1.Retention of basic and clinical concepts in Anatomy and the effect of multiple testing
Julius Ceazar H. Reyes ; Melflor A. Atienza
Philippine Journal of Health Research and Development 2020;24(2):48-57
Background:
Clinical competency depends on student's knowledge of basic sciences including the learned
concept in Anatomy. But what if students forget the learned knowledge of human anatomy?
Objectives:
This research investigated knowledge gain post instruction, knowledge retention (or loss) of basic and clinical concepts five months after. It also compared the effect of delayed-multiple testing and delayedsingle testing in the retention of acquired knowledge.
Methodology:
This is an experimental study conducted among first year medical students who underwent
neuroanatomy module and later followed-up after five months using a 32-item test-retest. Items were
categorized as basic knowledge and clinical correlation. Participants were randomly assigned into two groups; delayed-multiple and delayed-single testing. Mean difference in scores between the 2 testing periods (end-ofmodule and terminal delayed test) were analyzed using paired samples t-test while mean difference between basic and clinical correlation were analyzed using independent samples t-test. The degree of knowledge loss was determined using the computed Knowledge Loss Percentage (KLP).
Results:
Knowledge gain was noted at the end of instruction (p value<0.001). Knowledge loss is higher among basic knowledge (p value<0.001) and demonstrated a higher computed KLP. Repeated testing demonstrates a higher retention (KLP=4.34) compared to those administered with a single test only (KLP=26.73).
Conclusion
Knowledge loss occurs post instruction and more pronounced among basic concepts. Clinical correlation and frequent testing demonstrate a significant retention capability. To reduce the effect of knowledge loss among basic concepts, this study recommends the implementation of multiple testing.
Knowledge
2.The effect of a two-day training and refresher program on the basic emergency obstetric and newborn care knowledge and skills of health workers in Legazpi City, Albay.
Ma. Stephanie Fay S. CAGAYAN ; Rita Mae ANG-BON ; Fernando B. GARCIA Jr. ; Filomena S. SAN JUAN ; Cecilia L. LLAVE ; Catherine BANWELL ; Erlidia F. LLAMAS-CLARK
Acta Medica Philippina 2022;56(3):96-105
Objectives: The availability of emergency obstetric and newborn care (EmONC) services is one of the key strategies in improving maternal health and achieving Sustainable Development Goal 3. Health staff knowledge and competency on these interventions are crucial to ensure the effective handling and management of obstetric and newborn emergencies. Health workers, despite having undergone formal training, require regular refresher courses to keep up with new, evidence-based information on EmONC intervention; and to ensure compliance with national and local referral guidelines. A two-day workshop was implemented to assess the knowledge and skills of health workers in Legazpi, Albay, regarding obstetric emergency cases and referral guidelines.
Methods: A pretest was conducted on the first day to assess the knowledge of the participants. A series of lectures were given before administering a posttest at the end of these lectures. An Objective Structured Clinical Examination (OSCE) was conducted on the second day, which aimed to assess the skills of the participants.
Results: The pretest findings indicated that the participants are generally knowledgeable about areas such as handwashing and prenatal care. Results of the posttest show that participants had difficulty with the category of referrals. Moreover, comparing the pretest and posttest scores, there is strong evidence that there is a difference in the median values of the pretest scores as compared to the posttest scores. The results of the OSCE also indicate the need for further training on partograph use and adherence to an EINC protocol. More than half of the participants passed all five parts of the OSCE.
Conclusion: The workshop contributed to an improvement in the knowledge of health care workers in obstetric emergency cases. Skills-wise, more frequent training may need to be conducted to improve other competencies such as partograph utilization and the practice of EINC interventions.
Key Words: emergency obstetric care, training, skilled birth attendants, knowledge, skills
Knowledge
3.Knowledge and practices concerning disaster preparedness among Rural Health Unit personnel in Aurora Province, Philippines
Robelita N. Varona ; Roinuj G. Hipol ; Krezelle Gay C. Baliwang
Philippine Journal of Health Research and Development 2021;25(2):31-39
Background:
Public health workers play significant roles in communities in terms of disaster management. Disaster risk reduction management laws and country plans serve as the legal basis and framework in preparing for, mitigating, and responding to a disaster.
Objective:
This study was conducted to assess the knowledge and practices of Rural Health Unit (RHU) personnel on disaster preparedness.
Methodology:
A descriptive survey design using a self-report questionnaire developed by the researchers obtained from the Philippine Disaster Risk Reduction and Management (PDRRM) Act of 2010 and the National Disaster Risk Reduction and Management Plan (NDRRMP) 2011-2028 was employed. Via total enumeration, participants from eight RHUs in Aurora Province voluntarily consented to take part. The data were analyzed by employing descriptive statistics such as frequencies, percentages, and measure of central tendency or median by SPSS statistics.
Results:
The majority of the participants were aged 55 years and above (25.90%), females (78.42%), and were Rural Health Midwives (RHMs) (39.57%). One hundred and thirty-eight (99%) of the RHU personnel in Aurora Province were found to be knowledgeable about disaster preparedness and 90 (65%) of the participants had practiced activities in this regard.
