Search

Introduction: COVID-19 has affected the mental health of the pediatric population. With the transi-tion to virtuality, positive and negative positions have been identified. Due to the difference in sociodemogra-phic characteristics that the Dominican Republic has, it is necessary to describe the effect of these changes on mental health within this context.Objective: To assess the effect of virtual classes on the mental health of pediatric patients.Methodology: Strengths and Difficulties Question-naire was used in the patients who attended the general consultation. A score was assigned using the standar-dized scoring scale and the results were analyzed in frequency plots and spearman correlation tests.Results: There is a frequency of 10.4% (n=34) of high risk of developing some psychiatric disorder. Weak correlations were observed between younger age and conduct disorder, r(365) = -0.111, p = 0.034, and male gender and any pediatric disorder, r(365) = -0.131, p = 0.012. There is a 51.5% incidence of physical symp-toms. 45.5% and 30.2% identified better and equal qualifications.Conclusion: It is necessary to investigate the effects identified adding the evaluation of specialists for greater precision of the observed findings., Introducción: El COVID-19 ha afectado la salud mental de la población pediátrica. Con la transición a la virtualidad, se han identificado posturas positivas y negativas. Debido a la diferencia de características sociodemográficas que posee la República Dominicana, es necesario describir el efecto de dichos cambios en la salud mental dentro de este contexto.Objetivo: Evaluar el efecto de las clases virtuales en la salud mental de los pacientes pediátricos.Metodología: Se utilizó el cuestionario de capacidades y dificultades en los pacientes que asistieron a consulta general. Se asignó una puntuación con la escala de puntuación estandarizada y se analizaron los resultados en gráficos de frecuencia y pruebas de correlación de spearman.Resultados: Existe una frecuencia del 10,4% (n=34) de alto riesgo de desarrollar algún trastorno psiquiátrico. Se observaron correlaciones débiles entre menor edad y trastorno de conducta, r(365) = -0,111, p = 0,034, y sexo masculino y cualquier trastorno pediátrico, r(365) = -0,131, p = 0,012. Hay una incidencia de 51,5% de síntomas físicos. Un 45.5% y un 30.2% identificó mejores e iguales calificaciones.Conclusión: Es necesario investigar los efectos iden-tificados agregando la evaluación de especialistas para mayor precisión de los hallazgos observados.

Sources influence the quality and orientation of health news and make it possible to explain and humanize the data. With the aim of finding out whether there were changes in health journalistic sources after the pandemic, we analyzed the contents and interviewed 16 specialized journalists from the general press, radio and television with large audiences in Spain. The quantitative results show that experts are the most frequent main source after COVID19 followed by patients and state institutions, which is a significant change (p < 0.001) with respect to pre-pandemic, when institutions were in first place. Qualitatively, health journalists express their criticism and distrust of official sources. We can conclude that there are changes and an evolution in health journalistic sources in Spain, which further studies will determine whether it only affects the general media., Las fuentes condicionan la calidad y orientación de las noticias de salud y permiten explicar y humanizar los datos. Con el objetivo de conocer si hubo cambios en las fuentes periodísticas sobre salud tras la pandemia, se analizaron los contenidos de prensa, radio y televisión generalistas de gran audiencia en España y se entrevistó a 16 periodistas especializados. Los resultados cuantitativos muestran que los expertos son la fuente principal más frecuente tras la COVID19, seguidos de los pacientes y las instituciones del Estado, lo que supone un cambio significativo (p < 0,001) respecto a prepandemia, cuando las instituciones ocupaban el primer lugar. Cualitativamente, los periodistas de salud manifiestan su crítica y desconfianza hacia las fuentes oficiales. Se concluye que existen cambios y una evolución en las fuentes periodísticas de salud en España, que posteriores estudios determinarán si solo afecta a medios generalistas.

The Covid-19 pandemic exposed all economies to a shortage of medical supplies alongside economic, institutional, and social challenges, prompting the Chinese government to step up its efforts to aid countries in need. At the same time, China faced a series of condemnations of its domestic human rights situation. This paper examines Chinese medical assistance and the relationship with recipient countries’ position on key China-related human rights issues as a measure of political support. We find that support on human rights issues is significantly related to the receipt of Chinese medical assistance in 2020 and of vaccines in 2021. Countries that supported China in either of the two joint statements delivered at the UN on Hong Kong and Xinjiang received 125% and 174% more medical equipment and 205% and 166% more vaccine donations respectively, than those holding a contrary stance. Vaccine trade presents an even stronger association with such measures. Findings also show that political alignment and geographical proximity were more important in the first part of 2021, while these waned when the availability of new vaccines rose in the second half of the year. The association between Covid-19 assistance and political support on human rights issues post-Covid shows mixed results. Countries receiving assistance either moved from a neutral stance into one of defense of China or voted in favor of the UNHRC decision in 2022 to investigate human rights violations in Xinjiang. This indicates that while there is an ongoing politicization of human rights issues, countries do not necessarily give in to pressures. In conclusion, these findings and further analysis support fundamental concerns that vaccine donations during the Covid-19 pandemic have been mostly driven by geopolitics and not by the severity of the pandemic. © 2024 Elsevier Ltd

Aim: The objective of the present study is twofold: to describe the prevalence and incidence of pressure ulcers (PUs) among ICU patients during the COVID-19 pandemic, and to identify the risk factors associated with the development of PUs in this cohort of ICU patients. Materials and methods: Retrospective cohort study of adult critical care patients admitted in two general ICUs of two different countries (Sweden and Portugal) between March 1st, 2020, and April 30th, 2021, through the analysis of the electronic health record database. The prevalence and incidence were calculated, and a multivariate logistic-regression model was used to calculate odds ratios (ORs), of possible risk factors of PU development. Results: The sample consisted of 1717 patients. The overall prevalence of PU was 15.3 %, and the incidence of ICU-acquired PUs was 14.1 %. Most of the pressure ulcers documented in this study were at the anterior part of the body (45.35 %) and regarding classification, Category 2 (38.40 %) and Category 3 (22.71 %) pressure ulcers together accounted for over fifty percent of the cases recorded. In the multivariate logistic regression model for PU, age, having COVID-19 (OR = 1.58, 95 % CI: 1.20–2.09), use of mechanical ventilation (OR = 1.49, 95 % CI: 1.13 = 1.97), use of vasopressors (OR = 1.31, 95 % CI: 1.00–1.70), having a Braden risk score ≤16 at admission (OR = 1.63; 95 % CI: 1.04–2.56), and length of stay (LOS) (OR = 1.43, 95 % CI 1.03–2.00 if LOS 90–260 h, OR = 2.34, 95 % CI: 1.63–3.35 if LOS >260 h) were associated with the likelihood of developing an ICU-acquired PUs. Conclusion: When adjusted for covariates patients with COVID-19 had a higher risk for PU development during the ICU stay compared to patients without COVID-19. Health care personnel in ICU may consider incorporating COVID-19, age, use of mechanical ventilation, vasopressors and estimated LOS in addition to a comprehensive risk assessment including both a risk score and clinical assessment.

