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Damghanian H, Hedayati S, Farhadinejad M, Rastgar AA. Lessons learned from behaviors of the employees in Iranian banks during the Covid-19 pandemic crisis: A phenomenological study. Heliyon 2023; 9:e21445. [PMID: 38045175 PMCID: PMC10692766 DOI: 10.1016/j.heliyon.2023.e21445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2022] [Revised: 09/26/2023] [Accepted: 10/20/2023] [Indexed: 12/05/2023] Open
Abstract
The aim of this research is to analyze the experiences of employees during the Covid-19 pandemic cri-sis and conceptualize the lessons learned to deal with similar crises in the future. To achieve this, a qualitative approach with a phenomenological strategy was conducted through semi-structured, in-depth interviews with 16 front-line employees of Bank Melli, the largest state bank in Iran. The study found that employee behavior plays a critical role in crisis management, with functional behaviors such as preventive measures, stress management, and sharing valid information being essential. Dysfunctional behaviors such as resistance to change and inconsistent behaviors were also identified. The prevention of infection and stress management were identified as key behaviors to cope with the crisis, while media literacy and acceptance of change were crucial for correct information analysis and crisis management. Overall, the study highlights the challenges faced by employees during the Covid-19 crisis and provides valuable lessons from a behavioral perspective for managers in the banking industry to manage disruptions caused by current and future pandemics. The study emphasizes the importance of learning from the lessons of the Covid-19 crisis to reduce negative effects on physical and mental health.
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Affiliation(s)
- Hossein Damghanian
- Faculty of Economics, Management and Administrative Sciences, Semnan University, Semnan, Iran
| | - Sadegh Hedayati
- Faculty of Economics, Management and Administrative Sciences, Semnan University, Semnan, Iran
| | - Mohsen Farhadinejad
- Faculty of Economics, Management and Administrative Sciences, Semnan University, Semnan, Iran
| | - Abbas Ali Rastgar
- Faculty of Economics, Management and Administrative Sciences, Semnan University, Semnan, Iran
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COVID-19 and Acute Ischemic Stroke Mortality and Clinical Outcomes among Hospitalized Patients in the United States: Insight from National Inpatient Sample. J Clin Med 2023; 12:jcm12041340. [PMID: 36835876 PMCID: PMC9968226 DOI: 10.3390/jcm12041340] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 02/04/2023] [Accepted: 02/05/2023] [Indexed: 02/11/2023] Open
Abstract
Coronavirus-19, primarily a respiratory virus, also affects the nervous system. Acute ischemic stroke (AIS) is a well-known complication among COVID-19 infections, but large-scale studies evaluating AIS outcomes related to COVID-19 infection remain limited. We used the National Inpatient Sample database to compare acute ischemic stroke patients with and without COVID-19. A total of 329,240 patients were included in the study: acute ischemic stroke with COVID-19 (n = 6665, 2.0%) and acute ischemic stroke without COVID-19 (n = 322,575, 98.0%). The primary outcome was in-hospital mortality. Secondary outcomes included mechanical ventilation, vasopressor use, mechanical thrombectomy, thrombolysis, seizure, acute venous thromboembolism, acute myocardial infarction, cardiac arrest, septic shock, acute kidney injury requiring hemodialysis, length of stay, mean total hospitalization charge, and disposition. Acute ischemic stroke patients who were COVID-19-positive had significantly increased in-hospital mortality compared to acute ischemic stroke patients without COVID-19 (16.9% vs. 4.1%, aOR: 2.5 [95% CI 1.7-3.6], p < 0.001). This cohort also had significantly increased mechanical ventilation use, acute venous thromboembolism, acute myocardial infarction, cardiac arrest, septic shock, acute kidney injury, length of stay, and mean total hospitalization charge. Further research regarding vaccination and therapies will be vital in reducing worse outcomes in patients with acute ischemic stroke and COVID-19.
