used to assess KAP related to OT of nurses, paramedics, EMTs and EMS physicians currently working at an ED of a tertiary care hospital. Knowledge and attitude were assessed using a Likert scale from 1–5, whereas practice was assessed as a yes/no categorical variable.RESULTS: A total of 444 emergency health-care workers(EHCWs) participated, of which 225(50.7%) were male, with the majority(77%) in the age group of 20–35 years. Over half of the sample were nurses(266; 59.9%). The mean score for knowledge about OT was 5.51±1.45, attitude was 26.31±3.17 and for practices 4.55±1.76. The main factors which were associated with poor KAP were workload and lack of local guidelines. The distribution of overall practice score was signifi cantly better among paramedics – nurses group and EMT – nurses group.CONCLUSION: This study demonstrates that there is a gap in EHCWs' KAP, particularly regarding when to provide OT to a patient. This gap can affect patients' safety. Extensive educational and training programs about OT are needed to raise awareness among health-care providers.展开更多
BACKGROUND Patients with inflammatory bowel diseases(IBDs)generally have poor knowledge,attitude,and practice of their disease,while the data from China are lacking.AIM To address this knowledge disparity among Chines...BACKGROUND Patients with inflammatory bowel diseases(IBDs)generally have poor knowledge,attitude,and practice of their disease,while the data from China are lacking.AIM To address this knowledge disparity among Chinese patients with IBD.METHODS This web-based,cross-sectional study was conducted on a cohort of IBD patients who visited the Second Affiliated Hospital of Wenzhou Medical University between December 2022 and February 2023.Their socio-demographic information and the knowledge,attitude,and practice scores were collected and estimated using a self-designed questionnaire.Pearson’s correlation analysis was used to determine the pairwise correlations among knowledge,attitude,and practice scores.A multivariate logistic regression analysis was further performed to determine the independent factors associated with their knowledge,attitude,and practice scores.RESULTS A total of 353 patients(224 males)with IBD completed the questionnaires.The mean knowledge,attitude,and practice scores were 10.05±3.46(possible range:0-14),41.58±5.23(possible range:0-56),44.20±7.39(possible range:0-56),respectively,indicating good knowledge,positive attitude,and proactive practice toward IBD.Pearson’s correlation analysis showed that the knowledge score had significant positive correlations with the attitude score(r=0.371,P<0.001)and practice score(r=0.100,P<0.001).The attitude score had a significant positive correlation with the practice score(r=0.452,P<0.001).Moreover,multivariate logistic regression analysis showed that aged 30-40 years[odds ratio(OR)=4.06,95%confidence interval(CI):1.04-15.82,P=0.043],middle school education(OR=3.98,95%CI:1.29-12.33,P=0.017),high school/technical secondary school education(OR=14.06,95%CI:3.92-50.38,P<0.001),and junior college/bachelor’s degree and above education(OR=15.20,95%CI:4.15-55.650,P<0.001)were independently associated with good knowledge.The higher knowledge score was independently associated with a positive attitude(OR=1.23,95%CI:1.11-1.36,P<0.001).The higher attitude score was independently associated with proactive practice(OR=1.20,95%CI:1.11-1.30,P<0.001).CONCLUSION Chinese patients with IBD might have good knowledge,a positive attitude,and proactive practice toward their disease.However,a small number of specific items require education.展开更多
Open data initiatives have promoted governmental agencies and scientific organizations to publish data online for reuse.Research of geoscience focuses on processing georeferenced quantitative data(e.g.,rock parameters...Open data initiatives have promoted governmental agencies and scientific organizations to publish data online for reuse.Research of geoscience focuses on processing georeferenced quantitative data(e.g.,rock parameters,geochemical tests,geophysical surveys and satellite imagery)for discovering new knowledge.Geological knowledge is the cognitive result of human knowledge of the spatial distribution,evolution and interaction patterns of geological objects or processes.Knowledge graphs(KGs)can formalize unstructured knowledge into structured form and have been used in supporting decision-making recently.In this paper,we propose a novel framework that can extract the geological knowledge graph(GKG)from public reports relating to a modelling study.Based on the analysis of basic questions answered by geology,we summarize and abstract geological knowledge elements and then explore a geological knowledge representation model with three levels of“geological conceptsgeological entities-geological relations”to describe semantic units of geological knowledge and their logic relations.Finally,based on the characteristics of mineral resource reports,the geological knowledge representation model oriented to“object relationships”and the hierarchical geological knowledge representation model oriented to“process relationships”are proposed with reference to the commonly used geological knowledge graph representation.The research in this paper can provide some implications for the formalization and structured representation of geological knowledge graphs.展开更多
In the international shipping industry, digital intelligence transformation has become essential, with both governments and enterprises actively working to integrate diverse datasets. The domain of maritime and shippi...In the international shipping industry, digital intelligence transformation has become essential, with both governments and enterprises actively working to integrate diverse datasets. The domain of maritime and shipping is characterized by a vast array of document types, filled with complex, large-scale, and often chaotic knowledge and relationships. Effectively managing these documents is crucial for developing a Large Language Model (LLM) in the maritime domain, enabling practitioners to access and leverage valuable information. A Knowledge Graph (KG) offers a state-of-the-art solution for enhancing knowledge retrieval, providing more accurate responses and enabling context-aware reasoning. This paper presents a framework for utilizing maritime and shipping documents to construct a knowledge graph using GraphRAG, a hybrid tool combining graph-based retrieval and generation capabilities. The extraction of entities and relationships from these documents and the KG construction process are detailed. Furthermore, the KG is integrated with an LLM to develop a Q&A system, demonstrating that the system significantly improves answer accuracy compared to traditional LLMs. Additionally, the KG construction process is up to 50% faster than conventional LLM-based approaches, underscoring the efficiency of our method. This study provides a promising approach to digital intelligence in shipping, advancing knowledge accessibility and decision-making.展开更多
