Implementation Of Prevention Practices Research Articles

Public knowledge and attitude towards COVID-19 vaccines, implementation of preventive measures following vaccination, and perceived stress during the COVID-19 pandemic: A cross-sectional study in Jordan

<b>Introduction:</b> Coronavirus disease (COVID-19) is caused by a relatively new coronavirus strain known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which has become a significant worldwide health concern. The hesitancy of people to accept vaccination or implement the preventive measures following vaccination can be considered a serious issue that increases the spread of COVID-19. The objectives of the current study were to assess the knowledge and attitudes toward COVID-19 vaccination and the adoption of preventive measures following vaccination among the general population in Jordan and to compare the perceived stresses between the vaccinated and unvaccinated groups.<br /> <b>Methods:</b> An online cross-sectional survey was conducted among adults above the age of 18 years in Jordan during the period June-October 2021. The survey has six sections: (1) socio-demographic characteristics, (2) vaccination status, (3) knowledge of participants about COVID-19 vaccination, (4) attitude of participants about COVID-19 vaccination, (5) implementation of preventive practices among participants following COVID-19 vaccination, and (6) perceived stress toward COVID-19 among vaccinated and unvaccinated participants.<br /> <b>Results:</b> 605 respondents (69.8% female and 30.2% male) aged between 30-49 years completed the questionnaire. More than half were married and 40.5% received one (29.8%) or two doses (10.7%) of a vaccine. Generally, they showed a positive attitude toward COVID-19 vaccination with a value of 12.7 out of 19. Most of them (>85%) showed proactive practices following vaccination by implementing some preventive measures such as implementing social distancing, avoiding crowded places, and shaking hands. The average perceived stress scale of the general population in Jordan was moderate with a value of 21.5 out of 40. However, fully or partially vaccinated individuals had a significantly (p=0.03) lower PSS (20.97) than unvaccinated people (21.87).<br /> <b>Conclusion:</b> The respondents have a good knowledge and positive attitude towards COVID-19 vaccination with good practices following vaccination. However, unvaccinated individuals were more likely to be stressed than vaccinated people. This study may assist policymakers to enhance the extent of COVID-19 vaccination and reduce the spread of this infection.

Racial and Ethnic Disparities in Receipt of Medications for Treatment of COVID-19 - United States, March 2020-August 2021.

The COVID-19 pandemic has magnified longstanding health care and social inequities, resulting in disproportionately high COVID-19-associated illness and death among members of racial and ethnic minority groups (1). Equitable use of effective medications (2) could reduce disparities in these severe outcomes (3). Monoclonal antibody (mAb) therapies against SARS-CoV-2, the virus that causes COVID-19, initially received Emergency Use Authorization (EUA) from the Food and Drug Administration (FDA) in November 2020. mAbs are typically administered in an outpatient setting via intravenous infusion or subcutaneous injection and can prevent progression of COVID-19 if given after a positive SARS-CoV-2 test result or for postexposure prophylaxis in patients at high risk for severe illness.† Dexamethasone, a commonly used steroid, and remdesivir, an antiviral drug that received EUA from FDA in May 2020, are used in inpatient settings and help prevent COVID-19 progression§ (2). No large-scale studies have yet examined the use of mAb by race and ethnicity. Using COVID-19 patient electronic health record data from 41 U.S. health care systems that participated in the PCORnet, the National Patient-Centered Clinical Research Network,¶ this study assessed receipt of medications for COVID-19 treatment by race (White, Black, Asian, and Other races [including American Indian or Alaska Native, Native Hawaiian or Other Pacific Islander, and multiple or Other races]) and ethnicity (Hispanic or non-Hispanic). Relative disparities in mAb** treatment among all patients†† (805,276) with a positive SARS-CoV-2 test result and in dexamethasone and remdesivir treatment among inpatients§§ (120,204) with a positive SARS-CoV-2 test result were calculated. Among all patients with positive SARS-CoV-2 test results, the overall use of mAb was infrequent, with mean monthly use at 4% or less for all racial and ethnic groups. Hispanic patients received mAb 58% less often than did non-Hispanic patients, and Black, Asian, or Other race patients received mAb 22%, 48%, and 47% less often, respectively, than did White patients during November 2020-August 2021. Among inpatients, disparities were different and of lesser magnitude: Hispanic inpatients received dexamethasone 6% less often than did non-Hispanic inpatients, and Black inpatients received remdesivir 9% more often than did White inpatients. Vaccines and preventive measures are the best defense against infection; use of COVID-19 medications postexposure or postinfection can reduce morbidity and mortality and relieve strain on hospitals but are not a substitute for COVID-19 vaccination. Public health policies and programs centered around the specific needs of communities can promote health equity (4). Equitable receipt of outpatient treatments, such as mAb and antiviral medications, and implementation of prevention practices are essential to reducing existing racial and ethnic inequities in severe COVID-19-associated illness and death.