Studiens syfte var att undersöka om hur universitetsstudenter har upplevt, och anpassat sig till, övergången till distansstudier. Metoden som användes vara kvalitativ metod med semistrukturerade intervjuer för att smala in data och den hermeneutiska tolkningen för att analysera och förstå studenternas upplevelser. Resultaten visade på utmaningar såsom bristande motivande, lärande svårigheter och avsaknaden av social interaktion. Slutsatserna som kan dras är att studenternas anpassning till distansundervisningen är en process som påverkar studenternas ätt att engagera och sitt sätt att lära. Relevans studien har är att den bidrar till en djupare förståelse för hur distansundervisningen påverkar studenternas lärande och mående.

BACKGROUND At the beginning of December 2019, a series of cases of viral profile pneumonia were reported in the city of Wuhan, China. In January 2020, a new type of betacoronavirus was identified as responsible for these pneumonias, which was called Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV2), while the disease produced by it was called coronavirus disease of 2019 or COVID19. The first series of cases indicated fever (83-98 %), cough (59-82 %) and dyspnea (31-69 %) as the most frequent symptoms in hospitalized patients, while neurological symptoms such as myalgias (11-44%), headache (6-13 %), dizziness (9 %) or confusion (8 %) were also common. The epidemiological, clinical and pathophysiological characteristics of headache caused by SARS-CoV2 remained unknown. OBJETIVE The objectives of this project were: 1) To estimate the prevalence of headache in patients with SARS-CoV2 infection; 2) to analyze whether the presence of headache in COVID19 patients had prognostic implications for mortality; 3) to describe the phenotypic characteristics of headache in COVID19 patients; and 4) to analyze whether patients with headache had differences in their cytochemical profile. METHODS To address these objectives, three observational studies were carried out, one with a retrospective cohort study, a case-control study, and a cross-sectional study nested in a prospective cohort. The studies were carried out in a public tertiary university hospital. The three studies had common inclusion criteria and all consecutive patients admitted to said hospital with a confirmed diagnosis of SARS-CoV2 infection were screened for eligibility. In the third study, the sampling was done by randomly selecting one in every five patients. The study period was between March 8 and April 11, 2020. The diagnosis was done according to the protocols and definitions of the World Health Organization (WHO). Data were collected from medical records or by telephone. Baseline variables (demograph, INTRODUCCIÓN A principios de diciembre de 2019 se reportaron una serie casos de neumonía de perfil vírico en la localidad de Wuhan, China. En enero de 2020 se identificó un nuevo tipo de betacoronavirus como responsable de estas neumonías, que fue denominado Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV2), mientras que la enfermedad producida por el mismo fue denominada enfermedad por coronavirus de 2019 o COVID19. Las primeras series de casos señalaron como síntomas más frecuentes en pacientes ingresados la fiebre (83-98 %), tos (59-82 %) y disnea (31-69 %), mientras que síntomas neurológicos como mialgias (11-44 %), cefalea (6-13 %), mareo (9,4 %) o confusión (8 %) también fueron comunes. Las características epidemiológicas, clínicas y fisiopatológicas de la cefalea producida por SARS-CoV2 permanecían inciertas. OBJETIVO Los objetivos de este proyecto eran: 1) estimar la frecuencia de cefalea en pacientes con infección por SARS-CoV2, 2) analizar si la presencia de cefalea en pacientes COVID19 tenía implicaciones pronósticas relativas a la mortalidad, 3) describir las características fenotípicas de la cefalea en pacientes COVID19; y 4) analizar si los pacientes que padecían cefalea presentaban diferencias en su perfil citoquímico. MÉTODOS Para abordar estos objetivos se llevaron a cabo tres estudios observacionales, uno con diseño de cohorte restrospectiva, un estudio de casos y controles y un estudio transversal anidado en una cohorte prospectiva. Estos estudios fueron realizados en un hospital público universitario terciario. Los tres estudios tuvieron criterios de inclusión comunes y todos los pacientes consecutivos que ingresaron en dicho hospital con un diagnóstico confirmado de infección por SARS-CoV2 fueron evaluados para determinar su elegibilidad. En el tercer estudio, el muestreo se realizó seleccionando aleatoriamente a uno de cada cinco pacientes. El período de estudio fue entre el 8 de marzo y el 11 de abril de 2020. El diagnóstico fue real, Escuela de Doctorado, Doctorado en Investigación en Ciencias de la Salud

Background: The real predictive prognostic capacity of cellular indices (or ratios) is unclear in SARS-CoV-2 infection. This study aimed to assess the prognostic role of previously well-known laboratory indices and new ones in hospitalized COVID-19 patients. Methods: A retrospective observational study from March to May 2022 evaluated laboratory indices on admission (neutrophil to lymphocyte-, derived neutrophil to lymphocyte-, platelet to lymphocyte-, CRP to lymphocyte-, CRP to albumin-, fibrinogen to lymphocyte-, d-dimer to lymphocyte-, ferritin to lymphocyte-, LDH to lymphocyte-, and IL-6 to lymphocyte ratios), in patients hospitalized due to SARS-CoV2 infection to determine the association with mortality, admission to an intensive care unit (ICU), need for non-invasive mechanical ventilation (NIMV), orotracheal intubation (OTI), or combined event at 30 days follow-up. Results: A total of 1113 COVID-19 patients were evaluated with a mean age of 64.1 ± 15.9 years (58.49% male), 166 (14.91%) patients died, 58 (5.21%) required ICU admission, 73 (6.56%) needed NIMV, 46 (4.23%) needed OTI, and 247 (22.19%) presented the combined event. All the ratios evaluated in this study showed statistical significance in the univariate analysis for mortality and combined event; however, only d-dimer to lymphocyte ratio >0.6 presented an independent association in the multivariate analysis for 30-day mortality (adjusted OR 2.32; p = .047) and 30-day combined event (adjusted OR 2.62; p = .014). Conclusions: Laboratory indices might be a potential biomarker for better prognosis stratification in hospitalized COVID-19 patients. d-Dimer to lymphocyte ratio presents an independent association for 30-day mortality and 30-day adverse outcomes in hospitalized COVID-19 patients., Depto. de Medicina, Fac. de Medicina, TRUE, pub

BACKGROUND: During the first year of the COVID pandemic, many European young adults abandoned or delayed their plans to achieve housing autonomy, especially those facing vulnerable employment conditions and in contexts with limited welfare state provision for the young population. OBJECTIVE: The present study contributes to this body of knowledge by examining plans and behaviours associated with leaving the parental home among young individuals (aged 18 to 34) in five European countries, more than one year after the onset of the epidemic at the beginning of 2020. METHOD: Drawing on data from two waves of a cross-sectional survey conducted in May and November 2021 as part of the Youth Project, we investigate the various ways in which the living arrangements of young individuals, such as exiting or returning to the parental home, have evolved in response to the pandemic, in alignment with or in contrast to their pre-pandemic intentions. To achieve this, we employ both multinomial and logit models. RESULTS: We find that the subjective perception of economic vulnerability during the ongoing recession continues to have a negative impact on the intention to obtain or maintain housing autonomy, especially in Italy and Spain.

