ACTIVE IMMUNIZATION: CURRENT CONSIDERATIONS

PEDIATRICS ◽  
1963 ◽  
Vol 32 (3) ◽  
pp. 444-452
Author(s):  
Margaret H. D. Smith

THE PRACTICAL ASPECTS of immunization have changed in the last few years, and are inevitably destined to change continuously. Not only does modern science keep producing newer and more potent vaccines, but the vaccines themselves alter the distribution of disease agents and thereby the epidemiologic pattern of disease. As Batson and Christie have expressed it: "Immunization procedure is a dynamic subject in need of constant evaluation." DIPHTHERIA Nowhere does this phenomenon seem more clearcut than in the case of diphtheria. Whereas 25 years ago a basic course of immunization against diphtheria was essential, repeated natural exposure could be relied upon to boost that immunity throughout later childhood and adolescence. Nowadays the disease itself has become so relatively uncommon in many areas that we need to be reminded by articles like that of Doege, Heath, and Sherman in a recent issue of Pediatrics that 900 cases of diphtheria do occur annually in the United States, and that these cases tend to be grouped in states where immunization programs lag. Because of the very scarcity, in most places, of opportunity for natural exposure, there is an appreciable number of adolescents and adults who, even though immunized in childhood, has again become fully susceptible to infection with Corynebacterium diphtheriae. This falling off of immunity with increasing age must account for small outbreaks of diphtheria among older people in institutions, and for cases in recent years among certain "skid row" groups. It is the reason behind the long schedule of diphtheria toxoid inoculations recommended in the so-called Red Book of the Academy of Pediatrics.

Author(s):  
Mary L. Sellers

Folklore occurs at every stage of a person’s life, and this chapter covers the way folklore and folklife across, and of, the life course has been studied. Six divisions in the life course that mark traditions of age groups as well as perceived stages in the United States are pregnancy and birth, infancy and early childhood, childhood and adolescence, adulthood, seniority, and death. Although much of the scholarship of age groups has been on the beginning and end of life, I demonstrate the conditions of aging in adolescence through the senior years that generate folklore and should be studied in relation to formation of age-group identity. This chapter emphasizes the use of folklore as an adaptation to aging. It examines the connection of folk traditions to the role that anxiety plays in the aging process, the formation of self and group identity, and the rites of passage that mark transitions from one stage to another. It shows that the presence of invented and emerging traditions indicates changing values and beliefs across the life course and encourages research in age-based research as a basic component of folklore and folklife studies.


Author(s):  
Miriam Blume ◽  
Petra Rattay ◽  
Stephanie Hoffmann ◽  
Jacob Spallek ◽  
Lydia Sander ◽  
...  

This scoping review systematically mapped evidence of the mediating and moderating effects of family characteristics on health inequalities in school-aged children and adolescents (6–18 years) in countries with developed economies in Europe and North America. We conducted a systematic scoping review following the PRISMA extension for Scoping Reviews recommendations. We searched the PubMed, PsycINFO and Scopus databases. Two reviewers independently screened titles, abstracts and full texts. Evidence was synthesized narratively. Of the 12,403 records initially identified, 50 articles were included in the synthesis. The included studies were conducted in the United States (n = 27), Europe (n = 18), Canada (n = 3), or in multiple countries combined (n = 2). We found that mental health was the most frequently assessed health outcome. The included studies reported that different family characteristics mediated or moderated health inequalities. Parental mental health, parenting practices, and parent-child-relationships were most frequently examined, and were found to be important mediating or moderating factors. In addition, family conflict and distress were relevant family characteristics. Future research should integrate additional health outcomes besides mental health, and attempt to integrate the complexity of families. The family characteristics identified in this review represent potential starting points for reducing health inequalities in childhood and adolescence.


2021 ◽  
Author(s):  
Mohsen Afarideh ◽  
Katinna E. Rodriguez Baisi ◽  
Dawn M.R. Davis ◽  
Jennifer L. Hand ◽  
Megha M. Tollefson

2020 ◽  
pp. 1-13
Author(s):  
Linlin Liu ◽  
Jianfei Yu ◽  
Junming Huang ◽  
Feng Xia ◽  
Tao Jia

Modern science is dominated by scientific productions from teams. A recent finding shows that teams of both large and small sizes are essential in research, prompting us to analyze the extent to which a country’s scientific work is carried out by big or small teams. Here, using over 26 million publications from Web of Science, we find that China’s research output is more dominated by big teams than the rest of the world, which is particularly the case in fields of natural science. Despite the global trend that more papers are written by big teams, China’s drop in small team output is much steeper. As teams in China shift from small to large size, the team diversity that is essential for innovative work does not increase as much as that in other countries. Using the national average as the baseline, we find that the National Natural Science Foundation of China (NSFC) supports fewer small teams than the National Science Foundation (NSF) of the United States does, implying that big teams are preferred by grant agencies in China. Our finding provides new insights into the concern of originality and innovation in China, which indicates a need to balance small and big teams.


