scholarly journals Psycho-economic impact of COVID-19 pandemic on otorhinolaryngology practice in India

2021 ◽  
Vol 7 (6) ◽  
pp. 968
Author(s):  
Prahlad Duggal ◽  
Arun Gupta ◽  
Madhu Gupta ◽  
Jagdeep Thakur ◽  
Satinder P. Singh ◽  
...  
Keyword(s):  
Economic Impact ◽  
Psychological Stress ◽  
Policy Intervention ◽  
Risk Of Infection ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Protective Measures ◽  
Staff Members ◽  
Resource Limited ◽  
Significant Difference

<p class="abstract"><strong>Background:</strong> COVID-19 pandemic has exposed the soft underbelly of healthcare systems across the world wherein resource limited economies seemed to have taken a greater hit. Present questionnaire-based study was done to determine the perceived threats, psychological stress and economic concerns among practicing otolaryngologists in India, facing COVID-19 pandemic.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional, anonymous, self-reported questionnaire-based study was carried out among otolaryngologists in India over 3 week’s period, during the first countrywide lock-down. An online questionnaire was hosted and publicized using social media. A total of 178 participants landed on the page, 73 were excluded at the first question, 105 otolaryngologists, who were allowed to proceed, completed the questionnaire.  </p><p class="abstract"><strong>Results:</strong> Out of 105 otolaryngologists, 57 (52.8%) worked in private-sector. Significantly (p=0.001) higher number of private doctors (66.7%) were afraid of escalated cost of running out-patient clinics compared to government doctors (33.3%). Majority (80.8%) were against performing routine surgeries during pandemic with no significant difference between private and government doctors (p=0.765). Increased stress, during this pandemic was perceived by 73.1%.</p><p class="abstract"><strong>Conclusions:</strong> There were clear indications of psychological stress among the practicing otolaryngologists. Main reasons; anxiety about risk of infection for self, staff members and family, economic impact of the increased protective measures needed. It can be safely concluded based on the study that to alleviate fears of otolaryngologists in India; a comprehensive policy intervention is needed urgently, which is all the more important with the threat of a resurgence looming large over the country.</p>

scholarly journals COVID-19 pandemic and dental hygienists in Italy: a questionnaire survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Giuliana Bontà ◽  
Guglielmo Campus ◽  
Maria Grazia Cagetti
Keyword(s):  
Risk Perception ◽  
Ad Hoc ◽  
Personal Data ◽  
Dental Hygienists ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Waiting Room ◽  
Cross Sectional ◽  
Protective Measures ◽  
Significant Difference

Abstract Objective This online cross-sectional survey assesses the signs/symptoms, the protective measures taken and the awareness and risk perception regarding COVID-19 among Italian dental hygienists. All Italian dental hygienists were invited to participate. The ad hoc online questionnaire was divided into four domains: personal data, protective measures (−before patient arrival; −in the waiting room; −in the operating room) and PPE, awareness and risk perception. Results Two-thousand-seven-hundred-ninety-eight subjects participated. Only 0.25% of the sample was positive to the virus. Sense of fatigue (8.19%), headache (7.81%) and sore throat (7.32%) were the most common symptoms. A statistically significant trend across the areas with a different prevalence of COVID-19 was observed related to the number of signs/symptoms (areas z = 6.38 p < 0.01). Overall, 90.55% of the sample used protective glasses or visor, 90.10% disposable gloves and 82.80% surgical mask. Regarding the confidence to avoid the infection, a statistically significant difference was found among dental hygienists belonging to the 3 years-professional-experiences groups who worked in the high COVID-19 prevalence area. The findings of this survey show that Italian dental hygienists have modified their working habits according to the professional risk related to the current pandemic and they seem correctly prepared to face the risk of a SARS-CoV-2 infection.

scholarly journals COVID-19 pandemic and dental hygienists in Italy: a questionnaire survey.

