scholarly journals Evaluation of potentially achievable vaccination coverage of the second dose of measles containing vaccine with simultaneous administration and risk factors for missed opportunities among children in Zhejiang province, east China

2018 ◽  
Vol 14 (4) ◽  
pp. 875-880
Author(s):  
Yu Hu ◽  
Yaping Chen ◽  
Ying Wang ◽  
Hui Liang
Keyword(s):  
Risk Factors ◽  
Vaccination Coverage ◽  
Zhejiang Province ◽  
East China ◽  
Simultaneous Administration ◽  
Missed Opportunities

scholarly journals Inequities in Childhood Vaccination Coverage in Zhejiang, Province: Evidence from a Decomposition Analysis on Two-Round Surveys

2018 ◽  
Vol 15 (9) ◽  
pp. 2000 ◽  
Author(s):  
Yu Hu ◽  
Hui Liang ◽  
Ying Wang ◽  
Yaping Chen
Keyword(s):  
Risk Factors ◽  
Vaccination Coverage ◽  
Maternal Employment ◽  
Decomposition Analysis ◽  
Health Spending ◽  
Zhejiang Province ◽  
Childhood Vaccination ◽  
Decomposition Approach ◽  
Mother’S Age ◽  
Coverage Rates

Objective: The objectives of this study were to determine the degree and risk factors of the inequity in the childhood coverage of full primary immunization (FPI) in Zhejiang province. Method: We used data from two rounds of vaccination coverage surveys among children aged 24–35 months conducted in 2014 and 2017, respectively. The household income per month was used as an index of socioeconomic status for the inequality analysis. The concentration index (CI) was used to quantify the degree of inequality, and the decomposition approach was applied to quantify the contributions from demographic factors to inequality in the coverage of FPI. Results: The coverage rates of FPI were 80.6%, with a CI value of 0.12028 for the 2014 survey, while the coverage rates of FPI were 85.2%, with a CI value of 0.10129 for the 2017 survey. The results of decomposition analysis suggested that 68.2% and 67.1% of the socioeconomic inequality in the coverage of FPI could be explained by the mother’s education level for the 2014 and 2017 survey, respectively. Other risk factors including birth order, ethnic group, mother’s age, maternal employment status, residence, immigration status, GDP per-capita, and the percentage of the total health spending allocated to public health could also explain this inequality. Conclusion: The socioeconomic inequity in the coverage of FPI still remained, although this gap was reduced between 2014 and 2017. Policy recommendations for health interventions on reducing the inequality in the coverage of FPI should be focused on eliminating poverty and women’s illiteracy.

scholarly journals Risk factors associated with physician trainee concern over missed educational opportunities during the COVID-19 pandemic

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sunny S. Lou ◽  
Charles W. Goss ◽  
Bradley A. Evanoff ◽  
Jennifer G. Duncan ◽  
Thomas Kannampallil
Keyword(s):  
Risk Factors ◽  
Clinical Education ◽  
Medical Center ◽  
Clinical Care ◽  
Academic Medical Center ◽  
Clinical Work ◽  
Educational Opportunities ◽  
Missed Opportunities ◽  
Physician Trainee ◽  
At Home

Abstract Background The COVID-19 pandemic resulted in a transformation of clinical care practices to protect both patients and providers. These changes led to a decrease in patient volume, impacting physician trainee education due to lost clinical and didactic opportunities. We measured the prevalence of trainee concern over missed educational opportunities and investigated the risk factors leading to such concerns. Methods All residents and fellows at a large academic medical center were invited to participate in a web-based survey in May of 2020. Participants responded to questions regarding demographic characteristics, specialty, primary assigned responsibility during the previous 2 weeks (clinical, education, or research), perceived concern over missed educational opportunities, and burnout. Multivariable logistic regression was used to assess the relationship between missed educational opportunities and the measured variables. Results 22% (301 of 1375) of the trainees completed the survey. 47% of the participants were concerned about missed educational opportunities. Trainees assigned to education at home had 2.85 [95%CI 1.33–6.45] greater odds of being concerned over missed educational opportunities as compared with trainees performing clinical work. Trainees performing research were not similarly affected [aOR = 0.96, 95%CI (0.47–1.93)]. Trainees in pathology or radiology had 2.51 [95%CI 1.16–5.68] greater odds of concern for missed educational opportunities as compared with medicine. Trainees with greater concern over missed opportunities were more likely to be experiencing burnout (p = 0.038). Conclusions Trainees in radiology or pathology and those assigned to education at home were more likely to be concerned about their missed educational opportunities. Residency programs should consider providing trainees with research or at home clinical opportunities as an alternative to self-study should future need for reduced clinical hours arise.

