Dental Students in Germany throughout the COVID-19 Pandemic: A Psychological Assessment and Cross-Sectional Survey

Multiple investigations have reported high psychological distress among students since the coronavirus (COVID-19) outbreak started. This survey examined the associations between psychological features, and several demographic and social factors among dental students in German universities. Dental students registered in German universities nationwide were asked to join this survey via a self-directed online questionnaire, from July 2020 to January 2021. This study assembled data on demographic statistics, the depression anxiety stress scales (DASS-21), and the impact of events scale—revised (IES-R) instrument. The relationships between demographic-related variables and mental consequences of depression, anxiety, stress, intrusion, avoidance, and hyperarousal were inspected. Two hundred and eleven students contributed to the questionnaire and conveyed overall normal or mild outcomes of depression, anxiety, stress, intrusion, avoidance, and hyperarousal. In addition, female gender, cardiovascular diseases, smoking habits, and seeing the COVID-19 outbreak as a financial risk were stated as significant related factors (p < 0.05), with increased IES-R and DASS-21 scores. These results highlight the features that should be considered to better protect dental students’ mental health in German universities during the crisis.

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Impact of the COVID-19 pandemic on mental health of nursing students in Japan: protocol for a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2021-055916 ◽

2021 ◽

Vol 11 (12) ◽

pp. e055916

Author(s):

Jun Kako ◽

Yoshiyasu Ito ◽

Kohei Kajiwara ◽

Yasutaka Kimura ◽

Takahiro Kakeda ◽

...

Keyword(s):

Mental Health ◽

Nursing Students ◽

Large Scale ◽

Statistical Significance ◽

Self Report ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Related Factors ◽

Cross Sectional ◽

The Impact

IntroductionThe COVID-19 pandemic is spreading globally with a high risk of mortality. It is also significantly affecting mental health. For nursing students, the impact of COVID-19 on mental health is predicted to be significant; however, sufficient data have not been obtained. Therefore, this study will aim to assess the mental health of nursing students and evaluate the related factors.Methods and analysisThis proposed study is a cross-sectional survey using a self-report questionnaire. An online questionnaire will be distributed among all nursing students of eight universities in Japan. The survey questionnaire will consist of questions related to demography, life satisfaction, fear of COVID-19, mental health and physical activities. The target sample size is 1300 nursing students. We will calculate descriptive statistics for each measurement item and perform univariate and logistic regression analyses to evaluate the potential risk factors for anxiety, depression and insomnia symptoms in nursing students. The strength of association will be assessed using the OR and its 95% CIs. Statistical significance will be set at a p<0.05.Ethics and disseminationThe protocol was approved by the Institutional Review Board (IRB) of the University of Hyogo on 22 March 2021 (ID: 2020F29). In addition, all of the participating facilities required ethical approval from their local IRBs. The findings will be disseminated through peer-reviewed publications and conference presentations. We believe that the proposed large-scale investigation of the mental health of nursing students during the COVID-19 pandemic and the relationship between mental health and fear of COVID-19 are novel and will be a strength of this study.

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COVID-19 Psychological Impact on Health Care Workers in Saudi Arabia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18116076 ◽

2021 ◽

Vol 18 (11) ◽

pp. 6076

Author(s):

Hasan S. Alamri ◽

Wesam F. Mousa ◽

Abdullah Algarni ◽

Shehata F. Megahid ◽

Ali Al Bshabshe ◽

...

Keyword(s):

Health Care ◽

Saudi Arabia ◽

Health Care Workers ◽

Psychological Impact ◽

Psychological Outcomes ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Care Workers ◽

The Impact

Objective: Little is known about the impact of Coronavirus (COVID-19) among the health care workers in Saudi Arabia. Therefore, the present study aimed to assess the psychological impact of COVID-19 among the health care workers. Methods: A cross-sectional survey was conducted from May till mid-July among 389 health care workers from government and private hospitals in Saudi Arabia. Data was collected using a pre-structured online questionnaire that measured adverse psychological outcomes, including the Patient Health Questionnaire-9 (PHQ-9) scale and the Generalized Anxiety Disorder 7-item (GAD-7) scale. The Pearson chi-square test was used to assess the distribution of depression and anxiety among health care workers. Results: A high level of anxiety was recorded among the health care workers, and 69.3% of health care workers below the age of 40 were found to have depression. There was a significant increase in depression among staff with chronic health problems (72.1% vs. 61.9%; p = 0.048). High anxiety levels were detected among young staff compared to others (68.7% vs. 43.8%; p = 0.001). Moreover, 82.1% of the female staff were anxious, as compared to 55.6% of the males (p = 0.001). Conclusions: We found increased prevalence of adverse psychological outcomes among the health care workers in Saudi Arabia during the outbreak of COVID-19. Therefore, there is a need for proper screening and development of corresponding preventive measures to decrease the adverse psychological outcomes.

