Pub Date : 2023-02-23DOI: 10.2174/18749445-v16-230223-2022-157
Jim W Hall
State-level public health messaging during the pre-election coronavirus pandemic was very inconsistent. Moral motivational content of the messages, as characterized by moral foundations theory, may have contributed to the degree of compliance in particular states. More attention to this content might result in greater compliance and a lessening of the pandemic's severity. A comprehensive review of official state messaging in six U.S. states (California, Florida, Massachusetts, Mississippi, New York, and Texas) was reviewed for the number and distribution of moral foundations as described by moral foundations theory. A search was done for state-level data concerning compliance with mask-wearing and social distancing, the primary public precautionary measures during the pandemic. Rates of compliance by the state were compared with messaging content and analyzed for associations and correlations with the known partisan leanings of the states. Examples of messages with balanced moral foundations, which might be prospectively employed for greater acceptance, were presented. All data were gathered prior to the introduction of the first available vaccine. Message review and compliance data suggested that the quantity and proportion of coronavirus-related official messages and the utilization of a balanced combination of moral foundations were associated with higher levels of compliance with the recommended public health measures and lower infection rates. The political orientations of states did not align with the use of known conservative/liberal preferred moral foundations as previously established by Moral Foundations Theory. Adjusting messaging with attention to the balanced employment of moral foundations can lead to wider acceptance of and compliance with preventive public health measures.
{"title":"State Public Health Communications and Public Compliance during the Pre-election SARS-CoV-2 Pandemic: Interpreting the Effectiveness of Messaging Guidelines Utilizing Moral Foundations Theory","authors":"Jim W Hall","doi":"10.2174/18749445-v16-230223-2022-157","DOIUrl":"https://doi.org/10.2174/18749445-v16-230223-2022-157","url":null,"abstract":"\u0000 \u0000 State-level public health messaging during the pre-election coronavirus pandemic was very inconsistent. Moral motivational content of the messages, as characterized by moral foundations theory, may have contributed to the degree of compliance in particular states. More attention to this content might result in greater compliance and a lessening of the pandemic's severity.\u0000 \u0000 \u0000 \u0000 A comprehensive review of official state messaging in six U.S. states (California, Florida, Massachusetts, Mississippi, New York, and Texas) was reviewed for the number and distribution of moral foundations as described by moral foundations theory. A search was done for state-level data concerning compliance with mask-wearing and social distancing, the primary public precautionary measures during the pandemic. Rates of compliance by the state were compared with messaging content and analyzed for associations and correlations with the known partisan leanings of the states. Examples of messages with balanced moral foundations, which might be prospectively employed for greater acceptance, were presented. All data were gathered prior to the introduction of the first available vaccine.\u0000 \u0000 \u0000 \u0000 Message review and compliance data suggested that the quantity and proportion of coronavirus-related official messages and the utilization of a balanced combination of moral foundations were associated with higher levels of compliance with the recommended public health measures and lower infection rates. The political orientations of states did not align with the use of known conservative/liberal preferred moral foundations as previously established by Moral Foundations Theory.\u0000 \u0000\u0000 \u0000 \u0000 Adjusting messaging with attention to the balanced employment of moral foundations can lead to wider acceptance of and compliance with preventive public health measures.\u0000","PeriodicalId":38960,"journal":{"name":"Open Public Health Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42183464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-21DOI: 10.2174/18749445-v16-230221-2022-174
Seyed Aghdas Hosseini, K. Vakilian, A. Shabestari, Mostafa Nokani, A. Almasi
Breastfeeding Counseling in order to increasing Breastfeeding Performance. Exclusive breastfeeding (EBF) as a policy for increasing children's survival and decreasing the illnesses of children all over the world. The present study was designed to investigating the effect of Midwife-led Breastfeeding Counseling based on the Bandura's Model on Self-efficacy and Breastfeeding Performance. The present study was an educational trial with a pretest-posttest design and a control group. 60 women in intervention group received 4 session group counseling program based on Bandura's theoretical structures during pregnancy. After that the second stage of study was conducted between 1-3 days and 10-15 days after childbirth using the face-to-face method to meet the needs and concerns of mothers about breastfeeding. The control group received no counseling program and only received routine health care. showed that the awareness means in the intervention group was 25.6 and in the control group, it was 21.1, which showed a significant increase in the intervention group. In addition, it was indicated that the self-efficacy of the mothers increased by 18 units in the intervention group, and decreased by 1 unit in the control group after the intervention. findings showed that the attitudes of the intervention group increased by 11 units, and 4 units in the control group after the intervention. 54 mothers in the intervention group and 17 mothers in the control group only used breastfeeding for their babies. Breastfeeding self-efficacy is an appropriate theoretical model to perform interventions and should be considered to prolong breastfeeding and better performance.