scholarly journals Vaccination coverage estimates and utilization patterns of inactivated enterovirus 71 vaccine post vaccine introduction in Ningbo, China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lixia Ye ◽  
Jieping Chen ◽  
Ting Fang ◽  
Rui Ma ◽  
Jianmei Wang ◽  
...  
Keyword(s):  
Birth Cohort ◽  
Vaccination Coverage ◽  
Eastern China ◽  
Multivariable Analysis ◽  
Enterovirus 71 ◽  
Information Management System ◽  
Simultaneous Administration ◽  
Childhood Immunization ◽  
Vaccine Introduction ◽  
Utilization Patterns

Abstract Background In China, enterovirus 71 (EV71) is the major etiological agents of hand foot mouth disease that poses severe risks to children’s health. Since 2015, three inactivated EV71 vaccines have been approved for use. Previous studies indicated the high willingness of EV71 vaccination in eastern China. However, few studies have assessed coverage and utilization patterns of EV71 vaccine in China. Methods Children born during 2012–2018 were sampled and their records were abstracted from Ningbo childhood immunization information management system. Descriptive statistics characterized the study population and assessed coverage and timeliness for EV71 vaccination. Simultaneous administration patterns as well as type of EV71 vaccine used were also evaluated. Bivariate and multivariable analysis was used to examine the relationship of socio-demographic characteristics with vaccination coverage and timeliness. Results Of 716,178 children living in Ningbo. One hundred seventy-two thousand two hundred thirty-six received EV71 vaccine with a coverage rate of 24.05% and only 8.61% received vaccination timely. 21.97% of children received the complete two dose EV71 series but only 6.49% completed timely. Vaccination coverage and timeliness increased significantly from 2012 birth cohort to 2018 birth cohort. Relatively higher coverage and timeliness were observed in resident children, Inner districts, high socioeconomic areas and large-scaled immunization clinics. Of 329,569 doses of EV71 vaccine, only 5853(1.78%) doses were administered at the same day as other vaccines. Conclusions There is a need for increasing EV71 vaccination coverage and timeliness as well as eliminating disparities among different populations. Our study highlights the importance of simultaneous administration to increasing coverage and timeliness of EV71 vaccination.

Youngia jiulongshanensis (Asteraceae: Liguliflorae), a new species from Zhejiang, East China

Phytotaxa ◽  
2019 ◽  
Vol 425 (4) ◽  
pp. 244-252 ◽  
Author(s):  
XIN CAI ◽  
YUE-LIANG XU ◽  
JU-LIAN LIU ◽  
HUI-LONG ZHOU ◽  
XIAO-FENG JIN
Keyword(s):  
New Species ◽  
Internal Transcribed Spacer ◽  
Pollen Grains ◽  
Zhejiang Province ◽  
East China ◽  
A New Species

A new species of Asteraceae, Youngia jiulongshanensis, is described and illustrated from Mount Jiulong, south-western Zhejiang Province of East China. It most closely resembles Youngia heterophylla, but differs in having smaller oblong basal leaves (vs. basal leaves oblanceolate), lateral lobes of leaves 1–2 pairs (vs. 1‒8 pairs), 5‒7(8) florets in each capitula (vs. 11‒25 florets in each capitula), involucre 5‒6 mm long (vs. 6‒7.5 mm long), inner phyllaries 5 (vs. 8). Observations on pollen grains of Youngia jiulongshanensis and Y. heterophylla detect the pollen grains of the new species are significantly larger than those of Y. heterophylla. Sequences of ITS (Internal Transcribed Spacer) and cp DNA demonstrate Youngia heterophylla as the closest extant relative of the new species.

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