2018 ◽  
Vol 13 (5) ◽  
pp. 634-650 ◽  
Author(s):  
Alan E. Kazdin

The article describes my research on the development and evaluation of psychosocial treatments for children who engage in extremes of antisocial behavior (e.g., aggression, property destruction, theft). I begin with my “story” of how the focus on interventions started as I worked in various settings (rehabilitation facilities, schools, hospitals, and outpatient clinical services) and with children, adolescents, and adults. The main stream of treatment research and findings with antisocial child behavior is highlighted along with tributaries that led naturally from the outcome research. Our trials are complemented by tribulations that apply to evidence-based psychosocial interventions more broadly. Most individuals in need of psychological services in the United States and worldwide receive no treatment. Much can be done right now with novel models of treatment delivery that draw on multiple disciplines (e.g., public health, business, entertainment, economics, robotics and artificial intelligence, and law and social policy). More research on interventions that do not or cannot reach most people in need is quite limited in value to me. Finally (and belatedly) my attention has turned to ways of exerting impact, and for that, evidence-based interventions are necessary but hardly sufficient.


2022 ◽  
Vol 37 (1_suppl) ◽  
pp. 15S-23S

School-located vaccination clinics (SLVs) are an established strategy to offer influenza and routine vaccinations and improve student and community health. The COVID-19 pandemic has led many communities to expand SLVs to include COVID-19 vaccines. However, these SLVs are less documented than in the past due to the fast-paced nature of the pandemic and the additional pressures put on schools and public health organizations. We conducted five virtual roundtables with 30 school nurses and state immunization program managers from across the United States to gain insight into SLVs occurring during the COVID-19 pandemic. Roundtables explored participants’ experiences planning and implementing SLVs, including factors influencing success and available resources. Findings highlighted SLVs as an opportunity to increase access and equity for vaccines. Participants shared strategies for School-located vaccination (SLV) funding, partnership building, vaccine storage and management, consent, data sharing, messaging, and promotion. These shared experiences offer useful insights for those interested in future and sustained SLV implementation.


Author(s):  
Motoe Sasaki

This chapter shows how the notion of modern science brought to China by American New Women missionaries in the form of medicine and nursing generated concrete responses from their Chinese counterparts. The notion of science as a universally applicable and fundamentally egalitarian element for the development of a modern society and its constituents was increasingly influential in both the United States and China during the early twentieth century. Consequently, American New Women missionaries were able to establish their status as scientific professionals whose expertise could contribute to China's modernization process. At the same time, however, their faith in the new notion of science brought with it the idea of “separate but equal” gender roles, which brought them into conflict with many of their male counterparts from the United States who wanted to compete with other imperial powers to gain influence in China.


Author(s):  
Harold W. Goforth ◽  
Sami Khalife

From primary prevention to end-of-life care, AIDS psychiatry can make significant contributions to preventing risk behaviors and HIV transmission, mitigating suffering, and improving adherence to risk reduction and medical care. Early in the epidemic, stigma and discrimination magnified suffering and excluded persons known to have HIV and AIDS from many settings in the United States and throughout the world. Such treatment of persons with AIDS was described (Cohen, 1989) as a new form of discrimination called “AIDSism.” As we approach the end of the third decade of the HIV pandemic, in most countries education, training, and experience have mitigated AIDSism, and persons with HIV and AIDS are now seen in varieties of medical and nonmedical settings. The multimorbid medical and psychiatric illnesses associated with HIV infection have complicated the care of persons with HIV and AIDS. A primary care guideline for the care of persons with HIV is available in print (Aberg et al., 2009) and online and is updated regularly at: http://www.journals.uchicago.edu/page/cid/IDSAguidelines.html. AIDS psychiatrists, psychosomatic medicine psychiatrists, as well as child, adult, and geriatric psychiatrists and other mental health professionals are in a unique position to intervene and provide both preventive and treatment interventions for children, adolescents, and adults who are vulnerable to, infected with, or affected by HIV infection. Psychiatrists generally make long-term and trusting relationships with their patients and take complete histories including sexual histories and substance use histories. Primary physicians, pediatricians, obstetricians, and HIV specialists as well as parents and teachers may also have unique opportunities to intervene throughout the life cycle. In this chapter, we provide a list of settings where educational opportunities abound and can lead to an improved understanding of how to prevent HIV transmission. These settings are summarized in Table 1.1. Since a full description of every setting with potential for intervention is beyond the scope of this chapter, we provide more specific descriptions of settings where providing education and easy access to testing, condoms, and drug and alcohol treatment can be therapeutic and lifesaving.


Worldview ◽  
1976 ◽  
Vol 19 (9) ◽  
pp. 4-9
Author(s):  
Mark A. Bruzonsky

The real crunch for Israel will probably come during 1977 if Ford is elected—it will be delayed by only a few months if a Democratic candidate wins.” So writes Wolf Blitzer, editor of the “Jewish lobby's” Washington publication Near East Report, in a recent issue of the Jerusalem Post.With the same sense of urgency Abba Eban insists that “Time is of the essence, and unhappily for us, time is running out. We ought to grasp the central issues now and involve the United States in resolving them.” He and a growing number of his colleagues fear that should Israel not choose to “cooperate” with the U.S., the Americans might run right over Israel on the road to Geneva and some form of imposed settlement.


1986 ◽  
Vol 7 (3) ◽  
pp. 241-258
Author(s):  
Rafael Laniado Laborin ◽  
Craig A. Molgaard ◽  
John P. Elder

Tuberculosis, a major cause of death in the nineteenth century, has consistently and steadily declined in industrialized countries. Such decline antedates the introduction of specific treatment or immunization programs. In the United States of America, the tuberculosis problem is almost exclusively confined to ethnic minorities, socially marginal groups, and migratory workers. All the countries of Latin America have adopted the programs for tuberculosis control recommended by the World Health Organization and the Pan American Health Association. The degree to which these programs are followed in Mexico is critically discussed. A number of suggestions are offered to improve a program that appears to be insufficient in terms of controlling this disease.


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