Despite initial suggestions that the COVID-19 pandemic affected everyone equally, it quickly became clear that some were much worse affected than others. Marginalization—including poverty, substandard accommodation, precarious or no employment, reduced access to healthcare and other key public goods—was clearly correlated with higher rates of both contagion and fatality. For Sweden, COVID-19 inequality could be seen along clear racial and socio-economic lines, with some of the first high death rates seen amongst Somali communities, where individuals had contracted the virus through unsafe employment as taxi drivers transporting wealthier Swedes home from their winter holidays. At the same time, actors on the extra parliamentarian far-right in Sweden were quick to blame the country's relatively high per-capita fatality rate on persons born outside Sweden working in the healthcare and care home sector. Media frames affirming racial stereotypes grounded in cultural racism circulated across the ecosystem of alternative media in the country. In both healthcare and the media, we see growing forms of exclusion disproportionately affecting migrants. Such intertwined exclusions in Sweden, as the article argues, are a sign of a wider disintegration of Swedish society in which individuals lose trust in both the core institutions as well as across different parts of society. Drawing on Davina Cooper's understanding of the relationship between the state and other public institutions with individuals as based on “touch,” the article explores how exclusionary practices impact this relationship. Our key argument is that, whilst ostensibly such practices often most materially hurt minority groups (e.g., migrants), they are indicative of—and accelerate—a broader disintegration of society through undermining a logic of “care” necessary to sustain social bonds.

The COVID-19 pandemic struck societies directly and indirectly, not just challenging population health but disrupting many aspects of life. Different effects of the spreading virus—and the measures to fight it—are reported and discussed in different scientific fora, with hard-to-compare methods and metrics from different traditions. While the pandemic struck some groups more than others, it is difficult to assess the comprehensive impact on social inequalities. This paper gauges social inequalities using individual-level administrative data for Sweden’s entire population. We describe and analyze the relative risks for different social groups in four dimensions—gender, education, income, and world region of birth—to experience three types of COVID-19 incidence, as well as six additional negative life outcomes that reflect general health, access to medical care, and economic strain. During the pandemic, the overall population faced severe morbidity and mortality from COVID-19 and saw higher all-cause mortality, income losses and unemployment risks, as well as reduced access to medical care. These burdens fell more heavily on individuals with low income or education and on immigrants. Although these vulnerable groups experienced larger absolute risks of suffering the direct and indirect consequences of the pandemic, the relative risks in pandemic years (2020 and 2021) were conspicuously similar to those in prepandemic years (2016 to 2019), SWECOV

Despite initial suggestions that the COVID-19 pandemic affected everyone equally, it quickly became clear that some were much worse affected than others. Marginalization—including poverty, substandard accommodation, precarious or no employment, reduced access to healthcare and other key public goods—was clearly correlated with higher rates of both contagion and fatality. For Sweden, COVID-19 inequality could be seen along clear racial and socio-economic lines, with some of the first high death rates seen amongst Somali communities, where individuals had contracted the virus through unsafe employment as taxi drivers transporting wealthier Swedes home from their winter holidays. At the same time, actors on the extra parliamentarian far-right in Sweden were quick to blame the country's relatively high per-capita fatality rate on persons born outside Sweden working in the healthcare and care home sector. Media frames affirming racial stereotypes grounded in cultural racism circulated across the ecosystem of alternative media in the country. In both healthcare and the media, we see growing forms of exclusion disproportionately affecting migrants. Such intertwined exclusions in Sweden, as the article argues, are a sign of a wider disintegration of Swedish society in which individuals lose trust in both the core institutions as well as across different parts of society. Drawing on Davina Cooper's understanding of the relationship between the state and other public institutions with individuals as based on “touch,” the article explores how exclusionary practices impact this relationship. Our key argument is that, whilst ostensibly such practices often most materially hurt minority groups (e.g., migrants), they are indicative of—and accelerate—a broader disintegration of society through undermining a logic of “care” necessary to sustain social bonds.

Distriktssköterskors erfarenheter av arbete på hälsocentral i Västernorrland under Covid-19-pandemin - En kvalitativ intervjustudie Abstrakt Bakgrund: Under Covid-19 pandemin förändrades prioriteringen där planerad vård ställdes in eller sköts upp till förmån för akut vård. Patienternas sätt att söka vård har förändrades. Digitala vårdkontakter ökade. Nya riktlinjer, lösningar och rutiner utarbetades, gamla hierarkier luckrades upp. Arbete med skyddsutrustning var tidsödande, tungt och obehagligt. Det förekom brist på skyddsutrustning och oklarhet kring användning. Sjuksköterskor arbetade under stress och osäkerhet vilket påverkade det psykiska välbefinnandet. Stöd från ledning var avgörande. Osäkerhet kring sjukdomsläget hos patienter och personer i omgivningen påverkade sjuksköterskor negativt. Sjuksköterskor visade stort prov på ledarskap under pandemin och var delaktiga i utvecklingen av vården.Motiv: Få studier är gjorda om primärvården i Sverige under pandemin och det saknas kunskap om distriktssköterskornas erfarenheter. Ingen studie har tidigare undersökt erfarenheterna hos distriktssköterskor i Västernorrland. Syfte: Att beskriva distriktssköterskors erfarenheter av att arbeta på Hälsocentral under Covid-19 pandemin.Metod: Intervjustudie med kvalitativ innehållsanalys. Intervjuer genomfördes med 9 distriktssköterskor och sjuksköterskor vid hälsocentraler i Region Västernorrland under hösten 2023.Resultat: Analysen resulterade i huvudkategorin Från kaos till trygghet samt tre kategorier med åtta underkategorier. Kategorier: Känna oro och osäkerhet; Omställning till nya arbetssätt; Vara mer rustad för framtiden. Konklusion: Resultatet överensstämmer med tidigare studier kring distriktssköterskors erfarenheter under covid-19pandemin. Studien bidrar till att stärka bilden av distriktssköterskors erfarenheter under pandemin och ger en inblick i hur arbetet på hälsocentral upplevdes i region Västernorrland. Dessa erfarenheter kan användas för beredskap, District nurses’ experiences of working at a primary healthcare center in Västernorrland during the covid-19 pandemic - A qualitative interview study Abstract Background: During the Covid-19 pandemic there was a change in priority where planned visits were postponed and cancelled in favor of acute and emergency care. Patients’ ways of seeking health care changed. There was an increase in digital contacts with the health care system. New routines, guidelines and ways of working were invented, and old hierarchies were put to side. Working with personal protective equipment (PPE) was time consuming, heavy and uncomfortable. There was a lack of PPE and confusion about which PPE gave the right protection. Nurses’ work situation was characterized by stress and uncertainty, which affected their psychological wellbeing. Support from the leadership was crucial. Uncertainty about the infection state in patients and people in general had a negative effect on nurses. Nurses showed a great ability to lead the work during the pandemic and had an important role in care development. Motive: There are only a few studies about district nurses in primary healthcare during the pandemic in Sweden and knowledge about the district nurses’ experiences is lacking. No previous study has investigated experiences of district nurses in Västernorrland. Aim: To describe district nurses’ experiences of working in a primary healthcare center during the covid-19 pandemic. Methods: Qualitative content analysis through semi-structural interviews. Interviews were conducted with 9 district nurses and nurses at primary healthcare centers in Region Västernorrland during fall 2023. Result: One main category was identified: From chaos to safety. Three categories with a total of eight subcategories emerged. Categories: Feeling anxious and unsafe, Readjustment with new ways of working, Be more prepared for the future. Conclusion: The results correspond to previous studies about nurses’ experience