Impact Of Population Screening Programs On The Knowledge, Attitudes And Practices Regarding Prevention Of Thalassema

Beta Thalassemia is the most common genetic disorder in Pakistan. This study was conducted to assess the knowledge, attitudes and practices of parents of children suffering from Thalassemia with regards to disease prevention. It also determined the degree of social and religious opposition faced by these parents during implementation of preventive practices Methods: A descriptive cross-sectional survey was conducted in the 36 districts of Punjab via nine regional centers of Punjab Thalassemia Prevention Project. 248 parents of Beta Thalassemia Major and Intermedia were interviewed using a pre-designed pre-tested structured questionnaire. All statistical analyses were conducted using Statistical Package for Social Sciences (IBM SPSS 23.0) Results: 83.5% of the respondents had adequate knowledge and 98.4% had positive attitudes. Knowledge and attitude were positively correlated (p=0.00). 93% opted for prenatal diagnosis and 91% opted for termination of affected fetus. Among these individuals 12% faced opposition from their family members when they went for diagnostic testing and this opposition rose to 20% when they had to opt for termination. The local religious clerics opposed prenatal diagnosis in 3% of the cases and termination in 7% of the cases Conclusion: When compared to previous studies the knowledge, attitudes and practices of our study population was better. Thus, population screening programs have a positive impact on knowledge, attitudes and practices of caregivers of Thalassemia patients. However, social and religious opposition needs to be countered for further implementation of effective preventive practices.

2088. Association Between Implementation of Prevention Practices and CLABSI Incidence: A National Survey

BackgroundCentral-line-associated bloodstream infections comprise 35% of acquired BSI in Israeli intensive care units (ICUs). In 2012, an ongoing national intervention was initiated, including insertion and maintenance bundles, education, outcome surveillance and feedback on CLABSI rates. Following the intervention, a significant decrease in both total BSI and CLABSI rates were observed. However; CLABSI rates remained high in some units. The aims of the study were: (1) to assess the association between hospitals’ implementation of prevention practices and CLABSI incidence in general ICUs and (2) to identify which prevention practices were most important for reducing CLABSI incidence.MethodsA national, prospective surveillance program was implemented in 2012. Since May 2016, monthly individual data replaced prior aggregated reports. The data includes all positive blood cultures, admission and discharge dates, signs/symptoms and diagnostic procedures dates and presence of central lines. In June 2017, an online survey assessing infection prevention practices in general ICUs was sent to all acute care hospitals. Based on the results of the survey, a 14-element prevention score was created that included presence of unit champions, periodic educational sessions, insertion and maintenance practices, and conducting of routine audits. The association between the prevention score and CLABSI rates during the first 6 months of 2017 was assessed using the Spearman correlation test. Negative binomial regression was used to calculate incident rate ratio.ResultsCLABSI rates in 26 general ICUs varied between 0.0 and 17.0 per 1,000 catheter days. Higher prevention scores were associated with lower CLABSI rates (Spearman’s rho = −0.51, P = 0.01; Figure 1). Significant lower rates were observed in ICUs that had wards champions (IRR 0.48 CI 95% 0.32–0.73, P = 0.001) monitored compliance to preventive insertion measures (IRR 0.36, CI 95% 0.20–0.64, P = 0.001), used ultrasound for insertion (IRR 0.48, CI 95% 0.29–0.81, P = 0.006) and used simulations for teaching (IRR 0.41, CI 95% 0.24–0.70; P = 0.001).ConclusionMore complete implementation of a multi-faceted intervention was associated with lower CLABSI rates in Israeli ICUs.Figure 1Disclosures All authors: No reported disclosures.

Hepatitis C: The beginning of the end-key elements for successful European and national strategies to eliminate HCV in Europe.

