Perimenopause is a transitional state which occurs in women in their mid-life. These women may experience climacteric symptoms that affect their day-to-day life. The aim of the study was to assess and compare climacteric symptoms and their impact on daily lives among employed and unemployed perimenopausal women. A cross-sectional survey was done on 160 rural south Indian women aged 40 to 55 years who were identified as symptomatic of perimenopause as per the Stages of Reproductive Aging Workshop 10+ (STRAW) staging criteria. The study participants were grouped as employed and unemployed. Climacteric symptoms were assessed using Greene Climacteric Scale and climacteric symptoms’ impact on daily lives was measured using a structured self-administered questionnaire. Both descriptive and inferential statistics were used to compare the variables between the two groups. The total Greene Climacteric score for unemployed perimenopausal women were found to be significantly higher than the employed group of perimenopausal women (14.5 ± 7.23 versus 12.52 ± 4.9, p < 0.05). The majority (58.8%) of the employed group had minimum impact whereas; the majority (51.2%) of the unemployed group had an average impact score. There was a strong positive correlation between climacteric symptoms and their impact on the daily lives of perimenopausal women. Employment status is a significant factor in causing variation in the climacteric symptoms. Unemployed perimenopausal women suffered more climacteric symptoms than their employed counterparts.

Background: Vaccination against SARS-CoV-2 is widely used and confers protection against morbidity and mortality in COVID-19. Little is known about disease severity and outcomes in fully vaccinated patients during hospitalization for COVID-19. Aim: To determine whether vaccination status and time from vaccination-to-hospitalization impacted disease severity in patients admitted with COVID-19. Methods: A multicenter retrospective cohort study was conducted on hospitalized adults with COVID-19 between January 1 and September 8, 2021, in Rhode Island, USA. Vaccination status and markers of disease severity, including C-reactive protein, D-Dimer values, and supplemental oxygen use during hospitalization, were obtained. Results: Two thousand three hundred forty-four patients were included. For every vaccinated patient, three unvaccinated patients were matched for a total of 424 patients in the analytic sample. Vaccinated patients had lower peak C-reactive protein (beta = −39.10, 95% CI [–79.10, −0. 65]) and supplemental oxygen requirements (beta = −38.14, 95% CI [–61.62, −9.91]) compared to unvaccinated patients. Patients who had a greater discrepancy between date of vaccination and admission had higher C-reactive protein (beta = 0.37, 95% CI [0.02, 0.71]) and supplemental oxygen requirements (beta = 0.44, 95% CI [0.15, 0.75]. Conclusion: Vaccination against SARS-CoV-2 was associated with a protective effect on disease severity during hospitalization for breakthrough COVID-19. Time elapsed since vaccination was associated with indicators of greater disease severity suggestive of waning protection over time.

India experienced a growing burden of elderly population associated with both physical and mental health challenges. Among the mental health problems, dementia, depression, anxiety and sleep disorder are of significant concern. This present study investigates the association between the types of living arrangement and the mental health of elderly in India. Comparison has been done between empty nest and non-empty nest elderlies. Data from first wave of Longitudinal Aging Study in India (2017–18) has been used. It is a nationally representative data which collected data from over 72,000 individuals aged 45 and above and their spouses irrespective of age. We used the Center for Epidemiological Studies Depression Scale (CES‐D) to measure depression while living arrangement was self-reported by the respondents. Univariate and multivariate analyses were carried out to find significant association of the outcome and independent variables. Among the total elderlies, 11% were from empty nest single households, 20% were from empty nest couple households and others were from the non-empty households. At national level, 30% elderly suffered from depression. It was more among the elderly of empty nest single households (43%), compared to elderly of empty nest couple households (30%) and non-empty nest households (28%). Gender, socio economic status, self-rated health status, financial stability, place of residence plays a crucial role in the experience of depression among the elderlies. Results portray that household structure, especially living arrangement and familial support in old age can be associated with the overall health and wellbeing, more specifically depressive symptoms among the elderly.

The article assists with understanding the need to change the current accessible clinical resources; as well as gauging and sorting out the devices needed to provide food the uncommon requirements of the COVID-19 patients without trading off the smooth working of the medical services office without taking a chance with the security of the medical care experts conveying it. A primary objective of this study is to provide interim guidance for planning the medical equipment for an isolation facility in a way that satisfies the needs of patients in an exact manner. Additionally, to assist healthcare facility to follow the accreditation standards and plan the modifications necessary to ensure the safety of patients and employees. The documents reviewed for this study mainly focus on providing interim guidance, specifications, and essential devices for setting up of quarantine facilities in a COVID-19 healthcare facility. This study assists with understanding the rules to keep up with the current accessible clinical supplies and intending to procure more and usage of them at which departments to cater the extraordinary necessities of the COVID-19 patients without bargaining the smooth working of the medical care office and not taking a chance with the wellbeing of the medical care experts conveying it.

