PTSD is associated with greater systolic BP, partly because of greater anxiety, and systolic BP reactivity to anxiety throughout the day. Daily anxiety and related BP reactivity may be targets for interventions to reduce the cardiovascular risk associated with PTSD.
Background
The COVID-19 pandemic has deeply disrupted daily life across the globe, with profound effects on mental and physical health. After more than a year of isolation and communication via videoconferencing, people are returning to in-person activities.
Objective
This study aimed to investigate worsening self-perception, mental health, and anxiety with the return to in-person activities, with a focus on the influence of videoconferencing, social media, and the use of filters.
Methods
An anonymous survey was distributed online through social media platforms and student network pages.
Results
A total of 7295 participants responded to the survey. Seventy-one precent reported anxiety or stress related to returning to in-person activities, and nearly 64% sought mental health support services. Thirty-percent stated they plan to invest in their appearance as a coping strategy to deal with the anxiety of returning to in-person, and >30% plan to take action in changing their appearance. The most reported dermatologic concerns were skin discoloration (32.36%), wrinkles (24.45%), and acne (14.85%). The prevalence of anxiety and mental health services increased relative to the use of filters in 18- to 24 year-olds.
Conclusion
This survey study of >7000 participants across the country elucidates worsening self-perception, anxiety, and mental health as we return to in-person activities in relation to increased videoconferencing, social media usage, and the use of filters. Physicians should be aware of these effects to better serve their patients.
In our study, patients with laboratory test result abnormalities were, on average, 14.8 years older and about 3 times more likely to be 65 years and older (86.1%) compared to the overall study population (28.6%). Of patients with LFT elevations, 92.6% and 91.3% had either AST and ALT or ALT elevations alone, at baseline and monitoring, respectively. ALT elevations are more likely to be detected than AST elevations because of differential half-lives: 36 and 18 hours, respectively. 4 Therefore, testing for baseline and monitoring ALTs alone would capture the majority of elevated transaminases, thereby reducing costs. 5 Limitations include the fact that this was a single-center study with only adults, mostly white/non-Hispanic, and it excluded patients with pre-existing conditions.In sum, laboratory test result abnormalities in healthy adults prescribed terbinafine for onychomycosis are uncommon, mild, and more likely to occur in older adults. Mild baseline laboratory test result abnormalities (grade 1) are not necessarily contraindications for prescribing terbinafine, but these patients would benefit from interval laboratory monitoring. Baseline and interval laboratory monitoring is not recommended for adults without preexisting hematologic and hepatic abnormalities younger than 65 years who are prescribed terbinafine for onychomycosis. Older patients would benefit from monitoring because of the higher rate of laboratory test result abnormalities in this population.
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