scholarly journals The correlation analysis between the appearance anxiety and personality traits of the medical staff on nasal and facial pressure ulcers during the novel coronavirus disease 2019 outbreak

Nursing Open ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 147-155
Author(s):  
Xiaodi Kong ◽  
Yong Cao ◽  
Xiaonian Luo ◽  
Lianxiang He
Keyword(s):  
Correlation Analysis ◽  
Personality Traits ◽  
Medical Staff ◽  
Pressure Ulcers ◽  
The Novel ◽  
Appearance Anxiety ◽  
Novel Coronavirus

scholarly journals Consideration of the Management of Pediatric Fever Clinics During the Novel Coronavirus Pneumonia Outbreak

2020 ◽  
pp. 1-7
Author(s):  
Hui Ding ◽  
Zhaoling Shi ◽  
Zhen Ruan ◽  
Xiaoning Cheng ◽  
Ruying Li ◽  
...  
Keyword(s):  
Medical Staff ◽  
Prevention And Control ◽  
Cross Infection ◽  
The Novel ◽  
Wuhan City ◽  
Control Programs ◽  
Treatment And Prevention ◽  
Epidemic Period ◽  
Novel Coronavirus ◽  
And Control

ABSTRACT Since the outbreak of 2019 novel coronavirus (2019-nCoV) infection in Wuhan City, China, pediatric cases have gradually increased. It is very important to prevent cross-infection in pediatric fever clinics, to identify children with fever in pediatric fever clinics, and to strengthen the management of pediatric fever clinics. According to prevention and control programs, we propose the guidance on the management of pediatric fever clinics during the nCoV pneumonia epidemic period, which outlines in detail how to optimize processes, prevent cross-infection, provide health protection, and prevent disinfection of medical staff. The present consideration statement summarizes current strategies on the pre-diagnosis, triage, diagnosis, treatment, and prevention of 2019-nCoV infection, which provides practical suggestions on strengthening the management of pediatric fever clinics during the nCoV pneumonia epidemic period.

scholarly journals APASL practical recommendations for the management of hepatocellular carcinoma in the era of COVID-19

2020 ◽  
Author(s):  
Shuichiro Shiina ◽  
Rino A. Gani ◽  
Osamu Yokosuka ◽  
Hitoshi Maruyama ◽  
Hiroaki Nagamatsu ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Medical Staff ◽  
Close Contact ◽  
Diagnosis And Treatment ◽  
Asia Pacific ◽  
Curative Treatment ◽  
The Novel ◽  
Medical Care System ◽  
Hygiene Measures ◽  
Novel Coronavirus

Abstract Background COVID-19 has been giving the devastating impact on the current medical care system. There are quite many guidelines on COVID-19, but only a few on the management of hepatocellular carcinoma (HCC) during COVID-19 pandemic. Aims We develop these recommendations to preserve adequate clinical practice for the management of HCC. Methods Experts of HCC in the Asia–Pacific region exchanged opinions via webinar, and these recommendations were formed. Results Close contact should be minimized to reduce possible exposure of both medical staff and patients to the novel coronavirus. To prevent transmission of the virus, meticulous hygiene measures are important. With the decrease in regular medical service, the medical staff may be mobilized to provide COVID-19-related patient care. However, diagnosis and treatment of HCC should not be delayed because of COVID-19 pandemic. The management of HCC should be the same as in non-pandemic circumstances. HCC is highly malignant, thus it is recommended not to delay curative treatment such as surgery and ablation. However, a kind of triage is necessary even among patients with HCC when resources are insufficient for all to be treated. Curative treatments should be periodized and cytoreductive or non-curative treatment such as vascular interventions and systemic therapy may be postponed until it can be performed safely with sufficient resources. For patients with confirmed or suspected to be infected with the novel coronavirus, diagnosis and treatment should be postponed until the virus is eliminated or they are confirmed as not being infected with it. Conclusions These are collection of measures implemented by front-line medical professionals. We would evolve these recommendations over time as more real-world data becomes available.

