Official Recommendations Research Articles

TOURISM CHALLENGES IN THE RURAL AREAS OF THE AUTONOMOUS REPUBLIC OF ADJARA

Aim: The article describes trends in the economic development of Georgia with particular emphasis on the role of tourism in the socio-economic development of the Autonomous Republic of Adjara. The paper aims to study the tourism development perspective in Adjara to improve the living conditions of the local population that lives in the highlands and to achieve equal social and economic growth throughout the country. Methods: The study used the literature review and mass statistics data analysis methods. In addition, the results of a survey conducted in September 2022 on a sample of 351 respondents (visiting Adjara for tourism purposes) were presented. Results: Rural tourism is currently being discussed extensively by state organizations and other public cooperation partners as an additional source of revenue in the Rural Tourism Supply Chain in the highland areas and for regional development. The work discusses the potential and the quality of tourist products. It has identified the region’s current trends and issues of tourism development, the main challenges in rural tourism, and the role of transport systems in developing rural tourism sustainability. Conclusions: The article summarizes the recommendations for local officials in rural tourism sustainability and the importance of their development. Adjara’s highlands have quite a challenging landscape. Local government should ensure the acceleration of the infrastructure projects of the Adjara highlands and the arrangement of internal roads, parking lots and infrastructure corresponding to modern standards.

COVID-19 vaccination rates and neighbourhoods: evidence from Sweden

ABSTRACT This paper investigates neighbourhood characteristics related to an individual’s likelihood of getting the first COVID-19 vaccination and implementing official recommendations for the three-shot vaccination regime. We use full population-geocoded microdata for Sweden to measure important individual-level attributes and the marginalisation of their residential communities in terms of ethnicity, education and income. The findings show that the likelihood of getting vaccinated and obtaining all three recommended vaccine doses decrease for individuals residing in neighbourhoods with larger shares of marginalised residents. The effects also appear to be more pronounced if the individual themself belongs to a marginalised group.

Assessing wineries' performance in managing critical control points for arsenic, lead, and cadmium contamination risk in the wine-making industry: A survey-based analysis utilizing performance indicators as a results tool

Human health hazards appear in wine production. Wineries have implemented food safety management systems to control food hazards through Hazard Analysis Critical Control Point (HACCP). Wine-making industry applies HACCP by evaluating Critical Control Points (CCPs). One of the CCPs that exhibits inadequate control is the potential contamination risk of arsenic, cadmium, and lead throughout the winemaking procedure. Wineries performance level about controlling CCPs related to contamination risk by arsenic, cadmium and lead in the winemaking were analyzed. A sixteen-question questionnaire was made to achieve this research. Three indicators were calculated for training, legislation, and analysis performance components in CCPs control. Results revealed that wineries fault in analysis and legislation components. Identification and updating of legislation about As, Cd and Pb contamination risk is in starting performance level for wineries that produce less than 250,000 L/year wineries. Analysis performance level is even lower than legislation. Only one out of every three wineries possess information regarding the concentrations of arsenic, cadmium, and lead in the soils of vineyards where grapes are cultivated. Furthermore, the availability of data on their available concentrations in the soil solution is even more limited. Those wineries that controlled As, Cd and Pb concentrations make it according to official recommendations using techniques based on atomic absorption spectrometry. However, there is a lack of this spectrometry equipment in the wineries own laboratories.

The Treaty of Brest-Litovsk and the Repatriation of East Prussian Deportees from Simbirsk during World War I

This article assesses whether the repatriation of civilian prisoners of war, most of whom were East Prussian deportees, from Simbirsk to Germany between April and June of 1918, was carried out according to the terms of the Treaty of Brest-Litovsk. Simbirsk, which was home to more East Prussian deportees than any other internment site in Russia, is particularly well-suited for a case study of the repatriation of civilian prisoners from Russia during World War I because the correspondence and memoirs of those who were involved in the repatriation still exist and are accessible outside Russia. The article concludes that the repatriation of civilian prisoners of war interned in Simbirsk was not carried out according to the terms of the Treaty of Brest-Litovsk—at least not according to how the treaty was interpreted by the German and Russian governments—and identifies several reasons why this was the case. This case study may have policy implications for the current war in Ukraine, which has also been characterized by the deportation of civilians from Russian-occupied territory to Russia, although on a much larger scale. If the war in Ukraine ends in a negotiated settlement between Ukraine and Russia, the repatriation of Ukrainian deportees will be an important part of that settlement. The article offers several recommendations for the Ukrainian officials who would be responsible for negotiating such a settlement to avoid chaotic evacuations similar to what happened in Simbirsk during World War I.

