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Full-Text Articles in Entire DC Network
Cómo Pueden Las Y Los Jóvenes Comunicarse En Temas De Sexualidad Planificación Familiar, Population Council
Cómo Pueden Las Y Los Jóvenes Comunicarse En Temas De Sexualidad Planificación Familiar, Population Council
Reproductive Health
En cuanto a temas de sexo y sexualidad, las y los jóvenes suelen percibirse como perdidos en un mundo de adultos. Pero en México, los jóvenes entre los 15 y 24 años representan casi 20% de la población total. Con tanta gente joven, deben ser capaces de conseguir lo que necesitan sobre información, educación y recursos acerca de la sexualidad y la planificación familiar. Muchas y muchos de jovenes hablan con los profesores en la escuela, con los amigos, con los novios o los padres. Otros hablan con los proveedores de servicios de salud, como los médicos o los empleados …
Relatoría: Ii Reunión De Investigación Sobre Embarazo No Deseado Y Aborto Inseguro—Desafíos De Salud Pública En América Latina Y El Caribe, Population Council
Relatoría: Ii Reunión De Investigación Sobre Embarazo No Deseado Y Aborto Inseguro—Desafíos De Salud Pública En América Latina Y El Caribe, Population Council
Reproductive Health
El embarazo no deseado y el aborto constituyen causas importantes de morbimortalidad en mujeres en edad reproductiva de la región de América Latina y el Caribe. Las raíces socio-políticas de estos problemas, que se encuentran interrelacionadas, son complejas; pero con el tiempo se ha tornado evidente el hecho de que una posible solución a estos problemas de salud de las mujeres es que la comunidad de investigadores se involucre más y plantee soluciones, y que organice reuniones en las que se de amplia difusión a estas problemáticas. En el presente documento ofrecemos un resumen de la II Reunión de investigación …
Taking Maternal Services To Pregnant Women: The Community Midwifery Model, The Safe Motherhood Demonstration Project
Taking Maternal Services To Pregnant Women: The Community Midwifery Model, The Safe Motherhood Demonstration Project
Reproductive Health
Evidence from a number of studies globally has shown a reduction in maternal and perinatal mortality when women have a skilled attendant present at birth. In Kenya, a skilled attendant assists at only 42 percent of births. In Central Province, over 70 percent deliver with a skilled attendant compared to 28 percent in Western Province. Results from one district in Western Province where midwives were given the necessary equipment and support to assist women during birth at home, showed a significant increase in home births attended by skilled health workers between 2001 and 2003 and a similar decrease in utilization …
Introducing Magnesium Sulphate For The Management Of Pregnancy Induced Hypertension, The Safe Motherhood Demonstration Project
Introducing Magnesium Sulphate For The Management Of Pregnancy Induced Hypertension, The Safe Motherhood Demonstration Project
Reproductive Health
Global studies have demonstrated that using magnesium sulphate (MgSO4) to manage hypertensive disease in pregnancy reduces morbidity and mortality due to severe pre-eclampsia/eclampsia, one of the five direct causes of maternal death. Many countries have been slow to introduce MgSO4 to the detriment of women’s health. There are also critical gaps in health-care provider knowledge, skills, and practice in management of eclampsia. Although the use of MgSO4 was introduced successfully to the Maternity Unit at Kenyatta National Hospital, Nairobi, in 2001, there has been no systematic introduction of the drug across the country. Generally, the only facilities utilizing MgSO4 are …
Repositioning Post Partum Care In Kenya, The Safe Motherhood Demonstration Project
Repositioning Post Partum Care In Kenya, The Safe Motherhood Demonstration Project
Reproductive Health
In Kenya, although 45 percent of maternal deaths occur within the first 24 hours after childbirth and 65 percent of maternal deaths occur during the first week postpartum, health-care providers continue to advise on a first check-up six weeks after childbirth. The early postpartum period is also critical to newborn survival, with 50–70 percent of life-threatening newborn illnesses occurring in the first week. Yet most strategies to reduce maternal and perinatal morbidity and mortality have focused on pregnancy and birth. In addition to the heavy workload of providers who do not assess the mother post-delivery when she may bring her …
The Smnh Implementation Framework For Districts, The Safe Motherhood Demonstration Project
The Smnh Implementation Framework For Districts, The Safe Motherhood Demonstration Project
Reproductive Health
