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The COVID-19 epidemic has significantly impacted frontline healthcare workers (HCWs) and challenged an existing fragile healthcare system of South Africa (SA). Evaluation of the confidence levels of Primary Healthcare (PHC) workers in managing COVID-19 cases was conducted. A cross-sectional survey was used to investigate the level of training and confidence to manage COVID-19 cases. Descriptive statistics, univariate and multivariate analysis were undertaken. The majority of HCWs were female (82.8%), unmarried (56.6%), and nurses (65.4%). The study identified that only 30.1% of the respondents received training on the COVID-19 treatment guidelines and 30.6% of staff were trained on reporting of COVID-19 cases to the authorities. Significantly, higher proportions of HCWs learned about COVID-19 case management by self-reading as opposed to formal training (88% vs 64.7%, P<0.05). The overall confidence level in handling and managing COVID-19 cases of the HCW translated to a 58% level of confidence. Medical practitioners had a significantly higher level of confidence (88.9%) than nursing practitioners (75.5%) and allied HCWs (52.5%, p<0.05). HCWs who received training on 5 or more items of COVID-19 case management had a significantly higher ( 83.1%) level of confidence (p<0.05) than those who had training on 4 or less items (61.7%). This study revealed that training on aspects of COVID-19 case management significantly increased their confidence levels. Timely interventions are needed to improve the confidence levels of HCWs and perceived barriers in the training of COVID-19 need to be urgently addressed.
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Reliability of high demand machines is quite necessary and it can be maintained through proper and timely maintenance, Ultra-low temperature (ULT) freezer is one of those kinds of machines which are in high demand during covid-19 pandemic for the storage of vaccine. The rapid production of vaccines for the prevention of coronavirus disease 2019 (COVID-19) is a worldwide requirement. Now the next challenge is to store the vaccine in a ULT freezer. It's become really a big problem to store the vaccine which creates the demand of ULT freezer. The present paper investigates a situational based performance of the ULT freezer with the aim to predict the impact of different component failures as well as human errors on the final performance of the same. For the study, it is not possible to extract the parameters (failure rate and repair time) of the components that never failed before. Thus, to overcome this difficulty, here authors use the possibility theory. Authors present the available data in Right triangular fuzzy number with some tolerance as suggested by system analyst. The lambda-tau methodology and arithmetic operations on right triangular generalized fuzzy numbers (RTrFN) are used to find the various performance parameters namely MTTF, MTTR, MTBF, reliability, availability, maintainability (RAM) and ENOF, under fuzzy environment. The proposed model has been studied using possibility theory under working conditions, preventive maintenance as well as under the rest of conditions. This study reveals the most and least critical component of the ULT freezer which helps maintenance department to plan the maintenance strategy accordingly.
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Resilience is beneficial for poor households to overcome the negative shocks and shake off the poverty trap completely in the long run. In this article we evaluate the impact of poverty alleviation intervention on mental resilience by exploiting the natural experiment of the COVID-19 shock. Using the survey data collected in early March 2020 from underdeveloped region in West China, we address the impact of targeted poverty alleviation program (TPAP) on confidence level of off-farm and total income recovery using the difference-in-difference method. We find that the program enhances mental resilience for the out of poverty households rather than the in poverty households, especially in terms of confidence level of off-farm income recovery. In addition, we also find that proactivity of employment takes account of the impact of TPAP on confidence level of off-farm income recovery.
