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Pedroza-Camacho LD, Ospina-Sánchez PA, Romero-Perdomo FA, Infante-González NG, Paredes-Céspedes DM, Quevedo-Hidalgo B, Gutiérrez-Romero V, Rivera-Hoyos CM, Pedroza-Rodríguez AM. Wastewater treatment from a science faculty during the COVID-19 pandemic by using ammonium-oxidising and heterotrophic bacteria. 3 Biotech 2024; 14:129. [PMID: 38601881 PMCID: PMC11003938 DOI: 10.1007/s13205-024-03961-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 02/22/2024] [Indexed: 04/12/2024] Open
Abstract
During and after the pandemic caused by the SARS-CoV-2 virus, the use of personal care products and disinfectants increased in universities worldwide. Among these, quaternary ammonium-based products stand out; these compounds and their intermediates caused substantial changes in the chemical composition of the wastewater produced by these institutions. For this reason, improvements and environmentally sustainable biological alternatives were introduced in the existing treatment systems so that these institutions could continue their research and teaching activities. For this reason, the objective of this study was to develop an improved culture medium to cultivate ammonium oxidising bacteria (AOB) to increase the biomass and use them in the treatment of wastewater produced in a faculty of sciences in Bogotá, D.C., Colombia. A Plackett Burman Experimental Design (PBED) and growth curves served for oligotrophic culture medium, and production conditions improved for the AOB. Finally, these bacteria were used with total heterotrophic bacteria (THB) for wastewater treatment in a pilot plant. Modification of base ammonium broth and culture conditions (6607 mg L-1 of (NH4)2SO4, 84 mg L-1 CaCO3, 40 mg L-1 MgSO4·7H2O, 40 mg L-1 CaCl2·2H2O and 200 mg L-1 KH2PO4, 10% (w/v) inoculum, no copper addition, pH 7.0 ± 0.2, 200 r.p.m., 30 days) favoured the growth of Nitrosomonas europea, Nitrosococcus oceani, and Nitrosospira multiformis with values of 8.23 ± 1.9, 7.56 ± 0.7 and 4.2 ± 0.4 Log10 CFU mL-1, respectively. NO2- production was 0.396 ± 0.0264, 0.247 ± 0.013 and 0.185 ± 0.003 mg L-1 for Nitrosomonas europea, Nitrosococcus oceani and Nitrosospira multiformis. After the 5-day wastewater treatment (WW) by co-inoculating the three studied bacteria in the wastewater (with their self-microorganisms), the concentrations of AOB and THB were 5.92 and 9.3 Log10 CFU mL-1, respectively. These values were related to the oxidative decrease of Chemical Oxygen Demand (COD), (39.5 mg L-1), Ammonium ion (NH4+), (6.5 mg L-1) Nitrite (NO2-), (2.0 mg L-1) and Nitrate (NO3-), (1.5 mg L-1), respectively in the five days of treatment. It was concluded, with the improvement of a culture medium and production conditions for three AOB through biotechnological strategies at the laboratory scale, being a promising alternative to bio-augment of the biomass of the studied bacteria under controlled conditions that allow the aerobic removal of COD and nitrogen cycle intermediates present in the studied wastewater. Supplementary Information The online version contains supplementary material available at 10.1007/s13205-024-03961-4.
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Affiliation(s)
- Lucas D. Pedroza-Camacho
- Laboratorio de Microbiología Ambiental y Suelos, Unidad de Investigaciones Agropecuarias (UNIDIA), Grupo de Biotecnología Ambiental e Industrial (GBAI), Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Carrera 7ma No 43-82, Edifício 50 Lab. 106, P.O. Box 110-23, Bogotá, DC Colombia
| | - Paula A. Ospina-Sánchez
- Laboratorio de Microbiología Ambiental y Suelos, Unidad de Investigaciones Agropecuarias (UNIDIA), Grupo de Biotecnología Ambiental e Industrial (GBAI), Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Carrera 7ma No 43-82, Edifício 50 Lab. 106, P.O. Box 110-23, Bogotá, DC Colombia
| | - Felipe A. Romero-Perdomo
- Laboratorio de Microbiología Ambiental y Suelos, Unidad de Investigaciones Agropecuarias (UNIDIA), Grupo de Biotecnología Ambiental e Industrial (GBAI), Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Carrera 7ma No 43-82, Edifício 50 Lab. 106, P.O. Box 110-23, Bogotá, DC Colombia
| | - Nury G. Infante-González
- Laboratorio de Microbiología Ambiental y Suelos, Unidad de Investigaciones Agropecuarias (UNIDIA), Grupo de Biotecnología Ambiental e Industrial (GBAI), Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Carrera 7ma No 43-82, Edifício 50 Lab. 106, P.O. Box 110-23, Bogotá, DC Colombia
| | - Diana M. Paredes-Céspedes
- Laboratorio de Microbiología Ambiental y Suelos, Unidad de Investigaciones Agropecuarias (UNIDIA), Grupo de Biotecnología Ambiental e Industrial (GBAI), Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Carrera 7ma No 43-82, Edifício 50 Lab. 106, P.O. Box 110-23, Bogotá, DC Colombia
| | - Balkys Quevedo-Hidalgo
- Laboratorio de Biotecnología Aplicada, Grupo de Biotecnología Ambiental e Industrial (GBAI), Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, P.O. Box 110-23, Bogotá, DC Colombia
| | | | - Claudia M. Rivera-Hoyos
- Laboratorio de Biotecnología Molecular, Grupo de Biotecnología Ambiental e Industrial (GBAI), Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, P.O. Box 110-23, Bogotá, DC Colombia
| | - Aura M. Pedroza-Rodríguez
- Laboratorio de Microbiología Ambiental y Suelos, Unidad de Investigaciones Agropecuarias (UNIDIA), Grupo de Biotecnología Ambiental e Industrial (GBAI), Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Carrera 7ma No 43-82, Edifício 50 Lab. 106, P.O. Box 110-23, Bogotá, DC Colombia
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Li Y, Miyani B, Faust RA, David RE, Xagoraraki I. A broad wastewater screening and clinical data surveillance for virus-related diseases in the metropolitan Detroit area in Michigan. Hum Genomics 2024; 18:14. [PMID: 38321488 PMCID: PMC10845806 DOI: 10.1186/s40246-024-00581-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 01/24/2024] [Indexed: 02/08/2024] Open
Abstract
BACKGROUND Periodic bioinformatics-based screening of wastewater for assessing the diversity of potential human viral pathogens circulating in a given community may help to identify novel or potentially emerging infectious diseases. Any identified contigs related to novel or emerging viruses should be confirmed with targeted wastewater and clinical testing. RESULTS During the COVID-19 pandemic, untreated wastewater samples were collected for a 1-year period from the Great Lakes Water Authority Wastewater Treatment Facility in Detroit, MI, USA, and viral population diversity from both centralized interceptor sites and localized neighborhood sewersheds was investigated. Clinical cases of the diseases caused by human viruses were tabulated and compared with data from viral wastewater monitoring. In addition to Betacoronavirus, comparison using assembled contigs against a custom Swiss-Prot human virus database indicated the potential prevalence of other pathogenic virus genera, including: Orthopoxvirus, Rhadinovirus, Parapoxvirus, Varicellovirus, Hepatovirus, Simplexvirus, Bocaparvovirus, Molluscipoxvirus, Parechovirus, Roseolovirus, Lymphocryptovirus, Alphavirus, Spumavirus, Lentivirus, Deltaretrovirus, Enterovirus, Kobuvirus, Gammaretrovirus, Cardiovirus, Erythroparvovirus, Salivirus, Rubivirus, Orthohepevirus, Cytomegalovirus, Norovirus, and Mamastrovirus. Four nearly complete genomes were recovered from the Astrovirus, Enterovirus, Norovirus and Betapolyomavirus genera and viral species were identified. CONCLUSIONS The presented findings in wastewater samples are primarily at the genus level and can serve as a preliminary "screening" tool that may serve as indication to initiate further testing for the confirmation of the presence of species that may be associated with human disease. Integrating innovative environmental microbiology technologies like metagenomic sequencing with viral epidemiology offers a significant opportunity to improve the monitoring of, and predictive intelligence for, pathogenic viruses, using wastewater.
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Affiliation(s)
- Yabing Li
- Department of Civil and Environmental Engineering, Michigan State University, 1449 Engineering Research Ct, East Lansing, MI, 48823, USA
| | - Brijen Miyani
- Department of Civil and Environmental Engineering, Michigan State University, 1449 Engineering Research Ct, East Lansing, MI, 48823, USA
| | - Russell A Faust
- Oakland County Health Division, 1200 Telegraph Rd, Pontiac, MI, 48341, USA
| | - Randy E David
- School of Medicine, Wayne State University, Detroit, MI, 48282, USA
| | - Irene Xagoraraki
- Department of Civil and Environmental Engineering, Michigan State University, 1449 Engineering Research Ct, East Lansing, MI, 48823, USA.
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Carrillo-García J, Lacerenza S, Hindi N, García IC, Marquina G, Cano Cano JM, Trufero JM, Sevillano Tripero AR, Luis García T, Cuesta Rioboo MJ, Moura DS, Renshaw M, Mondaza-Hernández JL, Di Lernia D, Gutierrez A, Martin-Broto J. Delays in diagnosis and surgery of sarcoma patients during the COVID-19 outbreak in Spain. Ther Adv Med Oncol 2024; 16:17588359231220611. [PMID: 38205079 PMCID: PMC10777772 DOI: 10.1177/17588359231220611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 11/21/2023] [Indexed: 01/12/2024] Open
Abstract
Background and objectives Social distancing and quarantine implanted during the COVID-19 outbreak could have delayed the accession of oncologic patients to hospitals and treatments. This study analysed the management of sarcoma patients during this period in five Spanish hospitals. Design and methods Clinical data from adult sarcoma patients, soft tissue and bone sarcomas, managed during the COVID-19 outbreak, from 15 March to 14 September 2020 (Covid cohort), were retrospectively collected and time for diagnosis, surgery and active treatments were compared with sarcoma patients managed during the same pre-pandemic period in 2018 (Control cohort). Results A total of 126 and 182 new sarcoma patients were enrolled in the Covid and Control cohorts, respectively, who were mainly diagnosed as soft tissue sarcomas (81.0% and 80.8%) and at localized stage (80.2% and 79.1%). A diagnostic delay was observed in the Covid cohort with a median time for the diagnosis of 102.5 days (range 6-355) versus 83 days (range 5-328) in the Control cohort (p = 0.034). Moreover, a delay in surgery was observed in cases with localized disease from the Covid cohort with a median time of 96.0 days (range 11-265) versus 54.5 days (range 2-331) in the Control cohort (p = 0.034). However, a lower delay for neoadjuvant radiotherapy was observed in the Covid cohort with a median time from the diagnosis to the neoadjuvant radiotherapy of 47 days (range 27-105) versus 91 days (range 27-294) in the Control cohort (p = 0.039). No significant differences for adjuvant radiotherapy, neoadjuvant/adjuvant chemotherapy and neoadjuvant/adjuvant palliative chemotherapy were observed between both cohorts. Neither progression-free survival (PFS) nor overall survival (OS) was significantly different. Conclusion Delays in diagnosis and surgery were retrospectively observed in sarcoma patients during the COVID-19 outbreak in Spain, while the time for neoadjuvant radiotherapy was reduced. However, no impact on the PFS and OS was observed.
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Affiliation(s)
- Jaime Carrillo-García
- Health Research Institute Fundación Jiménez Díaz (IIS-FJD, UAM), Madrid, Spain
- Medical Oncology Department, University Hospital General de Villalba, Madrid, Spain
| | - Serena Lacerenza
- Institute of Biomedicine of Seville (IBIS), HUVR-CSIC-University of Seville, Seville, Spain
| | - Nadia Hindi
- Health Research Institute Fundación Jiménez Díaz (IIS-FJD, UAM), Madrid, Spain
- Medical Oncology Department, University Hospital General de Villalba, Madrid, Spain
- Medical Oncology Department, University Hospital Fundación Jiménez Díaz, Madrid, Spain
| | | | - Gloria Marquina
- Department of Medical Oncology, Hospital Clínico San Carlos, School of Medicine, Complutense University (UCM), IdISSC, Madrid, Spain
| | - Juana María Cano Cano
- Medical Oncology Department, University Hospital General de Ciudad Real, Ciudad Real, Spain
| | | | - Alberto Rafael Sevillano Tripero
- Medical Oncology Department, University Hospital General de Villalba, Madrid, Spain
- Medical Oncology Department, University Hospital Fundación Jiménez Díaz, Madrid, Spain
| | - Tania Luis García
- Department of Medical Oncology, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | | | - David S. Moura
- Health Research Institute Fundación Jiménez Díaz (IIS-FJD, UAM), Madrid, Spain
- Medical Oncology Department, University Hospital General de Villalba, Madrid, Spain
| | - Marta Renshaw
- Health Research Institute Fundación Jiménez Díaz (IIS-FJD, UAM), Madrid, Spain
- Medical Oncology Department, University Hospital General de Villalba, Madrid, Spain
| | - Jose L. Mondaza-Hernández
- Health Research Institute Fundación Jiménez Díaz (IIS-FJD, UAM), Madrid, Spain
- Medical Oncology Department, University Hospital General de Villalba, Madrid, Spain
| | - Davide Di Lernia
- Health Research Institute Fundación Jiménez Díaz (IIS-FJD, UAM), Madrid, Spain
- Medical Oncology Department, University Hospital General de Villalba, Madrid, Spain
| | - Antonio Gutierrez
- Department of Hematology, University Hospital Son Espases, Palma, Spain
| | - Javier Martin-Broto
- Health Research Institute Fundación Jiménez Díaz (IIS-FJD, UAM), Reyes Católicos 2, Madrid 28040, Spain
- Medical Oncology Department, University Hospital General de Villalba, Madrid, Spain
- Medical Oncology Department, University Hospital Fundación Jiménez Díaz, Madrid, Spain
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Rehman S, Rehman E, Awan A. Psychological dynamics of pandemic resilience: a tale of two cultures. J Pharm Policy Pract 2023; 17:2291509. [PMID: 38234996 PMCID: PMC10793633 DOI: 10.1080/20523211.2023.2291509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2024] Open
Abstract
The present work endeavours to explore the experiences of university-level students from Pakistan and Nepal after the COVID-19 outbreak. A comprehensive electronic survey was carried out utilising a meticulous cluster sampling technique encompassing two distinct populations, i.e. Pakistan and Nepal, during the period extending from September 2022 to January 2023. A total of 2496 participants completed the questionnaire (Pakistani population: 55.45% and Nepalese population: 44.55%). We utilised the Mental Health Continuum-Short Form (MHC-SF), Pittsburgh Sleep Quality Index (PSQI), feeling of loneliness (UCLA), interdependent happy scale (IHS), and fear of COVID-19 scale (FCV-19S). Notably, a significant intercultural disparity was observed, particularly concerning the level of COVID-19 fear which was higher among the Nepalese population. However, this particular variable did not demonstrate any significant associations with other variables, except for the social dimension of MHC-SF. There was a negative correlation observed between this variable and IHS within the Pakistani population. Irrespective of the varying degrees of apprehension towards COVID-19 within the two distinct cultural contexts, there exists a significant positive correlation between the assessed psychological assets and individual well-being, as well as the resumption of regular activities after the outbreak.
