Incidence of multiple sclerosis and prevalence of its risk factors in Russian Federation

Aim. To study the incidence and prevalence of multiple sclerosis risk factors in Russian Federation from 2009 to 2019.Materials and Methods. We used official records of Ministry of Health of Russian Federation and conducted a survey of 50 patients with multiple sclerosis (16 men and 34 women) admitted to the Sechenov University Clinic of Neurological Disorders to determine subjective risk factors.Results. Current incidence of multiple sclerosis in Russian Federation is 3.8 per 100,000 population, with a steady increase from 2009 to 2019. The highest and the lowest incidence values were registered in the Central Federal District (4.5 per 100,000 population) and Far Eastern Federal District (2.0 per 100,000 population). The most common subjective risk factors were female gender, past medical history of viral diseases, chronic bacterial infections, and emotional stress.Conclusion. Incidence of multiple sclerosis in Russian Federation is currently rising that highlights the need in the improved therapeutic protocols.

Among sheeples and antivaxxers: Social media responses to COVID-19 vaccine news posted by Canadian news organizations, and recommendations to counter vaccine hesitancy

Background: To create a successful public health initiative that counters vaccine hesitancy and promotes vaccine acceptance, it is essential to gain a strong understanding of the beliefs, attitudes and subjective risk perceptions of the population. Methods: A qualitative analysis of coronavirus disease 2019 (COVID-19) vaccine discourse from 3,731 social media posts on the Twitter and Facebook accounts of six Canadian news organizations was used to identify the perceptions, attitudes, beliefs and intentions of Canadian news organizations’ social media commenters toward taking a COVID-19 vaccine. Results: Four main themes were identified: 1) COVID-19 vaccine safety and efficacy concerns; 2) conspiracy theories stemming from mistrust in government and other organizations; 3) a COVID-19 vaccine is unnecessary because the virus is not dangerous; and 4) trust in COVID-19 vaccines as a safe solution. Based on themes and subthemes, several key communication recommendations were developed for promotion of COVID-19 vaccine acceptance, including infographics championed by Public Health that highlight the benefits of the vaccine for those who have received it, public education about the contents and safety of the vaccine and eliciting an emotional connection through personal stories of those impacted by COVID-19. Conclusion: Specific considerations, such as leveraging the public’s trust in healthcare professionals to act as a liaison between Public Health and the Canadian public to communicate the benefits of the vaccine against COVID-19 and its variants, may help reduce COVID-19 vaccine hesitancy.

Risk Assessment by a Passenger of an Autonomous Vehicle Among Pedestrians: Relationship Between Subjective and Physiological Measures

Autonomous navigation becomes complex when it is performed in an environment that lacks road signs and includes a variety of users, including vulnerable pedestrians. This article deals with the perception of collision risk from the viewpoint of a passenger sitting in the driver's seat who has delegated the total control of their vehicle to an autonomous system. The proposed study is based on an experiment that used a fixed-base driving simulator. The study was conducted using a group of 20 volunteer participants. Scenarios were developed to simulate avoidance manoeuvres that involved pedestrians walking at 4.5 kph and an autonomous vehicle that was otherwise driving in a straight line at 30 kph. The main objective was to compare two systems of risk perception: These included subjective risk assessments obtained with an analogue handset provided to the participants and electrodermal activity (EDA) that was measured using skin conductance sensors. The relationship between these two types of measures, which possibly relates to the two systems of risk perception, is not unequivocally described in the literature. This experiment addresses this relationship by manipulating two factors: The time-to-collision (TTC) at the initiation of a pedestrian avoidance manoeuvre and the lateral offset left between a vehicle and a pedestrian. These manipulations of vehicle dynamics made it possible to simulate different safety margins regarding pedestrians during avoidance manoeuvres. The conditional dependencies between the two systems and the manipulated factors were studied using hybrid Bayesian networks. This relationship was inferred by selecting the best Bayesian network structure based on the Bayesian information criterion. The results demonstrate that the reduction of safety margins increases risk perception according to both types of indicators. However, the increase in subjective risk is more pronounced than the physiological response. While the indicators cannot be considered redundant, data modeling suggests that the two risk perception systems are not independent.

