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2.
J Natl Med Assoc ; 2022 Mar 29.
Artículo en Inglés | MEDLINE | ID: mdl-35365355

RESUMEN

The COVID-19 (SARS-CoV-2) Pandemic has revealed multiple structural inequities within the United States (US), with high social vulnerability index communities shouldering the brunt of death and disability of this pandemic. BIPOC/Latinx people have undergone hospitalizations and death at magnitudes greater than White people in the US. The untold second casualties are health care workers that are suffering from increased risk of infection, death, and mental health crisis. Many health care workers are abandoning the profession all together. Although Crisis Standards of Care (CSC) mean to guide the ethical allocation of scare resources, they frequently use scoring systems that are inherently biased. This raises concern for the application of equity in CSC. Data examining the impact of these protocols on health equity is scarce. Structural maltreatment in healthcare and inequities have led to cumulative harms, physiologic weathering and structural adversities for residents of the US. We propose the use of Restorative Justice (RJ) practices to develop CSC rooted in inclusion and equity. The RJ framework utilizes capacity building, circle process, and conferences to convene groups in a respectful environment for dialogue, healing, accountability, and action plan creation. A phased, non-faith-based facilitated RJ approach for CSC development (or revision) that fosters ethically equitable resource distribution, authentic community engagement, and accountability is shared. This opportunity for local, inclusive decision making and problem solving will both reflect the needs and give agency to community members while supporting the dismantling of structural racism and oppressive, exclusive policies. The authors are asking legislative and health system policy makers to adopt Restorative Justice practices for Crisis Standards of Care development. The US cannot afford to have additional reductions in inhabitant lifespan or the talent pool within healthcare.

3.
Front Psychol ; 13: 860289, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35496158

RESUMEN

Objective: We conducted the following cross-sectional study to comprehensively assess the anxiety among Chinese international students who studied online during the COVID-19 pandemic and its influencing factors. Methods: Questionnaires were distributed through "Sojump," and a total of 1,090 valid questionnaires were collected. The questionnaire was divided into two parts: general situation and anxiety assessment of students. The former used a self-made questionnaire, and the international general GAD-7 scale was used to measure anxiety. Chi-square test was used to analyze the differences between groups, and logistic regression analysis was performed for the factors with differences. Results: Anxiety was found in 707 (64.9%) of 1,090 international students. Chi-square test and multivariate Logistic regression analysis showed that the incidence of anxiety was higher in the group under 22 years of age than in the group over 22 years of age (68% vs. 61%, p = 0.015; OR = 1.186, 95% CI 1.045-1.347, p = 0.008); International students living in big cities had a higher incidence of anxiety than those living in rural areas (67% vs. 60%, p = 0.022; OR = 1.419, 95%CI 1.038-1.859, p = 0.011); international students who socialized 3 times or less monthly had a higher incidence of anxiety than those who socialized more than 3 times per month (68% vs. 58%, p = 0.003; OR = 1.52, 95%CI 1.160-1.992, p = 0.002); international students who expected purely online teaching had a higher incidence of anxiety than those who expected purely offline teaching or dual-track teaching (72% vs. 64%, p = 0.037; OR = 1.525, 95%CI 1.069-2.177, p = 0.02); international students with a subjective score of online learning experience of 6 or less had a higher incidence of anxiety than those with subjective scores of more than 6 (70% vs. 60%, p = 0.001, OR = 1.25, 95%CI 1.099-1.422, p = 0.001). However, gender, emotional status, BMI, major of study, vaccination status, and degree type had no significant difference in the incidence of anxiety among international students who studied online during the COVID-19 pandemic. Conclusion: During COVID-19, international students who were younger, came from big cities, had low social frequency, expected purely online teaching, and had poor experience of online classes were risk factors for anxiety during online classes.