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Affiliation(s)
- Shazia Rehman
- Department of Psychiatry, National Clinical Research Center for Mental Disorders and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, People’s Republic of China
- Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Hunan Medical Center for Mental Health, Changsha, People’s Republic of China
| | - Erum Rehman
- Department of Mathematics, Nazarbayev University, Nur-Sultan, Kazakhstan
| | - Akhlaq Awan
- Department Pharmacy, Hazara University, Mansehra, Pakistan
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Lin MP, Tseng HY, Lee YT, Tang WC, Cheng LH, Wu JYW, You J. Internet use time and subjective well-being during the COVID-19 outbreak: serial mediation of problematic internet use and self-esteem. BMC Psychol 2023; 11:438. [PMID: 38082347 PMCID: PMC10714498 DOI: 10.1186/s40359-023-01483-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 12/06/2023] [Indexed: 12/18/2023] Open
Abstract
The coronavirus disease (COVID-19) outbreak is a threat to adolescents' mental health and livelihoods, and lowers their subjective well-being (SWB). Expanding on previous literatures, this study examined whether internet use time was related to SWB and whether this relationship was mediated by problematic internet use (PIU) and self-esteem during the COVID-19 outbreak. In Taiwan, the COVID-19 epidemic broke out in February, 2020. During March 2 to 27, this study recruited a total of 1,060 adolescents from junior high schools by both stratified and cluster sampling, and administered a comprehensive investigation. The results displayed that SWB was significantly and negatively predicted by internet use time. PIU fully mediated the relationship. Moreover, PIU predicted a decrease of self-esteem, which played a full mediation role between PIU and SWB. The results provide evidence in explaining how increased internet use time is associated with a greater level of PIU, which relates to lower self-esteem, correlating with lower SWB in adolescents. This study can provide reference to mental health organizations and educational agencies to design appropriate SWB promotion programs for the junior high school population in terms of epidemic prevention.
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Affiliation(s)
- Min-Pei Lin
- Department of Educational Psychology and Counseling, National Taiwan Normal University, No.162, Sec. 1, Heping E. Rd., Da-an District, Taipei City, 106, Taiwan.
| | - Hsin-Yi Tseng
- Department of Educational Psychology and Counseling, National Taiwan Normal University, No.162, Sec. 1, Heping E. Rd., Da-an District, Taipei City, 106, Taiwan
| | - Yueh-Ting Lee
- Department of Counseling and Guidance, National University of Tainan, No.33, Sec. 2, Shu- Lin St, Tainan, 700, Taiwan
| | - Wen-Ching Tang
- Department of Educational Psychology and Counseling, National Taiwan Normal University, No.162, Sec. 1, Heping E. Rd., Da-an District, Taipei City, 106, Taiwan
| | - Li-Hsuan Cheng
- Department of Educational Psychology and Counseling, National Taiwan Normal University, No.162, Sec. 1, Heping E. Rd., Da-an District, Taipei City, 106, Taiwan
| | - Jo Yung-Wei Wu
- Good-Day Psychology Clinic, 5F., No. 167, Xialin Rd., South District, Tainan City, 702, Taiwan
| | - Jianing You
- Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), & School of Psychology, Ministry of Education, South China Normal University, Guangzhou, 510631, P. R. China
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Luigi R, Stefania S, Francesca I, Federica R, Fiore BD, Annalisa S, Francesco DG, Eugenio M, Mandorino M, Adriana M, Eleonora S, Carmela DC, Lucia N, Enrica R, Michele M, Maria Teresa M, Raffaele DP. HPV and Covid-19 Era: effects of nonpharmaceutical interventions on HPV transmission. Pathog Glob Health 2023; 117:735-743. [PMID: 37533358 PMCID: PMC10614711 DOI: 10.1080/20477724.2023.2239052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/04/2023] Open
Abstract
Human papillomavirus (HPV) is considered the commonest viral cause of sexually transmitted infections. The impact of social distance measures due to Covid-19 pandemic on HPV spread is unknown. Therefore, this study has analyzed the seven-year trend of HPV prevalence in all patients tested for HPV DNA at the Microbiology and Virology Unit at Bari Policlinico. Moreover, the HPV prevalence in 2020 has been compared with the previous year ones in order to evaluate the consequences of lockdown and social distancing measures on transmission risks. From 2013 to 2020, we retrospectively analyzed 64 anal swabs, 418 biopsies, 5925 cervical-vaginal swabs, 512 cervical swabs, 104 gland swabs, 154 oral swabs, 21 seminal fluids and 503 urethral swabs. HPV DNA detection was initially performed using nested-polymerase chain reaction (PCR) and subsequently multiplex real-time PCR assay. All statistical tests were carried out by the open-source environment R 4.0.3 (R Core Team). The data were analyzed according to yearly positivity rates, temporal trend and prevalence of HPV genotypes (HPV-6, HPV-11, HPV-16, HPV-18, high risk and low risk) by age category and sex. The number of patients increased steadily from 2016 to 2019 and then decreased in 2020. There were significant differences in prevalence between females and males for HPV-6 (6.16% in females Vs 30.80% in males), HPV-11 (0.82% Vs 7.16%) and HPV-16 (7.77% Vs 5.01%). The prevalence of HPV-6 and HPV-11 significantly increased in 2020 compared to 2013-2019 (15.72% Vs 8.52 and 3.18% Vs 1.44%). On the contrary, the overall prevalence of HPV DNA remained constant in 2020 (52.84% Vs 48.44%). Over time, the prevalence of HPV DNA (Coefficient=-0.020, p-value = 0.036) and particularly high-risk genotypes (Coefficient=-0.030, p-value = 0.005) decreased in females, while low-risk genotypes (Coefficient = 0.141, p-value= < 0.001) and the prevalence of HPV DNA increased in males (Coefficient = 0.068, p-value = 0.008). During the pandemic, the number of screened patients declined, although HPV prevalence compared to 2013-2019 remained constant or increased as in the case of low-risk genotypes. It can be assumed that the reduction of the screening coverage favored the emerging of the more symptomatic low-risk infections. In conclusion, nonpharmaceutical interventions due to Covid-19 pandemic did not reduce the risk of HPV infection but it likely caused a decrease in access to health services resulting in an increased risk of undiagnosed HPV.
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Affiliation(s)
- Ronga Luigi
- Microbiology and Virology, UOC, Azienda Ospedaliero-Universitaria Policlinico, Bari, Italy
| | - Stolfa Stefania
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Indraccolo Francesca
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Romanelli Federica
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Bavaro Davide Fiore
- Clinic of Infectious Diseases, Department of Biomedical Sciences and Human Oncology, Bari “Aldo Moro” University, Bari, Italy
| | - Saracino Annalisa
- Clinic of Infectious Diseases, Department of Biomedical Sciences and Human Oncology, Bari “Aldo Moro” University, Bari, Italy
| | - Di Gennaro Francesco
- Clinic of Infectious Diseases, Department of Biomedical Sciences and Human Oncology, Bari “Aldo Moro” University, Bari, Italy
| | - Milano Eugenio
- Clinic of Infectious Diseases, Department of Biomedical Sciences and Human Oncology, Bari “Aldo Moro” University, Bari, Italy
| | - Manuela Mandorino
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Mosca Adriana
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Sparapano Eleonora
- Microbiology and Virology, UOC, Azienda Ospedaliero-Universitaria Policlinico, Bari, Italy
| | - De Carlo Carmela
- Microbiology and Virology, UOC, Azienda Ospedaliero-Universitaria Policlinico, Bari, Italy
| | - Nisi Lucia
- Microbiology and Virology, UOC, Azienda Ospedaliero-Universitaria Policlinico, Bari, Italy
| | - Ranieri Enrica
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Mastria Michele
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Montagna Maria Teresa
- Hygiene Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
| | - Del Prete Raffaele
- Microbiology Section, Medicine Interdisciplinary Department, Medicine School, Bari “Aldo Moro” University, Bari, Italy
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Alessi J, Jaeger EH, de Oliveira GB, Erthal IN, Teixeira JB, Scherer GDLG, de Carvalho TR, Schaan BD, Telo GH. Adjusting to the "new normal": How were mental health and self-care affected in patients with diabetes mellitus 1 year into the COVID-19 crisis? A longitudinal study. J Health Psychol 2023; 28:1293-1306. [PMID: 37086022 PMCID: PMC10125895 DOI: 10.1177/13591053231164496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/23/2023] Open
Abstract
This study aimed to assess the long-term effect of the pandemic on mental health and self-care parameters in patients with diabetes during the COVID-19 pandemic in Brazil. After 18 months of pandemic, 118 participants remained in the study (mean age of 56.6 ± 13.4 years, 66.7% were women). We observed no change in the scores for mental health disorders screening. Regarding self-care, patients with type 1 diabetes showed an improvement in the adherence score compared to those found at the beginning of the pandemic (variation + 3.5 (-6.0 to +15.8) points, p = 0.02), and also compared to those with type 2 diabetes. Although the pandemic have negatively affected many people's mental health, especially in those with chronic diseases, our results show that patients with diabetes may have developed good coping and adaptive strategies to maintain diabetes control and symptom pattern of mental health disorders over the course of the pandemic.
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Affiliation(s)
- Janine Alessi
- Universidade Federal do Rio Grande do
Sul, Brazil
- Pontifícia Universidade Católica do Rio
Grande do Sul, Brazil
| | | | | | | | | | | | | | - Beatriz D Schaan
- Universidade Federal do Rio Grande do
Sul, Brazil
- Hospital de Clínicas de Porto Alegre,
Brazil
| | - Gabriela H Telo
- Pontifícia Universidade Católica do Rio
Grande do Sul, Brazil
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Sobhani N, Mondani G, Roviello G, Catalano M, Sirico M, D'Angelo A, Scaggiante B, Generali D. Cancer management during the COVID-19 world pandemic. Cancer Immunol Immunother 2023; 72:3427-3444. [PMID: 37642709 DOI: 10.1007/s00262-023-03524-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Accepted: 08/10/2023] [Indexed: 08/31/2023]
Abstract
Since 2019, the world has been experiencing an outbreak of a novel beta-coronavirus, severe acute respiratory syndrome coronavirus (SARS-CoV)-2. The worldwide spread of this virus has been a severe challenge for public health, and the World Health Organization declared the outbreak a public health emergency of international concern. As of June 8, 2023, the virus' rapid spread had caused over 767 million infections and more than 6.94 million deaths worldwide. Unlike previous SARS-CoV-1 and Middle East respiratory syndrome coronavirus outbreaks, the COVID-19 outbreak has led to a high death rate in infected patients; this has been caused by multiorgan failure, which might be due to the widespread presence of angiotensin-converting enzyme 2 (ACE2) receptors-functional receptors of SARS-CoV-2-in multiple organs. Patients with cancer may be particularly susceptible to COVID-19 because cancer treatments (e.g., chemotherapy, immunotherapy) suppress the immune system. Thus, patients with cancer and COVID-19 may have a poor prognosis. Knowing how to manage the treatment of patients with cancer who may be infected with SARS-CoV-2 is essential. Treatment decisions must be made on a case-by-case basis, and patient stratification is necessary during COVID-19 outbreaks. Here, we review the management of COVID-19 in patients with cancer and focus on the measures that should be adopted for these patients on the basis of the organs or tissues affected by cancer and by the tumor stage.
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Affiliation(s)
- Navid Sobhani
- Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, TX, 77030, USA.
| | - Giuseppina Mondani
- Royal Infirmary Hospital, Foresterhill Health Campus, Foresterhill Rd, Aberdeen, AB25 2ZN, UK
| | - Giandomenico Roviello
- Department of Health Sciences, Section of Clinical Pharmacology and Oncology, University of Florence, Florence, Italy
| | - Martina Catalano
- Royal Infirmary Hospital, Foresterhill Health Campus, Foresterhill Rd, Aberdeen, AB25 2ZN, UK
| | - Marianna Sirico
- Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Via P. Maroncelli 40, 47014, Meldola, Italy
| | - Alberto D'Angelo
- Department of Biology and Biochemistry, University of Bath, Bath, BA2 7AX, UK
| | - Bruna Scaggiante
- Department of Life Sciences, University of Trieste, 34127, Trieste, Italy
| | - Daniele Generali
- Department of Medicine, Surgery and Health Sciences, University of Trieste, 34127, Trieste, Italy
- Multidisciplinary Unit of Breast Pathology and Translational Research, Cremona Hospital, 26100, Cremona, Italy
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9
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Laghari F, Safdar S, Jaafar M, Osmadi A. Editorial: What makes leadership responsible and effective? Reinventing leadership in the COVID-19 outbreak. Front Psychol 2023; 14:1261313. [PMID: 37637904 PMCID: PMC10457521 DOI: 10.3389/fpsyg.2023.1261313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 07/28/2023] [Indexed: 08/29/2023] Open
Affiliation(s)
| | - Samyia Safdar
- Department of Management Sciences, Capital University of Science & Technology, Islamabad, Pakistan
| | - Mastura Jaafar
- School of Housing, Building and Planning, University of Science Malaysia (USM), Penang, Malaysia
| | - Atasya Osmadi
- School of Housing, Building and Planning, University of Science Malaysia (USM), Penang, Malaysia
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10
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Asadi M, Oloye FF, Xie Y, Cantin J, Challis JK, McPhedran KN, Yusuf W, Champredon D, Xia P, De Lange C, El-Baroudy S, Servos MR, Jones PD, Giesy JP, Brinkmann M. A wastewater-based risk index for SARS-CoV-2 infections among three cities on the Canadian Prairie. Sci Total Environ 2023; 876:162800. [PMID: 36914129 PMCID: PMC10008033 DOI: 10.1016/j.scitotenv.2023.162800] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 03/06/2023] [Accepted: 03/07/2023] [Indexed: 06/01/2023]
Abstract
Wastewater surveillance (WWS) is useful to better understand the spreading of coronavirus disease 2019 (COVID-19) in communities, which can help design and implement suitable mitigation measures. The main objective of this study was to develop the Wastewater Viral Load Risk Index (WWVLRI) for three Saskatchewan cities to offer a simple metric to interpret WWS. The index was developed by considering relationships between reproduction number, clinical data, daily per capita concentrations of virus particles in wastewater, and weekly viral load change rate. Trends of daily per capita concentrations of SARS-CoV-2 in wastewater for Saskatoon, Prince Albert, and North Battleford were similar during the pandemic, suggesting that per capita viral load can be useful to quantitatively compare wastewater signals among cities and develop an effective and comprehensible WWVLRI. The effective reproduction number (Rt) and the daily per capita efficiency adjusted viral load thresholds of 85 × 106 and 200 × 106 N2 gene counts (gc)/population day (pd) were determined. These values with rates of change were used to categorize the potential for COVID-19 outbreaks and subsequent declines. The weekly average was considered 'low risk' when the per capita viral load was 85 × 106 N2 gc/pd. A 'medium risk' occurs when the per capita copies were between 85 × 106 and 200 × 106 N2 gc/pd. with a rate of change <100 %. The start of an outbreak is indicated by a 'medium-high' risk classification when the week-over-week rate of change was >100 %, and the absolute magnitude of concentrations of viral particles was >85 × 106 N2 gc/pd. Lastly, a 'high risk' occurs when the viral load exceeds 200 × 106 N2 gc/pd. This methodology provides a valuable resource for decision-makers and health authorities, specifically given the limitation of COVID-19 surveillance based on clinical data.
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Affiliation(s)
- Mohsen Asadi
- Department of Civil, Geological and Environmental Engineering, College of Engineering, University of Saskatchewan, Saskatoon, SK, Canada; Toxicology Centre, University of Saskatchewan, Saskatoon, SK, Canada.
| | - Femi F Oloye
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, Canada.
| | - Yuwei Xie
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, Canada
| | - Jenna Cantin
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, Canada
| | | | - Kerry N McPhedran
- Department of Civil, Geological and Environmental Engineering, College of Engineering, University of Saskatchewan, Saskatoon, SK, Canada; Global Institute for Water Security, University of Saskatchewan, Saskatoon, SK, Canada
| | - Warsame Yusuf
- Public Health Risk Division, National Microbiology Laboratory, Public Health Agency of Canada, Guelph, Ontario, Canada
| | - David Champredon
- Public Health Risk Division, National Microbiology Laboratory, Public Health Agency of Canada, Guelph, Ontario, Canada
| | - Pu Xia
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, Canada
| | - Chantel De Lange
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, Canada
| | - Seba El-Baroudy
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, Canada
| | - Mark R Servos
- Department of Biology, University of Waterloo, Waterloo, Ontario, Canada
| | - Paul D Jones
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, Canada; School of Environment and Sustainability, University of Saskatchewan, Saskatoon, SK, Canada
| | - John P Giesy
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, Canada; Department of Veterinary Biomedical Sciences, University of Saskatchewan, Saskatoon, SK, Canada; Department of Environmental Sciences, Baylor University, Waco, TX, USA; Department of Integrative Biology and Center for Integrative Toxicology, Michigan State University, East Lansing, MI, USA.
| | - Markus Brinkmann
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, Canada; Global Institute for Water Security, University of Saskatchewan, Saskatoon, SK, Canada; School of Environment and Sustainability, University of Saskatchewan, Saskatoon, SK, Canada.
