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ecently, pertussis has become a problem also in the adult population, with incidences even higher than in children. Pediatric health care workers (HCWs) are an important source of transmission, exposing very young and immunocompromised patients to an increased risk of potentially severe pertussis infections. Encouraging HCWs to get vaccinated can play a vital role in stopping the transmission of pertussis, thereby reducing institutional outbreaks.
In Germany, HCWs come up with all sorts of reasons for not getting pertussis vaccination. This study was meant to provide information in order to better understand the backgrounds of these attitudes.
A survey was conducted at the children's university hospital in Frankfurt, using an anonymous questionnaire. Survey results were used to design an intervention to increase the immunization rate of staff. Disappointingly, our efforts to increase the acceptance of the immunization program by providing information in advance were not yet satisfying.
Misconception about pertussis vaccination was prevalent especially among nursing staff. The main reasons for non-compliance included: unawareness of an own risk of infection, the belief that pertussis is not a serious illness, fear of side effects, the belief that the pertussis vaccine might trigger the pertussis disease itself, and skepticism about the efficacy of the pertussis vaccination.
With respect to nosocomial influenza infections, the welfare of patients is best served by high rates of staff immunity against influenza. However, data from the Centers of Disease Control (CDC) in the USA and the Robert Koch-Institute (RKI) in Germany indicate that most of health care workers (HCWs) choose not to be vaccinated. Under voluntary influenza immunization standards, institutional influenza outbreaks occur every flu season. The question about the legality of implementation mandatory flu vaccination for HCWs is an ongoing debate, which covers several different positions.
To characterize the attitudes of German HCWs toward mandatory influenza immunization, an anonymous questionnaire was offered to HCWs of the University Hospital in Frankfurt/Main / Germany. Our study showed that almost 70% of the respondents would accept mandatory influenza vaccination.
In our opinion an annual influenza vaccination should be required for HCWs who care for immunocompromised patients and residents in long-term care if there will be a failure of voluntary vaccination programs. An informed declination should be obtained from employees who decline vaccination and these HCWs ought to work in uncritical areas of patient care.
Rhinoliths are mineralised foreign bodies in the nasal cavity that are a chance finding at anterior rhinoscopy. Undiscovered, they grow appreciably in size and can cause a foul-smelling nasal discharge and breathing problems. Giant nasal stones are now a very rare occurrence, since improved diagnostic techniques, such as endoscopic/microscopic rhinoscopy, now make it possible to identify foreign bodies at an early stage of development. We report the case of a 37-year-old patient who, at the age of 5-6 years, introduced a foreign body, probably a stone, into his right nasal cavity. On presentation, he complained of difficulty in breathing through the right nostril that had persisted for the last 10 years. For the past four years a strong fetid smell from the nose had been apparent to those in his vicinity. Under general anaesthesia, the stone was removed in toto from the right nasal cavity. The possible genesis of the rhinolith is discussed, our case compared with those described in the literature, and possible differential diagnoses are considered.
Child of earth
(2010)
Child of Earth is the story of Achu, a young African boy who loses his mother when he is still a baby. He is raised by his father in a household teeming with wives and children. Then the father dies and the task of raising Achu devolves on his aunt, his father's sister, who is married to one of the richest and most powerful men in the country. But the aunt is jealous because Achu is doing better in school than her own children . . .
Intimate strangers
(2010)
Intimate Strangers tells the story of the everyday tensions of maids and madams in ways that bring together different worlds and explore various dimensions of servitude and mobility. Immaculate travels to a foreign land only to find her fiancé refusing to marry her. Operating from the margins of society, through her own ingenuity and an encounter with researcher Dr Winter-Bottom Nanny, she is able to earn some money. Will she remain at the margins or graduate into DUST - Diamond University of Science and Technology? Immaculate learns how maids struggle to make ends meet and madams wrestle to keep them in their employ. Resolved to make her disappointments blessings, she perseveres until she can take no more.
Les murmures de l'harmattan
(2010)
The author of Harmattan Whispers reproduces life in such a harmonic order enveloped with dreams carefully filtered and balanced. As a keen observer of his society, he describes with passionate fervour movements that give existence its density. Emmanuel Matateyou in this poetic cocktail of his takes the reader through an African society where Harmattan, this North East trade wind, destroys as it sweeps along the ugly, the vicissitudes and the shredded pieces of life to leave place to a new kind of drunken quest. In the flux of his words and imagery, he gives life to dreams, fantasies and the Utopian visions of this lover of life, all of which are brought to the limelight through poetically revealing correspondences all rooted in passion and hope.
This is a very engaging book based on compelling stories of human triumph over adversity coming out of Africa, Asia and America. Gideon's personal journey and his account of his mother and uncle in this book exemplify what it means to be truly resilient. The book is moving, well thought out and masterfully structured, a most riveting Read. Gideon For-mukwai draws on local wisdoms from his native Cameroon to tell a universal story. It is a book written in evidence of a mind in tune with the heart. Its stories, strategies, and metaphors provide incredible wisdom relevant to any society and explicitly remind readers that our circumstances may be different, but the strategies to overcome are the same. If a widow can make a legendary success story in Africa, then almost anybody can. What makes this book special is the fact that it is based on the stories of modest human beings.
Konglanjo : (Spears of Love without Ill-fortune) and Letters to Ethiopia with Some Random Poems
(2010)
This collection of poems evolves as a network and satellite of an expressive pursuit of justice with a difference. For, though this poetry simultaneously shapes global and grassroots smiles and tears, its corpus is no matter for laughter or weeping. In familiar but not identical voices, the poet tackles social evils as parasites while cross-examining cultural assumptions in the same vein. Triple form -title poem, Letters to Ethiopia and Some Random poems, explores nightmares of colonial mission civilisatrice by dint of two decades of inspirational events from 1965 as invitations into a more serene world emerging from post-discoveries.
The forces of nature warranted that these two English speaking poets, linguists, translators cum academics and researchers be born in Ndop, Ngoketunjia Division, in the North West Region of Cameroon. The one is based in the USA and other in Australia. Disgusted by the rotten political clime in their country as well as the political stance of politician vis-à-vis the English speaking minority, these two poets in their poetry explore the ins and outs of the problems of existence, not only of the minority English speaking Cameroonian but those of minorities in a modern world with a push for globalization. To them art is not only a weapon for survival but one for resistance.
Rock of God (Kilán ke Nyùy)
(2010)
Rock of God centres on a significant war that Nso fought with Bamoun in the 1880s, and which war resulted in a devastating defeat for the Bamouns. During this war, a major Nso combat rule was broken: the Sultan (king) of Bamoun was decapitated. Both local story tellers and historians have indicated that the Sultan was only supposed to be captured alive. The play explores some very compelling reasons for this violation. It mocks any attempt at categorization because the events involved are as historically relevant as they are anthropologically profound; as literarily dense as they are linguistically compelling. It surely stands on its own because it clearly combines concepts of docu-drama, morality play, classical theatre, historical drama, and much more. But beyond all else, it is great artistry that demonstrates the genius of experimentation.