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Zhao C, Liu X, Wang J, Zhang Y, Zhang Y, Ma Y, Sun A, Song H, Wang L, Zhang Y, Liu X, Yuan W, Gu S, Fan D, Ye S. The positive impact of introducing public engagement as a self-directed learning strategy in undergraduate nervous system education. MEDICAL EDUCATION ONLINE 2024; 29:2383017. [PMID: 39074247 PMCID: PMC11288200 DOI: 10.1080/10872981.2024.2383017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Revised: 06/13/2024] [Accepted: 07/17/2024] [Indexed: 07/31/2024]
Abstract
Undergraduate medical education in China has shifted from educator-centered learning to self-directed learning (SDL) over the past few decades. Careful design of public engagement activities can enable SDL and empower medical students to pioneer public health and patient safety education. In this study, we aimed to innovate nervous system education by implementing a public engagement model that empowers students to learn about the nervous system by teaching the public. Our goal was to generate greater interest in the nervous system at the undergraduate stage, inspire students' enthusiasm to pursue a career in neurology, and ultimately, contribute to health promotion. During the nervous system module of the second year of the undergraduate curriculum, students were given the option to participate in the public engagement model. Participants were tasked with the creation of educational videos focusing on knowledge, attitudes, and behaviors associated with the prevention and management of neurological diseases and their complications. The videos were made accessible to the general public through the university's official channel at the end of the semester. A total of 117 students (67.24% of all students) chose to participate in the public engagement model. Female students and those with higher Grade Point Averages in the present semester were more likely to participate. The model received strong positive feedback from participants, as students found the public engagement task helpful in learning about the nervous system module as well as in enhancing their public engagement skills. Despite the time and effort consumption, participating in the public engagement task did not affect students' exam scores. The public engagement task is an innovative model in the nervous system curriculum and has the potential to be integrated into a broader range of undergraduate courses. It empowers medical students to pioneer public health and patient safety education.
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Affiliation(s)
- Chen Zhao
- Department of Neurology, Peking University Third Hospital, Beijing, China
| | - Xiaolu Liu
- Department of Neurology, Peking University Third Hospital, Beijing, China
| | - Jingchao Wang
- Education Office, Peking University Health Science Center, Beijing, China
| | - Yan Zhang
- Department of Neurology, Peking University Third Hospital, Beijing, China
| | - Yingshuang Zhang
- Department of Neurology, Peking University Third Hospital, Beijing, China
| | - Yan Ma
- Department of Neurology, Peking University Third Hospital, Beijing, China
| | - Aping Sun
- Department of Neurology, Peking University Third Hospital, Beijing, China
| | - Hongsong Song
- Department of Neurology, Peking University Third Hospital, Beijing, China
| | - Liping Wang
- Department of Neurology, Peking University Third Hospital, Beijing, China
| | - Yuanjin Zhang
- Department of Neurology, Peking University Third Hospital, Beijing, China
| | - Xiaoxuan Liu
- Department of Neurology, Peking University Third Hospital, Beijing, China
| | - Wenqing Yuan
- Department of Education, Peking University Third Hospital, Beijing, China
| | - Shixian Gu
- Department of Education, Peking University Third Hospital, Beijing, China
| | - Dongsheng Fan
- Department of Neurology, Peking University Third Hospital, Beijing, China
| | - Shan Ye
- Department of Neurology, Peking University Third Hospital, Beijing, China
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Peles I, Asla M, Abayev M, Gordon M, Alhoashle A, Novack V, Ribalov R, Lengil T, Maor R, Elizur M, Ifergane G. The variability of diagnosed migraine epidemiology amongst different municipalities in southern Israel. J Headache Pain 2023; 24:25. [PMID: 36915052 PMCID: PMC10012468 DOI: 10.1186/s10194-023-01558-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Accepted: 02/28/2023] [Indexed: 03/16/2023] Open
Abstract
BACKGROUND Appropriate and timely diagnosis is one of the most important milestones in effective migraine care and is affected by public awareness, access to medical care, health care systems, and physicians' knowledge. We assessed the variability in migraine diagnosis rates in different communities under universal national health coverage in Israel. METHODS In this population-based retrospective, observational, cohort study, adult (≥18 years) migraine patients were identified in the computerized database of the southern district of the Clalit Health Services Health Maintenance Organization (HMO) based on recorded diagnosis and/or purchase of specific anti-migraine acute medication (triptans). Migraine prevalence in 2018 was calculated in the entire study population and in different municipalities. We utilized a standardized (age and gender) mortality ratio (SMR) approach for comparison among the municipalities. RESULTS In 2018, a total of 29,938 migraine patients were identified out of 391,528 adult HMO members, with an overall prevalence (per 10,000) of migraine of 764.64 (7.65%), 1143.34 (11.43%) for women, and 374.97 (3.75%) for men. Among the municipalities, adjusted prevalence (per 10,000) ranged from 386.15 (3.86%) to 1320.60 (13.21%). The female-to-male ratio ranged from 1.8:1 to 5.1:1. Prevalence rates were positively associated with the socioeconomic status of the municipalities (Spearman rho = 0.472, P = 0.031). CONCLUSIONS High variability in the prevalence of diagnosed migraine suggests underdiagnosis. Resources for awareness and educational programs should be directed to low diagnosed prevalence communities.
