scholarly journals Analysis of vaccine loss due to temperature change

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Flávia dos Santos Patine ◽  
Luciano Garcia Lourenção ◽  
Anneliese Domingues Wysocki ◽  
Maria de Lourdes Sperli Geraldes Santos ◽  
Isabela Cristina Rodrigues ◽  
...  
Keyword(s):  
Temperature Change ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Epidemiological Surveillance ◽  
Cross Sectional ◽  
Significance Level ◽  
Temperature Changes ◽  
Care Services ◽  
Primary Care Services ◽  
Change Notification

ABSTRACT Objectives: to analyze vaccine losses in a Health Region in the Northwest of São Paulo. Methods: retrospective cross-sectional study with secondary data obtained from Temperature Change Notification Forms used by the Epidemiological Surveillance Group XXIX of São José do Rio Preto between 2010 and 2017. Descriptive and inferential analysis were performed using multiple linear regression and significance level of 95%. Results: in total, 341 notifications of temperature changes were analyzed, of which 70.1% were caused by structural reasons, 57.8% in industrial refrigerators and 91.2% in primary care services. Of the doses that suffered a change in temperature, 41.4% were lost and 58.6% were administered to the population. The highest percentage of lost doses compared to those applied occurred in smaller municipalities, although they reported less. Conclusions: nursing workers who work in vaccination rooms should make efforts to prevent temperature changes and avoid losses and higher public expenses.

Primary care services provided to adolescents in detention: a cross-sectional study using ICPC-2

2010 ◽  
Vol 99 (7) ◽  
pp. 1060-1064 ◽  
Author(s):  
DM Haller ◽  
P Sebo ◽  
B Cerutti ◽  
D Bertrand ◽  
A Eytan ◽  
...  
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Care Services

scholarly journals RISK FACTORS INFLUENCING ENTEROCOLITIS DEVELOPMENT IN PEDIATRIC PATIENTS WITH HIRSCHSPRUNG’S DISEASE

2020 ◽  
Vol 8 (3) ◽  
pp. 218
Author(s):  
Andro Pramana Witarto ◽  
Alpha Fardah Athiyyah ◽  
I.G.B. Adria Hariastawa ◽  
I Gusti Made Reza Gunadi Ranuh
Keyword(s):  
Risk Factors ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Secondary Data ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significance Level ◽  
Potential Risk Factors ◽  
History Of

Background: Hirschsprung-associated enterocolitis (HAEC) is one of the worst and most common complications of Hirschsprung’s disease (HD). The mortality rate of HD patients with enterocolitis is still considered to be higher compared to that of those without enterocolitis. Purpose: This study aimed to identify and evaluate potential risk factors for HAEC development. Methods: A cross-sectional study was conducted using secondary data from the medical records of HD patients treated from January 2015 to September 2018 at Regional Public Hospital (RSUD) Dr. Soetomo, Surabaya. The inclusion criteria were HD patients who had or had not experienced enterocolitis. The analysis was done by comparing the presence of risk factors between groups of HD patients with and without preoperative and/or postoperative HAEC. The results were presented as the median value and frequency. To evaluate further, a prevalence ratio (PR) with a 95% confidence interval was performed. The Mann–Whitney U test was also performed with a significance level of p < 0.05 for one factor: length of aganglionic intestinal segments. Results: This study showed that 12 of the 40 HD patients studied (30%) had experienced enterocolitis. The risk of developing HAEC was associated with patients who had a history of previous enterocolitis (PR 6.60 [2.94 < PR < 14.80]). Regarding surgical details, patients who had had surgery only once (31.30% compared to 14.30%), surgery with one surgical method (29.40% compared to 20.00%), and a primary procedure had a higher incidence of HAEC (29.40% compared to 27.30%). Conclusion: HD patients with a history of previous enterocolitis were found to have a higher risk of developing HAEC.

