scholarly journals SARS-CoV-2 infections in kindergartens and associated households at the start of the second wave in Berlin, Germany – a cross sectional study

2020 ◽  
Author(s):  
Marlene Thielecke ◽  
Stefanie Theuring ◽  
Welmoed van Loon ◽  
Franziska Hommes ◽  
Marcus A. Mall ◽  
...  
Keyword(s):  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Kindergarten Children ◽  
Sectional Study ◽  
Cross Sectional ◽  
Routine Testing ◽  
Household Members ◽  
Precautionary Measures ◽  
Second Wave ◽  
Pandemic Wave

AbstractObjectivesThe comparatively large proportion of asymptomatic SARS-CoV-2 infections in the youngest children opens up the possibility that kindergartens represent reservoirs of infection. However, actual surveys in kindergartens beyond individual outbreaks are rare. At the beginning of the second pandemic wave in Berlin, Germany, i.e., end of September 2020, we screened SARS-CoV-2 infections among kindergarten children, staff and connected household members.MethodsTwelve kindergartens were randomly selected in the Berlin metropolitan area, and a total of 720 participants were recruited (155 pre-school children, 78 staff, 487 household members). Participants were briefly examined and interviewed, and SARS-CoV-2 infections and anti-SARS-Cov-2 IgG antibodies were assessed.ResultsSigns and symptoms, largely resembling common cold, were present in 24.2% of children and 28.9% of staff. However, no SARS-CoV-2 infection was detected among 701 PCR-tested individuals, and only one childcare worker showed IgG seroreactivity (0.15%; 1/672).ConclusionsAgainst a backdrop of increased pandemic activity in the community, this cross-sectional study does not suggest that kindergartens are silent transmission reservoirs. Nevertheless, at increasing pandemic activity, reinforced precautionary measures and repeated routine testing appears advisable.

scholarly journals Data of the COVID-19 mRNA-Vaccine V-Safe Surveillance System and Pregnancy Registry Reveals Poor Embryonic and Second Trimester Fetal Survival Rate. Comment on Stuckelberger et al. SARS-CoV-2 Vaccine Willingness among Pregnant and Breastfeeding Women during the First Pandemic Wave: A Cross-Sectional Study in Switzerland. Viruses 2021, 13, 1199

Viruses ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1545 ◽  
Author(s):  
Serge Stroobandt ◽  
Roland Stroobandt
Keyword(s):  
Survival Rate ◽  
Surveillance System ◽  
Cross Sectional Study ◽  
Second Trimester ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fetal Survival ◽  
Pregnancy Registry ◽  
Pandemic Wave

Dr. Sarah Stuckelberger and her colleagues should be commended for their cross-sectional study assessing the willingness of Swiss pregnant and breastfeeding women to be vaccinated against SARS-CoV-2 [...]

scholarly journals Signs and symptoms in Gaucher Disease: priority nursing diagnoses

2018 ◽  
Vol 71 (1) ◽  
pp. 104-110 ◽  
Author(s):  
Márcia Koja Breigeiron ◽  
Vitória da Costa Moraes ◽  
Janice Carneiro Coelho
Keyword(s):  
Gaucher Disease ◽  
Bone Pain ◽  
Genetic Diagnosis ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Physical Mobility ◽  
Risk For Bleeding ◽  
Nursing Diagnoses

ABSTRACT Objective: Identify the signs and symptoms of patients with Gaucher Disease, inferring possible priority nursing diagnoses. Method: Cross-sectional study, developed in a specialized laboratory, between 2013 and 2015. The sample (n = 91) comprised the records of patients with genetic diagnosis for Gaucher Disease. The study respected research norms. Results: Prevalence of female sex (57.1%), age at diagnosis between 0 and 10 years, and origin from the Southeast Region of Brazil were prevalent. Hematologic changes, bone pain, hepatomegaly, splenomegaly, and fatigue were the most recurrent signs and symptoms. The inferred diagnoses for the studied population were: Risk for bleeding; Fatigue; Chronic pain and Acute pain; Impaired physical mobility; Imbalanced nutrition: less than body requirements; and Risk for Developmental Delay. Conclusion: The establishment of Priority Nursing Diagnoses based on signs and symptoms makes it possible to achieve expected outcomes for each individual in the care context.

