The emergency visits for back and neck pain during lockdowns

Purpose To assess the rate of visits to the emergency department of our medical center concerning low back or neck pain as a factor of COVID-19 confinement. Methods The study period was a 30-week interval during the COVID-19 pandemic contrasted by a similar stretch in the year preceding the epidemic. Visits to the emergency department prompted by low back or neck pain were recorded prior to and during lockdowns of the pandemic. The significance of the confinements for the development of pain syndromes was evaluated. Results A total of 1530 patients with newly diagnosed back or neck pain were enrolled. Most patients visited our emergency department for low back pain, commonly those older than 60 years. No significant gender variance was disclosed, although most visits of females were for low back pain. Low back pain presentations were curbed following confinement, but the rate of stays for neck pain swelled by more than 10%. Despite back pain predominance, visits for neck pain persisted. Before COVID-19, the average weekly number of emergency department visits was 38.5. This was followed by sharp drops during the COVID-19 lockdown (mean difference=-22.2, 95% CI=-28.7, -15.7, p<0.001) (not significant). Conclusions COVID-19 lockdowns have a significant impact on emergency department presentations due to back and neck pain. A higher rate of presentation for back pain compared to neck pain is probably related to COVID-19, without being affected directly by SARS-CoV-2: confinement-induced immobility might instigate musculoskeletal sequelae, which may be attributed to stress or other psychosocial afflictions.

Kemampuan penalaran matematis mahasiswa berdasarkan variasi gender dan self-efficacy matematis

The purpose of this study was to determine the differences in mathematical reasoning ability (KPM) based on gender variation (VG) and mathematical self-efficacy (SEM). Quantitative research was chosen to answer the research question. The research design used comparative causality on 75 students at a State University in Mataram City. Data collection was based on gender variance in the selected sample (51 women and 24 men, KPM test scores consisting of 5 items, and a 20-point SEM questionnaire, which were further categorized into 3 levels (low, medium and high). Analysis The data used two-way ANOVA with a 3 x 2 factorial design. The post-anava follow-up test used the turkey test. The results showed that male KPM was better than female KPM. Based on SEM category, student KPM at high SEM was better than student KPM at low SEM This finding emphasizes the importance of instructors being able to observe the characteristics of self-efficacy and gender variations that have an impact on the mathematics learning process.

The Impact of COVID-19 On Emergency Visits For Back And Neck Pain

Purpose: To assess the rate of visits to the emergency department of our medical center concerning low back or neck pain, as a factor of COVID-19 confinements.Methods: The study period was a 30-weeks interval during the COVID-19 pandemic contrasted by a similar stretch in the year preceding the epidemic. The visits to the Emergency Department, prompted by low back or neck pain, were recorded prior and during lockdowns of the pandemic. The significance of the confinements for the development of the pain syndromes was evaluated.Results: A total of 1530 patients with newly diagnosed back or neck pain were enrolled. Most patients visited our emergency department for low back pain, commonly those older than 60 years. No significant gender variance was disclosed, though most visits of females were for low back pain. Low back pain presentations were curbed following confinement, but the rate of stays for neck pain had swelled by more than 10%. Despite back pain predominance, visits for neck pain persisted. Before COVID-19, the average weekly number of Emergency Department visits was 38.5. This was followed by sharp drops during COVID-19 lockdown (mean different=-22.2, 95%CI=-28.7, -15.7, p<0.001) (not significant).Conclusions: COVID-19 lockdowns have a significant impact on the Emergency Department’s presentations due to back and neck pain. A higher rate of presentation for back pain compared to neck pain is probably related to COVID-19, without being affected directly by the SARS-CoV-2: confinement-induced immobility might instigate musculoskeletal sequels, which may be attributed to stress or other psycho-social afflictions.

Multidimensional and Intersectional Gender Identity and Sexual Attraction Patterns of Adolescents for Quantitative Research

To identify and compare gender identity and sexual attraction (GISA) patterns using a latent class analysis (LCA), questionnaire data from a cross-sectional study on social resilience in adolescence was conducted in 2020, using a sample of 785 Swiss seventh grade high school students. Following McCall’s complex intersectionality approach, we applied an intracategorical and intersectional approach to reshape, differentiate, and critique the existing binary, heteronormative GISA categorization. To empirically validate the detected classes according to content, we measured the participants’ psychological characteristics with measures of self-esteem, social competence, symptoms of anxiety and depression, dissociation, social desirability, and emotional styles, and related these measures to the respective GISA patterns the LCA detected. The results of our multistep LCA endorsed that heteronormatively binary gender identities are far too simplistic to fully illustrate adolescents’ differences and similarities where gender is concerned. Out of the subsample of n = 785 adolescents (375 identified as “assigned females” and 410 “assigned males”), three significant subgroups of multidimensional GISA patterns emerged for both assigned females and males where differences within the identified GISA groups were larger than those between traditional “boys” and “girls” overall. The LCA demonstrated that the six classes with GISA indicators could be described as low GISA diverse (cis/heterosexual), intermediate GISA diverse (gender identity diverse and/or sexual diverse), high GISA diverse (gender diverse/sexual diverse) for both assigned males and females thus showing that GISA and the psychological state according to gender variance is greater within groups of assigned females and assigned males than between these groups.

Assessment of the Working Posture among Dental Students to Prevent Musculosk ent Musculoskeletal Disor eletal Disorders

Poor working posture among dental practitioners has been known to cause musculoskeletal disorders (MSDs), which are made worse by lengthy procedures and a lack of awareness about the proper working posture. Objectives: To assess the working posture of clinical dental students to determine if interventions were needed to reduce MSDs. Methods: The working postures of 225 clinical dental students were recorded and assessed within 10 minutes into procedures from March-December 2019, using the Rapid Upper Limb Assessment (RULA) method. The results were then statistically analysed using chi-square and Fisher’s exact tests. Results: Of the 225 students observed, 64 (28.4%; 95% CI: 23.1-35.7%) were classified as having RULA scores of 1-2 and 3-4, 141 (62.7%; 95% CI: 58.4- 65.7%) had RULA scores of 5-6 and 19 (8.4%; 95% CI:5.3-12.4%) had RULA scores of 7. Only one student had a RULA score of 1-2, where posture was considered acceptable. The working postures of the students in year 4 (P<0.001) were worse than those of the students in the other clinical years. No significant difference was observed concerning gender variance. Conclusion: Students’ working postures should be evaluated frequently, and other tools, for example, dental loupes, should be provided to help them maintain good working postures

Un-boxing Gender Variance: A Preliminary Investigation into Patient Satisfaction with Services for Gender Variance within the NHS.

SUBMITTED AS PART OF A PSYCHOLOGY BSc. To knowledge, previous research into gender variance has not differentiated subgroups of trans people in terms of their clinical presentations. This study examined different types of gender variant people in terms of their satisfaction with health care services, both general (primary care) and specific to their needs (gender identity clinics; GIC). An online questionnaire assigned participants to groups according to their symptomology and took measures of satisfaction of each clinical setting that trans people wishing to seek expert advice (in order to transition or not) must attend. No significant differences in satisfaction were found between types of trans people or among distinct clinical settings. However, “competency of practitioner” (an aspect of care known to hold importance for trans people), was found to be significantly higher at the GICs. These findings support previous literature on the nature of trans people as a whole and explore new ways to include certain subgroups of gender variant people in research.