How do health care professionals respond to advice on adverse side effects of contraceptive methods? The case of Depo Provera®

Contraception ◽  
2007 ◽  
Vol 76 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Anna Glasier ◽  
Yan Yan ◽  
Kaye Wellings
Author(s):  
Marion Plaze ◽  
David Attali ◽  
Matthieu Prot ◽  
Anne-Cécile Petit ◽  
Michael Blatzer ◽  
...  

AbstractUrgent action is needed to fight the ongoing COVID-19 pandemic by reducing the number of infected people along with the infection contagiousness and severity. Chlorpromazine (CPZ), the prototype of typical antipsychotics from the phenothiazine group, is known to inhibit clathrin-mediated endocytosis and acts as an antiviral, in particular against SARS-CoV-1 and MERS-CoV. In this study, we describe the in vitro testing of CPZ against a SARS-CoV-2 isolate in monkey and human cells. We evidenced an antiviral activity against SARS-CoV-2 with an IC50 of ∼10μM. Because of its high biodistribution in lung, saliva and brain, such IC50 measured in vitro may translate to CPZ dosage used in clinical routine. This extrapolation is in line with our observations of a higher prevalence of symptomatic and severe forms of COVID-19 infections among health care professionals compared to patients in psychiatric wards. These preclinical findings support the repurposing of CPZ, a largely used drug with mild side effects, in COVID-19 treatment.


2019 ◽  
Vol 9 (10) ◽  
pp. 122
Author(s):  
Solveig Nelly Sægrov

Objective: In this Scoping study, the purpose is to examine and describe what the research literature reports on the use of professional conversation as a tool for helping people with cancer cope with the psychosocial situation. The cancer patient may experience several side effects and symptoms related to treatment and illness, and may have a need for more support through professional conversation.Methods: Scoping study with searches in the following databases: PubMed, Cinahl, Psyclfo, Academic Search premier, Cochrane and Ovid.Results: Twenty-nine studies were examined in the initial search, and twenty-four of them were included. Six examined the cancer patient's needs for conversation, thirteen nurses’ qualifications, and five whether conversation provides support. One factor that clearly emerges from the findings of several of the studies is that many nurses experience communication barriers in their encounters with cancer patients.Conclusions: The findings indicated a strong need for conversation. One surprising finding was the communication barriers experienced by nurses/health care professionals.


2021 ◽  
Author(s):  
Martin Wiredu Agyekum ◽  
Grace Frempong Afrifa-Anane ◽  
Frank Kyei-Arthur ◽  
Bright Addo

The acceptance or otherwise of the COVID-19 vaccine by health care workers can influence the uptake of COVID-19 vaccines among the general population as they are a reliable source of health information. In this study, we sought to determine the acceptability of COVID-19 vaccines among health care workers in Ghana. Using a cross-sectional design, we collected data from 234 health care workers through a self-administered online survey from 16 January to 15 February 2021. Descriptive, bivariate and multivariate analyses using binary logistic regression were performed using STATA version 15. The results showed that 39.3% of health care workers had the intention of receiving the COVID-19 vaccine. Factors such as sex, category of health care workers, relative being diagnosed with COVID-19, and trust in the accuracy of the measures taken by the government in the fight against COVID-19 proved to be significant predictors of the acceptability of the COVID-19 vaccine. Concerns about the safety of vaccines and the adverse side effects of the vaccine were identified as the main reasons why health care workers would decline uptake of the COVID-19 vaccine in Ghana. The self-reported low intention of health care workers to accept the COVID-19 vaccine in Ghana requires the urgent call of the Government of Ghana and other stakeholders to critically address health care workers' concerns about the safety and adverse side effects of COVID-19 vaccines, as this would increase vaccine uptake. Interventions must also take into consideration sex and the category of health care workers to achieve the desired results. Keywords: COVID-19, Vaccines, Vaccine acceptance, Health care workers, Ghana


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Martin Wiredu Agyekum ◽  
Grace Frempong Afrifa-Anane ◽  
Frank Kyei-Arthur ◽  
Bright Addo