Hepatitis C virus (HCV) infection is a major public health problem in the European Union (EU). An estimated 5.6 million Europeans are chronically infected with a wide range of variation in prevalence across European Union countries. Although HCV continues to spread as a largely "silent pandemic," its elimination is made possible through the availability of the new antiviral drugs and the implementation of prevention practices. On 17 February 2016, the Hepatitis B & C Public Policy Association held the first EU HCV Policy Summit in Brussels. This summit was an historic event as it was the first high-level conference focusing on the elimination of HCV at the European Union level. The meeting brought together the main stakeholders in the field of HCV: clinicians, patient advocacy groups, representatives of key institutions and regional bodies from across European Union; it served as a platform for one of the most significant disease elimination campaigns in Europe and culminated in the presentation of the HCV Elimination Manifesto, calling for the elimination of HCV in Europe by 2030. The launch of the Elimination Manifesto provides a starting point for action in order to make HCV and its elimination in Europe an explicit public health priority, to ensure that patients, civil society groups and other relevant stakeholders will be directly involved in developing and implementing HCV elimination strategies, to pay particular attention to the links between hepatitis C and social marginalization and to introduce a European Hepatitis Awareness Week.

Successful Organic Production Practices in the Southern Cone

The growth of demand of organic products has increased the interest of growers all around the World. To reach a sustainable organic production system, growers have to go through a long and difficult process. Eighty-one successful organic production systems in the Southern Cone of America were evaluated regarding management practices, such as disease control, soil fertility, and biodiversity management. The aim of the study was to determine associations between production techniques, farmer training, experience in organic agriculture, yields obtained, and the contribution of organic production to the profitability of farmers. A multivariate analysis was performed to characterize the variability between systems, correlate the management variables and explain economic sustainability. The economic sustainability of farmers was highly correlated with self-production of fungicides and insecticides, use of permitted commercial fertilizers, organic matter application, the use of natural enemies, commercially permitted fungicides and insecticides and the implementation of preventive practices for disease management. Pest monitoring correlated significantly with farmer training and sustainable practices implementation. Farmer’s perception on the importance of crop diversity in organic production correlated with the importance of external inputs independence, green manure, cover crop, and the experience of farmers in organic production. Farmers who implemented more management practices had yield losses below 20% of total production and a gross margin of organic farming of more than 1.5 times the minimum wage of the country than farmers that implemented few or no management practices.

Back to Fundamentals: Using High- and Low-Fidelity Simulation to Provide Reinforcement of Preventative Measures for Sepsis.

Health care-associated infections result in a staggering number of preventable patient deaths per year. Numerous point-of-practice initiatives and action plans have been implemented, requiring ongoing and continuing education for practicing clinicians. Equally important is the implementation of prevention practices and protocols throughout programs responsible for preparing health care providers. The use of simulation as an experiential form of learning is effective in nursing education as fundamental concepts and best practices in sepsis prevention are repeated and reinforced.

Knowledge Attitude and Practices Related on Prevention of Mosquito Borne Diseases and Sanitation Conditions in a Salvadoran Urban Community

Introduction: In El Salvador Mosquito Borne Diseases (MBDs) is a serious public health problem due to produce morbidity and mortality. They produce a high economic loss, which contributes to the collapse of the public health system. Over the years, the Salvadoran public health system has invested large amounts of resources to minimize the problem through campaigns against MBDs. Despite this, the population is still affected by diseases such as dengue, and more recently chikungunya and zika outbreaks. The aim of this study is to evaluate sanitation conditions variables and identify knowledge, attitudes, practices related to the prevention of MBDs. Methods: A cross-sectional survey about sanitation conditions and knowledge, attitudes and practices on prevention of MBDs of inhabitant’s ≥ 15 years from an urban community of a municipality with the highest number of cases reported in 2015. Results: Majority of respondents (98.2%) had direct supply of drinking water; however 96.4% of respondents were agreed that they had an inconsistent water supply. Regarding MBDs prevention respondents showed high acceptable knowledge (76.8%), high favorable attitude (92.1%) and an acceptable implementation of practices toward prevention reproduction of mosquitoes (58.5%) and a poor implementation of practices to prevent mosquito bites (38.3%). Conclusions: The findings revealed high acceptable knowledge about MBDs and a high favorable attitude regarding to prevent them, but also revealed a scarce implementation of prevention practices. The generalized storage of water on non-covered barrels because the inconsistent water supplies, can be source of proliferation of mosquitoes and therefore increases the risk of transmission of MBDs. High population density of the community can magnify this risk. It is necessary to enhance education to promote better implementation of practices using the most common media together with the local health workers.