4.
Front Psychiatry ; 13: 833865, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35370861

RESUMEN

Objective: This paper used meta-regression to analyze the heterogenous factors contributing to the prevalence rate of mental health symptoms of the general and frontline healthcare workers (HCWs) in China under the COVID-19 crisis. Method: We systematically searched PubMed, Embase, Web of Science, and Medrxiv and pooled data using random-effects meta-analyses to estimate the prevalence rates, and ran meta-regression to tease out the key sources of the heterogeneity. Results: The meta-regression results uncovered several predictors of the heterogeneity in prevalence rates among published studies, including severity (e.g., above severe vs. above moderate, p < 0.01; above moderate vs. above mild, p < 0.01), type of mental symptoms (PTSD vs. anxiety, p = 0.04), population (frontline vs. general HCWs, p < 0.01), sampling location (Wuhan vs. Non-Wuhan, p = 0.04), and study quality (p = 0.04). Conclusion: The meta-regression findings provide evidence on the factors contributing to the prevalence rate of mental health symptoms of the general and frontline healthcare workers (HCWs) to guide future research and evidence-based medicine in several specific directions. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=220592, identifier: CRD42020220592.

5.
Rev. enferm. UERJ ; 30: e63609, jan. -dez. 2022.
Artículo en Inglés, Portugués | LILACS-Express | LILACS | ID: biblio-1361561

RESUMEN

Objetivo: identificar a ocorrência de isolamento social e solidão e sua relação com fatores sociodemográficos e de saúde em graduandos de enfermagem no contexto da pandemia de COVID-19. Método: estudo transversal, descritivo e correlacional, desenvolvido com 147 estudantes de enfermagem que responderam um formulário eletrônico, contendo Questionário de caracterização, Escala de Solidão da Universidade de Califórnia e Escala de Depressão, Ansiedade e Estresse. Resultados: evidenciou-se a ocorrência de isolamento social percebido em 42,2% dos estudantes, e que, 8,8% dos estudantes apresentaram isolamento social conforme indicador rede de discussão, e 6,8% de acordo com o indicador de apoio social. Observou-se a solidão em 49,7% dos estudantes. Ambos foram associados com depressão, ansiedade e estresse, além de outras variáveis. Conclusão: identificou-se isolamento social e solidão e a relação destes com outras variáveis durante a pandemia de COVID-19, demandando intervenções por parte das instituições de ensino e dos formuladores de políticas de saúde.


Objective: to identify the occurrence of social isolation and loneliness and their relationship with sociodemographic and health factors in nursing undergraduates in the context of the COVID-19 pandemic. Method: in this cross-sectional, descriptive, correlational study, 147 nursing students answered an electronic form comprising a characterization questionnaire, the University of California Loneliness Scale and the Depression, Anxiety and Stress Scale. Results: perceived social isolation was found to occur in 42.2% of the students, and 8.8% experienced social isolation according to the discussion network indicator, and 6.8%, according to the social support indicator. Loneliness was observed in 49.7% of students. Both were associated with depression, anxiety and stress, and other variables. Conclusion: this study found isolation and loneliness and their relationship with other variables during the COVID-19 pandemic, requiring interventions by educational institutions and health policymakers.


Objetivo: identificar cómo ocurre el aislamiento social y la soledad y su relación con factores sociodemográficos y de salud en estudiantes de enfermería en el contexto de la pandemia de COVID-19. Método: estudio transversal, descriptivo y correlacional, desarrollado junto a 147 estudiantes de enfermería que respondieron un formulario electrónico, que contenía un cuestionario de caracterización, la Escala de Soledad de la Universidad de California y la Escala de Depresión, Ansiedad y Estrés. Resultados: resaltó la incidencia de aislamiento social percibido en el 42,2% de los estudiantes, y que el 8,8% de los estudiantes presentó aislamiento social según el indicador de red de discusión, y el 6,8% según el indicador de apoyo social. La soledad se verificó en el 49,7% de los estudiantes. Ambos fueron asociados con depresión, ansiedad y estrés, además de otras variables. Conclusión: se identificaron el aislamiento social y la soledad y su relación con otras variables durante la pandemia de COVID-19, requiriendo intervenciones por parte de las instituciones de enseñanza y de los formuladores de políticas de salud.

