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1.
J Am Acad Orthop Surg Glob Res Rev ; 5(6)2021 06 15.
Article in English | MEDLINE | ID: covidwho-1285509

ABSTRACT

INTRODUCTION: We evaluated the use of text messages to communicate information to patients whose surgeries were postponed because of the COVID-19 restriction on elective surgeries. Our hypothesis was that text messaging would be an effective way to convey updates. METHODS: In this observational study, 295 patients received text messaging alerts. Eligibility included patients who had their surgery postponed and had a cell phone that received text messages. Engagement rates were determined using embedded smart links. Patient survey responses were collected. RESULTS: A total of 3,032 texts were delivered. Engagement rates averaged 90%. Survey responses (n = 111) demonstrated that 98.2% of patients liked the text messages and 95.5% said that they felt more connected to their care team; 91.9% of patients agreed that the text updates helped them avoid calling the office. Patients with higher pain levels reported more frustration with their surgery delay (5.3 versus 2.8 on 1 to 10 scale, P value < 0.01). More frustrated patients wished they received more text messages (24.4% versus 4.6%, P value = 0.04) and found the content less helpful (8.2 versus 9.2 on 1 to 10 scale, P value = 0.01). CONCLUSION: Text messaging updates are an efficient way to communicate with patients during the COVID-19 pandemic.


Subject(s)
COVID-19 , Communication , Practice Management, Medical/organization & administration , Professional-Patient Relations , Text Messaging , Aged , COVID-19/epidemiology , Elective Surgical Procedures , Female , Humans , Male , Middle Aged , Pandemics , SARS-CoV-2 , Time-to-Treatment
2.
Indian J Med Ethics ; VI(1): 1-5, 2021.
Article in English | MEDLINE | ID: covidwho-1257354

ABSTRACT

Violence against medical professionals and destruction of hospital property by frustrated patients and their relatives occur frequently in India (1) and in other countries (2, 3). However, harassment of healthcare workers by the police has, so far, not been an issue in the Indian healthcare system. Now, cases of harassment of medical professionals by the police have emerged during the Covid-19 pandemic. Ironically, both doctors and police personnel have been considered "frontline heroes" against the pandemic in India. We present some cases of such attacks.


Subject(s)
COVID-19/psychology , Health Personnel/psychology , Patients/psychology , Police/psychology , Workplace Violence/psychology , Adult , Female , Health Personnel/statistics & numerical data , Humans , India , Male , Middle Aged , Pandemics , Police/statistics & numerical data , SARS-CoV-2 , Workplace Violence/statistics & numerical data
3.
Appl Res Qual Life ; 17(2): 1069-1090, 2022.
Article in English | MEDLINE | ID: covidwho-1225006

ABSTRACT

The COVID-19 pandemic disrupted normalcy for college attending young adults which resulted in a loss of the campus environment and classroom setting. This change in setting may interfere with a student's personal and academic wellbeing. This study used an online survey to evaluate college students' academic and psychosocial frustrations during the COVID-19 pandemic. Data were collected from March-April 2020 at a land-grant university in the Appalachian region. Data were available from 2643 undergraduate and graduate students. There was a 65.8% and 15.7% increase in the number of students who reported their learning and health as fair, poor, or very poor after the COVID-19 pandemic, respectively. Qualitative responses were coded and 8 themes and 24 subthemes emerged. College students expressed frustrations regarding technology, classwork, research, family, social, emotional, behavioral, and financial aspects of life. These results can be used by higher education administration, faculty, and staff when planning for online courses. Ensuring that student frustrations and barriers to success are recognized and considered may help prevent students departing from higher education during this time.

4.
Pers Individ Dif ; 175: 110734, 2021 Jun.
Article in English | MEDLINE | ID: covidwho-1065518

ABSTRACT

Many government strategies to reduce the spread of Novel Coronavirus (COVID-19) involved unprecedented restrictions on personal movement, disrupting social and economic norms. Although generally well-received in Australia, community frustration regarding these restrictions appeared to diverge across political lines. Therefore, we examined the unique effects of the ideological subfactors of Right-Wing Authoritarianism (RWA; Aggression, Submission and Conventionalism) and Social Dominance Orientation (SDO; Dominance and Anti-egalitarianism) in predicting perceived personal threat of COVID-19, and support for and reactance to government restrictions, in Australian residents across two separate samples (S1 N = 451, S2 N = 838). COVID-19 threat was positively predicted by Submission, and negatively by Conventionalism, and Anti-egalitarianism. Support for restrictions was also positively predicted by Submission, and negatively by Conventionalism, Dominance, and Anti-egalitarianism. Reactance to government restrictions was negatively predicted by Submission, and positively by Conventionalism, Dominance, and Anti-egalitarianism. These findings suggest that right-wing ideological subfactors contribute to the one's perception of COVID-19 threat and government restrictions differentially.

5.
PRiMER ; 4: 16, 2020.
Article in English | MEDLINE | ID: covidwho-895843

ABSTRACT

INTRODUCTION: As the COVID-19 pandemic affected the ability to conduct in-person sessions to teach clinical skills, our medical school developed a curriculum to introduce first-year medical students to telemedicine visits, while also reinforcing their history-taking and clinical reasoning skills. METHODS: All first-year medical students at Florida Atlantic University went through three sessions on telemedicine that began with a lecture, followed by a standardized patient interaction, then a small group meeting with clinical faculty. We assessed the sessions using survey questions on a 5-point Likert scale and additional narrative feedback. We also assessed students on a telemedicine objective structured clinical examination (OSCE) at the end of the semester and compared results to the previous year's same case done in person. RESULTS: Students overall found the sessions helpful for refining their history-taking skills and that the knowledge gained would be helpful in their future practices. They felt the online platform was a useful way to interact with patients, but had frustrations with technical difficulties. They also expressed a greater appreciation for the ability to perform an in-person physical examination. Students performed similarly on the OSCE station in person compared to virtual visits (mean score 93% vs 93.75%). CONCLUSION: Introducing telemedicine during a first-year medical school clinical skills course provides students with opportunities to refine their clinical skills while introducing a skill that will be commonplace in the postpandemic environment. This curriculum could be adopted not only during a time of necessary distance learning, but also continued as in-person education resumes.

6.
Hastings Cent Rep ; 50(3): 8-9, 2020 May.
Article in English | MEDLINE | ID: covidwho-620237

ABSTRACT

The arrival of the Covid-19 pandemic in Pakistan necessitated that the Centre of Biomedical Ethics and Culture in Karachi realign its activities to changing realities in the country. As Pakistan's only bioethics center, and with no guidelines available for allocation of scarce medical resources, CBEC developed "Guidelines for Ethical Healthcare Decision-Making in Pakistan" with input from medical and civil society stakeholders. The CBEC blog connected to the center's bioethics programs for students from Pakistan and Kenya shifted to Covid-related issues specific to the context of existing social and political realities within these countries. As part of its outreach activities, CBEC initiated a popular Facebook series, #HumansofCovid, as an experience-sharing platform for health care professionals and members of the public. Narratives received vary from those by frustrated physicians under quarantine to those concerning street vendors left jobless and a transsexual person in whose opinion "social distancing" is not a new phenomenon for their communities.


Subject(s)
Bioethical Issues , Coronavirus Infections/epidemiology , Pneumonia, Viral/epidemiology , Betacoronavirus , COVID-19 , Decision Making , Developing Countries , Humans , Pakistan/epidemiology , Pandemics , Practice Guidelines as Topic , SARS-CoV-2
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