This version of BIP! Finder aims to ease the exploration of COVID-19-related literature by enabling ranking articles based on various impact metrics.
Last Update: 18 - 01 - 2023 (628506 entries)
Popularity: Citation-based measure reflecting the current impact.
Influence: Citation-based measure reflecting the total impact.
Reader Attention: The current number of Mendeley readers.
Social Media Attention: The number of recent tweets related to this article.
*More details on these impact measures can be found here.
Exceptional score (in top 0.01%).
Substantial score (in top 1%).
Average score (in bottom 99%).
Score not available.
CORD-19 dataset(1) (list of papers)
LitCovid hub(2) (list of papers)
PMC & PubMed (citations)
Mendeley (number of readers)
COVID-19-TweetIDs(3) (tweets)
| Title | Venue | Year | Impact | Source | |
|---|---|---|---|---|---|
| 1001 | The ethics laboratory: an educational tool for moral learning This article introduces the Ethics Laboratory as an inter-sectorial and cross-disciplinary dialogical forum which can be viewed as an educational tool for moral learning. The Ethics Laboratory represents a platform for the informal, collaborative investigation, in strict confidentiality, of ethical questions that have social consequences and/or legal concerns and bridges boundaries between research communities, institutions and patients. Its methodological structure proposes an experimental, open-ended way of unpacking implied assumptions, underlying values, comparable notions and observations from different professional fields. In connection with a large social science project on precision medicine, we conducted four Ethics Laboratories followed by eight interviews with a selected number of participants. Through these interviews we learnt how this exploratory dialogical forum heighten moral awareness on issues that are shared among stakeholders who work to implement precision medicine in Denmark. Though the framework was developed specifically to foster ethical reflection within precision medicine, its dialogical structure lends itself to other professional areas and can easily be adopted and carried out. | N/A | 2022 | CORD-19 | |
| 1002 | Research in brief | Lancet Infect Dis | 2022 | CORD-19 | |
| 1003 | Early medical abortion, equality of access and the telemedical imperative: written by J. Parsons and E. C. Romanis, New York, Oxford University Press, 2021 | Sex Reprod Health Matters | 2022 | CORD-19 | |
| 1004 | Vitamin D: role in chronic and acute diseases Vitamin D is involved in bone health by promoting calcium absorption in the gut and maintaining serum calcium and phosphate concentrations, and by its action on bone growth and reorganization through osteoblasts and osteoclasts cells. Moreover, during the last three decades, novel actions of vitamin D have been discovered. Several systematic reviews and meta-analyses have shown links between serum vitamin D levels and non-communicable diseases. In line with these findings, a wide number of studies have suggested associations of vitamin D deficiency (VDD) with respiratory tract infections, osteoporosis, and other chronic and metabolic diseases such as obesity, metabolic syndrome, type 2 diabetes mellitus (T2DM), cancer, rheumatoid arthritis (RA), and inflammatory bowel disease (IBD). Vitamin D also exerts important actions in the clinical course of infectious and other acute diseases, particularly respiratory bacterial infections, tuberculosis, and virus infections, e.g., those generated by human immunodeficiency and SARS-CoV-2 (COVID-19) viruses. The present article aimed to update the role of vitamin D in chronic and acute diseases. | Reference Module in Food Scien | 2022 | CORD-19 | |
| 1005 | Rethinking financial contagion: Information transmission mechanism during the COVID-19 pandemic Rapidly growing numbers of empirical papers assessing the financial effects of COVID-19 pandemic triggered an urgent need for a study summarising the existing knowledge of contagion phenomenon. This paper provides a review of conceptual approaches to studying financial contagion at four levels of information transmission: (i) Catalyst of contagion; (ii) Media Attention; (iii) Spillover effect at financial markets; (iv) Macroeconomic fundamentals. We discuss the unique characteristics of COVID-19 crisis and demonstrate how this shock differs from previous crises and to what extent the COVID-19 pandemic can be considered a ‘black swan’ event. We also review the main concepts, definitions and methodologies that are frequently, but inconsistently, used in contagion literature to unveil the existing problems and ambiguities in this popular area of research. This paper will help researchers to conduct coherent and methodologically rigorous research on the impact of COVID-19 on financial markets during the pandemic and its aftermath. | N/A | 2022 | CORD-19 | |
| 1006 | A study of viral respiratory tract infections based on new smart terminals | N/A | 2022 | CORD-19 | |
| 1007 | Distribution of credit-risk concentration in particular sectors of the economy and economic capital before and during the COVID-19 pandemic The aim of the work underpinning this paper has been to track the evolution of tail risk in banks’ NPL portfolios present under normal and worst conditions (before and during the pandemic of COVID-19), and to estimate the impact of sector concentration risk on amounts of economic capital. Results further allowed for analysis of different sectors with a view to determining which is riskiest. The study makes use of a multi-factor structural model, given that each sector is affected by a different systematic risk factor, with the assets of borrowers from the same sector thus correlated markedly, even as correlations between sectors are low. The research has in fact sought the further development of methodology proposed by Düllmann and Masschelein in 2006—in the direction of improved accuracy of economic-capital estimates, thanks to alternate means of mapping out the sectoral factor correlation matrix. The empirical analysis was based on individual data from Prudential Reporting under the National Bank of Poland, as well as market data. Results reveal an increase in tail risk through the 2015–2017 period, as followed by the onset of a decline. Where the paper’s second aim is concerned, there is found to be support for the idea that economic capital may be increased where sector concentration in the portfolio of a bank is accounted for. Tail risk is found to be concentrated in the sectors of construction and real estate, with accommodation and food services becoming more volatile during the pandemic. A channel for risk transfer between the financial and corporate sectors is thus found to exist. Thanks to the work done we have a better understanding of the impact of sectoral concentration of individual banks’ lending activities on level of risk, with the possibility of this gaining application as stress tests are conducted, and as supervisory recommendations from Poland’s Financial Supervision Authority are formulated. | N/A | 2022 | CORD-19 | |
| 1008 | Advances in the development of superhydrophobic and icephobic surfaces Superhydrophobicity and icephobicity are governed by surface chemistry and surface structure. These two features signify a potential advance in surface engineering and have recently garnered significant attention from the research community. This review aims to simulate further research in the development of superhydrophobic and icephobic surfaces in order to achieve their wide-spread adoption in practical applications. The review begins by establishing the fundamentals of the wetting phenomenon and wettability parameters. This is followed by the recent advances in modeling and simulations of the response of superhydrophobic surfaces to static and dynamic droplets contact and impingement, respectively. In view of their versatility and multifunctionality, a special attention is given to the development of these surfaces using nanocomposites. Furthermore, the review considers advances in icephobicity, its comprehensive characterization and its relation to superhydrophobicity. The review also includes the importance of the use of superhydrophobic surface to combat viral and bacterial contamination that exist in fomites. | N/A | 2022 | CORD-19 | |
| 1009 | Impfdurchbruch bei Krebspatienten nach mRNA-Impfung | N/A | 2022 | CORD-19 | |
| 1010 | Heterogeneous influence of individuals' behavior on mask efficacy in gathering environments Wearing masks is an easy way to operate and popular measure for preventing epidemics. Although masks can slow down the spread of viruses, their efficacy in gathering environments involving heterogeneous person-to-person contacts remains unknown. Therefore, we aim to investigate the epidemic prevention effect of masks in different real-life gathering environments. This study uses four real interpersonal contact datasets to construct four empirical networks to represent four gathering environments. The transmission of COVID-19 is simulated using the Monte Carlo simulation method. The heterogeneity of individuals can cause mask efficacy in a specific gathering environment to be different from the baseline efficacy in general society. Furthermore, the heterogeneity of gathering environments causes the epidemic prevention effect of masks to differ. Wearing masks can greatly reduce the probability of clustered epidemics and the infection scale in primary schools, high schools, and hospitals. However, the use of masks alone in primary schools and hospitals cannot control outbreaks. In high schools with social distancing between classes and in workplaces where the interpersonal contact is relatively sparse, masks can meet the need for prevention. Given the heterogeneity of individual behavior, if individuals who are more active in terms of interpersonal contact are prioritized for mask-wearing, the epidemic prevention effect of masks can be improved. Finally, asymptomatic infection has varying effects on the prevention effect of masks in different environments. The effect can be weakened or eliminated by increasing the usage rate of masks in high schools and workplaces. However, the effect on primary schools and hospitals cannot be weakened. This study contributes to the accurate evaluation of mask efficacy in various gathering environments to provide scientific guidance for epidemic prevention. | N/A | 2022 | CORD-19 | |
