A study on assess the knowledge towards warning signs of breast cancer and prevention among the 4th year b.sc nursing student from SBCN

The most life-threatening illness that is the primary cause of female morality is Breast cancer. Breast cancer research has led to extraordinary breakthroughs in our understanding of the illness over the last two decades, leading in more effective medicines. Now days, In most Of all malignant diseases, one of the most deadly occurring cancer are those cancers occurring in the breast, accounting for 23 percent of all cancer fatalities. It is now a global issue, yet it is still detected in its advanced stages due to women's neglect in self-inspection. The greater parts of people learn from their disease is thorough practice of screening procedures. Others may come with a breast lump that was discovered by accident, a change in breast shape or size, or nipple discharge, although mastalgia is not unusual. To diagnose breast cancer, a physical examination, imaging, particularly mammography, and tissue biopsy are required. Early detection increases the chances of survival.Copyright © 2022 Novyi Russkii Universitet. All rights reserved.

Beliefs and attitudes to sun tanning and knowledge of melanoma in the Irish population: a cross-sectional study

The incidence of melanoma and nonmelanoma skin cancer continues to rise in Ireland. This study aimed to explore the tanning and sun-protection behaviour and attitudes, as well as awareness of signs of melanoma, of the Irish population. A cross-sectional study was performed in December 2020 via an online questionnaire. Respondents were recruited according to gender, age and geographical region. In total, 1043 respondents (49% female) completed the questionnaire (mean age 41 years;range 20-72). In total, 443 sunbathe when there is sunny weather in Ireland, with 245 wearing suncream less than half of the time. Thirty-eight per cent (n = 399) have used sunbeds in the last 12 months, despite the global COVID-19 pandemic. Almost half (49%) did not believe getting a sunburn was serious. Most (87%) were aware melanoma would have serious consequences for them and 91% believed it was important to protect themselves from getting melanoma. In total, 839 know that wearing sunscreen can prevent sunburn. However, the main reasons they do not apply it include just forgetting (n = 207), to get a tan (n = 177) and they just don't like putting it on (n = 359). The main reason for limiting sunbathing was to avoid wrinkles/ skin pigmentation (n = 356), followed by a fear of getting skin cancer (n = 334). The primary reason people sunbathed was to top up their supply of vitamin D (n = 336), which was closely followed by getting a tan. Eighty-five per cent reported feeling and looking better with a tan. Despite knowledge of the risks of sunburn, 208 respondents felt it was worth getting slightly sunburnt to get a tan. Most respondents were aware of sun-protection measures (n = 729), but 484 people were not confident about what to look for when performing a self-skin examination and only 410 know the signs of a melanoma. This study found that although the majority of people are aware of the risks of sunbathing, many are happy to take these risks in order to get a tan. Tans are still considered to be attractive by the majority of respondents. Although there are high levels of awareness regarding sun protection, knowledge regarding skin self-examination and the signs of melanoma is lacking. Our results indicate that health promotion interventions for skin cancer may need to focus on education regarding the signs of melanoma and consider strategies to alter the perceptions of the beneficial factors of tanning.

Phone-Based Breasts Self-Examination as an Intervention in Breast Cancer Control During the COVID-19 Pandemic.

Importance: Exploring methods to mitigate the effect of COVID-19 pandemic on routine cancer screening activities among women. Objective: To investigate the effectiveness of telephone-based outreach as a substitute for physical screening for breast among screened women, during COVID-19 lockdown. Design/Setting/Subjects: Asymptomatic women aged 30-59 years were screened for breast and cervix cancers in the Chennai region, between January 2017 and March 2020 and are due for screening follow-up. A database from the population-based cancer screening program organized by the Cancer Institute during the above period was used for the study. Outcome data were obtained through the period from October 2020 to March 2021. Intervention: Phone-based breast self-examination awareness, inquiry about breast cancer symptoms, and guiding clinical management. Outcome Measure: Compliance to BSE protocol after 8-16 weeks, presence of significant symptoms, and incidence of early breast cancer. Results: Among 12,242 screened women, 6716 (56.8%) responded to a phone-based BSE intervention and 53 women had breast-related symptoms. Thirty-two (60.4%) women reported for further evaluation, and five invasive breast cancers were identified. Conclusion and Relevance: In a low-resource setting where there are no existent screening programs, simple interventions like teaching breast self-examination of women through tele-counseling can result in early detection of breast cancers.

