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1.
Journal of Asian Public Policy ; 16(2):146-160, 2023.
Article in English | ProQuest Central | ID: covidwho-2323824

ABSTRACT

In this paper, we reflect on South Korea's relative success in dealing with COVID-19 from the perspective of state theories. Korea's success was due to the legacies of the developmental state, combined with the elements of the regulatory state and the network state, and facilitated by IT development. We also argue that we are witnessing a new state type that no longer features the existing state types' obsession with economic development. The emerging state type is concerned with human security and actively utilizes IT and collaborative governance to predict and prepare for future contingencies. We label this a ‘provident state'.

2.
Dusunen Adam - The Journal of Psychiatry and Neurological Sciences ; 36(1):41-49, 2023.
Article in English | EMBASE | ID: covidwho-2314846

ABSTRACT

Objective: The aim of this study is to investigate the effects of psychiatric symptoms such as anxiety, obsession, hostility, and attachment styles, which may be associated with COVID-19 vaccine hesitancy. Method(s): A total of 504 adult participants were included in the study. The sociodemographic data form, including questions on information about participants' COVID-19 infection history and concerns about COVID-19 vaccines, was filled out by the participants. The participants were evaluated with the anxiety, obsessive-compulsive disorder (OCD), hostility, and paranoid ideation subscales of the Symptom Checklist - Revised 90 scale and the Adults Attachment Style Scale (AASS). The participants were divided into three groups: "vaccinated group (VG)," "nonvaccinated but intend to get vaccinated group (IGV)," and "nonvaccinated group and not intend to get vaccinated group (NIGV)." Results: The mean score of the AASS secure subscale was higher (p=0.009), while the SCL-90 anxiety subscale was lower (p=0.003) in the NIGV group. The mean score of the SCL-90 OCD subscale in the NIGV group was lower than that in the IGV group (p=0.040). Regression analysis showed that concerns about the safety of vaccines (OR: 140, p<0.001) and having secure attachment style (OR: 1.787, p=0.019) increase the intention to not be vaccinated. However, it was found that high anxiety scores decreased the intention not to be vaccinated (OR: 0.966, p=0.035). Conclusion(s): The findings of the current study indicate that secure attachment style and clinical psychiatric entities such as anxiety and obsession were effective on vaccine hesitancy. However, this interaction needs to be interpreted carefully in the context of the perceived level of COVID-19 threat, more detailed information about the safety and necessity of vaccines, the relationship of individuals with their social environment, and the predominance of vaccine hesitancy in their social environment.Copyright © 2023 Yerkure Tanitim ve Yayincilik Hizmetleri A.S.. All rights reserved.

3.
Int J Psychiatry Clin Pract ; : 1-7, 2022 Jun 04.
Article in English | MEDLINE | ID: covidwho-2319993

ABSTRACT

OBJECTIVE: Little is known about the impact of the COVID-19 pandemic on obsessive-compulsive disorder (OCD). The main aim of this study was to investigate how the pandemic has affected OCD patients and the relationship between the clinical features and the fear and obsession with COVID-19. METHODS: A total of 30 consecutive patients with OCD and 30 age-and sex-matched healthy controls were included in this cross-sectional study. Based on retrospective information provided by the patients, we evaluated changes in the severity of their OCD during the pandemic compared to the pre-pandemic period. We compared patients with OCD and healthy subjects using scores obtained from various scales. RESULTS: We found that symptom severity worsened in 60% of OCD patients during the pandemic compared to the pre-pandemic period, remained unchanged in 30%, and improved in 10%. The levels of obsession with COVID-19 were found to be higher in OCD patients than in healthy control subjects. The levels of fear of and obsession with COVID-19 both correlated with the anxiety levels of patients with OCD and healthy controls. CONCLUSIONS: Our results suggest that the levels of COVID-19 related fear and obsession are not linked to the severity of OCD, but to anxiety levels. Key pointsObsessive-compulsive symptom severity worsened in 60% of OCD patients in the pandemic.COVID-19 obsession levels were higher in OCD patients than healthy controls.COVID-19 fear levels did not differ between the OCD and healthy control groups.COVID-19 obsession levels were correlated with anxiety severity in OCD and healthy control groups.

