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201. Knowledge, awareness, and perception of oral and maxillofacial surgery among the public and professionals in Saudi Arabia: a cross-sectional study. (Abstract)

Knowledge, awareness, and perception of oral and maxillofacial surgery among the public and professionals in Saudi Arabia: a cross-sectional study. Although oral and maxillofacial surgery (OMS) is expanding rapidly in Saudi Arabia, accurate knowledge of the specialty appears to be lacking. The aim of this study was to assess the knowledge, awareness, and perception of OMS among the public and professionals in Saudi Arabia. A cross-sectional design was adopted, incorporating five groups: dental (...) recognized OMS as appropriate for some problems, such as mandibular reconstruction, but for others recognition was poor. Surprisingly, medical professionals were the only group to strongly consider plastic surgery appropriate for treating orthognathic correction. Dental professionals were the most informed. This study highlights the need for greater awareness and education regarding OMS, promoting its development, contribution, and impact among the public and healthcare professionals in Saudi

2019 International Journal of Oral and Maxillofacial Surgery

202. Awareness of abusive head trauma in a German population-based sample: implications for prevention. (Abstract)

Awareness of abusive head trauma in a German population-based sample: implications for prevention. Despite efforts to reduce the incidence of abusive head trauma (AHT), incidence rates remain high. One cause is that prevention programs mostly aim to educate mothers of newborns on AHT and infant crying. However, mothers commonly have already a high knowledge and constitute only a minority among identified AHT perpetrators. The hypothesis was that there are great differences in AHT awareness (...) in different subgroups. To assess awareness of AHT, a population-based study was performed.A population-based representative sample of the German population aged >14 years (N = 2510) was assessed in a cross-sectional observational survey. The sample was selected in a random route approach between November 2017 and February 2018.Overall knowledge of AHT was higher in women (67.9%) than in men (48.8%, p < 0.001). Female gender, having children, higher age, and level of education were predictors

2019 Pediatric Research

203. BeGuideWell: A prospective cross-sectional study analysing the awareness and opinions of nursing students in Poland on the usefulness of European Society of Cardiology guidelines in post-graduate education programme. (Abstract)

BeGuideWell: A prospective cross-sectional study analysing the awareness and opinions of nursing students in Poland on the usefulness of European Society of Cardiology guidelines in post-graduate education programme. The role of clinical guidelines is to provide patients with the best quality, evidence-based care. Nurses are actively involved in the development of the European Society of Cardiology guidelines. A number of the guidelines include specific recommendations relating to nursing (...) duties and, hence, nurses require necessary knowledge and skills for their implementation. Inclusion of the guidelines in the curricula for university nursing programmes could facilitate their implementation to everyday practice.The purpose of this study was to determine the awareness and opinions of Polish nursing students who participated in a guideline-based Master of Science education programme about the usefulness of the European Society of Cardiology guidelines.A prospective and cross-sectional

2019 European Journal of Cardiovascular Nursing

204. Pilot observational prospective cohort study on the use of a novel home-based urinary pregnanediol 3-glucuronide (PDG) test to confirm ovulation when used as adjunct to fertility awareness methods (FAMs) stage 1. Full Text available with Trip Pro

Pilot observational prospective cohort study on the use of a novel home-based urinary pregnanediol 3-glucuronide (PDG) test to confirm ovulation when used as adjunct to fertility awareness methods (FAMs) stage 1. Ovulation confirmation is a fundamental component of the evaluation of infertility.To inform the design of a larger clinical trial to determine the effectiveness of a new home-based pregnanediol glucuronide (PDG) urine test to confirm ovulation when compared with the standard of serum (...) to offer a narrow CI between 95% and 100%.This is first study to clinically evaluate this test when used as adjunct to the fertility awareness methods. While this pilot study was not powered to validate or test efficacy, it helped to provide information on power, recruitment and retention, acceptability of the procedures and ease of its use by the participants. Given this test had a preliminary result of 100% specificity, further research with a larger clinical trial (stage 2) is recommended to both

2019 BMJ open

205. Hypoglycaemia Awareness Restoration Programme for People with Type 1 Diabetes and Problematic Hypoglycaemia Persisting Despite Optimised Self-care (HARPdoc): protocol for a group randomised controlled trial of a novel intervention addressing cognitions. Full Text available with Trip Pro

