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Background: children and adolescents constitute a sensitive population to the psychological impacts of the COVID-19 pandemic. Recognizing it implies the need for evaluation, monitoring and intervention, especially when it comes to infants who have suffered from the disease and require comprehensive pediatric care. Objective: to implement a psychological care service for children and adolescents convalescent from COVID-19.Methods: a participatory action research design was applied from a constructive-interpretive qualitative approach. It is made up of three lines of action: psychological evaluation, psychotherapeutic intervention and social support. Its design and implementation followed stages and was carried out collaboratively. The participants involved established symmetrical relationships and followed a cyclical process of planning-acting-observing-reflecting;basic procedure to attend and improve the practice.Results: the results were obtained regarding the evaluation and the actions of psychological intervention. Regarding the evaluation, clinical-psychological alterations with affectation of the psychic functions and needs for the preservation of health in the personal and family spheres stand out. Regarding the psychological intervention, all the beneficiaries received psychological counseling actions and those diagnosed with a psychiatric condition received psychotherapeutic actions. All families received social support. Conclusions: The psychological symptoms intensity reduction or remission was verified, elaboration of grief in the loss, adaptation of coping or behavior modification, strengthening of the social support networks' capacity, expansion of family knowledge, and creation of information channels between the family and the school.
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Although dermatomyositis (DM) patients have been included in studies evaluating for COVID-19 risk and severity in large cohorts of chronic immune mediated disease patients, there have been few studies looking specifically at cohorts of DM patients. We performed a single-center, retrospective cohort study of DM patients seen at the Cleveland Clinic who were diagnosed with COVID-19 via PCR test between March 2020 – July 2021. To assess for risk factors for severe COVID-19 disease course in the DM patient population, we utilized several characteristics known to impact COVID-19 disease course including age, BMI, and medications at time of diagnosis. We additionally included characteristics unique to the DM patient population including DM subtype and autoantibody status. Our results showed that risk factors for COVID-19 hospitalization in our DM cohort include age, BMI, and systemic medication use at time of COVID-19 infection. Despite our small sample size, our study is one of the first to elucidate characteristics important for COVID-19 disease course in DM specifically, rather than having it grouped alongside other disease processes. Awareness of this risk is important for clinicians caring for DM patients in order to optimize their care and protect them from a severe COVID-19 disease course. © 2022 THE AUTHORS. Published by the National Society for Cutaneous Medicine.
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Introduction: COVID-19 imposes challenges on contemporary society and one of them is the reconciliation of work-family life. By converging in the same space work and family, women, fundamentally, have faced situations of stress and overload that hinder the work-family balance and their health. Objective(s): Systematize knowledge about the reconciliation of work-family life and women's health in times of COVID-19. Method(s): A bibliographic and documentary review was carried out in the period between January and October 2020. For the selection of the publications, the following criteria were taken into account, being linked to the themes of gender, work-life balance and health related to COVID-19, accessible through the Internet. Documents were retrieved in Spanish and English as the main language of the edition and in full text. Conclusion(s): The reconciliation of work life-family life of women becomes more difficult in times of COVID-19 due to the overload in health work and essential services, the closure of educational centers and the transfer of productive work to the domestic space. The deterioration of women's health in times of COVID-19 is the response to society's allocation of domestic and care roles. In addition, they are on the front line of the fight against the disease, both in health services and in the care of patients at home because of the new coronavirus, which also makes them more vulnerable to infection. Confinement increases violence against women and girls, chronic stress, as well as affecting their physical and mental health. Copyright © 2022, Editorial Ciencias Medicas. All rights reserved.
ABSTRACT
Introduction: COVID-19 imposes challenges on contemporary society and one of them is the reconciliation of work-family life. By converging in the same space work and family, women, fundamentally, have faced situations of stress and overload that hinder the work-family balance and their health. Objective: Systematize knowledge about the reconciliation of work-family life and women's health in times of COVID-19. Methods: A bibliographic and documentary review was carried out in the period between January and October 2020. For the selection of the publications, the following criteria were taken into account, being linked to the themes of gender, work-life balance and health related to COVID-19, accessible through the Internet. Documents were retrieved in Spanish and English as the main language of the edition and in full text. Conclusions: The reconciliation of work life-family life of women becomes more difficult in times of COVID-19 due to the overload in health work and essential services, the closure of educational centers and the transfer of productive work to the domestic space. The deterioration of women's health in times of COVID-19 is the response to society's allocation of domestic and care roles. In addition, they are on the front line of the fight against the disease, both in health services and in the care of patients at home because of the new coronavirus, which also makes them more vulnerable to infection. Confinement increases violence against women and girls, chronic stress, as well as affecting their physical and mental health.
