ABSTRACT
Few have studied the COVID-19 pandemic's impact on tobacco use status assessment and cessation counseling. Electronic health record data from 217 primary care clinics were examined from January 1, 2019 to July 31, 2021. Data included telehealth and in-person visits for 759,138 adult patients (aged ≥18 years). Monthly rates of tobacco assessment per 1,000 patients were calculated. From March 2020 to May 2020, tobacco assessment monthly rates declined by 50% and increased from June 2020 to May 2021 but remained 33.5% lower than pre-pandemic levels. Rates of tobacco cessation assistance changed less, but remain low. These findings are significant given the relevance of tobacco use to increased severity of COVID-19.
Subject(s)
COVID-19 , Tobacco , Adult , Humans , Adolescent , Pandemics , COVID-19/epidemiology , Electronic Health Records , Community Health CentersABSTRACT
Background: Health care providers health and safety are crucial not only for continuous and safe patient care, but also for control of any pandemic. Aim/Objectives: Our study assessed the mental workload status of doctors who are catering to mainly industrial workforce.Methodology: A cross sectional study was carried out in a tertiary care hospital for three months during the pandemic. Data was collected and assessed using NASA TASK LOAD INDEX containing 6 dimensions, and stress levels were assessed using perceived stress scale. Result(s):A total of 104 participants responded to the survey;of which 40(38.5%)were female and 64(61.5%) were male. The percentage of people with high mental demand were 68(65.4%), the overall major contributor to this high workload seen in the participants was Effort demand . The participants with higher levels of workload were 90(86.5%). Among them females were 37.8 % and males were 62.2 %. The perceived stress scale showed 2(1.9%) of participants were in low stress, 80(76.9%) were in moderate stress and 22(21.2%) were in high stress. The calculated overall workload mean scores was 66.23+15.383 and perceived stress was 22.01+5.55 which is positively correlated and statistically significant. Conclusion(s):A considerate proportion of doctors experience high workload and stress levels. Doctors being Frontline workers were more vulnerable for mental health problems which are still underreported and is expected to be very considerate. There is a need to implant ways to decrease the stress levels of doctors and for better patient care. Copyright © 2022 Wolters Kluwer Medknow Publications. All rights reserved.
ABSTRACT
The ocean is facing multiple pressures from human activities, including the effects of climate change. Science has a prominent role in identifying problems and communicating these to society. However, scientists are also increasingly taking an active role in developing solutions, including strategies for adapting to and mitigating climate change, increasing food security, and reducing pollution. Transmitting these solutions to society changes our narrative about the ocean and motivates actions. The United Nations triple initiatives for this decade-the Sustainable Development Goals, the Decade on Ocean Science for Sustainable Development, and the Decade of Ecosystem Restoration-provide the momentum for this change in narrative and focus. Here, we reflect on the search for solutions and the need for better ways of communicating science in a positive way. We synthesize insights from a summer school held during the COVID-19 pandemic and present some examples of successes and failures and the lessons learned from these.
ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus-2 has brought serious challenges for the medical field. Patients with COVID-19 usually have respiratory symptoms. However, liver dysfunction is not an uncommon presentation. Additionally, the degree of liver dysfunction is associated with the severity and prognosis of COVID-19. Prevention, diagnosis, and treatment of malnutrition should be routinely recommended in the management of patients with COVID-19, especially in those with liver dysfunction. Recently, a large number of studies have reported that nutrition therapy measures, including natural dietary supplements, vitamins, minerals and trace elements, and probiotics, might have potential hepatoprotective effects against COVID-19-related liver dysfunction via their antioxidant, antiviral, anti-inflammatory, and positive immunomodulatory effects. This review mainly focuses on the possible relationship between COVID-19 and liver dysfunction, nutritional and metabolic characteristics, nutritional status assessment, and nutrition therapy to provide a reference for the nutritionists while making evidence-based nutritional decisions during the COVID-19 pandemic.