Absence from school is a social phenomenon that not only affects the individual's personal quality of life but foremost can be seen as social problems related to the educational system as well as to other social costs (social exclusion, public health, criminality etc). The purpose of this essay is therefore to contribute to a better understanding of school absenteeism among Swedish upper secondary students’ and assess how the current strategies of addressing school absenteeism could be improved, especially facing recent circumstances related to eg.: Covid 19. The essay tries to achieve that by interviewing Swedish teachers, who are trying to tackle the problem on an everyday basis and whose voices seem to be absent from the research related to school absenteeism. The research part of the presented essay is based on qualitative semi-structured interviews and the project-related data will be analyzed through thematic analysis and inspirations drawn on Merton’s strain theory. The study's conclusion reports how the teachers' way of working is consistent with previous research through quick action after locating patterns in absenteeism and building better relationships between the school and the students’. The novelty of the presented study, which distinguishes it from the previous research, seems to be sealed in clearly formulated by respondents, something the teachers problematize through a so-called culture of absence. The discussion reveals deficient working methods through the prevailing secrecy and new working methods that would advocate faster investigations and better dialogue with social services and parents.

Almost 2,5 million tweets were analysed to explore the variation of sentiment over space and time in relation to COVID-19 measures, infection rates and socio-geographical factors in the Netherlands. The sentiment analysis of geotagged and timestamped tweets shows that the mood of people was more negative during the first waves than in later stages. The period containing the strict lockdown and the curfew was not significantly more negative than open periods, which may be attributed to vaccines becoming available. Local COVID-19 infection rates do not explain the great spatial variance in sentiment across Dutch municipalities. However, we found clear evidence for higher urbanisation levels leading to higher negativity rates. Urban residents struggled more during the COVID-19 outbreak compared to people living in smaller towns or in the countryside. We discuss whether this could lead to counterurbanisation.

Exascale computing has been a dream for ages and is close to becoming a reality that will impact how molecular simulations are being performed, as well as the quantity and quality of the information derived for them. We review how the biomolecular simulations field is anticipating these new architectures, making emphasis on recent work from groups in the BioExcel Center of Excellence for High Performance Computing. We exemplified the power of these simulation strategies with the work done by the HPC simulation community to fight Covid-19 pandemics.

Restrictions on travel and in-person commercial activities in many countries (e.g. the U.S., China, European Countries, etc.) due to the global outbreak and rapid spread of the coronavirus disease 2019 (COVID-19) have severely impacted the global supply chain and subsequently affected freight transportation and logistics. This chapter summarizes the findings from the analysis of truck axle and weight data from existing highway detector infrastructure to investigate the impacts of COVID-19 on the freight truck activity. Three aspects of COVID-19 truck impacts were explored: drayage, long and short-haul movements, and payload characteristics. This analysis revealed disparate impacts of this pandemic on freight truck activity because of local and foreign policies, supply chain bottlenecks, and the dynamic changes in consumer behavior. Due to the ongoing effects of COVID-19, it is not yet possible to distinguish between transient and long-term impacts on freight trucking activity. Nonetheless, a future expansion of the study area and the incorporation of other complementary data sources may provide further insights of the pandemic’s impacts on freight movement.

N/A

Spätestens seit der Covid-19-Pandemie ist die Rolle von Grenzen, die in den letzten Jahrzehnten an Bedeutung gewonnen haben, nicht mehr zu übersehen. Diese Entwicklung, die sich mühelos auf der globalen Ebene rekonstruieren lässt, ist mit dem Virus auch in die europäischen Grenzregionen vorgedrungen. Dort ist die europäische Grenzraumforschung nun mit Phänomenen konfrontiert, mit denen sie sich bisher kaum auseinandergesetzt hat. Der Beitrag wendet sich solchen Phänomenen zu und arbeitet exemplarisch das Zusammenspiel von Ver- und Entgrenzungsprozessen im Kontext des Covidfencing heraus. Dafür werden soziale Aushandlungsprozesse der Grenzschließungen in der Großregion SaarLorLux und im deutsch-polnischen Grenzgebiet als „people’s resilience“ thematisiert. Darauf aufbauend werden Überlegungen vorgestellt, wie sich die europäische Grenzraumforschung für Phänomene und Fragestellungen in Zeiten der Vergrenzungen aufstellen kann. Der internationalen Grenzforschung folgend wird eine Erweiterung der Forschungsagenda um alltagskulturelle Fragen vorgeschlagen, die einen Erkenntnisgewinn versprechen. Außerdem wird eine Justierung des verbreiteten Grenzbegriffs vorgeschlagen, um die Grenze als Gegenstand alltagskultureller Aushandlungen erschließbar zu machen.

Spätestens seit der Covid-19-Pandemie ist die Rolle von Grenzen, die in den letzten Jahrzehnten an Bedeutung gewonnen haben, nicht mehr zu übersehen. Diese Entwicklung, die sich mühelos auf der globalen Ebene rekonstruieren lässt, ist mit dem Virus auch in die europäischen Grenzregionen vorgedrungen. Dort ist die europäische Grenzraumforschung nun mit Phänomenen konfrontiert, mit denen sie sich bisher kaum auseinandergesetzt hat. Der Beitrag wendet sich solchen Phänomenen zu und arbeitet exemplarisch das Zusammenspiel von Ver- und Entgrenzungsprozessen im Kontext des Covidfencing heraus. Dafür werden soziale Aushandlungsprozesse der Grenzschließungen in der Großregion SaarLorLux und im deutsch-polnischen Grenzgebiet als „people’s resilience“ thematisiert. Darauf aufbauend werden Überlegungen vorgestellt, wie sich die europäische Grenzraumforschung für Phänomene und Fragestellungen in Zeiten der Vergrenzungen aufstellen kann. Der internationalen Grenzforschung folgend wird eine Erweiterung der Forschungsagenda um alltagskulturelle Fragen vorgeschlagen, die einen Erkenntnisgewinn versprechen. Außerdem wird eine Justierung des verbreiteten Grenzbegriffs vorgeschlagen, um die Grenze als Gegenstand alltagskultureller Aushandlungen erschließbar zu machen.

