Chinelo Judith Ezelote, Nkechi Joy Osuoji, Adaku Joy Mbachu, Chikadibia Kizito Odinaka, Ogochukwu Mildred Okwuosa, Chinaemelum Juliet Oli, Chimburuoma Georgina Ignatius
Effect of peer health education intervention on HIV/AIDS knowledge amongst in-school adolescents in secondary schools in Imo State, Nigeria
BMC public health
despite initiatives improve awareness treatment alpha1 antitrypsin deficiency aatd countrylevel processes aatd management remain unclear conducted paneuropean physician survey clarify pathways aatd care professionals involved aatd diagnosis andor management completed webbased survey detection evaluation monitoring treatment aatd utilisation european reference network centres rare lung diseases ernlung surveys completed 166 physicians 18 european countries overall 25 respondents unaware local specific aatd testing guidelines 72 referred 10 patients specialist however general agreement regarding reasons referral types patient referred approaches aatd testing heterogenous significant betweencountry differences sample testing collection methods used alpha1 antitrypsin therapy frequently monitored using spirometry 98 gas transfer 79 symptoms 82 overall 28 respondents unfamiliar ernlung centres portugal spain reporting lowest familiarity use centres patient evaluation varied widely however engagement ernlung centres widely agreed useful occur especially italy poland little crossborder use ernlung centres patient testingevaluation reported european care pathways aatd largely uniform notable heterogeneity testing approaches need education standardisation familiarity use ernlung aatd services variable increased awareness services warranted