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This study aims to review student-athletes resilience power, coping power, and protective power in surviving the new norm routine in Malaysia. Aspects of the resilience dimension include self-confidence, self-discipline, self-ability, self-control, and self-determination. In addition, this study also aims to identify whether there are differences in resilience and coping dimensions based on some demographic factors. Both aspects of the survey, namely the level of resilience and coping, identify this difference obtained from data collected through questionnaires. The study sample consisted of school students in Malaysia. A total of 190 study samples were randomly selected. This study uses a quantitative approach. The findings of the study through exploratory analysis using principal component analysis (PCA) revealed the structure of four factors: self-confidence, self-discipline, self-ability, and self-control. Structural equation modeling (SEM) showed that the scale items formed four factors related to higher coping. The structure turns out to be stable over different age groups. The study's implications showed the need for exposure to Co-Curriculum education patterns and social support applied directly in increasing the protective power against challenges for student-athletes. © 2023 by authors, all rights reserved.
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Introduction: In a subset of Covid19-convalescent patients, a multitude of long-term sequelae are increasingly being reported. We report 4 cases with varying neuro-GI and motility manifestations after recent COVID-19 infection. Case Description/Methods: Case 1: A 23-year-old man contracted COVID-19 and had a protracted course of respiratory illness. Despite resolution of respiratory symptoms and dysgeusia, he continued to experience early satiety, postprandial nausea, vomiting and unintentional weight loss. Gastric Emptying Scan (GES) revealed gastroparesis (Figure A). Dietary modification and metoclopramide led to symptomatic improvement. Case 2: A 39-year-old woman with migraines, suffered from Covid-19 infection where anosmia and respiratory symptoms lasted for 2 weeks. Despite resolution of initial symptoms, she started experiencing nausea and vomiting, and reported stereotypical symptoms with complete absence of vomiting between episodes. Endoscopic examination, CT head and GES were normal. Urine tox screen was negative for cannabinoids. She responded favorably to amitriptyline and ondansetron. Case 3: A 47-year-old man started experiencing severe constipation associated with abdominal pain and bloating soon after being diagnosed with COVID-19. Three months after resolution of respiratory symptoms, in addition to constipation, he began reporting postprandial fullness, early satiation and epigastric pain. GES showed gastroparesis ( figure B) and a Sitzmarks Study revealed delayed colonic transit (Figure C). Prucalopride was started, leading to improvement in symptoms. Case 4: A 74-year-old woman with obesity and diabetes, was hospitalized and intubated for severe respiratory distress due to COVID-19. After discharge, she had persistent symptoms of brain fog, fatigue, dyspnea as well as diarrhea and abdominal cramping, persisting despite loperamide and dicyclomine. C. difficile toxin, random colonic biopsies and H2 breath test were unremarkable. Her symptoms eventually improved with rifaximin. Discussion(s): We report 4 cases with post-COVID gastroparesis, cyclical vomiting syndrome, pan-gut dysmotility, and post-infectious IBS phenotypes.The pathophysiology of post-infectious-gut-brain disorders is still obscure. The current conceptual framework implicates acquired neuropathy, altered motility, intestinal barrier disruption and persistent intestinal inflammation. Similar pathophysiology may be involved in COVID-19 infection leading to sustained neurogastroenterological dysfunction and gut dysmotility.
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Unlocking after lockdown in the current COVID-19 pandemic has apparently resulted in a new normal way of living, but its impact on mental health is still unexplored. The present study tried to explore the mental health status of the general population in India during the current unlocking phase of the COVID-19 outbreak. Furthermore, it aimed at examining the mental health burden in different age groups and finally to find out the association between psychological distress and education loss, financial loss, exposure and acquaintance of COVID 19. The study was conducted from Unlock phase 3.0 to Unlock phase 8.0 on 200 participants. A Google form was created and circulated on different online and social media platforms. The measures used were: the Impact of Event Scale (IES), Depression, Anxiety, and Stress Scale (DASS-21). The data was analyzed with the help of SPSS v21. Results clearly show that the mental health burden of the majority of the population fell into the normal category and a few into the mild category. As far as stress, anxiety, depression, and IES in the unlock phase are concerned, they still exist but in lower figures as compared to lockdown phases. Without a doubt, the burden on mental health has been greatly reduced, but it still exists among the general population. © 2022 Nova Science Publishers, Inc..
