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An economic evaluation of varicella vaccination in Italian adolescents / Nancy Thiry in Vaccine, 22(2004)27-28 ([09/09/2004])  

[article] An economic evaluation of varicella vaccination in Italian adolescents [printed text] / Nancy Thiry, Author ; Philippe Beutels, Author ; Francesco Tancredi, Author ; A. Zanetti, Author ; Paolo Bonanni, Author ; Giovanni Gabutti, Author ; Pierre Van Damme, Author . - 2004 . - 3546-3562. Languages : English (eng) in Vaccine > 22(2004)27-28 [09/09/2004] . - 3546-3562 Descriptors: Classification W 1 Serials. Periodicals Indexation Adolescent ; Adult ; Age Factors ; Aged ; Chickenpox Vaccine ; Child ; Child, Preschool ; Cost of Illness ; Cost-Benefit Analysis ; Economics ; Encephalitis, Varicella Zoster ; Epidemiology ; Female ; Hospitalization ; Humans ; Italy ; Journal Article ; Male ; Markov Chains ; Mass Immunization ; Middle Aged ; Netherlands ; Peer Review ; prevention and control ; statistics and numerical data [Subheading] Abstract: An economic evaluation was performed to assess five varicella vaccination scenarios targeted to 11-year-old Italian adolescents. The scenarios were: "compulsory vaccination" of all adolescents, recommended vaccination of susceptible adolescents on the basis of an "anamnestic screening", a "blood test" or a combination of both ("both tests") and vaccination of adolescents in the private sector, at the parents' charge ("private vaccination"). Probabilities and unit costs were taken from published sources and experts opinion. The accuracy of the anamnestic screening (81.6% sensitivity and 87.3% specificity) was derived from a separate descriptive study among 344 Italian adolescents. The costs and benefits of each scenario were simulated using a Markov model and cost-effectiveness, budget-impact and cost-benefit analyses were conducted. Of all considered scenarios, "both tests" and "anamnestic screening" were the most appealing options with an estimated net direct cost of 5058 and 8929 per life-year gained (compared to no vaccination) versus 14,693-42,842 for the other scenarios. These two scenarios further resulted in substantial net savings for society (over 600,000 per cohort, BCR: 2.17). The need for a serological confirmation was highly dependent on the sensitivity of the anamnestic screening, which is believed to increase once such a program is launched. For practical considerations, "anamnestic screening" seems to be the most convenient option. Link for e-copy: http://tiny.cc/xktyn Format of e-copy: VDIC IP recognition Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=1773 [article]

Economic hardship and sexually transmitted diseases in Haiti's rural Artibonite Valley. / D.W. Fitzgerald in American Journal of Tropical Medicine and Hygiene, 62(2002)4 ([04/01/2000])  

[article] Economic hardship and sexually transmitted diseases in Haiti's rural Artibonite Valley. [printed text] / D.W. Fitzgerald, Author ; F. Behets, Author ; Angela M. Caliendo, Author ; Dominique Roberfroid , Author ; C. Lucet, Author ; J.W. Fitzgerald, Author ; L. Kuykens, Author . - 2000 . - 496-501. Languages : English (eng) in American Journal of Tropical Medicine and Hygiene > 62(2002)4 [04/01/2000] . - 496-501 Descriptors: Classification W 1 Serials. Periodicals Indexation Adult ; Age Factors ; Cross-Sectional Studies ; Epidemiology ; Female ; Haiti ; HIV Infections ; Humans ; Journal Article ; Male ; Peer Review ; Poverty Areas ; Pregnancy ; Prevalence ; Questionnaires ; Risk Factors ; Rural Population ; Sexual Partners ; Sexually Transmitted Diseases ; Socioeconomic Factors ; statistics and numerical data [Subheading] ; United States Abstract: A study was conducted to determine the prevalence rate and risk factors for sexually transmitted diseases (STDs) in Haiti's rural Artibonite Valley. Women attending antenatal services at Hospital Albert Schweitzer from October to December 1996 were tested for gonorrhea, chlamydia, trichomonas, syphilis, and human immunodeficiency virus (HIV). Of the 476 women tested, 121 (25.4%) had trichomonas, 11/475 (2.3%) had gonorrhea, 51/475 (10.7%) had chlamydia, 32/474 (6.8%) were seropositive for syphilis, 20/469 (4.3%) were seropositive for HIV, and 191 (40.1%) had at least one STD. Nearly 30% of the women reported having entered a sexual relationship out of economic necessity and had increased odds of HIV infection, Odds Ratio (OR) 6.3 (P < 0.001). We postulate that due to recent economic hardship in rural Haiti, women are entering into sexual relationships out of economic necessity and that this trend is contributing to the growing HIV epidemic. We recommend STD prevention and development programs that target young people and economically disadvantaged women. Link for e-copy: http://www.ajtmh.org/cgi/reprint/62/4/496 Format of e-copy: PDF [Open Access] (Embargo 1 years) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2066 [article]

Is the 2000 CDC growth reference appropriate for developing countries? / Dominique Roberfroid in Public Health Nutrition, 9(2006)2 ([04/01/2006])  

