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Journal articles on the topic 'Refusal reasons'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

Lim, Xin-Jie, Suria Junus, Lidwina Edwin-Amir, and Aminah Bee Mohd-Kassim. "Vaccination Refusal in Children under 2 Years of Age in Malaysia 2016-2019." Asian Journal of Medicine and Health 21, no. 6 (2023): 1–13. http://dx.doi.org/10.9734/ajmah/2023/v21i6816.

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Aims: This study will explore the incidence rate of childhood vaccination refusal in Malaysia as well as the reasons for this refusal over a four-year period (2016–2019). Given the complexities and dynamic nature of vaccine refusal, this research is essential for defining the target group, identifying the vaccine types they commonly refuse, and comprehending their vaccination concerns. Study Design: This is a retrospective review study. Methodology: This study used a nationally representative secondary data set from the Malaysian Ministry of Health's Family Health Division for the

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Pasi, Rachna, and Thirunavukkarasu Arun Babu. "Reasons for parental refusal to provide consent in a pediatric randomized controlled trial: Lessons learned." Pediatric Companion 2, no. 2 (2023): 41–43. http://dx.doi.org/10.4103/pedc.pedc_4_24.

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Abstract BACKGROUND: Results from randomized controlled trials (RCTs) are considered to have the highest level of evidence. Recruiting children for RCT is challenging and greatly influenced by the perception and decision of parents. OBJECTIVES: To find the reasons for refusal to participate in RCT. DESIGNS: Questionnaire-based qualitative study. MATERIALS AND METHODS: Parents who refused to participate in an RCT were asked to fill out the questionnaire, mentioning the reasons for the refusal. RESULTS: A total of 20 (14.8%) participants’ parent out of the 135 participants refused to participate

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Kraft, Maria Beatriz de Paula Leite, Mariana Miadaira, Marcos Marangoni, Cássia Raquel Teatin Juliato, and Fernanda Garanhani Surita. "Postplacental Placement of Intrauterine Devices: Acceptability, Reasons for Refusal and Proposals to Increase its Use." Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 43, no. 03 (2021): 172–77. http://dx.doi.org/10.1055/s-0041-1725053.

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Abstract Objective To evaluate the acceptability of postplacental placement of intrauterine devices (PPIUD), reasons for refusal and suggested policies to increase its use. Methods Cross-sectional study conducted at the Women Hospital of the Universidade de Campinas, Campinas, SP, Brazil. Postplacental placement of intrauterine devices was offered to women admitted in labor who did not present infections, uterine malformation, twin pregnancy, preterm birth, and were at least 18 years old. In case of refusal, the parturient was asked to give their reasons and the answers were classified as misi

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Chi, D. L., and A. A. Basson. "Surveying Dentists’ Perceptions of Caregiver Refusal of Topical Fluoride." JDR Clinical & Translational Research 3, no. 3 (2018): 314–20. http://dx.doi.org/10.1177/2380084418761846.

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The objective of this study was to assess dentists’ perceptions of caregiver topical fluoride refusal behaviors. We administered an 8-item survey in 2015 and 2016 ( N = 582) and asked dentists about the extent to which fluoride refusal is a problem, refusal trends, comfort talking to caregivers who refuse, and perceived reasons why caregivers refuse. To examine geographic variation, we ran χ2 tests between dentists’ location (US West vs. non-West) and the first 3 perception measures (α = 0.05). Nearly 80% of dentists believed fluoride refusal was a problem, and 42.3% believed it was a growing

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Ninise, Ezile Julie, Busisiwe Mrara, and Olanrewaju Oladimeji. "Causes and Outcomes of Intensive Care Admission Refusals: A Retrospective Audit from a Rural Teaching Hospital in Eastern Cape, South Africa." Clinics and Practice 13, no. 4 (2023): 731–42. http://dx.doi.org/10.3390/clinpract13040066.

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(1) Background: Patients who deserve intensive care unit (ICU) admission may be denied due to a lack of resources, complicating ICU triage decisions for intensive care unit (ICU) clinicians. Among the resources that may be unavailable are trained personnel and monitored beds. In South Africa, the distribution of healthcare resources is reflected in the availability of ICU beds, with more ICU beds available in more affluent areas. Data on ICU refusal rates, reasons for refusal, patient characteristics, and outcomes are scarce in resource-constrained rural settings. Hence, this study sheds light

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Sharmila, Vijayan, and Thirunavukkarasu Arun Babu. "Evaluation of reasons for participation refusal among pregnant women in a perinatal outcome research." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 6 (2020): 2403. http://dx.doi.org/10.18203/2320-1770.ijrcog20202319.

