Personal Health Problems Research Articles

Acceptability and feasibility of a messenger-based psychological chat counselling service for children and young adults (“krisenchat”): A cross-sectional study

BackgroundAdolescence represents a vulnerable period to experience personal crises or mental health problems. However, many concerns stay unnoticed due to the hesitance of young people to seek help and the unavailability and inaccessibility of appropriate help services. Contemporary interventions have been developed incorporating with target group specific needs and preferred modes of communication. krisenchat (German for “crisis chat”) is a German low-threshold chat-based psychosocial crisis counselling service that is available around-the-clock. Despite the growing number of online support services, there is a dearth of research regarding the acceptability, usability, and feasibility. MethodsThe present cross-sectional study analyzed retrospective anonymous data on sociodemographic variables, utilization behavior, and user satisfaction of all krisenchat users between May 2020 and July 2021. Predictors of user satisfaction were identified using exploratory multiple regression analysis. Subgroup analyses were conducted using chi-square-tests to identify differences in user satisfaction. ResultsData of N = 6962 users was included in the analysis. More than 50% of those reported not having contacted the professional health care system before. The mean user of krisenchat was 17 years old (M = 16.6, SD = 3.5), female (female: 83.4%, male: 14.7%, diverse: 1.8%), and first approached the service at 4 PM (M = 4:03 PM, SD = 5:44 h). More than 60% of the users contacted the service between 4 PM and 12 AM, 10% even between 12 AM and 8 AM. The most frequent chat topics were concerns regarding psychiatric symptoms (60.1%), psychosocial (34.0%) or emotional distress (30.2%). The majority of the users (64.7%) reported high levels of satisfaction and 88.3% a high likelihood (60% or more) of recommending krisenchat to others. Also, the results indicate that the number of messages and their respective length differed between users and counsellors, with users writing several, but shorter messages and counsellors replying with fewer, but longer messages. ConclusionThe results of the present study imply a high acceptability and feasibility of krisenchat. Overall, there is a high need for a 24/7 messenger-based chat counselling service in crises for children and young adults. Currently, there is no other online service for youth that is available after 7 PM or at weekends, which indicates the great importance of krisenchat and its function to bridge a current gap in the mental health care system. A need for further research emerges e.g., for subgroup differences regarding utilization patterns and also for further insights regarding help-seeking behavior via social media in youth. Study registrationDRKS00026671.

Mental health, eating behaviour and injuries in professional dance students

ABSTRACT A high frequency of mental health challenges and injuries in professional dancers necessitate a better understanding of the complexity of such symptoms, and to explore differences according to sex, academic year and performance levels. Professional dance students were recruited to evaluate symptoms of depression and anxiety (SCL-10), resilience (RSA), self-esteem (RSS), perfectionism (CAPS), body appreciation (BAS-2), and symptoms of low energy availability (LEA, LEAF-q) and eating disorders (ED) (EDE-q). Totally 20–54% of the dancers had symptoms of anxiety or depression, LEA (in females), ED and/or injuries, and 12% had a self-reported history with ED. In females, 44% of the variability in SCL-10 was explained by CAPS and RSS; 15% of variability in LEA was explained by EDE-q and training volume; while BMI, academic year and LEA increased the odds ratio of an injury. In all, BAS-2 reduced the odds ratio of EDE-q by -3.33. Totally 50% reported that they could identify personal mental health problems, still <45% would consult a health professional. Enhanced body acceptance may reduce the frequency of mental health challenges in dancers, and improved knowledge of nutrition and body weight regulation may reduce the high frequency of LEA, disordered eating behaviour, and injuries.

BEREAVEMENT AND COVID-19: PREVALENCE, COMORBIDITY, AND ASSOCIATED FEATURES AMONG UKRAINIAN SAMPLE.

