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Carlini J, Fry ML, Grace D, Fox M, Zimmerman PA. Mass behaviour change amid COVID-19: How public health information and social norms explain the transformation. Health Mark Q 2023; 40:352-374. [PMID: 36576207 DOI: 10.1080/07359683.2022.2160854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
COVID-19 is a severe and ongoing threat globally, with the spread disrupting lives and society. Despite the developments of vaccines, the key measure to reduce the transmission of variants has stemmed from mass changes to personal behaviours. COVID-19 pandemic offers a unique context, where the protection behaviours enacted by an individual are necessary to keep the community safe. A social psychological perspective can be used to understand the reasons for adherence to policies and determine what other factors can shape preventive behaviours. To resolve this, in partnership with health consumers we use an online survey, with the findings substantiating preventive behaviours are positively related to COVID-19 information access and descriptive norms. Additionally, findings demonstrate the mediating role of injunctive norms on preventive behaviour suggesting that policy makers can influence decision-making by promoting health information that provides guidance on acceptable behaviours, but also demonstrates subsequent success. The integrity of the model is substantiated by partial least squares (PLS) testing.
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Affiliation(s)
- Joan Carlini
- Department of Marketing, Griffith Business School, Griffith University, Australia
- Menzies Health Institute, Queensland, Australia
| | - Marie-Louise Fry
- Department of Marketing, Griffith Business School, Griffith University, Australia
| | - Debra Grace
- Department of Marketing, Griffith Business School, Griffith University, Australia
| | - Melissa Fox
- Health Consumers Queensland, Brisbane, Queensland, Australia
| | - Peta-Anne Zimmerman
- Menzies Health Institute, Queensland, Australia
- School of Nursing and Midwifery, Griffith University, Gold Coast, Australia
- Department of Infection Control Gold Coast Hospital and Health Service, Griffith University, Gold Coast, QLD, Australia
- Collaborative for the Advancement of Infection Prevention and Control, Australia
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2
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Stahn AC, Bucher D, Zu Eulenburg P, Denise P, Smith N, Pagnini F, White O. Paving the way to better understand the effects of prolonged spaceflight on operational performance and its neural bases. NPJ Microgravity 2023; 9:59. [PMID: 37524737 PMCID: PMC10390562 DOI: 10.1038/s41526-023-00295-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 06/15/2023] [Indexed: 08/02/2023] Open
Abstract
Space exploration objectives will soon move from low Earth orbit to distant destinations like Moon and Mars. The present work provides an up-to-date roadmap that identifies critical research gaps related to human behavior and performance in altered gravity and space. The roadmap summarizes (1) key neurobehavioral challenges associated with spaceflight, (2) the need to consider sex as a biological variable, (3) the use of integrative omics technologies to elucidate mechanisms underlying changes in the brain and behavior, and (4) the importance of understanding the neural representation of gravity throughout the brain and its multisensory processing. We then highlight the need for a variety of target-specific countermeasures, and a personalized administration schedule as two critical strategies for mitigating potentially adverse effects of spaceflight on the central nervous system and performance. We conclude with a summary of key priorities for the roadmaps of current and future space programs and stress the importance of new collaborative strategies across agencies and researchers for fostering an integrative cross- and transdisciplinary approach from cells, molecules to neural circuits and cognitive performance. Finally, we highlight that space research in neurocognitive science goes beyond monitoring and mitigating risks in astronauts but could also have significant benefits for the population on Earth.
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Affiliation(s)
- A C Stahn
- Unit of Experimental Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
- Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Physiology, Berlin, Germany.
| | - D Bucher
- IZN-Neurobiology, University of Heidelberg, Heidelberg, Germany
| | - P Zu Eulenburg
- Institute for Neuroradiology & German Center for Vertigo and Balance Disorders, Ludwig-Maximilians-University Munich, Munich, Germany
| | - P Denise
- Normandie Univ. UNICAEN, INSERM, COMETE, CYCERON, Caen, France
| | - N Smith
- Protective Security and Resilience Centre, Coventry University, Coventry, United Kingdom
| | - F Pagnini
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
| | - O White
- Université de Bourgogne INSERM-U1093 Cognition, Action, and Sensorimotor Plasticity, Dijon, France.
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Scatà C, Carandina A, Della Torre A, Arosio B, Bellocchi C, Dias Rodrigues G, Furlan L, Tobaldini E, Montano N. Social Isolation: A Narrative Review on the Dangerous Liaison between the Autonomic Nervous System and Inflammation. Life (Basel) 2023; 13:1229. [PMID: 37374012 DOI: 10.3390/life13061229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2023] [Accepted: 05/18/2023] [Indexed: 06/29/2023] Open
Abstract
Social isolation and feelings of loneliness are related to higher mortality and morbidity. Evidence from studies conducted during space missions, in space analogs, and during the COVID-19 pandemic underline the possible role of the autonomic nervous system in mediating this relation. Indeed, the activation of the sympathetic branch of the autonomic nervous system enhances the cardiovascular response and activates the transcription of pro-inflammatory genes, which leads to a stimulation of inflammatory activation. This response is adaptive in the short term, in that it allows one to cope with a situation perceived as a threat, but in the long term it has detrimental effects on mental and physical health, leading to mood deflection and an increased risk of cardiovascular disease, as well as imbalances in immune system activation. The aim of this narrative review is to present the contributions from space studies and insights from the lockdown period on the relationship between social isolation and autonomic nervous system activation, focusing on cardiovascular impairment and immune imbalance. Knowing the pathophysiological mechanisms underlying this relationship is important as it enables us to structure effective countermeasures for the new challenges that lie ahead: the lengthening of space missions and Mars exploration, the specter of future pandemics, and the aging of the population.
