scholarly journals Randomized Quality Improvement Trial of Opting-In Versus Opting-Out to Increase Influenza Vaccination Rates during Pregnancy

2018 ◽  
Vol 08 (03) ◽  
pp. e161-e167 ◽  
Author(s):  
Susan Wootton ◽  
Sean Blackwell ◽  
George Saade ◽  
Pamela Berens ◽  
Maria Hutchinson ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Influenza Vaccination ◽  
Influenza Season ◽  
Health Science ◽  
Vaccine Uptake ◽  
Science Center ◽  
University Of Texas ◽  
Vaccination Rates ◽  
Opting Out ◽  
Texas Health

Introduction Despite strong recommendations, only 40.6% of pregnant women attending two prenatal clinics were vaccinated against influenza during the 2009 pandemic. We tested whether an opting-out approach would improve vaccine uptake. Methods We conducted a randomized quality improvement (QI) trial to compare opting-out with conventional opting-in consent for influenza immunization. Women age ≥ 18 years attending the University of Texas Health Science Center at Houston (UTHealth) or UT-Medical Branch (UTMB) prenatal clinics during the 2010–2011 influenza season, were eligible. Results We enrolled 280 women (140 UTHealth, 140 UTMB). Both groups had similar mean age (26.0 ± 5.5 years), mean gestational age (19.4 ± 9.5 weeks), and percent with underlying health conditions (20.7%). Vaccination rates with opting-in and opting-out were similar among all (83 vs. 84%), UTHealth (87 vs. 93%), and UTMB patients (79 vs.76%) (p > 0.05). In subsamples of patients assessed, consent strategy did not significantly affect maternal recall of information provided. Conclusion While prenatal influenza vaccination uptake doubled from the 2009–2010 influenza season, opting-out did not perform better than opting-in, a conclusion opposite that we would have reached had this been a nonconcurrent trial. Vaccination rates dropped posttrial; hence, continued research is needed to increase the prenatal influenza immunizations.

Factors affecting influenza vaccine uptake among health care workers in the Medical and Health Sciences Center of Debrecen University, Hungary

2012 ◽  
Vol 153 (13) ◽  
pp. 505-513 ◽  
Author(s):  
Piroska Orosi ◽  
Ágnes Borbély ◽  
Judit Szidor ◽  
János Sándor
Keyword(s):  
Health Care ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Vaccination Rate ◽  
Internal Communication ◽  
Health Science ◽  
Vaccine Uptake ◽  
Science Center ◽  
Family Doctors ◽  
Care Workers

Influenza vaccination is the most effective way of influenza prevention. The vaccination rate is low worldwide. In Hungary, the vaccine is free of charge to health care workers and, therefore, the low vaccination rate is unaccountable. Aims: In this study, the authors wanted to explore those factors which influence the refusal of vaccination. Methods: The Health Science Center of Debrecen University has about 4000 employees. The authors adjusted a questionnaire with 45 questions and sent it to 525 randomly selected health care workers, 294 of whom responded (response rate, 56%). The Epiinfo software was used for statistical evaluation. Results: The respondents strongly agreed that the vaccine is free and easy to obtain at the workplace. Official recommendations of the occupational health, the Medical Association of Hungary and advice of the family doctors failed to influence the decision. However, a significant impact of communication with family members, friends and colleagues on the decision was documented. Conclusions: The results indicate that the most important tool in decision making of influenza vaccination is the internal communication, but this effect is not a permanent one. International data show highly variable vaccination rates (between 2.1% and 82%). A better vaccination rate (98% or above) may be achieved with a mandatory influenza vaccination program among health care workers. Orv. Hetil., 2012, 153, 505–513.

scholarly journals Research Hot Spots and Trends on Melatonin From 2000 to 2019

2021 ◽  
Vol 12 ◽  
Author(s):  
Yan Meng ◽  
Zhengbo Tao ◽  
Siming Zhou ◽  
Wacili Da ◽  
Lin Tao
Keyword(s):  
Hot Spots ◽  
Hot Spot ◽  
Health Science ◽  
Science Center ◽  
Main Research ◽  
University Of Texas ◽  
Texas Health ◽  
The University ◽  
Number Of Citations ◽  
Analysis Platform

Research on melatonin remains one of the major hot spots in the field of disease treatment, but relevant data are numerous. The purpose of this study was to quantitatively and qualitatively analyze the progress of melatonin research through the method of bibliometrics and to predict hot spots and trends in melatonin research. This study retrieved all the studies on melatonin from 2000 to 2019 in the Web of Science and PubMed and analysed the publishing trends in the literature on a bibliometric online analysis platform and CiteSpace software. The research results were also visually analysed to summarize melatonin research hot spots through gCLUTO and pubMR. The study retrieved a total of 20,351 publications, of which the number of US publications ranked first, accounting for 21.46%, with the greatest impact (centrality = 0.31). The University of Texas Health Science Center at San Antonio and Harvard University had the highest average number of citations at 43.19 and 33.96, respectively. Journal of Pineal Research had the highest average number of citations in 2,993 journals. Professor Reiter made the largest contribution to this area. We further analysed 100 highly cited articles for clinical applications and ongoing related clinical drug trials based on the first hot spot. We systematically analysed melatonin for nearly 20 years while predicting the main research trends in the future, which may provide new directions and ideas for melatonin research. The structure and normal physiological functions of melatonin have been intensively studied in the past few years. And clinical application research and target of melatonin treatment for different diseases and target-based drug design will certainly become the focus of melatonin research.

Introducing Climate Change to Medical Students

2019 ◽  
pp. 230-242
Author(s):  
David Kline ◽  
Thomas R. Cole ◽  
Susan Pacheco
Keyword(s):  
Climate Change ◽  
Medical Students ◽  
Professional Training ◽  
Health Science ◽  
Short Paper ◽  
Science Center ◽  
University Of Texas ◽  
Elective Course ◽  
Texas Health ◽  
The University

This chapter discusses using a broad humanities perspective to teach medical students about climate change. It argues that the humanities can recover a more robust approach to bioethics and serve as a bridge between students’ professional training and their own spiritual and moral convictions. The chapter describes a short elective course taught to first- and second-year students at the McGovern Medical School at the University of Texas Health Science Center in Houston. It concludes with a class exercise in which students read the Physician Charter and write a short paper that takes one commitment from the charter and applies it to climate change.

Sign in / Sign up

Export Citation Format

Share Document