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Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2021

Evaluation of Iron Status by Reticulocyte Haemoglobin Content (Chr) in Chronic Kidney Disease Patients on Haemodialysis and Erythropoietin.

СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Aydemir Ömer, Akdeniz Fisun, Özbaran Burcu, Özgündüz Ceren Meriç, Karaş Hakan, Özgüven Halise Devrimci, Yilancioğlu Hazal Yağmur, Alkan Müge, Eker Özlem, Uygur Ömer Faruk, Tatli Safiye Zeynep, Özbek Simge Uzman, Şenol Şevin Hun, Cankorur Vesile Şentürk, Kir Yağmur, Hinç Aslı Ceren, Aktürk Beyza Erdoğan, Altun İlkay Keleş, Keskin Kaan, Görkem Okan, Tekdemir Rukiye, Öztürk Ece Özlem, Buçgün İsmail, Ceylan Deniz, Çelik Hidayet Ece Arat, Eker Mehmet Çağdaş, Ercis Mete, Korkmaz Şükrü Alperen, Altinyazar Vesile, Bora Emre

Аннотация

INTRODUCTION: Uptake of penicillin prophylaxis to prevent recurrent rheumatic fever and its sequela rheumatic heart disease (RHD) is not optimal in the Northern Territory of Australia. The Full Moon Strategy (the Strategy) was introduced in the Central Australian region in June 2006 to improve the uptake of prophylactic penicillin: clients and healthcare workers were encouraged to use the full moon as a cue for the timing of the 4 weekly prophylactic penicillin injection.

OBJECTIVE: To determine the impact and effectiveness of the Strategy on knowledge and uptake of benzathine penicillin prophylaxis for clients at risk of RHD, and for primary healthcare workers in Central Australia.

METHODS: Clients at risk of RHD in four remote Aboriginal communities and the town camps of Alice Springs were identified from the RHD database. Consenting clients or their carers were interviewed about their knowledge of the Strategy and the health promotional tools used. Their healthcare records were then reviewed for prophylaxis uptake 2 years prior to and 2 years following the introduction of the Strategy. Primary healthcare workers in the four remote communities who were available at the time of the study visit were interviewed about their knowledge and use of the Strategy and the health promotional tools.

RESULTS: Fifty RHD clients and 19 healthcare workers were interviewed. Most were aware of the flipchart but less than half knew of the calendar poster, hand-held card or radio advertisement. Prophylaxis uptake increased significantly from 47% in the 2 years prior to the introduction of the Strategy, to 57% 2 years after the Strategy was introduced.

CONCLUSION: Introduction of the Strategy coincided with an improvement in uptake of prophylaxis but not around the time of the full moon. Uptake of benzathine penicillin remains inadequate and further innovative measures are needed to control rheumatic fever and its sequela in Aboriginal and Torres Strait Islander people.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

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