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1.
Respir Med ; 203: 107006, 2022 11.
Article in English | MEDLINE | ID: covidwho-2105848

ABSTRACT

BACKGROUND AND OBJECTIVES: Post-COVID syndrome includes several clinical identities, with both physical and mental alterations lasting several months from the acute phase of COVID-19 disease. However, to date, data concerning the relationship between healthcare settings during COVID-19 disease and post-COVID mood disorders are lacking. METHODS: We performed a prospective study enrolling 440 patients with post-COVID syndrome. Each patient underwent a complete clinical evaluation, along with blood and functional tests. Patients were divided according to the healthcare setting needed during COVID-19 disease. RESULTS: Patients admitted to RICU were more prone to develop mental alterations, even when compared to ICU-admitted patients. Other risk factors for mood disorders included female gender and some post-COVID symptoms. CONCLUSIONS: Healthcare needs during COVID-19 can explain the higher incidence of mood disorders in post-COVID syndrome. RICU arises as an important but underexplored risk factor for post-COVID psychic sequelae.


Subject(s)
COVID-19 , Humans , Female , COVID-19/complications , COVID-19/epidemiology , Mood Disorders/epidemiology , Mood Disorders/etiology , Prospective Studies , Intensive Care Units , Delivery of Health Care
2.
Entertainment Computing ; JOUR: 100536,
Article in English | ScienceDirect | ID: covidwho-2104872

ABSTRACT

Music listening choices are considered to be a factor capable of measuring people’s emotions. Thanks to the explosion of streaming music applications in recent years, it is possible to describe listening trends of the global population based on emotional features. In this paper we have analysed the most popular songs from 52 countries on Spotify through their features of danceability, positivity and intensity. This analysis allows exploring how these song features reflect mood trends along with other contextual factors that may affect the population’s listening behaviour, such as the weather or the influence of the COVID-19 pandemic. Finally, we have proposed a multivariate time series model to predict the preferred type of music in those countries based on their previous music listening patterns and the contextual factors. The results show some relevant behavioural changes in these patterns due to the effect of the pandemic. Furthermore, the resulting prediction model enables forecasting the type of music listened to in three different groups of countries in the next 4 months with an error around 1%. These results may help to better understand streaming music consumption in businesses related to the music and marketing industry.

3.
Int J Public Health ; 67: 1604589, 2022.
Article in English | MEDLINE | ID: covidwho-2089971

ABSTRACT

Objectives: While organ-specific pathophysiology has been well-described in SARS-CoV-2 infection, less is known about the attendant effects on functional status, mood state and leisure-time physical activity (PA) in post-acute COVID-19 syndrome (PASC). Methods: A case-control design was employed to recruit 32 women (n = 17 SARS-CoV-2; n = 15 controls) matched on age (54 ± 12 years) and body mass index (27 ± 6 kg/m2) that did not differ by smoking status or history of cardiopulmonary disease. Participants completed a series of assessments including Profile of Mood States (POMS), Modified Pulmonary Functional Status and Dyspnea Questionnaire (PFSDQ-M), and Godin-Shephard Leisure-Time PA. Results: Significant between-group differences were detected for the POMS total mood disturbance with sub-scale analyses revealing elevated tension, confusion, and lower vigor among SARS-CoV-2 participants (all p-values < 0.05). The number of SARS-CoV-2 symptoms (e.g., loss of taste/smell, muscle aches etc.) were associated (r = 0.620, p = 0.008) with confusion. SARS-CoV-2 participants exhibited poorer functional status (p = 0.008) and reduced leisure-time PA (p = 0.004) compared to controls. Conclusion: The sequela of persistent SARS-CoV-2 symptoms elicit clear disturbances in functional status, mood state, and leisure-time PA among women with PASC. Ongoing symptom presentation affects recovery time-course and PA participation.