The Safe Motherhood Demonstration Project (SMDP) implementation framework was developed as a result of lessons learned and approaches used during SMDP in Western Province, Kenya, 2000–04. All the components require cooperation and support at the provincial and national level. The six components, as outlined in this brief, are: preparation; safe motherhood (SM) rapid appraisal; analysis; intervention planning; implementation; and evaluation. The development of a Safe Motherhood Rapid Appraisal Tool has been an important outcome of the DFID Western Province SMDP. The intervention in Western Province was based on addressing resource and skills gaps in service provision, which were identified by …
Emergency Contraceptive Pills: South East Asia Regional Training Manual, Sharif M.I. Hossain, M.E. Khan, Md. Moshiur Rahman, Mary Philip Sebastian
Emergency Contraceptive Pills: South East Asia Regional Training Manual, Sharif M.I. Hossain, M.E. Khan, Md. Moshiur Rahman, Mary Philip Sebastian
Reproductive Health
This manual aims to equip Master Trainers with appropriate knowledge on emergency contraceptive pills that can be used by a woman to prevent an unwanted pregnancy within three days of unprotected intercourse or a contraceptive accident such as condom leakage. The manual discusses emergency contraceptive pills and the provision of related services. After a day’s training, Master Trainers will have the knowledge and skills necessary to train service providers and workers on emergency contraceptive pills. Clinicians and program managers who would like to provide services or information on emergency contraceptive pills would also benefit from the manual. The manual is …
A Client-Centered Approach To Reproductive Health: A Trainer's Manual, Population Council
A Client-Centered Approach To Reproductive Health: A Trainer's Manual, Population Council
Reproductive Health
This training manual grew out of a project to improve the quality of care rendered by public-sector providers of reproductive health services. Implemented by the Population Council in collaboration with the Ministries of Population, Welfare, and Health, in Pakistan, the project extended beyond improving the quality of care provided by family planning workers and incorporated health workers who provided maternal and child health services. The success of all efforts made by the service delivery system in attracting and keeping clients depends upon the content and quality of interaction when the client comes in contact with the provider—whether the client is …
Tuko Pamoja: A Guide For Talking With Young People About Their Reproductive Health, Karhp, Path, Population Council
Tuko Pamoja: A Guide For Talking With Young People About Their Reproductive Health, Karhp, Path, Population Council
Reproductive Health
This guide was developed for public health technicians working with the Ministry of Health as part of the Kenya Adolescent Reproductive Health Project Tuko Pamoja (We Are Together). It can be used by anyone wishing to broaden their understanding of adolescent reproductive health (RH) issues and improve communication with young people. Providing young people with support by talking with and listening to them as well as ensuring they have access to accurate information can help them understand the wide range of changes they are experiencing during adolescence. Although parents, teachers, religious and community leaders, and health-care providers are expected to …
The Secret Kappa Lambda Society Of Hippocrates (And The Origin Of The American Medical Association's Principles Of Medical Ethics), Charles T. Ambrose
The Secret Kappa Lambda Society Of Hippocrates (And The Origin Of The American Medical Association's Principles Of Medical Ethics), Charles T. Ambrose
Microbiology, Immunology, and Molecular Genetics Faculty Publications
This paper relates the neglected history of an idealistic, secret medical fraternity which existed briefly in Lexington, Kentucky, during the first half of the 19th century. It was created for students in the Medical Department at Transylvania University, the fifth US medical school, founded in 1799. One goal of the fraternity was to counter the widespread dissension and often violent quarrels among doctors that characterized American medicine of that period. And to that end, it was among the first to promote Thomas Percival's code of medical ethics in this country. Branches of the fraternity were established in Philadelphia and New …
Interventions Linking Gender Relations And Violence With Reproductive Health And Hiv: Rationale, Effectiveness And Gaps, Jane Chege
Reproductive Health
