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1.
Eur J Oncol Nurs ; 61: 102207, 2022 Dec.
Article in English | MEDLINE | ID: covidwho-2104849

ABSTRACT

PURPOSE: The covid-19 global pandemic has impacted on nurses who have rapidly adapted to new ways of working, and experienced negative impacts due to over-stretched services. Two surveys captured the experiences of lung cancer and mesothelioma specialist nurses in the United Kingdom (UK) in 2020, but the impact of later stages of the pandemic was unknown. This study aimed to explore the impact of covid-19 on lung Cancer and mesothelioma nurses since January 2021, the second wave of the pandemic. METHODS: An online cross-sectional survey with both open and closed questions explored the impact of covid-19 on ways of working and workload, quality of care, and health and wellbeing. The survey was open to UK based lung cancer and mesothelioma advanced or specialist nurses. RESULTS: 85 nurses responded to the survey. The majority were Clinical Nurse Specialists, based in England. Respondents reported changes in ways of working due to redeployment, staff shortages, and home working. Widespread adoption of virtual working practices led to concerns of negative impacts. Perceived excessive workload impacted on care with two-thirds of the sample (57, 67%) reporting they had been unable to provide the same quality of care to patients. Impacts on nurses' health and wellbeing were reported with two-thirds of the sample (56, 66%) reporting a deterioration in emotional wellbeing and mental health. Coping mechanisms employed included online team support to share experiences and increased uptake of exercise; however, impacts on lifestyle and access to coping mechanisms varied. CONCLUSION: Nurses have stepped up to the challenges of the pandemic with teamwork and innovation, but pressure arising from the pandemic and high workloads led to negative impacts on wellbeing. The authors have provided recommendations to improve patient care and support the wellbeing of nurses, which will be key to a resilient workforce living with covid-19. Whilst this study focussed on lung cancer and mesothelioma specialists, the findings have wider implications for other cancer specialties.


Subject(s)
COVID-19 , Lung Neoplasms , Mesothelioma , Nurse Clinicians , Nurses , Humans , COVID-19/epidemiology , Cross-Sectional Studies , Surveys and Questionnaires
2.
Health Technol Assess ; 26(41): 1-118, 2022 10.
Article in English | MEDLINE | ID: covidwho-2099087

ABSTRACT

BACKGROUND: Corticosteroids are a mainstay of the treatment of moderately severe relapses of ulcerative colitis, yet almost 50% of patients do not respond fully to these and risk prolonged steroid use and side effects. There is a lack of clarity about the definitions of steroid resistance, the optimum choice of treatment, and patient and health-care professional treatment preferences. OBJECTIVES: The overall aim of this research was to understand how steroid-resistant ulcerative colitis is managed in adult secondary care and how current practice compares with patient and health-care professional preferences. DESIGN: A mixed-methods study, including an online survey, qualitative interviews and discrete choice experiments. SETTING: NHS inflammatory bowel disease services in the UK. PARTICIPANTS: Adults with ulcerative colitis and health-care professionals treating inflammatory bowel disease. RESULTS: We carried out a survey of health-care professionals (n = 168), qualitative interviews with health-care professionals (n = 20) and patients (n = 33), discrete choice experiments with health-care professionals (n = 116) and patients (n = 115), and a multistakeholder workshop (n = 9). The interviews with and survey of health-care professionals showed that most health-care professionals define steroid resistance as an incomplete response to 40 mg per day of prednisolone after 2 weeks. The survey also found that anti-tumour necrosis factor drugs (particularly infliximab) are the most frequently offered drugs across most steroid-resistant (and steroid-dependent) patient scenarios, but they are less frequently offered to thiopurine-naive patients. Patient interviews identified several factors influencing their treatment choices, including effectiveness of treatment, recommendations from health-care professionals, route of administration and side effects. Over time, depending on the severity and duration of symptoms and, crucially, as medical treatment options become exhausted, patients are willing to try alternative treatments and, eventually, to undergo surgery. The discrete choice experiments found that the probability of remission and of side effects strongly influences the treatment choices of both patients and health-care professionals. Patients are less likely to choose a treatment that takes longer to improve symptoms. Health-care professionals are willing to make difficult compromises by tolerating greater safety risks in exchange for therapeutic benefits. The treatments ranked most positively by patients were infliximab and tofacitinib (each preferred by 38% of patients), and the predicted probability of uptake by health-care professionals was greatest for infliximab (62%). LIMITATIONS: The survey and the discrete choice experiments with patients and health-care professionals are limited by their relatively small sample sizes. The qualitative studies are subject to selection bias. The timing of the different substudies, both before and during the COVID-19 pandemic, is a potential limitation. CONCLUSIONS: We have identified factors influencing treatment decisions for steroid-resistant ulcerative colitis and the characteristics to consider when choosing treatments to evaluate in future randomised controlled trials. The findings may be used to improve discussions between patients and health-care professionals when they review treatment options for steroid-resistant ulcerative colitis. FUTURE WORK: This research highlights the need for consensus work to establish an agreed definition of steroid resistance in ulcerative colitis and a greater understanding of the optimal use of tofacitinib and surgery for this patient group. A randomised controlled trial comparing infliximab with tofacitinib is also recommended. FUNDING: This project was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 26, No. 41. See the NIHR Journals Library website for further project information.


