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Drug utilization studies within the VIDEOFAR project.

The epidemiological use of drug prescription data is getting increasing attention in Italy. All Italian citizens are included in the National Health Service (NHS) which reimburses almost every drug prescription. The potential information content of such systems have to be evaluated within a technological context which will allow, for medium term, drug prescription data collection for all of the individuals served by the NHS. The VIDEOFAR project did explore the possible use of drug prescription data for descriptive epidemiological studies, in the evaluation of General Practitioners activity and as a tool for Post-Marketing Drug Surveillance. Some examples are presented in this paper using data derived from Latium Region.

Adverse Drug Reaction Reporting Systems↗

Possible applications of drug prescription monitoring systems in Italy.

Numerous experiences have already been implemented as regards the use of data concerning drug prescriptions and relative expenditure. This article focuses firstly on how such data are used from an administrative point of view in the Veneto Region, and secondly on the cultural and scientific aspects involved. The supply of feedback to general practitioners (GPs) with drug prescription indicators has made possible to cut down farmaceutical expenditure. Moreover, the analysis of the substances used by the GPs highlights the areas which require special attention in order to improve the quality of prescription.

Budgets↗

The effect of oculomotor training on reading efficiency.

The purpose of this study was to record and measure, by means of a microcomputer, the reading eye movements and reading efficiency of a sample of "poor readers" from an adult, professional school population. A program of oculomotor skill enhancement training was given to 10 students who failed an academically appropriate reading test. Their pre- and post-training reading performance was compared to that of a group of students who also failed the reading test but received no such training. All subjects' eye movements were monitored and recorded individually while reading, using a Visagraph Eye-Movement Recording System. The subjects were split into an experimental group (receiving training) and a control group (receiving no training). Following a 12-hour program of "in office" and "home" training, the group receiving oculomotor training showed trends toward improved reading eye movement efficiency (number of regressions, number of fixations and span of recognition), compared to that of the untrained group.

Dyslexia↗

[AIDS: the silent threat to the bi-national security].

This paper discusses the relationship between migration and health using as a case study the problem of Acquired Immunodeficiency Syndrome (AIDS) in the Mexican-American border. The authors state that the permanent nature of migration between Mexico and the United States points to the need of binational health programs offering health education and promotion, and a greater interaction between the Mexican and the American health care systems.

Acquired Immunodeficiency Syndrome↗

Universal Immunization Programme--retrospect and prospect.

Immunization programme was launched in India in 1978. Immunization coverage is not uniform in all the States. More efforts are needed to achieve universal immunization in the whole country. UIP should be a part of an integrated MCH programme and should not be considered as an isolated programme. Disease surveillance is not satisfactory and to ascertain the impact of immunization surveillance system must be strengthened.

Asia, Southeastern↗

[The evaluation of an anti-leprosy program in Uélés (1975-1989)].

Foperda, who took over and continued the work initiated in 1924 by the Congo Red Cross, is responsible for the programme of fight against leprosy in the Ueles region (Zaire). Important results have been obtained since 1975 in the framework of a specialised medical service. These results are exposed and discussed herebelow. The evolution of the endemic leprosy in the region under survey allows to contemplate new trends for the pursuit of the programme in the coming years (controlled integration within polyvalent health services).

Democratic Republic of the Congo↗

[Hypertension--diagnosis, treatment and the effectiveness of the treatment of Polish population participating in the POL-MONICA program].

According to the POL-MONICA program basing on screening studies of random population samples of two Warsaw districts and the Tarnobrzeg provinceip the detectability of arterial hypertension (AH), the AH treatment fact, the effectiveness+ of AH treatment and the populational control of AH has been evaluated. The AH control was better in Warsaw (men 55%, women 73%) than in the Tarnobrzeg province (men 44%, women 65%). In both populations the control was better among women than among men and increased with the age of subjects investigated. In both populations the treatment was introduced only in half of detected AH and increased also with the age of subjects studied. Only 20% men and 25% of women in Warsaw and 35% of men and 42% of women in the Tarnobrzeg province was effectively treated. The AH control in the Warsaw population was twice a lower than in the Tarnobrzeg province (Warsaw: men 5%, women 10%, Tarnobrzeg: men 7%, women 16%). Exceptionally bad control of HT has been stated in the youngest and the middle age men group in Warsaw (2.9%). The patterns studied with the use of MLF functions in both population studied have significant influence on the detectability and the AH treatment fact and remain without the influence of effectivity of treatment.

Adult↗

An analysis of health services coverage of a primary health centre in West Bengal.

Seven hundred rural families from different religious, economic, educational and occupational groups residing at different distances from the service health centre (PHC) were interviewed to study its service coverage and service bottlenecks. Acceptability, contact and effectiveness coverage, were respectively 64.8, 19.2 and 13.8 percent in case of medical care; 71.8, 28.3 and 27.2 percent in Maternal and Child Health Care Services; 45.7, 18.2 and 17.3 percent in case of Family Welfare Planning Services; and 64.4, 55.7 and 55.7 percent in immunization services. The higher income group utilized the services least 4.1 percent, compared to lower income group (17.7 percent). Utilization of the PHC services significantly declined with distance from the health centre. Less than 1/5th of the families (19.2 percent) utilized the medicare. Bottlenecks in service utilization were distance from PHC, and caste, education and income.

Adult↗

[Evaluation of coverage under the national plan for measles and rubella vaccination based on a sample of schools].

In order to evaluate the prevalence of immunization against measles and rubella, a survey was performed in children attending randomly selected nursery schools throughout France. School physicians filled in a questionnaire during the visit prior to admission to first grade (5-6 years of age). Parents attend this visit and present their child's immunization card. The survey was carried out in 1979. Prevalence of immunization among surveyed children was 26% for measles and 2% for rubella. These prevalences varied across regions, and according to whether the school was located in an urban or rural area. Sixty-nine per cent of parents were aware of the existence of the vaccine against measles and 12% declared they did not wish their child to receive this vaccine. The main reason for non-immunization was failure of the family physician to suggest the vaccine.

Child↗

On safe motherhood.

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Family Planning Services↗