scholarly journals Asian-Pacific perspective on the psychological well-being of healthcare workers during the evolution of the COVID-19 pandemic

BJPsych Open ◽  
2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Nicholas W. S. Chew ◽  
Jinghao Nicholas Ngiam ◽  
Benjamin Yong-Qiang Tan ◽  
Sai-Meng Tham ◽  
Celine Yan-Shan Tan ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Physical Symptoms ◽  
Psychological Outcomes ◽  
Asia Pacific ◽  
Pacific Region ◽  
Medical Conditions ◽  
Asia Pacific Region ◽  
Factors Associated ◽  
Prevalence Of Depression ◽  
The Impact

Background The coronavirus disease 2019 (COVID-19) pandemic has led to significant strain on front-line healthcare workers. Aims In this multicentre study, we compared the psychological outcomes during the COVID-19 pandemic in various countries in the Asia-Pacific region and identified factors associated with adverse psychological outcomes. Method From 29 April to 4 June 2020, the study recruited healthcare workers from major healthcare institutions in five countries in the Asia-Pacific region. A self-administrated survey that collected information on prior medical conditions, presence of symptoms, and scores on the Depression Anxiety Stress Scales and the Impact of Events Scale-Revised were used. The prevalence of depression, anxiety, stress and post-traumatic stress disorder (PTSD) relating to COVID-19 was compared, and multivariable logistic regression identified independent factors associated with adverse psychological outcomes within each country. Results A total of 1146 participants from India, Indonesia, Singapore, Malaysia and Vietnam were studied. Despite having the lowest volume of cases, Vietnam displayed the highest prevalence of PTSD. In contrast, Singapore reported the highest case volume, but had a lower prevalence of depression and anxiety. In the multivariable analysis, we found that non-medically trained personnel, the presence of physical symptoms and presence of prior medical conditions were independent predictors across the participating countries. Conclusions This study highlights that the varied prevalence of psychological adversity among healthcare workers is independent of the burden of COVID-19 cases within each country. Early psychological interventions may be beneficial for the vulnerable groups of healthcare workers with presence of physical symptoms, prior medical conditions and those who are not medically trained.

scholarly journals A thematic study: impact of COVID-19 pandemic on rare disease organisations and patients across ten jurisdictions in the Asia Pacific region

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Claudia Ching Yan Chung ◽  
Yvette Nga Chung Ng ◽  
Ritu Jain ◽  
Brian Hon Yin Chung
Keyword(s):  
Focus Group ◽  
Rare Disease ◽  
Qualitative Data ◽  
Healthcare Access ◽  
Asia Pacific ◽  
Pacific Region ◽  
Group Meeting ◽  
Asia Pacific Region ◽  
Focus Group Meeting ◽  
The Impact

Abstract Background This study assesses the areas and extent of impact of the Coronavirus Disease of 2019 (COVID-19) pandemic on rare disease (RD) organisations in the Asia Pacific region. There is no existing literature that focuses on such impact on RD organisations in any jurisdictions, nor RD populations across multiple jurisdictions in the Asia Pacific region. A cross-sectional survey was distributed to RD organisations between April and May 2020. Quantitative and qualitative data on the impact of COVID-19 on RD organisations and patients were collected from the organisation representative’s perspective. Qualitative data was analysed using thematic analysis. A follow-up focus group meeting was conducted in August 2020 to validate the survey findings and to discuss specific needs, support and recommendations for sustainable healthcare systems during the pandemic. Results A total of 80 RD organisations from Australia, Hong Kong Special Administrative Region of China, India, Japan, mainland China, Malaysia, New Zealand, the Philippines, Singapore and Taiwan participated in the study. Of all, 89% were concerned about the impact of pandemic on their organisations. Results indicate that 63% of the organisations functioned at a reduced capacity and 42% stated a decrease in funding as their biggest challenge. Overall, 95% believed their patients were impacted, particularly in healthcare access, social lives, physical health, psychological health and financial impact. Specifically, 43% identified the reduced healthcare access as their top impact, followed by 26% about the impact on daily living and social life. Focus group meeting discussed differential impact across jurisdictions and point towards telemedicine and digitalisation as potential solutions. Conclusions This serves as the first study to assess the impact of COVID-19 on RD patients and organisations across multiple jurisdictions in the Asia Pacific region, identifying major themes on the impact on both RD patients and organisations. By including 80 organisations from ten jurisdictions, our study presents the most comprehensive assessment of the pandemic’s impact to date. It highlights the need for mental health support and sheds light on moving towards telemedicine and digitalisation of organisation operation, which constitutes a sustainable model in times of pandemics and beyond.