Food choices for weight loss: what dietary strategies would people use?

Previous observational research showed that one of the most common strategies used to lose weight is to avoid or restrict the consumption of specific food items. However, the question of how people behave and implement strategies in actual decision-making situations involving food choices for weight loss purposes remains inconclusive. This experimental study using a food buffet aimed to examine people's different dietary strategies and motives for selecting foods for an entire day for weight loss purposes compared with a normal-day (ND) food selection. A total of 111 participants (55 % women) had to choose foods for both a ND and a weight loss day (WLD) (within-study design). Kilocalories and nutrients were calculated based on the weights of the foods selected, and food choice motives were assessed using a questionnaire. The results showed that for weight loss purposes, the participants selected more vegetables (both sexes) and unsweetened beverages (only men) while reducing their choices of high-fat and high-energy products (both sexes). Participants' food choices in both conditions (ND and WLD) differed from the official nutrition recommendations. They chose less carbohydrates and fibres and more fat and sugar than recommended. Health, kilocalories and nutrient content (carbohydrates, sugar, fat and protein) were more important food choice motives for weight loss purposes than for a ND food selection, while taste became less important. In conclusion, the participants appeared to be well capable of implementing several appropriate dietary strategies. Further research is needed to explore strategies to help them maintain these dietary changes over the long term.

Position Statement on In-hospital/Clinic Point-of-care Coagulation Testing for Anticoagulation Monitoring in Saudi Arabia.

Hospital overload is a persistent occurrence in daily practice. Interventions such as point-of-care testing (POCT) are needed to alleviate the pressure faced by healthcare providers and administrators. An invited panel of experts from Saudi Arabia was formed under the auspices of the Saudi Heart Association in order to discuss local treatment gaps in the management of patients receiving anticoagulation therapy. This was done in a series of meetings, which resulted in the development of official recommendations for the implementation of POCT for anticoagulation monitoring in the country. Recommendations were based on a comprehensive literature review and international guidelines taking into consideration local clinical practice, clinical gaps, and treatment/testing availabilities. Vitamin K antagonist (VKA)-based anticoagulation therapy requires routine monitoring. POCT is a promising model of care for the monitoring of International Normalized Ratio (INR) in patients receiving oral anticoagulation in terms efficacy, safety and convenience. The availability of POC INR testing should not replace the use of standard laboratory anticoagulation monitoring. However, there are several indications for implementing POCTINR monitoring that was agreed upon by the expert panel. POCT for anticoagulation monitoring should primarily be used in the warfarin (or other VKA) monitoring clinic in order to ensure treatment efficiency, cost-effectiveness of care, patient satisfaction, and quality of life improvement. The expert panel detailed the requirements for the establishment of a warfarin (or other VKA) monitoring clinic in terms of organization, safety, quality control, and other logistic and technical considerations. The limitations of POCT should be recognized and recommendations on best practices should be strictly followed. Core laboratory confirmation should be sought for patients with higher INR results (>4.7) on POCT. Proper training, quality control, and regulatory oversight are also critical for preserving the accuracy and reliability of POCT results. POCT enables more rapid clinical decision-making in the process of diagnosis (rule-in or rule-out), treatment choice and monitoring, and prognosis, as well as operational decision-making and resource utilization. POCT thus can fulfill an important role in clinical practice, particularly for patients receiving VKAs.

Evidence-based Egyptian clinical practice guidelines: for the prevention and management of iron deficiency and iron deficiency anemia in infants, children and adolescents

