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This study compares the serological antibody level post-COVID-19 vaccine among healthy subjects and psychiatric patients on antidepressant therapy. It also examines the difference in antidepressants' side effects experienced by psychiatric patients following the completion of two vaccine doses. A comparative posttest quasi-experimental study was conducted among healthy subjects and psychiatric patients on antidepressant medication in a teaching hospital in Malaysia. Elecsys Anti-SARS-CoV-2 assay was used to detect the antibody titre between weeks 4 and 12 post vaccination. The antidepressant side-effect checklist (ASEC) was used to monitor the occurrence of antidepressant-related side effects pre-and post-vaccination. 24 psychiatric patients and 26 healthy subjects were included. There was no significant difference in the antibody level between the patients (median = 1509 u/ml) and the healthy subjects (median = 995 u/ml). There was no significant worsening in the antidepressant-related side effects. The antibody level post-COVID-19 vaccine did not differ significantly between patients on antidepressant therapy and healthy subjects. Additionally, there was no change in the antidepressant side effects experienced by the patients following the completion of the vaccine.Copyright © 2022, Research Trends (P) LTD.. All rights reserved.
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The pandemic caused by COVID-19 has led to radical lifestyle changes worldwide, particularly in the Republic of Bulgaria, and was a factor for global changes in economics, politics, healthcare and daily life. Aim(s): The aim of the study was to analyze the public attitudes, awareness and fears related to the COVID-19 disease in the Republic of Bulgaria. Material(s) and Method(s): The survey was conducted between August 1st, 2022 and September 1st, 2022 via an anonymous questionnaire consisting of 24 closed questions. A total of 1861 people, aged 18-69 years and older, took part in the survey after being selected randomly. The data were statistically processed via MS Excel. Result(s): The main source of information to the respondents on issues related to COVID-19 was the Internet (29,8%), followed by TV (26%) and the specialized website (Single information portal) - 15,9%. More than one-third (35,1%) of the respondents was afraid of getting infected and an equal share of participants reported that they have been infected with COVID-19. More than half of the respondents (52,5%) adhered to all the provisions of the governmental bodies related to limiting the COVID-19 pandemic. The most frequent symptom of post- COVID-19 syndrome was being easily fatigued (26,7%), followed by shortness of breath (13,4%) and persistent cough (11,6%). Conclusion(s): The survey could be useful in understanding what were the public attitudes, awareness and fears related to the COVID-19 disease in the Republic of Bulgaria during the pandemic.Copyright © 2023 D. Penchev et al., published by Sciendo.
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Background: Of all teenage deaths caused by coronavirus disease 2019 (COVID-19), 47% occurred in children aged 0-9. Like many other infectious diseases, reducing mortality in children requires widespread vaccination. Despite the availability of the COVID-19 vaccine, a large percentage of children have not received the vaccine. Objective(s): This survey aimed to study parents' reluctance to receive the COVID-19 vaccine for their children in Shiraz, Iran. Method(s): An online questionnaire was sent to parents whose 5 to 11-year-old children had received no COVID-9 vaccine through the health educators of primary schools in Shiraz, Iran. The questionnaire contained demographic questions and 16 beliefs about COVID-19 vaccination that were answered as yes/no. Result(s): We assessed 1093 respondents, including 49.5% (n = 542) male and 50.5% female students' parents. The mean number of wrong beliefs was 7.21 +/- 2.80 in parents who had boys and 7.78 +/- 2.95 in girls' parents. Also, 78.6% of participants had at least five wrong beliefs or excuses for not vaccinating their children. Notably, 82.8% of mothers and 84.3% of fathers were vaccinated with 2-3 doses against COVID-19. The most common wrong beliefs were probable vaccines' side effects in the future, the undesirable effect of vaccination on children's growth, and the awful effect of the vaccine on fertility, with a prevalence of 82.7%, 81.2%, and 76.7%, respectively. Conclusion(s): This study identified that most participants believed that COVID-19 vaccines have side effects for their children and unfavorable effects on children's growth and infertility.Copyright © 2023, Author(s).
