scholarly journals Mycobacterium chimaera: The ethical duty to disclose the minimal risk of infection to exposed patients

2017 ◽  
Vol 153 (6) ◽  
pp. 1422-1424.e1 ◽  
Author(s):  
Anita Nguyen ◽  
C. Christopher Hook ◽  
Joseph A. Dearani ◽  
Hartzell V. Schaff
Keyword(s):  
Minimal Risk ◽  
Risk Of Infection ◽  
Ethical Duty

scholarly journals Povidone iodine ‘WET’ technique: adenotonsillectomy in COVID era

2021 ◽  
Vol 7 (3) ◽  
pp. 563
Author(s):  
Nithya Venkataramani ◽  
Ravi Sachidananda ◽  
Nidhi R. Sachidananda
Keyword(s):  
Viral Load ◽  
High Risk ◽  
Service Delivery ◽  
Operating Room ◽  
Healthcare Workers ◽  
Povidone Iodine ◽  
Minimal Risk ◽  
Risk Of Infection ◽  
Operating Room Personnel ◽  
Increasing Demand

<p>COVID-19 pandemic has significantly changed ENT practice. Most elective ENT (ear, nose, throat) surgeries possess a risk of infection, as well as potentially increasing complication.<sup>1</sup> With the current pandemic slowly evolving and ever-increasing demand for elective services to restart, service delivery with minimal risk to healthcare workers is a challenge. ENT procedures like adenotonsillectomy, microdebrider FESS and mastoidectomy and many more are aerosol generating procedures. Adenotonsillectomy is particularly challenging with high risk to the operating room personnel as the viral load is significantly high in the nasopharynx and oropharynx. Evidence from China shows us that the pandemic could last for at least six months<sup>2</sup> and modifications of techniques and adapting to the new norm is the key.</p>

PERCEPTION OF VULNERABILITY TO HIV INFECTION AMONG OLDER PEOPLE IN NAIROBI, KENYA: A NEED FOR INTERVENTION

2012 ◽  
Vol 45 (2) ◽  
pp. 249-266 ◽  
Author(s):  
GLORIA CHEPNGENO-LANGAT
Keyword(s):  
At Risk ◽  
Risk Perception ◽  
Older People ◽  
Hiv Infection ◽  
Sexual Activity ◽  
Perceived Risk ◽  
Minimal Risk ◽  
Risk Of Infection ◽  
Key Factor ◽  
Hiv Women

SummaryIt is evident that sexual activity tends to decrease with age. Nonetheless, it is still prevalent enough to be considered a risk factor for the spread of HIV among older people. This paper uses quantitative data for 2053 individuals to examine HIV risk perception and correlates of perceived risk among older people aged 50 years and older living in Nairobi slums. It emerged that a majority of older people did not consider themselves at risk of infection. Of those who felt at risk, a greater proportion sensed only a small chance of contracting HIV. Women cited ‘no sexual activity’ while men mentioned ‘having only one and/or a faithful sexual partner’ as the primary reasons for perceiving minimal risk of HIV infection. There were no differences by sex in the basis for perceiving moderate-to-great risk of infection. Religion is a key factor in risk perception with Muslims perceiving higher levels of risk and, conversely, devotees irrespective of faith perceiving lower levels of risk. Older people willing to be tested for HIV had a decreased likelihood of perceived risk compared with those unwilling to be tested. This paper recommends evaluation of older people's perception of risk in order to better inform interventions aimed at minimizing their vulnerability to HIV infection.

scholarly journals Personality and risk of exposure to HIV infection in homosexual adolescents

2021 ◽  
Vol 25 (110) ◽  
pp. 228-235
Author(s):  
Franklin Anderson Garcia Lopez ◽  
Gabriela Lorena Abril Lucero ◽  
Diana Carolina Garcia Ramos ◽  
Sandra Elizabeth Ortiz Moya
Keyword(s):  
Hiv Infection ◽  
Empirical Method ◽  
Corporate Image ◽  
Risk Level ◽  
Average Risk ◽  
Minimal Risk ◽  
Risk Of Infection ◽  
Personality Dimension ◽  
Medium Risk ◽  
Risk Of Exposure

The objective of this study is to identify the dimension of the personality that has the greatest influence on the risk of exposure to HIV infection. The models used to fulfill the scientific objective are the empirical method of information gathering and the theoretical deductive method. The 16-FP test and the HIV infection exposure assessment test applied to homosexual adolescents between 18 and 24 years old allowed us to measure the association of the study variables. The non-association between personality and the risk of HIV infection is concluded. The predominant personality dimension is the category called toughness. The prevailing risk level of exposure to HIV is the medium risk. The average age with minimal risk of infection is 20 years, the average risk is 20.9 years, and the high risk of infection is 21.9 years. Keywords: Personality, homosexuality, HIV, risk of infection. References [1]T. Santa Cruz y M. Antezana, «Impact on corporate image in the face of inclusion of LGBT communities in retail stores in Peru,» Correspondencias & Análisis, vol. 13, nº 1, pp. 101 - 126, 2021. [2]R. Muñoz, «Estigma estructural, adherencia al tratamiento antirretroviral y cultura organizacional de cuidados en la atención hospitalaria en VIH y Sida enGuayaquil, Ecuador,» Andamios, vol. 15, nº 36, pp. 311- 341, 2018. [3]L. Brito, D. Jiménez, E. Sinche y A. Angulo, «KNOWLEDGE AND PERCEPTIONS LINKED TO HIV/AIDS IN SHUAR COMMUNITIES OF ECUADOR, » Ciencia y enfermería, vol. 25, nº 1, 2019. [4]J. Rausch, A. Gäbel, K. Nagy y N. Kleindienst, «El aumento de los niveles de testosterona y cortisol al despertar respuestas en pacientes con trastorno límite de la personalidad: Género y el rasgo de agresividad cuestión, » Psiconeuroendocrinologí, vol. 55, nº 1, pp. 116-127, 2015. [5]D. Mosquera, A. Gonzalez, y Van der Hart, O., «Trastorno límite de personalidad, trauma en la infancia y disociación estructural de la personalidad,» INTRA-TP, pp. 1 - 18, 2013. [6]V. Caballo, Manual de trastornos de la personalidad: Descripción, evaluación y tratamiento, Madrid: Síntesis, 2004. [7]O. González, N. Pérez y M. Redondo, «Procesos básicos en una aproximación cognitivo-conductual a los trastornos de personalidad,» Clínica y salud, pp. 401-423, 2007. [8]P. Fernández y A. Morales, «“No quiero que me rechacen”: Experiencias sobre la revelación del estado serológico a las parejas sexuales en hombres,» Escritos de Psicología, vol. 7, pp. 44 - 55, 2014. [9]B. Buenrostro, H. González, I. Delgado, A. Mora, J. Cadenas y S. Montero, «Frecuencia de infección por VIH/sida en usuarios de preservativo,» Revista Cubanade Investigaciones Biomédica, vol. 31, pp. 480 - 489, 2012.

