scholarly journals Parental attitudes towards children’s vaccination

Medicina ◽  
2007 ◽  
Vol 43 (2) ◽  
pp. 161 ◽  
Author(s):  
Kęstutis Žagminas ◽  
Genė Šurkienė ◽  
Natalija Urbanovič ◽  
Rimantas Stukas
Keyword(s):  
Medical Treatment ◽  
Parental Attitudes ◽  
Risk Groups ◽  
Health Centers ◽  
Sources Of Information ◽  
Day Care Centers ◽  
Broadcast Media ◽  
Medical Institutions ◽  
The Mean ◽  
Attitudes And Knowledge

Objective. To assess parental attitudes and knowledge about children’s vaccination. Methods. In this study, 20 day-care centers, 25 schools, and 6 health centers were randomly selected in Vilnius, and an anonymous survey of 2743 parents was conducted. Females made up 85.2% of all respondents, males –14.8%; the mean age was 35.7 years. Results. Two-thirds of respondents (66.7%) agreed that vaccines for children’s immunization are safe; 80.7% stated that vaccination is more beneficial than harmful. Only 16.9% of parents indicated that vaccines cause adverse events more frequently than other medical treatment, 62.7% that vaccines are amongst the most effective and least costly forms of medical treatment, and 35.9% that vaccines always warrant protection. Majority of parents agreed that children’s vaccination is essential (89.0%), and children should be vaccinated regularly according schedule (88.6%). Only 30.1% of respondents agreed with the idea of taking a newly developed vaccine even if it has been carefully tested for safety; 42.3% of respondents could afford to pay for nonreimbursed vaccines. On an average, 38.0% of respondents know that they should be revaccinated every 10 years against diphtheria and tetanus, 61.3% have never been vaccinated against influenza. The main sources of information on vaccination are medical institutions (92.2%), print media (38.1%), and broadcast media (38.2%). Conclusions. While most of respondents can be characterized as having a positive opinion about vaccination, 20–40% of respondents indicated insufficient knowledge on this issue. For implementing the new vaccines, communication efforts should focus on clarifying correct parental beliefs about immunization. Vaccines for child should be reimbursed on the same basis as other medical treatment. Vaccination of adult and risk groups should be emphasized in the national vaccination program.

scholarly journals SAT0267 ROLE OF AGGRESSIVE IMMUNOSUPPRESSION ON SUBGLOTTIC STENOSIS IN GRANULOMATOSIS WITH POLYANGIITIS: RETROSPECTIVE ANALYSIS OF A MONOCENTRIC COHORT

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1076.1-1077
Author(s):  
L. Moroni ◽  
L. Giudice ◽  
G. A. Ramirez ◽  
S. Sartorelli ◽  
A. Cariddi ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Clinical Characteristics ◽  
Granulomatosis With Polyangiitis ◽  
Balloon Catheter ◽  
Subglottic Stenosis ◽  
Damage Accrual ◽  
The Mean ◽  
The One