A knowledge-driven approach is proposed for assessing the music influence on university students.The proposed method of modeling and conducting the interactive pilot study can be useful to convey other surveys,intervi...A knowledge-driven approach is proposed for assessing the music influence on university students.The proposed method of modeling and conducting the interactive pilot study can be useful to convey other surveys,interviews,and experiments created in various phases of the user interface(UI)design processes,as part of a general human-computer interaction(HCI)methodology.Benefiting from existing semantic Web and linked data standards,best practices,and tools,a microservice-oriented system is developed as a testbed platform able to generate playlists in a smart way according to users’music preferences.This novel approach could bring also benefits for user interface adaptation by using semantic Web techniques.Statistical analysis based on the ANOVA method and post-experiment survey data led to the conclusion that music listened has a significant impact on students’cognitive abilities in various contexts.All obtained results were semantically enhanced by using different conceptual models in order to create a knowledge graph providing support for automated reasoning.Also,a knowledge-based persona Web smart editor was implemented in order to include music preferences for certain categories of the potential users operating a specific interactive system.展开更多
Objectives:This study aimed to describe cardiovascular risk and cardiovascular disease(CVD)knowledge among older adults,and further explore the association between knowledge and risk.Methods:In this cross-sectional st...Objectives:This study aimed to describe cardiovascular risk and cardiovascular disease(CVD)knowledge among older adults,and further explore the association between knowledge and risk.Methods:In this cross-sectional study,we enrolled 1120 older adults who received physical examination in health centers.The participants were interviewed to obtain their behavioral risk factors related to CVD and clinical characteristics.A risk prediction chart was used to predict participants'cardiovascular risk based on clinical characteristics and behavioral risk factors.Participants'CVD knowledge was collected with a pretested knowledge questionnaire.Results:Among the 1120 participants,240(21.4%)had low cardiovascular risk,353(31.5%)had moderate cardiovascular risk,527(47%)had high and very high cardiovascular risk.The knowledge level about CVD among 0.8%of the 1120 participants was good while that of 56.9%was poor.Lower CVD knowledge level,older age,lower income,and lower educational level were the independent factors of higher cardiovascular risk level.Conclusions:This study highlights the need to reduce the cardiovascular risk among older adults.CVD knowledge should be considered when developing health interventions.展开更多
BACKGROUND: Stroke is a time-sensitive neurological disease and a life-threatening medical condition. Providing timely management for stroke patients is a crucial issue in healthcare settings. The primary objective of...BACKGROUND: Stroke is a time-sensitive neurological disease and a life-threatening medical condition. Providing timely management for stroke patients is a crucial issue in healthcare settings. The primary objective of this study is to evaluate the effectiveness of an evidence-based educational program on healthcare providers'(HCPs) overall knowledge of stroke.METHODS: A randomized block design with post-test only was used. A total of 189 HCPs(physicians, registered nurses, and paramedics) involved with treating stroke patients in the emergency were recruited. Participants were randomly assigned to either the intervention or waiting list control group. A one-session, stroke educational program was offered to the HCPs followed by a post-test designed to assess knowledge about stroke. RESULTS: A significant main effect on the profession type was found, with physicians having higher mean scores of stroke knowledge compared with nurses and paramedics(F [2, 183]=48.55, P<0.001). The implemented educational program had a positive effect on increasing the level of stroke knowledge among HCPs(F [1, 183]=43.31, P<0.001). The utilization of any evidence-based assessment tools for patients with suspected stroke was denied by 36% of the total sample.CONCLUSIONS: The implemented intervention can increase HCP's knowledge regarding stroke. Stroke education should be considered as one of the essential requirements for professional development for all HCPs in the emergency.展开更多