4.
Clinical and Experimental Health Sciences ; 13(1):32-40, 2023.
Article in English | Web of Science | ID: covidwho-2311246

ABSTRACT

Objective: This study aims to investigate the psychological effects of the COVID-19 pandemic on the Turkish society and identify COVID-19-related obsessions and predictive factors.Methods: This cross-sectional study was performed with 859 volunteer participants. Data were collected using an online questionnaire between 01 and 08 June 2020. A sociodemographic information form, Depression, Anxiety and Stress Scale-21 (DASS-21), Impact of Event Scale-Revised (IES-R), and Obsession with COVID-19 Scale (OSC), were used as data collection tools. Data were analysed using SPSS 20 statistical software.Results: The mean age of the participants was 40.41 +/- 13.69 (18-70), 55.3% were women, and %63.7 were married. Cleaning habits increased during the pandemic in 76% of the participants. The prevalence of depression, anxiety, and stress symptoms were 36.9%, 42.3%, and 18.2%, respectively. Depression was severe or very severe in 6.3% of the participants, anxiety in 15.4%, and stress in 4.3%. Post-traumatic stress disorder (PTSD) was determined in 11.3% of the participants, and COVID-19-related obsessions in 17.6%. Obsessions were greater in the variables of eating (r= 0.26, p<0.001), sleep (r= 0.20, p<0.20), cleaning (r= 0.17, p<0.001), television watching habits (r= 0.09, p< 0.05), and family relationships (r= 0.11, p< 0.01) during the pandemic. The most effective predictors among the COVID-19-related obsessions were depression (p<0.001) and anxiety (p<0.001), IES-R scores (p<0.001), and finally age (p< 0.05), gender (p<0.001), and education level (p<0.05).Conclusion: The COVID-19 pandemic has had severe psychological effects on society, especially in terms of obsessions. Awareness of these must be established, and measures aimed at improving societal mental health must be adopted.

5.
Indian Journal of Psychiatry ; 65(Supplement 1):S131, 2023.
Article in English | EMBASE | ID: covidwho-2260822

ABSTRACT

Background: Obsessive Compulsive Disorder (OCD) can present with unusual symptomatology. Aim(s): To discuss a case of OCD with an atypical manifestation in an adult male teacher who has an obsession and compulsion of prescribing medications to the villagers and its management. Case Summary: A 35 years old male teacher presented with complaint of recurrent obsessional thoughts about prescribing medications to patients and compulsion for the same. He started having these thoughts after conducting duty at a community health center as a COVID-19 booth controller. He perceived these thoughts as intrusive, irrational, absurd, anxiety provoking and distressing;would trying to resist them, but won't be able to do so. He used to sit beside hospitals, squares in villages, and medical shops to find patients and prescribe medications to them to relieve his anxiety. After prescribing medications although his anxiety symptoms would decrease, but he would feel guilty about prescribing medication as he knew that is not an expert. He also faced financial issues as he used to buy medications for villagers, so that they allow him to prescribe medications. He was diagnosed as a case of OCD with good insight and was started on Tab. Escitalopram which was gradually built up to 20 mg over the 3 months along with psychoeducation and supportive sessions. Currently he is in remission and maintaining well since last 2 months. Conclusion(s): This case report illustrates that clinician should remain vigilant about the unusual presentations of OCD to avoid the misdiagnosis and timely management.

6.
Journal of Research and Health ; 13(1):41-50, 2023.
Article in English | Scopus | ID: covidwho-2281109

ABSTRACT

Background: One of the factors affecting people's mental health is having repeated and confused thoughts about COVID-19. In this regard, the present study was conducted to investigate the effectiveness of cognitive-behavioral therapy on coping strategies and anxiety sensitivity of patients with COVID-19 obsession. Methods: The present research method was quasi-experimental and pre-test-post-test design with a control group. The statistical population of the study included patients with COVID-19 obsession in 2021. The study sample includes 30 patients with COVID-19 obsession who were selected using the convenience sampling method and were randomly divided into two experimental groups (n=15) and control groups (n=15). The collection tool included a questionnaire on COVID-19 obsession, coping strategies, and anxiety sensitivity. The experimental group received ten 90-minute sessions of cognitive-behavioral therapy, but the control group received no intervention. Finally, the obtained data were analyzed by multivariate covariance analysis in SPSS software, version 24 (P<0.05). Results: The results showed that cognitive-behavioral therapy significantly increased the problem-oriented coping strategy and decreased the emotion-oriented coping strategy, avoidance coping strategy, and anxiety sensitivity (physical, cognitive and social) in patients with COVID-19 obsession (P<0.01). Conclusion: The obtained findings indicated that cognitive-behavioral therapy can significantly improve the patients with COVID-19 obsession. Considering the long-term consequences of COVID-19, psychology and counseling centers should take measures to identify and treat vulnerable groups. © 2023, Gonabad University of Medical Sciences. All rights reserved.