Steroids are one of the main treatments for ulcerative colitis; however, steroids work well for only about 50% of people who take them. There are many other treatments that can be given when steroids do not work, but evidence is limited about how these treatments are best used. To carry out better research about the best treatment options and to improve clinical practice in the future, this study aimed to find out how adults with steroid-resistant ulcerative colitis are managed in hospital and why patients and health-care professionals prefer different treatments. The study combined various methods of research, including an online survey of health-care professionals (n = 168), interviews with health-care professionals (n = 20) and patients (n = 33), a survey of health-care professionals (n = 116) and patients (n = 115) to ask them about treatment preferences, and a multistakeholder workshop (n = 9). The interviews with and survey of health-care professionals found that most health-care professionals define steroid resistance as an incomplete response to 40 mg per day of prednisolone after 2 weeks. The survey also found that the most frequently offered drugs are anti-tumour necrosis factor drugs (particularly infliximab). Patient interviews found that several factors influenced treatment choices, including effectiveness of treament, guidance from health-care professionals, route of administration and side effects. Patients were willing to try alternative treatments and surgery over time. The survey found that a higher level of remission and a lower chance of side effects strongly influenced treatment choices. Patients are less likely to choose a treatment that takes longer to improve symptoms. Health-care professionals are willing to make difficult compromises by tolerating greater safety risks in exchange for therapeutic benefits. Infliximab and tofacitinib were ranked most positively by patients, and the predicted uptake by health-care professionals was greatest for infliximab. The results of this study help improve understanding of why people choose certain treatments, improve decision-making in partnership and inform the design of future research.


Subject(s)
COVID-19 , Colitis, Ulcerative , Adult , Humans , Colitis, Ulcerative/drug therapy , Colitis, Ulcerative/surgery , Infliximab/therapeutic use , Patient Preference , Pandemics , Neoplasm Recurrence, Local , Prednisolone/therapeutic use , Cost-Benefit Analysis , Randomized Controlled Trials as Topic
3.
J Educ Health Promot ; 11: 160, 2022.
Article in English | MEDLINE | ID: covidwho-2090564

ABSTRACT

BACKGROUND: Conducting online classes and assessment during the COVID-19 pandemic is not without challenges. The world of medical education is adapting online training and assessment because of COVID-19 pandemic restrictions. The present study was conducted to assess the students' perception regarding the process, difficulties encountered and perceived effectiveness of online assessment. MATERIALS AND METHODS: Online viva-voce (theory and visual based) was conducted in a government medical college in Karwar, Karnataka, India using videoconferencing application (Google Meet) to 149 second MBBS students as a formative assessment in 2020 over 3 months. Ten students per day joined Google Meet, 10 questions were asked to each student and assessed using a tutor marking system (on-spot). A feedback questionnaire (Google Form) was administered to students who attended online Viva-Voce. Data was analysed using descriptive and inferential statistics (Student's t-test). RESULTS: Out of 149 students, 132 participated and responded to a feedback questionnaire. Majority of the participants (91%) agreed that questions covered all topics kept for viva, 82% of them felt it would be helpful for performance in final examinations. Thirty percent of students faced network issues at their places, 45% felt nervous while facing viva in the presence of other students and 35% of participants preferred online methods over traditional viva voce. Online viva voce can be transparent (90%) and less biased (88%) if done in structured format. CONCLUSION: Online viva-voce may become relevant and effective in medical education assessment with transparent marking system for students' performance.

