Health Crisis Situations Research Articles

Medical Intelligence And Public Health In The Complexities Of Contemporary Societies The Role Of FBI In The United States

The term Medical Intelligence (Medint) defines the activities of collection, evaluation, analysis and interpretation of medical, bio-scientific and environmental information, regarding a specific country or geographical area, carried out mainly by military or intelligence agencies and carried out abroad, and useful for military or humanitarian strategic planning. It is of interest to Medint to know the potential of local health facilities, both civil and military, in the diagnostic evaluation, in case of infectious pathologies and in the evaluation of environmental risks as well as the "state of the art" of the development of computerized diagnostic technology and of biotechnology. The SMI (Strategic Medical Intelligence) is instead institutionally delegated to the intelligence agencies that deal with territorial control (counter-terrorism). In the United States, the SMI bioterrorism experts depend on the FBI. According to the definition offered by the FBI, Strategic Medical Intelligence (SMI) deals with all the management activities of a medical or health crisis situation following a terrorist act.

Mental health crisis situations: the nurse's work in Primary Health Care.

to analyze the nurses' work in Primary Health Care in the face of mental health crisis situations. this is a descriptive-exploratory study with a qualitative approach, supported by the theoretical-interpretive frameworks of behavior analysis and historical-dialectical materialism. The data was collected through a semi-structured interview with twelve Primary Health Care nurses and analyzed using the deductive technique proposed by the Theorical Domains Framework, the methodological reference adopted. the data analyzed made it possible to draw up two themes: "Nurses' work: material and social determinants" and "Nurses' subjective conditions in the face of mental health crisis situations". Nurses' work was guided by the protocol execution of "technical" steps related to clinical psychiatry, with an understanding of the crisis as a "psychiatric outbreak". the study made it possible to analyze the nurse's work in crisis situations, describing the objective and subjective contradictions, their understanding of the crisis phenomenon and the emotional repercussions of this work on the professionals. This situation raises the need for action, organization and political-social mobilization of the nursing category in the fight against the asylum model of care and the consolidation of the Psychiatric Reform perspective. (1) Manicomial protocol action to identify and reduce crisis symptoms. (2) Reducing the experience of crisis as a psychopathological phenomenon. (3) Use of theoretical-critical references aligned with the proposals of psychosocial care. (4) Internationally validated methodological and analytical framework. (5) The need for political and social action on the nursing profession's part.

Mental health crisis situations: the nurse’s work in Primary Health Care

Objetivo: analisar o trabalho do enfermeiro na Atenção Primária à Saúde diante de situações de crise de saúde mental. Método: estudo descritivo-exploratório, com abordagem qualitativa, subsidiada pelos referenciais teóricos-interpretativos da análise do comportamento e do materialismo histórico-dialético. Os dados foram coletados por meio de uma entrevista semiestruturada com doze enfermeiros da Atenção Primária à Saúde e analisados pela técnica dedutiva proposta pelo Theorical Domains Framework , referencial metodológico adotado. Resultados: os dados analisados possibilitaram a elaboração de dois temas: “O trabalho do enfermeiro: determinantes materiais e sociais” e “Condições subjetivas do enfermeiro diante de situações de crise de saúde mental”. O trabalho do enfermeiro foi pautado pela execução protocolar de etapas “técnicas” relacionadas à clínica psiquiátrica, com compreensão da crise como “surto psiquiátrico”. Conclusão: o estudo possibilitou analisar o trabalho do enfermeiro diante das situações de crise, descrevendo as contradições objetivas e subjetivas, sua compreensão do fenômeno da crise a as repercussões emocionais desse trabalho nos profissionais. Evidenciou-se um trabalho atravessado pela alienação e pelo fetiche da técnica, situação que levanta a necessidade de atuação, organização e mobilização político-social da categoria de enfermagem em torno da luta contra o modelo de atenção manicomial e consolidação da perspectiva da Reforma Psiquiátrica.