Subject(s)
COVID-19 , Adult , Aged , COVID-19/complications , COVID-19/epidemiology , Exercise , Female , Functional Status , Humans , Middle Aged , SARS-CoV-2
4.
Front Reprod Health ; 4: 927211, 2022.
Article in English | MEDLINE | ID: covidwho-2089949

ABSTRACT

Background: By September 2, 2021, over 30,000 COVID-19-vaccinated females had reported menstrual changes to the MHRA's Yellow Card surveillance system. As a result, the National Institutes of Health (NIH) is urging researchers to investigate the COVID-19 vaccine's effects on menstruation. Therefore, this study was conducted to explore the menstrual changes after COVID-19 vaccination and/or SARS-CoV-2 infection and their interrelations with demographic, mood, and lifestyle factors in Arab women of childbearing age (CBA). Methodology: A cross-sectional study was conducted during October 2021 using an Arabic validated and self-administrated questionnaire. In total, 1,254 Women of CBA in the Arabic Population (15-50 y) with regular menstrual cycles were randomly selected from five countries (Saudi Arabia, Egypt, Syria, Libya, and Sudan). Results: The mean (SD) age of the 1,254 studied females was 29.6 (8.5) years old. In total, 634 (50%) were married, 1,104 (88.0%) had a University education or above, 1,064 (84.4%) lived in urban areas, and 573 (45.7%) had normal body weight. Moreover, 524 (41.8%) were COVID-19 cases and 98 women (18.7%) reported menstrual changes (MCs). The 1,044 (83.5%) vaccinated females reported 418 (38.5%) MCs after being vaccinated, and these MCs resolved in 194 women (55.1%) after more than 9 months. Statistically significant relationships were observed between the reported MCs and the following variables: age, marital status, level of education, nationality, residence, and BMI. MCs were reported at 293(80.6) after the 2nd dose, and were mainly reported after 482 (46.1) Pfizer, 254 (24.3) Astrazenica, and 92 (8.8) Senopharm. Conclusion: MCs among women of CBA after COVID-19 infection and vaccination are prevalent and complex problems, and had many determinates.

5.
Sleep Health ; 2022 Oct 21.
Article in English | MEDLINE | ID: covidwho-2083055

ABSTRACT

OBJECTIVES: Major sociopolitical events can influence the general public's affective state and other affect-related processes, such as sleep. Here, we investigated the extent that the 2020 US presidential election impacted sleep, public mood, and alcohol consumption. We also explored the relationship between affect and sleep changes during the peak period of election stress. PARTICIPANTS: US-residing (n = 437) and non-US-residing (n = 106) participants were recruited online for participation in the study. METHODS: A non-representative, convenience sample responded to daily assessments of their affect, sleep, and alcohol consumption during a baseline period (October 1-13, 2020) and in the days surrounding the 2020 US Election (October 30-November 12, 2020). RESULTS: Analyses determined changes within and between US and non-US participants. Election Day evoked significantly reduced sleep amount and efficiency, coupled with heightened stress, negative affect, and increased alcohol use. While US participants were significantly more impacted in a number of domains, non-US participants also reported reduced sleep and greater stress compared to baseline. Across participants, disrupted sleep on Election Night correlated with changes in emotional well-being and alcohol consumption on Election Day. CONCLUSION: These results suggest that major sociopolitical events can have global impacts on sleep that may interact with significant fluctuations in public mood and well-being. Further, while the largest impact is on the local population, these results suggest that the effects can extend beyond borders. These findings highlight the potential impact of future sociopolitical events on public well-being.

6.
Psychology of Music ; JOUR
Article in English | Web of Science | ID: covidwho-2082978

ABSTRACT

People tend to participate in musical activities-whether it is making or listening to music-for reasons that are related to basic psychological needs. This study explored whether the coronavirus pandemic (Covid-19) has changed the reasons for participating in musical activities and examined the relationship between these reasons and well-being during as well as before the pandemic. In total, 246 people (between 18 and 35 years) completed a survey during the pandemic, which contained questions relating to the reasons for participating in musical activities-namely the promotion of identity and agency, mood regulation, relaxation and company, enjoyment-and to subjective and eudaimonic well-being before and after the outbreak of the pandemic. Results showed that during the pandemic compared with before, people more often chose music to promote identity and agency, mood regulation, and relaxation and company. Two of the reasons that were invoked more often-namely identity and agency and mood regulation-positively predicted eudaimonic and subjective well-being, respectively, during the pandemic as well as before. Thus, people's reasons for participating in musical activities during the pandemic compared with before changed in a direction consistent with increasing both eudaimonic and subjective well-being.