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Background: According to national prevalence data, SCD has an estimated economic burden of $2.98 billion per year in the United States and caring for a child with sickle cell disease (SCD) carries its own financial burden, resulting in higher healthcare costs and unintended days lost from employment. Social experiences are known to impact health outcomes in the general pediatric population. These experiences can be examined through the construct of social determinants of health (SDOH), the "condition in which people are born, grow, work, live and age" that impact their health. Since the WHO has designated COVID-19 a pandemic in January 2020, many families in the US have suffered financially, and during the shutdowns, there was a record number of jobs lost. The objective of this study was to determine the impact of the COVID-19 pandemic on financial and employment status of SCD Families Methods: This study was part of the larger CNH Sickle Cell Disease Social Determinants of Health study that was IRB approved. Caregivers of children with SCD completed a 30-question survey reporting their experiences with SDOH that included Demographics, USDA Food Security Scale, the We Care housing screening tool, and the validated COVID-19 Employment Status/COVID-19 related household finances survey in RedCap during clinic visits and hospitalizations Results: 99 caregivers of SCD patients responded to our survey (82.5% Female, 17.5% Male) (N=97). 93.9% identified as African-American, 3% identified as Hispanic or Latinx, 1% identified as "other". Of respondents, 66% were insured through on Medicaid and 33% had private insurance. Twenty-six percent endorsed food insecurity and 2724% relied on low-cost food. Thirty-one percent lived in an apartment, 67.768% lived in a home, 1% lived in shelter or transitional housing. Sixteen percent lived in subsidized or public housing. Thirty-seven (36.8%) percent reported at least once they were being unable to pay the mortgage or rent on time at least once, 9% (8.5%) reported living with other people because of financial difficulties, 55.2% reported their home not being heated, 7.2% reported being evicted from their home and 3.1% lived in an emergency shelter or transitional housing. 6.1% had an educational level of high school graduation or less, 42.2% were college graduates or completed additional post-graduate education (N=98). Two weeks prior to the pandemic, 61.5% worked full time, 13.5% worked part time, 6.3% were unemployed with only 2.1% working from home of the 96 caregivers who responded to this question. 15.5% (N=12 of 77) reported losing their job or were furloughed during the pandemic;34.4% (N=33 of 96) reporting at least one household member losing a job or a significant amount of income. Twenty-five percent (N=21 of 83) reported it was difficult to get work/school done because of the home environment. 36.4 % (N=35 of 96) reported household income was significantly less since February 2020. 53% (N=52 of 97) worried their household income has been or will be negatively impacted by the COVID-19 pandemic. Additionally, 48.9% (N=47 of 96) worried the value of their assets (housing, savings, other financial assets) has been or will be negatively impacted by COVID-19 and its effects. Since February 2020, 9.8% (N= 9 of 97) received unemployment insurance, 30.9% (N=29 of 94) received SNAP or food stamps, 16.5% (N= 15 of 91) received from the food pantry, 6.6% (N=6 of 90) applied for temp ass.
