The disease caused by the SARS-Cov 2 virus has spread to most areas of the world with high rates of infection and deaths. Facing the complicated developments of the epidemic, clinical medical staff (CMS) are at risk of suffering psychological pressure. This study aimed to investigate the situation of anxiety, depression, and related factors affecting CMS during the COVID-19 pandemic at Dong Da General Hospital and Dong Anh General Hospital in Hanoi. A cross-sectional study was conducted from April to July 2020 using self—administered questionnaires amongst 341 CMS. The participants’ anxiety levels were assessed using the standardized General Anxiety Disorder-7 (GAD-7) toolkit and levels of depression expression were assessed based on the standardized Patient Health Questionnaire-9 (PHQ-9) toolkit. Of the CMS who completed the questionnaire, 33.1% had an anxiety disorder and 23.2% exhibited mild to very severe depression. The factors associated with anxiety and depression were department of work, shortage of human resources, and discrimination from the community that directly affects the family of the CMS. The study results highlight the need for a training session to equip CMS with the skills required to cope with psychological stress in all circumstances in general and during the pandemic in particular. This training is especially important for those working in at-risk departments which are susceptible to infection.
Can Tho City is experiencing water stress driven by rapid global changes. This study assesses the spatiotemporal variation in surface water quality (SWQ) through a multivariate statistical approach to provide evidence-based scientific information supporting sustainable water resource management and to contribute to achieving the city’s sustainable development goals (SDGs). The complex SWQ dataset with 14 monthly-measured parameters at 73 sampling sites throughout the city were collected and analyzed. The obtained results indicated that average concentrations of biochemical oxygen demand (BOD), chemical oxygen demand (COD), dissolved oxygen (DO), total coliform (TC), turbidity, total suspended solids (TSS), and phosphate (PO43−) exceeded the permissible national levels. Spatially, cluster analysis (CA) was divided the city’s river basin into three different zones (mixed urban-industrial, agricultural, and mixed urban-rural zones). The key sources of SWQ pollution in these three zones were individually identified by principal component/factor analysis (PCA/FA), which were mainly related to domestic wastewater, industrial effluents, farming runoff, soil erosion, upstream sediment flows, and severe droughts. Discriminant analysis (DA) also explored that COD, DO, turbidity, nitrate (NO3−), and PO43− were the key parameters discriminating SWQ in the city among seasons and land-use zones. The temporally-analyzed results from Weighted Arithmetic Water Quality Index (WAWQI) estimation revealed the deterioration of SWQ conditions, whereby, the total polluted monitoring sites of the city, increased from 29% in 2013 to 51% in 2019. The key drivers accused of this deterioration were the expansion in built-up and industrial land areas, farming runoff, and droughts.
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