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Lack of Awareness of the Impact of Improperly Disposed Of Medications and Associated Factors: A Cross-Sectional Survey in Indonesian Households

Frontiers in Pharmacology ◽

10.3389/fphar.2021.630434 ◽

2021 ◽

Vol 12 ◽

Author(s):

Sofa D. Alfian ◽

Widya N. Insani ◽

Eli Halimah ◽

Nabilla A. Qonita ◽

Siti S. Jannah ◽

...

Keyword(s):

Healthcare Providers ◽

Binary Logistic Regression ◽

Cross Sectional Survey ◽

Related Factors ◽

Cross Sectional ◽

Public Places ◽

Validated Questionnaire ◽

Unused Medications ◽

Medication Disposal ◽

The Impact

Introduction: Disposal of unused medications through environmentally unsafe routes is common in Indonesia. The lack of awareness of the impact of improperly disposed of medications is a significant contributing factor. The objectives of this study were to identify factors associated with lack of awareness of the impact of improperly disposed of unused medications and to assess the associations of awareness with medication disposal practices among the general population in Indonesia.Patients and methods: An observational cross-sectional survey was conducted using nonprobability sampling in Bandung, Indonesia, from November 2017 to January 2018 among respondents who were older than 18 years, had used any medication in the past, were literate, and had signed an informed consent document. Disposal practices and awareness regarding the impact of improperly disposed of unused medications were collected using an online- and a paper-based pre-validated questionnaire. The paper-based questionnaires were distributed to respondents in public places such as city center, markets, and religious places. Binary logistic regression was performed to assess associations of sociodemographic and other related factors with a lack of awareness. Odds ratios (ORs) with 95% confidence intervals (CIs) are reported.Results: Of 497 participating respondents, 433 and 64 respondents filled an online- or a paper-based questionnaire, respectively. Most respondents were female, aged between 18 and 30 years, and students/university students. Of 497 respondents, more than half (53.1%) were not aware that improper medication disposal could harm the environment and population health. Most respondents (79.5%) had never received information about proper medication disposal practices. The education level, the number of stored medications at home, and previous education about medication disposal practices were significantly associated with awareness of proper practices. In the multivariate analysis, only those with previous education about medication disposal practices were less likely to report a lack of awareness (OR: 0.043; 95% CI: 0.02–0.09). Respondents with a lack of awareness tended to dispose of their unused medications in the garbage or shared them with friends or relatives.Conclusion: There is a clear need to increase awareness of the importance of proper medication disposal practices, in particular among the student population of Bandung city, Indonesia. Healthcare providers can play an important role by educating this specific population on the proper disposal of unused medications.

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The impact of COVID-19 on pharmacy students in Sudan: A cross-sectional survey

Pharmacy Education ◽

10.46542/pe.2020.202.276282 ◽

2021 ◽

pp. 276-282

Author(s):

Noon Abubakr Abdelrahman Kamil ◽

Salma Elmukashfi Eltahir Mohammed ◽

Yasir Ahmed Mohammed Elhadi ◽

Mohamed Babiker Musa ◽

Yusuff Adebayo Adebisi ◽

...

Keyword(s):

Cross Sectional Study ◽

Pharmacy Education ◽

Pharmacy Students ◽

Traditional Teaching ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Public Health Emergencies ◽

Academic Activities ◽

The Impact

Background: The new coronavirus disease (COVID-19) has impacted many aspects of life. Several studies have investigated the effect of this pandemic on academic activities. Yet, no studies addressed the impact of COVID-19 on students in Sudan. This study examines the impact of COVID-19 on Sudanese undergraduate pharmacy students. Methods: A cross-sectional study was conducted using an online questionnaire delivered to undergraduate pharmacy students. Results: A total of 137 students responded to the survey. The majority were female (74.5%) and were students in private colleges (60.6%). Majority of the students (95.0%) were affected by COVID-19 crisis and about half of the respondents (54.0%) were depressed and 85.4% reported a decreased level of concentration. In spite of these challenges, majority of our respondents were still motivated (85.3%) to continue their education on campus. Conclusion: Despite unprecedented challenges posed by the COVID-19 pandemic, pharmacy students in Sudan are motivated to continue their studies, and they want the traditional teaching model to resume. It is time to invest more in education and rethink delivery of pharmacy education in Sudan during public health emergencies. There is no better time than now.

