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1.
Asia-Pacific Defence Reporter ; 49(4):29-29, 2023.
Article in English | Academic Search Complete | ID: covidwho-20244354
2.
Dissertation Abstracts International: Section B: The Sciences and Engineering ; 84(8-B):No Pagination Specified, 2023.
Article in English | APA PsycInfo | ID: covidwho-20244271

ABSTRACT

The novel coronavirus (COVID-19) pandemic and strategies meant to mitigate infections caused disruptions to healthcare services across the globe. To evaluate the impact of the COVID-19 pandemic on the healthcare of patients with type 2 diabetes in the VA healthcare system, this work enumerated a cohort of patients with type 2 diabetes who utilized care in the VA across all months between March 2018 and February 2022 and analyzed service utilization, medication adherence, and diabetes-related short-term outcomes.The first objective was to determine the effect of the pandemic's interruption on the utilization of diabetes-related outpatient encounters. Results showed that the share of patients with diabetes with at least one virtual care visit increased from 3.4% in the pre- COVID year (March 2019 to February 2020) to 16.4% in the first year during COVID (March 2020 to February 2021) while the percent of patients with diabetes with an in- person diabetes-related outpatient visit fell from 89.8% to 72.3%.Second, large changes in oral antidiabetic medication use, adherence (i.e., proportion of days (PDC) covered >=80%), and discontinuation (zero days covered) were discovered during the pandemic among patients with treated type 2 diabetes. The mean percent adherent was 23.4%, 11.6%, and 30.1% during the pre-pandemic (i.e., March 2018-February 2020), pre-vaccine pandemic (i.e., March 2020-December 2020), and post-vaccine pandemic (i.e., January 2021-February 2020) periods, respectively.Finally, this study evaluated changes in average A1C measurement, glycemic control, and preventable diabetes outcomes before and during the COVID-19 pandemic. The percent of eligible patients with A1C measurement decreased by 8.6% when the pandemic began, trending back to pre-pandemic levels by January 2021, at which point it fell by about 1% per month to end of study. The rate of uncontrolled diabetes averaged 400 per 100,000 before the pandemic, but rose to almost 550 per 100,000 patients during the pandemic. Likewise, the rate of short-term complications averaged 30 per 100,000, but rose to 49 per 100,000 at its high during the pandemic.The pandemic's interruptions caused vast differences in the healthcare routines of patients with diabetes, which initially led to more negative outcomes than before the pandemic. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

3.
Clinical Immunology ; Conference: 2023 Clinical Immunology Society Annual Meeting: Immune Deficiency and Dysregulation North American Conference. St. Louis United States. 250(Supplement) (no pagination), 2023.
Article in English | EMBASE | ID: covidwho-20243104

ABSTRACT

Genotypic definition of monogenic inborn errors of immunity (IEIs) continues to accelerate with broader access to next generation sequencing, underscoring this aggregated group of disorders as a major health burden impacting both civilian and military populations. At an estimated prevalence of 1 in 1200 individuals, IEIs affect ~8,000 patients within the Military Health System (MHS). Despite access to targeted gene/exome panels at military treatment facilities, most affected patients never receive a definitive genetic diagnosis that would significantly improve clinical care. To address this gap, we established the first registry of IEI patients within the MHS with the goal of identifying known and novel pathogenic genetic defects to increase diagnosis rates and enhance clinical care. Using the registry, a research protocol was opened in July 2022. Since July we have enrolled 75 IEI patients encompassing a breadth of phenotypes including severe and recurrent infections, bone marrow failure, autoimmunity/autoinflammation, atopic disease, and malignancy. Enrolled patients provide blood and bone marrow samples for whole genome, ultra-deep targeted panel and comprehensive transcriptome sequencing, plus cryopreservation of peripheral blood mononuclear cells for future functional studies. We are also implementing and developing analytical methods for identifying and interrogating non-coding and structural variants. Suspected pathogenic variants are adjudicated by a clinical molecular geneticist using state-of-the-art analysis pipelines. These analyses subsequently inform in vitro experiments to validate causative mutations using cell reporter systems and primary patient cells. Clinical variant validation and return of genetic results are planned with genetic counseling provided. As a proof of principle, this integrated genetic evaluation pipeline revealed a novel, candidate TLR7 nonsense variant in two adolescent brothers who both endured critical COVID-19 pneumonia, requiring mechanical ventilation and extracorporeal membrane oxygenation. Our protocol is therefore poised to greatly enrich clinical genetics resources available in the MHS for IEI patients, contributing to better diagnosis rates, informed family counseling, and targeted treatments that collectively improve the health and readiness of the military community. Moreover, our efforts should yield new mechanistic insights on immune pathogenesis for a broad variety of known and novel IEIs.Copyright © 2023 Elsevier Inc.