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Affiliation(s)
- Costanza Scatà
- Department of Internal Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Angelica Carandina
- Department of Internal Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
| | - Alice Della Torre
- Department of Internal Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
| | - Beatrice Arosio
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
| | - Chiara Bellocchi
- Department of Internal Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
| | - Gabriel Dias Rodrigues
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
| | - Ludovico Furlan
- Department of Internal Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
| | - Eleonora Tobaldini
- Department of Internal Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
| | - Nicola Montano
- Department of Internal Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
- Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy
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4
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Mavragani A, Peters D, Jay C, Sandal GM, Barrett EC, Wuebker R. Off-World Mental Health: Considerations for the Design of Well-being-Supportive Technologies for Deep Space Exploration. JMIR Form Res 2023; 7:e37784. [PMID: 36787162 PMCID: PMC9975927 DOI: 10.2196/37784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Revised: 08/16/2022] [Accepted: 08/22/2022] [Indexed: 02/15/2023] Open
Abstract
During future long-duration space exploration missions, humans will be exposed to combinations of extreme physical, psychological, and interpersonal demands. These demands create risks for the safety, performance, health, and well-being of both individuals and crew. The communication latency in deep space means that explorers will increasingly have to operate independently and take responsibility for their own self-care and self-management. At present, several research programs are focused on developing and testing digital technologies and countermeasures that support the effective functioning of deep space crews. Although promising, these initiatives have been stimulated mostly by technological opportunity rather than cogent theory. In this perspective, we argue that digital technologies developed for spaceflight should be informed by well-being-supportive design principles and be cognizant of broader conversations around the development and use of digital health applications, especially pertaining to issues of autonomy, privacy, and trust. These issues are important for designing potentially mission-critical health technologies and may be determining factors in the safe and successful completion of future off-world endeavors.
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Affiliation(s)
| | - Dorian Peters
- Centre for the Future of Intelligence, Cambridge University, Cambridge, United Kingdom
| | - Caroline Jay
- School of Engineering, University of Manchester, Manchester, United Kingdom
| | - Gro M Sandal
- Department of Psychosocial Sciences, University of Bergen, Bergen, Norway
| | - Emma C Barrett
- Department of Criminology, University of Manchester, Manchester, United Kingdom
| | - Robert Wuebker
- David Eccles School of Business, University of Utah, Utah, UT, United States
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Gupta U, Baig S, Majid A, Bell SM. The neurology of space flight; How does space flight effect the human nervous system? LIFE SCIENCES IN SPACE RESEARCH 2023; 36:105-115. [PMID: 36682819 DOI: 10.1016/j.lssr.2022.09.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 09/09/2022] [Accepted: 09/12/2022] [Indexed: 06/17/2023]
Abstract
RATIONALE AND HYPOTHESIS Advancements in technology, human adaptability, and funding have increased space exploration and in turn commercial spaceflight. Corporations such as Space X and Blue Origin are exploring methods to make space tourism possible. This could lead to an increase in the number of patients presenting with neurological diseases associated with spaceflight. Therefore, a comprehensive understanding of spaceflight stressors is required to manage neurological disease in high-risk individuals. OBJECTIVES This review aims to describe the neurological effects of spaceflight and to assess countermeasures such as pre-flight prophylaxis, training, and possible therapeutics to reduce long-term effects. METHODOLOGY A literature search was performed for experimental studies conducted in astronauts and in animal models that simulated the space environment. Many studies, however, only discussed these with scientific reasoning and did not include any experimental methods. Relevant studies were identified through searching research databases such as PubMed and Google Scholar. No inclusion or exclusion criteria were used. FINDINGS Analysis of these studies provided a holistic understanding of the acute and chronic neurological changes that occur during space flight. Astronauts are exposed to hazards that include microgravity, cosmic radiation, hypercapnia, isolation, confinement and disrupted circadian rhythms. Microgravity, the absence of a gravitational force, is linked to disturbances in the vestibular system, intracranial and intraocular pressures. Furthermore, microgravity affects near field vision as part of the spaceflight-associated neuro-ocular syndrome. Exposure to cosmic radiation can increase the risk of neurodegenerative conditions and malignancies. It is estimated that cosmic radiation has significantly higher ionising capabilities than the ionising radiation used in medicine. Space travel also has potential benefits to the nervous system, including psychological development and effects on learning and memory. Future work needs to focus on how we can compare a current astronaut to a future space tourist. Potentially the physiological and psychological stresses of space flight might lead to neurological complications in future space travellers that do not have the physiological reserve of current astronauts.
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Affiliation(s)
- Udit Gupta
- Sheffield Institute for Translational Neuroscience (SITraN), University of Sheffield, 385a Glossop Road, Sheffield and S10 2HQ, United Kingdom
| | - Sheharyar Baig
- Sheffield Institute for Translational Neuroscience (SITraN), University of Sheffield, 385a Glossop Road, Sheffield and S10 2HQ, United Kingdom; Department of Clinical Neurology, Royal Hallamshire Hospital, Glossop Road, Sheffield, United Kingdom
| | - Arshad Majid
- Sheffield Institute for Translational Neuroscience (SITraN), University of Sheffield, 385a Glossop Road, Sheffield and S10 2HQ, United Kingdom; Department of Clinical Neurology, Royal Hallamshire Hospital, Glossop Road, Sheffield, United Kingdom
| | - Simon M Bell
- Sheffield Institute for Translational Neuroscience (SITraN), University of Sheffield, 385a Glossop Road, Sheffield and S10 2HQ, United Kingdom; Department of Clinical Neurology, Royal Hallamshire Hospital, Glossop Road, Sheffield, United Kingdom.