Background: Professionalism in nursing plays a key role in establishing collaboration between nurses. Collaboration between nurses increases the quality of patient care and reduces medical errors. Aim: This study aimed to determine the effect of nurses’ professionalism attitudes on nurse–nurse collaboration. Methods: This study adopted a descriptive and cross-sectional design. The sample consisted of 409 nurses in public hospitals in Kayseri, Turkey. Data were collected using a socio-demographic characteristics questionnaire, the Occupational Professional Attitude Inventory, and the Nurse–Nurse Collaboration Scale. Results: Nurses had high professionalism but low nurse–nurse collaboration. There was a weak positive correlation between professionalism and nurse–nurse collaboration. It was determined that professionalism affects nurse–nurse collaboration at low level. Conclusion: Nurses had high levels of professionalism but low levels of collaboration. However, professionalism was weakly associated with collaboration, and nurses’ attitudes toward professionalism had little effect on nurse–nurse collaboration. Executive nurses should organize training to help nurses develop professionalism and collaboration skills. In addition, for collaboration, all nurses must have at least a bachelor’s degree education.

The current paper examined the impact of perceived service quality (PSQ) and patient complaint (PC) on patient satisfaction (PS). The study was carried out at the highest-level hospital, Vietnam. The self-administered questionnaire was distributed to inpatients who were used in health service in April 2018. The SPSS (version 25.0) statistical software was used for the data analysis. The confirmatory factor analysis was performed for the structural equation modeling, using the Amos 25.0 program. Findings suggest PSQ direct influence on PC and PS; PC influences PS. Complaints handling should consider when improving service quality to increase satisfaction.

In the 21st century, many scientific discoveries and treatments that science offers to humanity in the health sector, as well as many negative developments that it has created on the sector and employees cannot be ignored. Along with the Covid-19 pandemic, the heavy workload in the health sector and the risks in the working environment have created an important source of stress for the employees. This has affected employees’ work engagement and job performance. Employees need more organizational support in their workplaces in order to increase service quality and ensure organizational success. In the study, the mediating role of perceived organizational support in the relationship between work engagement and job performance of healthcare professionals working under heavy workload and stress was investigated. In accordance with the research purpose, a questionnaire was applied to the hospital staff in Istanbul (n = 402). The obtained data were analyzed using SPSS 23 and AMOS 18 package programs. The results of the analysis show that perceived organizational support has a mediating role in the relationship between work engagement and job performance. The research findings are of a quality that will attract the attention of managers in the health sector. In addition, the findings obtained as a result of the research are a source for further studies on the health sector.

Racial and ethnic minorities like Asians in the United States are significantly less likely to receive mental health treatment than Caucasians. Using 2012 Behavioral Risk Factor Surveillance System data, we examined the underutilization of mental health treatment in the US and find that being over 65 or 35–44, being unmarried, and being insured were positively associated with mental health treatment utilization, and as mentally unhealthy days increased, the utilization of treatment also increased. The paper offers a discussion on why there is this underutilization of mental health services amongst Asians and what steps can be taken to improve utilization.

Background: Active participation in pain management is vital to improve postoperative pain outcomes. However, this issue has not been fully examined in Vietnam. This study aimed to examine the active participation of patients in pain management after surgery, as well as explore its effect on acute postoperative pain. Methods: A hospital-based survey on 245 patients after surgery was conducted. Information about demographic and clinical characteristics, pain intensity and active participation in pain management was collected. Multivariate regression models were utilized to determine the associations. Results: 53.9% of patients reported that they were informed about the postoperative pain relief method before surgery. One-third (33.5%) of patients selected preferred pain relief methods; 46.1% reported that they asked physicians when feeling pain immediately after surgery; 49.8% asked physicians when pain was not relieved after taking medications, and 52.2% asked physicians for their current pain in the time of interview. Age and occupation were found to be positively associated with active participation score. Patients being informed about the postoperative pain relief method before surgery had 0.87 points higher than those not receiving explanation (Coef. = 0.87; 95%CI = 0.49–1.26). Patients with high active participation scores were more likely to have pain improvement (OR = 3.41, 95%CI = 2.37–4.92). Conclusion: This study highlights a low level of active participation in postoperative pain management among Vietnamese patients. Routinely providing information about pain control before surgery, and encouraging patients to actively participate in pain management are essential to improve postoperative pain outcomes.

The burden of kidney disease in India is rising sharply. We estimated unmet needs of dialysis and found that Udupi district requires 57 additional dialysis machines. Feasibility studies were conducted for three business models: Standalone dialysis center, franchise-based model and mobile dialysis unit. Among these, a standalone dialysis center can provide upto 12% annual return on investment, while a franchise-based model is comparatively risk averse. Manpower cost comprises the major chunk of expenses incurred. A mobile dialysis center should be considered only by charitable institutions or if some costs can be met with NGO or governmental grants.