Journal of Metabolic Syndrome

The spread of coronaviruses (COVID-19) universally resulted in many deaths and hospitalizations. It affects respiratory tract and causes fatal lung disease in humans. The pandemic virus can spread from patients carrying the virus through droplets, direct contact, aerosols, touching any surface contaminated surface; closed places may be a cause of spread also. All of the people are prone to have this pandemic virus, especially diabetic patients, as the increment of their blood glucose levels enhance glycosylation end-product formation, pro-inflammatory cytokines, oxidative stress and can activate the production of adhesion molecules that mediate tissue inflammation. Monitor blood glucose level is the main cause to avoid the complication of COVID-19. This review aims to discuss the relation between COVID-19 and diabetic patients and provides some solution to manage COVID-19 and diabetes.

In this unprecedented period of quarantine, countless questions are purported about COVID-19. While the scientific community searches for answers, the rest of the world is desperately waiting for evidence-based methods of prevention. Yet, one method has been known in virology for decades; viral replication depends on a glucose environment in the host. In fact, pre-existing metabolic dysregulation cripples the immune system and increases susceptibility to pathogens. According to figures by the US Department of Health (30 March, 2020), diabetes, pre-diabetes, kidney disease and obesity mark the most dangerous comorbidities in COVID-19 deaths. Patients with chronic metabolic comorbidities including strokes, CHD/CVD, unregulated diabetes and hypertension comprise 95% of New York and 99% of Italy’s COVID-19 deaths Older adults and those with serious underlying medical conditions are at the highest risk for developing the most severe complications from the Coronavirus. Complications arising from comorbidities often have their deepest roots in poor nutrition. Reversing metabolic pathology to increase systemic immunity via reversal of glucose dependency and restoration of metabolic inflexibility has been well established in the literature. The lethal impact of COVID-19 and of future viral pathogens could be greatly diminished by stabilization of metabolic fuel flux through nutritional modifications, which are easily measured and tracked via reductions in the following inexpensive blood tests: HgA1c, HOMA-IR (Homeostatic Model Assessment of Insulin Resistance-fasting blood glucose/fasting insulin), triglycerides and the triglyceride/HDL ratio. Establishing self-efficacy through patient-centered biological education with implementation of bio-individualized lifestyle coaching holds great promise to slow the worldwide trajectory of underlying metabolic conditions associated with poor COVID-19 prognosis. This review examines the physiological mechanisms of metabolic flexibility, the importance of the nutritional status of the host in viral infection and the influence of glucose dependency on viral replication, namely COVID-19.

Mental well-being is a critical aspect of understanding one’s overall health. In India alone, mental illness affects one in six adults. Furthermore, 40% of those individuals who die of suicide have been diagnosed with a mental health condition. Yet, there is a paucity of research on innovative methods that help prevent suicide. The Contextual-Conceptual Therapy (CCT) model introduces an innovative way to treat suicide by working to uncover the strengths of the suicidal person and addressing a person’s true self. The CCT model was developed over the course of 11 years of working with more than 16,000 suicidal students in India and is tailored specifically for primary and secondary prevention of suicide. While there has been anecdotal evidence of the effectiveness of the CCT program, the program has yet to be formally evaluated. This qualitative research study aims to understand the impact the CCT program has had on its clients. Eleven former CCT clients were recruited to participate in semi-structured interviews. Outcomes described by participants included an increase in curiosity and self-efficacy as a means through which to decrease suicide ideation and behavior and proved to be incredibly powerful in changing long-term outcomes. This qualitative study is a first step in providing critical insight on suicide prevention for wider dissemination. At a time when adverse mental health is impacting the lives of millions of people, the CCT program has the potential to address suicide and mental health, and foster mental well-being across diverse populations. Journal of Public Health International publishes peer-reviewed open access articles. We aim for quality content and strive hard to keep it up by making all necessary possible arrangements. In this process, we encountered a specific instance where we oblige support from you to handle a manuscript. This particular manuscript seems closely related to your current research Mental health and mental illness are critical to a person’s overall health. In the United States alone, mental illness affects one in six adults.  Furthermore, 40% of those individuals who die of suicide have been diagnosed with a mental health condition or illness. Yet, there is a paucity of research on innovative methods that help prevent suicide.The Contextual-Conceptual Therapy (CCT) approach introduces an innovative way to treat suicide by working to uncover the strengths of the suicidal person and addressing a person’s true self. The CCT approach was developed over the course of 25 years working with more than 16,000 suicidal patients in Seattle, Washington, and is tailored specifically for primary and secondary prevention of suicide. While there has been anecdotal evidence of the effectiveness of the CCT program, the program has yet to be formally evaluated. This qualitative research study aims to understand the impact the CCT approach has had on its clients. Eleven former CCT clients were recruited to participate in semi-structured interviews. Outcomes described by participants included an increase in curiosity and self-efficacy as a means through which to decrease suicide ideation and behavior, and proved to be incredibly powerful in changing long-term outcomes.