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6
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Pramanik J, Kumar A, Panchal L, Prajapati B. Countermeasures for Maintaining Cardiovascular Health in Space Missions. Curr Cardiol Rev 2023; 19:57-67. [PMID: 37005513 PMCID: PMC10518885 DOI: 10.2174/1573403x19666230330083225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 01/21/2023] [Accepted: 02/06/2023] [Indexed: 04/04/2023] Open
Abstract
During space exploration, the human body is subjected to altered atmospheric environments and gravity, exposure to radiation, sleep disturbance, and mental pressures; all these factors are responsible for cardiovascular diseases. Under microgravity, the physiological changes related to cardiovascular diseases are the cephalic fluid shift, dramatic reduction in central venous pressure, changes in blood rheology and endothelial function, cerebrovascular abnormalities, headaches, optic disc edema, intracranial hypertension, congestion of the jugular vein, facial swelling, and loss of taste. Generally, five countermeasures are used to maintain cardiovascular health (during and after space missions), including shielding, nutritional, medicinal, exercise, and artificial gravity. This article concludes with how to reduce space missions' impact on cardiovascular health with the help of various countermeasures.
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Affiliation(s)
- Jhilam Pramanik
- Department of Food Technology, ITM University, Gwalior, Madhya Pradesh, India
| | - Akash Kumar
- Department of Food Technology, SRM University, Sonipat, Haryana, India
| | - Lakshay Panchal
- Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar University, Mullana, Haryana, India
| | - Bhupendra Prajapati
- Shree S.K. Patel College of Pharmaceutical Education and Research, Ganpat University, India
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Keller N, Whittle RS, McHenry N, Johnston A, Duncan C, Ploutz-Snyder L, Torre GGDL, Sheffield-Moore M, Chamitoff G, Diaz-Artiles A. Virtual Reality “exergames”: A promising countermeasure to improve motivation and restorative effects during long duration spaceflight missions. Front Physiol 2022; 13:932425. [PMID: 36304582 PMCID: PMC9593063 DOI: 10.3389/fphys.2022.932425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 09/21/2022] [Indexed: 11/13/2022] Open
Abstract
Long duration spaceflight missions will require novel exercise systems to protect astronaut crew from the detrimental effects of microgravity exposure. The SPRINT protocol is a novel and promising exercise prescription that combines aerobic and resistive training using a flywheel device, and it was successfully employed in a 70-day bed-rest study as well as onboard the International Space Station. Our team created a VR simulation to further augment the SPRINT protocol when using a flywheel ergometer training device (the Multi-Mode Exercise Device or M-MED). The simulation aspired to maximal realism in a virtual river setting while providing real-time biometric feedback on heart rate performance to subjects. In this pilot study, five healthy, male, physically-active subjects aged 35 ± 9.0 years old underwent 2 weeks of SPRINT protocol, either with or without the VR simulation. After a 1-month washout period, subjects returned for a subsequent 2 weeks in the opposite VR condition. We measured physiological and cognitive variables of stress, performance, and well-being. While physiological effects did not suggest much difference with the VR condition over 2 weeks, metrics of motivation, affect, and mood restoration showed detectable differences, or trended toward more positive outcomes than exercise without VR. These results provide evidence that a well-designed VR “exergaming” simulation with biometric feedback could be a beneficial addition to exercise prescriptions, especially if users are exposed to isolation and confinement.
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Affiliation(s)
- Nathan Keller
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, United States
- Department of Aerospace Engineering, Texas A&M University, College Station, TX, United States
| | - Richard S. Whittle
- Department of Aerospace Engineering, Texas A&M University, College Station, TX, United States
| | - Neil McHenry
- Department of Aerospace Engineering, Texas A&M University, College Station, TX, United States
| | - Adam Johnston
- Department of Aerospace Engineering, Texas A&M University, College Station, TX, United States
| | - Colton Duncan
- Department of Aerospace Engineering, Texas A&M University, College Station, TX, United States
| | - Lori Ploutz-Snyder
- Movement Science Program, School of Kinesiology, University of Michigan, Ann Arbor, MI, United States
| | | | - Melinda Sheffield-Moore
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, United States
- Department of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, United States
| | - Gregory Chamitoff
- Department of Aerospace Engineering, Texas A&M University, College Station, TX, United States
| | - Ana Diaz-Artiles
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, United States
- Department of Aerospace Engineering, Texas A&M University, College Station, TX, United States
- *Correspondence: Ana Diaz-Artiles,
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8
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Harris M, Duda PI, Kelman I, Glick N. Addressing disaster and health risks for sustainable outer space. INTEGRATED ENVIRONMENTAL ASSESSMENT AND MANAGEMENT 2022. [PMID: 35974682 DOI: 10.1002/ieam.4668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 07/10/2022] [Accepted: 08/03/2022] [Indexed: 06/15/2023]
Abstract
Any future outer space exploration and exploitation should more fully consider disaster and health risks as part of aiming for sustainability. The advent of the so-called "New Space" race, age, or era characterized by democratization, commercialization, militarization, and overlapping outer space activities such as tourism presents challenges for disaster-related and health-related risks in and for outer space. Such challenges have been extensively researched for earth, but less so for space. This article presents an overview of key aspects for addressing disaster and health risks in outer space within a wider sustainability framing. After an introduction providing background and scope, this article's next section considers some key health and disaster risks within sustainable outer space and offers insights from earth. The following two sections apply this knowledge by focusing on how analogue missions and international legal and voluntary regimes can each be used to reduce risks and potentially make outer space healthier and safer. The findings advocate that there is a wealth of knowledge and experience about mitigating risks to health and disaster risk reduction on earth that can inform spaceflight and exploration. The examples explored include the physical, legal, and regulatory aspects of the "New Space" industry, which highlights the relevance of equating examples on earth. The article concludes that expectations must be managed regarding scenarios for which response, rescue, and recovery are precluded, prompting a necessary focus on prevention and risk reduction. In doing so, earth-based scenarios and aspects of the so-called "Old Space" offer useful insights and should be examined further for "New Space." Integr Environ Assess Manag 2022;00:1-8. © 2022 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals LLC on behalf of Society of Environmental Toxicology & Chemistry (SETAC).