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Background: This study aims to assess factors associated with food security and dietary diversity among poor urban households of western Oromia, Ethiopia, after the outbreak of the Covid-19 pandemic. Method: A cross-sectional, community-based study was conducted in May to June 2021 with 361 poor urban households in the Horo Guduru Wollega zone, western Oromia, Ethiopia. A pre-tested structured questionnaire was used to collect primary data. Twenty-four hour reminder points were used to assess household dietary diversity, and household food security was assessed using the Household Food Insecurity Access Scale tool. Data were evaluated using the statistical software SPSS version 25.0. Results: This study showed a prevalence of food insecurity in households of 59.6%. The mean and standard deviation of household dietary diversity values were 4.19 ± 1.844. Family size (AOR = 8.5; 95% CI:3.295-21.92), monthly income (AOR = 3.52; 95% CI; 1.771-6.986), dietary diversity (AOR = 8.5; 95% CI; 3.92-18.59), knowledge (AOR = 3.0, 95% CI = 1.08-)8.347), attitude (AOR = 8.35, 95% CI:3.112-22.39) and practices against Covid-19 (AOR = 2.12; 95% CI:1.299-11.4) were factors significantly associated with food insecurity. Variables like educational status (AOR = 3.46; 95% CI:1.44-8.312), increased family size after the Covid-19 pandemic (AOR = 2.26; 95% CI:1.02-5.04), food security (AOR = 6.7; 95% CI:4.01-19.01), knowledge (AOR = 3.96; 95% CI:1.57-10.0), attitude (AOR = 3.9; 95% CI:1.75-8.82) and practices toward coronavirus (AOR = 2.23; 95% CI:2.18-23.95) were predictors significantly associated with dietary diversity. Conclusion: This study concluded that family size, monthly income, and dietary diversity were factors contributed to household food security. On the other hand, variables such as educational status, family size, and food security were highly relevant factors for dietary diversity after the outbreak of the Covid-19 pandemic. Knowledge, attitudes, and practices were also variables related to both household food security and dietary diversity. Therefore, immediate interventions such as nutrition-specific interventions can be suggested to address food insecurity and problems of inadequate food intake in poor urban households. In addition, governmental and non-governmental organizations should raise awareness and policies to support those at higher risk by developing affordable, sustainable and targeted social protection systems that ensure food security and adequate dietary intake at the household level.
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For medical students the dissection course is the preferred method to learn gross anatomy. However, the added value of active cadaver dissection on knowledge gain in multimodal curricula offering a diversity of e-learning resources is unknown. The Covid-19-related lockdown forced educators to replace the dissection course by e-learning resources. At the end of the summer term 2020 loosening of pandemic-related regulations allowed offering a compact, voluntary active dissection course of the head-neck region to first-year medical students at Hannover Medical School. A study was conducted comparing a dissection group (G1, n = 115) and a non-dissection group (G2, n = 23). Knowledge gain and confidence level were measured with a multiple-choice (MC-)test. The use of e-learning resources was recorded. A questionnaire measured motivation, interest and level of concern regarding Covid-19 and anatomy teaching. No differences between groups were found regarding motivation and interest in anatomy of the head-neck region. G2, however, had significantly higher concerns regarding the Covid-19 pandemic than G1. Neither before nor after the educational intervention, differences in the scores of the MC-test were found. However, after the course G1 answered more MC-questions with highest confidence level than G2 (6.7 ± 6.0 vs. 3.6 ± 4.6, p < 0.05) and demonstrated by trend an increased improvement in the scores of image-based questions (30.8 ± 18.2 % vs. 17.1 ± 14.8 %, p = 0.06). In general, frequent users of online quizzes, a part of the e-learning resources, scored significantly better in the knowledge test. Active dissection improves self-assurance to identify anatomical structures and should be re-implemented in multimodal, blended-learning-based anatomical curricula in the post-pandemic era.