INTERNATIONAL IMPACT OF A CO-PRODUCED TRAINING VIDEO: SELF-EXAMINATION OF TENDER AND SWOLLEN JOINTS FOR PEOPLE WITH RHEUMATOID ARTHRITIS

Background/Aims Patients with rheumatoid arthritis (RA) need support to understand and manage their condition. The COVID-19 pandemic rapidly transformed outpatient clinical consultations from face-to-face towards remote models. This increased the emphasis placed upon self-assessment of joints and disease activity, strengthening the need for patient education materials. We planned to develop a video to support patient research participants to monitor disease activity remotely using the REMORA app. We altered the video's scope and made it open access to meet the need created by changes in service delivery models. Methods A video demonstrating self-examination of tender and swollen joints in RA was co-produced with patients and the multi-disciplinary team. A nurse consultant introduces key concepts, (how to identify and examine tender and swollen joints, which joints to include, etc), coaches a patient through self-examination, and answers key questions. Materials co-produced to support implementation into practice include a joint count manikin and table, an advertising poster, and blogs. Collaboration with international research colleagues has led to the production of a version dubbed in German. Subtitles are available in German and Hindi. Online feedback was sought via a survey. Ethical approval was not required as all contributors acted as equal members of the research team. Results The 15-minute video, supporting materials and survey were uploaded to YouTube in February 2021 [tinyurl.com/REMORAvideo]. 1,000 hits were received in week one, reaching >12,500 after eight months. 20% of viewers are UK-based, 15% from the USA, 10% from India. 26% of views used English subtitles, 0.2% German, 0.1% Hindi. 124/125 people engaging with the 'like/dislike' function on YouTube, 'liked' the video. 48 people fed-back online (26 patients, 22 clinicians). Patient ages were: 18-35(5%), 36-55(62%), 56-75(29%), 76+(5%), the majority of whom were female (19/21[91%]). Before watching, 14/ 17(82%) patients rated themselves as 'poor'-'fair' at self-examination: after watching, the same number rated themselves as 'good'- 'excellent'. 19/21(90%) and 17/21(81%) patients respectively either somewhat or strongly agreed with the statements 'I now feel confident to self-examine for' 'tender' or 'swollen' joints. 19/21(90%) of patients and 13/17(77%) clinicians either somewhat or strongly agreed with the statement that 'the video fulfilled my expectations'. 18/21(86%) patients and 12/17(71%) clinicians would recommend the video. To date, several national organisations have engaged with the video. It supports the BSR ePROMS platform and national audit. The National Rheumatoid Arthritis Society plans to incorporate it into the 'Know your DAS app', and it will contribute to an NHSX playbook of digital best practice. Conclusion This co-produced training video for people with RA, originally intended to support a remote monitoring app, has been well-received, with much wider-reaching international impact than anticipated. This demonstrates the need for materials collaboratively designed with patients to support patient self-management of long-term conditions, in the digital era.