Hypoglycaemia Awareness Restoration Programme for People with Type 1 Diabetes and Problematic Hypoglycaemia Persisting Despite Optimised Self-care (HARPdoc): protocol for a group randomised controlled trial of a novel intervention addressing cognitions. Severe hypoglycaemia (SH), when blood glucose falls too low to support brain function, is the most feared acute complication of insulin therapy for type 1 diabetes mellitus (T1DM). 10% of people with T1DM contribute nearly 70% of all episodes (...) , with impaired awareness of hypoglycaemia (IAH) a major risk factor. People with IAH may be refractory to conventional approaches to reduce SH, with evidence for cognitive barriers to hypoglycaemia avoidance. This paper describes the protocol for the Hypoglycaemia Awareness Restoration Programme for People with Type 1 Diabetes and Problematic Hypoglycaemia Persisting Despite Optimised Self-care (HARPdoc) study, a trial to assess the impact on hypoglycaemia experience of a novel intervention that addresses

2019 BMJ open Controlled trial quality: predicted high

206. Should we include monitors to improve assessment of awareness and pain in unconscious palliatively sedated patients? A case report. (Abstract)

Should we include monitors to improve assessment of awareness and pain in unconscious palliatively sedated patients? A case report. Awareness and pain during palliative sedation is typically assessed by observational scales, but the use of such scales has been put into question.A woman in her mid-80s was admitted to a palliative care unit, presenting with chronic lymphatic leukemia, depression, and a cerebrovascular accident, with right-sided hemiplegia and aphasia. The patient was unable

2019 Palliative medicine

207. International Multicenter Survey of Perioperative Management of External Ventricular Drains: Results of the EVD Aware Study. (Abstract)

International Multicenter Survey of Perioperative Management of External Ventricular Drains: Results of the EVD Aware Study. The perioperative management of patients with external ventricular drains (EVDs) is not well defined, and adherence to published management guidelines unknown. This study investigates practice, patterns, and variability in the perioperative management of patients with EVDs.A 31-question survey was sent to 1830 anesthesiologists from 27 institutions in North America (...) likely to include baseline neurological examination (P=0.023), hourly cerebrospinal fluid output (P=0.006) and color (P<0.001), intracranial pressure trends (P<0.001), and EVD clamp trial (P<0.001) data in their routine preanesthetic assessment of patients with EVDs. There was a low prevalence of routine intracranial pressure monitoring during patient transport of patients with EVDs (14.4%). Overall, 25.9% of respondents were aware of EVD guidelines, and 21% reported receiving formal training in EVD

2019 Journal of neurosurgical anesthesiology

208. Awareness of alcohol marketing, ownership of alcohol branded merchandise, and the association with alcohol consumption, higher-risk drinking, and drinking susceptibility in adolescents and young adults: a cross-sectional survey in the UK. Full Text available with Trip Pro

Awareness of alcohol marketing, ownership of alcohol branded merchandise, and the association with alcohol consumption, higher-risk drinking, and drinking susceptibility in adolescents and young adults: a cross-sectional survey in the UK. To explore awareness of alcohol marketing and ownership of alcohol branded merchandise in adolescents and young adults in the UK, what factors are associated with awareness and ownership, and what association awareness and ownership have with alcohol (...) consumption, higher-risk drinking and susceptibility.Online cross-sectional survey conducted during April-May 2017.The UK.Adolescents and young adults aged 11-19 years in the UK (n=3399).Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) (0-12) and indication of higher-risk consumption (>5 AUDIT-C) in current drinkers. Susceptibility to drink (yes/no) in never drinkers.Eighty-two per cent of respondents were aware of at least one form of alcohol marketing in the past month and 17% owned

2019 BMJ open

209. Awareness and its relationships with neuropsychiatric symptoms in people with Korsakoff syndrome or other alcohol-related cognitive disorders living in specialized nursing homes. Full Text available with Trip Pro

Awareness and its relationships with neuropsychiatric symptoms in people with Korsakoff syndrome or other alcohol-related cognitive disorders living in specialized nursing homes. Impaired awareness of functional deficits is often observed in people with Korsakoff syndrome (KS) and may result in refusal of care, although this area has been understudied. This study aimed to investigate levels of impaired awareness and their relationships with neuropsychiatric symptoms (NPS) in people with KS (...) residing in specialized nursing homes.A cross-sectional, observational study was conducted among 215 residents with KS or other alcohol-related cognitive disorders. Awareness was measured with the Patient Competency Rating Scale (PCRS). NPS and subsyndromes were measured with the Neuropsychiatric Inventory-Questionnaire (NPI-Q). Adjusted multilevel regression analyses were performed to examine the relationships between the level of awareness and NPS.The mean level of impaired awareness was 39.3 (SD

2019 International Journal of Geriatric Psychiatry

210. Long term outcome of a community-based hepatitis B awareness campaign: eight-year follow-up on linkage to care (LTC) in HBV infected individuals. Full Text available with Trip Pro