4.
Clinical Health Psychology in Military and Veteran Settings: Innovations for the Future ; : 239-252, 2022.
Article in English | Scopus | ID: covidwho-20241516

ABSTRACT

The COVID-19 international crisis has challenged us all in health care systems around the world. But, in military and veteran health care system, it may appear that the challenges are far greater. For example, military health care providers and soldiers have additional responsibility of deploying to defend the nation. Even, when soldiers are not at war, the day-to-day routine involves long hours, coupled with stressful field training exercise. In addition, military personnel typically relocate or move very three to four years from one duty assignment to another. In this chapter, suggestions are made for future research and clinical applications as part of a response to the COVID-19 challenges in the unique military and veteran health clinics. The need to improve treatment engagement and support for health care workers in military and veteran hospitals are provided. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

5.
Vestnik Rossijskoj Voenno-Medicinskoj Akademii ; 24(3):489-496, 2022.
Article in Russian | Scopus | ID: covidwho-20240230

ABSTRACT

The military commissariat requests information characterizing their state of health in order to study the state of health of citizens subject to conscription before the next conscription of citizens for military service. An interdepartmental request for this information's provision to medical organizations and institutions of medical and social expertise is encouraging to be issued in the form of an electronic document using a unified system of interdepartmental electronic interaction, taking into account the trends in the development of the public administration system. Interdepartmental interaction optimization through creation of an electronic interaction mechanism will allow military commissariats to promptly exchange information in real-time characterizing the citizens' state of health subject to conscription for military service with medical organizations of the state and municipal health care system, and federal state institutions of medical and social expertise. The direct connection of the military commissariat to the state information system in the field of healthcare of the subject of the Russian Federation by means of cryptographic protection of information will contribute to improving the quality as well as deceasing the medical examination time of citizens subject to conscription, thus improving the efficiency of providing medical services to citizens in medical organizations. The public administration system was successfully reoriented to provide state and municipal services in a remote format during the unstable epidemiological situation caused by the pandemic of a new coronavirus infection. Optimization of interdepartmental electronic interaction will allow military commissariats to take additional preventive measures to avoid infection and avert the spread of a new coronavirus infection during the recruitment campaign. Modern digital technologies and solutions are able to provide a qualitative leap in the organization of conscription of citizens for military service, which can be implemented without significant financial costs in the short term. However, there is a growing need to involve a proper number of participants of the military command and other state authorities in solving this complex problem. All rights reserved © Eco-Vector, 2022.

6.
Hadmernok ; 18(1):43-57, 2023.
Article in English | ProQuest Central | ID: covidwho-20239687

ABSTRACT

The aim of the law is to ensure personal, material and organisational conditions for safe work without endangering human health, to prevent work accidents and occupational diseases by defining the rights and obligations of the state, employers and employees. Since 2003, the concept of occupational safety and health commissioning has been included in the law, which plays a prominent role in the commissioning of dangerous technology or work equipment in health care. [...]of the epidemic, not only the so-called back office area, but also in patient care, the concept of remote work appeared in the field of telemedicine, and some other areas, such as in the case of finding analysis. According to the legislation, the employer must register and Investigate all accidents at work. [...]of this, a wave of insourcing started and in several health institutions they started to employ their own doormen again, wh ich raises further problems.

