Background: Health providers working in non-COVID hospitals in Bangladesh may be at an increased risk of infection with the new coronavirus, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) compared to health providers working in COVID-dedicated hospitals due to lower health security measures. Consequently, health practitioners working at such hospitals may be the most vulnerable health group to stress-related problems and mental illness. To our knowledge, there is no study assessing stress-related problems in this particular population and how this group compares to those working in COVID-dedicated units in terms of pandemic-related stress.Methods: An online survey was carried out among 247 medical doctors from Bangladesh (101 females and 146 males). We report descriptive statistics and several group comparisons.Results: The overall stress level among participants was moderated. There were no statistically significant differences in pandemic-related stress between those working in COVID units and those working in regular units. Most participants knew both co-workers and people close to them who had tested positive for SARS-CoV-2. Half of the participants knew someone close to them who had died from COVID-19and 24.7% had got infected themselves.Conclusions: Medical doctors working in Bangladesh experience significant pandemic-related stress regardless of whether they work in COVID-dedicated units or regular units. Our data highlights the importance of detecting stress in health professionals and developing strategies that aim at reducing the same.
Background Nonoperative treatment (NOT) of pediatric appendicitis as opposed to surgery elicits great debate and is potentially influenced by physician preferences. Owing to the effects of the COVID-19 pandemic on health care, the practice of NOT has generally increased by necessity and may, in a post–COVID-19 world, change surgeons’ perceptions of NOT. Objective The aim of this study was to determine whether the use of NOT has increased in South Asia and whether these levels of practice would be sustained after the pandemic subsides. Methods A survey was conducted among pediatric surgeons regarding their position, institute, and country; the number of appendicitis cases they managed; and their mode of treatment between identical time periods in 2019 and 2020 (April 1 to August 31). The survey also directly posed the question as to whether they would continue with the COVID-19–imposed level of NOT after the effect of the pandemic diminishes. Results A total of 134 responses were collected out of 200 (67.0%). A significant increase in the practice of NOT was observed for the entire cohort, although no effect was observed when grouped by country or institute. When grouped by position, senior physicians increased the practice of NOT the most, while junior physicians reported the least change. The data suggest that only professors would be inclined to maintain the COVID-19–level of NOT practice after the pandemic. Conclusions Increased practice of NOT during the COVID-19 pandemic was observed in South Asia, particularly by senior surgeons. Only professors appeared inclined to consider maintaining this increased level of practice in the post–COVID-19 world.
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