Because health care workers are a reliable source of health information, their acceptance or rejection of COVID-19 vaccines can influence the general population's uptake of COVID-19 vaccines. In this study, we sought to determine the acceptability of COVID-19 vaccines among health care workers in Ghana. Using a cross-sectional design, we collected data from 234 health care workers through a self-administered online survey from 16 January to 15 February 2021. Descriptive, bivariate, and multivariate analyses were performed using STATA version 15. The findings revealed that 39.3% (n = 92) of health care workers intended to receive the COVID-19 vaccines. Factors such as sex (AOR = 0.451; CI 95% 0.240–0.845; p = 0.013 ), category of health care workers (AOR = 2.851; 95 CI%: 1.097–7.405; p = 0.031 ), relative being diagnosed with COVID-19 (AOR = 0.369; CI 95% 0.145–0.941; p = 0.037 ), and trust in the accuracy of the measures taken by the government in the fight against COVID-19 (AOR = 2.768; CI 95%: 1.365–5.616; p = 0.005 ) proved to be significant predictors of the acceptability of the COVID-19 vaccine. Concerns about the safety of vaccines (n = 93, 65.5%) and the adverse side effects of the vaccines (n = 23, 14.8%) were identified as the main reasons why health care workers would decline uptake of COVID-19 vaccines in Ghana. The self-reported low intention of health care workers in Ghana to accept COVID-19 vaccines necessitates an urgent call from the Government of Ghana and other stakeholders to address health care workers' concerns about the safety and adverse side effects of COVID-19 vaccines, as this would increase vaccine uptake. Interventions must also take into consideration sex and the category of health care workers to achieve the desired results.


2014 ◽  
Vol 21 (4) ◽  
pp. 221-226 ◽  
Author(s):  
Sandra Peláez ◽  
Simon L Bacon ◽  
Mark W Aulls ◽  
Guillaume Lacoste ◽  
Kim L Lavoie

BACKGROUND: The recent literature has reported disparate views between patients and health care professionals regarding the roles of various factors affecting medication adherence.OBJECTIVE: To examine the perspectives of asthma patients, physicians and allied health professionals regarding adherence to asthma medication.METHODOLOGY: A qualitative, multiple, collective case study design with six focus-group interviews including 38 participants (13 asthma patients, 13 pulmonologist physicians and 12 allied health professionals involved in treating asthma patients) was conducted.RESULTS: Patients, physicians and allied health professionals understood adherence to be an active process. In addition, all participants believed they had a role in treatment adherence, and agreed that the cost of medication was high and that access to the health care system was restricted. Major disagreements regarding patient-related barriers to medication adherence were identified among the groups. For example, all groups referred to side effects; however, while patients expressed their legitimate concerns, health care professionals believed that patients’ opinions of medication side effects were based on inadequate perceptions.CONCLUSION: Differences regarding medication adherence and barriers to adherence among the groups examined in the present study will provide insight into how disagreements may be translated to overcome barriers to optimal asthma adherence. Furthermore, when designing an intervention to enhance medication adherence, it is important to acknowledge that perceptual gaps exist and must be addressed.


1996 ◽  
Vol 27 (4) ◽  
pp. 11-14
Author(s):  
Roger C. Du Mars

Three million Americans experience panic attacks and seek relief from their frightening symptoms from a variety of health care professionals. Unfortunately, accurate diagnosis of panic disorders is an uncertain and time-consuming process and this often results in a hit-or-miss treatment program for the client. Overreliance on medication may also complicate the treatment problem by creating drug dependency and side effects. This article attempts to clarify the issues surrounding diagnosis and summarizes the most effective treatment programs currently available. Suggestions to counselors are provided which may add broader perspectives to their current treatment approach.


2000 ◽  
Vol 1 (4) ◽  
pp. 213-219 ◽  
Author(s):  
Angela Cross ◽  
Peter Salmon

Patients who receive radiotherapy need to be informed about its effects. Available evidence is inadequate because it has focused on selected symptoms and has emphasized the objective characteristics of symptoms rather than the patients' own experience of them. This study therefore examined women's own accounts of physical side-effects during the first 12 months after treatment for early breast cancer. Semi-structured audiotaped interviews with 15 patients 1 week to 12 months after treatment were analysed qualitatively. The women described some symptoms that were consistent with what is already known, in particular fatigue and skin changes, but also others that have been previously neglected. The women's explanations for symptoms were an inextricable component of their experience of them. Surprisingly, many women blamed themselves for having caused their symptoms. These findings contribute to the evidence that is necessary to inform health care professionals' advice to patients. They can also guide future quantitative research into symptoms associated with treatment and ensure that this is grounded in patients' experience of symptoms rather than clinicians' assumptions about patients' experience.


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