7.
Egypt J Neurol Psychiatr Neurosurg ; 59(1): 43, 2023.
Article in English | MEDLINE | ID: covidwho-2249282

ABSTRACT

Background: The obsession with COVID-19 scale is a reliable and validated scale developed to assess obsessions related to coronavirus infection (COVID-2019) and because of its usefulness, this paper is aiming to develop an Arabic version of the obsession with COVID-19 scale and evaluate its validity. Firstly, scale translated to Arabic through the guidelines of Sousa and Rojjanasriratw for scale translation and adaptation. Then we distributed the final version with some sociodemographic questions and an Arabic version of the COVID-19 fear scale to a convenient sample of college students. Internal consistency, factor analysis, average variable extraction, composite reliability, Pearson correlation, and mean differences has been measured. Results: Out of 253 students, 233 responded to the survey, where 44.6% of them were female. Calculated Cronbach's alpha was 0.82, item-total correlations were 0.891-0.905, and inter-item correlations were 0.722-0.805. Factor analysis identified one factor which reflects 80.76% of the cumulative variances. The average variance extracted was 0.80, and the composite reliability was 0.95. The correlation coefficient between the two scales was 0.472. Conclusions: The Arabic version of obsession with COVID-19 scale has high values of internal consistency, and convergent validity, and has a unidimensional factor that reflects its reliability and validity.

8.
Psychiatria ; 19(2):176-182, 2022.
Article in Polish | EMBASE | ID: covidwho-2246691

ABSTRACT

Anti-vaccine attitudes against COVID-19 are a common phenomenon, but rarely understood as a medical problem. In patients who are already under psychiatric treatment, it is worth paying attention to diagnosis and starting of psychotherapy of this problem. The association of the anti-vaccine issue with anxiety, obsession and paranoia is an opportunity to achieve solution and may lead to the progress of psychotherapy. The problem with the right choice of authority seems to be one of most important challenges for psychiatry these days.

9.
Salmand-Iranian Journal of Ageing ; 17(2):186-200, 2022.
Article in English | Web of Science | ID: covidwho-2244523

ABSTRACT

Objectives In addition to physical damage, the coronavirus disease 2019 (COVID-19) can cause psychological problems in people. The present study aims to assess the prevalence of anxiety and obsession caused by the COVID-19 in the elderly and their relationship with depression and the ability to perform activities of daily living (ADL). Methods & Materials This descriptive-analytical study with a cross-sectional design was conducted on 300 older adults aged =60 years in Maneh and Samalghan county who were selected by a simple random sampling method. Data were collected by using a demographic form, the coronavirus anxiety scale (CAS), obsession with COVID-19 scale (OCS), ADL scale, Instrumental ADL scale, and geriatric depression scale (GDS). Data analysis was performed in SPSS v. 18 using Mann-Whitney U, Kruskal-Wallis, and Spearman's correlation tests. Results Among participants, 214 (71.2%) had age <70 years. The prevalence of OCS and CAS in the elderly was 5.3% and 9%, respectively. Statistical analysis showed that the scores of OCD (r=0.220, P<0.001) and CAS (r=0.322, P<0.001) had a significant correlation with depression. The CAS score had a significant negative correlation with ADL (r=-0.114, P<0.05) Conclusion The prevalence of obsession and anxiety caused by the COVID-19 in the elderly is not different from that in other age groups. However, there is significant increase in them during the COVID-19 pandemic compared to their pre-pandemic levels. it seems necessary to pay attention to screening, referral, and more detailed follow-up of mental health services in clinics and health centers for the elderly during the COVID-19 pandemic.