7.
Front Psychol ; 13: 910767, 2022.
Article in English | MEDLINE | ID: covidwho-2080251

ABSTRACT

This paper explores the positive impact of viewing a virtual art exhibit on mood during the COVID-19 Pandemic. During global lockdowns, depression, anxiety, and the burden of other mental illnesses have increased even among prior psychiatrically healthy individuals. Art and music-based interventions have shown to be effective clinical interventions in individuals with mental illness. The VisualEars project explored whether a virtual activity involving vision and auditory stimuli could improve positive and negative affect. Eight musical pieces were selected, and 28 visual artists from around the world visualized two musical pieces. A total of 56 works of art were created and hung in eight 3D virtual rooms. Visitors were randomly selected to either view the art exhibit without music (non-immersive) or view the art exhibit while listening to music (immersive). Visitors were asked to complete a positive and negative affect schedule (PANAS) in three languages (English, French, and Farsi) pre and post their virtual visit. A total of 160 participants completed baseline PANAS, 58 of which completed the follow-up PANAS. Linear mixed-effects models found that older participants had lower negative affect scores overall (b = -0.3, p = 0.003), while male participants had lower positive affect scores overall (b = -0.27, p = 0.02). Following the virtual exhibit participants of both conditions had higher positive (b = 0.17, p = 0.03), and lower negative affect scores (b = -0.19, p = 0.007). We found that the virtual art exhibit increased positive affect and decreased negative affect in participants, suggesting an overall improvement in mood attributable to the virtual exhibit. This suggests that virtual exhibits may serve as a beneficial and accessible intervention to improve mood during a pandemic.

8.
Front Med (Lausanne) ; 9: 1017257, 2022.
Article in English | MEDLINE | ID: covidwho-2080187

ABSTRACT

Background: Post-COVID-19 Syndrome (PCS) is characterized by residual symptoms following the initial recovery from severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. The prevalence of PCS is known to be the highest among severe and critical forms of the disease. However, the occurrence and risk factors for PCS after mild or moderate SARS-CoV-2 infection has not been extensively investigated. Methods: Online and offline via both paper or mailed questionnaires distributed among Jordan collected between 1st and 21st August 2021, including a total number of 800 respondents, of whom 495 had previous mild to moderate COVID-19 infection. The Newcastle post-COVID syndrome Follow-up Screening Questionnaire was modified, translated, and used as a standard instrument for data collection regarding psychological, medical, and socio-economic symptoms post-infection. The primary outcome was the prevalence of PCS after mild to moderate COVID-19 in Jordan. Secondary outcome was the identification of PCS risk factors. Results: The most common PCS symptom was mood disturbance followed by fatigue, anxiety, and myalgia. Female gender significantly increased the risk for multiple PCS symptoms. Age < 30 years was found to be an independent risk factor for myalgia (p = 0.001). Conclusion: PCS is highly prevalent among COVID-19 survivors in Jordan, especially in females and patients with comorbidities. Planning physical and mental rehabilitation services is recommended for those patients with PCS symptoms after mild to moderate COVID-19 infection.

