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Chapter 15 discusses worries and anxiety in children and young people and how to spot when worrying can become a problem. We explain panic attacks and how to help children and young people with symptoms of panic. We consider the different types of anxiety disorders, including phobias, generalised anxiety disorder and separation anxiety. We discuss how children and young people with anxiety difficulties and disorders can be supported and which treatments may be most helpful.
The COVID-19 pandemic poses a threat particularly to the elderly. Although the current vaccination strategy is recognized as an adequate measure to reduce mortality, it still raises concerns about its efficacy and safety.
Objectives
Assessment of worries and attitudes among Tunisian elderly towards the pandemic.
Methods
A descriptive cross-sectional study on a sample of 50 consultants in a geriatric service, aged between 65 years and over. A questionnaire was formulated based on the recommendations of WHO and INEAS.
Results
The average age of our population is 74.6 years. The participants were mainly female, retired (76%) and with low educational attainment. Most of the elderly reported that they respected the wearing of the mask in public (90%) and washing their hands regularly (92%). Social distancing was respected by only 44% of the participants. Concerning the vaccine registration, we noted that 48% of the subjects expressed their willingness to register on the Evax.tn platform. On the other hand, 15 people expressed their refusal to receive the anti-Covid vaccine. We noted that only 22% had a dose of the Covid-19 vaccine. Only 4% of the respondents did not have concerns about new variants of the virus. About half (52%) of the subjects expressed significant concern about an increased risk of virulence and mortality due to the new variant. Vaccination was considered ineffective by most of the participants (70%).
Conclusions
Addressing worries about vaccine would be an important step to accept it among Tunisian elderly. Adequate information strategy is essential to change attitudes during the pandemic.
This chapter provides an overview of orthorexia, a relatively new disease included within the broader category of eating disorders. The term orthorexia derives from the combination of two Greek words: orthos, meaning "healthy/correct" and oreksis, meaning "appetite." It is used to describe an unhealthy obsession with eating only healthy and natural food. A series of worries are related to this phenomenon: some preoccupations are expressly rooted in cultural and social contexts that reinforce the importance of healthy eating. For example, certain food items may be invested with alleged curative power and almost miraculous properties in some environments. Such views can discourage individuals from having a spontaneous and direct relationship with food because foods may be chosen only for their supposed healing properties rather than their taste. Theories, clinical cases, and scientific studies about this topic are presented.
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