Domestic Violence- A Crying Call for Change

Domestic violence or intimate partner violence, can be defined as a pattern of behaviors which could be physical, sexual, emotional, economic or psychological actions or threats of actions in any relationship that is used to gain or maintain power and control over an intimate weaker partner that influence another person. Domestic abuse can happen to anyone regardless of age, race, gender, sexual orientation, religion or socioeconomic background and education levels. It can occur within a range of relationships and not just those who live with us in our homes. These incidents are seldom isolated and escalate in frequency and severity if not opposed initial stage itself and may harm physically as well as emotionally and at times even endangers lives. Statistics for this is grave be it our country be it abroad and it became more grim covid times when staying home was not always safe. There are various factors involved from genesis to the maintainence of this menace medicolegal aspects and many more. Multidisciplinary approach for awareness that one needs to seek help, that one is not alone and various measures for curbing this grave issue is required at all levels. Domestic violence is the outcome of cumulative irresponsible behaviour which a section of society demonstrates. It is also important to note that solely the abuser is not just responsible but also those who allow this to happen and act as mere mute spectators. In this era of rights-based mental health services, such 'hidden shades' of mental wellbeing form potent challenges, which face unique conditions of demographics, prevalence of mental disorders and awareness related to this grave issue of domestic violence. Human rights are universal and are vital for promoting mental health and dignity. With this premise, this symposium intends to unfold the various factors involved and highlight the intersections of Domestic volence and approaches required to bring about and discuss strategies to curb it in light of the lessons learnt from experiences across the globe.

Maternal COVID-19 Infection: A Cause of Neonatal Stroke?

Perinatal arterial ischemic stroke (PAIS) is a rare cause of neonatal seizures, with an incidence of 1 in 2500 to 4000 live births, globally. This is a case of a neonate with PAIS due to transpla-cental passage of COVID-19 IgG antibodies from the mother. A term, male neonate, born to a primigravida with an unevent-ful antenatal history was presented on the second day of life with multiple episodes of focal clonic seizures involving the right upper and lower limbs. Magnetic resonance imaging revealed an acute infarct in the left frontal lobe, extending into the parietal region, anterior limb, and genu of internal capsule suggestive of arterial ischemic stroke. The known causes of PAIS were evaluated and ruled out. The result of reverse transcription polymerase chain reaction analysis for SARS-CoV-2 antigen was negative for both the mother and the neonate. COVID-19 IgG antibodies in the mother and neonate were elevated. Seizures were controlled with antiepileptics. The neonate had no further seizure episodes and was discharged on oral levetiracetam. The infant was developmentally and neurologically normal at 3 months of age. PAIS is a rare cause of neonatal seizures, and maternal COVID-19 infection may be associated with neonatal stroke.Copyright © 2022, Himalaya Wellness Company. All rights reserved.

Adverse effect of lockdowns during the COVID-19 pandemic: increased incidence of pediatric crisis admissions due to eating disorders and adolescent intoxications.

During the COVID-19 pandemic, countries imposed (partial) lockdowns that reduced viral transmission. However, these interventions may have unfavorable effects on emotional and psychological well-being. The aim of this study was to quantify possible adverse effects of the COVID-19 pandemic on psychological wellbeing in children and adolescents. Hospital admission data between January 2017 and September 2021 from eight general hospitals in the Netherlands was collected, comparing the incidences of sub-categorized psychological diagnoses, more specifically eating disorders, intentional intoxications, accidental intoxications, and excessive crying, before (2017-2019) and during the pandemic (2020-2021). Data was summarized per month and per year, and the years 2020 and 2021 were compared to 2017-2019. The relative increase or decrease in diagnoses since the start of the pandemic was calculated. Overall pediatric hospital admissions decreased with 28% since the start of the pandemic. Non-infectious diagnoses showed a decrease of 8%. Of these non-infectious diagnoses, overall psychosocial admissions were increased (+ 9%), mostly caused by an increase in admissions for eating disorders (+ 64%) and intoxications in adolescents (+ 24%). In addition, the proportion of admissions due to psychosocial diagnoses increased post-pandemic (6% vs 4%, p < 0.001). Overall admissions for intoxications in children (- 3%) and excessive crying (- 1%) did not increase, although peaks in incidence were found at the start of the second lockdown. CONCLUSION: During the COVID-19 pandemic, admission rates for eating disorders and intentional intoxications showed a substantial increase, indicating a high burden of pediatric psychiatric diseases. WHAT IS KNOWN: • The COVID-19 pandemic has had an impact on psychosocial wellbeing in children and adolescents. WHAT IS NEW: • There was an increase in admissions due to psychosocial problems in the Netherlands in the period after the pandemic. • This was mainly caused by an increase in crisis admissions due to eating disorders and intoxications in adolescents.

