Changes in state policy for promoting a healthy lifestyle. (A historical aspect).

Healthy lifestyle promotion from the perspective of state policy, journalism, healthcare, sociology, and psychology was analyzed. The objective of the study was to analyze changes in the financial and agitation state policy aimed at increasing the motivational activity of citizens of the Russian Federation towards a healthy lifestyle (HLS) in the Soviet era and at the post-Soviet stage and assess the effectiveness of these measures. The effectiveness of the Soviet propaganda of healthy lifestyles among the population was evaluated. Crisis phenomena in public health, low persuasiveness of the media presentation of the healthy lifestyle value, the COVID-19 pandemic, difficulties in implementing corporate health promotion programs in the workplace at individual en-terprises, and ignoring gender stereotypes in attitudes to health are the reasons that contribute to the adherence of Russian workers to unhealthy behaviors, that cause an increase in the incidence of chronic non-communicable diseases. The historical aspect of changes in state policy for health promotion made it possible to determine the tasks in developing health-saving programs.Copyright © 2023, Media Sphera Publishing Group. All rights reserved.

Serological Evidence and Self-Reported Outcomes in Patients with Adrenal Insufficiency During The First Waves of COVID-19 in the North- East Italy

Background: East during COVID-19 is a potentially serious and fatal new infection that first broke out in Italys North Eastduring Spring 2020. Among subjects considered more clinically vulnerable, patients with adrenal insufficiency (AI) have a known increased risk of infections, that could lead to poor prognosis and death due to adrenal crisis. Even the psychological and sociooccupational impact of COVID-19 could affect the health of AI patients, requiring a dynamic and continuous adaptation of the daily glucocorticoid (GC) therapy. Aim(s): To investigate if AI patients have a higher risk for COVID-19 infection than the general population, all residents in the red zone Veneto, in North-East Italy. Moreover, based on a purpose-built ADDI-COVID questionnaire, the study aimed to evaluate the subjective perception of an increased risk for COVID-19 infection and pandemic-related psycho-social impact, working life and self-adjustments of GC therapy. Method(s): Open-label, cross-sectional monocentric study on 84 (65 primary and 19 secondary) AI patients, all resident in Veneto, followed-up at the Endocrinology Unit, University-Hospital of Padua, for at least 3 years, in good and stable clinical conditions. At the end of the first COVID-19 wave (by August 2020), all patients underwent serological investigation of anti-SARS-CoV2 IgG and ADDI-COVID questionnaire. All AI patients enrolled were contacted during March-April 2021 to evaluate eventual COVID-19 infection occurrence after the second and third waves, completing a follow-up period of about 12 months. Result(s): All AI patients resulted negative to the serological test for anti-SARS-CoV2 IgG at the end of the first wave of COVID-19. After the second and third pandemic waves, COVID-19 infection occurred in 8 (10%) patients, and none needed intensive care or hospitalization. Half patients felt an increased risk of COVID-19 infection, significantly associated with an increased stress (p = 0,009) and the consequent increase of GC stress-dose (p = 0,002). Only one patient reported adrenal crisis stress correlated. The great majority of the 61 (73%) worker patients changed their working habits during the lockdown, which was inversely related with COVID-19-related stress (p = 0,0015). A significant association was found between workers and endocri- nologist contact (p= 0,046) since 18 among 20 AI patients who contacted the endocrinologist were workers. Discussion and Conclusion(s): Patients with AI residence in Veneto did not show a higher incidence of COVID19-infection compared with general population residents in Veneto after the first pandemic waves. However, the perception of increased COVID- 19 infection risk significantly impacted the psychological well-being, working habits and GC daily doses of AI patients. Especially during this pandemic period, therapeutic patient education was crucial to prevent and treat situations or conditions that could lead to an adrenal crisis. The endocrinologic consultation could help to strengthen the awareness of AI patients, especially if they were workers.

Ready for the Post-Pandemic World?

The migrant worker dormitory clusters, although certainly a serious matter, might seem like just a blemish in an otherwise stellar record of successful crisis management by a high-capacity government responsible for developing Singapore from a "Third World” to a "First World” country in a very short period. Made up of very capable technocrats with a pragmatic outlook, this government focused on results, were quick to react to problems as they surfaced, and never took its eye away from the unsentimental task of keeping its globally embedded economy going as a vital part of national survival. Some might argue, further, that the authorities and countless other people in Singapore who volunteered their support did the best they could, in the context of an unprecedented and unpredictable pandemic of this scale and magnitude. However, the dormitory clusters and other lapses are symptoms of deeper structural problems. This is an important perspective that can constructively provide insight into whether these kinds of problems will manifest again and again in occasional eruptions and disruptions, which are painful but manageable. Or whether they will lead to more systemically destructive outcomes over time, which will either ruin Singapore eventually or create the opportunity to rebuild something better. Given Singapore's track record of swift and effective reaction to problems, one can expect economic rejuvenation at some point, accompanied by social and cultural exuberance. But will this mean returning to business-asusual? And will the deep structures shaped by authoritarian politics and market fundamentalism continue to worsen income inequality, poverty, an over-dependency on exploited migrant workers, the neglect of heterotopic spaces of otherness, and a dogmatic refusal by the government to engage more widely and in good faith with a broader range of people and perspectives outside its circle? © The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2022.