scholarly journals Dental Fear and Anxiety of Kindergarten Children in Hong Kong: A Cross-Sectional Study

2020 ◽  
Vol 17 (8) ◽  
pp. 2827
Author(s):  
Madeline Jun Yu Yon ◽  
Kitty Jieyi Chen ◽  
Sherry Shiqian Gao ◽  
Duangporn Duangthip ◽  
Edward Chin Man Lo ◽  
...  
Keyword(s):  
Rating Scale ◽  
Cross Sectional Study ◽  
Dental Fear ◽  
Oral Examination ◽  
Kindergarten Children ◽  
Caries Experience ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fear Level ◽  
Fear And Anxiety

Objectives: The objectives of this cross-sectional study were to investigate the fear level of kindergarten children in the general population during dental outreach in a familiar kindergarten setting, and to explore the factors associated with the dental fear of kindergarten children. Method: Consecutive sampling method was used to select kindergarten children aged 3 to 5 to participate in a questionnaire survey and an outreach service. A behavioural observation type of instrument for dental fear and anxiety assessment—Frankl Behaviour Rating Scale (FBRS)—was chosen to investigate the fear level of the children. Bivariate analyses between various factors and children’s dental fear and anxiety were carried out using Chi-square test. Results: A total of 498 children participated in this study. Almost half (46%) of the children have had caries experience, and the mean dmft score was 2.1 ± 3.4. The prevalence of dental caries was 32%, 43%, and 64% in the 3-, 4- and 5-year-olds, respectively. Only 4% of the children scored negatively for dental fear and anxiety (95% CI 2.3%–5.7%). Children at three years of age displayed more dental fear and anxiety than children of older ages, but the difference in dental fear and anxiety among the genders and caries status was not statistically significant. Most of the children (92%) brushed daily, but only 20% of them used toothpaste. Most (85%) of them had never visited the dentist, and over 70% of them were mainly taken care by their parents. High levels of positive and cooperative behaviour and low levels of fear were found in this population. No statistical significance was found between the child’s dental fear and any factors except age. Conclusion: Children generally displayed low fear or anxiety levels in a dental outreach consisting of a non-invasive oral examination and preventive treatment in a familiar kindergarten setting. Conducting regular outreach dental services to kindergartens by providing oral examination and simple remineralisation therapies could be a promising strategy to not only control childhood caries, but also manage and reduce dental fear and encourage long term dental attendance in line with the medical model.

scholarly journals The Practice of Home Visiting by Community Health Nurses as a Primary Healthcare Intervention in a Low-Income Rural Setting: A Descriptive Cross-Sectional Study in the Adaklu District of the Volta Region, Ghana

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Kennedy Diema Konlan ◽  
Nathaniel Kossi Vivor ◽  
Isaac Gegefe ◽  
Imoro A. Abdul-Rasheed ◽  
Bertha Esinam Kornyo ◽  
...  
Keyword(s):  
Community Health ◽  
Home Visit ◽  
Home Visiting ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Health Nurses ◽  
Household Members ◽  
Volta Region

