Choice of treatment tactics in patients with acute diarrhea of bacterial etiology at high risk of irritable bowel syndrome
Bibliographic record
Abstract
there is a lack of published evidence on the determinants of uptake of the vaccine.We sought to assess the association between SIV uptake and certain population and primary care physician (PCP) characteristics in Manitoba.Methods: We conducted a longitudinal study utilizing data from several linked anonymized Manitoba Health and Seniors Care (MH) administrative health databases.The study period was from September 01, 20 0 0, to March 31, 2020.This study received the necessary approvals from the University of Manitoba Health Research Ethics Board (HS21763 (H2018:170)) and the Health Information Privacy Committee of MH (HIPC No. 2018/2019-04).We summarized SIV uptake from 20 0 0/01-2019/20 influenza seasons across subpopulations defined by socioeconomic, health-related and PCP characteristics.Utilizing multivariable generalized estimating equation logistic regression models, we assessed the association between SIV uptake and the socioeconomic, health-related and PCP characteristics, stratified by age group ( < 5-, 5-17-, 18-44-, 45-64-, 65-year-olds) and sex.Results are adjusted odds ratios with associated 95% confidence intervals.Results: SIV uptake percentage increased over time with 4.4%, 13.1%, 17.5% and 21.7% of < 5-year-olds, 2%, 4.9%, 9.7% and 13.1% of 5-17-year-olds, 5.4%, 8.8%, 10.7% and 13.5% of 18-44-year-olds, 16.8%, 21.3%, 23.6% and 24.6% of 45-64-year-olds receiving the SIV in 20 0 0-20 04, 20 05-20 09, 2010-2014 and 2015-2019, respectively.There was a decline among 65-year-olds from 58.5% to 53.5%.We observed a similar pattern across subpopulations.There was significantly increased odds of SIV uptake among females within the age groups 18 years, in higher income quintiles, mostly with increased contact with a PCP/hospitalization within age groups 18 years, among those who had older or female PCPs (the opposite observation among 65-year-olds) and whose PCP administered at least one SIV in prior influenza season.These observations were largely consistent irrespective of sex.Discussion: SIV uptake in Manitoba appears to increase with age, and many socioeconomic, health-related and PCP characteristics appear to be associated with it.While our findings may not be generalizable to the whole of Canada, they provide novel insights for Manitoba and may form the basis for further assessments of the individual and PCP characteristics that may determine SIV uptake especially within important subpopulations.Further, the observed decline in SIV uptake among 65-year-olds require public health attention and further investigations.Conclusion: Our findings may help inform targeted vaccination programs and public health education to optimize seasonal influenza vaccination in Manitoba and similar Canadian jurisdictions.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".