Binge drinking alcohol and circadian misalignment in night shift nurses is associated with decreased resiliency to COVID-19 infection

Background: Nurses and other first responders are at high risk of exposure to the SARS-CoV2 virus, and many have developed severe COVID-19 infection. A better understanding of the factors that increase the risk of infection after exposure to the virus could help to address this. Although several risk factors such as obesity, diabetes, and hypertension have been associated with an increased risk of infection, many first responders develop severe COVID-19 without established risk factors. As inflammation and cytokine storm are the primary mechanisms in severe COVID-19, other factors that promote an inflammatory state could increase the risk of COVID-19 in exposed individuals. Alcohol misuse and shift work with subsequent misaligned circadian rhythms are known to promote a pro-inflammatory state and thus could increase susceptibility to COVID-19. To test this hypothesis, we conducted a prospective, cross-sectional observational survey-based study in nurses using the American Nursing Association network. Method(s): We used validated structured questionnaires to assess alcohol consumption (the Alcohol Use Disorders Identification Test) and circadian typology or chronotype (the Munich Chronotype Questionnaire Shift -MCTQ-Shift). Result(s): By latent class analysis (LCA), high-risk features of alcohol misuse were associated with a later chronotype, and binge drinking was greater in night shift workers. The night shift was associated with more than double the odds of COVID-19 infection of the standard shift (OR 2.67, 95% CI: 1.18 to 6.07). Binge drinkers had twice the odds of COVID-19 infection of those with low-risk features by LCA (OR: 2.08, 95% CI: 0.75 to 5.79). Conclusion(s): Working night shifts or binge drinking may be risk factors for COVID-19 infection among nurses. Understanding the mechanisms underlying these risk factors could help to mitigate the impact of COVID-19 on our at-risk healthcare workforce.Copyright © 2023 The Authors. Alcohol: Clinical and Experimental Research published by Wiley Periodicals LLC on behalf of Research Society on Alcohol.

Who works on the ‘frontline'? Comparing constructions of ‘frontline' work before and during the COVID-19 pandemic

This article provides a comparative analysis of how frontline workers were constructed by the UK media prior to and during the COVID-19 pandemic in the UK. Both the News on the Web Corpus and the Coronavirus Corpus, as monitor corpora of web-based new articles, were utilised to identify changes in both the frequency and use of the word front*line from 2010 to 2021. Findings show that, following the outbreak of COVID-19, constructions of frontline work were more frequently associated with medical professions and became more figurative in nature. Our findings provide a counterpoint to claims that the COVID-19 pandemic led to an increased awareness of the critical nature of many types of ‘low-skilled' work not previously recognised as essential. The study also extends previous research which has traced changes in language and its deployment during the COVID-19 pandemic.

Productive Aging During COVID-19 - Lessons from WH SeniorLink

Introduction: According to the National Academies of Science, Medicine, and Engineering, even before the pandemic, 24% of Americans 65+ were considered socially isolated, and 43% of adults 60+ were lonely. Both experiences are associated with serious physical and mental health problems, including increased risks of dementia, stroke, depression, and suicidal ideation. As older adults engage in stricter social distancing to protect themselves from COVID-19, their risk of social isolation and loneliness is heightened. According to research by the Kaiser Family Foundation, 46% of adults 65+ reported that the worry and stress caused by pandemic has had a negative impact on their mental health. In order to combat this unique challenge, we must employ innovative, flexible solutions that adapt to the shifting circumstances and an uncertain future. Method(s): WH SeniorLink has developed an innovative program for integrating friendly visiting, mutual aid, needs assessment and case management, all delivered remotely by trained volunteers. The program was conceived, developed and executed since the beginning of COVID-19 restrictions and has grown to become a fully fledged 501(c)(3) organization, and is a model of flexible service delivery during this unusual time. The program operates through a volunteerism-mutual aid model. Volunteers are trained using online modules and quizzes and supervised by a licensed social worker, including training on needs and risk assessment. Volunteers are then matched with an older adult with similar interests and language preferences to provide friendly weekly phone calls, care packages and letters. Older adults with higher needs are referred to WH SeniorLink's service navigation program which operates using the online platform, Apricot, and is staffed by masters level social work interns and supervised by licensed social workers. Service navigation involves conducting comprehensive assessments and identifying resources and referrals. Older adults who express interest are also paired with each other to provide social support. Barriers to program development have included identifying consistent funding sources and volunteer attrition. Result(s): Data shows 169% growth in contacts made with older adults between May and October, with 2.5 times more older adults served in November than in May. Initial responses to the Dejong Gierveld Loneliness Scale and qualitative data collection reflect that older adults continue to feel lonely and isolated in the midst of the pandemic, but that WH SeniorLink is helping. By placing emphasis on empowering older adults to form sustained relationships with volunteers and their peers, WH SeniorLink encourages reciprocal relationships through which older adult participants are valued for their experiences and contributions. Conclusion(s): The mission of WH SeniorLink is to strengthen community ties and improve health outcomes among older New Yorkers by providing social-emotional support and connection to essential services. WH SeniorLink was founded during the COVID-19 pandemic, in response to the myriad of new challenges faced by older adults including greater risk of social isolation and increased disconnection from essential services. However, we recognize that the pandemic has only exacerbated a problem that began long before, and older adults are at risk of being left behind in the coming months and beyond. Funding(s): WH SeniorLink is funded by a starter grant from Columbia School of Social Work and subsequent crowdfunded donations.Copyright © 2021