7.
Revista Cubana de Medicina Militar ; 52(1), 2023.
Article in Spanish | Scopus | ID: covidwho-20239618

ABSTRACT

Introduction: For police and military, access to suitable and truthful information has always been important, during the pandemic the need was even greater due to the tasks assigned to them as part of the front line against the COVID-19 pandemic. Objective: To determine the factors associated with fear of pandemic information received by Peruvian police and military personnel. Methods: Cross-sectional study with analytical procedures, 1 017 Peruvian police and military were surveyed, through surveys conducted during the pandemic, a validated test was used to measure the perception of fear or concern transmitted by the media, the frequencies and analytical results were reported. Results: The respondents perceived a lot of fear of social networks (22% strongly agree and 36% agree) and television (20% strongly agree and 32% agree). In the multivariate model, the military perceived less fear compared to the police (aPR: 0.65;CI95%: 0.49-0.88;value p= 0.004), in addition, the Internet was the medium that generated a greater frequency of perception of fear among the respondents (aPR: 1.65;CI95%: 1.04-2.61;value p= 0.032), adjusted for 3 variables. Conclusion: Television and social networks are the main media that generate fear among police and military;in addition, being scared was more associated with being informed through the Internet. © 2023, Editorial Ciencias Medicas. All rights reserved.

8.
Springer Polar Sciences ; : 185-192, 2022.
Article in English | Scopus | ID: covidwho-20239541

ABSTRACT

The current (and largely unforeseen) COVID-19 pandemic highlights the value of scenario analysis as a complementary exercise to standard, extrapolative prediction. In this chapter, we review our main findings for geopolitical scenario analysis in general, and for Antarctic geopolitical futures in particular. We conclude that the Antarctic Treaty promotes effective governance of a region described in the Madrid Protocol as ‘a natural reserve devoted to peace and science'. We hope to have shown that a classical geopolitical lens is important and relevant to the study of Antarctic futures. On the specific topic of militarisation, we identified some key driving forces for change and equilibrium. How well the ATS responds to these driving forces will turn on its resilience as a governance system. By this, we mean ‘a capacity to prepare for, to respond to, or bounce back from problems or perturbations and disturbances, which cannot necessarily be predicted or foreseen in advance' (Chandler and Coaffee 2017). As we have seen, scenarios are useful in this zone beyond standard prediction—provided they are plausible, rigorous, and robust. It is our hope that like-minded Parties and researchers might collaborate in scenario work, to contribute to the resilience of the ATS in the challenging years ahead. © 2022, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

9.
Vestnik MGIMO-Universiteta ; 16(2):87-103, 2023.
Article in English | Scopus | ID: covidwho-20238084

ABSTRACT

The ongoing Russian military operation in Ukraine since February 2022 has presented significant challenges to China's foreign and security policies, as well as its economic and technological ties with the West. Initially, China refrained from criticizing Russia's military actions and adopted a "neutral" or "independent" stance in response to Western criticism. However, China was taken aback by the protracted nature of the conflict and Russia's inability to successfully conclude its military operation. This raised concerns within China, considering its own situation of potentially reunifying with Taiwan through military means if necessary. While there are distinctions between the situations in Ukraine and Taiwan, the initial speculation of China conducting military operations against Taiwan has gradually diminished, although military pressure on Taiwan remains. The conflict in Ukraine has also caused internal divisions within China and has had an impact on its relations with the West, which are crucial for China's rise on the global stage. This article aims to examine China's interests and positions regarding the ongoing Ukrainian conflict, the implications for its relations with Russia, and the opportunities and challenges that China faces in the current situation. The article employs an inductive approach, analyzing China's predicaments at four levels: perceptions within the decision-making bodies of the Communist Party, the foreign ministry, think-tanks, and the media community. It argues that in conjunction with China's economic contraction resulting from the COVID-19 pandemic, the Russian military operation has prompted China to seriously contemplate how to safeguard its national interests, particularly with regard to Taiwan and its strategic objectives of attaining a prominent global position. These considerations carry medium to long-term implications for the evolving regional and global orders. In conclusion, the article briefly discusses the implications of these developments on India, shedding light on the broader regional dynamics influenced by China's response to the Ukrainian conflict. © 2023, MGIMO Universty Press. All rights reserved.

