scholarly journals Diabetes, hyperglycemia and its role in fitness for work

2020 ◽  
Author(s):  
Mirsaeed Attarchi ◽  
Seyed Mohammad Seyedmehdi
Keyword(s):  
Decision Making ◽  
Scientific Evidence ◽  
Review Article ◽  
Diabetic Patients ◽  
Efficacy And Safety ◽  
Ability To Work ◽  
Personal Risk ◽  
Fitness For Work ◽  
The World ◽  
Prevalent Disease

Introduction: Diabetes is a prevalent disease in our country and in the world. Hyperglycemia complications can impact on ability to work. Decision making about fitness for work in diabetic patients is important and complicated. The aim of this study was assessment scientific evidence and present suitable approach for fitness for work in diabetic patients. Methods: In this review article the last evidence from Scopus, Science Direct, Pub Med, Google Scholar, SID and Magiran Data Base was evaluated and different aspects of fitness for work in hyperglycemia of diabetics of diabetic patients was analyzed. Results: Assessment of personal risk and diabetic patient abilities in comparison with inherent requirements of the job is important in decision making about fitness for work. Most of these patients can work and have acceptable efficacy and safety in most of the jobs. Conclusion: In most of job situations, with support of the employer and job environment modifications, diabetic patients can work with acceptable efficacy and safety.

scholarly journals Electronic and traditional public participation in modern public policy

2021 ◽  
Author(s):  
A.Yu. Sungurov ◽  
D.A. Arkatov
Keyword(s):  
Public Policy ◽  
Decision Making ◽  
Public Participation ◽  
General Public ◽  
Academic Community ◽  
Review Article ◽  
Participatory Decision Making ◽  
The World ◽  
New Challenges ◽  
The Moment

Around the World, public policy is experiencing the growth of eparticipation – ICT-based ways of interaction on public matters between state and general public. These may include online-consultations or participatory decision-making. Despite the scholars’ effort to extensively study the phenomena, we still know little of e-participation. This review article seeks to compile what do we know of e-participation at the moment and how does it compare to traditional ways of public participation. It was showed that both traditional and digital participation are contradictory. The former is often resisted by bureaucracy and does not enjoy much of people’s attention. The latter offers some solutions but brings new challenges. We further conclude the need for continuous studies of e-participation, offering the venues for the academic community

Conclusion: Technocracy at the End of the World

2020 ◽  
pp. 251-258
Author(s):  
Anders Esmark
Keyword(s):  
Climate Change ◽  
Decision Making ◽  
Scientific Evidence ◽  
Political Decision ◽  
Current State ◽  
The World ◽  
The Face ◽  
Important Challenge ◽  
State Of Affairs ◽  
Political Decision Making

Taking up the case of climate change, the conclusion considers the argument for moretechnocracy in the face of ‘the end world as we know it’. Climate change is probably the strongest case for a technocratic model of political decision-making. At the very least, insufficient political adherence to the scientific evidence on climate change is an almost commonsensical part of the problem of in the current state of affairs. While fully acknowledging this problem, the chapter argues that attention to the destructive and mutually reinforcing interplay of technocracy and populism is necessary also in to the all-important challenge of climate change.

scholarly journals Coronavirus (COVID 19) Infection in Pregnancy

2020 ◽  
pp. 1-7 ◽  
Author(s):  
Edgar Ivan Ortiz ◽  
Enrique Herrera Castañeda ◽  
Alejandro De La Torre
Keyword(s):  
Decision Making ◽  
General Population ◽  
Best Practices ◽  
Pregnant Women ◽  
Scientific Evidence ◽  
Recent Infection ◽  
The World ◽  
Expectant Mothers ◽  
In Pregnancy

Coronavirus illness 2019 (COVID-19) is an airways infection caused by the new coronavirus (SARS-CoV-2) which has been quickly disseminated all over the world, affecting to the general population including women in pregnancy time. As being a recent infection, the evidence that supports the best practices for the management of the infection during pregnancy is limited, and most of the questions have not been completely solved yet. This publication offers general guidelines focused on decision-making people, managers, and health’s teams related to pregnant women attention and newborn babies during COVID-19 pandemic. Its purpose is to promote useful interventions to prevent new infections as well as prompt and adequate attention to avoid serious complications or deaths, trying to be adapted to the different contexts in which attention to expectant mothers is provided. Guidelines are set within a well-scientific evidence and available recommendations up to date.