ANALISIS PERAN AKTOR DALAM IMPLEMENTASI KEBIJAKAN PEMBERIAN INSENTIF BAGI TENAGA KESEHATAN DAERAH YANG MENANGANI COVID-19

Background: In the policy of incentives for health workers in the regions that handle COVID-19 (Innakesda) is part of the health budget for handling COVID-19 which must be budgeted by the local government sourced from Refocusing funds of 8% DAU/DBH in 2021. There is differences in the results of the implementation of the Innakesda policy carried out by the Regional Government where there are local governments that have succeeded in implementing this policy and there are also local governments that have not succeeded in doing so Purpose: The success in thisimplementation can be seen from the availability of budgets in the regions and the realization of incentive budgets for health workers in these areas.Therefore, it is interesting to know the factors that influence a region's success in implementing this policy from the actor dimension in regional financial management. Method: This research was conducted using a qualitative approach using in-depth interviews with several key informants and a literature review. Walt and Gilson's policy triangle is used in analyzing policies. The analysis was conducted to see the successful implementation of the Innakesda policy from the actor dimension in regional financial management. The location of the research was carried out in one of the areas that have successfully implemented the Innakesda policy, namely the City of South Tangerang. Conclusion: The conclusion of the research illustrates that the involvement of actors at both the Central Government and Regional Government levels of South Tangerang City with their respective authorities and roles issues policies that are mutually synergistic and responsive to efforts to encourage the successful implementation of Innakesda policies, in the regional financial management process there is the Political will of the Mayor of Tangerang South in the form of alignments to prioritize the successful implementation of Innakesda in the 2021 APBD policy. (English) [ FROM AUTHOR] Latar Belakang : Dalam kebijakan insentif bagi tenaga kesehatan di daerah yang menangani COVID-19 (Innakesda) merupakan bagian dari anggaran kesehatan untuk penanganan COVID-19 yang harus dianggarkan oleh pemerintah daerah yang bersumber dari dana Refocusing 8% DAU/DBH pada Tahun 2021. Terdapat perbedaan hasil implementasi dari kebijakan Innakesda yang dilakukan oleh Pemerinah Daerah dimana terdapat pemerintah daerah yang berhasil melakukan implementasi kebijakan ini dan ada pula pemerintah daerah yang tidak berhasil melakukannya Tujuan : Keberhasilan dalam implementasi ini dilihat dari adanya ketersediaan anggaran di daerah serta terlaksananya realisasi anggaran insentif bagi tenaga kesehatan di daerah tersebut. Oleh karena itu, menjadi hal yang menarik untuk mengetahui faktorfaktor yang mempengaruhi suatu daerah berhasil mengimplentasikan kebijakan ini dari dimensi aktor dalam pengelolaan keuangan daerah. Metode : Penelitian ini dilakukan dengan pendekatan kualitatif menggunakan metode wawancara mendalam dengan beberapa informan kunci serta kajian literatur. Segitiga kebijakan Walt dan Gilson digunakan dalam menganalisis kebijakan Analisis dilakukan untuk melihat keberhasilan implementasi kebijakan Innakesda dari dimensi aktor dalam pengelolaan keuangan daerah. Lokasi penelitian dilakukan pada salah satu daerah yang berhasil melaksanakan implementasi kebijakan Innakesda yaitu Kota Tangerang Selatan. Kesimpulan: Kesimpulan penelitian memberikan gambaran bahwa Keterlibatan aktor baik di level Pemerintah Pusat dan Pemerintah Daerah Kota Tangerang Selatan dengan masing-masing kewenangan serta perannya mengeluarkan kebijakan yang saling sinergi dan responsif terhadap upaya mendorong keberhasilan implementasi kebijakan Innakesda, dalam proses pengelolaan keuangan daerah terdapat Political will Walikota Tangerang Selatan berupa keberpihakan untuk memprioritaskan keberhasilan implementasi Innakesda dalam kebijakan APBD tahun 2021. (Indonesian) [ FROM AUTHOR] Copyright of Jurnal Sosial dan Sains (SOSAINS) is the property of Green Publisher and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Visible and invisible work in the pandemic: social reproduction and the ambivalent category of the essential worker