BACKGROUND Breast cancer is one of the most prevalent causes of morbidity and mortality worldwide,presenting an increasing public health challenge,particularly in lowincome and middle-income countries.However,data on ...BACKGROUND Breast cancer is one of the most prevalent causes of morbidity and mortality worldwide,presenting an increasing public health challenge,particularly in lowincome and middle-income countries.However,data on the knowledge,attitudes,and preventive practices regarding breast cancer and the associated factors among females in Wollo,Ethiopia,remain limited.AIM To assess the impact of family history(FH)of breast disease on knowledge,attitudes,and breast cancer preventive practices among reproductive-age females.METHODS A community-based cross-sectional study was conducted in May and June 2022 in Northeast Ethiopia and involved 143 reproductive-age females with FH of breast diseases and 209 without such a history.We selected participants using the systematic random sampling technique.We analyzed the data using Statistical Package for Social Science version 25 software,and logistic regression analysis was employed to determine odds ratios for variable associations,with statistical significance set at P<0.05.RESULTS Among participants with FH of breast diseases,the levels of knowledge,attitudes,and preventive practices were found to be 83.9%[95%confidence interval(CI):77.9-89.9],49.0%(95%CI:40.8-57.1),and 74.1%(95%CI:66.9-81.3),respectively.In contrast,among those without FH of breast diseases,these levels were significantly decreased to 10.5%(95%CI:6.4-14.7),32.1%(95%CI:25.7-38.4),and 16.7%(95%CI:11.7-21.8),respectively.This study also indicated that knowledge,attitudes,and preventive practices related to breast cancer are significantly higher among participants with FH of breast diseases compared to those without HF breast diseases.CONCLUSION Educational status,monthly income,and community health insurance were identified as significant factors associated with the levels of knowledge,attitudes,and preventive practices regarding breast cancer among reproductive-age females.展开更多
Objective:To measure highly pathogenic avian influenza(HPAI)-related knowledge,attitudes, and practices(KAPs) among Cambodian women.Methods:This cross-sectional study selected 246 married women aged between 18-55 year...Objective:To measure highly pathogenic avian influenza(HPAI)-related knowledge,attitudes, and practices(KAPs) among Cambodian women.Methods:This cross-sectional study selected 246 married women aged between 18-55 years who had backyard poultry and lived at least one year in the areas of the survey through multi-stage cluster sampling.An average score of correct answers was generated to evaluate respondents’ knowledge(Good/Poor).attitudes(Positive/ Negative),and practices(Good/Bad).Results:We reported that about half of the respondents had good knowledge and good practices and four-fifth of them had positive attitudes towards HPAl.Odds ratios(ORs) and 95%confidence intervals(CIs) were estimated through a logistic regression model to explore contributing factors that raise their KAP levels.Most of the sources were significant in increasing knowledge of the respondent,like television(OR=l.6.95%CI=1.0- 2.7),radio(OR=2.5.95%CI=l.3-4.9).leaflets/booklets(OR=2.1,95%CI=1.2-3.9),school students (OR=18.4.95%CI=2.4-142.9).village health volunteers(OR=4.5.95%CI=2.2-10.9) etc.Factors such as television(OR=3.7.95%CI=2.1-6.4).leaflets/booklets(OR=2.6,95%CI7=1.4-5.1).and public health staff(OR=2.2,95%CI=1.2-4.1) had similar influence on practices.Although,we found similar effect on raising the attitudes of the responded,it was not significant.Conclusions: We report a satisfactory level of positive attitudes,and moderate level of knowledge and practices related to HPAI among Cambodian women.Raising KAPs through television,radio and other medias may be more efficient than using usual information,education and communication materials to prevent HPAI.展开更多
There has been little focus on men＇s reproductive health （RH） in China. This descriptive study conducted in Yiling District, Yichang, China, surveyed male knowledge of sexual physiology and RH to assess levels of k...There has been little focus on men＇s reproductive health （RH） in China. This descriptive study conducted in Yiling District, Yichang, China, surveyed male knowledge of sexual physiology and RH to assess levels of knowledge, attitudes and practices （KAPs） regarding prevention of sexually transmitted diseases （STDs）. A total of 3933 men, aged 18-59 years （mean, 40.3 years）, were recruited by cluster random sampling. They completed a questionnaire in the presence of an interviewer, with items related to subject characteristics, RH knowledge, and subjective symptoms of the reproductive system. Physical examination and reproductive system disease diagnosis were performed. Participants＇ occupations were predominantly skilled labor （80.5%）. Nearly four-fifths （78.5%） respondents had at least one reproductive disease. Over half of respondents were aware of and declared a positive attitude about sexual physiology and safe sex, and 70% of them selected to visit a doctor when they had a reproductive disorder. However, only 41.9% believed human immunodeficiency virus/acquired immunodeficiency syndrome could be transmitted through breastfeeding, and 64.6% incorrectly thought they could avoid contracting STDs by cleaning their genitals after intercourse. In addition, 45% discriminated against and were unwilling to be friends with infected persons. Nearly 45% of those with a reproductive system disorder refused to discuss it with friends or family members. These results indicate that this cohort of Chinese men had a certain degree of KAP about RH, whereas some aspects require further public health education in the general population. It is necessary to disseminate accurate knowledge of STD risk in China based on sociodemographic characteristics.展开更多
文摘Xi Jinping,general secretary of the Communist Party of China(CPC)Central Committee,stressed that we should adhere to the“two integrations”(namely,integrating the basic tenets of Marxism with China’s specific realities and fine traditional culture),root ourselves in Chinese soil,carry forward the Chinese cultural heritage,and strengthen the academic foundation.We should accelerate the building of an independent knowledge system for Chinese philosophy and social sciences,and formulate original concepts and develop systems of academic discipline,research and discourse,drawing on China’s rich experience of advancing human rights.In the face of changes of a magnitude not seen in a century,in the historic process of advancing the great rejuvenation of the Chinese nation on all fronts through Chinese modernization,we should and must strengthen our theoretical self-consciousness and confidence in the path of Chinese modernization.We need to enhance human rights research,develop the human rights theoretical system and paradigm that are based on Chinese realities and express Chinese voice,and an independent Chinese knowledge system for human rights.