Mental health crisis situations: the nurse’s work in Primary Health Care

Objetivo: analizar el trabajo del enfermero en la Atención Primaria de Salud en situaciones de crisis de salud mental. Método: estudio descriptivo-exploratorio, con enfoque cualitativo, basado en los marcos teórico-interpretativos del análisis de la conducta y el materialismo histórico-dialéctico. Los datos fueron recolectados a través de una entrevista semiestructurada a doce enfermeros de Atención Primaria de Salud y analizados mediante la técnica deductiva propuesta por el Theorical Domains Framework , marco metodológico adoptado. Resultados: los datos analizados permitieron elaborar dos temas: “El trabajo del enfermero: determinantes materiales y sociales” y “Condiciones subjetivas del enfermero en situaciones de crisis de salud mental”. El trabajo del enfermero estuvo guiado por la ejecución protocolar de actuaciones “técnicas” relacionadas con la clínica psiquiátrica, que considera la crisis como un “brote psiquiátrico”. Conclusión: el estudio permitió analizar el trabajo del enfermero en situaciones de crisis, al describir las contradicciones objetivas y subjetivas, la comprensión que tienen del fenómeno de la crisis y las repercusiones emocionales de ese trabajo en los profesionales. Se observó que el trabajo está permeado por la alienación y el fetiche de la técnica, lo que indica que es necesario que la categoría enfermería actúe, se organice y movilice político-socialmente en torno a la lucha contra el modelo de atención manicomial y a la consolidación de la perspectiva de la Reforma psiquiátrica.

Description and Causes of Indonesian Health Workers' Anxiety During the COVID-19 Pandemic: A Mixed-Method Study

Introduction: The findings of a systematic review indicate that only a quantitative or qualitative approach was used in studies about the anxiety of health professionals during the COVID-19 pandemic. Research that aims to examine the level of anxiety experienced by Indonesian health workers during the COVID-19 pandemic, the signs and their causes will fill the scientific gap. Methods: A sequential explanatory design was used in this study. In the quantitative phase, the COVID-19 Anxiety Scale instrument was used to perform a survey on 731 healthcare workers, which was then descriptively examined. To further support its findings, 30 informants were involved to in-depth interviews, and qualitative content analysis was performed. Results: According to the poll, 15% of healthcare workers reported having high anxiety, 61% had moderate, 19% had low, and 5% had no anxiety at all. According to a qualitative content analysis, the signs of anxiety included overthinking, psychosomatic complaints, and worry about exposed to and transmit the virus at work. This is a result of managerial issues with managing pandemic, social changes, adjustments in interpersonal connection patterns, an unfriendly society, a large number of health workers who suffer with COVID-19, as well as personal variables. Conclusion: Preventive action for future health crisis situations is to improve systemic physical and non-physical preparedness in healthcare institutions. Psychosocial training programs such as cognitive coping and stress adaptation need to be carried out to improve the mental health condition of health workers so they don't ‘collapse’ when dealing crisis situations.

Continuous learning through platforms

The health crisis situation we have experienced caused by the SARS-CoV-2 virus has changed our daily life in numerous aspects, including those related to training (undergraduate, postgraduate, and continuing education, etc). Training activities, conferences, lectures, face-to-face workshops were suspended until the Health Situation was over. Alternatives to face-to-face training were needed to guarantee the continuity of these activities. Online training, teaching and evaluation emerged as a relatively fast, simple, operational and flexible solution.Universities and faculties promoted online teaching through virtual classes. The Spanish Society of Hospital Pharmacy supported this initiative by signing an agreement with the Board of Deans and Chancellors of Pharmacy to make it possible for undergraduate students to continue their studies and supervised practices in hospital pharmacy departments.Specialized training was affected. Pharmacy residency programs were significantly modified by hospital pharmacies to be able to provide the new clinical and research activities required, everyday, by the pandemic situation.Postgraduate and residency training were also negatively affected. Again, online activities made up for restrictions to face-to-face teaching and training. The Spanish Society of Hospital Pharmacy promoted continuing education and provided updated information on the SARS-CoV-2 virus through its website. Thus, numerous virtual sessions, lectures and webinars have been held, and high-quality material was offered to provide up-to-date knowledge, on the pharmacological management of patients with COVID-19.Online teaching and education has demonstrated to be an invaluable tool for hard times. During the lockdown, technology has kept us closer and has emerged as an ally. Many of us have found a new means of communication, information, and training. The Spanish Society of Hospital Pharmacy has substantially contributed to make it possible.