Feminist scholars and activists have long fought to make visible the fundamental but overlooked social reproduction work performed primarily by women, often in households. Taking on black feminist criticisms of the initial prioritization of the experience of white, middle-class women, these debates have developed into a broader social reproduction theory, which emphasizes the relationality of multiple forms of oppression under capitalism. The COVID-19 pandemic, with its lockdowns, temporarily turned the traditional distribution between visible and invisible work on its head when many so-called productive workers were ushered into their homes, leaving only the most essential workers publicly visible in the streets and valorized in online spaces. The sudden visibility of these generally low-paid, often racialized and marginalized workers now coded as ‘essential' highlighted the importance of the work of social reproduction. However, the category of essential workers was ambivalent, in that by making visible some forms of social reproduction it continued to obscure others, especially familial care work and housework. In this article we analyse the ambivalent category of the essential worker and argue that it exemplifies, as social reproduction theory attests, that the capitalist production process always requires invisible labour, even as some previously invisible forms become increasingly visible. [ FROM AUTHOR] Copyright of Journal of Gender Studies is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Evaluation and Screening of COVID-19, Contact and Risk Conditions in Healthcare Workers in a University Hospital

Objectives: The aim of this study was to evaluate the management and risk conditions of healthcare workers (HCWs) having COVID-19 infection before and after the normalization process (NP). Methods: The working group of this study consisted of 1881 HCWs who applied to the Occupational Health and Safety Unit. A form for determining the HCWs' sociodemographic characteristics and the Healthcare Worker COVID-19 Contact Case Follow-up Form were used using the Ministry of Health COVID-19 Guide. Results: This study included 1881 HCWs. The polymerase chain reaction (PCR) test was assessed in 1373 (73.0%) of the HCWs, and 172 (12.5%) of the PCR tests were positive HCWs who underwent PCR testing. Before the NP, 13 (2.5%) of the HCWs had PCR positive, and after the NP, 159 (18.4%) of 862 HCWs were PCR positive. While 80 (46.5%) of PCR-positive HCWs were using personal protective equipment (PPE), 478 (39.8%) of PCR-negative HCWs were using PPE (p<0.001). While 5 (38.4%) PCR-positive and 262 (52.6) PCR-negative HCWs were using PPE before NP, 75 (47.1%) PCR-positive and 216 (30.7) PCR-negative HCWs were using PPE after NP (p<0.001 and p<0.001, respectively). Conclusion: The study showed that the frequency of COVID-19 PCR positivity in the HCWs is similar to that given by World Health Organization. ©Copyright 2023 by Anatolian Journal of Family Medicine.

24th Collegium Ramazzini Statement: Prevention of Work-Related Infection in the COVID-19 Pandemic

Background: Workers whose occupations put them in contact with infected persons and the public are at increased risk of coronavirus disease (COVID-19) infection. Recommendations: The Collegium Ramazzini calls on governments at all levels to protect worker health by strengthening public health systems;maintaining comprehensive social insurance systems;establishing policies that presume all COVID-19 infections in high-risk workers are work-related;enforcing all occupational health standards;and developing pandemic preparedness plans. The Collegium Ramazzini calls on all employers-large and small, public and private-to protect the health of all workers by developing disease preparedness plans;implementing basic infection control measures;establishing disease identification and isolation policies;reducing hazardous exposures;supporting personal protective equipment (PPE) programs;and restricting unnecessary travel. Conclusion(s): Governments and employers have legal obligations to protect worker health. They are not relieved of these duties during pandemics.Copyright © 2020 American College of Occupational and Environmental Medicine.