{"title":"Effect of Midwife-led Breastfeeding Counseling based on the Bandura's Model on Self-efficacy and Breastfeeding Performance: an educational trial study","authors":"Seyed Aghdas Hosseini, K. Vakilian, A. Shabestari, Mostafa Nokani, A. Almasi","doi":"10.2174/18749445-v16-230221-2022-174","DOIUrl":"https://doi.org/10.2174/18749445-v16-230221-2022-174","url":null,"abstract":"\u0000 \u0000 Breastfeeding Counseling in order to increasing Breastfeeding Performance.\u0000 \u0000 \u0000 \u0000 Exclusive breastfeeding (EBF) as a policy for increasing children's survival and decreasing the illnesses of children all over the world.\u0000 \u0000 \u0000 \u0000 The present study was designed to investigating the effect of Midwife-led Breastfeeding Counseling based on the Bandura's Model on Self-efficacy and Breastfeeding Performance.\u0000 \u0000 \u0000 \u0000 The present study was an educational trial with a pretest-posttest design and a control group. 60 women in intervention group received 4 session group counseling program based on Bandura's theoretical structures during pregnancy. After that the second stage of study was conducted between 1-3 days and 10-15 days after childbirth using the face-to-face method to meet the needs and concerns of mothers about breastfeeding. The control group received no counseling program and only received routine health care.\u0000 \u0000 \u0000 \u0000 showed that the awareness means in the intervention group was 25.6 and in the control group, it was 21.1, which showed a significant increase in the intervention group. In addition, it was indicated that the self-efficacy of the mothers increased by 18 units in the intervention group, and decreased by 1 unit in the control group after the intervention. findings showed that the attitudes of the intervention group increased by 11 units, and 4 units in the control group after the intervention. 54 mothers in the intervention group and 17 mothers in the control group only used breastfeeding for their babies.\u0000 \u0000 \u0000 \u0000 Breastfeeding self-efficacy is an appropriate theoretical model to perform interventions and should be considered to prolong breastfeeding and better performance.\u0000","PeriodicalId":38960,"journal":{"name":"Open Public Health Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44300190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fetal death is one of the common adverse pregnancy outcomes. It occurs more than 7178 deaths at 28 weeks of gestation occur every day, making 2.6 million fetal deaths worldwide. The majority of these deaths occurred in developing countries, and 98% occurred in low and middle-income countries. To address the problem of stillbirth, the magnitude and determinants of stillbirth must be understood to help intervention be given to reduce fetal stillbirth. This study was facilitated by obtaining basic data on the factors influencing stillbirth. This will facilitate the development of better public health interventions to reduce these preventable fetal deaths and improve maternal health. This study aimed to assess the determinant factors of still-birth among babies born in hospitals in the North Shoa zone, Oromia, Ethiopia. The study was conducted among 348 babies born in the hospital of North Shoa Zone. Study subjects were selected by systematic sampling method from the list of babies born in hospitals in a three-month study period. Data were collected by using a pretested and structured questionnaire. Data were edited, cleaned, coded, entered, and analyzed using SPSS-21 statistical software. Bivariate and multivariate analysis was employed. Potential factors were having regular antenatal care, congenital malformation, and having a history of perinatal death was significantly associated with the stillbirth. The risk of stillbirth was associated with both modifiable and non-modifiable factors. Therefore, encourage regular ANC to follow up, minimizing the formation congenital malformation, and increase birth in the history of previous perinatal death are to prevent the risk of potential stillbirth.