RISCO OCUPACIONAL PARA FEBRE MACULOSA: UMA AVALIAÇÃO DOS CONHECIMENTOS, ATITUDES E PRÁTICAS DE PREVENÇÃO ENTRE ESTUDANTES DE MEDICINA VETERINÁRIA

Spotted fever (SF) is a tick-borne rickettsial disease that in Brazil affects mainly the economically active population. The occupational risk attributed to veterinarians, biologists and animal handlers is due to exposure to disease vectors. This study assessed the knowledge, attitudes and preventive practices relating to SF in a group of veterinary medicine students. A descriptive analysis was conducted among 173 students at a private higher education institution in the Brazilian Federal District. The participants were asked about their knowledge of SF, their attitudes when they found ticks on their body and practices relating to tick handling, treatment and prevention. The results showed that 84% of the respondents had heard about SF. Almost half of the respondents answered that SF is a tick-borne disease. Most respondents knew about prevention methods, and the main method cited was treatment of the animals with acaricides. Regarding attitudes towards SF, it was observed that most respondents removed ticks by hand. None of the respondents were using appropriate protective equipment when exposed to the vector. Although this population was well informed about SF and its preventive measures, this knowledge was not reflected in implementation of prevention practices.

Prakriti and its associations with metabolism, chronic diseases, and genotypes: Possibilities of new born screening and a lifetime of personalized prevention.

Ayurveda is one of the oldest health sciences of the world with concepts of tridosha and prakriti being core philosophies. These core concepts allow implementation of ways for not only personalized medicine and treatment but also personalized prevention. In the light of modern or current science, evidence has surfaced connecting the concepts of tridosha and prakriti with metabolic pathways, chronic diseases, and various genotypes. Such evidence has thrown up insights about the universality of Ayurvedic concepts as well as their apparent association with concepts in current science. This review was undertaken to consolidate the evidence of such associations which exist between prakriti and metabolic systems, chronic diseases, and genotypes with the objective that a case can be made for drawing out the clear linkages that might exist for prakritis being distinct phenotypes representing certain genotypes. A corollary to such discoveries can be the possibility of newborns being screened for their prakriti by genetic testing, which will enable the prevention of various chronic diseases for such children via the implementation of various dietary, lifestyle, and habitual changes, as required, from an early age. This implementation of preventive practices from an early age may result in such children leading healthy, disease-free, more productive lives. Thus, eventually, this can be an opportunity to practice personalized preventive health, which is not a possibility in other systems of medicine especially western systems of medicine. Personalized preventive health is one step further than personalized medicine and is a very novel idea with far-reaching implications.

Variability in the detection and monitoring of chronic patients in primary care according to what is registered in the electronic health record

The electronic health record (EHR) allows a detailed study of the primary care consultations and assessment of variability among physicians regarding the implementation of practices for prevention, detection and monitoring of chronic diseases. To describe the variability in the detection and surveillance of chronic conditions in primary care. Review of the medical records maintained by 1685 primary care physicians in the Basque Health Service. Estimation of age and sex standardized rates of compliance with evidence-based recommendations and the systematic component of variation (SCV). Compliance with screening recommendations varied from 14.2% for chronic obstructive pulmonary disease (COPD) to 37.2% for hypercholesterolaemia of the at-risk populations. Variability between Primary Care Units (PCUs) was low (SCV(5) (-95) < 0.10) for high blood pressure, hypercholesterolaemia and diabetes and high (SCV(5) (-95) ≥ 0.20) for COPD. Based on the EHR registries, recommendations were followed to in at least 50% of relevant patients according to only 10 of the 44 good care practice (GCP) criteria. For 16 of the GCP criteria, the EHR data indicated compliance to the recommendations in <25% of patients diagnosed. EHR data indicate that some of the preventative care practices recommended to detect chronic problems in primary care are unevenly implemented across PCUs. Notably, there is less variation in the case of conditions for which evidence-based clinical practice guidelines have been published. The level of monitoring is inadequate for all the conditions studied; particularly in those in which it is less evident that primary care is the right level of the health service to provide this care.