6.
Rev. enferm. UERJ ; 30: e63904, jan. -dez. 2022.
Artículo en Inglés, Portugués | LILACS-Express | LILACS | ID: biblio-1361566

RESUMEN

Objetivo: descrever os impactos da pandemia de COVID-19 para a saúde de enfermeiros. Método: trata-se de um estudo exploratório, descritivo, com abordagem qualitativa, realizado com dez enfermeiros das Estratégias de Saúde da Família de Murici- Alagoas. Os dados foram obtidos a partir de entrevista semiestruturada, submetidos à técnica de Análise de Conteúdo de Minayo. O referencial teórico utilizado foi a Teoria da adaptação de Callista Roy. Resultados: o medo do desconhecido, a necessidade de enfrentamento da situação tanto pessoal como profissionalmente, o medo de transmissão da COVID-19 para os familiares e a vivência do luto, foram identificados neste estudo. Conclusão: a exposição do profissional enfermeiro ao Coronavírus o leva a vulnerabilidade profissional e humana. Nesse contexto, é fundamental que haja acolhimento efetivo ao enfermeiro, tendo em vista que a base profissional é o cuidado. Então, para a qualidade na assistência as condições de trabalho precisam ser condizentes a sua função.


Objective: Objective: to describe the impacts of the COVID-19 pandemic on nurses' health. Method: in this exploratory, descriptive, qualitative study, data were obtained from semi-structured interviews of ten nurses from the Family Health Strategy in Murici, Alagoas state, and submitted to Minayo's Content Analysis technique, using Callista Roy's Theory of Adaptation as the theoretical frame of reference. Results: fear of the unknown, the need to meet the situation both personally and professionally, fear of transmitting COVID to family members, and the experience of grief were identified in this study. Conclusion: nurses' occupational exposure to the Coronavirus leads them to professional and human vulnerability. In this context, it is essential that nurses' health demands be well received and effectively met, considering that the basis of the profession is care. Accordingly, for quality care, working conditions need to be consistent with the nurses' function.


Objetivo: describir los impactos de la pandemia de COVID-19 en la salud de enfermeros. Método: se trata de un estudio exploratorio, descriptivo, cuyo enfoque es cualitativo, realizado junto a diez enfermeros de las Estrategias de Salud Familiar de Murici-Alagoas. Los datos se basaron sobre una entrevista semiestructurada y fueron sometidos a la técnica de Análisis de Conteo de Minayo. El referencial teórico utilizado fue la Teoría de la adaptación de Callista Roy. Resultados: en este estudio se identificaron el miedo a lo desconocido, la necesidad de afrontar la situación tanto personal como profesionalmente, el temor a la transmisión del COVID-19 a los familiares y la experiencia del duelo. Conclusión: la exposición profesional de los enfermeros al Coronavirus los lleva a la vulnerabilidad profesional y humana. En este contexto, es fundamental que haya una acogida eficaz al enfermero, teniendo en cuenta que la base profesional es el cuidado. Por lo tanto, para que la asistencia sea de calidad, las condiciones de trabajo deben ser adecuadas a su función.

7.
Braz. j. oral sci ; 21: e226321, jan.-dez. 2022. ilus
Artículo en Inglés | LILACS, BBO - Odontología | ID: biblio-1354787

RESUMEN

Aim: This cross-sectional observational study aimed to evaluate the influence of the Universities lockdown measures on academic perspectives and psychosocial aspects of Brazilian finalyear dental students. Methods: 268 undergraduate students regularly enrolled in a Dentistry course at public universities were asked about anxiety, depression, stress sensitivity, and their academic perspectives by using an online survey. The Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety and depression, while the Perceived Stress Scale (PSS) evaluated stress levels. The academic perspective was evaluated by five affirmatives regarding possible difficulties that will be faced when school reopens and after graduation. The possible association between fear of having COVID-19 with psychosocial outcomes and COVID-19 association with academic perspectives were analyzed by ANOVA and chisquare tests, respectively, considering a significance level of 5%. Results: Considering possible associations between the fear of having COVID-19 and psychosocial aspects, significant values were found for anxiety (P = 0.018) and stress sensitivity (P = 0.002). Regarding students' academic perspectives, COVID-19 had significant impact on less opportunity to perform procedures (P = 0.023), additional expenses with personal protective equipment (P = 0.007), and concerns of consulting elderly people (P = 0.012). Conclusion: The COVID-19 pandemic led to increased psychological impairments and enlarged concerns with learning and biosecurity, which might impact academic perspectives. Thus, being aware of these apprehensions, university professors and staff can improve the clinical training of final-year dental students in an empathetic way