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11
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Paul A, Shukla N, Trianni A. Modelling supply chain sustainability challenges in the food processing sector amid the COVID-19 outbreak. Socioecon Plann Sci 2023; 87:101535. [PMID: 36777894 PMCID: PMC9899701 DOI: 10.1016/j.seps.2023.101535] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Revised: 10/10/2022] [Accepted: 01/31/2023] [Indexed: 06/01/2023]
Abstract
The recent COVID-19 pandemic has significantly impacted most businesses and their supply chains. Due to the negative impacts of COVID-19, businesses have been facing numerous challenges. Among them, sustainability challenges are critical for any supply chain. In the literature, several studies have discussed the impacts of the COVID-19 pandemic on supply chains; however, there is a significant research gap in analysing supply chain sustainability challenges amid the COVID-19 outbreak in a particular context. To fill this research gap, this study aims to develop a systematic approach to identifying and analysing COVID-19 outbreak-related supply chain sustainability challenges in the context of the Australian food processing sector. To achieve the aims, this paper develops a mixed-method approach consisting of both qualitative and quantitative techniques, namely online survey and the Best-Worst method. From the online survey among experts from the Australian food processing sector, 22 sustainability challenges were finalised and categorised into four categories, namely, economic, environmental, social and ethical, and operational challenges. The empirical findings from the exploratory investigation reveal that increased food processing cost, lack of transparency and traceability, increase in price of raw materials, lack of capital and physical resources, and spread of fake information are the top five sustainability challenges to the Australian food processing sector due to the impacts of the COVID-19 outbreak. The findings of this study will help decision-makers, practitioners, and policymakers by developing the policies, guidelines, and strategies to overcome the most impactful sustainability challenges to ensure sustainable recovery from the impacts of the COVID-19 outbreak.
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Affiliation(s)
- Ananna Paul
- Faculty of Engineering and Information Technology, University of Technology Sydney, Sydney, Australia
| | - Nagesh Shukla
- Department of Business Strategy and Innovation, Griffith Business School, Griffith University, Nathan Campus, QLD 4111, Australia
| | - Andrea Trianni
- School of Mechanical and Mechatronic Engineering, Faculty of Engineering and IT, University of Technology Sydney, Ultimo, NSW 2007, Australia
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12
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Shen BS, Cheng WY, Liang ZR, Tang Q, Li KY. Impact of lockdown policies during the COVID-19 outbreak on a trauma center of a tertiary hospital in China. World J Clin Cases 2023; 11:2237-2245. [PMID: 37122529 PMCID: PMC10131008 DOI: 10.12998/wjcc.v11.i10.2237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 01/03/2023] [Accepted: 03/15/2023] [Indexed: 03/30/2023] Open
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) is a major and costly public health emergency.
AIM To investigate the impact of China’s lockdown policies during the COVID-19 outbreak on the level I trauma center of a tertiary comprehensive hospital of Traditional Chinese Medicine.
METHODS All patients admitted to our trauma center during a lockdown in 2020 and the same period in 2019 were enrolled. We collected data on demographics, daily visits, injury type, injury mechanism, injury severity score, and patient management for comparative analysis.
RESULTS The total number of patients in the trauma center of our hospital decreased by 50.38% during the COVID-19 Lockdown in 2020 compared to the same period in 2019. The average number of trauma visits per day in 2019 was 47.94, compared to 23.79 in 2020. Comparing the patients’ demographic data, loss of employment was the most predominate characteristic in 2020 compared to 2019, while there was no significant difference in gender, age, and marital status between both periods. During the lockdown period, the proportion of traffic accident-related injuries, injuries due to falls greater than 1.5 m, and mechanical injuries decreased significantly, whereas the proportion of injuries caused by falls less than 1.5 m, cuts, assault, bites, and suicidal tendencies and other injuries increased relatively. In addition, the proportion of patients with minor injuries increased and serious injuries decreased during the lockdown. The hospitalization rate increased significantly, and there was no significant difference in emergency surgery and death rates.
CONCLUSION The lockdown policies during the COVID-19 outbreak significantly altered the number and mechanism of traumatic events in our hospital, which can be monitored regularly. Our results suggest that mandatory public health prevention and control measures by the government can reduce the incidence of traumatic events and the severity of traumatic injuries. Emergency surgery and mortality rates remain high, increased because of factors such as family injury and penetrating injury, and hospitalization rates have increased significantly. Therefore, our trauma center still needs to be fully staffed. Finally, from the perspective of the injury mechanism, indoor trauma is a major risk during a lockdown, and it is particularly important to develop prevention strategies for such trauma to reduce the medical burden of the next catastrophic epidemic.
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Affiliation(s)
- Bi-Sheng Shen
- Department of Emergency Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong Province, China
| | - Wei-Yin Cheng
- Department of Clinical Nutrition, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong Province, China
| | - Zhang-Rong Liang
- Department of Emergency Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong Province, China
| | - Qi Tang
- Department of Emergency Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong Province, China
| | - Kuang-Yi Li
- Department of Emergency Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong Province, China
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13
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Tangwangvivat R, Wacharapluesadee S, Pinyopornpanish P, Petcharat S, Hearn SM, Thippamom N, Phiancharoen C, Hirunpatrawong P, Duangkaewkart P, Supataragul A, Chaiden C, Wechsirisan W, Wandee N, Srimuang K, Paitoonpong L, Buathong R, Klungthong C, Pawun V, Hinjoy S, Putcharoen O, Iamsirithaworn S. SARS-CoV-2 Variants Detection Strategies in Wastewater Samples Collected in the Bangkok Metropolitan Region. Viruses 2023; 15:v15040876. [PMID: 37112855 PMCID: PMC10145351 DOI: 10.3390/v15040876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 03/20/2023] [Accepted: 03/27/2023] [Indexed: 04/29/2023] Open
Abstract
Wastewater surveillance is considered a promising approach for COVID-19 surveillance in communities. In this study, we collected wastewater samples between November 2020 and February 2022 from twenty-three sites in the Bangkok Metropolitan Region to detect the presence of SARS-CoV-2 and its variants for comparison to standard clinical sampling. A total of 215 wastewater samples were collected and tested for SARS-CoV-2 RNA by real-time PCR with three targeted genes (N, E, and ORF1ab); 102 samples were positive (42.5%). The SARS-CoV-2 variants were determined by a multiplex PCR MassARRAY assay to distinguish four SARS-CoV-2 variants, including Alpha, Beta, Delta, and Omicron. Multiple variants of Alpha-Delta and Delta-Omicron were detected in the wastewater samples in July 2021 and January 2022, respectively. These wastewater variant results mirrored the country data from clinical specimens deposited in GISAID. Our results demonstrated that wastewater surveillance using multiple signature mutation sites for SARS-CoV-2 variant detection is an appropriate strategy to monitor the presence of SARS-CoV-2 variants in the community at a low cost and with rapid turn-around time. However, it is essential to note that sequencing surveillance of wastewater samples should be considered complementary to whole genome sequencing of clinical samples to detect novel variants.
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Affiliation(s)
- Ratanaporn Tangwangvivat
- Division of Communicable Diseases, Department of Disease Control, Ministry of Public Health, Muang, Nonthaburi 11000, Thailand
| | - Supaporn Wacharapluesadee
- Thai Red Cross Emerging Infectious Disease Clinical Center, King Chulalongkorn Memorial Hospital, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
- School of Global Health, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
| | - Papassorn Pinyopornpanish
- Division of Communicable Diseases, Department of Disease Control, Ministry of Public Health, Muang, Nonthaburi 11000, Thailand
| | - Sininat Petcharat
- Thai Red Cross Emerging Infectious Disease Clinical Center, King Chulalongkorn Memorial Hospital, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
| | - Suthida Muangnoicharoen Hearn
- Division of Epidemiology, Department of Disease Control, Ministry of Public Health, Muang, Nonthaburi 11000, Thailand
| | - Nattakarn Thippamom
- Thai Red Cross Emerging Infectious Disease Clinical Center, King Chulalongkorn Memorial Hospital, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
| | - Chadaporn Phiancharoen
- Division of Communicable Diseases, Department of Disease Control, Ministry of Public Health, Muang, Nonthaburi 11000, Thailand
| | - Piyapha Hirunpatrawong
- Thai Red Cross Emerging Infectious Disease Clinical Center, King Chulalongkorn Memorial Hospital, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
| | - Phattra Duangkaewkart
- Division of Communicable Diseases, Department of Disease Control, Ministry of Public Health, Muang, Nonthaburi 11000, Thailand
| | - Ananporn Supataragul
- Thai Red Cross Emerging Infectious Disease Clinical Center, King Chulalongkorn Memorial Hospital, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
| | - Chadaporn Chaiden
- Division of Communicable Diseases, Department of Disease Control, Ministry of Public Health, Muang, Nonthaburi 11000, Thailand
| | - Wiriyachayon Wechsirisan
- Division of Epidemiology, Department of Disease Control, Ministry of Public Health, Muang, Nonthaburi 11000, Thailand
| | - Nantaporn Wandee
- National Institute of Animal Health, Department of Livestock Development, Ministry of Agriculture and Cooperatives, Chatuchak, Bangkok 10900, Thailand
| | - Krongkan Srimuang
- Thai Red Cross Emerging Infectious Disease Clinical Center, King Chulalongkorn Memorial Hospital, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
| | - Leilani Paitoonpong
- Department of Medicine, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
| | - Rome Buathong
- Department of Disease Control, Ministry of Public Health, Muang, Nonthaburi 11000, Thailand
| | - Chonticha Klungthong
- Department of Virology, Armed Forces Research Institute of Medical Sciences, Bangkok 10400, Thailand
| | - Vichan Pawun
- Division of Communicable Diseases, Department of Disease Control, Ministry of Public Health, Muang, Nonthaburi 11000, Thailand
| | - Soawapak Hinjoy
- Department of Disease Control, Ministry of Public Health, Muang, Nonthaburi 11000, Thailand
| | - Opass Putcharoen
- Thai Red Cross Emerging Infectious Disease Clinical Center, King Chulalongkorn Memorial Hospital, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
- Department of Medicine, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand
| | - Sopon Iamsirithaworn
- Department of Disease Control, Ministry of Public Health, Muang, Nonthaburi 11000, Thailand
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14
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Donizzetti AR, Capone V. Ageism and the Pandemic: Risk and Protective Factors of Well-Being in Older People. Geriatrics (Basel) 2023; 8:geriatrics8010014. [PMID: 36648919 PMCID: PMC9844376 DOI: 10.3390/geriatrics8010014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 01/10/2023] [Accepted: 01/13/2023] [Indexed: 01/18/2023] Open
Abstract
The COVID-19 pandemic has particularly affected the older population both in terms of the high number of victims and the psychological impact. Moreover, the pandemic has made older people more vulnerable to isolation and loneliness, and victims of ageism. The aim of the present study was to investigate the risk and protective factors for the well-being of older people during the pandemic. The role of positive affect, confidence in the future, current physical health, social isolation, loneliness, and ageism were analysed. A self-report questionnaire was administered to 1301 participants (mean age: 77.3 years, DS: 5.46), almost equally distributed by gender (56.1% female). Descriptive and correlational analyses were performed, together with SEM. The results showed that perceived age discrimination positively predicts loneliness and negatively and indirectly predicts well-being. Furthermore, positive affect, confidence in the future, and current physical health are protective factors, while loneliness, social isolation, and ageism are risk factors. Future emergency policies must take into account the impact of such actions on the well-being of this segment of the population.
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15
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Alfonsi V, Scarpelli S, Gorgoni M, Couyoumdjian A, Rosiello F, Sandroni C, Corsi R, Pietrantonio F, De Gennaro L. Healthcare Workers after Two Years of COVID-19: The Consequences of the Pandemic on Psychological Health and Sleep among Nurses and Physicians. Int J Environ Res Public Health 2023; 20:1410. [PMID: 36674167 PMCID: PMC9859438 DOI: 10.3390/ijerph20021410] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 01/07/2023] [Accepted: 01/10/2023] [Indexed: 05/06/2023]
Abstract
COVID-19 has challenged the health workforce worldwide. In this cross-sectional study with a retrospective assessment, we explored the impact of the pandemic on mental health and sleep among a sample of Italian nurses and medical doctors. A total of 287 healthcare workers (212 nurses and 75 physicians) completed a web survey on socio-demographic, psychological, and sleep-related aspects referring to the period before the pandemic and to the present period of February to June 2022. Comparisons between nurses and physicians revealed that the former had greater distress in response to the pandemic. Consistently, the multivariate analysis of covariance showed that even if both groups were negatively impacted by the pandemic, nurses presented a greater worsening over time regarding several psychological and sleep symptoms. Furthermore, we observed that working on the frontline represented an additional risk factor for nurses. In line with previous evidence, we also found that personal experiences with COVID-19 are significant predictors of the current health status. Our results underscore the urgent need for preventive programs among healthcare operators to increase their coping skills and prevent the long-term consequences of chronic stress, especially for high-risk professionals. Specific attention should also be devoted to programs to improve sleep quality and reduce sleep-related traumatic symptoms.
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Affiliation(s)
- Valentina Alfonsi
- Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy
| | - Serena Scarpelli
- Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy
| | - Maurizio Gorgoni
- Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy
- IRCCS Fondazione Santa Lucia, 00179 Rome, Italy
| | | | - Francesco Rosiello
- Internal Medicine Department, Ospedale dei Castelli, Azienda Sanitaria Locale Roma 6, Ariccia, 00040 Rome, Italy
| | - Cinzia Sandroni
- UOC Professione Infermieristica, Azienda Sanitaria Locale Roma 6, Albano, 00041 Rome, Italy
| | - Roberto Corsi
- Direzione Sanitaria Aziendale, Azienda Sanitaria Locale Roma 6, Albano, 00041 Rome, Italy
| | - Filomena Pietrantonio
- Internal Medicine Department, Ospedale dei Castelli, Azienda Sanitaria Locale Roma 6, Ariccia, 00040 Rome, Italy
- Department of Health Economics, St. Camillus International University of Health Sciences, 00131 Rome, Italy
| | - Luigi De Gennaro
- Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy
- IRCCS Fondazione Santa Lucia, 00179 Rome, Italy
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16
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Erer D, Erer E, Güngör S. The aggregate and sectoral time-varying market efficiency during crisis periods in Turkey: a comparative analysis with COVID-19 outbreak and the global financial crisis. Financ Innov 2023; 9:80. [PMID: 37152545 PMCID: PMC10149639 DOI: 10.1186/s40854-023-00484-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 03/20/2023] [Indexed: 05/09/2023]
Abstract
This study aims to examine the time-varying efficiency of the Turkish stock market's major stock index and eight sectoral indices, including the industrial, financial, service, information technology, basic metals, tourism, real estate investment, and chemical petrol plastic, during the COVID-19 outbreak and the global financial crisis (GFC) within the framework of the adaptive market hypothesis. This study employs multifractal detrended fluctuation analysis to illustrate these sectors' multifractality and short- and long-term dependence. The results show that all sectoral returns have greater persistence during the COVID-19 outbreak than during the GFC. Second, the real estate and information technology industries had the lowest levels of efficiency during the GFC and the COVID-19 outbreak. Lastly, the fat-tailed distribution has a greater effect on multifractality in these industries. Our results validate the conclusions of the adaptive market hypothesis, according to which arbitrage opportunities vary over time, and contribute to policy formulation for future outbreak-induced economic crises.
