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4,230 result(s) for "Pillsbury, A."
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COVID-19 vaccines and adverse events of special interest: A multinational Global Vaccine Data Network (GVDN) cohort study of 99 million vaccinated individuals
The Global COVID Vaccine Safety (GCoVS) Project, established in 2021 under the multinational Global Vaccine Data Network™ (GVDN®), facilitates comprehensive assessment of vaccine safety. This study aimed to evaluate the risk of adverse events of special interest (AESI) following COVID-19 vaccination from 10 sites across eight countries. Using a common protocol, this observational cohort study compared observed with expected rates of 13 selected AESI across neurological, haematological, and cardiac outcomes. Expected rates were obtained by participating sites using pre-COVID-19 vaccination healthcare data stratified by age and sex. Observed rates were reported from the same healthcare datasets since COVID-19 vaccination program rollout. AESI occurring up to 42 days following vaccination with mRNA (BNT162b2 and mRNA-1273) and adenovirus-vector (ChAdOx1) vaccines were included in the primary analysis. Risks were assessed using observed versus expected (OE) ratios with 95 % confidence intervals. Prioritised potential safety signals were those with lower bound of the 95 % confidence interval (LBCI) greater than 1.5. Participants included 99,068,901 vaccinated individuals. In total, 183,559,462 doses of BNT162b2, 36,178,442 doses of mRNA-1273, and 23,093,399 doses of ChAdOx1 were administered across participating sites in the study period. Risk periods following homologous vaccination schedules contributed 23,168,335 person-years of follow-up. OE ratios with LBCI > 1.5 were observed for Guillain-Barré syndrome (2.49, 95 % CI: 2.15, 2.87) and cerebral venous sinus thrombosis (3.23, 95 % CI: 2.51, 4.09) following the first dose of ChAdOx1 vaccine. Acute disseminated encephalomyelitis showed an OE ratio of 3.78 (95 % CI: 1.52, 7.78) following the first dose of mRNA-1273 vaccine. The OE ratios for myocarditis and pericarditis following BNT162b2, mRNA-1273, and ChAdOx1 were significantly increased with LBCIs > 1.5. This multi-country analysis confirmed pre-established safety signals for myocarditis, pericarditis, Guillain-Barré syndrome, and cerebral venous sinus thrombosis. Other potential safety signals that require further investigation were identified.
Background rates of adverse events of special interest for COVID-19 vaccines: A multinational Global Vaccine Data Network (GVDN) analysis
The Global COVID Vaccine Safety (GCoVS) project was established in 2021 under the multinational Global Vaccine Data Network (GVDN) consortium to facilitate the rapid assessment of the safety of newly introduced vaccines. This study analyzed data from GVDN member sites on the background incidence rates of conditions designated as adverse events of special interest (AESI) for COVID-19 vaccine safety monitoring. Eleven GVDN global sites obtained data from national or regional healthcare databases using standardized methods. Incident events of 13 pre-defined AESI were included for a pre-pandemic period (2015–19) and the first pandemic year (2020). Background incidence rates (IR) and 95% confidence intervals (CI) were calculated for inpatient and emergency department encounters, stratified by age and sex, and compared between pre-pandemic and pandemic periods using incidence rate ratios. An estimated 197 million people contributed 1,189,652,926 person-years of follow-up time. Among inpatients in the pre-pandemic period (2015–19), generalized seizures were the most common neurological AESI (IR ranged from 22.15 [95% CI 19.01–25.65] to 278.82 [278.20–279.44] per 100,000 person-years); acute disseminated encephalomyelitis was the least common (<0.5 per 100,000 person-years at most sites). Pulmonary embolism was the most common thrombotic event (IR 45.34 [95% CI 44.85–45.84] to 93.77 [95% CI 93.46–94.08] per 100,000 person-years). The IR of myocarditis ranged from 1.60 [(95% CI 1.45–1.76) to 7.76 (95% CI 7.46–8.08) per 100,000 person-years. The IR of several AESI varied by site, healthcare setting, age and sex. The IR of some AESI were notably different in 2020 compared to 2015–19. Background incidence of AESIs exhibited some variability across study sites and between pre-pandemic and pandemic periods. These findings will contribute to global vaccine safety surveillance and research.
