scholarly journals COVID-19 Pandemic and Anxiety Related Factors in Patients Treated in the Emergency Department

2020 ◽  

Aims: A novel coronavirus, now known as SARS-CoV-2019, suddenly emerged in Wuhan, China and within threemonths of the initial outbreak, the virus had spread rapidly to neighboring countries causing a pandemic. After the first case was announced, emergency departments were immediately reorganized as pandemic clinics. Special areas with maximum precautions were designed to evaluate patients. The majority of studies on this pandemic have focused on the treatment of respiratory symptoms and comorbidities in intensive care units. In this study, we sought to determine those factors that contributed to the anxiety level during the COVID-19 pandemic using the ‘State’ subscale of State-Trait Anxiety Inventory (STAI-S). Methods: A survey was performed in the emergency department by using an online questionnaire which consisted of demographic variables, questions about the opinions and behaviors of patients during the pandemic, diagnostic test results for COVID-19, and treatment methods. Results: There was a statistically significant difference between employment status (p ˂ 0.001), monthly income (p ˂ 0.001), the food consumption changes during the pandemic period (p = 0.001) and the estimated end-date for the COVID-19 pandemic (p < 0.001) and total STAI-S points. Conclusions: Our study has identified factors which significantly increase anxiety during the COVID-19 pandemic and identified those individuals who may benefit from psychiatric and social support.

Author(s):  
Minjung Lee ◽  
Myoungsoon You

Avoidance of healthcare utilization among the general population during pandemic outbreaks has been observed and it can lead to a negative impact on population health. The object of this study is to examine the influence of socio-demographic and health-related factors on the avoidance of healthcare utilization during the global outbreak of a novel coronavirus (COVID-19) in 2020. Data were collected through an online survey four weeks after the Korea Centers for Disease Control and Prevention (KCDC) confirmed the first case in South Korea; 1000 subjects were included in the analysis. The logit model for regression was used to analyze the associations between sociodemographic and health-related factors regarding the avoidance of healthcare utilization. Among the participants, 73.2% avoided healthcare utilization, and there was no significant difference in the prevalence of healthcare avoidance between groups with (72.0%) and without (74.9%) an underlying disease. Sociodemographic characteristics (e.g., gender, age, income level, and residential area) were related to healthcare avoidance. Among the investigated influencing factors, residential areas highly affected by COVID-19 (i.e., Daegu/Gyeoungbuk region) had the most significant effect on healthcare avoidance. This study found a high prevalence of healthcare avoidance among the general population who under-utilized healthcare resources during the COVID-19 outbreak. However, the results reveal that not all societal groups share the burden of healthcare avoidance equally, with it disproportionately affecting those with certain sociodemographic characteristics. This study can inform healthcare under-utilization patterns during emerging infectious disease outbreaks and provide information to public health emergency management for implementing strategies necessary to improve the preparedness of the healthcare system.


Author(s):  
Dian Darina Indah Daruis ◽  
Baba Md Deros ◽  
Mohd Jailani Mohd Noor

Satu tinjauan berasaskan soal selidik atas talian telah dijalankan untuk mendapatkan maklumat berkenaan ketidakselesaan pemanduan kenderaan penumpang pemandu Malaysia. Faktor ketidakselesaan yang diselidiki ialah hingar, getaran dan tempat duduk pemandu. Untuk hingar dan getaran, didapati bahawa responden perempuan lebih tidak selesa untuk faktor berkaitan dengan getaran manakala responden lelaki lebih tidak selesa untuk faktor berkaitan hingar. Tiada perbezaan ketara antara ketidakselesaan untuk hingar dan getaran ketika pegun mahupun memecut. Berkenaan ketidakselesaan tempat duduk pemandu, didapati bahawa lebih ramai responden mengalami ketidakselesaan atau kesakitan di bahagian atas belakang. Perbezaan untuk respon ketidakselesaan bagi bahagian badan berlainan antara pemandu lelaki dan perempuan terutamanya disebabkan oleh faktor antropometri. Kedua–dua pemandu lelaki dan perempuan mengalami ketidakselesaan akibat hingar, getaran dan tempat duduk tetapi dengan sensitiviti yang berbeza untuk faktor dan bahagian tubuh yang berlainan. Daripada kajian ini, tiada perbezaan ketara yang dijumpai untuk kesuluruhan ketidakselesaan antara kedua–dua jantina. Meskipun ia berbentuk laporan kendiri, keputusannya adalah selari dengan penemuan daripada kajian–kajian literatur. Kata kunci: Hingar; getaran; tempat duduk pemandu; ketidakselesaan; tinjauan; soal selidik An online questionnaire–based survey was conducted to gather information regarding driving discomfort of Malaysian passengers’ vehicle driver. The discomfort factors investigated were noise, vibration and driver’s seat. For the noise and vibration, it was found that women respondents feel more discomfort for vibration related factors while men respondents feel more discomfort for noise related factors. There was no significant difference between discomfort for noise and vibration during idle or accelerating conditions. Regarding driver’s seat discomfort, it was found that more respondents had experienced discomfort or pain at the upper back. The differences of discomfort responses for different body parts between men and women drivers were mainly caused by anthropometrical factor. Both men and women drivers experience noise, vibration and seat discomfort, however with different levels of sensitivity for different factors and body parts. From this study, no significant difference was found on overall discomfort between genders. Although it is self–reported, the result is in–line with the findings from the literatures. Key words: Noise; vibration; driver seat; discomfort; survey; questionnaire


Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 120
Author(s):  
Gopi Battineni ◽  
Getu Gamo Sagaro ◽  
Nalini Chintalapudi ◽  
Marzio Di Canio ◽  
Francesco Amenta

Background: The ongoing pandemic due to the novel coronavirus (COVID-19) is becoming a serious global threat. Experts suggest that the infection can be controlled by immediate prevention measures. Sailing is one of the occupational categories more vulnerable to this virus outbreak due to the proximity of the working conditions. Objective: Awareness and knowledge assessments of seafarers towards the current epidemic is mandatory to understand the effectiveness and success of the infection control measures adopted by shipping companies. Methods: In this study, we presented an online questionnaire survey to determine the knowledge levels of COVID-19 among seafarers. The data were collected by self-reported survey, and analysis was done by the analysis of variance (ANOVA). The t-test was used to understand the knowledge attitude differences to COVID-19 among different occupational groups of seafarers, and the p-value ≤ of 0.05 was considered statistically significant. Results: Among 1,458 responses received, 92.82% had a college or university degree. The results reported that the mean COVID-19 knowledge score was 5.82 (standard deviation = 0.51, range 0–6), and the overall correct percentage was 97%. There was a statistically significant difference between age groups (F (4, 1453) = 5.44, p < 0.001) and educational groups (F (4, 1453) = 1.52, p < 0.001). The knowledge score was not significantly different across the educational status of the participants (F (2, 1455) = 1.52, p = 0.220). Conclusions: The present study highlighted good knowledge and behaviours among sailors about COVID-19. However, shipping companies need to come up with new campaigns to hold optimistic practices and suitable guidelines on ships, including cruise boats, to keep sea workers always alert and collaborative in mitigating the spread of COVID-19.


Turyzm ◽  
2021 ◽  
Vol 31 (1) ◽  
pp. 79-87
Author(s):  
Grzegorz Godlewski

The aim was to determine how tourism innovations, including controversial types of tourism, are perceived by consumers. The hypothesis adopted was that there would be statistically significant correlations between demographic variables, the respondents’ perception of innovations and their propensity to engage in non-normative behaviour during tourism trips. The study was conducted using the CAWI surveying technique by means of an online questionnaire (N = 407). The respondents had noticed significant changes in the tourism industry and the majority were in favour of those innovations. These mainly related to the development of tourist service infrastructure. The study found a statistically significant difference between male and female respondents with more males in favour of introducing controversial tourism offers to the market. Male respondents were also more likely to engage in deviant behaviour.


