scholarly journals Recovery of individual Service personnel in the COVID-19 recovery phase

2020 ◽  
pp. bmjmilitary-2020-001603
Author(s):  
Hannah Taylor ◽  
O Quantick ◽  
D Ross
Keyword(s):  
Early Recognition ◽  
Well Being ◽  
Recovery Phase ◽  
Mitigation Measures ◽  
Functional Fitness ◽  
Operational Effectiveness ◽  
Service Personnel ◽  
Successful Recovery ◽  
Social Reconnection ◽  
Training Programmes

To deny the SARS-CoV-2 virus easy options for sustained transmission, commanders should model adherence to, and ensure implementation of, social mitigation measures. While some measures can be achieved at the organisational level through policy, every Service person’s experience of the COVID-19 pandemic will have differed, affected by a range of personal, occupational and geographical factors. A successful recovery phase for each Service personnel (SP) therefore relies on localised assessments and individualised support plans. The return of SP to the physical environment must be safe, and the financial needs of their whole family must be considered. Commanders must understand the need for balance in supporting social reconnection both personally and in the workplace. Commanders have an important role in the development of SPs’ mental resilience; supporting mental well-being, early recognition of deteriorating mental health and signposting, and compassionate understanding of the needs of SP deployed or bereaved. Disruptions to healthcare service provision will impact the duration of medical downgrading, workforce capacity and operational effectiveness according to extant parameters, which must be understood by commanders. Likewise, functional fitness may have been adversely affected. Physical health and fitness recovery can be supported by time-based extensions to occupational health policy and graduated return to work physical training programmes.

scholarly journals Trainees4trainees: an innovative peer support project for junior doctors across specialties

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S126-S126
Author(s):  
Sophie Behrman ◽  
Aisling Higham ◽  
Haido Vlachos ◽  
Gerti Stegen
Keyword(s):  
Peer Support ◽  
Support Groups ◽  
Psychological Impact ◽  
Working Hours ◽  
Well Being ◽  
Training Programme ◽  
Mental Wellbeing ◽  
Junior Doctors ◽  
Training Programmes ◽  
The Impact

AimsThe BMA's survey results (Caring for the Mental Health of the Medical Workforce, 2019) and HEE's NHS Staff and Learners’ Mental Wellbeing Commission report (2019) highlighted declining staff wellbeing. The COVID-19 pandemic has sharpened focus on this and the effects of moral injury on healthcare professionals. Shielding, social distancing and redeployment led to many medical trainees being increasingly isolated at a time of heightened anxiety and adversity. Psychiatry trainees tend to have good access to reflective groups, but this is not customary in other training programmes.MethodIntervention“Trainees4trainees” was set up by trainees across specialties as a HEE-TV well-being project, led by the Deanery Trainee Improvement Fellow. Peer support groups are run on Zoom, facilitated by 2 trainees with special training in peer support. Psychiatry trainees have been involved in designing and facilitating groups and training facilitators from other specialties; facilitators have regular supervision from a consultant psychiatrist in medical psychotherapy. Trainees are supported to discuss challenging experiences and think about their emotional responses in a supportive and validating group.ResultFeedbackWe are in the process of formal data collection to assess the impact of the intervention. Informal feedback suggests the groups are a powerful support to individuals who otherwise have no avenue to think about the psychological impact of their experiences. The groups have supported trainees to feel less isolated and bolstered their resilience.ConclusionFuture plansWe have faced challenges in the practicalities of establishing and maintaining groups. We are working with Training Programme Directors to move towards running the groups in protected time within working hours and advocate that reflective groups, such as our peer support groups, are a key part of future medical and surgical Training Programmes.

scholarly journals Quality of life and Social Support Among Diagnose Bipolar Patients

2021 ◽  
Vol 15 (5) ◽  
pp. 932-935
Author(s):  
M Adnan ◽  
T Khan ◽  
B Razzaq ◽  
R Ghaffar ◽  
S Batool ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Psychiatric Treatment ◽  
Bipolar Affective Disorder ◽  
Well Being ◽  
Recovery Phase ◽  
Cross Sectional ◽  
Quality Of Life Scale ◽  
Bipolar Patients

Aim: To ascertain the relationship between quality of life and social support in bipolar patients who have been diagnosed. STUDY DESIGN: cross-sectional research design Place and duration of the study: The research was performed impatiently on the Sheikh Zayed Medical College, Rahim Yar Khan at the Department of Psychiatry and Behavioral Sciences, which ran from January 2018 to July of 2019. Method: Data was retrieved from 100 patients, with diagnosed patients of bipolar affective disorder. Quality of life and social support were assessed by quality of life scale (QOLS) developed by Burckhardt and Berline social support scale (BSSS) developed by Berline. Results: Research claims a close relationship between the presence of such things as quality of life and social help for people with Bipolar Disorder. Conclusion: Bipolar is linked to inadequate health and quality of life and social isolation, mostly due to ineffective social skills. Social support is critical to emotional stability and quality of life. It may help patients deal with difficulties and reduce depression and help in both the recovery phase and positive results of psychiatric treatment. What is currently being sought to be learned is how social care has an impact on the level of well-being for bipolar patients. Keywords: Quality of life, bipolar, validation, generalization