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Background: The hypocalcaemia may be a unique biochemical feature of COVID -19 that has the potential to influence disease severity and represents a new potential therapeutic target worth testing in this clinical setting. Because COVID -19 testing has primarily focused on individuals with respiratory symptoms rather than calcium levels, Therefore the objective of current study was to determine the effect of e COVID-19 severity on Serum calcium levels. Methods: After the ethical approval, all the RT-PCR positive patients from the record of corona isolation wards of Ganga Ram hospital Lahore. Demographic details including name, age, gender, complete history & examination serum Calcium level was noted recorded al from hospital files on a predesigned proforma. To assess clinical severity of coronavirus disease, all the enrolled patients' disease category as mild, moderate, severe & critical was note. Data was analyzed using SPSS-26. Association between age and gender between disease severity was determined by using Chi-square test. Binary logistic regression was applied to find out the effect of disease severity on serum calcium levels. P-value less than 0.05 were considered to be significant. Results: 555 patients were enrolled in the current study. The mean ages of patients were 38.34+14.86. There were 300(54.1) male and 255(45.9) female, the severity of the disease shows that the majority 490(88.3%) of the patients had mild disease and 65(11.7%) had moderate disease. The mean serum calcium level was 8.7+0.34. The majority of patients had mild disease, of which 270 were female and 220 male and 230 among 31-50 years. The results of binary logistic regression show the effect of disease severity (Mild, Moderate) on calcium, age and gender. It was reported that only serum calcium, male gender and age category 30-50 years were a significant predictor of disease severity. Conclusion: It was concluded from current study that majority of patients have mild disease severity and patients have normal serum calcium. The disease severity has no significant impact on the calcium levels as the majority of patient has mild disease.
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Purpose: The objective of this study was to assess the predictive association between distorted thinking patterns and psychological distress (depression, stress, anxiety) in university e-learners during COVID-19 outbreak. Methodology: In this correlational study, 643 participants between age18 to 29 years (M= 21.27, SD+4.06) participated online through convenient sampling technique. They were sent an online google questionnaire, including the informed consent form, the depression, anxiety, stress scale (DASS-21), and cognitive distortions scale in Urdu, which assessed the distorted thinking patterns of adults. Findings: Analysis through Pearson product moment correlation revealed that the distorted thinking patterns of predictive thinking, rigid thinking and stress-creating thinking pattern had a strong positive association with depression, stress, and anxiety. The distorted thinking pattern of self-criticism/selfblame also had a strong positive association with depression and stress, and a moderate positive association with anxiety. Multiple stepwise regression was performed to calculate the predictive association between distorted thinking patterns and psychological distress of university students seeking digital education during the COVID-19 outbreak. Analysis revealed that distorted thinking patterns of stress-creating thinking, self-criticism/self-blame, and predictive thinking are predictors of depression. However, stress-creating thinking was the strongest predictor of depression. Stress-creating thinking, predictive thinking, and rigid thinking were predictors of anxiety in university students during online education and stress-creating thinking is the strongest predictor of anxiety as well. Moreover, the distorted thinking patterns of stress creating thinking, self-criticism/self-blame, and rigid thinking strongly predicted stress in university students engaged in distant education during the COVID-19 outbreak. Implications to Research and Practice: The study's findings emphasize the role of distorted thinking patterns in the stress experience of students during COVID and encourage teachers and universities to consider the findings while developing an online education system for the students. (C) 2022 Ani Publishing Ltd. All rights reserved.