scholarly journals The impact of novel COVID-19 initial pandemic on orthopedic healthcare: an experience from a single institution of South Korea

2021 ◽  
Vol 64 (11) ◽  
pp. 778-787
Author(s):  
Gun Woo Lee ◽  
Gi Beom Kim ◽  
In Jun Lee
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Medical Staff ◽  
Healthcare Workers ◽  
The Novel ◽  
Preventive Surgery ◽  
Care Workers ◽  
Cancellation Rate ◽  
Novel Coronavirus ◽  
The Impact

Background: This study was to investigate the cancellation rate and trend of orthopedic surgeries during the novel coronavirus disease 2019 (COVID-19) pandemic. Moreover, we assessed the psychologic status of orthopedic healthcare workers, and investigated the details of the preventive surgeries underwent in COVID-19-positive patients.Methods: For 3 months after January 20, 2020, cancellation rates of elective surgeries were investigated, and the number of elective surgeries conducted in the same period over the last two years was compared. Four different questionnaires were used to investigate psychologic status among the orthopedic health care workers. We compared the outcomes according to occupation (physician or nurse), and type of work (faculty staff or resident physician). Outcomes according to occupation and type of work were compared. Preventive surgeries underwent in patients who could not wait for the results of the COVID-19 diagnosis were investigated.Results: Spine and hip surgery had relatively lower cancellation rates, and elective surgeries were significantly reduced. During the initial pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year and was different for each subdivision depending on the degree of pain or disability. The psychological outcomes were within the normal range and there were no significant differences between groups. After preventive surgery, all medical staff involved in the operation tested negative.Conclusion: During the COVID-19 pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year. Orthopedic health care workers did not seem to have significant psychological distress. As a result of the preventive surgery in specialized facilities, all the medical staff who participated in the operation tested negative.

scholarly journals Evaluation of the clinical characteristics of suspected or confirmed cases of COVID-19 during home care with isolation: A new retrospective analysis based on O2O

2020 ◽  
Author(s):  
Hui Xu ◽  
Sufang Huang ◽  
Shangkun Liu ◽  
Juan Deng ◽  
Bo Jiao ◽  
...  
Keyword(s):  
Medical Staff ◽  
Muscle Soreness ◽  
Laboratory Data ◽  
Hospitalized Patients ◽  
The Body ◽  
The Novel ◽  
Observation Scale ◽  
Medical Observation ◽  
New Treatment ◽  
Novel Coronavirus

SummaryBackgroundThe recent outbreak of the novel coronavirus in December 2019 (COVID-19) has activated top-level response nationwide. We developed a new treatment model based on the online-to-offline (O2O) model for the home isolated patients, because in the early stages the medical staff were insufficient to cope with so many patients.MethodsIn this single-centered, retrospective study, we enrolled 48 confirmed/suspected COVID-19 patients who underwent home isolation in Wuhan between January 6 and January 31, 2020. By WeChat and online document editing all patients were treated with medical observation scale. The clinical indications such as Fever, Muscle soreness, Dyspnea and Lack of strength were collected with this system led by medical staff in management, medicine, nursing, rehabilitation and psychology.FindingsThe mean age of 48 patients was 39·08±13·88 years, 35(72·9%) were women. Compared with non-hospitalized patients, inpatients were older(≥70years, 2·4% vs 33·3%, P<0·04). All inpatients had fever, 50% inpatients had coughs and showed infiltration in both lungs at the time of diagnosis. 33·3% inpatients exhibited negative changes in their CT results at initial diagnosis. The body temperature of non-hospitalized patients with mild symptoms returned to normal by day 4-5. While dyspnea peaked on day 6 for non-hospitalized patients with mild symptoms, it persisted in hospitalized patients and exacerbated over time. The lack of strength and muscle soreness were both back to normal by day 4 for non-hospitalized patients.InterpretationMonitoring the trends of symptoms is more important for identifying severe cases. Excessive laboratory data and physical examination are not necessary for the evaluation of patients with mild symptoms. The system we developed is the first to convert the subjective symptoms of patients into objective scores. This type of O2O, subjective-to-objective strategy may be used in regions with similar highly infectious diseases to minimize the possibility of infection among medical staff.