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Affiliation(s)
| | - Elif Erer
- School of Applied Sciences, Manisa Celal Bayar University, Manisa, Turkey
| | - Selim Güngör
- Resadiye Vocational School, Tokat Gaziosmanpasa University, Tokat, Turkey
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17
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Yan XG, Sun HY, Yoo BW. A Cross-Sectional Study on the Psychological Changes of Medical Personnel in Hospitals Who Experienced Special COVID-19 Situations. Inquiry 2023; 60:469580231161435. [PMID: 36941758 PMCID: PMC10031595 DOI: 10.1177/00469580231161435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/23/2023]
Abstract
The COVID-19 pandemic contributed to an increase in mental health issues; Psychological changes occur in health professionals who are more susceptible to infection. The purpose of this study was to investigate health professionals' levels of anxiety, rage, and depression in COVID-related special circumstances. A general hospital in Korea experienced a widespread COVID-19 outbreak. There was a total of 149 involved frontline and non-frontline health professionals surveyed. The State-Trait Anger Expression Inventory, General Anxiety Disorder-7, and Korean Screening Tool for Depressive Disorders were utilized in the evaluation of their rage, anxiety, and depression. Anxiety and depression were found to be significantly higher among health professionals by occupation than among non-health professionals. Frontline workers were more depressed than non-frontline workers, according to type of work. These psychological changes can cause PTSD, so it is necessary to check and care for the mental health of health care workers working in medical institutions in the event of mass infections. These issues have been confirmed through studies related to the occurrence of mass infections such as SARS and MERS that the occurrence of mass infections can cause PTSD. The findings proved that the COVID-19 pandemic had a psychological impact on healthcare workers. During the COVID-19 pandemic, it is critical to raise awareness of post-traumatic stress disorder among healthcare professionals.
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Affiliation(s)
- Xiao Guang Yan
- Department of Interdisciplinary Program in Biomedical Science, Soonchunhyang University, Cheonan, Republic of Korea
| | - Hwa Yeon Sun
- Graduate School Natural Science, Division of Medical Science (Interdisciplinary Programs), Soonchunhyang University, Cheonan, Republic of Korea
| | - Byung Wook Yoo
- Soonchunhyang University Seoul Hospital, Seoul, Republic of Korea
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18
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Chen P, Zhang L, Sha S, Lam MI, Lok KI, Chow IHI, Si TL, Su Z, Cheung T, Feng Y, Jackson T, Xiang YT. Prevalence of insomnia and its association with quality of life among Macau residents shortly after the summer 2022 COVID-19 outbreak: A network analysis perspective. Front Psychiatry 2023; 14:1113122. [PMID: 36873201 PMCID: PMC9978518 DOI: 10.3389/fpsyt.2023.1113122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 01/26/2023] [Indexed: 02/18/2023] Open
Abstract
BACKGROUND The latest wave of the coronavirus disease 2019 (COVID-19) pandemic in Macau began on 18 June 2022 and was more serious than previous waves. Ensuing disruption from the wave is likely to have had a variety of negative mental health consequences for Macau residents including increased risk for insomnia. This study investigated the prevalence and correlates of insomnia among Macau residents during this wave as well as its association with quality of life (QoL) from a network analysis perspective. METHODS A cross-sectional study was conducted between 26 July and 9 September 2022. Univariate and multivariate analyses explored correlates of insomnia. Analysis of covariance (ANCOVA) examined the relationship between insomnia and QoL. Network analysis assessed the structure of insomnia including "Expected influence" to identify central symptoms in the network, and the flow function to identify specific symptoms that were directly associated with QoL. Network stability was examined using a case-dropping bootstrap procedure. RESULTS A total of 1,008 Macau residents were included in this study. The overall prevalence of insomnia was 49.0% (n = 494; 95% CI = 45.9-52.1%). A binary logistic regression analysis indicated people with insomnia were more likely to report depression (OR = 1.237; P < 0.001) and anxiety symptoms (OR = 1.119; P < 0.001), as well as being quarantined during the COVID-19 pandemic (OR = 1.172; P = 0.034). An ANCOVA found people with insomnia had lower QoL (F(1,1,008) = 17.45, P < 0.001). "Sleep maintenance" (ISI2), "Distress caused by the sleep difficulties" (ISI7) and "Interference with daytime functioning" (ISI5) were the most central symptoms in the insomnia network model, while "Sleep dissatisfaction" (ISI4), "Interference with daytime functioning" (ISI5), and "Distress caused by the sleep difficulties" (ISI7) had the strongest negative associations with QoL. CONCLUSION The high prevalence of insomnia among Macau residents during the COVID-19 pandemic warrants attention. Being quarantined during the pandemic and having psychiatric problems were correlates of insomnia. Future research should target central symptoms and symptoms linked to QoL observed in our network models to improve insomnia and QoL.
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Affiliation(s)
- Pan Chen
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao, Macao SAR, China.,Centre for Cognitive and Brain Sciences, University of Macau, Macao, Macao SAR, China
| | - Ling Zhang
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders, National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University & Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Sha Sha
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders, National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University & Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Mei Ieng Lam
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao, Macao SAR, China.,Kiang Wu Nursing College of Macau, Macao, Macao SAR, China
| | - Ka-In Lok
- Kiang Wu Nursing College of Macau, Macao, Macao SAR, China
| | - Ines Hang Iao Chow
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao, Macao SAR, China
| | - Tong Leong Si
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao, Macao SAR, China
| | - Zhaohui Su
- School of Public Health, Southeast University, Nanjing, China
| | - Teris Cheung
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
| | - Yuan Feng
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders, National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University & Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Todd Jackson
- Department of Psychology, University of Macau, Macao, Macao SAR, China
| | - Yu-Tao Xiang
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, and Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao, Macao SAR, China.,Centre for Cognitive and Brain Sciences, University of Macau, Macao, Macao SAR, China
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19
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Russo S, Dellafiore F, Vangone I, Bassola B, Arrigoni C. The process of learning and professional development according to nursing students' experience during Covid-19: A constructivist grounded theory study. Nurse Educ Pract 2023; 66:103502. [PMID: 36462276 PMCID: PMC9672690 DOI: 10.1016/j.nepr.2022.103502] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 09/29/2022] [Accepted: 11/08/2022] [Indexed: 11/17/2022]
Abstract
AIM This study explored the experiences of nursing students with respect to learning processes and professional development during internships with COVID-19 patients to build a novel theoretical model. BACKGROUND The COVID-19 outbreak had a profound impact on the worldwide learning system and it interrupted the internship experiences of nursing students. After the second wave of COVID-19, to balance academic activities with COVID-19 containment, some Italian universities allowed nursing students' internships in COVID-19 units. This new experience may have influenced nursing students' learning processes and professional development, but this is yet to be investigated. DESIGN A qualitative study using a constructivist grounded theory (CGT) approach. METHODS Nursing students were recruited from two hospitals in northern Italy between January and April 2021. Data are gathered from interviews and a simultaneous comparative analysis were conducted to identify categories and codes, according to Charmaz's (2006) theory. RESULTS The sample consisted of 28 students. The results suggested the core category, that is the 'Students' sense of belonging to the nursing profession' and four main categories: (1) From knowledge to know-how, (2) A new relationship modality, (3) Sharing and socialisation and (4) Responsibilization. Finally, a premise and a corollary, respectively (5) Motivation and the (6) Circularity of the process, were identified. CONCLUSION Our study proposed a new theory of nursing students' learning processes in clinical contexts during internships with COVID-19 patients. Despite significant difficulties, the nursing students developed a unique learning process characterised by motivation. Therefore, our study provided insight into the learning process during a pandemic and investigated the support needed for nursing students to continue their internships.
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Affiliation(s)
- Sara Russo
- Nursing Degree Course, University of Pavia, Section Istituti Clinici di Pavia e Vigevano S.p.A., Pavia, Italy
| | - Federica Dellafiore
- Department of Public Health, Experimental and Forensic Medicine, Section of Hygiene, University of Pavia, Pavia, Italy,Correspondence to: Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Italy
| | - Ida Vangone
- Department of Oncology and Hematology-Oncology, IEO IEO-European Institute of Oncology, Milan, Italy
| | - Barbara Bassola
- Nursing Degree Course, University of Milan, Section ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
| | - Cristina Arrigoni
- Department of Public Health, Experimental and Forensic Medicine, Section of Hygiene, University of Pavia, Pavia, Italy
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20
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Ozturk Y, Ozyurt G, Gormez V, Aslankaya ZD, Baykara B, Ekinci O, Kaya I, Adak I, Esin IS, Turan S, Sari M, Ozcan GG, Ermis C, Ekinci N, Dogan OI, Tiryaki I, Kitapcioglu S, Tufan AE, Inal N, Akay AP. Parent rated bedtime resistance and comorbidity may predict levels of attention among Turkish children diagnosed with ADHD in on-line education classes during the COVID-19 outbreak. North Clin Istanb 2023; 10:197-204. [PMID: 37181063 PMCID: PMC10170383 DOI: 10.14744/nci.2022.77674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 08/15/2022] [Accepted: 09/17/2022] [Indexed: 05/16/2023] Open
Abstract
OBJECTIVE This study aimed to compare the attention levels, of Turkish children and adolescents with Attention Deficit/ Hyperactivity Disorder (ADHD) in on-line education classes with healthy controls. METHODS This study is a cross-sectional, internet-based, case-control study that recruited 6-18 years old patients diagnosed with ADHD and receving treatment and healthy controls from eight centers. The measurements used in the study were prepared in the google survey and delivered to the participants via Whatsapp application. RESULTS Within the study period, 510 children with ADHD and 893 controls were enrolled. Parent- rated attention decreased significantly in both groups during on-line education classes due to COVID-19 outbreak (p<0.001; for each). Children and adolescents with ADHD had significantly elevated bedtime resistance, problems in family functioning difficulties than control children according to parental reports (p=0.003; p<0.001; p<0.001, respectively). Furthermore, bedtime resistance and comorbidity significantly predicted attention levels in on-line education. CONCLUSION Our findings may underline the need to augment student engagement in on-line education both for children without attention problems and those with ADHD. Interventions shown to be effective in the management of sleep difficulties in children as well as parent management interventions should continue during on-line education.
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Affiliation(s)
- Yusuf Ozturk
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkiye
- Correspondence: Yusuf OZTURK, MD. Abant Izzet Baysal Universitesi Tip Fakultesi, Cocuk ve Ergen Psikiyatrisi Anabilim Dali, Bolu, Turkiye. Tel: +90 374 275 25 25 e-mail:
| | - Gonca Ozyurt
- Department of Child and Adolescent Psychiatry, Katip Celebi University Faculty of Medicine, Izmir, Turkiye
| | - Vahdet Gormez
- Department of Child and Adolescent Psychiatry, Medeniyet University, Istanbul, Turkiye
| | | | - Burak Baykara
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkiye
| | - Ozalp Ekinci
- Department of Child and Adolescent Psychiatry, University of Health Sciences Faculty of Medicine, Erenkoy Health Practice and Research Center, Istanbul, Turkiye
| | - Ilyas Kaya
- Department of Child and Adolescent Psychiatry, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkiye
| | - Ibrahim Adak
- Department of Child and Adolescent Psychiatry, University of Health Sciences Faculty of Medicine, Erenkoy Health Practice and Research Center, Istanbul, Turkiye
| | - Ibrahim Selcuk Esin
- Department of Child and Adolescent Psychiatry, Ataturk University Faculty of Medicine, Erzurum, Turkiye
| | - Serkan Turan
- Department of Child and Adolescent Psychiatry, Tekirdag State Hospital, Izmir, Turkiye
| | - Mesut Sari
- Department of Child and Adolescent Psychiatry, Istanbul Cam and Sakura City Hospital, Istanbul, Turkiye
| | - Guler Gol Ozcan
- Department of Child and Adolescent Psychiatry, Bilecik State Hospital, Bilecik, Turkiye
| | - Cagatay Ermis
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkiye
| | - Nazan Ekinci
- Department of Child and Adolescent Psychiatry, University of Health Sciences Faculty of Medicine, Erenkoy Health Practice and Research Center, Istanbul, Turkiye
| | - Ozge Ipek Dogan
- Department of Child and Adolescent Psychiatry, University of Health Sciences Faculty of Medicine, Erenkoy Health Practice and Research Center, Istanbul, Turkiye
| | - Ibrahim Tiryaki
- Department of Child and Adolescent Psychiatry, Ataturk University Faculty of Medicine, Erzurum, Turkiye
| | | | - Ali Evren Tufan
- Department of Child and Adolescent Psychiatry, Bolu Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkiye
| | - Neslihan Inal
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkiye
| | - Aynur Pekcanlar Akay
- Department of Child and Adolescent Psychiatry, Dokuz Eylul University Faculty of Medicine, Izmir, Turkiye
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21
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Moon HE, Rote SM, Sears J, Schepens Niemiec SL. Racial Differences in the Dementia Caregiving Experience During the COVID-19 Pandemic: Findings From the National Health and Aging Trends Study (NHATS). J Gerontol B Psychol Sci Soc Sci 2022; 77:e203-e215. [PMID: 35869747 PMCID: PMC9384524 DOI: 10.1093/geronb/gbac098] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Indexed: 02/06/2023] Open
Abstract
OBJECTIVES Given racial disparities in both dementia and coronavirus disease 2019 (COVID-19), non-Hispanic Black (Black) dementia caregivers (CGs) may be at greater risk for care burden during the COVID-19 pandemic than non-Hispanic White (White) CGs. This study investigates the impact of dementia care provision on CGs' quality of life by race using the 2020 National Health and Aging Trends Study Family Members and Friends COVID-19 data (FF). METHODS This study features a secondary analysis of FF data (2020-2021), including 216 Black and 1,204 White CGs. We used ANOVA to determine differences in caregiving stressors (i.e., changes in providing help with activities of daily living [ADL], instrumental ADL [IADL], and emotional support). Ordinary least square regression was used to investigate the moderating effects of dementia care on the associations of race with perceived well-being, care burden, and self-reported health and to conduct subgroups analyses of Black and White dementia CGs. RESULTS Black dementia CGs provided significantly more help with ADL before and during the COVID-19 pandemic than Black nondementia, White dementia, and White nondementia CGs. Dementia care status did not moderate the associations between race and CG outcomes. For Black dementia CGs, changes in objective stressors (assistance with ADL and IADL) were associated with care burden and well-being. For White CGs, the provision of emotional support was associated with care burden and well-being. DISCUSSION This study highlights that increased caregiving demands during the pandemic amplified racial differences in CG stress. Findings suggest that outreach to reduce CG stress and burden is critical for Black dementia CGs.
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Affiliation(s)
- Heehyul E Moon
- Kent School of Social Work & Family Science, University of Louisville, Kentucky, USA
| | - Sunshine M Rote
- Kent School of Social Work & Family Science, University of Louisville, Kentucky, USA
| | - Jeanelle Sears
- Department of Human Services, Bowling Green State University, Ohio, USA
| | - Stacey L Schepens Niemiec
- Chan Division of Occupational Science and Occupational Therapy, University of Southern California, California, USA
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22
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Luo L, Qiao D, Wang L, Qiu L, Liu Y, Fu X. Farmers' cognition of the COVID-19 outbreak, risk perception and willingness of green production. J Clean Prod 2022; 380:135068. [PMID: 36377229 PMCID: PMC9637231 DOI: 10.1016/j.jclepro.2022.135068] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 10/29/2022] [Accepted: 11/02/2022] [Indexed: 05/21/2023]
Abstract
Existing literature reports that COVID-19 outbreak may affect people's risk perceptions, with disturbances ranging from mild negative emotional reactions to overall mental health. At the same time, the pneumonia pandemic reveals all the vulnerabilities and weaknesses of our ecosystem and makes people reflect on traditional ecologically harmful production practices. Therefore, the aim of this paper is to review the existing scientific literature on these variables, through a survey and empirical analysis, in order to present and comment on the effects and mechanisms of influence between them. The results showed that: (1) Increasing farmers'cognition of COVID-19 outbreak could significantly enhance the green production willingness. Specifically, the probability of "Very willing"to participate in green production increased by 29.9% for each unit of increase in cognition. (2) Farmers'cognition of COVID-19 outbreak can significantly enhance the level of risk perception and thus enhance their green production willingness, that is, risk perception is an important transmission medium of this effect. (3)The analysis of inter-generational difference showed that the impact of cognition of COVID-19 outbreak on green production willingness was significant for both the new generation and the old generation. On the basis of this, some policy suggestions are put forward, such as strengthening the propaganda and education of natural ecological environment protection, establishing the propaganda mechanism of green agricultural products market in the later period of epidemic situation, raising farmers'risk perception level through multi-channels and so on.
