ABSTRACT
The only factor statistically significantly associated with anxiety was job dedication, where a higher level of job dedication was associated with decreased likelihood of the worker having high levels of anxiety (odds ratio (OR)=0.545;95% confidence interval (CI): 0.301;0.990) (Table 1). [...]participation in the study was voluntary and 95% of our participants were females, which may indicate a self-selection bias. [...]being a cross-sectional survey, our research is only a snapshot in time. [...]we wish to highlight the need for advanced interventions in times of crisis to address mental-health concerns of employees and to safeguard their emotional and psychological wellbeing.
ABSTRACT
The COVID-19 pandemic has resulted in significant challenges for the resuscitation of paediatric patients, especially for infants and children who are suspected or confirmed to be infected. Thus, the paediatric subcommittee of the Singapore Resuscitation and First Aid Council developed interim modifications to the current Singapore paediatric guidelines using extrapolated data from the available literature, local multidisciplinary expert consensus and institutional best practices. It is hoped that this it will provide a framework during the pandemic for improved outcomes in paediatric cardiac arrest patients in the local context, while taking into consideration the safety of all community first responders, medical frontline providers and healthcare workers.
Subject(s)
COVID-19 , Cardiopulmonary Resuscitation , Heart Arrest , Infant , Child , Humans , Cardiopulmonary Resuscitation/methods , COVID-19/therapy , Pandemics , SingaporeABSTRACT
Knowledge of transmission dynamics of severe acute respiratory syndrome coronavirus 2 from adults to children in household settings is limited. We found an attack rate among 213 children in 137 households to be 6.1% in households with confirmed adult 2019 novel coronavirus disease index case(s). Transmission from adult to child occurred in only 5.2% of households. Young children <5 years old were at lowest risk of infection (1.3%). Children were most likely to be infected if the household index case was the mother.
Subject(s)
Coronavirus Infections/transmission , Family Characteristics , Pneumonia, Viral/transmission , Adolescent , Adult , Age Distribution , Betacoronavirus , COVID-19 , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Pandemics , SARS-CoV-2ABSTRACT
Transmission risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in schools is unknown. Our investigations, especially in preschools, could not detect SARS-CoV-2 transmission despite screening of symptomatic and asymptomatic children. The data suggest that children are not the primary drivers of SARS-CoV-2 transmission in schools and could help inform exit strategies for lifting of lockdowns.
Subject(s)
COVID-19 , SARS-CoV-2 , Child , Child, Preschool , Communicable Disease Control , Humans , Mass Screening , SchoolsABSTRACT
Our public pediatric tertiary hospital in Singapore has been a part of a robust public health response to coronavirus 19 that has been calibrated in a timely manner to the evolving international situation. As of mid-March, Singapore remains in a containment mode with enhanced surveillance and limited community spread. Within this context, our service for pediatric eating disorder care has had to make significant adaptations to our models of service delivery as well as respond to the changing psychosocial needs of our patients. Given infection control requirements, we have instituted modular staffing for our inpatient and outpatient settings, necessitating task shifting and an increased use of technology for communication. Because of the reduced outpatient capacity and the need to minimize nonurgent trips to the hospital, we have implemented telemedicine and have leveraged on partnerships with school counselors and other community partners. "Coronaphobia" has influenced our patients' willingness to attend visits and worsened existing health anxiety for some. Responsiveness to families' and patients' health and financial concerns has been essential. As coronavirus 19 impacts more countries, our institution's experience can provide insight into challenges and possible adaptations to providing ongoing care for eating disorder patients in this environment.