Risk assessment during pregnancy: A scoping review

Author(s):  
Cintia Oliveira ◽  
Maritsa Carla de Bortoli ◽  
Sonia Isoyama Venancio ◽  
Andressa Rocha Olah
Author(s):  
Mary A. Fox ◽  
Richard Todd Niemeier ◽  
Naomi Hudson ◽  
Miriam R. Siegel ◽  
Gary Scott Dotson

Protecting worker and public health involves an understanding of multiple determinants, including exposures to biological, chemical, or physical agents or stressors in combination with other determinants including type of employment, health status, and individual behaviors. This has been illustrated during the COVID-19 pandemic by increased exposure and health risks for essential workers and those with pre-existing conditions, and mask-wearing behavior. Health risk assessment practices for environmental and occupational health typically do not incorporate multiple stressors in combination with personal risk factors. While conceptual developments in cumulative risk assessment to inform a more holistic approach to these real-life conditions have progressed, gaps remain, and practical methods and applications are rare. This scoping review characterizes existing evidence of combined stressor exposures and personal factors and risk to foster methods for occupational cumulative risk assessment. The review found examples from many workplaces, such as manufacturing, offices, and health care; exposures to chemical, physical, and psychosocial stressors combined with modifiable and unmodifiable determinants of health; and outcomes including respiratory function and disease, cancers, cardio-metabolic diseases, and hearing loss, as well as increased fertility, menstrual dysfunction and worsened mental health. To protect workers, workplace exposures and modifiable and unmodifiable characteristics should be considered in risk assessment and management. Data on combination exposures can improve assessments and risk estimates and inform protective exposure limits and management strategies.


2021 ◽  
Author(s):  
Victoria J Brookes ◽  
Okta Wismandanu ◽  
Etih Sudarnika ◽  
Justin A Roby ◽  
Lynne Hayes ◽  
...  

Wet markets are important for food security in many regions worldwide but have come under scrutiny due to their potential role in the emergence of infectious diseases. The sale of live wildlife has been highlighted as a particular risk, and the World Health Organisation has called for the banning of live, wild-caught mammalian species in markets unless risk assessment and effective regulations are in place. Following PRISMA guidelines, we conducted a global scoping review of peer-reviewed information about the sale of live, terrestrial wildlife in markets that are likely to sell fresh food, and collated data about the characteristics of such markets, activities involving live wildlife, the species sold, their purpose, and animal, human, and environmental health risks that were identified. Of the 59 peer-reviewed records within scope, only 25% (n = 14) focussed on disease risks; the rest focused on the impact of wildlife sale on conservation. Although there were some global patterns (for example, the types of markets and purpose of sale of wildlife), there was wide diversity and huge epistemic uncertainty in all aspects associated with live, terrestrial wildlife sale in markets such that the feasibility of accurate assessment of the risk of emerging infectious disease associated with live wildlife trade in markets is limited. Given the value of both wet markets and wildlife trade and the need to support food affordability and accessibility, conservation, public health, and the social and economic aspects of livelihoods of often vulnerable people, there are major information gaps that need to be addressed to develop evidence-based policy in this environment. This review identifies these gaps and provides a foundation from which information for risk assessments can be collected.


2015 ◽  
Vol 29 (7) ◽  
pp. 577-589 ◽  
Author(s):  
Margaret Sealey ◽  
Lauren J Breen ◽  
Moira O’Connor ◽  
Samar M Aoun

2019 ◽  
Vol 32 (6) ◽  
pp. 540-559 ◽  
Author(s):  
Jennifer Sacramento-Pacheco ◽  
Gonzalo Duarte-Clíments ◽  
Juan Gómez-Salgado ◽  
Macarena Romero-Martín ◽  
María Begoña Sánchez-Gómez

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e026566
Author(s):  
Lydia Sequeira ◽  
Gillian Strudwick ◽  
Sharon M Bailey ◽  
Vincenzo De Luca ◽  
David Wiljer ◽  
...  

IntroductionEvery year, suicide accounts for nearly 800 000 deaths worldwide. Appropriate risk assessment and intervention are imperative since evidence demonstrates that a large proportion of those who die by suicide visit health professionals prior to their death. Much previous research has focused on identifying patient-level risk factors that can improve the risk assessment process through scales and algorithms. However, the best practice guidelines emphasise the importance of clinical interviews and prioritise the clinician’s final judgement. The purpose of this review is to (1) understand the clinician and organisational level barriers and facilitators that influence a clinician’s assessment of suicide risk, (2) identify the types of biases that exist within this process and (3) list any evidence-based training protocols and educational initiatives to aid (or support) clinicians with this process.Methods and analysisThis scoping review protocol uses the Arksey and O’Malley framework, and Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines for scoping reviews. Literature will be identified using a multidatabase search strategy developed in consultation with a medical librarian. The proposed screening process consists of a title and abstract scan, followed by a full-text review by two reviewers to determine the eligibility of articles. Studies outlining any factors that affect a clinician’s suicide risk assessment process, ranging from individual experience and behaviours to organisational level influences, will be included. A tabular synthesis of the general study details will be provided, as well as a narrative synthesis of the extracted data, organised into themes using the Situated Clinical Decision-Making framework.Ethics and disseminationEthical approval is not required for this review. Results will be translated into educational materials and presentations for dissemination to appropriate knowledge users. Knowledge outputs will also include academic presentations at relevant conferences, and a published, peer-reviewed journal article.


2014 ◽  
Vol 16 (6) ◽  
pp. 389-398 ◽  
Author(s):  
Rachel Robbins ◽  
Hugh McLaughlin ◽  
Concetta Banks ◽  
Claire Bellamy ◽  
Debbie Thackray

Purpose – The purpose of this paper is to draw attention to the potential and limits of the Multi-Agency Risk Assessment Conferences (MARACs) in supporting adults with social care needs who also experience domestic violence. Design/methodology/approach – The paper reports on a scoping review as part of a wider research project entitled: to identify and assess the effectiveness of social care's contribution to the development of MARAC and the protection of adults facing domestic violence. Findings – An understanding of the workings of MARAC could support social care practice with high-risk victims of domestic violence. However, the conception of risk assessment and management central to the process also poses ethical dilemmas for practitioners. Practical implications – Social care is ideally placed to support, in an holistic manner, a group of vulnerable service-users with complex needs. However, the current climate of austerity could jeopardise this work. Originality/value – There is little in the professional and academic press on the MARAC process and particularly in relation to adults and older people. This paper alerts the practice community to the process, its historical development and characteristics and implications for practice.


2021 ◽  
Vol Volume 14 ◽  
pp. 3881-3897
Author(s):  
Manar Mosaad ◽  
Mohamed Hassan Elnaem ◽  
Ejaz Cheema ◽  
Ismail Ibrahim ◽  
Jamalludin Ab Rahman ◽  
...  

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