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Background: The Coronavirus Disease 2019 (COVID-19) pandemic has massively affected bariatric surgical practises across the world. Aim: This report aims to show the effects of the pandemic on bariatric practices in the UK during the early phase of the pandemic. Methods: Bariatric surgeons in United Kingdom (UK) were contacted;seven bariatric units and 20 collaborators agreed to participate in this project. The data includes patients' demographics, type and number of operations, bariatric endoscopic procedures, management of complications, emergency and revisional bariatric surgery. Statistical analysis was used to assess the differences among the categories and to compare the data to the 6th report outcomes provided by British Obesity and the Metabolic Surgery Society 2017-2018 (NBSR). Further analysis of mortality between pre pandemic era and June 2020-June 2021 was performed. Results: A total of 430 bariatric procedures were conducted from 1 January 2020 to 31 March 2020 in seven hospitals in UK. The mean age of the patients was 43.3 years. The mean body mass index was 46.75 kg/m2. 314 (73%) of the patients were women and 116 (27%) were men. The following procedures were performed: 118 (27.4%) Laparoscopic Sleeve Gastrectomy (LSG), 114 (26.5%) One Anastomosis Gastric Bypass (OAGB), 76 (17.6%) Roux En-Y Gastric Bypass (RYGB), 61 (14.18%) Gastric Balloon and 15 (3.5%) Adjustable Gastric Band. 176 bariatric endoscopy procedures were performed for different indications. 26 (6.04%) revisional surgeries and 20 (4.6%) emergency bariatric surgeries were performed. 24 (5.58%) patients had Grade I-IV Clavien-Dindo complications. No mortality was reported. There was a significant difference in the number of operations for each of LSG, RYGB and OAGB in these seven hospitals compared to the data provided by the British Obesity and Metabolic Surgery Society (BOMSS) 2017-2018 .Only one patient was diagnosed with COVID-19, who was successfully treated and discharged home. Only one mortality was reported during June 2020 untill June 2021.There was no significant difference in moratlity between pre and post pandemic, p>0.5. Conclusions: This data reveals safe bariatric practices during the early phase of COVID-19. Copyright © Celsius Publishing House.
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Purpose The authors examine the impact of coronavirus disease 2019 (COVID-19) pandemic on the stock market, forex market and gold market of Pakistan. Design/methodology/approach By using the daily data of COVID-19 confirmed cases, stock index, foreign currency rates and gold prices for the period 10 March 2020 to 16 October 2020, the authors explore that the stock index negatively responds to the corona pandemic. Findings Additionally, the authors observe the price hikes in gold and foreign currency corresponding to the number of COVID-19 positive cases. Practical implications The study analysis unveils that the stock market adversely responds to a pandemic, whereas, forex and gold markets serve as a safe haven for investors at the time of financial distress. Originality/value This study complements the literature and provides empirical evidence of the stock market, the gold market and foreign currency market, in the perspective of Pakistan.
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Coronavirus disease of 2019 is the public health emergency of international concern (PHEIC). COVID-19 leads to the development of acute respiratory distress syndrome (ARDS) in some patients. The management of acute respiratory distress syndrome in such patients involves non-invasive and invasive ventilation techniques. The non-invasive ventilation techniques must be employed first before initiating invasive mechanical ventilation techniques. High Flow Nasal cannula, Bi-level Positive Air Pressure (BiPAP) and Helmet ventilation are the non-invasive techniques that are employed in the management of COVID-19 related acute respiratory syndrome. The hazard of aerosol transmission of the virus to the Healthcare and paramedical staff must be taken into consideration before using any of these non-invasive techniques. The burden on hospital ventilatory equipment can also be appeased when non-invasive techniques are utilized. Early intubation of the patient must be avoided if possible. The clinical presentation of the patient and the vital signs like oxygen saturation and respiratory rate must be monitored regularly in order to assess the need of the patient to be ventilated. The careful use of non-invasive and invasive ventilation techniques can reduce the mortality from acute respiratory distress syndrome in COVID-19 patients.
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Relevance of Affect or Emotions is paramount in front-line jobs. Especially during times like these with the global spread of COVID-19, both mental and physical well-being of healthcare workers are at stake. Having to face hardships of treatment of infected patients, exhausted resources and fear of infection, doctors and paramedical staff need resolute and emotional composure more than ever. Our research aimed to understand the sequential effect of doctors' emotional job demands on their emotional labor practices at work, emotional exhaustion and well-being. With data gathered from 332 doctors serving in 11 tertiary hospitals across Pakistan, we found that emotional job demands can lower doctors' subjective, psychological and physical well-being, if they opt to use surface acting at work. However, showing genuine and natural emotions at workplace helps beat emotional exhaustion, thereby increasing the well-being levels. The study contributes to theory and practice by providing a detailed literary examination of emotions in healthcare context and suggesting ways to combat the adversities associated with the affective part of healthcare profession.