Cybercases: an innovation in internet education.
Explore the source record for details and available documents.
Computer-Assisted Instruction↗
Biomedical subjects
V P Niederhauser
Publications and source records attributed to V P Niederhauser.
Varicella: the vaccine and the public health debate.
Since the March 1995 Food and Drug Administration approval of the varicella vaccine for the prevention of varicella and the early 1996 American Academy of Pediatrics recommendation for universal vaccination for all susceptible children age 12 months and older, controversy over the need for a universal vaccination has existed. This article reviews the pathogenesis and epidemiology of the varicella zoster virus, the historic development of the vaccine, and the benefits and barriers to adoption of a universal varicella vaccination schedule. It concludes with the public health perspective on this controversial vaccine and future research recommendations.
Adolescent↗
Prescribing for children: issues in pediatric pharmacology.
Children and adults respond to drugs differently. There are important differences in the absorption, distribution, metabolism, and excretion of medications during infancy and childhood. Children's body systems are less developed; their gastrointestinal transit time varies; and their body composition changes with development. This article will explore pediatric pharmacokinetics, the effect the body has on a drug, and the implications for practice. The controversial off-label use of medications must be considered when prescribing medications because specific dosage guidelines for the pediatric population still are not available for the majority of marketed drugs. Prescription writing must be appropriate, legible, and meticulous. Family education about medications and administration techniques is an essential part of the clinician's role. The limited scope of current research in pharmacokinetics and the effects on the developing child creates the need for more studies on drug therapy and the pediatric client. Furthermore, clinicians need to expand research on the effects of parental education on accurate medication administration and drug therapy compliance.
Adult↗
Parental decision-making for the varicella vaccine.
INTRODUCTION: With the advent of new vaccines, improvements in established vaccines, and the availability of new combination vaccines, parents' decisions about vaccinating their children have become more complicated. This study examined parents' decision-making processes pertaining to whether to have their children vaccinated for varicella to gain a better understanding about how parents make vaccination decisions for their children. The "Awareness-to-Action Model" was used to examine parents' decision-making process before the action to vaccinate or refuse vaccination occurs. METHOD: This study used a cross-sectional design and logistic regression to test the explanatory power of several factors related to the parental decision-making process. A stratified random sample of 262 members of Kaiser Permanente Hawaii participated in the study. Data were collected through telephone interviews. RESULTS: In the "Awareness-to-Action Model," the decision construct was statistically significant in explaining parents' decisions to have their child vaccinated. The overall model correctly classified 80% of the sample as accepters or nonaccepters of the vaccination for their child. This study provides a model that enables health care providers to understand parental decisions about vaccines. This knowledge can help target interventions to increase vaccine compliance, thus minimizing the risk of diseases preventable by vaccine.
Adult↗
Health care of immigrant children: incorporating culture into practice.
Culture plays a major role in health care and compliance. Comprehensive cultural assessments include detailed family histories, altered screening tests, and sensitivity toward differences in health practices. Nurses also need to understand themselves and their own cultural values in working with culturally different clients.
Attitude of Health Personnel↗