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Although the literature on psychological contracts is rich, researchers have so far paid limited attention to psychological contracts in times of crisis. To investigate how employees assess their psychological contracts during a crisis, we conducted 32 semistructured interviews during the third wave of the COVID-19 pandemic in Europe. The interviewees worked in the airline industry, which the pandemic severely affected. Our qualitative approach allowed us to gain novel insights into the mechanisms by which contracts are managed when the typical parameters of contract assessment are not possible, thereby allowing us to expand psychological contract theory. In addition to illustrating the key employer obligations that employees perceived during a crisis, we introduce two novel theoretical concepts -psychological contract credit and psychological contract inactivation - that explain how employees managed their contracts during the crisis. The practical findings of this study are of relevance to HR managers in managing future crises and addressing the aftermath of the COVID-19 pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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The COVID-19 pandemic has increased the incidence of serious social mental health problems such as depression. Changes to the way we work, such as telework, are potential factors for mental health problems. This study's aim was to investigate the relationship between difficulties adjusting to new work styles and depression among job workers during the first wave of the COVID-19 pandemic. We conducted a web-questionnaire survey of 919 Japanese workers (May 2020) using the snowball sampling method. A hierarchical logistic regression analysis using a dependent variable (depression), an independent variable (difficulty in work practices), and adjustment variables (gender, age, working practices, and coping) found that those who had difficulty "communicating with boss, colleagues, and subordinates" and "switching on and off" were more likely to be depressed. This study shows that there was a relationship between difficulty in work practices and depression during the pandemic. Given this study's limitations, it is hoped that the influence of region and occupation on depression will be examined by recruiting a wide range of participants in the future. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Many felt that the challenges related to COVID-19 were more difficult for students than for faculty and expressed concern for students struggling to manage the impacts of the pandemic. Pandemic privilege is illustrated several ways. First, faculty appreciated the privilege in the fact that, generally, their employment was not at risk. This was stronger for tenure-line faculty than for contract, clinical, and adjunct faculty. However, across the board, faculty expressed that they were privileged in their ability to continue working in meaningful employment and to do so from home. Second, faculty whose children were grown and more independent felt privilege related to the extra burden on colleagues with younger children at home. Additionally, many of the White faculty recognized a racial privilege, both in terms of the virus and more generally as a result of the racial justice movements across the country. And, faculty who were relatively healthy acknowledged the different impact of the virus for those with health-related complications or risk factors. Finally, faculty talked about their privilege in comparison to students. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Objectives: Since 2016, Sudan was transitioning from limited healthcare subsidization to universal health coverage (UHC). Increasing healthcare access was widely considered beneficial, but some worried that UHC would overwhelm clinical services. In 2020 and 2021 UHC faced the challenge of Covid-19. We undertook a review of national healthcare utilization and enrolment data in order to better understand the impact of UHC in Sudan. Method(s): We conducted a descriptive study using National Health Insurance Fund databases. We analyzed annual enrolment, participating facilities, prescription volume and utilization from 2016 to 2021. Enrolment was stratified by employment status (government, informal sector, private sector, pensioner, impoverished). Utilization was assessed by type of care: primary, specialty, chronic disease and other;we calculated the ratio of primary to specialty care visits. We used the Mann-Kendall test for evaluating trends. Result(s): Participating facilities increased from 2,083 in 2016 to 3,549 in 2019, with slight contraction to 3,495 during 2020-21. Annual enrolment increased significantly, from 16.4 million in 2016 to 36.5 million in 2021 (p value < 0.01). The impoverished sector had the largest increase in enrolment (217%);informal sector had the lowest enrolment growth rate (7%). Volume of primary healthcare visits and prescriptions increased every year, except 2020, the first year of Covid-19 in Sudan. Specialty healthcare visits decreased over the same period, from 2,461,424 to 1,249,585 (p < 0.01). The ratio of primary to specialty visits increased from 6.0 in 2016 to 15.7 in 2021 (p < 0.001). Conclusion(s): In Sudan, transition to UHC increased utilization of primary care services, but at a slower rate than enrolment growth. The ratio of primary to specialty visits increased and specialty visits declined, suggesting that more primary care may have prevented specialist-requiring disease states and sequelae. Fears of overwhelming the health system were unfounded indicating that other barriers to healthcare might exist.Copyright © 2023