Author(s):  
Aditi Verma ◽  
Ashwini Biradar

Background: The Novel Coronavirus disease has inherently brought a fear of uncertainty and continuity resulting in broad psychological effects on the mental health of the present generation. Although, few studies have tried to evaluate the degree of fear of COVID-19 but none has been done on young adults especially dental undergraduate healthcare providers so far. Hence, the present study aims to assess the fear of COVID-19 among young adults in India.Methods: A web based study was conducted on a sample of 309 dental undergraduate students of age group 18-25 years (young adults). The participants were asked for responding to a standardized online questionnaire prepared on google form that included the recently developed 7-item Fear of COVID-19 Scale (FCV-19S) to assess emotional fear reactions.Results: Overall mean fear score for the study population was 18.09+6.79. A significantly higher number of the study population reported low fear (56.6%). Age, place of residence, academic year, steady source of income and the students whose relative/friend got covid-19 depicted a significant difference based on the level of fear (p<0.05). Females and the students staying alone displayed higher levels of fear compared to their respective counterparts.Conclusions: Fear is a common psychological outcome during pandemics especially amongst healthcare providers as COVID-19 pandemic is a continuously evolving disease outbreak related to stress, disease contraction and dying. Thus, managing this fear in the young minds is imperative in order to reduce the psychological implications affecting their mental health due to the current COVID crisis.  


2021 ◽  
Vol 8 (11) ◽  
pp. 265-277
Author(s):  
Manuel P. Castillo ◽  
Ali G. Mamaclay ◽  
Kevin M. Rivera

This study determined the investment pattern, preferences, and practices of Wesleyan University-Philippines employees with the used of descriptive correlational methods of research, and the data were collected using a researcher-made survey questionnaire. Respondents of the study were the 305 employees chosen purposively. The result shows that most of the respondents belonged within the age range of 19 – 28 years old, married, a college graduate with 1 – 6 years in service, permanent, had a monthly income of 10000-21000 and had other sources of income from their husband/wife income. Likewise, most of the respondents had a saving for an emergency and unforeseen circumstances, had an investment and invested 1 – 5 percent of their income. Most of them had a saving account, intended to invest the money to more than five years in which the principal amount is secured, invested in the private sector, and expected to grow steadily. Similarly, this study found out that the respondents sometimes practice the five indicators of financial management practices used in the study. Moreover, profile variables were significantly correlated with financial management practices. Age, number of years in service, employment status, monthly income, and other sources of income were significantly associated with money management practices. Similarly, a number of years in service were correlated considerably with savings management practices. Finally, age, employment status, and other sources of income were significantly associated with investment management practices. Further, there is a significant difference in the respondents' assessment in all indicator of financial management practices.


2020 ◽  
Author(s):  
Viktoria Schwarz ◽  
Felix Mahfoud ◽  
Lucas Lauder ◽  
Wolfgang Reith ◽  
Stefanie Behnke ◽  
...  

Abstract Background The spread of the novel coronavirus SARS-CoV-2 and the guidance from authorities for social distancing and media reporting lead to significant uncertainty in Germany. As concerns have been expressed regarding the underdiagnosing of harmful diseases. We explored the rates of emergency presentations for acute coronary syndrome (ACS) and acute cerebrovascular events (ACVE) before and after spread of SARS-CoV-2. Methods We analyzed all-cause visits at a tertiary university emergency department and admissions for ACS and ACVE before (calendar weeks 1 to 9, 2020) and after (calendar weeks 10 to 16, 2020) the first coronavirus disease (COVID-19) case in the region of the Saarland, Germany. The data were compared with the same period of the previous year. Results In 2020 an average of 346 patients per week presented at the emergency department whereas in 2019 an average of 400 patients presented up to calendar week 16 (p=0.018; whole year 2019 = 395 patients per week). After the first COVID-19 diagnosis in the region, emergency department visit volume decreased by 30% compared with the same period in 2019 (p=0.0012). Admissions due to ACS decreased by 41% (p=0.0023 for all; Δ -71% (p=0.007) for unstable angina, Δ -25% (p=0.42) for myocardial infarction with ST-elevation and Δ -17% (p=0.28) without ST-elevation) compared with the same period in 2019 and decreased from 142 patients in calendar weeks 1 to 9 to 62 patients in calendar weeks 10 to 16. ACVE decreased numerically by 20% (p=0.25 for all; transient ischemic attack: Δ -32% (p=0.18), ischemic stroke: Δ -23% (p=0.48), intracerebral haemorrhage: Δ +57% (p=0.4)). There was no significant change in ACVE per week (p=0.7) comparing calendar weeks 1 to 9 (213 patients) and weeks 10 to 16 (147 patients). Testing of 3756 samples was performed to detect 58 SARS-CoV-2 positive patients (prevalence 1,54%, thereof one patient with myocardial and two with cerebral ischemia) up to calendar week 16 in 2020. Conclusions The COVID-19 pandemic was associated with a significant decrease in all-cause admission and admissions due to cardiovascular events in the emergency department. Regarding acute cerebrovascular events there was a numerical decrease but no significant difference.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247313
Author(s):  
Yaser A. Al Naam ◽  
Salah H. Elsafi ◽  
Zeyad S. Alkharraz ◽  
Othman A. Alfahad ◽  
Khalid M. Al-Jubran ◽  
...  