4.
Non-conventional in Russian | WHOIRIS, Grey literature | ID: grc-754839

ABSTRACT

Отслеживание контактов стало краеугольным камнем ответа стран на пандемию COVID-19 и остается одной из ключевых стратегий по прерыванию цепочек распространения SARS-CoV-2 и снижению заболеваемости и смертности, связанной с COVID-19. Хотя пандемия еще не закончилась, многие страны переходят к более устойчивому и комплексному подходу к реагированию на COVID-19. Системы отслеживания контактов приспосабливаются к новым условиям;при этом, чтобы учесть произошедшие изменения в долгосрочной перспективе, адаптацию необходимо углубить. Описанное совещание по отслеживанию контактов в связи с COVID-19 совместно организовано ЕРБ ВОЗ и ECDC и проведено 1 марта 2022 г. В совещании участвовали специалисты по отслеживанию контактов в связи с COVID-19 из 39 стран и территорий Европейского региона ВОЗ, в том числе 24 стран Европейского союза/ Европейской экономической зоны (ЕЭЗ). Полный перечень стран-участниц приведен в приложении 1. Основное внимание уделялось двум ключевым темам: 1) опыт, сложности и решения, относящиеся к отслеживанию контактов в связи с COVID-19;2) как лучше интегрировать отслеживание контактов в процесс укрепления систем здравоохранения и планирование мер по обеспечению готовности к пандемиям. Для того чтобы все страны могли активно поучаствовать в обсуждении вышеуказанных тем, организовано два сеанса работы в отдельных группах.

6.
Non-conventional in English | WHOIRIS, Grey literature | ID: grc-754729

ABSTRACT

This is the eighth report for the 2021-2022 influenza season. The June 2022 characterization report, gave a breakdown of influenza detections across the World Health Organization (WHO) European Region reported to TESSy up to week 25/2022. As of week 30/2022, 145 913 detections had been reported (a rise of nearly 13 000 since week 20/2022) resulting from extended late season influenza activity. Of these 145 913 detections, 98% were type A viruses, with A(H3N2) still dominating (84%) over A(H1N1)pdm09 (16%), but by a lower margin than in the June report (92%:8%), and 2% type B of which only 134 were ascribed to a lineage, with all but two being B/Victoria. This represents a large increase (144 903, 144-fold) in detections compared to the 2020-2021 season, on the back of a great increase (1 926 053, 176%) in the number of samples tested. However, while there have been clear indications of an influenza epidemic in 2021-2022 with the epidemic threshold of 10% positivity within sentinel specimens having been crossed for 17 weeks as of week 25/2022 (unlike in 2020-2021), numbers of detections are reduced compared to earlier seasons (e.g., 12% reduced compared to 2019-2020). The increased testing but reduced number of influenza detections is undoubtedly related to the emergence of SARS-CoV-2 and measures introduced to combat it.

7.
Non-conventional in English | WHOIRIS, Grey literature | ID: grc-754728

ABSTRACT

This is the seventh report for the 2021-2022 influenza season. The May 2022 characterization report, gave a breakdown of influenza detections across the World Health Organization (WHO) European Region reported to TESSy up to week 20/2022. As of week 25/2022, 138 352 detections had been reported (a rise of over 5 000 since week 20/2022) resulting from extended late season influenza activity. Of these 138 352 detections, 98% were type A viruses, with A(H3N2) (92%) dominating over A(H1N1)pdm09 (8%), and 2% type B of which only 125 were ascribed to a lineage, with all but two being B/Victoria. This represents a large increase (137 418, 148-fold ) in detections compared to the 2020-2021 season, on the back of a great increase (1 900 146, 200%) in the number of samples tested. However, while there have been clear indications of an influenza epidemic in 2021-2022 with the epidemic threshold of 10% positivity within sentinel specimens having been crossed for 17 weeks as of week 25/2022 (unlike in 2020-2021), numbers of detections are reduced compared to earlier seasons (e.g., 16% reduced compared to 2019-2020). The increased testing but reduced number of influenza detections is undoubtedly related to the emergence of SARS-CoV-2 and measures introduced to combat it.

