scholarly journals Psychological Impact of the COVID-19 Pandemic on Healthcare Professionals in Tunisia: Risk and Protective Factors

2021 ◽  
Vol 12 ◽  
Author(s):  
Ahmed Sami Hammami ◽  
Mohamed Jellazi ◽  
Lobna Mahjoub ◽  
Maya Fedhila ◽  
Sonia Ouali
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Logistic Regression ◽  
Risk Factor ◽  
Healthcare Professionals ◽  
Significant Proportion ◽  
Psychological Outcomes ◽  
Protective Equipment ◽  
Psychiatric History ◽  
Multivariable Logistic Regression

Background: Our study aimed to evaluate the magnitude of different psychological outcomes among Tunisian healthcare professionals (HCPs) during the first wave of the coronavirus disease 2019 (COVID-19) pandemic, and to identify the associated factors.Methods: Healthcare professionals completed a cross-sectional questionnaire during a 3-week period in the first wave of the COVID-19 pandemic in Tunisia. The survey collected demographic information, factors that may interfere with the psychological outcomes, behavioral changes, and mental health measures. Mental health was assessed using three scales: the Seven-Item Insomnia Severity Index, the Two-Item Patient Health Questionnaire, and the Two-Item Generalized Anxiety Disorder instrument. Multivariable logistic regression was conducted to identify factors associated with psychological outcomes.Results: A total of 503 HCPs successfully completed the survey, and 493 agreed to enroll in the study: 411 (83.4%) physicians, 323 (64.2%) women, and 271 (55%) with a second-line work position. A significant proportion of HCPs had anxiety (35.7%), depression (35.1%), and insomnia (23.7%). Women, those with a psychiatric history, and those using public transportation had higher proportions for overall symptoms compared with other groups, for example, depression in 44.9% of female participants vs. 18.2% of male participants (p = 0.00). Those with a previous medical history and nurses had more anxiety and insomnia compared with other groups, for example, anxiety in 45.1% of nurses, 36.1% of interns/residents, and 27.5% of attending physicians (p = 0.04). Multivariable logistic regression showed that female gender was a risk factor for all psychological outcomes, whereas psychiatric history was a risk factor for both anxiety and insomnia [odds ratio (OR) = 2.86, 95% CI 1.78–4.60, p = 0.00 for insomnia]. Using protective equipment was associated with a lower risk for depression (OR = 0.41, 95% CI 0.27–0.62, p = 0.00) and anxiety. Physical activity was also protective against depression and anxiety (OR = 0.41, 95% CI 0.25–0.67, p = 0.00).Conclusion: Psychological symptoms are usually overlooked or dismissed by HCPs, although the COVID-19 pandemic played a major role in exacerbating this burden. Prompt psychological support should be endorsed and simple measures, such as physical activity and ensuring the availability of personal protective equipment, are paramount to improve mental health outcomes and the quality of care provided to patients.

Race as a risk factor for developing osteonecrosis of the jaw after long term bisphosphonate therapy in patients with metastatic breast cancer

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 596-596
Author(s):  
T. Aiti ◽  
S. McDunn ◽  
L. Hussein ◽  
I. Ashkenazi ◽  
A. Jajeh ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Logistic Regression ◽  
Risk Factor ◽  
Bone Metastasis ◽  
Statistical Significance ◽  
Significant Proportion ◽  
Metastatic Breast ◽  
Osteonecrosis Of The Jaw ◽  
Bisphosphonate Therapy ◽  
History Of

596 Background: Association between osteonecrosis of the jaw (ONJ) and bisphosphonate treatment has been increasingly reported in the literature. Methods: This is a retrospective review of a single institution’s experience with patients diagnosed with bone metastasis secondary to breast cancer, who developed ONJ while treated with bisphosphonates (Zoledronic acid - Zometa; Pamidronate - Aredia), between 1.1.2001 and 10.30.2005. Presentation, age, race, and outcome were reviewed. Logistic Regression was used to test for statistical significance. Results: 161 patients with bone metastasis secondary to breast cancer treated with bisphosphonates were reviewed (82 African American, 29 Caucasians, 26 Hispanic, 15 Asian and 9 others.). ONJ developed in 6 (3.7%) patients, 5 of which were Caucasians. Logistic regression adjusting for dose shows that the odds ratio for developing ONJ comparing Caucasians with non-Caucasians is 45.7 (p=0.016). Age did not impact occurrence of ONJ. All 6 patients developed ONJ after a minimum of 31 months of treatment. Two patients had a history of previous tooth extraction. In four other patients, ONJ appeared spontaneously. One patient, who presented with an abscess, developed sepsis which resulted in the patient’s death. Two patients were treated with debridement and antibiotics and their lesions healed. Three other patients ended up suffering from a chronically exposed bone. Conclusion: ONJ is a serious complication of bisphosphonate therapy and it affected a significant proportion of our patients. Our data suggests that Caucasians may be more susceptible. Since sample size is small, determining if race is a risk factor for the development of ONJ, while on bisphosphonate therapy, will require further investigation. No significant financial relationships to disclose.