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Introduction: For adolescent´s getting sick of COVID-19 constitute a stressful situation considering demands of being in hospital and due to the medical attention. Objective: Making known the subjective configuration of psychological facing up to COVID-19 of convalescent adolescent´s for the first regrowth of this illness trough a multi-case study. Methods: The research was carried out following an interpretative constructive qualitative approach trough a multi-case study. The sample was selected intentionally, having access to 13 convalescent adolescent´s suffering from COVID-19 over period of April-October, in 2020 that were included in order to be followed by infant and young psychiatric and psychology service from their stay on in our province of Villa Clara. Writing a composition and affective rhombus technique, were used to get some information. Content analysis was processed using the tool ATLAS.ti. Results: The psychological facing up to COVID-19 of convalescent adolescent´s for the first regrowth of this illness was characterized by psychological discomfort as fears and sadness, favorable assessment on the work of health staff, limited mobilization of tough resources and short of perception of social support. Conclusions: The rehabilitation on daily life context is faced from the concern for the Project of professional training, the protection and security needs putting into the end of pandemic, family and personal health preservation and the company of family that live at home. © 2021, Editorial Ciencias Medicas. All rights reserved.
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INTRODUCTION: The outbreak of coronavirus posits deleterious consequences on global healthcare system while affecting human life in every aspect. Despite several measures undertaken to limit the socio-economic effect of coronavirus, various challenges remain pervasive, and one such challenge is mental health, particularly depression and anxiety. Therefore, this study examines the prevalence and determinants of depression and anxiety in Malaysian population during third wave of COVID-19. METHODS: A cross-sectional online survey was carried out via social media platforms and 1544 Malaysians were selected. The level of depression was assessed by Patient Health Questionnaires (PHQ-9) and scored accordingly for categorization. Zung's Self-Rating Anxiety Scale (SAS) was used as a self-assessment survey to quantify the level of anxiety of persons experiencing anxiety-related symptoms. Percentage distribution and logistic regression analysis were used in the data analysis. RESULTS: Results showed that one-fourth (25.1%) of the participants had severe depressive symptoms. Almost one-sixth (18.7%) had mild depressive symptoms and one-third (34.1%) had mild to moderate anxiety symptoms. Age, gender, and friends infected with virus were the three important predictors of depression and anxiety. The odds of having depression (OR = 1.44; C·I. = 1.32-1.62) and anxiety (OR = 1.36; C·I. = 1.27-1.47) were significantly higher among females than in males. CONCLUSION: A significant proportion of the study participants were facing mild to severe depression and anxiety symptoms which is very alarming as the pandemic is still now increasing across the country. Immediate interventions including community counselling programmes, TV and social media campaigns are urgently needed to reduce the psychological stress among the Malaysian population.
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Background: We aimed to compare risk of hospital-acquired sacral pressure injuries (HASPI) in COVID-19+ and COVID-19- patients. Method: Single-institution, multi-hospital, retrospective cohort review of all hospitalizations from March 1st, 2020 to September 1st, 2020. Patients with new-onset HASPI (stage II or greater) were included in our study. Patients with chronic history of sacral ulcerations or patients with ulceration present on admission were excluded. Patient demographics, baseline ulceration risk (based on Braden risk assessment), HASPI characteristics, laboratory parameters, and ulcer-associated morbidity were collected. Results: During our study period, 36 of 59,208 COVID-19- and 13 of 3,488 COVID-19+ hospitalized patients developed a HASPI. COVID-19+ patients had a 5.5x higher relative risk of developing a HASPI compared to COVID-19- patients (46.5 per 100,000 hospitalization days versus 8.4 per 100,000 hospitalization days, 95% CI 3.3-11.5, p<0.0001). Of patients that developed a HASPI: median age, gender distribution, baseline ulceration risk, nursing skin checks per day, and time from admission to HASPI were similar between COVID-19+ and COVID-19- patients. COVID-19+ patients had larger (median ulcer size 85 cm2 vs. 7.5 cm2, p=0.04) and more severe (46.2% Stage 4/Unstageable vs. 19.4%, p=0.03) HASPIs compared to COVID-19- patients. All COVID-19+ patients with HASPI had elevated D-dimer concentrations, with a median peak D-dimer of 6,755 ng/mL that occurred on average 3.5 days before ulcer formation. HASPI led to severe morbidity in 6 of 11 COVID-19+ patients who survived initial hospitalization, including need for debridement or surgery (n=5) and ulcer infection/sepsis (n=5). Conclusions: Hospitalized COVID-19+ patients are at increased risk for developing large and severe HASPI. The etiology of increased HASPI risk is unclear, but may due to poor tissue perfusion secondary to microvasculature occlusion, decreased staffing, and inability to appropriately position hemodynamically unstable patients.