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1.
Boletin de Malariologia y Salud Ambiental ; 61(Edicion Especial II 2021):156-162, 2021.
Article in Spanish | GIM | ID: covidwho-2040743

ABSTRACT

One of the main causes of deterioration in mental health in the pandemic was the mishandling of information. The objective of this study was to evaluate the frequency of fear or perception of misinformation transmitted by the media and its influence on the mental health of the Peruvian population after the first wave. Analytical cross-sectional study. Which measured in almost 10,000 Peruvian inhabitants the perception of fear or exaggeration of the news with a previously validated instrument (global Cronbach's Alpha: 0.92), but this was post-first wave. The main perceptions were shown and it was associated with sex, age and educational level. Television broadcast more fear (12% strongly agree and 27% agree) and exaggeration (13% strongly agree and 26% agree);followed by social media. Men had a higher fear score in general (Coefficient: 1.83;95% CI: 1.01-3.31;p value = 0.047);Furthermore, according to the level of education, compared to those who had up to primary school, those who had secondary school had a higher overall score (Coefficient: 4.53;95% CI: 1.93-10.64;p value = 0.001), of exaggeration (Coefficient: 1.73;95% CI: 1.31-2.28;p value < 0.001), of fear (Coefficient: 1.73;95% CI: 1.31-2.28;p value < 0.001) and communication by friends / health personnel (Coefficient: 1.72;95% CI: 1.29-2.30;p value < 0.001);adjusted for age and department of residence. In general, it was observed that those with only secondary education were more afraid and were influenced by relatives and acquaintances.

2.
Medycyna Srodowiskowa Environmental Medicine ; 25(1/2):21-27, 2022.
Article in Polish | CAB Abstracts | ID: covidwho-2040635

ABSTRACT

Introduction and Objective: On 10 March, 2020, the World Health Organization (WHO) declared the COVID-19 pandemic, which has become a public health emergency of international concern. The purpose of this study was to explore the attitudes of health professionals towards the COVID-19 outbreak. Materials and Method: A survey of 115 health care professionals was conducted in late 2020. The research tool was a questionnaire constructed based on surveys by the Public Opinion Research Center (CBOS). When analyzing the relationships, two groups were distinguished: hospital employees and those employed in other units, and employees with and without contact with patients. The results were processed using Microsoft Office Excel and Statistica 13.0. Analyses of the relationships were performed using the chisquare test, p< 0.5.

3.
Dental Journal ; 55(2):99-104, 2022.
Article in English | CAB Abstracts | ID: covidwho-2040549

ABSTRACT

Background: The global epidemic of COVID-19 has reached an emergency status in the health system, including dentistry. The dentist profession is inseparable from the possibility of direct or indirect contact with microorganisms in the patient's blood or saliva. National and international dental associations, such as Persatuan Dokter Gigi Indonesia and the American Dental Association, have published practice protocols that must be applied by dentists who choose to continue practicing during the COVID-19 pandemic. Dentists' knowledge of practice protocols in the current situation is very important, as it enables dentists to take infection control measures against virus transmission in the dental practice environment. Strong knowledge can have a positive impact on the psychological state of dentists, such as by reducing the anxiety level of dentists when treating patients during the pandemic. Purpose: To determine the correlation between the level of knowledge of dentists regarding practice protocols and the level of anxiety that they face regarding practicing during the COVID-19 pandemic in Indonesia.

4.
Indian Journal of Psychiatry ; 64(2):120-129, 2022.
Article in English | GIM | ID: covidwho-2040128

ABSTRACT

Aim of the Study: There is currently no meta-synthesis focused on the lived experiences of health-care providers during COVID-19. This meta-synthesis adds to evidence-based literature with an in-depth exploration of how health-care providers responded to the COVID-19 crisis. Materials and Methods: The meta-synthesis approach was used for the extraction and synthesis of data.