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Mask-associated de novo headache in healthcare workers during the Covid-19 pandemic.

10.1101/2020.08.07.20167957 ◽

2020 ◽

Author(s):

Jose M Ramirez-Moreno ◽

David Ceberino ◽

Alberto Gonzalez ◽

Belen Rebollo ◽

Pablo Macias ◽

...

Keyword(s):

Health Care ◽

Health Professionals ◽

Healthcare Workers ◽

Social Impact ◽

De Novo ◽

Health Workers ◽

Online Questionnaire ◽

Related Factors ◽

Cross Sectional ◽

The Impact

Introduction: The pandemic caused by the new coronavirus (COVID-19) has led to changes in the development of health care activities by health professionals. We analysed whether there is an association between the appearance of de novo headache according to the type of mask used, the related factors, as well as the impact of the headache on health professionals. Method: cross-sectional study in a tertiary hospital in Extremadura, Spain. We administered an online questionnaire to healthcare workers during the period of maximum incidence of COVID-19 in our setting. Results: n=306, 244 women (79.7%), with an average age of 43 years (range 23-65). Of the total, 129 (42.2%) were physicians, 112 (36.6%) nurses and 65 (21.2%) other health workers. 208 (79.7%) used surgical masks and 53 (20.3%) used filtering masks. Of all those surveyed, 158 (51.6%) presented de novo headache. The occurrence of headache was independently associated with the use of a filtering mask, OR 2.14 (IC95% 1.07-4.32), being a nurse OR 2.09 (IC95% 1.18-3.72) or another health worker OR 6.94 (IC95% 3.01-16.04) or having a history of asthma OR 0.29 (IC95% 0.09-0.89). Depending on the type of mask used there were differences in headache intensity. And the impact of headache in the subjects who used a filtering mask was worse in the all aspects evaluated. Conclusions: The appearance of de novo headache is associated with the use of filtering masks and is more frequent in certain health care workers, causing a greater occupational, family, personal and social impact.

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Knowledge, attitude and perception of Pakistanis towards COVID-19; a large cross-sectional survey

BMC Public Health ◽

10.1186/s12889-020-10083-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Zoya Fatima Rizwan Ladiwala ◽

Rubaid Azhar Dhillon ◽

Ibrahim Zahid ◽

Omar Irfan ◽

Muhammad Sharjeel Khan ◽

...

Keyword(s):

Age Groups ◽

Female Gender ◽

Educational Status ◽

Educational Interventions ◽

Public Understanding ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Adequate Knowledge ◽

Wide Range

Abstract Background The Novel Coronavirus Disease (COVID-19) has created havoc globally as countries worldwide struggle to combat this pandemic. Since prevention and social isolation are known to be the only ways to prevent the spread of COVID-19, this has created challenges among the lower-middle income countries (LMIC) including Pakistan, as it battles between an under-resourced healthcare, an economic shutdown, and widespread myths and misconceptions. Therefore, a study was conducted to evaluate the knowledge, attitude and perceptions regarding COVID-19 as public understanding is vital to help facilitate the control of this outbreak. Methods A pre-validated online questionnaire was distributed among the general population of Pakistan from 1st to 12th June 2020. Descriptive statistics were analyzed using SPSS v25. Adequate knowledge was assigned as a score of > 4 (range: 0–8) and good perception as a score of > 3 (range: 0–5). Chi-square test was used to determine the significance of difference in knowledge and perception of COVID-19 with socio-demographic characteristics. Logistic regression analysis was run to identify factors associated with adequate knowledge and perception. P < 0.05 was considered as significant. Results A total of 1200 respondents participated in this study with a wide range of age groups and education. Majority of the respondents had adequate knowledge (93.3%) with a mean score of 6.59 ± 1.35, and good perception (85.6%) with a mean score of 4.29 ± 0.82. Significant differences in knowledge and perception were observed among genders, age groups, education and between students and employees in the healthcare and non-healthcare department. A multivariate analysis revealed a higher educational status and female gender to be significant predictors of adequate knowledge and perception. Conclusions Albeit the surge of COVID-19 cases in Pakistan, the participants demonstrated an overall adequate knowledge and good perception towards COVID-19. There is a need to follow the preventive protocols and dissemination of correct information through conducting educational interventions that target safe health practices and provide appropriate information on this infection.