Asunto(s)
Humanos , Masculino , Femenino , Ansiedad , Estudiantes de Odontología , Depresión , Pandemias , COVID-19
8.
Front Psychiatry ; 13: 874729, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35492723

RESUMEN

Healthcare workers face numerous occupational stressors, including some that may challenge personal and shared morals and values. This is particularly true during disasters and crises such as the COVID-19 pandemic, which require critical decisions to be made with little time and information often under personal distress and situational constraints. Consequently, healthcare workers are at risk for moral injuries characterized by stress-related and functional impacts. Although research on the evaluation and treatment of moral injury among military veterans burgeoned in the recent decade, addressing moral injury in healthcare workers and other civilians remains an important gap. In this perspective piece, we identify research gaps and make recommendations to advance future work on assessment, prevention, and treatment of moral injury in healthcare workers. We draw on empirical studies of moral injury in veterans, limited studies of moral injury in health professionals, and our clinical experiences with healthcare workers affected by moral injury.

9.
Multimedia | Recursos Multimedia | ID: multimedia-9684

RESUMEN

A alimentação é um direito constitucional, assim como a saúde, e é reconhecida como determinante da saúde. A agenda de Alimentação e Nutrição prevista no artigo 6º da Lei n.° 8.080, de 19 de setembro de 1990, prevê atribuições específicas para o Ministério da Saúde, as Secretarias Estaduais e Municipais de Saúde. Desde a criação do Sistema Único de Saúde (SUS), o Estado brasileiro passou a ter o dever de garantir a todos(as) o acesso às ações e aos serviços de saúde, seja para os grandes problemas de saúde coletivos, seja para os individuais, a partir dos princípios de universalidade, integralidade e equidade. O SUS, então, inclui a vigilância alimentar e nutricional, a atenção às doenças e aos agravos mais frequentes e mais raros, as vacinas e os transplantes, a promoção da saúde e a promoção e proteção da amamentação, bem como a terapia nutricional, entre tantas outras ofertas de atenção à saúde. Atualmente, as doenças crônicas não transmissíveis (DCNT) são a principal causa de morbimortalidade no Brasil, já atingem 52% das pessoas maiores de 18 anos, sendo as mais prevalentes a hipertensão, problemas na coluna, depressão e diabetes (IBGE, 2020). As doenças transmissíveis continuam exigindo esforços do SUS, como o aperfeiçoamento dos programas de controle de doenças transmitidas por vetores, como dengue, chikungunya e zica. Mais recentemente, o controle da covid-19 e o cuidado com as pessoas que ficaram com condições pós-covid se somam aos desafios a serem enfrentados pelo SUS. É preciso ressaltar ainda que outras condições de saúde relacionadas à Alimentação e Nutrição estão também presentes no cotidiano da vida das pessoas e, portanto, de diversas equipes da APS, apesar da escassez ou inexistência de dados estatísticos nacionais ou da sua baixa prevalência na população. A identificação e o acolhimento dessas pessoas ocorrem, sobretudo, à medida que são aprimoradas a responsabilização pela população adscrita, a acessibilidade, a capacidade resolutiva e a coordenação do cuidado da APS, tornando-a também, assim como os serviços de Atenção Especializada, um ponto fundamental da RAS para a atenção integral à saúde. Também repercute sobre a APS a questão da insegurança alimentar da população, compreendida como a falta de acesso a uma alimentação adequada, condicionada, predominantemente, às questões de renda. Diante desse complexo cenário que se deu a construção da Matriz para Organização dos Cuidados em Alimentação e Nutrição na Atenção Primária à Saúde.


Asunto(s)
Atención Primaria de Salud/normas , Política Nutricional , Seguridad Alimentaria/estadística & datos numéricos , Dieta Saludable , Accesibilidad a los Servicios de Salud , Promoción de la Salud , Salud de la Familia , Enfermedades no Transmisibles/prevención & control , Estilo de Vida Saludable , Asignación de Recursos para la Atención de Salud/economía , Obesidad/prevención & control , Sistemas Locales de Salud/economía , Brasil
10.
Preprint en Inglés | medRxiv | ID: ppmedrxiv-22276244