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Affiliation(s)
- Lei Luo
- School of Management, Sichuan Agricultural University, China
| | - Dakuan Qiao
- School of Management, Sichuan Agricultural University, China
| | - Lishuang Wang
- School of Management, Sichuan Agricultural University, China
| | - Ling Qiu
- School of Management, Sichuan Agricultural University, China
| | - Yuying Liu
- School of Management, Sichuan Agricultural University, China
- Sichuan Rural Development Research Center, Chengdu, China
| | - Xinhong Fu
- School of Management, Sichuan Agricultural University, China
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23
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Koźlarek M, Błaszczyk N, Grajek M, Jaskulska S. Preventive Health Behaviours among Adolescents and Their Parents during the COVID-19 Outbreak in the Light of the Health Beliefs Model. Int J Environ Res Public Health 2022; 19:17060. [PMID: 36554938 PMCID: PMC9779301 DOI: 10.3390/ijerph192417060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 12/14/2022] [Accepted: 12/16/2022] [Indexed: 06/17/2023]
Abstract
This article analysed the relationship between the preventive health behaviours of parents and teenagers during the COVID-19 outbreak, taking the Health Beliefs Model (HBM) as a point of reference. We assumed that parents' behaviours may be a cue to action for adolescents, looking at their preventive health behaviours regarding vaccination against COVID-19, as well as vaccination intention (among unvaccinated people); wearing protective masks where it is compulsory and where it is not obligatory; and maintaining physical distance and disinfecting hands in public places. The collected data were statistically analysed using the Statistica version 13.3 software package for advanced statistical data analysis. Descriptive statistics and correlation for non-parametric data (Spearman's correlation) were used. Research on a sample of 201 parents and their children revealed that young people engage in preventive behaviour less frequently than parents, but that the likelihood of such behaviour increases if they have a parent's cue to action. When formulating recommendations, we considered the gender of the surveyed parents, as the questionnaire was mainly completed by women, which may be an indicator of the unequal involvement in addressing the topic of the pandemic and preventive health behaviours, including attitudes towards vaccines.
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Affiliation(s)
- Marietta Koźlarek
- Faculty of Physic, Adam Mickiewicz University, 61-712 Poznan, Poland
| | | | - Magdalena Grajek
- Faculty of Physic, Adam Mickiewicz University, 61-712 Poznan, Poland
| | - Sylwia Jaskulska
- Faculty of Educational Studies, Adam Mickiewicz University, 61-712 Poznan, Poland
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24
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Durmaz Y, Fidanoğlu A. The regulatory role of sustainable product design media and environmental performance in the impact of the Covid-19 epidemic on corporate sustainability: an application in Turkey. Environ Dev Sustain 2022; 26:1-16. [PMID: 36474599 PMCID: PMC9715404 DOI: 10.1007/s10668-022-02742-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 10/24/2022] [Indexed: 06/17/2023]
Abstract
This research aims to investigate the effect of the COVID-19 epidemic, which entered the world agenda in 2019 and affected the whole world, on the corporate sustainability of businesses. The mediating effect of sustainable supply on this effect and the regulatory effect of environmental performance were investigated. The research was conducted among 235 businesses operating in Turkey. The data obtained using the survey method were analyzed in SPSS and AMOS analysis programs. As a result of the analyses obtained, it was determined that the COVID-19 epidemic significantly affected the corporate sustainability of the enterprises and that the environmental performance of the enterprises was a regulatory effect, together with the mediation of sustainable supply. It is understood day by day that COVID-19 negatively affects the economies of the countries. However, despite these negative effects; It is expected that the results of this research will contribute to the literature with a significant effect on the institutional sustainability of the COVID-19 epidemic.
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25
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Mazzon G, Zhang X, Yang X, Cheng F, Liu Y, Zeng G. The effect of COVID-19 outbreak on urological procedures for urinary stones: data from three high-volumes centers in China. Urolithiasis 2022; 51:5. [PMID: 36454280 PMCID: PMC9713732 DOI: 10.1007/s00240-022-01390-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 11/27/2022] [Indexed: 12/05/2022]
Abstract
China has been the first country to be affected by the COVID-19 outbreak. The pandemic resulted in significant disruption of Health Care Services worldwide, and this effect on treatments for urinary stones is currently unclear. This is the first retrospective study involving three tertiary referral centers for urolithiasis across China. We evaluated surgical volumes and peri-operative outcomes of procedures delivered for upper urinary tract stones. We compared trimester prior to restrictions for COVID-19 (October 1st, 2019 to December 31st, 2019, period A), during restrictions (February 1st, 2020 to March 31st, 2020, period B), and afterword (April 1st, 2020 to June 31st, 2020, period C). A total of 2,543 procedures have been carried out. We observed a loss of 743 cases during period B (-29.2%) and 201 during period C (-7.9%). Percutaneous surgery showed the worst reduction, with 507 mini-PCNLs delivered in period A, 168 in period B (-60.8%), and 389 (-18.3%) in period C (p = 0.001). A worst trend was shown for standard PCNLs with 84 procedures carried out in period A, 5 in period B (-95.2%), and 9 (-89.2%) in period C (p = 0.001). Retrograde surgery also decreased, from 420 cases in period A to 190 cases in period B (-54.8%). An increment was however seen in period C when 468 cases have been carried out (+ 11.4%, p = 0.008). In term of SFRs, a difference was noticed for RIRSs, being 69.2%, 80.5%, and 69.3% during three periods (p = 0.045) and semirigid ureteroscopies (90.3%, 97.1%, and 84.8%, p = 0.013). Charlson's Comorbidity Score could not show any difference between groups as well as no differences in term of post-operative complications have been noticed.
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Affiliation(s)
- Giorgio Mazzon
- Department of Urology and Guangdong Key Laboratory of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| | - Xin Zhang
- Department of Urology and Guangdong Key Laboratory of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| | - Xingguo Yang
- Department of Urology, Yiling Hospital, Yiling District, Yichang City, China
| | - Fan Cheng
- Department of Urology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Yongda Liu
- Department of Urology and Guangdong Key Laboratory of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| | - Guohua Zeng
- Department of Urology and Guangdong Key Laboratory of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
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26
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van Ewijk CE, Hazelhorst EI, Hahné SJM, Knol MJ. COVID-19 outbreak in an elderly care home: Very low vaccine effectiveness and late impact of booster vaccination campaign. Vaccine 2022; 40:6664-9. [PMID: 36216647 DOI: 10.1016/j.vaccine.2022.09.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 09/22/2022] [Accepted: 09/27/2022] [Indexed: 01/27/2023]
Abstract
BACKGROUND Elderly people in long-term care facilities (LTCF) are at higher risk for (severe) COVID-19, yet evidence of vaccine effectiveness (VE) in this population is scarce. In November 2021 (Delta period), a COVID-19 outbreak occurred at a LTCF in the Netherlands, continuing despite measures and booster vaccination campaign. We investigated the outbreak to assess VE of primary COVID-19 vaccination against SARS-CoV-2 infection and mortality, and to describe the impact of the booster vaccination. METHODS We calculated attack rate (AR) and case fatality (CF) per vaccination status (unvaccinated, primarily vaccinated and boostered). We calculated VE - at on average 6 months after vaccination - as 1- risk ratio (RR) using the crude risk ratio (RR) with 95% confidence intervals (CI) for the association between vaccination status (primary vaccination versus unvaccinated) and outcomes (SARS-CoV-2 infection and mortality < 30 days after testing positive for SARS-CoV-2). RESULTS The overall AR was 67% (70/105). CF was 33% (2/6) among unvaccinated cases, 12% among primarily vaccinated (7/58) and 0% (0/5) among boostered. The VE of primary vaccination was 17% (95% CI -28%; 46%) against SARS-CoV-2 infection and 70% (95% CI -44%; 96%) against mortality. Among boostered residents (N = 55), there were 25 cases in the first week after receiving the booster dose, declining to 5 in the second and none in the third week. CONCLUSION VE of primary vaccination in residents of LTCF was very low against SARS-CoV-2 infection and moderate against mortality. There were few cases at 2 weeks after the booster dose and no deaths, despite the presence of susceptible residents. These data are consistent with the positive impact of the booster vaccination in curbing transmission. Timely booster vaccination in residents of LTCF is therefore important.
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27
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Salfi F, Amicucci G, Corigliano D, Viselli L, D'Atri A, Tempesta D, Gorgoni M, Scarpelli S, Alfonsi V, Ferrara M. Two years after lockdown: Longitudinal trajectories of sleep disturbances and mental health over the COVID-19 pandemic, and the effects of age, gender and chronotype. J Sleep Res 2022; 32:e13767. [PMID: 36317491 PMCID: PMC9878065 DOI: 10.1111/jsr.13767] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 09/19/2022] [Accepted: 10/04/2022] [Indexed: 11/09/2022]
Abstract
Since the first lockdown of Spring 2020, the COVID-19 contagion waves pervasively disrupted the sleep and mental health of the worldwide population. Notwithstanding the largest vaccination campaign in human history, the pandemic has continued to impact the everyday life of the general population for 2 years now. The present study provides the first evidence of the longitudinal trajectories of sleep disturbances and mental health throughout the pandemic in Italy, also describing the differential time course of age groups, genders and chronotypes. A total of 1062 Italians participated in a three-time-point longitudinal study covering two critical stages of the emergency (the first lockdown in April 2020 and the second partial lockdown in December 2020) and providing a long-term overview 2 years after the pandemic outbreak (April 2022). We administered validated questionnaires to evaluate sleep quality/habits, insomnia, depression, stress and anxiety symptoms. Analyses showed a gradual improvement in sleep disturbances, depression and anxiety. Conversely, sleep duration progressively decreased, particularly in evening-type and younger people. Participants reported substantial earlier bedtime and get-up time. Stress levels increased during December 2020 and then stabilised. This effect was stronger in the population groups apparently more resilient during the first lockdown (older people, men and morning-types). Our results describe a promising scenario 2 years after the pandemic onset. However, the improvements were relatively small, the perceived stress increased, and the re-establishment of pre-existing social/working dynamics led to general sleep curtailment. Further long-term monitoring is required to claim the end of the COVID-19 emergency on Italians' sleep and mental health.
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Affiliation(s)
- Federico Salfi
- Department of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
| | - Giulia Amicucci
- Department of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly,Department of PsychologySapienza University of RomeRomeItaly
| | - Domenico Corigliano
- Department of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly,Department of PsychologySapienza University of RomeRomeItaly
| | - Lorenzo Viselli
- Department of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
| | - Aurora D'Atri
- Department of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
| | - Daniela Tempesta
- Department of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
| | - Maurizio Gorgoni
- Department of PsychologySapienza University of RomeRomeItaly,Body and Action LabIRCSS Fondazione Santa LuciaRomeItaly
| | | | | | - Michele Ferrara
- Department of Biotechnological and Applied Clinical SciencesUniversity of L'AquilaL'AquilaItaly
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Young DKW, Carlbring P, Ng PYN, Chen QRJ. Feasibility of Self-Guided Online Cognitive Behavioral Therapy for University Students During COVID-19. Res Soc Work Pract 2022; 32:898-911. [PMID: 38603083 PMCID: PMC9096000 DOI: 10.1177/10497315221087904] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Objective: This study aimed to test the feasibility and efficacy of a self-guided online cognitive behaviour therapy (iCBT) for university students in Hong Kong during COVID-19. Method: One group pre-post-test design with convenient sampling was adopted in this study, involving 84 university students who received a newly developed iCBT within an 8 week intervention period. The iCBT offered eight online modules for students to learn the skills of CBT at home through an online platform which was accessible any time anywhere anonymously with technical support only. Standardized assessment tools were used for outcomes assessment at the pre- and post-intervention periods. Results: Three quarters of participants completed all iCBT modules. The results of paired t-tests showed that, after completing the iCBT, participants showed reduction in anxiety, depression, and perceived stress. Conclusion: This study provides preliminary evidences to support the feasibility and efficacy of the self-guided iCBT for university students during COVID-19.
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Affiliation(s)
- Daniel K. W. Young
- Department of Social Work, Hong Kong Baptist
University, Hong Kong, Hong Kong
| | - Per Carlbring
- Department of Psychology, Stockholm University, Stockholm, Sweden
| | - Petrus Y. N. Ng
- Department of Social Work, Hong Kong Baptist
University, Hong Kong, Hong Kong
| | - Qi-rong J. Chen
- Department of Social Work, Hong Kong Baptist
University, Hong Kong, Hong Kong
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29
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Kang S, Park JE, Ko JW, Kim MJ, Choi YU, Shim H, Bae KS, Kim K. Outcomes improvement despite continuous visits of severely injured patients during the COVID-19 outbreak: experience at a regional trauma centre in South Korea. BMC Emerg Med 2022; 22:167. [PMID: 36203133 PMCID: PMC9540133 DOI: 10.1186/s12873-022-00726-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Accepted: 09/23/2022] [Indexed: 01/08/2023] Open
Abstract
Background Understanding the changes in characteristics of patients who visited trauma centres during the coronavirus disease 2019 (COVID-19) pandemic is important to facilitate aneffective response. This retrospective study was conducted to analyse differences in the characteristics and outcomes of patients who visited our trauma centre between pre-COVID-19 and COVID-19 eras. Methods Medical data of trauma patients enrolled in the Korean trauma database from 1 January 2018 to 31 August 2021 were collected. The number of trauma centre visits, patient characteristics, factors associated with in-hospital intervention, and outcomes werecompared between patients in the two time periods. Propensity score matching was performed to analyse the outcomes in patients with similar characteristics and severitybetween patients in the two time periods. Results The number of emergency department (ED) trauma service visits reduced in the COVID-19 era. Based on the mean age, the patients were older in the COVID-19 era. Abbreviated injury scale (AIS) 1, AIS3, AIS5, and injury severity score (ISS) were higher in the COVID-19 era. The proportion of motor vehicle collisions decreased, whereas falls increased during the COVID-19 era. Ambulance transportation, admission to the general ward, and time from injury to ED visit significantly increased. Patient outcomes, such as hospital length of stay (LOS), intensive care unit (ICU) LOS, and duration of mechanical ventilation improved, while injury severity worsened during the COVID-19 era. After adjusting for patient characteristics and severity, similar findings were observed. Conclusion The small reduction in the number of trauma patients and visits by patients who hadhigher ISS during the COVID-19 pandemic highlights the importance of maintaining trauma service capacity and capability during the pandemic. A nationwide or nationalmulticentre study will be more meaningful to examine the impact of the COVID-19 outbreak on the changes in trauma patterns, volume, and patient outcomes. Supplementary Information The online version contains supplementary material available at 10.1186/s12873-022-00726-1.
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Affiliation(s)
- Sooyeon Kang
- Department of Medicine, Yonsei University Wonju College of Medicine, Wonju, 26426, Korea
| | - Ji Eun Park
- Department of Medicine, Yonsei University Wonju College of Medicine, Wonju, 26426, Korea
| | - Ji Wool Ko
- Department of Surgery, Yonsei University Wonju College of Medicine, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea.,Regional Trauma Center, Wonju Severance Christian Hospital, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea.,Wonju Severance Pelvic Bone Research Group, Yonsei University Wonju College of Medicine, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea
| | - Myoung Jun Kim
- Department of Surgery, Yonsei University Wonju College of Medicine, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea.,Regional Trauma Center, Wonju Severance Christian Hospital, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea.,Wonju Severance Pelvic Bone Research Group, Yonsei University Wonju College of Medicine, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea
| | - Young Un Choi
- Department of Surgery, Yonsei University Wonju College of Medicine, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea.,Regional Trauma Center, Wonju Severance Christian Hospital, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea.,Wonju Severance Pelvic Bone Research Group, Yonsei University Wonju College of Medicine, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea
| | - Hongjin Shim
- Department of Surgery, Yonsei University Wonju College of Medicine, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea.,Regional Trauma Center, Wonju Severance Christian Hospital, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea.,Wonju Severance Pelvic Bone Research Group, Yonsei University Wonju College of Medicine, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea
| | - Keum Seok Bae
- Department of Surgery, Yonsei University Wonju College of Medicine, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea.,Regional Trauma Center, Wonju Severance Christian Hospital, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea
| | - Kwangmin Kim
- Department of Surgery, Yonsei University Wonju College of Medicine, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea. .,Regional Trauma Center, Wonju Severance Christian Hospital, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea. .,Wonju Severance Pelvic Bone Research Group, Yonsei University Wonju College of Medicine, Ilsan-ro 20, 26426, Wonju, Gangwon-do, Republic of Korea. .,Center of Evidence Based Medicine, Institute of Convergence Science, Yonsei University, Seoul, 03722, Korea.