5.
PLoS Global Public Health ; 2(8), 2022.
Article in English | CAB Abstracts | ID: covidwho-2039243

ABSTRACT

The enforcement of the coronavirus disease (COVID-19) pandemic restrictions disrupted health services delivery and currently, there is a limited understanding regarding measures employed by health facilities to ensure delivery of human immunodeficiency virus (HIV) services amidst the interruptions. We, therefore, designed a qualitative study to explore the measures for continuity of HIV services during the COVID-19 pandemic restrictions in Kampala, Uganda. This study was conducted at six large primary health care facilities in the Kampala Metropolitan area. Qualitative data were collected from anti-retroviral therapy (ART) focal persons and lay health workers namely linkage facilitators and peer mothers through key informant interviews (KIIs). Overall, 14 KIIs were performed, 10 with lay health workers and 4 with ART focal persons. Data were audio-recorded, transcribed verbatim, and analyzed using the content approach, and the results were presented as themes along with participant quotations. Five themes emerged to describe measures for continuity of HIV services. The measures included: (1) leveraging the use of mobile phone technology to support ART adherence counseling, psychosocial care, and reminders concerning clinic appointments and referrals;(2) adoption of novel differentiated service delivery models for ART like the use of motorcycle taxis and introduction of an individualized ART delivery model for patients with non-disclosed HIV status;(3) scale-up of existing differentiated service delivery models for ART, namely multi-month dispensing of antiretroviral drugs (ARVs), fast-track ARV refill, home-based ARV refill, peer ART delivery, use of community pharmacy model, and community client-led ART delivery model;and, (4) reorientation of health facility functioning to the COVID-19 pandemic restrictions characterized by the use of nearby health facilities for ARV refill and viral load monitoring, transportation of healthcare providers and flexible work schedules and reliance on shift work. We found several measures were adopted to deliver HIV care, treatment, and support services during the COVID-19 pandemic restrictions in Kampala, Uganda. We recommend the scale-up of the new measures for service continuity in the post-COVID-19 period.

6.
PLoS Global Public Health ; 2(8), 2022.
Article in English | CAB Abstracts | ID: covidwho-2039232

ABSTRACT

The COVID-19 pandemic continues to have substantial impacts on health systems globally. This study describes experiences during the COVID-19 pandemic, and physical, psychological and economic impacts among maternal and newborn healthcare providers. We conducted a global online cross-sectional survey of maternal and newborn healthcare providers. Data collected between July and December 2020 included demographic characteristics, work-related experiences, and physical, psychological, and economic impacts of COVID-19. Descriptive statistics of quantitative data and content analysis of qualitative data were conducted. Findings were disaggregated by country income-level. We analysed responses from 1,191 maternal and newborn healthcare providers from 77 countries: middle-income 66%, high-income 27%, and low-income 7%. Most common cadres were nurses (31%), midwives/nurse-midwives (25%), and obstetricians/gynaecologists (21%). Quantitative and qualitative findings showed that 28% of respondents reported decreased workplace staffing levels following changes in staff-rotation (53%) and staff self-isolating after exposure to SARS-CoV-2 (35%);this led to spending less time with patients, possibly compromising care quality. Reported insufficient access to personal protective equipment (PPE) ranged from 12% for gloves to 32% for N-95 masks. Nonetheless, wearing PPE was tiresome, time-consuming, and presented potential communication barriers with patients. 58% of respondents reported higher stress levels, mainly related to lack of access to information or to rapidly changing guidelines. Respondents noted a negative financial impact-a decrease in income (70% among respondents from low-income countries) concurrently with increased personal expenditures (medical supplies, transportation, and PPE). Negative physical, psychological and economic impacts of COVID-19 on maternal and newborn healthcare providers were ongoing throughout 2020, especially in low-income countries. This can have severe consequences for provision and quality of essential care. There is need to increase focus on the implementation of interventions aiming to support healthcare providers, particularly those in low- and middle-income countries to protect essential health services from disruption.