10.
Journal of the Korean Medical Association ; 66(3):200-208, 2023.
Article in Korean | EMBASE | ID: covidwho-20237950

ABSTRACT

Background: This study aimed to identify the incidence rate of post-coronavirus disease-2019 (COVID-19) conditions in the Republic of Korea (ROK) Army and to investigate the trend of the incidence rate according to changes in dominant variants. Method(s): We used the results of a 19-item, self-completed survey of those who had recovered from COVID-19 in the ROK Army between March 24, 2020, and April 30, 2022. We used both descriptive and multiple logistic regression analyses to identify factors associated with the incidence rate of post-COVID-19 conditions. Result(s): Among the total of 48,623 COVID-19 episodes in the ROK Army, the overall incidence rate of post-COVID-19 conditions was 32.9%. Based on the survey, the incidence of cough was the highest at 15.4%, followed by fatigue (15.1%) and sputum (13.8%). The delta variant had the highest incidence rate of post-COVID-19 conditions at 50.7%, whereas the omicron variant had the lowest at 19.7%. Concerning the type of post-COVID-19 condition, the neuropsychiatric symptoms had the highest incidence at 27.4% when the delta variant was dominant, and the respiratory symptoms were highest at 37.3% when the omicron variant was dominant. In the case of smell and taste symptoms, the incidence rate was high at 21.1% only when the delta variant was predominant. Conclusion(s): The overall incidence rate of post-COVID-19 conditions in the ROK Army was 32.9%. When the delta variant was dominant, the overall incidence as well as the proportion of neuropsychiatric symptoms were high. However, as the omicron variant became dominant, the overall incidence decreased, but the proportion of respiratory symptoms increased.Copyright © Korean Medical Association.

11.
Pakistan Journal of Medical and Health Sciences ; 17(2):573-576, 2023.
Article in English | EMBASE | ID: covidwho-20237820

ABSTRACT

Objective: To determine the diagnostic accuracy of elevated C reactive protein (CRP) and ferritin in predicting severe Covid-19 infection using the World Health Organization's (WHO) Covid-19 severity classification as gold standard. Study Design: Descriptive study. Place and Duration of Study: This study was conducted at the Pak Emirates Military Hospital, Rawalpindi, from January 1st 2021 till April 30th 2021. Ethical review committee's (ERC) approval was taken and good clinical practice guidelines were followed. Material(s) and Method(s): Baseline blood samples were sent to the hospital laboratory for the measurement of C reactive protein and ferritin levels. PCR was taken as gold standard for the diagnosis of Corona virus disease. Patients were classified into severe and non-severe categories using WHO classification of severity. Sensitivity, specificity, diagnostic accuracy, negative predictive value and positive predictive value were calculated for elevated CRP and ferritin. Result(s): There were 65 (57.5%) patients who had severe Covid-19 disease and 48 (42.5%) patients who had non-severe Covid-19 disease. Among the patients with severe Covid-19, 57 (87.7%) had elevated CRP levels, and 50 (76.9%) patients had elevated ferritin levels. Testing ferritin levels, against the severity of Covid-19 patients, there was a sensitivity of 76.9%, specificity of 79.2%, positive predictive value (PPV) of 83.3%, negative predictive value (NPV) of 71.7% and diagnostic accuracy of 77.8%. Testing CRP levels, there was a sensitivity of 87.7%, specificity of 85.4%, PPV of 89.1%, NPV of 83.6% and diagnostic accuracy of 86.7%. Conclusion(s): The results from our study show that CRP has a slightly improved diagnostic accuracy as compared to ferritin. However, both these markers have value in the prediction of severity of Covid-19 infection.Copyright © 2023 Lahore Medical And Dental College. All rights reserved.

