The impact of the COVID-19 pandemic on resident physicians: A cross-sectional study

BACKGROUND: COVID-19 presents a threat to the mental health of the medical staff working with COVID-19 patients. OBJECTIVE: To investigate the impact of working during the COVID-19 pandemic on resident physicians. METHODS: The study was conducted via anonymous online survey and included resident physicians. The survey contained questions about sociodemographic information, general job satisfaction during the COVID-19 pandemic, and the impact of the COVID-19 pandemic on their personal lives. RESULTS: This study included a response from 728 resident physicians. The majority of residents rated that the COVID-19 pandemic had a mostly negative impact on their satisfaction with professional life (59.9%) and quality of work (62.8%), their personal lives (44.7%) and quality of life (57.1%). Half of all residents indicated that they did not have enough personal protective equipment (PPE). About one-third of residents indicated that the level of stress at work during the COVID-19 pandemic was higher. CONCLUSIONS: Working as resident physicians during COVID-19 pandemic had a negative effect on participants’ professional and personal lives. Residents did not have all the necessary PPE nor felt safe working with patients with suspected or proven COVID-19. Further action is needed to provide support for physician residents working during the COVID-19 pandemic.

Download Full-text

Impact of malocclusion on the quality of life of children aged 8 to 10 years

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.23.2.046-053.oar ◽

2018 ◽

Vol 23 (2) ◽

pp. 46-53 ◽

Cited By ~ 9

Author(s):

Sônia Rodrigues Dutra ◽

Henrique Pretti ◽

Milene Torres Martins ◽

Cristiane Baccin Bendo ◽

Miriam Pimenta Vale

Keyword(s):

Quality Of Life ◽

Negative Impact ◽

Cross Sectional Study ◽

Cross Sectional ◽

Significance Level ◽

Normal Occlusion ◽

Study Results ◽

Belo Horizonte ◽

The Impact

ABSTRACT Objective: The aim of the present cross-sectional study was to assess the impact of malocclusion on the quality of life of children aged 8 to 10 years attending public elementary schools in Belo Horizonte, State of Minas Gerais, Brazil. Methods: The Brazilian version of the Child Perceptions Questionnaire 8-10 (CPQ8-10) was used to evaluate oral health-related quality of life. The children were examined for the diagnosis of malocclusion using the Dental Aesthetic Index (DAI). The data were analyzed by bivariate and multivariate descriptive statistics using Poisson regression at a 5% significance level. A total of 270 children participated in the study. Results: Children with normal occlusion or mild malocclusion (DAI ≤ 25) were 56% less likely (95%CI: 0.258-0.758; p= 0.003) to have their quality of life affected compared with children diagnosed with extremely severe malocclusion (DAI ≥ 36). Children with a maxillary anterior overjet ≥ 3 mm had higher CPQ8-10 mean scores (19.4; SD = 17.1) than those with an overjet < 3 mm (13.6; SD = 11.7; p= 0.038). Conclusions: Extremely severe malocclusion and pronounced maxillary anterior overjet were associated with a negative impact on quality of life.

Download Full-text

Perception of parents and caregivers regarding the impact of malocclusion on adolescents’ quality of life: a cross-sectional study

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.21.6.074-081.oar ◽

2016 ◽

Vol 21 (6) ◽

pp. 74-81 ◽

Cited By ~ 3

Author(s):

Lucas Guimarães Abreu ◽

Camilo Aquino Melgaço ◽

Mauro Henrique Abreu ◽

Elizabeth Maria Bastos Lages ◽

Saul Martins Paiva

Keyword(s):