Long term outcome of a community-based hepatitis B awareness campaign: eight-year follow-up on linkage to care (LTC) in HBV infected individuals. Chronic hepatitis B (CHB) is a major cause of liver-related morbidity and mortality. High HBV prevalence in immigrants and ethnic minorities and numerous barriers to healthcare access are associated with serious health disparities in the United States. Reportedly, self-awareness of HBV infection is low, suggesting a greater need for effective (...) on these HBV-infected individuals was obtained to determine their access to care, and thus the efficacy of a campaign to improve LTC. The participants' self-awareness of HBV infection and other factors for LTC were also evaluated.Of a total of 97 HBV-infected participants (age range 30 to 79), 74 were aware of their infections at screening. The remaining 23 had been unaware of their infections until screening. Eight years after the campaign, some 66 of these 97 individuals accessed care (LTC rate 68

2019 BMC Infectious Diseases

211. Awareness of limited joint mobility in type 2 diabetes in general practice in the Netherlands: an online questionnaire survey. Full Text available with Trip Pro

Awareness of limited joint mobility in type 2 diabetes in general practice in the Netherlands: an online questionnaire survey. Next to the well-known micro- and macrovascular complications, type 2 diabetes mellitus (T2DM) is associated with musculoskeletal disorders of the upper extremities referred to as limited joint mobility (LJM), e.g. carpal tunnel syndrome (CTS) and adhesive capsulitis. Unrecognized and untreated LJM can lead to poor quality of life and non-compliance to diabetes (...) treatment which aggravates LJM. Despite its reported higher prevalence in international prevalence studies, examination of the upper extremities is still no part of the regular diabetes mellitus (DM) check-ups. The primary aim of this study was therefore to evaluate the awareness of Dutch GPs and nurse practitioners concerning LJM. Secondary aims were to evaluate the current management of a patient with LJM, and to assess opinions regarding the question of who should screen for LJM if this is done

2019 BMC Family Practice

212. Courses of Change in Good Emotional Preparedness for Death and Accurate Prognostic Awareness and Their Associations With Psychological Distress and Quality of Life in Terminally Ill Cancer Patients' Last Year of Life. (Abstract)

Courses of Change in Good Emotional Preparedness for Death and Accurate Prognostic Awareness and Their Associations With Psychological Distress and Quality of Life in Terminally Ill Cancer Patients' Last Year of Life. Emotional preparedness for death is a distinct but related concept to prognostic awareness (PA). Both allow patients to prepare psychologically and interpersonally for death, but they have primarily been examined in cross-sectional studies.To 1) explore the courses of change

2019 Journal of Pain and Symptom Management

213. Comparable level of joint awareness between the bi-cruciate and cruciate retaining total knee arthroplasty with patient-specific instruments: a case-controlled study. (Abstract)

Comparable level of joint awareness between the bi-cruciate and cruciate retaining total knee arthroplasty with patient-specific instruments: a case-controlled study. Bi-cruciate-retaining total knee arthroplasty (BCR-TKA) is recognized as an alternative to the cruciate-retaining total knee arthroplasty (CR-TKA) within the pursuit of retrieving the "forgotten artificial knee joint". The aim of this study was to provide a short-term comparison in functional and clinical outcomes between BCR (...) -TKA.Patients reported a significant improved health-related quality of life (p = 0.017) and a non-significant difference in joint awareness at 3-year-follow-up with a moderate effect size (0.4). Operating time in BCR-TKA (1:16, ± 0:16) is significantly longer (p < 0.000) than in CR-TKA (0:50, ± 0:12). Blood loss significantly increased (p = 0.005) in BCR-TKA (246.4 cc, 79.8) compared to CR-TKA (195.5 cc, ± 106.2). Comparable length of hospital stay (n.s.) was observed in BCR-TKA (1.1 days, ± 1.1) and CR

2019 Knee Surgery, Sports Traumatology, Arthroscopy

214. Current practice and awareness of pediatric off-label drug use in Shanghai, China -a questionnaire-based study. Full Text available with Trip Pro

Current practice and awareness of pediatric off-label drug use in Shanghai, China -a questionnaire-based study. Off-label drug use is widespread in pediatric drug treatment, and the implementation of guidelines on this topic remains challenging. The objective of this study was to evaluate current practice and awareness of healthcare professionals towards pediatric off-label drug use, as well as the barriers to guideline implementation among pediatric healthcare professionals in Shanghai (...) of pediatric dosage information. The most common category of off-label prescribing in children was dosage. Nearly half (42.0%) of the participating hospitals had developed internal protocols for off-label drug use. However, approximately half of the respondents reported that they did not adhere to the guidance and that it had barriers to implementation. Most respondents (84.5%) declared that they were familiar with the term "off-label drug use". However, the awareness rate of the Chinese Expert Consensus

2019 BMC Pediatrics

215. Attitude toward and awareness of medical-dental collaboration among medical and dental students in a university in Indonesia. Full Text available with Trip Pro

