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Insufficient Knowledge (insufficient + knowledge)
Selected AbstractsNurses' knowledge of high-alert medications: instrument development and validationJOURNAL OF ADVANCED NURSING, Issue 1 2010Ghi-Yin Hsaio Abstract Title.,Nurses' knowledge of high-alert medications: instrument development andvalidation. Aim., This paper is a report of the development and validation of an instrument to measure nurses' knowledge of high-alert medications and to analyse known administration errors. Background., Insufficient knowledge is a factor in nurses' drug administration errors. Most errors do not harm patients, but incorrect administration of high-alert medications can result in serious consequences. Sufficient knowledge about high-alert medications is vital. Method., A cross-sectional study was conducted in 2006 in Taiwan using a questionnaire developed from literature review and expert input, and validated by subject experts and two pilot studies. Section 1 of the questionnaire (20 true,false questions) evaluated nurses' knowledge of high-alert medications and section 2 was designed to analyse known administration errors. Snowball sampling and descriptive statistics were used. Findings., A total of 305 nurses participated, giving a 79·2% response rate (305/385). The correct answer rate for section 1 was 56·5%, and nurses' working experience contributed to scores. Only 3·6% of nurses considered themselves to have sufficient knowledge about high-alert medications, 84·6% hoped to gain more training, and the leading obstacle reported was insufficient knowledge (75·4%). A total of 184 known administration errors were identified, including wrong drug (33·7%) and wrong dose (32·6%); 4·9% (nine cases; 9/184) resulted in serious consequences. Conclusion., The questionnaire was valid and reliable. Evidence-based results strongly suggest that nurses have insufficient knowledge about high-alert medications and could benefit from additional education, particularly associated with intravenous bolus administration of high-alert medications. Further research to validate the instrument is needed. [source] Retrospective clinical study of 90 avulsed permanent teeth in 58 childrenDENTAL TRAUMATOLOGY, Issue 6 2008Vasileios Tzigkounakis We analyzed the documentations of a sample of patients containing 57 children who had a total of 90 avulsed teeth and were treated in Dentistry Department of Medical Faculty in Pilsen, Czech Republic, in the years between 1995 and 2005. We discovered that most frequently the children experience dental avulsion in the age between 8 and 11 years old, the most affected teeth are the upper central incisors and the most frequent causes are sports and games which are very common in these ages, in various environments, like schools, sport fields and home. The majority of the children were transferred to the Dentistry Department either quite long after the avulsion incident and without the avulsed teeth, or with the avulsed teeth which were carried in an inappropriate transport medium, indicating that there is insufficient knowledge of adult people, especially the ones who are in daily contact with children, on how to provide first aid in cases of dental avulsion. [source] The drug situation in Thailand: the role of government and the policeDRUG AND ALCOHOL REVIEW, Issue 1 2000Dr. SUTHAM CHEURPRAKOBKIT Abstract Thailand has long dealt with the drug problem and has used several strategies to control it, including promulgating and amending drug laws, implementing drug suppression and prevention policies, cooperating with international organizations and, more recently, developing treatment facilities. Although Thailand has recently received positive results regarding reducing the opium cultivation area in the Golden Triangle and in arresting some major drug-trafficking individuals, three important issues still remain: (1) the continuation of using Thailand's advanced transportation system for the movement of illicit drug activities, (2) the rapid increase of amphetamine use among teenagers and (3) the Thai police officers' lack of concern about the drug problem and insufficient knowledge about drug laws. The article concludes that the Thai government must emphasize drug prevention strategies and the interception of illicit transported drugs and motivate its police officers to more fully enforce drug laws. In addition, more research is needed to measure the effectiveness of the drug prevention strategies and treatment programs. [source] Bursaphelenchus species in conifers in Europe: distribution and morphological relationshipsEPPO BULLETIN, Issue 2 2001H. Braasch The morphological relationship between European Bursaphelenchus species living in conifers was studied in order to provide key characters for their taxonomic identification. Several species have been newly described or recorded in Europe during the past few years and were morphologically investigated. Among the 28 conifer-inhabiting European species, four groups can be distinguished from each other by the number of lateral incisures, number and position of anal papillae of males and presence and size of a vulval flap of females. Two groups, each containing just one species show two and six lateral lines, respectively, whereas most Bursaphelenchus species belong to two groups, possessing either three or four incisures. Each of the last two groups can be divided into three subgroups, which can