Quality Of Life ◽

Negative Impact ◽

Functional Limitations ◽

Well Being ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

The Impact ◽

Parents And Caregivers

ABSTRACT Objective: The objective of this article was to assess the perception of parents and caregivers regarding the impact of malocclusion on adolescents’ oral health -related quality of life (OHRQoL). Methods: This cross-sectional study consisted of a sample of 280 parents/caregivers of 11 and 12-year-old adolescents who answered the Parental-Caregiver Perceptions Questionnaire (P-CPQ). Parent-assessed quality of life of adolescents was the dependent variable. The main independent variable was adolescents’ malocclusion which was diagnosed by means of the Dental Aesthetic Index (DAI). Based on DAI cut-off points, adolescents were classified into four grades of malocclusion, with different orthodontic treatment recommendations assigned to each grade: no need/slight treatment need, elective treatment, highly desirable treatment and mandatory treatment. Adolescents’ age and sex, as well as family monthly income, were considered as confounding variables. Statistical analysis involved descriptive statistics, bivariate analyses, and Poisson regression with robust variance. Results: Of the 280 parents/caregivers initially accepted in this study, 18 refused to answer the P-CPQ. Therefore, 262 individuals participated in this assessment, providing a response rate of 93.5%. The severity of adolescents’ malocclusion was significantly associated with a higher negative impact on parents’/caregivers’ perception on the oral symptoms (p< 0.05), functional limitations (p < 0.001), emotional well-being (p < 0.001), and social well-being (p < 0.001) subscale scores as well as on the overall P-CPQ score (p < 0.001), even after having been adjusted for the controlling variables. Conclusions: Parents/caregivers reported a negative impact of malocclusion on adolescents’ OHRQoL. Increased severity of malocclusion is associated with higher adverse impact on OHRQoL.

Download Full-text

What the impact of the economic crisis on the Brazilian’s lifestyle between 2013 and 2016? A long-term trend cross-sectional study.

10.21203/rs.3.rs-26007/v1 ◽

2020 ◽

Author(s):

Sonny Állan Bezerra ◽

Denilson Menezes Santos ◽

Michele Maria Oliveira ◽

Claudia Vanisse Costa ◽

Elaynne de Oliveira ◽

...

Keyword(s):

Economic Crisis ◽

Negative Impact ◽

Health Indicators ◽

Cross Sectional Study ◽

Sharp Drop ◽

Cross Sectional ◽

The Impact ◽

Long Term Trend

Abstract Background: Brazil has been going through a period of economic crisis since 2015 and the impact on health indicators and the quality of life of the most recent crisis is unclear. This study sought to establish a relationship between the impact of the economic crisis experienced by Brazil during the period 2013-2016 and the lifestyle of adult populations in the 27 capitals of the Brazilian state.Results: According to the binary logistic regression model, at least completing secondary education increases the probability of individuals presenting higher LS by 4.9% (OR=1,049, 95% CI 1,029–1,070); being involved in some type of relationship decreases the probability of presenting a higher LS by 5.3% (OR=0.947, 95% CI 0.029-0.965); having an adequate body mass index increases LS by 27.3% (OR=1.273, 95% CI 1,245.10.10). Living in a city with a lower unemployment rate increases the probability of having a higher LS score by 3.8%(OR=1,038, 95% CI 1,012-1.064); living in a city with a more basic food basket decreases the probability of having a higher LS score by 5.4% (OR=0.946, 95% CI 0.910-0.982). Presenting higher yields decreases the probability of having a higher LS by 12% (OR=0.880, 95% CI 0.860-0.900). In addition, there was an increase in the percentage of leisure-time PA in 2015 (20.9%), followed by a decrease to 18.1% in 2016, after a stabilization period in 2013 (19.5%) and 2014 (19.6%). The physical exercise showed a steady annual increase, with a score of 49.6% in 2013, followed by 50.9% and 51.9% in 2014 and 2015, respectively, and ending with 54.5% in 2016. The "Watch TV 5x per week" indicator recorded a sharp drop between 2013 (27.9%) and 2015 (22.7%), as well as the consumption of soft drinks, which went from stable values in 2013 (19.5%) and 2014 (19%) 17.3% in 2015.Conclusion: In the case of Brazil, the economic crisis initially started in 2015 had a negative impact on the population over time, but these effects were only observed in the second year of crisis, being preceded by a temporary improvement of indicators.

Download Full-text

Multidimensional impacts of coronavirus pandemic in adolescents in Pakistan: A cross sectional research

PLoS ONE ◽

10.1371/journal.pone.0262325 ◽

2022 ◽

Vol 17 (1) ◽

pp. e0262325

Author(s):

Nazish Imran ◽

Fauzia Naz ◽

Muhammad Imran Sharif ◽

Sumbul Liaqat ◽

Musarrat Riaz ◽

...