scholarly journals Faktor risiko obesitas pada ibu rumah tangga miskin

2012 ◽  
Vol 9 (1) ◽  
pp. 1
Author(s):  
Digna Niken Purwaningrum ◽  
Hamam Hadi ◽  
I Made Alit Gunawan
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Logistic Regression ◽  
Risk Factor ◽  
Food Insecurity ◽  
Energy Intake ◽  
Conditional Logistic Regression ◽  
Control Group ◽  
Case Group ◽  
Fat Intake

Background: Food insecurity is associated with allocation of income for high energy density food consumption that may cause obesity in poor family. In addition, low physical activity may lead to obesity, particularly in individual living in disadvantaged situation.Objective: To identify risk factors of obesity among poor housewives in Yogyakarta.Method: This was a case control study, case group was obese housewives and the control group was non obese housewives. The locations of the study were Bumijo and Pringgokusuman which have high population density. The samples were taken purposively. Each group consisted of 70 housewives (1:1) and were matched according to age. Mc.Nemar test and conditional logistic regression were used to identify the risk factors of obesity.Results: There was no difference in characteristics between the two groups. Food insecurity reached 91,43% in the control group, proportion of excessive energy intake reached 37.86% in the case group, higher than in control group (24.29%). Excessive fat intake in the case group reached 30% whereas in the control group was 28.57%. Low physical activity reached 40% in the case group, and 10% in the control group. The result of Mc.Nemar test showed that food insecurity, energy and fat intake had no significant association with obesity (p>0.05). While physical activity was associated with obesity (p=0.0001). The result of conditional logistic regression showed physical activity was dominant risk factor for obesity among poor housewives (R2=0.1916).Conclusion: Food security status was not a risk factor for obesity in poor families; energy intake and fat intake contributed to the prevalence of obesity though the influence was smaller than physical activity.

Physical Activity in Patients With Inflammatory Bowel Disease: A Narrative Review

2021 ◽  
Author(s):  
Maitreyi Raman ◽  
Vidya Rajagopalan ◽  
Sandeep Kaur ◽  
Raylene A Reimer ◽  
Christopher Ma ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Significant Proportion ◽  
Patient Reported Outcome Measures ◽  
Small Sample ◽  
Case Control Studies ◽  
Patient Reported ◽  
Inflammatory Bowel

Abstract Background Despite advancement in the treatment of inflammatory bowel disease (IBD), induction and maintenance of remission remain challenging to achieve in many patients and a significant proportion of patients with IBD experience mental health conditions, including anxiety, depression, and fatigue, which impair their quality of life (QoL). We aim to describe the available evidence regarding the effects of physical activity (PA) on the onset of IBD, its disease course, and important patient-reported outcome measures (PROMs), such as QoL, fatigue, and mental health. Methods A literature search was performed using electronic databases to identify original articles that assessed the effects of PA in patients with IBD using PROMs. Results Prospective cohort and case-control studies demonstrate inverse relationships between PA and new-onset IBD in Crohn’s disease but not in ulcerative colitis; however, they have small sample sizes and caution must be taken in considering associations versus causation. Small randomized controlled trials suggest promise for PA and beneficial outcomes, such as maintenance of clinical remission and improvement in QoL, fatigue, depression, and anxiety. However, these studies were small and underpowered, and limited by outcome measurements and durations of follow-up. Conclusions Physicians may consider discussing PA interventions with their patients on an individual basis, especially if they report impaired QoL, fatigue, depression, or anxiety, until disease-specific guidelines are available. Including PA as part of a primary prevention strategy in high-risk patients could be considered.