be differentiated by spicule shape, number and position of caudal papillae, presence and size of a vulval flap and some other features. A fifth group includes species with unclear group affiliation due to insufficient knowledge of their morphology. The B. xylophilus group (B. xylophilus, B. mucronatus, B. fraudulentus) with four lateral lines, unique spicule shape and characteristic position of the caudal papillae can clearly be differentiated from all other groups by morphology, also using only light microscopy. Within this group, B. xylophilus can clearly be differentiated morphologically from the other species, provided that adult specimens of both sexes are found and also provided that the round-tailed form of the species remains the only form present, as in Europe. Figures showing the important identification features of spicule shape and female tail shape are given for 28 species. A table shows the complete range of the most important morphometric measurements of these species. Data on the occurrence, host range and, as far as known, the vectors of these species were collected throughout Europe and references are given for each record. [source] Nurses' knowledge of high-alert medications: instrument development and validationJOURNAL OF ADVANCED NURSING, Issue 1 2010Ghi-Yin Hsaio Abstract Title.,Nurses' knowledge of high-alert medications: instrument development andvalidation. Aim., This paper is a report of the development and validation of an instrument to measure nurses' knowledge of high-alert medications and to analyse known administration errors. Background., Insufficient knowledge is a factor in nurses' drug administration errors. Most errors do not harm patients, but incorrect administration of high-alert medications can result in serious consequences. Sufficient knowledge about high-alert medications is vital. Method., A cross-sectional study was conducted in 2006 in Taiwan using a questionnaire developed from literature review and expert input, and validated by subject experts and two pilot studies. Section 1 of the questionnaire (20 true,false questions) evaluated nurses' knowledge of high-alert medications and section 2 was designed to analyse known administration errors. Snowball sampling and descriptive statistics were used. Findings., A total of 305 nurses participated, giving a 79·2% response rate (305/385). The correct answer rate for section 1 was 56·5%, and nurses' working experience contributed to scores. Only 3·6% of nurses considered themselves to have sufficient knowledge about high-alert medications, 84·6% hoped to gain more training, and the leading obstacle reported was insufficient knowledge (75·4%). A total of 184 known administration errors were identified, including wrong drug (33·7%) and wrong dose (32·6%); 4·9% (nine cases; 9/184) resulted in serious consequences. Conclusion., The questionnaire was valid and reliable. Evidence-based results strongly suggest that nurses have insufficient knowledge about high-alert medications and could benefit from additional education, particularly associated with intravenous bolus administration of high-alert medications. Further research to validate the instrument is needed. [source] What is the evidence for the use of probiotics in the treatment of inflammatory bowel disease?JOURNAL OF CLINICAL NURSING, Issue 7-8 2010Virginia A Cary Aims and objectives., The purpose of this article is to investigate the use of probiotics in the treatment of inflammatory bowel disease. Background., Probiotics have been successfully used to treat various acute illnesses such as Clostridium difficile infection, rotovirus diarrhoea and traveller's diarrhoea. Recently, some studies have reported success with probiotics in the treatment of chronic intestinal diseases such as inflammatory bowel disease. Design., Literature review. Methods., A literature search was performed to include studies on Bifidobacteria -fermented milk, Escherichia coli, Lactobacillus, Saccharomyces boulardii, VSL #3 and probiotic use. Results of the literature are analysed, and a discussion is made regarding evaluation of the literature and implications for care. Results., The majority of probiotics studied have proven to have beneficial effects in the treatment of inflammatory bowel disease, especially when taken as a dietary adjunctive to standard treatment. All probiotics studied, with the exception of Lactobacillus GG and LA1, demonstrated positive results. Conclusions., The increasing use of probiotics combined with the insufficient knowledge regarding the use of probiotics in treating inflammatory bowel disease requires that future multilevel, multicentre large randomised control trials be conducted to understand better the specific measures and effectiveness of such treatment. Relevance to clinical practice., Given that few clinical trials exist to study the potential role of probiotics in the treatment of inflammatory bowel disease, it is imperative that healthcare providers become knowledgeable about the use of probiotics and their effects on inflammatory bowel disease. [source] Women With Primary Antibody Deficiencies Requiring IgG Replacement Therapy: Their Perception of Prenatal Care During PregnancyJOURNAL OF OBSTETRIC, GYNECOLOGIC & NEONATAL NURSING, Issue 5 2004Susanne Hansen RN Objective: To investigate how a group of women with primary antibody deficiencies (PAD) and receiving replacement therapy with IgG experienced the care they received in their