Tunisians peoples dealing with death in COVID-19 pandemic: Lived experiences of grief

Introduction: As Dame Cecily Saunders said, "How people die remains in the memory of those who live on." For Muslim people, funerals and burial procedures are crucial moments that help them come to terms with the loss of a loved one. The COVID-19 pandemic has disrupted usual experiences of grief since funerals and burials are held without the presence of family. Approaches to support grief are needed to be adapted to these particular circumstances. Objective(s): Describe the lived experiences of grief of the Muslim Tunisian family for patients who died due to COVID -19. Method(s): This was a qualitative study with a phenomenological approach. Data of patients who died due to COVID -19 were collected. One family member or more of each deceased was contacted. Semi directive interview was conducted to help participants to describe the lived experience. Result(s): 30 persons participated in this study. The reactions of participants towards death were crying, being sad, and being choked. The reactions of grief were influenced by several factors. These included: the circumstances of the deceased, relationship with him, the hospitalization in an intensive care unit, doctors' expectation, and the average length of stay in hospitals before the death. Islamic religious beliefs influenced the way family experienced grief, mainly toward the management of the dead body and the imposed funeral protocol. Conclusion(s): This study describes the devastating impact of COVID-19 toward lived experiences of grief of Muslim Tunisian. In light of these results, grief therapies should be adapted and evaluated in this population.

Infant behavioral problems in the first year of life and maternal stress during the COVID-19 pandemic: Results from the "CoviFam" online survey

(German) Theoretischer Hintergrund: Die COVID-19-Pandemie stellte in vielen Bereichen eine Belastung fur Familien dar, insbesondere durch die einschneidenden Beschrankungen zu Beginn. Fragestellung: Wie wirkte sich dies auf die Belastung von Muttern mit Kindern im ersten Lebensjahr und auf die kindliche Verhaltensregulation aus? Methode: In einer Online-Befragung schatzten 577 Mutter das Schrei-, Schlaf- und Futter-/Essverhalten ihrer Kinder (M = 7.3;0-12 Mon., SD = 3.25) und ihre eigene Belastung ein, zudem Stresserleben, depressive Symptomatik, Partnerschaftszufriedenheit und Bonding. Ergebnisse: Schlafprobleme traten bei 21.7%, schwer trostbares und haufiges Schreien bei 12.3% und exzessives Schreien bei 1.6% der Kinder auf. Mindestens jede funfte Mutter fuhlte sich durch Schreien oder Schlafprobleme belastet. Mehr Stress, beeintrachtigtes Bonding und weniger Partnerschaftszufriedenheit erklarten 17-21% der Varianz der mutterlichen Belastung durch Schrei- und Schlafverhalten. In der Zeit der starksten Beschrankungen zeigte sich signifikant mehr Belastung in der Gruppe von Muttern, die von vermehrtem Schreien und verlangerter Einschlaflatenz berichteten, sowie mit mindestens einem weiteren Kind im Haushalt (MANOVA). Diskussion und Schlussfolgerung: Pandemiebedingt belastend fur Mutter im ersten Jahr scheinen eingeschrankter Zugang zum Versorgungssystem, die Betreuung von mehr als einem Kind sowie das Alter des Kindes zu sein, wahrend eine gute Beziehung zum Kind (Bonding) und/oder zum Partner (Partnerschaftszufriedenheit) abmildernd wirken. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