RESUMEN

BackgroundLong COVID-19 symptoms appeared in many COVID-19 survivors. However, the prevalence and symptoms associated with long COVID and its comorbidities have not been established. MethodsBetween May and September 2020, we included 312 patients with post-COVID-19 from 21 primary care centers if they had any persistent symptoms for at least three months from the first onset of the disease. On the 6 months follow up, their lung function was assessed by CT and spirometry, whereas cardiac function was assessed by electrocardiogram (ECG), Holter ECG, Echocardiography, and 24-hour blood pressure monitoring. A six-minute test (6MWT) was conducted on 308 participants during the follow-up visit. All participants were given a questionnaire with items on demographic information, current complaints, comorbidities, and medications, and Chalder Fatigue Scale (CFS) questionnaire. Statistical analysis was done using R vs. 4.1.2. Two-group comparison of continuous variables was performed using a T-test for normally distributed data, and the Mann-Whitney Wilcoxon test, ANOVA, and Kruskal-Wallis tests were applied for multiple comparisons following with Tukey and Dunn tests as post-hoc methods. Hochberg p-value adjustment was used to reduce the false discovery rate during multiple comparisons. Categorical variables were analyzed with Fishers Exact test. ResultsOf 312 persons investigated, there was no significant gender difference between post-COVID-19 clinical manifestations except for memory dysfunction and anxiety, more prevalent among female participants. Chalder Fatigue Score [≥]4 was predominant in female participants (243, 78%). 39 (12.5%) participants reported having type 2 diabetes mellitus, and 158 (50.64%) had hypertension. Among the tested parameters, those positively correlated with comorbid conditions include age, BMI, D-dimers, NT-proBNP, C-reactive protein, neutrophils, fasting glucose, and HbA1c; hypertension also shows three associations that were not found in patients when examining the role of diabetes: increased hemoglobin, fibrinogen, and ferritin. 24-hour blood pressure monitoring revealed significantly higher systolic and diastolic blood pressure, left ventricular hypertrophy, and elevated NT-proBNP in participants with hypertension and subjects with type 2 diabetes. Left ventricular diastolic dysfunction is more frequently present in patients with hypertension. Chest CT was conducted on 227 (72.8%) participants 5.8{+/-}0.9 months after the onset of COVID-19. The most common registered CT abnormality was chronic bronchitis (198, 87.2%), followed by fibrotic changes in (83, 36.6%) and mediastinal lymphadenopathy (23, 10.1%). Immunological test results showed that SARS-CoV19 IgG antibodies were present in 241 subjects (77.2%), and SARS-CoV19 IgM antibodies were present in 9 subjects (2.88%). ConclusionsOur study provides valuable clues for long-term post-sequelae in a cohort of the Long COVID-19 subjects. We demonstrated a strong association of signs of cardiac dysfunction, lung fibrotic changes, increased hemoglobin, fibrinogen, and ferritin with hypertension but not with other comorbidities. Our results are of importance for understanding the Long Covid-19 syndrome.

11.
Preprint en Inglés | medRxiv | ID: ppmedrxiv-22276327

RESUMEN

BackgroundSevere Acute Respiratory Syndrome Coronavirus (SARS-CoV) is a respiratory disease causing coronavirus. SARS-CoV has caused the Middle East Respiratory Syndrome (MERS), SARS-CoV in Hong King and SARS-CoV-2 (COVID-19). COVID-19, to date, have had the highest mortality and morbidity globally, thus reaching the pandemic status. In comparison to research conducted to explore the impact of pandemics on the general wellbeing, there appears to be a paucity on its association with womens mental health. Many pregnant women have reported that the pandemic negatively impacted their mental health. AimThis study aimed is to explore the prevalence of the impact of the COVID-19, MERS and SARS pandemics on the mental health of pregnant women. MethodA study protocol was developed and published in PROSPERO (CRD42021235356) to explore a number of key objectives. For the purpose of this study PubMed, Science direct, Ovid PsycINFO and EMBASE databases were searched from December 2000 - July 2021. The search results were screened, first by title, and then by abstract. A meta-analysis was conducted to report the findings. ResultsThere were no studies reporting the mental health impact due to MERS and SARS. We systematically identified 316 studies that reported on the mental health of women that were pregnant and soon after birth. The meta-analysis indicated 24.9% (21.37%-29.02%) of pregnant women reported symptoms of depression, 32.8% (29.05% to 37.21%) anxiety, 29.44% (18.21% - 47.61%) stress, 27.93% (9.05%-86.15 %) PTSD, and 24.38% (11.89%-49.96%) sleep disorders during the COVID-19 pandemic. Furthermore, the I2 test showed a high heterogeneity value. ConclusionThe importance of managing the mental health during pregnancy and after-delivery improves the quality of life and wellbeing of mothers. Developing an evidence based mental health framework as part of pandemic preparedness to help pregnant women would improve the quality of care received during challenging times.