scholarly journals Diabetics’ Views Concerning the Safety and Efficacy of Herbal Medicines: A Qualitative Study

2020 ◽  
pp. 67-72
Author(s):  
Saud M. Alsanad
Keyword(s):  
Qualitative Study ◽  
Clinical Studies ◽  
Scientific Evidence ◽  
Herbal Medicines ◽  
Diabetic Patients ◽  
Efficacy And Safety ◽  
Safety And Efficacy ◽  
Perceived Benefit ◽  
Perceived Harm ◽  
Shed Light

Introduction: Diabetics have been known as potential to consume herbal and dietary supplements (HDS) to control their diabetes. HDS are taken widely despite limited scientific evidence of their safety and efficacy. Methods: This qualitative study aimed to shed light on diabetic patients’ experiences and perceptions of HDS to identify any perceived benefit or harm. Results: The findings provided two main themes concerning patients’ experiences of HDS use: Perceived beneficial experiences and perceived harm experiences. Most patients indicated experiencing benefits from HDS use. Conclusion: It is essential to understand patients’ perceptions and appreciate their experiences in order to support them when choosing appropriate CAM treatments and avoid any harm resulting from their lack of knowledge or erroneous notions about such treatments. Many more pre-clinical and clinical studies are needed to examine the efficacy and safety of popular HDS.

scholarly journals Standards for evidence in policy decision-making

2020 ◽  
Author(s):  
Kai Ruggeri ◽  
Sander van der Linden ◽  
Claire Wang ◽  
Francesca Papa ◽  
Johann Riesch ◽  
...  
Keyword(s):  
Decision Making ◽  
Scientific Evidence ◽  
Critical Time ◽  
Policy Decision ◽  
Well Being ◽  
Final Version ◽  
The World ◽  
Science Policy Interface ◽  
Policy Decision Making ◽  
Policy Solutions

Benefits from applying scientific evidence to policy have long been recognized by experts on both ends of the science-policy interface. The COVID-19 pandemic declared in March 2020 urgently demands robust inputs for policymaking, whether biomedical, behavioral, epidemiological, or logistical. Unfortunately, this need arises at a time of growing misinformation and poorly vetted facts repeated by influential sources, meaning there has never been a more critical time to implement standards for evidence. In this piece, we present a framework to limit risks while also providing a reasonable pathway for applying breakthroughs in treatments and policy solutions, stemming the harm already impacting the well-being of populations around the world. Final version here: go.nature.com/2zdTQIs

scholarly journals The pharmacology of halogenated salicylanilides and their anthelmintic use in animals : review article

1999 ◽  
Vol 70 (2) ◽  
Author(s):  
G.E. Swan
Keyword(s):  
Mode Of Action ◽  
Animal Species ◽  
Review Article ◽  
Oestrus Ovis ◽  
Efficacy And Safety ◽  
Antiparasitic Activity ◽  
Wide Range ◽  
Internal Parasites ◽  
The World ◽  
Fasciola Spp

The halogenated salicylanilides are a large group of compounds developed mainly for their antiparasitic activity in animals. Several halogenated salicylanilides with potent antiparasitic activity have been synthesised of which only closantel, niclosamide, oxyclozanide, rafoxanide and resorantel are commercially available. Closantel and rafoxanide, which represent the most important drugs in the group, are used extensively for the control of Haemonchus spp. and Fasciola spp. infestations in sheep and cattle and Oestrus ovis in sheep in many parts of the world. Niclosamide is used extensively for its anticestodal activity in a wide range of animals. Antiparasitic activity of the halogenated salicylanilides has also been demonstrated against a large number of other internal parasites, in particular haematophagous helminths, and external parasites including ticks and mites, in a variety of animal species. Several cases of toxicity and mortality have been reported for closantel and rafoxanide in sheep and goats. Their unique pharmacokinetic behaviour appears to play an important role in the efficacy and safety of these compounds. The chemical and physical characteristics, mode of action, pharmacokinetics, antiparasitic activity and toxicity of the halogenated salicylanilides in animals are reviewed.

