Search

Cognitive and mood changes are frequently mentioned as complaints before, during and after menopausal transition. There is substantial biological evidence for such associations to occur, as there are many mechanisms through which estrogens can affect the brain, by regulating metabolism, increasing cerebral blood flow and dendritic outgrowth, by acting on nerve growth factors through co-localisation of receptors, via neurotransmitters synthesis and turn-over and many more. However, the evidence for objective and longer term changes in cognitive function and mental health over the menopausal transition and beyond is less clear. While hormone treatment including estrogens could potentially reverse these psychological issues, the evidence of long-term benefit is also inconclusive. However, for women with severe menopausal complaints, and particularly for those who undergo early menopause, including women with Premature Ovarian Insufficiency, personalised hormone treatment at least up to the natural age of menopause around 50 should be considered, which is probably safe up to 10 years of treatment, unless contraindicated. This paper reviews the evidence for changes in psychological health related to menopausal transition and hormone treatments.

Craniofacial tissue defects caused by trauma, developmental malformation, or surgery are critical issues of high incidence, which are harmful to physical and psychological health. Transplantation of engineered tissues or biomaterials is a potential method to repair defects and regenerate the craniofacial tissues. Revascularization is essential to ensure the survival and regeneration of the grafts. Since microvessels play a critical role in blood circulation and substance exchange, the pre-establishment of the microvascular network in transplants provides a technical basis for the successful regeneration of the tissue defect. In this study, we reviewed the recent development of strategies and applications of prevascularization in tissue engineering and regeneration of craniofacial tissues. We focused on the cellular foundation of the

BACKGROUND: Quality of life (QOL) and psychological health has been reported to be decreased among women with gynecological conditions such as uterine fibroids (UFs). MATERIALS AND METHODS: Women enrolled in the Comparing Options for Management: PAtient-centered REsults for Uterine Fibroids (COMPARE-UF) registry, receiving procedural therapy for symptomatic UFs, were eligible for this analysis if they completed a series of health-related QOL surveys administered at three time points (baseline, 6–12 weeks postprocedure, and 1 year postprocedure; n = 1486). Ethical approval for this study was obtained at each recruiting site and the coordinating center (NCT02260752, clinicaltrials.gov). RESULTS: More than 26% (n = 393) of women reported moderate anxiety/depression on the baseline anxiety/depression domain of the Euro-QOL 5-dimension instrument. At both the 6–12 weeks and 1-year postprocedural follow-up, there was significant improvement in the UF QOL symptom severity score (p

To assess the degree of psychological impact among surgical providers during the COVID-19 pandemic.The COVID-19 pandemic has extensively impacted global healthcare systems. We hypothesized that the degree of psychological impact would be higher for surgical providers deployed for COVID-19 work, certain surgical specialties, and for those who knew of someone diagnosed with, or who died, of COVID-19.We conducted a global web-based survey to investigate the psychological impact of COVID-19. The primary outcomes were the Depression Anxiety Stress Scale-21 (DASS-21) and Impact of Event Scale-Revised (IES-R) scores.4283 participants from 101 countries responded. 32.8%, 30.8%, 25.9% and 24.0% screened positive for depression, anxiety, stress and Post-Traumatic Stress Disorder (PTSD) respectively. Respondents who knew someone who died of COVID-19 were more likely to screen positive for depression, anxiety, stress and PTSD (OR 1.3, 1,6, 1.4, 1.7 respectively, all p0.05). Respondents who knew of someone diagnosed with COVID-19 were more likely to screen positive for depression, stress and PTSD (OR 1.2, 1.2 and 1.3 respectively, all p0.05). Surgical specialities that operated in the Head and Neck region had higher psychological distress among its surgeons. Deployment for COVID-19-related work was not associated with increased psychological distress.The COVID-19 pandemic may have a mental health legacy outlasting its course. The long-term impact of this ongoing traumatic event underscores the importance of longitudinal mental health care for healthcare personnel, with particular attention to those who know of someone diagnosed with, or who died of COVID-19.

Obesity is a disease with several potential causes and contributors. This article provides a focused overview of key known causes of obesity and factors that contribute to obesity. Obesity ultimately results from impaired energy storage mechanisms, such as dysregulation of hunger, satiety, digestion, fat storage, and metabolic rate. In addition, myriad contributors promote its expression, including dietary factors, sleep quality and duration, psychological health and well-being, and tobacco cessation, among others. This article concludes with a discussion of the clinical relevance of causes and contributors in obesity prevention and treatment, which is paramount to providing effective, individualized clinical management.

The primary aim of this study was to determine the efficacy of a psychological nursing intervention for improving sleep quality and alleviating anxiety and depression among hypopharyngeal carcinoma patients undergoing surgical resections.A total of 140 hypopharyngeal carcinoma patients undergoing surgical resections in our hospital from January 2017 to December 2020 were included and randomly assigned to a standard nursing group or psychological nursing group, with 70 cases per group. Sleep quality was assessed using the Pittsburgh sleep quality index (PSQI). The severity of anxiety symptoms and depressive disorders were evaluated using Zung's self-rating anxiety scale (SAS) and self-rating depression scale (SDS). The functional assessment of cancer therapy-general scale (FACT-G) tool was used to evaluate the quality of life. Fear of progression (FoP) was also scored.Participants with hypopharyngeal carcinoma in the psychological nursing group demonstrated greater improvements in the primary outcome of global sleep quality (P=0.002) at postintervention compared to the participants in the standard nursing group. The psychological nursing group participants showed remarkably greater improvements in the subscale scores of global sleep quality characteristics (secondary outcomes) including daytime dysfunction (P0.001), subjective sleep quality (P=0.029), and sleep latency (P=0.006) at postintervention compared to those receiving standard nursing. Psychological nursing group participants had lower SAS and SDS scores compared to those in the standard nursing group (P0.001). The results revealed that participants who received psychological nursing intervention exhibited higher scores of all FACT-G subscales and lower scores of FoP compared to participants receiving standard nursing intervention (both P0.001). The global sleep quality scores shared positive associations with scores of SAS, SDS, and FoP (r=0.518, r=0.572, and r=0.395, respectively, P0.001).These data provide evidence that home-based psychological nursing intervention could improve sleep quality and alleviate anxiety and depression among hypopharyngeal carcinoma patients undergoing surgical resections.Chinese Clinical Trial Registry ChiCTR2100051463.

The past two decades have built on the successes of the Human Genome Project identifying the impact of genetics and genomics on human traits. Given the importance of exercise in the physical and psychological health of individuals across the lifespan, using genomics to understand the impact of genes in the sports medicine field is an emerging field. Given the complexity of the systems involved, high-throughput genomics is required to understand genetic variants, their functions, and ultimately their effect on the body. Consequently, genomic studies have been performed across several domains of sports medicine with varying degrees of success. While the breadth of these is great, they focus largely on the following three areas: 1) performance; 2) injury susceptibility; and 3) sports associated chronic conditions, such as osteoarthritis. Herein, we review literature on genetics and genomics in sports medicine, offer suggestions to bolster existing studies, and suggest ways to ideally impact clinical care.