Attitude toward and awareness of medical-dental collaboration among medical and dental students in a university in Indonesia. Medical-dental collaboration expands patients' access to health services, improves healthcare outcomes, and reduces the burden and cost of care, especially for those with chronic diseases. The aim of the present study is to investigate the attitude toward and awareness of medical-dental collaboration among medical and dental students attending the Universitas (...) Indonesia.All medical and dental students at the Universitas Indonesia were invited to participate in a web-based questionnaire survey that contained eight questions on attitudes toward medical-dental collaboration and two questions regarding awareness of dental-medical collaborative practices. The demographic backgrounds of all participants were obtained. The chi-square test and logistic regression analysis were employed for data analysis.A total of 1,432 questionnaires were distributed, and 1,137 (79

2019 BMC Oral Health

216. Dental students' awareness and attitudes toward HPV-related oral cancer: a cross sectional study at the University of Jordan. Full Text available with Trip Pro

Dental students' awareness and attitudes toward HPV-related oral cancer: a cross sectional study at the University of Jordan. The incidence of human papilloma virus (HPV)-related oral cancer has recently increased worldwide. The role of dentists is of prime importance in the early detection of oral cancer which would result in a favourable outcome for the patients. The aim of the current study was to assess the knowledge, awareness and attitudes of dental students, interns and postgraduate (...) . The majority of participants in the clinical group displayed hesitancy in discussing personal topics with the patients, including the history of previous sexually transmitted infections and sexual abuse.Gaps in knowledge regarding HPV-related oral cancer has been detected which necessitate intervention measures including curricular changes, training workshops and awareness campaigns.

2019 BMC Oral Health

217. Increasing awareness of food-choking and nutrition in children through education of caregivers: the CHOP community intervention trial study protocol. Full Text available with Trip Pro

Increasing awareness of food-choking and nutrition in children through education of caregivers: the CHOP community intervention trial study protocol. Choking is one of the leading causes of death among unintentional injuries in young children. Food choking represents a considerable public health burden, which might be reduced through increased effective preventative education programs. We present a protocol for a community intervention trial termed CHOP (CHOking Prevention project) that aimed

2019 BMC Public Health Controlled trial quality: uncertain

218. Medication adherence: A method for designing context-aware reminders. (Abstract)

Medication adherence: A method for designing context-aware reminders. Several interventions have been proposed to improve medication adherence including those using reminders. Context-aware reminders can be effective because they operate when the dose is due, has not been taken, and is still safe to take. Although very promising, we find that there is no method to design context-aware reminders. To address these, we focus on proposing a method to design context-aware reminders.We conducted (...) a systematic review of context-aware reminders for medication adherence using PRISMA approach. The analysis of literature leads to several interesting observations including the need for a method to design context-aware reminders. In this study, we present Method to Design Context-Aware Reminders (MDCAR) that can also meet special requirements. We used domain experts reasoning to evaluate the designed Context-Aware Reminders for Medication Adherence (CARS-MA). Further, we used analytical model to evaluate

2019 International journal of medical informatics

219. Visual working memory and saliency independently influence the priority for access to visual awareness. Full Text available with Trip Pro

Visual working memory and saliency independently influence the priority for access to visual awareness. Both visual working memory (VWM) and visual saliency influence sensory processing, as is evident from research on visual attention and visual awareness. It is generally observed that items that are memorized or salient receive priority in visual search and in the access to awareness. Here we investigate whether these two factors interact and together boost access to visual awareness more than (...) each factor independently. In the present experiment, we manipulated the VWM relevance and saliency of an item through a color memorization task and color uniqueness, respectively. We applied continuous flash suppression (CFS) to suppress items from visual awareness. The color of the suppressed items could either be congruent or incongruent with the memorized color, and either stood out from its surrounding distractors (salient pop out) or not. The item's priority for visual awareness was measured

2019 Journal of vision

220. Improving the disease awareness: how a communication campaign brings hidradenitis suppurativa to the light. Full Text available with Trip Pro

Improving the disease awareness: how a communication campaign brings hidradenitis suppurativa to the light. Hidradenitis suppurativa is an inflammatory skin disease that presents a recurrence of painful and suppurating lesions in the apocrine gland-bearing regions, with a strong impact on the patients' life quality. Despite its peculiar presentation, early forms are often underestimated by patients and this would inevitably result in late diagnosis and delayed therapy.Improved communication (...) around the disease could facilitate self-diagnosis and a quicker response from healthcare practitioners, especially in this moment when we dispose of effective treatment against this disease.A HS awareness campaign was conducted for 2 years with the help of a media agency and a patients' association.Results confirm that a better communication has a strong impact on the disease awareness.This paper demonstrates that the more this disease awareness is carried on, the more quick, effective and efficient

2019 Journal of the European Academy of Dermatology and Venereology

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