E-work evaluation through work-life balance, job effectiveness, organizational trust and flexibility: Evidence from Kosovo during COVID-19

Purpose: This study aims to assess e-working remotely from the perspective of online workers based on important theoretical aspects that have been found to have an impact in this regard. Specifically, the study examines the influence that work-life balance, job effectiveness, organizational trust and flexibility have on e-workers experience in terms of satisfaction. Design/methodology/approach: For this research, the E-Work Life (EWL) scale, which consists of 17 questions and yields four critical dimensions, namely work-life balance, job effectiveness, organizational trust and flexibility, was adapted to measure remote e-working experience. Data were collected by sending the electronic questionnaire link to e-workers. In order to define the factorial structure and test whether the data fit the hypothesized measurement model, factor analysis was initially conducted on a sample of 230 e-workers. The relationship between EWL scale variables and e-worker experience was examined using order logit model. Findings: This paper initially provides the validity and reliability of the EWL scale. Exploratory factor analysis optimally supported three factors and 13 items in contrast to the original scale. The influence that the remaining structure comprised of work-life balance, job effectiveness and flexibility has on e-worker experience was also measured. Results indicate that work-life balance and job effectiveness have a positive influence on e-workers satisfaction with online working, while flexibility does not show a positive association in this regard. Of the three variables, job effectiveness shows to be the most influential factor for e-worker satisfaction. Research limitations/implications: For the nature of this study, a larger sample size would have been more preferable. It must also be noted that the study took place in circumstances of the COVID-19 pandemic where social activities were limited, and this could have interfered with employees' emotions to some level and ultimately with their evaluation of e-work. It is suggested that further research be conducted. Practical implications: Owing to the increasing occurrence of these working practices worldwide, particularly with the COVID-19 situation, this study, through its' findings, contributes to a broader knowledge on successful implementation of e-work environments. It helps individuals to comprehend crucial e-work-related issues and supports organizations to identify areas for improvement, so that effective strategies can be developed to increase productivity while supporting worker's well-being and satisfaction at the same time. Originality/value: This paper addresses a previously identified need for further validation of the newly developed EWL scale in a different setting and with a new sample. At the same time, it adds to the understanding of the impact of important dimensions previously shown to affect e-worker satisfaction with online working. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Exploring Health Outcomes By Occupation: Using the National Health and Wellness Survey to Describe Differences in Self-Reported Occupation Profiles

Objectives: Health is distributed unequally by occupation (Ravesteijn,2013). This research aims to explore patient-reported outcomes by occupation profiles using the National Health and Wellness Survey (NHWS). Method(s): Data from the 2022 US NHWS included employed respondents at least 18 years of age with information on occupation profile, defined as 22 categories from the Bureau of Labor Statistics. Descriptive statistics were used to analyze respondent characteristics and outcomes such as COVID-19 diagnoses, healthcare resource use over the past six months, and work impairment as measured by the Work Productivity and Activity Impairment Questionnaire (WPAI). Result(s): A total of 35,789 respondents were employed and had occupation information. Respondents were predominantly white (62.0%) and male (53.9%). Sales and Related occupations had the greatest proportion of respondents reporting a COVID-19 diagnosis (16.1%) while Building and Grounds Cleaning and Maintenance had the lowest proportion (3.8%). Educational Instruction and Library had the most respondents reporting that they had received at least one dose of the COVID-19 vaccine (79.2%) while Farming, Fishing, and Forestry had the least respondents (52.9%). Life, Physical, and Social Science had the greatest COVID-19 vaccination rate over the past year (66.5%) while Farming, Fishing, and Forestry had the lowest (45.0%). Office and Administrative Support had the greatest proportion of respondents with a traditional healthcare provider visit (79.8%), but the lowest proportion with an emergency room (ER) visit (12.7%) or a hospitalization (8.1%). Farming, Fishing, and Forestry had the greatest proportion of respondents with an ER visit (41.6%) or hospitalization (41.6%). The greatest proportion of respondents with any overall work impairment or activity impairment was in Farming, Fishing, and Forestry (work: 91.1%, activity: 87.4%) while the lowest proportion was in Office and Administrative Support (work: 50.0%, activity: 53.3%). Conclusion(s): Certain occupation profiles consistently show higher impairment while others consistently show lower impairment.Copyright © 2023

Central Serous Chorioretinopathy Developed Following Covid-19 Vaccine

A 40-year-old male patient, an office worker, is a hospital staff. He applied with the complaint of sudden onset of blurred vision in the right eye. He stated that he had the first dose of inactivated covid vaccine (sinovac) 4 days ago in his story. In his examination, his vision was 0.5 in the right eye, 1.0 in the left eye, and his intraocular pressure was in both eyes. It was at the level of 15 mmHg. Biomicroscopically, the anterior segment looked natural. CSC was diagnosed in the FFA and OCT examinations.Treatment with oral acetazolamide (2x250 mg), topical nepafanac (4x1) was started. On the 13th day of the treatment, there was insufficient improvement in clinical findings, and oral acetazolamide was used. The dose was reduced (2x125 mg), oral epleronone (50 mg) was added. On the 70th day of the treatment, the vision in the right eye increased to full level in the control examination and it was observed that the retina returned to its normal appearance in the OCT examination.Copyright © 2023 Gazi Eye Foundation. All rights reserved.