2020 ◽  
Author(s):  
Giuliana Bontà ◽  
Guglielmo Giuseppe Campus ◽  
Maria Grazia Cagetti
Keyword(s):  
Risk Perception ◽  
Ad Hoc ◽  
Personal Data ◽  
Dental Hygienists ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Waiting Room ◽  
Cross Sectional ◽  
Protective Measures ◽  
Significant Difference

Abstract Background: This online cross-sectional survey assesses the signs/symptoms, the protective measures taken and the awareness and risk perception regarding COVID-19 among Italian dental hygienists. All Italian dental hygienists were invited to participate. The ad hoc online questionnaire was divided into four domains: personal data, protective measures (-before patient arrival; -in the waiting room; -in the operating room) and PPE, awareness and risk perception. Results: Two-thousand-seven-hundred-ninety-eight subjects participated. Only 0.25% of the sample was positive to the virus. Sense of fatigue (8.19%), headache (7.81%) and sore throat (7.32%) were the most common symptoms. A statistically significant trend across the areas with a different prevalence of COVID-19 was observed related to the number of signs/symptoms (areas z=6.38 p<0.01). Overall, 90.55% of the sample used protective glasses or visor, 90.10% disposable gloves and 82.80% surgical mask. Regarding the confidence to avoid the infection, a statistically significant difference was found among dental hygienists belonging to the three years-professional-experiences groups who worked in the high COVID-19 prevalence area. The findings of this survey show that Italian dental hygienists have modified their working habits according to the professional risk related to the current pandemic and they seem correctly prepared to face the risk of a SARS-CoV-2 infection.

scholarly journals COVID-19 pandemic and dental hygienists in Italy: a questionnaire survey.

2020 ◽  
Author(s):  
Giuliana Bontà ◽  
Guglielmo Giuseppe Campus ◽  
Maria Grazia Cagetti
Keyword(s):  
Risk Perception ◽  
Ad Hoc ◽  
Personal Data ◽  
Dental Hygienists ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Waiting Room ◽  
Cross Sectional ◽  
Protective Measures ◽  
Significant Difference

Abstract ObjectiveThis online cross-sectional survey assesses the signs/symptoms, the protective measures taken and the awareness and risk perception regarding COVID-19 among Italian dental hygienists. All Italian dental hygienists were invited to participate. The ad hoc online questionnaire was divided into four domains: personal data, protective measures (-before patient arrival; -in the waiting room; -in the operating room) and PPE, awareness and risk perception.ResultsTwo-thousand-seven-hundred-ninety-eight subjects participated. Only 0.25% of the sample was positive to the virus. Sense of fatigue (8.19%), headache (7.81%) and sore throat (7.32%) were the most common symptoms. A statistically significant trend across the areas with a different prevalence of COVID-19 was observed related to the number of signs/symptoms (areas z=6.38 p<0.01). Overall, 90.55% of the sample used protective glasses or visor, 90.10% disposable gloves and 82.80% surgical mask. Regarding the confidence to avoid the infection, a statistically significant difference was found among dental hygienists belonging to the three years-professional-experiences groups who worked in the high COVID-19 prevalence area. The findings of this survey show that Italian dental hygienists have modified their working habits according to the professional risk related to the current pandemic and they seem correctly prepared to face the risk of a SARS-CoV-2 infection.

scholarly journals Emotional Bonding and Sexual Activity During COVID-19 Lockdown: A Cross-National Pilot Study

2021 ◽  
pp. 263183182110274
Author(s):  
Deblina Roy ◽  
Sujita Kumar Kar ◽  
SM Yasir Arafat ◽  
Pawan Sharma ◽  
Russell Kabir
Keyword(s):  
Online Survey ◽  
Sampling Technique ◽  
Sexual Relationships ◽  
Sexually Active ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Emotional Bonding ◽  
Significant Difference ◽  
The Mean ◽  
Study Participants