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The Psychological Impact of Confinement Linked to the Coronavirus Epidemic COVID-19 in Algeria

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17103604 ◽

2020 ◽

Vol 17 (10) ◽

pp. 3604 ◽

Cited By ~ 7

Author(s):

Azzeddine Madani ◽

Saad Eddine Boutebal ◽

Christopher Robin Bryant

Keyword(s):

Psychological Impact ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Internet Users ◽

The Hours ◽

Containment Measures ◽

Use Of The Internet ◽

Waking Up ◽

The Impact

The COVID-19 pandemic continues to spread in countries around the world. The impact of this virus is very great on populations following the application of total and partial containment measures. Our study aims to study the psychological impact of total and partial containment applied in Algeria, on 23 March 2020, following the spread of the virus COVID-19 and also studied the habits and behaviors of the Algerian population during this new way of life and this through a cross-sectional survey launched after three days from the start of confinement to quickly assess the impacts over the period from 23 March to 12 April 2020, by an online questionnaire which allowed us to obtain 678 responses from Internet users, who live in confinement in Algeria. According to the gender variable, our sample includes 405 men, or 59.7%, and 273 women, representing 40.3%. The results of the statistical analysis carried out using SPSS version 22.0 software showed that 50.3% of the respondents were in an anxious situation during these first three weeks of confinement. In addition, 48.2% feels stressed, 46.6% of the respondents confirmed to be feeling in a bad mood, and 47.4% do not stop thinking throughout the day about this epidemic and how to protect themselves. In addition, the study shows that 87.9% of the respondents in Algeria found it difficult to follow the confinement instructions. A significant change in the habits of the population was noted especially for the time of going to bed, the time of waking up, and the use of the Internet as well as the hours devoted to daily reading.

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Impact of Completing CLEFT-Q Scales That Ask About Appearance on Children and Young Adults: An International Study

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665620902877 ◽

2020 ◽

Vol 57 (7) ◽

pp. 840-848

Author(s):

Anne F. Klassen ◽

Louise Dalton ◽

Timothy E. E. Goodacre ◽

Karen E. Harman ◽

Rona Slator ◽

...

Keyword(s):

Cleft Lip ◽

Outcome Measure ◽

Negative Impact ◽

International Study ◽

Female Gender ◽

Patient Reported Outcome ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Patient Reported ◽

The Impact

Objective: To describe the impact of completing the CLEFT-Q appearance scales on patients with cleft lip and/or palate and to identify demographic and clinical characteristics and CLEFT-Q scores associated with reporting a negative impact. Design: International cross-sectional survey. Setting: Recruitment took place between October 2014 and November 2016 at 30 craniofacial clinics located in 12 countries. Patients: Aged 8 to 29 years with cleft lip and/or palate. Main Outcome Measure(s): Participants were asked 4 questions to evaluate the impact of completing the field test version of a patient-reported outcome measure (the CLEFT-Q) that included 154 items, of which 79 (51%) asked about appearance (of the face, nose, nostrils, teeth, lips, jaws, and cleft lip scar). Results: The sample included 2056 participants. Most participants liked answering the CLEFT-Q (88%) and the appearance questions (82%). After completing the appearance scales, most participants (77%) did not feel upset or unhappy about how they look, and they felt the same (67%) or better (23%) about their appearance after completing the questionnaire. Demographic and clinical variables associated with feeling unhappy/upset or worse about how they look included country of residence, female gender, more severe cleft, anticipating future cleft-specific surgeries, and reporting lower (ie, worse) scores on CLEFT-Q appearance and health-related quality-of-life scales. Conclusion: Most participants liked completing the CLEFT-Q, but a small minority reported a negative impact. When used in clinical practice, CLEFT-Q scale scores should be examined as soon as possible after completion in order that the clinical team might identify patients who might require additional support.