[article] Is the 2000 CDC growth reference appropriate for developing countries? [printed text] / Dominique Roberfroid , Author ; M.-P. Lerude, Author ; A. Perez-Cueto, Author ; Patrick Kolsteren, Author . - 2006 . - 266-268. Languages : English (eng) in Public Health Nutrition > 9(2006)2 [04/01/2006] . - 266-268 Descriptors: Classification W 1 Serials. Periodicals Indexation Age Factors ; Analysis of Variance ; Anthropometry ; Centers for Disease Control and Prevention (U.S.) ; Child, Preschool ; Cluster Analysis ; Confidence Intervals ; Developing Countries ; Female ; Great Britain ; Humans ; Infant ; Infant, Newborn ; Journal Article ; Madagascar ; Male ; Nutrition Assessment ; Odds Ratio ; Sex Factors ; United States Abstract: In 2000, the Centers for Disease Control and Prevention (CDC) produced a revised growth reference. This has already been used in different settings outside the USA. Using data obtained during a nutritional survey in Madagascar, we compare results produced by using both the 2000 CDC and the 1978 National Center for Health Statistics (NCHS)/World Health Organization (WHO) growth references. We show that changing the reference has an important impact on nutritional diagnosis. In particular, the prevalence of wasting is greatly increased. This could generate substantial operational and clinical difficulties. We recommend continued use of the 1978 NCHS/WHO reference until release of the new WHO multi-country growth charts. Link for e-copy: http://journals.cambridge.org/action/displayFulltext?type=1&pdftype=1&fid=632948 [...] Format of e-copy: PDF [Open Access] (Embargo 1 years) (1998 to present) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2025 [article]

The effect of fluorides and caries in primary teeth on permanent tooth emergence / Roos Leroy in Community Dentistry and Oral Epidemiology, 31(2003)06 ([12/01/2003])  

[article] The effect of fluorides and caries in primary teeth on permanent tooth emergence [printed text] / Roos Leroy , Author ; Kris Bogaerts, Author ; Emmanuel Lesaffre, Author ; Dominique Declerck, Author . - 2003 . - p. 463-470. Languages : English (eng) in Community Dentistry and Oral Epidemiology > 31(2003)06 [12/01/2003] . - p. 463-470 Descriptors: Classification W 1 Serials. Periodicals Indexation Age Factors ; Belgium ; Child ; Dental Caries ; Follow-Up Studies ; Journal Article ; Molar, Third ; Peer Review Abstract: This study addressed two questions: (i) is there an effect of exposure to fluorides on the timing of emergence of permanent teeth? and (ii) can a difference in timing of tooth emergence be explained by the impact of fluorides on the caries experience of the predecessors? Data were obtained from a long-term follow-up study of the oral health condition in a sample of 4468 Flemish children. Survival analyses with log-logistic distribution were performed to calculate median emergence ages and 95% confidence intervals; four fluoride exposure parameters (fluorosis, use of systemic fluoride supplements, age at which tooth brushing started and frequency of tooth brushing) and caries experience were taken as covariates in the model. The present study indicates that the impact of any of the four fluoride exposure parameters on permanent tooth emergence was relatively minimal. Caries experience in the primary molars had a more pronounced impact on the timing of emergence of the successors than exposure to any of the four fluoride parameters. Link for e-copy: https://doi.org/10.1046/j.1600-0528.2003.00116.x Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4069 [article]

The use of clinical risk factors enhances the performance of BMD in the prediction of hip and osteoporotic fractures in men and women / John A. Kanis, in Osteoporosis international, 19(2008)4 ([04/01/2008])  

[article] The use of clinical risk factors enhances the performance of BMD in the prediction of hip and osteoporotic fractures in men and women [printed text] / John A. Kanis,, Author ; A. Oden, Author ; H. Johansson, Author ; Chris De Laet , Author ; J. Brown, Author . - 2008 . - 1033-46. Languages : English (eng) in Osteoporosis international > 19(2008)4 [04/01/2008] . - 1033-46 Descriptors: Classification W 1 Serials. Periodicals Indexation Age Factors ; Aged ; Area Under Curve ; Bone Density ; Female ; Fractures, Spontaneous ; Germany ; Hip Fractures ; Journal Article ; Male ; Middle Aged ; Osteoporosis ; Peer Review ; Risk Assessment ; Risk Factors Abstract: BMD and clinical risk factors predict hip and other osteoporotic fractures. The combination of clinical risk factors and BMD provide higher specificity and sensitivity than either alone. INTRODUCTION AND HYPOTHESES: To develop a risk assessment tool based on clinical risk factors (CRFs) with and without BMD. METHODS: Nine population-based studies were studied in which BMD and CRFs were documented at baseline. Poisson regression models were developed for hip fracture and other osteoporotic fractures, with and without hip BMD. Fracture risk was expressed as gradient of risk (GR, risk ratio/SD change in risk score). RESULTS: CRFs alone predicted hip fracture with a GR of 2.1/SD at the age of 50 years and decreased with age. The use of BMD alone provided a higher GR (3.7/SD), and was improved further with the combined use of CRFs and BMD (4.2/SD). For other osteoporotic fractures, the GRs were lower than for hip fracture. The GR with CRFs alone was 1.4/SD at the age of 50 years, similar to that provided by BMD (GR = 1.4/SD) and was not markedly increased by the combination (GR = 1.4/SD). The performance characteristics of clinical risk factors with and without BMD were validated in eleven independent population-based cohorts. CONCLUSIONS: The models developed provide the basis for the integrated use of validated clinical risk factors in men and women to aid in fracture risk prediction. Link for e-copy: http://vdic.idm.oclc.org/login?url=http://www.springerlink.com/content/a1454272j [...] Format of e-copy: VDIC IP recognition Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2149 [article]

Variability in permanent tooth emergence sequences in Flemish children / Roos Leroy in European Journal of Oral Sciences, 116(2008)01 ([02/01/2008])  

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