Hospital management model for biological hazards: A qualitative content analysis study.

BACKGROUND: Biological hazards such as epidemic, pandemic, and bioterrorism are the most probable types of emergencies and disasters, which cause a high rate of mortality and morbidity. Hospitals have an important role in reducing the consequences of biological hazards. Given this, we set out the present study to design a model for managing biological hazards in hospitals. METHODS: A qualitative content analysis study was performed using in-depth semistructured interviews with 40 experts. We selected participants through purposeful sampling; also, we interviewed experienced experts, policy makers, and managers in the field of hospital management regarding biological hazards. The study setting was Iran Ministry of Health and hospitals as well as other relevant organizations responsible for hospital management in biological hazards. We analyzed the data concurrently using the method recommended by Graneheim and Lundman. RESULTS: After collecting and analyzing the data obtained from the interviews, we extracted the dimensions of our model in the form of four themes, including mitigation, preparedness, response, and recovery. CONCLUSION: Based on the results of the present study, we believe that a comprehensive and practical model for hospital preparedness regarding management of biological hazards is essential. The model of hospital preparedness in biological hazards leads to an effective response and reduces the physical, psychological, social, and economic consequences of biological hazards.

Prevalence of depression, anxiety, and psychological distress in patients with epilepsy during COVID-19: A systematic review.

OBJECTIVE: COVID-19 pandemic disease has profound consequences for physical and mental health. In this regard, health care for chronic diseases, especially epilepsy is neglected The purpose of this systematic review study was to investigate the epidemic effect of COVID-19 on increasing the prevalence of mental disorders such as depression, anxiety, and sleep disorders in people with epilepsy (PWE). METHODS: We systematically searched MEDLINE, Cochrane, Embase, Web of science, Scopus, and Psych info databases for studies that estimate the prevalence of mental disorders in PWE during the COVID-19 until December 2020. Inclusion criteria included samples of population, with a confirmed diagnosis of epilepsy. RESULTS: Irrespective of PWE or people without epilepsy (PWOE), all experienced stress and anxiety during COVID-19 pandemic. Most of the studies showed that PWE and even PWOE during the pandemic, suffer from depression. The highest rate of depression was attributed to female PWE with financial problems (66.7%) and the lowest rate of depression in PWE was reported in 8.6%. 7.1-71.2% and 28.2% of patients reported sleep disorders and insomnia, respectively. Less than 2% experienced a sleep improvement. LIMITATIONS: Due to a large amount of heterogeneities across the results, we could not evaluate the exact rate of prevalence in spite of using effective measures. CONCLUSIONS: People with epilepsy were considered as a susceptible group to the impact of the pandemic. Therefore, great attention should be paid to PWE and adequate psychological supports provided in this period to relieve or inhibit risks to mental health in PWE.