10.
Psicol Reflex Crit ; 35(1): 38, 2022 Dec 20.
Article in English | MEDLINE | ID: covidwho-2196525

ABSTRACT

The COVID-19 pandemic adversely affected the physical and mental health of individuals. Measures required to prevent the spread of the virus, such as isolation, hygiene, mask use, and lockdown, led individuals to develop obsessive thoughts and behaviors. This study aims to adapt the obsession with COVID-19 scale (OCS) to Turkish culture. This four-item scale aims at measuring obsessive thoughts related to COVID-19. The study group consisted of 870 participants from seven regions of Turkey. Data from different groups were collected for exploratory and confirmatory factor analyses. Data for the exploratory factor analysis were collected from 296 (71.5%) females and 118 (28.5%) males (n = 414). For the confirmatory factor analysis, data were collected from 301 (66.0%) females and 155 (34.0%) males (n = 456). As a result of the analysis, the one-dimensional structure of the TR-OCS was confirmed in the Turkish sample. It was revealed that TR-OCS scores had a positive relationship with depression, anxiety, and stress but a negative relationship with resilience. The findings confirmed that the TR-OCS was valid and reliable. This scale is a short and effective tool for measuring obsessive thoughts related to COVID-19.

11.
Psychiatry and Behavioral Sciences ; 12(3):141-149, 2022.
Article in English | Web of Science | ID: covidwho-2072087

ABSTRACT

Objective: This study aimed to examine the relationship between illness perception, avoidance behavior, perception of obsession and personality traits in healthcare workers after the COVID-19 outbreak.Methods: An online survey was conducted with 652 healthcare professionals in May 2020 to assess their perceptions of obsession and related factors. Sociodemographic data form, COVID-19 Disease Perception Scale, COVID-19 Avoidance Attitudes Scale, Maudsley Obsessive Compulsive Questionnaire and Eysenck Personality Questionnaire were used in the study.Results: Significant predictors of COVID-19-related contagiousness perception were young age (beta=-0.235, p<0.001), low psychoticism (beta=-0.091, p=0.018), and high cleansing obsessions (beta=0.127, p=0.004). It has been found that individuals with high extroverted personality traits (beta=0.123, p=0.002) and more intense ruminative thoughts (beta=0.117, p=0.003) have more cognitive avoidance from COVID-19, and those in the young age group (beta=-0.184, p<0.001) with high education level (beta=0.128, p=0.001) and intensive cleaning obsessions (beta=0.090, p=0.030) have a behavioral avoidance attitude from COVID-19.Conclusion: In the course of the COVID 19 pandemic, obsessive compulsive disorder (OCD) symptoms may be a response to protecting yourself and others from the virus. Our data support the suggestion that public health advice during pandemics should include mental health campaigns aimed at reducing the psychological effects of pandemics.

12.
International Journal of Clinical and Experimental Medicine ; 15(8):258-265, 2022.
Article in English | EMBASE | ID: covidwho-2030810

ABSTRACT

Objectives: To explore the psychological status and perceived social support in non-anti-epidemic clinical nurses during the COVID-19 pandemic and the correlation between these two factors. Methods: Data of nonanti-epidemic clinical nurses from medical institutions in Nantong City of Jiangsu Province were collected using the Psychological Questionnaire for Emergent Events of Public Health (PQEEPH) and the Perceived Social Support Scale (PSSS) from February to March, 2020. Results: A total of 1,187 non-anti-epidemic clinical nurses were included into this study. The scores of the following dimensions in PQEEPH ranked from highest to lowest: depression (0.52±0.02) points, neurasthenia (0.37±0.01) points, fear (0.87±0.02) points, obsession-anxiety (0.24±0.01) points, and hypochondriasis (0.25±0.01) points. The total PSSS score was 63.46 points, of which, the scores of family support, friend support and other support were (21.89±4.27), (21.25±4.16) and (20.32±4.18) points respectively, indicating that these three factors had a negative correlation with emotional response. Conclusions: Non-anti-epidemic clinical nurses experience a negative psychological state during the COVID-19 pandemic and experience great support from family and friends.

