Does It Pay to Treat Patients With Coronavirus Disease 2019? Social Perception of Physicians Treating Patients With Coronavirus Disease 2019

During the coronavirus disease 2019 (COVID-19) pandemic, the public has often expressed great appreciation toward medical personnel who were often shown in the media expressing strong emotions about the situation. To examine whether the perception of people on a physician is in fact influenced by whether the physician treats patients with COVID-19 and the emotions they expressed in response to the situation, 454 participants were recruited in May 2020. Participants saw facial expressions of anger, sadness, happiness, and neutrality which supposedly were shown by physicians who were presented as working either in COVID-19 wards or in an internal medicine ward. Participants rated how competent, empathetic, caring, and likable each physician was, to what degree they would wish to be treated by each physician, and what salary each physician deserved. Physicians treating patients with COVID-19 were seen more positively and as deserving higher pay; they appeared more competent, caring, likable, and were more likely to be chosen as a caregiver compared to physicians not treating patients with COVID-19. The expressed emotions of physicians had a strong impact on how they were perceived, yet this effect was largely unrelated to whether they treated patients with COVID-19 or not such that happy physicians seemed more empathetic, caring, and likable than the physicians who showed negative emotions. Positive regard toward physicians treating patients with COVID-19 was associated with the fact that they were seen as saving lives and not due to the risk imposed by their work.

MORTALITY RATES AND INFECTION WITH THE SARS-COV-2 VIRUS AMONG MEDICAL PERSONNEL IN KAZAKHSTAN AND AROUND THE WORLD DURING THE COVID-19 PANDEMIC

В сфере здравоохранения во избежание стагнации во время пандемии необходимо максимально обезопасить медицинский персонал и проводить большое количество профилактических мероприятий. Как доказано во многих научных статьях, главной мерой защиты медицинских работников от заражения и смерти является не только полное и своевременное обеспечение средствами индивидуальной защиты, но и подготовка специальных специалистов, которые научат, как правильно их применять. In the healthcare sector, in order to avoid stagnation during a pandemic, it is necessary to protect medical personnel as much as possible and carry out a large number of preventive measures. As proved in many scientific articles, the main measure to protect medical workers from infection and death is not only the full and timely provision of personal protective equipment, but also the training of special specialists who will teach how to use them correctly.

Loneliness, Complaining and Professional Burnout of Medical Personnel of Psychiatric Wards during COVID-19 Pandemic—Cross-Sectional Study

Background: Professional burnout in the medical community has been present for a long time, also among mental health professionals. The aim of the study was to examine the links between loneliness, complaining and professional burnout among medical personnel in psychiatric care during a pandemic. Loneliness and complaining of the medical staff are not documented in the literature well enough. Methods: Oldenburg Burnout Questionnaire, the Loneliness Scale, the Complaint Questionnaire and author’s questionnaire. The respondents: 265 medical employees—doctors (19.2%), nurses (69.8%), paramedics (4.9%), medical caregivers (5.7%). Results: Loneliness and complaining are significant predictors of exhaustion. The model explains 18% of exhaustion variance. Loneliness, complaining and job seniority are also predictors of disengagement; the model allows to predict 10% of the variance of disengagement. Women are more prone to complain. Complaining significantly correlates with direct support from management. A high rate of loneliness correlates, in a statistically significant way, with worse work organization, less management support, worse atmosphere in the team and with more irresponsible attitudes of colleagues. Conclusions: Loneliness and complaining can be used to predict occupational burnout. Women and people without management support complain more often. Loneliness is connected with bad work organization and bad cooperation in a team.

Chikungunya outbreak in Bangladesh (2017): sociodemographic and clinical characteristics of patients from three hotspots

Background Chikungunya is a severely debilitating disease. Bangladesh witnessed one of the largest outbreaks in 2017. Here, we described the clinical profile of the chikungunya outbreak in Bangladesh and its heterogeneity across three hotspots. Methods This was a descriptive cross-sectional study of 432 individuals interviewed from the outpatient department of three study sites (Dhaka, Chittagong, and Sitakundu Upazilla of Bangladesh) after confirmation by the study physicians. Both laboratory-confirmed cases and probable cases were recruited between July and October 2017. Results Of all, 18% (79) were laboratory confirmed, and 353 82% (335) were probable cases. The male:female ratio was almost equal (1.09:1), and the predominant age group was 18–59 years. The mean age of the presentation was 36.07 ± 13.62 (SD) years. Fever and arthralgia were the most common presentations and were present in > 95% of cases. Other frequent symptoms were fatigue, myalgia, headache, nausea, and vomiting. Approximately half of the patients had arthritis and erythematous rash. Arthritis was predominant in Chittagong city, while maculopapular rash was not observed in Sitakunda city. However, fatigue, nausea, and vomiting are more common among patients in Dhaka city. Significant heterogeneity of clinical manifestations was present across the three hotspots (p < 0.05 for all). Both confirmed and probable cases shared similar characteristics except muscle ache (p = 0.22) and rash (p = 0.37). Conclusion The clinical profile of chikungunya virus-induced disease displays significant location-related heterogeneity in Bangladesh during a large outbreak. Although the causes of such differences are unclear, improved public and medical personnel education on this condition may lead to earlier diagnosis and treatment.