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Background: The number of protocol-eligible patients, refusing to participate in a biomedical research is often not mentioned in the results of the studies. There are no studies that have looked at the data on willingness to participate in a research among pregnant women in India. The aim of this study is to report the number of pregnant women who refused to participate and to evaluate the reasons for not participating in a research that was concerned with swabbing of the genital tract for culture.Methods: A prospective research study was done among healthy pregnant women, that required collec

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Thaher, Ibrahim. "A LINGUISTIC STUDY OF REFUSAL STRATEGIES USED BY THE UNIVERSITY OF HAILS UNDERGRADUATE STUDENTS." International Journal of Advanced Research 12, no. 12 (2024): 1231–38. https://doi.org/10.21474/ijar01/20133.

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The present study examines the refusal strategies used by the students at the University of Hail (UOH). It tackles two main questions related to what refusal strategies, classified by Beebe et al. (1990), Saudi students at the University of Hail (UOH) employ in their refusal responses and their reasons for using the refusal strategies. The current study has used a modified written discourse completion test (DCT). The students are asked to provide written responses to express their refusals to the given situations. The collected data are analyzed according to the content, number of students, an

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Kestler, Andrew, Amanda Giesler, Jane Buxton, et al. "Yes, not now, or never: an analysis of reasons for refusing or accepting emergency department-based take-home naloxone." CJEM 21, no. 2 (2018): 226–34. http://dx.doi.org/10.1017/cem.2018.368.

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AbstractObjectiveTake-home naloxone (THN) reduces deaths from opioid overdose. To increase THN distribution to at-risk emergency department (ED) patients, we explored reasons for patients’ refusing or accepting THN.MethodsIn an urban teaching hospital ED, we identified high opioid overdose risk patients according to pre-specified criteria. We offered eligible patients THN and participation in researcher-administered surveys, which inquired about reasons to refuse or accept THN and about THN dispensing location preferences. We analyzed refusal and acceptance reasons in open-ended responses, gro

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Vascimini, Angelina, Calynn Dioses, Taylor Certain, et al. "A pilot study surveying the impact of pharmacist-led counseling on naloxone dispensing." Journal of Opioid Management 20, no. 3 (2024): 185–92. http://dx.doi.org/10.5055/jom.0855.

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Objective: The purpose of this study was to evaluate the impact of pharmacist counseling on patients purchasing naloxone and to highlight reasons for naloxone purchase refusal. Design: A multisite study that was conducted from September 15, 2022, to January 11, 2023. Setting: Independent community pharmacies. Patients/participants: Fifty patients met inclusion criteria. Data collected included demographics, preintervention knowledge assessment, post-intervention naloxone purchase, and reasons for naloxone refusal. Outcome measures: The primary outcome was naloxone purchase after pharmacist edu

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Fonseca, Margarida Silva, Maria da Assunção L. N. Varela, Assunção Frutuoso, and Maria de Fátima F. R. Pinto Monteiro. "Recusa da vacinação em área urbana do norte de Portugal." Scientia Medica 28, no. 4 (2018): 32152. http://dx.doi.org/10.15448/1980-6108.2018.4.32152.

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AIMS: To know the number of vaccine refusals and to investigate the reasons for non-compliance with vaccination by the parents of children and adolescents living in an urban area of northern Portugal.METHODS: A cross-sectional study was carried out with a sample of children/adolescents up to the age of 14 enrolled in health units in a metropolitan area of Porto, Portugal, belonging to the health centers groupings of Porto Ocidental, Porto Oriental, Gaia, Gondomar and Matosinhos, whose parents refused any vaccination of the National Vaccination Program in the period from January 2009 to Decembe

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Ökmen, Fırat, Huseyin Ekici, Erdoğan Koca, Osman Ökmen, and Hicran Acar Sirinoglu. "Reasons for declining prenatal diagnostic tests and analysis of factors impacting the decision." Aegean Journal of Obstetrics and Gynecology 5, no. 1 (2023): 15–18. http://dx.doi.org/10.46328/aejog.v5i1.138.

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Abstract Objective: To identify the factors impacting the decision of declining to have prenatal diagnostic tests and to determine the reasons for declining in cases with high trisomy risk in prenatal screening tests and those who refuse to undergo prenatal diagnostic tests. Materials and methods: Cases with positive test results in first and second trimester aneuploidy screening tests were included in the study. The patients were divided into two groups those who accepted prenatal diagnostic tests (Group 1) and those who refused prenatal diagnostic tests (Group 2). The patients th

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Chang, Li-Jen, Han-Cheng Chang, Po-Yueh Chen, et al. "Factors Associated with the Refusal of Direct-Acting Antiviral Agents for the Treatment of Hepatitis C in Taiwan." Medicina 58, no. 4 (2022): 521. http://dx.doi.org/10.3390/medicina58040521.