The present study endeavoured to evaluate the quality of life of the homeless and restored women with psychosis. The influence of their living conditions in three different psycho-social milieus and the disability levels on their Quality of Life was also examined. This study was carried out on women clients with sychosis who received medical and psycho-social care under three different programs of Iswar Sankalpa (a Kolkata - based NGO), India. Methods : A matched group design using mixed method technique was adopted for the study. The sample of 50 clients with psychosis was comprised of 16 homeless clients under the Out-reach program, 18 homeless clients under the Shelter home program and 16 previously homeless clients under the Restoration program. The sample was evaluated using the IDEAS and WHOQOL-BREF. After collection of data, statistical analysis was done using the SPSS- version 22. Results : The results mirrored that a statistically significant negative correlation exists between the clients’ disability and two domains of QOL, these are- social relationships and environment. Regarding the psychological health and environment domains of QOL, the Shelter home and the Restoration groups significantly differed from the Outreach group. The mildly disabled clients differed significantly from the severely disabled clients in respect to the social relationships domain of the QOL. Conclusion : The knowledge of specific areas of dissatisfaction in QOL of the women with psychosis may have implications for the service providers and service planners for more improved medico and psychosocial intervention.Key Words : QOL- Quality of Life, SZ- Schizophrenia.

The healing of the self—or the psychological health of the self—has been an intensely studied issue in the traditions of both Buddhism and psychoanalysis. It is easy to suppose that the understanding of self in Buddhism cannot coexist with the understanding of self in psychoanalysis because the self in Buddhist tradition is mainly regarded as an illusion and needs to be deconstructed, whereas in psychoanalysis, it should be re-constructed for mental health through analysis. Because of this difference in the understanding of self, one may also suppose that these two respective paths to a balanced mind would inevitably be different.

This scoping review summarizes current evidence with regard to the impact of bariatric surgery on psychological health in adults with obesity. While a large body of evidence reports major metabolic benefit and improved quality of life, there is also ample evidence suggesting an increased incidence of self-harming behavior, a greater likelihood of developing an alcohol problem and higher rates of completed suicide among bariatric patients. Being able to identify the "at risk" patient population requires more longitudinal research into the risk factors for psychological complications after bariatric surgery. Bariatric surgery remains an extremely valuable long-term treatment option for managing obesity; however, there is a need to invest in mitigating psychological complications after the surgery, such as depression, alcohol consumption, and other self-harming behaviors. ispartof: OBESITY SURGERY vol:31 issue:12 pages:5409-5417 ispartof: location:United States status: published

Background Nurses are a critical component of any healthcare system. The novel coronavirus pandemic has resulted in an increased workload for nurses and heightened stress. Aims To assess the psychological health over time of nurses working during the COVID‐19 pandemic and to examine the factors associated with stress, anxiety, and psychological wellbeing. Methods Nurses enrolled in the study between 2 July and 26 August 2020 andcompleted questionnaires about stress, anxiety, and psychological wellbeing at baseline and at a second time point T2 12 weeks later. A paired sample t‐test was used to examine whether changes in stress, anxiety, and psychological wellbeing were significantly different between baseline and T2. Linear regression models examined factors associated with psychological health outcomes. Results Of the 600 nurses initially enrolled, 484 (80.7%) completed psychological health measures at T2. Stress, anxiety, and poor psychological wellbeing scores were high at baseline. Unexpectedly, stress and psychological wellbeing significantly improved between baseline and T2, while anxiety levels increased. Younger nurses had higher baseline stress and anxiety scores. Conclusions This study demonstrates the potential beneficial effect of effective public health management of the COVID‐19 pandemic on nurses' stress and psychological wellbeing and highlights the importance of longitudinal research to understand psychological health in nurses.

Adults with autism spectrum disorder have poorer physical and psychological health outcomes compared with individuals who are neurotypical and benefit from exceptional primary care. NPs are uniquely positioned to reform primary care and eliminate inequities, and can help influence practice standards and optimize care for these patients through education, advocacy, and health promotion.

Background: As a preventive measure to combat COVID-19 pandemic, India has undergone “lockdown” since March 25, 2020. The pandemic and lockdown can impose a psychological impact in the form of fear, anxiety, stress and insomnia etc. Aims and Objective: The aim of the current study is to assess the magnitude of anxiety, depression, stress and poor sleep quality among the adult population of Kolkata, West Bengal amidst COVID-19 pandemic. Materials and Methods: By this online survey using Google forms, a total of 435 responses were received. The online questionnaire comprises of Socio-demographic characteristics, COVID—19 Anxiety Scale (CAS), Perceived Stress Scale 4 (PSS 4), Patient Health Questionnaire-9 (PHQ 9) and Insomnia Severity Index (ISI). Results: COVID-19 related anxiety were almost similar across age groups, sex, marital and educational status. PSS score was found higher in ≤25 years and >40 years age group, those not currently married, students and homemakers. Patient Health Questionnaire scores were found significantly different across all background characteristics categories except for the level of education whereas Insomnia Severity index Scale scores were found significantly more among subjects not currently married and among subjects who were working from home. Conclusions: The current study provides evidence towards the negative psychological impact of the pandemic and reminds us about the need for widespread psychiatric services during and after pandemic.

OBJECTIVES The use of conventional treatment for work-related musculoskeletal disorders (WRMSDs) reduces the prevalence of pain, but with popularity of complementary alternative medicine (CAM) therapies for treatment, it is important to explore their use and impact on dental hygienists (DHs) quality of life (QoL). METHODS A cross-sectional survey research design was used with a non-probability sample of dental hygienists (n = 85) with WRMSDs who used CAM therapies. The WHOQOL-BREF was used to assess quality of life and compared with CAM use and frequency. Analysis included descriptive, t-tests, correlation and chi-square tests of independence. RESULTS The most commonly used CAM types were massage (81%) and chiropractic manipulation (67%) with 66% of respondents using two or more CAM therapies. Participants using five or less different CAMs (n = 46), compared with those using more than five CAM types (n = 35, M = 2.3, SD = 1.5), t (79) = 2.7, p = 0.01, had a higher average number of years before they noticed their WRMSD (M = 3.3, SD = 1.9). Participants reporting use of a higher number of CAM types also had lower QoL physical health domain scores (rho = -0.2, p = 0.03). CONCLUSIONS Dental hygienists used a variety of CAM approaches to manage WRMSDs and had a lower QoL across all domains (physical health, psychological health, social relationships and environment) than the normative mean. More research is needed to explore the use of CAM approaches, such as yoga, for prevention and management of WRMSDs to improve QoL.