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Affiliation(s)
- Ido Peles
- Clinical Research Center, Soroka University Medical Center, Beer-Sheva, Israel. .,The Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
| | - Mohnnad Asla
- The Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.,Department of Neurology, Brain Medicine Division, Soroka University Medical Center, Beer-Sheva, Israel
| | - Mariya Abayev
- Clinical Research Center, Soroka University Medical Center, Beer-Sheva, Israel.,The Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Michal Gordon
- Clinical Research Center, Soroka University Medical Center, Beer-Sheva, Israel.,The Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Ali Alhoashle
- Medical Management, Southern District, Clalit Health Services, Tel Aviv, Israel
| | - Victor Novack
- Clinical Research Center, Soroka University Medical Center, Beer-Sheva, Israel.,The Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.,Internal Medicine Division, Soroka University Medical Center, Beer-Sheva, Israel
| | - Rinat Ribalov
- Teva Pharmaceutical Industries Ltd., Tel Aviv, Israel
| | - Tamar Lengil
- Teva Pharmaceutical Industries Ltd., Tel Aviv, Israel
| | - Ron Maor
- Teva Pharmaceutical Industries Ltd., Tel Aviv, Israel
| | - Mayera Elizur
- Teva Pharmaceutical Industries Ltd., Tel Aviv, Israel
| | - Gal Ifergane
- The Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.,Department of Neurology, Brain Medicine Division, Soroka University Medical Center, Beer-Sheva, Israel
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Spina E, Candelaresi P, Volpe G, D'Onofrio F, Spitaleri D, Martusciello G, Piccirillo G, Briganti F, Muto M, Feleppa M, Sparaco M, Manto A, Cuomo T, Ascione S, Ripa P, Romano DG, Andreone V, Manganelli F, Napoletano R. Trends of recanalization therapies and state of art for ischemic stroke treatment in Campania region, Italy. Neurol Sci 2022; 43:6865-6870. [PMID: 36074192 PMCID: PMC9663370 DOI: 10.1007/s10072-022-06321-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 07/31/2022] [Indexed: 12/02/2022]
Abstract
Background
According to the last Italian report by the Ministry of Health in 2018, the estimated number of acute ischemic strokes (AIS) in Campania is 10,000/year, with an expected number of 1390 intravenous thrombolysis (IVT) and 694 mechanical thrombectomies (MT). In 2017, only 1.5% of expected patients received IVT and 0.2% MT. This study analyzed the trend of IVT and MT in 2019–2020 and depicted the state of art of Stroke Care in Campania. Methods From the regional health task force, we obtained the hospital discharge forms from all private and public hospitals in Campania; we selected patients with a principal diagnosis of AIS and measured the rate of patients admitted to neurology units and the rate of IVT, MT, and IVT + MT for both 2019 and 2020. Results In 2019, we observed 4817 admissions for AIS; 2858/4817 (59.3%) patients were admitted to neurology units. Out of 4817 patients, 192 received IVT, 165 MT, and 131 IVT + MT (488 treated patients; 10.1%). In 2020, we observed 4129 admissions for AIS; 2502/4129 (62.7%) patients were admitted to neurology units. Out of 4129 patients, 198 received IVT, 250 MT, and 180 IVT + MT (628 treated patients; 15.2%). These results showed that despite a reduction of AIS admissions in 2020, the relative and absolute rate of recanalization treatments increased. However, the number of patients who were not admitted to neurology units nor received acute treatments remained dramatically high. Conclusion Despite the development of acute treatments, the Campania Stroke Network still needs significative efforts to improve.
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Affiliation(s)
- Emanuele Spina
- Department of Neurosciences, Reproductive and Odontostomatology, University of Naples "Federico II", Via Pansini, 5, Naples, Italy.
- Neurology Unit, P.O. "San Leonardo", Castellammare Di Stabia, Italy.
