scholarly journals Current status of and factors influencing anxiety and depression in front‐line medical staff supporting Wuhan in containing the novel coronavirus pneumonia epidemic

2020 ◽  
Author(s):  
Laiyou Li ◽  
Ning Sun ◽  
Suding Fei ◽  
Libo Yu ◽  
Shuangqin Chen ◽  
...  
Keyword(s):  
Medical Staff ◽  
Current Status ◽  
Anxiety And Depression ◽  
The Novel ◽  
Front Line ◽  
Factors Influencing ◽  
Novel Coronavirus

scholarly journals Status of and Factors Influencing the Anxiety and Depression of Front-line Medical Staff Supporting Wuhan in Containing COVID-19

2020 ◽  
Author(s):  
ning sun ◽  
Laiyou LI ◽  
Shuangqin CHEN ◽  
Shuang YANG ◽  
Xiufen LIU
Keyword(s):  
Mental Health ◽  
Medical Staff ◽  
Depression Scale ◽  
Psychological Status ◽  
Anxiety And Depression ◽  
Special Treatment ◽  
The Novel ◽  
Physical And Mental Health ◽  
Front Line ◽  
Novel Coronavirus

Abstract Background: The novel coronavirus pneumonia (NCP) has the novel coronavirus as its pathogen. At present, more than 30,000 medics from nationwide medical teams have supported Wuhan. However, some medical workers have been seriously infected in Wuhan and other parts of Hubei Province, with over 3,000 medical staff having been confirmed of infection. Therefore, it is necessary to analysis the emotional status of front-line medical staff and their influencing factors in dealing with the NCP so as to provide an objective basis for prevention and intervention measures. Methods: This research aimed to shed light on the relation between the personality characteristics of front-line medical workers and their anxiety and depression, to provide the basis and reference for targeted mental health education and for relevant departments to formulate relevant policies. This study adopted a convenient sampling method and examined the psychological status of 150 front-line medical workers from Zhejiang Province with questionnaire surveys using the Hamilton Anxiety and Depression Scale. Results: The participants had severe anxiety and depression; the top three items under the category of anxiety were genitourinary symptoms, behavior at interview, and respiratory symptoms, whereas the top three items under depression were feelings of guilt, weight loss, and retardation. Among all personal data, the following factors influenced anxiety, in decreasing order: degree of suspicion of being infected when showing associated symptoms, degree of fear of yourself and your family being infected, and the affiliated hospital (P <0.05). The first two factors similarly influenced depression (P <0.05). Conclusion: The front-line medical staff were found to have serious anxiety and depression when dealing with the outbreak of the novel coronavirus pneumonia, and have enormous psychological stress in the face of the growing number of confirmed cases and current absence of special treatment. Targeted mental health promotion work must be carried out to alleviate the psychological pressure of front-line medical staff and enhance their physical and mental health so that they can better contribute to the efforts against the current epidemic.

scholarly journals Consideration of the Management of Pediatric Fever Clinics During the Novel Coronavirus Pneumonia Outbreak

2020 ◽  
pp. 1-7
Author(s):  
Hui Ding ◽  
Zhaoling Shi ◽  
Zhen Ruan ◽  
Xiaoning Cheng ◽  
Ruying Li ◽  
...  
Keyword(s):  
Medical Staff ◽  
Prevention And Control ◽  
Cross Infection ◽  
The Novel ◽  
Wuhan City ◽  
Control Programs ◽  
Treatment And Prevention ◽  
Epidemic Period ◽  
Novel Coronavirus ◽  
And Control

ABSTRACT Since the outbreak of 2019 novel coronavirus (2019-nCoV) infection in Wuhan City, China, pediatric cases have gradually increased. It is very important to prevent cross-infection in pediatric fever clinics, to identify children with fever in pediatric fever clinics, and to strengthen the management of pediatric fever clinics. According to prevention and control programs, we propose the guidance on the management of pediatric fever clinics during the nCoV pneumonia epidemic period, which outlines in detail how to optimize processes, prevent cross-infection, provide health protection, and prevent disinfection of medical staff. The present consideration statement summarizes current strategies on the pre-diagnosis, triage, diagnosis, treatment, and prevention of 2019-nCoV infection, which provides practical suggestions on strengthening the management of pediatric fever clinics during the nCoV pneumonia epidemic period.

