Knowledge, attitude and practice of general practitioners and pediatricians regarding food allergy in Iran

Awareness of Food Allergies and Allergens on the Menus of Restaurants and Cafes among Saudi Female University Students

Exposure to allergens could be life-threatening for people with food allergies. Restaurants and cafes are challenging environments for accommodating food allergies. This study aimed to measure King Saud University female students' awareness about food allergens on restaurants' and cafes' menus. This cross-sectional study was conducted on 379 students aged 18 years and above. A paper-based questionnaire was used, which comprised 16 questions related to the definition of food allergies, food allergens, and food allergy symptoms; the definition and prevention of cross-contact of food allergies; emergency treatment procedures for food allergies; strategies for the prevention of food allergy reactions; customer expectations towards restaurants; and preventive measures taken for food allergies. The results indicate that the overall average score of food allergen awareness was 10.90, which falls in the higher range. Furthermore, female students in the age groups of 23 to 27 years and 33 to 37 years had higher levels of awareness than female students in the age group of 18 to 22 years. The results also showed that the level of awareness among science college and health college students was statistically significantly higher (p < 0.05) than that among humanities college students. Post-graduate students also showed a higher level of awareness of food allergens than bachelor's students. These findings also indicate that listing all allergens in the restaurants and cafes' menus statistically significantly (p < 0.05) increased the level of awareness of female students about food allergens on restaurants' and cafes' menus, compared to restaurants and cafes that do not list all allergens on their menus. In general, female students at King Saud University showed a high level of awareness about food allergies on restaurants' and cafes' menus. The study recommends assessing the impact of awareness of female students with and without food allergies on their practices and behaviors.

The Impact of Ecological Civilization Theory on University Students' Pro-environmental Behavior: An Application of Knowledge-Attitude-Practice Theoretical Model

In environmental education, environmental knowledge is considered to be one of the most important factors affecting university students' pro-environmental behavior. First, in this paper, the ecological civilization theory (ECT) was understood as a new kind of environmental knowledge. Based on this, a new theoretical model for analyzing the relationships among environmental knowledge, environmental attitude, and environmental behavior was designed in this paper according to ECT and the Knowledge-Attitude-Practice (KAP) theoretical model. Second, from the perspective of students, a questionnaire was designed for students according to ECT, so as to understand the level of ECT of students. On this basis, an empirical test of the relationship between the ECT level, pro-environmental attitude level, and pro-environmental behavior level was carried out. This research shows that ECT as environmental knowledge is as important as science-oriented environmental knowledge (SEK) in environmental education. As a result, the role of environmental knowledge in environmental education should not be ignored but environmental knowledge should be enriched by adding ECT to the environmental knowledge system and improving the environmental knowledge education curriculum, contributing to environmental education in China.

Associations between Indoor Environmental Quality and Infectious Diseases Knowledge, Beliefs and Practices of Hotel Workers in Wuhan, China

Knowledge, beliefs, and practices regarding infectious diseases are key elements that ensure practitioners' health and safety. It is important to carry out such a survey in hotels. This study aims to determine the levels of knowledge, beliefs, and practices regarding infectious diseases among practitioners and their associations with the environmental quality of hotels in Wuhan, China. We surveyed infectious disease knowledge, beliefs, and practices of practitioners in 18 hotels and detected these hotels' environment, including physical factors of temperature, humidity, noise, and the indoor air quality of benzene, toluene, xylene, formaldehyde, CO, CO2, the total count of fungi, aerobic plate count, PM10, and PM2.5. 128 practitioners were included, and 28.9% were male. The questionnaire included knowledge, beliefs, and practices regarding infectious diseases. Our study found moderate levels of knowledge and beliefs, and good health practices. People's beliefs toward COVID-19 were correlated significantly with their knowledge (p < 0.05). Beliefs and health practices were correlated significantly with environmental quality (p < 0.05). However, the environmental quality was correlated negatively with the classification of hotels. Conclusively, despite the good health practices of practitioners, the knowledge and beliefs toward infectious diseases need to strengthen. Hotels should emphasize health education in practitioners and the improvement of environmental hygiene. Integrating all three components into a comprehensive environmental promotion program is warranted.

Differentiated Impact of Politics- and Science-Oriented Education on Pro-Environmental Behavior: A Case Study of Chinese University Students

The purpose of this study is to understand the differentiated impact of politics- and science-oriented education on pro-environmental behavior among university students. A questionnaire was designed and sent to more than 14,000 university students from 152 universities in China using the snowball sampling method. In the questionnaire, the environmental knowledge was divided innovatively into two parts: Science-oriented knowledge spread by traditional environmental education and politics-oriented knowledge spread through political education. The structural equation model was used to understand the conduction path of pro-environmental knowledge, attitude, and behavior. It shows that politics-oriented knowledge has a quicker and stronger effect on improving behavior than science-oriented knowledge. Moreover, there is a significant positive correlation between science- and politics-oriented knowledge. However, the attitude is positively influenced by science-oriented knowledge, instead of politics-oriented knowledge. It suggests that traditional environmental education and political education should be integrated to promote the pro-environmental behavior of university students indirectly and directly, which may provide an opportunity for pro-environmental political education in other countries. The study contributes important theoretical and practical implications for environmental education and sustainable development.

Knowledge, Attitude, and Practice regarding Anaphylaxis among Pediatric Health Care Providers in a Teaching Hospital

Anaphylaxis is a severe, life threatening generalized or systemic hypersensitivity reaction which requires prompt, accurate diagnosis, and appropriate management. The objective of the study is to assess the extent of knowledge, management skills, and attitude on anaphylaxis among pediatric health care providers of a tertiary care teaching hospital. This was a cross-sectional study done in the department of pediatrics, which included faculty, residents, interns, and nurses. The knowledge, attitude, and practice were assessed using a standardized questionnaire comprised of 35 questions. The questionnaire was distributed and collected in person to all the participants. Informed consent was obtained from all participants and confidentiality was ensured at all stages. Collected data were analyzed using SPSS version 20. The mean of total knowledge score (TKS) was 7.36 ± 1.42. TKS of faculty was 8.36 ± 1.15, in residents 7.81 ± 1.25, in interns 7.46 ± 1.15, and in nurses 6.69 ± 1.57. Knowledge scores of faculty, residents, and interns were significantly higher than that of nurses while there was no significant difference between faculty, residents, and interns. The majority of participants have positive attitude toward anaphylaxis. Incorrect practice is followed by most of the participants. The extent of knowledge about anaphylaxis among pediatric health care providers is moderate but management skills remains suboptimal. Thus, proper training, through continued medical educations and programs to improve abilities to recognize and manage anaphylaxis are very crucial. Differential approach may be followed to different groups; nurses need extra training for optimal management of anaphylaxis.