Health Crisis Research Articles

Experiences of nursing staff caring for COVID-19 patients. Exploratory study

Introduction: Nursing staff are responsible for providing care to people in public health crises such as the COVID-19 pandemic. In previous epidemics, studies were carried out in developed countries with a quantitative approach in which it was observed that this group suffered from conditions in their mental health, although it was not possible to delve into their experiences or explore them in the Latin American context, so the aim of this study was to explore the experiences of nursing staff while caring for COVID-19 patients.Methodology: Qualitative phenomenological study that allows identifying the experiences and feelings of the informants during the care they provided to people with COVID-19.Outcomes: Two large categories were identified: 1) Emotions with three subcategories: a) Emotions at the beginning of the pandemic, b) Emotions during the pandemic and c) Emotions at the end of the pandemic; and 2) Qualities of nurses during the COVID-19 pandemic with three subcategories: a) Commitment to humanity, b) Companionship and c) Nurse-patient moments.Conclusion: The experiences of the Mexican nursing staff who cared for people with COVID-19 focus on the emotions they experienced in three moments, at the beginning: fear and uncertainty; during the pandemic: fear, anxiety, stress and depression, and at the end of the pandemic: self-confidence and satisfaction when facing the pandemic with commitment to humanity, camaraderie, satisfaction and pride in having provided care to infected people despite various obstacles.

Homelessness is a health crisis: why hospitals are resorting to building housing.

Homelessness is a health crisis: why hospitals are resorting to building housing.

Influence of Cognitive Factors on Adherence to Social Distancing and the Use of Masks during the COVID-19 Pandemic by Young Adults: A Systematic Review

Social distancing and the use of masks are crucial to prevent the spread of SARS-COV-2. Knowledge of the determinants of this behavior is essential to promote effective communication with the public in future public health crises that require mass public compliance with preventive behaviors. This systematic review focused on scientific evidence related to cognitive factors that underlie the intention of young adults’ intention to adhere to preventive social behavior (distancing and/or the use of facial masks) against COVID-19. A systematic literature search on the electronic database, PubMed, Scopus, Web of Science, and EBSCO was performed in December 2022 according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The PEO (Population: young adults, Exposure: COVID-19, and Outcome: cognitive factors that underlie the intention of young adults to adhere to social distancing and/or the use of facial masks) was developed to identify search terms and inclusion/exclusion criteria. Eight studies met the eligibility criteria. None of the studies were seriously flawed according to the quality assessment, and they were considered to have a low risk of bias for selection. Several cognitive determinants emerged in the analysis. For both social distancing and the use of masks, the most relevant factors related to adherence include risk perception and perceived severity, the moral value of fairness, social responsibility, trust in the government, respect for authority, and the quality of institutional communication. Adherence to social distancing was found related to self-efficacy. These results reinforce social cognitive models showing the relevance of cognitions to adherence behavior, and highlight the responsibility of official institutions in the development of contexts and in adapting the communication for the effective promotion of adherence to the recommendations they launch.

Physician perceptions of medically unexplained symptoms in adolescent patients presenting to the emergency department

IntroductionAdolescents presenting with medically unexplained symptoms (MUS) in non-mental healthcare settings, particularly Emergency Departments (EDs), pose diagnostic challenges necessitating a comprehensive bio-psycho-social approach. Amid the youth mental health crisis, recognising psychological distress is imperative. This study delved into physicians' perceptions and diagnostic tendencies regarding such cases, exploring the potential overshadowing of psychosomatic presentations by medicalized diagnoses in EDs. MethodsOur study involved 74 physicians, representing 82% of eligible respondents in the Paediatric Emergency Medicine Department, and was conducted using an online questionnaire examining perceptions of case scenarios with psychosomatic presentations. ResultsResults disclosed a prevalent inclination toward medical diagnoses, with less than 10% of physicians considering psychosomatic conditions in specific scenarios. Interestingly, psychosomatic diagnoses were more probable for symptoms like headaches, shortness of breath, and chest pain. The study uncovered a possible bias among physicians towards medical diagnoses in EDs for adolescents with MUS, possibly stemming from physicians’ focus on physical care, diagnostic uncertainties, cognitive biases, and concerns about stigmatisation. ConclusionAdolescents with MUS seeking assistance in non-mental health settings may encounter delayed mental health diagnoses and interventions. Psychosomatic symptoms could signify stressors or underlying mental health disorders. Recognising psychosocial distress early on is crucial for optimal mental health outcomes. Consequently, the study advocates for a paradigm shift towards a holistic bio-psychosocial approach in both medical education and practice.