12.
Preprint en Inglés | medRxiv | ID: ppmedrxiv-22275998

RESUMEN

ObjectivesSince the start of the COVID-19 pandemic, there has been much concern and speculation about rises in suicide rates, despite evidence that suicides did not in fact increase in the first year of the pandemic in most countries with real-time suicide data. This public narrative is potentially harmful, as well as misleading, and is likely to be perpetuated by sensational news coverage. MethodWe conducted a systematic analysis of UK news coverage (including opinion pieces) on the impact of COVID-19 on suicidality, to examine the content and quality of such reporting as the pandemic developed, and as different coronavirus restrictions were imposed. ResultsWe identified 372 stories about COVID-19 and suicidality in online and print news between the first UK lockdown (March 2020) and May 2021 (when restrictions were significantly eased in the UK). Throughout this period, over a third of articles (39.2%) and headlines (41.4%) claimed or predicted a rise in suicide, often attributed to feelings of entrapment and poor mental health (especially amongst young people), and fueled by expert commentary and speculation. Almost a third of reports were rated as being of poor overall quality (116, 31.2%), and at least half included no signposting to help and support. However, reporting improved in phases of less stringent COVID-19 restrictions and over time, with later articles and headlines including fewer negative statements and predictions about rises in suicides, and greater reliance on academic evidence. ConclusionsAs the longer-term consequences of the pandemic develop, and other national and global events unfold, it is increasingly important that the media, and the wider community of experts shaping its narratives, strive for a positive and evidence-informed approach to news coverage of suicide. Strengths and Limitations of this StudyO_LIThis is the first systematic analysis of UK news coverage on the impact of COVID-19 on suicidality. C_LIO_LIFindings are based on a well-established, evidence-informed news monitoring database. C_LIO_LIHowever, this analysis cannot account for the impact of news coverage on different audiences, nor for its reach C_LIO_LIOur focus did not extend to broadcasts or other media formats. C_LI

13.
Actas Esp Psiquiatr ; 50(3): 163-166, 2022 05.
Artículo en Inglés | MEDLINE | ID: mdl-35643975

RESUMEN

After the initial phases of the COVID-19 pandemic, new waves have occurred that have chronicled the epidemiological situation. This could especially affect the Mental Health of healthcare professionals with the appearance of serious conditions such as psychotic depression. The objective of this article is to describe a series of cases of psychotic depression in health professionals during the chronic phase of the sanitary crisis.


Asunto(s)
COVID-19 , Atención a la Salud , Depresión/epidemiología , Personal de Salud , Humanos , Pandemias
14.
BJPsych Open ; 8(4): e96, 2022 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-35657694

RESUMEN

BACKGROUND: Domestic violence and abuse (DVA) and mental illness during pregnancy have long-lasting and potentially serious consequences, which may have been exacerbated during the COVID-19 pandemic. AIMS: To investigate how the UK COVID-19 lockdown policy influenced the identification of DVA and depressive symptoms during pregnancy in health services in South-East London in Spring 2020, using eLIXIR (Early-Life Data Cross-Linkage in Research) maternity and mental routine healthcare data. METHOD: We used a regression discontinuity approach, with a quasi-experimental study design, to analyse the effect of the transition into and out of the COVID-19 lockdown on the rates of positive depression screens, DVA recorded in maternity and secondary mental health services, and contact with secondary mental health services during pregnancy. RESULTS: We analysed 26 447 pregnancies from 1 October 2018 to 29 August 2020. The rate of DVA recorded in maternity services was low throughout the period (<0.5%). Within secondary mental health services, rates of DVA dropped by 78% (adjusted odds ratio 0.219, P = 0.012) during lockdown, remaining low after lockdown. The rate of women screening positive for depression increased by 40% (adjusted odds ratio 1.40, P = 0.023), but returned to baseline after lockdown lifted. CONCLUSIONS: Rates of DVA identification in secondary mental health services dropped during and after lockdown, whereas overall rates of DVA identified in maternity services were concerningly low. Healthcare services must adopt guidance to facilitate safe enquiry, particularly in remote consultations. Further research is vital to address the longer-term impact on women's mental health caused by the increase in depression during the lockdown.