Background:Subglottic stenosis (SGS) is defined as airway narrowing below the vocal cords and is a common and potentially life-threatening manifestation of Granulomatosis with Polyangiitis (GPA), with an estimated prevalence of 16-23% (1). Balloon catheter dilation is effective in GPA-related SGS, but relapses are frequent. Little is known about the role of immunosuppression in this setting.Objectives:to analyse the clinical characteristics of a monocentric GPA cohort, describe phenotype differences among patients with and without SGS and investigate the role of surgical and medical treatments on relapse risk and general outcome.Methods:Biopsy-proven patients with SGS were identified by review of medical charts among a cohort of patients with GPA, classified according to the algorithm of the European Medicine Agency (2). The clinical characteristics of patients with SGS were retrospectively collected over a median follow-up time of 15.9 years and compared to those of patients without SGS.Results:Fourteen patients with SGS-GPA were identified, with a female to male ratio of 1:1 and a prevalence of 29.2% among the cohort. The mean ± SD age at GPA onset was 30.8 ± 14.4 years, with a mean time from GPA diagnosis to SGS onset of 4.7 ± 4.2 years. ANCA were positive in 78.6% (54.0% anti-PR3, 18.1% anti-MPO and 27.9% IFI only). The mean Birmingham Vasculitis Activity Score (BVAS) at onset was 10.0 ± 5.6. The main clinical manifestations associated with SGS were crusty rhinitis (100%), sinusitis (78%), pulmonary disease (72.7%), otitis/mastoiditis (50%), glomerulonephritis (42.9%), orbital pseudotumor (28.6%). Six patients (42.9%) received medical treatment only, other six (42.9%) had one to three balloon dilations and two (14.2%) underwent four or more procedures. Eight patients had no SGS relapse (maximum one dilation) and they all received immunosuppression with rituximab (RTX), cyclophosphamide (CYC) or azathioprine (AZA). All patients who received no immunosuppression, methotrexate (MTX) or mycophenolate (MMF) had at least one relapse. Patients treated with MTX or MMF had a mean relapse-free survival of 13.1 months, which was comparable to the one of patients not receiving medical treatment (40.2 months; p=NS) and shorter than the one of patients receiving CYC or RTX (153.2 months; p=0.032). CYC use also inversely correlated with the number of surgical procedures (r=-0.691, p=0.006). Compared to patients without SGS (31 consecutive patients with at least 4 years of follow-up), patients with SGS-GPA had an earlier disease onset (mean age 30.8 vs 50.4 years; p<0.001), but with lower BVAS (mean 10.0 vs 15.3; p=0.013) and showed a higher prevalence of crusty rhinitis (100% vs 67.7%; p=0.019). No difference was observed in damage accrual over time between the two groups.Conclusion:Subglottic stenosis is highly prevalent in patients with GPA and may define a milder disease subset occurring more frequently in younger patients. MTX and MMF might be insufficient to prevent SGS relapses requiring balloon dilation. Aggressive immunosuppression (CYC or RTX) might have a non-redundant role in this setting and reduce the risk of relapses.References:[1]Quinn KA, et al. Subglottic stenosis and endobronchial disease in granulomatosis with polyangiitis. Rheumatology 2019; 58 (12), 2203-2211.[2]Watts R, et al. Development and validation of a consensus methodology for the classification of the ANCA associated vasculitides and polyarteritis nodosa for epidemiological studies. Ann Rheum Dis 2007; 66: 222-7.Disclosure of Interests:Luca Moroni: None declared, Laura Giudice: None declared, Giuseppe Alvise Ramirez: None declared, Silvia Sartorelli: None declared, adriana cariddi: None declared, Angelo Carretta: None declared, Enrica Bozzolo: None declared, Lorenzo Dagna Grant/research support from: The Unit of Immunology, Rheumatology, Allergy and Rare Diseases (UnIRAR) received unresctricted research/educational grants from Abbvie, Bristol-Myers Squibb, Celgene, Janssen, Merk Sharp & Dohme, Mundipharma Pharmaceuticals, Novartis, Pfizer, Roche, Sanofi-Genzyme, and SOBI., Consultant of: Prof Lorenzo Dagna received consultation honoraria from Abbvie, Amgen, Biogen, Bristol-Myers Squibb, Celltrion, Novartis, Pfizer, Roche, Sanofi-Genzyme, and SOBI.

Knowledge Levels of University Students About Sexually Transmitted Diseases

2021 ◽  
Vol 6 (14) ◽  
pp. 8-19
Author(s):  
GAMZE TEMİZ ◽  
Nida GÜNDÜZALP
Keyword(s):  
Nursing Students ◽  
Risk Groups ◽  
Body Fluids ◽  
High Risk Group ◽  
People Who Use Drugs ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Bodily Fluids ◽  
Medium Level ◽  
The Mean