文摘Non-communicable diseases (NCDs) are on the rise worldwide and in developing countries like Botswana. Unhealthy eating habits and lack of proper nutrition knowledge cause non-communicable diseases and affect adolescents. It is in adolescence that eating habits are formed that persist till adulthood. Lifestyle interventions are needed to curb NCDs in adolescents. This paper reports the findings of a study that aimed to validate a lifestyle intervention program and its effect on food intake, physical activity, and nutrition knowledge. It was a clustered randomized control trial study conducted in four (4) junior secondary schools. There were 46 participants, 21 in the control and 25 in the intervention arm, who were blindly assigned to each arm by a statistician. Information and skills on nutrition were imparted using the Information, Motivation, and Behavioral Skills model. The program was implemented for eight (8) weeks hourly after school. A questionnaire was used to collect data pre- and post-intervention. Number, proportion, percentage, and independent t-test (mean and SD or median and IQR, p-value) were calculated using numerical and categorical data. The findings showed that the lifestyle intervention was valid, and there was a slight decrease in the intake of sweets among participants in both trial arms (p = 0.066). There was no significant difference in terms of food intake. Only a small number of participants still ate a few fruits, and there was no change in vegetable intake in both trial arms (p = 0.641). There was no change in the intake of fried foods in both trail arms (p = 0.402). Regarding nutrition knowledge, there was a slight significant difference of p = 0.079 between the trial arms. Though the effect of the lifestyle intervention program was not statistically significant, the results are promising, especially if the duration could be increased to a longer period and a larger sample size included.
文摘Objective:To assess knowledge levels regarding seasonal influenza and its vaccine among high-risk Malaysian urban dwellers and identify factors associated with both knowledge acquisition and vaccination behavior.Methods:This is a cross-sectional study conducted between April-July 2024 in two urban communities in Malaysia.High-risk participants(n=390)including adults≥65 years or aged 18+with chronic illnesses,were recruited through convenience sampling from public areas.Knowledge was assessed using a validated 12-item questionnaire(Cronbach'sα=0.977),categorized as good(7-12 points)or poor(0-6 points).Primary outcomes included knowledge scores,vaccination uptake rates,and associated demographic and clinical factors.Multivariate logistic regression identified independent predictors of good knowledge and vaccination behavior.Results:A total of 390 respondents were included in this study The mean age of the respondents were(58.4±12.7)years,and the majority of them were aged 65 or above(113/390,29.0%),males(212/390,54.4%),and of Chinese ethnicity(363/390,93.1%).Though 68.7%(268/390;95%CI 63.9%-73.2%)demonstrated good influenza knowledge,only 12.1%(47/390;95%CI 9.0%-15.8%)received annual vaccination.Independent predictors of good knowledge included female sex(aOR 1.65,95%CI 1.04-2.62,P=0.034),tertiary education(aOR 8.76,95%CI 2.79-27.51,P<0.001),diabetes(aOR 2.68,95%CI 1.07-6.69,P=0.035),and vaccination history(aOR 1.89,95%CI 1.09-3.28,P=0.024).Only 24.4%(95/390)respondents received physician vaccination recommendations.Social media constituted the primary information source(34.6%vs.24.4%from physicians).Conclusions:A substantial knowledge-behavior gap exists in influenza vaccination among high-risk Malaysian adults.Despite good knowledge levels,vaccination rates remain critically low,highlighting that knowledge alone is insufficient to drive vaccination behavior.Low physician recommendation rates represent a critical missed opportunity for prevention.Healthcare system interventions focusing on provider education,systematic vaccination recommendations,and evidence-based social media campaigns are essential to improve vaccination coverage in high-risk populations.
文摘Background:Given the suboptimal quality of end‐of‐life care among patients with cancer in China,promoting living wills is critical in this population.Living wills ensure that individuals can receive the medical care they desire during the terminal phase of an illness,maintain their dignity,and ultimately achieve a good death.However,current awareness and attitudes about living wills among Chinese patients with cancer remain unclear.We administered a questionnaire survey on living wills to patients with malignant tumors to assess their most important needs and increase understanding about living wills.Methods:In this cross‐sectional study using convenience sampling,inpatients with malignant tumors in Wuhan completed our questionnaire between July 2020 and June 2021.We collected patients'sociodemographic characteristics and details regarding their knowledge and attitudes about living wills.Results:Among 213 patients with malignant tumors,114(53.52%)had heard of living wills;125(58.69%)expressed their willingness to sign the“Five Wishes”living will document after learning about it through the questionnaire.Patients with malignant tumors had a high level of desire for the following living will items:the lives of family and friends return to normal as soon as possible after their death,maintaining personal hygiene and dignity,and remaining pain‐free.The knowledge level of patients with malignant tumors was related to their educational level(p<0.05)and self‐care ability(p<0.05).Conclusions:Patients with malignant tumors have a high need for comfort,cleanliness,and pain relief in the terminal stages.Patients with a higher level of education and those with poorer self‐care ability had greater knowledge and acceptance of living wills.Promotion can first be targeted toward more highly educated patients and can then be gradually expanded to other groups.