IMPACT OF THE COVID-19 PANDEMIC ON RHEUMATOLOGY TRAINING: RESULTS OF THE REGIONAL SURVEY FROM THE NORTH WEST OF ENGLAND

Background/Aims The COVID-19 pandemic has disrupted healthcare delivery and provision of medical education and training worldwide. We assessed the impact of the COVID-19 pandemic on rheumatology training experience in the Northwest and Merseyside deaneries of England. Methods Rheumatology trainees from the Northwest and Merseyside deaneries were issued links to an anonymous web-based survey on their training experience between August 2020 to April 2021, during the 2nd wave of the Covid-19 pandemic. Results 34 of 42 trainees completed the survey. 31 were in clinical training: 13 (42%) in a pure rheumatology post and 18 (58%) in a dual post with general medicine. Most trainees attended 3-4 clinics per week (58%), with 23% attending ≤2 clinics and 19% attending 5 clinics. The proportion of face-to-face clinics ranged from 20% to 100% (median 60%). The reduced face-to-face clinical experience was not due to trainees' needs to shield. The range of proportion of phone consultations was 0% to 80% (median 40%). Remote consultations were conducted by telephone only for 26 (84%) trainees and by video or phone for 3 (10%). The durations for both face-to-face and virtual consultations were ranged similarly at 15 to 45 minutes (median 30minutes) for new cases and 15 to 30 minutes (median 20 minutes) for follow-ups. Only 5 (16%) trainees felt confident with assessing new patients by remote consultation. 8 (26%) trainees had some form of formal training in a virtual consultation. However, only 4 (13%) reported being 'aware' of how to guide a patient through self-examination of the joints, 17 (55%) trainees were 'somewhat aware', and 10 (32%) were 'not aware'. 20 (65%) trainees reported reliance on radiological and serological investigations rather than clinical skills during remote consultations. Development of skills for patient communication, joint injections, time management, and prescribing immune-suppressive medications were mainly hampered. The majority of trainees agreed that virtual educational programs had improved opportunities for attendance at structured deanery teaching sessions. Conclusion The impact of the COVID-19 pandemic on rheumatology training has been significant both in terms of current rheumatology education programme delivery and training requirements. Our regional survey shows less than a third of trainees had formal training in conducting remote consultations resulting in low levels of confidence in assessing patients remotely. Less face-to-face patient contact negatively impacted clinical and procedural skills development. Restructuring the rheumatology curricula to include training in rheumatology-specific remote consultations and ensuring clinical and procedural competencies by including novel support modalities like simulation sessions may be options for consideration going forwards. Delivery of some structured teaching sessions through the virtual platform is here to stay.

Breast Cancer Survivors' Satisfaction and Information Recall of Telehealth Survivorship Care Plan Appointments During the COVID-19 Pandemic.

OBJECTIVES: To examine patient satisfaction and information recall after telehealth breast cancer survivorship visits with a nurse practitioner. SAMPLE & SETTING: Female survivors of breast cancer after their first visit with a nurse practitioner in the outpatient survivorship clinic post-treatment. METHODS & VARIABLES: Participants included female survivors who were originally diagnosed with stage 0-III breast cancer and have since completed an initial telehealth appointment to review the survivorship care plan. Survivors were invited to complete a 20-question electronic survey about their satisfaction and recall of visit information. RESULTS: 62 participants completed the survey and indicated an overall high level of satisfaction with telehealth survivorship appointments. Most recalled key survivorship information from the visit and felt the appropriate amount of information was discussed. Overall satisfaction was significantly correlated with the length and convenience of the appointment, and the personal manner and technical skills of the nurse practitioner. Survivors' age was not associated with significant differences in overall satisfaction. IMPLICATIONS FOR NURSING: Telehealth for initial survivorship visits demonstrated high satisfaction with telehealth and the overall visit as a low-cost intervention to treat symptoms.

Perception, attitude and experience of women living in Jeddah with or without Breast lump towards BSE & mammography: Pre- Post study

Background: Breast cancer is the most common cancer among women in Saudi Arabia with a higher mortality rate in comparison to other more advanced countries. This study aims to judge the effectiveness of awareness campaigns by assessing the improvement in knowledge regarding breast cancer and attitude towards screening after attending breast cancer awareness campaign, in addition to exploring areas of defective knowledge. Materials and Methods: This cross-sectional study is a community-based pre-post study. A precampaign questionnaire was distributed among 119 females to assess their knowledge about cancer of breast and attitude towards its screening methods from September 2020 to September 2021. After which an online awareness campaign was conducted due to Covid-19 restriction to educate the participants on breast cancer and its screening methods. This was followed by the distribution of a post-campaign questionnaire to assess improvement in knowledge and attitude. The collected data was then analyzed using Microsoft Excel software and IBM SPSS. Results and Conclusion: A significant increase was observed in the total scores of all participants (p=0.00) along with number of correct answers for knowledge and misconception related questions (p=0.003, p=0.021) after attending the awareness programs. There was a smaller increase in participant percentage with an encouraging attitude towards mammograms than towards BSE after the awareness campaign was conducted. Recommendations: More effective awareness campaigns should be conducted across the Kingdom and females need to be reassured regarding their concerns about mammograms.