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Background and Objectives: Direct-acting antiviral agents (DAA) are a safe and highly effective treatment for hepatitis C virus (HCV) infection. However, the uptake of DAA treatment remains a challenge. This study aims to examine the reasons for DAA refusal among HCV patients covered by the Taiwan National Health Insurance system. Materials and Methods: This retrospective observational study covered the period from January 2009 to December 2019 and was conducted at a single hepatitis treatment center in Taiwan. This study involved chart reviews and phone-based surveys to confirm treatment stat

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Waikar, Avinash, Samuel Cappel, and Uday Jodhpurkar. "Past Refusals, Reasons and Future of COVID Vaccinations in Colleges." European Journal of Medical and Health Sciences 6, no. 2 (2024): 1–6. http://dx.doi.org/10.24018/ejmed.2024.6.2.2035.

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A significant portion of the adult and college student populations have been observed to be reluctant to get vaccinated against COVID-19. COVID-19 is still a threat and the unvaccinated students may yet pose a risk of spreading the disease in the case of a new variant. Many experts believe that COVID is here to stay and new variants are likely to come around. Thus, there is a need to examine the causes of vaccination refusal among college students so that efforts could be made to increase the vaccination rates if needed. Sources of information were classified into three categories: Scientific,

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Emre, Yunus. "A refusal reason of recognition and enforcement of foreign arbitral awards." Zbornik radova Pravnog fakulteta u Splitu 56, no. 2 (2019): 503–22. http://dx.doi.org/10.31141/zrpfs.2019.56.132.503.

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Public policy is one of the most debated concepts in enforcement cases of foreign arbitral award as a sensitive term. It is the most frequent challenging reason of foreign arbitral awards in New York Convention, and therefore it may be used as a defense tool against foreign arbitral awards in enforcement cases before courts. Although public policy is not only refusal reason in New York Convention, other refusal reasons covered by New York Convention may be interpreted as public policy violations before courts. Therefore, relationship between public order and other refusal reasons is key point

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Saraç, Melike. "Blending Survey Data and Theory to Comprehend Refusal Reasons in Social Surveys." Current Perspectives in Social Sciences 29, no. 1 (2025): 16–28. https://doi.org/10.53487/atasobed.1471410.

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This study focuses on the reasons behind the refusal behavior of survey respondents in the era of steadily declining response trends in social surveys. In this sense, the primary goal of the study is to examine refusal reasons by contact attempts and interview outcomes in the light of nonresponse theories. The data source of the study is the 10th round of the European Social Survey (ESS10), a large-scale and cross-national survey carried out in European countries. In the survey, it is possible to observe the reasons behind refusals using the contact forms, which are mainly used to collect para

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Elika, Ninik, and Oktiva Herry Chandra. "Speech Act Of Refusal On Vertical Line Levels In Japanese And Indian Cultures." Eduvest - Journal of Universal Studies 4, no. 7 (2024): 6007–24. http://dx.doi.org/10.59188/eduvest.v4i7.1433.

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This study aims to describe the refusal speech acts of Japanese and Indian people in the context of vertical relationship lines. The research employs a cross-cultural pragmatic approach with a qualitative descriptive paradigm method. Data collection was carried out using the Discourse Completion Task (DCT) method on native Japanese and Indian speakers. Data were analyzed using Brown and Levinson's politeness theory and Ochi Suzuki's refusal strategies, presented through a descriptive analysis model. The results indicate differences in the refusal speech acts of Japanese and Indian people withi

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PERON, Adilson, Ana Laura SCHLIEMANN, and Fernando Antonio de ALMEIDA. "Understanding the reasons for the refusal of cholecystectomy in patients with cholelithiasis: how to help them in their decision?" ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 27, no. 2 (2014): 114–19. http://dx.doi.org/10.1590/s0102-67202014000200007.

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BACKGROUND: Cholelithiasis is prevalent surgical disease, with approximately 60,000 admissions per year in the Unified Health System in Brazil. Is often asymptomatic or oligosymptomatic and major complications arise from the migration of calculi to low biliary tract. Despite these complications are severe and life threatening, some patients refuse surgical treatment. AIM: To understand why individuals with cholelithiasis refuse cholecystectomy before complications inherent to the presence of gallstones in the bile duct and pancreatitis occur. METHODS: To investigate the universe of the justifi

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Apenteng, Patricia, Saverio Virdone, John Camm, et al. "Determinants and clinical outcomes of patients who refused anticoagulation: findings from the global GARFIELD-AF registry." Open Heart 10, no. 1 (2023): e002275. http://dx.doi.org/10.1136/openhrt-2023-002275.

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ObjectiveThere is a substantial incidence of stroke in patients with atrial fibrillation (AF) not receiving anticoagulation. The reasons for not receiving anticoagulation are generally attributed to clinician’s choice, however, a proportion of AF patients refuse anticoagulation. The aim of our study was to investigate factors associated with patient refusal of anticoagulation and the clinical outcomes in these patients.MethodsOur study population comprised patients in the Global Anticoagulant Registry in the FIELD (GARFIELD-AF) registry with CHA2DS2-VASc≥2. A logistic regression was developed

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Ho, Thanh P., Narjust Duma, Urshila Durani, et al. "Small cell lung cancer: Sociodemographic factors in patients’ decisions for treatment." Journal of Clinical Oncology 37, no. 27_suppl (2019): 144. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.144.