The aim: To examine the features of experiences of bereavement reactions and the severity of comorbid mental health problems in persons who lost loved ones during the pandemic. Materials and methods: 191 volunteers aged 18-60 years participated in this study. All participants were tested during 2018-2020. To assess the mental health problems was used International Neuropsychiatric Interview (MINI) and a set of IAPT scales; to the psycho-emotional distress severity associated with loss of loved ones - Inventory of Complicated Grief, with verification of symptoms of complicated grief based on an independent assessment of two experts; and the quality of life satisfaction was assessed by the Quality of Life Enjoyment and Satisfaction Questionnaire, Short Form. Results: The results show an association between the severity of symptoms of depression, general anxiety, social avoidance, and loss during the pandemic. The level of psycho-emotional distress was associated with the experience of bereavement as a traumatic event for a group of participants who experienced loss during the pandemic and, at the same time, before the pandemic was associated with the severity of depression. Regardless of the time of loss, people who demonstrated signs of complicated grief have a more pronounced comorbid psychopathology, a higher level of psycho-emotional distress, and a lower level of satisfaction with life quality. Conclusions: It has been established that a person's ability to experience loss as a traumatic experience and grieve during the pandemic is modified with the context of the life situation and reflects those challenges that impose quarantine restrictions.

907. The HCV Care Continuum Among Hospitalized Persons Who Inject Opiates: Missed Opportunities for Screening and Referral to Treatment

Abstract Background Despite an effective cure, hepatitis C virus (HCV) remains a major public health problem for persons who inject opiates. Hospitalization provides an opportunity to identify chronic HCV infection and provide referral and linkage to outpatient care upon discharge. We examined the HCV care continuum among hospitalized persons who inject drugs and have opiate use disorder (OUD). Methods The CHOICE Study is a retrospective chart review of adults hospitalized with infectious complications of OUD and injection drug use at four academic medical centers (University of Maryland, George Washington University, University of Alabama, and Emory University). The sample included patients hospitalized between 1/1/2018-12/31/2018, had ICD9/10 diagnosis codes consistent with OUD and acute bacterial/fungal infection, and chart review verification of active infection associated with OUD. Data on HCV antibody (Ab) and RNA testing and referral to HCV treatment within the medical system were abstracted from medical records. Results Of 287 patients, median age was 40 (IQR: 32-52), 59% were male, and 63% were white and 34% black. Overall, 38% (n=108) had known HCV infection at hospitalization; of those with unknown status, only 41% (n=73) were screened for HCV. Among those, 67% were HCV Ab+. Of patients who were HCV Ab+ or had known HCV infection (n=157), only 52% were tested for HCV RNA, of whom 61% had detectable RNA. Only 40% of those with detectable RNA received a treatment referral prior to discharge (Fig. 1). The length of stay of the admission was not associated with treatment referral, but a shorter length of stay was significantly associated with not being screened for HCV Ab or RNA tested (p&amp;lt; 0.05). Of five patients who were referred to care within the medical system, four initiated HCV treatment, and two achieved known sustained viral response. Figure 1. HCV Continuum of care for hospitalized patients who inject drugs with opioid use disorder (OUD) at four academic medical centers in the United States, January 2018-December 2018 Conclusion Hospitalization is a missed opportunity for HCV screening and linkage. Despite opportunities to address HCV infection among this highly impacted population, there were sizeable gaps in the HCV continuum of care among hospitalized persons who inject opiates. Structural reasons such as length of stay may be a factor in implementing HCV testing. Disclosures Sarah Kattakuzhy, MD, Gilead Sciences (Scientific Research Study Investigator, Research Grant or Support) Ellen Eaton, MD , Gilead (Grant/Research Support) Ellen Eaton, MD , Gilead (Individual(s) Involved: Self): Research Grant or Support Greer A. Burkholder, MD, MSPH, Eli Lilly (Grant/Research Support) Elana S. Rosenthal, MD, Gilead Sciences (Research Grant or Support)Merck (Research Grant or Support)