Still an evolving field in travel medicine, psychological travel health has not yet been linked to tourist products that may affect travellers’ mental wellbeing. Dark tourism, the travel to sites linked to death, atrocities and suffering, is a product that, on the one hand, attracts people with a keen interest in death-related attractions and, on the other hand, may inflict psychological scars. Of particular concern are travellers with undiagnosed or diagnosed mental illness.This is the first article bringing travel medicine and dark tourism together. Understanding dark tourism is crucial to appreciate the wide variety of potential stimuli leading to anything from amusement to travel-related psychoses. Travellers’ motivations for and emotional responses to visits of ‘dark’ sites provide an important input into individually tailored psychological pre and post-travel health care. Relevant recommendations include suggestions for education, clinical practice and much needed further multidisciplinary research.

This study aimed to compare religiosity and religious coping (RC) between Brazilian and Dutch patients with chronic obstructive pulmonary disease (COPD) and to examine associations with physical and psychological health. Religiosity, RC, and physical and psychological health were cross-sectionally assessed in 161 patients with COPD (74 from Brazil and 87 from the Netherlands). Brazilian participants showed the greatest religiosity (p < 0.05), and weak correlations were observed between religiosity/RC and exercise capacity and quality of life (p < 0.05 for all analyses). Brazilian patients with COPD had higher religiosity than Dutch patients, and religiosity correlated with functional exercise capacity and quality of life.

Hypertrophic scars and keloids are caused by excessive tissue response to dermal injury due to local fibroblast proliferation and collagen overproduction. This response occurs because of pathologic wound healing due to dysregulation in the inflammatory, proliferative, and/or remodeling phase. Patients with hypertrophic scars or keloids report reduced quality of life, physical status, and psychological health. Hypertrophic scars or keloids will develop in 30 to 90% of individuals, and despite their prevalence, treatment remains a challenge. Of the treatments currently available for hypertrophic scars and keloids few have been adequately supported by studies with appropriate experimental design. Here, we aim to review the available literature to provide up-to-date information on the etiology, epidemiology, histology, pathophysiology, prevention, and management options available for the treatment of hypertrophic scars and keloids and highlight areas where further research is required.

Backgroumd: Tuberculosis (TB) is an infectious disease which is until now has not been able to be threated, i.e., because of patient non-adherence in taking anti-tuberculosis drug (ATD) Objective: The objective of this research is to study the relationship between patients adherence in taking ATD determined by MMAS-8 questionnaire with QoL of patient determined by WHOQOL questionnaire. Method: Tuberculosis patients who undergo treatment for at least 4 weeks are the subjects in this study. This study was conducted by a cross-sectional method using the MMAS-8 and WHOQOL-BREF questionnaire of tuberculosis patients at Ibrahim Adjiand Gumuruh primary health care during March - August 2018. Result: Based on MMAS-8 questionnaire filled out by 75 patients, there was 69% of high adherence, 15% moderate, and 16% has low adherence in taking ATD. Of the 6 characteristic factors (i.e., age, sex, occupation, income, education and length of treatment), only gender (p0.01) and occupation (p0.03) factors that influence the patient adherence significantly. Based on MMAS-8 and WHOQOL-BREF questionnaire analyses, there is only psychological health aspect (domain two) that have a significant (p = 0.01) correlated with patient adherence. Conclusion: Based on the results,the psychological health of tuberculosis patients play an important role in patient adherence.

Background. Post-traumatic stress disorder (PTSD) is a disorder that can occur after exposure to a traumatic event. Objectives. This study is designed to evaluate PTSD in front-line and non-front-line medical staff who provide care for COVID-19 patients. Material and methods. This cross-sectional study was conducted on 200 medical staff in two hospitals of Ahvaz. The inclusion criterion was having more than six months of service. Health providers with psychological disorders, a history of crises in the past six months or divorced subjects were excluded from the study. A demographic questionnaire and the PTSD questionnaire were completed by participants. The Independent t-Test, chi-square test and linear regression were used to analyze the data. Results. The total score of PTSD was 50.08 +/- 12.24 and 44.06 +/- 11.32 in front-line and non-front-line medical staff, respectively (p < 0.001). 10% and 1% of front-line and non-front-line medical staff had severe PTSD, respectively. Females were 7.47 times more likely to have PTSD compared to males. Medical staff who had a child were 6 times more likely to have PTSD compared with those without a child. Medical staff involved in the care of COVID-19 patients were 5.67 times more likely to have PTSD (p < 0.001). Health providers whose relatives died from COVID-19 were 10.59 times more likely to have PTSD. Conclusions. The results of this study showed that front-line medical staff are more susceptible to PTSD in comparison to non-front-line medical staff. Health policymakers should pay attention to the psychological health of medical staff in times of crises such as the COVID-19 pandemic.

Statement of the problem. The article presents the results of studying the parameters of the somatic and psychological health among juvenile convicts. The necessity of psychoprophylactic and correctional measures to reduce the risks of repeated offence is indicated. Adolescents who use psychoactive substances have a high level of maladjustment and poor control over their behavior, which leads to the commission of offenses. Materials and methods. The study is empirical in nature. The methodological and theoretical basis of the undertaken research is: systematic (B. F. Lomov), complex (B. G. Ananyev), activity-based (S. L. Rubinstein) and personality-oriented (K. A. Abulkhanova-Slavskaya, A. G. Asmolov, A. A. Bodalev, A.V. Petrovsky, K. Rogers, A. Maslow) approaches; the concept of formation of child’s personality and self-consciousness (V. S. Mukhina, V. V. Stolin, etc.); the position on the influence of activity and communication on the ontogenesis of children (L. S. Vygotsky, A. Ya. Varga, A. N. Leontiev, M. I. Lisina, A. S. Spivakovskaya, D. B. Elkonin, etc.). Theoretical and empirical research methods were used, which included the analysis of personal files of juvenile convicts, their questionnaires, methods of mathematical statistics in the automated workplace of a penitentiary psychologist (APM PP). Research results. Data on the state of somatic and psychological health of juvenile convicts serving sentences in the young offender institutions of the Siberian Federal Okrug Federal Penitentiary Service of Russia were obtained. Taking into account the obtained results, methodological recommendations for conducting preventive and psychocorrective work are compiled. The main areas of work of penitentiary psychologists will be: psychocorrection work with minors (work with motivation, values, attitudes, development of adequate self-esteem, self-regulation of behavior; prevention of dependent behavior, aggressive and auto-aggressive behavior, criminal infection) and their parents (correction of child-parent relations). Conclusion. The article presents and describes information about the state of somatic and psychological health of juvenile convicts serving sentences in the young offender institutions of the Siberian Federal Okrug Federal Penitentiary Service of Russia. Almost a quarter of juvenile convicts are prone to addictive behavior and have various diseases, including mental illnesses, which is significantly higher than among minors who have committed a crime for the first time. It is worth noting that addictive behavior begins to manifest itself quite early. The search activity of adolescent offenders leads to the use of psychoactive substances and alcohol. Such adolescents are predisposed to escape from reality by changing their mental state, are prone to an illusory-compensatory way of solving personal problems (alcoholism, drug addiction). The analysis of personal files shows that in many cases illegal acts were committed in a state of alcoholic, narcotic or toxic intoxication.