Silver and Copper Nanoparticle-Loaded Self-Assembled Pseudo-Peptide Thiourea-Based Organic-Inorganic Hybrid Gel with Antibacterial and Superhydrophobic Properties for Antifouling Surfaces.

The escalating threat of antimicrobial resistance has become a global health crisis. Therefore, there is a rising momentum in developing biomaterials with self-sanitizing capabilities and inherent antibacterial properties. Despite their promising antimicrobial properties, metal nanoparticles (MNPs) have several disadvantages, including increased toxicity as the particle size decreases, leading to oxidative stress and DNA damage that need consideration. One solution is surface functionalization with biocompatible organic ligands, which can improve nanoparticle dispersibility, reduce aggregation, and enable targeted delivery to microbial cells. The existing research predominantly concentrates on the advancement of peptide-based hydrogels for coating materials to prevent bacterial infection, with limited exploration of developing surface coatings using organogels. Herein, we have synthesized organogel-based coatings doped with MNPs that can offer superior hydrophobicity, oleophobicity, and high stability that are not easily achievable with hydrogels. The self-assembled gels displayed distinct morphologies, as revealed by scanning electron microscopy and atomic force microscopy. The cross-linked matrix helps in the controlled and sustained release of MNPs at the site of bacterial infection. The synthesized self-assembled gel@MNPs exhibited excellent antibacterial properties against harmful bacteria such as Escherichia coli and Staphylococcus aureus and reduced bacterial viability up to 95% within 4 h. Cytotoxicity testing against metazoan cells demonstrated that the gels doped with MNPs were nontoxic (IC50 > 100 μM) to mammalian cells. Furthermore, in this study, we coated the organogel@MNPs on cotton fabric and tested it against Gram +ve and Gram -ve bacteria. Additionally, the developed cotton fabric exhibited superhydrophobic properties and developed a barrier that limits the interaction between bacteria and the surface, making it difficult for bacteria to adhere and colonize, which holds potential as a valuable resource for self-cleaning coatings.

Changes in International Migration to and from Australia During the COVID-19 Pandemic

The COVID-19 pandemic slowed down international migration around the world, with many countries closing their international borders for a prolonged period of time. Although there are studies emerging that analyse the impact of COVID-19 and border control measures, more detailed migration flow data have been largely absent. In this research note, we examine changes to the patterns of immigration and emigration in Australia during the pandemic to further our understanding of the differing impacts of the pandemic on population groups. Foreign-born populations with large shares of international students recorded the highest declines in immigration, especially those from China, Malaysia, and South America. Immigration of seasonal workers from the Pacific Islands, on the other hand, exhibited increased levels. There were also unexpected situations where residents who made temporary visits outside Australia were unable to return, or persons who were visiting on short-term visas prolonged their stay. Results reveal how responsive migration can be to policies in a time of a population health crisis. The nuance and complexity of these patterns underscore the importance of migration dynamics, adding to our knowledge of the changing international migration profiles during the recent pandemic.

The Impact of Chronic Diseases on Mental Health: AnOverview and Recommendations for Care Programs.