| | | | - Giampiero Volpe
- Neurology and Stroke Unit, AOU "San Giovanni Di Dio Ruggi d'Aragona", Salerno, Italy
| | | | - Daniele Spitaleri
- Neurology and Stroke Unit, AORN "San Giuseppe Moscati", Avellino, Italy
| | | | - Giovanni Piccirillo
- Neurology and Stroke Unit, AORN "Sant'Anna E San Sebastiano", Caserta, Italy
| | - Francesco Briganti
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Naples, Italy
| | - Mario Muto
- Diagnostic and Interventional Neuroradiology, AORN Antonio Cardarelli, Naples, Italy
| | | | - Marco Sparaco
- Neurology and Stroke Unit, AORN "San Pio", Benevento, Italy
| | - Andrea Manto
- Neuroradiology Unit, P.O. "Umberto I", Nocera Inferiore, Italy
| | - Teresa Cuomo
- Neurology and Stroke Unit, P.O. "Umberto I", Nocera Inferiore, Italy
| | | | - Patrizia Ripa
- Neurology and Stroke Unit, P.O. "Ospedale del Mare", Naples, Italy
| | - Daniele Giuseppe Romano
- Department of Diagnostic and Interventional Neuroradiology, University Hospital "San Giovanni Di Dio E Ruggi d'Aragona", Salerno, Italy
| | | | - Fiore Manganelli
- Department of Neurosciences, Reproductive and Odontostomatology, University of Naples "Federico II", Via Pansini, 5, Naples, Italy
| | - Rosa Napoletano
- Neurology and Stroke Unit, AOU "San Giovanni Di Dio Ruggi d'Aragona", Salerno, Italy
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Farrow M, Fair H, Klekociuk SZ, Vickers JC. Educating the masses to address a global public health priority: The Preventing Dementia Massive Open Online Course (MOOC). PLoS One 2022; 17:e0267205. [PMID: 35507576 PMCID: PMC9067672 DOI: 10.1371/journal.pone.0267205] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 04/04/2022] [Indexed: 02/03/2023] Open
Abstract
Dementia is a global public health priority and risk reduction is an important pillar of the public health response. While 40% of cases are estimated to be attributable to modifiable health and lifestyle risk factors, public awareness of the evidence is low, limiting peoples’ opportunity to adopt risk-reducing behaviours. To address this gap, we designed, implemented, and evaluated an educational intervention, the Preventing Dementia Massive Open Online Course (PDMOOC). This mixed-methods study examined the reach and impact of the free and globally available PDMOOC, to assess its potential to provide effective dementia risk reduction education to a broad international audience. Over 100,000 individuals participated in the PDMOOC across seven iterations from 2016 to 2020, with 55,739 of these consenting to participate in research. Their mean age was 49 years (SD = 15), they came from 167 different countries, and the majority were female (86%), had completed post-secondary education (77%), lived in high-income countries (93%) and worked in health care and social assistance (63%). This demographic profile changed across time, with more men, people with higher education and people from low- and middle-income countries participating in recent course iterations. Two-thirds of participants completed the PDMOOC; completion was associated with being aged 50 to 70 years, residing in a high-income country, having tertiary education, and working in the health sector. Participants reported high levels of satisfaction with the PDMOOC, improved dementia risk reduction understanding and self-efficacy, increased motivation to maintain healthy lifestyles, and, importantly, application of their learning to health behaviour change with the potential to reduce their dementia risk. The PDMOOC educated a large global audience about dementia risk reduction, which contributed to participants making risk-reducing behaviour changes. This suggests MOOCs can be a successful public health strategy to improve dementia risk reduction understanding.
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Affiliation(s)
- Maree Farrow
- Wicking Dementia Research and Education Centre, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia
- * E-mail:
| | - Hannah Fair
- Wicking Dementia Research and Education Centre, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia
| | - Shannon Z. Klekociuk
- Wicking Dementia Research and Education Centre, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia
| | - James C. Vickers
- Wicking Dementia Research and Education Centre, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia
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Oh J, Moon S, Park K. Amyotrophic lateral sclerosis in social media: Content analysis of YouTube videos. Health Informatics J 2022; 28:14604582221105999. [PMID: 35726700 DOI: 10.1177/14604582221105999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The purpose of this study is to analyze the characteristics, content, and quality of information available on YouTube regarding amyotrophic lateral sclerosis (ALS), and explore the search results and number of views and quality of the videos. A search was performed on YouTube on 10 June 2020, using the search term ''Lou Gehrig's disease" in the Korean language, and the first 100 videos were targeted for analysis. General characteristics (e.g., number of views, video length, etc.) were collected, and upload source, target audience, subject of the video, and quality of the videos using a global quality score (GQS) were assessed. About two-thirds of the videos were for the general public (62.0%), while the other third were made for patients and their families with ALS (38.0%). The mean GQS was 3.70 ± 1.42, and 60 videos were classified as high-quality videos. ALS-related videos on YouTube play a role in raising awareness among the general public of this devastating disease, however, practical information regarding disease management for patients and family is relatively insufficient. The quality and characteristics of the videos varied greatly and sometimes the lowest quality videos were shown in the top pages of search results.
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Affiliation(s)
- Juyeon Oh
- College of Nursing, 65383Dankook University, Cheonan, South Korea
| | - SeolHwa Moon
- College of Nursing, 26716Hanyang University, Seoul, South Korea
| | - Kyongok Park
- Department of Nursing, 34961Gangneung-Wonju National University, Wonju-si, South Korea
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