scholarly journals Comparison Between Healthcare Professionals and the General Population on Parameters Related to Natural Remedies Used During the COVID-19 Pandemic

2021 ◽  
Vol Volume 14 ◽  
pp. 3523-3532
Author(s):  
Amna Alotiby ◽  
Maram Alshareef
2021 ◽  
Vol 51 (2) ◽  
Author(s):  
José Tawil ◽  
Josie Libertucci ◽  
Ana Adet Caldelari ◽  
Irene Banchero ◽  
Sandra Canseco ◽  
...  

Background and Objectives. Since the onset of the COVID-19 pandemic, concerns have been raised regarding the risk of infection to both healthcare staff and patients during gastrointestinal endoscopy procedures. Given the importance of performing routine endoscopic procedures to an individual’s future health, we sought to estimate the risk of COVID-19 infection for healthcare staff and patients undergoing endoscopic studies at an ambulatory endoscopy center during the pandemic. Material and Methods. This is a prospective(and) analytical cohort study conducted in an ambulatory gastroenterology center located in the Autonomous City of Buenos Aires, Argentina. Patients undergoing different endoscopic procedures were evaluated for COVID-19 between April 14 and August 31, 2020. COVID-19 was also evaluated in all healthcare and associated staff during the same time period. The risk (cumulative incidence) of acquiring COVID-19 in all patients and staff was calculated. Results. Between April 14 and August 31, 2020, procedures were performed in 3,745 patients with a mean age of 51.12 years; 2,102 (56.18%) were male and 1,643 (43.82%) were female. Follow-up was completed in 3,492 patients, 18 of whom tested positive for COVID-19 standing for an incidence of 0.52% (95%CI 0.31 – 0.81%). Six (5.45%) out of 110 staff members were infected with COVID-19 (1 endoscopist, 4 endoscopy assistants and 1 administrative staff member). In this group, the incidence of positive tests for COVID-19 was 5.45% (95%CI: 2.03 – 11.50%). The increased rates of positive cases among our patients and healthcare professionals were respectively 7.9 and 23.6 times lower than in general population. Conclusion. During the study period, the proportion of COVID-19 infections in our ambulatory specialized in gastrointestinal endoscopy was low and much lower than that in the general population for both patients and healthcare professionals. Endoscopic procedures undertaken at this center were low risk, likely due to strict compliance with established pandemic protocols. Future studies should compare the risk of infection in the hospital setting.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Lesuffleur ◽  
M Coldefy ◽  
A Rachas ◽  
C Gastaldi-Ménager ◽  
P Tuppin

Abstract Background People with a mental illness have higher risks of somatic diseases and higher mortality, but this has been poorly documented in France. We studied the associations between mental illnesses and acute cardiovascular events (ACEs) and cancers in the French national health data system (SNDS). Methods We included all health insurance general scheme beneficiaries ≥18 years-of-age in 2016. Mental illnesses (psychotic disorder, neurotic or mood disorder, mental retardation and addictive disorder), ACEs (acute coronary syndrome (ACS), stroke, acute heart failure and pulmonary embolism) and cancers (breast, colorectal, lung and prostate) were identified using algorithms based on long-term disease registry, hospitalization diagnoses and specific drug deliveries. The associations were measured using morbidity ratios standardized by age and gender when appropriate (SMRs). Results ACEs were more frequent in the subjects with a mental illness than in the general population: ACS (SMR: 1.6), stroke (2.3), acute heart failure (1.9), pulmonary embolism (2.4). Similar results were found for each mental illness, except for ACS, which were less frequent in those with a mental retardation (SMR: 0.5) and were not associated with psychotic disorder (SMR: 1.0). Mental illness was also associated with more frequent breast (SMR: 1.3), colorectal (1.3), lung (2.0) and prostate (1.2) cancers, in particular for those with a neurotic or mood disorder (SMRs: 1.3, 1.5, 2.3, 1.2, respectively) and, for lung cancer, those with an addictive disorder (SMR: 2.6). Conclusions Globally, ACEs and cancers were more frequent in patients with a mental illness relative to the general population after standardization by age and gender, which could be related to adverse effects of certain psychotropic drugs or behaviours or risk factors related to the mental illness. Healthcare professionals should be aware of this to more adequately account for the specificities of the patients with a mental illness. Key messages ACEs and cancers were more frequent in patients with a mental illness relative to the general population after standardization by age and gender. Healthcare professionals should be aware of this to more adequately account for the specificities of the patients with a mental illness.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Leite ◽  
P Soares ◽  
J Santos ◽  
C Nunes