| 1011 | The single supervisory mechanism and the European framework for the enforcement of competition law: a comparison between two models for economic governance in the EU This paper proposes to develop a parallel reading of the banking supervision system and the framework for the enforcement of competition law, with the purpose of setting out points of convergence and divergence between the two, analyzing their institutional architecture and various issues pertaining to the relevant, applicable law. This approach might prove fruitful for a better understanding of each of the two systems, and for filling the gaps left open and unresolved by legislative texts. It might also offer some contribution in view of a more general analysis of the key-issues that those who design the systems meant to govern the European economy should consider. | N/A | 2022 | CORD-19 | |
| 1012 | SAPV-Patienten in der COVID-19-Krise: Eine interviewbasierte Studie über Erfahrungen von Palliativpatienten BACKGROUND: In the outpatient setting, COVID-19 primarily affects palliative care patients who receive care as part of specialized outpatient palliative care (SAPV). To prevent infections, the implementation of new safety precautions and telemedical communication options in the SAPV participating in the study became necessary. OBJECTIVE: This study examines the impact of the COVID-19 pandemic on palliative care patients’ personal and social problems and their experiences with caregiving SAPV. MATERIAL AND METHODS: A total of 20 SAPV patients were interviewed about their problems in relation to the pandemic and about their experiences with care provided by SAPV in semi-structured phone interviews. RESULTS: Fear of loneliness and infection weigh heavily on palliative care patients. Most patients wanted to avoid hospitalization due to increased risk of infection. Protective measures of SAPV gave them a sense of security and were accepted despite restrictions on personal contact. Modern forms of communication were useful but could not replace personal contact. CONCLUSION: The pandemic led to changes in SAPV and had an impact on the social environment of palliative care patients. Protective measures are important for the sense of security of palliative care patients under care. The quality of care provided by the SAPV structure adapted to COVID-19 is usually not perceived by patients as having deteriorated. Fears of social isolation are highly valued by palliative care patients and can be reduced by SAPV. Personal contact with SAPV cannot be replaced by modern communication options, although patients do accept telemedicine as an “emergency solution”. | N/A | 2022 | CORD-19 | |
| 1013 | The quest for harmonisation in anti-doping: an Indian perspective The World Anti-Doping Agency aims to promote clean sport through the introduction and implementation of harmonised rules under the World Anti-Doping Code, 2021 (the Code). Since WADA relies heavily on National Anti-Doping Organisations to implement the Code, the experience of anti-doping differs across countries. Some scholars argue that the current framework disproportionately impacts athletes from developing countries. This paper contributes to this debate by analysing systemic issues in the implementation of the Code in one such country—India. The legitimacy of anti-doping in India has been questioned as a result of the recent suspension of the National Dope-Testing Laboratory, a series of false positive tests, accusations of significant procedural and substantive errors by domestic tribunals, and access to justice challenges. Given the prevalence of doping in India, alongside the accumulation of recent controversies and push for reform, a deeper analysis of anti-doping in the country is warranted. The lack of compliance in India with certain requirements set out in the Code, as well as the failure to meet “best practice” standards set by other jurisdictions, is evidence that there is a lack of harmonisation in implementing anti-doping rules and procedures across countries. This paper contributes to the debate on the impact that a lack of harmonisation in the implementation of the Code can have on the legitimacy of the anti-doping framework. From a policy perspective, the proposed research agenda and recommendations can be applied to promote reform in India and other jurisdictions, especially in developing and emerging countries. | N/A | 2022 | CORD-19 | |
| 1014 | A silent march-Post covid fibrosis in asymptomatics-A cause for concern? We report a case series of patients presenting with undiagnosed pulmonary fibrosis as a primary manifestation. On evaluation, after excluding other causes, the fibrosis was attributed to asymptomatic or mild COVID illness in the past. This case series serves to highlight the difficulties posed to clinicians while evaluating pulmonary fibrosis in the post-COVID era, more so in mild to asymptomatic COVID-19. The intriguing possibility of fibrosis setting even in mild to asymptomatic COVID is discussed. | Indian J Tuberc | 2022 | CORD-19 | |
| 1015 | Supply Shocks in Supply Chains: Evidence from the Early Lockdown in China How do firms in global value chains react to input shortages? We examine micro-level adjustments to supply chain shocks, building on the Covid-19 pandemic as a case study. French firms sourcing inputs from China just before the early lockdown in the country experienced a relative drop in imports that increases from February to April 2020. This shock on input purchases transmits to the rest of the supply chain through exposed firm’s domestic and export sales. Between February and June, firms exposed to the Chinese early lockdown experienced a 5.5% drop in domestic sales and a 5% drop in exports, in relative terms with respect to comparable non-exposed firms. The drop in foreign sales is entirely attributable to a lower volume of exports driven by a temporary withdrawal from occasional markets. We then dig into the heterogeneity of the transmission across treated firms. Whereas the ex-ante geographic diversification of inputs does not seem to mitigate the impact of the shock, firms with relatively high inventories have been able to absorb the supply shock better. | N/A | 2022 | CORD-19 | |
| 1016 | CARS 2022-Computer Assisted Radiology and Surgery Proceedings of the 36th International Congress and Exhibition Tokyo, Japan, June 7-11, 2022 | Int J Comput Assist Radiol Sur | 2022 | CORD-19 | |
| 1017 | Designing for loyalty programme effectiveness in the financial services industry This study extends and tests a model determining how customer perceived benefits affect perceived relationship investment and brand relationship quality as mediators to behavioural and attitudinal loyalty with type and timing of rewards as moderators. A quantitative methodology and survey approach was applied using randomly selected stratified sampling resulting in 277 financial services loyalty programme member respondents. The hypotheses were tested using structural equation modelling. The results highlight social and exploration benefits to be much stronger determinants of customer loyalty than monetary and entertainment benefits, with recognition having no effect and timing of rewards moderating the influence of monetary and exploratory benefits. The type of reward moderated the influence of entertainment and exploratory rewards. The study’s theoretical contribution provides for an empirically validated comprehensive conceptual model of loyalty programme effectiveness for the financial services industry and very important loyalty programme design findings for practitioners. | N/A | 2022 | CORD-19 | |
| 1018 | Suicidal behavior in a migrant majority population and impact on trends during the early Covid-19 period: a cross sectional study in Qatar BACKGROUND: Qatar is a high-income country with 90% of the population being economic migrants from low income countries. Due to this unique population composition, it has been suggested that Qatar may not follow suicide trends of high-income countries. Additionally, there is paucity of information on suicidal trends and rates due to social and cultural reasons. The Covid-19 pandemic has additionally impacted mental health of migrants differently form native Qataris. OBJECTIVES: This study explores suicidal behavior trends among individuals attending the main Emergency Department in the state of Qatar for mental health emergencies. The study also compared these trends for pre-pandemic period to early post pandemic period. METHODS: A cross-sectional study of individuals attending the main emergency department of the country from 1st December 2019 to 30th June 2020 was carried out using a composite data collection form. This identified 799 individuals presenting with mental health emergencies. Suicidal behaviors, relevant sociodemographic data, along with factors known to be associated with suicidal behaviors were collected for this group. RESULTS: 24.9% (n = 199) of the sample presented with suicidal behaviors. Younger age (31.16 ± 9.497), current hopelessness (70; 54.7%), history of suicidal thoughts (50; 47.2%), history of suicidal attempts (43; 34.7%), history of self-harm thoughts (35; 39.3%), history of self-harm attempts (41; 37.6%) were highly significantly associated with suicidal behavior (p < 0.01). Qataris formed 27% of the group presenting with suicidal behaviors although they constitute only around 10% of the population. There was no significant change in the rate of presenting with suicidal behaviors during the early stages of the Covid-19 pandemic. CONCLUSIONS: This study reports an annual incidence of suicidal behaviors in Qatar lower than that has been previously reported. The authors surmise that this may be due to improved availability and early intervention of mental health services and decreased stigma around mental health. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s44202-022-00040-8. | N/A | 2022 | CORD-19 | |