prenatal clinics in relation to PAD and IgG therapy. Design: An exploratory study using a written questionnaire. Setting: The study originates from an immunodeficiency unit but evaluates care experienced at prenatal clinics. Participants: Nine women (25,43 years) attending an immunodeficiency unit and who fulfilled inclusion criteria for simultaneously having PAD, replacement IgG therapy, and full-term pregnancy (the latter within the past 5 years). Main outcome: Women's perception of the response of midwives and physicians at their prenatal clinics to their PAD and IgG therapy during pregnancy. Results: Women perceived that the obstetricians and the midwives had insufficient knowledge about PAD and IgG replacement therapy. Two women reported that their IgG therapy during pregnancy had been questioned. All nine women felt marginalized and unheard by staff regarding their PAD and need for IgG therapy. However, the women were satisfied with the checkups regarding the pregnancy as such. Conclusions: This study is the first attempt to investigate the prenatal experience of women with PAD (Search of PubMed, 1980 to present, including search terms primary immunodeficiency, pregnancy, and prenatal care). This study demonstrates that increased knowledge about PAD and IgG replacement therapy among midwives and physicians working in prenatal care clinics is needed. This can prevent misleading advice that puts the health of the mother and her fetus at risk. Sensitizing staff about this special group of women can create conditions in which women feel respected, heard, and satisfied with their prenatal care. [source] Pre- and posttest evaluation of a breast cancer risk assessment program for nurse practitionersJOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 7 2010FAANP (Associate Professor), FNP-C, Quannetta T. Edwards BSN, WHCNP-C Abstract Purpose: Numerous studies have shown that healthcare providers, including nurse practitioners (NPs) fail to provide breast cancer risk assessment (BrCRA) in primary care settings. A potential barrier to the use of BrCRA is insufficient knowledge or training of risk assessment. The purpose of this study was to analyze the outcome of a BrCRA program developed to enhance NPs' knowledge of risk assessment and use of empiric risk assessment models. Data sources: Thirty-five NPs participated in a before-after (pretest,posttest design) study evaluating the effectiveness of a BrCRA education program conducted at a national NP conference. Demographics, pre/post knowledge, and course satisfaction measures were all examined as a part of this pilot study. Conclusion: Continuing education through the implementation of a BrCRA program significantly increased NPs knowledge in assessing breast cancer risk and the use of empiric risk assessment models. Implications for practice: Many healthcare providers, including NPs, are inadequately prepared to assess a woman's risk for breast cancer. Understanding breast cancer risk assessment is essential if NPs are to provide appropriate counseling, management, and referral strategies needed to reduce a woman's risk for developing the disease. Continuing education provides one means to enhance NP's knowledge of BrCRA. [source] New model calculations for the production rates of cosmogenic nuclides in iron meteoritesMETEORITICS & PLANETARY SCIENCE, Issue 4 2009Katja AMMON The model usually describes the production rates for cosmogenic radionuclides within their uncertainties; exceptions are 53Mn and 60Fe, possibly due to normalization problems. When an average S content of about 1 ± 0.5% is assumed for Grant and Carbo samples, which is consistent with our earlier study, the model predictions for 3He, 21Ne, and 38Ar are in agreement. For 4He the model has to be adjusted by 24%, possibly a result of our rather crude approximation for the primary galactic , particles. For reasons not yet understood the modeled 36Ar/38Ar ratio is about 30,40% higher than the ratio typically measured in iron meteorites. Currently, the only reasonable explanation for this discrepancy is the lack of experimentally determined neutron induced cross sections and therefore the uncertainties of the model itself. However, the new model predictions, though not yet perfect, enable determining the radius of the meteoroid, the exposure age, the sulphur content of the studied sample as well as the terrestrial residence time. The determination of exposure ages is of special interest because of the still open question whether the GCR was constant over long time scales. Therefore we will discuss in detail the differences between exposure ages determined with different cosmogenic nuclides. With the new model we can calculate exposure ages that are based on the production rates (cm3STP/(gMa)) of noble gases only. These exposure ages, referred to as noble gas exposure ages or simply 3,4He, 21Ne, or 36,38Ar ages, are calculated assuming the current GCR flux. Besides calculating noble gas ages we were also able to improve the 41K- 40K-and the 36Cl- 36Ar dating methods with the new model. Note that we distinguish between 36Ar ages (calculated via 36Ar production rates only) and 36Cl- 36Ar ages. Exposure ages for Grant and Carbo, calculated with the revised 41K- 40K method, are 628 ± 30 Ma and 841 ± 19 Ma, respectively. For Grant this is equal to the ages obtained using 3He, 21Ne, and 38Ar but higher than the 36Ar- and 36Cl- 36Ar ages by ,30%. For Carbo the 41K- 40K age is ,40% lower