Conclusion
The Rural Health Unit (RHU) personnel of Aurora Province are knowledgeable about disaster preparedness and its practices. Public health workers with these characteristics are pillars of strength for the local government units (LGUs). They can continue to enhance comprehensive disaster preparedness education programs in their communities, and assist their LGUs during municipal disaster management planning.
Knowledge
4.To assess the changes in knowledge of women about health care services at some commune health stations of Ba Vi district, Ha Tay province
Journal of Practical Medicine 2005;0(12):79-80
Finding some clinical features of urinary tract stone and survey chemical component of urinary tract stone in 3 areas of Thua Thien Hue province. Stones were collected from patients surgeried and crushed stones from 1/2003 to 5/2004. The result show that: the man patients ‘s average age were: 46±12,4 : the man patients ‘s average age were: 42±12,1 với nữ. The common symtoms: pain, biting urinate, big kidney. 100% stones were calci stone, most of them were calci oxalate.
knowledge of women
5.Knowledge of leprosy in population of the 2 village of leprosy in Gia Lai province
Journal of Practical Medicine 2002;435(11):24-25
A social investigation was carried out by questionnaire in 37 people in the Domax village and 15 people in Jri village, in which male: 29, female: 23, Gia Rai minority: 28 people and Bana minority: 13 people. The results have shown that, people's knowledge, in generally, was low. 86% of questioned people thought that the leprosy can be treated at home. 67.3% of those said that the disease can be eliminated. 71,2% of population thought that patients with leprosy should live at home together with their families. 84.6% of population knew the leprosy chemotherapy. 21.2% of population thought that it should not contact with patients with leprosy, and 28.8% of population thought that it should not live together with patients with leprosy
Leprosy
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Knowledge
6.Exploration on Knowledge Management Construction of Medical Device Evaluation.
Chinese Journal of Medical Instrumentation 2020;44(4):331-333
Knowledge management is an important method for the organization to manage information and knowledge systematically and make knowledge innovate continuously. Knowledge management includes the stages of knowledge acquisition, sharing and use, and finally achieves the goal of taking knowledge as the production factor and improving work efficiency in an organization. The core work of technical evaluation of medical devices is typical knowledge work, and the knowledge management system is of great significance to the review agency in improving work efficiency, promoting talent training, improving management level and service quality. This study briefly introduces the framework of the knowledge management system of medical device technical evaluation in the Center for Certification and Evaluation, SHFDA, and provides reference for relevant organizations to carry out knowledge management of medical device technical evaluation.
Knowledge Management
7.Knowledge, attitude, and intention to practice pre-marital testing among midwifery students in Vietnam
Chinh Van Nguyen ; Nhan Thi Nguyen ; Tram Thi My Nguyen
Philippine Journal of Nursing 2021;91(1):74-80
Background:
Hereditary diseases are considered one of the most common causes of death and morbidity in infants and children. It significantly burdens the health system, family, and society. Pre-marital testing is one of the most proactive and effective ways to prevent hereditary diseases, infectious diseases, and congenital abnormalities.
Purpose:
To examine the level of knowledge and attitudes regarding pre-marital testing and the intention to practice pre-marital testing; and, To identify the correlation between knowledge, attitudes, and intention to practice pre-marital testing among midwifery students.
Methods:
Adescriptive correlational study was conducted from May to July 2020 among 150 midwifery students at the University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam. The research consists of a questionnaire with four main parts: demographic characteristics, knowledge about pre-marital testing, attitudes toward pre-marital testing, and intention to practice pre-marital testing. Descriptive statistics and univariate analysis were used for data analysis. The significance level of the statistical test was set up at α = .05.
Results:
The average age of students was 21.73 years old, most of them were unmarried (98%). More than three-quarters (80.7%) of them had good knowledge about pre-marital testing and (88.7%) of them had a positive attitude towards pre-marital testing. Most students (94.7%) have an intention to use a pre-marital test and believe in its benefits. Knowledge was positively correlated with intention to practice pre-marital testing (X2 = 5.10, p = 0.02). Likewise, attitude toward pre-marital testing was positively correlated with the intention to practice pre-marital testing (X2 = 12.57, p < 0.001).
Conclusions
The findings emphasized the important role of health education which is a keystone in improving pre-marital
knowledge, attitudes, and the practice of pre-marital testing to prevent hereditary diseases and improve people's health.
Knowledge
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Attitude
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8.Knowledge and compliance to standard precautions and general self efficacy among nurses in a tertiary hospital
Philippine Journal of Nursing 2021;91(2):36-43
Purpose:
This study aimed to evaluate the level of knowledge on Standard Precautions, level of compliance to Standard Precautions, and General self-efficacy of nurses in a tertiary hospital. Also, this study aimed to identify the relationship between those variables.
Design and Methods:
A descriptive correlational research design was utilized in the study. 168 nurses from the tertiary hospital
from Nueva Ecija, Philippines were recruited to complete a questionnaire about their knowledge and compliance to Standard Precautions and their General self-efficacy. The data was coded, encoded, and statistically analyzed using PSPP 1.2.0 (GNU Project. New York City, New York, USA).