Analysis of The Relationship of Information Media and Knowledge With Formula Feeding In Babies Aged 6-24 Months

Mothers certainly know that the main intake for babies is breast milk. However, in some cases, babies are forced to be fed infant formula to replace breast milk if according to medical indications and on the advice of medical personnel. Always consult a medical professional for the use of infant formula. Although the content is different from breast milk, now infant formula has been formulated with various kinds of nutrients that are good for baby's growth and development. For this reason, so that babies get adequate nutrition for their growth and development, the dose of baby's milk must be adjusted to their age and weight. The purpose of this study was to determine the factors associated with formula feeding in infants aged 0-6 months. The research method used in this study is a cross sectional survey method. The population in this study were all mothers who had babies 0-6 months totaling 34 people. Samples were taken by total sampling, that is, the entire population was sampled. The results of this study prove that there is a relationship between information media, education, work and knowledge with the provision of formula milk to infants aged 0-6 months at the Rengas Health Center in 2019.

The Role and Activities of the Hellenic Red Cross During the First Five Years of the Economic Crisis in Greece (2010-2014)—A Retrospective Study

Aim. To investigate the contribution of the Hellenic Red Cross to the Greek Society during the first five and more severe years (2010-2014) of the profound financial crisis in Greece. Material And Methods. We retrospectively investigated the actions and contribution of the Hellenic Red Cross for the aforementioned five-year period. The research material was accumulated by research in the Internet, the archives, and the official webpage of the Hellenic Red Cross (Google, official web page of the ICRC and IFRC), from the Hellenic Ministry of Health and the Hellenic Ministry of Immigration and Asylum. Results. A huge amount of over 247 actions were detected for the research period. More than 17,708 people were examined and treated from the specialized medical personnel of the Hellenic Red Cross and 3,266 individuals were trained in basic first aid and hygiene. The final amount of 297,757€ were donated and 5,880 welfare packages were delivered. Conclusions. The current study has concluded that the contribution of the Hellenic Red Cross to the Greek society during the most severe phase of the recent financial crisis was outstanding and consists an example for any other Non-Governmental, Non for Profit Organizations in the future.

Frequency and component analysis of contaminants generated in preparation of anticancer agents using closed system drug transfer devices (CSTDs)

Occupational exposure of anticancer agents during their preparation has been recognized as a serious hazard. Closed system drug transfer devices (CSTDs) enable “safe” preparation of agents for medical personnel and ensure a safe hospital environment. However, artificial particles of infusion materials have been reported during CSTD use. Here, the incidence of insoluble fine particles during preparation of anticancer agents using CSTDs was examined. Visible insoluble fine particles were found in 465 (9.4%) of 4948 treatment cases at Ehime University Hospital with CSTD use. Contaminants occurred more frequently during preparation of monoclonal antibodies than cytotoxic anticancer agents (19.4% vs. 4.1%, respectively, P < 0.01). A similar survey was conducted at nine hospitals to investigate the incidence of insoluble fine particles with or without CSTDs. Insoluble fine particles were detected in 113 (15.4%) of 732 treatment cases during preparation of monoclonal antibodies with CSTD use. In contrast, the occurrence of insoluble fine particles without CSTDs was found in only 3 (0.073%) of 4113 treatment cases. Contamination with CSTDs might cause harmful effects on patients during cancer therapy. We strongly recommend the use of in-line filters combined with infusion routes after CSTD use to avoid contamination-associated adverse events.

