Complicaciones psiquiátricas de covid-19 en adultos

Since the appearance of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in December 2019, the ravages caused by the condition, as well as the suggestions of it, have been the cause of great investigation. Studies in previous epidemics have revealed a deep relationship with psychosocial consequences at the individual and community level during outbreaks, so the Covid-19 infection has not been left aside, recognizing that, despite the fact that it is a condition in which the appearance of signs or symptoms of respiratory origin predominates, extrapulmonary manifestations are frequent and are even currently related to neuropsychiatric disorders in which there has been a significant increase in the incidence of diagnoses to an increase in the severity of already known disorders . Inflammatory changes in the central nervous system mediated by cytokines would largely explain the functional damage, as well as the presence of neuropsychiatric symptoms, further highlighting the existence of individual susceptibility to infection and its complications in patients with already diagnosed psychiatric disorders. This article seeks to reinforce the existing knowledge between SARS-CoV-2 infection and neuropsychiatric conditions with the aim of promoting early identification and timely treatment of the processes triggered or associated with the medical condition, impacting positively and significantly in the prevention of late neuropsychiatric complications.Desde la aparición del Síndrome Respiratorio Agudo Severo Coronavirus 2 (SARS-CoV-2) en diciembre de 2019, los estragos causados por la condición, así como las implicaciones de esta han sido causa grande de investigación. Estudios en epidemias anteriores han revelado una profunda relación con consecuencias psicosociales a nivel individual y comunitario durante los brotes por lo que la infección por Covid-19 no ha sido dejada de lado reconociendo que, a pesar de que se trata de una condición en la que predomina la aparición de signos o síntomas de origen respiratorio, las manifestaciones extrapulmonares son frecuentes siendo inclusive actualmente relacionadas con alteraciones neuropsiquiátricas en las que se ha visto desde un aumento significativo en la incidencia de los diagnósticos hasta un incremento en la gravedad de los trastornos ya conocidos. Los cambios inflamatorios del sistema nervioso central mediado por citoquinas explicarían en gran medida el daño funcional, así como la presencia de síntomas neuropsiquiátricos resaltando aún más la existencia de una susceptibilidad individual para la infección y sus complicaciones en aquellos pacientes con trastornos psiquiátricos ya diagnosticados. En este artículo se busca reforzar el conocimiento existente entre la infección por SARS-CoV-2 y las condiciones neuropsiquiátricas con el objetivo de promover la identificación temprana y el tratamiento oportuno de los procesos desencadenados o asociados a la condición médica impactando de manera positiva y significativa en la prevención de las complicaciones neuropsiquiátricas tardías

ViSHWaS: Violence Study of Healthcare Workers and Systems—a global survey

Objective To provide insights into the nature, risk factors, impact and existing measures for reporting and preventing violence in the healthcare system. The under-reporting of violence against healthcare workers (HCWs) globally highlights the need for increased public awareness and education.Methods The Violence Study of Healthcare Workers and Systems study used a survey questionnaire created using Research Electronic Data Capture (REDCap) forms and distributed from 6 June to 9 August 2022. Logistic regression analysis evaluated violence predictors, including gender, age, years of experience, institution type, respondent profession and night shift frequency. A χ2 test was performed to determine the association between gender and different violence forms.Results A total of 5405 responses from 79 countries were analysed. India, the USA and Venezuela were the top three contributors. Female respondents comprised 53%. The majority (45%) fell within the 26–35 age group. Medical students (21%), consultants (20%), residents/fellows (15%) and nurses (10%) constituted highest responders. Nearly 55% HCWs reported firsthand violence experience, and 16% reported violence against their colleagues. Perpetrators were identified as patients or family members in over 50% of cases, while supervisor-incited violence accounted for 16%. Around 80% stated that violence incidence either remained constant or increased during the COVID-19 pandemic. Among HCWs who experienced violence, 55% felt less motivated or more dissatisfied with their jobs afterward, and 25% expressed willingness to quit. Univariate analysis revealed that HCWs aged 26–65 years, nurses, physicians, ancillary staff, those working in public settings, with >1 year of experience, and frequent night shift workers were at significantly higher risk of experiencing violence. These results remained significant in multivariate analysis, except for the 55–65 age group, which lost statistical significance.Conclusion This global cross-sectional study highlights that a majority of HCWs have experienced violence, and the incidence either increased or remained the same during the COVID-19 pandemic. This has resulted in decreased job satisfaction