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Background: The increasing burden of mental health problems continues in the post-COVID-19 era, and nursing interns were particularly likely to experience negative emotions during the pandemic. Both psychological resilience and social support affect negative emotion, but the relationship among the three has not been explored in nursing interns in the postpandemic era. Objectives: To explore the current prevalence of negative emotions among nursing interns and the role of psychological resilience in mediating the relationship between social support and negative emotions in the postpandemic era. Methods: A cross-sectional survey of 788 nursing interns was conducted. The instruments included Psychological Resilience Scale, Social Support Scale, Beck Anxiety Scale and Beck Depression Scale. Structural equation modeling was applied to analyze the mediating role of psychological resilience. Results: The prevalence of anxiety disorder among nursing interns was 24.7%, while that of depression was 10.5%. Pearson correlation analysis showed that both social support and psychological resilience negatively correlated with negative emotions, while psychological resilience positively correlated with social support. Psychological resilience showed a partial mediating effect (53.9%) between social support and negative emotion, with an effect value of −0.1456. Conclusion: Psychological resilience and social support protect nursing students from negative emotions, and psychological resilience partially mediates the relationship between social support and negative emotion in the postpandemic era. © 2023 Wiley Periodicals LLC.
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Under the constraint of carbon emission, measuring and analyzing the spatial-temporal evolution characteristics of urban land use efficiency in the Yangtze River Economic Belt is the inherent requirement of its ecological protection and sustainable development. In this paper, we calculated the urban land use efficiency of 107 cities in the Yangtze River Economic Belt from 2006 to 2020 by using the SBM-Undesirable model with unexpected output, and analyzed its temporal evolution trend and spatial correlation relationship by using kernel density and spatial autocorrelation method. The results showed that: except in 2020, the urban land use efficiency was generally low due to the COVID-19 epidemic, and the urban land use efficiency in other years was mostly concentrated in the middle levels, and showed a trend of slow fluctuation and rise year by year. The difference of urban land use efficiency level between regions increased, and the dispersion degree in upstream, midstream and downstream increased with each passing year. Urban land use efficiency spatial imbalance was significant, and the urban land use efficiency level of large and medium-sized cities was generally lower than that of cities with low economic development level. The spatial correlation was weak, and the global spatial autocorrelation was basically insignificant, while the local spatial agglomeration areas were mainly distributed in the upstream and downstream regions, with a small distribution range and weak spatial interaction. The distribution areas of the standard deviation ellipse were gradually flattened, and the center of gravity as a whole shift significantly to the southwest. The research results are helpful to understand the development history and future trend of urban land use efficiency in various regions, and propose that cities should consider the impact of public crisis events in advance, reasonably control the scale of land expansion, and lead coordinated development and other reasonable suggestions when formulating land use policies. Copyright © 2023 Yang, Pu, Jiang, Gong, Tan, Wang and He.
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Correction to: European Review for Medical and Pharmacological Sciences 2020; 24 (22): 11939-11944-DOI: 10.26355/eurrev_202011_23854-PMID: 33275267, published online 30 November, 2020. The authors state that "Figures 3 and 4 were used twice due to a careless mistake during the preparation of Figures". There are amendments to this paper. The Publisher apologizes for any inconvenience this may cause. https://www.europeanreview.org/article/23854.
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Background and Aim: During the outbreak of coronavirus 2019 disease (COVID-19), major restrictions to in-person consultations were introduced. This led to a change in outpatient clinic delivery through the roll-out of telehealth appointments, with phone consultations being the most convenient modality. We postulated that an indirect benefit of phone consultations would be a better clinic attendance rate. This study aimed to assess if the “failure-to-attend” (FTA) rate for the two endoscopy-related clinics at our institution improved with phone consultations during the COVID-19 outbreak. Methods: Data from consecutive patients booked to attend any of the two weekly endoscopy-related clinics between 15 April and 27 May 2020 were prospectively assessed for the phone clinic cohort. For the in-person clinic cohort, attendance rates from both clinics held between 15 April and 29 May 2019 were retrospectively assessed. Based on observation of the first few endoscopy-related outpatient clinics held in March 2020 at our hospital, we anticipated an expected difference of 8% in FTA rate, leading to a calculated sample size of 150 patients (allowing for a 10% safety margin). The main outcome was the difference in FTA rates between the phone and in-person clinic cohorts. Secondary outcomes included subanalysis of the low-complexity (Post-Endoscopy) and high-complexity (Advanced Endoscopy) clinics and evaluation of patients' and doctors' satisfaction. Satisfaction was assessed based on questionnaires used in a previous study on telehealth consultations and mostly used the Likert scale (“strongly disagree” to “strongly agree”), where the closer the response was to “strongly agree,” the more satisfied the individual. Results: A total of 691 patients were booked for appointments in our endoscopy clinics during the study periods (318 in 2019 and 373 in 2020). The average age was similar between both cohorts (60.6 vs 61.9 years, P = 0.34), as was the proportion of male patients (43.4% vs 48.7%, P = 0.07). The average phone consultation duration was slightly longer for the Post-Endoscopy clinic (11 min vs 14 min, P < 0.01), which also had a higher proportion of first consultations with gastroenterology (22.2% vs 30.8%, P = 0.06). FTA rates were better for both clinics with the adoption of phone consultations (Table 1). The satisfaction profiles of patients and doctors are summarized in Figures 1 and 2, respectively. Although both describe high levels of satisfaction, the rate of agree/strongly agree was lower for patients (78.4% vs 91.9%, P < 0.01). The doctors' overall satisfaction (0-100%) score was high for both clinics but slightly higher for the Advanced Endoscopy clinic (97.6% vs 93.1%, P < 0.01). In only 3.5% of cases was a follow-up consultation suggested to be carried out in person. Conclusion: The use of phone consultations in endoscopy-related clinics during the COVID-19 outbreak has improved FTA rates in our institution while maintaining high satisfaction rates for both patients and doctors. The need for in-person follow-up consultations was low. These data suggest that employing telehealth for endoscopy-related clinics is a viable alternative that is cost-effective and a widely accepted modality of communication for both patients and clinicians.1.
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OBJECTIVE: Coronavirus disease 2019 (COVID-19) has become a worldwide public health emergency; unfortunately, there is currently no treatment for improving outcomes or reducing viral-clearance times in infected patients. The aim of the present study was to evaluate the efficacy of interferon (IFN) with or without lopinavir and ritonavir as antiviral therapeutic option for treating COVID-19 infection. PATIENTS AND METHODS: The present study enrolled 148 patients that received either standard care, treatment with IFN alfa-2b, or IFN alfa-2b combined with lopinavir plus ritonavir. Viral testing was performed using Reverse-Transcription Polymerase Chain Reaction (RT-PCR). RESULTS: There was no significant difference in the viral-clearance time at 28 days after treatment between patients receiving standard care and those receiving anti-viral treatments. However, the average viral-clearance time of patients receiving standard care (14 days) was shorter than that for patients receiving IFN alfa-2b or IFN alfa-2b combined with lopinavir plus ritonavir (15.5 or 17.5 days) (p<0.05). Patients treated with IFN alfa-2b within five days or IFN alfa-2b combined with lopinavir plus ritonavir after three days of symptoms exhibited shorter viral-clearance times than the other groups (p<0.05). Moreover, viral-clearance times were significantly longer in patients receiving standard care or anti-viral treatment 5 days after symptoms appeared than those of patients who received these treatments within five days of symptom onset (p<0.05). CONCLUSIONS: Early symptomatic treatment is most critical for maximizing amelioration of COVID-19 infection. Anti-viral treatment might have complicated effect on viral-clearance.