OCULAR FINDINGS IN COVID-19 PATIENTS: A SYSTEMATIC REVIEW

The World Health Organization (WHO) has declared the 2019–20 coronavirus outbreak a Public Health Emergency of International Concern (PHEIC). Covid-19infection is an ongoing pandemic with high morbidity and mortality, spread from one infected personto another through respiratory airway droplets.Covid-19circulatesin many organs, including the heart, kidneys, brain, etc.Ocular symptoms, along with other symptoms, may help diagnose COVID-19. Covid-19 ocular signs of dry eyes, weeping, itching, redness, eye discomfort, foreign body feeling, elevated CRP, Procalcitonin (PCT), and erythrocyte sedimentation rate (ESR) levels, indicating an immunologic response and disease severity. There was a positive correlation between high temperature and visual symptoms.

Impact of baby behaviour on caregiver's infant feeding decisions during the first 6 months of life: A systematic review.

Caregivers are often concerned about baby behaviours. Without adequate counselling, parental response can lead to altering infant feeding and jeopardizing breastfeeding. We conducted a systematic review to assess the evidence about the influence of baby behaviours perceived as problematic (crying, sleep waking and posseting) on infant feeding decisions during the first 6 months of life (self-reported milk insufficiency, breastfeeding duration and introduction of formula). The review focused on quantitative studies published in English, Portuguese or Spanish without date restriction. The search was designed with the support of a medical librarian and conducted in seven databases. Data were managed in Covidence and risk of bias was assessed through the Johanna Briggs Institute critical appraisal checklists. Synthesis of the literature was guided by a conceptual model of the impact of baby behaviours on caregivers feeding practices. We retrieved and reviewed 4312 titles/abstracts and selected 22 for review; 10 were purely descriptive and 12 were cross-sectional, prospective and quasi-experimental studies. Although studies from diverse regions were included in the review, more than half were from high-income countries. All studies reported that baby behaviours affect feeding decisions, the most common baby behaviours studied were crying and fussiness, and the studies suggested relationships with lactation problems and reports of milk insufficiency, maternal breastfeeding confidence, breastfeeding duration and discontinuation, and introduction of formula. There are many factors that lead to perceiving baby behaviours as problematic and there is a need to provide anticipatory guidance to parents and caregivers, starting in pregnancy and counselling through well-trained health providers.

Pneumopericardium in a Newborn with Respiratory Distress and COVID-19

BACKGROUND: Pneumopericardium (PPC) is one of the rarest pulmonary air leak syndromes, but the incidence is the highest in the neonatal period. Risk factors include premature infants with respiratory distress (RD) syndrome, receiving active resuscitation, meconium aspiration syndrome, and aggressive mechanical ventilation. Several cases have also been reported related to COVID-19. CASE PRESENTATION: We report a case of a female newborn with a birth weight of 3300 grams a COVID-19 confirmed 35-year-old G3P2A0 mother. The baby was not crying at born and the amniotic fluid was stained green. The baby experienced RD and was intubated. A babygram was performed at the age of 5 h with the impression of a too deep endotracheal tube, neonatal pneumonia, and PPC. COVID-19 RT-PCR examination of the baby was positive. There were no signs of cardiac tamponade, so it was decided to take conservative and supportive management. CONCLUSION: Resolution of PPC was found on repeated babygram 26 h later. The baby was then discharged after 19 days of treatment.