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The increased mortality rates from COVID-19 in Brazil have adversely affected vulnerable populations and placed a severe burden on its public health system as compared to other nations. Focusing on socioeconomic status as a risk factor in this retrospective cohort study, I investigated the association between Brazilian COVID-19mortality rate, income, school enrollment rate, and employment rate after controlling for the demographics and immunization rate. This is an important issue as an increase in incidence and mortality rates affects how governmental and public health leaders can effectively control and prevent disease spread. Using the fundamental causes of disease theory as the theoretical framework, I evaluated the underlying influence of socioeconomic factors on COVID-19 mortality at different geographic levels (region, state, and capital). Therefore, the foci of these three manuscripts is the need to assess this influence to encourage governmental response through better planning, strategies, and actions toward socioeconomic equality in Brazil, which could promote a reduction in the COVID-19 mortality rate. Most findings do not agree with the theory tested, which can be explained by a series of other factors, such as population density and heterogeneity.Thus, there are still inconsistencies regarding how minority groups are at greater risk of disease contamination and death. The social change implications of this study include a potential increase in opportunities for socioeconomic equality. A decrease in the COVID19 mortality rate could also allow Brazilians to improve individual lives with healthier families and communities. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Aims. The aim is to study the features of life and the incidence rate of anxiety and depressive disorders among medical faculty students studying remotely during the epidemic of a new coronavirus infection (Covid 19) at the Kabardino-Balkarian State University named after H.M. Berbekov. Materials and methods. We examined 335 students (34% males, 66% females) at the Faculty of Medicine in November- December 2020. The average age of the students examined was 20.3+/-2.3 years. The study included an anonymous mail survey to examine educational conditions, lifestyle, levels of anxiety and depression. Results. 43.8% of the students had insufficient sleep duration, 58.5% had low physical activity, in 24.8% of them we recorded high levels of situational anxiety and in 82.1% of them personal anxiety, in 7.1% of the students we recorded clinically expressed anxiety and 1.8% had clinically expressed depression. During the transition to remote learning, students increased the time use to prepare for classes (51.2%) and the duration of sleep (61.5%), while their physical activity decreased (76.5%). Statistically significant linear correlations were identified between the level of anxiety and depression and the duration of sleep, low physical activity, preparation time for classes, academic performance, and academic debt. Conclusions. The results obtained by us can be used to optimize the educational process, as well as to preserve the mental health of students during the transition to distance learning.Copyright © 2020 Novyi Russkii Universitet. All rights reserved.
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Background: Within the coronavirus 2019 (COVID-19) pandemic, literature has found worsened patient outcomes and increased virus transmissibility associated with reduced air quality. This factor, a structural social determinant of health (SDOH), has shown great promise as a link between air quality and patient outcomes during the COVID-19 pandemic. Researching SDOH within our patient populations is often difficult and limited by poor documentation or extensive questionnaires or surveys. The use of demographic data derived from the electronic health record (EHR) to more accurately represent SDOH holds great promise. The use of area-level determinants of health outcomes has been shown to serve as a good surrogate for individual exposures. We posit that an area level measure of air quality, the county-level Air Quality Index (AQI), will be associated with disease worsening in intensive care unit (ICU) patients being treated for COVID-19. Method(s): We will calculate AQI using a combination of open-source records available via the United States Environmental Protection Agency (EPA) and manual calculations using geospatial informatics systems (GIS) methods. Subjects will be identified as adult (> 18 years) patients admitted to Vanderbilt University Medical Center's ICUs between January 1, 2020, and March 31, 2022 with a positive SARS-CoV-2 laboratory analysis result. We will exclude patients without a home address listed. Patient demographic and hospital data from ICU admission to 28 days following admission will include: age, sex, home address, race, insurance type, primary language, employment status, highest level of education, and hospital course data. Together these will be collated to produce our primary outcome variable of WHO Clinical Progression Scale score. These validated scores range from 0 (uninfected) to 10 (dead) to track clinically meaningful progression of COVID-19 infected patients. Our AQI variable will be obtained from the EPA available county-level monitoring station spatial data combined with open-source state/county center point spatial data. These data contain historic cataloguing to determine air quality at both specific time points and averages over time. Where a county's average yearly AQI is not available due to lack of a monitoring station, we will use spatial data tools to calculate an average based on data from nearby stations. We will utilize yearly averages of AQI in the year prior to COVID-19 diagnosis to describe overall impact of air quality on patients' respiratory outcomes as opposed to single day exposures. Linkage of patient data to AQI database will be performed using patient addresses. Discussion(s): By combining area level data with electronic health record (EHR) data, we will be positioned to understand the contribution of environmental and social determinants of health on patient outcomes. Our long-term goal is to elucidate which social and environmental determinants of health are associated with worse outcomes from COVID-19 and other respiratory viruses, using data extracted from the EHR.
