scholarly journals Changes in Positive Airway Pressure Use in Adults with Sleep-Related Breathing Disorder during the COVID-19 Pandemic: A Cross-Sectional National Community-Based Survey

2021 ◽  
Author(s):  
Tetyana Kendzerska ◽  
Mysa Saad ◽  
Najib Ayas ◽  
Rebecca Robillard
Keyword(s):  
Sex Education ◽  
Airway Pressure ◽  
Family Income ◽  
Positive Airway Pressure ◽  
Survey Study ◽  
Community Based ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
National Community ◽  
Sleep Related Breathing Disorder

Abstract Purpose: To better understand: i) a positive airway pressure (PAP) therapy use during the pandemic, ii) how PAP use may relate to sleep, health, and COVID-19-related outcomes, and iii) factors associated with PAP use during the pandemic. Methods: This study is based on data collected between Apr 2020 and Jan 2021 as part of the online cross-sectional national community-based survey. The included participants were located in North America, 18 years and older, with self-reported sleep-related breathing disorder (SBD) and usage of a PAP device in the last month before and during the COVID-19 pandemic (“in the past 7 days”). Results: Of all respondents, 7.2% (41/570) stopped using PAP during the pandemic. There were no significant differences between individuals who continued and stopped using PAP in the time elapsed since the pandemic declaration, age, sex, education level, occupational status, family income, or the proportions of individuals endorsing symptoms that could be related to COVID-19. Compared to individuals who continued using PAP, those who stopped had significantly shorter sleep time, lower sleep efficiency, and poorer sleep quality. Higher stress levels and living with someone who experienced symptoms that could be attributable to COVID-19 were independently associated with stopping using PAP. Conclusions: In this survey study, we found that most individuals with SBD continued PAP therapy during the pandemic. However, even 7% of participants who stopped using PAP cannot be ignored. Identifying individuals at risk of discontinuing PAP treatment would help design targeted interventions for patients and health professionals to improve PAP use.

scholarly journals Changes in Positive Airway Pressure Use in Adults with Sleep-Related Breathing Disorder during the COVID-19 Pandemic: A Cross-Sectional National Community-Based Survey

2021 ◽  
Author(s):  
Tetyana Kendzerska ◽  
Mysa Saad ◽  
Najib Ayas ◽  
Rebecca Robillard
Keyword(s):  
Sex Education ◽  
Airway Pressure ◽  
Family Income ◽  
Positive Airway Pressure ◽  
Survey Study ◽  
Community Based ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
National Community ◽  
Sleep Related Breathing Disorder

Abstract Purpose: To better understand: i) a positive airway pressure (PAP) therapy use during the pandemic, ii) how PAP use may relate to sleep, health, and COVID-19-related outcomes, and iii) factors associated with PAP use during the pandemic. Methods: This study is based on data collected between Apr 2020 and Jan 2021 as part of the online cross-sectional national community-based survey. The included participants were located in North America, 18 years and older, with self-reported sleep-related breathing disorder (SBD) and usage of a PAP device in the last month before and during the COVID-19 pandemic (“in the past 7 days”). Results: Of all respondents, 7.2% (41/570) stopped using PAP during the pandemic. There were no significant differences between individuals who continued and stopped using PAP in the time elapsed since the pandemic declaration, age, sex, education level, occupational status, family income, or the proportions of individuals endorsing symptoms that could be related to COVID-19. Compared to individuals who continued using PAP, those who stopped had significantly shorter sleep time, lower sleep efficiency, and poorer sleep quality. Higher stress levels and living with someone who experienced symptoms that could be attributable to COVID-19 were independently associated with stopping using PAP.Conclusions: In this survey study, we found that most individuals with SBD continued PAP therapy during the pandemic. However, even 7% of participants who stopped using PAP cannot be ignored. Identifying individuals at risk of discontinuing PAP treatment would help design targeted interventions for patients and health professionals to improve PAP use.

scholarly journals Psychological impact in the time of COVID-19: A cross-sectional population survey study during confinement

2021 ◽  
pp. 135910532098558
Author(s):  
Carmina Castellano-Tejedor ◽  
María Torres-Serrano ◽  
Andrés Cencerrado
Keyword(s):  
Chronic Conditions ◽  
Population Survey ◽  
Psychological Impact ◽  
Survey Study ◽  
Psychological Interventions ◽  
Community Based ◽  
Cross Sectional ◽  
Young Females ◽  
The World ◽  
The Impact

The transformation that COVID-19 has brought upon the world is unparalleled. The impact on mental health is equally unprecedented and yet unexplored in depth. An online-based survey was administered to 413 community-based adults during COVID-19 confinement to explore psychological impact and identify high risk profiles. Young females concerned about the future, expressing high COVID-related distress, already following psychological therapy and suffering from pre-existing chronic conditions, were those at highest risk of psychological impact due to the COVID-19 situation. Findings could be employed to design tailored psychological interventions in the early stages of the outbreak to avoid the onset/exacerbation of psychopathology.