BackgroundIron deficiency (ID) is the most common nutritional disorder affecting all age groups. Infants and young children are vulnerable to anemia especially iron deficiency anemia (IDA), which represents a public health problem with defined impacts on the health of communities. IDA, however, is a preventable and treatable condition; therefore, early diagnosis represents the cornerstone in protection from its adverse consequences and combating its contributing factors. Several international guidelines for the management of ID/IDA are available, however national guidelines that can be implemented and suits our local needs are lacking.ObjectiveTo adapt the pre-existing high-quality practice guidelines for the screening, prevention and management of ID/IDA in different pediatric age groups, to be available for the national use by general practitioners, pediatricians, and other health care professionals.ResultsThe adaptation group for this guideline included key leaders from different Egyptian institutions. The panel used the ADAPTE methodology for adaptation of guidelines. The panel prioritized the health questions and recommendations according to their importance for clinicians and patients. The procedure included searching for existing guidelines, quality appraisal, and adaptation of the recommendations to the target context of use. The guideline covered all important aspects of detection, identification of infants, children, and adolescents at high risk of developing ID/IDA, proper management, and prevention. The final version of the adapted clinical practice guideline has been made after thorough review of an external review panel and was guided by their official recommendations and modifications. Implementation tools included algorithms, tables, and flow charts to aid decision making in practice, as well as patient-directed information in the Arabic language.ConclusionsThis adapted guideline serves as a tool for the screening, prevention and management of ID/IDA in different pediatric age groups.

3 Overview of Poultry Modeling Evolution

Abstract This presentation aims to review advances in mathematical models used in poultry nutrition and production in the past decades and present an overview of the current status. Models have been developed to improve understanding of growth, voluntary feed intake, nutrient utilization, body composition, responses to nutrient supply, environmental changes, and stressors. Growth models for broilers, turkeys, ducks, layers, and breeders are available mainly based on the Gompertz curve, but a few other mathematical functions are also used. A few models can simulate egg production in layers and breeders. The EFG and Avinesp models, tools from feed additive and genetic companies, among others, will be described or mentioned. These models can describe genetic differences and estimate energy, amino acids, calcium, and phosphorus requirements or multiple biological responses to specific nutrient levels. Most models use the concept of ideal protein or balanced protein to describe responses to amino acid levels. However, very few models can describe responses to modifications of one or two specific amino acids. Compartmental models are mainly based on main chemical components such as water, body and feather protein, fat, and ash. Poultry models seldom consider variability due to feeding ingredient quality, fiber, fat, other mineral composition, or variation in nutrient digestibility. However, some models can predict responses to exogenous enzymes. Most applications can predict body weights and yields at a specific age, and some can estimate nitrogen, calcium, and phosphorus excretion. These models can be integrated with feed formulation software, economic data, and optimizers to simulate multiple conditions and estimate biological, economic, and environmental optimums. Poultry enterprise models can describe the whole production system, estimate the optimum combination of resources, aid in planning and scheduling, and determine strategies for growth. Currently, no official recommendations from academic or private groups are based only on models to estimate nutrient levels. Combinations of empirical data and model results are frequently used for nutritional decision-making. A few tools are available for specialized personnel to decide the energy and amino acid levels to use. The application of electronics and telecommunications triggered the fast production of enormous volumes of data from diverse poultry production sectors. This big data avalanche is starting to help modelers to integrate more accurate information and incorporate natural variability. However, integration between current models and significant data results is still under development. Despite increasing international collaboration in modeling, poultry model developments keep great independence and fundamental differences. One critical issue needed for faster development of poultry modeling is to increase education in modeling. The lack of academic programs offering modeling classes related to poultry caused the low current application of models. However, awareness about the benefits of modeling has increased in the past few years, and efforts are under development.

Resultados de la encuesta nacional de REIV-TOXO sobre el cribado gestacional de la toxoplasmosis en España

IntroductionCurrently, the status of serological screening for toxoplasmosis in pregnant women in Spain is unknown, and there is no official recommendation. The objective of this study is to show the current practice of gestational screening for toxoplasmosis in hospitals belonging to the Spanish Network for Research on Congenital Toxoplasmosis (REIV-TOXO). MethodsAn electronic survey was sent between April 2021 and September 2021 to investigators from 118 hospitals of REIV-TOXO, representing all Spanish regions. Nine items related to gestational screening for toxoplasmosis were collected. This information was compared with cases of congenital toxoplasmosis (CT) identified in REIV-TOXO to determine if these were diagnosed in the presence of gestational screening. ResultsDuring the study period, serological screening was performed in 53.3% (63/118) hospitals, with variations between regions and even among hospitals within the same region. Testing performed in each trimester was the most common practice (57.7%), followed by a single determination (24.4%). 89.4% of CT cases between January 2015 and September 2021 were diagnosed due to gestational screening. ConclusionThe decision to perform gestational screening for toxoplasmosis in Spain is highly heterogeneous, with significant local and regional differences. Despite this, screening still allows the diagnosis of most CT cases. It is urgent to have current epidemiological data to inform decision-making in public health.