| 1019 | Balaton Lake (virtual) projected and perceived destination image amid Covid-19 pandemic In days gone by, Balaton Lake predominately attracted domestic tourists, without focusing on the countries which neighbour Hungary and their respective markets. However, as a consequence of the Covid-19 pandemic, domestic and regional tourism flows have been stimulated, as travel restrictions resulted in a tendency towards travel to local and neighbouring destinations. In line with these trends, the research investigates the congruence of both Balaton Lake’s projected and perceived (virtual) destination image in the era of Covid-19, with Serbia being considered as a neighbouring and emitting market. The study deployed a sequential exploratory mixed-method approach (qualitative and then quantitative). The study contributes to the existing knowledge by addressing the gap between the visual and textual content of a projected (virtual) destination image and by acknowledging non-visitor perception of destination image in the context of pronounced regional international travel. | N/A | 2022 | CORD-19 | |
| 1020 | Social workers' experiences in integrated Healthcare during the COVID-19 pandemic SUMMARY: The massive spread of the novel COVID-19 virus across the globe has been disruptive to all providers within integrated healthcare systems, including social workers. The literature on how the pandemic has impacted medical workers are emerging. The present article explored the experiences of social workers. A purposive sample of 40 social workers in integrated healthcare settings was interviewed from September to November 2020 prior to vaccine availability to learn about how they managed the earlier months of the pandemic. A constant comparison approach was used to analyze the data. FINDINGS: Themes identified included: (1) how social workers felt about safety in their work environments; (2) what it was like for social workers to transition to remote work; (3) how the pandemic affected social workers’ workload and mental health; and (4) what were the preparedness issues and lessons learned. APPLICATIONS: This study adds to the existing literature on provider experiences of the pandemic in integrated health care with social workers’ voices. This additional perspective may contribute to better preparedness of behavioral health services and taking care of social workers in future crises. | J Soc Work (Lond) | 2022 | CORD-19 | |
| 1021 | Instructional leadership during the COVID-19 pandemic: The case of Israel The instructional leadership approach requires school principals to give top priority to the continuous improvement of teaching quality and academic outcomes. This study explored how principals of elementary schools in Israel fulfilled their instructional leadership role during COVID-19. Data collection comprised semi-structured interviews with a diverse sample of 36 principals. Data analysis identified three different theories of action. In this study, a theory of action is the conscious or unconscious set of assumptions that explain how principals act professionally in a given situation. According to the first theory of action, moratorium, principals temporarily abandoned instructional leadership. According to the second theory of action, adaptation, principals changed instructional leadership to suit the specific conditions of COVID-19. According to the third theory of action, determination, principals uncompromisingly continued to demonstrate instructional leadership. These findings expand the available knowledge on how school leaders respond and what forms of school leadership practice emerged during COVID-19. | N/A | 2022 | CORD-19 | |
| 1022 | Storytelling and Deliberative Play in the Oregon Citizens' Assembly Online Pilot on COVID-19 Recovery This article draws on the deliberative play framework to examine empirical examples of storytelling in an online deliberative forum: The Oregon Citizen Assembly (ORCA) Pilot on COVID-19 Recovery. ORCA engaged 36 citizens in deliberation about state policy through an online deliberative process spanning seven weeks. Drawing on literature on small stories in deliberation, we trace stories related to a policy proposal about paying parents to educate children at home. Our analysis demonstrates that storytelling activities accomplish aspects of deliberative play through introducing uncertainty, resisting premature closure, and promoting an “as if” frame that allows groups to explore the scope and implications of proposals. Forum design influences interaction and our analysis suggests that technology use and timing are key design features that can facilitate or inhibit deliberative play. | Am Behav Sci | 2022 | CORD-19 | |
| 1023 | A Remote Diet and Exercise Intervention for Surgical Patients With Prefrailty and Frailty During the COVID-19 Pandemic Objectives: To facilitate the success of surgical patients with prefrailty and frailty in meeting diet and exercise goals in the context of the COVID-19 pandemic, and to encourage patient satisfaction with remote care. Methods: In the setting of the COVID-19 pandemic, surgical patients with prefrailty and frailty were offered remote visits with a geriatrician and a remote diet and exercise coaching program. Results: The coaching participants set a mean of 37 (±15) individualized dietary goals and 17 (±11) individualized exercise goals. 75% of the coaching participants met at least 65% of their dietary goals and 75% met at least 50% of their exercise goals. All patients met at least one diet goal and at least one exercise goal. Patients endorsed high levels of satisfaction with the program. Discussion: Diet and exercise interventions for surgical patients with prefrailty and frailty have potential for adaptation to remote formats. Such interventions may facilitate patients’ meeting of individualized diet and exercise goals and may also encourage patient satisfaction. | Am J Lifestyle Med | 2022 | CORD-19 | |
| 1024 | Perfusion lung scans during the pandemic: COVID-19 experience in a large trauma hospital PURPOSE To evaluate the results of perfusion only lung scans and the frequency of necessary addition of the ventilation part of the scans to diagnose acute pulmonary embolism (PE) during Corona Virus Disease of 2019 (COVID 19) pandemic. MATERIAL AND METHODS We retrospectively reviewed perfusion lung scans’ results between April to December, 2020. The images were interpreted by two experienced nuclear medicine physicians as daily routine studies. Ventilation images were performed only if deemed necessary for accurate diagnosis of acute PE. RESULTS A total of 128 lung perfusion scans in 127 patients were included. The scans were interpreted with certainty using the modified PIOPID criteria in 122 patients (95.3%). The results included low probability for acute PE in 110 patients (85.9%), normal in 6 patients (4.7%) and high probability of acute PE in 6 patients (4.7%). Ventilation imaging were performed in 4 patients with high probability, after negative testing for COVID19. The other 2 high probability results were confirmed clinically and with radiologic imaging. Only 6 scans (4.7%) were interpreted as intermediate perfusion scans, two of which due to inability to differentiate old from new perfusion defects in patients with chronic thromboembolic disease. Thus, the true indeterminate results due to the lack of ventilation scan were encountered in only 4 intermediate probability lung scans (3.1%). Thus, the total number of requested ventilation scans was 8 scans (6.2%) when considering both the high and intermediate probability interpretations. Six scans were performed (2 in the intermediate and 4 in the high probability scans). The two ventilation scans performed in the intermediate probability changed the diagnosis to low probability and the four performed in the high probability confirmed the initial interpretation of high probability scans by perfusion only. CONCLUSION The ventilation part of lung scans is required only in a small number of patients for certain interpretation of the result. Perfusion lung scans are sufficient for evaluation of acute PE with certainty in most patients. | N/A | 2022 | CORD-19 | |
| 1025 | Impact of leadership on the nursing workforce during the COVID-19 pandemic BACKGROUND: The aim was to determine how the learning about protective factors from previous pandemics was implemented and the impact of this on nurses’ experience. METHODS: Secondary data analysis of semistructured interview transcripts exploring the barriers and facilitators to changes implemented to support the surge of COVID-19 related admissions in wave 1 of the pandemic. Participants represented three-levels of leadership: whole hospital (n=17), division (n=7), ward/department-level (n=8) and individual nurses (n=16). Interviews were analysed using framework analysis. RESULTS: Key changes that were implemented in wave 1 reported at whole hospital level included: a new acute staffing level, redeploying nurses, increasing the visibility of nursing leadership, new staff well-being initiatives, new roles created to support families and various training initiatives. Two main themes emerged from the interviews at division, ward/department and individual nurse level: impact of leadership and impact on the delivery of nursing care. CONCLUSIONS: Leadership through a crisis is essential for the protective effect of nurses’ emotional well-being. While nursing leadership was made more visible during wave 1 of the pandemic and processes were in place to increase communication, system-level challenges resulting in negative experiences existed. By identifying these challenges, it has been possible to overcome them during wave 2 by employing different leadership styles to support nurse's well-being. Challenges and distress that nurses experience when making moral decisions requires support beyond the pandemic for nurse’s well-being. Learning from the pandemic about the impact of leadership in a crisis is important to facilitate recovery and lessen the impact in further outbreaks. | BMJ Lead | 2022 | CORD-19 | |
| 1026 | The effects of partisan framing on COVID-19 attitudes: Experimental evidence from early and late pandemic Political polarization has dominated news coverage of Americans’ responses to the COVID-19 pandemic. In this research note, we report findings from two experimental studies, in which we present respondents with news stories about COVID-19 mitigation measures that emphasize partisan difference or accord. The stories present the same numeric facts about public opinion, but highlight either the partisan gap that existed at the time of the study, or the fact that large majorities of both Republicans and Democrats supported the measures at the time. Results from our first study, conducted late April 2020, show that a media frame drawing attention to shared concern across party lines produced a less polarized response to social-distancing restrictions than a frame that drew attention to partisan difference. Our findings suggest that the extensive media coverage about the red-blue divide in COVID-19 opinions reinforced partisan polarization. These results, however, did not replicate in a second study conducted much later in the pandemic. Qualitative data collected across the two studies demonstrate the degree to which polarization had rapidly become a dominant narrative in Americans’ thinking about COVID-19. | N/A | 2022 | CORD-19 | |
