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1.
Psychiatria Danubina ; 33:161-171, 2021.
Article in English | EMBASE | ID: covidwho-2092612

ABSTRACT

"Background: The aim is to investigate anxiety prevalence among the healthcare workers during COVID-19 pandemic and the also relationship of ""significant clinical anxiety"" with coping styles and the relatedfactors. Subjects and methods: An online questionnaire was performed to evaluate the anxiety responses of544 healthcare workers, the adopted coping styles and the related factors during COVID-19 pandemic. The questionnaire included the subsections of sociodemographic data, other clinical data and the items on exposure to social media, Generalized Anxiety Disorder-7 (GAD-7) Scale and Coping Styles Scale Brief Form. Result(s): Minimal, mild, moderate and severe anxiety were present in 214 (39.3%), 191 (35.1%), 95 (17.5%) and 44 (8.1%) participants, respectively. GAD-7 score was >10 in 139(25.6%) of the participants indicating ""significant clinical anxiety"". Being female and a nurse were associated with significant clinical anxiety. In addition, theparameters such as ""concern about COVID-19, concern about infect COVID-19 to relatives, unwillingness to work, frequency of social media use about COVID-19, sleep disturbances and experiencing somatic symptoms"" were observed to be extremely significantly more common in the healthcare workers with ""significant clinical anxiety"" than those without that mental condition. The regression analysis revealed that higher adoption of using emotional social support, one of the emotional focused coping styles and behavioral disengagement, one of the ineffektive focused coping styles are considered to be predictor of significant clinical anxiety. Whereas, positive reinterpretation, one of the emotional focused coping styles was a predictor in reduction of significant clinical anxiety. Also more frequent exposure to social media and sleep disturbances were the predictors of significant clinical anxiety in the healthcare staff. Conclusion(s): Our results have emphasized the factors that should be taken into account and application of coping styles that may be functional in protecting mental health of the healthcare workers in their struggle against a huge disaster affecting worldwide societies. Copyright © Medicinska naklada - Zagreb, Croatia"

2.
Annals of Clinical and Analytical Medicine ; 13(9):999-1003, 2022.
Article in English | Web of Science | ID: covidwho-2072032

ABSTRACT

Aim: SARS CoV-2 transmission in healthcare personnel was first reported on January 20, 2020. The aim of this study was to evaluate the anxiety levels experienced by healthcare personnel in Turkey during the COVID-19 pandemic and the factors affecting these levels.Material and Methods: A survey investigating sociodemographic features and examining anxiety levels was conducted among approximately 1000 healthcare personnel who were expected to take active roles in the pandemic across Turkey. The survey was conducted in three stages: before the pandemic spread to Turkey, at the beginning of the pandemic and when the pandemic became prominent. A logistic regression analysis was performed to determine the factors affecting anxiety and predictors of anxiety levels.Results: In the first survey, always (odds ratio, 15.781;p<0.01) and often (odds ratio, 5.365;p<0.05) media use, in the second survey media use (p<0.05) and profession (odds ratio, 0.021;p<0.05) and in the third survey, marital status (odds ratio, 17.716;p<0.01) and gender (odds ratio, 4.431;p<0.05) were determined as the predictors of anxiety related to COVID-19.Discussion: As a result of this study, healthcare personnel groups were defined (women, nurses, married people) who need special intervention and support to provide spiritual comfort when working on the front line in the fight against COVID-19. Further comprehensive studies are needed of the extent of psychological support required by healthcare personnel and to whom and how this support should be provided.

