Post Covid-19 Complications: A New Dimension of Awareness for Healthcare Workers

2021 ◽  
pp. 455-458
Author(s):  
Mamta Choudhary ◽  
L. Gopichandran
Keyword(s):  
Healthcare Workers ◽  
Citation Index ◽  
Gastrointestinal Complications ◽  
Hand Search ◽  
Neuropsychiatric Complications ◽  
Causes Of Mortality ◽  
Novel Coronavirus ◽  
Social Sciences Citation Index

Novel Coronavirus (COVID-19), a highly infectious disease, is currently affecting whole of globe with no region untouched. This Public health emergency is one of the leading causes of mortality in many of the regions of the world. Although many patients are recovering from this illness, the concern regarding Post COVID-19 complications still prevails. Various follow up studies have reported Lung fibrosis, ARDS, cardiovascular diseases, neurological and neuropsychiatric complications, multiorgan damage, and gastrointestinal complications among recovered COVID-19 patients. Thus, this evidence-based review was done focussing on published articles from the Medline, CINAHL, Social Sciences Citation Index, Psych INFO, a hand search through selected published journals and from references lists. This article provides information regarding complications experienced by recovered COVID-19 patients after being discharged from hospital, affecting their quality of life.

scholarly journals Prevalence of poor psychiatric status and sleep quality among frontline healthcare workers during and after the COVID-19 outbreak: a longitudinal study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yifang Zhou ◽  
Hailong Ding ◽  
Yifan Zhang ◽  
Baoyan Zhang ◽  
Yingrui Guo ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Healthcare Workers ◽  
Multiple Logistic Regression Analysis ◽  
Liaoning Province ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Psychiatric Status ◽  
Novel Coronavirus ◽  
Frontline Healthcare Workers

AbstractPoor psychiatric status and sleep quality were common among frontline healthcare workers (FHWs) during the outbreak of the 2019 novel coronavirus disease (COVID-19), but the change in these mental health outcomes overtime remained unknown. This study compared the psychiatric status and sleep quality of FHWs during and after the COVID-19 outbreak in China. FHWs who volunteered to work in Hubei province (the COVID-19 epicenter) were assessed at baseline during the COVID-19 outbreak and re-assessed when they returned to their place of origin (Liaoning province) after the COVID-19 outbreak. Participants’ psychiatric status and sleep quality were measured with the Symptom CheckList-90 (SCL-90) and the Pittsburgh Sleep Quality Index (PSQI), respectively. A total of 494 FHWs was assessed at baseline and 462 at follow-up assessments. The prevalence of poor psychiatric status was 10.5% at baseline and increased to 14.9% at the follow-up assessment (P = 0.04). The corresponding figures of poor sleep quality at baseline and follow-up assessment were 16.4% and 27.9%, respectively (P < 0.001). Multiple logistic regression analysis found that severe fatigue (p = 0.003, OR = 1.266, 95% CI = 1.081–1.483), poor sleep quality (p < 0.001, OR = 1.283, 95% CI = 1.171–1.405), and history of pre-existing psychiatric disorders (p < 0.001, OR = 5.085, 95% CI = 2.144–12.06) were independently associated with higher odds of poor psychiatric status among the FHWs. Poor psychiatric status and sleep quality were common among FHWs during the COVID-19 outbreak, and the prevalence increased following their volunteer experiences. This suggests a critical need for longer-term psychological support for this subpopulation.

scholarly journals A New Methodology to Construct a Database of World University Exams

2020 ◽  
Author(s):  
Jesús María Pinar-Pérez ◽  
María Fernandez-Moya ◽  
Pedro Cuadros-Solas ◽  
Carlos Salvador ◽  
Roberto Morales-Arsenal
Keyword(s):  
Citation Index ◽  
University Education ◽  
Academic Field ◽  
Academic Fields ◽  
The World ◽  
Science Group ◽  
Global University ◽  
Objective Indicators ◽  
Social Sciences Citation Index

Since the final decades of the 20th century, university education has witnessed rapid growth. However, the quality of the education has varied a lot within the different programs around the world. How can we measure quality in university education? A number of institutions release annual global rankings of universities according to academic fields. One of the most respected lists, the Shanghai Academic Ranking of World Universities, uses a complex methodology to rank world universities, including six objective indicators, i.e. the number of alumni and staff winning Nobel Prizes and Fields Medals, the number of articles published in prestigious journals, the number of Highly Cited Researchers and the number of articles indexed in Science Citation Index - Expanded and Social Sciences Citation Index produced by Web of Science Group, and per capita performance. An overview of the annual list reveals the distance between universities, and offers a picture of global university education as a highly atomized system. How can we improve the homogenization of university education around the world? This is the central question of our research. In order to answer it, we focus on the classic tool used to evaluate students: exams. The aim of our paper is to establish a methodology with which to construct a database of world university exams by academic field. The database would be available to professors and students worldwide, and both categories could use it to contrast their level in a certain subject. In this sense, our proposal aims to achieve two objectives: 1) to maximize the effectiveness of exams as a measurement of students´ knowledge; 2) to use exams as a tool to homogenize education within universities in a certain academic field.

scholarly journals Awareness and Impact of Hydroxychloroquine / Chloroquine prophylaxis among the Healthcare Workers during the COVID-19 Pandemic: An observational study.