than the ages obtained using 3He, 21Ne, and 38Ar but equal to the 36Ar age. These differences can either be explained by our still insufficient knowledge of the neutron-induced cross sections or by a long-term variation of the GCR. [source] How has a shortage of census and geological information impeded the regularization of artisanal and small-scale mining?NATURAL RESOURCES FORUM, Issue 1 2004Gavin Hilson Abstract There is growing consensus that a combination of laissez-faire policies, ad hoc regulation and debilitating support services has perpetuated socio-economic and environmental deterioration in the artisanal and small-scale mining (ASM) industry. However, a lack of anthropological and geological information on ASM prevents many governments both from improving the policy environment of the industry, and from providing more robust extension services to its operators. This article aims to examine more precisely how a deficiency of baseline census and geological data has inhibited industry formalization and undermined many of the measures implemented to address pressing problems at ASM sites. Specifically, it is argued that insufficient knowledge of artisanal mining populations , including their demographic structure , and of areas suitable for ASM activities affects the ability of a government to regularize, as well as to improve, the organization of this largely informal sector of industry. Case studies of Ghana and Zimbabwe are used to illustrate how the undertaking of low-budget projects in areas of geological prospecting and population analysis could improve the efficiency of ASM assistance. [source] Sexual and Reproductive Health Knowledge in Cystic Fibrosis Female Patients and Their ParentsTHE JOURNAL OF SEXUAL MEDICINE, Issue 3 2009Aleksandra Korzeniewska MD ABSTRACT Introduction., The changing outcomes for young cystic fibrosis (CF) patients means that reproductive health issues have become an integral part of CF management. Aim., The aim of this study was to investigate the knowledge and experiences of reproductive and sexual health issues in women with CF and to investigate the knowledge and reproductive health attitudes of their parents. Main Outcome Measures., Assessment of reproductive and sexual health knowledge in female CF patients and their parents. Methods., A questionnaire study directed to 120 Polish women with CF aged 16 years and older and their parents. Results., Sixty-four patients and their parents responded to the questionnaire. Sixty-eight percent of the patients started sexual intercourse at a mean age of 19.2 years. Eighty-four percent of all sexually active women reported that they did not use any form of contraception. Only 32.8% of women understood the problems connected with their own and male fertility in CF. Popular scientific publications and other CF patients were identified as the most important source of information. Only 23% of parents understood the problems connected with female fertility in CF; 44% of parents thought that man with CF had normal fertility. Seventy-five percent of the women and 40% of the parents felt that sexual health discussions should begin between age 12 and 14 years with a CF doctor and the mother. Conclusions., Our study showed that significant knowledge gaps exist regarding fertility issues in both CF patients and CF parents. Women with CF have some general knowledge about sexual issues but insufficient knowledge to have a safe sexual life. The results helped us to develop the educational program for CF patients. Korzeniewska A, Grzelewski T, Jerzy,ska J, Majak P, So,oniewicz A, Stelmach W, and Stelmach I. Sexual and reproductive health knowledge in cystic fibrosis female patients and their parents. J Sex Med 2009;6:770,776. [source] Reevaluating suitable habitat for reintroductions: lessons learnt from the eastern barred bandicoot recovery programANIMAL CONSERVATION, Issue 2 2010C. N. Cook Abstract Reintroduction and translocation programs are widely used conservation tools but their success rates are low. Poor success rates for reintroduction programs are commonly attributed to insufficient knowledge of species' habitat requirements, especially if they are critically endangered. Yet conservation managers are frequently required to make decisions about suitable reintroduction sites when information is incomplete or uncertain. A widely used strategy to assist the selection of reintroduction sites , habitat suitability models , may rely on assumptions and simplifications to fill gaps in existing data. It is essential that these models are then evaluated and refined as new evidence becomes available. In this study, we examine the effectiveness of a reintroduction program based on habitat suitability modelling: that for the critically endangered eastern barred bandicoot Perameles gunnii in Australia. After collecting a variety of data from the reintroduction sites, we found that habitat preferences for this species could be accurately predicted using a simple logistic regression model within two predictor variables rather than the five previously used to select reintroduction sites. This made it possible to better focus limited resources on the most suitable reintroduction sites. We believe that building such a process of review into a reintroduction program can contribute to improving its success, while ensuring that scarce conservation resources are used more effectively. [source] Reproductive challenges of a rare