Effects of internal crisis communication during the COVID-19 pandemic: employee perceptions of communication quality, leadership and relational outcomes

PurposeThis study, informed by the Situational Crisis Communication Theory, aims to suggest two primary response strategies that can be used for effective internal crisis communication during a pandemic situation, such as COVID-19. The effect of base response strategies on employees' perceptions of communication quality, leadership and relational outcomes were investigated.Design/methodology/approachAn online survey of full-time employees in the United States was conducted.FindingsThe findings showed that for an instructing information strategy, not all types of information were equally associated with positive employee responses in terms of perceived quality of internal communication related to the COVID-19 pandemic and transformational leadership. Specific information that employees need to know in order to safely perform daily tasks, such as organizational protocols and thorough preparation, seem to be the most needed and desired information. Adjusting information was positively associated with employee perceptions of internal communication quality and perceptions of CEO leadership. Employees' perceived quality of internal communication affected by the base crisis response strategies were positively correlated with perceptions of transformational leadership and relational outcomes (i.e. employee trust in the organization, employee perceptions of the organization's commitment to relationships with employees, employee support for organizational decision-making related to COVID-19).Originality/valueThis study presents important theoretical and practical insights through an interdisciplinary approach that applies the theoretical framework and relationship-oriented outcomes of public relations to public health crisis situations.

일본의 감염병 대응 시스템 및 과학자문에 대한 일고찰

In the public health crisis situation that occurred with the onset of the 2020 novel coronavirus infection (COVID-19) pandemic, Korea is evaluated as having succeeded in initial response compared to other countries. At the time, the government's active strategy to respond to infectious diseases, called preemptive testing, tracking, and treatment(3T), attracted global attention. The success of these infectious disease response policies can be said to have played a significant role in scientific advisory. However, it is questionable whether the current scientific advisory system can effectively deal with another crisis in the future. Therefore, a review of overseas scientific advisory is required. In particular, in Japan, since various problems with the method of scientific consultation were pointed out at the time of the Great East Japan Earthquake in 2011, systematization and theorization in this regard have progressed considerably. However, it has been pointed out that Japan's scientific advisory related to Corona 19 did not function sufficiently in an emergency. Therefore, in this paper, we drew implications in Korea by examining Japan's infectious disease response system and scientific advisory at the time of COVID-19.

Avoidance of fitness or sports facilities during a lockdown: Gender and training environment could be protective factors

The COVID-19 pandemic has swept the world, claiming nearly seven million lives by now. Despite a decline in the mortality rate, in November 2022, the virus-linked death cases still exceeded 500 every day. There is a belief that it is over now, but similar health-crisis situations may re-occur, and therefore it is essential to learn from such human disasters. It is an accepted fact that the pandemic has changed people’s lives worldwide. One specifically and significantly affected life domain, especially during the lockdown, is the practice of sports and planned physical activities. Hence, this study examined the exercise practices and attitudes towards attending fitness facilities in 3053 working adults during the pandemic, along with the differences associated with the preferred training environment, including fitness/sports facilities, home, outdoor, or their combinations. The results revealed that women (representing 55.3% of the sample) are more precautious than men. Further, exercise behavior and COVID-19 attitudes broadly vary among people choosing different training venues. In addition, age, exercise frequency, place of exercise, fear of infection, flexibility in training form, and desire to exercise freely are predictors of non-attendance (avoidance) of fitness/sports facilities during the lockdown. These results expand earlier findings to exercise settings, suggesting that women are more precautious than men in the exercise context too. They are also the first to indicate that the preferred exercise environment entails attitudes that shape exercise patterns and beliefs associated with the pandemic differently. Therefore, men and regular fitness center attendees need more attention and special guidance in enforcing legislative prevention measures during a health crisis.

Religiosity predicts unreasonable coping with COVID-19.