Spätestens seit der Covid-19-Pandemie ist die Rolle von Grenzen, die in den letzten Jahrzehnten an Bedeutung gewonnen haben, nicht mehr zu übersehen. Diese Entwicklung, die sich mühelos auf der globalen Ebene rekonstruieren lässt, ist mit dem Virus auch in die europäischen Grenzregionen vorgedrungen. Dort ist die europäische Grenzraumforschung nun mit Phänomenen konfrontiert, mit denen sie sich bisher kaum auseinandergesetzt hat. Der Beitrag wendet sich solchen Phänomenen zu und arbeitet exemplarisch das Zusammenspiel von Ver- und Entgrenzungsprozessen im Kontext des Covidfencing heraus. Dafür werden soziale Aushandlungsprozesse der Grenzschließungen in der Großregion SaarLorLux und im deutsch-polnischen Grenzgebiet als „people’s resilience“ thematisiert. Darauf aufbauend werden Überlegungen vorgestellt, wie sich die europäische Grenzraumforschung für Phänomene und Fragestellungen in Zeiten der Vergrenzungen aufstellen kann. Der internationalen Grenzforschung folgend wird eine Erweiterung der Forschungsagenda um alltagskulturelle Fragen vorgeschlagen, die einen Erkenntnisgewinn versprechen. Außerdem wird eine Justierung des verbreiteten Grenzbegriffs vorgeschlagen, um die Grenze als Gegenstand alltagskultureller Aushandlungen erschließbar zu machen.

Spätestens seit der Covid-19-Pandemie ist die Rolle von Grenzen, die in den letzten Jahrzehnten an Bedeutung gewonnen haben, nicht mehr zu übersehen. Diese Entwicklung, die sich mühelos auf der globalen Ebene rekonstruieren lässt, ist mit dem Virus auch in die europäischen Grenzregionen vorgedrungen. Dort ist die europäische Grenzraumforschung nun mit Phänomenen konfrontiert, mit denen sie sich bisher kaum auseinandergesetzt hat. Der Beitrag wendet sich solchen Phänomenen zu und arbeitet exemplarisch das Zusammenspiel von Ver- und Entgrenzungsprozessen im Kontext des Covidfencing heraus. Dafür werden soziale Aushandlungsprozesse der Grenzschließungen in der Großregion SaarLorLux und im deutsch-polnischen Grenzgebiet als „people’s resilience“ thematisiert. Darauf aufbauend werden Überlegungen vorgestellt, wie sich die europäische Grenzraumforschung für Phänomene und Fragestellungen in Zeiten der Vergrenzungen aufstellen kann. Der internationalen Grenzforschung folgend wird eine Erweiterung der Forschungsagenda um alltagskulturelle Fragen vorgeschlagen, die einen Erkenntnisgewinn versprechen. Außerdem wird eine Justierung des verbreiteten Grenzbegriffs vorgeschlagen, um die Grenze als Gegenstand alltagskultureller Aushandlungen erschließbar zu machen.

Spätestens seit der Covid-19-Pandemie ist die Rolle von Grenzen, die in den letzten Jahrzehnten an Bedeutung gewonnen haben, nicht mehr zu übersehen. Diese Entwicklung, die sich mühelos auf der globalen Ebene rekonstruieren lässt, ist mit dem Virus auch in die europäischen Grenzregionen vorgedrungen. Dort ist die europäische Grenzraumforschung nun mit Phänomenen konfrontiert, mit denen sie sich bisher kaum auseinandergesetzt hat. Der Beitrag wendet sich solchen Phänomenen zu und arbeitet exemplarisch das Zusammenspiel von Ver- und Entgrenzungsprozessen im Kontext des Covidfencing heraus. Dafür werden soziale Aushandlungsprozesse der Grenzschließungen in der Großregion SaarLorLux und im deutsch-polnischen Grenzgebiet als „people’s resilience“ thematisiert. Darauf aufbauend werden Überlegungen vorgestellt, wie sich die europäische Grenzraumforschung für Phänomene und Fragestellungen in Zeiten der Vergrenzungen aufstellen kann. Der internationalen Grenzforschung folgend wird eine Erweiterung der Forschungsagenda um alltagskulturelle Fragen vorgeschlagen, die einen Erkenntnisgewinn versprechen. Außerdem wird eine Justierung des verbreiteten Grenzbegriffs vorgeschlagen, um die Grenze als Gegenstand alltagskultureller Aushandlungen erschließbar zu machen.

Spätestens seit der Covid-19-Pandemie ist die Rolle von Grenzen, die in den letzten Jahrzehnten an Bedeutung gewonnen haben, nicht mehr zu übersehen. Diese Entwicklung, die sich mühelos auf der globalen Ebene rekonstruieren lässt, ist mit dem Virus auch in die europäischen Grenzregionen vorgedrungen. Dort ist die europäische Grenzraumforschung nun mit Phänomenen konfrontiert, mit denen sie sich bisher kaum auseinandergesetzt hat. Der Beitrag wendet sich solchen Phänomenen zu und arbeitet exemplarisch das Zusammenspiel von Ver- und Entgrenzungsprozessen im Kontext des Covidfencing heraus. Dafür werden soziale Aushandlungsprozesse der Grenzschließungen in der Großregion SaarLorLux und im deutsch-polnischen Grenzgebiet als „people’s resilience“ thematisiert. Darauf aufbauend werden Überlegungen vorgestellt, wie sich die europäische Grenzraumforschung für Phänomene und Fragestellungen in Zeiten der Vergrenzungen aufstellen kann. Der internationalen Grenzforschung folgend wird eine Erweiterung der Forschungsagenda um alltagskulturelle Fragen vorgeschlagen, die einen Erkenntnisgewinn versprechen. Außerdem wird eine Justierung des verbreiteten Grenzbegriffs vorgeschlagen, um die Grenze als Gegenstand alltagskultureller Aushandlungen erschließbar zu machen.

Spätestens seit der Covid-19-Pandemie ist die Rolle von Grenzen, die in den letzten Jahrzehnten an Bedeutung gewonnen haben, nicht mehr zu übersehen. Diese Entwicklung, die sich mühelos auf der globalen Ebene rekonstruieren lässt, ist mit dem Virus auch in die europäischen Grenzregionen vorgedrungen. Dort ist die europäische Grenzraumforschung nun mit Phänomenen konfrontiert, mit denen sie sich bisher kaum auseinandergesetzt hat. Der Beitrag wendet sich solchen Phänomenen zu und arbeitet exemplarisch das Zusammenspiel von Ver- und Entgrenzungsprozessen im Kontext des Covidfencing heraus. Dafür werden soziale Aushandlungsprozesse der Grenzschließungen in der Großregion SaarLorLux und im deutsch-polnischen Grenzgebiet als „people’s resilience“ thematisiert. Darauf aufbauend werden Überlegungen vorgestellt, wie sich die europäische Grenzraumforschung für Phänomene und Fragestellungen in Zeiten der Vergrenzungen aufstellen kann. Der internationalen Grenzforschung folgend wird eine Erweiterung der Forschungsagenda um alltagskulturelle Fragen vorgeschlagen, die einen Erkenntnisgewinn versprechen. Außerdem wird eine Justierung des verbreiteten Grenzbegriffs vorgeschlagen, um die Grenze als Gegenstand alltagskultureller Aushandlungen erschließbar zu machen.