{"title":"Potential Factors Associated with Stillbirth among Babies Born in Hospitals of North Shoa, Oromia, Ethiopia, 2021. Based On Cross-Sectional Study Design.","authors":"Mogos Beya, Adugnaw Alemu, Dejene Edosa, Mathewos Mekonnen","doi":"10.2174/18749445-v16-230221-2022-169","DOIUrl":"https://doi.org/10.2174/18749445-v16-230221-2022-169","url":null,"abstract":"\u0000 \u0000 Fetal death is one of the common adverse pregnancy outcomes. It occurs more than 7178 deaths at 28 weeks of gestation occur every day, making 2.6 million fetal deaths worldwide. The majority of these deaths occurred in developing countries, and 98% occurred in low and middle-income countries. To address the problem of stillbirth, the magnitude and determinants of stillbirth must be understood to help intervention be given to reduce fetal stillbirth. This study was facilitated by obtaining basic data on the factors influencing stillbirth. This will facilitate the development of better public health interventions to reduce these preventable fetal deaths and improve maternal health.\u0000 \u0000 \u0000 \u0000 This study aimed to assess the determinant factors of still-birth among babies born in hospitals in the North Shoa zone, Oromia, Ethiopia.\u0000 \u0000 \u0000 \u0000 The study was conducted among 348 babies born in the hospital of North Shoa Zone. Study subjects were selected by systematic sampling method from the list of babies born in hospitals in a three-month study period. Data were collected by using a pretested and structured questionnaire. Data were edited, cleaned, coded, entered, and analyzed using SPSS-21 statistical software. Bivariate and multivariate analysis was employed.\u0000 \u0000 \u0000 \u0000 Potential factors were having regular antenatal care, congenital malformation, and having a history of perinatal death was significantly associated with the stillbirth.\u0000 \u0000 \u0000 \u0000 The risk of stillbirth was associated with both modifiable and non-modifiable factors. Therefore, encourage regular ANC to follow up, minimizing the formation congenital malformation, and increase birth in the history of previous perinatal death are to prevent the risk of potential stillbirth.\u0000","PeriodicalId":38960,"journal":{"name":"Open Public Health Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45698179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-21DOI: 10.2174/18749445-v16-230221-2022-163
S. Klang, S. Merling, Sigal Rosenberg, Galit Borchuk, M. Pugatch
To examine the utilization of health resources during the first year of the COVID-19 pandemic in Israel through the analysis of Meuhedet Health Services’ real-world database. The history of COVID-19 in Israel comprises three waves: from February to May 2020, from May to November 2020, and from November 2020 to April 2021. Restrictions imposed on the Israeli population included travel limitations and even lockdowns. Meuhedet Health Services, the third largest health management organization in Israel, manages all its medical data through computerized electronic files and has collected various types of health services data from 2018 to 2020. This paper compares the consumption of its services between two consecutive years. pandemic for Meuhedet Health Services using a real-world database. Electronic medical records from primary care physicians, laboratory tests, hospitalization medical histories, treatments in hospitals and institutes, visits to and treatments by community physicians, and prescriptions and medical equipment consumption were collected from 2018 to 2020. This research used aggregated, non-personalized, and decoded data from a cohort of insured persons, and the research was approved by all the relevant institutional Helsinki Committees. The data analysis compares the corresponding data in a chosen month of a year with the data in the same month of the previous year. The differences are then scaled by the data corresponding to the month of the previous year and the result multiplied by 100 and plotted. To analyze drug consumption, we use the fixed price of every drug in a year multiplied by the difference in consumption of the drug in question between the month of the current year and the same month of the previous year, multiplied by 100. A significant decrease was noted in hospitalization days, general hospital outpatient clinic visits, general hospital emergency room visits, and total numbers of visits to community physicians during the first lockdown in the first wave of the pandemic in comparison to 2019. At the end of the lockdown, however, a compensatory increase was noted in all services. In terms of drug consumption, the data show no differences in the effects of the different waves. Our findings reveal that the first wave of COVID-19 was a shock, with a significant reduction in the consumption of health services, but this decrease attenuated with the second wave, due to immediate management interventions and safety rules implemented in hospitals and clinics. People shun medical services during a fast-spreading epidemic that causes significant mortality. Since new variants of COVID-19 could be part of our lives for the next few years, we should learn how to continue living with the pandemic and develop alternative medical services to maintain health states. Digitization, remote services, telemedicine, and home care, including home hospitalization, should be part of the health services to cope