Resilience in higher education: A conceptual model and its empirical analysis

This research analyzes how the resilience of higher education students is shaped during the undergraduate program by personal and contextual factors. In this research, the resilient student is one who faces a high burden of stress and/or adversity during their undergraduate course but manages to reach the end of the program satisfied and/or committed to the chosen career. Based on the literature review, we developed the Academic Resilience Model (ARM), which explains the sources of stress and/or adversity, as well as the protective mechanisms and/or factors that affect students throughout the program. We empirically test this model by conducting a phenomenology-based qualitative study at a public university in Brazil. The results of ARM validation indicate that the main sources of stress and/or adversity and protective mechanisms and/or factors come from individual, academic and external systems. Examples of sources of stress/adversity were the low initial motivation for the program, personal health problems, faculty didactic-pedagogical deficiency, difficulties in relationships with peers, and competing professional demands. On the other hand, the main protective mechanisms/factors identified were the capacity of adaptability, self-control, personal organization, good relationships with the faculty, integration with peers, and support of family. The research enabled identification of how resilience helps students to overcome barriers in higher education, generating important results for future education policies.

Nutritional and Non-Communicable Disease (NCD) Status Association with Fall among Older Persons in Malaysia: Findings from National Health and Morbidity Survey (NHMS) Malaysia 2018

ntroduction Fall is a health problem for older persons. This study investigates the potential factors of concern: the nutritional status of the elderly and non-communicable disease association with incidents of falls. Methods and Materials This study used data from NHMS 2018, a cross-sectional design, applied two-stage stratified cluster sampling. Descriptive statistics such as the percentage of each variable were done. Factors associated with falls were determined at both univariate and multivariable levels using simple logistic regression and multiple logistic regression. The data were presented as standard values for each analysis and adjusted odds ratios with 95% CI with p values (&lt;0.05). Results A total of 3,867 from 3,977 elderly (mean age 68.2+ 6.85) were recruited with the response rate of 97.2%. Factors associated with fall were 70 years old and above (AOR= 1.34, 95% CI: 1.09, 1.64), obesity (AOR=1.55, 95% CI: 1.21, 1.98), undernutrition (AOR=1.59, 95% CI: 1.30, 1.94), persons with 2 NCDs (AOR=1.49, 95% CI: 1.15, 1.92) and persons with 3 NCDs (AOR=1.63, 95% CI: 1.23, 2.16). Discussion and Conclusion Advanced age, malnutrition, obesity, and having two or more NCD are associated with falls in the NHMS 2018 study. In conclusion, falls are prevalent among older persons. There is an urgent need for public health strategies to decrease the incidence and early identification of those at risk. Implementation of fall preventive programs can also significantly reduce falls among the elderly.

Functioning profiles of individuals with Mucopolysaccharidosis according to the International Classification of Functioning.

The classification of health problems of persons with Mucopolysaccharidosis (MPS) based on the International Classification of Functioning, Disability and Health (ICF) may contribute to better understanding the disease impacts. The ICF is a useful tool to describe disabilities and functioning, especially in diseases with multisystemic involvement. To identify and classify the health needs of persons with non-neuronopathic MPS according to the ICF. A cross-sectional study. Department of Physical Therapy (Federal University, Brazil). Persons with non-neuronopathic MPS. Semi-structured interviews covering all components of the ICF were conducted to know the patients' perspectives of their health problems (patient-reported outcomes). The speeches were transcribed verbatim and analyzed by researchers to identifying meaningful concepts. Then, the concept units were linked to ICF components and the magnitude of the problem to ICF qualifiers. Data are shown by descriptive statistics and separated into two groups: children and adolescents, and adults. A total of 60 different ICF categories were used to classify participants' functioning. A total of 28 and 51 categories was necessary to classify the health problems of children and adults, respectively. Additionally, 16 categories related to contextual factors were used, of which eight and 12 were identified as facilitators by children, adolescents, and adults, respectively. The main problems were related to supportive functioning of arms or legs (b7603), pain in the body part (b2801), respiratory functions (b440), and voice functions (b310). Limitations in the activity and participation component were related to walking (d450), fine hand use (d440), washing oneself (d510), and dressing (d540). Recreation and leisure (d920) was restricted to approximately half of the studied population. People with MPS face impairments of body structures and functions, activity limitations and restrictions to participation. Environmental factors may be act as facilitators of these problems. The ICF is a useful tool to classify the health problems of people with non-neuropathic MPS. The planning of rehabilitation programs needs to covers all components of functioning to provide a biopsychosocial model of care. The ICF categories may direct health professionals to more effective targets.

