Delivery of a multi-focus public health intervention in the paediatric emergency department: a feasibility and acceptability pilot study

ObjectiveThe objective was to see if it was feasible and acceptable to deliver a brief public health intervention as part of an attendance at the paediatric emergency department (PED).DesignA feasibility and acceptability pilot design was used as there is no previous work done in this clinical area, population or using this approach in children and young people (CYP). Quantitative and qualitative data were collected. Follow-up was at 1 week and 1, 3 and 6 months.SettingThis pilot took place in a single PED in Greater Manchester, England.ParticipantsParticipants were CYP (under 16 years old) and their parents/carers, attending the PED during a 2-week recruitment period in September 2019.InterventionsThe intervention was a brief conversation with a Consultant in Paediatric Public Health Medicine, using Screening, Brief Intervention and Referral to Treatment. The intervention focused on vaccination, dental health, household smoking and frequent attendance.Primary and secondary outcome measuresThe primary outcome measure was information to support the effective development of a larger-scale study. Secondary outcomes were measures of health, again intended to provide additional information prior to a larger study.ResultsThirty CYP were recruited from 29 households. Sixty per cent of CYP triggered at least one screening question, most commonly household smoking and dental health. It was not possible to accurately assess frequent attendance and 97% of parents/carers stated that they thought their child or young person was fully vaccinated for their age, which is likely to be an over-estimate.ConclusionsIt is feasible to deliver a brief public health intervention in the PED and such an approach is acceptable to a variety of stakeholders including CYP, parents/carers and nursing staff. The pilot revealed issues around data quality and access. Future work will focus on vaccination and dental health.

Narra J Co-Editor-in-Chief is awarded as Highly Cited Researcher (HCR) 2021

We acknowledge and congratulate Narra J Co-Editor-in-Chief, Dr. Kuldeep Dhama, as Highly Cited Researcher (HCR) 2021 by Clarivate. Dr. Kuldeep Dhama, is a Principal Scientist at ICAR-Indian Veterinary Research Institute in Izatnagar, India. He is a NAAS (National Academy of Agricultural Science, India) Associate, Fellow-Royal Society of Medicine (FRSM), UK, and has worked as Nodal Officer, WTO, and a member of Wildlife Health Specialist Group (IUCN). His research and teaching experience cover microbiology, immunology, virology, public health, medicine, and biomedicine. He is actively serving as Editor-in-Chief, Co-Editor-in-Chief, Editor, Associate Editor, Guest Editor and Member of Editorial Board for more than 15 scientific journals. Dr. Kuldeep Dhama role as Co-Editor-in-Chief of Narra J will enhance the quality of the Narra J one of the reputable journals in the near future. In his 27 years of research experience, he has published not only a great quantity of research (over 578 research publications indexed in Scopus with h-index of 50), but has published in highly respected journals such as Nature. Congratulations on an impactful career!

Vaccinations and Autoimmune Diseases

Vaccines represent one of the most effective measures of public health medicine, saving countless lives and preventing lifelong disabilities. Vaccines are extremely safe, however, no vaccine is completely free from risks and adverse events can occur following vaccination. An adverse event following immunization (AEFI) may be a true adverse reaction caused by the vaccine or an event that temporally occurred after immunization but is not caused by it. Among the adverse reactions to vaccines, one of the most feared is the triggering of autoimmune diseases, which are a heterogeneous group of disorders characterized by dysregulation of the immune system. Currently, no mechanisms have been demonstrated that could explain the correlation between vaccination and the development of autoimmune diseases. Furthermore, epidemiological studies do not support the hypothesis that vaccines cause systemic autoimmune diseases. The only confirmed associations, although very rare, are those between the flu vaccine and Guillain-Barré syndrome, especially with old vaccine preparations, and measles-mumps-rubella (MMR) vaccine and thrombocytopenia. Due to the SARS-CoV2 pandemic, new types of vaccines have been developed and are now available. Close vaccine safety-surveillance is currently underway for these new vaccines.