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144 Background: Small cell lung cancer (SCLC) is highly responsive to cytotoxic therapy and can be cured in early stages of disease. In this setting, disparities in patient refusal despite provider recommendations are unknown. Methods: All incident limited stage (LS)-SCLC cases from the National Cancer Database were identified from 2004 to 2014. Logistic regression was used to determine factors associated with treatment refusal. Results: 65,664 patients (pts) were identified with LS-SCLC: 44% male, median age 68 years. 3.4% of pts refused radiation and 3.8% refused chemotherapy. The proportion

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Charron, Jalal, Pénélope Troude, Elise de La Rochebrochard, Christophe Segouin, and Prescillia Piron. "Notification of STI test results by text messaging: Why do patients refuse? Cross-sectional study in a Parisian sexual health centre." International Journal of STD & AIDS 33, no. 3 (2021): 257–64. http://dx.doi.org/10.1177/09564624211048555.

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Text messaging has been used to notify patients of results after sexually transmitted infection (STI) testing. This study aimed to characterise the population who refused notification of results by short message services (SMS) and to explore their reasons for refusing. From January to August 2018, 1180 patients coming for STI testing in a Parisian sexual health centre were offered SMS notification of their results, completed a self-administered questionnaire and were included in the study. Factors associated with refusal of SMS notification were explored using logistic regression models. Reaso

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Alaboudi, Samah Saleh. "Issuing a Refusal: How Female Saudi Speakers of Arabic Say No." International Journal of Applied Linguistics and English Literature 9, no. 5 (2020): 81. http://dx.doi.org/10.7575/aiac.ijalel.v.9n.5p.81.

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The study examines the refusal strategies used by Saudi female speakers of Arabic. More specifically, the study aims at exploring the most frequently used refusal strategies by those speakers and how directness might have an effect on that use. A modified version in Arabic of a Discourse Completion Test (DCT) that was originally developed and used by Beebe et al. (1990) is used to elicit the data. The written questionnaire consists of nine situations. The initiating acts are three requests, three invitations and three offers which were designed to elicit refusals. The situations specify the co

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Mills, Kale, and Kari Nilsen. "Kansas Family Physicians Perceptions of Parental Vaccination Hesitancy." Kansas Journal of Medicine 13 (October 16, 2020): 248–59. http://dx.doi.org/10.17161/kjm.vol13.14761.

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Introduction. In the past few decades, patients expressing the idea that vaccines are unsafe or unneeded have been experienced increasingly by physicians and other healthcare providers. Discussions with patients regarding their reasons for vaccine refusals are important, as it may provide information that can be utilized in an intervention to increase vaccination rates and combat the spread of diseases that are making a resurgence in the United States. The main objective of this study was to explore the perceptions of family physicians as to why parents in Kansas may be vaccine hesitant.

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Anderson, Elizabeth M. "Obscured inequity: How focusing on rates of disparities can conceal inequities in the reasons why adolescents are unvaccinated." PLOS ONE 18, no. 11 (2023): e0293928. http://dx.doi.org/10.1371/journal.pone.0293928.

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Traditional sociodemographic disparities in adolescent vaccination initiation for the HPV, Tdap, and MenACWY vaccines have declined in the United States of America. This decline raises the question of whether inequities in access have been successfully addressed. This paper synthesizes research on the resource barriers that inhibit vaccination alongside research on vaccine hesitancy where parents actively refuse vaccination. To do so, I classify the primary reason why teens are unvaccinated in the National Immunization Survey-Teen 2012–2022 into three categories: resource failure, agentic refu

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Huynh, Duyen Thi My, Van Nong Lai, Tam Thanh Le, et al. "Exploring Payment Refusals for Health Insurance-Covered Medical Costs: A Hospital Case Study in Vietnam." Jordan Journal of Pharmaceutical Sciences 18, no. 1 (2025): 117–31. https://doi.org/10.35516/jjps.v18i1.2512.

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Adjudication and rejection of payment for healthcare costs covered by health insurance pose challenges in maintaining healthcare operations and ensuring the rights of patients and healthcare staff at hospitals. Research on this issue is limited globally and in Vietnam. This study was conducted to understand the current status of refusal to pay medical examinations and treatment costs covered by health insurance at a hospital in Can Tho, Vietnam, and to explore the reasons for payment refusal. A cross-sectional descriptive study retrieved data on health insurance-covered medical expenses that w

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Aggarwal, Anju. "Childhood Vaccine Refusal and Hesitancy –Reasons." Indian Journal of Pediatrics 86, no. 1 (2018): 5–6. http://dx.doi.org/10.1007/s12098-018-2809-7.

