RESUMEN
The psychological, emotional and social well-being of an individual determines their ability to contribute and function as a social member. Several studies over the years have proven that an alarming number of people live with mental illnesses, of which only a fraction is documented. Studies conducted by Open Sourcing Mental Illness (OSMI) organization have indicated that these figures are much higher in the tech industry. We present an analysis of patterns and infer contributory factors for mental illness in the tech industry, to aid in the early detection and assess employees' risk of diagnosis. Towards this end, the study comprises a detailed analysis, models for prediction of diagnosis, risk-based clustering and investigation into existing literature on factors contributing to mental illness. In addition to this, we have attempted to understand the impact of Covid-19 through analyzing trends of the factors influencing mental health, pre- and post-pandemic. We conclude with an insight to the impact of the COVID-19 pandemic on global mental health and the actions taken in the workplace to mitigate this.
RESUMEN
The psychological, emotional and social well-being of an individual determines their ability to contribute and function as a social member. Several studies over the years have proven that an alarming number of people live with mental illnesses, of which only a fraction is documented. Studies conducted by Open Sourcing Mental Illness (OSMI) organization have indicated that these figures are much higher in the tech industry. We present an analysis of patterns and infer contributory factors for mental illness in the tech industry, to aid in the early detection and assess employees' risk of diagnosis. Towards this end, the study comprises a detailed analysis, models for prediction of diagnosis, risk-based clustering and investigation into existing literature on factors contributing to mental illness. In addition to this, we have attempted to understand the impact of Covid-19 through analyzing trends of the factors influencing mental health, pre- and post-pandemic. We conclude with an insight to the impact of the COVID-19 pandemic on global mental health and the actions taken in the workplace to mitigate this.
RESUMEN
PURPOSE OF REVIEW: Using case vignettes, we highlight challenges in communication, prognostication, and medical decision-making that have been exacerbated by the coronavirus disease-19 (COVID-19) pandemic for patients with kidney disease. We include best practice recommendations to mitigate these issues and conclude with implications for interdisciplinary models of care in crisis settings. RECENT FINDINGS: Certain biomarkers, demographics, and medical comorbidities predict an increased risk for mortality among patients with COVID-19 and kidney disease, but concerns related to physical exposure and conservation of personal protective equipment have exacerbated existing barriers to empathic communication and value clarification for these patients. Variability in patient characteristics and outcomes has made prognostication nuanced and challenging. The pandemic has also highlighted the complexities of dialysis decision-making for older adults at risk for poor outcomes related to COVID-19. SUMMARY: The COVID-19 pandemic underscores the need for nephrologists to be competent in serious illness communication skills that include virtual and remote modalities, to be aware of prognostic tools, and to be willing to engage with interdisciplinary teams of palliative care subspecialists, intensivists, and ethicists to facilitate goal-concordant care during crisis settings.