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30
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Chavda VP, Yao Q, Vora LK, Apostolopoulos V, Patel CA, Bezbaruah R, Patel AB, Chen ZS. Fast-track development of vaccines for SARS-CoV-2: The shots that saved the world. Front Immunol 2022; 13:961198. [PMID: 36263030 PMCID: PMC9574046 DOI: 10.3389/fimmu.2022.961198] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2022] [Accepted: 09/08/2022] [Indexed: 11/13/2022] Open
Abstract
In December 2019, an outbreak emerged of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which leads to coronavirus disease 2019 (COVID-19). The World Health Organisation announced the outbreak a global health emergency on 30 January 2020 and by 11 March 2020 it was declared a pandemic. The spread and severity of the outbreak took a heavy toll and overburdening of the global health system, particularly since there were no available drugs against SARS-CoV-2. With an immediate worldwide effort, communication, and sharing of data, large amounts of funding, researchers and pharmaceutical companies immediately fast-tracked vaccine development in order to prevent severe disease, hospitalizations and death. A number of vaccines were quickly approved for emergency use, and worldwide vaccination rollouts were immediately put in place. However, due to several individuals being hesitant to vaccinations and many poorer countries not having access to vaccines, multiple SARS-CoV-2 variants quickly emerged that were distinct from the original variant. Uncertainties related to the effectiveness of the various vaccines against the new variants as well as vaccine specific-side effects have remained a concern. Despite these uncertainties, fast-track vaccine approval, manufacturing at large scale, and the effective distribution of COVID-19 vaccines remain the topmost priorities around the world. Unprecedented efforts made by vaccine developers/researchers as well as healthcare staff, played a major role in distributing vaccine shots that provided protection and/or reduced disease severity, and deaths, even with the delta and omicron variants. Fortunately, even for those who become infected, vaccination appears to protect against major disease, hospitalisation, and fatality from COVID-19. Herein, we analyse ongoing vaccination studies and vaccine platforms that have saved many deaths from the pandemic.
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Affiliation(s)
- Vivek P. Chavda
- Department of Pharmaceutics and Pharmaceutical Technology, LM College of Pharmacy, Ahmedabad, Gujarat, India
| | - Qian Yao
- Graduate School, University of St. La Salle, Bacolod City, Philippines
| | | | | | - Chirag A. Patel
- Department of Pharmacology, LM College of Pharmacy, Ahmedabad, Gujarat, India
| | - Rajashri Bezbaruah
- Department of Pharmaceutical Sciences, Faculty of Science and Engineering, Dibrugarh University, Dibrugarh, Assam, India
| | - Aayushi B. Patel
- Pharmacy Section, LM. College of Pharmacy, Ahmedabad, Gujarat, India
| | - Zhe-Sheng Chen
- Department of Pharmaceutical Science, College of Pharmacy and Health Sciences, St. John’s University, New York, NY, United States
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31
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Rogier G, Zobel SB, Rizzi D, Velotti P. Post-Traumatic Stress Disorder and Alcohol Use Disorder During the COVID-19 Outbreak: Do Dissociation and Emotional Metacognitive Beliefs Mediate the Role of Emotion Dysregulation? Psychiatry Investig 2022; 19:803-813. [PMID: 36327960 PMCID: PMC9633169 DOI: 10.30773/pi.2022.0013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 06/13/2022] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE Despite the well-documented relationship between emotion dysregulation and both post-traumatic stress disorder (PTSD) and alcohol use disorder symptoms, no studies investigated this issue in the context of the outbreak. Moreover, additional research investigating the role of mediators intervening in these pathways is required. Dissociation and emotional beliefs are two factors that may explain such relationships. However, a poor number of studies empirically tested their role. METHODS A cross-sectional study on a sample of 719 community participants (32.5% males; Mage=34.36, standard deviation=14.38 years) was conducted. Participants fulfilled a battery of self-report questionnaires measuring levels of PTSD outbreak-related symptoms, alcohol use disorder, emotion dysregulation, emotional beliefs, and dissociation. RESULTS Partial r-Pearson correlations showed that PTSD symptoms' level was positively and significantly related to all variables investigated in the study whereas alcohol use disorder level was positively and significantly associated with emotion dysregulation and only some dimension of emotional beliefs and dissociation. Results drawn from a structural equation model highlight the mediating role of both emotional belief and dissociation in the relationship linking emotion dysregulation and alcohol use disorder whereas only dissociation, but not emotional beliefs, mediated the link between emotion dysregulation and PTSD symptoms. CONCLUSION Most of the hypotheses have been supported stressing the relevance of both dissociation and emotional beliefs in PTSD and alcohol use disorder symptoms. These two variables appear important framework from which deepen the impact of emotion dysregulation in psychopathology.
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Affiliation(s)
- Guyonne Rogier
- Department of Educational Sciences, University of Genoa, Genoa, Italy
| | - Sara Beomonte Zobel
- Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | | | - Patrizia Velotti
- Department of Dynamic and Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
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32
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Erthal IN, Alessi J, Teixeira JB, Jaeger EH, de Oliveira GB, Scherer GDLG, de Carvalho TR, Schaan BD, Telo GH. Lifestyle pattern changes, eating disorders, and sleep quality in diabetes: how are the effects of 18 months of COVID-19 pandemic being felt? Acta Diabetol 2022; 59:1265-1274. [PMID: 35829915 DOI: 10.1007/s00592-022-01927-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 06/17/2022] [Indexed: 11/28/2022]
Abstract
AIMS The pandemic resulted in a lifestyle crisis which may negatively affect patients with diabetes. Despite current knowledge, there is a lack of longitudinal studies evaluating this effect. To assess patients' perceptions about changes in lifestyle, and eating and sleeping patterns after 18 months of the COVID-19 pandemic, and to identify if aspects related to the pandemic (social distancing, COVID-19 infection, behavioral changes, and financial difficulties) are predictors of worsening in eating and sleeping parameters. METHODS This was a longitudinal study that followed patients with diabetes from April 2020 to July 2021 in Southern Brazil. Individuals with type 1 or type 2 diabetes, aged ≥ 18 years, were included. The outcome of this study was the assessment of daily habits during a 18-month period of the COVID-19 pandemic. Specific questionnaires were applied once participants were included in this study (3 months after the onset of the pandemic) and at the 18-month follow-up, which included the Eating Attitudes Test-26 (EAT-26), the Mini-Sleep Questionnaire (MSQ), and a specific questionnaire on diet, physical activity, and sleep pattern. Data were compared within and between groups (type 1 and type 2 diabetes), and multivariable models were used to identify subgroups of worse outcomes. RESULTS A total of 118 (78.6%) participants remained in the study at follow-up (mean age 54.6 ± 13.9 years, 41.3% male). In total, 33.9% of participants perceived weight gain during the pandemic, especially those with type 1 diabetes (43.1% vs 25.0% in type 2 diabetes, P = 0.04). About one in four participants reported emotional eating and changes in their eating habits for financial reasons. Regarding sleep patterns, more than half the participants reported taking naps during the day, out of which 30.5% of them perceived worse sleep quality, with no difference between type 1 and type 2 diabetes groups. There were no within-group differences in MSQ and EAT-26 scores. Among participants with type 2 diabetes, age ≥ 60 years (OR 27.6, 95%CI 2.2-345.7), diabetes duration ≥ 15 years (OR 28.9, 95%CI 1.4-597.9), and perceived emotional eating (OR 10.9, 95%CI 1.1-107.5) were associated with worsened food quality. Worse sleep quality during the pandemic was associated with age ≥ 60 years for both type 2 diabetes (OR 5.6, 95%CI 1.1-31.5) and type 1 diabetes (OR 5.5, 95%CI 1.0-29.9). CONCLUSIONS Follow-up data from a cohort of patients with diabetes indicate that at the end of 18 months of social distancing, some lifestyle aspects worsened and some improved, showing that these patients responded differently to the adversities of this period. The evidence of clinical features associated with worsening in food and sleep quality provides new insights to prioritizing actions in crisis situations.
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Affiliation(s)
- Isadora Nunes Erthal
- School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Avenida Ipiranga, 6681, Prédio 12, 2° andar, Porto Alegre, RS, 90619900, Brazil.
| | - Janine Alessi
- Medicine and Health Sciences Graduate Program, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
| | - Julia Belato Teixeira
- School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Avenida Ipiranga, 6681, Prédio 12, 2° andar, Porto Alegre, RS, 90619900, Brazil
| | - Eduarda Herscovitz Jaeger
- School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Avenida Ipiranga, 6681, Prédio 12, 2° andar, Porto Alegre, RS, 90619900, Brazil
| | - Giovana Berger de Oliveira
- School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Avenida Ipiranga, 6681, Prédio 12, 2° andar, Porto Alegre, RS, 90619900, Brazil
| | - Gabriela D L G Scherer
- School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Avenida Ipiranga, 6681, Prédio 12, 2° andar, Porto Alegre, RS, 90619900, Brazil
| | - Taíse Rosa de Carvalho
- Medicine and Health Sciences Graduate Program, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
| | - Beatriz D Schaan
- Graduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- School of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
- Endocrinology Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
| | - Gabriela H Telo
- School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul, Avenida Ipiranga, 6681, Prédio 12, 2° andar, Porto Alegre, RS, 90619900, Brazil
- Medicine and Health Sciences Graduate Program, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
- Internal Medicine Division, Hospital São Lucas - Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
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Marciniak M, Jaskulska S, Gasparovic S, Janiūnaitė B, Horbačauskienė J, Glavak Tkalić R. The Psychological Well-Being and Civic Engagement of Polish, Croatian and Lithuanian Academic Students during COVID-19 Outbreak. Int J Environ Res Public Health 2022; 19:11202. [PMID: 36141466 PMCID: PMC9517317 DOI: 10.3390/ijerph191811202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Revised: 08/28/2022] [Accepted: 09/03/2022] [Indexed: 06/16/2023]
Abstract
The aim of this research was to recognize the relationship between well-being and civic engagement under the difficult circumstances of the COVID-19 pandemic amongst students from Poland, Lithuania and Croatia. Overall, 1362 academic students (Poland, n = 596, Croatia, n = 386, and Lithuania, n = 379) participated in the study. Mean rank differences in civic engagement level (overall CE) were analysed by levels of psychological well-being (overall PWB and its subscales) using the Kruskal-Wallis test (one-way ANOVA on ranks). We conducted post hoc analysis with Bonferroni tests to measure the significance of differences in CE between the detailed levels of PWB. To avoid biases due to interaction effects between dependent variables, the analysis of mean ranks was followed by a binomial logistic regression analysis model and subgroups analysis (by gender and by country). Results obtained showed that students with higher levels of psychological well-being have higher levels of civic engagement. The differences in the CE level are most pronounced in relation to the dimension of a PWB, such as "positive relations with others", followed by "personal growth", "autonomy", and "self-acceptance". In a crisis, such as a pandemic, it is worth encouraging students to take targeted actions, as well as to create actions referring to personal development and relationships. There were no differences in the direction and shape of the associations between psychological well-being and civic engagement with respect to the country and the gender of the participants, which leads us to draw conclusions pointing to the globalised nature of student experience during the pandemic in this part of Europe.
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Affiliation(s)
- Mateusz Marciniak
- School Pedagogy Research Unit, Faculty of Educational Studies, Adam Mickiewicz University in Poznan, 61-614 Poznan, Poland
| | - Sylwia Jaskulska
- School Pedagogy Research Unit, Faculty of Educational Studies, Adam Mickiewicz University in Poznan, 61-614 Poznan, Poland
| | - Slaven Gasparovic
- Department of Geography, Faculty of Science, University of Zagreb, 10000 Zagreb, Croatia
| | - Brigita Janiūnaitė
- Research Group in Education, Faculty of Social Sciences, Arts and Humanities, Kaunas University of Technology, 44249 Kaunas, Lithuania
| | - Jolita Horbačauskienė
- Research Group in Education, Faculty of Social Sciences, Arts and Humanities, Kaunas University of Technology, 44249 Kaunas, Lithuania
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Garlasco J, Canepari A, Giacobone G, Funicelli G, Kozel D, Bernini L, Cotroneo A. Impact of COVID-19 on healthcare waste generation: Correlations and trends from a tertiary hospital of a developed country. Waste Manag Res 2022; 40:1450-1457. [PMID: 35088653 DOI: 10.1177/0734242x221074195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
The SARS-CoV-2 (COVID-19) coronavirus pandemic has represented an emergency not only from a clinical point of view, but also for the environment due to the largely increased waste disposal. This study aimed at estimating, in the context of current trends, the increase in healthcare waste (HW) generation during the outbreak, based on data from a tertiary hospital. From the purveying office statements of 'SS Antonio e Biagio e Cesare Arrigo' Hospital of Alessandria (Italy), monthly HW generation data from January 2015 to March 2021 were retrospectively retrieved. Trends and COVID's impact were evaluated by Interrupted Time Series (ITS) design with linear regression models. Locally Weighted Scatterplot Smoothing was used to model the relation between infectious HW generation and proportion of COVID-related bed days. HW generation rose from 35.9 ± 3.8 tonnes month-1 (2.4 ± 0.2 kg per patient-day, kg PD-1) in 2015-2019, to 46.3 ± 6.0 tonnes month-1 (3.3 ± 0.7 kg PD-1) during the outbreak. The increasing trend was not appreciably modified as for its slope (p = 0.363), while a significant level change was found between baseline and outbreak (+ 0.72 kg PD-1, p < 0.001). The proportion of COVID-related bed days non-linearly affected the infectious HW generated per patient-day, with steeper increases for proportions above 20%. The study showed a significant rise in HW generation in 2020-2021, reasonably due to the COVID outbreak; in addition, the generally increasing trend was not affected. Therefore, urgent measures are needed to conciliate safety requirements with HW generation issues.
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Affiliation(s)
- Jacopo Garlasco
- Department of Public Health Sciences and Pediatrics, University of Turin, Turin, Italy
| | - Alessandro Canepari
- Medical Direction Department, 'SS. Antonio e Biagio e Cesare Arrigo' Hospital, Alessandria, Italy
| | - Gilda Giacobone
- Logistics and Purveying Office, 'SS. Antonio e Biagio e Cesare Arrigo' Hospital, Alessandria, Italy
| | - Gemma Funicelli
- Medical Direction Department, 'SS. Antonio e Biagio e Cesare Arrigo' Hospital, Alessandria, Italy
- Forensic Medicine Unit, 'ATS Milano' Local Health Authority, Milan, Italy
| | - Daniela Kozel
- Medical Direction Department, 'SS. Antonio e Biagio e Cesare Arrigo' Hospital, Alessandria, Italy
- Medical Direction Department, 'Maggiore della Carità' University Hospital, Novara, Italy
| | - Luciano Bernini
- Medical Direction Department, 'SS. Antonio e Biagio e Cesare Arrigo' Hospital, Alessandria, Italy
| | - Alida Cotroneo
- Medical Direction Department, 'SS. Antonio e Biagio e Cesare Arrigo' Hospital, Alessandria, Italy
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Alizadeh-Meghrazi M, Tosarkani BM, Amin SH, Popovic MR, Ahi P. Design and optimization of a sustainable and resilient mask supply chain during the COVID-19 pandemic: a multi-objective approach. Environ Dev Sustain 2022:1-46. [PMID: 35996455 PMCID: PMC9385444 DOI: 10.1007/s10668-022-02604-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 07/29/2022] [Indexed: 05/06/2023]
Abstract
Wearing a mask or a face covering became mandatory in indoor public spaces to reduce the spread of coronavirus disease 2019 (COVID-19). The Ontario government (i.e., a province of Canada) encouraged medical supply producers to switch their operations to produce personal protective equipment (e.g., masks) during the COVID-19 pandemic. In this regard, there are several uncertain parameters (e.g., operational costs, market demand, and capacity levels of facilities) affecting the performance of producers in a medical supplies market. In this study, we propose a flexible optimization model to configure a robust mask supply chain network under uncertainty. Furthermore, companies are supposed to undertake their operations based on sustainable manners, in compliance with provincial policy, in Ontario. Therefore, the proposed flexible optimization model is extended to a robust multi-objective model to investigate sustainable strategies in a mask supply chain network design problem. The applicability of this model is demonstrated for the Greater Toronto Area, Canada.
