Analysis of factors influencing public employees' work cognition under a public health crisis: A survey of China's response to COVID-19.

The work cognition of public employees lays importance on tackling an escalating health crisis situation. At the micro-level and macro-level, different factors contribute to different degrees of public employees' work cognition. However, there are limited studies examining the work cognition of public employees and its influencing factors, particularly in situations such as a public health crisis. Our research takes China's response to COVID-19 as an example. The data have been taken from six Chinese provinces, Hunan, Hubei, Jiangsu, Shanxi, Henan, and Shandong, through a total of 738 questionnaires and telephonic interviews. Furthermore, this study used a logistic multiple regression model to analyze the factors that influenced the public employees' work cognition when working under a public health crisis. The results of our study showed that at a micro-level, the educational background, attitudes, and actions (initiative, responsibility, administrative capacity, and timeliness of feedback), and their level of concern with work influenced the work cognition of the public employees. At a macro-level, we found that it was the anti-epidemic measures that most influenced public employees' work cognition. Our findings provide important policy implications for emergency preparedness and handling of major emergencies, and have important reference value for the management of public employees and the improvement of national governance capabilities under similar major challenges in the future.

Impact of Covid-19 on the Morphology of Cataract

Objective: To see the impact of Covid-19 on the morphology of cataract during lockdown. Study Design: Observational and interventional study. Place and Duration of Study: Department of Ophthalmology, Niazi Medical and Dental College from 1st April 2020 to 30th September 2020. Methodology: All the patients of eye related complaints were referred to eye department from emergency of hospital after screening them for Covid-19 suspected symptoms as well as patients coming directly to eye OPD from reception. Patients suffering from phacomorphic, phacolytic glaucoma and cataract of every type except traumatic type were included. Results: The ratio of males and females patients was almost equal because cataract is a common age related problem in both sexes. Due to lock down there is a significant increase in the number of mature cataract as well as phacomorpic and phacolytic glaucoma which was decreased for last many years .Although the awareness increased regarding cataract surgery but due to stop of elective work like other specialties and COVID 19 become the focus point the morphology of cataract changed (mature and hypermature), complicated cataract (phacomorphic, phacolytic glaucoma) irrespective of socioeconomic status of patients. Conclusion: During lockdown period there is increase in the maturity of cataracts and secondary glaucoma (phacolytic, phacomorphic). Although this pattern of cataract presentation has been decreased for last many years but due to covid 19 strong lock down occur and this pattern was again observed.