2020 ◽  
Author(s):  
Silky Dhamija ◽  
Yayati Joshi ◽  
Amar Nandhakumar
Keyword(s):  
Side Effects ◽  
Healthcare Workers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Care Workers ◽  
Novel Coronavirus ◽  
Adequate Research ◽  
Morbid Conditions

Abstract Background Various modalities are under study for prevention and treatment of novel coronavirus. One such modality is use of Hydroxychloroquine/Choloroquine. The objective of survey was to understand the awareness and impact of HCQ/CQ prophylaxis among the health care workers (HCWs) including surgeons and anaesthetists.Methods A web-based, cross-sectional survey was conducted for HCWs globally. Participation was voluntary and confidentiality was maintained by making participants' information anonymous. The questionnaire consisted of 28 items. Data were tabulated in excel, and descriptive statistics were performed. Results Survey was taken by 344 HCWs from all over the world. 98% participants heard about the use of HCQ/CQ prophylaxis against COVID 19 infection. 301 HCWs knew about the side effects of HCQ/CQ. 54 1% participants agree there is not adequate research done. 122 participants took HCQ/CQ prophylaxis. Out of 29 5% participants who received the medicine from hospital under hospital protocol, 66 7% were given medication without baseline investigations and 30 5% HCWs were not even briefed about the drug and its side effects by the hospitals. 36 2% participants developed side effects. 8 7% HCWs were tested for COVID19 out of 344 participants.Conclusion The drug taken by HCWs was without adequate evidence, prior investigations, supervision and follow-up. Most of the participants self prescribed the drug. No separate guidelines were stated for people who had co-morbid conditions. Hospitals neither conducted baseline investigations and nor briefed HCWs about HCQ/CQ. These are some serious concerns we are looking into as who will be answerable in case of adverse events.

scholarly journals A Novel Mindful-Compassion Art-Based Therapy for Reducing Burnout and Promoting Resilience Among Healthcare Workers: Findings From a Waitlist Randomized Control Trial

2021 ◽  
Vol 12 ◽  
Author(s):  
Andy Hau Yan Ho ◽  
Geraldine Tan-Ho ◽  
Thuy Anh Ngo ◽  
Grace Ong ◽  
Poh Heng Chong ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Treatment Group ◽  
Emotional Regulation ◽  
Healthcare Workers ◽  
Effect Sizes ◽  
Post Intervention ◽  
Self Compassion

Protecting the mental health of healthcare workers is an urgent global public health priority. Healthcare workers, especially those immersed in palliative care, are prone to burnout due to the intense emotions associated with end-of-life caregiving. This study examines the efficacy of a novel, multimodal, and group-based Mindful-Compassion Art-based Therapy (MCAT) that integrates reflective self-awareness with creative emotional expression for protecting healthcare workers’ mental health. A dual-arm open-label waitlist randomized controlled trial was conducted. A total of 56 healthcare workers were recruited from the largest homecare hospice in Singapore and randomized to the immediate-treatment condition of a standardized 6-week, 18-hours MCAT intervention (n=29), or the waitlist-control condition (n=27). Self-administered outcome measures on burnout, resilience, emotional regulation, self-compassion, death attitudes, and quality of life were collected at baseline, post-intervention/second-baseline at 6weeks, and follow-up/post-intervention at 12weeks. Results from mixed model ANOVAs reveal that treatment group participants experienced significant reduction in mental exhaustion, as well as significant improvements in overall emotional regulation, nonreactivity to intrusive thoughts, approach acceptance of death, and afterlife belief as compared to waitlist-control immediately after MCAT completion. Effect sizes of these impacts ranged from medium to large (η2=0.65 to 0.170). Results from one-way ANOVAs further reveal that the treatment gains of reduced mental exhaustion and increased emotional regulation were maintained among treatment group participants at 12-weeks follow-up compared to baseline, with new benefits identified. These include increased ability to observe and describe one’s experiences, elevated overall self-compassion, greater mindful awareness, enhanced common humanity, and better quality of life. Effect sizes of these impacts were large (η2=0.128 to 0.298). These findings reflect the robust effectiveness and positive residual effects of MCAT for reducing burnout, building resilience, nurturing compassion, fostering collegial support, and promoting mental wellness among healthcare workers. The clinical model and applicability of MCAT in larger and more diverse caregiving contexts, such as family dementia care, are discussed.Clinical Trial Registration:ClinicalTrials.gov # NCT03440606, #NCT04548089.

scholarly journals Longitudinal determination of mRNA-vaccination induced strongly binding SARS-CoV-2 IgG antibodies in a cohort of healthcare workers with and without prior exposure to the novel coronavirus