Current strategies in the farm practices and post-harvest pesticidal defence

Today, people often talk about biologic agriculture and Integrated Production (IP), even if the real meaning of these terms is altered. In both cases, they deal with production methods characterized by a particular attention to the reduction of the environmental impact of all the farm practices used, especially for defence from adversities, being the element of major concern for environment and consumers’ health.Farm practice evolution, especially those about pest defence, is based on important conceptual change, accurate scientific analysis and organization of technical assistance, rationalization of agri-pharmaceutical product use is one of the main objective of Integrated Production Specifications (IPS). The quantitative reduction is the first objective, obtained by various means such as the use of efficient equipment and the qualitative selection based on the priority use of minor impact means, effectiveness being equal. At post-harvest, the anti-parasitary defence is undergoing deep changes in our country. Once, pesticides very toxic and persistent were used; however, in the last years the availability of active principles (a.p.) usable on foodstuffs or in productive environments; for instance, methyl bromide use has been progressively reduced till its banishment because it is recognized to damage the ozone layer. Thus, on the whole we can talk about “integrated pest management” even for the post-harvest sector. However, substantial differences exist between agriculture and post-harvest, thus the integrated pest management in food production environment has to be designed in a different way. The fundamental element of this technique is to identify a tolerance threshold to pest attack but for the defence of food industries and stored foodstuffs is very difficult, if not impossible, to fix a limit to insect presence after which intervening is compulsory. Monitoring of pest attacks and the implementation of prevention practices is fundamental; in post-harvest sector this activity can be carried out checking first matters to be stored and used by suitable analysis, as well as modifying systems, department structure, installing double door and air blade barriers, laying of pavements with special epoxy paints, replacing the traditional electric raceways with others, totally opened, steel grated, vertical and surely less delicate. As stated above, integrated pest management is a well estabilished technique, even if under continuous refinement; at post-harvest we are in a still transitory phase at the moment. However, industry are making great efforts to give consumers foods protected against pest attacks along the whole productive row, with strict hygienic and safety criteria.

Long-Term Patient Survival: Strategies to Improve Overall Health

The use of potent immunosuppressant therapy has led to an increase in number of patients with successful long-term kidney transplants. These individuals come to kidney transplantation with varying levels of comorbidity associated with end-stage renal disease and are susceptible to immunologic and nonimmunologic comorbidities that arise late after transplantation, including cardiovascular disease, infection, malignancy, and bone disease, which negatively impact on patient and graft survival. In addition, nonadherence to immunosuppressant regimens increases with time after transplantation, which further augments the risk for late-term graft failure and mortality. Consistent and frequent follow-up of kidney transplant recipients beyond the first year permits early diagnosis and successful treatment of many posttransplantation comorbidities. Implementation of preventive practices and aggressive management of risk factors throughout the life of the transplant improves overall health and long-term outcomes. Establishment and maintenance of close relationships among transplant centers, physicians, patients, and their families improves patient adherence to medications and reduces the risk for morbidity and mortality.

East-West differences in reported preventive practices: A comparative study of six European areas of the WHO-CINDI programme

Differences have been reported in life expectancy and mortality between Eastern and Western European countries. Also, disparities have been found among different European countries or populations concerning the implementation of preventive practices by health professionals. This study analysed the patterns of reported preventive practices in three Eastern European areas and three Western ones. Health surveys were carried out in particular geographical area of six countries participating in the project (three Eastern European countries; Russia, Poland and Hungary and three Western European countries; Finland, Germany and Spain). All of them are partners in the WHO-CINDI (Countrywide Integration Non-communicable Diseases Intervention) Programme. Three preventive practices are analysed: reported blood pressure and blood cholesterol measurements and reported antismoking counseling during the last year. Data are presented separately for the general population and for people reporting specific chronic conditions (cardiovascular disease, respiratory disease and/or diabetes mellitus). Blood pressure measurement and antismoking counseling are more frequently reported to be carried out by primary health care physicians in the Eastern European areas while blood cholesterol measurement is more frequently reported in Western European countries. All these preventive activities are more frequently reported to be done among people with chronic conditions than in the population as a whole. Major differences have been found in reported preventive practices between Eastern and Western European countries. Great potential exists for chronic disease prevention among them.