Reconceptualizing disaster phases through a Metis-based approach

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Joanne Pérodin ◽  
Zelalem Adefris ◽  
Mayra Cruz ◽  
Nahomi Matos Rondon ◽  
Leonie Hermantin ◽  
...  
Keyword(s):  
Well Being ◽  
Recovery Phase ◽  
Dade County ◽  
Technical Knowledge ◽  
Disaster Research ◽  
Human Environment ◽  
Content Type ◽  
Marginalized Communities ◽  
Secondary Sources ◽  
Mental Well Being

PurposeThis paper aims to call for change in disaster research through a metis-based approach that values practical skills and knowledge (vs technical knowledge) derived from responding to ongoing changes in the natural and human environment.Design/methodology/approachThis paper is based on metis from Miami-Dade County that is prone to an array of climate-related disasters. Metis is supplemented by a review of secondary sources (e.g. newspaper articles, government reports).FindingsThere is a need to reconceptualize disaster phases in disaster research—preparedness, response, recovery and mitigation. For many members of marginalized communities of color, this paper depicts preparedness and mitigation as luxuries and response as a time of worry about financial obligations and survival after the disaster. It suggests that even communities that are not on a hurricane's path could have post-disaster experiences. It also highlights ongoing risks to marginalized communities' physical and mental well-being that are in addition to the mental health impacts of the disaster during the recovery phase.Originality/valueThis paper's originality is twofold: (1) underlining the importance of metis, a less studied and understood concept in disaster risk reduction, prevention and management literature and (2) questioning disaster researchers' technical knowledge with respect to each of the four disaster phases in light of metis.

Acute Tubular Necrosis: Diagnosis, Treatment, and Nursing Implications

1992 ◽  
Vol 3 (3) ◽  
pp. 688-697
Author(s):  
Sara Douglas
Keyword(s):  
At Risk ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Critical Care ◽  
Acute Tubular Necrosis ◽  
Early Recognition ◽  
Recovery Phase ◽  
Vital Role ◽  
Laboratory Findings ◽  
Tubular Necrosis

Acute tubular necrosis (ATN) is the most common cause of acute renal failure. Early recognition of patients who are at risk for ATN can prevent or improve the course of ATN. Acute renal failure is classified as prerenal, intrinsic, or postrenal disease. ATN is classified as a type of intrinsic renal disease. The clinical course of ATN is divided into the renal failure phase, diuretic phase, and recovery phase, with each phase having distinct symptoms and laboratory findings. Diagnosis of ATN often is complicated and confusing; understanding of laboratory findings can facilitate the critical care nurse’s ability to assess those at risk for ATN. The care and treatment of the patient with ATN is complicated, and specific treatments are discussed in detail. The critical care nurse can play a vital role in identifying the patient at risk, preventing the development of ATN in those at risk, and providing appropriate care for those who develop ATN

Resistance training

2017 ◽  
Author(s):  
Avery D Faigenbaum ◽  
Rhodri S Lloyd
Keyword(s):  
Resistance Training ◽  
Weight Control ◽  
Scientific Evidence ◽  
Developmentally Appropriate ◽  
Well Being ◽  
Training Programme ◽  
Integrative Approach ◽  
Mineral Density ◽  
Training Programmes

Traditional fears and misinformed concerns regarding youth resistance training have been replaced by scientific evidence that indicates regular participation in well-designed resistance-training programmes can be safe and effective for both children and adolescents. In addition to increasing muscular strength and power, regular participation in a structured resistance training-programme can increase bone mineral density, improve cardiovascular risk factors, fuel metabolic health, facilitate weight control, enhance psychosocial well-being, and prepare youth for the demands of daily physical activity and sport. An integrative approach to training, grounded in resistance exercise and motor skill development, can optimize children’s fitness potential and maximize their athletic performance while reducing the risk of sports-related injury. Qualified professionals are needed to plan, implement and progress developmentally appropriate resistance training to attain a level of muscular fitness that facilitates long-term physical development.

scholarly journals Effect of Solar Canals on Evaporation, Water Quality, and Power Production: An Optimization Study

Water ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2103 ◽  
Author(s):  
Sherine El Baradei ◽  
Mai Al Sadeq
Keyword(s):  
Water Quality ◽  
Well Being ◽  
Power Production ◽  
Mitigation Measures ◽  
Optimum Conditions ◽  
Water Quality Variables ◽  
Optimization Study ◽  
New Energy ◽  
To Come

Both energy and availability of water with good quality are essential for the well-being of humans. Thus, it is very important to study the parameters that would affect water quality, so as to come up with mitigation measures if water quality would be at risk or negatively affected. Moreover, it is very important to always search for new energy resources, especially if they are renewable. This research study is concerned with studying solar canals and their effect on evaporation and water quality variables of canals covered by solar cells, as well as the effect on power production. Both a mathematical model and an optimization study were done, in order to determine the previously mentioned effects, and thus, to determine the most favorable covering percentage of the case study canal’s area that would lead to minimum evaporation volumes, maximum power, and yet preserving and meeting the standards of the water quality variables of the covered waterway. Water quality variables that were investigated are dissolved oxygen concentration, algae, nutrients, and pH of the water. It was found that, between 33% and 50% covering of the canal, the optimum conditions will be met.