Spätestens seit der Covid-19-Pandemie ist die Rolle von Grenzen, die in den letzten Jahrzehnten an Bedeutung gewonnen haben, nicht mehr zu übersehen. Diese Entwicklung, die sich mühelos auf der globalen Ebene rekonstruieren lässt, ist mit dem Virus auch in die europäischen Grenzregionen vorgedrungen. Dort ist die europäische Grenzraumforschung nun mit Phänomenen konfrontiert, mit denen sie sich bisher kaum auseinandergesetzt hat. Der Beitrag wendet sich solchen Phänomenen zu und arbeitet exemplarisch das Zusammenspiel von Ver- und Entgrenzungsprozessen im Kontext des Covidfencing heraus. Dafür werden soziale Aushandlungsprozesse der Grenzschließungen in der Großregion SaarLorLux und im deutsch-polnischen Grenzgebiet als „people’s resilience“ thematisiert. Darauf aufbauend werden Überlegungen vorgestellt, wie sich die europäische Grenzraumforschung für Phänomene und Fragestellungen in Zeiten der Vergrenzungen aufstellen kann. Der internationalen Grenzforschung folgend wird eine Erweiterung der Forschungsagenda um alltagskulturelle Fragen vorgeschlagen, die einen Erkenntnisgewinn versprechen. Außerdem wird eine Justierung des verbreiteten Grenzbegriffs vorgeschlagen, um die Grenze als Gegenstand alltagskultureller Aushandlungen erschließbar zu machen.

In 2019 a new Syndrome appear on the Large numbers of people like (High temperature, cough, Loss of sense of smell and taste(forcing a lot of them to enter the critical care unit after while the virus how case this syndrome named (SARS-CoV2). The aim of this paper is recognize the patient who effected by covid-19 or not using x- ray images. Deep learning techniques utilized to classify these images by using convolutional neural network (CNN). The dataset have been utilized in this work consist of 1000 x-ray images collected from kaggle website and divided it into 80% for training and 20% for validation. The proposed method using the pertained networks such as (EffienentNet B0, ResNet50) to minimize the training time with high performance, where the EffienentNet B0 network give high accuracy is 98.5%,finaly the model has been implemented on raspberry pi3 successfully for classification task.

BackgroundMexican migrants in the United States (U.S.) are twice more likely to underutilize health care and to experience low quality of care compared to the U.S.-born population. Current and former Mexican migrants in the U.S have used health services in Mexico due to lower cost, perceived quality, cultural familiarity, and the geographic proximity of the two countries.ObjectiveThis study aims to characterize the different health care interactions of current and former U.S. Mexican migrants with public and private health care organizations of the Mexican health system and to identify strategies to improve health care interactions post-COVID19.MethodsWe use a typology of cross-border patient mobility to analyze the facilitators and barriers to improve the health care interactions of current and former U.S. Mexican migrants with the Mexican health system. Our policy analysis framework examines how an outcome can be achieved by various configurations or combinations of independent variables. The main outcome variable is the improvement of health care interactions of U.S. Mexican migrants and return migrants with different government agencies and public and private health care providers in the Mexican health system. The main explanatory variables are availability, affordability, familiarity, perceived quality of health care and type of health coverage.FindingsAs the Mexican health system emerges from the COVID19 pandemic, new strategies to integrate current and former U.S. Mexican migrants to the Mexican health system could be considered such as the expansion of telehealth services, a regulatory framework for health services used by transnational patients, making enrollment procedures more flexible for return migrants and guiding return migrants as they reintegrate to the Mexican health system.ConclusionsThe health care interactions of U.S. Mexican migrants with the Mexican health system are likely to increase in the upcoming decades due to population ageing. Regulato

The present work aims to narrate what happened on an urban beach, transformed into a classroom, to host the continuous writing of a group of students, who decide to manage the discomfort, expressing, through the art of action, the need of "Living Despite Everything", looking for beauty and hope, in everything that also happens and it is experience. The methodology used in the research-action paradigm, uses art as a mediator, to cause a cognitive change in the students of an Integrated Center for Vocacional Training (CIFP) in A Coruña, so that the students acquire an attitude of social compromise, which allows them to overcome the base of vicarious aggressiveness. The change of use of an urban beach, turned into a classroom, was fundamental both for the development of the actions and their visibility. In order to determine the fulfillment of the objective, a questionnaire is created, organized in 6 dimensions. The responses obtained were analyzed through the content analysis technique and showed both the cognitive transformation of the students and the impact of the project on the environment., El presente trabajo tiene por objeto narrar lo acontecido en una playa urbana, transformada en aulario, para acoger la escritura continua de un grupo de alumnos de formación profesional, quienes deciden gestionar el malestar, expresando, a través del arte de acción, la necesidad de “Vivir Pese a Todo”, buscando bellezas y esperanzas, en aquello que también acontece y es experiencia. La metodología enmarcada en el paradigma de la investigación – acción, emplea el arte como mediador, para provocar un cambio cognitivo en el alumnado de un Centro Integrado de Formación Profesional (CIFP) de A Coruña, de modo que los estudiantes adquieran una actitud de compromiso, que les permita superar la agresividad vicaria. El cambio de uso de una playa urbana, convertida en aula, resultó fundamental tanto para el desarrollo de las acciones, como para favorecer la visibilidad de las mismas. Para determinar el cumplimiento del objetivo, se organiza un plan de trabajo, en torno a cinco dimensiones (unidades de análisis), concretadas en objetivos y en variables (unidades de medida). Las respuestas obtenidas, fueron analizadas, a través de la técnica de análisis de contenido y muestran tanto la transformación cognitiva del alumnado como el impacto del proyecto en el entorno.