Purpose: The aim of the study; To evaluate the knowledge level of nursing students about diseases transmitted by bodily fluids. Materials and Methods: The study is descriptive-cross-sectional. The sample is 352 nursing students studying at a foundation university. The data were evaluated with a questionnaire about diseases transmitted by body fluids. Results: The mean age of nursing students was 20.87±2.14 years and 81.3% of them were girls. Most of the sample consisted of 1st year (26.7%) and 4th year students (31.5%). The mean score of the questionnaire for diseases transmitted by bodily fluids of nursing students was found to be 13.61 ± 2.19. It was determined that 96.9% of the students gave correct answers to the 2nd item of the questionnaire, “Spouses with these diseases should be treated together”. It was determined that 69.3% of the students gave incorrect answers to the 3rd item of the questionnaire, "Untreated, diseases transmitted by body fluids can cause infertility". 62.5% of the students reported that they had received training on the subject before. Of the sample, 97.2% are individuals who have relationships with more than one person, 1.1% are individuals with a single spouse, 38.1% (n=134) are people who use drugs, 31.8% are health professionals. reported that they were in the high-risk group for diseases transmitted by fluids. The results show that nursing students gave insufficient information about the prevention of diseases transmitted by body fluids. Conclusion: In the study, it was determined that the knowledge of nursing students about diseases transmitted by body fluids was above the medium level, and it was noteworthy that they needed training on transmission routes, risk groups and protection from diseases transmitted by body fluids.

scholarly journals Menopausal Experiences among Women in Addis Ababa

2019 ◽  
Vol 4 (1) ◽  
Keyword(s):  
Correlation Analysis ◽  
Cultural Differences ◽  
Scientific Inquiry ◽  
Addis Ababa ◽  
Menopausal Symptoms ◽  
Health Centers ◽  
Age At Menopause ◽  
The Mean ◽  
Age Awareness ◽  
Structured Questionnaire

The theme of women’s menopausal experience remains to be a focus of scientific inquiry in the western and Asian nations. However, the issue has not been studied in the African (mainly Ethiopia) context. This research endeavored to explore this issue (menopausal age, awareness, attitude, and symptoms) among women in Addis Ababa. A total of 212 women were sampled from heterogeneous settings (health centers, schools, and business centers) to fill in the structured questionnaire. Findings indicated that the mean age at menopause was lower (45.34 years) compared to those reported in other nations and this age was unrelated to age at first menstruation. Participants were with moderate level of awareness as well as attitude about menopause but had experienced fewer menopausal symptoms. The correlation analysis yielded that while menopausal awareness was positively related with attitudes, experience of menopausal symptoms was, however, related neither to awareness nor to attitudes. ANOVA test yielded significant differences among educational, marital, and menopausal groups in menopausal experiences. However, the direction of impact was found varied group-wise for the different kinds of menopausal experiences. A number of inconsistencies were found between findings of the present study and those documented in previous research and this could be because of cultural differences.

scholarly journals Estimation of peak discharges of historical floods

2014 ◽  
Vol 11 (5) ◽  
pp. 5463-5485 ◽  
Author(s):  
J. Herget ◽  
T. Roggenkamp ◽  
M. Krell
Keyword(s):  
Flood Frequency ◽  
River Channels ◽  
Sources Of Information ◽  
Mean Flow ◽  
General Outline ◽  
One Dimensional ◽  
Flood Level ◽  
Alternative Approaches ◽  
The Mean ◽  
Generalized Statement

Abstract. There is no doubt, that the hazard assessment of future floods especially under consideration of the recent environmental change can be significantly improved by the consideration of historic flood events. While flood frequency inventories on local, regional and even European scale are already developed and published, the estimation of their magnitudes indicated by discharges is still challenging. Such data are required due to significant human impact on river channels and floodplains though historic flood levels cannot be related to recent ones or recent discharges. Based on own experiences from single local key studies the general outline of an approach to estimate the discharge of the previous flood based on handed down flood level and topographic data is presented. The model for one-dimensional steady flow is based on the empirical Manning equation for the mean flow velocity. Background and potential sources of information, acceptable simplifications and data transformation for each element of the model-equation are explained and discussed. Preliminary experiences on the accuracy of ±10% are documented and potential approaches for the validation of individual estimations given. A brief discussion on benefits and limitations including a generalized statement on alternative approaches closes the review presentation of the approach.

scholarly journals Dietary diversity practice and associated factors among pregnant women attending ANC in Kolfe Keranyo sub city health center, Addis Ababa, Ethiopia.

