PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Voluntary Programs”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 379 records · Page 21Linked to original sources
PubMed1988

AIDS public health law.

Explore the source record for details and available documents.

Acquired Immunodeficiency Syndrome↗
PubMed2005

Compulsory and recommended vaccination in Italy: evaluation of coverage and non-compliance between 1998-2002 in Northern Italy.

BACKGROUND: Since vaccinations are an effective prevention tool for maintaining the health of society, the monitoring of immunization coverage allows us to identify areas where disease outbreaks are likely to occur, and possibly assist us in predicting future outbreaks. The aim of this study is the investigation of the coverage achieved for compulsory (diphtheria, tetanus, polio, hepatitis B,) and recommended (pertussis, Haemophilus influenzae, measles-mumps-rubella) vaccinations between 1998 and 2002 in the municipality of Bologna and the identification of the subjects not complying with compulsory and recommended vaccinations. METHODS: The statistics regarding vaccinal coverage were elaborated from the data supplied by the Bologna vaccinal registration system (1998-2000) and the IPV4 program (2001-2002). To calculate the coverage for compulsory vaccinations and cases of non-compliance reference was made to the protocol drawn up by the Emilia Romagna Regional Administration. The reasons for non-compliance were divided into various categories RESULTS: In Bologna the levels of immunization for the four compulsory vaccinations are satisfactory: over 95% children completed the vaccinal cycle, receiving the booster for anti-polio foreseen in their 3rd year and for anti-diphtheria, tetanus, pertussis at 6 years. The frequency of subjects with total non-compliance (i.e. those who have not begun any compulsory vaccinations by the age of one year) is generally higher in Bologna than in the region, with a slight increase in 2002 (2.52% and 1.06% in the city and the region respectively). The frequency of the anti-measles vaccination is higher than that of mumps and rubella, which means that the single vaccine, as opposed to the combined MMR (measles-mumps-rubella) was still being used in the period in question. The most common reason for non compliance is objection of parents and is probably due to reduction of certain diseases or anxiety about the possible risks. CONCLUSION: In Bologna the frequency of children aged 12 and 24 months who have achieved compulsory vaccination varied, in 2002, between 95% and 98%. As regards recommended vaccinations the percentage of coverage against Haemophilus influenzae is 93.3%, while the levels for measles, mumps and pertussis range from 84% to approx. 92%. Although these percentages are higher if compared to those obtained by other Italian regions, every effort should be made to strengthen the aspects that lead to a successful vaccinal strategy.

Bacterial Vaccines↗
PubMed2002

A pesticide surface water mobility index and its relationship with concentrations in agricultural drainage watersheds.

An index to benchmark pesticide mobility relevant to surface water runoff and soil erosion (surface water mobility index, or SWMI) was derived based on two key environmental fate parameters: degradation half-life and organic carbon-normalized soil/water sorption coefficient (Koc). Values assigned with the index of each individual compound correlate well with the concentration trend of 13 pesticides monitored in six Lake Erie, USA, tributaries from 1983 to 1991. Regression using a power function of SWMI fits concentration data well at various percentiles in the database for each tributary and all six tributaries combined, with r2 ranging from 0.71 to 0.94 for the concentrations at the 95th percentile. Good agreement was also obtained between SWMI and the time-weighted annual mean concentrations (r2 = 0.67-0.87). Although concentrations at or near peaks tend to be driven by rare hydrological events (intense precipitation immediately after application), SWMI explains the peak concentration data generally well (r2 = 0.53-0.86). The SWMI-concentration relationship was further evaluated with two other pesticide monitoring databases: the U.S. Geological Survey National Water Quality Assessment Program White River Study Unit (1991-1996) at Hazelton, Indiana, USA, and the Syngenta (previously Novartis) Voluntary Monitoring Program with Community Water Systems at the Higginsville City Lake, Missouri, USA (1995-1997). The ability of the proposed SWMI to discriminate pesticide runoff mobility and its correlation with surface water monitoring data can be significant in the development of screening methodologies and data-based models for government agencies and/or practitioners in general facing increasing pressure to assess pesticide occurrence in aquatic environments.

Absorption↗
PubMedDate not supplied

Immunisation and the law: compulsion or parental choice?

A debate has been developing in Nursing Standard on the issue of childhood immunizations. This article adds to the discussion by considering the likelihood of legislation being introduced to make immunisation compulsory in the UK. It also discusses how the courts approach an application for childhood vaccination against the wishes of a parent and the implications for nursing practice of that approach.

Child↗
PubMed2000

A profile of the population enrolled in New York State's Child Health Plus.

BACKGROUND: The recently enacted State Children's Health Insurance Program (SCHIP), designed to provide affordable health insurance for uninsured children, was modeled in part on New York State's Child Health Plus (CHPlus), which was implemented in 1991. All SCHIP programs involve voluntary enrollment of eligible children. Little is known about characteristics of children who enroll in these programs. OBJECTIVES: To provide a profile of children enrolled in CHPlus between 1993 and 1994 in the 6-county upstate New York study area, and to estimate the participation rate in CHPlus. Methods. A parent interview was conducted to obtain information about children, 0 to 6.9 years old, who enrolled in CHPlus in the study area. Two school-based surveys and the Current Population Survey were used to estimate health insurance coverage. Enrollment data from New York State's Department of Health, together with estimates of the uninsured, were used to estimate participation rates in CHPlus. RESULTS: Most children enrolled in CHPlus in the study area were white. Although 17% of all children in the study area who were <13 years old and living in families with incomes below 160% of the federal poverty level were black, only 9% of CHPlus-enrolled children were black. Twenty-one percent of enrolled children were uninsured during the entire year before enrollment and 61% of children had a gap in coverage lasting >1 month. Children were generally healthy; only 4% had fair or poor health. Eighty-eight percent of parents of enrolled children had completed high school or a higher level of education. Parents reported that loss of a job was the main reason for loss of prior health insurance for their child. Most families learned about CHPlus from a friend (30%) or from their doctor (26%). The uninsured rate among children in the study area was approximately 4.1%. By 1993, the participation rate in CHPlus was about 36%. CONCLUSION: Blacks were underrepresented in CHPlus. Because the underlying uninsured rate was relatively low and parental education and family income were relatively high, the effects of CHPlus observed in this evaluation may be conservative in comparison to the potential effects of CHPlus for other populations of children. Participation rates during the early years of the program were modest.

Child↗
PubMed1986

Embryo research.

Explore the source record for details and available documents.

Embryo Research↗
PubMed1991

AIDS: family physicians' attitudes and experiences.

A study was developed to examine the current experiences and opinions of a national sample of family physicians with regard to acquired immunodeficiency syndrome (AIDS). The survey response rate was 72.5% (757 questionnaires were returned out of a sample of 1044). Approximately 47% of respondents have cared for an HIV-infected patients. This percentage varied from a low of 31.4% in the Midwest to as high as 56.1% on the East Coast. Thirty-two percent of family physicians practicing in communities of fewer than 2500 have dealt with this illness, while 60% of those in communities of greater than 100,000 have done so. Seventy-seven percent of respondents are willing to provide care to HIV-infected individuals; 62.9% believe that physicians have a right to refuse to care for a patient because he or she is infected with the AIDS virus. Forty percent believe that they would lose patients if it were known that they were caring for an AIDS patient in their office. Finally, the vast majority of those surveyed favor required partner notification and would inform the sexual partner of an HIV-positive patient if the patient refused to do so.

AIDS Serodiagnosis↗