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Affiliation(s)
- Myles Harris
- UCL Institute for Risk and Disaster Reduction, London, UK
- Space Health Research, London, UK
| | | | - Ilan Kelman
- UCL Institute for Risk and Disaster Reduction, London, UK
- UCL Institute for Global Health, University of Agder, Kristiansand, Norway
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Seidler RD, Stern C, Basner M, Stahn AC, Wuyts FL, zu Eulenburg P. Future research directions to identify risks and mitigation strategies for neurostructural, ocular, and behavioral changes induced by human spaceflight: A NASA-ESA expert group consensus report. Front Neural Circuits 2022; 16:876789. [PMID: 35991346 PMCID: PMC9387435 DOI: 10.3389/fncir.2022.876789] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 06/27/2022] [Indexed: 11/13/2022] Open
Abstract
A team of experts on the effects of the spaceflight environment on the brain and eye (SANS: Spaceflight-Associated Neuro-ocular Syndrome) was convened by NASA and ESA to (1) review spaceflight-associated structural and functional changes of the human brain and eye, and any interactions between the two; and (2) identify critical future research directions in this area to help characterize the risk and identify possible countermeasures and strategies to mitigate the spaceflight-induced brain and eye alterations. The experts identified 14 critical future research directions that would substantially advance our knowledge of the effects of spending prolonged periods of time in the spaceflight environment on SANS, as well as brain structure and function. They used a paired comparison approach to rank the relative importance of these 14 recommendations, which are discussed in detail in the main report and are summarized briefly below.
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Affiliation(s)
- Rachael D. Seidler
- Department of Applied Physiology & Kinesiology, Health and Human Performance, University of Florida, Gainesville, FL, United States
| | - Claudia Stern
- Department of Clinical Aerospace Medicine, German Aerospace Center (DLR) and ISS Operations and Astronauts Group, European Astronaut Centre, European Space Agency (ESA), Cologne, Germany
- *Correspondence: Claudia Stern,
| | - Mathias Basner
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
| | - Alexander C. Stahn
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
| | - Floris L. Wuyts
- Department of Physics, University of Antwerp, Antwerp, Belgium
- Laboratory for Equilibrium Investigations and Aerospace (LEIA), Antwerp, Belgium
| | - Peter zu Eulenburg
- German Vertigo and Balance Center, University Hospital, Ludwig-Maximilians-Universität München (LMU), Munich, Germany
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Schluter PJ, Généreux M, Landaverde E, Chan EYY, Hung KKC, Law R, Mok CPY, Murray V, O'Sullivan T, Qadar Z, Roy M. An eight country cross-sectional study of the psychosocial effects of COVID-19 induced quarantine and/or isolation during the pandemic. Sci Rep 2022; 12:13175. [PMID: 35915133 PMCID: PMC9341149 DOI: 10.1038/s41598-022-16254-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 07/07/2022] [Indexed: 11/21/2022] Open
Abstract
Forced quarantine and nationwide lockdowns have been a primary response by many jurisdictions in their attempt at COVID-19 elimination or containment, yet the associated mental health burden is not fully understood. Using an eight country cross-sectional design, this study investigates the association between COVID-19 induced quarantine and/or isolation on probable generalized anxiety disorder (GAD) and major depressive episode (MDE) psychological outcomes approximately eight months after the pandemic was declared. Overall, 9027 adults participated, and 2937 (32.5%) were indicated with GAD and/or MDE. Reported quarantine and/or isolation was common, with 1199 (13.8%) confined for travel or health requirements, 566 (6.5%) for being close contact, 720 (8.3%) for having COVID-19 symptoms, and 457 (5.3%) for being COVID-19 positive. Compared to those not quarantining or isolating, the adjusted estimated relative risks of GAD and/or MDE associated with quarantine and/or isolation was significant (p < 0.001), ranging from 1.24 (95% confidence interval [CI]: 1.07, 1.43) for travel/health to 1.37 (95% CI 1.19, 1.59) for COVID-19 symptom isolation reasons. While almost universally employed, quarantine and/or isolation is associated with a heavy mental health toll. Preventive strategies are needed, such as minimizing time-limits imposed and providing clear rationale and information, together with additional treatment and rehabilitation resources.
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Affiliation(s)
- Philip J Schluter
- School of Health Sciences, University of Canterbury-Te Whare Wananga O Waitaha, Private Bag 4800, Christchurch, 8140, New Zealand. .,School of Clinical Medicine - Primary Care Clinical Unit, The University of Queensland, Brisbane, 4072, Australia.