12.
Nemzetbiztonsagi Szemle = National Security Review ; 11(1):78-107, 2023.
Article in Hungarian | ProQuest Central | ID: covidwho-20237127

ABSTRACT

A közigazgatás a kibertér felől érkező fenyegetések egyik leggyakoribb célpontja, az állami és önkormányzati szervek elleni kibertámadások egyre célzottabbak, kifinomultabbak és egyre nagyobb kár okozására képesek. Az elektronikus információs rendszerek biztonsága érdekében hatékony fizikai, logikai és adminisztratív intézkedéseket szükséges alkalmazni, amelyek meghatározásához elengedhetetlen az aktuális információbiztonsági incidenstrendek ismerete. Jelen tanulmány célja a Nemzetbiztonsági Szakszolgálat Nemzeti Kibervédelmi Intézet által, 2019 és 2021 közötti időszakban detektált információbiztonsági események átfogó elemzése, a közigazgatást érintő hazai incidenstrendek azonosítása érdekében. Az írás kiemelten vizsgálja, hogy a kibertámadók hogyan reagáltak a Covid-19-világjárványra, és ez milyen módon jelenik meg a hazai incidenstrendekben. Az elemzés további célkitűzése annak megállapítása, hogy mely szektort érte a legtöbb incidens a vizsgált időszakban, és mely incidenstípusok jellemzők ebben az ágazatban. További kutatási kérdésként merült fel, hogy a pszichológiai manipuláció milyen százalékos arányban mutatható ki a detektált incidenstrendekben.Alternate :Public administration is one of the most common targets of cyber threats. Cyberattacks against public and local governments are becoming increasingly targeted, sophisticated, and are capable of causing ever greater damage. Information systems security requires effective physical, logical and administrative measures, which needs knowledge of current trends in information security incidents. The aim of this study is to provide a comprehensive analysis of information security incidents detected by the National Cyber-Security Centre of Hungary between 2019 and 2021 in order to identify national incident trends affecting public administrations. The paper focuses on how cyber attackers have responded to the Covid-19 pandemic and how this is reflected in national incident trends. A further objective of the analysis is to identify which sector was affected the most by incidents during the period under review and which incident types are typical for this sector. A further research question was the percentage of social engineering in the detected incident trends.

13.
Nihon Ringakkai Shi/Journal of the Japanese Forestry Society ; 105(3):76-86, 2023.
Article in Japanese | Scopus | ID: covidwho-20236816

ABSTRACT

After the Second World War, camping and camping sites in forests have developed and increased significantly from the 1980 s to 1990 s in Japan, relying on the laws and institutions established from the 1950 s to 1970 s across multiple administrative sectors, obtaining social approval as a legitimatized outdoor activity and forest use. Since the 2000s, the management of these camping sites has deteriorated mainly owing to economic recession, which caused the movement of camping site renewal by the private sector. This movement directed the diversification of forest use by camping sites in recent years. Camping facilities have been developed in many ways to meet the needs of campers, including organized group camps that promote education and experience in forests, solo camps, glamping, and workcations under the spread of the COVID-19 that demand relaxing or productive environment, and leisure camps that require enrichment of outdoor activities. As a result of this diversification, possibilities for effective utilization of forests and regional revitalization through the management of camping sites have been observed. Many camping sites have utilized forest lands, standing trees, and forest spaces to develop facilities and services, and there are cases where firewood production for campers has promoted the reorganization and development of local forestry and securing of personnel for forest management. In addition to securing local employment brought by reorganization, local revitalization in rural and mountainous areas has been promoted through the linkage of the needs of campers to positive economic effects, increase of the visitors who deeply connected to local people, and comprehensive and sustainable use of resources in local societies. © 2023 Nihon Ringakkai. All rights reserved.