scholarly journals Survey of the Sleep Quality of Medical Staff in a Grade A Tertiary Hospital during the Novel Coronavirus Pneumonia Outbreak

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Qiugui Huang ◽  
Jian Yu ◽  
Linjun Liang ◽  
Xiaofang Zhang ◽  
Yuyao Liu
Keyword(s):  
Sleep Quality ◽  
Medical Staff ◽  
Sleep Disturbances ◽  
Tertiary Hospital ◽  
General Ward ◽  
The Novel ◽  
Falling Asleep ◽  
Novel Coronavirus ◽  
Isolation Ward

This study aimed to investigate the sleep quality of medical staff in China who are combatting novel coronavirus pneumonia (COVID-19). To perform this, a survey of 127 medical staff from three separate wards (the general ward, isolation ward, and fever clinic) of a Grade A tertiary hospital in China was conducted. The survey questionnaire measured general characteristics and included the Pittsburgh Sleep Quality Index (PSQI). We consequently found that global PSQI scores differed significantly between the different wards (?2 = 44.561, P<0.001). Whilst the medical staff in the general ward did not report any sleep disturbances, those in the isolation ward and the fever clinic both exhibited various degrees of sleep disturbance (global PSQI score > 7). Medical staff in the isolation ward had the worst sleep quality (mean rank = 91.74), followed by those in the fever clinic (mean rank = 70.52) and the general ward (mean rank = 39.10), respectively. The primary sleep disturbances reported by the medical staff from the isolation ward included difficulty falling asleep (24 cases, 71.42%), waking early or at night (28 cases, 80%), and nightmares (18 cases, 51.42%). In addition, 31.42% (11 cases) of the medical staff from the isolation ward had less than six hours of sleep a night, and 65.71% (23 cases) felt that their sleep quality was poor; meanwhile, for the staff from the fever clinic these ratios were 16.67% (seven cases) and 33.33% (14 cases), respectively. In contrast, among medical staff in the general ward, 98% (49 cases) reported sleeping for more than six hours a night, and 96% felt that their sleep quality was good. In conclusion, of the medical staff providing treatment for COVID-19, those in isolation wards and fever clinics are more likely to experience sleep disturbances.

Investigation of individual anxiety levels of sedentary and athletes in the novel coronavirus

2021 ◽  
Vol 18 (1) ◽  
pp. 67-75
Author(s):  
Hasan Güler ◽  
Halil İbrahim Cicioğlu
Keyword(s):  
Correlation Analysis ◽  
Significant Relationship ◽  
Pearson Correlation ◽  
Quantitative Model ◽  
T Test ◽  
The Novel ◽  
Pearson Correlation Analysis ◽  
Anxiety Levels ◽  
Novel Coronavirus ◽  
The Individual