8.
Bolema - Mathematics Education Bulletin ; 36(73):625-649, 2022.
Article in Spanish | Scopus | ID: covidwho-2079864

ABSTRACT

Developing tools based on well-founded criteria to evaluate an educational process in a rigorous and systematic way, and thus making decisions aimed at its improvement, is an important issue on the educational field research agenda. Although there are numerous works in this direction, so far there is no evaluation model applicable to massive courses. This article presents a model designed to assess the quality of a study process in which many teachers and students participate;the course is four months long and is part of the freshman course to a national public university. The model was conceived as a resource for the professional reflection of those who have responsibilities for coordinating the subject, and due to its design, it was compatible with the drastic changes imposed by the SARS-CoV2 pandemic. It consists of two census questionnaires, one for teachers and another for students, based on an adaptation of the general criteria that make up the notion of didactic suitability, from the Onto-semiotic Approach. The questionnaires present a series of items that operationalize the suitability construct and allow it to be measured on an interval scale. The model is expected to contribute to assessing the suitability of similar study processes and, in particular, to decision-making by those who coordinate them. © 2022 BOLEMA Departamento de Matematica. All rights reserved.

9.
J Am Board Fam Med ; 35(5): 891-896, 2022 10 18.
Article in English | MEDLINE | ID: covidwho-2080058

ABSTRACT

BACKGROUND: The COVID-19 pandemic resulted in a worsening mental health crisis, while also dramatically reducing access to in-person primary care services. Primary care, an essential provider of mental health services, rapidly adopted telemedicine to address behavioral health needs. Here we examine the provision of mental health services by primary care during the pandemic, including the essential use of telemedicine. METHODS: Data were collected via a series of national, cross-sectional surveys of primary care clinicians in November 2020 by the Larry A. Green Center. The survey was distributed through a network of partner organizations and subscribers. Descriptive and chi squared analysis were utilized. RESULTS: Among 1,472 respondents, 88% reported increased mental health needs and 37% reported higher rates of substance use among patients. Most (65%) clinicians became more involved in providing mental health support, and 64% reported using telemedicine to provide behavioral health services. Phone-based care was more common for care delivery among patients who were uninsured (60% vs 42%, P < .01), Medicare beneficiaries (45% vs 36%, P < .05), non-English speaking (67% vs 40%, P < .001), and racial and ethnic minorities (58% vs 34%, P < .001). CONCLUSIONS: Primary care is a leading provider of mental health services and has played a critical role during the pandemic. Primary care clinicians have strong relationships with their patients as well as outreach within communities that may otherwise struggle to access mental health services. The use of telemedicine in primary care, and specifically phone-based services, has been an essential tool to providing equitable access to mental health services.


Subject(s)
COVID-19 , Mental Health Services , Telemedicine , Aged , Humans , United States/epidemiology , COVID-19/epidemiology , Pandemics , Cross-Sectional Studies , Medicare , Primary Health Care
10.
Aust N Z J Obstet Gynaecol ; 2022 Oct 19.
Article in English | MEDLINE | ID: covidwho-2078310

ABSTRACT

BACKGROUND: On 9 June 2021, the Australian Technical Advisory Group on Immunisation and Royal Australian and New Zealand College of Obstetricians and Gynaecologists recommended that pregnant women receive Comirnaty (Pfizer) messenger RNA vaccine at any stage of pregnancy. AIM: This multi-centre study aimed to assess vaccine acceptance, reasons for hesitancy and determine if differences exist between health districts, to inform future policy strategies for COVID-19 vaccination in pregnancy. MATERIALS AND METHODS: An online survey (developed based on the World Health Organization Behavioural and Social Drivers survey and modified for the pregnant population) was administered to a sample population of pregnant women attending antenatal clinics at two metropolitan hospitals (Westmead and Royal North Shore Hospital (RNSH)) in New South Wales between 15 September 2021 and 22 October 2021. RESULTS: There were 287 pregnant women surveyed (Westmead 198 (69%), RNSH 66 (23%), no site 23 (8%)). There was a significantly lower Socio-Economic Indexes for Areas score (5.66 vs 9.45, P = 0.001), fewer women born in Australia (37% vs 53%, P = 0.02) and higher number of children (0.77 vs 0.41, P = 0.01) among Westmead respondents. There was lower vaccination uptake (68% vs 86%, P = 0.01) and willingness to receive vaccine (68% vs 88% P = 0.01) at Westmead compared to RNSH. There was an increased proportion of respondents who were concerned that the vaccine could cause harm to the unborn baby at Westmead (38% vs 11%, P = 0.01). CONCLUSIONS: Along with healthcare provider recommendation for vaccination in pregnancy, materials should be targeted to specific safety concerns of pregnant women.