14.
Educational Philosophy and Theory ; 53(14):1477-1490, 2021.
Article in English | ProQuest Central | ID: covidwho-20236482

ABSTRACT

Despite the severe social, health, political and economic impacts of the outbreak of Covid-19 on Palestinians, we contend that one positive aspect of this pandemic is that it has revealed the perils and shortcomings of the teacher-centered, traditional education which colonizes students' minds, compromises their analytical abilities and, paradoxically, places them in a system of oppression which audits their ideas, limits their freedoms, and curtails their creativity. While Israeli occupation has proven to be an obstacle in the face of the Palestinian government's attempt to combat and contain the Corona crisis, on-line education, the sole arena that escapes this colonial system, has forced many instructors to give up their domination over the process of education and to create a more collaborative atmosphere of education that is based on dialogue, research and flexibility of the curriculum content. This study is designed to gauge English literature students' responses to this mode of digital learning. We interviewed a hundred students from six English literature programs between March and August, 2020. Thus, through critically examining students' answers, and by drawing on Freire's concepts of banking education, consciousness and dialogue, we propose that online education is an important step towards the decolonization of education and a call for a paradigm shift on the account that the existing paradigm of traditional education is stifling students' creativity and critical thinking.

15.
Vestnik Rossijskoj Voenno-Medicinskoj Akademii ; 24(2):289-297, 2022.
Article in Russian | Scopus | ID: covidwho-20236175

ABSTRACT

Against the background of the global spread of the new SARS-CoV-2 coronavirus, the prevention of infections with airborne mechanisms of transmission has become a priority in the Armed Forces. The development of effective COVID-19 prevention measures requires consideration of the peculiarities of military service and everyday life due to the inability of organized military collectives to comply with the requirements of the lockdown regime introduced at the peak of morbidity by the civilian health system. The patterns of incidence of COVID-19 in military personnel of the Western Military District in organized military collectives were studied in relation to the conditions of training and combat activities and the characteristics of military service. It was found that the dynamics of the incidence of COVID-19 among military personnel of the Western Military District in 2020–2021 exhibited a wave-like character and included four epidemic rises that coincided with epidemic waves among the civilian population. At the same time, from April to December 2020, the morbidity rate in military personnel was significantly higher than that in the general population, and from January to December 2021 against the background of mass vaccination of military personnel against COVID-19, the incidence rate in military personnel decreased by 50% relative to that in the general population. The effectiveness of anti-epidemic measures has increased significantly in recent months. The average number of patients in the epidemic outbreak decreased by 46.3%, the average duration of the outbreak decreased by 12.4%, and the proportion of group morbidity in the structure of the overall incidence of COVID-19 decreased by 19.8%. It is shown that the incidence of COVID-19 in various types of military collectives depends on the conditions of military service and the specifics of daily activities. The highest epidemiological significance of COVID-19 was detected in military units of constant readiness, as well as in medical and military educational organizations. © 2023 Nutritec. All rights reserved.

16.
Environmental Footprints and Eco-Design of Products and Processes ; : 461-472, 2023.
Article in English | Scopus | ID: covidwho-20235611

ABSTRACT

The paper aims to identify the peculiarities of the digital development of Russian regions in terms of socio-economic uncertainty and determine the vector of regional policy to ensure accelerated digitalization of territories. The authors analyzed the main indicators of digital development households, organizations, and public authorities of Russian regions in the pre-pandemic period compared to the period of an active course of the pandemic, as well as at the stage of military and political instability. The research identifies Russian regions where digital development processes accelerated during the period of social and economic uncertainty caused by the COVID-19 pandemic, as well as regions where digitalization limitations became evident. The analysis allowed the authors to conclude about the multidirectional influence of socio-economic uncertainty on the course of digital development processes in Russian regions. On the one hand, the transformation in consumer behavior and the new external conditions of socio-economic uncertainty during the pandemic led to an accelerated digitalization of regional economic systems. On the other hand, the socio-economic uncertainty of 2020 has caused dramatic changes in the implemented business models, formats of organizations, and the nature of employment, which manifested itself in the reduction of most indicators of digital development of organizations in 2020. For each selected group of Russian regions, the authors proposed state policy measures in the field of digital development, which is supportive and accelerated in nature. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

18.
Academic Journal of Naval Medical University ; 43(6):704-708, 2022.
Article in Chinese | EMBASE | ID: covidwho-20234042