Community face masking is possibly of great value in reducing COVID-19 transmission, especially when universally adopted with high compliance. The aim of this study is to investigate the knowledge, common misconceptions, barriers, and the compliance of the community with the use of face masks for the prevention of COVID-19. A validated questionnaire was administered to the participants through a web link by using various social media. The collected data were statistically analyzed for significant differences according to demographic variables. The average knowledge of face masks and their role in preventing COVID-19 transmission was 95.64%, with no differences among most of the demographical factors. Older groups and females demonstrated a better attitude towards wearing face masks than other groups did (p<0.001). Another significant difference in the participant’s attitude was noticed between the various educational levels, employment, and nationality (p<0.001). Of the total respondents, 88.2% encouraged wearing face masks. Misconceptions about wearing face masks were very low. The frequency of wearing face masks at public places, workplaces, or social gatherings was 87.2%, 80.5%, and 47.5% respectively. There was a significant variation in the compliance with wearing face masks between the various groups based on age, gender, nationality, and employment status (p<0.001). The inconvenience in wearing face masks was reported by 36.3%. Face irritation and ear pain were reported by 70.2% and 43.5%, respectively. The inconvenience of wearing face masks with eyeglasses was reported by 44.3% of those wearing eyeglasses. In general, the study demonstrated a good attitude among participants towards wearing face masks. Although the respondents in the study were aware of the benefits of wearing face masks, the barriers may have decreased their desire to do so. These barriers include difficulty in breathing, discomfort, face irritation, and ear pain.


Open Medicine ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 563-566
Author(s):  
Ziao Wang ◽  
Huijie Jiang ◽  
Hao Jiang ◽  
Ruoshui Zheng ◽  
Ru Yi

Abstract2019 novel coronavirus disease (COVID-19, previously known as novel coronavirus pneumonia) was first discovered in December 2019 and spread widely in China and all over the world in 2020. The initial symptoms of most patients include fever, cough, and fatigue. Dyspnea may occur with the progress of the disease, and acute respiratory distress syndrome may occur in severe cases. The CT manifestations of this disease are mainly ground-glass opacity (GGO) in the lung, which may be accompanied by patchy consolidation, and fibrous changes may appear in the lung at the later stage of the disease. Combined with typical clinical and imaging findings and positive nucleic acid test results, the disease can be diagnosed. We report the first case of novel coronavirus disease (COVID-19) in Heilongjiang Province, China. The patient was seriously ill, who felt that he suffered from fever, fatigue, cough, and expectoration and sought medical treatment, with a history of contact with Wuhan. The leukocyte count was normal, and the lymphocyte count was decreased. CT imaging showed large GGO and partial patchy consolidation in both lungs. The patient recovered and was discharged after 26 days of treatment. This study is helpful for early diagnosis and timely clinical management by mastering the typical imaging of novel coronavirus disease (COVID-19).


2021 ◽  
Vol 10 (1) ◽  
pp. 39
Author(s):  
Amar Makruf ◽  
Fanny Septiani Farhan

Novel Coronavirus (2019-nCoV) is a virus that causes respiratory disease COVID-19 (Coronavirus Disease-2019). COVID-19 can be transmitted through droplets when someone coughs or sneezes. Clean and healthy behavior is one way that can be done to prevent transmission of COVID-19. Objectives: To determined changes in clean and healthy behavior before and during the COVID-19 pandemic in 135 medical students of Muhammadiyah Jakarta University class of 2020. Methods: Data was collected by online questionnaire. The sampling technique was total sampling. Statistical tests were performed by using paired sample t-test. Results: There were changes in clean and healthy behavior before and during the COVID-19 pandemic. Conclusion:  Clean and healthy behavior was better during the COVID-19 pandemic among respondents.Keywords:  COVID-19, clean and healthy behavior, questionnaire


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