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Background: SARS-CoV-2 seroprevalence data in women living with HIV (WLHIV), their infants and associated risk factors in this subpopulation remain limited. We retrospectively measured SARS-CoV-2 seroprevalence from 09/2019- 12/2021 among WLHIV and their children in the PROMOTE observational cohort in Uganda, Malawi, and Zimbabwe prior to widespread SARS-CoV-2 vaccination in those countries. Method(s): Sociodemographic, clinical data and blood were collected q6 months. Plasma stored during 3 waves of the COVID-19 pandemic in East/ Southern Africa were tested for SARS-CoV-2 specific IgG antibodies (Ab) using serological assays that detect adaptive immune responses to SARS-CoV-2 spike protein. Modified-Poisson regression models were used to calculate prevalence rate ratios (PRR) and 95% confidence intervals (CI) to identify sociodemographic and clinical risk factors. Result(s): Plasma samples from 979 PROMOTE mothers and 1332 children were analysed. We found no significant differences in baseline characteristics between participants testing positive (+) and negative (-) for SARS-CoV-2 Ab. Overall maternal SARS-CoV-2 seroprevalence was 57.6% (95%CI: 54.5-60.7) and 39.3% (95%CI: 36.7-41.9) for infants. The earliest + result was detected from a sample collected on 09/2019, in Malawi. Factors significantly associated with SARS-CoV-2 seropositivity were country of origin (reference Uganda, aPRR 1.45, 95%CI: 1.24-1.69) and non-breastfeeding mother (aPRR=1.22, 95%CI: 1.02-1.48). Children above 5 years had a 10% increased risk of SARS-CoV-2 seropositivity (aPRR=1.10, 95%CI: 0.90-1.34) when compared to younger children. We found no statistically significant association with sanitation, household density, distance to clinic, maternal employment, ART regimen or viral load. Mother/infant SARS-CoV-2 serostatuses were discordant in 373/865 (43.1%) families tested: mothers+/children- in 51.2%;mothers-/children+ in 12%;child+/sibling+ concordance was 21.4%. Conclusion(s): These SARS-CoV-2 seroprevalence data indicate that by late 2021, about half of mothers and about a third of children in a cohort of HIV-affected families in eastern/southern Africa had been infected with SARS-CoV-2. Breastfeeding was protective for mothers, likely because of the need to stay home for young children. Discordant results between children within same families underscores the need to further understand transmission dynamics within households.
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Background: Sexual health is an important component of general health. Objective(s): To evaluate sexual function and sexual quality of life (SQOL) in women during the COVID-19 pandemic. Method(s): This descriptive, cross-sectional study was conducted in Turkey. Data were collected via a Visual Analog Scale (VAS), Female Sexual Function Index (FSFI), and Sexual Quality of Life-Female (SQOL-F) questionnaire. Result(s): The mean FSFI score was 26.91+/-5.62, and 39.1% of the women had an FSFI score of 26.55 or lower. The mean SQOL-F score was 79.08+/-20.90. FSFI score was significantly associated with employment status (beta=-0.661), partner education (beta=1.698), sexual compatibility between partners (beta=0.518), sexual satisfaction (beta=0.230), fatigue level (beta=-0.120), and frequen-cy of sexual intercourse (beta=0.160). In addition, SQOL-F score was significantly associated with sexual desire (beta=2.625), satisfaction (beta=1.338), pain or discomfort (beta=1.274), age (beta=-0.356), sexual compatibility between partners (beta=1.984), and fatigue level (beta=-0.981) (p<0.05). Conclusion(s): Less than half of the women participating in this study had sexual dysfunction, and overall SQOL was moderate to high. These results were associated with some descriptive characteristics of the women and were similar to those reported in pre-pandemic studies conducted in Turkey.Copyright © The Authors.