Sociodemographic Characteristics and Preferences for Family (Informal) and Formal Caregiver Help With ADLs

2018 ◽  
Vol 31 (2) ◽  
pp. 120-127
Author(s):  
Merle R. Kataoka-Yahiro ◽  
James Davis ◽  
Lana Sue Ka’opua ◽  
Angela Sy
Keyword(s):  
Health Care Services ◽  
Secondary Data ◽  
The United States ◽  
Cross Sectional Study ◽  
Sociodemographic Characteristics ◽  
Cross Sectional ◽  
Formal Caregivers ◽  
Logistic Regression Models ◽  
Care Services ◽  
Aging Adults

The purpose of this article was to compare sociodemographic characteristics and various care preferences for family and formal caregivers help with activities of daily living (ADLs). The sample was 56,337 noninstutionalized U.S. civilian adults, 40 to 65 years of age. This is a cross-sectional study using secondary data from the National Health Interview Survey (NHIS)—2011 to 2014. Respondents’ sociodemographic characteristics and various care preferences for caregiver help with ADLs were analyzed. Subsequent analysis examined associations using adjusted multivariable logistic regression models. Preference for family caregivers help with ADLs was independently and significantly associated with race/ethnicity, age, gender, education, acculturation, and income. Future studies need to examine sociodemographic characteristics and caregiver preferences to tailor health care services for aging adults in the United States.

scholarly journals Experiences of adult patients using primary care services in Poland – a cross-sectional study in QUALICOPC study framework

2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Marek Oleszczyk ◽  
Anna Krztoń-Królewiecka ◽  
Willemijn L. A. Schäfer ◽  
Wienke G. W. Boerma ◽  
Adam Windak
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Adult Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Care Services

scholarly journals Clinical and obstetric situation of pregnant women who require prehospital emergency care

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Vívien Cunha Alves de Freitas ◽  
Glauberto da Silva Quirino ◽  
Rogério Pinto Giesta ◽  
Ana Karina Bezerra Pinheiro
Keyword(s):  
Pregnant Women ◽  
Emergency Care ◽  
Cross Sectional Study ◽  
Prehospital Emergency Care ◽  
Cross Sectional ◽  
Significance Level ◽  
Care Services ◽  
Prehospital Emergency ◽  
Brazilian Northeast ◽  
Emergency Care Services

ABSTRACT Objectives: to identify the clinical and obstetric situation of pregnant women who required emergency care, considering the adequacy of their requirement. Methods: this is a cross-sectional study, developed in the headquarters of the Mobile Emergency Care Services from a state in the Brazilian Northeast, through the analysis of 558 reports of obstetric patients attended in 2016. The magnitude of the associations was expressed by odds ratio and confidence intervals, considering a 5% significance level. Results: more than half (50.9%) requirements for emergency care were from women who went into labor (non-expulsive), especially among third trimester pregnant women (p < 0.000). Most clinical and obstetric parameters were normal. Conclusions: the inadequate demands for emergency care services reflect the excessive medicalization of the gestational process and shows how important it is to discuss the physiological symptoms that involve pregnancy, so that a more egalitarian and efficient urgency service can be offered.

scholarly journals Analysis of Factors Associated with the Risk of Suicide in a Brazilian Capital: Cross-Sectional Study

2021 ◽  
Vol 19 (1) ◽  
pp. 373
Author(s):  
Marcos Vinicius de Carvalho Mendes ◽  
Solange Laurentino dos Santos ◽  
Claudia Cristina Lima de Castro ◽  
Betise Mery Alencar Sousa Macau Furtado ◽  
Heitor Victor Veiga da Costa ◽  
...  
Keyword(s):  
Information Systems ◽  
Suicide Attempts ◽  
Absolute Number ◽  
Cross Sectional Study ◽  
Epidemiological Surveillance ◽  
Bivariate Analysis ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significance Level ◽  
Factors Associated

Suicide and suicide attempts are considered global health problems. With regard to the main causes of unnatural deaths, Brazil ranks as the eighth country with the highest absolute number of suicides. The aim of this study was to analyze the factors associated with the risk of suicide in a metropolitan city in Brazil. This was a cross-sectional study carried out in Recife, in the northeast region of Brazil. Epidemiological surveillance was conducted on the information systems regarding attempted suicide, suicide, and undetermined deaths in the period from 2007 to 2017. A record linkage between the information systems was performed. Descriptive statistics, bivariate analysis, and logistic regression were performed with an adopted a significance level of 5%. In the city of Recife, there were 4495 suicide attempts in the period, and the most frequent suicide attempts were by single females, aged between 20 and 39 years old, and who used either medication or poison to die by suicide. A total of 141 individuals died by suicide, and exogenous intoxication was the most common method. Knowing the common characteristics and associated factors of those who attempt and die by suicide is key for the development of prevention policies and intervention strategies for suicide.

