scholarly journals Health Effects of Long-Term Exposure to Insecticide-Treated Mosquito Nets in the Control of Malaria in Endemic Regions, Revised

2006 ◽  
Vol 6 ◽  
pp. 1631-1641 ◽  
Author(s):  
Ebere C. Anyanwu ◽  
John E. Ehiri ◽  
Ijeoma Kanu ◽  
Joav Merrick

The endemicity of malaria in tropical areas of the world persists, especially in countries south of Saharan Africa. The efforts and concerns invested by the World Health Organization and other health agencies to eradicate malaria are commendable. However, in spite of all these efforts, the loss in economic and human resources continues. In a previous report, the long-term health effects of insecticide-impregnated bednet (IIBN) use were highlighted with the expectation of attracting serious thoughts and further research on the issue. This present paper is an update on that expectation. Results from a comprehensive literature search show that not much work has been done on the effects of long-term exposure to IIBNs in combating malarial infection. The efficacy of IIBNs is not in question. What is in question is whether long-term exposure to IIBNs have any health effects. The aims and outcomes of the research found in the literature on the subject to date seem to support only the efficacy of the temporal use of plain bednets, but not the use of IIBNs, and do not tell much about the long-term effects of IIBN exposure. All pesticides are toxic by nature and present risks of adverse effects. While there is agreement that IIBNs can be effective in reducing malarial morbidity and mortality under field trials, a number of factors relating to their long-term-exposure health effects have yet to be determined. Further reliable research projects are recommended urgently. However, some of the anticipated behavioral effects caused by insecticidal use will be avoided by the use of untreated nets instead.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yi-chang Chen ◽  
Keh-chung Lin ◽  
Chen-Jung Chen ◽  
Shu-Hui Yeh ◽  
Ay-Woan Pan ◽  
...  

Abstract Background Joint contractures, which affect activity, participation, and quality of life, are common complications of neurological conditions among elderly residents in long-term care facilities. This study examined the reliability and validity of the Chinese version of the PaArticular Scales in a population with joint contractures. Methods A cross-sectional study design was used. The sample included elderly residents older than 64 years with joint contractures in an important joint who had lived at one of 12 long-term care facilities in Taiwan for more than 6 months (N = 243). The Chinese version of the PaArticular Scales for joint contractures was generated from the English version through five stages: translation, review, back-translation, review by a panel of specialists, and a pretest. Test-retest reliability, internal consistency reliability, construct validity, and criterion validity were evaluated, and the results were compared with those for the World Health Organization Quality of Life scale and the World Health Organization Disability Assessment Schedule. Results The Chinese version of the PaArticular Scales had excellent reliability, with a Cronbach α coefficient of 0.975 (mean score, 28.98; standard deviation, 17.34). An exploratory factor analysis showed three factors and one factor with an eigenvalue > 1 that explained 75.176 and 62.83 % of the total variance in the Activity subscale and Participation subscale, respectively. The subscale-to-total scale correlation analysis showed Pearson correlation coefficients of 0.881 for the Activity subscale and 0.843 for the Participation subscale. Pearson’s product-moment correlation revealed that the correlation coefficient (r) between the Chinese version of the PaArticular Scales and the World Health Organization Disability Assessment Schedule was 0.770, whereas that for the World Health Organization Quality of Life scale was − 0.553; these values were interpreted as large coefficients. Conclusions The underlying theoretical model of the Chinese version of the PaArticular Scales functions well in Taiwan and has acceptable levels of reliability and validity. However, the Chinese version must be further tested for applicability and generalizability in future studies, preferably with a larger sample and in different clinical domains.