The past decade has witnessed much attention on the interrelationship between accepted gender norms and reproductive health (RH) outcomes in the context of HIV/AIDS. After decades of ignoring men in RH programmes, attention is now focusing on actively involving men in interrogating gender norms underpinning gender-based violence (GBV) in the context of RH and HIV/AIDS prevention, care and support activities. However, there are challenges in addressing gender norms and in male involvement. The purpose of this article is to highlight existing evidence-based efforts to challenge gender norms and promote constructive male involvement, with a special focus on South Africa; to …
Transferring Ghana's System Of Evidence-Based Health Program Development: Program For An Initial Exchange With Sierra Leone And Burkina Faso, Frontiers In Reproductive Health
Transferring Ghana's System Of Evidence-Based Health Program Development: Program For An Initial Exchange With Sierra Leone And Burkina Faso, Frontiers In Reproductive Health
Reproductive Health
Ghana’s Community-based Health Planning and Services (CHPS) experiment demonstrated that mobilizing community volunteerism, in combination with retraining and redeploying nurses to village-based locations reduced childhood mortality rates in that country. Thus, CHPS has become the government’s primary strategy for realizing universal access to health care. This report provides a description of an initial exchange organized by the Ghana Health Service, the Navrongo Health Research Centre, and the Population Council to explore ways of transferring and adapting these evidence-based strategies to other countries in the region. The exchange included representatives from the Sierra Leone Ministry of Health and Sanitation and the …
Cross-Cultural Adaptation Of Reproductive Health Services In Bolivia, Fernando Gonzales Salguero, Antonieta Martin, Rosario Perez Mendoza, Ricardo Vernon
Cross-Cultural Adaptation Of Reproductive Health Services In Bolivia, Fernando Gonzales Salguero, Antonieta Martin, Rosario Perez Mendoza, Ricardo Vernon
Reproductive Health
The Bolivian Ministry of Health and Sports and the Integral Health Project, with the technical assistance of the Population Council’s Frontiers in Reproductive Health Program (FRONTIERS), tested several strategies to make health services in Bolivia more culturally appropriate for the country’s indigenous peoples. The goal of the project was to increase women’s access to, use of, and satisfaction with health services in general, and reproductive health services in particular, through: a) enhanced understanding and acceptance of the “other” culture; b) improving communication skills; c) facilitating and promoting use of the Quechua language in clinics; d) systematically screening clients’ health service …
Operations Research To Improve Postabortion (Pac) Services In Three Public Hospitals, Bolivia, Fernando Gonzales Salguero, Mariel Loayza
Operations Research To Improve Postabortion (Pac) Services In Three Public Hospitals, Bolivia, Fernando Gonzales Salguero, Mariel Loayza
Reproductive Health
In the last five years, Pathfinder Bolivia has provided technical assistance, training and equipment to the Ministry of Health (MOH) to implement postabortion care (PAC) services in eight hospitals. They invited Frontiers in Reproductive Health (FRONTIERS) to provide the technical assistance and training for conducting operations research (OR) activities. This report describes the second stage of this collaborative effort as presented in a three-day workshop attended by providers and staff members of the participant hospitals. During the workshop, participants received OR training and developed draft OR proposals seeking to improve PAC service delivery problems identified during the first study. The …
Use Of Systematic Screening To Increase The Provision Of Reproductive Health Services In Bolivia, James R. Foreit, Ricardo Vernon, Patricia Riveros Hamel
Use Of Systematic Screening To Increase The Provision Of Reproductive Health Services In Bolivia, James R. Foreit, Ricardo Vernon, Patricia Riveros Hamel
Reproductive Health
The objective of this study was to determine if the use of a checklist to screen for unmet service needs could increase the number of services per visit provided to clients using rural Bolivian health facilities. Measurement included changes in services per visit before and after the introduction of the intervention, and a comparison of services received at screened and non-screened visits. Findings show that, to the degree that provider compliance can be secured, systematic screening of clients appears to be an effective method for reducing unmet health service needs. The findings of this study replicate those of other studies …
Willingness-To-Pay For Services Provided By The Clinical Services Improvement Project (Csi) In Egypt, John H. Bratt, Nahla G. Abdel-Tawab, Magdi A. Ibrahim, Mohammed Edress