Risk Intelligence as a Resource in Career Transition: The Role of College Satisfaction on the Visions about Future Jobs

(1) Background: University transition is a critical step in career construction due to the uncertainty and unpredictability of socioeconomic conditions; these conditions compel people to manage a greater quantity of perceived risks associated with their career projects than in the past, and to face unexpected situations that could compromise their quality of life in educational and work contexts. After all, experiencing well-being during the university path can undoubtedly affect the visions of one’s future work, especially when a transition period is nearby. The present study aimed to explore the role of subjective risk intelligence in expectations about future work, analyzing the potential mediational role of academic satisfaction in this relationship. (2) Methods: A longitudinal study was carried out on 352 Italian university students at the end of the degree course. We used the following measures: in T1, Subjective risk intelligence scale, College Satisfaction scale; in T2, three items assessing the expectations about future work. (3) Results: The main findings showed that subjective risk intelligence has both direct and indirect effects (through the mediation of college satisfaction) on the expectations about future work. (4) Conclusions: The ability to manage risks, also through the contribution of domain-specific satisfaction, can lead to positive expectations toward one’s future work. This could increase the likelihood to perform career-related behaviors in a more proactive way if people have high risk management skills and high levels of academic satisfaction with their university path during transition.

Personal Values in Relation to Risk Intelligence: Evidence from a Multi-Mediation Model

In a risk society, personal values can be important resources, useful for managing uncertainty and guiding people in the perception of risk. The goal of this article is to explore the relationship between risk intelligence and personal values. The participants were 731 Italian adults aged between 18 and 65 years (M = 30.25; DS = 10.71). The survey was composed of the following measures: Subjective Risk Intelligence Scale and Portrait Values Questionnaire. Data analyses have found significant relationships between some types of personal values and risk intelligence: subjective risk intelligence is negatively related to conservation and positively related to openness to change and self-transcendence, but it was not related to self-enhancement. Furthermore, values of openness to change and self-transcendence mediate the relationship between age and subjective risk intelligence, while conservation values and self-enhancement values did not mediate the same relationship. Implication for practice and future research will be discussed.

A Bibliometric Analysis of Objective and Subjective Risk

In relation to “objective risk” or “subjective risk”, a bibliometric analysis was performed using documents found in the Scopus database. A search for related documents was narrowed down to 192 documents and these were considered in this study. The results of this study suggest that the use of the ranking method and descriptive statistics is not sufficient in presenting a concise bibliometric analysis. To create a more in-depth bibliometric analysis, the results of this study have to be analyzed together with a visualization map using VOSviewer software. This way, researchers can easily locate a specific gap in the literature, understand the relation between the papers on the same subject, and cite the literature studies based on their effectiveness.

Educating Pharmacists on the Risks of Strong Opioids With Descriptive and Simulated Experience Risk Formats: A Randomized Controlled Trial

Objectives. High opioid prescription rates in the United States and Europe suggest miscalibrated risk perceptions among those who prescribe, dispense, and take opioids. Findings from cognitive decision science suggest that risk perceptions and behaviors can differ depending on whether people learn about risks by experience or description. This study investigated effects of a descriptive versus an experience-based risk education format on pharmacists’ risk perceptions and counseling behavior in the long-term administration of strong opioids to patients with chronic noncancer pain. Methods. In an exploratory, randomized controlled online trial, 300 German pharmacists were randomly assigned to either a descriptive format (fact box) or a simulated experience format (interactive simulation). Primary Outcome Measures. 1) Objective risk perception, 2) subjective risk perception, and 3) intended and 4) actual counseling behavior. Results. Both risk formats significantly improved pharmacists’ objective risk perception, but pharmacists exposed to the fact box estimated the benefit-harm ratio more accurately than those exposed to the simulation. Both formats proved equally effective in adjusting pharmacists’ subjective risk perception toward a better recognition of opioids’ harms; however, pharmacists receiving the simulation showed a greater change in their actual counseling behavior and higher consistency between their intended and actual counseling than pharmacists receiving the fact box. Conclusion. The simulated experience format was less effective than the descriptive format in improving pharmacists’ objective risk perception, equally effective in motivating pharmacists to counsel patients on less risky treatment alternatives and more effective in changing the reported actual counseling behavior. Implications. These exploratory findings provide important insights into the relevance of the description-experience gap for drug safety and raise questions for future research regarding the specific mechanisms at work.