Living the data: reflections on living and working during the Covid-19 pandemic

In the case of the pandemic, the patient is not one person per say but a very large sort of consciousness. The world in which the analyst or therapist expects the patient to adjust to their schedule without much further thought or would describe the patient as "difficult" when they would become terribly upset and angry and annoyed with the therapist about the experienced control, demanding their needs to be acknowledged. Keywords: Letter exchange;Covid-19;Remote working;Face-to-face working EN Letter exchange Covid-19 Remote working Face-to-face working 85 93 9 02/06/22 20220201 NES 220201 Introduction Shortly after the pandemic began in the spring of 2020, Maaike Engelen (designated as M) residing in London and a psychoanalytic child and adolescent psychotherapist and Adam Shechter (designated as A) living in New York City and a psychoanalytic psychotherapisty, corresponded by letter for ten months, exploring how the practice of psychotherapy and everyday life was being influenced by the Covid-19 pandemic. [Extracted from the article] Copyright of Psychodynamic Practice is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Dealing With COVID-19 Patients: A Moderated Mediation Model of Exposure to Patients' Death and Mental Health of Italian Health Care Workers.

Introduction: The COVID-19 pandemic is asking health care workers (HCWs) to meet extraordinary challenges. In turn, HCWs were experiencing tremendous psycho-social crisis as they have had to deal with unexpected emotional requirements (ERs) arising from caring for suffering and dying patients on a daily basis. In that context, recent studies have highlighted how HCWs working during the COVID-19 outbreak manifested extreme emotional and behavioral reactions that may have impacted their mental health, increasing the risk for developing post-traumatic stress symptoms. Purpose: The aim of the study was to investigate post-traumatic stress symptoms, such as intrusion symptoms, as a potential mediator of the link between ERs and crying at work, and whether rumination moderates the relationship between ERs and intrusion-based PTS symptoms among HCWs who have had to deal with patients dying from COVID-19. Methods: An online cross-sectional study design was performed. A total of 543 Italian HCWs (physicians and nurses) participated in the study. Participation was voluntary and anonymous. We used the SPSS version of bootstrap-based PROCESS macro for testing the moderated mediation model. Results: ERs had an indirect effect on crying at work through the mediating role of intrusion symptoms. Results from the moderated mediation model showed that rumination moderated the indirect effect of ERs on crying at work via intrusion symptoms, and this effect was significant only for high rumination. Furthermore, when we tested for an alternative model where rumination moderates the direct effect of ERs on crying at work, this moderation was not significant. Conclusions: As the second wave of the COVID-19 pandemic is ongoing, there is an urgent need for decision-makers to rapidly implement interventions aimed at offering timely psychological support to HCWs, especially in those contexts where the risk of emotional labor associated to patients dying from COVID-19 is higher.

Establishing an Office-Based Framework for Resuming Otolaryngology Care in Academic Practice During the COVID-19 Pandemic.

OBJECTIVE: The COVID-19 health crisis abruptly disrupted the practice of otolaryngology. This article aims to define the changes needed to operate an academic otolaryngology practice safely and efficiently from within the epicenter of the pandemic. We define the areas of normal patient workflow that have been affected by COVID-19, and we offer mitigation strategies with attention paid to the specific needs of subspecialties. DATA SOURCES: The article includes data specific to the office practice metrics of the Weill Cornell Medicine Department of Otolaryngology-Head and Neck Surgery, as well as publically available data from New York Presbyterian Hospital system and the New York Times. REVIEW METHODS: Expert opinion. CONCLUSIONS: Through careful planning and execution, it is possible to reestablish safe otolaryngologic patient care during the COVID-19 pandemic. It will require a significant change from prior practice models for successful implementation. Additionally, telemedicine can be positively integrated into the treatment of otolaryngology diseases for new and established patients. IMPLICATIONS FOR PRACTICE: The information conveyed in this review can be used as a guide by large and small otolaryngology groups to identify aspects of the patient visit that are "at risk" due to COVID-19, and it suggests sensible responses that can be made without a significant disruption to normal practice. The methods used to identify vulnerabilities with the patient visit process can be applied to future unforeseen crises, such as a resurgence of COVID-19 or a novel pandemic.