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      Effect of the COVID‐19 pandemic on the anxiety and depression levels in patients who applied to the cosmetology unit

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          Abstract

          The relationship between the skin and the brain is based on their origin from the same ectodermal structure, as well as being affected by similar hormones and neurotransmitters. At this point, psychodermatology forms a common field of study based on the relationship and interaction between psychiatry and dermatology. Cosmetology is a special group within dermatology, and the psychosocial needs of this group differ. In this study, it was aimed to examine the moods such as anxiety, fear and depression experienced by the patients during their application to the cosmetology unit during the COVID‐19 pandemic process and to compare them with the control group. A total of 162 cases, 80 cases from the cosmetology unit meeting the specified conditions and 82 cases as the control group, were retrospectively evaluated. In all participants, the Coronavirus Anxiety Scale (CAS) scores decreased significantly compared to the beginning of the pandemic ( P = .001). In the study, while depression (HAM‐D) and general anxiety (HAM‐A) were higher in the cosmetology group compared to the control group ( P = .049 and P = .001, respectively), there was no difference in coronavirus anxiety scores (CAS) ( P = .24). It should be known that patients who underwent cosmetological procedures during the pandemic period may have anxiety and depression. In this patient group, which requires a special psychodermatological approach, pandemic effects should also be considered. In patients who apply to cosmetology units during the pandemic period, attention should be paid to the relationship between surreal cosmetological process requests and their anxiety and depression state.

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          The outbreak of COVID-19 coronavirus and its impact on global mental health

          The current outbreak of COVID-19 coronavirus infection among humans in Wuhan (China) and its spreading around the globe is heavily impacting on the global health and mental health. Despite all resources employed to counteract the spreading of the virus, additional global strategies are needed to handle the related mental health issues. Published articles concerning mental health related to the COVID-19 outbreak and other previous global infections have been considered and reviewed. This outbreak is leading to additional health problems such as stress, anxiety, depressive symptoms, insomnia, denial, anger and fear globally. Collective concerns influence daily behaviors, economy, prevention strategies and decision-making from policy makers, health organizations and medical centers, which can weaken strategies of COVID-19 control and lead to more morbidity and mental health needs at global level.
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            Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety

            Mental health concerns of people impacted by the coronavirus pandemic have not been adequately addressed. The objective of this study was to develop and evaluate the properties of the Coronavirus Anxiety Scale (CAS), which is a brief mental health screener to identify probable cases of dysfunctional anxiety associated with the COVID-19 crisis. This 5-item scale, which was based on 775 adults with anxiety over the coronavirus, demonstrated solid reliability and validity. Elevated CAS scores were found to be associated with coronavirus diagnosis, impairment, alcohol/drug coping, negative religious coping, extreme hopelessness, suicidal ideation, as well as attitudes toward President Trump and Chinese products. The CAS discriminates well between persons with and without dysfunctional anxiety using an optimized cut score of ≥ 9 (90% sensitivity and 85% specificity). These results support the CAS as an efficient and valid tool for clinical research and practice.
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              Importation and Human-to-Human Transmission of a Novel Coronavirus in Vietnam