Investigating Psychological Differences between Nurses and Other Healthcare Workers from Asia-Pacific Region during the Early Phase of the Coronavirus Disease 2019 (COVID-19): A Machine Learning Approach (Preprint)

2021 ◽  
Author(s):  
YanHong Dong ◽  
Mei Chun Yeo ◽  
Mei Chun Yeo ◽  
Rivan Danuaji ◽  
Thang H Nguyen ◽  
...  
Keyword(s):  
Machine Learning ◽  
Psychological Distress ◽  
Healthcare Workers ◽  
Psychological Impact ◽  
Asia Pacific ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Psychological Outcome ◽  
Psychological Differences ◽  
Medical Healthcare

BACKGROUND As the pandemic evolves, frontline work challenges continue to impose significant psychological impact on nurses. However, there is a lack of data how nurses fared compared to other healthcare workers in Asia-Pacific region. OBJECTIVE This study aims to investigate 1) psychological differences between nurses, doctor and non-medical healthcare workers, and 2) psychological outcome characteristics of nurses from different Asia-Pacific countries. METHODS Decision-tree type machine learning models (LIghtGBM, Gradientboost, and RandomForest) were adopted to predict psychological impact on nurses. The SHAP (SHapley Additive exPlanations) values of these models were extracted to identify the distinctive psychological distress characteristic. RESULTS Nurses had relatively higher percentages of normal or no-change in psychological distress symptoms relative to other healthcare workers (86.3% - 96.8% vs 80.7% - 92.3%). Among those without psychological symptoms, nurses constituted a higher proportion than doctors and non-medical healthcare workers (40.8%, 25.8%, and 33.4%, respectively). CONCLUSIONS Different contexts, cultures, and points in pandemic curve may have contributed to differing patterns of psychological outcomes amongst nurses in various Asia-Pacific countries. It is important that all healthcare workers practise self-care and render peer support to bolster psychological resilience for effective coping. CLINICALTRIAL Not applicable

Digital Audio Broadcasting (DAB) in the Asia-Pacific Region: A Regional Perspective

1999 ◽  
Vol 91 (1) ◽  
pp. 33-42 ◽  
Author(s):  
David B. Soothill
Keyword(s):  
Asia Pacific ◽  
Quality Of Services ◽  
Pacific Region ◽  
Digital Audio ◽  
Asia Pacific Region ◽  
Digital Radio ◽  
Digital Audio Broadcasting ◽  
Satellite Broadcasting ◽  
The Impact

The Asia-Pacific is the world's largest region and it has a huge range of potential radio uses that analogue terrestrial broadcasting simply cannot meet. This article explores the impact that digital radio transmission will have on the region, and the importance of satellite broadcasting and multichannel broadcasting for better coverage and quality of services.

scholarly journals The impact of body mass index on the associations of lipids with the risk of coronary heart disease in the Asia Pacific region

2016 ◽  
Vol 3 ◽  
pp. 79-82 ◽  
Author(s):  
Yoichiro Hirakawa ◽  
Tai-Hing Lam ◽  
Timothy Welborn ◽  
Hyeon Chang Kim ◽  
Suzanne Ho ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Body Mass ◽  
Asia Pacific ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
The Impact

The impact of the US economy on the Asia-Pacific region: does it matter?

2003 ◽  
Vol 14 (2) ◽  
pp. 219-241 ◽  
Author(s):  
Frank S.T Hsiao ◽  
Mei-chu W Hsiao ◽  
Akio Yamashita
Keyword(s):  
Asia Pacific ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Us Economy ◽  
The Us ◽  
The Impact

scholarly journals Rates and Factors Associated with Major Modifications to First-Line Combination Antiretroviral Therapy: Results from the Asia-Pacific Region

PLoS ONE ◽  
2013 ◽  
Vol 8 (6) ◽  
pp. e64902 ◽  
Author(s):  
Stephen Wright ◽  
Mark A. Boyd ◽  
Evy Yunihastuti ◽  
Matthew Law ◽  
Thira Sirisanthana ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Asia Pacific ◽  
Pacific Region ◽  
Combination Antiretroviral Therapy ◽  
Asia Pacific Region ◽  
First Line ◽  
Factors Associated

scholarly journals The Impact of Remittances on Domestic Investment in Developing Countries: Fresh Evidence From the Asia-pacific Region

2018 ◽  
Vol 9 (2) ◽  
pp. 193-211 ◽  
Author(s):  
Le Thanh Tung
Keyword(s):  
Developing Countries ◽  
Time Series Data ◽  
Negative Impact ◽  
Positive Impact ◽  
Asia Pacific ◽  
Series Data ◽  
Pacific Region ◽  
Domestic Investment ◽  
Asia Pacific Region ◽  
The Impact

Despite the sharply increasing remittances in developing countries (especially in the AsiaPacific region), the relationship between remittances and domestic investment in recipient countries has not been fluently evidenced. This paper aims to fill the empirical gap in the Asia-Pacific region by investigating the impact of remittances on domestic investment with a sample including nineteen developing countries based on time series data from 1980 to 2015. However, our findings contradict some evidence from other regions. The results robustly confirm that remittances have a negative impact on domestic investment in these countries. Our results also indicate that the annual GDP per capita growth, official development assistance, domestic credit, gross saving, and inflation have a positive impact on domestic investment, however, we conclude that the impact of trade openness on domestic investment has a negative sign in the study period. The paper also provides some policy suggestions with regard to remittance flows in this region.

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