Background. Home visit is an integral component of Ghana’s PHC delivery system. It is preventive and promotes health practice where health professionals render care to clients in their own environment and provide appropriate healthcare needs and social support services. This study describes the home visit practices in a rural district in the Volta Region of Ghana. Methodology. This descriptive cross-sectional study used 375 households and 11 community health nurses in the Adaklu district. Multistage sampling techniques were used to select 10 communities and study respondents using probability sampling methods. A pretested self-designed questionnaire and an interview guide for household members and community health nurses, respectively, were used for data collection. Quantitative data collected were coded, cleaned, and analysed using Statistical Package for Social Sciences into descriptive statistics, while qualitative data were analysed using the NVivo software. Thematic analysis was engaged that embraces three interrelated stages, namely, data reduction, data display, and data conclusion. Results. Home visit is a routine responsibility of all CHNs. The factors that influence home visiting were community members’ education and attitude, supervision challenges, lack of incentives and lack of basic logistics, uncooperative attitude, community inaccessibility, financial constraint, and limited number of staff. Household members (62.3%) indicated that health workers did not adequately attend to minor ailments as 78% benefited from the service and wished more activities could be added to the home visiting package (24.5%). Conclusion. There should be tailored training of CHNs on home visits skills so that they could expand the scope of services that can be provided. Also, community-based health workers such as community health volunteers, traditional birth attendants, and community clinic attendants can also be trained to identify and address health problems in the homes.

scholarly journals Epidemiology and Determinants of Knowledge, Attitude and Practice of Preventing COVID-19 Positive Patients at Southern Tigray Ethiopia: A Facility Based Cross-Sectional Study.

2021 ◽  
Author(s):  
Abdukadir Nigus Mohammed ◽  
Reda Haddish Berhe ◽  
Said Mussa Said
Keyword(s):  
Positive Attitude ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Bivariate Analysis ◽  
Sectional Study ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Accurate Knowledge ◽  
Precautionary Measures ◽  
Knowledge Attitude And Practice

Abstract Background: The novel corona virus is a serious health problem world widely and is spreading in an immune naive population. Deaths are rising sharply, and health systems are under strain. There are confirmed cases of the virus in Ethiopia that found to have the problem. Therefore, the present study intended to assess epidemiology and determinant of knowledge, attitude, and practice of preventing COVID-19 positive patients at Southern Tigray Ethiopia.Methods: A facility based cross-sectional study was conducted from August 6, to October 26, 2020 in selected health care facilities of south Tigray. Multi-stage sampling technique was employed. Descriptive statistics were employed to describe the characteristics of the cross-section and to estimate the prevalence of clients having knowledge, attitude and practice of prevention. Bivariate analysis was performed using binary logistic regression.Results: A total of 170 COVID-19 positive patients were involved and eligible on the survey with the response rate of 98%. Of these participants, 106(62.4%) were male. Over half (51.2%) of the COVID-19 positive patients had good knowledge on transmission of COVID-19; about 64.4% had more accurate knowledge on prevention; ; about 62.9% had more positive attitude on prevention; and about half, 47.1% had poor practices of the precautionary measures against COVID-19. Participants who had more accurate knowledge for preventing COVID-19and more positive attitude of preventing COVID-19were 95%times (AOR=0.05, 95% CI =0.012 – 0.18) and 68% (AOR=0.32, 95% CI = 0.1 - 1.02) less likely, respectively, to implement the precautionary measures of COVID-19.Conclusion: Our findings suggest the need for effective and tailored health education programs aimed at improving COVID-19 knowledge, thereby leading to more favorable attitudes and to implementation and maintenance of safe practices.

scholarly journals Effectiveness of vaccination in preventing severe SARS CoV-2 infection in South India-a hospital-based cross-sectional study

2021 ◽  
Author(s):  
A Charles Pon Ruban ◽  
Aazmi M ◽  
Shantaraman K.
Keyword(s):  
Tertiary Care ◽  
Severity Of Illness ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Clinical Severity ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Icu Admission ◽  
Second Wave