| | - Mélissa Généreux
- Department of Community Health Sciences, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Canada
| | - Elsa Landaverde
- Department of Community Health Sciences, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Canada
| | - Emily Y Y Chan
- Collaborating Centre for Oxford University and CUHK for Disaster and Medical Humanitarian Response, JC School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong, China
| | - Kevin K C Hung
- Accident and Emergency Medicine Academic Unit, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China
| | - Ronald Law
- Department of Health, 2932, Manila, Manila, Philippines
| | - Catherine P Y Mok
- Collaborating Centre for Oxford University and CUHK for Disaster and Medical Humanitarian Response, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China
| | | | - Tracey O'Sullivan
- Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
| | - Zeeshan Qadar
- National Collaborating Centre for Infectious Diseases, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Mathieu Roy
- Department of Family Medicine & Emergency Medicine, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Canada
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11
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Pinto JO, Dores AR, Peixoto B, Vieira de Melo BB, Barbosa F. Critical review of multisensory integration programs and proposal of a theoretical framework for its combination with neurocognitive training. Expert Rev Neurother 2022; 22:557-566. [PMID: 35722763 DOI: 10.1080/14737175.2022.2092401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
INTRODUCTION The main purpose of this manuscript is to critically review the Multisensory Integration (MI) training programs applied to older adults, their characteristics, target sensory systems, efficacy, assessment methods, and results. We also intend to propose an integrated framework to support combined interventions of neurocognitive and sensory training. AREAS COVERED A critical review was conducted covering the most relevant literature on the MI training programs applied to older adults. Two MI training programs applied to cognitively healthy older adults were found: (a) audio-visual temporal discrimination training and (b) simultaneity judgment training. Both led to the improvement of the MI between pre- and post-training. However, only the audio-visual temporal discrimination training led to the generalization of the improvements to another MI task. EXPERT OPINION Considering the relationship between sensory and cognitive functioning, this review supports the potential advantages of combining MI with neurocognitive training in the rehabilitation of older adults. We suggested that this can be achieved within the framework of Branched Programmed Neurocognitive Training (BPNT). Criteria for deciding the most suitable multisensory intervention, that is, MI or Multisensory Stimulation, and general guidelines for the development of MI intervention protocols with older adults with or without cognitive impairment are provided.
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Affiliation(s)
- Joana O Pinto
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal.,Human and Social Sciences Technical and Scientific Area, School of Health, Polytechnic Institute of Porto, Porto, Portugal.,CESPU, University Institute of Health Sciences, Gandra, Portugal
| | - Artemisa R Dores
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal.,Human and Social Sciences Technical and Scientific Area, School of Health, Polytechnic Institute of Porto, Porto, Portugal.,Psychosocial Rehabilitation Laboratory, Center for Rehabilitation Research, School of Health of the Polytechnic of Porto, Porto, Portugal
| | - Bruno Peixoto
- CESPU, University Institute of Health Sciences, Gandra, Portugal.,NeuroGen - Center for Health Technology and Services Research (CINTESIS), Porto, Portugal.,TOXRUN - Toxicology Research Unit, University Institute of Health Sciences, CESPU, Gandra, Portugal
| | - Bruno B Vieira de Melo
- Psychosocial Rehabilitation Laboratory, Center for Rehabilitation Research, School of Health of the Polytechnic of Porto, Porto, Portugal
| | - Fernando Barbosa
- Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
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12
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Ghanim MS, Muley D, Kharbeche M. ANN-Based traffic volume prediction models in response to COVID-19 imposed measures. SUSTAINABLE CITIES AND SOCIETY 2022; 81:103830. [PMID: 35291578 PMCID: PMC8906893 DOI: 10.1016/j.scs.2022.103830] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 02/21/2022] [Accepted: 03/08/2022] [Indexed: 05/14/2023]
Abstract
Many countries around the globe have imposed several response measures to suppress the rapid spread of the COVID-19 pandemic since the beginning of 2020. These measures have impacted routine daily activities, along with their impact on economy, education, social and recreational activities, and domestic and international travels. Intuitively, the different imposed policies and measures have indirect impacts on urban traffic mobility. As a result of those imposed measures and policies, urban traffic flows have changed. However, those impacts are neither measured nor quantified. Therefore, estimating the impact of these combined yet different policies and measures on urban traffic flows is a challenging task. This paper demonstrates the development of an artificial neural networks (ANN) model which correlates the impact of the imposed response measure and other factors on urban traffic flows. The results show that the adopted ANN model is capable of mapping the complex relationship between traffic flows and the response measures with a high level of accuracy and good performance. The predicted values are closed to the observed ones. They are clustered around the regression line, with a coefficient of determination ( R 2 ) of 0.9761. Furthermore, the developed model can be generalized to determine the anticipated demand levels resulted from imposing any of the response measures in the post-pandemic era. This model can be used to manage traffic during mega-events. It can be also utilized for disaster or emergency situations, where traffic flow estimates are highly required for operational and planning purposes.
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Affiliation(s)
| | - Deepti Muley
- Qatar Transportation and Traffic Safety Center, Department of Civil Engineering, Qatar University, P.O. Box 2713, Doha, Qatar
| | - Mohamed Kharbeche
- Qatar Transportation and Traffic Safety Center, Qatar University, P.O. Box 2713, Doha, Qatar
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13
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Martins YAT, Passos RLF, Marques AL, Gonçalves DAP, Mendes TT, Núñez-Espinosa C, Rodrigues LOC, Wanner SP, Moraes MM, Arantes RME, Soares DD. A 32-day long fieldwork in Antarctica improves heat tolerance during physical exercise. AN ACAD BRAS CIENC 2022; 94:e20210593. [PMID: 35239799 DOI: 10.1590/0001-3765202220210593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Accepted: 08/20/2021] [Indexed: 11/22/2022] Open
Abstract
We evaluated the influence of a 32-day camping in Antarctica on physical performance and exercise-induced thermoregulatory responses. In Brazil, before and after the Antarctic camping, the volunteers performed an incremental exercise at temperate conditions and, two days later, an exercise heat stress protocol (45-min running at 60% of maximum aerobic speed, at 31°C and 60% of relative humidity). In Antarctica, core temperature was assessed on a day of fieldwork, and average values higher than 38.5°C were reported. At pre- and post-Antarctica, physiological (whole-body and local sweat rate, number of active sweat glands, sweat gland output, core and skin temperatures) and perceptual (thermal comfort and sensation) variables were measured. The Antarctic camping improved the participants' performance and induced heat-related adaptations, as evidenced by sweat redistribution (lower in the chest but higher in grouped data from the forehead, forearm, and thigh) and reduced skin temperatures in the forehead and chest during the exercise heat stress protocol. Notwithstanding the acclimatization, the participants did not report differences of the thermal sensation and comfort. In conclusion, staying in an Antarctic camp for 32 days improved physical performance and elicited physiological adaptations to heat due to the physical exertion-induced hyperthermia in the field.