The present study explores the impact of religiosity during the time of the COVID-19 pandemic (March 2020). The focus is on associations between religiosity, coronavirus anxiety, and preventive behavior. Participants were 1,182 U.S. citizens (50% female;20-83 years of age). Highly religious participants scored higher on the somatic component of coronavirus anxiety (emotionality) but lower on the cognitive component (worry). With regard to preventive behavior, highly religious participants reported more unreasonable behavior (e.g., avoiding 5G networks, hoarding toilet paper) than participants with low religiosity;at the bivariate level, there were no differences in reasonable behavior (e.g., physical contact avoidance, frequent handwashing). A comprehensive mediation model showed emotionality-mediated associations between religiosity and unreasonable behavior (positive indirect effect) but also worry-mediated associations between religiosity and reasonable behavior (negative indirect effect). The results remained stable when controlling for relevant sociodemographic variables. The discussion centers on religiosity, information processing, and rationality during a global health crisis situation. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

Training police to de-escalate mental health crisis situations: Comparing virtual reality and live-action scenario-based approaches

Abstract Virtual reality is an emerging frontier that offers immersive simulations with the capacity to revolutionize police training. This study evaluated a scenario-based training approach by comparing the delivery of simulations in Virtual Reality (VR) and Live Action (LA). Participation in this mental health crisis response training program in either format led to a significantly greater acquisition of de-escalation competencies compared to a control group. VR format showed comparable effectiveness to the LA format in bringing about improved de-escalation skills through scenario-based training. The training was equally effective across all officer experience levels. The VR group showed a greater reduction in bias towards mental illness compared to the control group. Further, the VR format was found to be no more cognitively demanding than live action. The article discusses the centrality of de-escalation skills in police practice and considers the larger implications of de-escalation training delivered through virtual reality applications for increased consistency, cost-efficiencies, and professionalization.

PARTICIPATION OF THE MILITARY SANITARY SERVICE AND BY DEFAULT, OF THE NATIONAL HEALTH SYSTEM, IN MULTI-DOMAIN OPERATIONS

Multi-domain operation is an US military advanced concept of approaching future military action, superior to joint operation, able to optimize the way the military force adapts to the specifics of new risks and threats to the security of states and alliances. The participation of the Military Sanitary Service and implicitly of the National Health System, as well as other military and civilian components, in multi-domain operations is important for maintaining the combat capacity of the staff and Forces, for caring for the sick and wounded, for coordinating medical countermeasures in operational situations, thus contributing to the success of the operation by minimizing health losses. The National Health System (NHS) includes all national, regional, local and individual entities that aim to maintain health, regain it and prevent disease in the entire population, including the Armed Forces of that state. The NHS includes state and private organizations, all of which work together and co-operate as needed to address local or national health crisis situations or engage in international aid (e.g. Red Cross). Moreover, the field of Human Medicine is integrated, through the new and realistic “One health” concept, with Veterinary Medicine, Animal Husbandry, Agronomy and Environmental Protection.

Causes of Stress among Healthcare Professionals and Successful Hospital Management Approaches to Mitigate It during the COVID-19 Pandemic: A Cross-Sectional Study.

The outbreak of the COVID-19 pandemic posed an immediate challenge to the management of hospitals in Germany and elsewhere. The risk of stress for front-line healthcare professionals forced occupational health and safety units to adopt a variety of protective measures, not all of which have been thoroughly validated. The main objective of the present analysis is to assess what the most important sources of stress were and which of the protective measures applied to counteract stress among healthcare staff had the greatest impact. A better understanding of these factors will improve hospital management and worker safety in a future health crisis situation and may also prove to be beneficial in non-crisis situations. For this purpose, in 2020, an exploratory, cross-sectional and quantitative study using a questionnaire created for this purpose was carried out on a total of 198 professionals—133 nurses and 65 physicians—at the Klinikum Mittelbaden Balg hospital in Baden-Baden, Germany, during the first wave of the pandemic. Statistical analyses showed that nurses suffer more stress than physicians and that stress is higher among professionals in critical care and emergency units than in units that are less exposed to infected patients. It was also found that measures such as salary incentives, encouragement of work in well-integrated teams, and perceived support from hospital management mitigate stress. These findings highlight the importance of support measures from management and superiors. Knowing the actual effectiveness of the measures applied by management and the factors mentioned above could help to protect healthcare professionals in the event of another pandemic or similar situations and may still be of value in dealing with the continuing COVID-19 pandemic.

