scholarly journals Educating society about the unseen, but not unknown, risk factors for severe COVID-19: a step towards overcoming vaccine hesitancy through a more informed public

Author(s):  
Kristian M. Hargadon
Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 407 ◽  
Author(s):  
Rudiger Pittrof ◽  
Elizabeth Goodburn

The effectiveness of sexual behaviour change interventions in sexual health clinics is unknown. Risk factors for poor sexual and reproductive health such as depression, violence, alcohol and smoking in sexual health clinics are all common and can be identified easily in sexual health services. Targeting these risk factors could be as effective as traditional sexual health promotion and could have additional benefits. The authors propose a pilot to assess the cost-effectiveness and acceptability of incorporating screening and interventions for these risk factors.


2013 ◽  
Vol 4 (6) ◽  
pp. 430
Author(s):  
Nita A Tanna ◽  
Rakesh Siyaram Srivastava ◽  
Vilpa Arvindbhai Tanna ◽  
Hetal Vithalbhai Vaishnani

2015 ◽  
Vol 75 (6) ◽  
pp. 1016-1023 ◽  
Author(s):  
Anna Moltó ◽  
Adrien Etcheto ◽  
Désirée van der Heijde ◽  
Robert Landewé ◽  
Filip van den Bosch ◽  
...  

BackgroundIncreased risk of some comorbidities has been reported in spondyloarthritis (SpA). Recommendations for detection/management of some of these comorbidities have been proposed, and it is known that a gap exists between these and their implementation in practice.ObjectiveTo evaluate (1) the prevalence of comorbidities and risk factors in different countries worldwide, (2) the gap between available recommendations and daily practice for management of these comorbidities and (3) the prevalence of previously unknown risk factors detected as a result of the present initiative.MethodsCross-sectional international study with 22 participating countries (from four continents), including 3984 patients with SpA according to the rheumatologist.Statistical analysisThe prevalence of comorbidities (cardiovascular, infection, cancer, osteoporosis and gastrointestinal) and risk factors; percentage of patients optimally monitored for comorbidities according to available recommendations and percentage of patients for whom a risk factor was detected due to this study.ResultsThe most frequent comorbidities were osteoporosis (13%) and gastroduodenal ulcer (11%). The most frequent risk factors were hypertension (34%), smoking (29%) and hypercholesterolaemia (27%). Substantial intercountry variability was observed for screening of comorbidities (eg, for LDL cholesterol measurement: from 8% (Taiwan) to 98% (Germany)). Systematic evaluation (eg, blood pressure (BP), cholesterol) during this study unveiled previously unknown risk factors (eg, elevated BP (14%)), emphasising the suboptimal monitoring of comorbidities.ConclusionsA high prevalence of comorbidities in SpA has been shown. Rigorous application of systematic evaluation of comorbidities may permit earlier detection, which may ultimately result in an improved outcome of patients with SpA.


Author(s):  
Arzu Abiç ◽  
Duygu Vefikuluçay Yılmaz

There are many known and unknown risk factors affecting fertility. Nowadays although infertility risk factors have been revealed with the researches carried out today, studies are still going on for many factors brought about by modern life. Nurses should be aware of risk factors that negatively affect fertility in order to prevent deterioration of fertility abilities of individuals. Infertility nurses should assess life-style behaviors in detail while taking anamnesis from couples who have fertility problems or apply for long-term and financially expensive treatment methods such as assisted reproductive techniques. In addition, nurses should do counseling to couples on lifestyles that have an impact on the fertility of individuals and follow the current literature on the subject. Especially risky lifestyle behaviors should be improved if there is no time problem for the couple. Otherwise, treatment strategies should be developed to change these behaviors and individual care plans should be provided to individuals about healthy lifestyle behaviors. In addition, nurses should train couples for risk factors. In this context, the risk factors causing the infertility and nursing roles will be discussed in our review. Key words: Ä°nfertilty, Risk Factors, Nursing, Role


2021 ◽  
Vol 4 (2) ◽  
pp. 70-71
Author(s):  
Digjeet Kaur ◽  
Mahak Gera

The most victorious intervention in field of Public Health is immunization. It prevents 2-3 million deaths every year from diseases like diphtheria, tetanus, pertussis, influenza, measles and currently to overcome the novel corona virus infection an effective vaccine is the most anticipated resolution. Despite the advancements and innovations in clinical research and healthcare, vaccine hesitancy is a threat globally. Social media has provided unmatched capacity for people to communicate but has also been a major tool for rapid spread of misconceptions and disingenuous information damaging to public health. This article aims to give an overview of vaccine hesitancy of various infectious diseases, people’s perception towards it, how social media has facilitated this movement and how to eliminate the misconception.