13.
Iranian Journal of Ageing ; 17(2), 2022.
Article in Persian | Scopus | ID: covidwho-2026571

ABSTRACT

Objectives: In addition to physical damage, the Covid-19 epidemic can cause psychological problems and anxiety in public. Because the elderly is one of the most vulnerable groups in society, the present study aimed to assess the level of anxiety and obsession caused by the Covid-19 epidemic in the elderly and the relationship of those with the ability to perform activities of daily living (ADL) and Instrumental activities of daily living (IADL) in Iran in 2021. Methods & Materials: This cross-sectional study was performed on 300 older adults aged ≥60 years who were selected by a simple random sampling method. Data were collected by using a demographic questionnaire and Coronavirus Anxiety Scale (CAS), Obsessive Coronavirus Scale (OCS), ADL, IADL, and Geriatric Depression Scale (GDS-15) questionnaires. Data analysis was performed using SPSS18 and Mann-Whitney, Kruskal-Wallis, and Spearman’s correlation coefficient. Results: Participants were 214 (71.2%) under 70 years old. The prevalence of OCS and CAS in the elderly was 5.3% and 9%, respectively. Statistical analysis showed that OCD (r=0.220, p ≤ 0.001) and CAS (r= 0.322, p ≤ 0.001) have a significant correlation with depression. Also, CAS has a significant correlation with ADL (r=-0.114, p <0.05) Conclusions: The rate of OCS and CAS in the study didn’t significantly increase compared to the other age groups. But those scales significantly increased during the Covid-19 epidemic compared to before. Because of this, screening, referral, and more accurate follow-up of mental health services are necessary for clinics and health centers during the Covid-19 epidemic © 2022. Iranian Journal of Ageing.All Rights Reserved

14.
Front Psychiatry ; 13: 899266, 2022.
Article in English | MEDLINE | ID: covidwho-1987555

ABSTRACT

Objectives: Healthcare workers experienced great psychological burden due to the continuation of the COVID-19 pandemic. During the pandemic, medical healthcare workers experienced greater instances of insomnia, anxiety, depression, somatization, and obsessive-compulsive symptoms than the general population. This study aimed to explore the association between viral anxiety and obsession with COVID-19 among medical students with reassurance-seeking behavior as a mediator. Methods: In October 2021, an online survey was conducted among medical students at the University of Ulsan College of Medicine. The clinical characteristics of 162 participants and their responses to rating scales, including stress and anxiety to viral Epidemics-6 items (SAVE-6), Coronavirus Reassurance-Seeking Behaviors Scale (CRBS), Patient Health Questionnaire-9 items (PHQ-9), and Obsession with COVID-19 scale were collected. Results: Medical students' obsession with COVID-19 was based on the PHQ-9 (ß = 0.15, p = 0.01), SAVE-6 (ß = 0.43, p < 0.001), and CRBS (ß = 0.38, p < 0.001) scores (adjusted R2 = 0.49, F = 39.9, p < 0.001). Mediation analysis showed that medical students' viral anxiety and depression directly influenced their obsession with COVID-19, and their reassurance-seeking behavior partially mediated the effects of depression or viral anxiety on obsession with COVID-19. Conclusions: Medical students' viral anxiety and depression may affect their obsession with COVID-19, and reassurance-seeking behaviors may mediate this. Therefore, medical students should adopt adaptive coping strategies to prevent high levels of viral anxiety and recurrent reassurance-seeking behavior.

15.
The Historical Journal ; 65(4):1145-1173, 2022.
Article in English | ProQuest Central | ID: covidwho-1984328

ABSTRACT

A series of recent books all attest to a revival of interest in the theory and practice of parliamentary representation in the modern era as a scholarly discipline. This review surveys eight different aspects of that history since the early nineteenth century: the spatial dimension of the Palace of Westminster;the comparative framework offered by the history of parliaments in Europe;ideas of parliamentary representation;the history of parliamentary procedure;women in parliament;the House of Lords;the history of corruption;and the Brexit crisis. Insights and perspectives are drawn from recent historical research as well as from political science and intellectual history. The review concludes by observing that the history of parliamentary representation in the modern era is in good shape. Some older interpretive paradigms still lurk, especially an obsession with ‘democratization’. However, more is now known about individual MPs and constituencies than ever before. The digitization of the records of parliament is expediting the kind of longitudinal analysis which was impossible back in the 1960s and 1970s. And the intellectual history and public policy literature around the idea of representation is enjoying a renaissance.