| 1027 | Implications of COVID-19 for future travel behaviour in the rural periphery BACKGROUND: The design, management and operation of transport systems is a complex activity and this has only been exacerbated since the onset of the COVID-19 pandemic. Concern has been raised over the likelihood of the public transport sector surviving in some locations given the significant drops in patronage; this is especially so in rural environments where the existing provision was already limited. Furthermore, within the growing literature on the impact of COVID-19 on travel behaviour most of the focus is on urban areas with little documented experience of how rural travel behaviour has been impacted. PURPOSE: This paper investigates the impact of COVID-19 on the transport sector and travel behaviour in the rural periphery. METHODS: Drawing on the work of the International Transport Forum (ITF) Working Group on Innovative Mobility for the Periphery, augmented by additional evidence and findings from the literature, this paper addresses three specific questions: Firstly, how COVID-19 has affected rural mobility. Secondly, how we can plan for sustainable rural transport solutions in the post-COVID world. Thirdly, the longer-term impacts of COVID-19 with implications for mobility. RESULTS: There will be substantial impacts from COVID-19 on rural societies and while the short-term impacts have been negative, in the longer-term there may be opportunity for changed mobility behaviours (including in response to modified work and activity patterns). Evidence suggests that it would seem likely that there are opportunities to foster new rural mobility solutions to support sustainable mobility (including Mobility-as-a-Service) and counter the traditionally fragmented transport base; this will be important as we learn to live with COVID-19. CONCLUSIONS: While recognising the impact of changing funding priorities and the possible shift in economic activity as a result of the pandemic we conclude with suggestions for future rural transport policy. | N/A | 2022 | CORD-19 | |
| 1028 | COVID-19 und Fertilität: Infektion schadet eher als Impfung | N/A | 2022 | CORD-19 | |
| 1029 | A Study on the psychological stress, perceived social support and coping strategies of junior doctors working in different medical colleges in Kolkata during the period of current COVID-19 pandemic BACKGROUND: -: The COVID-19 pandemic has forced the healthcare workers into an unprecedented situation. They are having increased workload along with fear of infection of this highly contagious disease leading to a psychological distress. Recent studies have showed pooled prevalence of depression and anxiety to be as high as 22.8% and 23.2% respectively. Perceived Social support and coping strategies affect the outcome of the stress perceived. AIMS & OBJECTIVES: -: This descriptive, observational and cross-sectional study is done to assess the prevalence of perceived stress, depression and anxiety among healthcare worker and to find there association with the perceived social support and coping strategies used. METHODS:-: Data was collected online. All the junior doctors were sent google forms containing questions of Depression Anxiety Stress Scale (DASS-21item scale) scale, Multidimensional Scale for social support and Brief Resilient Coping scale. Link of the form was sent to all available contacts and all the eligible responses, taking into consideration of inclusion and exclusion criteria, were considered for analysis. RESULT:-: High prevalence of anxiety and depression were found among healthcare worker with significant correlation to the perceived social support and coping strategies used. CONCLUSION:-: This study found out that prevalence of depression and anxiety among healthcare worker is high in this covid era. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1030 | Suicidal Behaviour in new patients presenting to the Telepsychiatry services in a Tertiary Care centre: An exploratory Study BACKGROUND: The COVID-19 pandemic has led to expansion of telepsychiatry services and formulation of telemedicine guidelines. However, the telemedicine guidelines are not very clear about psychiatric emergencies, such as suicidal behaviour, resulting in psychiatrists facing dilemma about handling such situations. AIM: To evaluate the prevalence of suicidal behaviour in new patients presenting to the Telepsychiatry services in a Tertiary Care centre and how patients with suicidal behaviour were handled during the initial consultation. METHODS: All new adult patients (aged >18 years) registered with telepsychiatry services during 19(th) July to 20(th) of Sept 2021 were assessed for suicidal behaviour, in the form of death wishes, suicidal ideations, plans, attempts (lifetime/recent) and non-suicidal self-injurious behaviour (NSSI) (lifetime/recent). RESULTS: The study included 1065 adult patients (aged≥18 years). In terms of suicidal behaviour, in the last few weeks prior to assessment 14.4% ofthe patients had death wishes, 2.4% had thoughts of killing themselves, 0.9% had attempted suicide in the lifetime and 0.6% in thelast few weeks, 1.1% had active suicidal ideations at the time of assessment, 0.6% had active suicidal plan, 1.3% had history of non-suicidal self-injurious behaviour (NSSI) in the lifetime and0.5% had NSSI behaviour in the last few weeks. Based on the suicidality, 1% of thepatients were asked to report to the emergency immediately, 1.4% were given an appointment within 72 hours for follow-up and 3.6% were explained high risk management. CONCLUSIONS: Suicidal behaviour, especially active suicidal ideations and suicidal plan is not very prevalent in patients seeking telepsychiatry consultation. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1031 | Psychological problems among Healthcare workers in a tertiary care center during covid-19 pandemic: a qualitative study BACKGROUND: Thousands of health care personnel are engaged in fighting the COVID-19 pandemic. Health care workers (HCWs) who are engaged in caring for COVID-19 positive cases may manifest features of psychological distress and even disorders. OBJECTIVES: To have an in-depth understanding of the mental health problems experienced by the HCWs engaged in delivering care to COVID-19 cases in a tertiary care centre; and also, their preoccupations, apprehensions and felt needs during that period. METHODS: A qualitative study was undertaken among the health care workers of a tertiary care teaching centre in Northern Kerala. In-depth Interviews (IDIs) and Focus Group Discussions (FGDs) were undertaken among the HCWs including doctors, nurses, nursing assistants and last-grade assistant workers involved in giving care to COVID-19 patients. IDIs and FGDs were conducted till redundancy of information. All IDIs and FGDs were recorded, transcribed and translated to English. The translated data was analysed by free-listing, pile-sorting. domain identification, coding and summarizing. RESULTS: 12 IDIs and 3 FGDs were conducted involving different stakeholders like doctors (faculty members and Junior Residents), nurses, nursing assistants, last-grade assistants and administrators. Increase in psychological problems like anxiety and depression were described by the participants. Physical problems were reported in relation to use of PPE kit. Psychosocial problems like isolation of health care workers by neighbours and family members were also reported. CONCLUSIONS: Anxiety and depressive symptoms as well psychosocial problems are the common problems seen in HCWs engaged in COVID-19 duty. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1032 | Impact of COVID-19 pandemic on psychological health and quality of sleep: An online survey from West Bengal 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. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1033 | SYMPOSIUM Health Related Quality Of Life And Depression In Older Adults With Knee Osteoarthritis Pain-Cross-Sectional Telephonic Survey In Covid 19 Pandemic Background In a situation of COVID 19 pandemic subjects suffering from osteoarthritis pain will be suffering from mental and physical symptoms due to lockdown and there will be difficulty to assess the healthcare facility. According to the World Mental Health Atlas (2014), the number of psychiatrist per lakh of population in India was 0.75, with even lesser number of psychologists and psychiatric social workers. Even the median number of psychiatrists is only 0.2/100,000 in India as opposed to a global median of 3/100,000 population. Telepsychiatry can bring about a revolution as in capacity building by leveraging digital technology in the present situation. This study helps to find those KOA subjects who are suffering depression and to improve their quality of life by providing them aids of treatment. Aims and Objectives Aim To study the health-related quality of life and depression in subjects with knee osteoarthritis pain. Objectives PRIMARY 1. To study the health-related quality of life in older adult subjects with knee osteoarthritis pain. 2.To study the severity of depression in older adult subjects with knee osteoarthritis pain. SECONDARY 1.To study the relation between health-related quality of life and knee osteoarthritis pain in older adult subjects. 2.To study the relation between knee osteoarthritis pain and depression. 3.To study the relation between health-related quality of life and depression among studied older adult subjects. Methods Subjects aged more than 50 full filling selection criteria are recruited from the Department of Orthopaedic Surgery, KGMU, Lucknow. 