scholarly journals Risk Factors for Supraglottoplasty Failure

2011 ◽  
Vol 146 (2) ◽  
pp. 298-301 ◽  
Author(s):  
Kristine E. Day ◽  
Christopher M. Discolo ◽  
Jeremy D. Meier ◽  
Bethany J. Wolf ◽  
Lucinda A. Halstead ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Risk Factor ◽  
Chart Review ◽  
Case Series ◽  
Tube Placement ◽  
Developmental Problems ◽  
Multivariable Logistic Regression ◽  
History Of ◽  
Surgical Failure

Objective. To review outcomes after supraglottoplasty for laryngomalacia and identify risk factors for supraglottoplasty failure. Study Design. Case series with chart review. Setting. Tertiary care children’s hospital. Subjects and Methods. Retrospective case series evaluating patient outcomes after supraglottoplasty at an academic medical center between 2004 and 2010. Surgical failure was defined as need for revision surgery, tracheostomy tube placement, or gastrostomy tube insertion. Multivariable logistic regression was performed to identify risk factors for failure. Results. The authors identified 95 children who underwent supraglottoplasty. After excluding patients with inadequate follow-up data, 74 patients were included. On the basis of chart review, 12 (16%) of those patients were defined as failures according to the criteria above. Age, history of prematurity (<34 weeks’ gestational age), weight, growth curve percentile, neurologic/developmental problems, genetic syndrome, cardiac abnormality, synchronous airway lesions, and surgical technique were considered in risk factor analysis. Multivariable logistic regression was performed, revealing history of prematurity to be the only independent risk factor for failure (odds ratio = 4.85; 95% confidence interval, 1.07-22.1; P = .041). Conclusions. Outcomes after supraglottoplasty were comparable to previous reports in the literature. History of prematurity should be considered a risk factor for surgical failure.

scholarly journals Associations between the working experiences at frontline of COVID-19 pandemic and mental health of Korean public health doctors

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sangyoon Han ◽  
Sejin Choi ◽  
Seung Hyun Cho ◽  
Joonhyuk Lee ◽  
Je-Yeon Yun
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Logistic Regression ◽  
Personal Protective Equipment ◽  
Online Survey ◽  
Information Criterion ◽  
Poor Mental Health ◽  
Protective Equipment ◽  
Multivariate Logistic Regression ◽  
Monetary Compensation

Abstract Background Demographic, work environmental, and psychosocial features are associated with mental health of healthcare professionals at pandemic frontline. The current study aimed to find predictors of mental health for public health doctors from working experiences at frontline of COVID-19 pandemic. Methods With first-come and first-served manner, 350 public health doctors with experiences of work at COVID-19 frontline participated online survey on August 2020. Mental health was defined using the total scores of the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7, the Perceived Stress Scale, and the Stanford Presenteeism Scale-6. Multivariate logistic regression models of mental health with lowest Akaike Information Criterion were determined among all combinations of working environments, perceived threats and satisfaction at frontline, and demographics that were significant (P < 0.05) in the univariate logistic regression. Results Perceived distress, lowered self-efficacy at work, anxiety, and depressive mood were reported by 45.7, 34.6, 11.4, and 15.1% of respondents, respectively. Predictors of poor mental health found in the multivariate logistic regression analyses were environmental (insufficient personal protective equipment, workplace of screening center, prolonged workhours) and psychosocial (fear of infection and death, social stigma and rejection) aspects of working experiences at frontline. Satisfaction of monetary compensation and proactive coping (acceptance and willingness to volunteer at frontline) were predictive of better mental health. Conclusions Sufficient supply of personal protective equipment and training on infection prevention at frontline, proper workhours and satisfactory monetary compensation, and psychological supports are required for better mental health of public health doctors at frontline of COVID-19 pandemic.

scholarly journals Your Hair or Your Service: An Issue of Faith for Sikh Healthcare Professionals During the COVID-19 Pandemic

2021 ◽  
Author(s):  
Rajinder Singh ◽  
Bhajneek Grewal
Keyword(s):  
United Kingdom ◽  
Clinical Practice ◽  
Personal Protective Equipment ◽  
Healthcare Professionals ◽  
Significant Proportion ◽  
Protective Equipment ◽  
Healthcare Staff ◽  
The United Kingdom