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Masnick, Max, and Surbhi Leekha. "Frequency and Predictors of Seasonal Influenza Vaccination and Reasons for Refusal Among Patients at a Large Tertiary Referral Hospital." Infection Control & Hospital Epidemiology 36, no. 7 (2015): 841–43. http://dx.doi.org/10.1017/ice.2015.56.

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We assessed frequency and predictors of seasonal influenza vaccination acceptance among inpatients at a large tertiary referral hospital, as well as reasons for vaccination refusal. Over 5 seasons, >60% of patients unvaccinated on admission refused influenza vaccination while hospitalized; “believes not at risk” was the reason most commonly given.Infect Control Hosp Epidemiol 2015;36(7):841–843

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Ilyina, A. M., K. A. Dunay, V. R. Merinov, O. A. Shtegman, D. Yu Osipov та А. S. Zabudskiy. "Аnalysis of the reasons for hospitalization of patients with acute decompensated heart failure". EMERGENCY MEDICAL CARE 22, № 2 (2021): 25–31. http://dx.doi.org/10.24884/2072-6716-2021-22-2-25-31.

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The analysis of 75 cases of refusal to hospitalize patients with acute decompensated heart failure was carried out. The overwhelming majority turned out to be elderly women with a high incidence of cognitive impairment. Among the reasons for refusal, 47% indicated an improvement in their condition after receiving assistance from an ambulance team. Such a decision is often based on an apathetic type of attitude towards the disease. At least one in four patients who refuse hospitalization is re-hospitalized or dies within the next 30 days.

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Khaliq, Asif, Alfaraz Ashraf Elahi, Asima Zahid, and Zohra S. Lassi. "A Survey Exploring Reasons behind Immunization Refusal among the Parents and Caregivers of Children under Two Years Living in Urban Slums of Karachi, Pakistan." International Journal of Environmental Research and Public Health 19, no. 18 (2022): 11631. http://dx.doi.org/10.3390/ijerph191811631.

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This study assesses the experiences of parents/caregivers regarding the refusal to childhood immunization. A cross-sectional study was conducted among the parents/caregivers of children under two years old from January 2019 to June 2019 who were residents of either Pathan Colony or Orangi Town, Karachi. In this study, the data collectors targeted parents/caregivers of 440 households who showed a refusal mark “R” in the Expanded Program of Immunization (EPI) H-chalking system. These households were approached using a 30 × 7 multistage-stratified-cluster random sampling technique and were interv

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Chauny, Jean-Marc, Martin Marquis, Jean Paquet, et al. "The simple query “Do you want more pain medication?” is not a reliable way to assess acute pain relief in patients in the emergency department." CJEM 20, no. 1 (2017): 21–27. http://dx.doi.org/10.1017/cem.2017.2.

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AbstractObjectiveThe management of acute pain constitutes an essential skill of emergency department (ED) physicians. However, the accurate assessment of pain intensity and relief represents a clinically challenging undertaking. Some studies have proposed to define effective pain relief as the patient’s refusal for additional analgesic administration. The aim of this study was to verify whether such a refusal is effectively indicative of pain relief.MethodsThis prospective cohort study included ED patients who received single or multiple doses of pain medication for an acute pain problem. Pati

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Menold, Natalja, and Cornelia Zuell. "The Effects of Interviewers on the Collection of Reasons for Refusals in Face-to-Face Surveys." Methodology 12, no. 2 (2016): 52–60. http://dx.doi.org/10.1027/1614-2241/a000108.

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Abstract. Paradata related to reasons for refusals in face-to-face surveys can be useful for research on refusers and on refusal rates. This article addresses the measurement quality of reasons for refusals. Multilevel multinomial models were used to examine the effects of interviewers on the collection of reasons for refusals in a survey on the German population, the General German Social Survey (ALLBUS 2008). In this survey, reasons for refusals were collected by interviewers, predominantly in an open-ended answer format. We categorized reasons for refusals – our dependent variable – through

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Costantino, Andrea, Federica Invernizzi, Erica Centorrino, Maurizio Vecchi, Pietro Lampertico, and Maria Francesca Donato. "COVID-19 Vaccine Acceptance among Liver Transplant Recipients." Vaccines 9, no. 11 (2021): 1314. http://dx.doi.org/10.3390/vaccines9111314.

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(1) Background: COVID-19 vaccination hesitancy is a threat for fragile patients. We aimed to evaluate COVID-19 vaccination hesitancy and its reasons in a population of liver transplant (LT) recipients. (2) Methods: In February 2021, a questionnaire on COVID-19 vaccines was sent to LT patients followed at our liver transplant outpatient clinic in Milan, Italy. Sociodemographic and clinical characteristics were recorded. Patients were defined as willing, hesitant, or refusing and their reasons were investigated. Associations between baseline characteristics and willingness were evaluated. Since

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Senkevich, O. A., Z. A. Plotonenko, V. P. Molochniy, and O. V. Kaplieva. "Sociodemographic characteristics of vaccine-refusing families and reasons for refusal." Infekcionnye bolezni 19, no. 1 (2021): 124–30. http://dx.doi.org/10.20953/1729-9225-2021-1-124-130.