Treatment of varicose tributaries with sclerotherapy with polidocanol 0.5 % foam

VASA ◽  
2010 ◽  
Vol 39 (2) ◽  
pp. 169-174 ◽  
Author(s):  
Reich-Schupke ◽  
Weyer ◽  
Altmeyer ◽  
Stücker
Keyword(s):  
Scientific Evidence ◽  
Daily Practice ◽  
Severe Adverse Effect ◽  
Safe Procedure ◽  
Efficacy And Safety ◽  
Foam Sclerotherapy ◽  
History Of ◽  
One Year ◽  
Additional Therapy

Background: Although foam sclerotherapy of varicose tributaries is common in daily practice, scientific evidence for the optimal sclerosant-concentration and session-frequency is still low. This study aimed to increase the knowledge on foam sclerotherapy of varicose tributaries and to evaluate the efficacy and safety of foam sclerotherapy with 0.5 % polidocanol in tributaries with 3-6 mm in diameter. Patients and methods: Analysis of 110 legs in 76 patients. Injections were given every second or third day. A maximum of 1 injection / leg and a volume of 2ml / injection were administered per session. Controls were performed approximately 6 months and 12 months after the start of therapy. Results: 110 legs (CEAP C2-C4) were followed up for a period of 14.2 ± 4.2 months. Reflux was eliminated after 3.4 ± 2.7 injections per leg. Insufficient tributaries were detected in 23.2 % after 6.2 ± 0.9 months and in 48.2 % after 14.2 ± 4.2 months, respectively. Only 30.9 % (34 / 110) of the legs required additional therapy. In 6.4 % vein surgery was performed, in 24.5 % similar sclerotherapy was repeated. Significantly fewer sclerotherapy-sessions were required compared to the initial treatment (mean: 2.3 ± 1.4, p = 0.0054). During the whole study period thrombophlebitis (8.2 %), hyperpigmentation (14.5 %), induration in the treated region (9.1 %), pain in the treated leg (7.3 %) and migraine (0.9 %) occurred. One patient with a history of thrombosis developed thrombosis of a muscle vein (0.9 %). After one year there were just hyperpigmentation (8.2 %) and induration (1.8 %) left. No severe adverse effect occurred. Conclusions: Foam sclerotherapy with injections of 0.5 % polidocanol every 2nd or 3rd day, is a safe procedure for varicose tributaries. The evaluation of efficacy is difficult, as it can hardly be said whether the detected tributaries in the controls are recurrent veins or have recently developed in the follow-up period. The low number of retreated legs indicates a high efficacy and satisfaction of the patients.

Medical Diagnosis from a Clinician’s Point of View

1978 ◽  
Vol 17 (01) ◽  
pp. 28-35
Author(s):  
F. T. De Dombal
Keyword(s):  
Decision Making ◽  
Data Analysis ◽  
Computer Science ◽  
Medical Diagnosis ◽  
Information Science ◽  
Point Of View ◽  
Joint Research ◽  
The World

This paper discusses medical diagnosis from the clinicians point of view. The aim of the paper is to identify areas where computer science and information science may be of help to the practising clinician. Collection of data, analysis, and decision-making are discussed in turn. Finally, some specific recommendations are made for further joint research on the basis of experience around the world to date.

627-P: Efficacy and Safety of Allogeneic Platelet Rich Plasma in Treatment of Diabetic Patients with Lower Limb Ulcers: A Pilot Study

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 627-P
Author(s):  
WUQUAN DENG ◽  
MIN HE ◽  
BING CHEN ◽  
YU MA ◽  
DAVID ARMSTRONG ◽  
...  
Keyword(s):  
Pilot Study ◽  
Lower Limb ◽  
Platelet Rich Plasma ◽  
Diabetic Patients ◽  
Efficacy And Safety
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