Abstract Background Delays in diagnosing tuberculosis lead to longer infectious periods, posing a challenge in tuberculosis control. This is particularly relevant in high incidence areas (critical). Thus, the objectives of this work were to characterize tuberculosis diagnosis delay and its components (patient delay and health delay) in incidence critical and non-critical areas in Portugal, as well as associated factors. Methods Notified cases of pulmonary tuberculosis diagnosed due to symptoms (passive screening) in the Portuguese Tuberculosis Surveillance System were analysed (2008-2017). Patient, health and overall delays were calculated. Factors associated with each delays' components were identified utilising Cox regression, while adjusting for sex, age and education level. Analyses were stratified by area type (critical and non-critical). Results Median (1st-3rd quartile - Q1-Q3) delays in patient, health and overall delay in critical areas were: 40 (Q1-Q3: 21-76), 8 (Q1-Q3:1-31), and 65 (Q1-Q3: 40-105) days, respectively; similar delays in non-critical areas were 32 (Q1-Q3:16-63); 9 (Q1-Q3: 1-34) and 58 (Q1-Q3: 35-98), respectively. More recent cases, adults younger than 65 years and alcoholic presented longer patient delays (both areas); healthcare professionals and patients with HIV infection presented shorter patient delays (only critical areas). Tuberculosis high-risk groups (males, alcohol dependency, homelessness, community residency) presented shorter health delays in both areas; drug use also presented shorter health delays but only in critical areas. Existing comorbidities was associated with longer health delays in both areas. Conclusions Patient delays increased between 2008 and 2017. Groups with longer/shorter delays differed between delay type and area type. Intervening in tuberculosis diagnosis delays requires different action for critical and non-critical areas, targeting health literacy from the general population and training of healthcare professionals. Key messages Delays in diagnosing in Portugal are mainly driven by delays in patient seeking care and are longer in areas of higher tuberculosis incidence. Intervening in tuberculosis diagnosis delays in Portugal requires different action in different areas, targeting health literacy in the general population and training of professionals.


Author(s):  
Shilpa Dogra ◽  
Ilana Patlan ◽  
Carley O’Neill ◽  
Hayley Lewthwaite

Background: Many countries have clinical practice guidelines (CPG) for asthma that serve as an important resource for healthcare professionals and inform the development of policies and practices relevant to asthma care. The purpose of this scoping review was to search for CPGs related to asthma to determine what recommendations related to the 24-h movement behaviours are provided. Methods: We searched for the most recent CPGs published by a national authoritative body from 195 countries. Guidelines were reviewed for all movement behaviours; that is, physical activity, sedentary behaviour, and sleep. Results: In total, 82 documents were searched for eligibility and 19 were included in our review. Of these, only 10 CPGs provided information on physical activity; none provided recommendations consistent with the FITT principle, while seven recommended activity levels similar to the general population. None of the guidelines included information on sedentary behaviour. Nine guidelines included information on sleep: recommendations mostly focused on changes to medication to reduce disruptions in sleep. Conclusions: It is recommended that future work be conducted to create comprehensive movement behaviour guidelines accompanied with relevant precautions and strategies to ensure that adults with asthma are able to safely and effectively engage in movement behaviours throughout the day.


2013 ◽  
Vol 6 (3) ◽  
pp. 140-146
Author(s):  
Elizabeth Shiner ◽  
Anne-Marie Skitt ◽  
Will Mackintosh ◽  
Shawn Sacks

It is well recognised that the healthcare of those with learning disability (LD) has traditionally fallen behind the care received by the general population. It may be argued that sexual health is among the most difficult and challenging areas for healthcare professionals to address. Difficulties arise from unique communication problems, establishing consent and third party involvement from families and carers. GPs are ideally positioned to provide holistic sexual healthcare for those with learning disability; this article aims to set out some of the areas of difficulty and offer guidance to ensure the subject can be approached with confidence.


2021 ◽  
Author(s):  
Alex Bacadini França ◽  
Clarissa Trzesniak ◽  
Patrícia Waltz Schelini ◽  
Gerson Hiroshi Yoshinari Júnior ◽  
Luciano Magalhães Vitorino

Data collection was carried out between May 11 and June 3, 2020 using an online electronic form, which was prepared by using the Google Forms application. Data collection started three months after the sanction of the Brazilian law which regulates about the quarantine period and specific measures against the new coronavirus. The link was sent through social media networks. The estimated time to fulfill the forms was less than 15 minutes. Participants should be 18 years and over, be in quarantine for at least 15 days (except health professionals), be Brazilian or naturalized and reside in Brazilian territory during the pandemic. Questionnaires with missing data were excluded


Author(s):  
Karol Karasiewicz ◽  
Magdalena Leszko

<b><i>Introduction:</i></b> Taking into account a progressive increase in the number of individuals affected by dementia and the importance of being knowledgeable about its symptoms, it has become crucial to develop well-validated instruments for measuring knowledge about dementia. The aim of this study was to translate and validate the Frontotemporal Dementia Knowledge Scale (FTDKS) in a Polish population. <b><i>Methods:</i></b> The FTDKS was translated into the Polish language based on the most highly recommended methodological approaches for translating and validating instruments for cross-cultural healthcare research. Psychometric properties were evaluated in a sample of 869 individuals (general population, healthcare professionals, and caregivers) who completed the questionnaire. The reliability of the FTDKS was tested as an internal consistency using both Cronbach’s alpha and McDonald’s omega factor analysis. The convergent and discriminant validity was assessed using the Heterotrait-monotrait Ratio of Correlation between scores of FTDKS, vocabulary intelligence, and Alzheimer’s Disease Knowledge Scale (AKDS). <b><i>Results:</i></b> The results indicate that the scale produces satisfactory psychometric properties (Cronbach’s alpha and McDonald’s omega over 0.80). The internal consistency was slightly higher in the population of healthcare professionals and caregivers than among the general population. <b><i>Discussion:</i></b> The internal consistency of the Polish version of FTDKS demonstrates a similar validity to the original version. The FTDKS can be used to evaluate the effectiveness of educational interventions among caregivers, healthcare professionals, and the general population.


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