This study aims to examine the anxiety of getting COVID-19 according to different variables in terms of sedentary and athletes. In the study designed with a quantitative model, the Athlete's Anxiety Scale for the Novel Coronavirus (COVID-19) was used and Pearson Correlation analysis was used with the t-test. 86 active sports athletes and 84 sedentary athletes with licenses in different branches participated in the study. In the study, it was determined that the individual anxiety levels of women were significantly higher in getting COVID-19 compared to men, and sedentary people compared to athletes. It has been determined that the level of anxiety of those who have caught COVID-19 before, in catching COVID-19, is significantly higher than those who have caught this disease. In addition, no significant relationship was found between the age of the participants and individual anxiety. As a result of the research, it can be said that the level of individual anxiety in catching COVID-19 is negatively affected by the state of doing sports. Özet Bu çalışma COVID-19 yakalanma kaygısını sedanter ve sporcular açısından farklı değişkenlere göre incelemeyi amaçlamaktadır. Nicel modelle tasarlanan araştırmada Sporcunun Yeni Koronavirüse (COVID-19) Yakalanma Kaygısı Ölçeği kullanılmış ve t-testi ile Pearson Korelasyon analizinden yararlanılmıştır. Çalışmaya, farklı branşlarda lisansa sahip aktif spor yapan 86 sporcu ve 84 sedanter katıldı. Araştırmda kadınlarrın erkeklere göre, sedanterlerin ise sporculara göre COVID-19’a yakalanmada bireysel kaygı düzeylerinin anlamlı düzeyde yüksek olduğu saptanmıştır. Daha önce COVID-19’a yakalanmayaların, COVID-19’a yakalanmada bireysel kaygı düzeyinin bu hastalığa yakalananlara göre anlamlı düzeyde yüksek olduğu tespit edilmiştir. Ayrıca katılımcıların yaşı ile bireysel kaygı arasında anlamlı bir ilişki saptanmamıştır. Araştırma sonucunda COVID-19’a yakalanmada bireysel kaygı düzeyinin spor yapma durumundan olumsuz etkilendiği söylenebilir.

scholarly journals A Comprehensive Strategy for Laser Corneal Refractive Surgery during the COVID-19 Epidemic in a Tertiary Teaching Hospital in Wenzhou, China

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Jia Zhang ◽  
Ioannis M. Aslanides ◽  
Vasileios Selimis ◽  
Nan-Ji Lu ◽  
Wei-Jie Liu ◽  
...  
Keyword(s):  
Medical Staff ◽  
Refractive Surgery ◽  
Medical Personnel ◽  
Clinical Work ◽  
Control Measures ◽  
The Novel ◽  
Tertiary Teaching ◽  
Assessment Approach ◽  
Corneal Refractive Surgery ◽  
Novel Coronavirus

The novel coronavirus pneumonia COVID-19 is caused by the novel coronavirus SARS-CoV-2, which is highly contagious, has a long incubation period, and can be detected in patients’ tears and conjunctival secretions. In this study, we describe our experience regarding the necessary protective measures that need to be taken during ophthalmic examination and treatment. The authors reviewed the clinical work arrangements during the epidemic situation at the Eye Hospital of Wenzhou Medical University in China and analyzed the prevention and control measures that were applied during the laser corneal refractive surgery process. The comprehensive protection protocol, which was established throughout the entire process, included both horizontal (medical staff-patient, medical staff-medical staff, and patient-patient) and vertical (preoperative, intraoperative, and postoperative transmission assessment) approach and was mainly focused on strengthening the protection against potential aerosol transmission that may occur during intraocular pressure measurements and laser ablation. The described and proposed protocol, along with the further guidelines followed by the medical personnel, proved to be efficacious and contributed significantly to the control of the COVID-19 outbreak and the protection of both the patients and the medical staff.

Management of the Pre-hospital Emergency Transport Strategy During the Novel Coronavirus Pneumonia Epidemicin Zhuzhou City, China

2021 ◽  
Author(s):  
Yin Tao ◽  
Mi-duo Tan ◽  
Xin-sheng Zheng ◽  
Yin Chen ◽  
Jing Zhou ◽  
...  
Keyword(s):  
Medical Staff ◽  
The Novel ◽  
Central Hospital ◽  
Hospital Emergency ◽  
Emergency Center ◽  
Emergency Transport ◽  
Expert Team ◽  
Novel Coronavirus ◽  
Transfer Procedures ◽  
And Control