1.Mobile numbers of subjects from the records available in the department of Orthopaedics were collected from JANUARY 2018 to JANUARY 2020; 2.Subjects those who were on treatment for knee osteoarthritis from the department of Orthopaedic Surgery were contacted over telephone and recruited according to the selection criteria for the study. Call was recorded after taking consent. 3.Subjects were contacted during the daytime 10 am -2pm. If patients subjects and attenders were not comfortable with the time, they were asked for the suitable time to contact them. 4.Subjects were approached for three times. If not answering for three times they were considered as out of reach; 5.Survey was completed in maximum 2 sessions,15 minutes each if the subject was not comfortable in answering in a single session. 6.Proper introduction of doctor calling them was given to the subjects and attenders and the purpose of telephone call was informed to the subjects and attenders. 7.After the informed consent which has been recorded on the telephone subjects were interviewed on the basis of sociodemographic questionnaire. 8.Following basic interview subjects were evaluated using scales which includes PHQ-9, SF-12 and WOMAC. 9.HR QOL was measured by SF-12 which includes general health, limitation of activities, physical health, emotional health and social activities. 10.PHQ-9 to assess the diagnosis and severity of depression was applied. 11.WOMAC scale was applied which gives the status of pain, stiffness and physical disabilities. 12.Each assessment took 20-30 minutes. All the answers given over phone were recorded by the principal investigator. 13.If subjects and attenders, ask for advice regarding the treatment were addressed properly following guidance from consultants. 14.For the subjects with depression, advice was given to consult the geriatric mental health helpline number of KGMU. 15.Subjects were divided into 2 main groups depressed and non-depressed and also divided into three groups based on KL grading into KL grade 2, KL grade 3 and KL grade 4 and further analysis was done accordingly. Ethics UNIVERSITY ETHICS COMMITTEE-103rd ECM II B-Thesis/P24, N0;1391/Ethics/2020 Results Results showed that there is significant difference in pain and general health related quality of life based on the KL grading of Knee osteoarthritis.(P=0.02,P=0.04)There is significant difference in pain between males and females and females have more severity of pain,(p=0.001) Among the depressed and non-depressed group, depressed group have more pain ,(P=0.026) There is significant difference in pain based on duration of Knee osteoarthritis, (p=0.05).There is significant difference in physical function between depressed and non- depressed group, depressed group having more physical dysfunction. There is significant association between stiffness and health related quality of life, P=0.001. Pain is positively correlated with depression,(P=0.001). Study concluded that pain and general health related quality of life worsens with higher grading of Knee osteoarthritis. Pain is more in females and depressed group. Physical function is lesser in depressed group. As stiffness increases health related quality of life decreases. Pain increases as the duration of Knee osteoarthritis increases and pain is correlated with pain. Discussion Depression in the elderly may emerge because of general medical illnesses, especially those, such as OA, that cause prolonged suffering, leading the patient to physical disability and loss of autonomy. The impact of depression is important, since depressed individuals are more likely to report chronic pain, or pain of greater intensity. This fact can be a complicating factor in the process of treatment adherence and may still increase the perception of pain. The depressive disorder, when associated with physical illness, can cause the emergence of anxiety symptoms. Women have higher rates of depression, anxiety and need family support and it is more common in age above 60. Conclusion The studies previously done ordinarily incorporate pain and function scores however have not regularly included psychosocial factors evaluating QoL, which likewise impacts how patients feel, work, and endurance. Study concluded that there is significant difference in pain and general health related quality of life based on the KL grading of KOA. Pain and general health related quality of life worsens with higher grading of KOA. There is significant difference in pain between males and females and depressed and non-depressed group. Pain is more in females and depressed group. There is significant difference in physical function between depressed and non-depressed group. Physical function is lesser in depressed group. There is significant difference in pain based on duration of Knee osteoarthritis. Pain increases as the duration of KOA increases. As stiffness increases health related quality of life decreases. Pain is positively correlated with depression. 73rd Annual National Conference of Indian Psychiatric Society 2022 January 20 - 23, Vizag Conventions, PM Palem, Visakhapatnam Theme : Bridging Minds... Connecting Generations | Indian J Psychiatry | 2022 | CORD-19 | |
| 1034 | Symposium Title: Parenting In The Era Of Information Overload Presenting author’s contact details: Shivanad B Hiremath Assistant Professor Department of Psychiatry KIMS,Hubli, Karnataka Mobile: 7760072812, bhshiv@gmail.com Author and co-authors’ details: Prabeesh Nair Senior Resident Department of Psychiatry KIMS,Hubli, Karnataka Mobile: 8296405029 drprabeeshnair@gmail.com Niranjan Ittannavar Psychiatrist Central Prison Vijayapur, Karnataka Mobile: 7019691434 Niranjan1334@gmail.com Saudhamini Bhat Senior Resident Department of Psychiatry KIMS,Hubli, Karnataka Mobile: 9980043250 drsaudhaminibhat@gmail.com Chaithra S Hiremath Consultant Psychiatrist Aantharya Neuro-Psychiatric centre Hosur, Hubli, Karnataka Mobile: 7760483036, chaitravhm@gmail.com Abstract: Parenting is an incredibly challenging as well as rewarding job, which has a strong influence on the child’s mental health along with the overall growth and development of the children. From the first-time humans walked on the earth till now through the various ages, parenting has constantly evolved to adapt itself to time and society. The recent years has seen more involvement of the Indian parents in their children’s growth due to growing awareness and information explosion. And the Covid-19 pandemic catalyzed the speed even more, nudging the parents’ even greater role in emotional, social and educational development of their children. Transitioning the spread of information majorly from printed materials to digital media has led to exponential rise in the creation of sources of information as well as it’s dissipation. This has made digital media an integral part of our personal, social, academic and professional lives. Both the information as well as connectivity it provides has been immense. In fact, during the lockdowns digital media has been the only source for that same. Due to the sheer volume of information created on digital platforms, lots of these go unscrutinized thus many times misinformation starts creeping in various sources. Also, the allure of the digital media can shift our healthy dependence on digital media to the unhealthy range. Thus, for a new parent it presents two-fold problem. One-fold where the learning new parent has to both filter out the misinformation from sources as well as assimilate the vast information on parenting well, so that the quality of parenting isn’t compromised. The second fold is to determine the right amount of involvement of digital media in the parents’ and children’s lives, so that neither the too much involvement negatively affect the physical, mental and social health nor the suboptimal involvement deprive them of necessary knowledge, skills set and social well- being to keep up with the world, let alone progress in life. In this symposium, the speakers will be discussing about the advantages and disadvantages of parenting in digital age, aspects of online/ e-learning, home schooling as alternative solution, achieving balance between healthy parenting and digital evolution. Individual topics and speaker details: 1.Introduction, historical evolution and need for the discussion: Shivanand B Hiremath; 2.Influence of digital media on parenting: Prabeesh Nair; 3.Parental role in digital learning: Niranjan Ittannavar; 4.Homeschooling as a alternative solution: Saudhamini Bhat; 5.Healthy parenting in the digital age: Chaithra S Hiremath. Lost: Never to be Found ? Understanding and Addressing Grief 1.Dr Sona Kakar MD Consultant Psychiatrist. Talk Time Clinic Hyderabad drsonakakar@gmail.com; 2.Dr Ajit Bhide MD. Emeritus Consultant in Psychiatry St. Martha’s Hospital Bengaluru drajitbhide@gmail.com Grief is one of the most painful experiences in relation to mankind. It is universal and inevitable if there is a loss. Ironically every single moment we are losing something, be it time, money, our dreams or relationships. Grief can be normal but might take pathological dimensions, As psychiatrists dealing with patients who have lost a loved one, we need to be well informed about this human experience consequent to loss. In order to help a patient in grief, we have to understand this complex and painful phenomenon. We need also to look at ways to help the patient minimize his trauma and resolve the grief. This symposium seeks to understand the emotion of grief, its relation to loss, differentiate it from other emotions with the help of case discussions and literature and look at ways to address it in clinical practice. Resistant Depression Under the Scanner 1.Dr Sona Kakar MD Consultant Psychiatrist. Talk Time Clinic Hyderabad drsonakakar@gmail.com; 2.Dr Vipul Singh MD Government Medical College. Kannauj drvipulsingh@yahoo.co.in. Depression is one of the common clinical presentations in our practice. In a few patients we may notice Resistant Depression which creates distress and hopelessness in the patient and helplessness in the treating psychiatrist. This often requires a close observation of the symptoms and the use of adjunctive therapies and treatments. In this symposium we would like to closely scrutinize evolving strategies in the management of Resistant Depression and will cover both biological and Psychotherapeutic interventions which have shown promise through research. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1035 | Coronavirus & vaccination anxiety in a sample of vaccinated individuals BACKGROUND: The coronavirus pandemic has claimed millions of lives. Introduction of a vaccine against coronavirus serves as a new hope for people worldwide. Due to novel nature of vaccine people have little information about it.Inspite of being vaccinated, people are anxious about coronavirus & the long term effects of the vaccine . AIM: To assess the level of anxiety about Coronavirus & vaccination in a sample of vaccinated individuals. MATERIAL & METHODS: Study Design : Cross- Sectional. Sample Size– Hundred and fifty-five. Inclusion Criteria : 1. Age : Above 18 years. 2. Individuals who received one or both doses of Coronavirus vaccine. 3. Individuals consenting to be part of the study Tools-1] Coronavirus Anxiety Scale: five item scale assessing anxiety associated with coronavirus crisis [Lee, S. A.] 2] Coronavirus vaccination anxiety scale : seven item scale assessing concerns & fears related to Coronavirus vaccination.[Bodner et al.]. RESULTS: Overall levels of coronavirus anxiety (M=2.50,SD=3)(Median=1.00) & Vaccination anxiety(M=15.12,SD=6.82)(Median=13) were low in sample of vaccinated individuals. Coronavirus anxiety(p<0.01) and Vaccination anxiety (p=0.03) were found to be higher in first dose vaccinated individuals. Positive correlation indicated individuals with high coronavirus anxiety had high vaccination anxiety (r=0.37,p=0.01). CONCLUSION: Majority of the individuals understand that vaccination is the need of the hour. However first dose vaccinated individuals seemed anxious as compared to fully vaccinated individuals. If anxiety does exist measures can be employed to reduce anxiety & encourage mass vaccination. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1036 | Study assessing symptoms of anxiety, depression and sleep quality disturbances in post-Covid-19 Mucormycosis patients admitted for in-patient treatment admitted at a tertiary care hospital BACKGROUND: Mucormycosis (previously : zygomycosis) is a rare and serious fungal infection caused by a group of molds called mucormycetes. There are five major clinical forms of Mucormycosis; gastrointestinal, disseminated, rhinocerebral , cutaneous and pulmonary, of which the latter 3 are the most common.There have been no studies conducted on the association of anxiety and depression with Mucormycosis. MATERIALS AND METHODS : 50 sample size. Conducted in the special Mucormycosis ward at DY Patil Hospital. Scales used were HADS and GSQS. Assessment done on Day5 and Day15 of admission. RESULTS: 50 post-Covid-19 Mucormycosis patients were analysed. 31 patients were males, whereas 19 patients were females. The age group was 18-70.Out of the 50 patients, 32 had Cutaneous type of Mucormycosis; 15 had Pulmonary type of Mucormycosis and 3 had Rhinocerebral type of Mucormycosis. HADS Score was significantly higher on Day 15 (21.02 ± 8.35; P = 0.0000) as compared to Day 5 (17.0 ± 7.69; P = 0.0000) in all patients. GSQS Score was significantly higher on Day 15 (7.10 ± 3.04; P = 0.0000) as compared to Day 5 (4.34 ± 2.80; P = 0.0000) in all patients. CONCLUSION: Anxiety and Depressive symptoms , along with sleep quality impairment was observed in patients of post-Covid-19 Mucormycosis. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1037 | Study of Psychopathology in family members of patients who died due to Covid-19-A door-to-door survey BACKGROUND-: The lack of preparedness among suddenly bereaved persons is shown to be associated with higher mortality among the bereaved than when the deceased had a known pre-existing morbidity((1)). Most deaths due to COVID-19 came as a sudden surprise for unprepared family members. However,there are no studies or research that are being conducted regarding the psychopathology of family members of patients who died of COVID-19. AIMS/OBJECTIVES-: To study proportion of psychiatric illness in family members of patients who died of COVID-19. To find the association between the death of an earning member & psychiatric illnesses in the family. METHODS-: We began a door-to-door survey in an urban locality begetting permission from the Institutional Ethics Committee. After obtaining informed consent, 40 families of COVID-19 patients were identified,whose members were interviewed using a semi-structured proforma. The deaths due to COVID19 occurred between the months of March’21 and June’21 and the interviews were carried during August’21. Data collected was tabulated and analysed statistically and results were obtained. RESULTS -: Of the 79 participants 11 had psychiatric illness. The proportion of psychiatric illness was observed to be 13.924% and the most common illnesses observed were depression (54.5%) followed by adjustment disorder (36.7%) and anxiety (18.2%). Of these 79 participants 15 (18.9%) had lost an earning member,of which 4 (26.7%) participants developed a psychiatric illness. The proportion of participants with psychiatric illness who lost an earning member of the family was 26.7% which was more than that in non-earning group (10.9%). But this difference is not statistically significant. CONCLUSION-: We observed that family members of patients who died of COVID-19 are more prone for psychopathology. Various psychopathologies were seen in this study of which the most common psychopathology was depression. Further studies are required for the family members of patients who died due to COVID-19. REFERENCE: • Shah SM, Carey IM, Harris T, DeWilde S, Victor CR, Cook DG. The effect of unexpected bereavement on mortality in older couples. American Journal of Public Health. 2013 Jun;103(6):1140-5. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1038 | Comparative Analysis Of Psychological Wellbeing, Mood Disorders And Burnout Among People Working From Home Versus Office Going Bank Employees During The Covid19 Pandemic BACKGROUND: As a result of rising Covid cases in India, Nationwide Lockdown was implemented from March 22, 2020, followed by second wave leading to phase 2 of lockdown. Prolonged Work from home and its impact on mental health needs to be evaluated AIM: This study is to analyse the effect of work from home on the mental health of the people in comparison to the regular office goers (bank employees) during the covid 19 pandemic. OBJECTIVES: To study the proportion of subjects having depression, their general wellbeing and to evaluate the burnout and exhaustion between two groups. METHODOLOGY: Cross sectional study The participants taking part in this survey will be selected randomly (snowball sampling) through phone, email or in person. 3. Criteria: Inclusion : 1. Indian resident employed in work from home setup for more than 6 months. Exclusion : 1. Employees working at home but visiting their office on/off basis. 2.Consent not given. Parallelly, a Control sample taken of the participants who did not work from home (bankers) . Research tools: BECK DEPRESSION SCALE BURNOUT INDEX WHO WELLBEING SCALE: RESULT: The study reveals that employees working from home had higher percentage of Burnout, depressive symptoms and decreased well being as compared to regular office goers. CONCLUSION: It is surprising that apart from the benefits from working from home, it has negative repercussions on the mental health of the employees. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1039 | A cross sectional study on state and trait anxiety in context of CoVID-19 pandemic BACKGROUND: Novel Coronavirus spread rapidly across the world and led to CoVID-19 pandemic. India reported the spread of infection, in the view of which a nation-wide lockdown was announced in middle of March 2020. AIMS: This study aims to asses variations of anxiety in Indian population arising due to the off-setting of routine by lockdown and other extra ordinary measures taken due to CoVID-19 pandemic. METHODS: It was a cross sectional study carried out using an online questionnaire which consisted of three parts: a) informed consent, b) basic demographic details and three yes/no questions, c) the state and trait anxiety questionnaire. Data collected was analysed using appropriate statistical tests. RESULTS: Majority of the respondents (68.52%) reported clinically significant anxiety due to the ongoing pandemic. The mean score of state anxiety was 53.49 ±7.67. Regression analysis showed that being male (AOR:0.561, CI: .369-.853, p:0.007), living in rural area (AOR: 0.25, CI: .121-.518, p: <0.01) higher education (AOR:0.545, CI: .307-.968, p: 0.038) and working from home (AOR: 0.294, CI: 0.191-.452, p: <0.01) were predictors of lower scores on state anxiety subscale. CONCLUSION: This study highlights that those who experience higher trait anxiety suffer worse when stress rises rendering them highly vulnerable to developing psychiatric disorders. At-risk individuals in this study were females, younger adults, homemakers, urban residents and those with low education. Screening and early intervention should be planned to benefit such at-risk individuals. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1040 | A Prospective study on Delirium in covid 19 BACKGROUND: Victoria hospital a specialized COVID center in Bangalore saw more than 10,000 patients with COVID-19 infection who have been admitted. Most of them were moderate to severely or critically ill patients who are at risk of developing acute brain dysfunction (delirium). Neurotropism of SARS-CoV-2 and its neurological manifestations have now been confirmed. Hence to find the prevalence, risk factors for developing delirium in patients admitted with COVID-19 infection, was the objective of this research work. METHODOLOGY: The study includes 10,200 covid infected patient who were admitted to Victoria hospital, from June 2020 to June 2021. Among them 550 cases were found to have neuropsychiatric symptoms. Patients who were on life support, prisoners, patients were with pre-existing Psychiatric illness, neurodegenerative disorders, congenital or acquired brain damage, hepatic coma, drug dependence (Except ADS and NDS), suicide attempt were excluded. Patients who were blind or deaf were also excluded. Patient demographics, delirium assessments, and management strategies were noted and entered in Microsoft Excel sheets. The outcome was to determine the prevalence of delirium and to find any associated risk factors for delirium the next day. RESULTS: Delirium was diagnosed in 106 patients.The mean age of patients was 60 years. 