scholarly journals The Knowledge and Perceptions of Florida Pharmacists in Administering Inactivated Influenza Vaccines to Pregnant Women

Pharmacy ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 83
Author(s):  
Oluyemisi Falope ◽  
Cheryl Vamos ◽  
Ricardo Izurieta ◽  
Ellen Daley ◽  
Russell S. Kirby

Background: Influenza vaccine rates in pregnant women remain suboptimal despite the recommendations from healthcare organizations. Though pharmacists can provide immunization services as a result of the standing order, few studies have examined the role of the pharmacist in providing immunization to pregnant women or explored their perspective on their role in providing influenza vaccines among pregnant women. Purpose: This study explored the perceptions and knowledge of Florida pharmacists in administering inactivated influenza vaccines (IIV) to pregnant women. Methods: Semi-structured in-depth interviews guided by the theory of planned behavior were conducted with 18 licensed Florida pharmacists, including clinical and retail pharmacists. A thematic analysis was conducted. Results: The majority of pharmacists (94%) were knowledgeable about the IIV in pregnant women. Participants expressed mixed attitudes, identified barriers and facilitators, and subjective norms influencing vaccine administration in pregnant women. Participants expressed the importance of trust and how that influenced vaccine uptake. Participants also expressed their position not to only provide immunization services but also to counsel and educate patients. Conclusion: There is a need to strengthen immunization services, provided by pharmacists to more individuals, including high-risk groups such as pregnant women.

2009 ◽  
Vol 45 (3) ◽  
pp. 235-253 ◽  
Author(s):  
Donna Wyatt ◽  
Katie Hughes

This article considers the role of the Australian anti-abortion movement in the discursive practices of the worldwide pro-life franchise. It is based on in-depth interviews with key members of the moment located in four similar organizations. It examines the ways in which they perceive their cause and the ways in which they might influence both public conversations about abortion and individual pregnant women. It specifically focuses on the ways in which new medical imaging technologies are drawn upon to facilitate a renewed view of the separateness of a foetus, explores the participants’ views of motherhood and mothering, and the ways in which the abortion rate is seen as indicative of the fragmentation of contemporary society.


2021 ◽  
Author(s):  
leila kianfard ◽  
Farkhonde Amin SHokravi ◽  
Sakineh Rakhshanderou ◽  
Shamsaddin Niknami

Abstract BackgroundThe goal of this study was to recognize facilitators, barriers, and structural influences on behavior of physical activity among pregnant women.MethodsData analyses were done from 30 pregnant women (second and third trimester) and four of provider who were employed for this study (2020). Participants were answered to open-ended questions relating to the obstacles that deprived them of physical activity during pregnancy. ResultsThe barrier factors consist of lack of sufficient information about the advantages of physical activity, lack of suitable place, lack of access to economically and affordable classes. Social norms are pertinent to subjective norms and motivators. Facilitating factors included using the E-learning to educate pregnant women and awareness of the existence of sport classes.ConclusionIt is essential to comprehend why pregnant women meet obstacles for physical activity. Many of issues were raised: the need of sufficient information on the advantages of physical activity, the role of nurtures factors that need to be motivated in physical activity. Need for consultation to investigate structural problems in the community to provide facilities for pregnant women.


2021 ◽  
Vol 1 (2) ◽  
pp. 516-524
Author(s):  
Puji Astuti ◽  
Aldiga Rienarti Abidin ◽  
Ahmad Satria Efendi

