scholarly journals Contextualising evidence-based recommendations for the second wave of the COVID-19 pandemic in India

2021 ◽  
Author(s):  
Satchit Balsari ◽  
Zarir Udwadia ◽  
Ahmed Shaikh ◽  
Abdul Ghafur ◽  
Sushila Kataria
Keyword(s):  
Evidence Based ◽  
Second Wave

scholarly journals The myth of pre-operative isolation during the COVID-19 pandemic

2021 ◽  
Vol 104 (3) ◽  
pp. 003685042110261
Author(s):  
Filip Mijovic ◽  
Stuart James ◽  
Bindhiya Thomas ◽  
Mohit Bhatia ◽  
Guillaume Lafaurie ◽  
...  
Keyword(s):  
Mental Health ◽  
Adverse Effect ◽  
Patient Satisfaction ◽  
National Health Service ◽  
Patient Adherence ◽  
Elective Surgery ◽  
University Hospital ◽  
Evidence Based ◽  
Retrospective Data ◽  
Second Wave

The SARS-CoV-2 (COVID-19) pandemic called for the restructuring of National Health Service (NHS) surgical departments across the country. Initial guidance advised that patients undergoing elective surgery isolate for 14 days prior to their operation. As we learnt more about COVID-19 and its incubation period, at the Princess Royal University Hospital this guidance has been decreased to 72 h. We collected retrospective data for two patient cohorts that underwent elective surgery in June and September 2020, isolating for 14 days and 72 h, respectively. We followed-up these patients with several questions allowing us to categorise the cohorts into three groups based on their compliance with isolation measures and also to assess their satisfaction with the isolation process. Our data shows that only 16% of the June cohort and 53% of the September cohort isolated in accordance with the guidelines whilst patient satisfaction was 16% and 64% respectively. These results highlight a suboptimal compliance to pre-operative guidelines as well as an adverse effect on patient mental health and raise the issue of both patient and NHS staff safety. With the possibility of a COVID-19 second wave and for future pandemics, a clear evidence-based plan for pre-operative isolation is vital. Furthermore, consideration of patient adherence and satisfaction is key in deciding which guideline will be most effective.

scholarly journals SARS-CoV-2 re-infection risk in Austria

2021 ◽  
Author(s):  
Stefan Pilz ◽  
Ali Chakeri ◽  
John PA Ioannidis ◽  
Lukas Richter ◽  
Verena Theiler-Schwetz ◽  
...  
Keyword(s):  
General Population ◽  
Primary Outcome ◽  
Reporting System ◽  
Natural Infection ◽  
Evidence Based ◽  
Chain Reaction ◽  
Vaccination Strategies ◽  
Health Measures ◽  
Polymerase Chain ◽  
Second Wave

ABSTRACTBackgroundA key question concerning coronavirus disease 2019 (COVID-19) is how effective and long lasting immunity against this disease is in individuals who were previously infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We aimed to evaluate the risk of SARS-CoV-2 re-infections in the general population in Austria.MethodsThis is a retrospective observational study using national SARS-CoV-2 infection data from the Austrian epidemiological reporting system. As the primary outcome, we aim to compare the odds of SARS-CoV-2 re-infections of COVID-19 survivors of the first wave (February to April 30, 2020) versus the odds of first infections in the remainder general population by tracking polymerase chain reaction (PCR)-confirmed infections of both groups during the second wave from September 1 to November 30, 2020. Re-infection counts are tentative, since it cannot be excluded that the positive PCR in the first and/or second wave might have been a false positive.ResultsWe recorded 40 tentative re-infections in 14,840 COVID-19 survivors of the first wave (0.27%) and 253,581 infections in 8,885,640 individuals of the remaining general population (2.85%) translating into an odds ratio (95% confidence interval) of 0.09 (0.07 to 0.13).ConclusionsWe observed a relatively low re-infection rate of SARS-CoV-2 in Austria. Protection against SARS-CoV-2 after natural infection is comparable to the highest available estimates on vaccine efficacies. Further well-designed research on this issue is urgently needed for improving evidence-based decisions on public health measures and vaccination strategies.

scholarly journals Predicting third wave of COVID 19 in Nepal

2021 ◽  
Vol 8 (2) ◽  
pp. 80-84
Author(s):  
Rony Maharjan ◽  
Dipesh Mangal Joshi
Keyword(s):  
Health Impacts ◽  
Evidence Based ◽  
Third Wave ◽  
Age Group ◽  
Health Crisis ◽  
Major Health ◽  
Definite Time ◽  
To Come ◽  
Complications And Mortality ◽  
Second Wave

Nepal is experiencing second wave of COVID-19 infection leading to major health impacts and crisis. Despite the development of vaccine against COVID-19 and its wider coverage, many countries have already experienced third wave. After vaccination against COVID-19 antibodies has been seen to be present till eight months in different studies, evidences beyond that is yet to come. Looking at the trends of reinfections and mathematical models for prediction of COVID-19 infection, there is high chances that Nepal will face third wave, and children will be affected more due to unavailability of vaccine for this age group. There is no fixed definite time to detect when the third wave hit. From the health crisis experience during second wave, Nepal should stress on implication of various strategic and evidence-based measures for third wave preparedness and mitigation to minimize the morbidity, post COVID-19 infection complications and mortality.

