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Objective In this study we aimed to assess the attitudes and practices of medical students regarding hepatitis A immunization and also adverse reactions of associated with vaccine and effect on acceptability. Methods The study was performed on 103 medical students with ages between 20 and 26 years old. All the students vaccinated by the same nurse at Hacettepe University Faculty of Medicine on 14 days in December and answered a questionnaire and follow-up form. Results The mean student age was 21.69±0.97 years. Pain with movement (58.3%) and pain with touch (38.8%) were the most common side effects at vaccination site. Despite the side effects, all of the vaccinated students wanted to receive the following dose of vaccine. Twelve of the vaccinated students (11.7 %) indicated that the reason of their vaccination was the recommendation of a pediatric infectious disease specialist. One of the major reason for not wishing vaccination was the cost for 60 of them (58.3%).

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the preferred mode; 2) homogeneous lung disease, in which pressureregulated volume control is preferred. The guideline was implemented in October 2008. We performed an uncontrolled, retrospective before-after design with a pre-test from January to July 2008 (T0) and two post-tests: May-November 2009 (T1); May-November 2010 (T2). All patients on conventional invasive mechanical ventilation during these periods were included. Outcome measure was the percentage of physicians' adherence to the ventilation protocol. We measured this by describing the ventilation mode on the first hour on the day of admission and the cause of respiratory failure, to distinguish in which group this patient belonged. Results In group 1, the T0 adherence percentage was 79% (67/85). Adherence percentages after implementation of the guideline were 71% (51/72) and 84% (46/55) for respectively T1 and T2. For group 1, adherence in period T2 was slightly better (p=0.092) than that in period T1. In group 2, adherence percentages rose statistically significantly from 66% at T0 (62/93) to 78% (79/101) and 84% (85/101) (p=0.015). Conclusion Implementation of a new ventilation guideline increased guideline adherence over time. Selection of the appropriate ventilation mode seems now clearer for physicians.

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