Setiap orang atau pasien dalam pengambilan keputusan untuk melakukan tindakan Sectio Caesarea tentu berdeda-beda, banyak alasan yang melatar belakangi keputusan tersebut dimulai dari indikasi media maupun tanpa indikasi medis sekalipun. Secara umum pengambilan keputusan merupakan pendekatan yang digunakan dalam proses pengambilan keputusan atau proses memilih tindakan sebagai cara pemecahan masalah. Agar individu mecapai hasil yang maksimal maka proses pengambilan keputusan harus rasional. Adapun jumlah ibu hamil yang memutuskan untuk melakukan tindakan sectio Caesarea Di Rumah Sakit Syafira tahun 2017 sebanyak 560, tahun 2018 sebanyak 1415, dan tahun 2019 sebanyak 1694. Penelitian ini bertujuan untuk mengetahui peran Pengetahuan, Sosial Ekonomi, Estetika dan Keluarga. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif. Lokasi dan waktu penelitian adalah di Rumah Sakit Syafira Pekanbaru pada Bulan Januari sampai Juli 2020. Subjek penelitian ini adalah Ibu Hamil dan Dokter Spesialis Obgyn yang berjumlah 6 Informan. Metode pengambilan data diperoleh dari hasil wawancara mendalam. Berdasarkan penelitian ini diperoleh kesimpulan bahwa Ibu Hamil yang memutuskan untuk melakukan tindakan Sectio Caesarea memiliki pengetahuan yang sangat baik, Memiliki status Sosial Ekonomi yang cukup tinggi, Estetika menjadi salah satu aspek yang dipertimbangkan ibu hamil terhadap pengambilan keputusan tindakan Sectio Caesarea, dan persetujuan keluarga merupakan aspek yang paling penting terhadap pengambilan keputusan Tindakan Sectio Caesarea   Every person or patient in deciding to perform the Sectio Caesarea certainly varies, many reasons behind the decision begin with media indication or even without medical indication. In general, decision-making is an approach used in the decision-making process or the process of choosing as a way of problem-solving. For an individual to achieve maximum results, the decision-making process must be rational.  As for the pregnant women who decided to perform Caesarean sectio measures at Syafira Hospital in 2017 was 560, in 2018 as many as 1415, and 1694 in 2019. This study aimed to determine the role of Knowledge, Socioeconomic Economics, Aesthetics, and Family. This type of research is a descriptive study with a qualitative approach.  The location and time of the study were at Pekanbaru Syafira Hospital from January to July 2020. The subjects of this study were Pregnant Women and Obgyn Specialists, totaling 6 Informants. The data collection method was obtained from in-depth interviews.  Based on this study, it was concluded that pregnant women who decide to take action on Caesarean Sectio have very good knowledge and high socioeconomic status. Aesthetics is one of the aspects considered by pregnant women for decision making on Caesarean Sectio action, and family approval is the most important aspect in the decision making of the Caesarean Sectio Action


2019 ◽  
Vol 11 (02) ◽  
pp. 97-103
Author(s):  
Alfi Noviyana

Supplementary iron tablet coverage does not necessarily reflect the success of the program whenviewed from the current high rate of anemia. The low compliance of pregnant women inconsuming iron supplements is one of the causes of the prevalence of anemia is still high. It occursin the working area of ​​ Health Center II Kembaran. Compliance with pregnant women can befurther improved if the midwife is able to provide nutrition counseling, especially about thebenefits of iron tablets and the health of pregnant women. The purpose of this study is to analyzethe extent of the role of midwives in efforts to prevent anemia. The design of this study usesqualitative methods with a case study approach. Determination of informants is done by PurposiveSampling. Data collection is done by in-depth interviews, field observations and document review.The results of this study Midwives have provided health education to pregnant women abouttablets plus blood (TTD or iron tablet) but have not used the media and have given thesesupplements a minimum of 90 tablets but supervision of the compliance of pregnant women hasnot been maximized. So it needs to involve health cadres, families know the closest people topregnant women improve compliance and utilize KIA book mediakeywords:Anemia, the role of midwives


Pharmacy ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 63
Author(s):  
Oluyemisi Falope ◽  
Cheryl Vamos ◽  
Ricardo Izurieta ◽  
Ellen Daley ◽  
Russell S. Kirby

Background: There is a high risk for morbidity and mortality in pregnant women associated with influenza virus illness. Vaccine uptake rates in pregnant women remain lower than the targeted Healthy People 2020 goals despite recommendations from the Centers for Disease Control (CDC). Few studies have examined the role of the pharmacist in providing immunization services to pregnant women, fewer still have directly examined the PharmD curricula and the perspectives of pharmacy students on how they perceive their role in providing influenza inactivated vaccine (IIV) to pregnant women. Objective: This study examined the PharmD curricula instruction with regard to immunizing pregnant women and how pharmacy students perceive it. Methods: Semi-structured, in-depth, in-person qualitative interviews were conducted with the six Academic Deans of the accredited schools of pharmacy in Florida, and three focus group sessions were held with third- and fourth-year pharmacy students (n = 18) in Florida. A thematic analysis was conducted. Results: Most academic deans reported providing instruction on immunization in schools with respect to vaccine administration in pregnant women and called for a need for all schools to make it compulsory to include pregnant-women-specific content. Pharmacy students reported a gap in knowledge of content related to administering the IIV in pregnant women, but feel that when presented with the opportunity, they will be willing to provide IIV to pregnant women. Conclusions: Pharmacists are in a good position to play a role in increasing IIV rates among pregnant women. Implications for practice include the need for incorporation of pregnancy-specific content to immunization curricula.