Healthy habits are the best way to avoid disease. But in the chaos of a woman’s daily life healthy living is not at all followed now a days. Along with overall health of a women vaginal health is also an important part. A healthy woman is a promise of a healthy life. Woman has to pass through different stages and phases of life in which physical and psychological changes occur. Also, she has to fulfil the dual responsibility at home as well at job. Hence, she needs perfect physical and psychological health. Safe, healthy and confident life is very much necessary, for that every woman needs a healthy yoni. An infection or change in the normal balance of vaginal yeast and bacteria can cause inflammation of the vagina. Shweta pradara is an annoying symptom which is present in many diseases or present a complication. Since Shweta Pradara is a symptom, not a disease, hence etiopathogenesis of principal disease would be etiopathogenesis of Shweta Pradara also. It can be said that it is a Kaphaja disorder in the region of Apana Vayu. Infections due to certain organisms in vagina and uterus also lead to white discharge. A female patient suffering from Shweta pradara was treated by Shamana chikitsa and Yoni prakshalana. She got excellent relief in symptoms by above treatment.

Purpose: The objective of this systematic review was to 1) determine how studies evaluated napping behavior in athletes (frequency, duration, timing and measurement); 2) explore how napping impacted physical performance, cognitive performance, perceptual measures (eg, fatigue, muscle soreness, sleepiness and alertness), psychological state and night-time sleep in athletes. Methods: Five bibliographic databases were searched from database inception to 11 August 2020. Observational and experimental studies comprising able-bodied athletes (mean age ≥ 12 years), published in English, in peer-reviewed journal papers were included. The Downs and Black Quality Assessment Checklist was used for quality appraisal. Results: Thirty-seven studies were identified of moderate quality. Most studies did not include consistent information regarding nap frequency, duration, and timing. Napping may be beneficial for a range of outcomes that benefit athletes (eg, physical and cognitive performance, perceptual measures, psychological state and night-time sleep). In addition, napping presents athletes with the opportunity to supplement their night-time sleep without compromising sleep quality. Conclusion: Athletes may consider napping between 20 to 90 min in duration and between 13:00 and 16:00 hours. Finally, athletes should allow 30 min to reduce sleep inertia prior to training or competition to obtain better performance outcomes. Future studies should include comprehensive recordings of nap duration and quality, and consider using sleep over a 24 hour period (daytime naps and night-time sleep period), specifically using objective methods of sleep assessment (eg, polysomnography/actigraphy).

Background: COVID-19 is an infectious disease with a wide range of physical and psychological health threats among health care workers, in particular, nurses because they spend a long time caring for their patients. Aims: To investigate the prevalence and predictors of depression, anxiety, and stress among Jordanian nurses. Methods: This study was conducted among 405 nurses using an online survey from March 3, 2020 to March 24, 2020. The Arabic version of the Depression, Anxiety, and Stress Scale (DASS) was used. Results: the findings of this study showed that depression, anxiety, and stress were highly prevalent among nurses (57.8, 42.4, and 50.1%, respectively). Those who had close contact with a coronavirus disease 2019 (COVID-19) patient showed stronger psychological reactions than their counterparts. The full regression models in terms of depression, anxiety, and stress which contained gender, number of children, and dealing with a person with COVID-19 were statistically significant (F (3, 216) = 11.801; p < 0.001), (F (3, 216) = 10.501; p < 0.001), and (F (3, 216) = 11.659; p < 0.001), respectively. Conclusion: In the COVID-19 pandemic, the levels of depression, anxiety, and stress are high among Jordanian nursing working in clinical settings. Hence, the mental health status of nurses should be given a priority, with a specific emphasis on those who are in contact with infected patients with COVID-19, female nurses, and those who have children.

Andrade RosárioNacha Samadi,de SouzaPerciliany Martins, AssunçãoPoliana Elisa, Pereira de OliveiraFernando Luiz, BearzotiEduardo, de Castro PintoKelerson Mauro,SouzaGabriela Guerra Leal.Resting heart rate variability in professors: Impact of psychological stress, obesity and blood pressure.Journal of Education, Health and Sport. 2021;11(5):11-25. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2021.11.05.001 https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2021.11.05.001 https://zenodo.org/record/4733067 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2021; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 21.04.2021. Revised: 26.04.2021. Accepted: 02.05.2021. Resting heart rate variability in professors: Impact of psychological stress, obesity and blood pressure MSc. Nacha Samadi Andrade Rosário1(nacha.rosario@aluno.ufop.edu.br), MSc. Perciliany Martins de Souza1(perciliany.souza@aluno.ufop.edu.br), Poliana Elisa Assunção1(popoelisa@gmail.com), PhD. Fernando Luiz Pereira de Oliveira2(fernandoluiz@ufop.edu.br), PhD. Eduardo Bearzoti2(eduardo.bearzoti@ufop.edu.br), PhD. Kelerson Mauro de Castro Pinto3(kelerson@ufop.edu.br), and PhD. Gabriela Guerra Leal Souza1(gabriela.souza@ufop.edu.br). Laboratory of Psychophysiology, Department of Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil Department of Statistics, Federal University of Ouro Preto, Ouro Preto,Brazil SchoolofPhysical Education, Federal University of Ouro Preto, Ouro Preto,Brazil Corresponding author: Gabriela Guerra Leal Souza; Federal University of Ouro Preto, Department of Biological Sciences, Campus Morro do Cruzeiro, Laboratory of Psychophysiology – Ouro Preto, Minas Gerais – Brasil. CEP 35400-000; e-mail: gabriela.souza@ufop.edu.br; +55 (31) 3559-1991 / (31) 9 8864-2549Email Abstract Objective:University professors are prone to show physical and psychological diseases related to excessive workload. Such overwork can affect the functioning of the autonomic nervous system, leading to a decrease in heart rate variability (HRV). HRV reflects the continuous fluctuation of the R-R intervals due to sympathetic and parasympathetic actions in the heart and is associated with good physical and psychological health.We aimed to evaluate whether psychological stress and anthropometric and clinical variables influence HRV at rest in professors. Methods:University professors of both sexes (N=65; 41 men) participated. We collected Anthropometry and Clinical variables, Psychological stress, and HRV parasympathetic parameters (square root mean squares of the differences between RR intervals: RMSSD, number of successive differences between RR intervals, which are > 50 ms: NN50 and high frequency – HF). Results:Four principal components (PCs) represented 68.29% of the data total variation. Principal component 1 (PC1) was called the good cardiac regulation component. PC2 was called the component of reduced stress symptoms. PC3 was named favorable working conditions component. PC4 was denominated component of labor and physiological deregulation. Each HRV parameter was associated with each PC through the use of regression models. The RMSSD was positively associated with PC2. The NN50 was positively associated with PC2 and PC3. HF was positively associated with PC3 and PC4. Conclusions:HRV parasympathetic parameters, which represent good physical and mental health, are positively associated with the components of reduced stress symptoms, favorable working conditions, and labor and physiological deregulation. Keywords: heart rate variability; stress; blood pressure; obesity; anthropometry;professors. Abstrata Objetivo:Professores universitários são propensos a apresentar doenças físicas e psicológicas relacionadas à carga horária excessiva.Esse excesso de trabalho pode afetar o funcionamento do sistema nervoso autônomo, levando a uma diminuição da variabilidade da frequência cardíaca (VFC).A VFC reflete a flutuação contínua dos intervalos RR devido às ações simpáticas e parassimpáticas no coração e está associada a uma boa saúde física e psicológica.Objetivamos avaliar se o estresse psicológico e as variáveis antropométricas e clínicas influenciam a VFC em repouso em professores.Métodos:Participaram professores universitários de ambos os sexos (N = 65; 41 homens).Coletamos variáveis antropométricas e clínicas, estresse psicológico e parâmetros parassimpáticos da VFC (raiz quadrada da média dos quadrados das diferenças entre os intervalos RR: RMSSD, número de diferenças sucessivas entre os intervalos RR, que são> 50 ms: NN50 e alta frequência - HF).Resultados:Quatro componentes principais (PCs) representaram 68,29% da variação total dos dados.O componente principal 1 (PC1) foi denominado componente de boa regulação cardíaca.PC2 foi chamado de componente de redução dos sintomas de estresse.O PC3 foi denominado componente de condições favoráveis de trabalho.PC4 foi denominado componente do parto e desregulamentação fisiológica.Cada parâmetro de VFC foi associado a cada PC por meio do uso de modelos de regressão.O RMSSD foi positivamente associado ao PC2.O NN50 foi associado positivamente com PC2 e PC3.HF associou-se positivamente com PC3 e PC4.Conclusões: Osparâmetros parassimpáticos da VFC, que representam boa saúde física e mental, estão positivamente associados aos componentes de redução dos sintomas de estresse, condições favoráveis de trabalho e desregulamentação fisiológica e laboral. Palavras-chave: variabilidade da freqüência cardíaca; estresse; pressão sanguínea; obesidade; antropometria; professores.