scholarly journals APASL practical recommendations for the management of hepatocellular carcinoma in the era of COVID-19

2020 ◽  
Author(s):  
Shuichiro Shiina ◽  
Rino A. Gani ◽  
Osamu Yokosuka ◽  
Hitoshi Maruyama ◽  
Hiroaki Nagamatsu ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Medical Staff ◽  
Close Contact ◽  
Diagnosis And Treatment ◽  
Asia Pacific ◽  
Curative Treatment ◽  
The Novel ◽  
Medical Care System ◽  
Hygiene Measures ◽  
Novel Coronavirus

Abstract Background COVID-19 has been giving the devastating impact on the current medical care system. There are quite many guidelines on COVID-19, but only a few on the management of hepatocellular carcinoma (HCC) during COVID-19 pandemic. Aims We develop these recommendations to preserve adequate clinical practice for the management of HCC. Methods Experts of HCC in the Asia–Pacific region exchanged opinions via webinar, and these recommendations were formed. Results Close contact should be minimized to reduce possible exposure of both medical staff and patients to the novel coronavirus. To prevent transmission of the virus, meticulous hygiene measures are important. With the decrease in regular medical service, the medical staff may be mobilized to provide COVID-19-related patient care. However, diagnosis and treatment of HCC should not be delayed because of COVID-19 pandemic. The management of HCC should be the same as in non-pandemic circumstances. HCC is highly malignant, thus it is recommended not to delay curative treatment such as surgery and ablation. However, a kind of triage is necessary even among patients with HCC when resources are insufficient for all to be treated. Curative treatments should be periodized and cytoreductive or non-curative treatment such as vascular interventions and systemic therapy may be postponed until it can be performed safely with sufficient resources. For patients with confirmed or suspected to be infected with the novel coronavirus, diagnosis and treatment should be postponed until the virus is eliminated or they are confirmed as not being infected with it. Conclusions These are collection of measures implemented by front-line medical professionals. We would evolve these recommendations over time as more real-world data becomes available.

The impact of the novel coronavirus on trauma and orthopaedics in the UK

2020 ◽  
Vol 81 (4) ◽  
pp. 1-6 ◽  
Author(s):  
Catrin Morgan ◽  
Aashish K Ahluwalia ◽  
Arash Aframian ◽  
Lily Li ◽  
Stephen Ng Man Sun
Keyword(s):  
Orthopaedic Surgery ◽  
Musculoskeletal Injury ◽  
The Novel ◽  
Front Line ◽  
Orthopaedic Patients ◽  
Novel Coronavirus ◽  
Injury Burden ◽  
The Uk ◽  
The Impact ◽  
British Orthopaedic Association

At first glance, the novel coronavirus pandemic and orthopaedic surgery appear separate entities. Orthopaedic surgeons are not generally considered front-line staff in terms of the treatment of the disease that the novel coronavirus causes compared with anaesthetic and medical colleagues. However, the impact that the novel coronavirus is likely to have on the musculoskeletal injury burden and the morbidity associated with chronic musculoskeletal disease is significant. This article summarises the strategies currently being developed for the remodelling of orthopaedic services in the UK and the emergency British Orthopaedic Association Standards for Trauma and Orthopaedic guidelines released on 24 March 2020 in managing urgent orthopaedic patients during the novel coronavirus pandemic.

scholarly journals The impact of novel COVID-19 initial pandemic on orthopedic healthcare: an experience from a single institution of South Korea

