Prevalence of mental health problems in medical residents in the context of the COVID-19 pandemic

Introducción: existe una alta prevalencia de problemas de salud mental en el gremio médico y especialmente en los residentes de especialidades médico-quirúrgicas, asociado a múltiples factores de riesgo los cuales, se han exacerbado por los factores de estrés relacionados con la pandemia por COVID-19. Sin embargo, en Colombia no hay estudios recientes que muestren información al respecto. Propósito: caracterizar los problemas de salud mental (síntomas depresivos, ansiosos, ideación suicida, síndrome de burnout y consumo problemático de alcohol y sustancias psicoactivas) en residentes de especialidades médico-quirúrgicas en Colombia asociadas a la pandemia por SARS CoV 2 (COVID-19). Materiales y Métodos: se realizó un estudio de tipo corte transversal. Utilizando el programa “Microsoft Forms” se diseñó un auto cuestionario virtual, el cual se envió en el periodo comprendido entre octubre del 2020 a febrero del 2021. La población estuvo constituida por médicos que estuvieran cursando cualquier año de residencia en territorio nacional. Se indago acerca de las características sociodemográficas, el cómo han vivenciado la pandemia y se aplicaron las escalas auto aplicadas: PHQ-9, GAD-7, escala de ideación suicida de Roberts, CAGE, DAST-10 y Burnout screening inventory (BSI). Resultados: 95 personas respondieron el cuestionario. Del total, 56 (58,9%) fueron mujeres, con una edad media de 29 años. Se evidenció la presencia de síntomas ansiosos y depresivos en el 34,7% (n= y 32,8% (n= de forma respectiva. Un 24,2% (n= exhibieron ideación suicida, 11,6% (n= síndrome de Burnout, 25,2% (n= presentaron consumo problemático de alcohol, y solamente una persona mostró abuso o dependencia para sustancias psicoactivas. Se observó una tendencia a mayores niveles de problemas de salud mental cuando el residente o un ser cercano estuvieron expuestos al COVID-19.Introduction: there is a high prevalence of mental health problems in the medical profession and especially in residents of medical surgical specialties, associated with multiple risk factors which have been exacerbated by stress factors related to the COVID-19 pandemic. However, in Colombia there are no recent studies that show information in this regard. Objectives: to characterize the mental health problems (depressive and anxious symptoms, suicidal ideation, burnout syndrome and problematic use of alcohol and psychoactive substances of physicians in residency programs in Colombia, in association with the SARS CoV 2 (COVID-19) pandemic. Methods: a cross sectional study was carried out, from OCT 2020 to FEB 2021 a virtual survey was sent to those doctors who were studying any year of residence in the national territory. Sociodemographic characteristics, how they have experienced the pandemic, as well as several self-applied instruments including: PHQ-9, GAD-7, Roberts suicide ideation scale, CAGE, DAST-10 and Burnout screening inventory (were assessed. Results: 95 people answered the questionnaire. 56 (were women with a mean age of 29 years. The presence of anxious and depressive symptoms was evidenced in 34.7% (n= and 32.8% (n= of the participants, respectively. 24.2% (n 23) exhibited suicidal ideation, 11.6% (n 11) burnout syndrome, 25.2% (n 24) presented problematic alcohol consumption, and only one person described abuse or dependence for psychoactive substances. Likewise, a trend to higher levels of mental health problems was observed when the physicians was exposed to or a person close to COVID-19.2022-02-05 16:35:01: Script de automatizacion de embargos. Correo enviado 5 feb 2022: Hemos realizado la publicación de su documento: Prevalencia de problemas de salud mental en residentes de medicina en el contexto de la pandemia por COVID-19, el cual puede consultar en el siguiente enlace: https://repository.urosario.edu.co/handle/10336/33573 Identificamos que ha marcado como restringido en el formulario, pero no realizo la notificación al correo [email protected], justificando la medida restrictiva al acceso del texto completo de su obra, frente a lo cual, el documento ha quedado embargado solo por un mes hasta el 5 de marzo de 2022 en concordancia con las Políticas de Acceso Abierto de la Universidad. Si usted desea dejarlo con acceso abierto antes de finalizar dicho periodo o si por el contrario desea extender el embargo al finalizar este tiempo, puede enviar un correo a esta misma dirección realizando la solicitud. Tenga en cuenta que los documentos en acceso abierto propician una mayor visibilidad de su producción académica. De otra parte, si desea publicar su obra en una revista de prestigio, queremos invitarlo a tomar una asesoría con nuestros asesores de información del CRAI, quienes podrán brindarle orientación en la identificación de una revista adecuada para su obra y acompañamiento en la edición para publicación. La solicitud de asesoría puede agendarla en el siguiente link: https://n9.cl/agendamiento_servicios_crai2022-03-08 09:06:41: Script de automatizacion de embargos. info:eu-repo/date/embargoEnd/2022-03-0