Background: Mental health is integrated into PHC as a strategy of WHO to fill the gap in mental health treatment. Part of this strategy needs a level of task shifting so that mental health care is provided by different level of PHC workers and not only specialists such as psychiatrists and psychologists. Objectives: To assess the knowledge and attitudes of family doctors regarding the provision of psychological health in PHCC and if there is an association between the certificates of these family doctors and their Knowledge and attitudes to psychological health. Subjects and Methods: A cross-sectional descriptive study with analytic elements was conducted in 8 family health care centers in Baghdad city/Al-Karkh. Data was collected via questionnaire form which consists of three domains: Domain one includes sociodemographic data, domain two was about knowledge and consists of (7) questions and domain three consisted of (12) questions about the attitude of physicians regarding mental health. A convenient sample of (83) family health care physicians were included in the current study. Results: The mean age of participants was 42 years (range: 27 – 53). The results revealed that 22.9% of participants were male, 77.1% were female. The percentage of mental illness seen by the physicians daily in the health care center was (15.7%). Physicians with higher degree certificates obtained higher knowledge scores in comparison to residents or practitioners as well as the females reported a significantly higher score of knowledge in comparison to males. Moreover, higher scores of positive attitudes were found. Conclusion: Family Physicians with higher certificates have more knowledge and attitude than other certificates.

The article sets out a new innovative approach to carrying out educational and preventive activity aimed at care about social and psychological health and prevention of HIV / AIDS on the basis of partnership of family, school and community; experience of implantation of the Program 15 in Ukraine is described and analyzed; the results if the first year implantation of the Program are highlighted. The Program is defined as innovative social and pedagogical technology. KEY WORDS: Program 15, social and pedagogical activity, HIV / AIDS, sexually transmitted diseases (STDs), community, technology, violence, public health hazard, cognitive an behavioral approach. DOI: http://dx.doi.org/10.15181/tbb.v73i1.1269

The suicide rate within the military continues to rise. New approaches for prevention are needed which capitalize on existing strengths, are scalable at multiple levels, and promote mental fortitude. Healthy eating (HE) and physical activity (PA) represent scalable practices and methods for promoting mental health and protective factors within the military. A cross-sectional sample of N = 1019 active-duty Soldiers completed self-report measures of HE, PA, major depressive disorder (MDD) symptoms, generalized anxiety disorder (GAD) symptoms, and suicidal ideation (SI). Moderated mediation analyses using bootstrapping techniques were used to determine if HE and PA interact to relate to lower SI through reduced psychological health (PH) symptoms. Results indicated an indirect effect of HE on presence versus absence of past month SI through GAD symptoms at moderate-to-high levels of cardiovascular PA. A similar pattern was demonstrated for strength training PA where HE had an indirect effect on past month SI through GAD symptoms at only high levels of strength training PA. HE was indirectly related to lower MDD symptoms at all levels of cardiovascular PA and moderate to high levels of strength training PA. Study limitations and implications for secondary suicide prevention strategies within the military are discussed.

Psoriasis is a chronic inflammatory papulo-squamous disorder of skin characterized by sharply defined erythematous-squamous lesion varying from pinpoint to large plaque, affecting 1-3% of population worldwide. Psoriasis is well known for its course of remission and exacerbation. Here we report a case of 14-year-oldmale 42 kg weight, rotund physique child, diagnosed as Guttate psoriasis, Guttate psoriasis can be closely correlated with Ekkushtha (one of subtype of Kustha) in Ayurveda. Management of patient with, shodhan therapy (Biological purification of body) like mriduvirechan (Mild laxative) and shaman therapy (conservative therapy) showed remarkable improvement in patient condition. There is appreciable psychological health impairment found in patient, which adversely affect patient quality of life. This case study shows that Ayurveda line of treatment (Shodhan and shaman) gives significant result in the treatment of Guttate psoriasis.

