Persistent wandering atrial pacemaker after epinephrine overdosing – a case report

Aburawi, Elhadi H.; Narchi, Hassib; Souid, Abdul‐Kader

doi:10.1186/1471-2431-13-1

Cited by 108 publications

(115 citation statements)

References 6 publications

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“…Adolescents in smaller practices were less likely to receive Tdap vaccine, but more likely to receive influenza vaccine. These findings confirm an earlier study among children in which likelihood of influenza vaccination was increased with smaller office size, 21 although the definition of smaller practice was considerably larger (<5000 patients) than in the current study. However, the practice sizes in this study accounted for patients ages 11–17 years only, not all children.…”

Section: Discussionsupporting

confidence: 89%

Using the 4 Pillars™ Practice Transformation Program to increase adolescent human papillomavirus, meningococcal, tetanus-diphtheria-pertussis and influenza vaccination

Zimmerman

Raviotta

Nowalk

et al. 2017

Vaccine

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Objectives To report the results of an intervention using the 4 Pillars™ Practice Transformation Program (4 Pillars™ Program) to increase adolescent vaccinations including human papillomavirus vaccine (HPV) and influenza vaccines, which remain underutilized in this population. Study Design Eleven pediatric and family medicine practices, previously control sites from a randomized controlled cluster trial, with ≥50 adolescent patients participated. The 4 Pillars™ Program was the foundation of the intervention. De-identified demographic, office visit and vaccination data were derived from electronic medical record extractions for patients whose date of birth was 4/1/1997 to 4/1/2004 (ages 11–17 years at baseline). Vaccination rates for HPV, influenza, tetanus-pertussis-diphtheria (Tdap) and meningococcal (MenACWY) vaccines were determined for all eligible patients pre- and post intervention (i.e., vaccination rates on 4/1/2015 and 4/30/2016). Results Among 9,473 patients ages 11–17 years at baseline (4/1/2015), mean pre-intervention vaccination rates for HPV initiation and completion, meningococcal, Tdap and influenza vaccines were below national levels. Rates increased significantly post intervention (P<0.001) for HPV initiation which increased 17.1 percentage points (PP) from 51.4%; HPV completion increased 14.8 PP from 30.7%, meningococcal vaccine uptake increased 16.6 PP from 79.1%, Tdap vaccine uptake increased 14.6 PP from 76.9%. Influenza vaccine uptake did not increase significantly (2.3 PP from 40.1%). In the regression using generalized estimating equations, odds of vaccination were higher for younger, non-white adolescents for all vaccines; being in a smaller practice decreased the odds of Tdap vaccination but increased the odds of influenza vaccination. Conclusion Clinically and statistically significant improvements in HPV series initiation and completion, and meningococcal and Tdap vaccinations were observed in primary care practices implementing the 4 Pillars™ Practice Transformation Program.

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Section: Discussionsupporting

confidence: 89%

Using the 4 Pillars™ Practice Transformation Program to increase adolescent human papillomavirus, meningococcal, tetanus-diphtheria-pertussis and influenza vaccination

Zimmerman

Raviotta

Nowalk

et al. 2017

Vaccine

View full text Add to dashboard Cite

show abstract

“…Secondary analysis of the most recent Nepal DHS revealed that mothers who attended four or more antenatal care visits were more likely to feed their children in accordance with recommended frequency (Khanal et al . 2013). Additionally, a review of strategies aimed to improve complementary feeding found that educational interventions improved feeding practices and had a positive impact on child growth within populations that were food secure (Imdad 2011).…”

Section: Discussionmentioning

confidence: 99%

High consumption of commercial food products among children less than 24 months of age and product promotion in Kathmandu Valley, Nepal

Pries

Huffman

Adhikary

et al. 2016

Maternal & Child Nutrition

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Commercially produced complementary foods can help improve nutritional status of young children if they are appropriately fortified and of optimal nutrient composition. However, other commercially produced snack food products may be nutritionally detrimental, potentially increasing consumption of foods high in salt or sugar and displacing consumption of other more nutritious options. Helen Keller International, in collaboration with the Nepal government, implemented a study to assess mothers' utilization of commercial food products for child feeding and exposure to commercial promotions for these products. A cross‐sectional survey was conducted among 309 mothers of children less than 24 months of age across 15 health facilities. Utilization of breastmilk substitutes was low, having been consumed by 6.2% of children 0–5 months of age and 7.5% of children 6–23 months of age. Approximately one‐fourth (24.6%) of children 6–23 months age had consumed a commercially produced complementary food in the prior day. Twenty‐eight percent of mothers reported observing a promotion for breastmilk substitutes, and 20.1% reported promotions for commercially produced complementary foods. Consumption of commercially produced snack food products was high at 74.1% of children 6–23 months. Promotions for these same commercially produced snack food products were highly prevalent in Kathmandu Valley, reported by 85.4% of mothers. In order to improve diets during the complementary feeding period, development of national standards for complementary food products is recommended. Nutritious snack options should be promoted for the complementary feeding period; consumption of commercially produced snack food products high in sugar and salt and low in nutrients should be discouraged.

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“…In low-income countries, sources have been less well examined. For rural households in Egypt, the presence of poultry manure, uncovered litter in house yards and lack of barriers to keep animals out of houses have been identified as risk factors for Campylobacter infection in children [15, 16], while a study carried out in Ethiopia identified exposure to domestic animals as a sufficient risk factor for infection [17]. …”

Section: Introductionmentioning

confidence: 99%

Risk factors associated withCampylobacterdetected by PCR in humans and animals in rural Cambodia

et al. 2016

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SUMMARYCampylobacter are worldwide-occurring zoonotic bacteria, with the species Campylobacter jejuni and C. coli commonly associated with diarrhoea in children in low-income countries. In this cross-sectional study, the prevalence of C. jejuni and C. coli in human and livestock faecal samples was detected by PCR and zoonotic risk factors associated with human Campylobacter positivity were identified. In total 681 humans and 753 livestock (chickens, ducks, pigs, cattle) from 269 households were sampled. Children aged <16 years were more frequently Campylobacter positive (19%) than adults (8%) and multilevel logistic models revealed that human C. jejuni positivity was associated with the following household practices: home-slaughtering [odds ratio (OR) 2·4, P = 0·01], allowing animals access to sleeping and food preparation areas (OR 2·8, P = 0·02), and eating undercooked meat (OR 6·6, P = 0·05), while frequent consumption of beef was protective (OR 0·9, P = 0·05). Associations were stronger for home-slaughtering (OR 4·9, P = 0·004) with C. jejuni infection in children only. Campylobacter was highly prevalent in pigs (72%) and chickens (56%) and risk factors associated with human Campylobacter positivity were identified throughout the meat production chain. The findings underline the importance of studying source attributions throughout the production chain and the need for upgraded understanding of Campylobacter epidemiology in low-income countries.

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Persistent wandering atrial pacemaker after epinephrine overdosing – a case report

Cited by 108 publications

References 6 publications

Using the 4 Pillars™ Practice Transformation Program to increase adolescent human papillomavirus, meningococcal, tetanus-diphtheria-pertussis and influenza vaccination

Using the 4 Pillars™ Practice Transformation Program to increase adolescent human papillomavirus, meningococcal, tetanus-diphtheria-pertussis and influenza vaccination

High consumption of commercial food products among children less than 24 months of age and product promotion in Kathmandu Valley, Nepal

Risk factors associated withCampylobacterdetected by PCR in humans and animals in rural Cambodia

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