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COVID-19, which quickly became a global problem, in addition to its effects on public health, is very important in terms of the effect on mental health and anxiety in health care providers. Job burnout should be considered during such health crises. The study design is a cross-sectional study. A total of 87 health care providers (nurses and physicians) were included in the study. Their general information such as age, gender, years of experience, and hours working in COVID-19 was asked. They all filled Maslach burnout inventory, a questionnaire measuring job burnout with three dimensions: Emotional exhaustion (EE), Depersonalization (DP), and personal accomplishment (PA). We found that in physicians, EE (r:0.54, P<0.001) and DP were correlated with hours working in the COVID-19 ward, but no such correlation was found in nurses. Physicians had a higher DP score (mean 12.66 vs. 8.28, P<0.001) and lower PA score (mean 22.71 vs. 25.62, P:0.004) both of them represent higher burnout levels in physicians. Comparing our results with previous studies show that during the COVID-19 breakout higher level of job burnout could be found in health care workers, especially in physicians. Hours working in COVID-19 special wards can increase the level of burnout.

Objective: This study was conducted to assess the effectiveness of Ultrasound-guided Core Needle Biopsy (US-CNB) to provide sufficient information for diagnosis and initiation of the treatment for head and neck lymphoma. Study Design: We carried out the prospective consecutive case series in a single-center study. Setting: The tertiary medical center setting. Patients and Methods: Totally, 72 patients were enrolled and the US-CNB of suspicious cervical lymph node was performed. Demographics, imaging and pathological data were collected for each patient and used to identify the factors that shape the diagnostic yield of US-CNB. Results: We observed among 72 CNBs 52 were fully diagnosed and 20 cases needed Excisional Surgical Biopsy for subclassification. Then the factors influencing the results of the US-CNB, as the first-line diagnostic procedure for suspected cervical lymphadenopathy were discussed. The CNB results did not differ in terms of BMI, neck circumference and pathological subtype. Fully diagnosis CNB results demonstrated an association with higher mean tumor size and LAP in cervical zones 1 to 4 rather than posterior triangle. Conclusion: About 30% of the patients in the present study required ESB after US-CNB for fully diagnosis and this delayed their treatment. Therefore, the use of US-CNB as a primary method in assessment of cervical lymphadenopathy still needs more studies to investigate the factors influencing the results and shaping its diagnostic yield.

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Since the late 2019 months’ pandemic of Corona Virus Disease-2019 (COVID-19), it has spread globally and claimed abundant lives due to its expeditious interpersonal transmission and high mortality rate. Early studies showed that the upper aerodigestive tract procedures had the highest rates of nosocomial spread due to high viral load in upper respiratory and pharyngeal secretions. Between March 10 and April 10, 2020, a total of 28 rigid endoscopies were performed under general anesthesia for the removal of esophageal foreign bodies at our center. All the patients were screened on admission for symptoms of COVID-19 and a chest CT scan was performed and they were later followed up for further investigations. No patient had symptoms of COVID-19 (fever, cough, and dyspnea) on admission, and only one patient (3.57 %) had a suspicious CT scan for COVID-19. The mean age of 27 asymptomatic cases, including 14 men and 13 women, was 45.2 years old. Their average hospital stay was 0.8 days. all patients were later interviewed, inspected, and closely observed for any upcoming symptoms which would raise suspicion for COVID-19 during isolation. Of the 27 patients who cooperated, none showed COVID-19 symptoms. What makes this experiment prominent is that with suitable plans in a careful and precautionary manner, we can provide first-rate care for patients and meanwhile protect physicians during this pandemic promptly.