The Application of Artificial Intelligence-Assisted Colposcopy in a Tertiary Care Hospital within a Cervical Pathology Diagnostic Unit

The rising global incidence of cervical cancer is estimated to have affected more than 600,000 women, and nearly 350,000 women are predicted to have died from the disease in 2020 alone. Novel advances in cancer prevention, screening, diagnosis and treatment have all but reduced the burden of cervical cancer in developed nations. Unfortunately, cervical cancer is still the number one gynecological cancer globally. A limiting factor in managing cervical cancer globally is access to healthcare systems and trained medical personnel. Any methodology or procedure that may simplify or assist cervical cancer screening is desirable. Herein, we assess the use of artificial intelligence (AI)-assisted colposcopy in a tertiary hospital cervical diagnostic pathology unit. The study group consisted of 48 women (mean age 34) who were referred to the clinic for a routine colposcopy by their gynecologist. Cervical images were taken by an EVA-Visualcheck TM colposcope and run through an AI algorithm that gave real-time binary results of the cervical images as being either normal or abnormal. The primary endpoint of the study assessed the AI algorithm’s ability to correctly identify histopathology results of CIN2+ as being abnormal. A secondary endpoint was a comparison between the AI algorithm and the clinical assessment results. Overall, we saw lower sensitivity of AI (66.7%; 12/18) compared with the clinical assessment (100%; 18/18), and histopathology results as the gold standard. The positive predictive value (PPV) was comparable between AI (42.9%; 12/28) and the clinical assessment (41.8%; 18/43). The specificity, however, was higher in the AI algorithm (46.7%; 14/30) compared to the clinical assessment (16.7%; 5/30). Comparing the congruence between the AI algorithm and histopathology results showed agreement 54.2% of the time and disagreement 45.8% of the time. A trained colposcopist was in agreement 47.9% and disagreement 52.1% of the time. Assessing these results, there is currently no added benefit of using the AI algorithm as a tool of speeding up diagnosis. However, given the steady improvements in the AI field, we believe that AI-assisted colposcopy may be of use in the future.

ROL DEL PERSONAL DE ENFERMERIA EN LOS TRATAMIENTOS DE REPRODUCCIÓN ASISTIDA HUMANA

Existen una gran cantidad de parejas infértiles que se someten actualmente a algún tratamiento de reproducción asistida de baja complejidad (Inseminación Artificial), o de alta complejidad (Fecundación In Vitro, Inyección Intracitoplasmática de espermatozoides (ICSI en sus siglas en inglés) y para la realización de los mismo se necesita de una correcta coordinación entre todo el personal médico, de laboratorio y de enfermería, donde este último, en sus distintos roles, será el encargado de la preparación de la paciente para que esta pueda afrontar en las mejores condiciones posibles el tratamiento, lo que a su vez facilitará un mejor entendimiento y cumplimiento de las indicaciones, una menor tasa de abandono de tratamiento y mejores resultados en la consecución de un embarazo. El objetivo principal es dar a conocer los roles que cumple actualmente el personal de enfermería como son el asistencial tanto en el consultorio como en el quirófano, brindar apoyo emocional y educativo a las pacientes y participar en proyectos de investigación institucionales. Palabras clave: enfermería, cuidados de enfermería, infertilidad, inseminación, fertilización in vitro. ABSTRACT There are a large number of infertile couples currently undergoing assisted reproduction treatment of low complexity (Artificial Insemination), or high complexity (In Vitro Fertilization, Intracytoplasmic Sperm Injection (ICSI)) and for the realization of the same requires proper coordination between all medical personnel, The latter, in their different roles, will be in charge of preparing the patient so that she can face the treatment in the best possible conditions, which in turn will facilitate a better understanding and compliance with the indications, a lower rate of abandonment of treatment and better results in achieving a pregnancy. The main objective is to raise awareness of the roles currently performed by the nursing staff, such as assistance both in the office and in the operating room, to provide emotional and educational support to patients and to participate in institutional research projects. Keywords: nursing, nursing care, infertility, insemination, in vitro fertilization

Investigating the relationship between low back pain and quality of life in emergency medical personnel and the role of demographic variables in this regard

Introduction: Back pain is one of the most important occupational problems among health care workers that have detrimental effects on their personal and professional life. Therefore, this study aimed to investigate the relationship between low back pain and quality of life in prehospital emergency staff and the role of demographic variables in this regard. Materials and Methods: This is a descriptive correlational study. The population was a prehospital emergency staff that entered to study by using the census method at 2020. Data gathering instruments were demographic characteristics, low back pain, and quality of life questionnaires. Data were entered into SPSS 22 and were analyzed using descriptive and analytical statistics. Results: The results showed that the related to the low back pain score of emergency medical technicians was 51.34± 4.149, which is high. In addition, the quality of life mean and standard deviation was 30.35± 4.851, which shows a low level. There is a significant relationship between back pain and quality of life (p = 0.001, R = 0.723). Conclusion: Low back pain is so common among emergency medical personnel that the issue may affect a person's life and work and creates many problems in terms of personal, family, socially, economically, and professionally, which reduce their quality of life.