Breast cancer risk factor knowledge among nurses in teaching hospitals of Karachi, Pakistan: a cross-sectional study

BACKGROUND: Breast cancer is the most common cancer among women in both the developed and the developing world. The incidence of breast cancer in Karachi, Pakistan is 69.1 per 100,000 with breast cancer presentation in stages III and IV being common (≥ 50%). The most pragmatic solution to early detection lies in breast cancer education of women. Nurses constitute a special group having characteristics most suited for disseminating breast cancer information to the women. We assessed the level of knowledge of breast cancer risk factors among registered female nurses in teaching hospitals of Karachi. We also identified whether selected factors among nurses were associated with their knowledge of breast cancer risk factors, so that relevant measures to improve knowledge of nurses could be implemented. METHODS: A cross-sectional survey was conducted in seven teaching hospitals of Karachi using stratified random sampling with proportional allocation. A total of 609 registered female nurses were interviewed using a structured questionnaire adapted from the Stager's Comprehensive Breast Cancer Knowledge Test. Knowledge of breast cancer risk factors was categorized into good, fair and poor categories. Ordinal regression was used to identify factors associated with risk knowledge among nurses. RESULTS: Thirty five percent of nurses had good knowledge of risk factors. Graduates from private nursing schools (aOR = 4.23, 95% CI: 2.93, 6.10), nurses who had cared for breast cancer patients (aOR = 1.41, 95% CI: 1.00, 1.99), those having received a breast examination themselves (aOR = 1.56, 95% CI: 1.08, 2.26) or those who ever examined a patient's breast (aOR = 1.87, 95% CI: 1.34, 2.61) were more likely to have good knowledge. CONCLUSION: A relatively small proportion of the nursing population had good level of knowledge of the breast cancer risk factors. This knowledge is associated with nursing school status, professional breast cancer exposure and self history of clinical breast examination. Since only about one-third of the nurses had good knowledge about risk factors, there is a need to introduce breast cancer education in nursing schools particularly in the public sector. Continuing nursing education at the workplace can be of additional benefit

Subsurface profiling of granite pluton using microtremor method: southern Aravalli, Gujarat, India

We report, using the microtremor method, a subsurface granitic pluton underneath the Narukot Dome and in its western extension along a WNW profile, in proximity of eastern fringe of Cambay Rift, India. The dome and its extension is a part of the Champaner Group of rocks belonging to the Mesoproterozoic Aravalli Supergroup. The present finding elucidates development of an asymmetric double plunge along Narukot Dome. Microtremor measurements at 32 sites were carried out along the axial trace (N95 degrees) of the dome. Fourier amplitude spectral studies were applied to obtain the ratio between the horizontal and vertical components of persisting Rayleigh waves as local ambient noise. Fundamental resonant frequencies with amplitude >= 1-sigma for each site are considered to distinguish rheological boundary. Two distinct rheological boundaries are identified based on frequency ranges determined in the terrain: (1) 0.2219-10.364 Hz recorded at 31 stations identified as the Champaner metasediment and granite boundary, and (2) 10.902-27.1119 Hz recorded at 22 stations identified as the phyllite and quartzite boundary. The proposed equation describing frequency-depth relationship between granite and overlaying regolith matches with those already published in the literature. The morphology of granite pluton highlights the rootless character of Champaner Group showing sharp discordance with granitic pluton. The findings of manifestation of pluton at a shallower depth imply a steep easterly plunge within the Champaner metasediments, whereas signature of pluton at a deeper level implies a gentle westerly plunge. The present method enables to assess how granite emplacement influences the surface structure