15 research outputs found
Psychological Health of Surgeons in a Time of COVID-19: A Global Survey
OBJECTIVE: To assess the degree of psychological impact among surgical providers during the COVID-19 pandemic. SUMMARY BACKGROUND DATA: 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. METHODS: 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. RESULTS: 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 p < 0.05). 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 p < 0.05). 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. CONCLUSIONS: 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
Penetran keratoplasti ve skleraya sütüre sulkus fiksasyonlu lenslerin ön segment travmalarının tedavisinde kombine uygulanması
Outcome of office probing and irrigation under topical anesthesia for congenital nasolacrimal duct obstruction
Purpose: To evaluate the office probing and minimal irrigation under topical anesthesia in congenital nasolacrimal duct obstruction for children older than I year
Thulium laser vaporesection of the prostate: Can we operate without interrupting oral antiplatelet/ anticoagulant therapy?
Purpose: Thulium vaporesection of the prostate (ThuVARP) is a new and safe approach for patients receiving anticoagulant therapy
in whom transurethral resection of the prostate (TURP) may possess a high bleeding risk. We aimed to demonstrate the efficacy
and safety of ThuVARP in patients receiving oral antiplatelet/anticoagulant (OAP/OAC) therapy.
Materials and Methods: A total of 103 patients who underwent ThuVARP between 2011 and 2013 were enrolled in the study. Patients
were divided into 2 groups. Group A consisted of 47 patients who underwent low molecular weight heparin (LMWH) bridging
and group B consisted of 56 patients who were operated on while receiving OAP/OAC therapy.
Results: The drop in hemoglobin levels in the pre- and postoperative periods was significantly higher in group A than in group B.
When subgroups were analyzed, the mean drop in hemoglobin was significantly lower in the warfarin and ticlopidine subgroups
of group B than in group A. International Prostate Symptom Scores were significantly lower 3, 12, 18, and 24 months after surgery
in group A than in group B. Quality of life scores, maximal flow rate values, and postmicturition residual urine volumes (mL) were
similar between the 2 groups. A total of 38 and 41 patients in groups A and B, respectively, had no complications.
Conclusions: Our study showed the safety profile of continuing different OAP/OAC therapies in terms of bleeding problems in patients
undergoing ThuVARP. We strongly recommend abandoning LMWH bridging and maintaining the OAP/OAC regimen patients
are already receiving
Hybrid Transvaginal NOTES Nephrectomy: Postoperative Sexual Outcomes. A Three-center Matched Study
Comparison and outcomes of dusting versus stone fragmentation and extraction in retrograde intrarenal surgery: results of a systematic review and meta-analysis
10.5173/ceju.2022.0148CENTRAL EUROPEAN JOURNAL OF UROLOGY75
Psychological Health of Surgeons in a Time of COVID-19: A Global Survey
Objective: To assess the degree of psychological impact among surgical providers during the COVID-19 pandemic.
Summary background data: 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.
Methods: 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.
Results: 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 p < 0.05). 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 p < 0.05). 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.
Conclusions: 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-1