Background/Objectives: The foundational ethical principles of yoga have not been of focus and not widely known. This study was to evaluate the yoga ethics that could reduce the level of stress in college students. Methods/Statisticalanalysis :A randomized control trial was conducted. One hundred participants were randomly assigned to control group and experiment group with a duration of three months intervention and one month follow-up. The outcome measures of stress level were assessed through Bio-Well instrument. A parametric independent sample t-test for the between-group analyses and paired sample t-test for within-group analysis compared the means of two groups. Findings: There was a statistically significant reduction in the stress after the intervention (p

The physiotherapist's practice involves taking care of patients with various chronic pathologies: neurological, rheumatic, respiratory, etc. The physiotherapist must carry out an educational approach in these patients, at the same time as the physical work of re-education, in order to induce behavioural changes beneficial to their physical and psychological health and to empower them in the best possible way in the management of their pathology.

The COVID‐19 pandemic has created a hugely detrimental impact on the psychological health of people around the world. Children are extremely vulnerable; therefore, it is of utmost importance to discuss the prevalence of the symptoms, their associated risk factors, and the strategies to identify and understand their deteriorating mental health (MH) before it leads to disastrous outcomes. Hence, parents and schools should come together in devising modes to create an environment in which children can easily tackle the lockdown periods which have become the new reality. Negative effects on MH have long‐term consequences, therefore necessary interventions must take place.

Цель: оценить качество жизни детей в возрасте 8–12 лет с катетер-ассоциированными инфекциями мочевых путей. Материалы и методы. Использовался опросник Pediatric Quality of Life Inventory 2014. Проведено анкетирование 60 пациентов отделения интенсивной терапии с хирургической патологией. Пациентов разделили на 3 группы: первая — пациенты, имевшие признаки инфекции мочевых путей, вторая — пациенты, которые не имели признаков инфекции мочевых путей, третья — контрольная группа пациентов, которым не проводилась катетеризация мочевых путей. Результаты. Результаты исследования показали, что во всех трех группах был одинаково низкий суммарный балл по показателю физического здоровья. Однако суммарный балл психологического здоровья был несколько выше в контрольной группе. Выводы. На качество жизни в исследуемых группах в большей степени влиял объем оперативного вмешательства, чем наличие инфекции мочевых путей, а наличие мочевого катетера было источником больше психологического, нежели физического, дискомфорта.

Purpose In contrast to global research, where physical comorbidity in psychotic disorders is established, only a few studies have been conducted in Southeast Asia. With a concerning trend of chronic physical illnesses emerging in adults below the age of 65, an investigation into comorbid chronic physical illnesses in adults diagnosed with psychotic disorders is necessary. This study aims to explore the risk factors, psychological functioning, and quality of life outcomes associated with comorbidity in adults below the age of 65, diagnosed with psychotic disorders, in a multi-ethnic non-Western setting. Methods Electronic medical records of 364 patients with psychotic disorders who had provided written consent to participate were screened for co-occurring physical conditions. The majority of participants were female (53.7%), Chinese (69%), single (74.5%), and had tertiary and above education (43%). They were approximately 35 years old on average and the mean age of onset for psychosis was 26.7 years old. Results Comorbid physical illnesses were present in approximately a third of adults with psychotic disorders (28%). They typically reported cardiovascular-related diseases, respiratory, and skin conditions. Comorbidity was significantly related to lower physical quality of life. As compared to other types of psychotic disorders, schizophrenia was significantly related to a greater frequency of comorbid physical conditions. Multinomial regression analyses revealed that age, age of onset, Malay and Indian ethnicities were significant factors. Conclusion Physical comorbidity in adults below the age of 65 is common, signifying an emerging need to place greater attention into the screening and emphasis on the physical care needs of this age group. Finally, more research is needed to understand the impact of common co-occurring acute and chronic cardiovascular, skin, and respiratory diseases locally.

Shasha Cui,1,* Yujun Jiang,2,* Qianyu Shi,1,* Lei Zhang,3 Dehua Kong,4 Meijuan Qian,1 Jing Chu3 1Department of Nursing, Nantong Health College of Jiangsu Province, Nantong City, Jiangsu Province, People’s Republic of China; 2Department of Gynecology, The Affiliated Hospital of Qingdao University, Qingdao City, Shandong Province, People’s Republic of China; 3Department of Nursing, Navy Medical University, Shanghai, People’s Republic of China; 4Department of Nursing, The 940th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army, Lanzhou City, Gansu Province, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jing ChuDepartment of Nursing, Navy Medical University, 800 Xiang Yin Road, Shanghai, 200433, People’s Republic of ChinaTel +86-21-8187 1483Email chujing1999@smmu.edu.cnMeijuan QianDepartment of Nursing, Nantong Health College of Jiangsu Province, 288 Zhen Xing Dong Road, Nantong City, Jiangsu Province, People’s Republic of ChinaEmail 158142474@qq.comBackground: During the Coronavirus Disease 2019 (COVID-19) pandemic, emergency departments and fever clinics nurses acted as gatekeepers to the health care system. To manage the psychological problems that these nurses experience, we should develop appropriate training and intervention programs.Objective: To identify the impact of COVID-19 on the psychology of Chinese nurses in emergency departments and fever clinics and to identify associated factors.Methods: This online cross-sectional study recruited participants through snowball sampling between 13 February and 20 February 2020. Nurses self-administered the online questionnaires, including a general information questionnaire, the Self-Rating Anxiety Scale, the Perceived Stress Scale-14, and the Simplified Coping Style Questionnaire.Results: We obtained 481 responses, of which 453 were valid, an effective response rate of 94.18%. Participants who had the following characteristics had more mental health problems: female gender, fear of infection among family members, regretting being a nurse, less rest time, more night shifts, having children, lack of confidence in fighting transmission, not having emergency protection training, and negative professional attitude.Conclusion: Effective measures are necessary to preserve mental health of nurses in emergency departments and fever clinics. These include strengthening protective training, reducing night shifts, ensuring adequate rest time, and timely updating the latest pandemic situation.Keywords: COVID-19, nurses, psychological health, mental health, stress, anxiety

College students’ psychological health may be compromised due to the COVID-19 pandemic. Here, we aimed to identify risk (eg, perceived risk of contracting COVID-19) and protective factors (ie, soci...

This study investigated the effects of Tai Chi exercise on the psychological health and sleep quality of older adult women after exercise cessation. Nineteen Tai Chi practitioners and 20 controls completed the final tests. All participants completed the Profile of Mood States (POMS) and the Pittsburgh Sleep Quality Index (PSQI) at 0, 24 and 28 weeks (4 weeks after Tai Chi cessation). Compared with baseline, the fatigue, depression, total mood disturbance and PSQI scores in the Tai Chi group decreased at week 24 by 18.8%, 24.7%, 5.7% and 24.6%, and the vigour score increased by 18.3%. At week 28, depression and PSQI scores in the Tai Chi group decreased by 24.0% and 20.4%, respectively. Practicing Tai Chi for 24 weeks positively affected fatigue, depression, vigour and sleep quality among older adult women. The effect on reducing depression and improving sleep quality was sustained 4 weeks after Tai Chi was stopped.