Exascale computing has been a dream for ages and is close to becoming a reality that will impact how molecular simulations are being performed, as well as the quantity and quality of the information derived for them. We review how the biomolecular simulations field is anticipating these new architectures, making emphasis on recent work from groups in the BioExcel Center of Excellence for High Performance Computing. We exemplified the power of these simulation strategies with the work done by the HPC simulation community to fight Covid-19 pandemics. This article is categorized under: Data Science > Computer Algorithms and Programming Data Science > Databases and Expert Systems Molecular and Statistical Mechanics > Molecular Dynamics and Monte-Carlo Methods., QC 20230227

Background: Evaluating COVID-19 vaccine effectiveness (VE) domestically is crucial for assessing and determining national vaccination policy. This study aimed to evaluate VE of mRNA COVID-19 vaccines in Japan. Methods: We conducted a multicenter test-negative case-control study. The study comprised indivi-duals aged ≥16 visiting medical facilities with COVID-19-related signs or symptoms from 1 January to 26 June 2022, when Omicron BA.1 and BA.2 were dominant nationwide. We evaluated VE of primary and booster vaccination against symptomatic SARS-CoV-2 infections and relative VE of booster compared with primary. Results: We enrolled 7,931 episodes, including 3,055 test positive. The median age was 39, 48.0% were male, and 20.5% had underlying medical conditions. In individuals aged 16 to 64, VE of primary vaccination within 90 days was 35.6% (95% CI, 19.0–48.8%). After booster, VE increased to 68.7% (60.6–75.1%). In individuals aged ≥65, VE of primary and booster was 31.2% (−44.0–67.1%) and 76.5% (46.7–89.7%), respectively. Relative VE of booster compared with primary vaccination was 52.9% (41.0– 62.5%) in individuals aged 16 to 64 and 65.9% (35.7–81.9%) in individuals aged ≥65. Conclusions: During BA.1 and BA.2 epidemic in Japan, mRNA COVID-19 primary vaccination provided modest protection. Booster vaccination was necessary to protect against symptomatic infections., Expert Review of Vaccines, 22(1), pp.288-298: 2023

Aim: This thesis aims to investigate the varying needs and perceptions of employees in different positions within a single organization in Brazil with regard to flexiblework arrangements. Methodology: The study selected eight employees from diverse positions within the organization through purposive and snowball sampling techniques. The datacollection process employed a semi-structured interview approach, using an interview guide exploring the perception and needs of the employees regarding flexible work arrangements. The primary objective of the interviews was to offer valuable insights into employees' experiences and viewpoints, which aids in understanding the workforce's needs and requirements. Findings: The analysis found that employees across the different hierarchies in the organization exhibited a shared inclination towards remote work due to its advantages. However, the choices made by the employees were influenced by the team and managerial dynamics, client demands, and peak periods of activity. The findings disclosed that the advantages of flexible working arrangements are multifaceted encompassing work-life balance, quality of life, and cost savings. Conversely, challenges in the form of limited communication and relationship building opportunities, hierarchical complexities, and the high commuting costs incurred by hybrid workers were identified. The findings, therefore, emphasized the importance of fostering support, collaboration, and a positive work environment. Conclusion: Overall, the organization actively promotes adaptability to remote work, offering incentives and the necessary equipment to facilitate work-from-home arrangements. This research, therefore, underscores the need to embrace remote work and advocate for an enabling environment that addresses the diverse needs and challenges encountered by employees engaging in flexible work practices.

När Coronapandemin slog till förändrades mycket i våra liv och sättet arbetstagare kunde bedriva sina arbetsuppgifter påverkades. Många var då tvungna att förflytta sig från sina kontor till ett påtvingat distansarbete, vilket innebar en stor förändring att hantera både för arbetstagare och arbetsgivare. Med vår förförståelse som bakgrund till studien, och ett antagande att en sådan stor förändring som pandemin kan påverka vart lojaliteter riktar sig, har vi valt att genomföra en kvalitativ studie. Studiens syfte är att förstå arbetstagares upplevelser av olika lojalitetssituationer under och efter pandemin för att få en djupare förståelse kring eventuella lojalitetskonflikter som kan uppstå vid förändringar i arbetsförhållanden, samt om de upplevs olika för män och kvinnor. Vidare vill vi ge läsarna en ökad förståelse för om pandemin ökat arbetstagarens upplevelse av lojalitetskonflikter samt vilket stöd de upplevde att de fick eller behövde vid pandemins eller framtida lojalitetskonflikter. Vi har i studiens teoretiska referensram utgått från flera relevanta teorier och begreppsdefinitioner för att visa på lojalitetsbegreppet komplexitet och få en större helhetsbild. Studien har endast fokuserat på ett urval av tjänstemän som har arbetat inom samma organisation minst ett år innan pandemin och sedan blivit påtvingade ett distansarbete i någon utsträckning under pandemin. Metoden som valts är kvalitativ utifrån den anledningen att vi ville undersöka arbetstagarnas upplevelser av olika lojalitetssituationer kopplat till distansarbetet. För att säkerställa att vi i analysen korrekt kunde återkoppla respondenternas svar och därmed inte ta ett citat utanför dess kontext valde vi att spela in intervjuerna. Studiens slutsatser är att lojalitetsbegreppet är väldigt komplext och synen på begreppet skiljer sig åt mellan individerna. Vi ser att individernas personliga egenskaper och vilken kontext de b

The legal responsibility of the employer and employee for the work environ­ment is designed for a working life where the work is mainly carried out on the employer’s premises and under his control. As work from home, which has in­creased significantly during the coronavirus pandemic, can be expected to persist in the future, the legal responsibility for the work environment that applies to the employer and the employee is highlighted. The purpose of this article is to analyze the legal responsibility for the working environment in working from home and teleworking and to outline the problems that regulation may cause., Arbetsgivarens och arbetstagarens juridiska ansvar för arbetsmiljön är utformat för ett arbetsliv där arbetet huvudsakligen bedrivs i arbetsgivarens lokaler och under dennes kontroll. I och med att hem- och distansarbete kan förväntas öka i omfattning i spåren av coronapandemin aktualiseras vilket rättsligt ansvar för arbetsmiljön som gäller för arbetsgivaren och arbetstagaren. Avsikten i den här artikeln är att analysera det rättsliga ansvaret för arbetsmiljön vid distansarbete och skissera eventuella brister i regleringen., Hem- eller distansarbete - rättsliga utmaningar för arbetsmiljö och försäkringsskydd

The recent worldwide SARS-CoV-2 (COVID-19) pandemic has reshaped the way people live, how they access goods and services, and how they perform various activities. For public transit, there have been health concerns over the potential spread to transit users and transit service staff, which prompted transportation agencies to make decisions about the service, e.g., whether to reduce or temporarily shut down services. These decisions had substantial negative consequences, especially for transit-dependent travelers, and prompted transit users to explore alternative transportation modes, e.g., bikeshare. However, local governments and the public in general have limited information about whether and to what extent bikeshare provides adequate accessibility and mobility to those transit-dependent residents. To fill this gap, this study implemented spatial and visual analytics to identify how micro-mobility in the form of bikesharing has addressed travel needs and improved the resilience of transportation systems. The study analyzed the case of San Francisco in California, USA, focusing on three phases of the pandemic, i.e., initial confirmed cases, shelter-in-place, and initial changes in transit service. First, the authors implemented unsupervised machine learning clustering methods to identify different bikesharing trip types. Moreover, through spatiotemporally matching bikeshare ridership data with transit service information (i.e., General Transit Feed Specification, GTFS) using the tool called OpenTripPlanner (OTP), the authors studied the travel behavior changes (e.g., the proportion of bikeshare trips that could be finished by transit) for different bikeshare trip types over the three specified phases. This study revealed that during the pandemic, more casual users joined bikeshare programs; the proportion of recreation-related bikeshare trips increased; and routine trips became more prevalent considering that docking-station-based bikeshare trips increased. Mo

Cervical cancer has killed millions of women over the past decade. In 2019 the World Health Organization launched the Cervical Cancer Elimination Strategy, which included ambitious targets for vaccination, screening, and treatment. The COVID-19 pandemic disrupted progress on the strategy, but lessons learned during the pandemic - especially in vaccination, self-administered testing, and coordinated mobilization on a global scale - may help with efforts to achieve its targets. However, we must also learn from the failure of the COVID-19 response to include adequate representation of global voices. Efforts to eliminate cervical cancer will only succeed if those countries most affected are involved from the very start of planning. In this article we summarize innovations and highlight missed opportunities in the COVID response, and make recommendations to leverage the COVID experience to accelerate the elimination of cervical cancer globally.