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Vaccination is a reliable way to prevent many infectious diseases. Reduced vaccination coverage along with increased migration, high population density, and high risk of epidemic outbreaks makes the issue of vaccine commitment among parents and the problem of vaccine refusal highly relevant. Objective. To analyze sociodemographic characteristics of vaccine-refusing families and reasons underlying their refusal. Patients and methods. We have conducted a blind, consecutive, cross-sectional, cohort study that included 2 groups of respondents: Group 1 included 80 mothers of newborns followed-up at

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WICCLAIR, MARK R. "Conscientious Refusals by Hospitals and Emergency Contraception." Cambridge Quarterly of Healthcare Ethics 20, no. 1 (2011): 130–38. http://dx.doi.org/10.1017/s0963180110000691.

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Hospitals sometimes refuse to provide goods and services or honor patients’ decisions to forgo life-sustaining treatment for reasons that appear to resemble appeals to conscience. For example, based on the Ethical and Religious Directives for Catholic Health Care Services (ERD), Catholic hospitals have refused to forgo medically provided nutrition and hydration (MPNH), and Catholic hospitals have refused to provide emergency contraception (EC) and perform abortions or sterilization procedures. I consider whether it is justified to refuse to offer EC to victims of sexual assault who present at

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Martsevich, S. Yu, N. P. Kutishenko, E. P. Kalaydzhyan, et al. "Refusal of pharmacological treatment: prevalence and clinical importance." Rational Pharmacotherapy in Cardiology 21, no. 2 (2025): 143–48. https://doi.org/10.20996/1819-6446-2025-3175.

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This article addresses the issue of refusal of pharmacological treatment. Limited literature data concerning the clinical significance of treatment refusal in patients with internal organ diseases are presented. Original foreign studies focusing on treatment refusal in patients with chronic non-communicable diseases, particularly those with cardiovascular conditions, are rare. Most of these studies examine not only the refusal to take medications but also the discontinuation of specific therapeutic procedures, as well as the underlying reasons for such refusals. An analysis was conducted of Ru

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Carneiro-Leão, Leonor, Luís Amaral, and Alice Coimbra. "Reasons for Declining Venom Immunotherapy." Acta Médica Portuguesa 31, no. 11 (2018): 618. http://dx.doi.org/10.20344/amp.9695.

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Introduction: Hymenoptera venom allergy is associated with significant morbidity and deterioration in health-related quality of life, and risk of fatal systemic reactions. Although venom immunotherapy is safe and the only effective treatment in allergic individuals, some patients prefer not to pursue this treatment. Since 2011, when the 50% reimbursement was stopped, patients must fully support the cost of immunotherapy. This study aimed to ascertain the reasons why patients decline immunotherapy.Material and Methods: A medical records review of all patients proposed to receive venom immunothe

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Zarak, Muhammad Samsoor, Hamaiyal Sana, Zara Arshad, et al. "Understanding the reasons for refusal of polio vaccine by families in Quetta Block, Pakistan." Eastern Mediterranean Health Journal 28, no. 7 (2022): 498–505. http://dx.doi.org/10.26719/emhj.22.052.

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Background: Global polio eradication is a goal yet to be achieved in countries like Pakistan. In recent years, the Polio Eradication Initiative has been making steady progress with good campaign coverage and low numbers of polio cases. However, in 2019 Pakistan reported 146 cases compared to 12 in 2018. A major factor cited for this regression was a surge in vaccine refusals by parents and caretakers. Aims: To assess the reasons for the refusal of polio vaccination in Quetta Block, Balochistan. Methods: The study was conducted using data acquired from 2 polio vaccination campaigns over 3 month

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McKee, Chephra, and Kristin Bohannon. "Exploring the Reasons Behind Parental Refusal of Vaccines." Journal of Pediatric Pharmacology and Therapeutics 21, no. 2 (2016): 104–9. http://dx.doi.org/10.5863/1551-6776-21.2.104.

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Parental refusal of vaccines is a growing a concern for the increased occurrence of vaccine preventable diseases in children. A number of studies have looked into the reasons that parents refuse, delay, or are hesitant to vaccinate their child(ren). These reasons vary widely between parents, but they can be encompassed in 4 overarching categories. The 4 categories are religious reasons, personal beliefs or philosophical reasons, safety concerns, and a desire for more information from healthcare providers. Parental concerns about vaccines in each category lead to a wide spectrum of decisions va

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SHUKR, REHMAN INAYAT, Nabeel Sahi, SALMAN ALI, Sumatra Sattar, and FAREEDA MANZOOR. "VACCINE REFUSAL." Professional Medical Journal 17, no. 01 (2010): 145–50. http://dx.doi.org/10.29309/tpmj/2010.17.01.2099.

