Why are some health care workers not getting Covid vaccine?
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34 Citations | Therefore, due to lack of specific vaccine, some vaccines for tuberculosis, influenza and pneumonia may have certain application potential for the front-line health workers in the prevention and control of COVID-19. |
108 Citations | Vaccination of health care workers (HCW) in long-term care results in indirect protection of patients who are at high-risk for influenza. |
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Is cbt effective for the treatment of schizophrenia?
4 answers
Cognitive-behavioral therapy (CBT) has shown effectiveness in treating schizophrenia. Studies have highlighted its positive impact on emotion self-regulation in patients with schizophrenia, leading to significant improvements. CBT helps patients gain a better understanding and reduce the intensity of positive symptoms, making it a valuable non-pharmacologic therapy for schizophrenia. Group CBTp, a form of CBT targeting psychotic symptoms, has demonstrated advantages over standard care in improving overall mental state and global functioning in individuals with schizophrenia. Additionally, a case study illustrated the successful management of schizophrenia symptoms through brief CBT sessions. Overall, the evidence supports the efficacy of CBT, both individual and group sessions, as an effective adjunct to medication in treating schizophrenia.What is the difference in the effectiveness of CBT in treating schizophrenia compared to receiving other treatment?5 answers
Cognitive-behavioral therapy (CBT) has shown effectiveness in treating schizophrenia by improving emotion regulation and reducing symptoms. Studies suggest that CBT can help patients understand their symptoms better, reduce the intensity of positive symptoms, and target persistent symptoms of psychosis. However, while CBT combined with medication like risperidone has been effective in alleviating cognitive disorders and clinical symptoms of schizophrenia, it may not lead to clinically significant improvements in the long term. Group CBTp, a group intervention targeting psychotic symptoms, has shown some advantages over standard care or other psychosocial interventions in improving overall mental state and global functioning. Overall, CBT appears to be a beneficial adjunct to traditional treatments for schizophrenia, but more high-quality research is needed to draw firm conclusions on its efficacy compared to other treatments.What are the benefits of social skills training for schizophrenia?5 answers
Social skills training for schizophrenia offers various benefits such as improved social cognition, emotional regulation, and negative symptom management. Studies have shown that patients with schizophrenia who undergo social skills training exhibit enhanced impulse control, behavioral flexibility, and life goal formation. Additionally, these training programs lead to a better perception of time, increased satisfaction with life, and improved emotional well-being. Furthermore, social skills training has been linked to a reduction in negative symptoms and an enhancement in social skills domains, ultimately resulting in improved social functioning and decreased severity of negative symptoms. Overall, social skills training plays a crucial role in helping individuals with schizophrenia adapt to their environment, develop better social interactions, and manage their symptoms effectively.Organisations recovery activities to address the educational challenges in flood affected areas in Bangladesh?5 answers
Organizations play a crucial role in addressing educational challenges in flood-affected areas of Bangladesh. Non-governmental organizations (NGOs) have been instrumental in improving living conditions, quality of life, and education in post-flood rehabilitation efforts. In Haor regions, vulnerable socio-economic conditions exacerbate educational challenges during flash floods, leading to dropouts and loss of academic years. NGOs and government organizations provide essential support, including healthcare services, to mitigate health-related issues in flood-prone char areas. Waterlogging in peri-urban areas of Dhaka disrupts academic activities, causing damage to students' belongings and health. Comprehensive School Safety (CSS) measures, proper drainage systems, and elevated infrastructure are recommended to ensure educational continuity in flood-affected regions. These combined efforts aim to address the multifaceted educational challenges faced by communities in flood-prone areas of Bangladesh.What is the current concept radiation for soft tissue sarcoma?10 answers
The current concept of radiation therapy (RT) for soft tissue sarcoma (STS) encompasses a multifaceted approach tailored to enhance treatment efficacy while minimizing adverse effects. RT plays a crucial role in the management of STS, serving as a standard treatment for locally advanced or high-grade tumors, with modern techniques extending its potential applications. The integration of RT in the treatment regimen, whether as perioperative therapy to increase local control in resectable STS with high-risk features or as a primary treatment in non-resectable tumors, reflects its significance.
Advancements in RT, including intensity-modulated, image-guided, or stereotactic body RT, as well as specialized applications like intraoperative RT, brachytherapy, or particle therapy, have broadened the therapeutic window. These innovations allow for either dose escalation to improve efficacy or reduction of side effects to enhance functional outcomes. Specifically, in extremity STS, RT generally increases local control compared to wide excision alone, with the magnitude of benefit depending on the individual risk profile.