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Affiliation(s)
- Ygor A T Martins
- Universidade Federal de Minas Gerais, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Laboratório de Fisiologia do Exercício, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil
| | - Renata L F Passos
- Universidade Federal de Minas Gerais, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Laboratório de Fisiologia do Exercício, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil
| | - Alice L Marques
- Universidade Rural do Rio de Janeiro, Programa de Pós-Graduação em Ciências Sociais em Desenvolvimento, Agricultura e Sociedade, Av. Presidente Vargas, 417, 20071-003 Rio de Janeiro, RJ, Brazil
| | - Dawit A P Gonçalves
- Universidade Federal de Minas Gerais, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Laboratório de Fisiologia do Exercício, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil
| | - Thiago T Mendes
- Universidade Federal do Maranhão, Centro de Ciências Humanas, Naturais, Saúde e Tecnologia, Estrada Pinheiro/Pacas, Km 10, s/n, 65200-000 Pinheiro, MA, Brazil
| | - Cristian Núñez-Espinosa
- Universidad de Magallanes, School of Medicine, Physiology Laboratory, Pdte. Manuel Bulnes Avenue, 01855, Punta Arenas, Magallanes and Chilean Antarctica, Chile
| | - Luiz O C Rodrigues
- Universidade Federal de Minas Gerais, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Laboratório de Fisiologia do Exercício, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil
| | - Samuel P Wanner
- Universidade Federal de Minas Gerais, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Laboratório de Fisiologia do Exercício, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil
| | - Michele M Moraes
- Universidade Federal de Minas Gerais, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Laboratório de Fisiologia do Exercício, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil.,Universidade Federal de Minas Gerais, Instituto de Ciências Biológicas, Departamento de Patologia geral, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil.,Universidade Federal de Minas Gerais, Faculdade de Medicina, Núcleo de Ações e Pesquisa em Apoio Diagnóstico, (UFMG/FM-NUPAD), Av. Alfredo Balena, 189, 30130-100 Belo Horizonte, MG, Brazil
| | - Rosa M E Arantes
- Universidade Federal de Minas Gerais, Instituto de Ciências Biológicas, Departamento de Patologia geral, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil.,Universidade Federal de Minas Gerais, Faculdade de Medicina, Núcleo de Ações e Pesquisa em Apoio Diagnóstico, (UFMG/FM-NUPAD), Av. Alfredo Balena, 189, 30130-100 Belo Horizonte, MG, Brazil
| | - Danusa D Soares
- Universidade Federal de Minas Gerais, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Laboratório de Fisiologia do Exercício, Av. Presidente Antônio Carlos, 6627, 31270-901 Belo Horizonte, MG, Brazil
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14
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Baran R, Marchal S, Garcia Campos S, Rehnberg E, Tabury K, Baselet B, Wehland M, Grimm D, Baatout S. The Cardiovascular System in Space: Focus on In Vivo and In Vitro Studies. Biomedicines 2021; 10:59. [PMID: 35052739 PMCID: PMC8773383 DOI: 10.3390/biomedicines10010059] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 12/24/2021] [Accepted: 12/25/2021] [Indexed: 12/13/2022] Open
Abstract
On Earth, humans are subjected to a gravitational force that has been an important determinant in human evolution and function. During spaceflight, astronauts are subjected to several hazards including a prolonged state of microgravity that induces a myriad of physiological adaptations leading to orthostatic intolerance. This review summarises all known cardiovascular diseases related to human spaceflight and focusses on the cardiovascular changes related to human spaceflight (in vivo) as well as cellular and molecular changes (in vitro). Upon entering microgravity, cephalad fluid shift occurs and increases the stroke volume (35-46%) and cardiac output (18-41%). Despite this increase, astronauts enter a state of hypovolemia (10-15% decrease in blood volume). The absence of orthostatic pressure and a decrease in arterial pressures reduces the workload of the heart and is believed to be the underlying mechanism for the development of cardiac atrophy in space. Cellular and molecular changes include altered cell shape and endothelial dysfunction through suppressed cellular proliferation as well as increased cell apoptosis and oxidative stress. Human spaceflight is associated with several cardiovascular risk factors. Through the use of microgravity platforms, multiple physiological changes can be studied and stimulate the development of appropriate tools and countermeasures for future human spaceflight missions in low Earth orbit and beyond.
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Affiliation(s)
- Ronni Baran
- Department of Biomedicine, Aarhus University, Ole Worms Allé 4, 8000 Aarhus, Denmark; (R.B.); (D.G.)
| | - Shannon Marchal
- Department of Astronomy, Catholic University of Leuven, 3000 Leuven, Belgium;
- Radiobiology Unit, Belgian Nuclear Research Centre (SCK CEN), Boeretang 200, 2400 Mol, Belgium; (E.R.); (K.T.); (B.B.)
| | - Sebastian Garcia Campos
- Department of Microgravity and Translational Regenerative Medicine, Otto von Guericke University, Universitätsplatz 2, 39106 Magdeburg, Germany; (S.G.C.); (M.W.)
- Research Group ‘Magdeburger Arbeitsgemeinschaft für Forschung unter Raumfahrt- und Schwerelosigkeitsbedingungen’ (MARS), Otto von Guericke University, Universitätsplatz 2, 39106 Magdeburg, Germany
| | - Emil Rehnberg
- Radiobiology Unit, Belgian Nuclear Research Centre (SCK CEN), Boeretang 200, 2400 Mol, Belgium; (E.R.); (K.T.); (B.B.)