<B>Objective：</B>Summarize the experience of transporting patients in the pre-hospital emergency center of our hospital from January 20, 2020 to May 2020 during the outbreak of novel coronavirus pneumonia in Zhuzhou City, and formulate a series of transport strategies.<BR><B>Methods:</B>During the novel coronavirus pneumonia epidemic, review the relevant experience of the medical staff and drivers in the pre-hospital emergency center of Zhuzhou Central Hospital to improve the procedures for the transfer of patients during the epidemic. <BR><B>Results：</B>As of the time when patients with novel coronavirus pneumonia in our city are cleared, none of the medical staff in the pre-hospital emergency center of Zhuzhou Central Hospital has been infected, and the city’s patients in need of pre-hospital emergency treatment have been treated in an orderly manner. In conjunction with our hospital’s epidemic prevention and control expert team, combined with the actual situation in the region, we jointly formulated a series of transfer procedures for Zhuzhou Central Hospital to comply with the region during the epidemic.<BR><B>Conclusion：</B>During the novel coronavirus pneumonia epidemic, all patients received by the pre-hospital emergency center of our hospital were transferred in a timely and safe manner, and a series of transfer procedures were developed.

scholarly journals Effect of EAP Psychological Intervention on Improving the Mental Health of Medical Workers Under the Novel Coronavirus Epidemic in China

2021 ◽  
Vol 9 ◽  
Author(s):  
Jun Xu ◽  
Xia Liu ◽  
Yundan Xiao ◽  
Xiaohui Fang ◽  
Yingsheng Cheng ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Staff ◽  
Healthcare Professionals ◽  
Psychological Symptoms ◽  
Psychological Intervention ◽  
Hospital Staff ◽  
The Novel ◽  
Depression And Anxiety ◽  
Psychological Pressure ◽  
Novel Coronavirus

Background: Due to the novel coronavirus epidemic, medical workers are under immense psychological pressure. As such, the East Campus of Shanghai Sixth People's Hospital actively adopted the Symptoms Checklist 90 (SCL-90) to evaluate the mental health of hospital staff before and after the psychological intervention from the Employee Assistance Program (EAP).Methods: Medical workers from the East Campus of Shanghai Sixth People's Hospital were recruited for this study. Psychological evaluations were conducted using the SCL-90, with a score of &gt;160 regarded as a positive result, or in other words, an indication of abnormal psychological symptoms. The EAP adopted different forms of psychological interventions for healthcare professionals, and participation in these measures was entirely voluntary. Medical workers completed the SCL-90 again after participating in the psychological intervention, and we analyzed the changes between their two assessments.Results: Of the 1,198 total medical staff present at the hospital, 844 participated in the initial survey, while only 652 completed the survey a second time (i.e., post-psychological intervention). Multivariate logistic regression analysis found that the psychological status of hospital staff was correlated with gender, education background, and fertility status (P &lt; 0.05). The results showed that, compared with women, men's mental health status was better, with an OR value of 0.598 (0.372–0.962). Groups with high school, junior high school, and below education levels were at higher risk of psychological problems, with OR values of 23.655 (2.815–198.784) and 9.09 (2.601–31.801), respectively. Administrative occupations and having two or more children were protective factors for mental health, and the OR values were 0.400 (0.175–0.912) and 0.327 (0.152–0.703), respectively.Following the psychological intervention, we found that the mental health of hospital workers improved, as indicated by their second SCL-90 evaluations, although the proportion of medical staff willing to participate in the second evaluation was lower than the initial assessment. There were differences in the SCL-90 scores among different occupations, and there were also differences in the scores of employees of different occupations who had participated in the two evaluations. The employees of different positions who participated in the two evaluations were matched and analyzed and found that the depression and anxiety of the doctor group were significantly reduced. In the nursing group, the total score, somatization, interpersonal sensitivity, depression, and anxiety were significantly reduced. In the medical technician group, depression, anxiety, and paranoia were reduced considerably. Among office staff, no significant differences were found. Among workers, the total score, depression, and anxiety were significantly reduced.Conclusion: Hospitals have the potential to alleviate and reduce the psychological pressure placed on medical staff members through the EAP, which can actively adopt intervention and guidance measures. The findings of this study have important implications, as reducing abnormal psychological symptoms of healthcare professionals can be helpful in the fight against the coronavirus epidemic.

Sign in / Sign up

Export Citation Format

Share Document