Changes in work tasks and organization of general practice in Norway during the COVID-19 pandemic: results from a comparative international study

BackgroundThe COVID-19 pandemic led to huge and rapid changes in general practice in Norway as in the rest of Europe. This paper aims to explore to what extent the COVID-19 pandemic changed the work tasks and organization of Norwegian general practice.Material and methodWe analysed data from the Norwegian part of the international, cross-sectional PRICOV-19 study, collecting data from general practice via an online self-reported questionnaire. We included 130 Norwegian general practices, representing an estimated 520 Norwegian general practitioners (GPs). All Norwegian GPs were invited to participate. In the analyses, we focused on items related to the use of alternatives to face-to-face consultations, changes in the workload, tasks and delegated responsibilities of both the GPs and other personnel in the GP offices, adaptations in routines related to hygiene measures, triage of patients, and how the official rules and recommendations affected the practices.ResultsThere was a large and significant increase in the use of all forms of alternative consultation forms (digital text-based, video- and telephone consultations). The use of several different infection prevention measures were significantly increased, and the provision of hand sanitizer to patients increased from 29.6% pre-pandemic to 95.1% since the pandemic. More than half of the GPs (59.5%) reported that their responsibilities in the practice had increased, and 41% were happy with the task shift. 27% felt that they received adequate support from the government; however, 20% reported that guidelines from the government posed a threat to the well-being of the practice staff. We found no associations with the rurality of the practice location or size of the municipalities.ConclusionNorwegian GPs adapted well to the need for increased use of alternatives to face-to-face consultations, and reported a high acceptance of their increased responsibilities. However, only one in four received adequate support from the government, which is an important learning point for similar situations in the future.

Soil Chemical Parameters with the Use of Agricultural Gypsum and Effects on the Apple Tree Crop

Using agricultural gypsum promotes nutrient descent and generates a less aggressive environment for roots, favoring their development and better use of water and nutrients. However, studies on apple trees are scarce, and there is no official recommendation for gypsum application in the soils of southern Brazil. This work aimed to evaluate the potential use of agricultural gypsum to increase soil fertility and apple tree productivity. The research was carried out in the municipality of Ipê, RS, in an apple orchard cv. Condessa planted fifteen years ago and with acidity in the soil layer of 20–40 cm. The design of the experiment was consisted of randomized blocks, containing five treatments and four replications, with 80 m2 each. The treatments consisted of five doses of agricultural gypsum, applied at the beginning of the productive cycle. The study evaluated soil chemical parameters at 0–20 cm and 20–40 cm, chlorophyll content, and crop productivity. The results showed an increase in the sulfur content up to the gypsum dose of 6.0 t∙ha−1 and a reduction in the magnesium content in the soil at both evaluated depths. Agricultural gypsum application did not significantly influence the other chemical parameters evaluated. Chlorophyll content in apple leaves was reduced, and there was an increase in productivity with the increase in the dose of agricultural gypsum. Therefore, gypsum can potentially improve soil fertility and increase apple tree productivity.

SER recommendations for the treatment of uveitis

ObjectiveTo develop evidence-based expert-consensus recommendations for the management of non-infectious, non-neoplastic, non-demyelinating disease associated uveitis. MethodsClinical research questions relevant to the objective of the document were identified, and reformulated into PICO format (patient, intervention, comparison, outcome) by a panel of experts selected based on their experience in the field. A systematic review of the available evidence was conducted, and evidence was graded according to GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria. Subsequently, recommendations were developed. ResultsThree PICO questions were constructed referring to uveitis anterior, non-anterior and complicated with macular edema. A total of 19 recommendations were formulated, based on the evidence found and/or expert consensus. ConclusionsHere we present the first official recommendations of the Spanish Society of Rheumatology for the treatment of non-infectious and non-demyelinating disease associated uveitis. They can be directly applied to the Spanish healthcare system as a tool for assistance and therapeutic homogenisation.