CLINICAL RELEVANCE Loss of an eye has a negative impact on the psychological health of a person. BACKGROUND The aims are to: (a) identify the concerns of experienced prosthetic eye wearers in representative areas of India; (b) investigate how they change over time; (c) study how some demographic characteristics influence concerns; and (d) compare prosthetic eye concerns in India versus Germany and New Zealand. METHODS This observational multi-centre study was conducted in the cities of Mumbai, Bengaluru and Delhi. Subjects aged from 18 to 65-years, with experience of at least two years of wearing a prosthetic eye fabricated from polymethyl methacrylate material, completed a validated questionnaire over the telephone. The questionnaire captured demographic data and general and prosthetic eye concerns at the time of eye loss and at the present time. RESULTS At the time of eye loss, the five main concerns of participants were: health of the remaining eye; change in appearance; comfort; colour of the prosthesis; and movement of the prosthesis. However, after at least two years these concerns were significantly reduced (p

In March 2020, the World Health Organization announced that the coronavirus has become a global pandemic that may cause death by infection. Consequently, radical measures were taken to limit the spread of this deadly virus. Public health authorities in the Kingdom of Saudi Arabia, mandated total confinement to limit the spread of the virus. These measures have brought about a fundamental change in people’s daily lifestyles, especially their social lives. Consequently, home confinement has had impacts on psychological health as well. This study aims to evaluate the effects of home confinement on the people of various regions in the Kingdom of Saudi Arabia; we opted for a quantitative study design using an anonymous online survey. A total of 3589 subjects completed the “Scale of Social Lifestyle and Psychological Health for the COVID-19 Pandemic”, which is a survey formulated for the purposes of this research. Results showed that confinement has changed the social lifestyles of the people in KSA, particularly for women and for people aged 30 to 50 years. For psychological health, statistically significant increases were observed in the levels of anxiety, depression, obsessive compulsive disorder, interpersonal sensitivity, and somatic symptoms, during quarantine. In conclusion, home confinement caused a radical change in the social lifestyles of the citizens of Saudi Arabia. Women, married people and those aged more than 50 years are more affected than others, the psychological impact was moderate to severe in terms of the assessed demographic variables.

Introduction: In psychology, happiness is defined as a positive emotion which lasts longer than atemporary good feeling; it is a steady condition among one’s positive emotions and understanding oflife. Happiness is beneficial to the whole society, but the effects of happiness on university students,as the new blood and future makers of nations, have been of greater interest to researchers. Thepresent study aims to explore the factors that induce happiness in nursing and midwifery students. Methods: The present study is a descriptive-comparative work of research conducted in 2017 on 200nursing and midwifery students at the Islamic Azad University of Jahrom in the south of Iran. Thesubjects were selected based on the census sampling method. To determine the degree of happinessin the subjects, the researchers used the Oxford Happiness Questionnaire developed by Argyle et al.in 1979. The questionnaire consists of 29 multiple-choice items scored on the Likert scale between0 and 3. The reliability and validity of the questionnaire have been tested and confirmed in severalstudies. The collected data were analyzed using SPSS v. 15. Findings: Of the 200 students studied,81% (171) were female and 65.4% (138) were single. The mean happiness score of the subjects wasfound to be 40.1±9.1. On the happiness scale, the students’ happiness level was medium. 21.9% ofthe students had low happiness levels (a score of 0 to 28), 71.5% had acceptable happiness levels (ascore of 29 to 57), and 6.6% had high happiness levels (a score of 58 to 87). An analysis of the datashowed that there was not a significant relationship between the subjects’ levels of happiness and anyof their demographic characteristics except their term of study (p=0.05). Conclusion: The findingsof the present study show that the degree of happiness among nursing and midwifery universitystudents is medium. Since nursing and midwifery university students are potential labor force in thehealthcare systems of societies, it is essential that they maintain acceptable levels of happiness whichis a criterion of psychological health. Accordingly, it is recommended that organized measures betaken to improve the psychological health of students and keep it at satisfactory levels throughoutthe duration of their education. Bangladesh Journal of Medical Science Vol.20(1) 2021 p.33-38

Woman, a pillar of strength is always like a lantern in night. Being a creator of life, female plays a wide range of roles in her entire lifespan. Woman’s health is an important aspect in progress & maintenance of wealth for her own family, society and ultimately nation. Woman is as delicate as flower. During different stages of life, she may suffer from various diseases and conditions that affect her physical and emotional well - being which in turn alter her quality of life. Stress incontinence is one of the gynaecological conditions mostly in reproductive as well as postmenopausal age group. It adversely affects physiological as well as psychological health of female & even interfers with the professional life. Most of women feel inconvenience specially in their day to day activities either due to frequent vulval pads they need to use or frequent changing of undergarments. So, it is major problem in front of women and ultimately gynaecologists Stress urinary incontinence is an involuntary escape of urine from the external urinary meatus due to sudden rise in Intra Abdominal Pressure. Women can’t have any natural control on it. Due to it, escape of urine while sneezing, coughing or laughing occurs. It is common condition affecting 25-40% of women. Conservative & surgical methods are available for its management. But due to some drawbacks we need to explore and use Ayurvedic treatments given in Samhitas. Ayurvedic texts has described Uttarbasti in detail. When it is given per urethra as indicated in texts, may help in curing certain diseases related to Apana Kshetra. Stress incontinence can be correlated with Alpalpa Mutrapravrutti in Mutravaha Srotodushti. So, attempt is made to cure stress incontinence with the help of Mutramargagata Uttarbasti.

Background: Traumatic spinal cord injury (TSCI) can cause numerous adverse effects on the spinal cord and neural tissues. These injuries may have negative effects on physical and psychological health during the lifespan. Objectives: The present study aimed to investigate the epidemiology of TSCI in patients with trauma admitted to Bessat Hospital of Hamadan between 2007 and 2017. Methods: A cross-sectional study was conducted on 3,219 patients with traumatic spinal injuries admitted to Bessat Hospital of Hamadan between 2007 and 2017. Data were collected from the hospital information system. Data analysis was performed using SPSS. Quantitative data were expressed as mean, standard deviation, and frequency, and qualitative data were analyzed using the chi-square and Fisher's exact tests. The significance level was considered to be less than 0.05. Results: Mortality was significantly associated with gender (P = 0.001), age (P = 0.051), external causes of injury (P = 0.001), and type of injury (P = 0.001). The length of hospital stay was significantly associated with the type of injury (P = 0.001) and external causes of injury (P = 0.001), whereas there was no significant relationship between the length of hospital stay and gender, age, and surgery (P > 0.05). Conclusions: Mortality rates were highest at the age of 55 years or over among other age groups. Thus, effective interventions and programs should be implemented for this age group.