通过分析Meuhedet卫生服务的真实世界数据库,检查以色列COVID-19大流行第一年卫生资源的利用情况。2019冠状病毒病在以色列的历史包括三波:2020年2月至5月、2020年5月至11月和2020年11月至2021年4月。对以色列人口施加的限制包括旅行限制甚至封锁。Meuhedet Health Services是以色列第三大健康管理组织,通过计算机化电子文件管理其所有医疗数据,并收集了2018年至2020年各种类型的健康服务数据。本文对其连续两年的服务消费进行了比较。Meuhedet卫生服务使用真实世界的数据库。收集2018 - 2020年初级保健医生的电子病历、实验室检查、住院病史、医院和研究所的治疗情况、社区医生的就诊和治疗情况、处方和医疗设备消费情况。本研究使用了来自参保人群队列的汇总、非个性化和解码数据,该研究得到了赫尔辛基所有相关机构委员会的批准。数据分析是将一年中选定月份的相应数据与前一年同月的数据进行比较。然后用前一年对应月份的数据对差异进行缩放,并将结果乘以100绘制出来。为了分析药物消费,我们使用一年中每种药物的固定价格乘以该药物在当年当月与上一年同月之间的消费差异,再乘以100。与2019年相比,在第一波大流行的第一次封锁期间,住院天数、综合医院门诊就诊次数、综合医院急诊室就诊次数和社区医生就诊总数均显著减少。然而,在封锁结束时,所有服务部门都出现了补偿性增长。在药物消费方面,数据显示不同的波的影响没有差异。我们的研究结果表明,第一波COVID-19疫情是一种冲击,医疗服务消费大幅减少,但由于医院和诊所采取了及时的管理干预措施和安全规则,第二波疫情的减少幅度有所减弱。在造成大量死亡的快速蔓延的流行病期间,人们回避医疗服务。由于COVID-19的新变种可能在未来几年成为我们生活的一部分,我们应该学习如何继续与大流行共存,并开发替代医疗服务以保持健康状态。数字化、远程服务、远程医疗和家庭护理,包括家庭住院,应成为应对大流行情况的卫生服务的一部分。
{"title":"Utilization of Health Resources during the Coronavirus Pandemic in Israel: Meuhedet Health Services’ Real Data Analysis and Future Conclusions","authors":"S. Klang, S. Merling, Sigal Rosenberg, Galit Borchuk, M. Pugatch","doi":"10.2174/18749445-v16-230221-2022-163","DOIUrl":"https://doi.org/10.2174/18749445-v16-230221-2022-163","url":null,"abstract":"\u0000 \u0000 To examine the utilization of health resources during the first year of the COVID-19 pandemic in Israel through the analysis of Meuhedet Health Services’ real-world database.\u0000 \u0000 \u0000 \u0000 The history of COVID-19 in Israel comprises three waves: from February to May 2020, from May to November 2020, and from November 2020 to April 2021. Restrictions imposed on the Israeli population included travel limitations and even lockdowns. Meuhedet Health Services, the third largest health management organization in Israel, manages all its medical data through computerized electronic files and has collected various types of health services data from 2018 to 2020. This paper compares the consumption of its services between two consecutive years.\u0000 pandemic for Meuhedet Health Services using a real-world database.\u0000 \u0000 \u0000 \u0000 Electronic medical records from primary care physicians, laboratory tests, hospitalization medical histories, treatments in hospitals and institutes, visits to and treatments by community physicians, and prescriptions and medical equipment consumption were collected from 2018 to 2020. This research used aggregated, non-personalized, and decoded data from a cohort of insured persons, and the research was approved by all the relevant institutional Helsinki Committees. The data analysis compares the corresponding data in a chosen month of a year with the data in the same month of the previous year. The differences are then scaled by the data corresponding to the month of the previous year and the result multiplied by 100 and plotted.\u0000 To analyze drug consumption, we use the fixed price of every drug in a year multiplied by the difference in consumption of the drug in question between the month of the current year and the same month of the previous year, multiplied by 100. \u0000 \u0000 \u0000 \u0000 A significant decrease was noted in hospitalization days, general hospital outpatient clinic visits, general hospital emergency room visits, and total numbers of visits to community physicians during the first lockdown in the first wave of the pandemic in comparison to 2019. At the end of the lockdown, however, a compensatory increase was noted in all services. In terms of drug consumption, the data show no differences in the effects of the different waves. Our findings reveal that the first wave of COVID-19 was a shock, with a significant reduction in the consumption of health services, but this decrease attenuated with the second wave, due to immediate management interventions and safety rules implemented in hospitals and clinics.\u0000 \u0000 \u0000 \u0000 People shun medical services during a fast-spreading epidemic that causes significant mortality. Since new variants of COVID-19 could be part of our lives for the next few years, we should learn how to continue living with the pandemic and develop alternative medical services to maintain health states. Digitization, remote services, telemedicine, and home care, including home hospitalization, should be part of the health services to cope ","PeriodicalId":38960,"journal":{"name":"Open Public Health Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42778785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aims to assess the state of mental health of nursing students in Kosovo and their willingness to provide professional health services for individuals at risk during the COVID-19 pandemic. In this cross-sectional survey, undergraduate nursing students from three higher education institutions in Kosovo participate from May 25, 2020, to June 5, 2020. Data was collected through a structured, anonymous, self-directed questionnaire, via the online platform-google forms. Questions about nursing knowledge, skills and competences, and willingness to work, if necessary, in healthcare facilities in Kosovo before graduation during the COVID-19 pandemic, were organised according to the Likert scale. Four hundred and seventy-two nursing students (82% female; and mean age 20.3±1.8 years) participated in the study. 18.2% of students required further evaluation for depression, 48.3% for anxiety and 30.7% for stress. 77.8% of students agreed that they had acquired sufficient knowledge, 80.6% that they had sufficient skills, and 75.9% that they had sufficient competences, during their studies, to work as nurses. Female students had higher stress (8.55±4.06) and anxiety scores (6.65±4.08) compared to their male counterparts (7.46±4.35; and 5.02±4.07; respectively) (p<0.05). There was no statistically significant difference among categories of stress, anxiety and depression, and nursing student’s willingness to work or not during COVID-19 pandemic (p>0.05). Most nursing students in Kosovo appear ready and willing to join qualified nurses in healthcare institutions, in delivering health services during COVID-19 pandemic.