Abstract Sikh healthcare professionals make up a small but significant proportion of the workforce in the United Kingdom. The COVID-19 pandemic has presented healthcare staff across the country with challenges relating to safe clinical practice whilst wearing personal protective equipment (PPE). Practising Sikhs are mandated to keep their hair unshorn and have been negatively impacted by some standard PPE requirements. This article aims to raise awareness of this issue and provide suggestions on how this conflict can be resolved.

scholarly journals Anxiety Levels of Doctors Working in Kolkata during COVID-19 Pandemic: A Cross-sectional Study

2021 ◽  
Vol 9 (1) ◽  
pp. 23-31
Author(s):  
Ankush Banerjee ◽  
Bobby Paul ◽  
Aparajita Dasgupta ◽  
Madhumita Bhattacharyya ◽  
Lina Bandyopadhyay ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Logistic Regression ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
High Anxiety ◽  
Cross Sectional ◽  
Multivariable Logistic Regression ◽  
Anxiety Levels ◽  
Study Participants

Introduction: Doctors are amongst the major frontline health-care providers combating the ongoing COVID-19 pandemic situation. This overwhelming burden has not only resulted in physical exhaustion but also taken a toll on their mental health. It is thus important to determine the anxiety levels among doctors working in Kolkata and identify its associated factors which can serve as important evidence for promotion of mental well-being among them. Methodology: This cross-sectional study was done through online social media platform-based survey from August to October 2020, in Kolkata, among 313 doctors. Levels of anxiety was assessed by the Generalized Anxiety Disorder-7 scale (modified for COVID-19 pandemic). Univariate and multivariable logistic regression was done to find out the association of risk factors with high anxiety levels among the study participants. Results: Among 313 study participants,31.9% had mild, 22% moderate and 6.4% had severe anxiety levels. Multivariable logistic regression analysis showed that younger age, female gender, working in government sector, presence of associated co-morbid medical condition, working as designated frontline COVID-19 health-care worker, working in increasing number of high-risk areas in the health facility, poor quality of available personal protective equipment and increasing number of difficulties faced while working had significant association with high anxiety levels. Conclusion: Present study showed that considerable proportion (28.4%) of doctors had high anxiety levels. Maintaining appropriate COVID-19 protocols at the workplace, periodic health check-up to detect co-morbidity at the earliest, counseling services with particular attention to female providers would add on to betterment of their mental health.

Healthy People 2010 Physical Activity Guidelines and Psychological Symptoms: Evidence From a Large Nationwide Database

2004 ◽  
Vol 1 (2) ◽  
pp. 114-130 ◽  
Author(s):  
Marcus K. Taylor ◽  
Ricardo Pietrobon ◽  
Deng Pan ◽  
Michael Huff ◽  
Laurence D. Higgins
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Risk Factor ◽  
Depressive Symptoms ◽  
Mental Distress ◽  
Psychological Symptoms ◽  
Anxiety Symptoms ◽  
Healthy People ◽  
The Past ◽  
Healthy People 2010

Background:Physical inactivity is a risk factor for poor mental health. The present study evaluates the association between mental health and physical activity levels according to the Healthy People 2010 guidelines in a large national sample.Methods:Participants (N = 41,914) were selected from the 2001 Behavioral Risk Factor Surveillance System. Primary predictor variable was physical activity level, and primary outcome measure was frequency of mental distress. Specific outcomes of anxiety and depressive symptoms were also measured.Results:Compared with those meeting the Healthy People 2010 guidelines, sedentary participants were 1.31 times more likely to experience 14 or more days of mental distress during the past 30 days (OR 1.31, 95% CI 1.16, 1.48), 1.34 times more likely to experience anxiety symptoms (OR 1.34, 95% CI 1.21, 1.49), and 1.22 times more likely to experience depressive symptoms (OR 1.22, 95% CI 1.10, 1.36). Comparing those participants falling short of the Healthy People 2010 recommendation with those meeting the guideline, no significant group differences were demonstrated relative to frequency of mental distress. Those meeting the recommendation were more likely to have 14 or more days of anxiety symptoms during the past 30 days (OR 1.10, 95% CI 1.02, 1.17).Conclusions:Our results suggest that being sedentary is clearly associated with more aversive psychological symptoms. However, performing enough physical activity to meet the Healthy People 2010 guideline may not be associated with better psychological status than minimal amounts of physical activity.

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