COVID-19 and eye care: scientific brief


Book Description

Coronavirus disease (COVID-19) has spread dramatically over the entire globe affecting all health care systems, since it was first identified in Wuhan, China in December 2019. The health implications have been of unprecedented magnitude, with the virus causing severe acute respiratory syndrome and the potential to affect almost every organ in the body. Significant progress has been made in understanding the disease, with reported cases of ocular involvement. It is beneficial to also examine the impact on eye care services to better understand the short to long-term impacts for persons needing to access eye care services. A rapid systematic review was undertaken to inform this scientific brief. The review set out to assess the available peer-reviewed literature to analyse evidence on the following questions: - What are the ocular manifestations associated with COVID-19 infection and the environmental restrictions placed? - How has COVID-19 impacted eye care service delivery and education? - What have been some alternative models of eye care service delivery that have been used during the COVID-19 pandemic?




Making Eye Health a Population Health Imperative


Book Description

The ability to see deeply affects how human beings perceive and interpret the world around them. For most people, eyesight is part of everyday communication, social activities, educational and professional pursuits, the care of others, and the maintenance of personal health, independence, and mobility. Functioning eyes and vision system can reduce an adult's risk of chronic health conditions, death, falls and injuries, social isolation, depression, and other psychological problems. In children, properly maintained eye and vision health contributes to a child's social development, academic achievement, and better health across the lifespan. The public generally recognizes its reliance on sight and fears its loss, but emphasis on eye and vision health, in general, has not been integrated into daily life to the same extent as other health promotion activities, such as teeth brushing; hand washing; physical and mental exercise; and various injury prevention behaviors. A larger population health approach is needed to engage a wide range of stakeholders in coordinated efforts that can sustain the scope of behavior change. The shaping of socioeconomic environments can eventually lead to new social norms that promote eye and vision health. Making Eye Health a Population Health Imperative: Vision for Tomorrow proposes a new population-centered framework to guide action and coordination among various, and sometimes competing, stakeholders in pursuit of improved eye and vision health and health equity in the United States. Building on the momentum of previous public health efforts, this report also introduces a model for action that highlights different levels of prevention activities across a range of stakeholders and provides specific examples of how population health strategies can be translated into cohesive areas for action at federal, state, and local levels.




The Future of Nursing 2020-2030


Book Description

The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.




Innovative Approaches in the Delivery of Primary and Secondary Eye Care


Book Description

This unique book will provide readers with an understanding of innovative models of delivering both primary and secondary eye care, focusing not just on providing quality care itself, but on best practices to provide and strengthen comprehensive eye care services. A wide variety of conditions will be addressed in Innovative Approaches in the Delivery of Primary and Secondary Eye Care, including childhood blindness, cataract, diabetic retinopathy, age related macular degeneration, and refractive errors. Detailed descriptions of various models are presented for each condition, which are then followed by a discussion for incorporating integrated eye care services; highlighting the importance of health system approach in comprehensive eye care. Finally, this book provides detailed strategies to address the current practical challenges related to human resources in eye care, and methods to ensure financial sustainability in the delivery of comprehensive care. Each chapter is illustrated for understanding and clarity, and provides easy-to-read tables to further enrich the text. Covering existing models of delivering care, with a look to the future, Innovative Approaches in the Delivery of Primary and Secondary Eye Care is designed for practicing ophthalmologists, residents, public health specialists and all other affiliated professionals dedicated to strengthening avenues of integrated, comprehensive eye care.




Antiseptic Prophylaxis and Therapy in Ocular Infections


Book Description

This volume collects for the first time interdisciplinary findings in ophthalmology concerning effectiveness and indications of antiseptics for the prophylaxis and therapy of infections. The first part discusses the use of various antiseptics against colonization, contamination and infection of the eye caused by viruses, bacteria, fungus and protozoa in comparison to topical antibiotics. The spectrum of action, the risk of resistance of only microbiostatic active agents and the galenic requirements of antiseptics are included as well as the local and systemic tolerance. New data to iodophors, polyhexanide and magnesium monoperphthalate are presented, and, for the first time, microbiologic requirements of ocular antiseptics are defined. In the second part the current scientific knowledge of prophylaxis and therapeutic antisepsis is presented including Credé's prophylaxis and requirements in cornea banks. The final part is reserved for additional topics such as isolation techniques, hand hygiene, hygiene of contact lenses and microbiological diagnostics. To ophthalmologists, optometrists and opticians this book will give indispensable information on latest clinical and experimental findings in the field. It will also be essential reading to hygienists, microbiologists, infectionists, pharmacologists, pharmacists, and pediatricians interested in ophthalmologic issues.




Clinical Contact Lens Practice


Book Description

This comprehensive text and reference addresses the full scope of contemporary contact lens science and practice. With two expert editors and 100 first-rate contributors, the book presents practitioners and students in optometry and ophthalmology with key facts on corneal anatomy, recent research, contact lens design, patient evaluation, clinical applications, patient education, and complications of contact lens wear. More than 600 illustrations complement the text. Clinical Contact Lens Practice will be the standard text for required contact lens courses and will be an invaluable everyday reference for practitioners.




