Four-month Period (four-month + period)

Distribution by Scientific Domains


Selected Abstracts


Referral of Emergency Department Patients for Pneumococcal Vaccination

ACADEMIC EMERGENCY MEDICINE, Issue 3 2004
David E. Manthey MD
Abstract Objectives: To determine what proportion of eligible patients, when referred to a primary care physician for pneumococcal vaccination with a prescription, actually obtain the vaccination. To ascertain the number of eligible patients who would receive the vaccination in the emergency department (ED), if available. Methods: The authors surveyed a convenience sample of patients presenting to an urban ED during a four-month period. Eligible patients were referred to specific sites with a prescription to be immunized. Data on those referred were collected by review of medical record and telephone follow-up. Results: A total of 2,299 surveys were distributed; 338 patients declined to participate, yielding an 85% response rate. The total number of patients identified as having an indication for the pneumovax was 711 (36%). Of these, 411 were not previously vaccinated; 167 of the 411 had a contraindication to vaccination. The remaining 244 qualified for referral to receive the pneumococcal vaccine. One hundred thirty-one of these accepted referral prescription. Of the patients given prescriptions, 12 followed up and received the vaccine, 81 did not follow up, and 38 were lost to follow-up. Seventy-four percent of patients would have received the pneumovax in the ED if it had been available. Conclusions: The percentage of ED patients who used prescription referral to the primary care network for pneumococcal vaccination was approximately 10%. The use of a referral by prescription method in this setting was not a reliable means of increasing the number of patients receiving the pneumococcal vaccination. [source]


Job strain and the risk for occupational injury in small- to medium-sized manufacturing enterprises: A prospective study of 1,209 Korean employees

AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 4 2009
Hwan-Cheol Kim MD
Abstract Background The aim of this study was to investigate whether job strain had an effect on the risk of occupational injury of workers at small- to medium-sized manufacturing companies. Methods We conducted a prospective follow-up survey and finally 1,209 workers in South Korea were included in this study. At time X1, we measured job stress with the Job Demand and Decision Latitude Questionnaire; and at time X2 (after 6 months), we evaluated occupational injuries through a single question. Occupational injuries were assessed using the question "Have you ever been injured at work, including minor scratches and cuts, in the previous four-month period" by self-reporting in the previous 4-month period. Results For men, the high job-demand group (OR,=,1.71, 95% CI,=,1.13,2.59) and high strain group (OR,=,1.79, 95% CI,=,1.02,3.14) showed the increased risk of occupational injury. For women, high job-demand (OR,=,2.11, 95% CI,=,1.18,3.78), low job control (OR,=,1.80, 95% CI,=,1.02,3.17), and high job strain (OR,=,3.57, 95% CI,=,1.62,7.86) were significantly associated with occupational injury. Conclusion Workers under high job strain showed higher risk for occupational injury. The efforts to minimize stress-related occupational injuries should be required. Am. J. Ind. Med. 52:322,330, 2009. © 2009 Wiley-Liss, Inc. [source]


Magnetohydrodynamics of stellar interiors

ASTRONOMY & GEOPHYSICS, Issue 4 2005
David Hughes
David Hughes, Robert Rosner and Nigel Weiss describe what was achieved during a programme on stellar magnetic fields at the Isaac Newton Institute in Cambridge. Over a four-month period more than 90 participants visited the Institute for a mixture of structured workshops and informal collaboration. [source]


Knowledge, use and attitudes towards emergency contraceptive pills among swedish women presenting for induced abortion

BJOG : AN INTERNATIONAL JOURNAL OF OBSTETRICS & GYNAECOLOGY, Issue 2 2002
Gunilla Aneblom
Objective To investigate the knowledge, experiences and attitudes towards emergency contraceptive pills (ECP) among women presenting for induced abortion. Design Survey by self-administered waiting room questionnaires. Setting Three large hospitals in the cities of Uppsala, Västerås and Örebro in Sweden. Population 591 Swedish-speaking women consecutively attending the clinics for an induced abortion during a four-month period in 2000. Results The response rate was 88% (n= 518). As many as 43% had a history of one or more previous abortions and 43% were daily smokers. Four out of five women, 83%, were aware of ECP, but only 15 women used it to prevent this pregnancy. Fewer, 38%, knew the recommended timeframes for use and 54% had knowledge of the mode of action. The two most common sources of information about ECP were media and friends. One out of five, 22%, had previously used the method, and at the time of conception, 55% would have taken ECP if it had been available at home, and 52% were positive to having ECP available over the counter. Conclusions Emergency contraception is well known but is still underused. Lack of awareness of pregnancy risk may be one limiting factor for its use. Making ECP available over the counter may be an important measure towards better availability. Information strategies to the public are needed before ECP will be a widely used back-up method. [source]