Willingness-To-Pay For Services Provided By The Clinical Services Improvement Project (Csi) In Egypt, John H. Bratt, Nahla G. Abdel-Tawab, Magdi A. Ibrahim, Mohammed Edress
Reproductive Health
Willingness-to-pay (WTP) surveys are increasingly used in reproductive health programs to predict the impact of price changes on revenues, utilization, and client profile. The FRONTIERS program worked with the Clinical Services Improvement (CSI) project and the Cairo Demographic Center to carry out a WTP survey in six CSI clinics in Egypt. The survey found that most clients would be willing to pay higher prices for CSI services, and WTP did not vary much by client economic status. However, predictive validity was low when all reasons for client discontinuation were included. WTP surveys have the potential to be useful tools for …
An Assessment Of Trends In The Use Of The Iud In Ghana: National Results Dissemination And Utilization, Ivy Osei, John Gyapong, Monica Wanjiru, Ian Askew
An Assessment Of Trends In The Use Of The Iud In Ghana: National Results Dissemination And Utilization, Ivy Osei, John Gyapong, Monica Wanjiru, Ian Askew
Reproductive Health
The overall aim of this study was to inform the Ghana Health Service, USAID, and other partners involved in providing family planning services in Ghana about future directions that could be taken to reinvigorate the IUD within the context of a family planning service based on the principles of free and informed choice. The Health Research Unit conducted the study, with technical assistance from FRONTIERS and funding from USAID. The findings showed that the declining interest in and use of the IUD as a family planning method could be attributed to several factors, including negative perceptions and false beliefs about …
Improving The Ghanaian Safe Motherhood Programme, Ivy Osei, Bertha Garshong, Gertrude Banahene, John Gyapong, Placide Tapsoba, Ian Askew, Clement Ahiadeke, Richard Killian, Edward Bonku, Perle Combary, William Sampson
Improving The Ghanaian Safe Motherhood Programme, Ivy Osei, Bertha Garshong, Gertrude Banahene, John Gyapong, Placide Tapsoba, Ian Askew, Clement Ahiadeke, Richard Killian, Edward Bonku, Perle Combary, William Sampson
Reproductive Health
Prior to the Ghana Ministry of Health scaling up the country’s Safe Motherhood program, they requested support from the Population Council’s USAID-funded Frontiers in Reproductive Health program to undertake an operations research study to evaluate and compare the cost-effectiveness of two training approaches and other performance improvement interventions. The study measured and compared changes in provider knowledge and skills and the costs of implementing a three-week residential vs. self-paced learning (SPL) approach. The SPL approach costs more per trainer than the traditional residential approach, both in financial costs alone and when opportunity costs are added, however, a cost-effectiveness analysis showed …
Improving Access To Long-Term Contraceptives In Rural Guatemala Through The Ministry Of Health, Edwin Montufar, Carlos Morales, Ricardo Vernon, Carlos Brambila, Jorge Solorzano
Improving Access To Long-Term Contraceptives In Rural Guatemala Through The Ministry Of Health, Edwin Montufar, Carlos Morales, Ricardo Vernon, Carlos Brambila, Jorge Solorzano
Reproductive Health
The purpose of this study was to test a model to train nurse auxiliaries at health centers and posts in Guatemala and to determine whether these providers could deliver adequate, cost-effective services. The training model consisted of: a) selection of nurse auxiliaries; b) two-day group training; c) on-the-job training, including work with actual clients at the trainees’ work centers; and d) certification of trainees who had conducted at least five quality insertions under supervision. This study has shown that nonprofessional health providers can effectively provide quality IUD services in Guatemala. The main recommendation derived from the project is to scale …
Expanding Access To Vasectomy Services In The Ministry Of Health Of Guatemala, Blanca De Rodriguez, Ricardo Vernon, Jorge Solorzano
Expanding Access To Vasectomy Services In The Ministry Of Health Of Guatemala, Blanca De Rodriguez, Ricardo Vernon, Jorge Solorzano
Reproductive Health
This project tested the effectiveness of a systemic model for introducing vasectomy in service delivery units of the Guatemalan Ministry of Health (MOH), which has four basic components: a) the self-selection of health units according to their response to an invitation to participate in the project; b) the development of a counseling and information model for potential clients; c) training and sensitizing of health teams; and d) on-site training of surgeons. The report concludes that the introduction model for vasectomy in the MOH centers was successful. A high proportion of hospitals that identified vasectomy candidates finished the process, and the …