7.
PLoS Global Public Health ; 2(8), 2022.
Article in English | CAB Abstracts | ID: covidwho-2039229

ABSTRACT

While vaccines are now authorized for use against the SARS-CoV2 virus, they remain inaccessible for much of the world and widespread hesitancy persists. Ending the COVID-19 pandemic depends on continued prevention behaviors such as mask wearing, distancing, hand hygiene, and limiting large gatherings. Research in low- and middle-income countries has focused on the prevalence of adherence and demographic determinants, but there is a need for a nuanced understanding of why people do or do not practice a given prevention behavior. The Breakthrough ACTION project led by Johns Hopkins Center for Communication Programs conducted a qualitative study in November 2020 in Cote d'Ivoire to explore people's experience with and perceptions of the COVID-19 pandemic. We conducted 24 focus group discussions and 29 in-depth interviews with members of the general population and health providers. This analysis explores barriers and facilitators to seven recommended prevention behaviors with a particular focus on response efficacy, self-efficacy, and social norms. We found these constructs to be salient for participants who generally felt that the behaviors were useful for preventing COVID-19 but were difficult to practice for a variety of reasons. The perception that COVID-19 prevention behaviors were anti-social emerged as a key theme. Behavior change interventions must reframe the recommended behaviors as pro-social, while making them very easy to practice by removing social and structural barriers such as the expense or inaccessibility of masks and hand sanitizer.

8.
J Health Psychol ; : 13591053221120968, 2022.
Article in English | PubMed | ID: covidwho-2038574

ABSTRACT

The present study sought to explore the factors associated with the odds of having probable depression and posttraumatic stress disorder (PTSD) related to traumatic COVID-19 experiences and their impact on health care workers in distinct categories. In this cross-sectional study, 1843 health care workers (nurses, nurse technicians, physicians, physical therapists, and other healthcare workers) were recruited via convenience sampling. A survey was administered to obtain information regarding sociodemographic, occupational, and mental health status. Descriptive statistics and multivariable logistic regression were used for the analyses. Being a nurse technician was associated with an odds ratio of 1.76 for probable PTSD. No relation was observed between health care worker categories and the odds of probable depression. Additionally, being female and not receiving adequate PPE were related to greater odds of having probable PTSD and depression.

9.
Journal of Environmental and Public Health ; 6224280(31), 2022.
Article in English | CAB Abstracts | ID: covidwho-2038376

ABSTRACT

Background. Many health-related occupational hazards confront healthcare workers. Examining the prevalence of hazards enables to search for better risk management for healthcare workers because these workers are often the first point of interaction, particularly in resource-limited settings like Ethiopia. Therefore, this study assessed the prevalence of work-related occupational hazards and identified related factors among healthcare workers in public health facilities of Gambella town, western Ethiopia. Methods. Institution-based cross-sectional study was conducted among 260 randomly selected healthcare workers from June 1-21, 2021. A semi structured tool was used to collect data and data analysis was performed using SPSS version 25. Multivariable logistic regression was used to identify the predictors of outcome variable and the significance of associations was declared by using a 95% CI and a p-value of <0.05. Results. The prevalence of occupational health hazards among healthcare workers was 36.5% (95% CI: 31, 42). The absence of immediate treatments for injured health workers (AOR = 8.86, 95% CI: 2.5, 31.4), lack of personal protective equipment (AOR = 3.6, 95% CI: 1.5, 8.4), working greater than eight hours per day (AOR = 7.9, 95% CI: 3.1, 19.7), working in the night shifts (AOR = 8.1, 95% CI: 2.5, 26.1), and absence of effective leadership in the health facility (AOR = 5.2, 95% CI: 1.9, 14.5) were factors associated with the prevalence of occupational hazards. Conclusions. There was a relatively high degree of occupational health hazard exposure among health workers in the study area compared to kinds of literature from other settings. Health workers were exposed to a wide range of occupational hazards, and risk reduction mechanisms and safety actions were inadequately implemented. Therefore, the health workers' occupational health and safety needs should be prioritized and appropriate measures should be taken to mitigate the problems.

10.
Am J Infect Control ; 2022 Jun 11.
Article in English | MEDLINE | ID: covidwho-2035668

ABSTRACT

BACKGROUND: A successful public health response during the COVID-19 pandemic pivots on the ability of health care workers (HCWs) to work through immense workplace-related physical and psychological pressures. OBJECTIVE: The aim of current study was to explore support needs of HCWs during the COVID-19 outbreak in Singapore and to identify implications for practice and workplace policies. METHODS: A descriptive qualitative approach was adopted in this study. HCWs from a major public health care cluster in Singapore (n = 612) responded to an open-ended question in an online survey. Results were analyzed using content analysis via an inductive approach. RESULTS: Five main themes that borrows from Maslow's Hierarchy of Needs emerged from content analysis, with 17 categories under the themes. The 5 main themes are: physical needs, safety needs, love and belonging needs, esteem needs and self-actualization needs. CONCLUSIONS: Findings from this study indicate that there were many unmet needs among HCWs during the COVID-19 pandemic. An overview of various need areas identified in this study may guide future research and development of interventions to mitigate the negative impact of disease outbreaks on HCWs.