基金Provincial-Level Quality Engineering Project,Preschool Education Teacher Training Base of Fuyang Normal University(Project No.:2023cyts023)University-Level Research Team Project,Collaborative Innovation Center for Basic Education in Northern Anhui(Project No.:kytd202418)。
文摘The“Opinions on Comprehensively Deepening Curriculum Reform to Fulfill the Fundamental Task of Strengthening Moral Education”,issued by China’s Ministry of Education in 2015,explicitly identified Project-Based Learning(PBL)as a key strategy for cultivating students’core competencies.Since then,PBL has been widely implemented as a pilot initiative in primary and secondary schools,gaining increasing influence.Analyzing the intellectual foundations of PBL research in China can offer valuable insights into its theoretical and practical dimensions.This study uses CiteSpace to examine 156 PBL-related articles from the CSSCI database,revealing that the knowledge base of PBL research is primarily built on two major domains.The first is the theoretical foundation,characterized by frequently cited literature focusing on the conceptual framework,educational value,interdisciplinary approaches,core competency cultivation,and instructional objectives of PBL.The second is empirical research,where highly cited studies include case analyses across K–12 settings,general high schools,and higher education institutions.Moving forward,future research on PBL should explore its meaning and value from a dual-subject and integrated perspective,expand case studies to include vocational education,and further promote the interdisciplinary development of core competencies through PBL.
文摘BACKGROUND:Identifying and managing medical emergencies presents challenges in healthcare,where familiarity with established algorithms is essential for high-quality care.This study assessed healthcare professionals’ understanding of the latest resuscitation guidelines and explored their views on lifelong training models.METHODS:This cross-sectional study used two multiple-choice questionnaires with 50 questions developed by academic emergency and critical care consultants based on the 2021 Consensus on Science with Treatment Recommendations (CoSTRs) by the International Liaison Committee on Resuscitation(ILCOR).Healthcare staff involved in emergency coverage completed assessments on emergency management,self-evaluated their knowledge,and shared perspectives on continuous workplace education.RESULTS:Of the 1,427 distributed questionnaires,1,034 (72.5%) were completed.Knowledge gaps were more pronounced for pediatric algorithms from the European Resuscitation Council (ERC) and American Heart Association (AHA) compared to adult protocols (P<0.001).In multivariate logistic regression,being a physician,holding a Master of Science (MSc) degree,and younger age were independently associated with passing scores≥70%(all P<0.001).Most participants (97.3%) favored brief,employer-funded teamwork refresher sessions every4–6 months over the current four-year training model (0.6%)(P<0.001).CONCLUSION:This study highlights healthcare life support providers’ insufficient expertise in current resuscitation guidelines.The importance of short-format retraining,upskilling,and reskilling programs with post-training assessments is evident,as most respondents expressed a strong learning motivation to participate if employer-funded.
基金Supported in part by Science Center for Gas Turbine Project(Project No.P2022-DC-I-003-001)National Natural Science Foundation of China(Grant No.52275130).
文摘Despite significant progress in the Prognostics and Health Management(PHM)domain using pattern learning systems from data,machine learning(ML)still faces challenges related to limited generalization and weak interpretability.A promising approach to overcoming these challenges is to embed domain knowledge into the ML pipeline,enhancing the model with additional pattern information.In this paper,we review the latest developments in PHM,encapsulated under the concept of Knowledge Driven Machine Learning(KDML).We propose a hierarchical framework to define KDML in PHM,which includes scientific paradigms,knowledge sources,knowledge representations,and knowledge embedding methods.Using this framework,we examine current research to demonstrate how various forms of knowledge can be integrated into the ML pipeline and provide roadmap to specific usage.Furthermore,we present several case studies that illustrate specific implementations of KDML in the PHM domain,including inductive experience,physical model,and signal processing.We analyze the improvements in generalization capability and interpretability that KDML can achieve.Finally,we discuss the challenges,potential applications,and usage recommendations of KDML in PHM,with a particular focus on the critical need for interpretability to ensure trustworthy deployment of artificial intelligence in PHM.
文摘This paper concentrates on the depth of vocabulary knowledge and vocabulary learning metacognitive strategies used by Chinese non-English majors in an independent college.Results show the depth of vocabulary knowledge of the subjects only reaches the passing level.And metacognitive strategies are correlated significantly with the depth of vocabulary knowledge.
基金support by grants from the“Chongqing Science and Technology Benefiting project”(cstc2016kjhmpt1001)research project from the State Key Laboratory of Trauma,Burns and Combined Injury(SKLZZ201603)。
文摘Background:Since the trauma knowledge of trauma providers correlates with the outcomes of injured patients,this study aims to assess the socio-demographic characteristics and levels of trauma knowledge of trainees in the China trauma care training(CTCT)program in addition to their post-course test results to provide support for the development of trauma care training programs and trauma systems in China.Methods:A cross-sectional study was conducted by collecting demographic information,hospital-related information and trauma knowledge of the trainees from 19 regions in China.All participants were assessed by questionnaires collecting the socio-demographic data,the trauma care knowledge levels and the information of the hospitals.Results:There were 955 males(78.9%)and 256 females(21.1%)enrolled.Among them,854 were physicians(70.5%),357 were registered nurses(29.5%).In addition,64 of them also played an administrative role in the hospitals(5.3%).The score of the trainees who were members of the emergency department staff(72.59±14.13)was the highest among the scores of all the personnel surveyed,followed by those of the trainees from the intensive care unit(ICU)(71.17±12.72),trauma surgery department(67.26±13.81),orthopedics department(70.36±14.48),general surgery department(69.91±14.79)and other departments(69.93±16.91),P=0.031.The score of the professors(73.09±15.05)was higher than those of the associate professors(72.40±14.71),lecturers(70.07±14.25)and teaching assistants(67.58±15.16),P<0.0001.The score of the individuals who attended experts’trauma lectures(72.22±14.45)was higher than that of individuals who did not attend the lectures(69.33±15.17),P=0.001.The mean scores before and after the training were 71.02±14.82 and 84.24±13.77,respectively,P<0.001.The mean score of trauma knowledge after the training of trainees from different provinces and with different educational backgrounds was higher than that before the training,with a statistically significant difference(P<0.05).Conclusions:The level of trauma knowledge of trauma care providers was associated with their department,professional position and previous participation in related academic conferences.Trauma care experience and participation in academic lectures and training program including CTCT may effectively improve individuals’level of trauma knowledge.