Keyword(s):

Social Life ◽

Online Survey ◽

Negative Impact ◽

Demographic Data ◽

Cross Sectional Study ◽

Cross Sectional ◽

Ethical Approval ◽

Different Dimensions ◽

The Impact ◽

Mental And Physical Health

Background COVID-19 has posed unique challenges for adolescents in different dimensions of their life including education, home and social life, mental and physical health. Whether the impact is positive or negative, its significance on the overall shaping of adolescents’ lives cannot be overlooked. The aim of the present study was to explore impacts of the pandemic on the adolescents’ everyday lives in Pakistan. Methods Following ethical approval, this cross-sectional study was conducted through September to December, 2020 via an online survey on 842 adolescents with the mean age of 17.14 ± SD 1.48. Socio-demographic data and Epidemic Pandemic Impact Inventory-Adolescent Adaptation (EPII-A) was used to assess the multi-dimensional effects of the pandemic. Results Among the 842 participants, 84% were girls. Education emerged as the most negatively affected Pandemic domain (41.6–64.3%). Most of the adolescents (62.0–65.8%) had reported changes in responsibilities at home including increased time spent in helping family members. Besides, increase in workload of participants and their parents was prominent (41.8% & 47.6%). Social activities were mostly halted for approximately half (41–51%) of the participants. Increased screen time, decreased physical activity and sedentary lifestyle were reported by 52.7%, 46.3% and 40.7% respectively. 22.2–62.4% of the adolescents had a direct experience with quarantine, while 15.7% experienced death of a close friend or relative. Positive changes in their lives were endorsed by 30.5–62.4% respondents. Being male and older adolescents had significant association with negative impact across most domains (p<0.05). Conclusions Results have shown that COVID-19 exert significant multidimensional impacts on the physical, psycho-social, and home related domains of adolescents that are certainly more than what the previous researches has suggested.

Download Full-text

Comorbidity of TMD and malocclusion

Brazilian Journal of Oral Sciences ◽

10.20396/bjos.v18i0.8657272 ◽

2019 ◽

Vol 18 ◽

pp. e191679

Author(s):

Beatriz Moraes D’Avilla ◽

Michelle Cristina Berbet Pimenta ◽

Vivian Fernades Furletti ◽

Mario Vedovello Filho ◽

Giovana Cherubini Venezian ◽

...

Keyword(s):

Quality Of Life ◽

Life Stress ◽

Pain Perception ◽

Negative Impact ◽

Wald Test ◽

Cross Sectional Study ◽

Cross Sectional ◽

Significant Difference ◽

Negative Effect

Aim: to evaluate the synergic impact of muscular TMD and malocclusion on quality of life, masticatory capacity and emotional features of young adults. Methods: this cross-sectional study comprised 4 groups (n= 15): G1, individuals without TMD or malocclusion; G2, with TMD and malocclusion; G3, with TMD and without malocclusion, and G4, without TMD and with malocclusion. Muscular TMD was diagnosed by RCD/TMD. Data included quality of life (OHIP-14), masticatory capacity test (X50), emotional stress (PSS-14), depression (MDI), pain intensity and salivary cortisol. Comparative statistical analysis included One-way ANOVA and Tukey post hoc test (X50, stress and cortisol) and GENMOD followed by Wald test (OHIP-14 and pain data). Fisher's and Pearson's association analysis were carried out. Results: Comorbidity of muscular TMD and malocclusion leads to significant lower masticatory capacity (p<0.05). TMD groups independently of the occlusal condition had considerably lower OHIP-14 scores and higher stress levels (self-perceived and hormonal) (p<0.05). There was no statistically significant difference of emotional depression among groups. A significant positive correlation was observed among quality of life, stress and pain perception. Conclusion: muscular TMD in the overlap of malocclusion potentializes their negative effect on masticatory capacity. In addition, the hindering effect of the comorbidity is variable, however, TMD has a greater negative impact on quality of life and stress, whilst malocclusion on mastication.