Subject(s)
Anatomy , COVID-19 , Education, Medical, Undergraduate , Students, Medical , Humans , Education, Medical, Undergraduate/methods , Pandemics , Communicable Disease Control , Cadaver , Curriculum , Anatomy/education , Teaching , Educational MeasurementABSTRACT
The COVID-19 pandemic impacted the education of nursing students across the world. Nursing students were unable to care for patients with COVID-19 at the beginning and potentially throughout nursing school depending on the facility and nursing school restrictions. It was not known how the participation in a high-fidelity simulation will impact the confidence level of nursing students in the care of patients with COVID-19. A mixed methods phenomenological qualitative and survey design was utilized to determine the confidence level of nursing students after participation in a high-fidelity simulation of a patient diagnosed with COVID-19. A convenience sample of fifteen participants completed the research study from a population of second year nursing students at a community college in Northwest Arkansas. The data were collected from focus groups both before and after participation in a high-fidelity simulation and a questionnaire that was completed after participation in a high-fidelity simulation. The interview data were analyzed using NVivo after being transcribed into a Microsoft Word document. The questionnaire data were transferred into a Microsoft Excel spreadsheet and the mean and standard deviation were calculated. The theme related to the impact of participation in a high-fidelity simulation was the importance of communication. The themes related to concerns in caring for patients with COVID-19 was contracting the disease, care, and long-term effects. The theme related to preparation to care for COVID-19 was that the participants felt better prepared to care for patients. The participants of the pilot and research study stated that the participants had improved confidence in caring for patients with COVID-19 after participation in a high-fidelity simulation.Keywords: nursing education, nursing students, COVID-19, high-fidelity simulation, confidence level. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
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The increase in aged population is a global trend. Inculcating healthy behaviors such as regular exercises in the elderly has a significant impact on the financial and medical burden globally. Moreover, air pollution and the outbreak of the coronavirus disease 19 (COVID-19) pose a serious threat to public health. In order to improve the health conditions of the population, this study developed a motion feedback system named MoveV that can be used for several indoor training exercises. This system provides instant motion feedback by synchronizing exercise training videos on the website using a motion analysis algorithm that is applicable on smartphones, and a cloud database platform is used to record health behaviors. Feature extraction is performed based on force intensity, motion velocity, and exercise direction. The resultant accuracy of the motion feedback system was tested by a motion science expert and presented as the confidence level. For perfect movement, a confidence level of up to 90.5% was achieved, indicating that the MoveV system was able to record users’ exercise frequency and distinguish whether the user was performing well in the exercise movements. The proposed system is convenient and does not incur additional expenditure by purchasing any new device. Furthermore, it provides visual and voice feedback, companionship, and exercise motivation to the users, all of which are important factors when using online exercise platforms.
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Introduction: Despite limited evidence about the efficacy and safety of dietary supplements (DSs) for improving mental health, people with or without mental disorders often tend to use them, especially during the ongoing COVID-19 pandemic. Previous studies focused on DS use for maintaining or improving overall health; Therefore, this study aimed to assess the prevalence of DSs for mental health among the SA population and to determine the factors that affect their use. Methods: This cross-sectional study was based on an online survey of Saudi Arabian participants between July and August 2021 with an anonymous, self-completed questionnaire distributed using convenience sampling. The questionnaire included queries related to demographic information, DS use assessment, and mental health evaluation using the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder 7-item (GAD-7), questionnaire, and the Insomnia Severity Index (ISI). Results: In total, 443 participants from various regions of Saudi Arabia completed the questionnaire. The prevalence of DS use in the Saudi population was 44%. Vitamin D (28%) and melatonin (20%) were the most commonly reported DSs used for mental health. The odds of DS use were three times higher in responders with previous mental health diagnoses (OR: 2.972; 95% CI: 1.602-5.515). Furthermore, the chances of using DSs almost doubled in patients with sub-threshold and moderate to severe insomnia (OR: 1.930; 95% CI: 1.191-3.126 and OR: 2.485; 95% CI: 1.247-4.954, respectively). Conclusion: Responders diagnosed by a specialist with psychiatric disorders or current insomnia had a higher chance of using DSs. Thus, healthcare providers must provide evidence-based information regarding DSs for mental health improvement and encourage the public to consult healthcare professionals before self-medicating for mental health problems.
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The present research investigated a backfiring effect of social interaction on well-being and general confidence in Western populations during the COVID-19 pandemic. Across two studies, we observed that stronger self-other connectedness and frequent social communication with others during the first few weeks into the quarantine period were associated with worsened well-being and decreased general confidence. In Study 1 (n = 331), we showed that people who reported higher social connectedness and more frequent social interaction experienced declined well-being. In Study 2 (n = 327), we replicated the backfiring effect and showed that those who engaged in frequent social interaction, especially in COVID-19 related conversations, reported decreased general confidence, which mediated the accelerating effect of social interaction on panic buying. Overall, our findings indicated that frequent social interaction under a highly novel and uncertain crisis can relate to negative consequences on mental health and behavior.