4.
Turk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgery ; 30(3):363-371, 2022.
Article in English | Web of Science | ID: covidwho-1988343

ABSTRACT

Background: This study aimed to evaluate the need and the indication of extracorporeal membrane oxygenation (ECMO) in patients diagnosed with coronavirus disease 2019 (COVID-19) and multisystem inflammatory syndrome in children (MIS-C) followed up in the pediatric intensive care unit by the demographic, clinical, and laboratory data and treatment response. Methods: A total of 79 patients (43 males, 36 females;median age: 138 months;range, 6 to 210 months) with COVID-19 and MIS-C followed up between September 2020 -September 2021 were included in this retrospective study. Demographic and clinical data were retrospectively collected from patient files, and clinical data, laboratory findings, chest X-rays, and echocardiography results of six patients (1 male and 5 female, median age: 159 months, range, 13 to 210 months) who needed ECMO due to poor response to medical treatment were recorded before and after the ECMO therapy. Results: Extracorporeal membrane oxygenation therapy was performed on one patient with a positive COVID-19 polymerase chain reaction test and five patients with MIS-C in our unit. Five patients were supported with venoarterial (v-a) ECMO, and one patient was supported with venovenous ECMO. Median hospitalization time was 29 (range, 24 to 50) days, median Pediatric Risk of Mortality score was 19.5 (range, 11 to 36), and median length of mechanical ventilation was 23.5 (range, 10 to 45) days. The median vasoactive inotropic score was 55.5 (range, 18 to 110) before ECMO, while the median vasoactive inotropic score was 11 (range, 0 to 34) after ECMO. Four patients were successfully weaned off ECMO, and one of these patients was lost due to brain death 15 days after the weaning. One patient infected with the delta variant of COVID-19, which remained positive during the clinical course, and one patient diagnosed with MIS-C was lost despite the v-a ECMO support. Three of the patients were discharged. Thrombosis developed in the superficial femoral artery of one patient on the cannulated side during v-a ECMO. No death due to complications of ECMO was recorded. Conclusion: In our study, although the majority of our patients followed up with the diagnosis of COVID-19 and MIS-C showed a mild or moderate clinical course, it was observed that a severe clinical course could develop in a small number of patients and that ECMO treatment may be needed in these patients. In agreement with the ECMO studies with different indications in the literature, we conclude that ECMO therapy may markedly contribute to the prognosis in COVID-19 and MIS-C patients when the initiation and termination timing of therapy is correct.

5.
Turkish Online Journal of Distance Education ; 23(3):18-30, 2022.
Article in English | Scopus | ID: covidwho-1940068

ABSTRACT

During emergency remote teaching (ERT) process, factors affecting the achievement of students have changed. The purposes of this study are to determine the variables that affect the classification of students according to their course achievements in ERT during the pandemic process and to examine the classification performance of machine learning techniques. For these purposes, the logs from the learning management system were used. In the study, analyzes were carried out with various machine learning techniques and their performances were compared. As a result of the study, it was observed that Fisher’s Linear Discriminant Analysis was the best technique in classification according to F measure performance criteria. As another result, the most effective variable, in classifying students, is the average number of days logged into the system per month and week. It has been observed that total activity duration (min), total number of weeks and total number of page views during the semester are less influential factors. Accordingly, it could be suggested to check the monthly and weekly follow-up of the lectures instead of the total follow-ups per semester. In addition, students’ interaction patterns can be monitored with course tracking systems. © 2022. Turkish Online Journal of Distance Education. All Rights Reserved.

6.
Psychiatria Danubina ; 33:161-171, 2021.
Article in English | Web of Science | ID: covidwho-1529367

ABSTRACT

Background: The aim is to investigate anxiety prevalence among the healthcare workers during COVID-19 pandemic and the also relationship of "significant clinical anxiety" with coping styles and the relatedfactors. Subjects and methods: An online questionnaire was performed to evaluate the anxiety responses of 544 healthcare workers, the adopted coping styles and the related factors during COVID-19 pandemic. The questionnaire included the subsections of sociodemographic data, other clinical data and the items on exposure to social media, Generalized Anxiety Disorder-7 (GAD-7) Scale and Coping Styles Scale BriefForm. Results: Minimal, mild, moderate and severe anxiety were present in 214 (39.3%), 191 (35.1%), 95 (17.5%) and 44 (8.1%) participants, respectively. GAD-7 score was >10 in 139(25.6%) of the participants indicating "significant clinical anxiety". Being female and a nurse were associated with significant clinical anxiety. In addition, the parameters such as "concern about COVID-19, concern about infect COVID-19 to relatives, unwillingness to work, frequency of social media use about COVID-19, sleep disturbances and experiencing somatic symptoms" were observed to be extremely significantly more common in the healthcare workers with "significant clinical anxiety" than those without that mental condition. The regression analysis revealed that higher adoption of using emotional social support, one of the emotional focused coping styles and behavioral disengagement, one of the ineffektive focused coping styles are considered to be predictor ofsignificant clinical anxiety. Whereas, positive reinterpretation, one of the emotional focused coping styles was a predictor in reduction of significant clinical anxiety. Also more frequent exposure to social media and sleep disturbances were the predictors ofsignificant clinical anxiety in the healthcare staff. Conclusion: Our results have emphasized the factors that should be taken into account and application ofcoping styles that may be functional in protecting mental health of the healthcare workers in their struggle against a huge disaster affecting worldwide societies.