11.
Enfermería Global ; 21(4):158-170, 2022.
Article in English | ProQuest Central | ID: covidwho-2067133

ABSTRACT

Introducción: La carga de trabajo excesiva en el personal de salud, debido a la pandemia del COVID19 ha generado la presencia del Síndrome de Burnout. El propósito de este estudio fue determinar un modelo logístico para los factores asociados a las dimensiones del Síndrome de Burnout en el personal de salud, durante la pandemia COVID-19, en Trujillo - Perú. Método: Se aplicó un diseño transversal, correlacional;se utilizó el cuestionario estandarizado del inventario de Burnout de Maslach aplicado virtualmente, que mide: agotamiento emocional, despersonalización y realización personal, la muestra estuvo conformada por 143 profesionales de salud de los establecimientos de la Micro red de Trujillo y de El Seguro Social de Salud (ESSALUD), Resultados: El 24,5% de profesionales de la salud tienen un nivel de agotamiento emocional alto, 27,3% nivel de despersonalización alto y 39,9% nivel de realización personal bajo. El estado civil, ingreso familiar, tipo de institución donde labora, la edad y el número de hijos se asocian al nivel de agotamiento emocional (p<0,05). El sexo, la profesión, tipo de institución, edad y número de hijos se asocian al nivel de despersonalización (p<0,05). El tipo de institución y la edad se asocian al nivel de realización personal (p<0,05). Conclusiones: El modelo logístico ordinal propuesto indica el 69,2% de éxito en nivel de agotamiento emocional, el 60,8% de éxito para el nivel de despersonalización y el 58,7% con el modelo para nivel de realización personal.Alternate :Introduction: Excessive workload in health personnel, due to the COVID-19 pandemic, has generated the presence of Burnout Syndrome. The purpose of this study was to determine a logistic model for the factors associated with the dimensions of Burnout Syndrome in health personnel during the COVID-19 pandemic in Trujillo - Peru. Method: A cross-sectional, correlational design was applied. The standardized Maslach Burnout Inventory questionnaire was used and applied virtually. It measures emotional exhaustion, depersonalization and personal fulfillment. The sample consisted of 143 health professionals from the Trujillo Micro-network and Social Health Insurance establishments (ESSALUD). Results: 24.5% of health professionals have a high level of emotional exhaustion, 27.3% a high level of depersonalization and 39.9% a low level of personal fulfillment. Marital status, family income, type of institution where they work, age and number of children are associated with the level of emotional exhaustion (p<0.05). Gender, profession, type of institution, age and number of children are associated with the level of depersonalization (p<0.05). The type of institution and age are associated with the level of personal fulfillment (p<0.05). Conclusions: The proposed ordinal logistic model indicates 69.2% success in emotional exhaustion level, 60.8% success for depersonalization level and 58.7% with the model for personal fulfillment level.

12.
Apunts. Educació Física i Esports ; - (150):36-44, 2022.
Article in English | ProQuest Central | ID: covidwho-2067084

ABSTRACT

COVID-19 has had a significant impact on the functioning of many professional fields, including education. The aim of the study was to analyse what has happened in physical education in primary and secondary schools in Catalonia (Spain) during the COVID-19 pandemic. To this end, after a thorough review of the existing literature, a questionnaire was designed and implemented to identify the impact of COVID-19 in relation to changes in curricular decisions, attention to diversity and compliance with protocols, safety and hygiene standards generated by the pandemic in the classroom. To determine validity, the Delphi method was used, conducting a pilot test in the first phase and the analysis of two panels of experts in the following two phases, using Cronbach's alpha coefficient to delimit reliability. The questionnaire was answered by 629 primary and secondary physical education teachers, and the results showed that they made significant changes in the typology of teaching and learning activities and in the specification of curricular content, ensured physical distance between pupils, and ensured the application of health and safety protocols. There was an increased use of technology, both to facilitate communication with learners and to increase autonomy and self-regulation of learning. The methodological changes brought about by the pandemic are evident and envisage a hybrid model of physical education with a greater presence of technology.