Analysis of factors influencing public employees' work cognition under a public health crisis: A survey of China's response to COVID-19.

The work cognition of public employees lays importance on tackling an escalating health crisis situation. At the micro-level and macro-level, different factors contribute to different degrees of public employees' work cognition. However, there are limited studies examining the work cognition of public employees and its influencing factors, particularly in situations such as a public health crisis. Our research takes China's response to COVID-19 as an example. The data have been taken from six Chinese provinces, Hunan, Hubei, Jiangsu, Shanxi, Henan, and Shandong, through a total of 738 questionnaires and telephonic interviews. Furthermore, this study used a logistic multiple regression model to analyze the factors that influenced the public employees' work cognition when working under a public health crisis. The results of our study showed that at a micro-level, the educational background, attitudes, and actions (initiative, responsibility, administrative capacity, and timeliness of feedback), and their level of concern with work influenced the work cognition of the public employees. At a macro-level, we found that it was the anti-epidemic measures that most influenced public employees' work cognition. Our findings provide important policy implications for emergency preparedness and handling of major emergencies, and have important reference value for the management of public employees and the improvement of national governance capabilities under similar major challenges in the future.

Scientific production on corporate communication: a systematic study in Scopus with COVID-19 as a determining factor

PurposeSearching, identifying and analysing the scientific literature on “corporate communication” published in scientific journals during the twenty-first century (2000–2021) and indexed in the Scopus database, as well as its possible relationship with COVID-19.Design/methodology/approachA systematic bibliographic search was carried out in Scopus and a subsequent analysis of the literature, based on variables such as year of publication, authorship, original language of the text, most used terms and concepts, journal titles, keywords and possible allusions to COVID-19 or the pandemic.Findings2023 results were initially identified, but after applying the filters that limited the results in time (2000–2021) and discriminated—according to the type of document—the results only to scientific articles, the sample finally analysed was 1,280 articles relating to “corporate communication”. It was found that these were mainly published in journals such as Corporate Communications and Journal of Communication Management, in English, and with an accentuated thematic dispersion, but mostly related to public relations, advertising and communication in general.Originality/valueThere is an article published in 2012, before the COVID-19 pandemic, in the Italian journal Igiene e sanità publica, which already established the relevance of researching the challenges and solutions to communication risks in health crisis situations.

Remote Learning for Adults with Mild Cognitive Impairment in the New Landscape of COVID-19 Restrictions

Introduction: Mild Cognitive Impairment (MCI) is a transitional stage between the expected cognitive decline of normal aging and the more serious decline of dementia. Research interest focuses on the protection of this transition, through a combination of therapeutic interventions. Μaterials and Methods: 45 individuals with MCI who were followed up by the interdisciplinary team of our Memory School attended an online remote educational program that consisted of a series of cognitive and occupational therapy interventions designed to maintain their cognitive, executive, motor and emotional skills during the COVID-19 period. At baseline and at twelve-month follow-up all patients underwent several neuropsychological tests that included the Montreal Cognitive Assessment (MoCA), the Mini Mental State Examination (MMSE), the Functional Cognitive Assessment Scale (FUCAS), the Geriatric Depression Scale (GDS) and the Functional Rating Scale of Symptoms of Dementia (FRRSD). Also, the Barthel Index scale and the Timed Up and Go (TUG) test were utilized to assess functionality and mobility, respectively. Results: Within twelve months participants’ performance did not change significantly (MoCA; p=0.908, MMSE; p=0.625, FUCAS; p=0.782; GDS; p=0.218, FRSSD; p=0.18, Barthel Index; p=0.317, TUG; p=0.68). Results confirmed the hypothesis that cognitive, executive, motor and behavioral skills can be maintained through an online educational protocol during the COVID-19 lockdown period. Conclusions: It is proposed that similar educational protocols should be included in the design of strategic directions in the field of healthcare in MCI and dementia, especially in health crisis situations.

Discussing the Effect of Students' Crisis Awareness on Emotion During the COVID-19 Pandemic From the Perspective of Trust.