scholarly journals Continuity of care and delivery of diabetes and hypertensive care among regular users of primary care services in Chile: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e027830
Author(s):  
Javiera Leniz ◽  
Martin C Gulliford
Keyword(s):  
Primary Care ◽  
Continuity Of Care ◽  
Cross Sectional Study ◽  
Self Report ◽  
Secondary Outcome ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Care Services

ObjectivesExplore factors related to continuity of care and its association with diabetes and hypertensive care, and disease control.DesignCross-sectional study.SettingData from the Chilean Health National Survey 2009–2010.ParticipantsRegular users of primary care services aged 15 or older.Primary and secondary outcome measuresProportion of hypertensive and diabetic patients with a blood pressure <140/90 mm Hg and HbA1c<7.0% respectively, self-report of diagnosis, treatment and recent foot and ophthalmological exams. Associations between continuity of care, sociodemographic characteristics, and primary and secondary outcomes were explored using logistic regression.Results3887 primary care service users were included. 14.7% recognised a usual GP, 82.3% of them knew their name. Continuity of care was positively associated with age >65 years (OR 4.81, 95% CI 3.16 to 7.32), being female (OR 1.66, 95% CI 1.34 to 2.05), retired (OR 2.22, 95% CI 1.75 to 2.83), obese (OR 1.66, 95% CI 1.29 to 2.14), high cardiovascular risk (OR 2.98, 95% CI 2.13 to 4.17) and widowed (OR 1.50, 95% CI 1.13 to 1.99), and negatively associated with educational level (8–12 vs <8 years OR 0.79, 95% CI 0.64 to 0.97), smoking (OR 0.65, 95% CI 0.52 to 0.82) and physical activity (OR 0.76, 95% CI 0.61 to 0.95). Continuity of care was associated with diagnosis awareness (OR 2.83, 95% CI 1.21 to 6.63), pharmacological treatment (OR 2.04, 95% CI 1.15 to 3.63) and a recent foot (OR 3.17, 95% CI 1.84 to 5.45) and ophthalmological exam (OR 3.20, 95% CI 1.66 to 6.18) in diabetic but not in hypertensive patients.ConclusionsContinuity of care was associated with higher odds of having a recent foot and ophthalmological exam in patients with diabetes, but not with better diseases control. Findings suggest patients with chronic conditions have better continuity of care access.

scholarly journals Organizing the flow of physiotherapy services: agreement between clinical perception and a referral protocol

2021 ◽  
Vol 34 ◽  
Author(s):  
Lorrane Brunelle Moreira ◽  
Fernanda Lurdes Souza Cruz ◽  
Túlio Lima da Silva ◽  
Silvia Lanziotti de Azevedo Silva
Keyword(s):  
Secondary Data ◽  
Weighted Kappa ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Percentage Agreement ◽  
Kappa Index ◽  
Perfect Agreement ◽  
Cross Sectional ◽  
Significance Level ◽  
Kappa Test

Abstract Introduction: Protocols to organize the flow of treatment between primary and secondary healthcare levels help physiotherapists working in Primary Health Care (PHC) determine which cases will remain at the primary level and which should be referred to the secondary level for specialized treatment. Objective: Assess the agreement between the clinical perception of physiotherapists and the protocol in organizing the flow of physiotherapy patients. Methods: This is a methodological cross-sectional study based on the analysis of secondary data, recorded on a service spreadsheet, with respect to the clinical perception of 4 physiotherapists working in PHC and the protocol they apply to determine the urgency for referral to the secondary care level, considering physiotherapy specialties. Assessment was expressed as the percentage agreement, magnitude and significance according to the Kappa test, with > 0.80 considered perfect agreement. Analyses were conducted using SPSS 21.0 statistical software at a significance level of α = 0.05. Results: In 619 of 715 referrals, the perception of physiotherapists corroborated with the protocol in terms of patient referral to the secondary service. The percentage agreement for urgency classification in the total sample was 71% and the Weighted Kappa index 0.3710 (CI95% 0.3029-0.4391). The instrument exhibited high agreement in the areas of musculoskeletal physiotherapy (94.7%) and gerontology (98.2%), and low in urogynecology (27.6%). Conclusion: The protocol showed a high percentage of agreement and may be an important instrument in organizing the flow of physiotherapy services and could be enhanced for use in other specialties.