Background: The COVID-19 pandemic and lockdown measures have affected the sexuality and emotional bonding among the couple across the world. Objectives: We aimed to assess the effects of the COVID-19 pandemic and lockdown on the married people’s emotional bonding and sexual relationships in 3 south Asian counties (Bangladesh, India, and Nepal). Methods: A cross-sectional online survey was conducted among Bangladesh, India, and Nepal residents from April 3 to April 15, 2020. The survey was designed in English. The participants were selected through convenience sampling technique, the link of the online questionnaire was shared with the participants. Only participants older than 18 years and above, married, and living with their spouses were included in the study. Results: A total number of 120 respondents were included finally for analysis from the participating countries (India, Nepal, and Bangladesh). The mean age of the participants was 35.42 (±5.73) years; the majority were males under the age of 40 years and had completed postgraduation as their qualification. Among the study participants, more than half (53.8%) of the women reported being sexually active during the lockdown, whereas 41% of the men reported being sexually active. Among the sexually active participants, most women (57.7%) reported that they perceived positive emotional bonding with their partners. Nevertheless, there was no significant difference observed when compared with men. There are variations in responses. However, no significant association was identified. Conclusion: There are a few insights from the study, that is, there was no significant difference found in almost 3 countries in emotional intimacy. There had been a trend that there is improved emotional bonding with their partners, although no significant difference was observed.

P20 Parental understanding of concussion in youth rugby is significantly improved by viewing the RFU concussion education video

2019 ◽  
Vol 90 (3) ◽  
pp. e31.1-e31
Author(s):  
T Samuel ◽  
K Aquilina ◽  
W Dawes
Keyword(s):  
Parental Education ◽  
Cross Sectional Study ◽  
Educational Video ◽  
Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Parental Experience ◽  
Increased Risk ◽  
Significant Difference ◽  
Composite Scores

ObjectivesTo investigate the current understanding parents have of concussion in their rugby-playing children aged 9–17.DesignCross-sectional studySubjects86 parents from four clubs completed an online questionnaireMethodsAreas covered (1) Parental experience of concussion (2) Rate of viewing of the RFU concussion educational video (RFUCEV), (3) Identification of symptoms of concussion (4) Understanding of the risk of concussion. Each participant was given a composite score, out of 19, based on their performance in symptom identification and true/false questions. Independent-sample two-tailed t-tests were conducted to analyse scores, primarily controlling for viewing of the RFUCEVResultsThere was a significant difference in the scores between the group that had viewed the RFUCEV (n=32, M=14.75, SD=2.55) and those who had not (n=54, M=13.05, SD=2.87); t(84)=2.75, p=0.00721. Additionally, over 25% of parents reported that their child had suffered a concussion, and this was also found to significantly improve the awareness score (p=0.04678)ConclusionsStatistically significant improvement in composite scores after viewing the RFUCEV makes it reasonable to require compulsory parental education prior to signing up a child to play rugby. This would build on the protocol changes made by the RFU in 2014 and further progress the safety of the sport. We suggest the video be improved to emphasise the areas highlighted as inadequately understood, including the increased risk of concussion in under-18s compared to adults.

Attitude towards online classes among school and college going students during lockdown due to COVID-19 pandemic

2021 ◽  
Vol 8 (7) ◽  
pp. 3446
Author(s):  
Saurav Kumar ◽  
Shiv Prakash ◽  
Mona Srivastava
Keyword(s):  
Family Income ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Online Classes ◽  
Online Questionnaire ◽  
Chi Square ◽  
Cross Sectional ◽  
Academic Level ◽  
College Going ◽  
Significant Difference

Background: The aim of the study was to assess the attitude of the school and college-going students towards online classes. Methods: An online cross-sectional study was conducted on 228 school and college-going students fulfilling inclusion and exclusion criteria selected through purposive sampling methods. A semi-structured online questionnaire consisting of a socio-demographic questionnaire and Attitude towards online classes (ATOC) questionnaire was prepared by the researcher using Google form. The link of the questionnaire was sent to all the selected respondents through WhatsApp messages and emails. The data was analyzed using the IBM SPSS version 20 software. The reliability of the attitude questionnaire was assessed using Cronbach’s alpha test. The association between categorical variables was assessed using Chi-square tests. The comparison between variables was assessed using the students independent t-test.Results: More than half of the respondents (51.32%) were found with a positive attitude towards online classes. There was a significant association found between attitude towards online classes and socio-demographic variables such as age (p<0.05), academic level (p<0.05), and family income (p<0.01). The respondents who attended online classes (p<0.05), have technical knowledge (p<0.01), and got supported by their parents in the study (p<0.05) were found significantly high positive attitudes towards online classes. There was a significant difference found in the attitude of the respondents who faced psychological disturbances such as a decline in attention-concentration (p<0.05), irritation-anger (p<0.01), and tension (p<0.05) due to online classes.Conclusions: Although, online classes are more beneficial for the students and teachers in their academic activities during the lockdown period due to the COVID-19 pandemic but it can’t take place of traditional face-to-face classes. 