The effects of crises vary among individuals, societies, and nations. Governments' crisis management is quite different from that of non-governmental organizations, especially in terms of “publicity,” since it involves bureaucracy to address people's accountability concerns. The purpose of this study is to investigate the relationship between students' crisis awareness, trust, and emotions in the event of a major public health emergency. A questionnaire survey was conducted for this study. A total of 500 copies of questionnaires were distributed to the college students in Jiangxi. Among those, 437 valid copies were retrieved, with a retrieval rate of 87%. A structural equation model (SEM) was used to conduct the statistical analyses. The research results were summarized as follows: (1) At the stage of epidemic spread, people can easily fall into the negative emotion. (2) The society with a good trust relationship considers schools less responsible for critical incidents and more helpful for crisis communication. (3) Reducing the negative emotions of the public after the occurrence of critical incidents can effectively reduce the damage of critical incidents to the organization. Avoiding a loss of student confidence and increasing anger, protecting the school's reputation, having a good communication effect, and minimizing the impact of the crisis can help the students develop better trust toward the school. When a crisis occurs on campus, this can reduce the possibility of students' showing negative emotions and spreading rumors. It is considered that the findings provide guidance on how to optimize the management of public health crisis situations and improve students' mental health.

Technostress: A catalyst to leave the teaching profession - A survey designed to measure technostress among teachers in Pakistan during COVID-19 pandemic

The world has changed drastically in terms of telecommunication, running online businesses and daily life activities to keep social distancing and to perform the regular everyday tasks since the pandemic COVID-19. Governments have several times declared smart, partial or full lockdowns to deal with the health crisis situation, that has impacted the social activities, gatherings and has impacted the functionality of several professions, including education that are directly or indirectly impacted by the lockdowns. In the education environment the students in large numbers are expected to gather for lectures, labs and meet folks from industry and/or other sectors. The lockdown required the teachers to come up with alternative to meeting in person to online meetings and adapting to online-synchronous and asynchronous teaching styles. To meet the targets set for an academic year, a distinctive rise in e-learning has been observed where teaching and learning is undertaken remotely using digital platforms. This study aims to reveal the impact of computer-assisted teaching on the development of technostress among Pakistani teachers during the pandemic COVID-19. In addition, the role of teachers’ self-efficacy is evaluated and motivation to leave the teaching profession is investigated in the coming endemic climate. The researchers have opted to a quantitative approach with a cross-sectional survey to generalize the statistically obtained results and test hypotheses. A total of 242 teachers at different levels of education voluntarily participated in the research during the lockdown from March to April 2020, where all regular educational activities were suspended and online classes were introduced as an alternative way to meet educational goals. The findings revealed that Learning Teaching Process Oriented and Technical Issues Oriented are the main contributing factors towards the development of technology stress and motivation to leave the teaching profession. Moreover, teachers' perception of self-efficacy in using computers is negatively associated with technology stress. It is recommended that computer-based instructional coaching be designed for teachers prior to engaging them in digitally oriented online courses to improve their self-efficacy in using computers and to promote a well-developed digital infrastructure to avoid the development of technology stress and discouragement for tutelage.

Chinese travellers’ mobility decision-making processes during public health crisis situations: a Bayesian network model

ABSTRACT Travellers’ mobility decisions are fraught with uncertainty and instability during public health crises. However, existing studies have not revealed the internal mechanism of travellers’ mobility changes in a public health crisis. This paper established and trained a Bayesian network model from multiple data to analyse Chinese travellers’ mobility decision-making processes under COVID-19 and simulated the changes in mobility decisions in different scenarios. The results show that travellers reformulate mobility decisions in response to various information and negotiate between social customs and personal needs. Mobility can be modified through risk communication and habits adaptation. Bayesian network models provide a methodological contribution to causal exploration and scenario prediction.

Social Responsibility of Media Organizations in the the Campaign of Confrontating COVID-19 in Kurdistan Region of Iraq

The Social responsibility in the Media Institutions in campaign of facing Covid19- This research address: The Social responsibility in the Media Institutions in campaign of facing Covid19- disease. It is a descriptive research in a method of survey. The research was done in the middle of out breaking the disease in the world in Kurdistan region. The importance of the research is about The Social responsibility in the media Institutions in health crisis situation. Aim to point out the nature and level of responsibilities of those Institutions and media channels at that time towards audience.