Systematic Screening As A Strategy To Increase Services Integration And Revenues In Honduras, Ricardo Vernon, James R. Foreit, Fiorella Mancini, Suyapa Pavon, Jheisy Torres
Systematic Screening As A Strategy To Increase Services Integration And Revenues In Honduras, Ricardo Vernon, James R. Foreit, Fiorella Mancini, Suyapa Pavon, Jheisy Torres
Reproductive Health
This operations research study, undertaken by the Honduras Family Planning Association (Asociación Hondureña de Planificación de Familia—ASHONPLAFA), tested the effectiveness of systematic screening to increase the number of services and revenue per visit in a reproductive health program. Despite monitoring plans, provider compliance with the intervention was low; the overall proportion of clients screened was less than 11 percent, and the frequency of screening varied greatly by clinic contact point. Although the study did not show an increase in the mean number of services per client, the negative results could reasonably be attributed to lack of implementation of the intervention. …
Systematic Screening To Integrate Reproductive Health Services In India, N.P. Das, Urvi Shah, Varsha Chitania, Pratibha Patel, M.E. Khan, Anurag Mishra, James R. Foreit
Systematic Screening To Integrate Reproductive Health Services In India, N.P. Das, Urvi Shah, Varsha Chitania, Pratibha Patel, M.E. Khan, Anurag Mishra, James R. Foreit
Reproductive Health
This study, conducted in large public clinics and small health posts in the city of Vadodara, India, tested the effectiveness of a systematic screening technique in integrating reproductive health services at the provider level. The objective was to determine if women screened during clinic visits received more services, appointments, and referrals per visit than women who were not screened. Results show that in experimental group clinics the number of services per visit increased while control clinics experienced a slight decrease; the effect of systematic screening was smaller in health posts than in clinics. In experimental posts, services per visit increased …
Nursing Staff Dynamics And Implications For Maternal Health Provision In Public Health Facilities In The Context Of Hiv/Aids, Loveday Penn-Kekana, Duane Blaauw, Khin San Tint, Desiree Monareng, Jane Chege
Nursing Staff Dynamics And Implications For Maternal Health Provision In Public Health Facilities In The Context Of Hiv/Aids, Loveday Penn-Kekana, Duane Blaauw, Khin San Tint, Desiree Monareng, Jane Chege
Reproductive Health
This study, carried out in Limpopo, KwaZulu-Natal, and Mpumalanga provinces in South Africa, aimed to document nursing staff dynamics in maternal health services, and to explore the factors associated with these dynamics. The study found that a high percentage of nursing staff working in public facilities were demotivated, burnt out, and were considering leaving the facility where they were working. A range of factors, both financial and nonfinancial, were associated with nurses considering going overseas: inadequate pay, poor promotion, feeling unsupported by management, and having bad relationships at work were all associated with lack of organizational commitment. As a result …
Feasibility Of Introducing A Comprehensive Package Of Antenatal Care Services In Rural Public Clinics In South Africa, Jane Chege, Ian Askew, Nzwakie Mosery, Mbali Ndube-Nxumalo, Busi Kunene, Mags Beksinska, Janet Dalton, Ester Snyman, Wilem Sturm, Preshny Moodley
Feasibility Of Introducing A Comprehensive Package Of Antenatal Care Services In Rural Public Clinics In South Africa, Jane Chege, Ian Askew, Nzwakie Mosery, Mbali Ndube-Nxumalo, Busi Kunene, Mags Beksinska, Janet Dalton, Ester Snyman, Wilem Sturm, Preshny Moodley
Reproductive Health
The Maternal, Child and Women’s Health Unit, in collaboration with the Population Council’s FRONTIERS in Reproductive Health (FRONTIERS) program, the Reproductive Health Research Unit of the University of Witwatersrand, and the Department of Medical Microbiology and Infectious Diseases of the Nelson Mandela School of Medicine, University of Natal, developed and then pilot-tested this revised model in KwaZulu-Natal, South Africa. The project’s objective was to develop and test an improved and integrated antenatal care program for public-sector clinics that would increase the range and quality of services received by pregnant women and improve their reproductive health behavior and status. Various problems, …
Using Systematic Screening To Increase Integration Of Reproductive Health Services Delivery In Senegal, Diouratie Sanogo, Ricardo Vernon, James R. Foreit, Awa M. Coll-Seck, Colonel Adama Adoye, Laty G. Ndoye, Cheikh Bamba Diop, Balla Mbacke Mboup, Omar Sarr