scholarly journals Verbal abuse facing Saudi nurses during internship program

2021 ◽  
Vol 12 (3) ◽  
pp. 75
Author(s):  
Maram Banakhar ◽  
Maha Alzahrani ◽  
Amani Omar Essa ◽  
Asal Fathi Al-dhahry ◽  
Rahma Farooq Batwa ◽  
...  
Keyword(s):  
Workplace Violence ◽  
Negative Impact ◽  
Care Delivery ◽  
Cross Sectional Study ◽  
Verbal Abuse ◽  
Negative Consequences ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Staff Members ◽  
Night Shifts

Background: Verbal abuse, in the context of workplace violence, is increasing, with nurses at high liability of being subjected to it since they are the first line of care delivery. This phenomenon is now receiving greater recognition due to its negative impact on nurses. This study aims to assess the prevalence of verbal abuse faced by Saudi nursing intern students in Jeddah, Saudi Arabia.Methods: A cross-sectional study was conducted via a modified online questionnaire completed by Saudi intern nurses in Jeddah in March 2020. Descriptive statistical analysis was executed using statistical software SPSS Version 21.Results: From a total of 132 nurses, 94 participants met the study criteria. The findings show that 39.4% of Saudi intern nurses have experienced verbal abuse. The common perpetrators are patient/client (73%) and other staff members (73%), followed by patients’ relatives (45.9%). 48.6% of the participants did not report incidences of verbal abuse, commonly citing fear of the negative consequences (51.4%) and not knowing who to report it to (45.9%). A significant relation between working night shifts (6 pm to 7 am) and being verbally abused was found.Conclusions: Saudi nursing interns are vulnerable to verbal abuse. This study’s results highlight the possible risk to nursing interns, which may be diminished by modifying perceptions of verbal abuse and by clarifying the rules and regulations for both nursing interns and suspected perpetrators. We recommend future studies of verbal abuse are conducted in larger groups of nurses across different provinces in Saudi Arabia.

Prevalence of methylphenidate use by Master of Medicine students at a South African university

2021 ◽  
pp. postgradmedj-2021-140991
Author(s):  
Willem Andries Nienaber Louw ◽  
Ryan Alroy Davids
Keyword(s):  
South African ◽  
Undergraduate Students ◽  
Performance Enhancement ◽  
Off Label Use ◽  
Undergraduate Medical Students ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Off Label ◽  
Significant Difference ◽  
Label Use

BackgroundMethylphenidate is mainly used for the treatment of attention-deficit/hyperactive-disorder (ADHD). Its effect of increased attentiveness leads to the potential of off-label use by students for academic enhancement—previously demonstrated in undergraduate students. No publication exists on postgraduate student use of methylphenidate.ObjectivesTo provide a summary of the self-reported prevalence and correlates of methylphenidate use in Masters of Medicine (MMed) students registered at the Faculty of Medical and Health Sciences of a South African university.MethodsA cross-sectional study was conducted. Data were collected via a self-administered anonymous online questionnaire distributed by email to 505 registered MMed students.ResultsOf the 253 responses (response rate 50.1%) received 71 (28.1%) have used methylphenidate. Only 2.4% have been diagnosed with ADHD. The majority (73.2%) obtained it without a formal medical consultation. Self-prescription (26.8%) and prescription by a colleague without consultation (23.9%) contributed significantly. Academic performance enhancement was the primary motivation for use in 71.8% and 42.3% of users started using methylphenidate while registered as an MMed student. There was no statistically significant difference in terms of gender (p=0.151), age (p=0.288) or year of study (p=0.149).ConclusionsOff-label use of methylphenidate is prevalent in MMed students registered at this South African university. The prevalence is significantly higher than in undergraduate medical students. The non-conventional means of access is of great concern. Efforts should be made to discourage self-prescription, educate students on the dangers of methylphenidate use, promote better access regulation and enhance psychological support.