The current achievement of medical advancement is noteworthy; however, the occurrence of chronic diseases is increasing day by day, with a significant percentage of affected people aresuffering from a mental health crisis. This article aims to present a thorough yet brief review of methods that can be employed to build the emotional wellness of chronic patients. The mental health carestrategies include resilience-building, coping skills training, professional counseling, and lifestyle adaptations. Additionally, the article highlightsthe efficacy of several modern interventions, such as mindfulness-based therapies, cognitive behavioral therapy, eye movement desensitization, andrecovery from stress therapy. The global burden of chronic illness emphasizes the pressing need to mitigate mental health problems among chronic patients. By providing actionable insights, our study clears the path for targeted interventions and holistic approaches for chronic disease patients. Moreover, the article suggests to policymakers and clinicians the need for collaboration and multifaceted interventions.

Older Adults’ Perceptions of Returning to Exercise Classes During COVID-19

ABSTRACT Following the end of Virginia’s COVID-19 Stay-at-Home order, fitness and wellness centers reopened during Virginia’s Phase 2 Reopening plan, adhering to state-mandated safety guidelines. Older adults who had previously participated in the fitness centers’ supervised exercise classes had to make health-conscious decisions on whether to return to the fitness centers or not. The purpose of this study was to explore older adults’ perceptions regarding the return to in-person water-based group exercise classes at fitness centers. Eleven older adults (10 female and 1 male; 69.0 ± 6.6 years) were recruited 4–5 months after the initiation of the Phase 2 Reopening plan. Participants completed semi-structured interviews, which were transcribed and analyzed to identify emergent themes. Four themes emerged: increased excitement and motivation, benefits of return, benefits outweigh risks of COVID-19, and barriers to return. Despite COVID-19 risks and barriers including class size and availability, participants expressed increased motivation with return and cited social, physical, and mental health benefits specific to in-person exercise classes. Results highlight factors that influenced older adults’ decision to return to supervised group exercise classes and support the need for strategies to promote physical activity participation during future waves of COVID-19 or other health crises.

Justification for coercion in a public health crisis: not just a matter of individual harm.

The COVID pandemic was an exceptional public health situation - which brought with it unprecedented restrictions across the global populace. But what was it about this pandemic which caused us to implement such drastic restrictions on liberty? Much of the ethical debate on restrictive measures such as lockdowns and vaccine requirements focused on the potential harm that individuals cause to other individuals by the risk of infection. I will suggest that this may come from a reliance on J.S. Mill's harm principle as providing the ultimate justification for coercion - i.e., the well-accepted principle that state coercion is justified in order to prevent the imposition of unacceptable risk of harm to others. Though there have been attempts, in the wider public health ethics literature, to use the harm principle as a basis for restricting contribution to collective harms, I will suggest that these attempts cannot rely on the harm principle alone. I will then turn to the ways in which an individual-based line of reasoning does not capture a distinctive sort of harm posed by the COVID pandemic (and others like it): the potential failure of healthcare systems. I will draw out three ways in which a focus on the harm that an individual poses to another individual fails to capture the full scope of harm wrought by the collapse of healthcare systems. First, it can't adequately capture the cumulative and "looping effects" of the harm caused by strained healthcare systems. Second, it fails to capture the widespread ripple effects the failure of a central societal institution can have on other institutions. And third, the failure of a healthcare system can impose "psychic costs", affecting the moral character of all members of society, reducing trust in institutions, and potentially posing an existential threat to the fabric of society. Finally, I will sketch some implications of the recognition of this distinctive sort of harm for the justification of coercive public health measures.

Public Preference for Financing Preventive Vaccines in Health Shocks: The Case of COVID-19 Vaccines in a Middle-Income Country.