AN INVESTIGATION OF PEER-TO-PEER ONLINE HEALTH COMMUNICATION: PERSPECTIVES OF PAKISTANI ADOLESCENT GIRLS

Online communication has already replaced the traditional means of communications as it offers a great platform for boys and girls to have discussions on various topics including health issues. The objectives of the study were to examine the peer-to-peer online communication about the healthy lifestyle of Pakistani teenage girls. The study was qualitative in nature, which investigates experiences and reasons for using online tools by Pakistani teenage girls for discussing healthy lifestyles. For this purpose, (10) semi-structured interviews of Pakistani teenage girls were conducted. The results revealed that physical and mental health is positively affected by sharing experiences with online peers. Obtaining information, getting emotional support, sharing, and exchanging personal health problems and issues using online communication proved to be beneficial for teenage Pakistani girls. However, evaluation of positive results of online peer to peer communication on health-related topics is still attainable. One of the reasons for Pakistani teenage girls to seek a healthy lifestyle online is cultural barriers, expensive medical treatments, not consulting nutritionists, and unavailability of medical centers in Pakistan. Having a greater amount of discussion with the peer’s online, emotional support, trust, self-esteem extensively related to Pakistani girl’s perception. A positive environment and eminence of social and emotional support through online groups can yield good results on the health of an individual. Keyword: Online Communication, Health, Teen Age Girls, Pakistan, Mental Health

Cross-sectional and Longitudinal Associations Between Tinnitus and Mental Health in a Population-Based Sample of Middle-aged and Elderly Persons

Tinnitus is a common disorder, but its impact on daily life varies widely in population-based samples. It is unclear whether this interference in daily life is associated with mental health problems that are commonly detected in clinical populations. To investigate the association of tinnitus and its interference in daily life with symptoms of depression and anxiety and poor sleep quality in a population-based sample of middle-aged and elderly persons in a cross-sectional analysis and during a 4-year follow-up. This cohort study evaluated data from the population-based Rotterdam Study of individuals 40 years or older living in Rotterdam, the Netherlands. Between 2011 and 2016, data on tinnitus were obtained during a home interview at least once for 6128 participants. Participants with information on depressive and anxiety symptoms and self-rated sleep quality, with Mini-Mental State Examination scores indicating unimpaired cognition, and with repeatedly obtained tinnitus and mental health outcome data were included. Data analyses were conducted between September 2019 and April 2020. The presence of tinnitus and its interference with daily life were assessed during a home interview. Depressive symptoms were assessed with the Center for Epidemiologic Studies-Depression, anxiety symptoms with the Hospital Anxiety and Depression Scale, and sleep quality with the Pittsburgh Sleep Quality Index. Linear regression analyses and linear mixed models adjusted for relevant confounders were used to assess the cross-sectional and longitudinal association of tinnitus with mental health. Of 5418 complete-case participants (mean [SD] age, 69.0 [9.8] years; 3131 [57.8%] women), 975 (mean [SD] age, 71.7 [4.5] years; 519 [53.2%] women) had repeated measurements available for follow-up analyses. Compared with participants without tinnitus and participants with nonbothersome tinnitus, participants with tinnitus interfering with daily life reported more depressive (difference, 0.20; 95% CI, 0.11-0.28) and anxiety (difference, 0.15; 95% CI, 0.08-0.22) symptoms and poorer sleep quality (difference, 0.10; 95% CI, 0.03-0.16). Compared with participants without tinnitus, participants with nonbothersome tinnitus also reported more depressive (difference, 0.06; 95% CI, 0.03-0.09) and anxiety (difference, 0.05; 95% CI, 0.02-0.07) symptoms and poorer sleep quality (difference, 0.05; 95% CI, 0.03-0.08). Individuals indicating more interference with daily life reported having more mental health problems. During a mean follow-up of 4.4 years (range, 3.5-5.1 years), participants with tinnitus reported more anxiety symptoms and poorer sleep quality than those without tinnitus. Findings of this population-based cohort study indicate that tinnitus was associated with more mental health problems in middle-aged and elderly persons in the general population, in particular when tinnitus interfered with daily life but not solely. Over time, more severe tinnitus was associated with an increase in anxiety symptoms and poor sleep quality. This outcome suggests that mental health problems may be part of the burden of tinnitus, even among individuals who do not report their tinnitus interfering with daily life.

