ABSTRACT
School-based deworming programs are one of the most cost-effective public health strategies to reach children with anthelminthics and health education. However, despite their low cost and high health impact, they are not implemented on a large scale. The present survey investigated a school-based deworming program in Ha Giang Province, Vietnam, to assess the community perception and support towards these programs. Information from 81 households, 88 primary school students, 25 teachers and 9 people in charge of commune health stations was collected by structured questionnaires. The survey displayed complete satisfaction and a high level of support within all 4 questioned groups. In addition 96.1% of all parents noticed an improvement in their children's health. The great appreciation of the deworming program by the community is an additional argument to convince decision makers to implement and scale up these programs. Even teachers that did not receive any specific training were able to distribute the drug successfully following the page of written instructions accompanying the drug.
Subject(s)
Adolescent , Animals , Anthelmintics/administration & dosage , Child , Communicable Disease Control , Consumer Behavior , Faculty , Family Health , Health Care Surveys , Helminthiasis/prevention & control , Helminths/drug effects , Humans , Intestinal Diseases, Parasitic/prevention & control , Mebendazole/administration & dosage , Outcome and Process Assessment, Health Care , Parents/psychology , Program Evaluation , Surveys and Questionnaires , School Health Services/economics , VietnamABSTRACT
O trabalho estuda caracteristicas da anestesia peridural, seus aspectos tecnicos, indicacoes e complicacoes. A anestesia peridural e indicada para todas as cirurgias do andar alto do abdomen. O anestesico empregado e a novocaina a 2% preparada comercialmente, ou no momento da administracao, com adrenalina ou para-mediana usando-se agulha de grosso calibre, e bisel curto. A identificacao do espaco e feito sinal de Gutierrez, ou a gota pendente. O autor nao aconselha o metodo indireto de localizacao do espaco (perfuracao da dura com retrocesso da agulha) pela possibilidade de que o anestesico venha a passar para o espaco, o anestesico e injetado progressivamente, primeiro 5 ml e apos 5 minutos caso nao haja nenhuma anormalidade mais 10 ml, e apos mais 5 minutos os restantes 15 ml, no volume total de 30 ml. O autor relata que a gravidade influencia a disperssao do anestesico recomendado que nas cirurgicas do abdomen inferior o paciente seja mantido em cefalo-proclive por cerca de 15 a 30 minutos. A anestesia peridural aliaria as vantagens da raquianestesia, a de nao possuir nenum dos seus inconvenientes (cefaleia, paralisia, nausea vomito, etc)