15.
Br J Educ Psychol ; : e12522, 2022 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-35661133

RESUMEN

AIMS: Higher education systems around the world have enforced campus closures to combat the COVID-19 pandemic. Such measures may threaten students' basic psychological needs for relatedness, competence and autonomy, and the development of intrinsic learning motivation. Little is known about whether the implementation of campus closures yielded negative developmental patterns for these motivational variables. We aim to close this research gap. SAMPLE: We investigated developmental patterns in longitudinal data spanning the first four semesters of undergraduate students in two cohorts at one German university starting in 2013 and 2019 (cohort 1: normal study conditions; cohort 2: affected by campus closure). We used propensity score modelling to ensure comparability between both cohorts resulting in a sample of 435 students each (total n = 870 students). METHOD: We estimated conditional latent growth curve models (LGCM) to investigate developmental trends in need satisfaction and intrinsic learning motivation across the students' first four semesters and how these trends differed between the two cohorts. RESULTS: The results indicated a more maladaptive development of motivational variables for students of cohort 2 compared to students of cohort 1. More specifically, we found negative developmental trends following the implementation of campus closures for competence, relatedness and intrinsic learning motivation. CONCLUSIONS: Our findings highlight the importance of considering side effects for students' psychological functioning when discussing the implementation or renewal of campus closures. It seems important to find ways to carefully reopen higher education institutions while also minimizing further risks for students and faculty.

16.
Egypt Heart J ; 74(1): 48, 2022 Jun 04.
Artículo en Inglés | MEDLINE | ID: mdl-35662385

RESUMEN

BACKGROUND: Cases of COVID-19 presenting after elective cardiac surgery are rare. Published literature suggests that such cases have a high morbidity and mortality rate. Here, we report a case of COVID-19 presenting after an elective, isolated off-pump coronary artery bypass (OPCAB). CASE PRESENTATION: A 65-year-old obese, hypertensive, hypothyroid lady, with moderate left ventricular dysfunction, presenting with unstable angina, tested negative for COVID-19 at admission, having undergone thrombolysis for a recent inferior wall myocardial infarction, at an outside centre, and coronary angiography revealing left main triple vessel disease, developed signs and symptoms of COVID-19, four days after OPCAB. She was diagnosed with moderate COVID-19 infection. Subsequent contact tracing revealed that her husband was suffering from mild COVID-19 infection and was managed in home isolation. Isolation and early supportive management with moist oxygen, steroids, intravenous antibiotics, zinc and vitamin C helped the patient recover. She was followed up at one month, six months, one year and at eighteen months and has been doing well. CONCLUSIONS: A strong clinical suspicion and repeat testing for COVID-19 is required as the diagnosis may often be missed with COVID-19 mimicking the signs and symptoms of post-cardiotomy syndrome. Preferentially dealing with such cases off-pump, thereby avoiding cardio pulmonary bypass-related complications, may improve outcomes. Isolation and early supportive management help. Adequate follow-up is required in all such cases as cardiovascular complications are common, alongside known long-term sequelae, like anxiety, depression, cardio-respiratory complications, venous thromboembolism and even postural orthostatic tachycardia syndrome.

17.
Clin Case Rep ; 10(6): e05941, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-35662783

RESUMEN

Venlafaxine-associated pulmonary toxicity is rare, with only a few reports of pneumonitis, eosinophilic pneumonia, and asthma. We report a case of venlafaxine-induced interstitial lung disease in a patient with coronavirus disease 2019 pandemic-related depression. Chest imaging findings improved after discontinuation of venlafaxine and treatment with corticosteroids.