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Affiliation(s)
- Milad Alizadeh-Meghrazi
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON Canada
- Myant Inc, Etobicoke, Canada
| | | | - Saman Hassanzadeh Amin
- Department of Mechanical and Industrial Engineering, Toronto Metropolitan University, Toronto, ON Canada
| | - Milos R Popovic
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON Canada
| | - Payman Ahi
- Department of Mechanical and Industrial Engineering, Toronto Metropolitan University, Toronto, ON Canada
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36
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Thakur DV. Locating temporary waste treatment facilities in the cities to handle the explosive growth of HCWs during pandemics: A novel Grey-AHP-OCRA hybrid approach. Sustain Cities Soc 2022; 82:103907. [PMID: 35528480 PMCID: PMC9052740 DOI: 10.1016/j.scs.2022.103907] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 04/16/2022] [Accepted: 04/16/2022] [Indexed: 06/06/2023]
Abstract
The COVID-19 outbreak has not only put the community health at stake but, also the environmental health. Usually, the healthcare wastes (HCWs) are composed of 15-20% of the infectious wastes and the rest of the non-infectious wastes. But, during any communicable health outbreak like COVID-19, the whole HCWs coming from the infected people become contagious. During the COVID-19 outbreak, the infectious waste is not only limited to the hospitals' premises, but also comes from the households, where COVID19 infected people are under home quarantine. Hence, keeping in mind the explosive growth in generation rates of infectious HCWs, the present study targets to expand the treatment and disposal capacity by installing temporary healthcare waste treatment facilities (HCWTFs). The study identifies ten criteria from the literature review and in consultation with the field experts, to evaluate the potential candidates for setting up temporary HCWTF during the health outbreaks. The study proposes a hybrid methodology based on grey analytical hierarchy process (G-AHP) and grey operational competitiveness rating analysis (grey-OCRA) for prioritizing the evaluation criteria and selecting the optimal temporary HCWTF location by considering the experts' inputs, respectively. The stakeholders consider the 'proximity to the inhabitation', 'infrastructure availability', and 'transportation distance' are the most important criteria for selecting the temporary HCWTF location. The proposed methodology is applied to select the temporary HCWTF location in Sundargarh District, Odisha, India. The study identifies the four locations by using geographical information system (GIS) tools and sequences them as per the preferences given by the stakeholders on various identified criteria. The study may be useful for the administration to set up the temporary facilities to quickly dispose of the extra HCWs during the pandemics. However, the future studies can be targeted to coordinate the collection, storage and transportation activities with the temporary HCWTFs.
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Affiliation(s)
- Dr Vikas Thakur
- Assistant Professor, Department: School of Management, University/Institution: National Institute of Technology Rourkela, Odisha, Town/City Rourkela, State Odisha, Country India
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Romeo M, Yepes-Baldó M, Beltrà L. Motivation of Teleworkers and Non-teleworkers in Times of COVID-19 in Spain: An Exploratory Study Using Non-parametric Analysis and Classification and Regression Trees. Front Psychol 2022; 13:852758. [PMID: 35756274 PMCID: PMC9231479 DOI: 10.3389/fpsyg.2022.852758] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 05/19/2022] [Indexed: 11/19/2022] Open
Abstract
With the outbreak of COVID-19 in spring 2020, small, medium, and large companies were forced to cope with the unexpected circumstances. Faced by this health emergency, it was necessary to ensure that staff remained motivated and that they could continue to carry out their duties despite the obstacles. The main goal of this exploratory research was to characterize employees who teleworked and who did not, and their motivation during the lockdown. A total of 11,779 workers from different-sized companies in various sectors answered an ad hoc questionnaire. By using non-parametric comparisons and Classification and Regression Trees (CRTs), the results show differences in both the assessment of strategies put into practice by the companies and the level of motivation of teleworkers and non-teleworkers, with the latter being more highly motivated. Nonetheless, teleworkers assessed their companies’ strategies and the role of their managers and colleagues more positively. This research helps to understand how different sectors have dealt with the crisis, according to the degree of teleworking implemented in each sector, and to what extent the motivation of the employees has been affected. The analysis of the large amount of data obtained confirms the importance of the role of managers in sustaining the motivation of their subordinates in times of crisis. In this sense, it is necessary to develop managers’ competencies in order to develop and maintain relations of trust and support with their coworkers. On the other hand, it is necessary to foster employees’ sense of meaningfulness and responsibility at work in order to keep them motivated.
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Affiliation(s)
- Marina Romeo
- Department of Social Psychology and Quantitative Psychology, Universitat de Barcelona, Barcelona, Spain
| | - Montserrat Yepes-Baldó
- Department of Social Psychology and Quantitative Psychology, Universitat de Barcelona, Barcelona, Spain
| | - Laia Beltrà
- Department of Social Psychology and Quantitative Psychology, Universitat de Barcelona, Barcelona, Spain
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De Simone S, Franco M, Servillo G, Vargas M. Implementations and strategies of telehealth during COVID-19 outbreak: a systematic review. BMC Health Serv Res 2022; 22:833. [PMID: 35764980 PMCID: PMC9238134 DOI: 10.1186/s12913-022-08235-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Accepted: 06/15/2022] [Indexed: 01/05/2023] Open
Abstract
Background Telehealth is an effective option to fight the outbreak of COVID-19. This review aims to systematically characterize the utilization and applications of telehealth during the COVID-19 pandemic focusing mainly on technology implementations. Methods This study was conducted in accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). The literature search was conducted in Science Direct, IEEE XPLORE, Scopus, and Web of Science databases from January 2020 until July 2021, with an English language restriction. A quality assessment was based on the Critical Appraisal Skills Programs checklist. Results The included studies focused on the implementation of technology for telehealth, multidisciplinary approach, service satisfaction, guidelines, and medical training. They provided illustrative insight into the strategy of telehealth in different medical specialties, such as pediatric gastroenterology, oncology, ophthalmology, and laryngology. Nonsurgical specialties had the greatest number of telehealth visits. Clinicians showed positive attitudes toward the implementation of video telehealth visits; patients report high levels of satisfaction with this care and strong interest in continuing this modality as a significant portion of clinical practice. Conclusions This systematic review provided an illustrative insight into the strategy of telehealth for different purposes. According to our findings, telehealth may be used in different medical area with a clear strategy of intervention according to patients’ and doctors’ needs. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-022-08235-4.
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Affiliation(s)
- Stefania De Simone
- Department of Political Sciences, University of Naples Federico II, Largo S. Marcellino, Naples, Italy.
| | - Massimo Franco
- Department of Political Sciences, University of Naples Federico II, Largo S. Marcellino, Naples, Italy
| | - Giuseppe Servillo
- Department of Neurosurgical, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Via Pansini, Naples, Italy
| | - Maria Vargas
- Department of Neurosurgical, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Via Pansini, Naples, Italy
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Vajpeyee M, Tiwari S, Jain K, Modi P, Bhandari P, Monga G, Yadav LB, Bhardwaj H, Shroti AK, Singh S, Vajpeyee A. Yoga and music intervention to reduce depression, anxiety, and stress during COVID-19 outbreak on healthcare workers. Int J Soc Psychiatry 2022; 68:798-807. [PMID: 33818166 DOI: 10.1177/00207640211006742] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
AIM To investigate impact of Yoga and Music Intervention on anxiety, stress, and depression levels of health care workers during the COVID-19 outbreak. METHODS This study was conducted to assess psychological responses of 240 healthcare workers during COVID-19 outbreak. We used Yoga and Music Intervention in normal and abnormal subjects based on Depression Anxiety and Stress Scale-42 (DASS-42). RESULTS Of all 209 participants, 105 (50.23%) had symptoms of depression (35.88%), anxiety (40.19), and stress (34.92%) alone or in combination. The data suggest that there is significant improvement in test scores after intervention. Majority of persons with abnormal score exhibited improved DASS-42 score on combined interventions of Yoga and music compared to control group. Even subjects without abnormalities on DASS-42 score also showed improved DASS-42 scores in intervention (n = 52) group compared to nonintervention (n = 52) group. CONCLUSIONS Our findings highlighted the significance of easily available, simple, inexpensive, safe nonpharmacological interventions like Yoga and Music therapy to overcome stress, anxiety, and depression in present times.
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Affiliation(s)
- Manisha Vajpeyee
- Department of Reproductive Medicine and Research, Pacific Medical College & Hospital, Pacific Medical University, Udaipur, Rajasthan, India
| | - Shivam Tiwari
- Department of Neurology, Pacific Medical College & Hospital, Pacific Medical University, Udaipur, Rajasthan, India
| | - Kavita Jain
- Department of Neurology, Pacific Medical College & Hospital, Pacific Medical University, Udaipur, Rajasthan, India
| | - Pamil Modi
- Department of Music, Mohanlal Sukhadia University, Udaipur, Rajasthan, India
| | - Prem Bhandari
- Department of Music, Mohanlal Sukhadia University, Udaipur, Rajasthan, India
| | - Guneet Monga
- Department of Yoga, Pacific University Udaipur, Rajasthan, India
| | - Lokendra Bahadur Yadav
- Department of Neurology, Pacific Medical College & Hospital, Pacific Medical University, Udaipur, Rajasthan, India
| | - Himani Bhardwaj
- Department of Neurology, Pacific Medical College & Hospital, Pacific Medical University, Udaipur, Rajasthan, India
| | - Akhilesh Kumar Shroti
- Department of Neurology, Pacific Medical College & Hospital, Pacific Medical University, Udaipur, Rajasthan, India
| | - Shivoham Singh
- Department of Management Studies, Pacific University, Udaipur, Rajasthan, India
| | - Atulabh Vajpeyee
- Department of Neurology, Pacific Medical College & Hospital, Pacific Medical University, Udaipur, Rajasthan, India
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Picchio M, Santolini R. The COVID-19 pandemic's effects on voter turnout. Eur J Polit Econ 2022; 73:102161. [PMID: 34975184 PMCID: PMC8715663 DOI: 10.1016/j.ejpoleco.2021.102161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 10/30/2021] [Accepted: 12/04/2021] [Indexed: 05/07/2023]
Abstract
The COVID-19 pandemic has increased the risk of participating in public events, among them elections. We assess whether the voter turnout in the 2020 local government elections in Italy was affected by the COVID-19 pandemic. We do so by exploiting the variation among municipalities in the intensity of the COVID-19 outbreak as measured by the mortality rate among the elderly. We find that a 1 percentage point increase in the elderly mortality rate decreased the voter turnout by 0.5 percentage points, with no gender differences in the behavioural response. The effect was especially strong in densely populated municipalities. We do not detect statistically significant differences in voter turnout among different levels of autonomy from the central government.
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Affiliation(s)
- Matteo Picchio
- Department of Economics and Social Sciences, Marche Polytechnic University, Italy
- Department of Economics, Ghent University, Belgium
- IZA - Institute of Labor Economics, Bonn, Germany
- GLO - Global Labor Organization
| | - Raffaella Santolini
- Department of Economics and Social Sciences, Marche Polytechnic University, Italy
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Gdovinová Z, Vitková M, Baráková A, Cvopová A. Did the severity of the COVID-19 outbreak affect the quality of acute stroke care? (Data from across the country). Eur Stroke J 2022; 7:175-179. [PMID: 35647318 PMCID: PMC9134781 DOI: 10.1177/23969873221089426] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 03/05/2022] [Indexed: 09/17/2023] Open
Abstract
Introduction The aim of our study was to determine whether the severity of the COVID-19 pandemic affected the quality of acute care of stroke. Methods Data from the stroke register at the National Health Information Centre were analysed. Clinical data from two time periods (the first wave: March-April 2020; the second wave: October-November 2020) were compared using an independent sample t-test and the Wilcoxon-Mann-Whitney two sample rank-sum test. Results The total number of patients admitted with stroke during the second wave of COVID-19 was 1848, versus 1698 in the first wave. The proportion of patients treated by IVT was similar in both waves (275 (20.7%) vs 333 (22.1%), p = 1, difference in location: -0,0003, 95% CI: -5.0 to 5.95). We found no difference in time from the onset of symptoms to treatment (median = 130 min in both waves, p = 0.52, difference in location: 3.99, 95% CI: -6.0 to 14.0), nor in the door-to-needle time (median = 29 vs 30 min, p = 0.08, difference in location: -2.99, 95% CI: -5.0 to 0.008) between the first and the second waves of the pandemic. We found no difference in NIHSS (median = 3 vs 4, p = 0.51, difference in location: 0.00007, 95% CI: -0.9 to 0.000006) and mRS (median = 3 in both waves, p = 0.60, difference in location: -0.00004, 95% CI: -0.00004 to 0.00003) at discharge from hospital between the two periods. Conclusion The severity of the COVID-19 outbreak did not affect the quality of acute stroke care in Slovakia.
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Affiliation(s)
- Zuzana Gdovinová
- Department of Neurology, Faculty of
Medicine, P.J. Safarik University and University Hospital L. Pasteur, Košice,
Slovakia
| | - Marianna Vitková
- Department of Neurology, Faculty of
Medicine, P.J. Safarik University and University Hospital L. Pasteur, Košice,
Slovakia
| | - Anna Baráková
- National Health Information Centre,
Bratislava, Slovakia
| | - Alena Cvopová
- National Health Information Centre,
Bratislava, Slovakia
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Abstract
BACKGROUND In the last few years, several studies confirmed the effectiveness of music therapy (MT) for the rehabilitative management of patients with neurological disorders. AIM Here we discuss the feasibility and disadvantages of tele-neurological MT (tele-NMT) compared to the traditional MT programmes. METHODS We selected all the articles registered in the Web of Knowledge, PubMed, Google Scholar and ScienceDirect from March 2020 to November 2021 concerning tele-NMT during the COVID-19 outbreak, collecting same examples and experiences. RESULTS With the advent of the COVID-19, several music-based interventions (MBIs) have been adapted from "in person" to a "remote and virtual" mode (through the telemedicine). DISCUSSION Tele-NMT could represent a promising option to provide constant care and support to people with neurological diseases during the pandemic.
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Affiliation(s)
- Claudia Vinciguerra
- Neurology Unit, EMG Lab, University Hospital "San Giovanni Di Dio E Ruggi d'Aragona", Largo Città Di Ippocrate, 84100, Salerno, Italy.
| | - Antonio Federico
- Department of Medicine, Surgery and Neurosciences, Medical School, University of Siena, Viale Bracci 2, 53100, Siena, Italy
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D'Urso P, Mucciardi M, Otranto E, Vitale V. Community mobility in the European regions during COVID-19 pandemic: A partitioning around medoids with noise cluster based on space-time autoregressive models. Spat Stat 2022; 49:100531. [PMID: 35722170 PMCID: PMC9193889 DOI: 10.1016/j.spasta.2021.100531] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2021] [Revised: 07/07/2021] [Accepted: 07/08/2021] [Indexed: 06/13/2023]
Abstract
In this paper we propose a robust fuzzy clustering model, the STAR-based Fuzzy C-Medoids Clustering model with Noise Cluster, to define territorial partitions of the European regions (NUTS2) according to the workplaces mobility trends for places of work provided by Google with reference to the whole COVID-19 pandemic period. The clustering model takes into account both temporal and spatial information by means of the autoregressive temporal and spatial coefficients of the STAR model. The proposed clustering model through the noise cluster is capable of neutralizing the negative effects of noisy data. The main empirical results regard the expected direct relationship between the Community mobility trend and the lockdown periods, and a clear spatial interaction effect among neighboring regions.