2020 ◽  
Author(s):  
Tsegahun Worku Brhanie ◽  
Walelgn Tefera ◽  
Mamo Dereje
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Addis Ababa ◽  
Health Centers ◽  
Nutrition Information ◽  
Monthly Income ◽  
Dietary Diversity Score ◽  
Care Visit ◽  
The Mean

Abstract Background: Adequate and healthy diet during pregnancy is essential for the health of both mother and newborn. Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on the prevalence of dietary diversity among pregnant women. This study was aimed to assess the dietary diversity practice and associated factors among pregnant women attending antenatal care in health centers of the coffee keranyo sub city, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional study was conducted on 406 randomly selected pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa from March 2-April 2/ 2018. Data were collected by using interviewer and 24 H dietary recall method. Data had entered and analyzed using SPSS version 21. Multiple logistic regression was run to assess factors associated with the dependent variable at P<0.05. Results: The mean Dietary Diversity Score of pregnant women was 5. 45+-1. 83. About 60.9% of pregnant women had good dietary diversity practice. Pregnant women who learned collage and above had more dietary diversity practice than the illiterate one [AOR=2.26, 95% CI: (1.066, 4.808)]. Pregnant women with monthly income more than 5,000 ETB had more dietary diversity than income less than 2,000 ETB [AOR=2.33, 95% CI: (1.234, 4.416)]. Pregnant women at second antenatal care visit had more dietary diversity than at the first visit [AOR=2.42, 95% CI: (1.183, 4.952)]. Having nutrition information during pregnancy increases 2 times better dietary diversity practice than none informed ones [AOR=2.10, 95% CI: (1.294, 3.422)].Conclusions: The mean Dietary Diversity Score of pregnant mothers was 5.45. And 60.9% of pregnant women had a good dietary diversity score, whereas 39.1 % of them had a poor diet diversity score. Mothers’ education, monthly income, second and third antenatal care visit and nutrition information had a significantly associated with pregnant mothers’ dietary diversity.

scholarly journals The implementation of tuberculosis examination of potential employment migrants in the country of departure: evaluation of possibilities

2019 ◽  
Vol 61 (1) ◽  
pp. 51-56
Author(s):  
Boris I. Sergeev ◽  
I. E. Kazanets
Keyword(s):  
Risk Groups ◽  
International Experience ◽  
Medical Examination ◽  
Reliability Of Results ◽  
Scientific Publications ◽  
Economic Significance ◽  
Medical Institutions ◽  
High Degree ◽  
Medical Examinations ◽  
Preventive Examination

The migration situation in Russia is characterized by presence of significant number of foreign citizens, including those who are working without official registration and evidence of examination for tuberculosis and other infections. In connection with that, attention is to be paid to propositions concerning organization of preventive examination for tuberculosis in the departure country i.e. medical examination of potential migrants according Russian standards on the basis of local medical institutions. The article presents review of data of official statistics concerning migration and prevalence of tuberculosis including scientific publications about analysis of international experience of organization and implementation of preventive examinations in the departure countries. The experience of implementation of medical examinations of migrants in number of departure countries demonstrates that these programs permit focusing efforts on diagnostic of tuberculosis in one of risk groups hence achieving comparatively high degree of reliability of results and providing economic significance. In the context of conditions in Russia and accounting international experience two scenarios are proposed of implementing preventive examinations for tuberculosis in departure countries: with and without introduction of requirement of preliminary medical inspection of working migrants.

scholarly journals Internet Influence of Assisted Reproduction Technology Centers in China: Qualitative Study Based on WeChat Official Accounts (Preprint)