Download Full-text

Participation in physical activity decreased more in people with rheumatoid arthritis than the general population during the COVID-19 lockdown: a cross-sectional study

Rheumatology International ◽

10.1007/s00296-021-05054-4 ◽

2021 ◽

Author(s):

Christopher Balchin ◽

Ai Lyn Tan ◽

Oliver J. Wilson ◽

Jim McKenna ◽

Antonios Stavropoulos-Kalinoglou

Keyword(s):

Rheumatoid Arthritis ◽

Physical Activity ◽

Body Weight ◽

Online Survey ◽

Cross Sectional Study ◽

Mental Wellbeing ◽

Cross Sectional ◽

The Impact ◽

Exercise Equipment

AbstractThe COVID-19 pandemic and social distancing restrictions have significantly reduced population-wide physical activity (PA) levels. However, the impact of the pandemic and relevant restrictions on PA participation, and any potential barriers to it, in people with rheumatoid arthritis (RA) are not clear. Furthermore, we are unsure if any such PA changes have affected their body weight, mental wellbeing, and/or quality of life (QoL). Thus, the aim of this study was to examine the impact of the lockdown on PA participation in people with RA, versus people without RA. Participants (n = 128; RA = 27, non-RA = 101) completed a self-administered online survey, which included questions on PA, body weight, mental wellbeing and QoL. PA participation during lockdown was significantly lower among RA versus non-RA participants (p < 0.001). Additionally, a similar profile of results was found where more RA participants vs non-RA participants reported reduced habitual PA (59% vs 33%) and increased body weight (59% vs 35%). Mental wellbeing scores were similarly low in both groups during lockdown (RA: 20.8 ± 4.2; non-RA: 22.2 ± 3.4, p = 0.080). Matched group comparisons identified similar trends to full sample analyses. In the first months of the lockdown, more people with RA reported decreased PA participation and increased body weight than their non-RA counterparts. Access to exercise equipment and facilities appears to be the main cause for these results. Looking beyond COVID-19, specific PA promotion for people with RA will be required to prevent a pandemic of inactivity.

Download Full-text

Evaluation of foot health related quality of life in individuals with foot problems by gender: a cross-sectional comparative analysis study

BMJ Open ◽

10.1136/bmjopen-2018-023980 ◽

2018 ◽

Vol 8 (10) ◽

pp. e023980 ◽

Cited By ~ 13

Author(s):

Daniel López-López ◽

Ricardo Becerro-de-Bengoa-Vallejo ◽

Marta Elena Losa-Iglesias ◽

Patricia Palomo-López ◽

David Rodríguez-Sanz ◽

...

Keyword(s):

Quality Of Life ◽

Negative Impact ◽

Cross Sectional Study ◽

Cross Sectional ◽

Foot Health ◽

Men And Women ◽

Health Differences ◽

Foot Problems ◽

The Impact

ObjectiveFoot problems (FP) may be considered to be a prevalent conditions in people but there is limited evidence of their effect on the quality of life (QoL) related to foot health in men and women. The aim of this study was to assess the impact of FPs on both overall foot health and QoL, stratified by gender.DesignA cross sectional study.SettingClinic of Podiatric Medicine and Surgery at University of A Coruña in the city of Ferrol (Spain).SubjectsThe sample consisted of 1647 participants with FP; the total population of the sample had a mean age of 43.24±19.89 years, with mean ages 44.09±21.36 years and 42.94±19.34 years for men and women, respectively.MethodsMeasurement of sociodemographic characteristics include age, sex and body mass index. The Foot Health Status Questionnaire (FHSQ) was used to evaluate the general health and foot health. Differences between groups were evaluated by means of a t-test for independent samples.ResultsWomen with FP showed significantly lower scores in the domains of Foot Pain, Foot Function, Footwear, General Foot Health, Physical Activity and Vigour, and there was no difference compared with men in the domains of Overall Health and Social Capacity.ConclusionsWomen with FP present a negative impact on QoL related to foot health as compared with men except in the domains of Overall Health and Social Capacity, which appears to be associated with the presence of foot conditions.

Download Full-text

Psychological Impact of COVID-19 Confinement and Its Relationship with Meditation

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17186642 ◽

2020 ◽

Vol 17 (18) ◽

pp. 6642 ◽

Cited By ~ 3

Author(s):

Óliver Jiménez ◽

Laura C. Sánchez-Sánchez ◽

José M. García-Montes

Keyword(s):