To effectively manage health crises such as disease pandemics, health authorities require reliable information regarding people's preferences. This helps to ensure timely and targeted interventions and avoids increasing societal costs through developing evidence-based policies. This study investigates the Iranian people's preference for financing coronavirus disease 2019 (COVID-19) vaccines and the factors affecting this. A cross-sectional survey was performed during the third-wave peak of COVID-19 in Iran from 1 to 20 February 2021 utilizing various data collection methods. The public preference regarding imported and domestically produced vaccines, their willingness to fully or partially contribute to the financing of these vaccines, and their willingness to pay (WTP) for domestically produced vaccines using the contingent valuation method was assessed in different scenarios. The determinants of the probability of positive financing preferences were evaluated using an ordered probit regression model. Among the 2071 survey respondents, approximately 60% stated willingness to contribute to vaccine financing in the form of partial or full user fee payments. Forty percent of respondents are willing to be vaccinated if it is provided for free by the government. Interestingly, people's preference for financing the vaccine was not related to the type of vaccine. The regression analysis showed that income, having supplementary insurance, being male, perceived COVID-19 risk, education, and working in the health sector are significantly related to a higher probability of contribution to vaccine financing. Regardless of country of origin of COVID-19 vaccines, vaccination is very important for the Iranian people, and the majority of respondents in our study showed an inclination to contribute to vaccine funding, from partial to full user fees, to achieve higher protection against COVID-19 disease. Hence, ensuring timely access to vaccines during health crises such as pandemics is imperative, as it saves lives and reduces the economic burden of disease. This commitment from the health system can be supported by financial contributions from the general public. In this regard, considering public preferences is strongly advised to policymakers.

Research ethics preparedness during outbreaks and public health emergencies: Focus on community engagement

Research represents an essential component of the response to infectious disease outbreaks and to other public health emergencies, whether they are localised, of international concern, or global. Research conducted in such contexts also comes with particular ethics challenges, the awareness of which has significantly grown following the Ebola outbreak in West Africa, the Zika outbreak in Latin America and the COVID-19 pandemic. These challenges include the need for implementing meaningful community engagement with the researched communities, not just to build unidirectional trust towards the research team, but to achieve a genuine and mutually respectful partnership before, during and after the research. Here, we describe the real-life experience of 10 well-established research clinics in Nairobi, where a successful experience of community engagement linking prevention and care to research was interrupted during the COVID19 pandemic. We contrast this experience with the concept and processes of community engagement as described in selected scientific manuscripts and guidelines, to formulate some conclusions and recommendations. We contend that more action is needed, from research ethics committees and other key-research stakeholders, to align policies and practices with ethics guidance and with evidence-based recommendations from the academic literature, to achieve meaningful community engagement during emergency research, irrespective of the scale and location of an outbreak or public health crisis. Failure to do so, will aggravate the (postcolonial) asymmetries of power in global health and local systems.

Responsible innovation for addressing grand societal challenges: the role of social innovation, exaptation, and retrovation

ABSTRACT Numerous substantial challenges confront both individuals and society in the contemporary era. These encompass issues such as economic disparities, climate change, political polarization, and health crises such as the recent COVID-19 pandemic. These multifaceted challenges possess the potential to wield profound repercussions on the lives of individuals, business communities, societies, and the global landscape as well as to stimulate original patterns of responsible innovation. Addressing them necessitates a strategic blend of short-term remedies and far-reaching planning endeavours. Within the scope of this research, the manuscript elucidates the pivotal role of social innovation, exaptation, and retrovation as pioneering modes of responsible innovation uniquely suited to address the prevailing societal conundrums. Furthermore, it will explore the facilitative capacity of knowledge networks, positioning them as instruments that catalyze the implementation of these innovative strategies. Lastly, the article will deliberate upon the prospective trajectories within the domain of responsible innovation.

Caste Concerns in Transgender Communities in India: Contesting Cohesiveness, Broadening Horizon(s)

In this article, we recount the development of an anti-caste consciousness in queer and transgender rights movements in India. We begin by tracing the history of queer mobilisation in India, especially the political participation of Hijras and the movement for decriminalisation of consensual adult homosexuality. This movement was shaped by the context of economic liberalisation and a burgeoning public health crisis due to a rise in HIV infections among several sexually minoritised groups. The movement, however, was focused on the law, and issues of caste and marginality within the queer and trans communities were not addressed. This changed in the 2000s. We trace this phase of the movement in which questions of class and non-urban geographies were foregrounded and look at the way critical moments in the second decade of the twenty-first century precipitate the foregrounding of caste questions in contemporary queer and transgender movements in India.