2020 ◽  
Author(s):  
Fang Shao ◽  
Zhiqiang He ◽  
Zheng Zhu ◽  
Xiang Wang ◽  
Jianping Zhang ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Assisted Reproduction ◽  
The Internet ◽  
Future Market ◽  
Republic Of China ◽  
Assisted Reproduction Technology ◽  
Influence Model ◽  
Technical Ability ◽  
Medical Institutions ◽  
Patient Resources

BACKGROUND The prevalence of infertility in China is high, but the advent of assisted reproduction technology (ART) has greatly eased this situation. Social media, such as WeChat official accounts, have become the preferred tool for ART centers to communicate with patients, but their attention and operational status differ, and the Internet influence of WeChat official accounts is insufficient. In addition, questions about whether Internet influence is consistent with academic influence and whether the Internet can influence patients’ choice of medical treatment to a certain extent have not been explored. OBJECTIVE This study aimed to examine the operational status and Internet influence of WeChat official accounts for ART centers and to explore the degree of Internet influence on patients’ choices of medical treatment. METHODS We collected information from the WeChat official accounts for ART centers approved by the National Health Commission of the People’s Republic of China and used the technique for order of preference by similarity to ideal solution to build an Internet influence model of the ART centers and obtained a Ranking of Internet Influence on Reproductive Centers (RIIRC) for each center. RESULTS We found there were 451 ART centers throughout the country by the end of 2016 and 498 by the end of 2018. The number of medical institutions is quite large, but their distribution is uneven, and their level of medical technical ability is very different. Analysis of the text data of posts of WeChat official accounts showed the ART centers have insufficient awareness of network exposure and publicity, and the RIIRC of some medical institutions was inconsistent with their medical level and academic status. CONCLUSIONS ART institutions have varying degrees of emphasis and use of WeChat official accounts in China. They fail to realize that the Internet influence of WeChat may bring them potential patient resources and that Internet influence may affect the future market structure of ART and may also potentially affect academic rankings.

scholarly journals Thromboangiitis obliterans: Aggressive angioplasty provides a potential solution (randomized pilot study)

2020 ◽  
Vol 8 ◽  
pp. 205031212092763
Author(s):  
Mosaad Soliman ◽  
Khaled Mowafy ◽  
NA Elsaadany ◽  
Reem Soliman ◽  
Ahmed Elmetwally
Keyword(s):  
Medical Treatment ◽  
Ulcer Healing ◽  
Ankle Brachial Index ◽  
Peak Systolic Velocity ◽  
Standard Technique ◽  
Thromboangiitis Obliterans ◽  
Control Group ◽  
Buerger’S Disease ◽  
Buerger's Disease ◽  
The Mean

Background: Thromboangiitis obliterans is an inflammatory disease affecting both medium- and small-sized vessels. Vasodilators, antiplatelets were proposed for treatment but the effect was minimal. Objective: This study was conducted to investigate the effect of balloon angioplasty on patients with Buerger’s disease compared to medical treatment. Methods: Between January 2006 and December 2016, 82 patients with Buerger’s disease were enrolled in the study, of whom 52 were randomized to the aggressive endovascular intervention and 30 were randomized medically by cilostazol and aspirin as a control group. In all, 23% of the patients presented with severe claudication, 50% with ischemic rest pain and 27% with ischemic ulcers. Randomization was done using the opaque envelope method. Allocation concealment was maintained to ensure no selection bias. Patient groups were compared for the duration of ulcer healing, ankle–brachial index, peak systolic velocity changes and transcutaneous oximetry (TcPO2) level for 30 months. Results: No major procedural complications occurred in the endovascular group. Angiographic success was achieved in 100% of supragenicular lesions but in 90% of infrapopliteal lesions. The endovascular group showed a statistically significant improvement in the ulcer healing size and duration at 6 months after the procedure with a mean time of 3 ± 0.9 months compared to 5.8 ± 1.69 months for the medical treatment group (p < 0.001), the mean TcPO2 from 27.23 ± 16.75 mm Hg (range: 0–56 mm Hg) before the procedure to 71.32 ± 12.94 mm Hg (range: 52–92 mm Hg) following revascularization (p < 0.01). The mean ankle–brachial index significantly improved from 0.54 ± 0.14 preoperatively to 0.82 ± 0.08 at final follow-up (p < 0.01). Conclusion: The endovascular therapy should be considered as an effective, safe, minimally invasive method in the light of the promising results after a modification of the standard technique.