Discrepancy in the physical dimensions of nose and continuous positive airway pressure (CPAP) interface: a possible reason for high rates of nasal injury in Indian neonates

2020 ◽  
Vol 7 (1) ◽  
pp. 33-39
Author(s):  
Jagjit Singh Dalal ◽  
Sanketh Kumar Ajmera ◽  
Kanika Prajapat ◽  
Tanushree Sahoo ◽  
Chander Prakash Yadav ◽  
...  
Keyword(s):  
Continuous Positive Airway Pressure ◽  
Airway Pressure ◽  
Neonatal Intensive Care ◽  
Positive Airway Pressure ◽  
Three Dimensional ◽  
Cross Sectional Study ◽  
High Rate ◽  
Cross Sectional ◽  
Weight Category ◽  
Nasal Injury

BackgroundProperly fitting continuous positive airway pressure (CPAP) interface is critical to the efficacy and safety of nasal CPAP therapy in preterm. Unfortunately, there is a perception that CPAP interfaces being used in Indian neonatal intensive care units do not fit well and cause a high rate of nasal injury.ObjectivesTo determine the nasal anthropometric dimensions in preterm (<35 weeks) Indian neonates and compare them with those of commercially available CPAP interfaces.MethodsIn this cross-sectional study, relevant anterior nasal parameters were measured by three dimensional imaging in 32 preterm newborn (26+0–34+6 weeks) and compared with commercially available 17 short binasal CPAP prongs of multiple sizes made by five manufacturers. Dimensions for best-suited interfaces were generated for Indian neonates.ResultsThe mean (SD) gestation and birth weight of enrolled neonates were 30.6 (3.0) weeks and 1338 (575) g, respectively. The inter prong distance was narrower than the upper bound of the 95% CI of the columellar width in Hudson type CPAP interfaces in <1250 g weight category with discrepancy in measurement varying from 0.2 to 0.5 mm and 0.9–1.4 mm at midpoint and base of columella, respectively. Similarly, the lower bound of 95% CI of the distance between the lateral walls of the nostrils was narrower than the width of the prongs by 1–3 mm.ConclusionsThere is mismatch between nasal prongs and nose dimension of Indian neonates resulting in possible erosion of columella and distension of nostrils.

scholarly journals Demographics, Sleep Apnea and Positive Airway Pressure (PAP) Treatment-Related Characteristics Associated with PAP Adherence: A Large Retrospective Community-Based Longitudinal Observational Study

2021 ◽  
Author(s):  
Jonathan Villa ◽  
Robert Dales ◽  
Tetyana Kendzerska
Keyword(s):  
Sleep Apnea ◽  
Observational Study ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Median Number ◽  
Community Based ◽  
Related Factors ◽  
Median Percentage ◽  
Sleep Study ◽  
Obstructive Sleep

Abstract Despite many years of research, multiple factors have inconsistently shown to be associated with positive airway pressure (PAP) adherence. We conducted a retrospective observational study to evaluate the association between selected demographics, obstructive sleep apnea (OSA) - and PAP treatment-related factors, generally available, and objective PAP therapy adherence.We considered all consented individuals with OSA who purchased a PAP device from a registered vendor (Ottawa, Ontario) between 2011 and 2017 who had usage data available. PAP adherence was measured objectively as PAP use for at least 4 hours on at least 70% of days on treatment. In our cohort, 7,147/11,634 (61.5%) of participants were deemed adherent to PAP. The median percentage of days PAP therapy was used was 82% (IQR: 48-97%), and the median number of days PAP therapy was used for greater than 4 hours was 95 (IQR: 28-372). In multivariable logistic regression considering all variables available, the effect of body mass index, age, and minimum SaO2 at baseline sleep study were significantly associated with PAP adherence.

scholarly journals Assessment on awareness towards preventive measures of COVID-19 in Sheka, Ethiopia: Community based cross-sectional Study

2021 ◽  
Author(s):  
Assaye Belay Gelaw ◽  
Solomon Abebaw Andargie
Keyword(s):  
Sex Education ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
P Value ◽  
Critical Element ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Southwestern Ethiopia ◽  
Prevention Methods