Excess mortality in Denmark, Finland, Norway and Sweden during the COVID-19 pandemic 2020-2022.

The Nordic countries represent a unique case study for the COVID-19 pandemic due to socioeconomic and cultural similarities, high-quality comparable administrative register data and notable differences in mitigation policies during the pandemic. We aimed to compare weekly excess mortality in the Nordic countries across the three full pandemic years 2020-2022. Using data on weekly all-cause mortality from official administrative registers in Denmark, Finland, Norway and Sweden, we employed time series regression models to assess mortality developments within each pandemic year, with the period 2010-2019 used as reference period. We then compared excess mortality across the countries in 2020-2022, taking differences in population size and age- and sex-distribution into account. Results were age- and sex-standardized to the Danish population of 2020. Robustness was examined with a variety of sensitivity analyses. While Sweden experienced excess mortality in 2020 [75 excess deaths per 100 000 population (95% prediction interval 29-122)], Denmark, Finland and Norway experienced excess mortality in 2022 [52 (14-90), 130 (83-177) and 88 (48-128), respectively]. Weekly death data reveal how mortality started to increase in mid-2021 in Denmark, Finland and Norway, and continued above the expected level through 2022. Although the Nordic countries experienced relatively low pandemic excess mortality, the impact and timing of excess mortality differed substantially. These estimates-arguably the most accurate available for any region in capturing pandemic-related excess deaths-may inform future research and policy regarding the complex mortality dynamics in times of a health crisis such as the COVID-19 pandemic.

Astrocytes, reactive astrogliosis, and glial scar formation in traumatic brain injury

Abstract Traumatic brain injury is a global health crisis, causing significant death and disability worldwide. Neuroinflammation that follows traumatic brain injury has serious consequences for neuronal survival and cognitive impairments, with astrocytes involved in this response. Following traumatic brain injury, astrocytes rapidly become reactive, and astrogliosis propagates from the injury core to distant brain regions. Homeostatic astroglial proteins are downregulated near the traumatic brain injury core, while pro-inflammatory astroglial genes are overexpressed. This altered gene expression is considered a pathological remodeling of astrocytes that produces serious consequences for neuronal survival and cognitive recovery. In addition, glial scar formed by reactive astrocytes is initially necessary to limit immune cell infiltration, but in the long term impedes axonal reconnection and functional recovery. Current therapeutic strategies for traumatic brain injury are focused on preventing acute complications. Statins, cannabinoids, progesterone, beta-blockers, and cerebrolysin demonstrate neuroprotective benefits but most of them have not been studied in the context of astrocytes. In this review, we discuss the cell signaling pathways activated in reactive astrocytes following traumatic brain injury and we discuss some of the potential new strategies aimed to modulate astroglial responses in traumatic brain injury, especially using cell-targeted strategies with miRNAs or lncRNA, viral vectors, and repurposed drugs.

Global perspectives on the burden of sexually transmitted diseases: A narrative review.

Sexually transmitted diseases (STDs) pose a significant global health challenge with far-reaching social, economic, and public health implications. These infections have haunted humanity from ancient times to today, transcending geographical boundaries and cultural contexts. This article explores the multifaceted landscape of STDs, delving into their epidemiology, pathophysiology, clinical manifestations, and global response strategies. The global prevalence of STDs is staggering, with millions of new cases reported annually. Prominent among these infections is HIV/AIDS, which remains a major global health crisis, affecting over 38 million people worldwide. Additionally, bacterial STDs like chlamydia, gonorrhea, and syphilis continue to pose significant health risks, with millions of new cases reported yearly. Beyond the physical manifestations, STDs have profound social and economic implications. They can result in severe reproductive health issues, stigma, discrimination, and psychological distress, burdening healthcare systems and affecting individuals' quality of life. The global response to STDs has been multifaceted, with international organizations and governments implementing various prevention and control strategies, including sexual education programs and scaling up access to testing and treatment. However, challenges persist, including disparities in healthcare access, sociocultural factors influencing transmission, and evolving pathogens with increasing resistance to treatment. Through case studies and real-world examples, we illuminate the human stories behind the statistics, highlighting the lived experiences of individuals grappling with STDs and the complex interplay of factors shaping their journeys. Ultimately, this review calls for continued research, innovative strategies, and sustained global commitment to mitigating the burden of STDs and promoting sexual health and well-being for all.