Evaluating the impact of conflict resolution on urban children's violence-related attitudes and behaviors in New Haven, Connecticut, through a community–academic partnership
Numerous schools are implementing youth violence prevention interventions aimed at enhancing conflict resolution skills without evaluating their effectiveness. Consequently, we formed a community–academic partnership between a New Haven community-based organization and Yale's School of Public Health and Prevention Research Center to examine the impact of an ongoing conflict resolution curriculum in New Haven elementary schools, which had yet to be evaluated. Throughout the 2007–08 school year, 191 children in three schools participated in a universal conflict resolution intervention. We used a quasi-experimental design to examine the impact of the intervention on participants' likelihood of violence, conflict self-efficacy, hopelessness and hostility. Univariate and multivariable analyses were utilized to evaluate the intervention. The evaluation indicates that the intervention had little positive impact on participants' violence-related attitudes and behavior. The intervention reduced hostility scores significantly in School 1 (P < 0.01; Cohen's d = 0.39) and hopelessness scores in School 3 (P = 0.05, Cohen's d = 0.52); however, the intervention decreased the conflict self-efficacy score in School 2 (P = 0.04; Cohen's d = 0.23) and was unable to significantly change many outcome measures. The intervention's inability to significantly change many outcome measures might be remedied by increasing the duration of the intervention, adding additional facets to the intervention and targeting high-risk children.
“I Live by Shooting Hill”—A Qualitative Exploration of Conflict and Violence among Urban Youth in New Haven, Connecticut
To elucidate urban youths’ perceptions of conflict and violence we conducted a qualitative study among minority urban youths in New Haven, Connecticut. We utilized the ecological framework to explore the multilevel nature of the findings, and triangulated results with a parallel quantitative study. We found risk factors for violence at multiple levels including lack of interpersonal anger management skills (individual level); parents not physically present in the household (relationship level); residence in crime and gang-ridden neighborhoods (community level); and socioeconomic inequalities between neighborhoods, as reflected by participants’ perception of the inadequacy of neighborhood resources to provide safety (societal level). Neighborhood resources were perceived as sparse, and police were not regarded as a protective factor (sometimes rather as racially discriminatory). Participants’ statements pertaining to feelings of isolation, racism, and violence without strong parental, neighborhood, and school support may impede prosocial attitudes and behaviors throughout adolescence and young adulthood.
Supporting Young Refugees' Participation in Their Own Protection and Recovery: Lessons Learned
Presents thoughts on adolescent participation from the Women's Commission's work with young people, adults in the community, & other state & humanitarian entities, based on primary research performed by young refugees themselves. An explication of the methodology & dynamics of this participatory research & advocacy project offers examples of significant issues arising from humanitarian work with adolescents & youth. Changes in social relationships & refugee circumstances are key bases for understanding the need for supporting youth participation. Young people's accomplishments through participation under their own initiative & with adult backing are also strikingly illustrative of youths' fundamental & potential roles in bettering their lives, offering hope not just for survival but also for eventual prosperity. 6 References. K. Coddon
An Adventure in State Insurance
Workmen's compensation is insurance. It makes the employer the insurer of his employees; but he may hire some one else to carry that insurance in his stead if he so desires, through some mutual organization with other employers or through some insurance company organized as a corporation or through some state fund or bureau, as the circumstances may determine. The whole fabric of compensation to injured workmen is founded upon insurance principles and upon a just distribution of the risk among all persons liable under the risks of industry and in proportion to the hazards characteristic of each such industry. All these forms of insurance are essentially within the scope of social obligation and we in California think that our \"adventure in state insurance\" furnishes at least a reasonable hope that if the state shall be called upon to furnish insurance against the other hazards of life at what such insurance is reasonably worth, as well as against those of industrial injury, the state can assume the obligation with confidence in its ability to discharge it.
The Salinity of Rivers
Rivers normally wash into the ocean the salts dissolved out of rock. When the flow is held up by irrigation, however, evapotranspiration concentrates the salt in the soil, creating problems for agriculture. The author discusses these problems and methods for controlling them.