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1.
Sestrinsko delo / Information for Nursing Staff ; 54(2):39-44, 2022.
Article in Bulgarian | GIM | ID: covidwho-2322789

ABSTRACT

The focus of the present study is on the psychological and social dimensions of collective trauma resulting from the intense impact of strong emotional and stress factors connected with the COVID-19 pandemic and the crisis in Ukraine in parents of children with oncological diseases. The process of overcoming collective trauma in its diversity is a long one and requires specific care. The challenge of recovery is to regain the sense of control over the mental, economic and social parameters of the individuals affected. For the group of parents studied this includes discovery of a way for the caregivers to be calm and focused on the accompanying care for the child with an oncological disease, even in a pandemic situation and war. The effective overcoming collective trauma of the sense of imminent danger in society is based on public support and personal responsibility. Fear, anger, depression, isolation and lack of resources that are a direct psychological and economic result of pandemic and war, aggravates the quality of life of patients. As socially determined parameters, they carry a high risk of the recurrence and mortality of children with malignant diseases.

2.
Meditsinski Pregled Sestrinsko delo / Medical Review Information for Nursing Staff ; 52(3):33-38, 2020.
Article in Bulgarian | GIM | ID: covidwho-1573295

ABSTRACT

Modern technologies advance and become an integral part of a child's life. They can be eliminated fully neither in the family and society. aorta a hospital environment. The purpose of this study is to assess the intensive influence of virtual reality end modem technologies on the behavior of children of a young age with an acute tymphoblastic leukemia (ALL) diagnosis. In a hospital environment. in the context of a COVID-19 pandemic. the deprivation of children aged 3 to 6 years of games and communication and their replacement with modem technologies and virtual reality inevitably leads to the disruption of the Connection between parent. patient/child, and medical team. The authors of the study rely on the Lacanian psychoanalysis and on the concept of Francoise Dolto that: 'everything is language and a child needs to communicate".

3.
Comptes Rendus de L'Academie Bulgare des Sciences ; 73(4):490-497, 2020.
Article in English | Scopus | ID: covidwho-1303216

ABSTRACT

Acute respiratory infections (ARIs) are a major cause of morbidity and mortality among older adults. This study aimed to determine the viral etiology of these infections in patients aged ≥ 65 years during two successive epidemic seasons in Bulgaria. Nasal and throat specimens were collected from the enrolled patients during the 2015/2016 and 2016/2017 seasons. The viral etiology was determined by individual Real Time PCR assays against 15 respiratory viruses. Of the 160 adults examined, 74 (46.3%) were positive for at least one respiratory virus. Co-infections with two and three viruses were found in 14 (18.9%) of the infected patients. Influenza A(H3N2) (15.6%) and A(H1N1)pdm09 (13.1%) viruses were the predominant pathogens, followed by adenoviruses (5.6%);respiratory-syncytial virus (3.8%);metapneumovirus (3.1%);rhinoviruses (2.5%);coronaviruses - NL63 (2.5%), OC43 (1.9%), HKU1 (1.9%) and 229E (1.3%);influenza type B (1.9%);bocaviruses (1.3%) and parainfluenza viruses 1/2/3 (1.3%). At least one respiratory virus was identified in 50% and 32.3% of the patients with acute lower respiratory tract illnesses and neurological complications, respectively. Respiratory viruses, especially influenza A viruses, are major pathogens of ARIs in persons aged ≥ 65 years. Diagnostic testing for respiratory viruses using molecular methods can help in clinical decision making and may assist in measures to prevent health care-associated infections. © 2020 Academic Publishing House. All rights reserved.

4.
International Journal of Environmental Research & Public Health [Electronic Resource] ; 18(7):06, 2021.
Article in English | MEDLINE | ID: covidwho-1209715

ABSTRACT

National governments took action to delay the transmission of the coronavirus (SARS-CoV-2) by implementing different containment measures. We developed an online survey that included 44 different containment measures. We aimed to assess how effective citizens perceive these measures, which measures are perceived as violation of citizens' personal freedoms, which opinions and demographic factors have an effect on compliance with the measures, and what governments can do to most effectively improve citizens' compliance. The survey was disseminated in 11 countries: UK, Belgium, Netherlands, Bulgaria, Czech Republic, Finland, India, Latvia, Poland, Romania, and Sweden. We acquired 9543 unique responses. Our findings show significant differences across countries in perceived effectiveness, restrictiveness, and compliance. Governments that suffer low levels of trust should put more effort into persuading citizens, especially men, in the effectiveness of the proposed measures. They should provide financial compensation to citizens who have lost their job or income due to the containment measures to improve measure compliance. Policymakers should implement the least restrictive and most effective public health measures first during pandemic emergencies instead of implementing a combination of many restrictive measures, which has the opposite effect on citizens' adherence and undermines human rights.

5.
Pediatriya ; 60(2):31-34, 2020.
Article in Bulgarian | Scopus | ID: covidwho-941890

ABSTRACT

Anxiety is a problem of the modern society. In the Republic of Bulgaria 14.5% of the population at some stage of their lives have suffered from mental disorders reports the National Center for Public Health and Analysis. The highest is the proportion of anxiety disorders followed by depressive and manic conditions. In 2018 the Society of Psychologists in Bulgaria (PDB) informed that anxiety is the most common mental illness among young people in the country. Anxiety is a mental stage in which protective reactions are triggered. The purpose of the present study is to investigate and make a comparative analysis of the level of anxiety and stress tolerance in parents of healthy children from kindergartens in Sofia and in parents of children with oncological diseases in the field of global threats such as the spread of coronavirus COVID-19 infection (2019-nCoV). Minding the wide spread of 2019-nCoV, there is a necessity of need for all the multidisciplinary teams in hospitals and GPs to be aware of and to consider the behavioral patterns, to observe difficulties for parents/mothers to comply with even more straightened control requirements and hygiene requirements and recommendations for healthcare professionals to work with a patient with suspected or confirmed 2019-nCoV infection in the treatment of immunosuppressed patients - children with oncological diseases. The anger, depression, and isolation of affected families, which can aggravate care and quality of life in some cases are socially conditioned and can lead to increasing lethality in childhood neolasms. In the present conditions of a global threat, the effective overcoming of an imminent danger in society as a whole and in particular for parents of healthy children and children with severe chronic and life-threatening diseases is based on high personal and social responsibility, compliance with mandatory hygiene standards, cooperation, mutual support and solidarity. Communities are resilient when people are creative, together believe in a positive outcome and have the ability to successfully deal with crises. © 2020 Academy of Medicine. All rights reserved.

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