9.
Br J Health Psychol ; 2022 Oct 17.
Article in English | MEDLINE | ID: covidwho-2078353

ABSTRACT

OBJECTIVE: Social interactions are vital for our well-being, particularly during times of stress. However, previous studies linking social interactions to psychological outcomes during the COVID-19 pandemic have largely been retrospective and/or cross-sectional. Thus, we tested four preregistered hypotheses (H1-H4) concerning the real-time effect of social interactions on momentary changes in stress and mood during two COVID-19 lockdowns. DESIGN: We used an ecological momentary assessment approach in 732 participants in spring 2020 (burst 1) and in a subsample of these participants (n = 281) during a further lockdown in autumn/winter 2020 (burst 2). METHODS: Participants reported their stress and mood in a smartphone app five times per day for 7 days and indicated the nature and frequency of their recent social interactions. RESULTS: Social interactions (H1) and their frequency (H2) improved momentary affect (e.g., social interactions increased mood valence: estimate = 2.605, p < .001 for burst 1). This was particularly the case for face-to-face interactions which, compared with other types of interactions, reduced momentary stress (e.g., estimate = -2.285, p < .001 for burst 1) and boosted mood (e.g., estimate = 1.759, p < .001 for burst 1) across both lockdowns, even when controlling for the pleasantness of the interaction and the closeness of the interaction partner (H3). We also show that individual differences in people's responsiveness to different social rewards modulated the impact of social interactions on momentary mood (H4). CONCLUSIONS: This study extends findings from cross-sectional and retrospective studies by highlighting the real-time affective benefits of social interactions during COVID-19 lockdown. The results have important implications for the (self-) management of stress and mood during psychologically demanding periods.

10.
Transp Res Part A Policy Pract ; 166: 218-233, 2022 Dec.
Article in English | MEDLINE | ID: covidwho-2069741

ABSTRACT

The spread of Coronavirus Disease 2019 (COVID-19) has decreased the willingness to choose public transport where travellers are more likely to be infected due to intensive passenger flow, in which case it is hard to attract passenger volume if the subjective well-being of travellers is not improved. However, the traditional measurement of travel evaluation may be not applicable to the context of the pandemic and it is necessary to analyse the changes in the internal mechanisms of travel well-being to avoid the loss of passengers. Based on structural equation modelling, this paper explored the internal relationship between the constructs of travel well-being and emphasised the significance of taking psychological factors into consideration in the post COVID-19 pandemic. The results show that travel satisfaction with the anti-pandemic related service quality of public transport is related to overall travel well-being, which can be used as a key part of well-being measurement scale design in the future. The results also indicate that, due to negative mood on the affective level induced by COVID-19, travel satisfaction on the cognitive level is not directly but indirectly related to travel choice behaviour through overall travel well-being. Compared to travel satisfaction, travel well-being is more extensive and covers travel satisfaction to some extent. Therefore, instead of studying travel satisfaction simply, taking travel well-being as the dependent variable to identify shortages existing in public transport will provide a more accurate perspective for policymakers in the post COVID-19 pandemic.

11.
Revista de Psicología del Trabajo y de las Organizaciones ; : 000-000, 2022.
Article in English | Web of Science | ID: covidwho-2072035

ABSTRACT

This study focuses on anticipatory happiness during the week (current happiness but considering the rest of the week) in employees confined due to COVID-19. In Diary Study 1, 71 employees with home-based telework participated on five consecutive workdays (Monday-Friday). We found a quadratic change pattern with an acceleration of the increase in anticipatory happiness right before the weekend. Results also confirmed a positive association between daily variability in anticipatory happiness and daily fluctuations in job satisfaction and positive affect. In Diary Study 2, 83 employees who carried out an essential activity outside the home participated for two consecutive weeks. Our findings showed a cubic change pattern where anticipatory happiness reaches its highest average score on Friday, dropping sharply on Monday, and then the cycle (rhythm) begins again. Changes in anticipatory happiness were positively associated with changes in job satisfaction and positive affect, and negatively related to fluctuations in negative affect.

12.
World Journal of Traditional Chinese Medicine ; 8(4):491-496, 2022.
Article in English | EMBASE | ID: covidwho-2066907

ABSTRACT

Photobiomodulation (PBM) therapy is a therapeutic method that can produce a range of physiological effects in cells and tissues using certain wavelengths. The reparative benefits of PBM therapy include wound healing, bone regeneration, pain reduction, and the mitigation of inflammation. Advances in the development of laser instruments, including the use of high-intensity lasers in physiotherapy, have recently led to controllable photothermal and photomechanical treatments that enable therapeutic effects to be obtained without damaging tissue. The combination of PBM therapy with acupuncture may provide new perspectives for investigating the underlying therapeutic mechanisms of acupuncture and promote its widespread application.