{"title":"Mental Health Status and the Readiness of Nursing Students to Serve During the Covid-19 Pandemic","authors":"Leonora Paice, Naime Brajshori, Iliriana Alloqi Tahirbegolli, Antigona Dervishaj Ukehaxhaj, Blerta Kryeziu, Derya Yildiz, Flaka Hoti, Shkelzen Osmani, Bernard Tahirbegolli","doi":"10.2174/18749445-v16-230221-2022-149","DOIUrl":"https://doi.org/10.2174/18749445-v16-230221-2022-149","url":null,"abstract":"\u0000 \u0000 This study aims to assess the state of mental health of nursing students in Kosovo and their willingness to provide professional health services for individuals at risk during the COVID-19 pandemic.\u0000 \u0000 \u0000 \u0000 In this cross-sectional survey, undergraduate nursing students from three higher education institutions in Kosovo participate from May 25, 2020, to June 5, 2020. Data was collected through a structured, anonymous, self-directed questionnaire, via the online platform-google forms. Questions about nursing knowledge, skills and competences, and willingness to work, if necessary, in healthcare facilities in Kosovo before graduation during the COVID-19 pandemic, were organised according to the Likert scale.\u0000 \u0000 \u0000 \u0000 Four hundred and seventy-two nursing students (82% female; and mean age 20.3±1.8 years) participated in the study. 18.2% of students required further evaluation for depression, 48.3% for anxiety and 30.7% for stress. 77.8% of students agreed that they had acquired sufficient knowledge, 80.6% that they had sufficient skills, and 75.9% that they had sufficient competences, during their studies, to work as nurses. Female students had higher stress (8.55±4.06) and anxiety scores (6.65±4.08) compared to their male counterparts (7.46±4.35; and 5.02±4.07; respectively) (p<0.05). There was no statistically significant difference among categories of stress, anxiety and depression, and nursing student’s willingness to work or not during COVID-19 pandemic (p>0.05).\u0000 \u0000 \u0000 \u0000 Most nursing students in Kosovo appear ready and willing to join qualified nurses in healthcare institutions, in delivering health services during COVID-19 pandemic.\u0000","PeriodicalId":38960,"journal":{"name":"Open Public Health Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46208004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-21DOI: 10.2174/18749445-v16-230221-2022-104
A. Yusefi, E. R. Davarani, Z. Kavosi, G. Mehralian
The outbreak of the new coronavirus (Covid-19) can lead to the development of several mental disorders. Women are an important part of any society, and psychological factors can affect their quality of life. The present study aimed to investigate the depression level among hospitalized women and its relationship with their quality of life during the Covid-19 pandemic in 2021. This was a descriptive-analytical study conducted on 465 women admitted to public educational hospitals affiliated with the Minister of Health, Iran. The data collection tools were Goldberg Depression Scale and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) Questionnaire. Descriptive and inferential statistical methods were used to analyze the data by applying SPSS software version 23. According to the results, 48.60% of the women were mentally healthy. While 15.27% of them were more likely to develop depression, 13.12% of the others were borderline depressed. At the same time, 12.69% of the women who participated in the study suffered from a mild to moderate level of depression, 7.74% of women had moderate to severe depression, and 2.58% of the rest, tolerated severe depression. Other results show that the mean score of quality of life (QOL) of the women was 58.49A 11.51 (out of 120). Moreover, a significant and inverse correlation between depression and QOL was observed among the studied women (r=-0.564, P<0.001). Statistically significant relationships between depression and the variables of age (P=0.007), place of residence (P=0.04), marital status (P=0.006), level of education (P<0.001), and income level (P=0.03) were also observed. Moreover, there was also a statistically significant relationship between women's QOL and their marital status (P=0.02). According to the results, providing social support and establishing effective communication based on mutual interaction among hospitalized women and healthcare workers can be recommended to decrease their level of depressive disorder and enhance their QOL.