11.
International Journal of Public Health Research ; 11(1):1326-1328, 2021.
Article in English | CAB Abstracts | ID: covidwho-2034206

ABSTRACT

The first coronavirus disease 2019(Covid-19) in Malaysia was first detected on the 25th of January 2020. Numbers remained low until March where local clusters began to sprout. This rapid rise was alarming to the Ministry of Health Malaysia (MOH) and Movement Control Order (MCO) was declared on the 18th of March 2020 to flatten the curve. As Malaysia enters the fourth phase of MCO, the country has over six thousand cases of COVID-19 with over a hundred fatalities. Efforts within the MCO entails social distancing, increasing testing capacity and isolation. This combination of measures led to Malaysia being recognised to have one of the lowest death rate and highest recovery rate exceeding 50% of total cases.

12.
Chinese Journal of Nosocomiology ; 32(12):1761-1770, 2022.
Article in English, Chinese | GIM | ID: covidwho-2034135

ABSTRACT

Makeshift hospitals have played an important role in responding to the spread of the epidemic caused by the Omicron coronavirus variant, one of the novel coronavirus(SARS-CoV-2) strains with significantly enhanced infectiousness. In order to prevent the patients, healthcare workers and other staff against from infection, Healthcare-associated Infection Management Committee of Chinese Hospital Association organized domestic experts to jointly formulate this consensus according to the comprehensive consideration of national guidelines as well as the actual characteristics and needs of makeshift hospitals. This consensus is mainly applicable for makeshift hospitals where a large number of asymptomatic and mild cases of novel coronavirus disease 2019(COVID-19) are treated. It provides guidance for the managers and staff to implement prevention and control work in line with local conditions in makeshift hospitals based on a perfect organizational structure and efficient working mechanism, the prevention and control work includes training and assessment of infection control knowledge and skills, flowing in and out of the makeshift hospitals for staff and materials, infection monitoring and feedback, implementation of infection prevention and control measures, requirements for infection management in key areas, occupational protection of staff and terminal disinfection, etc. Meanwhile, this consensus particularly emphasizes that the infection prevention and control in makeshift hospitals is a systematic project, which requires not only multi-system and multi-department collaboration, but also uniting in a concrete effort among leaders and staff. In accordance with the national guidelines and evidence-based experiences, it is very important to combine theory with practice for ensuring efficient operation and safety of makeshift hospitals.

13.
Chinese Journal of Nosocomiology ; 32(12):1885-1889, 2022.
Article in English, Chinese | GIM | ID: covidwho-2033832

ABSTRACT

OBJECTIVE: To explore the construction mode of full-time staff for infection control in prefecture-level cities under the background of the COVID-19 pandemic, and to lay a foundation for infection control of epidemic prevention and control and medical safety. METHODS: A three-level collaborative promotion system which was led by the health administrative department, undertaken by the hospital association, and cooperated by the quality control center was established. Refinement of the promotion measures was taken from six aspects, including the number of full-time staff, team management, ability improvement, echelon construction, development space and discipline construction and so on. Specifically, the construction and assessment of full-time personnel was strengthened, training courses on nosocomial infection management in primary-level medical institutions was carried out, a youth backbone echelon was established, the treatment of full-time staff was guaranteed and the department of infection management was incorporated into the management of medical technology departments in an exploratory way, the evaluation standard of municipal key clinical specialties was formulated and the evaluation was organized, and the department of nosocomial infection with strong comprehensive strength would be built and supported as a "municipal clinial key specialty project". RESULTS: The total number of full-time staff for infection control in the secondary and tertiary medical institutions in the city had increased to 102, and the ratio of person to bed had increased to 1:76 and 1:173, respectively, both higher than the provincial average level. The self-assessment of the cultural atmosphere of infection control in hospitals and the leaders' emphasis on infection control of 60.34% and 63.79% full-time staff increased significantly. The infection control management department of the two third-grade first-class hospitals ware selected as the first batch of municipal key clinical specialties and received construction funds. The full-time staff had achieved zero breakthroughs in the provincial projects and municipal talent projects. CONCLUSION: By establishing a three-level collaborative promotion system of "Health and Health Commission-Hospital Association-Quality Control Center", the ability of full-time staff and their sense of belonging could be improved significantly with a policy support from the aspects of discipline development, treatment and promotion channels, et al., providing ideas and models for ordinary prefecture-level cities to build professional infection control management team.