17th Annual Sickle Cell and Thalassaemia Conference

The proceedings contain 115 papers. The topics discussed include: clinical and genetic predictors of sickle cell nephropathy in Malawi;clinicohematological characteristics of iron deficiency anemia and hemoglobinopathies in Pakistan;an experience of non-hospital based laboratory;assessment of hematological parameters of petrol filling workers at petrol stations in Ethiopia: a comparative cross-sectional study;burden and risk factor to acute myocardial ischemia in children with sickle cell anemia;dyslipidemia in transfusion-dependent-thalassemia patients and its correlation with serum vitamin D level;impact of COVID-19 pandemic to pre-transfusion hemoglobin level and frequency of transfusion in transfusion-dependent thalassemia patients in Indonesia;retinopathy in Egyptian patients with sickle cell disease;and dietary pattern, socio-demographic characteristics and nutritional status of pregnant women attending Barau Dikko teaching hospital and the need to develop recommended dietary allowance and dietary reference intakes for sickle cell disease patients.

Awareness and Knowledge of Carpal Tunnel Syndrome among Adult Saudi Population

Introductions: The median nerve's occasional or persistent compression or entrapment in the carpal tunnel from the wrist to the hand causes carpal tunnel syndrome (CTS). The main symptoms are pain, tingling, swelling, and loss of grip strength and function in the thumb, index finger, middle finger, and thumb of thumb. This study examined Saudi adults' awareness and understanding of Carpal Tunnel Syndrome and its link with demographics and chronic conditions. Material(s) and Method(s): This cross-sectional study examined adults' knowledge, attitudes, and practices regarding carpal tunnel syndrome from 2021 to 2022 in different Saudi Arabian regions. This study used a researcher-created questionnaire. In the awareness category, general public questions included CTS clinical aspects, etiology, and effects on daily life. Practice questions covered CTS preventive and chronic diseases. Volunteers were selected following informed consent. Result(s): 420 participants aged 34.8 +/- 13.49 years. 280 (66.6%) were male, 140 (33.3%) females. 38 (9.04%) were non-Saudi workers, while 384 were Saudis. 235 (55.9%) individuals knew about wrist CTS and 161 (38.3%) about pain. 157 (37.3%) individuals experienced thumb tingling or numbness, while 117 and 142 agreed that CTS may produce thumb weakness (27.8%) and hand grip (35.2%). The older age group reported more thumb numbness or tingling than the other groups, although there was no statistical difference (p= 0.09). CTS was not associated with chronic disease;however, diabetes was the main comorbidity in all age groups (44;45.3%), especially in the middle age group (21;60%). 5.4% had CTS. CTS was rare during pregnancy (0.7%), however all age groups agreed that it could influence their employment and social life (p= 0.014 and < 0.00001). The average knowledge score was 43.3 +/- 40.5, whereas the awareness score was 50.1 +/- 44.2. These findings indicate that Saudis were aware of CTS clinical symptoms. Conclusion(s): The study examined Saudi adults' awareness and understanding of CTS and estimated the association between CTS and demographics and chronic conditions. The study found that adult CTS awareness and knowledge were sufficient and associated with age and quality of life. CTS awareness campaigns may lower risk and raise knowledge of prevention and treatment. People who work with discomfort or use computers for long periods of time without breaks are more prone to develop CTS. Larger research is needed to understand how physical exercise causes CTS.Copyright © 2023, Ibn Sina Trust. All rights reserved.

Use of technology to facilitate recovery in young adults with first-episode psychosis

Aims: Accessibility and engagement to high quality non pharmacological interventions for First-Episode Psychosis individuals (FEP) is hindered by different factors such as patients motivation, clinical time, lack of adaptation to patient needs. Taking into account patients' preference in the design in an individualized treatment plan as well as challenges faced by this particular patient, and his specific context/ environment can possibly enhance patient satisfaction and engagement. Technology can help to both standardized and individualize intervention to maximize the proposed services impacts. Method(s): This symposium explore how different technological tools can assist both clinicians and patients in enhancing patient experience of care First, the technokinpep, an innovative telekinesiology project offered by a peer support worker in multiple early psychosis services simultaneously, maximized accessibility of physical activity during the COVID-19 pandemic, social distanciation requirements. Second, Ocean empire, a mobile app aimed at improving physical activity motivation and affect in early psychosis. With this study, this presentation will shed light on the development and implementation of this mobile app. Third, exercise your wau used a mobile app to tailor the physical activity intervention program to the patients preferences and needs. Finally, the Freedom app gives the duo patient-clinicians a tool to facilitate shared decision making to enhance the therapeutic relation. Result(s): These different technologies can enhance patient and clinicians experience of collaborative and tailored adapted treatment. Conclusion(s): The development of new technology can help improving care by adapting it to better individual's needs.