{"title":"Depression and Quality of Life among Women Hospitalized during Covid-19 Pandemic","authors":"A. Yusefi, E. R. Davarani, Z. Kavosi, G. Mehralian","doi":"10.2174/18749445-v16-230221-2022-104","DOIUrl":"https://doi.org/10.2174/18749445-v16-230221-2022-104","url":null,"abstract":"\u0000 \u0000 The outbreak of the new coronavirus (Covid-19) can lead to the development of several mental disorders. Women are an important part of any society, and psychological factors can affect their quality of life. The present study aimed to investigate the depression level among hospitalized women and its relationship with their quality of life during the Covid-19 pandemic in 2021.\u0000 \u0000 \u0000 \u0000 This was a descriptive-analytical study conducted on 465 women admitted to public educational hospitals affiliated with the Minister of Health, Iran. The data collection tools were Goldberg Depression Scale and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) Questionnaire. Descriptive and inferential statistical methods were used to analyze the data by applying SPSS software version 23.\u0000 \u0000 \u0000 \u0000 According to the results, 48.60% of the women were mentally healthy. While 15.27% of them were more likely to develop depression, 13.12% of the others were borderline depressed. At the same time, 12.69% of the women who participated in the study suffered from a mild to moderate level of depression, 7.74% of women had moderate to severe depression, and 2.58% of the rest, tolerated severe depression. Other results show that the mean score of quality of life (QOL) of the women was 58.49A 11.51 (out of 120). Moreover, a significant and inverse correlation between depression and QOL was observed among the studied women (r=-0.564, P<0.001). Statistically significant relationships between depression and the variables of age (P=0.007), place of residence (P=0.04), marital status (P=0.006), level of education (P<0.001), and income level (P=0.03) were also observed. Moreover, there was also a statistically significant relationship between women's QOL and their marital status (P=0.02).\u0000 \u0000 \u0000 \u0000 According to the results, providing social support and establishing effective communication based on mutual interaction among hospitalized women and healthcare workers can be recommended to decrease their level of depressive disorder and enhance their QOL.\u0000","PeriodicalId":38960,"journal":{"name":"Open Public Health Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45620023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-16DOI: 10.2174/18749445-v16-e230216-2022-162
B. T., S. Biju
Crumbling walls, cramped and crowded spaces, dirty floors, scurrying rodents, the long wait, and neglect - are these the first things that come to your mind when you think of a government health care facility? You would be surprised to know that there is a stellar exception to this disappointing picture, right here in our small state of Kerala in India. A grand reception, beautiful wall art, and a children’s play area- this is how the Punalur Taluk Hospital greets its visitors. If you are sceptical of the outer polish, then the quality of service offered and the inspiring work environment here are sure to convince you otherwise. All it took was one person’s unique vision and his unflinching commitment to it. Dr. Shahirshah is the man behind the scene. His relentless work and farsightedness have transformed the unassuming taluk hospital into a beacon of humanitarian healthcare. As the People’s Plan Campaign basks in the pink of its Silver Jubilee, Dr. Biju Terrence and Dr.Biju S.K., have a passionate conversation with Dr.Shah on how he developed a sustainable democratic public healthcare by integrating local people into its planning. Excerpts from the interview:
{"title":"Is There a Vaccine to Save Public Healthcare from the Endemic of Privatization? One Doctor’s Healing Touch Says It All.","authors":"B. T., S. Biju","doi":"10.2174/18749445-v16-e230216-2022-162","DOIUrl":"https://doi.org/10.2174/18749445-v16-e230216-2022-162","url":null,"abstract":"Crumbling walls, cramped and crowded spaces, dirty floors, scurrying rodents, the long wait, and neglect - are these the first things that come to your mind when you think of a government health care facility? You would be surprised to know that there is a stellar exception to this disappointing picture, right here in our small state of Kerala in India. A grand reception, beautiful wall art, and a children’s play area- this is how the Punalur Taluk Hospital greets its visitors. If you are sceptical of the outer polish, then the quality of service offered and the inspiring work environment here are sure to convince you otherwise. All it took was one person’s unique vision and his unflinching commitment to it. Dr. Shahirshah is the man behind the scene. His relentless work and farsightedness have transformed the unassuming taluk hospital into a beacon of humanitarian healthcare.\u0000 As the People’s Plan Campaign basks in the pink of its Silver Jubilee, Dr. Biju Terrence and Dr.Biju S.K., have a passionate conversation with Dr.Shah on how he developed a sustainable democratic public healthcare by integrating local people into its planning.\u0000 Excerpts from the interview:","PeriodicalId":38960,"journal":{"name":"Open Public Health Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49086259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-15DOI: 10.2174/18749445-v16-e230111-2022-98
Mansour A Alghamdi, Khaled Abdulwahab Amer, Abdulrahman Ali S Aldosari, Razan Saeed Al-Maalwi, Sereen Dhafer Al-Muhsin, Arwa Abdulwahab Amer, Shahd Abdulhakeem Al hamdan, Ahmed H. Sakah, Mohammed Abadi Alsaleem, Laith N. AL Eitan
Introduction: Multiple sclerosis (MS) is a chronic progressive autoimmune disease with several symptoms, including spasticity. This study aimed to illustrate the impact of spasticity on the daily activities of MS patients. Subjects and Methods: A cross-sectional study was conducted using a self-administered questionnaire consisting of demographic, clinical characteristics, and MS spasticity scale. A total of 286 patients from Saudi Arabia participated in this study. Results: Muscle stiffness occurring due to spasticity in most cases does not bother the patient, except for muscle tightness (32.9%) and stiffness when staying in the same position for a long time (36.7%), which cause extreme discomfort to the patients. Five items of pain and discomfort have been reported to extremely bother the patients (28.0-33.6%). The highest percentage of patients claimed not to be affected by muscle spasm items (29.4%-66.1%), including activities of dressing and sleeping (36.7%-57.7%). More than 30% of the patients found spasticity to affect their walking speed and going up/downstairs. About 36% to 49% did not experience any difficulties with their body movements. The patients also did not exhibit any feelings of discomfort, except for irritation (30.4%) and nervousness (29.4%). Conclusion: MS patients are significantly affected by spasticity, and a considerable percentage of these patients experience problems with their movements and activities.