- Department of Molecular Biotechnology, Ghent University, 9000 Ghent, Belgium
| | - Kevin Tabury
- Radiobiology Unit, Belgian Nuclear Research Centre (SCK CEN), Boeretang 200, 2400 Mol, Belgium; (E.R.); (K.T.); (B.B.)
- Department of Biomedical Engineering, University of South Carolina, Columbia, SC 29208, USA
| | - Bjorn Baselet
- Radiobiology Unit, Belgian Nuclear Research Centre (SCK CEN), Boeretang 200, 2400 Mol, Belgium; (E.R.); (K.T.); (B.B.)
| | - Markus Wehland
- Department of Microgravity and Translational Regenerative Medicine, Otto von Guericke University, Universitätsplatz 2, 39106 Magdeburg, Germany; (S.G.C.); (M.W.)
- Research Group ‘Magdeburger Arbeitsgemeinschaft für Forschung unter Raumfahrt- und Schwerelosigkeitsbedingungen’ (MARS), Otto von Guericke University, Universitätsplatz 2, 39106 Magdeburg, Germany
| | - Daniela Grimm
- Department of Biomedicine, Aarhus University, Ole Worms Allé 4, 8000 Aarhus, Denmark; (R.B.); (D.G.)
- Department of Microgravity and Translational Regenerative Medicine, Otto von Guericke University, Universitätsplatz 2, 39106 Magdeburg, Germany; (S.G.C.); (M.W.)
- Research Group ‘Magdeburger Arbeitsgemeinschaft für Forschung unter Raumfahrt- und Schwerelosigkeitsbedingungen’ (MARS), Otto von Guericke University, Universitätsplatz 2, 39106 Magdeburg, Germany
| | - Sarah Baatout
- Department of Astronomy, Catholic University of Leuven, 3000 Leuven, Belgium;
- Radiobiology Unit, Belgian Nuclear Research Centre (SCK CEN), Boeretang 200, 2400 Mol, Belgium; (E.R.); (K.T.); (B.B.)
- Department of Molecular Biotechnology, Ghent University, 9000 Ghent, Belgium
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15
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Alomari MA, Alzoubi KH, Khabour OF, Darabseh MZ. Sleeping habits during COVID-19 induced confinement: A study from Jordan. Heliyon 2021; 7:e08545. [PMID: 34877418 PMCID: PMC8641401 DOI: 10.1016/j.heliyon.2021.e08545] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 09/10/2021] [Accepted: 12/01/2021] [Indexed: 12/24/2022] Open
Abstract
Sleep can significantly modulate the immune response to infectious agents. In the current study, changes in sleep quality during COVID-19-induced confinement among adults were investigated. This was a cross-sectional survey study of the public using social media. Participants (n = 1846) were recruited in the study, of which >92% reported a variety of confinement procedures such as self-quarantine, physical distancing, banning of public events, school closure, and lockdown. Majority of the participants (53-59%) reported an increase in most of the sleep parameters except a decrease (49.1%) in daytime sleep. Age was associated with changes in sleeping disturbances during COVID-19 confinement (p < 0.001). Young participants were more likely to experience sleeping disturbance than older ones (p < 0.05). In addition, gender (p < 0.001) is an independent predictor of nighttime sleeping. Being a male is associated with a "decrease" and being a female is associated with an "increase" in nighttime sleeping hours (p < 0.05). Moreover, change in daytime sleeping was related to age, gender, and job type (p < 0.05). In conclusion, changes in sleep quality during COVID-19-induced confinement were reported. Intervention programs and strategies are warranted to further improve sleep during the current and future disease-induced confinement.
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Affiliation(s)
- Mahmoud A. Alomari
- Department of Physical Education, Qatar University, Doha, Qatar
- Division of Physical Therapy, Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Karem H. Alzoubi
- Department of Pharmacy Practice and Pharmacotherapeutics, University of Sharjah, Sharjah, United Arab Emirates
- Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
| | - Omar F. Khabour
- Department of Medical Laboratory Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammad Z. Darabseh
- Division of Physiotherapy, Department of Allied Medical Sciences, Aqaba University of Technology, Aqaba, Jordan
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16
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Dalmaso M, Castelli L, Galfano G. Increased gaze cueing of attention during COVID-19 lockdown. iScience 2021; 24:103283. [PMID: 34667942 PMCID: PMC8516435 DOI: 10.1016/j.isci.2021.103283] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 09/02/2021] [Accepted: 10/13/2021] [Indexed: 11/17/2022] Open
Abstract
Affiliation with others is a basic human need. The lockdown implemented for counteracting the COVID-19 pandemic has determined an unprecedented situation of social deprivation, forcing individuals to dramatically reduce face-to-face interactions. This, in turn, has caused relevant consequences on psychological well-being. However, the impact of lockdown-related social isolation on basic cognitive processes is still largely unknown. Here, we focus on social attention and address gaze cueing, namely the ability to shift attention in response to the gaze of others. This is a hard-wired cognitive mechanism critically supporting the establishment of social interactions and pervasive relationships among individuals. Our results show a stronger gaze-cueing effect during, rather than after, the lockdown, whose magnitude was positively correlated with social isolation distress. These findings indicate that, in a condition of prolonged social deprivation, orienting of attention may be shaped by hypersensitivity to social cues, likely due to the strive to reconnect with others. The impact of COVID-19 lockdown on cognitive processes is still largely unexplored We focus on gaze cueing of attention as a building block of social interaction Gaze cueing was larger during the lockdown than after the lockdown Social deprivation is associated with increased sensitivity to the eyes of others
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Affiliation(s)
- Mario Dalmaso
- Department of Developmental and Social Psychology, University of Padova, 35131 Padova, Italy
| | - Luigi Castelli
- Department of Developmental and Social Psychology, University of Padova, 35131 Padova, Italy
| | - Giovanni Galfano
- Department of Developmental and Social Psychology, University of Padova, 35131 Padova, Italy
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17
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Stahn AC, Kühn S. Extreme environments for understanding brain and cognition. Trends Cogn Sci 2021; 26:1-3. [PMID: 34711517 DOI: 10.1016/j.tics.2021.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 10/03/2021] [Accepted: 10/04/2021] [Indexed: 10/20/2022]
Abstract
Can life in extreme environments foster our understanding of the limits and adaptability of cognition and brain plasticity? We review characteristics of spaceflight and spaceflight analogues, such as bed rest, dry immersion, parabolic flights, and isolated and controlled confinement, and discuss the potential of utilizing these research settings to advance cognitive neuroscience.