Jurnal Ecopsy ◽  
2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Sudjatmiko Setyobudihono ◽  
Ermina Istiqomah

Tujuan dari studi kualitatif ini adalah untuk memahami peran suami terhadap pembuatan keputusan seorang ibu hamil dalam mengkonsumsi tablet besi berdasarkan kearifan budaya lokal. Adanya bukti bahwa tingginya klaim pemberian tablet besi pada ibu hamil tidak diikuti dengan konsumsi tablet besi yang tinggi. Adanya bukti bahwa terdapat hubungan antara pembuatan keputusan seorang ibu hamil dipengaruhi oleh lingkungan di sekitarnya serta kearifan lokal. Dalam studi ini, atribut kunci dalam peran suami terhadap pembuatan keputusan di ekplorasi menggunakan metode verbal yang diikuti dengan wawancara mendalam. Wawancara dilakukan di Banjarmasin dengan sampel sejumlah 40 orang, masing-masing 20 orang menghabiskan seluruh tablet besi dan 20 orang tidak menghabiskan tablet besi. Ibu hamil dengan usia kehamilan diatas 25 minggu serta telah mengikuti program tablet besi minimal 90 hari. Peran suami berpengaruh terutama dalam memberi izin, patuh pada ajaran agama, kompromi keputusan, kedudukan istimewa suami merupakan atribut kunci yang diketahui berdasarkan analisis hasil wawancara. Studi ini menghasilkan pemahaman akan pentingnya peran suami dalam mempengaruhi keputusan yang diambil oleh seorang ibu hamil dalam menjalani program konsumsi suplemnatasi besi.    Kata kunci: ibu hamil, tablet besi, kearifan lokal, peran suami The purpose of this qualitative study was to understand the role of the husband of the decision-making of a pregnant woman to consume iron tablets based on local cultural wisdom. The high claims of giving iron tablets are not followed by a high consumption of iron tablets. There is a relationship between a pregnant woman's decision-making is influenced by the surrounding environment and local wisdom. In this study, the key attributes in the role of husband to decision making in exploration using verbal methods followed by in-depth interviews. Interviews were conducted in Banjarmasin with a sample of 40 people, each of 20 people spend all iron tablets and 20 people do not spend all iron tablets. Pregnant women with gestational age above 25 weeks and has attended programs iron tablets at least 90 days. Husband influential role especially in giving permission, obedient to the teachings of religion, a compromise decision, the special position of the husband is the key attribute that is known based on the analysis of the results of the interview. This study resulted in an understanding of the important role of the husband in influencing the decisions taken by a pregnant woman to undergo iron suplemnatasi consumption program. Keyword: pregnant women, iron tablets, local wisdom, the role of the husband 


2021 ◽  
Vol 22 (11) ◽  
pp. 5799
Author(s):  
Iwona Bukowska-Ośko ◽  
Marta Popiel ◽  
Paweł Kowalczyk

A pandemic of acute respiratory infections, due to a new type of coronavirus, can cause Severe Acute Respiratory Syndrome 2 (SARS-CoV-2) and has created the need for a better understanding of the clinical, epidemiological, and pathological features of COVID-19, especially in high-risk groups, such as pregnant women. Viral infections in pregnant women may have a much more severe course, and result in an increase in the rate of complications, including spontaneous abortion, stillbirth, and premature birth—which may cause long-term consequences in the offspring. In this review, we focus on the mother-fetal-placenta interface and its role in the potential transmission of SARS-CoV-2, including expression of viral receptors and proteases, placental pathology, and the presence of the virus in neonatal tissues and fluids. This review summarizes the current knowledge on the anti-viral activity of lactoferrin during viral infection in pregnant women, analyzes its role in the pathogenicity of pandemic virus particles, and describes the potential evidence for placental blocking/limiting of the transmission of the virus.