文摘BACKGROUND: Administering oxygen therapy(OT) has an essential role in preventing/managing hypoxemia in both acute and chronic conditions. It should be adjusted to achieve the normal oxygen saturation of 94%–98% in most cases. This study aims to evaluate knowledge, attitude and practice(KAP) of nurses, paramedics, emergency medical technicians(EMTs) and Emergency Medical Services(EMS) physicians working at emergency departments(ED) in Riyadh, Saudi Arabia. METHODS: In this cross-sectional study, a structured questionnaire was used to assess KAP related to OT of nurses, paramedics, EMTs and EMS physicians currently working at an ED of a tertiary care hospital. Knowledge and attitude were assessed using a Likert scale from 1–5, whereas practice was assessed as a yes/no categorical variable.RESULTS: A total of 444 emergency health-care workers(EHCWs) participated, of which 225(50.7%) were male, with the majority(77%) in the age group of 20–35 years. Over half of the sample were nurses(266; 59.9%). The mean score for knowledge about OT was 5.51±1.45, attitude was 26.31±3.17 and for practices 4.55±1.76. The main factors which were associated with poor KAP were workload and lack of local guidelines. The distribution of overall practice score was signifi cantly better among paramedics – nurses group and EMT – nurses group.CONCLUSION: This study demonstrates that there is a gap in EHCWs' KAP, particularly regarding when to provide OT to a patient. This gap can affect patients' safety. Extensive educational and training programs about OT are needed to raise awareness among health-care providers.
基金Supported by Wenzhou Science and Technology Bureau,No.Y20220031.
文摘BACKGROUND Patients with inflammatory bowel diseases(IBDs)generally have poor knowledge,attitude,and practice of their disease,while the data from China are lacking.AIM To address this knowledge disparity among Chinese patients with IBD.METHODS This web-based,cross-sectional study was conducted on a cohort of IBD patients who visited the Second Affiliated Hospital of Wenzhou Medical University between December 2022 and February 2023.Their socio-demographic information and the knowledge,attitude,and practice scores were collected and estimated using a self-designed questionnaire.Pearson’s correlation analysis was used to determine the pairwise correlations among knowledge,attitude,and practice scores.A multivariate logistic regression analysis was further performed to determine the independent factors associated with their knowledge,attitude,and practice scores.RESULTS A total of 353 patients(224 males)with IBD completed the questionnaires.The mean knowledge,attitude,and practice scores were 10.05±3.46(possible range:0-14),41.58±5.23(possible range:0-56),44.20±7.39(possible range:0-56),respectively,indicating good knowledge,positive attitude,and proactive practice toward IBD.Pearson’s correlation analysis showed that the knowledge score had significant positive correlations with the attitude score(r=0.371,P<0.001)and practice score(r=0.100,P<0.001).The attitude score had a significant positive correlation with the practice score(r=0.452,P<0.001).Moreover,multivariate logistic regression analysis showed that aged 30-40 years[odds ratio(OR)=4.06,95%confidence interval(CI):1.04-15.82,P=0.043],middle school education(OR=3.98,95%CI:1.29-12.33,P=0.017),high school/technical secondary school education(OR=14.06,95%CI:3.92-50.38,P<0.001),and junior college/bachelor’s degree and above education(OR=15.20,95%CI:4.15-55.650,P<0.001)were independently associated with good knowledge.The higher knowledge score was independently associated with a positive attitude(OR=1.23,95%CI:1.11-1.36,P<0.001).The higher attitude score was independently associated with proactive practice(OR=1.20,95%CI:1.11-1.30,P<0.001).CONCLUSION Chinese patients with IBD might have good knowledge,a positive attitude,and proactive practice toward their disease.However,a small number of specific items require education.