Does medical students’ gender affect their clinical learning of gynaecological examination? A retrospective cohort study

2018 ◽  
Vol 94 (1112) ◽  
pp. 325-329
Author(s):  
Thomas Wallbridge ◽  
Angela Holden ◽  
Aled Picton ◽  
Janesh Gupta
Keyword(s):  
Medical Students ◽  
Learning Experience ◽  
Cross Sectional Study ◽  
Female Students ◽  
Male Students ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Medical Graduates ◽  
Significant Difference ◽  
Gynaecological Examination

IntroductionMedical graduates should be competent in gynaecological examination as well as associated skills including speculum use and swabbing. Male and female medical students may have different opportunities to practise these skills in clinical environments, potentially impacting on confidence and competence. This study explores this further via reviewing students’ learning experience in genitourinary medicine (GUM) and obstetrics and gynaecology (O&G) clinics.MethodsCross-sectional study of 759 year 4 and year 5 University of Birmingham medical students via an online questionnaire. This explored degree of participation, impact of gender and self-reported confidence.ResultsOverall response rate was 31% (233/759). Students of either gender who observed an examination being performed by a clinician were more likely to perform the same examination. Female students reported more opportunities to practise gynaecological examination and associated skills. Female students were more likely to be granted consent to perform speculum examinations, vaginal swabbing and vaginal bimanual examinations. Sixty-five per cent of male students felt that their gender affected their learning experience with female patients. Despite this, there was no significant difference in self-reported confidence level in performing gynaecological examinations between genders at the end of placement.ConclusionThe majority of male students perceived that their gender impacted their clinical experience in O&G and GUM. Self-reported confidence levels were unaffected, which could reflect varying approaches to competence between genders. The link between observing examinations and subsequent opportunities to practise is key. This could demonstrate students developing rapport and trust with patients, and clinicians’ roles as gatekeepers.

scholarly journals Antipsychotic use in a resource-limited setting: Findings in an Eastern Cape psychiatric hospital

2017 ◽  
Vol 23 ◽  
Author(s):  
Ingrid Eloff ◽  
Willem Esterhuysen ◽  
Kavendren Odayar
Keyword(s):  
Psychiatric Hospital ◽  
Health Sector ◽  
Retrospective Chart Review ◽  
Cost Effective ◽  
Eastern Cape ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Resource Limited ◽  
Significant Difference ◽  
Switch Group

Background: Second-generation antipsychotics (SGAs) are commonly prescribed despite the fact that large, naturalistic studies have failed to show superior efficacy and tolerability when compared with first-generation antipsychotics (FGAs). In addition to this, the availability of SGAs in the South African public health sector is limited because of higher acquisition costs. Therefore, judicious use of FGAs, which are affordable and more widely available, should be considered.Aims: This study aimed to (1) determine how frequently patients are switched from an FGA to an SGA in an acute psychiatric hospital in the Eastern Cape, (2) determine reasons for switching and (3) compare the profiles of the switch group to the non-switch group.Method: The study is a cross-sectional survey conducted as a retrospective chart review at a psychiatric hospital in the Eastern Cape over a study period of 2 months. The demographics, diagnostic data, antipsychotic drug used and whether a switch from an FGA to an SGA took place were recorded using a data collection document. The sample included 169 patients.Results: Of the 169 patients, 125 (74%) were initiated on an FGA and 44 (26%) on an SGA on admission. Of the 125 patients who were initiated on an FGA, 43 (34%) were switched to an SGA during the course of the admission. Therefore, 87 (51%) participants were discharged on an SGA. The main reasons for switching were the emergence of extrapyramidal side-effects (EPSE) (63%) followed by lack of efficacy (19%). The only statistically significant difference between the switch and non-switch groups was that the switch group was on average younger than the non-switch group.Conclusion: SGAs, with the exception of clozapine, have not been proven to be superior to FGAs. Although FGAs are more prone to cause EPSE, SGAs carry significant risks of their own. FGAs are also more freely available and cost effective in South-Africa. Despite these facts the prescribing of and switching to SGAs remain prevalent in our setting with a switch rate of 34% and more than half of our patients being discharged on SGAs.

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