16.
Sleep ; 45(SUPPL 1):A24-A25, 2022.
Article in English | EMBASE | ID: covidwho-1927387

ABSTRACT

Introduction: The prevalence of insomnia and other sleep disorders increased during the COVID-19 pandemic. While general anxiety, which increased during the pandemic, may account for some of the rise in sleep complaints, other factors may also contribute to insomnia. Here, we examined the potential contribution of fear of dying from the novel coronavirus on the severity of insomnia. We hypothesized that those endorsing a high fear of dying specifically from COVID-19 within 12 months of their assessment would demonstrate more severe insomnia. Methods: From April 2020 through October 2021, 13,298 U.S. participants (18-92 years old;57.5% female) completed a online survey (~1,000 participants per month) that included an assessment of their perceived likelihood of dying from COVID in the next year, the Generalized Anxiety Disorder scale-7 (GAD-7), and the Insomnia Severity Index (ISI). We examined insomnia over the course of the first year of the pandemic and divided the sample into those who endorsed at least a 50% or greater perceived likelihood that they would die from COVID-19 in the next year versus those who endorsed a less than 50% perceived likelihood of dying from the illness. Results: Fear of dying (50% chance or higher) was associated with higher ISI scores (p<.00001) and tended to decline over the course of the year (p<.00001). A significant month x fear interaction (p=.021) suggested that individuals who believed they would die within the year showed significantly fluctuations in insomnia over the course of 13 months with peaks around June and October 2020. Even accounting for situational anxiety (GAD-7), those with a fear of dying still demonstrated higher insomnia levels than their counterparts (p<.00001). Conclusion: Self-perceived likelihood of dying from COVID-19 in the near future was associated with significantly elevated severity of insomnia, and this remained true even when controlling for a clinical assessment of generalized anxiety levels. These findings suggest that fear of succumbing to the novel coronavirus contributed significantly to the severity of sleep problems during the first year of the pandemic.

17.
European Journal of Preventive Cardiology ; 29(SUPPL 1):i287, 2022.
Article in English | EMBASE | ID: covidwho-1915586

ABSTRACT

Background: The coronavirus (COVID19) pandemic has disrupted the provision of health care, including cardiac rehabilitation. Reduced healthcare provision has been associated with reduced accessibility, wheares patients' perspectives - such as COVID19-related anxiety, stress and obsessive thinking - have been less thouroghly addressed. Methods: This was a cross-sectional study of COVID19-related anxiety, stress and obsessive thinking in consecutive patients undergoing outpatient cardiac rehabilitation after myocardial infarction at two centres - a general hospital catering a predominantly rural area and a university hospital in an urban area. From April to October 2021 we captured patients' clinical and socio-economic characteristics, and resposes to the Hospital Anxiety and Depression Scale (HADS) as well as to three dedicated COVID19-related questionnaires - the Coronavirus Anxiety Scale, the Obsession with COVID-19 Scale and a customized COVID-19 Stress Scale. Results: We included 109 patients (mean age 59±10 years, 20% women). Fifteen (13.8%) and eleven (11%) patients reached a HADS treshold for depression and anxiety, respectively. Pateints expressed most concenrs regarding the safety of COVID19 vaccinces (60.6%) on the COVID19 Stress Scale, sleeping disturbances (14.8%) on the Coronavirus Anxiety Scale, and fear of interacting with infected people (30.3%) on the Obsession with COVID-19 Scale. No significant differences were observed between respondents from the general and the university hospital. HADS score and social status-but not age, sex and clinical characteristics-were associated with scores on the COVID-19-specific questionnaires;HADS-anxiety domain score remained an independent predictor of COVID19-related stress (p=0.009), obsessive thinking (p<0.001) and anxiety (p=0.009) after multivariate adjustment. Conclusions: Patients undergoing cardiac rehabilitation expressed relatively low levels of COVID19-related stress and anxiety. Higher levels of COVID19-related stress, anxiety, and obsessive thinking were observed in patients with higher levels of anxiety, but not in association with demographic or clinical characteristics.