13.
Evid Based Ment Health ; 2022 Oct 12.
Article in English | MEDLINE | ID: covidwho-2064187

ABSTRACT

BACKGROUND: Behavioural and cognitive interventions remain credible approaches in addressing loneliness and depression. There was a need to rapidly generate and assimilate trial-based data during COVID-19. OBJECTIVES: We undertook a parallel pilot RCT of behavioural activation (a brief behavioural intervention) for depression and loneliness (Behavioural Activation in Social Isolation, the BASIL-C19 trial ISRCTN94091479). We also assimilate these data in a living systematic review (PROSPERO CRD42021298788) of cognitive and/or behavioural interventions. METHODS: Participants (≥65 years) with long-term conditions were computer randomised to behavioural activation (n=47) versus care as usual (n=49). Primary outcome was PHQ-9. Secondary outcomes included loneliness (De Jong Scale). Data from the BASIL-C19 trial were included in a metanalysis of depression and loneliness. FINDINGS: The 12 months adjusted mean difference for PHQ-9 was -0.70 (95% CI -2.61 to 1.20) and for loneliness was -0.39 (95% CI -1.43 to 0.65).The BASIL-C19 living systematic review (12 trials) found short-term reductions in depression (standardised mean difference (SMD)=-0.31, 95% CI -0.51 to -0.11) and loneliness (SMD=-0.48, 95% CI -0.70 to -0.27). There were few long-term trials, but there was evidence of some benefit (loneliness SMD=-0.20, 95% CI -0.40 to -0.01; depression SMD=-0.20, 95% CI -0.47 to 0.07). DISCUSSION: We delivered a pilot trial of a behavioural intervention targeting loneliness and depression; achieving long-term follow-up. Living meta-analysis provides strong evidence of short-term benefit for loneliness and depression for cognitive and/or behavioural approaches. A fully powered BASIL trial is underway. CLINICAL IMPLICATIONS: Scalable behavioural and cognitive approaches should be considered as population-level strategies for depression and loneliness on the basis of a living systematic review.

14.
BMJ Open ; 12(9): e063687, 2022 09 20.
Article in English | MEDLINE | ID: covidwho-2064168

ABSTRACT

INTRODUCTION: Assessing mental health literacy has implications for the identification and treatment of mental health problems. Adolescents have been identified as a particularly important target group for initiating and improving mental health literacy. However, much of what we know about adolescent mental health literacy comes from high-income countries. This proposed review seeks to synthesise the available published primary evidence from sub-Saharan Africa on the status and measurement of mental health literacy among school-going adolescents. METHODS AND ANALYSIS: We will perform a systematic review reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA-2020). We will systematically search selected global databases (EMBASE, PsycINFO, PubMed and MEDLINE) and regional electronic databases (African Index Medicus and African Journals OnLine) up to December 2021 for observational and qualitative studies published in English and French. The standard quality assessment criteria for evaluating primary research papers from a variety of fields (QualSyst criteria) will be used to appraise the methodological quality of the included studies. The Petticrew-Roberts 3-step approach to narrative synthesis will be applied to the included studies. ETHICS AND DISSEMINATION: We will not seek ethical approval from an institutional review board, as this is a systematic review of available and accessible literature. When completed, the full report of this review will be submitted to a journal for peer-reviewed publication; the key findings will be presented at local and international conferences with-partial or full-focus on (adolescent) mental health (literacy). PROSPERO REGISTRATION NUMBER: CRD42021229011.


Subject(s)
Health Literacy , Mental Health , Adolescent , Africa South of the Sahara , Humans , Qualitative Research , Research Design , Schools , Systematic Reviews as Topic
15.
BMJ Open ; 12(9): e062683, 2022 09 15.
Article in English | MEDLINE | ID: covidwho-2064158