2021 ◽  
Vol 64 (11) ◽  
pp. 778-787
Author(s):  
Gun Woo Lee ◽  
Gi Beom Kim ◽  
In Jun Lee
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Medical Staff ◽  
Healthcare Workers ◽  
The Novel ◽  
Preventive Surgery ◽  
Care Workers ◽  
Cancellation Rate ◽  
Novel Coronavirus ◽  
The Impact

Background: This study was to investigate the cancellation rate and trend of orthopedic surgeries during the novel coronavirus disease 2019 (COVID-19) pandemic. Moreover, we assessed the psychologic status of orthopedic healthcare workers, and investigated the details of the preventive surgeries underwent in COVID-19-positive patients.Methods: For 3 months after January 20, 2020, cancellation rates of elective surgeries were investigated, and the number of elective surgeries conducted in the same period over the last two years was compared. Four different questionnaires were used to investigate psychologic status among the orthopedic health care workers. We compared the outcomes according to occupation (physician or nurse), and type of work (faculty staff or resident physician). Outcomes according to occupation and type of work were compared. Preventive surgeries underwent in patients who could not wait for the results of the COVID-19 diagnosis were investigated.Results: Spine and hip surgery had relatively lower cancellation rates, and elective surgeries were significantly reduced. During the initial pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year and was different for each subdivision depending on the degree of pain or disability. The psychological outcomes were within the normal range and there were no significant differences between groups. After preventive surgery, all medical staff involved in the operation tested negative.Conclusion: During the COVID-19 pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year. Orthopedic health care workers did not seem to have significant psychological distress. As a result of the preventive surgery in specialized facilities, all the medical staff who participated in the operation tested negative.

scholarly journals Coping by the healthcare workers during COVID-19 pandemic in developing countries - A review.

2020 ◽  
Vol 24 (3) ◽  
Author(s):  
Alka Chandra ◽  
Hemant Vanjare
Keyword(s):  
Developing Countries ◽  
High Risk ◽  
Healthcare Workers ◽  
The Novel ◽  
Front Line ◽  
Outbreak Response ◽  
Duty Hours ◽  
Novel Coronavirus

In December 2019, an outbreak of the novel coronavirus (COVID-19) occurred in Wuhan, China. To date, this has spread across the globe, raising a number of significant challenges for healthcare workers (HCW). They are at the front line of the outbreak response and as such are exposed to hazards including the high risk of contracting the infection. Long and irregular duty hours in very constrained environment can contribute to increased levels of stress and ultimately precipitate burnout.

scholarly journals Evaluation of the clinical characteristics of suspected or confirmed cases of COVID-19 during home care with isolation: A new retrospective analysis based on O2O

2020 ◽  
Author(s):  
Hui Xu ◽  
Sufang Huang ◽  
Shangkun Liu ◽  
Juan Deng ◽  
Bo Jiao ◽  
...  
Keyword(s):  
Medical Staff ◽  
Muscle Soreness ◽  
Laboratory Data ◽  
Hospitalized Patients ◽  
The Body ◽  
The Novel ◽  
Observation Scale ◽  
Medical Observation ◽  
New Treatment ◽  
Novel Coronavirus

SummaryBackgroundThe recent outbreak of the novel coronavirus in December 2019 (COVID-19) has activated top-level response nationwide. We developed a new treatment model based on the online-to-offline (O2O) model for the home isolated patients, because in the early stages the medical staff were insufficient to cope with so many patients.MethodsIn this single-centered, retrospective study, we enrolled 48 confirmed/suspected COVID-19 patients who underwent home isolation in Wuhan between January 6 and January 31, 2020. By WeChat and online document editing all patients were treated with medical observation scale. The clinical indications such as Fever, Muscle soreness, Dyspnea and Lack of strength were collected with this system led by medical staff in management, medicine, nursing, rehabilitation and psychology.FindingsThe mean age of 48 patients was 39·08±13·88 years, 35(72·9%) were women. Compared with non-hospitalized patients, inpatients were older(≥70years, 2·4% vs 33·3%, P<0·04). All inpatients had fever, 50% inpatients had coughs and showed infiltration in both lungs at the time of diagnosis. 33·3% inpatients exhibited negative changes in their CT results at initial diagnosis. The body temperature of non-hospitalized patients with mild symptoms returned to normal by day 4-5. While dyspnea peaked on day 6 for non-hospitalized patients with mild symptoms, it persisted in hospitalized patients and exacerbated over time. The lack of strength and muscle soreness were both back to normal by day 4 for non-hospitalized patients.InterpretationMonitoring the trends of symptoms is more important for identifying severe cases. Excessive laboratory data and physical examination are not necessary for the evaluation of patients with mild symptoms. The system we developed is the first to convert the subjective symptoms of patients into objective scores. This type of O2O, subjective-to-objective strategy may be used in regions with similar highly infectious diseases to minimize the possibility of infection among medical staff.

