Publications by authors named "Inis J Bardella"

Article Synopsis
  • Pregnant women in rural areas are significantly more at risk for domestic violence (DV), with a prevalence rate of about 33.4% globally.
  • This study analyzed 15 articles, revealing that psychological violence is the most common type at 34.2%, followed by physical (14.1%) and sexual violence (13.5%).
  • The findings highlight the urgent need for policymakers and healthcare professionals to focus on assessing and preventing DV among rural pregnant women.
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  • In Goma City, DRC, various rumors have spread about vaccines, including claims that they are harmful, leading to a significant reluctance among parents to immunize their children.
  • A study revealed that the prevalence of non-immunized children under five years old is 25.7%, linked to factors like gender, parental education, and family characteristics.
  • The study emphasizes that improving vaccination rates requires medical authorities to address these determinants to enhance the quality of immunization services.
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  • - Community-based doctors are increasingly important for the clinical education of medical students, with faculty development programs designed to enhance their teaching skills; however, there is limited data on the long-term effects of these programs on faculty-student interactions.
  • - A study observed 13 community faculty members after they completed faculty development workshops, noting that assertive precepting and didactic teaching were the most common teaching styles used, while interactive discussions and feedback were much less frequent.
  • - Although community faculty felt their teaching skills improved after the workshops, the study found discrepancies between their self-assessments and actual observed teaching practices, particularly in areas like feedback and interactive teaching methods.
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Background: Barriers to adult immunizations persist as current rates for pneumococcal polysaccharide vaccine (PPV) receipt among eligible adults remain below national goals. This study investigated potential barriers to patients receiving the PPV, including predisposing, enabling, environmental and reinforcing factors among physicians from a variety of practice and geographic settings.

Methods: Participants were 60 primary care physicians from inner-city, rural, suburban, and Veterans Affairs practices, which included adults aged 65 years and older.

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Article Synopsis
  • The study aimed to identify which factors in medical offices and among patients influence the rates of influenza and pneumococcal vaccinations in adults.
  • It involved interviewing patients and surveying office managers across 22 various practices, examining data through statistical analyses.
  • The findings highlighted that while patient factors significantly impact vaccination rates, practices that provide longer visit times and engage in more promotional activities tend to achieve higher vaccination rates overall.
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Background: Influenza vaccination rates among adults, especially in minority populations, remain below national goals of 90%. This study investigated in diverse settings, facilitators of and barriers to patient influenza vaccination from the physician's perspective.

Methods: Two-stage, stratified, random-cluster sampling was employed to select 71 clinicians from inner-city, rural, suburban, and Veterans Affairs (VA) practices, and a random sample of 925 of their patients aged >/=65 years.

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Despite the burden of disease caused by pneumococcus, adult immunization rates are modest. To understand barriers in diverse settings, we surveyed patients age > or =66 years at: (1) inner-city health centers; (2) Veterans Affairs (VA) outpatient clinics; (3) rural practices; and (4) suburban practices. Among the 1007 respondents, self-reported pneumococcal vaccination rates were: 85% VA; 62% rural; 66% suburban; and 57% inner-city with substantial variability among practices.

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Article Synopsis
  • - The study aimed to explore factors that encourage or hinder influenza vaccination among older adults, noting that current immunization rates are below national goals established in 2010.
  • - A survey of 1,007 patients aged 66 and older across various healthcare settings revealed high vaccination rates at VA clinics (91%) but lower rates at inner-city health centers (67%), with physicians' recommendations significantly influencing vaccination.
  • - The findings highlighted a need for targeted communication from doctors to promote vaccinations and educate patients to dispel myths regarding vaccine safety and effectiveness.
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Objectives: Despite the burden of disease caused by influenza and pneumococcus, immunization rates are moderate and have not reached national goals set for 2010. This study's objective was to identify patient knowledge, attitudes, and beliefs that serve as facilitators of and barriers to influenza and pneumococcal vaccination.

Design: A survey conducted in 2000 by computer-assisted telephone interviewing.

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