ABSTRACT

INTRODUCTION: Depression is a common mental disorder and the (global) leading cause of all non-fatal burden of disease worldwide. Currently, supported treatment for depression is antidepressant medication and different psychotherapeutic interventions. Many patients experience, however, adverse effects of antidepressant medication, while at the same time the access to psychotherapeutic interventions are limited. Many patients who suffer from depression turn to complementary medicine and among those modalities often spiritual healing. There is some evidence that consulting a spiritual healer can be beneficial for patients who suffer from depression, and that spiritual healing is associated with low risk. The aim of this protocol is to conduct a pilot randomised controlled trial (RCT) (spiritual healing as addition to usual care vs usual care alone) in preparation of a larger trial in adults with moderate depression, to examine feasibility and individuals' experience of spiritual healing. METHODS AND ANALYSIS: This study is a pilot RCT with two parallel groups. A total of 28 adult patients with moderate depression, diagnosed by the physician and according to the Montgomery and Åsberg Depression Rating Scale criteria will be randomised to spiritual healing in addition to usual care (n=14) or usual care alone (n=14). To determine if there is a statistical indication of an effect of healing warranting a full-scale study; the separation test will be used. To investigate participants' experience with spiritual healing, a qualitative study will be included using semistructured interviews. The data will be analysed based on a direct content analysis. ETHICS AND DISSEMINATION: This protocol was approved by regional committees for medical and health research ethics by the identifier (63692). The results will be disseminated through open-access, peer-reviewed publications, in addition to stakeholders' reporting and presenting at conferences. TRIAL REGISTRATION: Norwegian Centre for Research Data (845302) and clinicaltrials.gov (ID: NCT04766242).


Subject(s)
Depressive Disorder , Spiritual Therapies , Adult , Antidepressive Agents/therapeutic use , Depression/complications , Depression/therapy , Depressive Disorder/drug therapy , Humans , Pilot Projects , Randomized Controlled Trials as Topic
16.
Otolaryngology - Head and Neck Surgery ; 167(1 Supplement):P197, 2022.
Article in English | EMBASE | ID: covidwho-2064415

ABSTRACT

Introduction: The head and neck cancer (HNC) disease and treatment process creates highly visible disfigurement and a fundamental impact on vital functions in this anatomical region, which can lead to an emotionally traumatic illness experience. These factors make HNC patients vulnerable to significant change in quality of life (QOL). There has been little research regarding the psychosocial effects of the coronavirus disease 2019 (COVID-19) pandemic on this group, and we want to explore how their QOL has changed in this unique situation. Method(s): This is a retrospective study identifying 400 patients with newly diagnosed HNC in the time period of March 2015 to March 2021 who completed the University of Washington Quality of Life Questionnaire (UW-QOL), collected as part of routine clinical care at our institution. Patients diagnosed between March 2015 and December 2019 were classified in the pre-COVID-19 group, while those diagnosed between March 2020 and March 2021 were classified in the COVID-19 group. Only patients with newly diagnosed HNC who completed the UW-QOL were included. Patients with a diagnosis of skin, thyroid, and sinonasal cancer;those who were unwilling or unable to take part in the study;and those with recurrent HNC were excluded. Result(s): A total of 353 participants who met criteria were included. Patients diagnosed with HNC during the COVID-19 pandemic had significantly decreased scores in the chewing and speech sections of the UW-QOL (P<.01 and P<.05, respectively). More patients ranked a decreased mood as a point of concern in the COVID-19 group (29.82% vs 26.45%). There were no significant differences in global QOL scores between groups. Conclusion(s): HNC patients experienced a similar overall QOL prior to and during the COVID-19 pandemic. However, some domains of HNC-specific QOL were negatively affected during the COVID-19 pandemic. Patients had more concerns about their mood during the pandemic compared with before the pandemic. The results of this study may be used to inform patient treatment and patient education as well as to alleviate pandemic-related concerns for this vulnerable population.

17.
Investigative Ophthalmology and Visual Science ; 63(7):1389-A0085, 2022.
Article in English | EMBASE | ID: covidwho-2057429

