This is an observational epidemiological study to describe causes of bacterial meningitis among persons between 1 month and 18 y of age who are hospitalized with suspected bacterial meningitis in 7 Turkish regions. covering 32% of the entire population of Turkey. We present here the results from 2013 and 2014. A clinical case with meningitis was defined according to followings: any sign of meningitis including fever, vomiting, headache, and meningeal irritation in children above one year of age and fever without any documented source, impaired consciousness, prostration and seizures in those < 1 y of age. Single tube multiplex PCR assay was performed for the simultaneous identification of bacterial agents. The specific gene targets were ctrA, bex, and ply for N. meningitidis, Hib, and S. pneumoniae, respectively. PCR positive samples were recorded as laboratory-confirmed acute bacterial meningitis. A total of 665 children were hospitalized for suspected acute meningitis. The annual incidences of acute laboratory-confirmed bacterial meningitis were 0.3 cases / 100,000 population in 2013 and 0.9 cases/100,000 in 2014. Of the 94 diagnosed cases of bacterial meningitis by PCR, 85 (90.4%) were meningococcal and 9 (9.6%) were pneumococcal. Hib was not detected in any of the patients. Among meningococcal meningitis, cases of serogroup Y, A, B and W-135 were 2.4% (n = 2), 3.5% (n = 3), 32.9% (n = 28), and 42.4% (n = 36). No serogroup C was detected among meningococcal cases. Successful vaccination policies for protection from bacterial meningitis are dependent on accurate determination of the etiology of bacterial meningitis. Additionally, the epidemiology of meningococcal disease is dynamic and close monitoring of serogroup distribution is comprehensively needed to assess the benefit of adding meningococcal vaccines to the routine immunization program.
Background: Childhood unintentional injuries are perceived as a leading public health issue since they are one of the preventable causes of paediatric mortality and morbidity. Whether and how parental factors are related to childhood injury has been researched insufficiently.Aims: To investigate parents’ attitudes to preventive measures of unintentional childhood injury, and the parental adherence to these measures.Study Design: Cross-sectional, descriptive study.Methods:The data were collected from the parents of children younger than ten years of age admitted to university hospital outpatient clinics for any reason and who agreed to be involved in the study. The first part of the questionnaire included sociodemographic profiles of participating children. Serious injuries were considered to be any injury that requires hospital admission. The second part of the questionnaire was prepared to evaluate parents’ adherence to injury prevention rules. A total score calculation about the adherence of the parents to the injury prevention rules was worked out the addition of the scores of each answer given in each age group. Answers for each item given by the parents were scored as wrong (0), sometimes (1) or correct (2). The score for each item was added and the result normalized to 100 points. Only complete questionnaires were used for analysis.Results: A total of 1126 children and parent pairs agreed to participate in the survey. It was found that 13.8% of the participating children had experienced at least one serious injury. Although three-quarters of the parents had received information about injury prevention, the overall injury prevention scores were found to be low. As children’s age increased, the total injury prevention scores of parents decreased significantly. Injury prevention scores were shown to increase significantly with high education and maternal occupation. However, scores were shown to decrease significantly with increased child age and family size. Conclusion: Our study shows that parental adherence to the child safety measures aimed at decreasing the unintentional injury risk of children is not satisfactory in Turkey. In particular, parents of 5-9-year-old children, big families (more than five people), parents with less than 8 years of education and non-working mothers should be the main target groups for intervention strategies according to our study results.
Immunological non-inferiority of a new fully liquid presentation of the MenACWY-CRM vaccine to the licensed vaccine: results from a randomized, controlled, observer-blind study in adolescents and young adults, Human Vaccines & Immunotherapeutics,
ÖZAmaç: Anne sütü sağlıklı büyüme ve gelişme için eşsiz bir besin kaynağıdır. Anne sütü ile beslenmeyi etkileyen en önemli faktörler annenin emzirme özyeterlilik algısı ve emzirme başarısıdır. Bu çalışmanın amacı, annelerinin emzirme özyeterliklerini ve emzirme başarılarını etkileyen faktörler ile emzirme özyeterliliği ve başarısı arasında-ki ilişkiyi incelemektir. Yöntem: Tanımlayıcı türde olan çalışma, İzmir'de bir üniversite hastanesinde yapıl-mıştır. Ocak ve Temmuz 2017 tarihleri arasında çalışma kriterlerine uyan 91 kadın çalışmaya alınmıştır. Çalışmaya alınan annelerden veriler, tanımlayıcı veri formu, emzirme özyeterlilik ölçeği-kısa şekli ve LATCH emzirmeyi tanılama ve değerlendirme ölçeği kullanılarak alınmıştır. Bulgular: Annelerin ortalama yaşı 29,4 yıldı. Çalışmaya katılan anneler emzirme öz-yeterlilik ölçeğinden ortalama 57,16±6,92 puan, LATCH ölçeğinden ortalama 6,18±1,58 puan almıştı. Annelerin emzirme özyeterlilikleri ve başarıları; emzirme deneyimlerinden, gebelikte veya doğum sonrasında emzirme danışmanlığı almaların-dan ve bebeğin yalnızca anne sütü ile beslenmesinden etkilenmektedir. Yapılan korelasyon analizi sonucunda emzirme özyeterlilik puan ortalamaları ile LATCH ölçeği puan ortalamaları arasında pozitif yönde zayıf düzeyde bir ilişki olduğu saptandı. Sonuç: Sonuç olarak, çalışmaya katılan annelerin emzirme özyeterlilik düzeyleri ve emzirme başarılarının yeterli düzeyde olduğu görülmüştür. Postnatal dönemde emzirme özyeterlilik ölçeği ile LATCH emzirmeyi tanılama ve değerlendirme ölçeğinin belirli aralıklarla annelere uygulanarak emzirme açısından riskli annelerin belirlenmesi, erken dönemde bu annelerin desteklenmesi önerilir.Anahtar kelimeler: Emzirme, özyeterlilik, emzirme başarısı ABSTRACT Objective: Breastmilk is a unique source of nutrients for healthy growth and development. The most important factors affecting breastfeeding are mothers' breastfeeding self-efficacy, and breastfeeding success. The aim of this study is to examine the factors affecting breastfeeding self-efficacy and success of mothers', and the relationship between breastfeeding self-efficacy and success. Methods: This descriptive study was conducted in a university hospital in İzmir. A total of 91 women who met the study criteria were included in the study between January 2017 and July 2017. Descriptive data form, a Breastfeeding Self-Efficacy Short Form Scale and LATCH Breastfeeding Assessment Tool which documents, and evaluates breastfeeding were used to collect data from the mothers participating in the study. Results: The median age of the mothers was 29.4 years. It was identified that the breast-feeding self-efficacy mean score was 57.16±6.92, and the LATCH mean score was 6.18±1.58. Breastfeeding Self-Efficacy and success of the mothers was found to be affected by breastfeeding experience, breastfeeding counseling before or after the delivery, and exclusively breastfeeding status. As a result of the correlation analysis, a statistically significant and positively weak relation was determined between the breast...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.