PERSONAL HYGIENE PADA ANAK USIA SEKOLAH SUKU LAUT DUANO DI KECAMATAN KUNDUR KABUPATEN KARIMUN

Personal hygiene for school-age children is a public health problem that still needs attention, including for the Suku Laut Duano children. The lack of implementation of personal hygiene in children can increase the risk of infection. The results showed that there was a relationship between personal hygiene and health problems. Therefore, it is necessary to know the application of personal hygiene in school-age children in the Suku Laut Duano. This study aimed to determine the description of personal hygiene based on skin hygiene, foot, hand, and nail hygiene, oral and dental hygiene, and hair hygiene. This research was a descriptive study using a cross-sectional design. Collecting data was carried out through interviews using a questionnaire. The population in this study were all school-age children, totaling 27 children. Data were analyzed by univariate. The results showed that the personal hygiene of the children was mostly in the poor category, both based on skin hygiene (66.7%), cleanliness of feet, hands, and nails (74%), oral hygiene, and teeth (66, 7%), and hair hygiene (70.4%). Poor personal hygiene can cause health problems in children. Therefore, the implementation of personal hygiene in children needs to be improved by involving parents and school.

Are Social Relationships an Underestimated Resource for Mental Health in Persons Experiencing Physical Disability? Observational Evidence From 22 Countries.

Objectives: As advancing evidence on modifiable resources to support mental health in persons experiencing physical disabilities is of particular importance, we investigate whether structural and functional social relationships relate to mental health in people with spinal cord injury (SCI). Methods: Data from 12,330 participants of the International SCI community survey (InSCI) from 22 countries were analyzed. Structural (partnership status, living situation) and functional aspects of social relationships (belongingness, relationship satisfaction, problems with social interactions) were regressed on the SF-36 mental health index (MHI-5), stratified by countries and for the total sample using multilevel models. Results: Functional aspects of social relationships were consistently related to clinically relevant higher MHI-5 scores and lower risk of mental health disorders (MHI-5 >56). Structural social relationships were inconsistently associated with mental health in our sample. Conclusion: This study provides evidence that functional aspects of social relationships are important resources for mental health. Interventions to establish and maintain high quality relationships should be considered in public health interventions and rehabilitation programs to reduce long-term mental health problems in persons experiencing physical disabilities.

Is Fall Risk Systematically Evaluated in Memory Clinics? A National Survey of Practice in France.

Falls are a major health problem in older persons but are still under-diagnosed and challenging to prevent. Current guidelines do not target high-risk populations, especially people living with dementia. In France, people with neurocognitive disorders are mainly referred to memory clinics (MCs). We aimed to survey the routine practice of physicians working in MCs regarding fall risk assessment. We conducted a cross-sectional survey in France from January to May 2019 among physicians working in MCs, through an anonymous online questionnaire: twenty-seven questions about the physician's background and their practice of fall risk assessment, especially use of clinical and paraclinical tools. We compared the results according to the age and the specialty of the physician. We obtained 171 responses with a majority of women (60%) and geriatricians (78%). All age classes and all French regions were represented. Most of respondents (98.8%) stated that they address gait and/or falls in outpatient clinic and 95.9%in day hospitals. When asked about how they assess fall risk, fall history (83%) and gait examination (68.4%) were the most widely used, while orthostatic hypotension (24%) and clinical standardized tests (25.7%) were less common. Among standardized tests, One-leg Balance, Timed Up and Go Test, and gait speed measurements were the most used. Geriatricians had more complete fall risk assessment than neurologists (e.g., 56%versus 13%for use of standardized tests, p < 0.0001). Almost all physicians addressed the question of fall in MC, but practices are widely heterogeneous. Further investigations are needed to standardize fall risk assessment in MCs.