13.
National Journal of Physiology, Pharmacy and Pharmacology ; 12(10):1578-1582, 2022.
Article in English | ProQuest Central | ID: covidwho-2067051

ABSTRACT

[...]frequent blood glucose monitoring and change in anti-diabetic drugs may be necessary to achieve good glycemic control. [...]it is important for both diabetic and hypertensives to strictly adhere to their prescribed medications and follow general COVID preventive measures to avoid COVID-19 infections and related complications. Medications of few patients (18%) were changed due to various reasons such as variations in blood pressure and blood sugar, adverse effect older drugs and also due to non-availability of medications during lockdown. DISCUSSION The present study has shown that lockdown has significantly reduced medication adherence and compliance and there was lack of access for consultation, blood sugar, and blood pressure monitoring.

14.
National Journal of Physiology, Pharmacy and Pharmacology ; 12(10):1735-1740, 2022.
Article in English | ProQuest Central | ID: covidwho-2067047

ABSTRACT

There is a statistically significant positive correlation between number of patients attended per day and antibiotics prescribed. MATERIALS AND METHODS This cross-sectional, prospective, questionnaire-based study was conducted after ethics committee approval (BVDUMC/ IEC/40 dated July 06, 2020). [...]a Google Forms was prepared in English and circulated among general practitioners of all pathies who we knew personally and professionally on WhatsApp groups from where it was circulated further. Knowledge questions focused on handling of common conditions, commonly used drugs, antibiotic resistance, and knowledge about measures to prevent resistance like antimicrobial stewardship program (AMSP).

15.
International Journal of Computer - Assisted Language Learning and Teaching ; 12(4):1-20, 2022.
Article in English | ProQuest Central | ID: covidwho-2066732

ABSTRACT

This study explored the perceptions of students from different types of schools in Malaysia towards their online learning engagement during COVID-19's movement control order using Fredricks et al.'s framework of behavioural, cognitive, and emotional engagement. In addition to these variables, external support provided to the students was also considered. To this end, a questionnaire that examined the students' general online practices and online learning engagement was administered. Seven hundred sixty-eight students from four different types of secondary schools (national, Chinese, international, and high performing schools) responded to the questionnaire. The findings from the ANOVA analysis indicated that generally the respondents demonstrated positive online learning practices. However, the amount of time spent interacting with teachers online should be much improved. The findings also indicated significant differences in perceptions towards online learning engagement and external support based on school types.

16.
Sustainability ; 14(19):12866, 2022.
Article in English | ProQuest Central | ID: covidwho-2066472

ABSTRACT

COVID-19 has caused widespread psychological suffering. Anxiety is one of the several psychological disorders that are escalating globally, yet social distance constraints restrict in-person mental health therapy. Anxiety and other psychological disorders whose treatments are limited due to social distancing continue to grow, so there is an increasing need to use mental healthcare that can be offered remotely, especially in the pandemic era. This study aimed to conduct a systematic review and meta-analysis of the efficacy of online-based interventions for anxiety during COVID-19. This study followed the Preferred Reporting Item for Systematic Review and Meta-analysis (PRISMA). We collected data from three databases, namely PubMed, CINAHL, and Oxford Library Press, published in 2020–2022. Additionally, we collected data using the snowball technique. This meta-analysis analyzed the pooled mean difference (MD) and its p-value using random-effects models. Critical appraisal and risk of bias were assessed using Cochrane Risk of Bias (Rob) 2. We retrieved 34 RCTs for systematic review and 14 RCTs for meta-analysis, yielding 9159 participants for general anxiety disorder (GAD-7) measurement and 1303 participants for depression anxiety stress scale (DASS-21) measurement. This study shows that online-based interventions significantly reduce GAD-7 score (a pooled MD of 1.30;95% CI: 2.83–4.65;p = 0.00001) and insignificantly reduce DASS-21 (0.05;95% CI: −2.63–2.72;p = 0.97) according to pre- and post-test in intervention group. Additionally, there is a significant difference between the intervention and control groups, where the intervention group performed statistically progressively better than the controls (−7.26;95% CI: −11.58–−2.95;p = 0.001) (−2.08;95% CI: −6.71–2.55;p = 0.001). Online-based interventions have proved effective for reducing general anxiety during the COVID-19 pandemic. Consequently, this meta-analysis can be adapted as a model for mental health services in the new normal.

