International journal of environmental research and public health
-
Int J Environ Res Public Health · Jun 2021
Future Changes in Simulated Evapotranspiration across Continental Africa Based on CMIP6 CNRM-CM6.
The main goal of this study was to assess the interannual variations and spatial patterns of projected changes in simulated evapotranspiration (ET) in the 21st century over continental Africa based on the latest Shared Socioeconomic Pathways and the Representative Concentration Pathways (SSP1-2.6, SSP2-4.5, SSP3-7.0, and SSP5-8.5) provided by the France Centre National de Recherches Météorologiques (CNRM-CM) model in the Sixth Phase of Coupled Model Intercomparison Project (CMIP6) framework. The projected spatial and temporal changes were computed for three time slices: 2020-2039 (near future), 2040-2069 (mid-century), and 2080-2099 (end-of-the-century), relative to the baseline period (1995-2014). The results show that the spatial pattern of the projected ET was not uniform and varied across the climate region and under the SSP-RCPs scenarios. ⋯ The findings provide useful information for water resources managers to develop specific measures to mitigate extreme events in the regions most affected by possible changes in the region's climate. However, readers are advised to treat the results with caution as they are based on a single GCM model. Further research on multi-model ensembles (as more models' outputs become available) and possible key drivers may provide additional information on CMIP6 ET projections in the region.
-
Int J Environ Res Public Health · Jun 2021
Facing COVID-19 Pandemic in a Tertiary Hospital in Milan: Prevalence of Burnout in Nursing Staff Working in Sub-Intensive Care Units.
In early March 2020, Italy became the epicenter of the Coronavirus Disease 2019 (COVID-19) pandemic in Europe. A different organization of hospital units was required to take care of patients affected by acute respiratory failure caused by COVID-19. This study aimed to evaluate the prevalence of burnout in two sub-intensive care units (SICUs) of the COVID-19 hub center of the Lombardia region in Milan (Italy). ⋯ Nurses were 4.5 times more likely to have burnout than healthcare assistants. Burnout was a common condition among healthcare workers operating in SICUs during the pandemic. Urgent actions are needed, especially for nurses, as well as preventive strategies for future pandemic scenarios.
-
Int J Environ Res Public Health · Jun 2021
Mental Health States Experienced by Perinatal Healthcare Workers during COVID-19 Pandemic in Italy.
The ongoing COVID-19 pandemic has had an impact on mental health status in a variety of populations. ⋯ High rates of self-reported symptoms of depression and anxiety, as well as perceived stress, among PHPs were reported during the COVID-19 pandemic. Health authorities should implement and integrate timely and regular evidence-based assessment of psychological distress targeting PHPs in their work plans.
-
Int J Environ Res Public Health · Jun 2021
Mental Health of Refugees and Migrants during the COVID-19 Pandemic: The Role of Experienced Discrimination and Daily Stressors.
The COVID-19 pandemic is a defining global health crisis of our time. While the impact of COVID-19, including its mental health impact, is increasingly being documented, there remain important gaps regarding the specific consequences of the pandemic on particular population groups, including refugees and migrants. ⋯ Survey findings indicated that the mental health of refugees and migrants during the COVID-19 pandemic was significantly impacted, particularly for certain subgroups, (i.e., insecure housing situation and residence status, older respondents, and females) who reported experiencing higher levels of increased discrimination and increases in daily life stressors. There is a need to recognize the detrimental mental health impact of the COVID-19 pandemic on particular refugee and migrant groups and to develop interventions that target their unique needs.
-
Int J Environ Res Public Health · Jun 2021
Comprehensive Geriatric Assessment and Clinical Outcomes in the Older People at the Emergency Department.
Visits by older people to the Emergency Department (ED) have increased in recent decades with higher revisiting and admission rates after discharge, particularly for those with frailties. This study used a before-after design aimed at evaluating Comprehensive Geriatric Assessment (CGA) screening in older ED patients (aged ≥ 75 years) during the 12-month preintervention period. Additionally, a CGA-based structured follow-up program after ED discharge was executed during the next 12-month intervention period. ⋯ Using multivariate regression analysis, it was shown frailty was significantly associated with three-month mortality after adjusting for potential confounders. On the contrary, the program significantly decreased admission and death rate. It is suggested that frailty was prevalent amongst the older ED patients, and should be screened for in order to decrease revisits/admissions after ED discharge.