{"title":"Assessment of Impact of Spasticity on Activities of Daily Living in Multiple Sclerosis Patients from Saudi Arabia: A Cross-sectional Study","authors":"Mansour A Alghamdi, Khaled Abdulwahab Amer, Abdulrahman Ali S Aldosari, Razan Saeed Al-Maalwi, Sereen Dhafer Al-Muhsin, Arwa Abdulwahab Amer, Shahd Abdulhakeem Al hamdan, Ahmed H. Sakah, Mohammed Abadi Alsaleem, Laith N. AL Eitan","doi":"10.2174/18749445-v16-e230111-2022-98","DOIUrl":"https://doi.org/10.2174/18749445-v16-e230111-2022-98","url":null,"abstract":"Introduction: Multiple sclerosis (MS) is a chronic progressive autoimmune disease with several symptoms, including spasticity. This study aimed to illustrate the impact of spasticity on the daily activities of MS patients. Subjects and Methods: A cross-sectional study was conducted using a self-administered questionnaire consisting of demographic, clinical characteristics, and MS spasticity scale. A total of 286 patients from Saudi Arabia participated in this study. Results: Muscle stiffness occurring due to spasticity in most cases does not bother the patient, except for muscle tightness (32.9%) and stiffness when staying in the same position for a long time (36.7%), which cause extreme discomfort to the patients. Five items of pain and discomfort have been reported to extremely bother the patients (28.0-33.6%). The highest percentage of patients claimed not to be affected by muscle spasm items (29.4%-66.1%), including activities of dressing and sleeping (36.7%-57.7%). More than 30% of the patients found spasticity to affect their walking speed and going up/downstairs. About 36% to 49% did not experience any difficulties with their body movements. The patients also did not exhibit any feelings of discomfort, except for irritation (30.4%) and nervousness (29.4%). Conclusion: MS patients are significantly affected by spasticity, and a considerable percentage of these patients experience problems with their movements and activities.","PeriodicalId":38960,"journal":{"name":"Open Public Health Journal","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135583315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-10DOI: 10.2174/18749445-v16-e230208-2022-180
Huzaifa A. Shakir
The COVID pandemic has revealed much that we as a medical community did not know about a strain of the virus. More revealing, however, is what the COVID pandemic has revealed about the blueprint of our medical community and our society at large. Much was spoken and written in recent months about the failures of leadership at the international and state levels. Interestingly, online medical bulletins have also detailed the financial windfall for for-profit health systems such as HCA [1] as well as the staffing shortages and union challenges in other systems such as Tenet [2]. C-Suite leaders have shuffled from one facility to the next in the face of consolidation and a reset of organizational priorities. What is lacking from much of this debate and discussion, is hard and objective, accountability for the effects of the pandemic on hospital staff. As physicians on the front line of the worst pandemic in a century, doctors are still required to maintain active medical licenses, board certification, high-quality care, as well as an extremely high level of professionalism at work and outside. As a Cardiothoracic Surgeon, I would not perform heart or lung surgery without the necessary surgical equipment or supplies, such as suture, gauze, forceps. Why then during the height of the pandemic were providers forced to re-use masks, hats, and face shields? Why did the use of PAPR respirators require letters of appeal and training after the pandemic had already begun? While the lack of physical beds and ventilators along with poor staffing levels is also contributory, it is management’s lack of empathy and frontline presence which has led to widespread resignations as a result of depressed morale and burnout [3]. This can easily be chalked up to a “Tsunami”-like a phenomenon that nobody could have expected and, thus, nobody was prepared for. However, as a surgeon on call, there is a reasonable expectation that at some point, one will get a phone call for an emergency, and thus, should be prepared. Granted, the frequency of those emergencies will likely affect the desired consistency of the
{"title":"The COVID Effect: Making a Case for Uniform Accreditation among Healthcare Leadership","authors":"Huzaifa A. Shakir","doi":"10.2174/18749445-v16-e230208-2022-180","DOIUrl":"https://doi.org/10.2174/18749445-v16-e230208-2022-180","url":null,"abstract":"The COVID pandemic has revealed much that we as a medical community did not know about a strain of the virus. More revealing, however, is what the COVID pandemic has revealed about the blueprint of our medical community and our society at large. Much was spoken and written in recent months about the failures of leadership at the international and state levels. Interestingly, online medical bulletins have also detailed the financial windfall for for-profit health systems such as HCA [1] as well as the staffing shortages and union challenges in other systems such as Tenet [2]. C-Suite leaders have shuffled from one facility to the next in the face of consolidation and a reset of organizational priorities. What is lacking from much of this debate and discussion, is hard and objective, accountability for the effects of the pandemic