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Objective: The recently emerged coronavirus disease (COVID-19), which is caused by the severe acute respiratory syndrome virus-2 (SARS-CoV-2), was declared as a pandemic by the WHO in March 2020. The knowledge and awareness of the general populations about the modes of the disease transmission deemed extremely important in preventing the spread of COVID-19. This study aims to determine the knowledge and awareness of the Saudi population in Asir region towards the COVID-19. Design and Setting: A cross-sectional, community-based study was conducted by recruiting 715 participants. A self-administered structured questionnaire was distributed to the participants that comprised several sections including the demographics, sources of medical information, acquaintance of mode of the virus transmission, diagnostics and preventive measures of the infection. Method(s): Data analysis was executed through SPSS program version 26. Result(s): Significant differences in the knowledge and attitude of Saudi population towards COVID-19 based on the differences in marital status (p=0.036), place of residence (p= 0.012), use of electronic devices (p =0.043), and sources of information (p <0.001) were observed. Non-significant variations in the average scores over the genders (p=0.616), age groups (p=0.252), educational level of parents (p=0.685), educational level of children (p=0.822), number of children (p=0.5), employment status (p=0.079), monthly income (p=0.339) and internet access (p =0.227) were noted. Conclusion(s): Although, the general knowledge and awareness about the different elements pertaining to COVID-19 among the population in the study area are satisfactory to assist in the control of the infection, more directive measures are to be implemented to improve that awareness.Copyright © 2023, Bahrain Medical Bulletin. All rights reserved.
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Transgender and gender diverse (TGD) individuals are faced with various societal factors that contribute to health disparities. As COVID-19 spreads, health disparities that existed prior to the pandemic have become exacerbated. The current study aims to address factors that may be negatively impacting TGD individuals during the COVID-19 pandemic by exploring their experiences related to symptoms of depression, symptoms of anxiety, employment, and housing. TGD participants (N = 342) were recruited from an online participant recruitment platform and answered questions related to their psychological well-being and changes in employment and housing since the start of the pandemic. Adverse changes in employment since the start of the pandemic were reported by almost 1/3 of participants and were associated with higher depression and anxiety. Changes in housing were reported by almost 1/4 of participants and were associated with higher anxiety. Experiencing COVID-19 symptoms or receiving a COVID-19 diagnosis were also associated with higher anxiety. Findings indicate TGD individuals who experienced changes in employment and housing since the start of the COVID-19 pandemic experience greater levels of psychological distress. Findings may inform mental health providers and policymakers on the repercussions the pandemic has had on TGD individuals. (PsycInfo Database Record (c) 2023 APA, all rights reserved) Impact Statement The current study explored the ways that housing and employment instability brought on by the COVID-19 pandemic contributed to heightened psychological distress among a sample of transgender and gender diverse (TGD) individuals collected using an online survey platform. Our findings indicate that TGD individuals experienced heightened levels of psychological distress directly related to employment and housing instability which is a crucial and timely concern given that TGD individuals experienced greater psychological distress, unemployment, and housing instability relative to the general population prior to the pandemic. Receiving a COVID-19 diagnosis or experiencing symptoms associated with COVID-19 also predicted heightened levels of psychological distress. It is recommended that additional TGD-specific protections be implemented and expanded upon in order to meet the current and impending needs of TGD individuals. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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The devastating effects of the Novel Coronavirus and the impact that stay-at-home orders and mask mandates have placed on businesses have caused countries to plummet into economic recession. State quarantine measures and the fear of contracting the virus have led to structural change, resulting in more people enlisting on welfare rolls. The significance of this issue is the continual problem of helping individuals on welfare secure and maintain long-term employment. The purpose of this study was to understand clearly where the problem lies that contributes to the inability of large volumes of welfare recipients to maintain long-term employment. This study provided insight into why substantial amounts of recipients are inhibited in securing long-term employment after completing welfare educational programs. The major contribution of this work is filling the gaps in the literature by illuminating new revelations to understand why individuals completing welfare programs are unsuccessful in maintaining long-term employment. Utilizing a narrative inquiry research design of six participants from two northern New Jersey career technical schools, the researcher examined four welfare vendor instructors and two educational administrators on their varied experiences and classroom methodologies. From the rich text data given by each instructor, the researcher was able to gain insights from the coded responses of each respondent. The researcher utilized artifacts (i.e., syllabi, job requirements, lesson plans, record of training, and the student handbook) to identify trends in institutional practices. Finally, a thematic analysis of all coded data yielded three overarching themes: (1) pedagogy and limited teaching strategies;(2) efficacy of soft skills readiness, which was broken down further into the sub-themes of (a) andragogical instructional deployment, and (b) soft skills: conversations versus course within the curriculum;and (3) instructor readiness and the drawbacks of accelerated learning. The researcher observed snapshots of classroom methodological patterns of instruction that may have contributed to welfare recipients' inability to maintain long-term employment. Holistically, this study examined the effectiveness of welfare educational vendor programs and classroom methodologies that impact long-term employment outcomes. The concluding chapter provides recommendations for improvements to help welfare recipients obtain long-term employment. This study provided opportunities to mitigate existing conditions that hinder individuals from maintaining long-term employability. In addition, the saliency of this study contributes to improving classroom instructional methodologies that can help individuals maintain long-term employment outcomes, particularly by giving students the ability to obtain self-sufficiency in supporting their families within distressed communities in northern New Jersey. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Importance: Women with interstitial cystitis/bladder pain syndrome (ICBPS) face isolation and treatment challenges. Group medical visits using Centering models have successfully treated other conditions but have not been explored in ICBPS. Objective(s): This study aimed to describe ICBPS pain and symptom control comparing standard treatment alone versus standard treatment augmented with Centering visits. Study Design: This prospective cohort study recruited women with ICBPS receiving standard care (control) or standard care augmented with group Centering. We administered validated questionnaires at baseline and monthly for 12 months. The primary outcome was change in the pain numerical rating scale, with Patient-Reported Outcomes Measurement Information System Pain Interference Scale and Bladder Pain/Interstitial Cystitis Symptom Score change as secondary measures. Result(s): We enrolled 45 women (20 Centering, 25 controls). Centering had significantly better numerical rating scale pain scores at 1 month (mean difference [diff], -3.45) and 2 months (mean diff, -3.58), better Patient-Reported Outcomes Measurement Information System Pain Interference Scale scores at 1 month (mean diff, -10.62) and 2 months (mean diff, -9.63), and better Bladder Pain/Interstitial Cystitis Symptom Score scores at 2 months (mean diff, -13.19), and 3 months (mean diff, -12.3) compared with controls. In modeling, treatment group (Centering or control) and educational levels were both associated with all the outcomes of interest. Beyond 6 months, there were too few participants for meaningful analyses. Conclusion(s): Women with ICBPS participating in a Centering group have, in the short term, less pain, pain interference, and ICBPS-specific symptoms than patients with usual care alone. Larger studies with more follow-up are needed to determine if this treatment effect extends over time.Copyright © 2022 American Urogynecologic Society. All rights reserved.