2020 ◽  
pp. 07-19
Author(s):  
Hiba Takieddine ◽  
Samaa AL Tabbah

Coronavirus disease 2019 (COVID-19) is a highly infectious disease that has rapidly swept across the world, inducing a considerable degree of fear, worry and concern in the population at large and among certain groups in particular, such as older adults, healthcare providers and people with underlying health conditions. Authorities around the world tried to prevent the virus spread by imposing social distancing measures, quarantining citizens and isolating infected persons. Apart from its physical impact, COVID-19 pandemic has brought numerous changes to people’s lives. It changed daily routines, caused worldwide economic crisis, increased unemployment, and placed people under emotional and financial pressures. It affected people psychologically and mentally especially in terms of emotions and cognition. During the acute crisis, everyone to varying degrees experienced fear of infection, somatic concerns, worries about the pandemic’s consequences, loneliness, depression, stress, as well as increased alcohol and drug use. As part of its public health response, the World Health Organization (WHO) has worked with partners to develop a set of new guidelines and messages that can be used to prevent, manage, and support mental and psychological well-being in different vulnerable target groups during the outbreak. Whether people like it or not, the psychological sequela of this pandemic will emerge and persist for months and years to come leading to long-term consequences. New lifestyles and “New Normals” will surely emerge. The main purpose of this review is to summarize the impact of coronavirus pandemic on the psychological and mental health of people around the world especially vulnerable groups. It also presents the relevant intervention actions and recommendations to cope efficiently and effectively with the psychological short-term and long-term outcomes, mental changes, and the “New Normal” during and after COVID-19. Keywords: COVID-19; Coronavirus, Psychological; Mental; New Normal


2021 ◽  
Vol 9 (40) ◽  
pp. 37-46
Author(s):  
Medha Ghose ◽  
Maehali Patel

On March 11, 2020, the World Health Organization (WHO) released a statement characterizing COVID-19 as a pandemic that has, as of October 2020, caused almost 36 million confirmed global cases and over 1 million deaths. One of the long-term complications suggested by researchers is fibrosis. It has been hypothesized that the combination of ongoing pulmonary injury caused by COVID-19 and the inability to promptly repair damage results in interstitial matrix widening and eventual compression and destruction of alveoli and capillaries. Here we focus on pathogenesis, risk factors, different infectious causes of fibrosis along with COVID-19, and potential treatment options that might reduce its effects. Key words: COVID-19, pulmonary fibrosis, mechanism, treatment


2013 ◽  
Vol 5 (1) ◽  
pp. 89-95
Author(s):  
Aída M. Reséndiz Barragán ◽  
Mariana A. Sierra Murguía

Obesity has been declared by the World Health Organization (WHO) as an epidemic, due to a growth trend in obesity rates over the past 60 years and it is estimated that by 2015 there will be approximately 2.3 billion overweighed adults and 700 million obese adults worldwide. Bariatric surgery has shown to be the most effective intervention for the treatment of severe obesity with better long-term results. While most post-operative patients of bariatric surgery show improvement in psychopathology and quality of life, psychological recurrences have been identified thereafter. It has been reported that for people who have not been able to implement changes in their lifestyle, the result of the operation may not be optimal and may even be counterproductive with undesirable outcomes, such as recovery of lost weight, malnutrition, depression and anxiety, as well as using food as a soothing agent to stressful stimuli, present failures in following the diet, as well as dissatisfaction with the staff of the clinic In recent years the number of bariatric surgeries performed annually has tripled showing a tendency to continue increasing, psychosocial and behavioral factors play a fundamental role in the long- term effects of the surgery; for this reason, the objective of this study is to describe the main psychological recurrences after bariatric surgery as well as a proposal for post-surgical cognitive behavioral group psychological support. Key words: bariatric surgery, obesity, post bariatric surgery, psychological intervention.


Pathogens ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. 1497
Author(s):  
Owen P. Leiser ◽  
Errett C. Hobbs ◽  
Amy C. Sims ◽  
George W. Korch ◽  
Karen L. Taylor

As of 2021, the biothreat policy and research communities organize their efforts around lists of priority agents, which elides consideration of novel pathogens and biotoxins. For example, the Select Agents and Toxins list is composed of agents that historic biological warfare programs had weaponized or that have previously caused great harm during natural outbreaks. Similarly, lists of priority agents promulgated by the World Health Organization and the National Institute of Allergy and Infectious Diseases are composed of previously known pathogens and biotoxins. To fill this gap, we argue that the research/scientific and biodefense/biosecurity communities should categorize agents based on how they impact their hosts to augment current list-based paradigms. Specifically, we propose integrating the results of multi-omics studies to identify bioagent-agnostic signatures (BASs) of disease—namely, patterns of biomarkers that accurately and reproducibly predict the impacts of infection or intoxication without prior knowledge of the causative agent. Here, we highlight three pathways that investigators might exploit as sources of signals to construct BASs and their applicability to this framework. The research community will need to forge robust interdisciplinary teams to surmount substantial experimental, technical, and data analytic challenges that stand in the way of our long-term vision. However, if successful, our functionality-based BAS model could present a means to more effectively surveil for and treat known and novel agents alike.