The Premonition: A Pandemic Story


Book Description

New York Times Bestseller For those who could read between the lines, the censored news out of China was terrifying. But the president insisted there was nothing to worry about. Fortunately, we are still a nation of skeptics. Fortunately, there are those among us who study pandemics and are willing to look unflinchingly at worst-case scenarios. Michael Lewis’s taut and brilliant nonfiction thriller pits a band of medical visionaries against the wall of ignorance that was the official response of the Trump administration to the outbreak of COVID-19. The characters you will meet in these pages are as fascinating as they are unexpected. A thirteen-year-old girl’s science project on transmission of an airborne pathogen develops into a very grown-up model of disease control. A local public-health officer uses her worm’s-eye view to see what the CDC misses, and reveals great truths about American society. A secret team of dissenting doctors, nicknamed the Wolverines, has everything necessary to fight the pandemic: brilliant backgrounds, world-class labs, prior experience with the pandemic scares of bird flu and swine flu…everything, that is, except official permission to implement their work. Michael Lewis is not shy about calling these people heroes for their refusal to follow directives that they know to be based on misinformation and bad science. Even the internet, as crucial as it is to their exchange of ideas, poses a risk to them. They never know for sure who else might be listening in.




Coronavirus Disease (COVID-19): Pathophysiology, Epidemiology, Clinical Management and Public Health Response (volume I.C)


Book Description

Volume I.C An outbreak of a respiratory disease first reported in Wuhan, China in December 2019 and the causative agent was discovered in January 2020 to be a novel betacoronovirus of the same subgenus as SARS-CoV and named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Coronavirus disease 2019 (COVID-19) has rapidly disseminated worldwide, with clinical manifestations ranging from mild respiratory symptoms to severe pneumonia and a fatality rate estimated around 2%. Person to person transmission is occurring both in the community and healthcare settings. The World Health Organization (WHO) has recently declared the COVID-19 epidemic a public health emergency of international concern. The ongoing outbreak presents many clinical and public health management challenges due to limited understanding of viral pathogenesis, risk factors for infection, natural history of disease including clinical presentation and outcomes, prognostic factors for severe illness, period of infectivity, modes and extent of virus inter-human transmission, as well as effective preventive measures and public health response and containment interventions. There are no antiviral treatment nor vaccine available but fast track research and development efforts including clinical therapeutic trials are ongoing across the world. Managing this serious epidemic requires the appropriate deployment of limited human resources across all cadres of health care and public health staff, including clinical, laboratory, managerial and epidemiological data analysis and risk assessment experts. It presents challenges around public communication and messaging around risk, with the potential for misinformation and disinformation. Therefore, integrated operational research and intervention, learning from experiences across different fields and settings should contribute towards better understanding and managing COVID-19. This Research Topic aims to highlight interdisciplinary research approaches deployed during the COVID-19 epidemic, addressing knowledge gaps and generating evidence for its improved management and control. It will incorporate critical, theoretically informed and empirically grounded original research contributions using diverse approaches, experimental, observational and intervention studies, conceptual framing, expert opinions and reviews from across the world. The Research Topic proposes a multi-dimensional approach to improving the management of COVID-19 with scientific contributions from all areas of virology, immunology, clinical microbiology, epidemiology, therapeutics, communications as well as infection prevention and public health risk assessment and management studies.




Empowering Patients and Supporting Patient-Centered Care: A Spotlight on Health Behavior Change


Book Description

The COVID-19 pandemic has had a major impact on both mental and physical health with documented and ongoing effects on the health status of populations globally. One of the key drivers of these trends is the increase in risk factors and unhealthy behaviors in the population (eg. obesity, smoking, alcohol consumption) and poor adherence to health screening, vaccination, or other preventative interventions. This has increased the importance of actions toward disease prevention with a focus on health behavior change. It is recognized that such intervention approaches should be grounded in the principles of person-centered approaches and include patient empowerment, and compassionated care provision, with the aim to facilitate the complex interactions between mental and physical health and effective communication between healthcare professionals and patients. Sharing international learning and best practices for promoting health behavior change using empowerment-oriented approaches is key to supporting the rapid scale-up of effective intervention strategies and will inform research and policy. This Research Topic will focus on best and promising practices of empowerment-oriented strategies for supporting health behavior change. This collection of multidisciplinary articles (original research, reviews, systematic reviews, and opinions) will examine methodologies that address individuals, populations, as well as healthcare professionals that aim to reduce the risk of disease, promote healthy behaviors or enhance adherence to healthcare interventions.




Toxicity Testing in the 21st Century


Book Description

Advances in molecular biology and toxicology are paving the way for major improvements in the evaluation of the hazards posed by the large number of chemicals found at low levels in the environment. The National Research Council was asked by the U.S. Environmental Protection Agency to review the state of the science and create a far-reaching vision for the future of toxicity testing. The book finds that developing, improving, and validating new laboratory tools based on recent scientific advances could significantly improve our ability to understand the hazards and risks posed by chemicals. This new knowledge would lead to much more informed environmental regulations and dramatically reduce the need for animal testing because the new tests would be based on human cells and cell components. Substantial scientific efforts and resources will be required to leverage these new technologies to realize the vision, but the result will be a more efficient, informative and less costly system for assessing the hazards posed by industrial chemicals and pesticides.