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Objective: This research was carried out as a descriptive and cross-sectional study between January and April 2021 in order to determine the relationship between COVID-19 fear and COVID-19 hygiene behaviors in adults. Materials and Methods: The sample of the research consisted of 1876 individuals who accepted to participate in the online survey with the snowball sampling method and completed the research completely. Research data were obtained with an introductory questionnaire, COVID-19 Fear Scale and COVID-19 Hygiene Behavior Scale. In the analysis of the data, number-percentage calculations, mean, standard deviation, independent t test and ANOVA, Pearson Correlation and Linear regression tests were used. Results: The mean score of the individuals on the COVID-19 Fear Scale was found to be 19.51±.89 and the total mean score of the COVID-19 Hygiene Behaviors Scale was found to be 105.35±18.61. The COVID-19 fear level of the participants;It was determined that gender, education status, working status, place of residence, socio-economic status, individual with chronic disease at home, anxiety due to COVID-19, change in hygiene behavior, thinking that hygiene will prevent COVID-19 explained 21.4%. Variables of age, gender, education status, employment status, marital status, family type, presence of children, place of residence, socioeconomic status, individuals with chronic diseases at home, anxiety due to corona, change in hygiene behavior, thinking that hygiene will prevent corona, COVID-19 Hygiene The level of their behavior;It was determined that 14% explained. Conclusion: As the COVID-19 fear levels of individuals increase, the COVID-19 hygiene behaviors also increas. Amaç: Bu araştırma, yetişkinlerde COVID-19 korkusu ile COVID-19 hijyen davranışları arasındaki ilişkiyi belirlemek amacıyla Ocak-Nisan 2021 tarihleri arasında tanımlayıcı ve kesitsel olarak yapılmıştır. Gereç ve Yöntem: Araştırma verileri, "Veri Toplama Formu”, "COVID-19 Korkusu Ölçeği” ve "COVID-19 Hijyen Davranış Ölçeği” ile elde edilmiştir. Verilerin çözümlenmesinde sayı-yüzde hesaplamaları, ortalama, standart sapma, bağımsız t testi ve ANOVA, Pearson Korelasyon ve Lineer regresyon testleri kullanılmıştır. Bulgular: Bireylerin COVID-19 Korku Ölçeği puan ortalaması 19.51±6.89, COVID19 Hijyen Davranışları Ölçeği toplam puan ortalaması 105.35±18.61 olarak bulundu. Katılımcıların COVID-19 korku düzeyinin;cinsiyet, öğrenim durumu, çalışma durumu, yaşadığı yer, sosyoekonomik durum, evde kronik hastalığı olan birey, COVID-19 nedeniyle endişe, hijyen davranışı değişikliği, hijyenin COVID-19'u engelleyeceğini düşünme değişkenlerinin %21.4'ünü açıkladığı saptanmıştır. Yaş, cinsiyet, öğrenim durumu, çalışma durumu, medeni durum, aile tipi, çocuk varlığı, yaşadığı yer, sosyoekonomik durum, evde kronik hastalığı olan birey, korona nedeniyle endişe, hijyen davranışı değişikliği, hijyenin koronayı engelleyeceğini düşünme değişkenlerinin, COVID-19 Hijyen Davranışları düzeyinin;%14'ünü açıkladığı belirlenmiştir. Sonuç: Bireylerin COVID-19 korku düzeyleri arttıkça, COVID-19 hijyen davranışları da artmaktadır.
ABSTRACT
At the arrival of Covid 19 and under the isolation measures, businessmen have implemented protocols to mitigate the contagion and the advance of the disease. Thus, for activities within the organization that do not require transformation processes and where the employee's physical presence is not required, new forms of work were established, such as the implementation of temporary work from home or permanent teleworking. According to the above, the present research proposal arises, which under a mixed methodology, of a descriptive-transversal type, focuses on the analysis of the different business scenarios from the technical, technological, economic and human variables that allow evaluating the effectiveness of the implementation and adequacy of the aforementioned modalities as a contingency in the face of the Covid 19 pandemic and that in the same way they allow contributing to the economic reactivation processes. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.