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Embj (136)

A Salt Harris Fracture is a fracture involving the epiphyseal plate or growth plate of a bone. It is a common injury found in children; occurring in 15% of childhood long bone fractures. Injuries of the ankle joint are common. In our case report, we describe the case of a thirteen-year-old patient under our treatment at the Orthopaedic emergency depart-ment of Val D’Elsa Hospital (in Campostaggia Poggibonsi, Siena), who presented with a bimalleolar Salter Harris III fracture after a sport trauma. We reduced the bimalleolar Salter Harris III with percutaneous K-wires instead of an open access and two screws (one on the top and another on the bottom of the epiphyseal plate of distal tibia). We per-formed it according to a revision of scientific literature. The result was a satisfactory re-duction of the bimalleolar Salter Harris III.


Vaccinating health care workers is considered to be one of the most important steps in preventing the transmission of the influenza virus to vulnerable patients. Public Health physicians are the main promoters and executors of influenza vaccination campaigns for both healthcare workers and the general population.
The objective of the present survey was to analyze the knowledge, attitudes and practices regarding influenza vaccination among Hygiene and Preventive Medicine Residents.
64% of the participants had not been vaccinated against the influenza virus in the past 5 years, and 29% had been vaccinated only occasionally , with only 7.2% of the study popu-lation having been vaccinated every year. 20.3% of those surveyed were vaccinated in the 2010/2011 season. The best strategy to increase vaccination rates among health care workers according to the study participants was the participation of future public health operators to multidisciplinary training (34.8%)
the main factors associated with influenza vaccination compliance were having been vaccinated in the previous season for 2011/2012 (OR [95%]: 41.14 [7.56 - 223.87]) and having received the vaccination always or occasionally during the previous 5 years for both 2010/2011 (p-value <0.0001) and 2011/2012 (p-value <0.0001).
The findings of this study suggest that future public health physicians with a history of refusing influenza vaccination in previous years usually tend to maintain their beliefs over time. Changing this trend among Hygiene and Preventive Medicine residents is the real challenge for the future, and it can be achieved through organization of multidisciplinary training, improvement of university education and increasing the involvement of Hygiene and Preventive Medicine residents in influenza vaccination campaigns both for the gen-eral population and health care workers.
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