Use of Bluetooth contact tracing technology to model COVID-19 quarantine policies in high-risk closed populations.

Containment measures in high-risk closed settings, like migrant worker (MW) dormitories, are critical for mitigating emerging infectious disease outbreaks and protecting potentially vulnerable populations in outbreaks such as coronavirus disease 2019 (COVID-19). The direct impact of social distancing measures can be assessed through wearable contact tracing devices. Here, we developed an individual-based model using data collected through a Bluetooth wearable device that collected 33.6M and 52.8M contact events in two dormitories in Singapore, one apartment style and the other a barrack style, to assess the impact of measures to reduce the social contact of cases and their contacts. The simulation of highly detailed contact networks accounts for different infrastructural levels, including room, floor, block, and dormitory, and intensity in terms of being regular or transient. Via a branching process model, we then simulated outbreaks that matched the prevalence during the COVID-19 outbreak in the two dormitories and explored alternative scenarios for control. We found that strict isolation of all cases and quarantine of all contacts would lead to very low prevalence but that quarantining only regular contacts would lead to only marginally higher prevalence but substantially fewer total man-hours lost in quarantine. Reducing the density of contacts by 30% through the construction of additional dormitories was modelled to reduce the prevalence by 14 and 9% under smaller and larger outbreaks, respectively. Wearable contact tracing devices may be used not just for contact tracing efforts but also to inform alternative containment measures in high-risk closed settings.

Insomnia and job stressors among healthcare workers who served COVID-19 patients in Bangladesh.

BACKGROUND: The global outbreak of COVID-19 has created unprecedented havoc among health care workers, resulting in significant psychological strains like insomnia. This study aimed to analyze insomnia prevalence and job stressors among Bangladeshi health care workers in COVID-19 units. METHODOLOGY: We conducted this cross-sectional study to assess insomnia severity from January to March 2021 among 454 health care workers working in multiple hospitals in Dhaka city with active COVID-dedicated units. We selected 25 hospitals conveniently. We used a structured questionnaire for face-to-face interviews containing sociodemographic variables and job stressors. The severity of insomnia was measured by the Insomnia Severity Scale (ISS). The scale has seven items to evaluate the rate of insomnia, which was categorized as the absence of Insomnia (0-7); sub-threshold Insomnia (8-14); moderate clinical Insomnia (15-21); and severe clinical Insomnia (22-28). To identify clinical insomnia, a cut-off value of 15 was decided primarily. A cut-off score of 15 was initially proposed for identifying clinical insomnia. We performed a chi-square test and adjusted logistic regression to explore the association of different independent variables with clinically significant insomnia using the software SPSS version 25.0. RESULTS: 61.5% of our study participants were females. 44.9% were doctors, 33.9% were nurses, and 21.1% were other health care workers. Insomnia was more dominant among doctors and nurses (16.2% and 13.6%, respectively) than others (4.2%). We found clinically significant insomnia was associated with several job stressors (p < 0.05). In binary logistic regression, having sick leave (OR = 0.248, 95% CI = 0.116, 0.532) and being entitled to risk allowance (OR = 0.367, 95% CI = 0.124.1.081) showed lower odds of developing Insomnia. Previously diagnosed with COVID-19-positive health care workers had an OR of 2.596 (95% CI = 1.248, 5.399), pointing at negative experiences influencing insomnia. In addition, we observed that any training on risk and hazard increased the chances of suffering from Insomnia (OR = 1.923, 95% CI = 0.934, 3.958). CONCLUSION: It is evident from the findings that the volatile existence and ambiguity of COVID-19 have induced significant adverse psychological effects and subsequently directed our HCWs toward disturbed sleep and insomnia. The study recommends the imperativeness to formulate and implement collaborative interventions to help HCWs cope with this crisis and mitigate the mental stresses they experience during the pandemic.

The dual nature of constraints on foreign worker participation in sports and physical activity in South Korea during COVID-19.

This study provides a different understanding of the constraints imposed by the pandemic and the official and unofficial restrictions that accompanied it. It is an empirical effort demonstrating that the pandemic's effects are not purely negative, but rather, also helped to produce positive and productive practices that draw upon both the inhibiting and enabling features of the constraints it triggered. Engaging with "productive power" in Foucault by considering constraints as practices that both inhibit and enable, the empirical goal of this paper is to explore how pandemic-related constraints on sports and physical activity prohibit foreign worker participation in sports and physical activity. It also examines how the constraints encourage them to pursue an active life in new and unique ways. To achieve this goal, the paper examines the South Korean context, particularly unskilled foreign workers with E-9 visas for non-professional employment in the fishing, farming, and manufacturing industries and their involvement in sports and physical activity during the COVID-19 pandemic. The findings address three "inhibitors" that specifically prevented foreign workers from getting actively involved, then demonstrate that explicit restrictions on sports and physical activity can be transformed into four "enablers" that encouraged foreign workers to participate. The conclusion offers critical reflections on Foucault's "ethical subject," followed by the limitations and implications of the study.