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Affiliation(s)
- Pierpaolo D'Urso
- Department of Social and Economic Sciences, Sapienza University of Rome, Italy
| | - Massimo Mucciardi
- Department of Cognitive Science, Education and Cultural Studies, University of Messina, Italy
| | | | - Vincenzina Vitale
- Department of Social and Economic Sciences, Sapienza University of Rome, Italy
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Li WJ, Xue CL, Li Z. Impact of the COVID-19 Outbreak on Disease Spectrum of Pediatric Intensive Care Units. Front Med (Lausanne) 2022; 9:801255. [PMID: 35620717 PMCID: PMC9127765 DOI: 10.3389/fmed.2022.801255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Accepted: 04/11/2022] [Indexed: 11/24/2022] Open
Abstract
Purpose We aimed to analyze the changes in the disease spectrum data of a pediatric intensive care unit (PICU) in Nanjing, China, during the COVID-19 outbreak and explore a feasible plan for the treatment of critically ill children. Methods This retrospective study used data from our PICU from 1 January 2018 to 31 December 2020. Patient demographics, distribution of disease spectrum, results of etiological examinations, and the PICU length of stay (LOS) were compared during the COVID-19 period (2020) and the previous years (2018 and 2019). Results In 2020, the number of PICU admissions was 46.8 and 47.8% lower than that in 2018 and 2019, respectively. There were significant differences in the number of patients in PICU among different age groups, and these differences were mainly found in children aged <4 years and older than 14 years. The percentage of the number of patients in PICU with respiratory diseases decreased significantly, while those with hematological diseases, poisoning, and rare diseases increased significantly. Moreover, the number of patients with rare diseases increased significantly, while the number of patients with mitochondrial diseases exceeded that of those with autoimmune encephalitis. The PICU LOS in 2020 was higher than that observed in 2018 and 2019, indicating that the changes in the PICU disease spectrum did not directly affect the PICU LOS. Etiological examinations revealed that during the COVID-19 period, the number of patients in PICU with bacterial infections increased, and those with viral infections decreased, although not statistically significant. Conclusions A striking decrease in the number of PICU admissions was observed during the COVID-19 outbreak, which caused a significant change in the PICU disease spectrum. Changes in the number and characteristics of patients admitted to PICUs should be considered for facilitating the effective working of PICUs during the COVID-19 pandemic.
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Affiliation(s)
- Wen Jing Li
- Department of Pharmacy, Children's Hospital of Nanjing Medical University, Nanjing, China
| | - Chun Ling Xue
- Department of Emergency, Children's Hospital of Nanjing Medical University, Nanjing, China
| | - Zhuo Li
- Department of Emergency, Children's Hospital of Nanjing Medical University, Nanjing, China
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Zhan Q, Zhang S, Wang Q, Zhang L, Liu Z. Analysis of the Difference in College Students' Experience of Family Harmony before and after the COVID-19 Outbreak. Int J Environ Res Public Health 2022; 19:6265. [PMID: 35627802 PMCID: PMC9141167 DOI: 10.3390/ijerph19106265] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 05/14/2022] [Accepted: 05/15/2022] [Indexed: 01/27/2023]
Abstract
Background: China implemented a home quarantine policy in the early days of the COVID-19 pandemic. At the same time, college students stayed at home for a long time, facing their parents and being directly exposed to family affairs every day. Thus, the effects of the COVID-19 pandemic and home quarantine on college students’ experience of family harmony are worth discussing. Objectives: In this study, we aimed to explore whether there was any difference in college students’ experience of family harmony before and after the COVID-19 outbreak. Methods: Participants in this study were undergraduates from a university in Tianjin. They completed the college students’ experience of family harmony questionnaire (CSEFHQ) before and after the COVID-19 outbreak (December 2019 and March 2020). A total of 215 participants (96 men and 119 women) completed the whole test. Results: The paired sample t-tests showed that the scores on seven dimensions of CSEFHQ: getting along (t = 5.116, p < 0.001), conflict (t = 6.442, p < 0.001), sharing (t = 5.414, p < 0.001), self-isolation (t = 3.014, p < 0.01), help-seeking (t = 5.353, p < 0.001), avoidance (t = 6.010, p < 0.001), support-providing (t = 5.818, p < 0.001), and the total scores of CSEFHQ (t = 6.496, p < 0.001) were all significantly reduced after the COVID-19 outbreak, while the scores on the other two dimensions, undertaking housework (t = 1.379) and indifference (t = 1.765), did not change significantly. Conclusions: The college students’ experience of family harmony was significantly worse after the COVID-19 outbreak. These results can be used to improve the level of family harmony of college students during the pandemic and improve their quality of life.
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Affiliation(s)
- Qisheng Zhan
- School of Education, Tianjin University, Tianjin 300350, China; (S.Z.); (Q.W.); (L.Z.)
- Institute of Psychology, Tianjin University, Tianjin 300350, China
| | - Shuya Zhang
- School of Education, Tianjin University, Tianjin 300350, China; (S.Z.); (Q.W.); (L.Z.)
- Institute of Psychology, Tianjin University, Tianjin 300350, China
| | - Qin Wang
- School of Education, Tianjin University, Tianjin 300350, China; (S.Z.); (Q.W.); (L.Z.)
| | - Lisha Zhang
- School of Education, Tianjin University, Tianjin 300350, China; (S.Z.); (Q.W.); (L.Z.)
| | - Zhengkui Liu
- Institute of Psychology, Academy of Science, Beijing 100020, China;
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Curatola A, Ferretti S, Gatto A, Valentini P, Giugno G, Della Marca G, Brunetti V, Lazzareschi I. The Effects of COVID-19 Pandemic on Italian School-Aged Children: Sleep-Related Difficulties and Trauma Reactions. J Child Neurol 2022; 37:8830738221096194. [PMID: 35535411 PMCID: PMC9096002 DOI: 10.1177/08830738221096194] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 03/10/2022] [Accepted: 04/04/2022] [Indexed: 12/23/2022]
Abstract
PURPOSE The COVID-19 pandemic has affected the mental and physical health of the world population. This study aims to investigate incidence of sleep-related difficulties and post-traumatic stress disorder in the school-aged children after 1 year of the pandemic. METHODS A sample of Italian children (6-12 years) was queried about their sleep behaviors after 1 year of the pandemic, answering the Children's Sleep Habits Questionnaire (CSHQ). We also evaluated trauma symptoms with the Children's Impact of Event Scale (CRIES-8). RESULTS Among 205 participants, 184 (89.8%) presented sleep-related difficulties. Out of all, 99 (48.3%) had a high risk to develop post-traumatic stress disorder. Ninety-five (51.6%) children with sleep-related difficulties also presented an abnormal CRIES-8 total score. A correlation was found between the CSHQ total score and the CRIES-8 total score (r = 0.354, P < .01). CONCLUSIONS The sleep-related difficulties occurring during COVID-19 outbreak may compound to increase the risk to develop post-traumatic stress disorder among Italian children.
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Affiliation(s)
- Antonietta Curatola
- Department of Pediatrics, Fondazione
Policlinico Universitario “Agostino Gemelli,” IRCCS,
Università
Cattolica del Sacro Cuore, Rome,
Italy
| | - Serena Ferretti
- Department of Pediatrics, Fondazione
Policlinico Universitario “Agostino Gemelli,” IRCCS,
Università
Cattolica del Sacro Cuore, Rome,
Italy
| | - Antonio Gatto
- Department of Pediatrics, Fondazione
Policlinico Universitario “Agostino Gemelli,” IRCCS,
Università
Cattolica del Sacro Cuore, Rome,
Italy
| | - Piero Valentini
- Department of Pediatrics, Fondazione
Policlinico Universitario “Agostino Gemelli,” IRCCS,
Università
Cattolica del Sacro Cuore, Rome,
Italy
| | - Giulia Giugno
- Department of Pediatrics, Fondazione
Policlinico Universitario “Agostino Gemelli,” IRCCS,
Università
Cattolica del Sacro Cuore, Rome,
Italy
| | - Giacomo Della Marca
- Institute of Neurology, Fondazione
Policlinico Universitario “Agostino Gemelli,” IRCCS,
Università
Cattolica del Sacro Cuore, Rome,
Italy
| | - Valerio Brunetti
- Institute of Neurology, Fondazione
Policlinico Universitario “Agostino Gemelli,” IRCCS,
Università
Cattolica del Sacro Cuore, Rome,
Italy
| | - Ilaria Lazzareschi
- Department of Pediatrics, Fondazione
Policlinico Universitario “Agostino Gemelli,” IRCCS,
Università
Cattolica del Sacro Cuore, Rome,
Italy
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Lin Y, Wang Y, Fu XM. Margin purchases, short sales and stock return volatility in China: Evidence from the COVID-19 outbreak. Financ Res Lett 2022; 46:102351. [PMID: 35431673 PMCID: PMC8994448 DOI: 10.1016/j.frl.2021.102351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 06/17/2021] [Accepted: 07/16/2021] [Indexed: 06/14/2023]
Abstract
In this paper, we investigate the effects of margin purchases and short sales on the return volatility in the Chinese stock market during the COVID-19 outbreak. We present two main findings. First, we show that stocks with higher level of margin-trading activity exhibit higher return volatility. The COVID-19 outbreak amplifies the destabilizing effects of margin-trading activity. Second, no evidence shows that short selling destabilizes the stock market in general. However, we observe that intensified short-selling activity is associated with lower return volatility when infection risk is high during the COVID-19 crisis.
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Affiliation(s)
- Yongjia Lin
- School of Business, Macau University of Science and Technology, Macau, China
| | - Yizhi Wang
- School of Finance, Shandong University of Finance and Economics, Shandong, China
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Gan Y, Ma J, Wu J, Chen Y, Zhu H, Hall BJ. Immediate and delayed psychological effects of province-wide lockdown and personal quarantine during the COVID-19 outbreak in China. Psychol Med 2022; 52:1321-1332. [PMID: 32787981 PMCID: PMC7450230 DOI: 10.1017/s0033291720003116] [Citation(s) in RCA: 82] [Impact Index Per Article: 41.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 07/24/2020] [Accepted: 08/11/2020] [Indexed: 12/15/2022]
Abstract
BACKGROUND The COVID-19 pandemic has greatly affected public health and wellbeing. In response to the pandemic threat of the coronavirus epidemic, several countries, including China, adopted lockdown and quarantine policies, which may cause psychological distress. This study aimed to explore the psychological impact of province-wide lockdown and personal quarantine during the COVID-19 outbreak in China as well as the corresponding risk factors and protective factors. METHODS We examined the immediate (2-week) and delayed (2-month) impact of province-wide lockdown and personal quarantine on psychological distress in a national sample of 1390 Chinese residents. RESULTS No immediate impact of province-wide lockdown on psychological distress was observed, whereas personal quarantine increased individuals' anxiety, fear, and anger. Despite the lack of initial association, psychological distress increased among those in province-wide lockdown. Self-stigma and personal control both significantly moderated the association between lockdown and psychological distress, but in different directions. Those with higher self-stigma and lower personal control were more impacted by the lockdown. Government support moderated the impact of quarantine on psychological distress, but not that of lockdown. CONCLUSIONS The delayed effects of lockdown and quarantine on psychological distress were observed, and self-stigma, social support, and perceived control moderate the relationships. This study is the first to demonstrate the psychological costs of province-wide lockdowns on individuals' mental health, providing evidence of the need for mitigation strategies and timely public mental health preparedness in countries with recent outbreaks of COVID-19.
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Affiliation(s)
- Yiqun Gan
- School of Psychological and Cognitive Sciences and Beijing Key Laboratory of Behavior and Mental Health, Peking University, Beijing, People's Republic of China
| | - Jinjin Ma
- School of Psychological and Cognitive Sciences and Beijing Key Laboratory of Behavior and Mental Health, Peking University, Beijing, People's Republic of China
| | - Jianhui Wu
- School of Psychology, Shenzhen University, Shenzhen, People's Republic of China
| | - Yidi Chen
- School of Psychological and Cognitive Sciences and Beijing Key Laboratory of Behavior and Mental Health, Peking University, Beijing, People's Republic of China
| | - Huanya Zhu
- School of Psychological and Cognitive Sciences and Beijing Key Laboratory of Behavior and Mental Health, Peking University, Beijing, People's Republic of China
| | - Brian J. Hall
- Global and Community Mental Health Research Group, New York University (Shanghai), Shanghai, People's Republic of China
- Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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Dellafiore F, Caruso R, Nania T, Pittella F, Barello S. Determinants of Post-Traumatic Stress Disorders in Italian university students during the Covid-19 outbreak: the leading role of sex, health concerns, and health engagement. Ann Ig 2022; 34:236-247. [PMID: 35373811 DOI: 10.7416/ai.2022.2479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
BACKGROUND The unprecedented changes in daily-life caused by Covid-19 restrictions had many psycho-logical and adverse effects, not only in sufferers but also in the general population, including university students. To date, little is known about Post-Traumatic Stress Disorder symptoms experienced by university students during the peak of Covid-19 in Italy. Thus, the study describes Post-Traumatic Stress Disorders related to the Covid-19 outbreak among Italian university students and identifies the psychological distress risk and protective factors. STUDY DESIGN A multicentre observational cross-sectional study. METHODS Data collection was involved in a self-reported web questionnaire, using the on-line platform Qualtrics®, in March and April 2020, involving convenience and consecutive sampling of Italians university students in different Italy regions. RESULTS A sample of 720 Italian university students was enrolled. Data analysis highlighted the leading role of sex, health concerns, and health engagement as negative or positive determinants of Post-Traumatic Stress Disorders in Italian university students during the Covid-19 outbreak. In particular, it is very insightful having discovered that health engagement is a protective factor of students' mental health. CONCLUSIONS This is the first study identifying sex, health issues and health commitment as positive or negative determinants of Post-Traumatic Stress Disorders symptoms in Italian university students during the Covid-19 epidemic. Accordingly, this new achievement could be the starting point for the development of awareness campaigns for the psychological health of Italian university students.
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Affiliation(s)
- F Dellafiore
- Department of Public Health, Experimental and Forensic Medicine, Section of Hygiene, Unioversity of Pavia, Pavia, Italy
| | - R Caruso
- Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy
| | - T Nania
- Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy
- EngageMinds HUB - Consumer, Food & Health Engagement Research Center, Università Cattolica del Sacro Cuore, Milan and Cremona, Italy
| | - F Pittella
- Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy
| | - S Barello
- EngageMinds HUB - Consumer, Food & Health Engagement Research Center, Università Cattolica del Sacro Cuore, Milan and Cremona, Italy
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
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Benkraiem R, Garfatta R, Lakhal F, Zorgati I. Financial contagion intensity during the COVID-19 outbreak: A copula approach. Int Rev Financ Anal 2022; 81:102136. [PMID: 36536771 PMCID: PMC8988453 DOI: 10.1016/j.irfa.2022.102136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 02/28/2022] [Accepted: 03/31/2022] [Indexed: 06/17/2023]
Abstract
The sudden and rapid spread of the novel coronavirus (COVID-19) has had a severe impact on financial markets and economic activities all over the world. The purpose of this paper is to investigate the existence and intensity of financial contagion during the COVID-19 outbreak. We use daily series of stock indexes of 10 Asian countries (Taiwan, Hong Kong, Singapore, India, Indonesia, Malaysia, South Korea, Vietnam, Australia and China) and 4 American countries (the United-States, Brazil, Mexico, and Argentina) over the period starting from January 1st, 2014 to June 30th, 2021. Based on a copula approach, the results show that all studied markets are affected by the COVID-19 outbreak and the presence of financial contagion for all American and Asian countries. The results also show that contagion is more intense for American countries than Asian ones. These findings have practical implications, especially for investors, risk managers, and policy makers. The latter should continue to provide liquidity to the international market during this pandemic.
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Affiliation(s)
- Ramzi Benkraiem
- Audencia Business School (AACSB, EQUIS & AMBA), Postal Address: 8 Route de la Jonelière, 44312 Nantes, France
| | | | - Faten Lakhal
- Léonard de Vinci Pôle Universitaire, Research Center, 92916, Paris La Défense, France and IRG, Paris-Est University, France
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