Abstract Background: The coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and it is the most important of public health problem worldwide. A critical element in tackling the COVID-19 crisis is personal behavioral change; however, there is a paucity of evidence about peoples’ awareness towards COVID-19 pandemic. Hence, this study was aimed to assess the people’s awareness status towards COVID-19 in Sheka, Southwestern Ethiopia.Methods: Community-based cross-sectional study was conducted between 10th to 21th April 2020. Four hundred-nineteen individuals participated during the study. Both univariable and multivariable logistic regression analyses were used to identify significant factors of awareness status, and variables with p-value<0.05 indicated it significantly influences the awareness status of the individuals towards COVID-19.Results: According to the study’s results, nearly half (49.4 %) of the participants had awareness about COVID-19 pandemic. Factors such as sex, education level, religion, symptom, and knowing prevention methods were significantly associated with awareness of individuals towards COVID-19 pandemic. Respondents who did know all prevention methods (AOR: 8.1, 95% CI: 1.3, 51.9) are more likely to aware of COVID-19 than their counterparts.Conclusion: The study showed that there is a low awareness status among people towards COVID-19.Hence, programs to improve awareness towards COVID-19 pandemic is is essential to prevent and control the pandemic.

scholarly journals KNOWLEDGE, ATTITUDE AND PRACTICE ON E- LEARNING AMONG B.SC. NURSING STUDENTS

2021 ◽  
Vol 9 (11) ◽  
pp. 1105-1112
Author(s):  
Vadivazhagan Alias Rathinam J. ◽  
◽  
Nivethitha K. ◽  
Sridevy S. ◽  
Felicia Chitra A. ◽  
...  
Keyword(s):  
Nursing Students ◽  
Family Income ◽  
Educational Institution ◽  
Survey Study ◽  
Cross Sectional ◽  
Learning Platform ◽  
Attitude And Practice ◽  
Total Family Income ◽  
E Learning ◽  
Knowledge Attitude And Practice

Background: The sudden outbreak break of crisis made the educational institution to switch over the mode of teaching from traditional method to E-Learning. The main objective of the present study is to assess the existing level of Knowledge, Attitude and Practice about E- learning among B.Sc Nursing Students in selected Nursing colleges, to correlate all the outcome variables with each other. Methodology: A cross sectional descriptive survey study was conducted among B.Sc Nursing Students in selected Nursing colleges, Puducherry with 400 samples, selected through cluster random sampling technique. Quantitative approach was used for this study and the design was descriptive cross-sectional design. Data was collected by using self-structured questionnaire prepared by the researcher. Results: The results revealed that, out of 400 samples, nearly more than half of the samples 211(52.8%) had inadequate Knowledge about E-Learning. Further, the data was analyzed by using the Karl Pearsons correlation and it had shown positive correlation which is found to be statistically significant at p<0.01 level between all three variables. Regarding the association, previous experience of attending classes online classes, gender and total family income per annum had shown significant association with Knowledge, educational status of the mother, total family income per annum and sibling having separate gadgets for attending E-Learning had shown statistically significant association with Attitude, use of gadgets by the subjects siblings having separately for attending E-Learning had statistically significant association with Practice at p<0.05 level. Conclusion: The study concludes that the E-Learning should be recommended for the Students to update their Knowledge and practice with desirable attitude changes to adapt E-learning for their learning platform.

scholarly journals Recent SARS-CoV-2 seroconversion in a national, community-based prospective cohort of U.S. adults

2021 ◽  
Author(s):  
Denis Nash ◽  
Madhura Rane ◽  
Mindy Chang ◽  
Sarah Gorrell Kulkarni ◽  
Rebecca Zimba ◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Cohort Study ◽  
Prospective Cohort ◽  
Ethnic Disparities ◽  
Contact Tracing ◽  
Community Based ◽  
Cross Sectional ◽  
National Community ◽  
Epidemiologic Risk

SHORT ABSTRACTEpidemiologic risk factors for incident SARS-CoV-2 infection are best characterized via prospective cohort studies, complementing case-based surveillance and cross-sectional seroprevalence studies. In March 2020, we launched the CHASING COVID Cohort Study, a national, community-based prospective cohort study of 6,745 U.S. adults who underwent at-home specimen collection for repeat serologic testing for SARS-CoV-2 antibodies. We identify and quantify several policy-sensitive risk factors for recent SARS-CoV-2 seroconversion, highlight persistent racial/ethnic disparities in incidence, document continued elevated risk among essential workers, and call attention to major gaps in the coverage of public health interventions aimed at testing, isolation, and contact tracing. We conclude that modifiable risk factors and poor reach of public health strategies drive SARS-CoV-2 transmission and inequities across the U.S.

Sign in / Sign up

Export Citation Format

Share Document