Risk Perception and Psychological Impact in the Early Stage of the COVID-19 on General Hospital Workers in China

Background: Hearing loss is the most common disorder in neonates; it can be best managed if it is diagnosed at early stage of life. The global prevalence of permanent neonatal hearing loss mainly occurs in developing countries, which accounts 0.5 to 5.0 per 1000 live births. The objective of this study was to determine the prevalence of aminoglycoside therapy and other risk factors that induce hearing loss in neonates admitted at NICU at Cipto-Mangunkusumo General Hospital (CMGH).Methods: This was a case-control study conducted among 112 neonates at Cipto-Mangunkusumo General Hospital (CMGH). Data from neonatal hearing screening were retrospectively collected from hospital electronic medical records and medical files. Only patients treated at neonatal unit from November 2018 to October 2019 were recruited. Results: Out of 112 neonates studied, the gestational age at birth (GA) and craniofacial anomalies were considered risk factors for hearing loss since they were statistically significant (p<0.05). The study showed no statistical significant association in gender, birth weight, mechanical ventilation, NICU stay period (>5 days), hyperbilirubinemia (>20 mg/dl), asphyxia, and aminoglycoside therapy (p>0.05).Conclusions: The prevalence of hearing loss in neonates with lower gestational age less than 37 weeks and craniofacial anomalies are significant higher compare to neonates born full term. They are more associated with 3 and 6 times increased risk of hearing loss in neonates.

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Negative Emotions in Chinese Frontline Medical Staff During the Early Stage of the COVID-19 Epidemic: Status, Trend, and Influential Pathways Based on a National Investigation

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.567446 ◽

2021 ◽

Vol 12 ◽

Author(s):

Xiaoxiao Sun ◽

Fei Xie ◽

Beijing Chen ◽

Peixia Shi ◽

Sitong Shen ◽

...

Keyword(s):

Mental Health ◽

Risk Perception ◽

Medical Staff ◽

Early Stage ◽

Negative Emotions ◽

Cognitive Reappraisal ◽

Emotional Status ◽

Epidemic Period ◽

Over Time ◽

Avoidant Behavior

Objective: The outbreak of coronavirus disease 2019 (COVID-19), declared as a major public health emergency, has had profound effects on public mental health especially emotional status. Due to professional requirements, medical staff are at a higher risk of infection, which might induce stronger negative emotions. This study aims to reveal the emotional status of Chinese frontline medical staff in the early epidemic period to better maintain their mental health, and provide adequate psychological support for them.Methods: A national online survey was carried out in China at the early stage of the COVID-19 epidemic. In total, 3025 Chinese frontline medical staff took part in this investigation which utilized a general information questionnaire, the Emotion Regulation Questionnaire (ERQ), and the Berkeley Expressivity Questionnaire (BEQ).Results: At the early stage of COVID-19, anxiety was the most common negative emotion of Chinese medical staff, followed by sadness, fear, and anger, mainly at a mild degree, which declined gradually over time. Nurses had the highest level of negative emotions compared with doctors and other healthcare workers. Women experienced more fear than men, younger and unmarried medical staff had more anxiety and fear compared with elders and married ones. Risk perception and emotional expressivity increased negative emotions, cognitive reappraisal reduced negative emotions, while negative emotions led to more avoidant behavior and more physical health disturbances, in which negative emotions mediated the effect of risk perception on avoidant behavior tendency in the model test.Conclusion: Chinese frontline medical staff experienced a mild level of negative emotions at the early stage of COVID-19, which decreased gradually over time. The findings suggest that during the epidemic, nurses' mental health should be extensively attended to, as well as women, younger, and unmarried medical staff. To better ensure their mental health, reducing risk perception and improving cognitive reappraisal might be important, which are potentially valuable to form targeted psychological interventions and emotional guidance under crisis in the future.