ABSTRACT

Objective To understand the health and professional consciousness and mental health of military medical students during coronavirus disease 2019 (COVID-19) epidemic. Methods From Feb. 17 to Feb. 20, 2020, an electronic questionnaire was used to investigate the attitudes and coping styles of military medical students towards quarantine and delay of school opening, their attitudes towards online teaching, and health and professional consciousness during COVID-19 epidemic;and their mental health status was scored by symptom checklist 90 (SCL-90). Results A total of 2 736 valid questionnaires were collected. The students basically understood and agreed with the quarantine and delay of school opening during the epidemic, and 70.83% (1 938/2 736) supported online teaching. During the quarantine period, 85.31% (2 334/2 736) of the students chose to listen to music or watch TV series for relaxation, and 64.69% (1 770/2 736) insisted on learning, reading literatures or writing papers. Students could basically form the habits of washing hands frequently and wearing masks, and their consciousness of health protection was higher than that before the epidemic. For military medical students, their professional beliefs and determination have been strengthened during the epidemic, and many students wanted to join in the fight against the epidemic. The survey found that 12.94% (354/2 736) of the students had mental health symptoms, and the top 3 SCL-90 factors were obsessive-compulsive disorder (78.53%, 278/354), interpersonal sensitivity (64.12%, 227/354), and depression (44.07%, 156/354). Conclusion During the epidemic, military medical students can generally adapt to the difficult environment and improve themselves. The mental health problems of military medical students have their own characteristics, special attention must to be paid, and the humanistic education of medical students should be strengthened.Copyright © 2022, Second Military Medical University Press. All rights reserved.

19.
Hadmernok ; 18(1):93-108, 2023.
Article in English | ProQuest Central | ID: covidwho-20232905

ABSTRACT

Early in 2020, the Covid-19 epidemic started, posing many challenges for civilisation. The pandemic caused a paradigm change in many ways, unavoidably increasing people's uncertainty and worry about a new global order. Along with stopping the virus, governments aiming to contain the pandemic had to deal appropriately with the infodemic scenario, which supported several pseudo-scientific opinions among substantial numbers of people. The spread of more and more nonsense fake news has eroded the trust in the institutions, which has led to a prolonged phase of the epidemic's end. It is yet unknown how long the coronavirus epidemic will have an impact on daily life as of the time of writing, in the summer of 2022, more outbreaks have been brought on by mask use and vaccination refusal. Because of this, controlling the crisis and reducing the harm the infodemic creates depends on effective government crisis communication. This essay attempts to illustrate effective crisis communication strategies based on international literature.

20.
Academic Journal of Naval Medical University ; 43(11):1274-1279, 2022.
Article in Chinese | EMBASE | ID: covidwho-20232814

ABSTRACT

Objective To investigate the mental health status of military healthcare workers in shelter hospitals in Shanghai during the epidemic caused by severe acute respiratory syndrome coronavirus 2 omicron variant and its influencing factors. Methods A total of 540 military healthcare workers in shelter hospitals in Shanghai were investigated with patient health questionnaire-9 (PHQ-9), generalized anxiety disorder-7 (GAD-7) and Athens insomnia scale (AIS) to explore their mental health status, and logistic regression was used to analyze the influencing factors. Results A total of 536 valid questionnaires were collected, with an effective rate of 99.3% (536/540). The incidence of depression, anxiety and insomnia among military healthcare workers in shelter hospitals in Shanghai was 45.5% (244/536), 26.1% (140/536) and 59.5% (319/536), respectively. Logistic regression analysis showed that whether people resided in Shanghai, the proportion of negative information in daily browsing information and diet status in shelter hospitals were the influencing factors of depression, anxiety and insomnia (all P<0.05);age and confidence in the future of Shanghai were the influencing factors of depression and insomnia (all P<0.05);and the time spent daily on epidemic-related information was an influencing factor of insomnia (P=0.021). Conclusion The incidence of depressive, anxiety and insomnia among military healthcare workers in shelter hospitals in Shanghai is high during the epidemic caused by severe acute respiratory syndrome coronavirus 2 omicron variant. Psychological consequences of the epidemic should be monitored regularly and continuously to promote the mental health of military healthcare workers.Copyright © 2022, Second Military Medical University Press. All rights reserved.

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