37 research outputs found
Condition-dependent trade-offs between sexual traits, body condition and immunity: the effect of novel habitats
Variation in Forest Canopy Composition of Riparian Networks from Headwaters to Large River Floodplains in the Southeast Coastal Plain, USA
La<sub>6</sub>Pd<sub>13</sub>Cd<sub>4</sub> and Ce<sub>6</sub>Pd<sub>13</sub>Cd<sub>4</sub> with palladium-centred rare earth octahedra: synthesis, structure, and chemical bonding
he palladium-rich cadmium compounds La6Pd13Cd4 and Ce6Pd13Cd4 were synthesized by induction melting the elements in sealed tantalum ampoules and subsequent annealing. They were characterized by X-ray powder and single-crystal diffraction: Na16Ba6N type, ...
Mast Cells Play No Role in the Pathogenesis of Postoperative Ileus Induced by Intestinal Manipulation
Barriers to the use of reminder/recall interventions for immunizations: a systematic review
<p>Abstract</p> <p>Background</p> <p>Although many studies have demonstrated the benefits of reminder/recall (RR) measures to address patient under-immunization and improve immunization coverage, they are not widely implemented by healthcare providers. We identified providers’ perceived barriers to their use from existing literature.</p> <p>Methods</p> <p>We conducted a systematic review of relevant articles published in English between January 1990 and July 2011 that examined the perceptions of healthcare providers regarding barriers to tracking patient immunization history and implementing RR interventions. We searched MEDLINE, PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature, Academic Search Premier, and PsychINFO. Additional strategies included hand-searching the references of pertinent articles and related reviews, and searching keywords in Google Scholar and Google.</p> <p>Results</p> <p>Ten articles were included; all described populations in the United States, and examined perceptions of family physicians, pediatricians, and other immunization staff. All articles were of moderate-high methodological quality; the majority (n=7) employed survey methodology. The most frequently described barriers involved the perceived human and financial resources associated with implementing an RR intervention, as well as low confidence in the accuracy of patient immunization records, given the lack of data sharing between multiple immunization providers. Changes to staff workflow, lack of appropriate electronic patient-tracking functionalities, and uncertainty regarding the success of RR interventions were also viewed as barriers to their adoption.</p> <p>Conclusions</p> <p>Although transitioning to electronic immunization records and registries should facilitate the implementation of RR interventions, numerous perceived barriers must still be overcome before the full benefits of these methods can be realized.</p