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence of mental health problems in medical residents in the context of the COVID-19 pandemic

Introducción: existe una alta prevalencia de problemas de salud mental en el gremio médico y especialmente en los residentes de especialidades médico-quirúrgicas, asociado a múltiples factores de riesgo los cuales, se han exacerbado por los factores de estrés relacionados con la pandemia por COVID-19. Sin embargo, en Colombia no hay estudios recientes que muestren información al respecto. Propósito: caracterizar los problemas de salud mental (síntomas depresivos, ansiosos, ideación suicida, síndrome de burnout y consumo problemático de alcohol y sustancias psicoactivas) en residentes de especialidades médico-quirúrgicas en Colombia asociadas a la pandemia por SARS CoV 2 (COVID-19). Materiales y Métodos: se realizó un estudio de tipo corte transversal. Utilizando el programa “Microsoft Forms” se diseñó un auto cuestionario virtual, el cual se envió en el periodo comprendido entre octubre del 2020 a febrero del 2021. La población estuvo constituida por médicos que estuvieran cursando cualquier año de residencia en territorio nacional. Se indago acerca de las características sociodemográficas, el cómo han vivenciado la pandemia y se aplicaron las escalas auto aplicadas: PHQ-9, GAD-7, escala de ideación suicida de Roberts, CAGE, DAST-10 y Burnout screening inventory (BSI). Resultados: 95 personas respondieron el cuestionario. Del total, 56 (58,9%) fueron mujeres, con una edad media de 29 años. Se evidenció la presencia de síntomas ansiosos y depresivos en el 34,7% (n= y 32,8% (n= de forma respectiva. Un 24,2% (n= exhibieron ideación suicida, 11,6% (n= síndrome de Burnout, 25,2% (n= presentaron consumo problemático de alcohol, y solamente una persona mostró abuso o dependencia para sustancias psicoactivas. Se observó una tendencia a mayores niveles de problemas de salud mental cuando el residente o un ser cercano estuvieron expuestos al COVID-19.Introduction: there is a high prevalence of mental health problems in the medical profession and especially in residents of medical surgical specialties, associated with multiple risk factors which have been exacerbated by stress factors related to the COVID-19 pandemic. However, in Colombia there are no recent studies that show information in this regard. Objectives: to characterize the mental health problems (depressive and anxious symptoms, suicidal ideation, burnout syndrome and problematic use of alcohol and psychoactive substances of physicians in residency programs in Colombia, in association with the SARS CoV 2 (COVID-19) pandemic. Methods: a cross sectional study was carried out, from OCT 2020 to FEB 2021 a virtual survey was sent to those doctors who were studying any year of residence in the national territory. Sociodemographic characteristics, how they have experienced the pandemic, as well as several self-applied instruments including: PHQ-9, GAD-7, Roberts suicide ideation scale, CAGE, DAST-10 and Burnout screening inventory (were assessed. Results: 95 people answered the questionnaire. 56 (were women with a mean age of 29 years. The presence of anxious and depressive symptoms was evidenced in 34.7% (n= and 32.8% (n= of the participants, respectively. 24.2% (n 23) exhibited suicidal ideation, 11.6% (n 11) burnout syndrome, 25.2% (n 24) presented problematic alcohol consumption, and only one person described abuse or dependence for psychoactive substances. Likewise, a trend to higher levels of mental health problems was observed when the physicians was exposed to or a person close to COVID-19