scholarly journals Performance evaluation of primary care services for the treatment of tuberculosis

2014 ◽  
Vol 48 (6) ◽  
pp. 1044-1053 ◽  
Author(s):  
Daiane Medeiros da Silva ◽  
Jordana de Almeida Nogueira ◽  
Lenilde Duarte de Sá ◽  
Anneliese Domingues Wysocki ◽  
Lucia Marina Scatena ◽  
...  
Keyword(s):  
Primary Care ◽  
Professional Training ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Professional Qualification ◽  
Process Indicators ◽  
Care Services ◽  
Primary Care Services ◽  
Directly Observed Treatment ◽  
Structural Indicators

Objective Evaluating the performance of primary care services for the treatment of tuberculosis according to the assessment referential of health services (structure/process) in Cabedelo, a port city in the state of Paraíba. Method An evaluation quantitative, cross-sectional study, in which were carried out 117 interviews with health professionals using a structured instrument. The analysis was based on the construction of indicators using a standardized value for the reduced variable (z=1). Results The structural indicators showed regular performance for the following variables: professional training, access to record instruments and coordination with other services. The process indicators related to external actions and information about the disease had unsatisfactory performance. The directly observed treatment and the flows of reference/counter-reference had regular performance. Conclusion The focused professional qualification, the fragmentation of practices and the unsystematic home care constitute obstacles for carrying out actions aimed at providing expanded, continuous and resolute care.



scholarly journals SARS-CoV-2 Infection in Healthcare Professionals and General Population During “First Wave” of COVID-19 Pandemic: A Cross-Sectional Study Conducted in Sicily, Italy

2021 ◽  
Vol 9 ◽  
Author(s):  
Claudio Costantino ◽  
Emanuele Cannizzaro ◽  
Maria Gabriella Verso ◽  
Fabio Tramuto ◽  
Carmelo Massimo Maida ◽  
...  
Keyword(s):  
General Population ◽  
Traffic Control ◽  
Healthcare Workers ◽  
Respiratory Infections ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Equal Distribution ◽  
Care Services ◽  
Primary Care Services ◽  
Western Sicily

On December 31, 2019, an outbreak of lower respiratory infections was documented in Wuhan caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Since the beginning, SARS-CoV-2 has caused many infections among healthcare workers (HCWs) worldwide. Aims of this study were: a. to compare the distribution among the HCWs and the general population of SARS-CoV-2 infections in Western Sicily and Italy; b. to describe the characteristics of HCWs infected with SARS-CoV-2 in the western Sicilian healthcare context during the first wave of the epidemic diffusion in Italy. Incidence and mean age of HCWs infected with SARS-CoV-2 were comparable in Western Sicily and in the whole Italian country. The 97.6% of infections occurred in HCWs operating in non-coronavirus disease 2019 (COVID-19) working environments, while an equal distribution of cases between hospital and primary care services context was documented. Nurses and healthcare assistants, followed by physicians, were the categories more frequently infected by SARS-CoV-2. The present study suggests that healthcare workers are easily infected compared to the general population but that often infection could equally occur in hospital and non-hospital settings. Safety of HCWs in counteracting the COVID-19 pandemic must be strengthened in hospital [adequate provision of personal protective equipment (PPE), optimization of human resources, implementation of closed and independent groups of HCWs, creation of traffic control building and dedicated areas in every healthcare context] and non-hospital settings (influenza vaccination, adequate psychophysical support, including refreshments during working shifts, adequate rest, and family support).

Sign in / Sign up

Export Citation Format

Share Document