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Effect of COVID-19 Pandemic on the Levels of Empathy among Undergraduate Dental Students in Pakistan

European Journal of Dentistry ◽

10.1055/s-0040-1722091 ◽

2020 ◽

Vol 14 (S 01) ◽

pp. S110-S115

Author(s):

Sundas Ghaus ◽

Madiha Abdul Waheed ◽

Shahreen Zahid Khan ◽

Laila Mustafa ◽

Sohaib Siddique ◽

...

Keyword(s):

Dental Students ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Significant Difference ◽

Chi Square Test ◽

Post Hoc ◽

The Impact ◽

One Way Anova

Abstract Objective The purpose of our study is to determine the effect of coronavirus disease 2019 (COVID-19) on the levels of empathy toward patients among undergraduate dental students in Pakistan. Materials and Methods A cross-sectional, survey-based study was conducted at Islamic International Dental College, Islamabad, Pakistan. After taking an informed consent, a validated and pretested Toronto Empathy Questionnaire (TEQ) was distributed amongst the undergraduate dental students at two points, one before the COVID-19 existed, and the other after August 7th, 2020, when the COVID-19 cases dropped in Pakistan. Responses were indicated on a five point Likert Scale. Statistical Analysis A one-way ANOVA (analysis of variance) was used to compare the TEQ scores between the different years of education at the dental school. Difference within the groups was analyzed using the post-hoc Tukey test. Pre- and post-COVID-19 comparison was done using the Chi-square test (significance level p < 0.05). Results A total of 221 out of 260 students in the pre-COVID-19 group, while 210 out of 260 students in the post-COVID-19 group enrolled in the dentistry program participated in the study. Significant difference in the empathy levels was observed in the pre- and post-COVID-19 groups of the same population, i.e., (p < 0.05). The response rate was 85%. Conclusions This study showed an increase in mean empathy scores among the undergraduate dental students after COVID-19, indicating a significant improvement in their empathy levels during the time of COVID-19. It highlights the impact of the pandemic, whereby death and chaos seem to have brought about an improvement in interpersonal harmony.

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Pandemic or Environmental Socio-Economic Stressors Which Have Greater Impact on Food Security in the Barishal Division of Bangladesh: Initial Perspectives from Agricultural Officers and Farmers

Sustainability ◽

10.3390/su13105457 ◽

2021 ◽

Vol 13 (10) ◽

pp. 5457

Author(s):

Sayeda Sabrina Ali ◽

Mohammad Raju Ahmad ◽

Jalal Uddin Mohammad Shoaib ◽

Mohammad Aliuzzaman Sheik ◽

Mohammad Imam Hoshain ◽

...

Keyword(s):

Agricultural Production ◽

Management Practices ◽

Environmental Stressors ◽

Wet Season ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Management Options ◽

Cross Sectional ◽

Global Pandemic ◽

The Impact

The COVID-19 pandemic and subsequent protectionary lockdowns have had a dramatic impact on agricultural production globally. Barishal division is the ‘grain-basket’ of Bangladesh and a main rice cultivation centre within the country. This study captures perspectives on the environmental socioeconomic stressors impacting primary production in the coastal region of Barishal, and the impact of the first wave of the global pandemic. In our methodology, a cross-sectional survey is carried out amongst agriculture officers and farmers focusing on land management practices, environmental stressors, and the consequences of the pandemic on winter crop harvests and wet season production. A total number of 234 people participated, of which 31 were agriculture officers and 203 were farmers. Government officers completed an online questionnaire, while farmer responses were collected through Focus Group Discussion. The results show that despite the lockdown, 76% of responders claimed that they had harvested more than 80% of the cultivated winter rice. Other crops, such as fruits and vegetables, were less successfully returned. Despite food production pressures, land capacity was not fully utilised, with a significant/notable proportion of fields left fallow, principally due to periodic flooding events that sufferer concurrently from soil organic matter depletion. Upazila, not severely waterlogged, had salinity problems to contend with. While transportation restrictions and labour shortages were key constraints arising from the impact of COVID-19 on both agricultural production and post harvesting (processing, distribution, and utilisation). Current storage facilities for perishable produce, such as fruit, were found to be lacking, which further compounded access to such food items. The COVID-19 pandemic shocked agricultural productivity and food supply within the Barishal division. However, despite managing to return a successful rice harvest during the lockdown, it was found that the pre-existing environmental stressors arising from cyclones and flooding continued to be the primary threat to agriculture, even during a global pandemic. Our findings have been used to inform management options to increase resilience in the region.

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