2022 ◽  
Author(s):  
Harsh Goel ◽  
Kashyap Shah ◽  
Janish Kothari ◽  
Timothy Daly ◽  
Pooja Saraiya ◽  
...  

Abstract Background: COVID-19 has caused an unprecedented global pandemic, with cardiovascular risk factors predicting outcomes. We investigated whether baseline trans-thoracic echocardiography could refine risk beyond clinical risk factors. Methods: Symptomatic COVID-19 positive (RT-PCR) adults across St Luke’s University Health Network between March 1st-October 31st 2021, with trans-thoracic echocardiography (TTE) within 15-180 days preceding COVID-19 positivity were selected. Demographic/clinical/echocardiographic variables were extracted from patients’ EHR and compared between groups stratified by disease severity. Logistic regression was used to identify independent predictors of hospitalization. Results: 192 patients were included. 87 (45.3%) required hospitalization, 34 (17.7%) suffered severe disease (need for ICU care/mechanical ventilation/in-hospital death). Age, co-morbidities, and several echocardiographic abnormalities were more prevalent in moderate-severe versus mild disease. On multivariate analysis, age (OR 1.039, 95% CI 1.011-1.067), coronary artery disease (OR 4.184, 95% CI 1.451-12.063), COPD (OR 6.886, 95% CI 1.396-33.959) and left atrial (LA) diameter ≥4.0cm (OR 2.379, 95% CI 1.031-5.493) predicted need for hospitalization. Model showed excellent discrimination (ROC AUC 0.809, 95% CI 0.746-0.873). Conclusion: Baseline LA enlargement independently predicts risk of hospitalization in COVID-19. When available, baseline LA enlargement could identify patients for 1) closer outpatient follow-up, and 2) counseling vaccine-hesitancy.


2021 ◽  
Author(s):  
David Meyer ◽  
John Nix ◽  
Lynn Helding ◽  
Allen Henderson ◽  
Tom Carroll ◽  
...  

The effectiveness of the two-dose COVID-19 vaccines has made reentry to in-person teaching, learning, and performing possible, despite singers’ special vulnerabilities to SARS-CoV-2 due to the virus’ airborne transmission route and the high-aerosol generating nature of singing. A number of factors may complicate a return to pre-pandemic conditions. This article provides resources to help teachers, singers, and collaborative pianists safely and ethically navigate a return to in-person singing by considering the following: effectiveness of vaccination and mask use; an update on aerosol risk; environmental risk factors and mitigation; the intersection of the privacy laws FERPA and HIPAA and vaccine hesitancy, and the psychological risks of reentry following the pandemic.


2019 ◽  
Vol 104 (10) ◽  
pp. 989-993 ◽  
Author(s):  
Emma Matthews ◽  
Peter Blair ◽  
Sanjay Sisodiya ◽  
Stuart Jones ◽  
Neil Sebire ◽  
...  

The sudden and unexpected death of an infant or child is devastating. An inability to explain why an infant or child died is difficult to accept for both families and professionals. No reliable national dataset exists to estimate precisely how many infants and children die unexpectedly each year in England. This lack of accurate epidemiological data belies the scale of this public health problem. Detailed controlled observational studies of infant deaths identifying risk factors and providing evidence-based advice for parents has seen a dramatic reduction in incidence over the last 30 years by almost 80% but greater knowledge is needed if future deaths of infants and older children are to be prevented and families optimally supported. We propose that a national registry of sudden unexpected deaths in infancy and childhood would accurately determine incidence, identify unknown risk factors and highlight good care practices, ensuring these can be standardised nationally. For such a project to be successful, however, parents must be at the heart of it. We held a consultation day between families, professionals and supporting charities (The Lullaby Trust, Child Bereavement UK, SUDC UK and CRY) to seek opinion on the desire for a registry and how best to ensure families are engaged. Here, we summarise our rationale for a registry and the feedback we received from attendees regarding their views of the proposal and the practical aspects of administering it.


1975 ◽  
Vol 5 (2) ◽  
pp. 137-142
Author(s):  
Ruth M. Walsh

Managerial decision making frequently takes place under less than optimal conditions. “Fish or Cut Bait …” reflects an actual decision-making situation in Subsidiary X of Corporation Y. The department heads responsible for implementing, or rejecting, a newly developed process were inhibited by unknown risk factors and had difficulty qualitatively organizing known data. With the benefit of both hindsight and detachment, the author suggests what decision should have been made on the basis of all then-known data.


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