Journalists’ questions during crisis

Abstract During the Covid-19 pandemic, various institutions held press conferences to inform the public about the situation. Journalists engaged in these events to obtain information and to scrutinize the appropriateness of authorities’ measures. Previous research has shown that journalists have become more adversarial towards politicians, but also that health crises make journalists more cooperative with authorities to help manage the situation. However, it remains unknown to what extent journalists retain their deliberative aim in press conferences where crises are addressed, and how their interventions as a whole shape discussions with authorities. A corpus of twenty-one press conferences held by seven institutions was annotated according to the argumentative moves of journalists. Results show that journalists displayed a wide array of argumentative moves, and the findings suggest that journalists incline towards retrieving information during crises, unless the situation gets intertwined with political turmoil.

Youth Sources of News During the COVID-19 Period

Coronavirus disease 2019 (COVID-19) pandemic has produced a global health crisis that has had a deep impact on the way we perceive our world and everyday lives. Not only the spread rate of contagion and patterns of transmission endangered our sense of security, but the safety measures put in place to contain the spread of the virus also require social distancing. In this context of physical threat, social and physical distancing, the role of the different mass media channels and social media in lives of individual, social and societal levels cannot be underestimated.

The war continues not only on the front: a broader look at PTSD in the context of the Russian invasion and its impact on Ukrainian citizens – systematic rewiev

Russia's aggression against Ukraine is undoubtedly a tragic event that will bring various, often difficult to predict, consequences at many levels of functioning. Certainly, the mental health of war victims faces many challenges. The mental health crisis that occurs during war is a public health problem.28 One of the main disorders that appear in people directly or indirectly related to war is PTSD. It arises as a result of experiencing extremely dangerous, terrifying events that go beyond one's ability to cope and is manifested by symptoms such as: obsessive, persistent re-experiencing of traumatic events, avoidance of factors causing a "return" to traumatic memories, excessive arousal and a sense of constant threats.8, 10 Many factors influence the occurrence of PTSD. It is extremely important to look at the reasons that make it difficult to obtain support. mental health and improving the support system. Ukrainian children and youth deserve special attention here. A developing young society must face particularly great challenges, and it is their mental well-being that guarantees better development of the entire nation. Every effort must be made to ensure that citizens of a country at war receive adequate support. We have many methods of help, from basic emergency support, through a wide range of psychotherapy, to medications in the most severe cases. Additionally, the knowledge of the existence of a phenomenon such as post-traumatic growth may give hope and motivation to act to people in mental crisis struggling with symptoms of PTSD. However, the war continues and there will be more and more victims struggling with post-traumatic stress disorder (PTSD) and other mental health disorders. We cannot determine at this point how much damage this conflict will cause. However, it is worth acting now to prevent and limit the tragic consequences of the situation in which Ukraine finds itself.

U.S. Parental Vaccine Hesitancy and the COVID-19 Vaccine: A Scoping Review.

Parental vaccine hesitancy has been a hotly debated issue long before the COVID-19 pandemic. Still, the emergence of a new vaccine during this public health crisis made even pro-vaccine individuals reconsider vaccines for their children. This scoping review was conducted to understand why parents expressed hesitancy towards the COVID-19 vaccine for children under 12 years old. The search included primary sources of evidence published in English from 2020-2022. A final 41 articles met the criteria. Overall, more vaccine-hesitant characteristics were non-white, female, lower education level, lower income, on public insurance, conservative political affiliation, younger age, and rural residence. Concerns affecting confidence in the vaccine were the risk of possible side effects and lack of trust in the development of the emergency approval of the vaccine. School nurses can acknowledge parental fears and provide parents with evidence-based information when communicating with them about vaccinations.