2020 ◽  
Vol 2 (1) ◽  
pp. 73-90
Author(s):  
Ahmad Tohri ◽  
H. Habibuddin ◽  
Abdul Rasyad

This article discusses the Sasak people’s resistance against MataramKarangasem and Dutch colonial rulers in the 19th century in Lombok, Indonesia. It particularly focuses on Tuan Guru Umar Kelayu and his central role in the emergence of Sasak people’s resistance which transformed into Sasak physical revolution local and global imperialismcolonialism. Using the historical method, this article collected data through observation, in-depth interviews, and documentation. The data analysis involved the historical methods of heuristics, verification or criticism, interpretation, and historiography. The findings show that Sasak people’s resistance was not only caused by economic factors but also related to other factors such as social, cultural, and religious ones. Tuan Guru Umar Kelayu played a key role in the Sasak people’s resistance in that it was under his leadership and influence that the resistance transformed into a physical struggle against MataramKarangasem and Dutch colonialism as seen in Sakra War and Praya War which were led by his students and friends.


Author(s):  
Lyudmila P. Kuzmina ◽  
Anastasiya G. Khotuleva ◽  
Evgeniy V. Kovalevsky ◽  
Nikolay N. Anokhin ◽  
Iraklij M. Tskhomariya

Introduction. Various industries widely use chrysotile asbestos, which determines the relevance of research aimed at the prevention of asbestos-related diseases. It is promising to assess the role of specific genes, which products are potentially involved in the development and regulation of certain links in the pathogenesis of asbestosis, forming a genetic predisposition to the disease. The study aims to analyze the presence of associations of genetic polymorphism of cytokines and antioxidant enzymes with asbestosis development. Materials and methods. Groups were formed for examination among employees of OJSC "Uralasbest" with an established diagnosis of asbestosis and without lung diseases. For each person included in the study, dust exposure doses were calculated considering the percentage of time spent at the workplace during the shift for the entire work time. Genotyping of single nucleotide polymorphisms of cytokines IL1b (rs16944), IL4 (rs2243250), IL6 (rs1800795), TNFα (rs1800629) and antioxidant enzymes SOD2 (rs4880), GSTP1 (rs1610011), CAT (rs1001179) was carried out. Results. The authors revealed the associations of polymorphic variants A511G IL1b gene (OR=2.457, 95% CI=1.232-4.899) and C47T SOD2 gene (OR=1.705, 95% CI=1.055-2.756) with the development of asbestosis. There was an increase in the T allele IL4 gene (C589T) frequency in persons with asbestosis at lower values of dust exposure doses (OR=2.185, 95% CI=1.057-4.514). The study showed the associations of polymorphism C589T IL4 gene and C174G IL6 gene with more severe asbestosis, polymorphism A313G GSTP1 gene with pleural lesions in asbestosis. Conclusion. Polymorphic variants of the genes of cytokines and antioxidant enzymes, the protein products directly involved in the pathogenetic mechanisms of the formation of asbestosis, contribute to forming a genetic predisposition to the development and severe course of asbestosis. Using the identified genetic markers to identify risk groups for the development and intense period of asbestos-related pathology will optimize treatment and preventive measures, considering the organism's characteristics.


2018 ◽  
Vol 3 (2) ◽  
pp. 121
Author(s):  
Mochammad Arief Wicaksono

The ideology of state-ibuism has always been interwoven with how the New Order regime until nowadays government constructing the “ideal” role of women in the family and community through the PKK (Pembinaan Kesejahteraan Keluarga) organization. However, in Cangkring Village, Indramayu, the ideology of ibuism works not because of the massive government regulating the role of women through the PKK organization, but it is possible because of the structure of the kampung community itself. Through involved observations and in-depth interviews about a kindergarten in the village, a group of housewives who dedicated themselves to teaching in kindergarten were met without getting paid high. From these socio-cultural phenomenons, this paper will describe descriptively and analytically that housewives in the Cangkring village are willing to become kindergarten teachers because of their moral burden as part of the warga kampung and also from community pressure from people who want their children to be able to read and write.


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