ABSTRACT

Purpose : 57.5 million people worldwide are affected by glaucoma. However, 50% of those with glaucoma are unaware, and 80% of those identified for follow-up in community screenings (CS) fail to do so. Current standards of visual field testing are usually limited to the clinic. As such, a wearable perimetry headset was used to perform Virtual Reality Visual Field Acuity (VRVFA) examination for suspected visual field loss in the community minimizing exposure to COVID-19 and the need for follow-up. Methods : 31 subjects from 4 CS were screened by an onsite certified telemedicine reader (CR) who considered family history, visual acuity, intraocular pressures, cup-to-disc ratio, nerve fiber layer defects, and ganglion cell complex captured by non-mydriatic photography and ocular coherence tomography (OCT-B). Cataracts were also graded. Supervised VRVFA testing with a multilingual Palmscan VF2000 Analyzer (Fig.1) was performed in 6 minutes on average. Eyes with fixation losses >20% or false positive/negative ratios >0.375 were excluded. Visual field index (VFI), mean deviation (MD), pattern standard deviation (PSD), and mean sensitivity (MS) from VRVFA were compared to CR glaucoma referral and cataract grading. Descriptive statistics, independent samples t-tests, and Mood's median tests were performed. Subjects with positive findings underwent same-day robotic glaucoma specialist telepresence evaluation. Results : 37 eyes from 31 subjects met inclusion criteria (mean age 51.42 ± 14.57 years, 56.76% male, 94.59% Hispanic). 7 (18.92%) eyes were referred for glaucoma evaluation. Glaucoma referrals had significantly different VFI (66.86% vs 86.40%, p=0.027), MD (-9.60 vs -4.04, p=0.031), and MS (19.94 vs 26.01, p=0.027) (Fig. 2). 30 (81.08%) eyes were 0-1+ in cataract grading, 5 (13.51%) were 2-3+, and 2 (5.41%) were intra-ocular lenses (IOL);respectively, these subgroups were not significantly different in VFI (84.20% vs 92.80% vs 35.00%, p=0.147), MD (-4.70 vs -2.11 vs -18.41, p=0.147), PSD (3.52 vs 2.25 vs 9.69, p=0.053), or MS (25.38 vs 27.75 vs 9.91, p=0.147) (Fig. 2). Conclusions : VRVFA testing yielded valuable information on the extent of vision loss as a supportive screening tool for glaucoma congruent with referrals. Expanded testing is needed. Future studies may evaluate VRVFA utility in evaluating other peripheral vision threatening diseases.

18.
Journal of Pediatric Gastroenterology and Nutrition ; 75(Supplement 1):S58-S60, 2022.
Article in English | EMBASE | ID: covidwho-2058135

ABSTRACT

As the SARS-CoV-19 pandemic continues in the United States, it has become evident that people of all ages are affected. Overall, children typically have a mild course of illness when infected with COVID-19. Available literature reports that children with IBD are not at a higher risk of contracting COVID-19 when compared to the general population, however, research is limited. Our study explored the COVID-19 pandemic in relation to pediatric IBD patients as there are significant knowledge gaps in incidence, association, and effect on the mental health of the patient, and outcome of COVID -19 in these populations. It is widely known that adult patients with comorbidities are at a higher risk for developing a more severe COVID-19 disease course. An international pediatric and adult database collecting data on COVID-19 in IBD patients named the Surveillance Epidemiology of Coronavirus Under Research Exclusion (SECURE-IBD), has been monitoring outcomes of patients with IBD that were COVID-19 positive. In a study published in 2021, data from 209 children and adolescents showed a 7% hospitalization rate among pediatric IBD patients who tested positive for COVID-19, a rate much lower than the overall hospitalization rate of adult IBD patients with COVID-19. Factors that resulted in hospitalization included comorbid conditions, steroid use, moderate to severe IBD, and specific GI symptoms from COVID-19. Similarly, a study published in 2021 consisting of 290 pediatric IBD patients revealed only a minority of IBD patients had mild symptoms, and none of them required hospitalizations or treatment modification. We attempted to look into the impact of Covid-19 in our patients receiving infusions at the hospital infusion center. We offered a survey to 39 patients in our infusion center, 32 of which were included in our analysis. 4 patients refused to take part in the study, 1 consent form was not signed, and 2 were excluded for being older than 21 years of age. The majority of these patients received infliximab/Remicade infusions. Males-44%,females-56%. 72%-Crohn's disease, 28% -Ulcerative colitis. None of the patients required any specific treatments or hospitalizations based on survey responses. 3 patients required ER visits and no changes in medications were made in IBD management due to covid-19. 1 patient required a change in the schedule of the infusion due to Covid-19 symptoms. About 66% of patients either received the vaccine or intended to take it if eligible at the time of the survey. With continued research data on the safety and efficacy of vaccination, we expect this number will go up. While there was some anxiousness reported about the Covid-19 pandemic, there was a negative trend seen in the mood and feeling questionnaire across all questions (table 2). Overall, our study confirmed that the covid-19 pandemic so far had minimal impact on IBD management but identified a need to improve mental health for overall quality of life. Our study was only limited to patients receiving infusions at our hospital which leaves a significant number of patients receiving other modes of therapy or home infusions for IBD. Further ongoing research will be needed to identify the long-term impact of Covid-19 on IBD patients on a larger scale.