Results:
Findings indicated that nurses have good knowledge and high compliance concerning standard precautions; also, findings showed that nurses have a moderate level of general self-efficacy. However, there was no remarkable relationship between the level of knowledge, level of compliance in Standard Precautions, and general self-efficacy.
Conclusions
Although the researcher concluded a high level of knowledge among nurses, statistical analysis showed no
relationship when correlated with compliance. This concluded that knowledge of Standard Precautions does not necessarily influence compliance and its application. Also, findings inferred that a moderate level of general self-efficacy did not act upon the level of compliance of nurses to Standard Precautions.
Compliance
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Knowledge
9.Knowledge, attitude, and practices on rabies prevention and control among primary care providers of children 0-18 years old
Nikki Francheska L. Tubeo-Dilao ; Jonathan G. Lim ; Cheryl K. Bullo
Pediatric Infectious Disease Society of the Philippines Journal 2024;25(1):54-63
Objectives:
To determine the knowledge, attitude, and practices (KAP) on rabies prevention and control among
primary care providers of children 0-18 years old.
Methodology:
This is an analytical cross-sectional study conducted among primary care providers of children 0-
18-years old in Barangay Sambag I, Cebu City, Philippines. A questionnaire to determine the KAP on rabies
prevention and control, originally developed by Lañada et al., was modified and contextualized to the local setting.
Respondents with at least 75% correct answers per domain were considered to have good overall knowledge,
attitude, and practices. Furthermore, each question under the above domains was analyzed separately to determine
any gaps in KAP. Results were recorded as frequencies and percentages. The association of KAP to one another
and the respondents’ profiles were analyzed using Chi-square test with a level of significance of 0.05.
Results:
Among 285 respondents, 59.3% had poor knowledge, 35.8% had wrong practices, and 21.8% had negative
attitude on rabies prevention and control. We found that 92.6% did not know that rabies is incurable. As to
practices, performing “tandok” (42.5%), or the act of removal of rabies from a wound by using an animal horn,
and applying herbal medicines (34%) were still done. Use of dog restraint (44.6%) and euthanasia (40%) weren’t
favorable to study participants. Surprisingly, non-dog owners had good knowledge and positive attitude than dog
owners.
Conclusion
Our study showed that majority of the study population had poor knowledge on rabies prevention
and control, on disease transmission, and on the incurability of rabies. While majority had a positive attitude and
correct practices, the unacceptability on the use of a dog restraint and euthanasia, especially among dog owners,
were still evident.
Rabies
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Knowledge
10.Knowledge, attitudes, and practices in colorectal cancer screening in the Philippines
Joseff Karl U. Fernandez ; Martin Augustine B. Borlongan ; Michael Anthony A. Baliton ; Dennis L. Sacdalan ; Florge Francis A. Sy ; Analigaya R. Agoncillo ; Carl Lawrence C. Arenos ; Vincent F. Tatoy ; Timothy Joseph S. Uy ; Isabela Andrea L. Reveldez ; Steven Johnson L. Lim
Acta Medica Philippina 2024;58(Early Access 2024):1-15
Background and Objective:
Colorectal cancer (CRC) has the third highest incidence in the Philippines. Currently,
there is a paucity in literature that is focused on the knowledge, attitudes, and perceptions of Filipinos regarding CRC screening. This is the first study in the Philippines that describes this.
Methods:
This is a cross-sectional study that validated a 52-item Filipino questionnaire on the knowledge on
colorectal cancer, willingness to undergo CRC screening, and perceived benefits and barriers to fecal occult blood test (FOBT) and colonoscopy. The study enrolled household heads more than 20 years of age residing in both urban and rural communities in the Philippines.
Results:
The UP-PGH CRC KAP (University of the Philippines – Philippine General Hospital Colorectal Cancer
Knowledge, Attitudes, and Practices) and Rawl Questionnaire’s validity and internal consistency were established in a pilot study of 30 respondents. A total of 288 respondents were then enrolled to the main study group with a median age of 54.0. Knowledge scores for prognosis and utility of CRC screening were modest (6.3/12 and 8.4/20, respectively). Perceived benefit scores to FOBT and colonoscopy were high (9.9/12 and 13.9/16, respectively).Median scores to barriers to FOBT and colonoscopy were intermediate (22.5/36 and 35.8/60, respectively). Notably, a vast majority (86.1%) were willing to participate in CRC screening programs initiated by the government, and 46.9% agreed to undergo screening tests even as out-of-pocket expense.
Conclusion
The UP-PGH CRC KAP Questionnaire as well as the Filipino translation of the Rawl Questionnaire
are reliable and valid tools in extensively assessing the knowledge of Filipinos on CRC and willingness to undergo screening, as well as the benefits of and barriers to FOBT and colonoscopy. Knowledge scores were modest suggesting that directed educational campaigns and awareness programs can aid in increasing awareness about CRC and its screening. Household income and highest educational attainment were significantly positively correlated with knowledge scores, and perceived benefits of and barriers to CRC screening. Scores were generally comparable between urban and rural communities.
Knowledge
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Attitudes