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.Objective: To evaluate the pattern and reasons of reluctance/ refusal to polio vaccination with an aim to gain insights and learnlessons during Polio campaign. Setting: Polio campaign days during 2009 in Muzaffar Garah district between January to April 2009. Studydesign: Cross sectional survey. Material and Methods: Survey done during intensive polio days during the three campaigns this year bydetailed interview with parents, senior members of the family regarding reluctance to administer oral polio drops in the Muzaffar Garah district.Reasons and frequency of reluctance were documented. Afte

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Syed Soffian, Sharifah Saffinas, Nazarudin Safian, Azmawati Mohammed Nawi, Shahrul Bariyah Ahmad, Huan-Keat Chan, and Muhammad Radzi Abu Hassan. "Rate and associated factors of refusal to perform immunochemical Faecal Occult Blood Test (iFOBT) among semi-urban communities." PLOS ONE 16, no. 10 (2021): e0258129. http://dx.doi.org/10.1371/journal.pone.0258129.

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The uptake of the immunochemical faecal occult blood test (iFOBT) in many countries with an opportunistic colorectal cancer (CRC) screening programme remains suboptimal. This study aimed to determine the rate, associated factors and reasons of refusal to perform the iFOBT test offered under an opportunistic CRC screening programme in semi-urban communities. This cross-sectional study was conducted among the average-risk individuals living in semi-urban areas, who sought care from public primary care centres across Kedah state, Malaysia. The information regarding the sociodemographic and clinic

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Bilyk, Valentyna, Alla Dimitrova, Dmytro Havrychenko, Valentyna Stelmakhivska, and Tetyana Vorontsova. "THE MAIN ASPECTS OF COUNTERING PANDEMIC INFECTIOUS DISEASES THROUGH VACCINATION IN THE CONTEXT OF PROTECTING HEALTH AND OVERCOMING PSYCHOLOGICAL BARRIERS." Wiadomości Lekarskie 75, no. 11 (2022): 2785–90. http://dx.doi.org/10.36740/wlek202211212.

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The aim: Study of opinions and attitudes of citizens towards vaccination, identification of the reasons for the refusal of vaccination, the main psychological barriers. Materials and methods: As a result of the analysis the main reasons for the refusal of vaccination were systematized into 5 groups. For practical clarification of the main reasons for the refusal of vaccination, we conducted a survey of citizens of the family medicine outpatient clinic in one of the Ukrainian cities. A total of 30 respondents took part in the survey. Results: The results of the survey were systematized, accordi

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Abbas, Syeda Sana, Syeda Hina Abbas, Ibrahim Shakoor, and Shazia Nazar. "Factors Contributing to Refusal of Testing in the Pediatric COVID-19 Suspect Population." Journal of Saidu Medical College Swat 15, no. 2 (2025): 207–12. https://doi.org/10.52206/jsmc.2025.15.2.1144.

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Background: Coronavirus has been declared a pandemic, and strategies like vaccination, social distancing, and extensive testing have played crucial roles in controlling its spread. Diagnosing COVID-19 in children is particularly challenging due to their susceptibility to upper respiratory tract infections. Studies have indicated that suspected patients often refuse COVID-19 testing.Objective: This study aimed to identify pediatric patients whose parents refused COVID-19 testing despite clinical symptoms and physicians' advice and to highlight significant factors contributing to this refusal.Ma

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Mohamed Koya, M. V., Saiful Koya, Abd Rahman Hazirah, and Radzuan Nurul Syahida. "The Difference in Contributing Factors and Costs Associated with Outpatient Refusal to Accept Cardiovascular Medications or Analgesics During Dispensing Process." Iraqi Journal of Pharmaceutical Sciences ( P-ISSN: 1683 - 3597 , E-ISSN : 2521 - 3512) 30, no. 2 (2021): 71–77. http://dx.doi.org/10.31351/vol30iss2pp71-77.

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Background: Study looking into cardiovascular disorders (CVD) medicines or analgesics cost-saving activities during dispensing process is lacking. Aim: To determine differences in factors and costs associated with refused CVD medicines or analgesics during dispensing process Method: This study was approved by Medical Research and Ethics Committee (MREC) (Registration number: NMRR-20-177-53153(IIR)). Participants receiving CVD medicines or analgesics during dispensing process were recruited via convenience sampling technique between February and March 2020 at the Specialist Pharmacy

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Al Masaeed, Khaled, Naoko Taguchi, and Mohammed Tamimi. "Proficiency effects on L2 Arabic refusals." Applied Pragmatics 2, no. 1 (2020): 26–53. http://dx.doi.org/10.1075/ap.19007.mas.