What Is a Person? Emerging Interpretations of AI Authorship and Attribution

ABSTRACTRecently, the scholarly community has been eagerly exploring how AI‐produced content should be integrated into both academic writing and scholarly publishing. This paper investigates the prevailing responses to the introduction of ChatGPT in November 2022 and the interest that has been afforded it by both the academy and the publishing industry. A review of the published literature on aspects of ChatGPT authorship was carried out, finding that government and the publishing industry have unequivocally asserted that large language models (LLMs) like ChatGPT do not possess the traits of a person and are not able to author texts as a result. Other approaches, including practice, have been less vehement. To assess the integration of instructions on referencing ChatGPT using APA, top Google hits in the .edu domain were collected and analyzed over a 6‐week period from March 14 to April 18, 2023, a time during which official recommendations of the APA Style were finalized. Findings reveal that librarians were quick to provide guidance, but slow to update that guidance, contributing to the potential for misunderstanding the affordances of and best practices for work with LLMs.

Healthcare pathways and practitioners’ knowledge about ADHD in children

IntroductionAccess to care for children and adolescents affected by ADHD in France remains below the levels attained in most industrialised countries. To contribute to improving ADHD care in France, we assessed existing ADHD knowledge among medical doctors (MDs) and described associated care pathways in two large French regions in 2021. We produced tools to evaluate the regional impact of implementing a stepped-care pathway for ADHD. MethodsA SurveyMonkey® study was sent to professionals from two regions in France accounting for 14 million inhabitants, allowing them to describe their role in child/adolescent ADHD, as well as their representations and knowledge about the disorder. ResultsAround 9.4% of all MDs potentially involved with children took part in the study; 34.9% considered themselves untrained, 40.5% were involved in ADHD care at a first-tier level, and 19.6% at a second-tier level. Access to a second or third-tier service for ADHD was associated with mean waiting times of 5.7 and 8.5 months, respectively. Initiation of stimulant therapy remained mainly restricted to second or third-tier MDs, and adaptation of dosage or change in the galenic formulation was rarely performed by first-tier MDs (27.2% and 18%, respectively). Training in neurodevelopmental disorders and tier-level were the strongest determinants of knowledge, attitudes and self-assessed expertise about ADHD. ConclusionsThis study provides insight into training needs for MDs regarding healthcare pathways in ADHD and should support the implementation of health policies, such as a stepped healthcare access for ADHD. The study design and dissemination have been validated and will be available in France and other countries facing similar obstacles in care pathways for ADHD. Official recommendations on ADHD in children and adults are being updated in France, and our data and the survey design will be a starting point for their implementation.

Opiate maintenance patients' attitudes and self-reported adherence to protective measures against SARS-CoV-2 infections.

During the COVID-19 pandemic we assessed to which extent patients in opioid maintenance treatment (OMT) adhere to official recommendations regarding preventive intervention strategies against COVID-19. Patients enrolled in two OMT clinics in Germany were interviewed applying a standardized questionnaire, which covered socio-demographic information, recent psychotropic substance use, recent social activities, the history of SARS-CoV-2 infection, attitudes toward official protection recommendations, and levels of adherence to these suggestions. Current mental and medical diagnoses were retrieved from medical files. In subjects without known infection and without vaccination, blood samples were tested for the identification of anti-SARS-CoV-2-S-antibodies. Interviews were performed between the end of May and the end of September 2021. Patients' (n = 155) average age was 47 years; 74% were males. In addition to the opiate dependence, in nearly 80% of cases another medical disorder was recorded. The range of medical factors that predispose for severe COVID-19 outcomes were present in 39% of patients; 18% of the sample refused to be vaccinated. Nearly all patients reported having carried out a range of activities outside their residence during the week prior to the interviews, including visits of treatment facilities (86.5%; 95% confidence interval [80.2%; 91.0%]) or meeting with friends (64.5% [65.7-71.6%]). Despite the fact that only about 47.1% [39.2%; 55%] felt well informed about measures against infection, adherence to COVID-19 countermeasures was generally high: 83.9% [77.3; 88.8%] claimed to have worn face masks always/nearly always; social distancing was performed always/nearly always by 58.7% [50.8%; 66.2%]; and hand hygiene was conducted by 64.5% [56.7%; 71.6%] of participants. None out of n = 25 tests from unvaccinated subjects was positive for anti-SARS-CoV-2-S-antibodies. Psychiatric comorbidity and educational degree were not statistically significantly associated with attitudes and compliance, except that patients with lower education felt relatively worse informed. Self-reported adherence to recommended non-therapeutic intervention strategies and vaccination rates were similar to the German general population. Provision of more health-related information tailored to OMT patients appears necessary.