Using Systematic Screening To Increase Integration Of Reproductive Health Services Delivery In Senegal, Diouratie Sanogo, Ricardo Vernon, James R. Foreit, Awa M. Coll-Seck, Colonel Adama Adoye, Laty G. Ndoye, Cheikh Bamba Diop, Balla Mbacke Mboup, Omar Sarr
Reproductive Health
This study tested the systematic screening technique to increase the integration of reproductive health services in Senegal. The study took place in four urban health posts in the city of Dakar and three rural health posts in the district of Kebemer. A before and after design tested the hypothesis that the use of the systematic screening tool would result in more services received per client visit. In Dakar, services per visit increased significantly by 20 percent, while in Kebemer, services per visit also increased significantly by 35 percent. The study also examined several techniques to improve provider compliance with the …
Hper Biomechanics Laboratory 2004 Annual Report: A Surveillance Of The Neuromuscular System, Issue 3, Nebraska Biomechanics Core Facility
Hper Biomechanics Laboratory 2004 Annual Report: A Surveillance Of The Neuromuscular System, Issue 3, Nebraska Biomechanics Core Facility
Biomechanics Annual Report
This issue features 2004 - A Great Year for External Funding: Three Grants Awarded to Dr. Stergiou, Robotic Surgery Research is Funded by the Nebraska Research Initiative, Federal Grant is Awarded for the Study of the Development of Posture in Children with Cerebral Palsy, The Nebraska Research Initiative funds our Innovative Research in Gait Analysis, Collaboration with the Department of Surgery of the University of Nebraska Medical Center on the Effects of Peripheral Arterial Disease on Gait, Omaha Media Features Nicholas Stergiou, Dr. Stergiou participates in an NIH Review Panel, Prestigious Teaching Award for Dr. Stergiou, NASA Visits HPER Biomechanics …
Factors That Contribute To Turnover Of Sales Professionals In South Hampton Roads, Monica Miccio-Vieira
Factors That Contribute To Turnover Of Sales Professionals In South Hampton Roads, Monica Miccio-Vieira
OTS Master's Level Projects & Papers
By completion of this study, the following goals will have been answered: 1. What are the attitudes of Human Resource Directors towards turnover in South Hampton Roads? 2. What are the costs of employee turnover to an organization? 3. What recommendations can be made to Human Resource Directors to reduce employee turnover?
Attitudes Of Potential Employers In Southwestern Virginia Toward Hiring Newly Licensed Physical Therapist Assistants Who Are Graduates Of The Wytheville Community College Physical Therapist Assistant Program, Julia S. Jackson King
Attitudes Of Potential Employers In Southwestern Virginia Toward Hiring Newly Licensed Physical Therapist Assistants Who Are Graduates Of The Wytheville Community College Physical Therapist Assistant Program, Julia S. Jackson King
OTS Master's Level Projects & Papers
The research goals included: 1. Did employers of physical therapist assistants feel positively toward graduates of the Wytheville Community College Physical Therapist Assistant program? 2. Would an employer prioritize a new graduate from Wytheville over a new graduate from any other program if all other applicable experience was equal? 3. What did employers identify as the strengths and weaknesses of the Wytheville program?
The Effectiveness Of Loudoun Country Public Schools Teacher Cadet Program, Erik J. Kittelson
The Effectiveness Of Loudoun Country Public Schools Teacher Cadet Program, Erik J. Kittelson
OTS Master's Level Projects & Papers
The objectives of this study were to answer the following questions: 1. Determine if students who participate in the Loudoun County Public Schools Teacher Cadet program actually pursue a teaching degree or licensure; 2. Determine the percentage of Teacher Cadet completers who plan to pursue a teaching degree or licensure; 3. Determine if the teacher cadet program prepares students for higher education teaching programs; 4. Determine if the content of the current curriculum prepares students for their respective teaching area of interest.
An Analysis Of Attitudes Toward Instructional Technology Integration At Heritage High School, Nicole P. Edwards
An Analysis Of Attitudes Toward Instructional Technology Integration At Heritage High School, Nicole P. Edwards
OTS Master's Level Projects & Papers
The research goals of this study would determine the following: 1. What were teachers' attitudes towards having basic instructional technology skills? 2. What were teachers' attitudes towards using instructional technology in the classroom? 3. What populations of teachers were satisfied with their degree of instructional technology knowledge?