grass, Calamagrostis porteri subsp. insperata (Swallen) C. Greene: implications for habitat restorationAPPLIED VEGETATION SCIENCE, Issue 3 2009David J. Gibson Abstract Background: Habitat management for reproductively challenged rare species is a problem when there is insufficient knowledge of their autecology. This study investigated reproductive failure in the rare grass Calamagrostis porteri ssp. insperata (Swallen) C. Greene (Reed bentgrass). Does the management recommendation of high light stimulate clonal growth, flowering, and seed production? Location: Shawnee National Forest, IL, USA, and in a greenhouse and an experimental garden at Southern Illinois University, Carbondale, IL, USA. Methods: Clones obtained from the three known Illinois populations were grown in a glasshouse under experimental light and soil moisture treatments. After 3 years, plants from the high light treatment were planted outside in an experimental garden where the light treatments were maintained for two more years. In the field, vegetative and flowering tiller density, canopy cover, and associated biotic and abiotic variables including abundance of co-occurring plant species were monitored for 5 years. The overhead tree canopy was cleared over a portion of one population. Results: In the glasshouse, plants increased in size under high light and moist soil, and there were size differences among populations. Sixty-six per cent (20 of 30) of the genets flowered when planted outdoors under full sunlight but did not produce seed. In the field, flowering only occurred in Calamagrostis growing in the cleared area, but no seed were produced. The plants in the flowering population were smaller than plants in the other two populations. The herbaceous community associated with Calamagrostis in the open diverged from the communities remaining under the shade. Conclusions: This study highlights the difficulty of managing reproductively challenged rare species. Calamagrostis populations can be managed to enhance clonal growth, but establishment of new populations would require translocation of vegetative material as it is highly unlikely that seed can be obtained. [source] Teaching the extracellular matrix and introducing online databases within a multidisciplinary course with i-cell-MATRIXBIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION, Issue 2 2010A student-centered approach Abstract The biochemistry and molecular biology of the extracellular matrix (ECM) is difficult to convey to students in a classroom setting in ways that capture their interest. The understanding of the matrix's roles in physiological and pathological conditions study will presumably be hampered by insufficient knowledge of its molecular structure. Internet-available resources can bridge the division between the molecular details and ECM's biological properties and associated processes. This article presents an approach to teach the ECM developed for first year medical undergraduates who, working in teams: (i) Explore a specific molecular component of the matrix, (ii) identify a disease in which the component is implicated, (iii) investigate how the component's structure/function contributes to ECM' supramolecular organization in physiological and in pathological conditions, and (iv) share their findings with colleagues. The approach,designated i-cell-MATRIX,is focused on the contribution of individual components to the overall organization and biological functions of the ECM. i-cell-MATRIX is student centered and uses 5 hours of class time. Summary of results and take home message: A "1-minute paper" has been used to gather student feedback on the impact of i-cell-MATRIX. Qualitative analysis of student feedback gathered in three consecutive years revealed that students appreciate the approach's reliance on self-directed learning, the interactivity embedded and the demand for deeper insights on the ECM. Learning how to use internet biomedical resources is another positive outcome. Ninety percent of students recommend the activity for subsequent years. i-cell-MATRIX is adaptable by other medical schools which may be looking for an approach that achieves higher student engagement with the ECM. [source] "If a girl doesn't say ,no',": young men, rape and claims of ,insufficient knowledge'JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 3 2008Rachael O'Byrne Abstract Most psychological theories of rape tend to stress factors internal to both rapists and their victims in accounting for the phenomenon. Unlike such theories, social psychological and feminist accounts have drawn attention to social and cultural factors as productive of rape, and have criticized psychological accounts on the grounds that they often serve, paradoxically, to cement pre-existing ,common-sense'. In this paper we examine the ways in which young Australian men draw upon widely culturally shared accounts, or interpretative repertoires, of rape to exculpate rapists. In particular, we discuss the reliance placed on a ,lay' version of Tannen's 1992 ,miscommunication model' of (acquaintance) rape and detail the use of this account,the claim that rape is a consequence of men's ,not knowing',as a device to accomplish exculpation. Implications of our methods for capturing young people's understanding of sexual coercion, rape and consent, and for the design of ,rape prevention' programmes, are discussed. Copyright © 2007 John Wiley & Sons, Ltd. [source] | |||||||||||||||||||