Practical and Ethical Guidelines for the Involvement of Trainees in Global Surgery: Consensus Statement and Recommendations from the Resident and Associate Society of the American College of Surgeons Global Surgery Work Group.

The guidelines provided by US professional surgical organizations for involvement of trainees in global surgery are limited. The aim of this consensus statement is to provide surgical trainees with official recommendations from the Resident and Associate Society of the American College of Surgeons Global Surgery Work Group (GSWG) regarding professional, practical, and ethical guidelines for participation in global surgery endeavors. A task force was created within the GSWG to review and define the scope of involvement of trainees in global surgery, and a consensus process was undertaken for the group at large to approve a set of proposed guidelines. The list of practical and ethical guidelines for the engagement of trainees in global surgery covering the themes of preparedness, reciprocity and collaboration, ethical considerations, and sustainability was approved with consensus from the GSWG. This consensus statement from the Resident and Associate Society of the American College of Surgeons GSWG outlines the official recommendations for guidelines for involvement of trainees in global surgery, with an aim to support equitable, sustainable collaborations that center on improving access to safe, timely, and affordable surgical care for the global community at large. Future processes seek to involve representation and perspectives from a larger body of low- to middle-income country surgical trainees.

QUALITY OF AMOXICILLIN TRIHYDRATE/POTASSIUM CLAVULANATE TABLETS COMMERCIALLY AVAILABLE IN LIBYAN PHARMACEUTICAL MARKET

Objective: The objective of this study was to compare the quality of the amoxicillin trihydrate/potassium clavulantae (co-clavimox) tablets those are locally available in Libyan pharmaceutical market manufactured by various pharmaceutical companies with United State Pharmacopeia (USP) standards. Methods: The five popular brands (clavomid, augmentin, clavodar, clamoxin, and clavimox) of co-clavimox conventional tablet of 625 mg strength were chosen. The quality of commercial products was evaluated through the identification of the content of active pharmaceutical ingredients (APIs) using UV- Spectrophotometer. Results: The results obtained showed that, the products clavomid, augmentin, and clavodar conformed to the USP standard limit for quantitative assay of active ingredients. Clamoxin passed the standard limit test with a slight deviation (<2%), while clavimox failed the test with values far below the acceptable range. Conclusion: This study has been able to confirm that some generic brands of co-clavimox tablets available in the Libyan markets possess qualities below official recommendations. Therefore, there is an urgent need for constant monitoring of different brands of medications in the market to ensure their safety and quality.

XIII International Conference on Kangaroo Mother Care - Different opinions, experiences and related KMC issues: Good practices, stabilisation concept, nutrition and basic respiratory support.

This study aimed to summarise the views and experiences of the participants in the workshop of the XIII International Conference on Kangaroo Mother Care (KMC). The results of the discussions held during the workshop of the XIII International Conference on KMC were summarised. There were 152 participants from 47 countries. Four main KMC topics were discussed: good practices, immediate implementation, nutrition and basic ventilation. Several agreements were reached, namely that professional societies and governments should develop official recommendations to promote KMC as standard care for preterm and low birth weight infants and that parents should be involved as active caregivers in neonatal care units. Moreover, the criteria for referring community-born infants to KMC require standardisation. Important inequalities in resource availability among high-, middle- and low-income countries were recognised for all topics. Specific needs were identified for parenteral nutrition and fortifiers, nasal continuous positive airway pressure (nCPAP) and oxygen blenders, which are rarely available in low- and middle-income countries. Immediate implementation of KMC was discussed as a new concept. Its benefits were recognised, but its application has some variability. Adequate preterm care requires a basic neonatal package, including KMC, nCPAP, immediate management protocols and adequate nutrition and feeding strategies. The differences in resources among high-, middle- and low-income countries highlight the wide disparities in neonatal care according to the place of birth.

Reducing Overdose Through Policy Interventions: ASTHO's Recommendations for State and Territorial Health Officials and Agencies.

Reducing Overdose Through Policy Interventions: ASTHO's Recommendations for State and Territorial Health Officials and Agencies.

Pharmacists’ approaches to vaccination consultations in Switzerland: a qualitative study comparing the roles of complementary and alternative medicine (CAM) and biomedicine

BackgroundMany community pharmacies in Switzerland provide complementary and alternative medicine (CAM) approaches in addition to providing biomedical services, and a few pharmacies specialise in CAM. A common perception is that...