A Study on the Relationship Between Homosexuals&amp;apos; Coming-Out, Self-identity, Loneliness and Perceived Social Support

Background: The long history of diversified population structure has brought the inclusiveness in Chinese culture, but in the other hand Confucian culture give birth to the conformism and moderation. The rapidly changing modern society and increasing opportunities to interact with different cultures have made the younger generation in China more open, but the overall environment has not receded to maintain and adhere to the traditional view of marriage and love, <i>only heterosexuality is normal</i>, has created cognitive clashes and more implicit social conflicts. In such a complex environment, homosexuals who have been outside the mainstream values for ages are apt to face more personal adaptability and mental health problems, which are more obvious in the two psychological qualities of self-identity and loneliness. Methods: We practiced mixed method to research, using perceived social support scale, loneliness scale, gay self-identity questionnaire and semi-structured interview questionnaire as tools, had measured 1962 individuals of different sexual orientation to carry on the survey, and deeply interviewed seven subjects including researchers, encode and establish models according to the collected information. Results: (1) Gay and bisexual men had significant gender main effect on self-identity, and female group had higher self-identity than male. Homosexuals' loneliness, social support and self-identity have significant residential landlord effects. The higher the level of residential area, the higher the self-identity. The higher the level of residential area, the higher the self-identity. The level of education affects the loneliness and perceived social support of individuals with different sexual tendencies (2) Perceived social support has negative correlation with loneliness in different groups the coefficient is 0.56-0.66, the higher the perceived social support the lower the loneliness. (3) Perceived social support mediated the relationship between coming out and loneliness, gender moderated the correlation of perceived social support and loneliness. (4) The phenomenon of gender role division exists in various kinds of the non-heterosexual group, and there is no unified operational definition, which can be evaluated through multi-dimensional evaluation. (5) Gender and age have effect on the behavior of coming out, senior female are the last group to come out, exactly contrary to the young men. Certain orders and stages consist in coming-out, in a general way, self-identity is the starting point of coming-out, and the process is influenced by social support, economic conditions, family and more factors.

Investigating the relationship between COVID-19-related and distress and ICD-11 adjustment disorder: two cross-sectional studies.

To assess the prevalence of elevated risk of serious mental illness and probable ICD-11 adjustment disorder in the UK population at two time points during COVID-19, and their association with COVID-19-related stressful events. To check the dose-response model for stress between the number of COVID-19-related stressful events and mental health indices. We conducted two cross-sectional studies, using internet survey samples across the UK (N = 1293 for study 1; N = 1073 for study 2). Samples used internet panel surveys during March-April 2020 and 3 months later (June 2020), and used random stratified samples. Studies assessed prevalence of serious risk of mental illness and probable ICD-11 adjustment disorder. Elevated risk of serious mental illness was found among those with COVID-19-related social life or occupationally stressful events (study 1). Elevated risk of serious mental illness and probable ICD-11 adjustment disorder was evident among those reporting COVID-19-related stressful events (personal health problems and caregiving; study 2). Cumulative COVID-19-related stressful events were associated with elevated risk of serious mental illness in study 1 (odds ratio 1.65; 95% CI 1.03-2.64; P = 0.037), and with both elevated risk of serious mental illness (odds ratio 2.19; 95% CI 1.15-4.15; P = 0.017) and probable ICD-11 adjustment disorder (odds ratio 2.45; 95% CI 1.27-4.72; P = 0.007) in study 2. Psychiatrists should be aware that COVID-19-related stressful events can lead to serious psychological problems. Mental health professionals need to pay particular attention to patients who report cumulative COVID-19-related stressful events, and consider them for mental health assessment and treatment.