PHYSICAL ACTIVITY AND FUNCTIONAL FITNESS AS WELL AS LEVEL OF DEPRESSION IN SENIORS

2020 ◽  
Vol 30 (89) ◽  
pp. 47-54
Author(s):  
Edyta Mikołajczyk ◽  
Alicja Gałązka
Keyword(s):  
Physical Activity ◽  
Chronic Diseases ◽  
Emotional State ◽  
Well Being ◽  
The Elderly ◽  
Health State ◽  
Functional Fitness ◽  
State Of Health ◽  
Self Assessment ◽  
Motivating Factor

Aim. The aim of the study was to determine the level of motor activity, functional and motion fitness of seniors above the age of 60 as well as to examine the relationship between physical activity and the level of depression in this group of people. Material and methods. The study covered a group of 50 participants above the age of 60. The Seven-day Physical Activity Recall, ADL, IADL and GDS scales, as well as the Tinetti test and the authors’ specially designed questionnaire were used. Results. Analysis of the results showed a relationship between age, education as well as chronic diseases and the level of undertaken physical activity. A significant relationship was found between the level of activity and functional and motion performance as well as the emotional state of the elderly. There was no relationship between gender, place of residence and self-assessment of health state and the level of physical activity. The most important motivating factor for performing physical activity in seems to be the improvement of well-being, and the most frequently indicated barrier, is state of health. Conclusions. The level of physical activity is related to functional and locomotor fitness and the emotional state of the elderly. There is a correlation between age, education and the occurrence of chronic diseases and the level of physical activity. The most important motivating factor for undertaking activity seems to be the improvement of well-being, the most frequently indicated barrier is state of health.

The investigation of nurses’ burnout levels in the context of emotional habitus

2017 ◽  
Vol 41 (S1) ◽  
pp. S692-S693
Author(s):  
B. Mala. Akgün ◽  
F. Öz
Keyword(s):  
Well Being ◽  
Care Work ◽  
Individual Development ◽  
Social Suffering ◽  
University Hospitals ◽  
Individual Interviews ◽  
Optimal Behavior ◽  
Competing Interest ◽  
Training Programmes ◽  
High Level

IntroductionThe concept of Bourdieu's habitus effects nurses’ approach to patients. Habitus is the site of nurses’ internalizations of the rules in the field of care work, where nurses acquire emotional habitus that corresponds to ethical values and feeling rules of care work. If nurses do not manage their emotions in accordance with the moral disposition, social suffering will be occur. Determining social suffering helps to understand how a tension between the field of care work and emotional habitus can violate nurses’ well-being and cause burnout.ObjectivesTo determine the emotional habitus of nurses’ with the high level of burnout.MethodsClinic nurses of Hacettepe university hospitals constituted the population of this study. Firstly, Nursing Information Form, Maslach Burnout Scale were applied to participating 350 nurses. Secondly, semi-structured thorough individual interviews were made with 39 nurses of 201 with the high level of burnout.ResultsWith content analysis emotional habitus, problem areas for emotional habitus, results of these problem areas, optimal behavior in expressing feelings of nurses and related to suggestions to gain these statements total twenty themes were reached. Nurses suggested proposals to gain optimal behavior in expressing feelings. These are individual development, obtaining professional knowledge, role modeling, experiencing. Also, nurses wanted to see value by patients and hospital administration and respect patients.ConclusionsTo prevent and cope with burnout; it has been proposed that awareness training programmes and course contents about emotional habitus, management emotions should be arranged.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Behavioral, Psychological, and Demographic Predictors of Physical Fitness

1989 ◽  
Vol 65 (3_suppl2) ◽  
pp. 1123-1135 ◽  
Author(s):  
Terry L. Conway
Keyword(s):  
Physical Fitness ◽  
Cost Savings ◽  
Well Being ◽  
Ideal Weight ◽  
Operational Effectiveness ◽  
Avoidance Behaviors ◽  
Fitness Programs ◽  
The Individual ◽  
Cardiorespiratory Endurance ◽  
Health And Well Being

Achieving higher levels of physical fitness has become a goal of many Americans both for personal reasons (e.g., improved health and well-being) and for organizational reasons (e.g., corporate cost-savings; operational effectiveness). Understanding the factors which relate to physical fitness could help people improve their fitness. This study examined 1,357 Navy men to estimate the associations among behavioral, psychological, and background factors and four components of physical fitness: (a) cardiorespiratory endurance (1.5-mile run), (b) muscular endurance (sit-ups), (c) flexibility (sit-and-reach test), and (d) body composition (estimated percent fat). Controlling for exercise activities, physical fitness was positively associated with “wellness” behaviors, believing in the importance of physical fitness, expecting to reach/maintain ideal weight, being athletic as a youth, and education; fitness was negatively associated with tobacco use, “preventive/avoidance” behaviors, age, and ever being overweight. Identifying and dealing constructively with such factors may help to structure better fitness programs tailored to the individual.

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