Impact ◽  
2020 ◽  
Vol 2020 (3) ◽  
pp. 70-72 ◽  
Author(s):  
Masaharu Hoshi

Harnessing atomic particles and radiation led to powerful and world changing technologies. The field of medical imaging has saved countless lives and continues to push the boundaries of medical interventions and research, which would have been impossible without the first x-ray machines. Unfortunately, not all inventions have been so altruistic. The advent of nuclear weapons showed the world the destructive potential possible via scientific inquiry. While the dangerous effects of radiation exposure were documented from the inception of this technology, catastrophic events like the bombing of Hiroshima and Nagasaki and nuclear disasters at Chernobyl Semipalatinsk or Fukushima provide a real-time glimpse into the long-term effects of exposure. Investigating the causes of this exposure in order to prevent future accidents is essential, but so too is cataloguing the rates and types of exposure among the victims. With this information correlations between exposure and health effects, both short- and long-term can be interrogated. This data is crucial for the understanding of the mechanisms behind radiations effects on living creatures and in assessing risks, safety protocols and treatment. Dr Masaharu Hoshi, Professor Emeritus at the Hiroshima University, has spent most of his career travelling around the world, visiting the sites of nuclear disasters in an effort to fully comprehend the risks. He is now using case studies to investigate the radiation exposure and health effects of the residents of radioactive microparticles.


2014 ◽  
Vol 24 (Supp 3) ◽  
pp. S30-S34 ◽  
Author(s):  
Nicholas Simon Reed ◽  
Patricia Pautier ◽  
Elizabeth Åvall-Lundqvist ◽  
Chel-Hun Choi ◽  
Andreas du Bois ◽  
...  

AbstractSmall cell carcinomas of the ovary are uncommon and account for less than 1% of ovarian cancers. They were first recognized in 1979, and a number of reports appeared during the next 2 decades. They are highly aggressive tumors and usually carry a poor prognosis, although this may reflect that most are diagnosed at advanced stage; however, those diagnosed as stage 1A have only 30% to 40% of long-term survivors. More reports followed extending our experience in the diagnosis and management of these rare cancers. The classification is described below and shown in Table 1, but a revision is expected to be published from the World Health Organization in 2014.


Author(s):  
Valeria Saladino ◽  
Stefano Eleuteri ◽  
Elisa Zamparelli ◽  
Monica Petrilli ◽  
Valeria Verrastro

Children and adolescents are too often victims of sexual abuse and harassment. According to the World Health Organization (WHO), approximately 150 million girls and 73 million children <18 have been victims of violence and sexual exploitation during their childhood. Data show that females are more likely to be a victim of abuse and violence than males (20% vs. 5–10%). Such abuses lead to long-term psychophysical and relational consequences and victims are often afraid of asking for support from both parents and professionals. This case report shows the story of a 17-year-old adolescent, Sara, involved by her mother in a strategic counseling process, to solve BDSM-type sexual addiction (slavery and discipline, domination and submission, sadism and masochism), self-aggressive behavior, and alcohol abuse issues. The strategic counseling process is structured in 15 sessions and was based on problem-solving techniques and corrective behavioral strategies. During the sessions, it emerged that Sara had been a victim of sexual violence at the age of 6 and that she had never talked about the rape with anyone. At the age of 12, she began to experience social anxiety and shame, feelings that led her to use alcohol and seek violent sexual partners and bondage relationships. During the counseling sessions, Sara elaborated on her trauma, becoming more aware of her resources and her desires, and she learned to manage the sense of guilt and shame associated with the violence suffered, through alternative strategies. At the end of the process, Sara normalized her relationship with sex and alcohol, regaining her identity.


Sign in / Sign up

Export Citation Format

Share Document