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Bladder Function after Hysterectomy

Indonesian Journal of Obstetrics and Gynecology ◽

10.32771/inajog.v4i2.83 ◽

2016 ◽

pp. 97

Author(s):

Johanna Wijaya ◽

Hermie Tendean ◽

Bismarck J Laihad

Keyword(s):

General Hospital ◽

Radical Hysterectomy ◽

Early Stage ◽

Age Distribution ◽

Study Data ◽

Bladder Function ◽

Post Intervention ◽

Total Hysterectomy ◽

Post Surgery ◽

Significant Difference

Objective: To determine the effect of hysterectomy on bladder function pre- and post-radical hysterectomy in early stage of cervical cancer. Method: This study was a pre-post intervention study. Data were collected through questionnaires from women who had radical hysterectomy and total hysterectomy in Prof. Dr. R. D. Kandou Manado general hospital and other networking hospitals since January 1st, 2014 to November 31st, 2014. We analyzed the data using Wilcoxon and Mann-Whitney statistical test. Result: There were each 18 respondents for the radical and total hysterectomy group in Prof. Dr. R. D. Kandou general hospital and networking hospitals. The age distribution of radical hysterectomy was 41-45 years old for 44.4%. The parity was dominated by second parity for 38.8%. In pre- and post-surgery, there were significant differences for urinary incontinence disorder (p=0.003), emptying disorder (p=0.008), urinary pain (p=0.034), and total urinary disorder (p=0.001). While, between radical and total hysterectomy, there was no significant difference in bladder function (p>0.05). Conclusion: There is an association before and after surgery to urinary function. However, there is no association between the radical and total hysterectomy group. [Indones J Obstet Gynecol 2016; 4-2: 97-100] Keywords: bladder function, cervical cancer, radical hysterectomy

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Approaches in research on flood risk perception and their importance in flood risk management: a review

Natural Hazards ◽

10.1007/s11069-021-05140-7 ◽

2021 ◽

Author(s):

Ewa Lechowska

Keyword(s):

Risk Management ◽

Risk Perception ◽

Flood Risk ◽

Early Stage ◽

Flood Risk Management ◽

Constructivist Approach ◽

Stage Of Development ◽

Information Research ◽

Constructivist Approaches ◽

Flood Risk Perception

AbstractThe study of flood risk perception factors can be considered by using different paradigms. In an attempt to understand risk perception, two basic paradigms can be distinguished: rationalist and constructivist. The rationalist approach tends to focus on modeling, characterizing, and predicting behavioral results regarding various threats. According to the constructivist paradigm, threats are perceived as socially constructed. This review paper aims to assess the importance of the rationalist and constructivist approaches in research on flood risk perception and flood risk management more broadly by answering the questions: (1) Which paradigm dominates the research of flood risk perception?, (2) What is the relationship between rationalistic and constructivistic factors (e.g., stimulation, weakening, strengthening, etc.)?, (3) which factors are more effective in moderating attitudes toward flood risk? The paper concludes by pointing out the desired direction of research on flood risk perception from the perspective of improving flood risk management. In contemporary empirical works managing the perception of flood risk, a rationalistic approach that psychometrically searches for cognitive models dominates. Often, statistically obtained dependencies are mutually exclusive. Studies on perception that apply the constructivist approach are in an early stage of development, nevertheless providing consistent results. They indicate that the social, political, cultural, religious, and historical contexts shape the perception of flood risk. On the basis of the aforementioned information, research on flood risk in a constructivist approach should be expanded, as it provides a clear, often underappreciated catalog of contextual factors shaping risk perception and, importantly, simultaneously moderating the influence of rationalist factors on flood risk perception.