For Those About to Rock

2012 ◽  
Vol 13 (1) ◽  
pp. 29-35
Author(s):  
Jennifer Tufts
Keyword(s):  
Hearing Loss ◽  
Cultural Landscape ◽  
Minimal Risk ◽  
Noise Induced Hearing Loss ◽  
Essential Information ◽  
Informed Decisions ◽  
Hearing Health ◽  
Loud Music ◽  
Protective Strategies

Loud music and noisy hobbies are part of our cultural landscape. These activities can be enjoyed with minimal risk to hearing if a few commonsense guidelines are followed. Educating clients about risks and protective strategies will empower them to make informed decisions about their hearing health that best reflect their values and priorities. In this article, the author covers essential information to avoiding noise-induced hearing loss, writing in easily accessible language to better help clinicians convey this information to their clients.

Posttransplant CMV infection and the role of immunosuppression (Sponsor: Novartis Pharma GmbH, Nürnberg)

2016 ◽  
Vol 04 (01) ◽  
pp. 4-10
Keyword(s):  
Lower Incidence ◽  
Paradigm Shift ◽  
Mtor Inhibitor ◽  
De Novo ◽  
Expert Panel ◽  
Risk Of Infection ◽  
Cmv Infection ◽  
Expert Meeting ◽  
Selection Of

AbstractImmunosuppression permits graft survival after transplantation and consequently a longer and better life. On the other hand, it increases the risk of infection, for instance with cytomegalovirus (CMV). However, the various available immunosuppressive therapies differ in this regard. One of the first clinical trials using de novo everolimus after kidney transplantation [1] already revealed a considerably lower incidence of CMV infection in the everolimus arms than in the mycophenolate mofetil (MMF) arm. This result was repeatedly confirmed in later studies [2–4]. Everolimus is now considered a substance with antiviral properties. This article is based on the expert meeting “Posttransplant CMV infection and the role of immunosuppression”. The expert panel called for a paradigm shift: In a CMV prevention strategy the targeted selection of the immunosuppressive therapy is also a key element. For patients with elevated risk of CMV, mTOR inhibitor-based immunosuppression is advantageous as it is associated with a significantly lower incidence of CMV events.

X-ray Follow-up after Open Reduction Internal Fixation of Distal Forearm Fracture

2020 ◽  
Author(s):  
Henrik Johan Sjølander ◽  
Sune Jauffred ◽  
Michael Brix ◽  
Per H. Gundtoft
Keyword(s):  
Diagnostic Imaging ◽  
Forearm Fracture ◽  
Minimal Risk ◽  
Distal Forearm ◽  
Forearm Fractures ◽  
Distal Forearm Fracture ◽  
Standard Regimen ◽  
Prolonged Immobilization ◽  
Distal Forearm Fractures

Abstract Background Following surgery, the standard regimen for fractures of the distal forearm includes radiographs taken 2-weeks postoperatively. However, it is unclear whether these radiographs have any therapeutic risks or benefits for patients. Objective The purpose of this study is to determine the importance of radiographs taken 2-weeks after surgery on distal forearm fractures, especially if it leads to further operations, and to establish whether this practice should be continued. Materials and Methods This is a retrospective cohort study of patients with a distal forearm fracture treated surgically with a volar locking plate at two university hospitals in Denmark. Standard aftercare at both departments is 2 weeks in a cast. Patients attend a 2-week follow-up, at which the cast is replaced with a removable orthosis and radiographs are taken. It was recorded whether these radiographs had resulted in any change of treatment in terms of further operations, prolonged immobilization, additional clinical follow-up, or additional diagnostic imaging. Results A total of 613 patients were included in the study. The radiographs led to a change of standard treatment for 3.1% of the patients. A second operation was required by 1.0%; 0.5% were treated with prolonged immobilization, and 1.6% had additional outpatient follow-up due to the findings on the radiographs. Additional diagnostic imaging was performed on 1.9% of the patients. Conclusion The radiographs taken at the 2-weeks follow-up resulted in a change of treatment in 3.1% of the cases. Given the low cost and minimal risk of radiographs of an extremity, we concluded that the benefits outweigh the costs of routine radiographs taken 2 weeks after surgical treatment of distal forearm fractures.

Sign in / Sign up

Export Citation Format

Share Document