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Al Hashmi AM, Shuaib A, Imam Y, Amr D, Humaidan H, Al Nidawi F, Sarhan A, Mustafa W, Khalefa W, Ramadan I, Usman FS, Hokmabadi ES, Ghorbani M, Nassir T, Aladham F, Salmeen A, Kikano R, Muda S, Jose S, Bulushi MA, Sajwani B, Wasay M, Bashir Q, Al Hazzani A, Khoja W, Alkadere R, Osman H, Hussein A, Churojana A, Hammami N, Ozdemir AO, Giray S, Gurkas E, Hussain SI, Sallam AR, Mansour OY. Stroke services in the Middle East and adjacent region: A survey of 34 hospital-based stroke services. Front Neurol 2022; 13:1016376. [PMID: 36408502 PMCID: PMC9667787 DOI: 10.3389/fneur.2022.1016376] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 10/06/2022] [Indexed: 11/24/2022] Open
Abstract
Background Acute stroke care is complex and requires multidisciplinary networking. There are insufficient data on stroke care in the Middle East and adjacent regions in Asia and Africa. Objective Evaluate the state of readiness of stroke programs in the Middle East North Africa and surrounding regions (MENA+) to treat acute stroke. Method Online questionnaire survey on the evaluation of stroke care across hospitals of MENA+ region between April 2021 and January 2022. Results The survey was completed by 34/50 (68%) hospitals. The median population serviced by participating hospitals was 2 million. The median admission of patients with stroke/year was 600 (250–1,100). The median length of stay at the stroke units was 5 days. 34/34 (100%) of these hospitals have 24/7 CT head available. 17/34 (50%) have emergency guidelines for prehospital acute stroke care. Mechanical thrombectomy with/without IVT was available in 24/34 (70.6%). 51% was the median (IQR; 15–75%) of patients treated with IVT within 60 min from arrival. Thirty-five minutes were the median time to reverse warfarin-associated ICH. Conclusion This is the first large study on the availability of resources for the management of acute stroke in the MENA+ region. We noted the disparity in stroke care between high-income and low-income countries. Concerted efforts are required to improve stroke care in low-income countries. Accreditation of stroke programs in the region will be helpful.
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Affiliation(s)
- Amal. M. Al Hashmi
- Central Stroke Unit, Neuroscience Directorate, Khoula Hospital, MOH, Muscat, Oman
- *Correspondence: Amal. M. Al Hashmi
| | - Ashfaq Shuaib
- Division of Neurology, Department of Medicine, University of Alberta, Edmonton, AB, Canada
| | - Yahia Imam
- Neuroscience Institute, Hamad General Hospital, Doha, Qatar
| | - Dareen Amr
- Stroke and Neurointervention Unit, Alexandria University School of Medicine, Alexandria, Egypt
| | - Hani Humaidan
- Stroke Unit, Salmaniya Medical Complex, Al Manamah, Bahrain
| | | | | | - Wessam Mustafa
- Department of Neurology, Mansoura University Hospital, Mansoura, Egypt
| | - Wael Khalefa
- Department of Neurology, Maady Military Hospital, Cairo, Egypt
| | - Ismail Ramadan
- Department of Neurology, Semoha Emergency Hospital, Alexandria University, Alexandria, Egypt
| | | | | | - Mohammed Ghorbani
- Division of Vascular and Endovascular Neurosurgery Firoozgar Hospital, Tehran, Iran
| | - Temeem Nassir
- Department of Internal Medicine, Maysan Cardiac Center, MOH, Musan, Iraq
| | | | - Athari Salmeen
- Department of Neurology, Jaber Al Ahmad Hospital, Kuwait City, Kuwait
| | - Raghid Kikano
- Lebanese American University, Head of Interventional Radiology, Beirut, Lebanon
| | - Sobri Muda
- Department of Radiology, Pengajar Hospital UPM, FPSK, Universiti Putra Malaysia, Serdang, Malaysia
| | - Sachin Jose
- Statistical Specialist, Oman Medical Specialty Board (OMSB), Muscat, Oman
| | | | | | - Mohammad Wasay
- Department of Neurology, Aga Khan University, Karachi, Pakistan
| | - Qasim Bashir
- Department of Neurology, Services Institute of Medical Sciences, Lahore, Pakistan
| | - Adel Al Hazzani
- Neuroscience Center, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Waleed Khoja
- Department of Neurology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | | | - Haytham Osman
- Department of Neurology, National Ribat University, Khartoum, Sudan
| | - Abbashar Hussein
- Department of Neurology, El Shaab Teaching Hospital, Khartoum, Sudan
| | - Anchalee Churojana
- Department of Radiology, Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Nadia Hammami
- National Institute Mongi Ben Hamida of Neurology, Tunis, Tunisia
| | - Atilla Ozcan Ozdemir
- Interventional Neurology and Neurocritical Care Program, Eskisehir Osmangazi University,, Eskişehir, Turkey
| | - Semih Giray
- Gaziantep University Medical Faculty, Gaziantep, Turkey
| | - Erdem Gurkas
- Stroke Center, Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
| | - Seyd Irteza Hussain
- Neurological Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | | | - Ossama Yassin Mansour
- Department of Neurology, Faculty of Medicine, Alexandria University, Alexandria, Egypt
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