Impact of a social prescribing intervention in North East England on adults with type 2 diabetes: the SPRING_NE multimethod study.

Background: Link worker social prescribing enables health-care professionals to address patients' non-medical needs by linking patients into various services. Evidence for its effectiveness and how it is experienced by link workers and clients is lacking. Objectives: To evaluate the impact and costs of a link worker social prescribing intervention on health and health-care costs and utilisation and to observe link worker delivery and patient engagement. Data sources: Quality Outcomes Framework and Secondary Services Use data. Design: Multimethods comprising (1) quasi-experimental evaluation of effects of social prescribing on health and health-care use, (2) cost-effectiveness analysis, (3) ethnographic methods to explore intervention delivery and receipt, and (4) a supplementary interview study examining intervention impact during the first UK COVID-19 lockdown (April-July 2020). Study population and setting: Community-dwelling adults aged 40-74 years with type 2 diabetes and link workers in a socioeconomically deprived locality of North East England, UK. Intervention: Link worker social prescribing to improve health and well-being-related outcomes among people with long-term conditions. Participants: (1) Health outcomes study, approximately n = 8400 patients; EuroQol-5 Dimensions, five-level version (EQ-5D-5L), study, n = 694 (baseline) and n = 474 (follow-up); (2) ethnography, n = 20 link workers and n = 19 clients; and COVID-19 interviews, n = 14 staff and n = 44 clients. Main outcome measures: The main outcome measures were glycated haemoglobin level (HbA1c; primary outcome), body mass index, blood pressure, cholesterol level, smoking status, health-care costs and utilisation, and EQ-5D-5L score. Results: Intention-to-treat analysis of approximately 8400 patients in 13 intervention and 11 control general practices demonstrated a statistically significant, although not clinically significant, difference in HbA1c level (-1.11 mmol/mol) and a non-statistically significant 1.5-percentage-point reduction in the probability of having high blood pressure, but no statistically significant effects on other outcomes. Health-care cost estimates ranged from £18.22 (individuals with one extra comorbidity) to -£50.35 (individuals with no extra comorbidity). A statistically non-significant shift from unplanned (non-elective and accident and emergency admissions) to planned care (elective and outpatient care) was observed. Subgroup analysis showed more benefit for individuals living in more deprived areas, for the ethnically white and those with fewer comorbidities. The mean cost of the intervention itself was £1345 per participant; the incremental mean health gain was 0.004 quality-adjusted life-years (95% confidence interval -0.022 to 0.029 quality-adjusted life-years); and the incremental cost-effectiveness ratio was £327,250 per quality-adjusted life-year gained. Ethnographic data showed that successfully embedded, holistic social prescribing providing supported linking to navigate social determinants of health was challenging to deliver, but could offer opportunities for improving health and well-being. However, the intervention was heterogeneous and was shaped in unanticipated ways by the delivery context. Pressures to generate referrals and meet targets detracted from face-to-face contact and capacity to address setbacks among those with complex health and social problems. Limitations: The limitations of the study include (1) a reduced sample size because of non-participation of seven general practices; (2) incompleteness and unreliability of some of the Quality and Outcomes Framework data; (3) unavailability of accurate data on intervention intensity and patient comorbidity; (4) reliance on an exploratory analysis with significant sensitivity analysis; and (5) limited perspectives from voluntary, community and social enterprise. Conclusions: This social prescribing model resulted in a small improvement in glycaemic control. Outcome effects varied across different groups and the experience of social prescribing differed depending on client circumstances. Future work: To examine how the NHS Primary Care Network social prescribing is being operationalised; its impact on health outcomes, service use and costs; and its tailoring to different contexts. Trial registration: This trial is registered as ISRCTN13880272. Funding: This project was funded by the National Institute for Health and Care Research (NIHR) Public Health Research programme, Community Groups and Health Promotion (grant no. 16/122/33) and will be published in full in Public Health Research; Vol. 11, No. 2. See the NIHR Journals Library website for further project information.

Social prescribing happens when health-care staff refer patients to a link worker. Link workers support and help patients to access community services to improve their health and well-being. Social prescribing is popular within the NHS, but there is little evidence that it works. We looked at a social prescribing model being delivered in a disadvantaged area in north-east England.