Pneumococcal vaccination among adult risk patient with axial spondyloarthritis in Switzerland: Data from the survey of the ankylosing spondylitis association of Switzerland (SVMB)

While in Switzerland, pneumococcal vaccination is recommended for adult patients with axial spondyloarthritis (axSpA) treated with biological drugs, since 2014, little is known about the vaccination status of this specific patient population. This study assessed their vaccination status as part of a larger online survey by the ankylosing spondylitis association of Switzerland (SVMB). Out of 1560 who participated in the survey, 834 (53.5%) were eligible for the analysis. Vaccine coverage was low at 32.5% (271/834). Women and patients who got a flu shot every year were more likely to be covered. Age was negatively associated with being vaccinated. Most (54.2%; 147/271) were vaccinated by their general practitioner. Almost two-thirds of those who had not received the vaccine stated that it had not been offered to them (64.1%; 302/471). In summary, the vaccination coverage is low, but might be increased if the vaccine was offered systematically by general practitioners and specialists.     

Knowledge of osteoporosis among women in Alexandria (Egypt): A community based survey

Aim of the workThe current study was conducted in order to assess knowledge about osteoporosis (OP) among women aged more than 40 years in Alexandria of Egypt as well as identifying its relation with other variables.Patients and methodsA cross sectional survey included 532 women aged at or more than 40 years who lived in Alexandria governorate in Egypt was conducted using a self-administered questionnaire as well as the Facts on Osteoporosis Quiz (FOOQ).ResultsThe mean age of studied women was 49.92 ± 7.75 years. The majority of them (95.1%) reported that they are familiar with OP and 77.1% perceive it as a serious disease and mass media was the main source of information regarding OP (54.2%) among them. The mean total score of the FOOQ was 11.3 ± 3.6. It was significantly associated with the level of education and employment status (P = 0.001 and 0.021 respectively). Regarding the total knowledge percent score, nearly one half of studied females (51.5%) achieved a percent score ranging from 50% to less than 75% and 18.8% of them obtained a score of 75% or higher.ConclusionsThe knowledge of OP among Alexandrian women could be considered moderate as regards its risk factors, preventive measures and consequences. Controlling the quality of health information provided through the mass media as well as motivating health care providers to play a role in providing information regarding OP is recommended.     

中文修订版护理院治疗性环境筛查量表的信效度检验

目的检验中文修订版护理院治疗性环境筛查(Therapeutic Environment Screening Survey for Nursing Home,TESS-NH)量表信度和效度。方法通过系统的翻译、回译、德尔菲专家咨询对英文版TESS-NH量表汉化、修订,确立中文修订版TESS-NH量表的内容和条目,并进行信度和效度检验。结果中文修订版TESS-NH量表内容效度指数(CVI)平均值为0.980,折半信度为0.712,总量表Cronbach′sα系数为0.808,5个维度Cronbach′sα系数为0.716~0.770,重测信度为0.859,不同评定者间信度为0.872;各条目在所提取的相应公因子上的载荷值均大于0.5,因子分析提取的6个公因子共解释总变异的69.706%。结论中文修订版TESS-NH量表具有较好的信度和效度,可用于中国养老机构老年痴呆治疗性环境质量水平的评价和研究。     

Evaluación de la alimentación y consumo de nutrientes en menores de 3 años. Estudio piloto ALSALMA

ObjectiveThe present study evaluates energy and nutrient intake in Spanish children under three years of age, and compares the results with the current recommendations in order to identify possible inadequate nutrient intake.Patients and methodsA cross-sectional pilot study. The mothers completed a diet diary for four non-consecutive days, recording the products and amounts consumed by their children. Nutrient intake was calculated, and the results were compared with the dietary reference intakes (DRI) for each age group.ResultsA total of 188 children (93 boys and 95 girls) aged 0-6 (n = 41), 7-12 (n = 24), 13-24 (n = 57), and 25-36 months (n = 66) were included. Statistically significant differences in DRI were observed for most of the nutrients analyzed. Protein intake, in particular was 376% of DRI in children between 1-3 years of age. By age groups, 96% of the children aged 7-12 months, 88% of the children aged 13-24 months, and 97% of the children aged 25-36 months showed protein intakes more than two-fold DRI.ConclusionsNutrient intake differed from the DRI, particularly as regards proteins. A new study is required to determine whether the observed study deviations could be representative of the national population of this age group, as well as the possible effects on child health.     

What is the association between income loss during the COVID-19 pandemic and children’s dental care?

BackgroundThe degree to which children experience unmet need for dental care during the COVID-19 pandemic and its association with pandemic-related household job or income loss are unknown.MethodsThe authors performed a cross-sectional household survey of 348 families in Pittsburgh, Pennsylvania, from June 25 through July 2, 2020. Unmet need for child dental care and pandemic-related household job or income loss were assessed using caregiver self-report.ResultsCaregivers reported that the greatest unmet child health care need during the COVID-19 pandemic was dental care (16%), followed by medical care for a well visit or vaccination (5%). Approximately 40% of caregivers reported job loss or a decrease in household income due to the COVID-19 pandemic. The authors found a significant association between the probability of unmet child dental care and pandemic-related household job or income loss (P = .022). Losing a job or experiencing a decrease in income due to the COVID-19 pandemic was associated with unmet child dental care (relative risk, 1.77; 95% confidence interval, 1.08 to 2.88).ConclusionsIn this sample, 3 times as many households reported unmet dental care for a child compared with unmet medical care. Unmet child dental care was more common in households where pandemic-related job or income loss occurred.Practical ImplicationsIf unmet dental care continues as a result of the COVID-19 pandemic, nontraditional strategies for delivering dental care can be considered to improve access to dental care for children, such as teledentistry and oral health prevention services in primary care settings.