68 % were males & 32 % were females. 80 % of them had medical history, 10 % had past history of Alcohol dependence. 40 % of cases were treated in ICU& 32 % of them were treated on Invasive mechanical ventilation (Ventilators). On investigations, inflammatory markers raised in almost all (C- reactive protein 100 %, D-dimmer 64% and Serum ferritin 69 %). Treatment given was Steroids (Dexamethasone IV) in 100%, Remdesivir in 85 %, Iv antibiotics (Cephalosporin) in 100 %. For Symptomatic delirium treatment Injection Haloperidol IV 1.5 mg to 5mg thrice per day to once daily in 98% cases, some received Quetiapine 12.5 mg to 100mg /day in 5% or Tab Olanzapine 2.5 mg to 10 mg per day in 9% cases. Delirium Mortality rate was 45 % and recovery rate was 55 %. CONCLUSIONS: Severe SARS-CoV2 infection may be associated with COVID-19 delirium. High mortality, (more than 50 %) is found in covid delirium patients. Hypoxia could be the main reason for delirium in Covid 19. Elevated inflammatory markers is associated with Delirium in covid 19 patients. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1041 | Title: Study of test anxiety amongst undergraduate medical students BACKGROUND: Test anxiety is physiological and behavioral responses that accompanies concern about possible negative consequences of failure in an exam. Undergraduate medical students had their academics disrupted during COVID-19 pandemic. AIMS: To study levels of test anxiety among undergraduate medical students, its variance in relation to demography, COVID-19 pandemic, learning experiences and individual factors. METHOD: Online questionnaire-based survey was done amongst undergraduate medical students from medical schools of Gujarat. Students from 1(st), 2(nd) and 3(rd) years who were about to appear in final exams from March to June 2021, were asked to enroll in the survey. Apart from demography, COVID-19 related factors, learning experiences during lockdown, 10-item Westside Test Anxiety (WTA) scale was used to assess test anxiety levels and Kessler Psychological distress (K10) scale was used to assess level of psychological distress. RESULTS: Total of 370 students participated. Mean WTA Score was 3.15±1; 60.2% of the respondents had moderate or higher levels of test anxiety. On bivariate analysis WTA score was found significantly associated with year of study, coming from vernacular medium, various lockdown related issues (family financial problem, worry about future) various learning experiences (feeling ill prepared for exams,) and K10 score. Of these association with K10 score, coming from vernacular medium and feeling ill-prepared for exam were maintained on multiple-linear regression. CONCLUSIONS: Vernacular medium of study during high school was found associated with test anxiety amongst medical students and can be a potential area of intervention | Indian J Psychiatry | 2022 | CORD-19 | |
| 1042 | Burnout and happiness among post graduate students during COVID-19 pandemic: A mixed method study in the tertiary care hospital of southern Odisha BACKGROUND: Acute stress and changing working environment due to COVID-19 pandemic has led to burnout and decline in happiness among PG residents. AIM : To measure the levels of burnout and happiness among PG students and explore their perception on burnout, mental health issues faced and coping strategies during the pandemic. MATERIALS & METHODS : A mixed method study was conducted among 120 PG students of M.K.C.G Medical College selected through stratified random sampling from 1 March 2021 to 31(st) Aug 2021. Maslach Burnout Inventory, subjective happiness scale and in-depth interview guide were used to collect data. Exploratory data analysis of quantitative data and thematic analysis of verbatim transcript data were done. RESULTS : 1. Scores on Maslach burnout inventory [ Component ( Mean, SD ) ] : Emotional Exhaustion (EE) (30.65, 5.56) , Depersonalisation (DP) (12.6, 5.12) , Personal Accomplishment (PA) (25.34, 5.08). 2. Score on subjective happiness scale : Mean 17.3, (SD 2.79). 3. Marital status was significantly associated with different grades of DP. 4. The quartiles of subjective happiness score were significantly associated with years of PG study. 5. Thematic analysis: Codes: 60 , Categories: 20, Subthemes: 5. CONCLUSION : Postgraduation year and marital status were two significant factors on burnout and happiness. Their “Fear of getting infected”, “Deployment in Frontline without adequate training”, “Impaired socialization and leisure activities”, “Blurring of boundary between personal and work life” were the major stressors. Socialisation was a dominant force on the quality of life among PG students. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1043 | A study on behavioral problems in children and adolescents during COVID pandemic and its impact on the mental wellbeing of parents- an online survey BACKGROUND: The COVID-19 pandemic has led to unprecedented changes in lives of billions of children due to national containment measures and school closures. The minors are particularly vulnerable to behavioral difficulties amidst the uncertainties. Increased responsibilities in the parents are adding to their mental turmoil. Hence it is imperative that the issue is addressed to halt an emerging Mental Health pandemic. AIMS: The study aimed at assessing behavioral problems of children and adolescents during home confinement and its correlation with mental well-being of the parents. METHOD: The study used an internet-based questionnaire covering sociodemographic and clinical variables, completed by 250 parents of children between 4-17 years of age. Strengths and difficulties questionnaire (SDQ) for behavioral problems in children and Adult Well-being Scale for the well-being of parents was used for evaluation. Statistical analysis was done by Pearson Correlation and ANOVA test. RESULTS: Emotional(t=2.102, p=0.05) and Hyperactivity(t=2.15, p=0.03) scores were more in boys as compared to girls. Conduct(t=4.87, p<0.01), Hyperactivity(t=4.46, p<0.01) and emotional (t=2.54, p=0.01) problems were positively associated with the use of online platforms with increased screen time showing a statistically significant correlation with psychopathology. Total difficulty score showed positive correlation with depressive (r=0.28, p<0.01), anxiety(r=0.27, p<0.01) and irritability (r=0.34, p<0.01) in parents. CONCLUSION: The study revisits the negative impact of behavioral problems in children on parental wellbeing which has increased manifold in stressful times of today. The importance of focusing on ameliorating distress of the parents as well as targeting problematic behaviors is crucial for positive mental health. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1044 | Psychiatric and Neuropsychiatric issues in persons with COVID-19 infection: A case-control online study from India-NEOREALIST STUDY BACKGROUND: Few studies across the globe have evaluated the adverse mental health consequences of COVID-19, in patients who suffered from COVID-19 infection. However, a comparative study of persons who suffered from COVID-19 and those who witnessed the COVID-19 infection in their 1 st degree relative/s is lacking. AIMS & OBJECTIVES: This study aims to compare the psychiatric morbidity in persons who suffered from COVID-19 infections, and those who witnessed the illness in one of their first degree relative/s. METHODS: In this cross-sectional online survey, 2964 adult participants completed the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Fear of COVID-19 Scale (FCS-19), Brief Resilient Coping Scale (BRCS), The Brief Resilience Scale (BRS) and a self-designed questionnaire to evaluate Neuropsychiatric issues. RESULTS-: Mean PHQ-9, GAD-7 and FCS-19 were significantly higher in those who themselves suffered from COVID-19 as compared to those who witnessed the infection in their 1 st degree relative (7.41 ± 7.09 vs 6.56 ± 6.15; p<0.0001; 5.58 ± 6.59 vs 5.10 ± 5.97;p=0.001;11.32±6.45 vs 10.48±6.12; p=0.001 respectively). However, BRS coping score was not significantly different between both the groups. Overall, about 1/3 rd of the participants who developed COVID-19 infection had depression and one-third had anxiety disorders. One-fifth of the participants reported high fear, PTSD and OCD symptoms, while 1/6 th reported other neuropsychiatric manifestations. CONCLUSION: Patients who suffered from COVID-19 had higher prevalence of PHQ-9, GAD-7 and FCS-19 as compared to those to witnessed COVID-19 in relatives but with similar BRCS. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1045 | New Onset OCD in a young female: COVID-19 pandemic as stressor;A Case Report BACKGROUND: Coronavirus disease is a new and rapidly evolving pandemic. The physical consequences are well documented but the mental health challenges have been less well considered. AIM: To discuss new onset OCD phenomenon in a patient with history of COVID 19 infection in family members. • METHODOLOGY: (CASE REPORT): A 25 yr old, unmarried female, seen in walked in OPD presented with complaints of repeated handwashing and bathing,decreased interest in work, irritability.She was asymptomatic till pre Covid period,when the media buzzed with coronavirus cases all over the world.Patient’s mother and younger brother got infected with coronavirus.While taking care of them she developed repeated,intrusive,irrational thoughts of getting infected with the virus which she was unable to control following which she repeatedly washed her hands multiple times in a day despite developing irritant dermatitis due to excessive use of soap.All this led to impairment in her day to day functioning.For all these complaints patient was prescribed fluoxetine 60 mg & clonazepam 1 mg daily & weekly CBT sessions were planned. • CONCLUSION: OCD is sixth most disabling psychiatric disorder with lifetime prevalence of 1.9–3.3%. Among wide variety of problems faced by patients of OCD, COVID 19 has aggravated their plight manifold. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1046 | Impact of covid-19 pandemic in patients with pre-existing mental illness visiting outpatient department of tertiary Healthcare centre- a cross sectional observational study BACKGROUND -: COVID-19 pandemic has had a negative impact on mental health. Vulnerability of individuals with pre-existing psychiatric illness was of concern but have been scarcely studied. While there has been extensive work on the effect of pandemic on the mental health of the general population, health care workers, infected persons and survivors, there has been little research on the impact of pandemic on people living with mental illness. AIMS-: The study aimed to ascertain Psychological impact of COVID-19 pandemic in patients with pre-existing mental illness and their current psychopathology. METHODOLOGY –: 100 participants aged 18-65 years, who visited Psychiatry OPD, were assessed using semi-structured proforma that included socio-demographic and clinical variables. The psychological impact due to life stress was assessed using the Impact of Event Scale. Current Psycho-pathology was assessed by DASS-21 scale. The perceived loneliness and social isolation were assessed by De Jong Gierveld Loneliness Scale. RESULTS-: Out of 100 participants, 55% reported to have faced variable degrees of difficulties during pandemic, 64% reported to have worsened mental illness, 40% faced difficulty in accessing medications, resulting in non-compliance. 61% managed to visit hospital during pandemic, while 35% could not access consultation services. Only 4% sought teleconsultation. Psychological impact of COVID was found to be positively correlated with the perceived loneliness and social isolation during quarantine( r=11.619, p=0.01). CONCLUSION-: These results highlight a significant impact of COVID-19 pandemic on mental health of psychiatric patients and elucidates prominent association with demographic factors and the difficulty to access mental health care. There is need to strengthen telepsychiatry services in recent times. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1047 | Psychological Coping and Resilience among Kashmiri Population during Covid-19 Pandemic BACKGROUND: Research has shown that the human response to mass crises or disasters can be varied, ranging from chronic anxiety, depression and posttraumatic stress to resilience and recovery. This in turn depends upon different coping strategies used by individuals and various socio-cultural factors of the region. Although a few studies have been done to assess the resilience during Covid-19 pandemic, they are limited to a particular target population and cannot be generalized to different populations of the world. AIMS: This study was planned to assess the various coping strategies used by the people of Kashmir and the level of their resilience during the Covid-19 pandemic. METHODS: It was a cross sectional descriptive study done at three districts of Kashmir (Baramulla, Srinagar, Shopian). Convenient sampling method was used and a total of 310 people were included in the study. Mental illness was ruled out using GHQ-12. Coping strategies were assessed by using Brief COPE and resilience was measured by using Connor-Davidson Resilience Scale. Data was analyzed using SPSS (23.0 version) software. RESULTS: The mean age of the sample population was 34 years. The most common coping methods used were religion (mean 6.13, SD=1.41), active coping (mean 5.59, SD=1.36) and acceptance (mean 5.56, SD=1.52). The mean resilience score of the study population was 65.87 (SD=13.7) which indicates high resilience level. Resilience had significant positive correlation with active coping,r(308)=.36,p=.001; acceptance,r(308)=.27,p=.001; positive reframing,r(308)=.26,p=.001; planning,r(308)=.23,p=.001 and emotional support,r(308)=.19,p=.001. CONCLUSION: The general Kashmiri population had a high resilience level in the wake of Covid-19 pandemic. Religion was the most commonly used coping mechanism. Positive coping mechanisms may lead to increased resilience among people during mass crisis or pandemics. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1048 | Stress in Healthcare Workers during COVID-19 Pandemic: A Cross-sectional online study from Northern India BACKGROUND : The healthcare workers being a vulnerable population during the COVID-19 pandemic is facing many mental health problems. Stress is one of the major issues which can lead to anxiety, depression and sleep problems. Stress can be due factors like fear of getting infected with the virus or spreading it to the family members, uncertainty related to running out of supplies of groceries or medications, troubled sleeping or recurrent thought of the virus, etc. An understanding of the magnitude of the stress causing factors will be helpful in planning and guiding the resources in a proper direction during and in future pandemics. AIM : To estimate the magnitude of covid related stress and its relation with the sociodemographic and clinical variables. METHODOLOGY: It was a cross-sectional online study. The study proforma included the semi-structured proforma and COVID Stress Scale (CSS). RESULTS AND DISCUSSION: : A total of 326 responses were received of which 311 were analysed. Higher mean scores were observed in the compulsive checking ( 6.15, SD 4.77) and danger and contamination subscale ( 5.94, SD4.74) of CSS while lower scores were observed in traumatic stress domain(1.59, SD3.36). Age, gender, marital status and category of healthcare professional were significant for xenophobia, while traumatic stress and socioeconomic consequence were significant in case who were married. A history of COVID-19 infection leads to more compulsive checking for COVID-10 infection and related information. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1049 | Mental Health Impact of COVID-19 Lockdown and its relationship with the Resilience among Undergraduate Health Sciences Students BACKGROUND: • Coronavirus disease 2019 (COVID-19) pandemic has caused a rapidly evolving as well as a psychologically distressful situation. • Undergraduate (UG) Health sciences students (HSSs) are prone to depression, anxiety, and stress during such pandemic period due to the negative impact of COVID-19 lockdown on their academics. AIM: • To assess the mental health impact of COVID-19 lockdown and its relationship with the resilience among undergraduate health sciences students. METHOD: • Data were collected from undergraduate health sciences students by using Depression, Anxiety, and Stress scale – 21 item (DASS -21) which was used to assess mental health impact of COVID-19 and the Brief Resilience Scale (BRS) which was used to assess the level of Resilience among study participants. • Data were analyzed by using SPSS 15, Chi-square, Fisher exact and Pearson’s correlation tests. RESULTS: • The prevalence of depression, anxiety, and stress were 7.6%, 6.3%, and 1.0% respectively. • As regards resilience, 1.3%, 56.7%, and 42.0% had high, normal, and low levels respectively. • Those study participants with high resilience had lower rates depression, anxiety, and stress as the psychological impact of COVID-19 lockdown. CONCLUSION: • Resilience acts as a protective factor against depression, anxiety, and stress due to COVID-19 lockdown. • Hence, programs to strengthen the resilience among undergraduate health sciences students must be the priority which can have preventing value during stressful period of pandemics. | Indian J Psychiatry | 2022 | CORD-19 | |
| 1050 | Workshop ProposalTitle: Establishing Good Practices Model for Comprehensive School Mental Health Promotion: An Orientation Training Workshop Good mental health is critical to children’s happiness and success in school life. It has been proven through research that students who receive social-emotional and mental health support achieve better academically. Health and well-being as a developmental goal is well articulated in National Education Policy (NEP) 2020. The covid-19 pandemic has impacted the psychosocial wellbeing of children and adolescents across the country. The WHO (2016) report on mental health estimates nearly 20% of children and adolescents are suffering from disabling mental illnesses worldwide. Suicide rates and self-harm attempts of Indian adolescents are one of the highest in the world, accounting for 25% of deaths in boys and 50-75% of deaths in girls aged 10-19 years. In recent times of Covid-19, a large spectrum of mental health issues affecting young minds and families have been reported. Schools are most impactful agents of change when it concerns the mental health and well-being of the students as these are the critical periods of student’s lives. It is the need of the hour to design a program for adaptive and positive behavior that enabling children and adolescents to deal effectively with the demands and challenges of everyday life. Developing core life skills from the early years in school through the Life Skills Education Paradigm is such a program which helps in evolving their awareness and creates responsible and empowered citizens for the country. Here students as ‘Life Skills and Wellbeing Ambassadors’ can play a vital role in creating a participatory climate for behavioral change and adapt to strengthen their inclusive environment. ‘The Adolescent Peer Educators Leadership Program for enriching Life Skills, Holistic Health and Wellbeing of students’ by Expressions India, has been a model of implementation in many parts of the country. The workshop will provide an opportunity to learn the methodology and implementation of Life Skills Training program. Establishing a life skills initiative at national level requires an infrastructure capable of developing a life skills program of widespread relevance and acceptability as well as managing the implementation and evaluation of the program over time. The hands-on training workshop for School Mental Health in India shall go a long way in promoting positive climate of psychosocial well-being in the school and minimizing the impact of mental health conditions. Name of proposed session speakers: a) Dr. Rushi, Associate Professor and Head, Department of Clinical Psychology, ABVIMS, Dr Ram Manohar Lohia Hospital, New Delhi Contact number: 9910457770 Email: rushi_arshad@hotmail.com b) Dr. Jitendra Nagpal, Sr. Consultant Psychiatrist and Incharge, Institute of Mental Health and Life Skills Promotion, Moolchand Medcity, New Delhi, Program Director - Expressions India: The National Life Skills, Values Education & School Wellness Program. Contact number: 9810054860 Email: jnagpal10@gmail.com | Indian J Psychiatry | 2022 | CORD-19 |
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