18.
Front Nutr ; 9: 867150, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35662945

RESUMEN

Major depressive disorder (MDD) is a complex, multifactorial disorder of rising prevalence and incidence worldwide. Nearly, 280 million of people suffer from this leading cause of disability in the world. Moreover, patients with this condition are frequently co-affected by essential nutrient deficiency. The typical scene with stress and hustle in developed countries tends to be accompanied by eating disorders implying overnutrition from high-carbohydrates and high-fat diets with low micronutrients intake. In fact, currently, coronavirus disease 2019 (COVID-19) pandemic has drawn more attention to this underdiagnosed condition, besides the importance of the nutritional status in shaping immunomodulation, in which minerals, vitamins, or omega 3 polyunsaturated fatty acids (ω-3 PUFA) play an important role. The awareness of nutritional assessment is greater and greater in the patients with depression since antidepressant treatments have such a significant probability of failing. As diet is considered a crucial environmental factor, underlying epigenetic mechanisms that experience an adaptation or consequence on their signaling and expression mechanisms are reviewed. In this study, we included metabolic changes derived from an impairment in cellular processes due to lacking some essential nutrients in diet and therefore in the organism. Finally, aspects related to nutritional interventions and recommendations are also addressed.

19.
Sleep Sci ; 15(1): 8-16, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35662958

RESUMEN

Objectives: COVID-19 pandemic imposed a relevant number of stressful factors potentially impacting either daytime function or sleep quality. This study aimed to assess the sleep quality and anxiety among the general population living in Egypt. Material and Methods: A cross-sectional survey was conducted among 1,000 individuals who have been recruited via a convenience sample. A predesigned questionnaire was distributed online to collect data on sleep quality using the validated Arabic version of the Pittsburgh sleep quality index, anxiety disorders by the generalized anxiety disorder (GAD-7) scale, demographic characteristics, and clinical history. Results: Among the study participants (33.8% males, 46.2% healthcare workers, 25% had chronic diseases, 30.1% were physically active during lockdown, and 70.3% reported work termination due to COVID-19 infection, 68.4% complained of bad sleep and 70.3% showed clinically significant levels of anxiety). In multiple logistic regression analysis, bad sleep quality was significantly associated with moderate anxiety (OR: 1.88; [95% CI: 1.37-2.60]), severe anxiety (OR: 3.15; [95% CI: 2.18-4.55]), being physically active (OR: 0.53; [95% CI: 0.39-0.71]), received higher education as being postgraduate (OR: 0.56; [95% CI: 0.35-0.92]), or living with family (OR: 0.74; [95% CI :0.56-0.98]).The GAD-7 scale added 8% discrimination power for prediction of bad sleep quality compared to the model based on demographic and clinical data [with GAD: AUC=0.70, p<0.001; without GAD: AUC=0.62, p<0.001]. Conclusion: COVID-19 had a significant impact on sleep quality and anxiety among Egyptians. Since both the conditions may overlap and potentiate each other leading to chronic dysfunctional outcomes, an accurate assessment and clinical approach may favor a better prognosis.

20.
Sleep Sci ; 15(1): 1-7, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35662970

RESUMEN

Objective: This study aimed firstly to describe sleep-related and mental health symptoms before and during the COVID-19 pandemic in a national-wide sample and, secondly, to verify attitudes towards help-seeking to treat these symptoms. Material and Methods: Data were collected through an online questionnaire sent through the Brazilian Sleep Association's social media. The questionnaire included sociodemographic and sleep aspects questions currently and before the pandemic period. In addition, the survey addressed current and previous anxiety, depression, and burnout symptoms. The outcome help-seeking was addressed in the questionnaire as well by a single question asked when the participant reported mental or sleep problems. Results: The study covered 6,360 participants, mean age 43.5 years (SD=14.3), 76.7% female and 63.7% with undergraduate or higher degree filled out the survey. Seventy percent of participants reported sleep disturbances and 80% reported symptoms of anxiety during the pandemic. Help-seeking behavior was found only in one third of them. Hours of sleep reduced from 7.12 to 6.2h, which can be related with the increase in 28.2% of dissatisfaction with sleep duration during the pandemic. The highest frequency of complaints related to sleep was difficulty to fall asleep three or more times a week (going from 27.6% before the pandemic to 58.9% during the pandemic; p<0.001). Moreover, it was observed that help-seeking was more prevalent in men than women, and more in younger participants than in older ones. Conclusion: There was an increase of sleep and mental self-reported problems during the pandemic, which was not followed by help-seeking.

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