基金the IUGS Deep-time Digital Earth(DDE)Big Science Programfinancially supported by the National Key R&D Program of China(No.2022YFF0711601)+4 种基金the Natural Science Foundation of Hubei Province of China(No.2022CFB640)the Opening Fund of Hubei Key Laboratory of Intelligent Vision-Based Monitoring for Hydroelectric Engineering(No.2022SDSJ04)the Opening Fund of Key Laboratory of Geological Survey and Evaluation of Ministry of Education(No.GLAB 2023ZR01)the Fundamental Research Funds for the Central UniversitiesFunded by Joint Fund of Collaborative Innovation Center of Geo-Information Technology for Smart Central Plains,Henan Province and Key Laboratory of Spatiotemporal Perception and Intelligent processing,Ministry of Natural Resources(No.212205)。
文摘Open data initiatives have promoted governmental agencies and scientific organizations to publish data online for reuse.Research of geoscience focuses on processing georeferenced quantitative data(e.g.,rock parameters,geochemical tests,geophysical surveys and satellite imagery)for discovering new knowledge.Geological knowledge is the cognitive result of human knowledge of the spatial distribution,evolution and interaction patterns of geological objects or processes.Knowledge graphs(KGs)can formalize unstructured knowledge into structured form and have been used in supporting decision-making recently.In this paper,we propose a novel framework that can extract the geological knowledge graph(GKG)from public reports relating to a modelling study.Based on the analysis of basic questions answered by geology,we summarize and abstract geological knowledge elements and then explore a geological knowledge representation model with three levels of“geological conceptsgeological entities-geological relations”to describe semantic units of geological knowledge and their logic relations.Finally,based on the characteristics of mineral resource reports,the geological knowledge representation model oriented to“object relationships”and the hierarchical geological knowledge representation model oriented to“process relationships”are proposed with reference to the commonly used geological knowledge graph representation.The research in this paper can provide some implications for the formalization and structured representation of geological knowledge graphs.
文摘In the international shipping industry, digital intelligence transformation has become essential, with both governments and enterprises actively working to integrate diverse datasets. The domain of maritime and shipping is characterized by a vast array of document types, filled with complex, large-scale, and often chaotic knowledge and relationships. Effectively managing these documents is crucial for developing a Large Language Model (LLM) in the maritime domain, enabling practitioners to access and leverage valuable information. A Knowledge Graph (KG) offers a state-of-the-art solution for enhancing knowledge retrieval, providing more accurate responses and enabling context-aware reasoning. This paper presents a framework for utilizing maritime and shipping documents to construct a knowledge graph using GraphRAG, a hybrid tool combining graph-based retrieval and generation capabilities. The extraction of entities and relationships from these documents and the KG construction process are detailed. Furthermore, the KG is integrated with an LLM to develop a Q&A system, demonstrating that the system significantly improves answer accuracy compared to traditional LLMs. Additionally, the KG construction process is up to 50% faster than conventional LLM-based approaches, underscoring the efficiency of our method. This study provides a promising approach to digital intelligence in shipping, advancing knowledge accessibility and decision-making.
文摘A knowledge-driven approach is proposed for assessing the music influence on university students.The proposed method of modeling and conducting the interactive pilot study can be useful to convey other surveys,interviews,and experiments created in various phases of the user interface(UI)design processes,as part of a general human-computer interaction(HCI)methodology.Benefiting from existing semantic Web and linked data standards,best practices,and tools,a microservice-oriented system is developed as a testbed platform able to generate playlists in a smart way according to users’music preferences.This novel approach could bring also benefits for user interface adaptation by using semantic Web techniques.Statistical analysis based on the ANOVA method and post-experiment survey data led to the conclusion that music listened has a significant impact on students’cognitive abilities in various contexts.All obtained results were semantically enhanced by using different conceptual models in order to create a knowledge graph providing support for automated reasoning.Also,a knowledge-based persona Web smart editor was implemented in order to include music preferences for certain categories of the potential users operating a specific interactive system.
基金The study was funded by a grant from the National Natural Science Foundation of China(NSFC,contract grant number:81641112)Hunan Excellent Young Teachers Fund(contract grant number:2018191RQG010).
文摘Objectives:This study aimed to describe cardiovascular risk and cardiovascular disease(CVD)knowledge among older adults,and further explore the association between knowledge and risk.Methods:In this cross-sectional study,we enrolled 1120 older adults who received physical examination in health centers.The participants were interviewed to obtain their behavioral risk factors related to CVD and clinical characteristics.A risk prediction chart was used to predict participants'cardiovascular risk based on clinical characteristics and behavioral risk factors.Participants'CVD knowledge was collected with a pretested knowledge questionnaire.Results:Among the 1120 participants,240(21.4%)had low cardiovascular risk,353(31.5%)had moderate cardiovascular risk,527(47%)had high and very high cardiovascular risk.The knowledge level about CVD among 0.8%of the 1120 participants was good while that of 56.9%was poor.Lower CVD knowledge level,older age,lower income,and lower educational level were the independent factors of higher cardiovascular risk level.Conclusions:This study highlights the need to reduce the cardiovascular risk among older adults.CVD knowledge should be considered when developing health interventions.
基金funded by the Directorate General of Civil Defense,Jordan。
文摘BACKGROUND: Stroke is a time-sensitive neurological disease and a life-threatening medical condition. Providing timely management for stroke patients is a crucial issue in healthcare settings. The primary objective of this study is to evaluate the effectiveness of an evidence-based educational program on healthcare providers'(HCPs) overall knowledge of stroke.METHODS: A randomized block design with post-test only was used. A total of 189 HCPs(physicians, registered nurses, and paramedics) involved with treating stroke patients in the emergency were recruited. Participants were randomly assigned to either the intervention or waiting list control group. A one-session, stroke educational program was offered to the HCPs followed by a post-test designed to assess knowledge about stroke. RESULTS: A significant main effect on the profession type was found, with physicians having higher mean scores of stroke knowledge compared with nurses and paramedics(F [2, 183]=48.55, P<0.001). The implemented educational program had a positive effect on increasing the level of stroke knowledge among HCPs(F [1, 183]=43.31, P<0.001). The utilization of any evidence-based assessment tools for patients with suspected stroke was denied by 36% of the total sample.CONCLUSIONS: The implemented intervention can increase HCP's knowledge regarding stroke. Stroke education should be considered as one of the essential requirements for professional development for all HCPs in the emergency.
