OBJECTIVE. We sought to evaluate the impact of intense influenza media coverage during the 2003–2004 influenza season on the influenza vaccination status of children 6 to 59 months of age. METHODS. Children 6 to 59 months of age who presented to a large, academic pediatric continuity clinic or affiliated acute care clinic in the summer of 2004 were enrolled. A parental survey ascertained the influenza vaccination status of the child and family members during the 2003–2004 influenza season and factors that influenced their vaccination status. For children vaccinated in the clinic or health department, influenza vaccination dates were confirmed in a computerized medical chart or state immunization registry. RESULTS. Of 256 enrolled children, 98 (38%) parents reported that their child had received the 2003–2004 influenza vaccine, and 64 (65%) had confirmed influenza vaccination dates. Unlike the previous influenza season in which confirmed influenza vaccination dates from a similar study population were distributed more evenly from October through December, most children (75%) with confirmed vaccination dates received the vaccine after the media coverage in mid-November. Influenza vaccinations per week increased dramatically after the media coverage began (2.4 vs 8.6 per week; t test: P < .001). In late November and December 2003, the influenza-related media coverage, which focused primarily on an early, severe influenza season, increased dramatically and explained 85% of the variation in influenza vaccinations. Multivariate analysis showed that recalling a physician recommendation (odds ratio [OR]: 6.8; 95% confidence interval [CI]: 2.3–19.7), having a family member who had received the influenza vaccine (OR: 9.5; 95% CI: 4.3–21.3), having a continuity clinic visit between October and January (OR: 4.5; 95% CI: 2.0–10.1), and having a high-risk medical condition (OR: 2.9; 95% CI: 1.1–7.8) strongly predicted the influenza vaccination status in the children. CONCLUSION. Media coverage in conjunction with explicit physician recommendation for children and their contacts are key factors that are associated with influenza vaccination rates in children.
Background: Pain is a public health problem that affects the quality of life of hospitalized patients, with prevalence between 30-70%. Therefore, it is relevant to determine the prevalence, intensity and pain interference in hospitalized patients at the Clínica Reina Sofia in Bogotá. Methodology: A descriptive cross-sectional study was carried out, 360 patients > 18 years were included, with hospitalization greater than 24 hours. The instrument BPI-sf was applied, the analgesic treatment at the time of the survey was recorded. Patients in obstetric services, intensive care and those with inability to communicate were excluded. Additionally, we used the term "great interference" to activities scored with value ≥ 8. The study was approved by the ethics committee of the institution. Results: The prevalence of pain was 67.5%. The mean current pain intensity was 3.4 (±2.7) and mean interference was 4.7 (±3.8). No statistically significant differences by gender or type of service in pain intensity and interference were found. Assessing the relationship with intensity, walk was positively correlated with current pain (ρ: 0.35 p = < 0,001). The multimodal analgesia was the method most commonly used, however 23.0% of patients with pain did not received analgesics. Discussion: Because the prevalence of pain is high, it is important to strengthen strategies to identify and treat pain promptly, based on education of paramedical personnel in the active search for patients with pain and identify pain as a fifth vital sign.
La salud de la población es un concepto cuyo significado no se ha establecido de manera clara; por el contrario, su definición, e incluso existencia, ha generado debate entre diferentes autores. Si bien es clara la necesidad de implementar una definición adecuada, estructurada, aplicable y que sea de aceptación global, no existe un consenso con respecto a esta temática. Teniendo en cuenta que la salud de la población tiene una dinámica especial, se hace una revisión de la literatura científica para describir el papel de los factores sociales determinantes en salud desde la perspectiva de la epidemiología y la medicina social, con el objetivo de plantear una definición que tenga en cuenta las causas individuales de salud-enfermedad desde los factores de riesgo y las causas de la población enfocadas en dichos factores, para construir un concepto más objetivo y que tenga en cuenta todos los componentes que lo puedan influenciar
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