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Affiliation(s)
- Alexander C Stahn
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA; Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Physiology, 10117 Berlin, Germany.
| | - Simone Kühn
- Lise Meitner Group for Environmental Neuroscience, Max Planck Institute for Human Development, 14195 Berlin, Germany; Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany
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18
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Clemente-Suárez VJ, Martínez-González MB, Benitez-Agudelo JC, Navarro-Jiménez E, Beltran-Velasco AI, Ruisoto P, Diaz Arroyo E, Laborde-Cárdenas CC, Tornero-Aguilera JF. The Impact of the COVID-19 Pandemic on Mental Disorders. A Critical Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:10041. [PMID: 34639341 PMCID: PMC8507604 DOI: 10.3390/ijerph181910041] [Citation(s) in RCA: 52] [Impact Index Per Article: 17.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 09/17/2021] [Accepted: 09/22/2021] [Indexed: 12/23/2022]
Abstract
The COVID-19 pandemic has impacted the lives of the worldwide population. Citizens suffer the social, economic, physiological, and psychological effects of this pandemic. Primary sources, scientific articles, and secondary bibliographic indexes, databases, and web pages were used for a consensus critical review. The method was a narrative review of the available literature to summarize the existing literature addressing mental health concerns and stressors related to the COVID-19 pandemic. The main search engines used in the present research were PubMed, SciELO, and Google Scholar. We found the pandemic has had a direct impact on psychopathologies such as anxiety, increasing its ratios, and depression. Other syndromes such as burnout and post-traumatic stress disorder have increased with the pandemic, showing a larger incidence among medical personnel. Moreover, eating disorders and violence have also increased. Public authorities must prepare healthcare systems for increasing incidences of mental pathologies. Mental health apps are one of the tools that can be used to reach the general population.
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Affiliation(s)
- Vicente Javier Clemente-Suárez
- Faculty of Sports Sciences, Universidad Europea de Madrid, 28670 Madrid, Spain;
- Grupo de Investigación en Cultura, Educación y Sociedad, Universidad de la Costa, Barranquilla 080002, Colombia
- Studies Centre in Applied Combat (CESCA), 45007 Toledo, Spain
| | - Marina Begoña Martínez-González
- Departamento de Ciencias Sociales, Facultad de Ciencias Sociales y Humanas, Universidad de la Costa, Barranquilla 080002, Colombia; (M.B.M.-G.); (J.C.B.-A.)
| | - Juan Camilo Benitez-Agudelo
- Departamento de Ciencias Sociales, Facultad de Ciencias Sociales y Humanas, Universidad de la Costa, Barranquilla 080002, Colombia; (M.B.M.-G.); (J.C.B.-A.)
| | | | | | - Pablo Ruisoto
- Department of Health Sciences, Public University of Navarre, 31006 Pamplona, Spain;
| | | | | | - Jose Francisco Tornero-Aguilera
- Faculty of Sports Sciences, Universidad Europea de Madrid, 28670 Madrid, Spain;
- Studies Centre in Applied Combat (CESCA), 45007 Toledo, Spain
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Stahn AC, Kühn S. Brains in space: the importance of understanding the impact of long-duration spaceflight on spatial cognition and its neural circuitry. Cogn Process 2021; 22:105-114. [PMID: 34409546 PMCID: PMC8423699 DOI: 10.1007/s10339-021-01050-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Accepted: 07/21/2021] [Indexed: 01/02/2023]
Abstract
Fifty years after the first humans stepped on the Moon, space faring nations have entered a new era of space exploration. NASA’s reference mission to Mars is expected to comprise 1100 days. Deep space exploratory class missions could even span decades. They will be the most challenging and dangerous expeditions in the history of human spaceflight and will expose crew members to unprecedented health and performance risks. The development of adverse cognitive or behavioral conditions and psychiatric disorders during those missions is considered a critical and unmitigated risk factor. Here, we argue that spatial cognition, i.e., the ability to encode representations about self-to-object relations and integrate this information into a spatial map of the environment, and their neural bases will be highly vulnerable during those expeditions. Empirical evidence from animal studies shows that social isolation, immobilization, and altered gravity can have profound effects on brain plasticity associated with spatial navigation. We provide examples from historic spaceflight missions, spaceflight analogs, and extreme environments suggesting that spatial cognition and its neural circuitry could be impaired during long-duration spaceflight, and identify recommendations and future steps to mitigate these risks.
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Affiliation(s)
- Alexander C Stahn
- Department of Psychiatry, Unit of Experimental Psychiatry, Perelman School of Medicine, University of Pennsylvania, 4233 Guardian Dr, 1016 Blockley Hall, Philadelphia, PA, 19104, USA.
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Physiology, Charitéplatz 1, 10117, Berlin, Germany.
| | - Simone Kühn
- Lise Meitner Group for Environmental Neuroscience, Max Planck Institute for Human Development, 14195, Berlin, Germany
- Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, 20246, Hamburg, Germany
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