on hospital staff. As physicians on the front line of the worst pandemic in a century, doctors are still required to maintain active medical licenses, board certification, high-quality care, as well as an extremely high level of professionalism at work and outside. As a Cardiothoracic Surgeon, I would not perform heart or lung surgery without the necessary surgical equipment or supplies, such as suture, gauze, forceps. Why then during the height of the pandemic were providers forced to re-use masks, hats, and face shields? Why did the use of PAPR respirators require letters of appeal and training after the pandemic had already begun? While the lack of physical beds and ventilators along with poor staffing levels is also contributory, it is management’s lack of empathy and frontline presence which has led to widespread resignations as a result of depressed morale and burnout [3]. This can easily be chalked up to a “Tsunami”-like a phenomenon that nobody could have expected and, thus, nobody was prepared for. However, as a surgeon on call, there is a reasonable expectation that at some point, one will get a phone call for an emergency, and thus, should be prepared. Granted, the frequency of those emergencies will likely affect the desired consistency of the","PeriodicalId":38960,"journal":{"name":"Open Public Health Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42672084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-16DOI: 10.2174/18749445-v16-e230116-2022-106
M. Maepa, Atholl Kleinhans, A. Lentoor
COVID-19 pandemic was declared a global public health emergency in March 2020. South Africa, like many countries, was not spared from this pandemic. In March 2020, the president announced a nationwide lockdown with social restrictions aimed to curb the spread of the virus. Such lockdown restrictions disrupted the normal day to day life for South Africans, leading to personal stress. The current study aimed to explore perceived stress and lockdown related stress among South African adults during the first wave of COVID 19. This study was cross-sectional in nature, using a sample of 203 adult males and females who were selected using a convenience sampling method on online social media platforms such as WhatsApp and Facebook. Participants completed an online survey that assessed socio-demographic information, perceived stress and lockdown related stress. A significant statical difference between males and females regarding their experience of lockdown related stress t (281) = 1.35, p < .004 was found. Relationship status was also significant for lockdown related stress t (281) = -2.02, p< .001 and perceived stress t= (281) = -.08, p< .000. No significant statistical difference between young and older adults in their experience of lockdown related stress and perceived stress was found. Male participants reported more lockdown related stress, while female participants reported more perceived stress. There were no age differences in lockdown related stress and perceived stress. People without intimate relationships reported more lockdown related stress and perceived stress than people with intimate relationships.
{"title":"Perceived Stress and Association with Sociodemographic, Interpersonal Relationship and COVID-19 Lockdown Related Stress in South Africa","authors":"M. Maepa, Atholl Kleinhans, A. Lentoor","doi":"10.2174/18749445-v16-e230116-2022-106","DOIUrl":"https://doi.org/10.2174/18749445-v16-e230116-2022-106","url":null,"abstract":"\u0000 \u0000 COVID-19 pandemic was declared a global public health emergency in March 2020. South Africa, like many countries, was not spared from this pandemic. In March 2020, the president announced a nationwide lockdown with social restrictions aimed to curb the spread of the virus. Such lockdown restrictions disrupted the normal day to day life for South Africans, leading to personal stress. \u0000 \u0000 \u0000 \u0000 The current study aimed to explore perceived stress and lockdown related stress among South African adults during the first wave of COVID 19. \u0000 \u0000 \u0000 \u0000 This study was cross-sectional in nature, using a sample of 203 adult males and females who were selected using a convenience sampling method on online social media platforms such as WhatsApp and Facebook. Participants completed an online survey that assessed socio-demographic information, perceived stress and lockdown related stress. \u0000 \u0000 \u0000 \u0000 A significant statical difference between males and females regarding their experience of lockdown related stress t (281) = 1.35, p < .004 was found. Relationship status was also significant for lockdown related stress t (281) = -2.02, p< .001 and perceived stress t= (281) = -.08, p< .000. No significant statistical difference between young and older adults in their experience of lockdown related stress and perceived stress was found. \u0000 \u0000 \u0000 \u0000 Male participants reported more lockdown related stress, while female participants reported more perceived stress. There were no age differences in lockdown related stress and perceived stress. People without intimate relationships reported more lockdown related stress and perceived stress than people with intimate relationships.\u0000","PeriodicalId":38960,"journal":{"name":"Open Public Health Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45326465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}