17.
Sustainability ; 14(19):12623, 2022.
Article in English | ProQuest Central | ID: covidwho-2066439

ABSTRACT

Most research states that implementing environmental, social, and governance (ESG) has positive impacts. However, fewer studies have discussed ESG implementation in higher education. This study aimed to develop instruments to assess the ESG atmosphere in higher education institutions. A modified Delphi approach was employed. Experts were invited from a private higher education institution in Indonesia. A deductive study, discussion, and two stages of getting consensus from panelists were conducted. The instrument was distinguished into four types for four groups of higher education stakeholders: Students, Staff, Faculty Members, and Community Members. The I-CVIs ranged from 0.80–1.00, while the minimum values of S-CVI/Ave and S-CVI/UA were 0.98 and 0.91, respectively, meaning the content validity was excellent. The final version instrument has been tested and declared valid, reliable, and ready to be used for empirical research for universities to assess their contribution to the Sustainability Development Goals (SDGs). There are also opportunities to conduct further research on the existence of recursive and non-recursive models between factors.

18.
Int J Environ Res Public Health ; 19(19)2022 Sep 26.
Article in English | MEDLINE | ID: covidwho-2065925

ABSTRACT

In this article, we describe the approaches taken to recruit adult migrants living in Australia for a sexual health and blood-borne virus survey (paper and online) and present data detailing the outcomes of these approaches. The purpose was to offer guidance to redress the under-representation of migrants in public health research. Methods of recruitment included directly contacting people in individual/organizational networks, social media posts/advertising, promotion on websites, and face-to-face recruitment at public events/venues. Search query strings were used to provide information about an online referral source, and project officers kept records of activities and outcomes. Descriptive statistical analyses were used to determine respondent demographic characteristics, proportions recruited to complete the paper and online surveys, and sources of referral. Logistic regression analyses were run to predict online participation according to demographic characteristics. The total sample comprised 1454 African and Asian migrants, with 59% identifying as female. Most respondents (72%) were recruited to complete the paper version of the survey. Face-to-face invitations resulted in the highest number of completions. Facebook advertising did not recruit large numbers of respondents. Same-sex attraction and age (40-49 years) were statistically significant predictors of online completion. We encourage more researchers to build the evidence base on ways to produce research that reflects the needs and perspectives of minority populations who often bear the greatest burden of disease.


Subject(s)
Sexual Health , Social Media , Adult , Advertising/methods , Female , Humans , Internet , Middle Aged , Patient Selection , Surveys and Questionnaires
19.
Heart ; 108(Suppl 3):A42-A43, 2022.
Article in English | ProQuest Central | ID: covidwho-2064241

ABSTRACT

49 Table 1Exercise Prescription template using the FITT-VP (frequency, intensity, type, time, volume and progress) principle of exercise prescription.Exercise type Frequency (per week) Intensity Time (mins/session) Volume (weekly mins) Progression As always if you develop any concerning symptoms during exercise please stop and seek medical advice 49 Table 2‘How do I estimate exercise intensity?’ patient guide as part of the exercise prescription template and patient information leafletIntensity RPE (Rating of perceived exertion) % of HR max** Talk test 0 Resting 1 2 Very light No noticeable change in breathing or sweating Low 3 Somewhat light <55% Can talk and sing 4 Light Moderate 5 Somewhat moderate 55–74% Can talk, can’t sing Increased breathing and sweating 6 Moderate 7 Somewhat hard Feeling ‘out of breath’ and increased sweating High 8 Very hard 75–90% Can’t talk or sing 9 Extremely hard 10 Maximal exertion **%HR max will not be an accurate measure of exercise intensity if your heart rate is effected by certain medications or conditions 49 Figure 1Levels of self reported physical activity based on the NAPQ-short questionnaire and WHO 2020 physical activity guidelines[Figure omitted. See PDF] 49 Figure 2Variety of patients with a diagnosis of a cardiac condition or a family history of a cardiac condition receiving an exercise prescription. HCM;hypertrophic cardiomyopathy, DCM;dilated cardiomyopathy, ARVC;arrhythmogenic right ventricular cardiomyopathy, LQTS;long QT syndrome, Brugada;brugada Syndrome, CPVT;catecholaminergic polymorphic ventricular tachycardia, SADS;sudden adult death syndrome, Other;Friedreich’s ataxia, ischemic heart disease, supraventricular tachycardia)[Figure omitted. See PDF]ConclusionsCompared to the general adult Irish population, self reported adherence to the WHO PA Guidelines was 6% lower among the CRY Clinic patient cohort (33% vs. 27%). Additionally, reported resistance exercise levels was lower (30%) than aerobic exercise (72%). This is despite resistance exercise being additionally beneficial for many cardiac conditions. During the period of data collection, access to gyms and group exercise was limited due to pandemic government restrictions that likely effected resistance exercise more than aerobic exercise. In fact, a significant increase in recreational walking during covid restrictions was previously reported. Exercise is often discussed during medical consultation but rarely prescribed. In our cohort only 0.5% of patients received an Ex Rx. The reported barriers to Ex Rx are lack of time, perceived lack of patient engagement, complex co-morbidities and clinician education. Attempts were made in the form of education and resource provision to clinicians to challenge perceived barriers. Ex Rx are important in the CRY Clinic not only for the known benefits of PA but as inappropriate exercise can be harmful for some cardiac conditions. The Ex Rx enabled the benefit of PA to be gained by the safe promotion of appropriate exercise to such patients (figure 2). The introduction of this PA assessment and Ex Rx was a successful call to action to incorporate exercise as medicine to the CRY Clinic. ‘Walking is a (wo)mans best medicine’ (Hippocrates 460BC).