Moderate to vigorous physical activity (MVPA) is associated with positive physical and psychological health outcomes, yet youth with visual impairments tend to not to engage in sufficient MVPA. The purposes of this study were to (a) examine how familial factors were associated with MVPA among youth with visual impairments, their siblings, and parents and (b) examine the daily MVPA correlation among these family members. Twenty-two familial triads, including one child with a visual impairment, participated in this study. Accelerometers were used to measure MVPA and individual and familial factors were reported via questionnaire. Of the individual and familial factors measured, only family member role significantly predicted MVPA (β = .43, p

Background Hypertension has been declared as a global public health crisis by the World Health Organization, because of its high prevalence. It affects the health of one billion people worldwide and is directly responsible for the deaths of more than 10 million people per year. The purpose of our research was to explore the influence of occupational stress and psychological health on hypertension of miners who work in a noisy environment and provide decision reference for relevant departments to keep miners’ health. Methods A case-control study was carried out in this research. The study subjects were divided into case groups and control groups based on whether they had hypertension or not. Effort-Reward Imbalance questionnaire and Self-Reporting Inventory questionnaire were used to investigate the psychological health status and occupational stress of the target population. General information was balanced between case and control groups through propensity score matching method. After propensity score matching, a multifactorial analysis was used to explore the impact of occupational stress and psychological health on hypertension. Results According to the result of the multivariate analysis, psychological health was hazard to hypertension (t = 5.080, Pt = 1.760, P = 0.080). The model was statistically significant (χ2 = 20.4, P Conclusions For miners working in the noisy environment, psychological status was a direct risk factor to hypertension, while occupational stress was an indirect factor.

During the gestational period, women need to have optimal health to meet fetal requirements for growth and development. Nutrition is one of the most important factors that can ensure a mother`s health and also that of their offspring. The role of maternal diet, before and during pregnancy, has been associated with adverse birth outcomes and a worsening of maternal health. Medical conditions that are closely related to dietary intake and may affect women before or during pregnancy have also been associated with the appearance of pathology in a newborn. To date, several studies have been carried out in order to identify the role of diet as a factor associated with child physiological and psychological health, both in the short and long term. Educating mothers regarding the influence of maternal dietary intake during pregnancy on infants’ health could represent a simple but effective target for public health policies to improve pregnancy nutrition, and therefore help to avoid newborn diseases through the development.

INTRODUCTION: Irritable bowel syndrome (IBS) is a chronic functional bowel disorder, which follows a relapsing and remitting course. Little is known about how evolving definitions of IBS or treatment for the condition affect symptom stability. We conducted a 12-month longitudinal follow-up study of individuals who self-identified as having IBS to examine these issues. METHODS: We collected demographic, gastrointestinal symptom, mood, and psychological health data at baseline, and gastrointestinal symptom data at 12 months, from adults who self-identified as having IBS, registered with 3 organizations providing services to people with IBS. We applied the Rome III and Rome IV criteria simultaneously at baseline and 12 months and subtyped participants according to predominant stool form or frequency. We examined stability of a diagnosis of IBS, and stability of IBS subtype, for the Rome IV and III criteria separately and examined the effect of commencing new therapy on fluctuation of symptoms. RESULTS: Of 1,375 individuals recruited at baseline, 784 (57.0%) provided data at 12 months. Of these, 452 met the Rome IV criteria for IBS at baseline, of whom 133 (29.4%) fluctuated to another functional bowel disorder at 12 months. In the remaining 319 (70.6%) who still met the Rome IV criteria for IBS, IBS subtype changed in 101 (31.7%) subjects, with IBS with mixed bowel habit (IBS-M) the least stable. Commencing a new treatment for IBS did not affect symptom stability. Among 631 who met the Rome III criteria at baseline responding at 12 months, 104 (16.5%) fluctuated to another functional bowel disorder. In the 527 (83.5%) who still met the Rome III criteria for IBS, IBS subtype fluctuated in 129 (24.5%), with IBS-M the most stable subtype. Again, commencing a new treatment for IBS did not affect symptom stability. DISCUSSION: Fluctuation between functional bowel disorders and predominant stool subtype is common in people with IBS and does not appear to be influenced solely by treatment. Rome IV IBS appears less stable than Rome III IBS.

The COVID-19 pandemic significantly impacted the mental, emotional and psychological health of Frontline nurses. This study examines the impact of fear of COVID-19 on nurses’ turnover intention, se...

Pelvic fractures are complex injuries with a range of different presentations depending on the mechanism of trauma. Due to the morbidity and mortality of pelvic fractures, patients require thorough investigation and timely management with multidisciplinary input. Various surgical and non-surgical techniques can be used to treat pelvic fractures, as well as any associated visceral injuries. Following repair, it is important to remain vigilant for postoperative complications such as infection, sexual and urinary dysfunction, chronic pain and adverse psychological health. This article summarises the relevant UK guidance and literature and presents them in a format that follows the patient’s journey. In doing so, it highlights the key perioperative factors that need to be considered in cases of pelvic fracture.

The research explored the influence of spiritual coping and social support on mental health and quality of life (QOL) of informal caregivers of stroke survivors in Saudi Arabia. The respondents were frequently using religious coping strategies than existential coping strategies. The respondents received higher support from significant others and lowest support from friends. The majority of the respondents had mild to moderate depression, while more than one-third had mild to severe anxiety. Psychological health received the highest QOL, while physical health received the poorest QOL. Spiritual coping and social support significantly influenced the informal caregivers' mental health and QOL.

Introduction Considering the confirmed data concerning the spread of SARS-CoV-2 coronavirus which causes Covid-19 disease, on 11 March 2020, the Director of the World Health Organization (WHO) announced a pandemic in 114 countries, with the exception of China. In Poland, the first case of SARS-CoV-2 coronavirus infection in a patient was confirmed on 4 March 2020; actions were therefore undertaken to limit the transmission of the virus among the population, and an attempt made to adjust the existing model of health services to the new conditions of an epidemiological threat. Objective he aim of the study is presentation of health needs brought into focus in Poland as a consequence of SARS-CoV-2 coronavirus pandemic, especially in the care of psychological health, and actions undertaken to enable medical staff to care for patients during the pandemic. Results In the situation of the pandemic in Poland, solutions were introduced aimed at better provision of services, including many teleconsultations. At the same time, the pandemic brought into focus a greater demand than before for the care of patients in the domain of psychological health. There occurred states of fear and anxiety concerning the risk of SARS-CoV-2 coronavirus infection and an uncertain future. Social isolation also enhanced domestic violence. Barriers have become clear in the teleworking of medical staff. Conclusions The pandemic forced a change in our every-day reality, our usual rituals, adopted directions of action, and plans for today and tomorrow. However, there are also some advantages resulting from the current situation, which forces the use of new media in medical practice and contributes to their more frequent use. In consequence, this will reduce technophobia in medical circles and increase the availability of medical specialists for patients.