Corona Health—A Study- and Sensor-Based Mobile App Platform Exploring Aspects of the COVID-19 Pandemic

Physical and mental well-being during the COVID-19 pandemic is typically assessed via surveys, which might make it difficult to conduct longitudinal studies and might lead to data suffering from recall bias. Ecological momentary assessment (EMA) driven smartphone apps can help alleviate such issues, allowing for in situ recordings. Implementing such an app is not trivial, necessitates strict regulatory and legal requirements, and requires short development cycles to appropriately react to abrupt changes in the pandemic. Based on an existing app framework, we developed Corona Health, an app that serves as a platform for deploying questionnaire-based studies in combination with recordings of mobile sensors. In this paper, we present the technical details of Corona Health and provide first insights into the collected data. Through collaborative efforts from experts from public health, medicine, psychology, and computer science, we released Corona Health publicly on Google Play and the Apple App Store (in July 2020) in eight languages and attracted 7290 installations so far. Currently, five studies related to physical and mental well-being are deployed and 17,241 questionnaires have been filled out. Corona Health proves to be a viable tool for conducting research related to the COVID-19 pandemic and can serve as a blueprint for future EMA-based studies. The data we collected will substantially improve our knowledge on mental and physical health states, traits and trajectories as well as its risk and protective factors over the course of the COVID-19 pandemic and its diverse prevention measures.

Bacterial Biofilm Inhibition: A Focused Review on Recent Therapeutic Strategies for Combating the Biofilm Mediated Infections

Biofilm formation is a major concern in various sectors and cause severe problems to public health, medicine, and industry. Bacterial biofilm formation is a major persistent threat, as it increases morbidity and mortality, thereby imposing heavy economic pressure on the healthcare sector. Bacterial biofilms also strengthen biofouling, affecting shipping functions, and the offshore industries in their natural environment. Besides, they accomplish harsh roles in the corrosion of pipelines in industries. At biofilm state, bacterial pathogens are significantly resistant to external attack like antibiotics, chemicals, disinfectants, etc. Within a cell, they are insensitive to drugs and host immune responses. The development of intact biofilms is very critical for the spreading and persistence of bacterial infections in the host. Further, bacteria form biofilms on every probable substratum, and their infections have been found in plants, livestock, and humans. The advent of novel strategies for treating and preventing biofilm formation has gained a great deal of attention. To prevent the development of resistant mutants, a feasible technique that may target adhesive properties without affecting the bacterial vitality is needed. This stimulated research is a rapidly growing field for applicable control measures to prevent biofilm formation. Therefore, this review discusses the current understanding of antibiotic resistance mechanisms in bacterial biofilm and intensely emphasized the novel therapeutic strategies for combating biofilm mediated infections. The forthcoming experimental studies will focus on these recent therapeutic strategies that may lead to the development of effective biofilm inhibitors than conventional treatments.

Exhibitions of Impact: Introducing the Special Issue

The Exhibitions of Impact (EOI) special issue of American Behavioral Scientist consists of six articles from authors in communication studies and rhetoric, public health, medicine and bioethics, memory studies, and art therapy. Each article profiles some exhibition or memorial related to a pressing social issue, including gun violence, racist terrorism, domestic violence, religious fundamentalism, corporations selling harmful products, and how society treats those regarded as cognitively and behaviorally different. First, examples from today’s headlines show a global outcry over racist monuments and artifacts, and a global pandemic, which casts doubt on the future of exhibitions. Historical examples and explanatory concepts are introduced, with a focus on public exhibitions which issue suggestions or commands, brazenly or in more indirect ways. A look at medical and health exhibits makes explicit how exhibitions try to get us to do something while being informative. While summaries of each article show the topics are diverse, racism and health inequities emerge as underlying themes. After considering performative exhibits, there is a call for a bioethically informed exhibition studies, capable of navigating the wide variety of exhibits out there, and able to express allyship while troubleshooting urgent problems.

Developing & Testing Curricula for Teaching Evolutionary Concepts at the Elementary School Level

Evolution by natural selection is key to understanding life and of considerable practical importance in public health, medicine, biotechnology, and agriculture. The Next Generation Science Standards (NGSS) include natural selection among several evolutionary concepts that all third-graders should know. This article explores a novel approach to developing and testing curricula for teaching natural selection and related concepts to children. College students developed lesson plans with specific evolutionary learning objectives based on the NGSS and taught them at elementary schools. Learning was assessed with a pre/post-test design, and a subset of students was retested after two years. After just two hours of instruction and active-learning activities, students of all three grade levels tested (grades 3–5) demonstrated substantial improvement in their understanding of evolutionary concepts. Students who were retested in grade 5 scored higher than fifth-graders who had not participated previously. The most challenging concepts for all grade levels were common ancestry and natural selection, but fifth-graders showed more improvement than third- and fourth-graders. If this finding is substantiated by further research, an adjustment to the NGSS schedule might be warranted. Spacing evolutionary biology concepts out might be a better strategy than concentrating them all in grade 3.