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woensdag 28 juni 2017

The Lancet: [Comment] Influenza vaccine: going through a sticky patch

[Comment] Influenza vaccine: going through a sticky patch
Despite strong recommendations, influenza vaccine uptake data for the UK for 2015–16 show that actual uptake in the population targeted lags behind the goal of the national vaccine programme,1 which aims to vaccinate 75% of people aged 65 years or older, 55% of risk groups younger than 65 years, and 75% of health-care workers (national uptake is 50·6% for front-line staff).2 A systematic review3 of available scientific literature on influenza vaccine hesitancy—mostly done in the North American and European regions—shows a lack of confidence in vaccination.
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[Articles] The safety, immunogenicity, and acceptability of inactivated influenza vaccine delivered by microneedle patch (TIV-MNP 2015): a randomised, partly blinded, placebo-controlled, phase 1 trial
Use of dissolvable microneedle patches for influenza vaccination was well tolerated and generated robust antibody responses.
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[Articles] Family-led rehabilitation after stroke in India (ATTEND): a randomised controlled trial
Although task shifting is an attractive solution for health-care sustainability, our results do not support investment in new stroke rehabilitation services that shift tasks to family caregivers, unless new evidence emerges. A future avenue of research should be to investigate the effects of task shifting to health-care assistants or team-based community care.
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[Comment] Family-delivered rehabilitation services at home: is the glass empty?
In low-income and middle-income countries, meeting inpatient and outpatient rehabilitation needs of stroke survivors with insufficient staff and facility resources is especially challenging. Family-delivered rehabilitation services might be an innovative way to augment intensity of practice.1 The ATTEND Collaborative Group's ATTEND trial,2 published in The Lancet, is to our knowledge the first appropriately powered trial to investigate the effect of family-delivered, home-based rehabilitation intervention for patients with stroke in a low-middle-income country.
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[Department of Error] Department of Error
van der Hulle T, Cheung WY, Kooij S, et al. Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study. Lancet 2017; http://dx.doi.org/10.1016/S0140-6736(17)30885-1—In the author list of this Article (published online first on May 23), the study group should have been included and read "Tom van der Hulle, Whitney Y Cheung…Menno V Huisman, for the YEARS study group*". On page 1 of the margin information, the following text should have been included: "*YEARS study group is listed at the end of this paper".
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