scholarly journals A centralised novel coronavirus telephone helpline: a tool for managing and tracking the nation’s response to the COVID-19 epidemic in Slovenia

2020 ◽  
Vol 89 (11-12) ◽  
pp. 702-709
Author(s):  
Kevin Pelicon ◽  
Ivana Krajnc ◽  
Klemen Petek ◽  
Mojca Maticic

In response to neighbouring Italy’s accelerating outbreak of the coronavirus disease 2019 (COVID-19), Slovenia established a national toll-free telephone helpline, which operated from 9 March until 12 June 2020 and answered more than 40 thousand calls in its first ten weeks alone. It was operated by medical students and integrated professionals from diverse fields in order to provide trustworthy, accurate, and understandable information to the citizens of Slovenia. We examine the impact that this centralised helpline had on managing the COVID-19 health crisis by shaping and monitoring the public’s response.

2020 ◽  
Vol 36 (COVID19-S4) ◽  
Author(s):  
Sultan Ayoub Meo ◽  
Dr Abdulelah Adnan Abukhalaf ◽  
Ali Abdullah Alomar ◽  
Kamran Sattar ◽  
David C Klonoff

Background and Objectives: The novel coronavirus COVID-19 pandemic causes great public health and socioeconomic harms. Worldwide many countries implemented quarantine policies to minimize the spread of this highly contagious disease. The present study aim was to investigate the impact of quarantine on the medical students’ mental wellbeing and learning behaviors. Methods: In this descriptive study, we used a questionnaire with a Five-Point Likert Scale to collect the information. The questionnaire was distributed among 625 medical students through their emails with a response rate of 530 (84.8%), majority 294 (55.47%) being female. The survey questionnaire consisted of total 20 items; 12 items were related to psychological wellbeing and stress-allied queries and 08 items were about learning behaviors. Results: The findings encompass two important characteristics related to quarantine, psychological wellbeing, and learning behaviors. A combined cohort of 234 medical students, either female or male, (which was 44.1% of the total responders) showed a sense of being emotionally detached from family, friends and fellow students, 125/ 530 (23.5%) medical students felt disheartened. Both female and male medical students showed a marked decrease in their overall work performance. Moreover, 56.2% of the total students (61.5% of the females and 49.5% of the males) felt a decrease in the time they spent studying. Conclusions: Both female and male medical students have identified that quarantine has caused them to feel emotionally detached from family, fellows, and friends and decrease their overall work performance and study period. The findings also show that one-fourth of the medical students who participated in this study felt disheartened during the quarantine period. The long-term quarantine due to COVID-19 pandemic may causes further worsening in the psychological and learning behaviors of these medical students. doi: https://doi.org/10.12669/pjms.36.COVID19-S4.2809 How to cite this:Meo SA, Abukhalaf AA, Alomar AA, Sattar K, Klonoff DC. COVID-19 Pandemic: Impact of Quarantine on Medical Students’ Mental Wellbeing and Learning Behaviors. Pak J Med Sci. 2020;36(COVID19-S4):---------. doi: https://doi.org/10.12669/pjms.36.COVID19-S4.2809 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Jenna R. Adalbert ◽  
Asif M. Ilyas

Abstract Background The United States opioid epidemic is a devastating public health crisis fueled in part by physician prescribing. While the next generation of prescribers is crucial to the trajectory of the epidemic, medical school curricula designated to prepare students for opioid prescribing (OP) and pain management is often underdeveloped. In response to this deficit, we aimed to investigate the impact of an online opioid and pain management (OPM) educational intervention on fourth-year medical student knowledge, attitudes, and perceived competence. Methods Graduating students completing their final year of medical education at Sidney Kimmel Medical College of Thomas Jefferson University were sent an e-mail invitation to complete a virtual OPM module. The module consisted of eight interactive patient cases that introduced topics through a case-based learning system, challenging students to make decisions and answer knowledge questions about the patient care process. An identical pre- and posttest were built into the module to measure general and case-specific learning objectives, with responses subsequently analyzed using the Wilcoxon matched-pairs signed-rank test. Results Forty-three students (19% response rate) completed the module. All median posttest responses ranked significantly higher than paired median pretest responses (p <  0.05). Comparing the paired overall student baseline score to module completion, median posttest ranks (Mdn = 206, IQR = 25) were significantly higher than median pretest ranks (Mdn = 150, IQR = 24) (p <  0.001). Regarding paired median Perceived Competence Scale metrics specifically, perceived student confidence, capability, and ability in opioid management increased from “disagree” (2) to “agree” (4) (p <  0.001), and student ability to meet the challenge of opioid management increased from “neither agree nor disagree” (3) to “agree” (4) (p <  0.001). Additionally, while 77% of students reported receiving OP training in medical school, 21% reported no history of prior training. Conclusion Implementation of a virtual, interactive module with clinical context is an effective framework for improving the OPM knowledge, attitudes, and perceived competence of fourth-year medical students. This type of intervention may be an important method for standardizing and augmenting the education of future prescribers across multiple institutions.