A global metagenomic map of urban microbiomes and antimicrobial resistance

We present a global atlas of 4,728 metagenomic samples from mass-transit systems in 60 cities over 3 years, representing the first systematic, worldwide catalog of the urban microbial ecosystem. This atlas provides an annotated, geospatial profile of microbial strains, functional characteristics, antimicrobial resistance (AMR) markers, and genetic elements, including 10,928 viruses, 1,302 bacteria, 2 archaea, and 838,532 CRISPR arrays not found in reference databases. We identified 4,246 known species of urban microorganisms and a consistent set of 31 species found in 97% of samples that were distinct from human commensal organisms. Profiles of AMR genes varied widely in type and density across cities. Cities showed distinct microbial taxonomic signatures that were driven by climate and geographic differences. These results constitute a high-resolution global metagenomic atlas that enables discovery of organisms and genes, highlights potential public health and forensic applications, and provides a culture-independent view of AMR burden in cities.Funding: the Tri-I Program in Computational Biology and Medicine (CBM) funded by NIH grant 1T32GM083937; GitHub; Philip Blood and the Extreme Science and Engineering Discovery Environment (XSEDE), supported by NSF grant number ACI-1548562 and NSF award number ACI-1445606; NASA (NNX14AH50G, NNX17AB26G), the NIH (R01AI151059, R25EB020393, R21AI129851, R35GM138152, U01DA053941); STARR Foundation (I13- 0052); LLS (MCL7001-18, LLS 9238-16, LLS-MCL7001-18); the NSF (1840275); the Bill and Melinda Gates Foundation (OPP1151054); the Alfred P. Sloan Foundation (G-2015-13964); Swiss National Science Foundation grant number 407540_167331; NIH award number UL1TR000457; the US Department of Energy Joint Genome Institute under contract number DE-AC02-05CH11231; the National Energy Research Scientific Computing Center, supported by the Office of Science of the US Department of Energy; Stockholm Health Authority grant SLL 20160933; the Institut Pasteur Korea; an NRF Korea grant (NRF-2014K1A4A7A01074645, 2017M3A9G6068246); the CONICYT Fondecyt Iniciación grants 11140666 and 11160905; Keio University Funds for Individual Research; funds from the Yamagata prefectural government and the city of Tsuruoka; JSPS KAKENHI grant number 20K10436; the bilateral AT-UA collaboration fund (WTZ:UA 02/2019; Ministry of Education and Science of Ukraine, UA:M/84-2019, M/126-2020); Kyiv Academic Univeristy; Ministry of Education and Science of Ukraine project numbers 0118U100290 and 0120U101734; Centro de Excelencia Severo Ochoa 2013–2017; the CERCA Programme / Generalitat de Catalunya; the CRG-Novartis-Africa mobility program 2016; research funds from National Cheng Kung University and the Ministry of Science and Technology; Taiwan (MOST grant number 106-2321-B-006-016); we thank all the volunteers who made sampling NYC possible, Minciencias (project no. 639677758300), CNPq (EDN - 309973/2015-5), the Open Research Fund of Key Laboratory of Advanced Theory and Application in Statistics and Data Science – MOE, ECNU, the Research Grants Council of Hong Kong through project 11215017, National Key RD Project of China (2018YFE0201603), and Shanghai Municipal Science and Technology Major Project (2017SHZDZX01) (L.S.

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study (Intensive Care Medicine, (2021), 47, 2, (160-169), 10.1007/s00134-020-06234-9)

The original version of this article unfortunately contained a mistake. The members of the ESICM Trials Group Collaborators were not shown in the article but only in the ESM. The full list of collaborators is shown below. The original article has been corrected

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Development of the CMS detector for the CERN LHC Run 3

International audienceSince the initial data taking of the CERN LHC, the CMS experiment has undergone substantial upgrades and improvements. This paper discusses the CMS detector as it is configured for the third data-taking period of the CERN LHC, Run 3, which started in 2022. The entire silicon pixel tracking detector was replaced. A new powering system for the superconducting solenoid was installed. The electronics of the hadron calorimeter was upgraded. All the muon electronic systems were upgraded, and new muon detector stations were added, including a gas electron multiplier detector. The precision proton spectrometer was upgraded. The dedicated luminosity detectors and the beam loss monitor were refurbished. Substantial improvements to the trigger, data acquisition, software, and computing systems were also implemented, including a new hybrid CPU/GPU farm for the high-level trigger