Current Status on Treatments and Clinical Trials for COVID-19 (Preprint)

2020 ◽  
Author(s):  
Guosheng Yin ◽  
Chenyang Zhang ◽  
Huaqing Jin
Keyword(s):  
Clinical Trials ◽  
Phase Ii ◽  
Developmental Process ◽  
Current Situation ◽  
Current Status ◽  
The Novel ◽  
Fast Speed ◽  
Death Toll ◽  
Number Of Patients ◽  
Novel Coronavirus

UNSTRUCTURED With the worldwide rapidly growing number of patients infected with the novel coronavirus (COVID-19), the death toll has also been climbing up at a fast speed. There is an urgent need to search for cures for COVID-19 patients. A large number of clinical trials have been launched to test some existing or new antiviral therapeutics and vaccines. In contrast to starting from the scratch, many trials are initiated directly in phase II or III with the hope to expedite the developmental process. We summarize the information on the registered trials for the top ten COVID-19 drugs, and give an overview on the current situation and trend of treatments and clinical trials. In particular, we review those trials that have already been finished and discuss lessons that can be learned from them.

scholarly journals Ethical dilemmas faced by frontline support nurses fighting COVID-19

2021 ◽  
pp. 096973302110152
Author(s):  
Xinyi Liu ◽  
Yingying Xu ◽  
Yuanyuan Chen ◽  
Chen chen ◽  
Qiwei Wu ◽  
...  
Keyword(s):  
Interpersonal Relationships ◽  
Ethical Dilemmas ◽  
Clinical Care ◽  
Well Being ◽  
Team Approach ◽  
The Novel ◽  
Front Line ◽  
Structured Interviews ◽  
Open Communication ◽  
Novel Coronavirus

Background: In 2019, an outbreak of COVID-19 broke out in Hubei, China. Medical workers from all over the country rushed to Hubei and participated in the treatment and care of COVID-19 patients. These nurses, dedicated to their professional practice, volunteered to provide compassion and expert clinical care during the pandemic. As with other acts of heroism, the ethical dilemmas associated with working on the front line must be considered for future practice. Purpose: To explore the ethical dilemmas of frontline nurses of Jiangsu Province in China during deployment to Wuhan to fight the novel coronavirus pneumonia, and to provide a basis for developing strategies to help nursing staff address personal and practice concerns in order to work more effectively during this pandemic and other disasters in the future. Research design and method: Using the phenomenological research method and the purpose sampling method, semi-structured interviews were conducted with 10 nurses, post-deployment to Wuhan, who had worked on the front line to fight the novel coronavirus. Ethical considerations: The research proposal was approved by the Research Ethic Committee of Yangzhou University, China. Findings: From the analysis of the interviews of the 10 participants, three main themes were identified: ethical dilemmas in clinical nursing, ethical dilemmas in interpersonal relationships, and ethical dilemmas in nursing management. Conclusion: During a quick response to public health emergencies, where nurses are deployed immediately as a call to action, the issues surrounding ethical dilemmas from several perspectives must be considered. This research suggests that a team approach to proactive planning and open communication during the emergency is an efficient and productive strategy to improve the nurses’ experience and sense of well-being.

Sign in / Sign up

Export Citation Format

Share Document