文摘BACKGROUND Breast cancer is one of the most prevalent causes of morbidity and mortality worldwide,presenting an increasing public health challenge,particularly in lowincome and middle-income countries.However,data on the knowledge,attitudes,and preventive practices regarding breast cancer and the associated factors among females in Wollo,Ethiopia,remain limited.AIM To assess the impact of family history(FH)of breast disease on knowledge,attitudes,and breast cancer preventive practices among reproductive-age females.METHODS A community-based cross-sectional study was conducted in May and June 2022 in Northeast Ethiopia and involved 143 reproductive-age females with FH of breast diseases and 209 without such a history.We selected participants using the systematic random sampling technique.We analyzed the data using Statistical Package for Social Science version 25 software,and logistic regression analysis was employed to determine odds ratios for variable associations,with statistical significance set at P<0.05.RESULTS Among participants with FH of breast diseases,the levels of knowledge,attitudes,and preventive practices were found to be 83.9%[95%confidence interval(CI):77.9-89.9],49.0%(95%CI:40.8-57.1),and 74.1%(95%CI:66.9-81.3),respectively.In contrast,among those without FH of breast diseases,these levels were significantly decreased to 10.5%(95%CI:6.4-14.7),32.1%(95%CI:25.7-38.4),and 16.7%(95%CI:11.7-21.8),respectively.This study also indicated that knowledge,attitudes,and preventive practices related to breast cancer are significantly higher among participants with FH of breast diseases compared to those without HF breast diseases.CONCLUSION Educational status,monthly income,and community health insurance were identified as significant factors associated with the levels of knowledge,attitudes,and preventive practices regarding breast cancer among reproductive-age females.
基金supported in part by a non profit organization"Epidemiological and Clinical Research Information Network"
文摘Objective:To measure highly pathogenic avian influenza(HPAI)-related knowledge,attitudes, and practices(KAPs) among Cambodian women.Methods:This cross-sectional study selected 246 married women aged between 18-55 years who had backyard poultry and lived at least one year in the areas of the survey through multi-stage cluster sampling.An average score of correct answers was generated to evaluate respondents’ knowledge(Good/Poor).attitudes(Positive/ Negative),and practices(Good/Bad).Results:We reported that about half of the respondents had good knowledge and good practices and four-fifth of them had positive attitudes towards HPAl.Odds ratios(ORs) and 95%confidence intervals(CIs) were estimated through a logistic regression model to explore contributing factors that raise their KAP levels.Most of the sources were significant in increasing knowledge of the respondent,like television(OR=l.6.95%CI=1.0- 2.7),radio(OR=2.5.95%CI=l.3-4.9).leaflets/booklets(OR=2.1,95%CI=1.2-3.9),school students (OR=18.4.95%CI=2.4-142.9).village health volunteers(OR=4.5.95%CI=2.2-10.9) etc.Factors such as television(OR=3.7.95%CI=2.1-6.4).leaflets/booklets(OR=2.6,95%CI7=1.4-5.1).and public health staff(OR=2.2,95%CI=1.2-4.1) had similar influence on practices.Although,we found similar effect on raising the attitudes of the responded,it was not significant.Conclusions: We report a satisfactory level of positive attitudes,and moderate level of knowledge and practices related to HPAI among Cambodian women.Raising KAPs through television,radio and other medias may be more efficient than using usual information,education and communication materials to prevent HPAI.
文摘There has been little focus on men＇s reproductive health （RH） in China. This descriptive study conducted in Yiling District, Yichang, China, surveyed male knowledge of sexual physiology and RH to assess levels of knowledge, attitudes and practices （KAPs） regarding prevention of sexually transmitted diseases （STDs）. A total of 3933 men, aged 18-59 years （mean, 40.3 years）, were recruited by cluster random sampling. They completed a questionnaire in the presence of an interviewer, with items related to subject characteristics, RH knowledge, and subjective symptoms of the reproductive system. Physical examination and reproductive system disease diagnosis were performed. Participants＇ occupations were predominantly skilled labor （80.5%）. Nearly four-fifths （78.5%） respondents had at least one reproductive disease. Over half of respondents were aware of and declared a positive attitude about sexual physiology and safe sex, and 70% of them selected to visit a doctor when they had a reproductive disorder. However, only 41.9% believed human immunodeficiency virus/acquired immunodeficiency syndrome could be transmitted through breastfeeding, and 64.6% incorrectly thought they could avoid contracting STDs by cleaning their genitals after intercourse. In addition, 45% discriminated against and were unwilling to be friends with infected persons. Nearly 45% of those with a reproductive system disorder refused to discuss it with friends or family members. These results indicate that this cohort of Chinese men had a certain degree of KAP about RH, whereas some aspects require further public health education in the general population. It is necessary to disseminate accurate knowledge of STD risk in China based on sociodemographic characteristics.