20.
Frontline Gastroenterology ; 13(Suppl 1):A17-A18, 2022.
Article in English | ProQuest Central | ID: covidwho-2064206

ABSTRACT

IntroductionChildren with idiopathic chronic constipation are extremely challenging to manage. Before review by tertiary specialist teams, Children have suffered for years with constipation, which leads to significant behaviour related issues around toileting, despite adequate medical treatment. The involvement of the health play specialist (HPS) in the nurse-led constipation clinic is to address behaviours around toileting.AimsTo demonstrate involvement of HPS in the clinic led to improved outcomes for children and families. This will be identified through the use of parental satisfaction questionnaires and four case studies.Case StudiesWe demonstrate four extremely complex constipation cases referred to clinic and successfully managed by HPS with unique individualised approach with support and plans for parents and school.9-year-old boy with history of sexual abuse, with soiling and wetting accidents.5 sessions with the HPS, focusing on toileting behaviours. Sessions involved desensitizing play around the body, use of toilet related games/activities, videos and mobile apps. All issues resolved.5-year-old boy: Stool with-holding, will only pass stools in a nappy and soiling.8 sessions with HPS - Intense toilet training for 2–4 days with hourly sits. Reward charts to compliment interests, targets adjusted when goal reached, prizes given. Desensitization play around toileting behaviours. Using analogies to improve behaviour, he loved dustbin lorries – body empties the waste (poo) just like the bin men collecting the rubbish to get rid of it from home. No more accidents, independent toileting achieved5-year-old girl Issues with constipation, soiling and toilet refusal. All bowel movements in knickers.Complete HPS treatment virtually, secondary to COVID restrictions. 6 Video call sessions- individualised plan of regular sits to relax, with no pressure to perform. To do an activity whilst on the toilet. Visual pictures/videos explaining how the body works and the plan was adjusted on the video. Rewards when child reached the target, and prize sent in post. Outcome -no fear of the toilet, bowels open on the toilet, no accidents.8 year old boy premature 33 + 5 weeks. Constipation with overflow since birth. Referred to surgeons for rectal biopsies and botox injections at the age of 3 but no improvement. Age 4 admitted to the ward for 1 week for observation, transit marker study and toilet training was unsuccessful. Referred to another unit for second opinion at parental request. Started to refuse medications. ACE surgery discussed. Diagnosed with Autism at 7 years.Invited for a week of intense toileting with HPS, hourly sits and desensitization activities on medication taking, toileting, with-holding, signs and signals of body. Reward system in place, when reached expectations, reward given by hospital. Outcome bowels open daily in the toilet, wears pants all the time.Satisfaction questionnaires were given to parents and feedback was extremely positive.ConclusionThe health play specialist involvement in the nurse led constipation clinic allows for individualised intervention guided by the child’s needs. Pharmacological interventions alone may be unsuccessful without addressing behavioural needs.

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