Labor Inspectors (SLIC) Campaign on psychosocial risks, Austria amended its Occupational Health and Safety Act in 2013 forcing all companies to evaluate and reduce psychosocial stressors. To comply with this law more than 300 companies evaluated the psychosocial risks with the Module2 of Psychosocial Stressors (PBM2). 41 of these companies with 21.216 employees already evaluated the effects of their risk-reducing measures. Data of total revenue, number of employees, and the PBM2 before (t0) and after intervention (t1) were available for 30 companies with19.403 employees at t0. All 30 companies were able to improve their working conditions and reduce work-related distress. The average improvement was 6.5% (on a 100% scale). The best overall development was made in the Work Environment, with 10.3%, followed by Social Climate with 7.6%, the Job Requirements with 5.3% and finally the Work Organization with 2.6%. In the same period, the annual revenue of these companies grew by 8.5% and the Number of employees by 4.9%. Therefore also the revenue per employee increased by 3.4%. Interventions in the context of the mandatory psychosocial risk assessment for Austrian companies led to significant reductions in psychosocial risks and sick leave days. The changes in the Austrian law and consequent implementation improved the working conditions significantly and also led to a positive development in revenue, number of employees, and revenue per employee in these companies It is a simple but potentially paradigm-shifting reality for senior business leaders: healthy employees lead to healthy business metrics. For decades, though, the health management industry has focused primarily on building a value story around medical cost savings. The reality is that for many business line management leaders — such as chief operating officers, VPs of sales or business unit general managers — medical cost savings may not be a priority. Consequently, championing health management programs internally may not align with their business objectives, either. Instead, the health management industry needs to focus on demonstrating the impact of their programs and services on key business performance metrics. These should include industry-specific operational business metrics (retail, call-centers, financial, etc.), and other metrics, such as total revenue per employee, shareholder value and earnings multiples (see Figure 1 below for industry-specific examples). By focusing on the impact of health management programs on business performance metrics, senior Human Resource leaders are more likely to get the attention and support of line management within organizations. This study aimed to find out which countries around the world require psychosocial hazards and workplace violence to be assessed by employers through a mandatory occupational risk assessment process and to compare the type of legislation between countries. We systematically searched the International Labour Office (ILO) “LEGO” database for documents published during the period between December 2017 and February 2018. The search included 132 countries, of which 23 were considered as developed and 109 as developing according to the United Nations. Our review showed that most countries (85, i.e., 64%) have not included mandatory psychosocial risk assessment and prevention in their national occupational safety and health legislation. Moreover, we found differences between developed and developing countries, showing that developed countries more frequently have legislative measures. Within developed countries, we also found differences between countries following the Scandinavian model of workplace health and safety culture and other countries. Moreover, in many countries, workplace violence was prohibited only if it involves an offense to moral or religious customs. In conclusion, the marked difference in psychosocial hazards and workplace violence regulations among countries leads to unequal levels of workers’ protection, with adverse effects on global health.