2020 ◽  
Vol 1 (3) ◽  
pp. 95-110
Author(s):  
Lauri Baker ◽  
Michaela Kandzer ◽  
Shelli Rampold ◽  
Christy Chiarelli ◽  
Hikaru Peterson ◽  
...  

The purpose of this study was to describe agriculture and natural resource (ANR) leader business owners’ initial concerns and feelings about the impacts of the 2019 novel coronavirus (COVID-19) pandemic. Based on the theories of opinion leadership and bounded rationality, researchers analyzed survey findings to identify and describe ANR business owners’ 1) business and economic concerns associated with COVID-19, 2) communication concerns associated with COVID-19, and 3) any other concerns or impacts experienced due to COVID-19. Findings indicated that the majority of respondents were concerned about their bottom lines, employees missing work, and their abilities to provide employees a safe workplace. Additionally, respondents were concerned about the impact of COVID-19 on the U.S. economy. Regarding communication concerns, respondents were concerned about others sharing inaccurate COVID-19 information. When asked about additional concerns related to COVID-19, many respondents noted their concerns about economic impacts, personal and business finances, and canceled events causing them to become unable to interact with customers. Overall, the biggest concerns were related to economic impacts and misinformation. Recommendations for future research are to continue to assess this population as the pandemic continues, and again when the health crisis ends to understand the recovery process for ANR leader business owners.


Author(s):  
Melanie Logue ◽  
Cynthia Olson ◽  
Marylou Mercado ◽  
Carolyn McCormies

Lack of clinical experience availability has been a longstanding concern for academic programs in nursing. The continued decrease in clinical group size and the number of students that an organization will allow for clinical experiences has been a growing issue that requires innovation to create alternative clinical experiences to meet program, student, and governing agency requirements. When the novel coronavirus, SARS-CoV-2, or COVID-19, emerged in early 2020, resulting in a global pandemic, the impact included nursing education. Students were no longer allowed in clinical facilities due to attempts to contain the virus and lack of personal protective equipment. Many programs were underprepared and had to quickly adjust to meet clinical requirements for students to complete courses. This article discusses several impacts in the context of policymakers, regulators, and nursing practice, with specific examples from policy changes that occurred in the state of Arizona. We describe the nursing program response to pandemic challenges with examples of innovative solutions in practice and policy that informed the rapid shift to nontraditional student experiences.


2021 ◽  
Vol 22 (5) ◽  
pp. 1060-1066
Author(s):  
James Murrett ◽  
Emily Fu ◽  
Zoe Maher ◽  
Crystal Bae ◽  
Wayne Satz ◽  
...  

Introduction: Very little is known about the effects of the novel coronavirus (COVID-19) pandemic and its associated social distancing practices on trauma presentations to the emergency department (ED). This study aims to assess the impact of a city-wide stay at home order on the volume, type, and outcomes of traumatic injuries at urban EDs. Methods: The study was a retrospective chart review of all patients who presented to the ED of an urban Level I Trauma Center and its urban community affiliate in the time period during the 30 days before the institution of city-wide shelter-in-place (preSIP) order and 60 days after the shelter-in-place (SIP) order and the date-matched time periods in the preceding year. Volume and mechanism of traumatic injuries were compared using paired T-tests. Results: There was a significant decrease in overall ED volume. The volume of certain blunt trauma presentations (motor vehicle collisions) during the first 60 days of SIP compared to the same period from the year prior also significantly decreased. Importantly, the volume of penetrating injuries, including gunshot wounds and stab wounds, did not differ for the preSIP and SIP periods when compared to the prior year. The mortality of traumatic injuries was also unchanged during the SIP comparison period. Conclusion: While there were significant decreases in visits to the ED and overall trauma volume, penetrating trauma, including gun violence, and other severe traumatic injuries remain a public health crisis that affects urban communities despite social distancing recommendations enacted during the COVID-19 pandemic.


2021 ◽  
Vol 6 ◽  
Author(s):  
Linsay DeMartino ◽  
S. Gavin Weiser

The novel coronavirus (COVID-19) pandemic took the world into crisis. We saw the virus alter a multitude of spheres worldwide, including our healthcare, economies, politics, social processes, and education. In fact, the impact of COVID-19 on educational administration took our leaders into forced emergency measures. Our study aims to better understand the experiences of educational administrators under crisis to ascertain what might be learned on how educational institutions may better respond to the crisis in the future. These stories were collected from educational leaders, both from K-12 and higher education, throughout the United States. In brief, this article is framed in the theory and literature associated with the complexity of leading in times of crisis. We explore the resiliency of leadership forged in crisis and the rethinking of administrative as administration as a caring and trustful acts. Our research began as a hermeneutic phenomenological interview study, but transitions into a two-round project, where after the first interview, participants were invited to share some images that typify and speak to the experiences being educational administrators during this time. We are engaged in sensitive topics that are ongoing and changing. Moreover, throughout, we are asking for images that speak to their experiences. Across both K-12 and higher education, our results indicated varied responses, from immediate to delayed administrative action. However, albeit they looked contextually different, there are clear indications the participants valued continuous, transparent communication, authentic caring, trust, and agency. In our discussion, we elaborate on the distinction between what the institutional response was as compared to what was valued by our educational leaders. Finally, as a contribution to the field, we seek to provide guidance for future administrators in crisis based on our own experiences and the recommendations provided by our educational leaders.