7.
Turkish Journal of Biochemistry ; 46(4):359-366, 2021.
Article in English | EMBASE | ID: covidwho-1488402

ABSTRACT

Objectives: In many diseases, immature platelet fraction (IPF%) is related to coagulopathy and poor outcome. This study aimed to investigate the predictive value of IPF% for the severity of pneumonia in patients with Coronavirus Disease 2019 (COVID-19). Methods: A total of 154 patients with COVID-19 infections were included. The patients were divided into two groups according to the severity of pneumonia (severe and nonsevere) regarding their oxygen demand. Results: Given laboratory parameters, themedian IPF% was significantly higher in the severe group (11.9 vs. 3.9%, p<0.001). Mean platelet volume (p<0.001), platelet-large cell ratio (p=0.001), platelet distribution width (p=0.001),D-Dimer (p<0.001), INR (p=0.003), and aPTT (p=0.007) were also found to be significantly higher in the severe group.Moreover, IPF (p=0.014, Odds ratio = 2.000, 95%CI: 1.149-3.482) was an independent predictor for the severity. The curve value from receiver operating characteristics was 0.879 (p<0.001, 95%CI: 0.784-0.943) for determining the severity of pneumonia. IPF% had a sensitivity and specificity value of 69.5 and 92.4% to detect the disease's severity. Conclusions: IPF% is an independent predictor for the severity of COVID-19 pneumonia. Assessment of IPF% may both help to early determine high-risk patients with COVID-19 and to alert the physicians.

10.
The Journal of Heart and Lung Transplantation ; 40(4, Supplement):S403, 2021.
Article in English | ScienceDirect | ID: covidwho-1141828

ABSTRACT

Purpose Telehealth services increased during the COVID-19 pandemic but barriers to expansion of telemedicine use for LVAD patients are not well described. This study evaluated perceptions of telehealth and patterns of use at LVAD centers across the USA. Methods An online, de-identified, 19 question survey was distributed across the USA to 53 LVAD centers participating in the FLIGHT and IDEAL HF working groups. A maximum of one physician and one VAD coordinator completed the survey at each center. Results The 62 respondents included 34 heart failure cardiologists, 11 cardiothoracic surgeons, 7 LVAD advanced practitioners and 10 LVAD RNs who were geographically well distributed across the USA. The majority (73%) of respondents worked at centers managing >75 LVAD outpatients and 66% provided care for LVAD patients living in rural areas. Thirty-seven percent of respondents had completed >10 telehealth visits for LVAD patients, and 90% had used telephone visits and 94% video visits. Most respondents (87%) completed telehealth visits for routine care with only 17% using telemedicine visits for acute issues and 10% for post-discharge visits. Fifty-three percent and 26% of providers did not feel comfortable making antihypertensive or diuretic medication changes, respectively, during telehealth visits. Use of remote patient monitoring (RPM) devices for tracking blood pressure or activity levels was low (Figure: top panel). Seventeen percent of providers were unsatisfied with patient care during telehealth visits. The most common barriers to increased adoption of telehealth visits for LVAD patients included patient access to technology and reimbursement considerations (Figure: bottom panel). Conclusion Telehealth visits are being used for LVAD patients but provider comfort level with medication changes during visits is low. Improved patient access to technology for RPM and video visits and expanded reimbursement of telehealth services may help to increase telemedicine usage for LVAD patients.

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