AbstractBackground & objectivesEstablishing concrete evidence on effect of vaccination on severity of SARS CoV-2 infections in real world situations is the need of the hour. The aim of this study is to estimate the effectiveness Covid 19 vaccines in preventing the new and severe SARS CoV-2 infections.MethodsWe did this retrospective cross-sectional study among the 4765 patients consecutive adult inpatients admitted in the Covid 19 wards of a tertiary care hospital from May 1,2021 to July 7, 2021 during the second wave of Covid 19 pandemic. Information on basic demographic variables, RT PCR status, vaccination status, outcome and clinical severity of illness were obtained from the electronic hospital patient records.Results, and Interpretation & conclusionsType of vaccine and number of doses of vaccines didn’t have any protective effect against new SARS CoV-2 infection. Covid 19 patients vaccinated with at least one dose had 75 % less risk of requiring oxygen (OR 0.25 CI: 0.15 to 0.44) and 60 % less risk of ICU admission (OR 0.4 CI: 0.2 to 0.6) and it was statistically significant. Only 31 % of fully vaccinated Covid 19 positive patients had oxygen requirement (90% less risk) and 15% of the fully vaccinated patients had needed ICU admission (90% less risk).ConclusionVaccination didn’t protect against SARS Cov-2 infection however significant protection was documented against severe SARS Cov-2 infection. Vaccination coverage should be increased urgently in order to halt the impending wave of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.

scholarly journals Effect of Mother’s Discipline Parenting Pattern on Discipline Character of Kindergarten Children

2017 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Nia Kurniasih ◽  
Dwi Hastuti
Keyword(s):  
Character Development ◽  
Cognitive Appraisal ◽  
Cross Sectional Study ◽  
Kindergarten Children ◽  
Sectional Study ◽  
Cronbach’S Alpha ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Cronbach's Alpha ◽  
Mother’S Age

<p>This research aimed to analyze the effect of maternal discipline on discipline of children at two kindergarten in Bogor City. The research design used was<em> a </em>cross sectional study involving 46 mothers and children, selected by accidental sampling, and the data were collected using a questionnaire. Parenting discipline was measured using a questionnaire of The Dimensions of Discipline Inventory (DDI), which was adapted and modified from Straus and Fauchier (2011) with a Cronbach's alpha value of 0.864, and Character Development Questionnaire Preschooler adapted and modified from Hastuti (2014) with a Cronbach's alpha value of 0649. The results showed that there was a significantly positive correlation between the lenght of education and mother’s implementation of discipline, and there is a significantly positive correlation between marital status with cognitive appraisal of discipline. Cognitive appraisal of discipline is an opinion or judgment against parent parenting discipline either approved or not. Discipline of children was influenced by mother’s  length of education, mother’s age, and  situation in the application of discipline by mother (R<sup>2 </sup>Adjusted= 0.492). The situation in the application of discipline is a state or condition of the mother when applying disciplinary behavior to children.</p><p> </p>

scholarly journals Clinical symptoms, paraclinical tests and histopathological results in children with acute appendicitis in Zabol southeast of Iran: a cross-sectional study

2017 ◽  
Vol 5 (7) ◽  
pp. 2836
Author(s):  
Mehran Hesaraki
Keyword(s):  
Acute Appendicitis ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Intestinal Loop ◽  
Negative Appendectomy ◽  
Sectional Study ◽  
Cross Sectional ◽  
Clinical Signs And Symptoms ◽  
Histopathological Results

Background: This article aimed to assessment clinical signs and symptoms, paraclinical tests and histopathological results in children with acute appendicitis.Methods: A cross-sectional study conducted on 100 children with acute appendicitis in an urban hospital in southeast of Iran from January to December 2016. Participants were selected by simple random sampling method. Clinical signs and symptoms, paraclinical tests and histopathological results recorded in checklists. The data were analyzed using SPSS 22.Results: Mean age of the patients was 10.26±3.25, fourthly-eight of patients (58.5%) were males and 34 patients (41.5%) were females. The most frequent clinical signs and symptoms were acute suppurative appendicitis with peri appendicitis (45.83%) and acute suppurative appendicitis (39.58%). The most frequent results in ultrasound reports were Intestinal loop thickness greater than 6 mm without peristalsis (positive report) (46.34%) and Invisible appendix (nega Hesaraki tive report) (13.41%).Conclusions: The results of this study showed that abdominal pain and RLQ tenderness were the most common signs and symptoms and WBC left-shift was the most common laboratory finding. Since the rate of negative appendectomy in this study was consistent with surgical results and other articles, it is concluded that diagnostic accuracy of preoperative appendectomy was acceptable and most children with acute appendicitis underwent appendectomy.

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