The choice between neoadjuvant and postoperative radiation is influenced by considerations of toxicity and functional outcome, with neoadjuvant treatment associated with less late toxicity but increased wound complications. The application of RT varies according to the localization of the sarcoma, with specific guidelines for extremities, trunk, head and neck, and gynecological sites.
Furthermore, the microscopic status of surgical margins remains a benchmark for defining the quality of local treatment in extremity and trunk wall STS, with adjuvant RT indicated in cases at significant risk of recurrence. The evolution towards a multimodal approach, particularly the preference for neoadjuvant strategies when close margins to critical structures are anticipated, underscores the dynamic nature of STS treatment paradigms.
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Cultural stigma significantly impacts the diagnosis and treatment of paternal postpartum depression (PPND). The lack of recognition and awareness of paternal PPD leads to limited support and treatment options for affected fathers. Studies highlight how cultural perceptions and stigma surrounding mental health, particularly in collectivist cultures, influence individuals' attitudes towards seeking help for mental health issues. In Bangladesh, where mental health remains unacknowledged, cultural influences play a crucial role in shaping the conceptualization of mental health care seeking, further complicating the diagnosis and treatment of postpartum depression in fathers. Addressing cultural stigma through broader diagnostic efforts, comprehensive care, and shared decision-making in diagnosis and treatment is crucial to positively impact familial interactions and healthcare encounters for fathers experiencing PPND.What approach conducted by china to fight against covid?5 answers
China adopted a comprehensive whole-of-society approach to combat COVID-19, emphasizing government-led initiatives and collaboration across various sectors. This approach included efficient public health interventions, timely non-pharmacological measures, and a focus on mass vaccination campaigns. The country's strategies involved strong leadership and governance, adequate health workforce allocation, extensive vaccination mobilization and communication, diversified vaccine financing channels, localized production, and digital information systems. Despite the success in controlling the spread of the virus, China's zero-COVID approach came with significant economic and social costs, leading to prolonged lockdowns and challenges with more transmissible variants. Furthermore, China leveraged smart technologies in its pandemic response, showcasing the application of various technologies on a large scale to prevent and control the spread of COVID-19.Is OUD a chronic disorder?5 answers
Yes, Opioid Use Disorder (OUD) is considered a chronic disorder. Unlike acute disorders that can be "cured" through short-term treatments, chronic diseases like OUD involve complex biological, psychological, and social factors that require more prolonged and multifaceted interventions. Research on the long-term outcomes of pharmacotherapy for OUD supports this, showing that sustained opioid abstinence and improved quality of life can be achieved over a 12-month period with appropriate treatment. The shift towards viewing addiction, including OUD, as a chronic disease of the brain has led to the development of integrated pharmacopsychosocial approaches to treatment, emphasizing the need for ongoing support and management to address the underlying mechanisms of addiction and promote recovery. Therefore, OUD aligns with the characteristics of a chronic disorder, necessitating comprehensive and sustained care for effective management.How has the relationship between female employment and children's food, clothing, and overall well-being evolved in recent years?5 answers
The relationship between female employment and children's well-being has shown evolving trends. Studies indicate that maternal employment can impact children's nutritional status, with under-nutrition prevalence being significantly higher among children of unemployed mothers compared to employed ones. Additionally, the identity of the main caregiver, especially when the mother is the only employed parent, can influence children's weight and unhealthy behaviors, particularly in girls under 13 years old. Furthermore, research suggests that employed mothers may have lower rates of exclusive breastfeeding and higher incidences of child hospitalization and infections, such as gastroenteritis and otitis media, compared to unemployed mothers. These findings highlight the complex interplay between female employment and children's food, clothing, and overall well-being, emphasizing the need for comprehensive support systems for working mothers to ensure optimal child health outcomes.Can redistributed organizational structures improve organizational efficiency and effectiveness?5 answers
Redistributed organizational structures can indeed enhance organizational efficiency and effectiveness. Research indicates that transitioning to a flat organizational structure can lead to increased speed in attending to customers' requests by reducing internal vertical communication links and expanding horizontal ones. Furthermore, the study on health care organizations highlights that multiple co-existing organizational arrangements, such as collaborative ones, can promote efficiency and innovation, emphasizing the importance of positive organizational perceptions and future-orientation for successful restructuring. While there may not be a direct causality between structure and effectiveness, the relationship between structure, function, and effectiveness is crucial, suggesting that reorganizing may not always be the primary solution for improving effectiveness. Therefore, strategically redistributing organizational structures can play a vital role in enhancing overall efficiency and effectiveness.What are the current trends and developments in private home health services in Turkey?5 answers
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