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Abstract This study examined the relationship between L2 proficiency and (1) appropriateness of refusals, (2) use of refusal strategies, and (3) multidialectal practices in performing refusals in Arabic. Using a spoken discourse completion task (spoken DCT), data were collected from 45 learners of Arabic at three different proficiency levels and from 15 Arabic native speakers. The situations used in the spoken DCT varied in power and social distance (i.e., refusing a friend’s request to lend money, refusing a neighbor’s request to lend a car, and refusing a boss’s request to stay late to work

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Suslov, A. A. "Inadmissible Refusals in the Russian Civil Law." Actual Problems of Russian Law, no. 1 (January 1, 2019): 102–10. http://dx.doi.org/10.17803/1994-1471.2019.98.1.102-110.

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The paper provides systematization of inadmissible refusals in civil law enshrined in civil legislation and clarification of court practice. The author analyzes the reasons for fixing the inadmissibility of refusal through civil law cases, which include situations of protection of the weaker party in civil law relations. A specific characteristic of inadmissible refusals according to the way of their expression is proposed: with the presence or absence of legal consequences of inadmissible refusals. The “doctrine of the nullity of refusal” prevailing in modern Russian science and court practic

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Timofeev, Mikhail Vladimirovich. "The Influence of the Factor of Providing Additional Contact Information by the Client on the Outcome of the Transaction in Telemarketing." Теоретическая и прикладная экономика, no. 1 (January 2023): 54–67. http://dx.doi.org/10.25136/2409-8647.2023.1.40043.

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The subject of the study is the search for the relationship between the provision of additional information by the client and the success of the transaction. The more information the client is willing to provide, the higher his interest in purchasing a product or service and the less likely it is to refuse after a preliminary agreement. Special attention is paid to the most common reasons for refusals, such as the inability to get through to the client, refusal dictated by close people, cases when the client changed his mind without explicitly stating the reason. Based on the methods of mathem

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Olesova, V. N., A. S. Romanov, R. S. Zaslavsky, M. S. Grishkov, and A. G. Zveryaev. "Frequency and Subjective Reasons for Rejecting Repeated Prosthetics on Implants." A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin, no. 1 (April 2022): 27–30. http://dx.doi.org/10.33266/2782-6430-2022-1-27-30.

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Purpose: to analyze the frequency and causes of failures of patients with removed implants from repeated prosthetics on dental implants. Material and methods: The consent or refusal of repeated prosthetics on implants was analyzed in 256 patients with indications for implantation and with previously removed implants. Among the prostheses were both removable and non-removable. 46 patients needed covering prostheses on implants, 14 – non-removable dentures with complete absence of teeth, 58 – non-removable dentures with partial absence of teeth. If the patient refused to perform implantation, he

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Bishburg, Eliahu, Monica Shah, and A. Scott Mathis. "Influenza Vaccination Among Medical Residents in a Teaching Hospital." Infection Control & Hospital Epidemiology 29, no. 1 (2008): 89–91. http://dx.doi.org/10.1086/524322.

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We assessed the rates of influenza vaccine acceptance and the reasons for acceptance or refusal among medical residents in different disciplines during the 2004-2005 influenza season. Rates varied among disciplines; emergency department residents had the lowest acceptance rate (24%). The perception of a low risk of contracting influenza was the most common reason reported for vaccine refusal.

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Kim, Eojin, and Kutae Chung. "Whether the person who transferred the rental housing after the tenant's request for renewal can refuse renewal on the grounds of his/her actual residence: Supreme Court Judgment 2021Da266631 Delivered on December 1, 2022." Legal Studies Institute of Chosun University 30, no. 3 (2023): 41–62. http://dx.doi.org/10.18189/isicu.2023.30.3.41.

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The subject judgment is a matter of justifiable reasons for the landlord to refuse to renew the contract, and the plaintiff who exercised the right to refuse to renew the contract is not a party to the lease contract, but the “buyer of the lease house.” In other words, the issue of this issue is which of the lessors who have signed a lease contract with the buyer of the rental house can exercise the right to refuse contract renewal based on justifiable reasons. The judgment on the subject of the study ruled that even if the tenant requested a contract renewal, the landlord could reject t

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Lee, Eol. "Study on the Justifiable Reasons for Medical Refusal." KOREAN SOCIETY OF LAW AND MEDICINE 21, no. 3 (2020): 117–44. http://dx.doi.org/10.29291/kslm.2020.21.3.117.

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Navin, Mark C., Jason Adam Wasserman, Miriam Ahmad, and Shane Bies. "Vaccine Education, Reasons for Refusal, and Vaccination Behavior." American Journal of Preventive Medicine 56, no. 3 (2019): 359–67. http://dx.doi.org/10.1016/j.amepre.2018.10.024.

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