Author(s):  
Mike Rayner ◽  
Tom Webb

In December 2019, a novel coronavirus (COVID-19) was detected in three patients from the city of Wuhan, China. By January 2020, COVID-19 was declared a widespread pandemic creating a global health crisis, resulting in millions of people contracting the virus and thousands losing their lives. Alongside the wide-reaching health crisis, the impact of COVID-19 had significant economic and societal effects leaving a historical legacy, which will affect countries throughout the world for a considerable period of time. As COVID-19 spread around the globe, the way people socialize, work, and study essentially changed forever. Therefore, this essay provides an insight into the rapid process that universities across the globe undertook to transition their teaching operations online. Projects and pedagogic reviews that traditionally would have taken months or years to devise were compressed into days, as the pandemic necessitated that traditional concerns about online teaching were cast aside. Consequently, this essay discusses these new educational platforms in sport management education and their future role in developing professionals who will be at the forefront of an unprecedented industry growth in the years and decades after COVID-19.


2020 ◽  
Vol 28 (1) ◽  
pp. 152-158
Author(s):  
David Roberge ◽  
Guila Delouya ◽  
Alexandra Bohigas ◽  
Stefan Michalowski

The novel coronavirus of 2019 has had a broad impact of the delivery of healthcare, including cancer care. We chose to quantify the impact in the radiation oncology department of the largest academic center in the hardest hit city in Canada. With the approval of our ethics review board, data on each patient treated from March 13, 2020 to August 10, 2020 were compared to patients treated during the same period in 2019. We compared the case mix, delay from treatment decision to treatment start, and number of fractions per patient. We reviewed prospectively collected information regarding deviations from our usual practice. During the pandemic the caseload was reduced by 12%; this was more pronounced in prostate and CNS tumors. The average number of fractions per patient was reduced from 12.3 to 10.9. This reduction was most marked in prostate, breast, gastro-intestinal, and palliative cases. When physicians were questioned, they reported that 17% of treatment plans deviated from their usual practice because of the pandemic. The most common deviations were related to changes in department policies (77%) vs. patient-specific deviations (20%) or changes requested by the patient (3%). Rare deviations were due to patients contracting COVID-19 (2 patients). At its worse, the wait list contained 27% of patients who had a delay to radiotherapy of more than 28 days. However, the average wait time increased little (19.6 days vs. 18.2 days) as more pressing cases were prioritized. In an unprecedented health crisis, our radiation oncology department was able to reduce resource utilization, notably by decreasing the number of fractions per patient. It will be important to follow these patients’ health outcomes for insight into these practices. More quantitative tools to simulate and plan future practice changes in response to resource constraints will be implemented.


2018 ◽  
Vol 14 (2) ◽  
pp. 181-187
Author(s):  
Maciej Walkiewicz ◽  
Małgorzata Tartas

The goal of the paper is to describe the extent to which medical students and professionals are vulnerable to extreme stress. A select review of existing literature on this area has been undertaken, using the English-language online databases EBSCO, Medline and PubMed. The search has identified 36 citations relating to 6324 medical students and 28,285 medical staff (physicians, residents, nurses). The review indicates that merely beginning medical studies is a risk factor for stress, and that medical professionals, who are vulnerable to extreme work stress, say that they do not receive enough support from their co-workers. They are also often notably impulsive, introverted, neurotic and perfectionist, with low emotional intelligence and agreeableness, as well as low and external locus of control. Additionally, from longitudinal studies we have been able to identify psychological factors underpinning admission to a medical university that may be useful for predicting future stress in medical career. The results of this study may be taken into account when organizing psychological intervention programs targeted at educating future medical professionals. It seems that early identification of people at risk could reduce the impact of stress related to medical career and enhance the somatic and mental health of medical professionals.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 462-468
Author(s):  
Latika kothari ◽  
Sanskruti Wadatkar ◽  
Roshni Taori ◽  
Pavan Bajaj ◽  
Diksha Agrawal

Coronavirus disease 2019 (COVID-19) is a communicable infection caused by the novel coronavirus resulting in severe acute respiratory syndrome coronavirus 2 (SARS-CoV). It was recognized to be a health crisis for the general population of international concern on 30th January 2020 and conceded as a pandemic on 11th March 2020. India is taking various measures to fight this invisible enemy by adopting different strategies and policies. To stop the COVID-19 from spreading, the Home Affairs Ministry and the health ministry, of India, has issued the nCoV 19 guidelines on travel. Screening for COVID-19 by asking questions about any symptoms, recent travel history, and exposure. India has been trying to get testing kits available. The government of India has enforced various laws like the social distancing, Janata curfew, strict lockdowns, screening door to door to control the spread of novel coronavirus. In this pandemic, innovative medical treatments are being explored, and a proper vaccine is being hunted to deal with the situation. Infection control measures are necessary to prevent the virus from further spreading and to help control the current situation. Thus, this review illustrates and explains the criteria provided by the government of India to the awareness of the public to prevent the spread of COVID-19.


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