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CARE AND TREATMENT OF NEONATAL JOLT IN NEW BORN CHILDREN

Knowledge International Journal ◽

10.35120/kij2802649p ◽

2018 ◽

Vol 28 (2) ◽

pp. 649-656

Author(s):

Gordana Panova ◽

Elena Geleva

Keyword(s):

General Hospital ◽

Neonatal Jaundice ◽

Early Recognition ◽

Early Stage ◽

Early Assessment ◽

Medical Needs ◽

Yellow Coloration ◽

Newborn Child ◽

Independent Life ◽

The Moment

From the moment we were born, we form a new period of our life. The fetus, whom our mothers carefully nurture throughout the whole pregnancy enters the newborn period. The newborn child has medical needs that are needed to help with this important adaptive period, a team of neonatologists is processing the primary reanimation and postpartal nurture of every child.The quick evaluation of the condition of a newborn child with eventual reanimation procedure is very important to reduce the possible complications & reduce the pathological growth and development of the newborn. As part of that judgement is the condition of most common illness that affects an infant called jaundice, a yellow coloration of the skin caused by accumulation of bilirubin in the skin and the mucous membranes. The birth of new life is a privilege at the gynecological-obstetrician department.Given the importance of early assessment and right primarily reanimation of a newborn, the main objectives of labor are:- What causes the neonatal jaundice at a newborn and the frequency and risk factors of appearance- Following and therapy of neonatal jaundice at an early stage- Determination how serious the jaundice is affecting the newborn- The percentage of infants affected by neonatal jaundice, and possible outcome.Material and methods:In this paper we have processed the data of gynecological- obstetrician department of JZU General Hospital- Kumanovo. The period of last year’s 2017 data is covered. As a material evidence we used the registers of newborn babies from the gynecological- obstetrician department of JZU General hospital- Kumanovo throughout the whole year and for processing are taken the medical data of condition in the moment of birth, following the condition of the newborn babies while they are still under supervision of the gynecological- obstetrician department & regular frequent examinations.Results:In total the results of newborn babies in the past year (2017) is 1378, where there are taken early borns and term born babies. Amongst them there are prevented conditions of neonatal jaundice at 58 kids, approximately 4,21% of the total number of newborn babies in 2017,from which 50 newborn babies are born on time & 8 are prematurely born.Conclusion:A necessity is the early recognition of all the causes that could lead to need of primary measures, especially after the birth and the first few weeks when there can be preventive measures for overcoming the occurrence of neonatal jaundice & help the fetus readily start the independent life.

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Psychological Impact of the Hospital Indoor Public Spaces on Patients’ Health, Assessment, and Analysis

Scientific Programming ◽

10.1155/2022/4010643 ◽

2022 ◽

Vol 2022 ◽

pp. 1-8

Author(s):

Zhe Du ◽

Baogang Lin ◽

Zhenyi Chen

Keyword(s):

Public Space ◽

General Hospital ◽

Rapid Development ◽

Psychological Impact ◽

Space Environment ◽

Cluster Sampling ◽

Healthcare Outcomes ◽

Patient Centered ◽

The Public ◽

Number Of Patients

Due to the rapid development of social economy, general hospital buildings of China are undergoing changes in their models, technology, and medical systems. Changes in the model of hospitals may affect the functional structure, streamline layout, and spatial form of the hospital building. The biological-psychological-social (biopsychosocial) model covers the overall significant factors in healthcare. The model focuses on the hospital public environment. For the advocacy of patient-centered medical concepts, researchers have put forward newer and higher requirements as well. However, there is scarcity of research that targets the psychological impact of general hospital public space environment construction on the patients’ health. Moreover, there is no unanimously recognized standard questionnaire for the public space environment. The purpose of this article is to investigate the needs of inpatients for the space environment, to understand the influencing factors of various space environments, and to explore the law of patient needs. The research intends to provide a theoretical background for the construction of a patient-centered space environment. A dedicated questionnaire was designed to systematically collect the significant features and factors. Using cluster sampling, a total of four medical and surgical wards were investigated. The data obtained from 430 questionnaires were statistically analyzed by SPSS-10.0. Various statistical operations such as descriptive analysis, independent sample t test, one-way analysis of variance, and linear and logistic regressions were performed over the data. The psychological impact was studied from four aspects. The highest score (3-4 points) obtained for the larger number of patients (84.4%) testifies that the public space environment has a significant impact on patients’ mental health. Besides healthcare, outcomes of the paper may be used in various related domains such as psychological well beings, spatial analysis, social interaction, and public space designing.

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