A pilot study evaluating respirator fit based on app-determined and self-determined facial shape

Purpose of Study This project was developed to find a quick and effective way for frontline workers to obtain a well-fitting N95 in resource limited settings when a fit test may not be plausible. The goal was to determine if facial shape could be used as a predictor of N95 fit. Methods Used Forty volunteers were given a facial shape selfassessment questionnaire which asked them to subjectively determine their own facial shape and then measure several dimensions with a disposable tape measure: half facial height (nasion to menton), full facial height (trichion to menton), and facial width (bizygomatic breadth). Two free facial assessment phone applications, 'Face Shape' and 'Zennioptical', were used as an additional assessment for facial shape. Participants were then fit tested with an AccuFIT 9000 Respirator Fit Test Machine using an OSHA standardized technique to assess the quantitative fit of four different N95's - a small and regular sized duckbill type mask, and a small and regular sized cup style mask. Pass/fail criteria was determined per OSHA standards and was set at a fit factor greater than or equal to 100. Summary of Results There was no association between face shape and best fitting mask based on either self-assessment (p= 0.51), the zenni app (p=0.59), or the Face Shape app (p=0.095). Correlation was not seen even when grouping face shapes into curved and angular. Face shape based on the 3 self-measured objective facial dimensions can be predicted with about 65% accuracy. Self-assigned face shape correlated with Zenni app face shape 40% of the time and with the Face Shape app 37.5% of the time (p>0.1). All three correlated 25% of the time, however the mutual face shape was 'oval' which was the most common facial shape identified in this study by both the applications and self-assessment. Forty-four percent of the participants did not pass fit testing per OSHA standards with their routinely worn N95's. The participants in this group also generally had poorer fit testing overall, with 50% of this group failing fit testing for all four masks. In addition, 33% of the entire study group only passed fit testing with one of the available N95's in this study. Conclusions Data from this pilot study shows that there is no correlation between N95 fit and face shape, largely due to the variability and subjectivity in the determination of facial shape by either app, self-assessment, or objective self-measurement. However, the researchers learned that nearly half of the participants did not pass fit testing for their regularly used N95's during the COVID pandemic. This illustrates a significant concern for the safety of healthcare workers and the inability for them to access appropriate, well-fitting respirators in resource limited settings. Furthermore, it highlights the importance of personalized fit testing prior to exposure to airborne particles and the need for access to multiple styles and sizes of respirators.

Melanoma detection by skin self-examination targeting at-risk women: A randomized controlled trial with telemedicine support for concerning moles.

Secondary melanoma prevention remains crucial to reduce morbidity and mortality for the 200,000 people in the United States estimated to develop melanoma in 2021. This 3-month randomized controlled trial of online skin self-examination (SSE) education among 1000 at-risk women who received care at Northwestern Medicine in Illinois sought to determine SSE initiation and monthly performance, SSE anxiety and confidence, and health care practitioner (HCP) visits for concerning moles. Positive responses to a personal history of sunburn, a personal or family history of skin cancer, and/or having 10 or more lifetime indoor tanning sessions identified and informed women of their increased risk of melanoma. At one month, 96.2% of women receiving SSE education (SSE women) initiated SSE compared to 48.1% in the active control arm (control) (p < 0.001). More control women sought HCP visits (n = 107) than SSE women (n = 39). Control women seen by HCPs identified benign lesions, especially seborrheic keratosis, more often than SSE women. More atypical nevi (SSE 38.5%, control 8.4%) and melanomas (SSE 25.6%, control 4.7%) were visually identified by SSE women seeing HPCs (p < 0.001). There was no significant difference in SSE anxiety between the control and SSE arms. Confidence increased significantly in the SSE arm whereas there was no change in the control group (p < 0.001). Women checked someone else for concerning moles [315/ 494 (63.8%) of SSE women]. Targeting at-risk women for SSE education may help reduce melanoma mortality, especially in rural communities where incidence and mortality are greater than in urban areas.