The effect of Bach flower remedies on quality of life and sleep in hospital professionals during the Covid-19 pandemic

Background:Health-related quality of life and sleep are linked for hospital staff on the night shift.In the context of COVID-19 these workers have become a vulnerable group.The World Health Organization(WHO)warns that this pandemic is likely to have short-and long-term impacts on mental health.Despite the importance of this issue,there are few studies that propose strategies and interventions forcoping and adapting to the situation.Objective:To evaluate the effectiveness of Bach flower therapy for improving the quality of life and sleep of night shift workers in the hospital setting during COVID-19.Methodology:Mixed methodology.Observational,analytical,longitudinal study,with case and control groups.A total of 150 health professionals who work on the night shift took part in the study,which consisted in participants taking Bach flowers orally.The SF-12v2,Oviedo Sleep Questionnaire,andan ad hoc questionnaire were applied pre and post intervention.Results:The mental health component,insomnia and emotion management,showed significant results in the intervention group(P=0.007,n=26)compared to the control group(P=0.202)in mental health and in insomnia(P=0.490,n=34).Other results show that 82.6%of the sample suffers from insomnia,of which 13.3%have severe symptoms and 38%show risk of depression.Conclusion:Bach Flower Remedies demonstrated to be effective in improving night shift workers’mental health component(measured with SF-12v2),insomnia and emotion management during the COVID-19 lockdown.Bach Flower Remedies could be used as a coping strategy in complex situations within the hospital setting.

Cancer in the Elderly

The transition to old age involves a series of events, including those that are objectively defined and others that individuals evaluate subjectively. The aim of this review study is the investigation, highlighting and information about the multiple effects of cancer on the elderly. An extensive review of the relevant literature was performed via electronic databases （Medline, PubMed, CINAHL and Google scholar） and Greek and international journals. The exclusion criterion for the articles was the language other than Greek and English. The risk of cancer increases with age, resulting in an increased number of older people seeking treatment. Caring for elderly people with cancer differs from that of adults because of the biological differences in tumor, coexistence of morbidity, as well as various psychosocial issues that can affect the effectiveness of treatment. Despite the reduction in the mortality rate of cancer, the aging of the population is accompanied by a significant increase in the overall number of cancer patients. The main nursing care goal is the limitation of biological and atomic forces and characteristics＇ loss and the adjustment of the elderly to the different phases of the disease. Finally, in the later stages of the disease, the nurse often provides just palliative care.

Prevalence of depression and anxiety among children with type 1 and type 2 diabetes:a systematic review and meta-analysis

Background Evaluation of psychiatric disorders in children is essential in timely treatment.Despite individual studies,there is no information on the exact status of psychiatric disorders in children.The present study was conducted to determine the prevalence of depression among children with type 1 and type 2 diabetes.Methods This meta-analysis is registered with PROSPERO(CRD42021231491).Several databases(Web of Science,Scopus,and PubMed)were searched from January 1,2000 to December 15,2020.The key words included:depression,anxiety,children,and diabetes.The steps of search,comprising screening,risk of bias,and extraction of study data,were performed separately by two researchers.Results It was found that a total of 109 studies had been conducted involving 52,493 children with type 1 and type 2 diabetes.These studies were included in the present review study.The prevalence of depression,anxiety among children with type 1 diabetes were 22.2%[95%confidence interval(CI)19.2–25.2],and 17.7%(95%CI 15.2–20.1),respectively.The prevalence of depression was higher among girls(29.7%)than boys(19.7%).The prevalence of depression was higher in lower-middle-income countries at 29.3%(95%CI 18.6–40.0).The prevalence of depression among children with type 2 diabetes was 22.7%(95%CI 17.3–28.0).Conclusion The results of the present study indicate the importance of paying attention to extensive periodic screening and appropriate activities to reduce pediatric depression.

An evaluation of a health screening program for migrant women to Taiwan,China

Objective:We aimed to evaluate an integrated screening program for female migrants to Taiwan.Method:We performed a mixed methodological evaluation of a public health nurse(PHN)-led intervention to promote an integrated screening program for female migrants to Taiwan.The clini-cal case yield was determined by an audit,and staff/client questionnaires were used for the evalua-tion.Screening comprised surveillance for four untreated chronic diseases(hypertension,diabetes mellitus,tuberculosis,and liver disease),four cancers(mouth,bowel,liver,and cervix),parasitic infection,and hyperlipidemia.Results:Three hundred and thirty-six PHNs and 4751 immigrant women-with an average age of 29.2 years,most of whom were from Vietnam(44%)or China's Mainland(41%)-took part in the programme.Two thirds of screened women had no abnormalities.Further investigation was required in 1523 women,of whom 1220 were found to have significant disease.The majority of 280 PHNs(85%)found the content,processes,and waiting time to be‘highly acceptable’and thought the program was worthwhile and could be incorporated into standard care.Conclusions:The Taipei County Comprehensive Health Screening Programme provided an accessible,free-of-charge,and preventative intervention for female migrants to Taiwan and had a good clinical case yield.