2021 ◽  
Author(s):  
Monika Korodi ◽  
Kinga Rakosi ◽  
Zsuzsanna Jenei ◽  
Gabriella Hudak ◽  
Istvan Horvath ◽  
...  
Keyword(s):  
Immune Response ◽  
Immune Responses ◽  
Healthcare Workers ◽  
Infected Group ◽  
The Novel ◽  
Post Vaccination ◽  
Humoral Immune ◽  
Novel Coronavirus

Mass vaccination against the disease caused by the novel coronavirus (COVID-19) is a crucial step in slowing the spread of SARS-CoV-2. The BioNTech/Pfizer (BNT162b2) vaccine has been shown to induce strong immune responses among the vaccinated population. Measuring SARS-CoV-2 anti-spike protein IgG levels is a clinically convenient way to estimate post-vaccination humoral immune responses, but only limited data exists about its short- and long-term dynamics. We present a longitudinal analysis of post-vaccination IgG levels in a cohort of 122 healthcare workers vaccinated with BNT162b2 with weekly follow-up until 35 days past the first dose and results of the first monthly follow-up after that for a subset of these. This prospective, multicenter cohort study consists of two periods for short-term and long-term evaluation of post-vaccination IgG levels. Tests were carried out on 666 samples from 122 participants, using in-house anti-spike 1 and anti-nucleocapsid IgG ELISA assays and a commercial, combined version of these. Participants with previous SARS-CoV-2 infection mount a quick immune response, reaching peak IgG levels two weeks after vaccination. In contrast, the corresponding IgG levels for previously uninfected participants increase gradually, changing abruptly after the booster dose. Overall higher IgG levels are maintained for the previously infected group 35-70 days after vaccination, and we observe age-dependence of immune response as well. Our results show a robust humoral immune response mounting gradually after the first vaccine dose for the uninfected group, and a much stronger immune response within 7-14 days after the first dose for the previously infected group.

scholarly journals Factors Mediating the Psychological Well-Being of Healthcare Workers Responding to Global Pandemics: A Systematic Review

2020 ◽  
Author(s):  
Jekaterina Schneider ◽  
Deborah Talamonti ◽  
Benjamin Gibson ◽  
Mark Forshaw
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Healthcare Workers ◽  
Well Being ◽  
Poor Mental Health ◽  
Psychological Well Being ◽  
Study Selection ◽  
Novel Coronavirus ◽  
As Stress

The worldwide outbreak of the novel coronavirus (COVID-19) and the likelihood of future pandemics has raised the attention to the effects of pandemics on the psychological well-being of individuals. Given their indispensable role in such situations, healthcare workers are at greater risk of mental health issues. This paper aimed to review the mediators of psychological well-being among healthcare workers responding to global pandemics. After registration on PROSPERO, a systematic review was performed in four databases. Following study selection (PRISMA guidelines), inclusion criteria and analysis methods were assessed. The quality of the included studies was assessed using the EPHPP criteria. Out of 1467 references, 39 studies were included in this review. In most studies, worse well-being outcomes, such as stress, depressive symptoms, anxiety, and burnout were related to demographic characteristics, direct contact with infected patients, and poor perceived support. In turn, self-efficacy, coping ability, altruism, and support from employers and organisations were found to be protective factors. Despite some limitations in the quality of the available evidence, this review highlights the prevalence of poor mental health outcomes in healthcare workers responding to global pandemics. Future interventions should target the identified mediators to promote psychological well-being among this population, particularly social and organisational support, which may improve workers’ mental health and reduce burnout and turnover.

Cathartic Effect of Suicide Attempts Not Limited to Depression

Crisis ◽  
2003 ◽  
Vol 24 (2) ◽  
pp. 73-78 ◽  
Author(s):  
Yves Sarfati ◽  
Blandine Bouchaud ◽  
Marie-Christine Hardy-Baylé
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Personality Traits ◽  
Rating Scales ◽  
Suicide Attempts ◽  
World Health ◽  
Life Questionnaire ◽  
Short Term

Summary: The cathartic effect of suicide is traditionally defined as the existence of a rapid, significant, and spontaneous decrease in the depressive symptoms of suicide attempters after the act. This study was designed to investigate short-term variations, following a suicide attempt by self-poisoning, of a number of other variables identified as suicidal risk factors: hopelessness, impulsivity, personality traits, and quality of life. Patients hospitalized less than 24 hours after a deliberate (moderate) overdose were presented with the Montgomery-Asberg Depression and Impulsivity Rating Scales, Hopelessness scale, MMPI and World Health Organization's Quality of Life questionnaire (abbreviated versions). They were also asked to complete the same scales and questionnaires 8 days after discharge. The study involved 39 patients, the average interval between initial and follow-up assessment being 13.5 days. All the scores improved significantly, with the exception of quality of life and three out of the eight personality traits. This finding emphasizes the fact that improvement is not limited to depressive symptoms and enables us to identify the relative importance of each studied variable as a risk factor for attempted suicide. The limitations of the study are discussed as well as in particular the nongeneralizability of the sample and setting.

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