Identifying communities’ perspectives on their health needs in impoverished villages to guide non-government organizations’ health promotion efforts in Guatemala

Objective: The aim of this mixed-methods study is to capture and understand impoverished Guatemalan community members’ perspectives of their own health needs on a community level in order to guide Hope of Life (HOL) Non-Profit organization’s health promotion interventions in the villages they serve. Methods: This exploratory research deployed a modified health needs assessment survey with 96 participants from four impoverished villages in the department of Zacapa, Guatemala. Survey responses were analyzed for significant differences in 4-item individual, family, and community health scores across demographic variables and significant correlations with reported personal health conditions and children’s health conditions. Five semi-structured interviews were also conducted with community leaders from three of the villages surveyed. Interviews were audio recorded and responses were transcribed verbatim and translated from Spanish to English. Thematic analysis using HyperRESEARCH qualitative analysis software version 4.5.0. was conducted to identify major themes. Results: The mean age of the 96 participants surveyed was 40.4 years and the majority were women, married or in consensual union, and have children. Women reported a significantly lower individual and family health score than men. The most rural village included in the study had significantly lower family health scores than the three sub-urban villages in the study. Among the personal health problems reported by participants, alcohol consumption, dental problems, and malnutrition were significant predictors of lower individual health scores. Themes that emerged from the interview analysis included the greatest community health needs, perceived negative community health behaviors, barriers to health care access, HOL’s impact, and suggestions for community health promotion. Conclusion: The results of this study reveal many unmet health needs and barriers to healthcare that Guatemalan village communities face. Community-based participatory research using a mixed approach voices communities’ perspective on their perceived needs and is an important tool to guide non-profit aid and intervention serving impoverished communities.

Doing Our Part: The University of North Carolina at Charlotte Office of Assessment and Accreditation Supports Faculty Assessment Efforts During COVID‐19

Doing Our Part: The University of North Carolina at Charlotte Office of Assessment and Accreditation Supports Faculty Assessment Efforts During COVID‐19

Consequences of COVID-19 Pandemic on the Example of Quarantine and Isolation in the Polish Legal System

Purpose: The COVID-19 pandemic caused the need to apply specific legal structures relating to the separation of healthy and sick persons in order to prevent the spread of the virus, which has an extremely strong impact on Polish society, as well as on other European societies, which shows that these regulations are worth analysing. Design/Methodology/Approach: The publication uses research methods characteristic of the social sciences, including the dogmatic method focusing on the analysis of the legal text and the analytical method relating to the results of analyses and scientific research. Findings: The Polish legislator is looking for the right balance between the effective use of the separation of persons who have been exposed to the SARS-CoV-2 virus in order to counteract the spread of the virus and the severe social and economic consequences relating primarily to the mental health problems of persons in separation. In this case, social problems emerge, including family problems (including, in extreme cases, the intensification of domestic violence), as well as problems affecting entrepreneurs who are struggling with lower labour productivity in those industries where remote work has so far been unheard of (e.g. public services) and paralysis of the work system due to sickness of employees and sanitary restrictions. Practical Implications: The analysis showed that frequent changes to the rules of quarantine and isolation, as well as the introduction of non-legal terms such as self-isolation, result in confusion and feelings of insecurity for both employees and employers. The ineffective health monitoring system of the persons in separation also causes a significant social problem related to the prolonged isolation of persons who qualify for return to normal activity in the community. Originality/Value: The study presents an original approach to the problem of quarantine and isolation, not only in terms of legislative changes introduced during the pandemic and their consequences for Polish society, but indicates also problems of a universal nature, occurring in all separated persons, regardless of the legal system that regulates the principles of this isolation.