In the Aftermath of the Pandemic

2021 ◽  
Author(s):  
John C. Markowitz
Keyword(s):  
Posttraumatic Stress ◽  
Life Events ◽  
Effective Vaccine ◽  
Evidence Based ◽  
Life Event ◽  
Social Lives ◽  
Treatment Research ◽  
Trauma Disorders ◽  
Anxiety Depression ◽  
Second Wave

The Covid-19 pandemic is an ongoing disaster on a scale no one living can recall. Since the end of 2019, it is causing not only countless deaths and physical debility, but also extraordinary social disruption, changing every aspect of people’s working and social lives. As a consequence, in the wake of the virus has come a second wave of psychiatric consequences, mostly prominently anxiety, depression, and posttraumatic stress. This flood of illness and distress will likely continue at least until an effective vaccine is found and distributed and, even then, will leave psychic scars. How best to treat the slew of psychiatric suffering from such tragedy or, indeed, from any ongoing disaster? Interpersonal psychotherapy (IPT) is an evidence-based, time-limited, affect- and life event–focused psychotherapy, repeatedly tested in more than forty years of treatment research and shown to help patients with mood, anxiety, and trauma disorders. With adaptation to the particular current conditions, IPT appears an excellent fit for the strong feelings and symptoms arising from these horrific life events. his manual by Dr. John Markowitz, a leading IPT expert, equips therapists to treat the most common psychiatric consequences of the pandemic.

Abstraction: An alternative neurocognitive account of recognition, prediction, and decision making

2020 ◽  
Vol 43 ◽  
Author(s):  
Valerie F. Reyna ◽  
David A. Broniatowski
Keyword(s):  
Decision Making ◽  
Software Engineering ◽  
Systems Engineering ◽  
Evidence Based ◽  
Extensive Literature ◽  
Trace Theory ◽  
Fuzzy Trace Theory ◽  
Abstract Representations ◽  
Technical Systems

Abstract Gilead et al. offer a thoughtful and much-needed treatment of abstraction. However, it fails to build on an extensive literature on abstraction, representational diversity, neurocognition, and psychopathology that provides important constraints and alternative evidence-based conceptions. We draw on conceptions in software engineering, socio-technical systems engineering, and a neurocognitive theory with abstract representations of gist at its core, fuzzy-trace theory.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

Meeting the Best Practice for Hearing Aid Verification in Children: Challenges and Future Directions

2019 ◽  
Vol 28 (4) ◽  
pp. 877-894
Author(s):  
Nur Azyani Amri ◽  
Tian Kar Quar ◽  
Foong Yen Chong
Keyword(s):  
Clinical Practice ◽  
Hearing Aids ◽  
Best Practice ◽  
Hearing Aid ◽  
Evidence Based ◽  
Future Directions ◽  
Major Barrier ◽  
Klang Valley ◽  
Age Range ◽  
Fitting Hearing Aids

Purpose This study examined the current pediatric amplification practice with an emphasis on hearing aid verification using probe microphone measurement (PMM), among audiologists in Klang Valley, Malaysia. Frequency of practice, access to PMM system, practiced protocols, barriers, and perception toward the benefits of PMM were identified through a survey. Method A questionnaire was distributed to and filled in by the audiologists who provided pediatric amplification service in Klang Valley, Malaysia. One hundred eight ( N = 108) audiologists, composed of 90.3% women and 9.7% men (age range: 23–48 years), participated in the survey. Results PMM was not a clinical routine practiced by a majority of the audiologists, despite its recognition as the best clinical practice that should be incorporated into protocols for fitting hearing aids in children. Variations in practice existed warranting further steps to improve the current practice for children with hearing impairment. The lack of access to PMM equipment was 1 major barrier for the audiologists to practice real-ear verification. Practitioners' characteristics such as time constraints, low confidence, and knowledge levels were also identified as barriers that impede the uptake of the evidence-based practice. Conclusions The implementation of PMM in clinical practice remains a challenge to the audiology profession. A knowledge-transfer approach that takes into consideration the barriers and involves effective collaboration or engagement between the knowledge providers and potential stakeholders is required to promote the clinical application of evidence-based best practice.

What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham
Keyword(s):  
Clinical Practice ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Speech Language Pathologists ◽  
School Based ◽  
Research Findings ◽  
Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

Sign in / Sign up

Export Citation Format

Share Document