scholarly journals A profile and treatment outcome of seasonal hyper-acute panuveitis

1970 ◽  
Vol 2 (1) ◽  
pp. 35-38 ◽  
Author(s):  
E Shrestha
Keyword(s):  
Visual Acuity ◽  
Medical Treatment ◽  
Visual Outcome ◽  
P Value ◽  
Fisher Exact Test ◽  
Mean Values ◽  
Exact Test ◽  
Pediatric Age Group ◽  
Significant Difference ◽  
The Mean

Introduction: Seasonal hyper-acute panuveitis (SHAPU) is a sight-threatening disease and its management is challenging. Objective: To study the profile and evaluate the visual outcome of the patients of clinicallydiagnosed cases of SHAPU after treatment. Subjects and methods: A retrospective interventional hospital-based study was carried out involving 21 subjects with clinically-diagnosed SHAPU. The data were retrieved from the record section of the hospital and analyzed. The variables studied were demographic pattern, clinical condition, duration of presentation and visual acuity before and after the treatment. Statistics: The data were analyzed using Epi Info version 2000. Percentage prevalence, mean values with standard deviation, relative risk, 95% CI and p value were calculated. P value of < 0.05 was considered to be significant. Results: Among the 21 cases, the numbers of male and female were 11 (52.4 %) and 10 (46.7 %) respectively. A comparative analysis of gender in children and adults did not show any significant difference (RR=0.47, 95% CI = 0.22 - 1.01, Fisher exact test: p = 0.14). The mean for all ages was 7 ± 12.68 years, while the mean age in pediatric cases was 4.5 ± 3.91 years. Thirteen (61.9%) cases occurred in children below fifteen years. Fifteen (71.4 %) cases reported during September and October. Presenting visual acuity of all cases was less than 3/60. All of them received medical treatment. By the end of the 4th week, seven (33.3 %) patients regained vision to 6/18. Conclusion: SHAPU is more prevalent in pediatric age group. It is equally prevalent among males and females. The visual acuity can improve with early medical treatment. Keywords: SHAPU; panuveitis; steroid; phthisis bulbi DOI: 10.3126/nepjoph.v2i1.3702 Nep J Oph 2010;2(1) 35-38

scholarly journals Estimation of peak discharges of historical floods

2014 ◽  
Vol 18 (10) ◽  
pp. 4029-4037 ◽  
Author(s):  
J. Herget ◽  
T. Roggenkamp ◽  
M. Krell
Keyword(s):  
Human Impacts ◽  
Flood Frequency ◽  
River Channels ◽  
Sources Of Information ◽  
Mean Flow ◽  
General Outline ◽  
Flood Level ◽  
Alternative Approaches ◽  
The Mean ◽  
Generalized Statement

Abstract. There is no doubt that the hazard assessment of future floods, especially under consideration of recent environmental change, can be significantly improved by the consideration of historic flood events. While flood frequency inventories on local, regional and even European scale have already been developed and published, the estimation of their magnitudes indicated by discharges is still challenging. Such data are required due to significant human impacts on river channels and floodplains, though historic flood levels cannot be related to recent ones or recent discharges. Based on experiences from single local key studies, we present the general outline of an approach to estimate the discharge of the previous flood based on handed-down flood level and topographic data. The model for one-dimensional steady flow is based on the empirical Manning equation for the mean flow velocity. Background and potential sources of information, acceptable simplifications and data transformation for each element of the model equation are explained and discussed. Preliminary experiences regarding the accuracy of ±10% are documented, and potential approaches for the validation of individual estimations are given. A brief discussion of benefits and limitations, including a generalized statement on alternative approaches, concludes the review of the approach.

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