19.
Current Directions in Biomedical Engineering ; 8(2):93-96, 2022.
Article in English | Scopus | ID: covidwho-2054432

ABSTRACT

Self-care and improving one’s well-being has been growing rapidly in recent years for manifold reasons (e.g. higher workload, corona pandemic). Consumer-grade noninvasive stimulation devices are therefore on the rise to counteract the occurrence of mood disorders and burn-out symptoms. Here, we aim at investigating the impact of dynamically varying auditory-visual stimulation patterns on neural entrainment patterns and resonance phenomena. Twenty-two healthy volunteers (11 female, 25.4±5.1 years, one dropout, seven in control group) participated in the study. EEG data (64 channel;equidistant layout) were acquired pre- and during stimulation for each volunteer. Visual and auditory stimuli were presented via a headset (ATUM, NeuroBright;https://www.neurobright.co.uk/). Presentation patterns (frequency, intensity, spatial distribution) varied within a presentation session but were kept constant across all volunteers. Stimulus intensity was adjusted to individual comfort levels. Individual alpha peak frequencies (iAPF) were calculated via the power spectral density with 50% overlapping 10s epochs from pre-stimulation segments. For both, the study and the control group, a time-frequency representation was calculated for the pre- and during-stimulation segments. From this, power values were determined for different frequency-bands (iAPF, stimulation frequencies and second harmonics of the latter). Statistical analyses focused on contrasting the power values between pre- and during stimulation. Mean iAPF values were 10.25±0.99Hz for the study and 10.63±1.21Hz for the control group respectively. Both, power values at the stimulation frequencies and their second harmonics differed significantly between pre- and during stimulation (pstim=0.001;pharm=0.001) in the study group. No such difference was found for the control group (pstim=0.352;pharm=0.237). Further, neither the study nor the control group showed significant iAPF power differences (pstudy=0.035;pcontrol=0.352;alpha*=0.008). Our results suggest that lightweight, portable auditory-visual presentation devices represent an effective tool for generating entrainment and resonance effects at home. Further analyses will focus on the investigation of individual differences driving such modulatory effects. © 2022 The Author(s), published by De Gruyter.

20.
Rev Colomb Psiquiatr ; 2022 Sep 06.
Article in Spanish | MEDLINE | ID: covidwho-2049851

ABSTRACT

Background and objectives: An increase in emotional disturbances and complaints about cognitive performance has been observed in Latin American healthcare workers during the SARS-CoV-2 pandemic, which can affect attention capacity and increase the levels of stress and burnout of these professionals. The objective was to analyse subjective cognitive complaints (SCC) and associated factors in health personnel during the COVID-19 pandemic in five Latin American countries.Methods: Multicentre cross-sectional study, which included 3,738 professionals from Colombia, Chile, Argentina, Ecuador, Bolivia, and Peru. The Generalized Anxiety Disorder Scale (GAD-7) and the Patient Health Questionnaire (PHQ-9) was used to assess depression, and the Mini-Z to assess Burnout. For the SCC, an item on cognitive concerns in attention and memory was used.Results: The prevalence of cognitive complaints was 69.2%. The factors associated with a higher risk of SCC were the scores in the GAD-7, PHQ and Mini-Z, in addition to being part of the Ecuadorian health personnel.Conclusions: There is a high prevalence of SCC in health personnel, which is modulated by emotional states and stress.

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