14.
Boletin de Malariologia y Salud Ambiental ; 61(Edicion Especial II 2021):114-122, 2021.
Article in Spanish | CAB Abstracts | ID: covidwho-2033749

ABSTRACT

Due to the pandemic, an increase in mental health problems has been reported in members of the health personnel, with the self-report being an initial way of evaluating it. The objective was to determine the factors associated with the perception of repercussions in the mental sphere in health professionals in Latin America before COVID-19. An analytical cross-sectional study was carried out between June and August 2020 in Latin America. The perception of repercussions was measured through an instrument previously validated in Peru, which was taken virtually from 406 doctors, nurses and others;this was crossed versus other variables. The main concern was returning home and infecting their family (22% strongly agree), followed by feeling the abuse because they do not give them the necessary amount of personal protective equipment (13% strongly agree) and perceiving mental exhaustion for all the activities they did (12% strongly agree). In the multivariate analysis, the older there was a lower perception of mental repercussion (aPR: 0.98;95% CI: 0.97-0.99;p value = 0.012);In addition, those who had a greater perception of repercussions in the mental sphere also had more anxiety at a low level (aPR: 1.84;95% CI: 1.14-2.98;p value = 0.013) and post-traumatic stress (aPR: 2.28;95% CI: 1.61-3.22;p value <0.001), adjusted for depression and stress. Despite being an exploratory analysis, important associations were found in the mental sphere;which should continue to be investigated in larger studies.

15.
Boletin de Malariologia y Salud Ambiental ; 61(Edicion Especial II 2021):97-105, 2021.
Article in Spanish | GIM | ID: covidwho-2033720

ABSTRACT

COVID-19 has generated an unprecedented pandemic. This scenario could affect the mental health of healthcare personnel, influencing their work performance with the possibility of leaving long-term sequelae. The objective was to determine the socio-occupational factors associated with suffering from anxiety, depression and stress in health professionals in the Peruvian highlands during the pandemic. Cross-sectional study. Doctors and other professionals at the Ramiro Priale Priale National Hospital in the Peruvian highlands were surveyed virtually. Depression, anxiety and stress were measured with the DASS-21 scale;these were associated with different socio-labour variables. More severe depression was found at older ages and if a family member had been ill at home, but less severe depression was found among those who had children, those who had more years of professional practice and those who had social security. Those who had children had less anxiety;less severe anxiety and those who had a relative away from home who became ill;on the other hand, those who worked more hours per day had more moderate anxiety, severe anxiety if the respondent had become ill and both types if a family member had died had more moderate anxiety. Those who worked more hours per day and those who had a deceased family member had more stress. The most relevant characteristics of health workers with mental health problems were older age, family history of COVID-19, history of death of a family member from COVID-19 and longer working hours.

16.
Vaccine ; 2022.
Article in English | ScienceDirect | ID: covidwho-2031736

ABSTRACT

Background Aim The Omicron COVID-19 variants BA.1* and BA.2* evade immune system leading to increased transmissibility and breakthrough infections. We aim to test the hypothesis that immunity achieved post COVID-19 infection combined with vaccination (hybrid immunity), is more effective against Omicron infection than vaccination alone in a health-care setting. Methods Data on regular pre-emptive PCR testing from all Health-Care Workers (HCWs) at Laiko University Hospital from 29th December 2020, date on which the national COVID-19 immunization program began in Greece, until 24th May 2022, were retrospectively collected and recorded. The infection rate was calculated after December 21st, 2021, when Omicron was the predominant circulating variant in Greece, as the total number of infections (positive PCR COVID-19 test regardless of symptoms) divided by the total person-months at risk. Results Of 1,305 vaccinated HCWs who were included in the analysis [median age of 47 (IQR: 36, 56) years, 66.7% women], 13% and 87% had received 2 or 3 vaccine doses (full and booster vaccination), respectively. A COVID-19 infection had occurred in 135 of 1,305 of participants prior to Omicron predominance. Of those 135 HCWs with hybrid immunity only 13 (9.6%) were re-infected. Of the 154 and 1,016 HCWs with full and booster vaccination-induced immunity, respectively, 71 (46.1%, infection rate 13.4/100 person-months) and 448 (44.1%, infection rate 12.2/100 person-months) were infected during the follow up period. No association between gender or age and COVID-19 infection was found and none of the participants had a severe infection or died. Conclusions Hybrid immunity confers higher protection by almost 5-fold compared to full or booster vaccination for COVID-19 infection with the Omicron variant among HCWs who are at high risk of exposure. This may inform public health policies on how to achieve optimal immunity in terms of the timing and mode of vaccination.