The study was conducted in a descriptive and cross-sectional manner to determine the factors that influence the sleep quality in oncology patients between December 31, 2016, and December 31, 2017. The participation of 238 patients that were hospitalized in a public hospital in Turkey. The case group consisted of 119 patients who were diagnosed with cancer and hospitalized in the surgery department. The control group consisted of 119 inpatients who were diagnosed with any acute or chronic condition other than cancer and hospitalized in other clinics. The control group was chosen to match the case group pin sociodemographic properties. The properties of the patients were determined using a 29-question survey and the PittsburghSleep Quality Index. Percentage analysis, Kruskal-Wallis test, and Mann-Whitney U test were used for evaluating the data. In the case group patients, 33.6% were diagnosed with stomach cancer, 54.6% were in Stage II of cancer, 98.3% underwent surgical treatment and 28% underwent chemotherapy, 89.7%had treatment-related pain, 52.9% had a chronic disease together with cancer, 63% had their sleep quality partially influenced by environmental factors. The median PittsburghSleepQuality Index score was 5 for the study group and 4 for the control group. It was observed that some of the sociodemographic and clinical properties influenced the Pittsburgh Sleep Quality Index scores. This study has found that both the case and control groups had good sleep quality. It is recommended that nursing interventions should be planned in the case group patients, 33.6% were diagnosed with stomach cancer, 54.6% were in Stage II of cancer, 98.3% underwent surgical treatment and 28% underwent chemotherapy, 89.7%had treatment-related pain, 52.9% had a chronic disease together with cancer, 63% had their sleep quality partially influenced by environmental factors. The median PittsburghSleep Quality Index score was 5 for the study group and 4 for the control group. It was observed that some of the sociodemographic and clinical properties influenced the Pittsburgh Sleep Quality Index scores. This study has found that both the case and control groups had good sleep quality. It is recommended that nursing interventions should be planned in±1.7. participated in the study. The mean overall score of sleep quality was 
9.3
±
3.9, which represents the average sleep quality in most participants. T-test shows that males have better sleep quality than females (t=2.1; 95%CI:0.004-0.25; P<0.01). Also, sleep quality increased with age (r=0.22, P=0.03). Results show that the amount of sleep quality was only moderate in most patients, so it is necessary to take coping strategies to improve their quality of sleep. Sleep problems have become the most common complaint among the elderly. There are a few studies that explored the prevalence of poor sleep quality and its associated factors among the elderly in nursing homes. Therefore, this study aimed to examine the

prevalence of poor sleep quality and its associated factors among the Chinese elderly in nursing homes. METHODS: A total of 817 elderly residents, from 24 nursing homes, were included in this cross-sectional study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and poor sleep quality was defined as PSQI >5. Multiple binary logistic regression was used to estimate the strength of the association between risk factors and poor sleep quality in terms of adjusted odds ratios (AORs) and their 95% confidence intervals (CIs), and interactions of risk factors for poor sleep quality were also examined. The prevalence of poor sleep quality was 67.3% (95% CI: 64.0, 70.5%) among the Chinese elderly in nursing homes. Multiple binary logistic regression results showed that participants with the following characteristics had an increased risk of poor sleep quality after adjustments for other confounders: being 70-79 years old (AOR: 1.78, 95% CI: 1.08, 2.92) or 80 years old and above (AOR: 2.67, 95% CI: 1.68, 4.24); having one to two kinds of chronic diseases (AOR: 2.05, 95% CI: 1.39, 3.01) or three or more kinds of chronic diseases (AOR: 2.35, 95% CI: 1.39, 4.00); depression symptoms (AOR: 1.08, 95% CI: 1.04, 1.11), anxiety symptoms (AOR: 1.11, 95% CI: 1.05, 1.18), and social support(AOR: 0.97, 95% CI: 0.95, 0.99). Additive interactions were detected between age and anxiety symptoms (AOR: 8.34, 95% CI: 4.43, 15.69); between chronic disease and anxiety symptoms (AOR: 8.61, 95% CI; 4.28, 17.31); and between social support and anxiety symptoms (AOR: 6.43, 95% CI: 3.22, 12.86). The prevalence of poor sleep quality among the elderly in nursing homes is relatively high. Besides, anxiety symptoms have additive interactions with age, chronic disease, and social support for poor sleep quality. These findings have significant implications for interventions that aim to improve sleep quality among elderly residents in nursing homes.