Addictions in Spanish College Students in Confinement Times: Preventive and Social Perspective

Diverse studies have shown that a significant percentage of the Spanish university population suffers from different addictions. They are both a personal and public health problem if there is not a greater awareness of the risks involved and if the appropriate prevention measures are not taken, among them educational ones. In this context, a descriptive and explanatory cross-sectional study was conducted during the first half of June 2020, coinciding with the period of confinement that occurred in Spain during the first wave of the COVID-19 pandemic. Given that this is such an exceptional time, the main objective of this study was to obtain information especially on students’ substance consumption and possible addictions at this time. Knowing the specific situation of this problem in that specific situation may allow for comparative studies in the future. The sample was composed of 310 university students from 14 Spanish universities. The instrument used in the research was the ASSIST questionnaire, developed by the WHO for the detection of alcohol, tobacco, and substance consumption. As result, a moderate and high risk was observed mainly in the following substances: alcohol (36.2%), tobacco (33.2%), cannabis (22.9%), and sedatives (10.3%). Through the logistic regression of the set of drugs, it has been proven that, on the one hand, the addiction to cocaine and sedatives in the family environment and age, on the other hand, are the main predictive variables of drug consumption. The existence of polysubstance abuse was also determined. These data show the need for educational bodies and university institutions to promote awareness, sensitization, and health education programs to deal with this important problem, especially in extraordinary situations, such as the one referred to, which could increase this consumption.

Health problems and access to health care services for the persons with disabilities in Lahore.

Objectives: This study aims to explore the major health problems of persons with disabilities, to see the difference between the health problems of persons with mild to moderate and severe to profound disabilities, and highlight the problems. Study Design: Quantitative Study. Setting: University of the Punjab, Lahore. Period: 15 March 2018 to 14 Dec 2020. Material &amp; Methods: The study included a quantitative survey conducted with interviews of 100 persons with different disabilities (50 mild to moderate disabilities, 50 severe to profound disabilities) selected by applying convenient sampling method. A questionnaire was used for the data collection. The questionnainaire comprised of three parts: first part was about demographics,the second part consisted of items related to the health problems and third part consisted of items related to the access to health care services. Non-parametric statistical analysis was used for the data analysis. Comparison between persons with mild to moderate and severe to profound disabilities was made. Results: Results showed that persons with severe to profound disabilities generally experienced more health problems and problems in accessing health care services as compared to persons with mild to moderate disabilities. Conclusion: The study concluded that persons with disabilities experience physical, attitudinal and communication problems while accessing health services.

Factors associated with improvement in depressive symptoms among older persons after hospitalisation - a prospective design with two follow-ups.

Depression is a common disorder in old age and increases with hospitalisation. The aim was to investigate whether improvement in depressive symptoms after hospitalisation is associated with education level, age, gender, living situation, self-efficacy, activities in daily living and quality of life by (1) examining the prevalence of depressive symptoms at baseline and at 1st and 2nd follow-up (2) examining different factors' association with depressive symptoms at baseline and (3) examining different factors' association with improvement in depressive symptoms at baseline and at 1st and 2nd follow-up. The study consisted of 145 patients, 65years and older. Data were collected between February 2015 and September 2016 through interviews conducted using structured protocols. The instrument used was Katz index of ADL, Geriatric Depression Scale-20, Life Satisfaction Questionnaire and the General Self-Efficacy Scale. The participants were interviewed before discharge from hospital, after 1.5month and after 3months. The prevalence of depressive symptoms in older persons was high after hospitalisation. Factors associated with improvement of depressive symptoms after hospitalisation were higher educational level, improvement in activities in daily living and quality of life. Non-significant results were found for improvement of depressive symptoms and gender, age, living situation or self-efficacy. Depression is a common health problem in older persons, especially after hospitalisation. It is therefore important that healthcare staff screen older persons for depression during hospitalisation, as this allows identification of those in need and a possibility to help them in an appropriate manner. Persons with lower educational level and depressive symptoms need special attention.