17.
Archives of Psychiatric Nursing ; 2022.
Article in English | ScienceDirect | ID: covidwho-2031121

ABSTRACT

This study aimed to estimate the prevalence of increased psychoactive substance use (PSU) and associated factors among health care professionals. A cross-sectional and analytical study with 12,086 Brazilian health professionals was undertaken. An online questionnaire was used to gather data concerning sociodemographic factors, increased consumption of alcoholic beverages, tobacco, and hypnotics or sedatives during the COVID-19 pandemic. The prevalence of tobacco, alcoholic beverages, and hypnotic or sedative consumption were 17.8 %, 69.0 % and 17.1 %, respectively. Regression analyses indicated that having no religion and social isolation were associated with increased PASU during the pandemic. COVID-19 pandemic stressors may increase PASU, and increased PASU may increase the risk of substance use disorders and substance use-related chronic diseases, such as cancer.

18.
2022 International Conference on Blockchain Technology and Information Security, ICBCTIS 2022 ; : 246-254, 2022.
Article in English | Scopus | ID: covidwho-2029226

ABSTRACT

The COVID-19 pandemic has led to a worldwide surge in demand for masks, protective clothing, and other epidemic prevention materials. The lack of epidemic prevention materials has put the lives of frontline health care workers at serious risk. However, epidemic prevention materials are not being distributed fairly and efficiently. This, coupled with the occasional scramble for scarce materials, makes epidemic prevention materials scarcer. The traditional centralized donation model makes it difficult to obtain the demand for materials in a timely manner, and the existing blockchain-based donation systems have not improved the efficiency of material donation. Moreover, most of the donation systems do not consider privacy and security issues. In this paper, we propose a blockchain-based material donation platform designed and implemented through the Ethereum platform. We solve the difficulty of demand acquisition and improve the transparency of the donation process through blockchain;reduce the possibility of a second disaster and improve the efficiency of material distribution through smart contracts;and protect the privacy and security of the donation process through zero-knowledge proof. We validate the security and efficiency of the proposed epidemic donation platform. © 2022 IEEE.

19.
Infect Dis Now ; 2022.
Article in English | PubMed | ID: covidwho-2028078

ABSTRACT

During the Covid outbreak, very few health professionals took an extreme position of vaccine refusal. Some differences were observed in terms of theoretical acceptance of the 2018 influenza vaccination campaign and COVID-19 vaccination in winter 2020-2021.

20.
Infect Dis Now ; 2022.
Article in English | PubMed | ID: covidwho-2028077

ABSTRACT

OBJECTIVES: To estimate the SARS-CoV-2 IgG seroprevalence rate in healthcare workers (HCWs) from Western France after the first 2020 wave, its determinants and the kinetics of total SARS-CoV-2 antibodies. PATIENTS AND METHODS: Overall, 9,453 HCWs responded to a self-questionnaire and underwent a lateral flow immunoassay to assess SARS-CoV-2 IgG presence. For 72 HCWs who tested positive, total anti-nucleocapsid antibodies were assessed at day 0, 30, and 90. RESULTS: SARS-CoV-2 IgG seroprevalence rate was 1.06% [0.86%-1.27%]. Factors associated with IgG presence were gender, performing upper respiratory tract samples, contact with HCWs or household members diagnosed with COVID-19. Total antibodies decreased between day 0 and day 90, with anosmia or ageusia, and were higher in HCWs older than 50 years. CONCLUSION: We reported a low prevalence rate of IgG and identified several risk factors associated with its presence and persistence of total antibodies. Additional studies are needed to confirm these observations.

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