Online Survey ◽

Protective Factor ◽

Short Form ◽

Psychological Impact ◽

Cross Sectional Study ◽

Cross Sectional ◽

Self Compassion ◽

Key Variables ◽

The Impact

The objective of this study was to evaluate the psychological impact of confinement due to the COVID-19 pandemic, considering any protective factors, such as the practice of meditation or self-compassion, and their relationship with different lifestyles and circumstances of adults residing in Spain. A cross-sectional study was done using an anonymous online survey in which 412 participants filled out the Depression, Anxiety and Stress Scale-2; the Impact of Events Scale; and the Self-Compassion Scale-Short Form, reporting severe symptomatology of posttraumatic stress and mild anxiety and depression. Quality of cohabitation and age were found to be key variables in the psychological impact of confinement. The impact of confinement was more negative for those who reported very poor cohabitation as opposed to very good (F (3, 405) = 30.75, p ≤ 0.001, d = 2.44, r = 0.054) or for those under 35 years of age compared to those over 46 (F (2, 409) = 5.14, p = 0.006, d = 0.36). Practicing meditation was not revealed as a protective factor, but self-compassion was related to better cohabitation during confinement (F (3, 403) = 11.83, p ≤ 0.001, d = 1.05). These results could be relevant in designing psychological interventions to improve coping and mental health in other situations similar to confinement.

Download Full-text

Quality of Life and Characterization of Patients With Atopic Dermatitis in Portugal: The QUADEP Study

Journal of Investigational Allergology and Clinical Immunology ◽

10.18176/jiaci.0443 ◽

2020 ◽

Vol 30 (6) ◽

pp. 430-438 ◽

Cited By ~ 2

Author(s):

D Carvalho ◽

P Aguiar ◽

P Mendes-Bastos ◽

A Palma-Carlos ◽

J Freitas ◽

...

Keyword(s):

Quality Of Life ◽

Atopic Dermatitis ◽

Negative Impact ◽

Cross Sectional Study ◽

Cross Sectional ◽

Impact Scale ◽

Study Population ◽

The Impact

Objectives: To investigate the quality of life (QOL) of and to characterize patients with atopic dermatitis (AD) in Portugal. Methods: This was a cross-sectional study of patients with AD and other eczemas. Skindex-29, Skindex-teen, and the Childhood Atopic Dermatitis Impact Scale (CADIS) were the instruments used to assess QOL in adults, teenagers, and children, respectively. The SF-12 was also used, and disease severity was evaluated using the Patient-Oriented SCORAD (PO-SCORAD) instrument. Associations with QOL were assessed based on the odds ratio (OR). P values <.05 and 95%CIs were considered statistically significant. Results: The study population comprised 162 participants aged 0.5-74 years. We found that 37.3% of AD patients consider their disease disabling and that more than half of the patients feel stigmatized by society. The mean Skindex score for AD was 39.68, and the impact on QOL was severe in 44%. “Symptoms” was the most affected category in adults. AD was moderate to severe in 87% of the sample. One of the factors that most influenced poorer QOL in AD was age: with increasing age, the Skindex is likely to increase (OR, 1.03; 95%CI, 1.00-1.06). “Considering the disease a disability” was also associated (OR, 6.72; 95%CI, 2.56-17.63). QOL worsens with increasingly affected body area (OR, 1.07; 95%CI, 1.03-1.11) and the presence of edema (OR, 2.0; 95%CI, 1.23-3.40). Conclusions: This is the first study to provide data on QOL in patients with AD in Portugal. Our data show an expected negative impact. More awareness-raising activities are needed to increase knowledge, decrease stigmatization, and, consequently, address the factors involved in the QOL of patients with AD.

Download Full-text

The Impact of Flood Disaster on Daily Activities and Quality of Life amongst Women Flood Disaster Survivors

Environment-Behaviour Proceedings Journal ◽

10.21834/e-bpj.v2i6.944 ◽

2017 ◽

Vol 2 (6) ◽

pp. 395

Author(s):

Ahmad Zaidin Othman ◽

Akehsan Dahlan ◽

Suleiman Murad

Keyword(s):

Quality Of Life ◽

Negative Impact ◽

Cross Sectional Study ◽

Flood Disaster ◽

Daily Activities ◽

Cross Sectional ◽

Sandwich Generation ◽

Significant Difference ◽

The Impact

Flood disaster disrupted routine and performance in daily activities. Disengagement from performing daily activities have a negative impact on health leading to decrease the quality of life. Women were tied with the social norms of having to take care of others, which proves to be harder to juggle in times of disaster. The objective of this study was to identify the most affected occupations among the sandwich generation of women flood survivors. One hundred and thirty-one participants participated in this cross-sectional study. The results indicated that there is a significant difference in rest and sleep among the sandwich generation of women flood survivors.

Download Full-text