Background Sarajevo Canton in the Federation of Bosnia and Herzegovina
has recorded several waves of high SARS-CoV-2 transmission and has
struggled to reach adequate vaccination coverage. We describe the
evolution of infection- and vaccine-induced SARS-CoV-2 antibody response
and persistence. Methods We conducted repeated cross-sectional analyses
of blood donors aged 18-65 years in Sarajevo Canton in November-December
2020 and 2021. We analyzed serum samples for anti-nucleocapsid (anti-N)
and anti-spike (anti-S) antibodies. To assess immune durability, we
conducted longitudinal analyses of seropositive participants at 6 and 12
months. Results 1015 participants were included in Phase 1
(November-December 2020), and 1152 in Phase 2 (November-December 2021).
Seroprevalence increased significantly from 19.2% (95% CI:
17.2-21.4%) in Phase 1 to 91.6% (95% CI: 89.8-93.1%) in Phase 2.
Anti-S IgG titers were significantly higher among vaccinated (58.5%)
than unvaccinated infected participants across vaccine products
(p<0.001), though highest among those who received an mRNA
vaccine. At 6 months, 78/82 (95.1%) participants maintained anti-spike
seropositivity; at 12 months, 58/58 (100.0%) participants were
seropositive and 33 (56.9%) had completed the primary vaccine series
within 6 months. Among 11 unvaccinated participants who were not
reinfected at 12 months, anti-S IgG declined from median 770.1 (IQR
615.0-1321.7) to 290.8 (IQR 175.7-400.3). Anti-N IgG antibodies waned
earlier; from 35.4% seropositive at 6 months to 24.1% at 12 months.
Conclusions SARS-CoV-2 seroprevalence increased significantly over 12
months from end of 2020 to end of 2021. Although individuals with
previous infection may have residual protection, COVID-19 vaccination is
vital to strengthening population immunity.
Background:
Dental documentation which includes main information about a patient and dental treatment provided is a very important asset of each dental office.
Objective:
This research aims to analyze the way of fulfilling and keeping mandatory dental records and periodic reporting forms by doctors of dental medicine in the Federation of Bosnia and Herzegovina (FB&H).
Methods:
The study was observational with a cross-sectional design using a questionnaire as a study tool. The questionnaire was distributed electronically to the participants working in public health care facilities and private practice.
Results:
A total of 426 Doctors of Dental Medicine (DDM) participated in the study, of whom 58.7% of respondents were employed in dental offices in the public health sector and 41.3% in dental offices in the private health sector. Dental records are filled out only manually by 53.5% of respondents, while 9.4% fill out the records only electronically, while 37.1% of respondents fill out records both manually and electronically. The manner of keeping dental documentation between respondents employed in dental offices in the public health sector and dental offices in the private health sector differs significantly (p<0.05). Almost all respondents understand the purpose and significance of keeping dental records.
Conclusion:
This paper points out that good dental records are of great importance as they allow monitoring the quality of services provided to patients for a longer period.
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