              To the Editor: The emergence and spread of a novel coronavirus (2019-nCoV) from Wuhan, China, has become a global health concern. 1 Since the detection of the coronavirus in late December 2019, several countries have reported sporadic imported cases among travelers returning from China. 2 We report one family cluster of 2019-nCoV originating from a Chinese man. On January 22, 2020, a 65-year-old man with a history of hypertension, type 2 diabetes, coronary heart disease for which a stent had been implanted, and lung cancer was admitted to the emergency department of Cho Ray Hospital, the referral hospital in Ho Chi Minh City, for low-grade fever and fatigue. He had become ill with fever on January 17, a total of 4 days after he and his wife had flown to Hanoi from the Wuchang district in Wuhan, where outbreaks of 2019-nCoV were occurring. He reported that he had not been exposed to a “wet market” (a market where dead and live animals are sold) in Wuhan. Throat swabs obtained from the patient tested positive for 2019-nCoV on real-time reverse-transcription–polymerase-chain-reaction (RT-PCR) assays. 3 On admission to the hospital, the man was isolated and treated empirically with antiviral agents, broad-spectrum antibiotics, and supportive therapies. Chest radiographs obtained on admission showed an infiltrate in the upper lobe of the left lung (Figure 1A). On January 25, he received supplemental oxygen through a nasal cannula at a rate of 5 liters per minute because of increasing dyspnea with hypoxemia. The partial pressure of oxygen was 57.2 mm Hg while he was breathing ambient air, and a progressive infiltrate and consolidation were observed on chest radiographs (Figure 1B through 1D). His fever disappeared on January 25, and his clinical condition has improved since January 26. His wife had no symptoms of illness while they were traveling. She was healthy as of January 28. The couple’s healthy 27-year-old son had lived in Long An, a province 40 km southwest of Ho Chi Minh City, since October 2019. He had not traveled to a region where 2019-nCoV was spreading, and he had not had any known contact with any person returning from such a region. On January 17, he met his father in Nha Trang in central Vietnam and shared a bedroom with his parents for 3 days in a hotel room that had an air conditioner. On January 20, a dry cough and fever developed in the son. He also reported having had vomiting and loose stools one time before the admission. This suggests that the incubation period for 2019-nCoV may have been 3 days or less in this case. When the son presented at Cho Ray Hospital with his father on January 22, his illness, characterized by a fever (39°C), was recognized and he was immediately isolated. Chest radiographs and other laboratory examinations in this patient showed no abnormalities except for an increased level of C-reactive protein (13.9 mg per liter). Real-time RT-PCR assays for influenza A and B viruses and nonstructural protein 1 antigen rapid tests for dengue viruses were negative in both the father and son. A throat swab in the son was positive for 2019-nCoV. His father was thought to be the source of infection. However, sequencing of strains from the two patients to ascertain the transmission of 2019-nCoV from the father to son has not been performed. The son’s condition was stable after January 23. This family had traveled to four cities across Vietnam using various forms of transportation, including planes, trains, and taxis. A total of 28 close contacts have been identified, and symptoms of an upper respiratory infection have not developed in any of them. This family cluster of 2019-nCoV infection that occurred outside China 4 arouses concern regarding human-to-human transmission.
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                Author and article information

                Contributors
                aykutmd42@gmail.com
                koraydurmaz06@gmail.com
                recepdursun@gmail.com
                arzuataseven@hotmail.com
                begum1667@gmail.com
                okaraagac@gmail.com
                ilkay_8@yahoo.com
                dr_munise@yahoo.com
                Journal
                Dermatol Ther
                Dermatol Ther
                10.1111/(ISSN)1529-8019
                DTH
                Dermatologic Therapy
                John Wiley & Sons, Inc. (Hoboken, USA )
                1396-0296
                1529-8019
                15 December 2020
                : e14625
                Affiliations
                [ 1 ] Konya Ereğli State Hospital Clinic of Dermatology Konya Turkey
                [ 2 ] Bilecik Bozüyük State Hospital Clinic of Dermatology Bilecik Turkey
                [ 3 ] Department of Dermatology Necmettin Erbakan University Meram Medical Faculty Konya Turkey
                Author notes
                [*] [* ] Correspondence

                Recep Dursun, Department of Dermatology, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey.

                Email: recepdursun@ 123456gmail.com

                Author information
                https://orcid.org/0000-0003-4878-0045
                https://orcid.org/0000-0002-8636-9866
                https://orcid.org/0000-0002-1279-574X
                https://orcid.org/0000-0001-5372-0712
                https://orcid.org/0000-0003-1462-3869
                https://orcid.org/0000-0001-6170-0930
                https://orcid.org/0000-0002-6614-1821
                Article
                DTH14625
                10.1111/dth.14625
                7744836
                33274539
                632724e6-23bc-49e5-b7cc-3bcf2ccf51b1
                © 2020 Wiley Periodicals LLC.

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                : 14 November 2020
                : 30 November 2020
                : 01 December 2020
                Page count
                Figures: 0, Tables: 5, Pages: 4, Words: 2966
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.5 mode:remove_FC converted:17.12.2020

                anxiety,coronavirus anxiety scale,cosmetology,covid‐19,hamilton anxiety rating scale,hamilton depression rating scale

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