18.
Omega (Westport) ; : 302228221110328, 2022 Jun 21.
Article in English | MEDLINE | ID: covidwho-1896166

ABSTRACT

The aim of the study was to determine Covid-19 anxiety, obsession, perception of risk and self-care agency levels of pregnant women during the pandemic and investigate the association between Covid-19 anxiety, obsession, perception of risk and self-care agency levels and the fears of death and losing their baby in the pregnant women. The study was a cross-sectional and descriptive study. Five hundred thirty-eight pregnant women were included in the study. "COVID-19 Anxiety Scale," "COVID-19 Obsession Scale," "Risk Perception in Pregnancy Scale," and "The Exercise of Self-Care Agency Scale" were used to collect data of the study. In this study, the total Cronbach's alpha reliability coefficients of the COVID-19 Anxiety Scale, COVID-19 Obsession Scale, The Perception of Pregnancy Risk Questionnaire, The Exercise of Self-Care Agency Scale were found to be 0.73, 0.70, 0.86 and 0.95 respectively. Statistical analysis of data in the study was conducted using SPSS (22.0, IBM Corp. Armonk, NY) statistical program. Statistically significant differences were identified between the mean score from COVID-19 anxiety scale and the mean scores from COVID-19 obsession scale, the perception of pregnancy risk questionnaire and the exercise of self-care agency scale. These results suggest that education and health policies that focus on the health of pregnant women and their fetus should be developed for antenatal care services.

19.
The International Journal of Public Sector Management ; 35(4):373-387, 2022.
Article in English | ProQuest Central | ID: covidwho-1891331

ABSTRACT

Introduction The emergence and the frequency of what may be described as monumental crises, such as devasting hurricanes, tornadoes, earthquakes and the COVID-19 pandemic, their impact on human health and economic development and the need to forcefully address them have brought forth or resurrected the idea of the administrative state and its role in governance as broadly defined once again (Lin et al., 2020). The policies implemented in the name of the NPM led to the erosion of the institutions of the administrative state through policies that sought to cut social programmes and public sector jobs, through the sale of public assets and privatization (Cordelli, 2020), along with a more general weakening of regulation and the underfunding of public infrastructures, particularly healthcare and emergency management systems (Hood and Scott, 1996;Tomic and Heims, 2022). [...]the essence of this essay is to understand the administrative state and the various trajectories it has gone through up to now. [...]while it is clear that the state's role in almost all nations has continued to experience dramatic shifts, especially in dealing with wicked problems, the need to understand this dramatic shift from a more general perspective continues to be obscured in the current discussion. [...]as argued, there is the need to look at the role of the administrative state in a more holistic perspective rather than the current obsession to examine it mainly from how the state has evolved under the COVID-19 pandemic.

20.
International Journal of Biology and Biomedical Engineering ; 16:207-220, 2022.
Article in English | EMBASE | ID: covidwho-1887460

ABSTRACT

The usage of Artificial intelligence in medical arena has proved to be a game changer in the detection and diagnosis of several medical conditions. In the current digital era, children with stressful medical issues are suffering from Deep Obsessive-Compulsive Disorder (DOCD). This kind of mental stress occurs in children because of the continuous usage of gadgets such as mobile phone, playing games using play stations, watching videos on tablets, etc. In most of the possibilities, single children are the ones affected with several obsessions such as stubborn activities, fighting for selfish priorities and so on. In medical terms, these kinds of complex behavioral changes are identified as DOCD. Genetic behaviors sometimes in a few group of children are also noticed as a modality difference. As symptoms are psychiatric impairment, such a child remains isolated, abnormal silence, being obsessive and repeating irrelevant words, high stress or anxiety. All medical challenges could be treated as healthcare research metrics and the gradual increase in DOCD disorder among children of this generation can be considered too. Early detection of DOCD is essential as it can help in early diagnosis but techniques to do so is unavailable currently. Deep learning-an artificial intelligence method can be utilized to detect DOCD, diagnose and treat it and bring about a positive character in children. Behavior changes in children can be classified and detected using transfer learning algorithms. In COVID-19 pandemic situation, 3% of DOCD has increased to 10-15% as a disorder. This information is retrieved from children by monitoring negative activities, unusual behavior such as nail biting, removing spectacles and placing them in the wrong place, watching tablets, mobile phones and television for more hours. Using Convolutional Neural Networks (CNN), input such as MRI (Magnetic resonance Imaging) is used for experimenting the variations in behavior with the high dimension that are analyzed from the image dataset. Using Transfer Learning with Inception V3-, CNN generalization of misophonia level can be statistically analyzed to avoid overfitting problems. By employing AI techniques, the aggression level can be predicted using data augmentation method with better accuracy and a low error rate than the existing systems. In the research it is observed that using the model employing Inception-V3 transfer learning CNN a better prediction of aggression levels can be achieved in comparison to the existing CNN model used.

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