Objective. To explore the impacts of the COVID-19 pandemic on nursing student education in one public university in Medellin, Colombia. Methods. This descriptive qualitative study used content analysis to address the following questions: (1) How has the COVID-19 pandemic impacted nursing education at the University of Antioquia? (2) What were the most important challenges experienced by nursing students? (3) What was most supportive for the students during the pandemic? and (4) What were the potential opportunities and lessons learned related to nursing education? Data were collected virtually through individual online interviews with 14 undergraduate nursing students and analysed using qualitative content analysis with constant comparisons. Results. Four main categories of findings related to the experience of undergraduate nursing students during the COVID-19 pandemic were identified: (1) transitioning to online learning, (2) managing the digital world, (3) impacts on clinical training, and (4) work-related stressors. Key challenges included home environments that were not conducive to learning, reduced social interactions with peers and faculty, accessing technology required for online education and insufficient preparation for clinical practice. Family members and university-provided resources were important sources of student support. Whereas the pandemic limited opportunities for hands-on clinical training, the shift to online learning allowed for the development of skills related to informational technologies and telehealth. Conclusion. Undergraduate students at the University of Antioquia identified significant barriers to learning during the COVID-19 pandemic restrictions and transition to online learning, as well as new opportunities for the development of digital skills among both students and faculty., Objetivo. Explorar o impacto da pandemia de COVID-19 na formação de estudantes de enfermagem de uma universidade pública de Medellín, Colômbia. Métodos. Neste estudo qualitativo descritivo, as seguintes perguntas foram usadas para orientar a entrevista individual virtual síncrona: (1) Como a pandemia de COVID-19 impactou o ensino de enfermagem na Universidade de Antioquia? (2) Quais foram os desafios mais importantes vivenciados pelos estudantes de enfermagem? (3) O que mais apoiou os alunos durante a pandemia? e (4) Quais foram as principais oportunidades e lições aprendidas relacionadas ao ensino de enfermagem? Participaram 14 estudantes de enfermagem, as informações foram analisadas por meio de análise de conteúdo qualitativa com comparações constantes. Resultado. Foram identificadas quatro categorias principais descobertas relacionadas à experiência dos universitários de enfermagem durante a pandemia de COVID-19: (1) transição para o aprendizado online, (2) gestão do mundo digital, (3) impactos na formação clínica e (4) fatores de estresse relacionados com o trabalho. Entre os principais desafios estavam ambientes domésticos pouco propícios ao aprendizado, interações sociais reduzidas com colegas e professores, acesso à tecnologia necessária para educação online e preparação insuficiente para a prática clínica. Os familiares e os recursos fornecidos pela universidade foram importantes fontes de apoio para os estudantes. Embora a pandemia tenha limitado as oportunidades de treinamento clínico prático, a mudança para o ensino online permitiu o desenvolvimento de habilidades relacionadas à tecnologia da informação e à telessaúde. Conclusão. Os alunos de graduação que participaram da pesquisa identificaram barreiras significativas ao aprendizado durante as restrições da pandemia do COVID-19 e a transição para o aprendizado online, bem como novas oportunidades para o desenvolvimento de habilidades digitais entre alunos e professores., Objetivo. Explorar los impactos de la pandemia de COVID-19 en la formación de estudiantes de enfermería en una universidad pública de Medellín, Colombia. Métodos. Este estudio cualitativo descriptivo en el que se utilizaron las siguientes preguntas: (1) ¿Cómo ha impactado la pandemia de COVID-19 en la educación de enfermería en la Universidad de Antioquia? (2) ¿Cuáles fueron los retos más importantes experimentados por los estudiantes de enfermería? (3) ¿Qué fue lo que más apoyó a los estudiantes durante la pandemia? y (4) ¿Cuáles fueron las oportunidades potenciales y las lecciones aprendidas relacionadas con la educación en enfermería? Los datos se recopilaron virtualmente mediante entrevistas individuales en línea con 14 estudiantes de enfermería y se analizaron mediante análisis de contenido cualitativo con comparaciones constantes. Resultados. Se identificaron cuatro categorías principales de hallazgos relacionados con la experiencia de los estudiantes universitarios de enfermería durante la pandemia por COVID-19. Estas categorías son (1) transición al aprendizaje en línea, (2) gestión del mundo digital, (3) impactos en la formación clínica y (4) factores de estrés relacionados con el trabajo. Entre los principales retos se encontraban los entornos domésticos poco propicios para el aprendizaje, la reducción de las interacciones sociales con los compañeros y el profesorado, el acceso a la tecnología necesaria para la educación en línea y la preparación insuficiente para la práctica clínica. Los familiares y los recursos proporcionados por la universidad fueron importantes fuentes de apoyo para los estudiantes. Mientras que la pandemia limitó las oportunidades de formación clínica práctica, el cambio a la enseñanza en línea permitió el desarrollo de habilidades relacionadas con las tecnologías de la información y la telesalud. Conclusión. Los estudiantes de pregrado de la Universidad de Antioquia identificaron barreras significativas para el aprendizaje durante l

Human resources are considered a valuable and strategic factor for local companies. Therefore, its inclusion in the function of entrepreneurial production assumes an inescapable consideration for the generation of sustainable and sustainable competitive advantages that favor the adaptation of organizations to the dynamism of the market, innovating in business strategies. The paradigm of Strategic Human Resources Management (GERH), considers the staff that is part of the organization the decisive factor for competitiveness. The technological irruption as a vector of innovation, impacts in a transversal way to the organizations and their processes redefining them towards more effective results. The aim of this study was to identify the ways in which they are promoted, constructed and managed innovation processes through human talent management and how the organizational culture of SMEs based in the city of Río Gallegos is transformed. The results show an incipient development of professionalized practices in the management of human resources and a trend towards the implementation of innovative processes predominantly, in the service sector. These results showed an important disturbance in the face of the outbreak of the Covid-19 pandemic, which is also reflected in the information collected., Los recursos humanos son considerados un factor valioso y estratégico para las empresas del ámbito local. Por tanto, su inclusión en la función de producción empresaria, asume una consideración ineludible para la generación de ventajas competitivas sostenibles y sustentables que favorezcan la adaptación de las organizaciones al dinamismo del mercado, innovando en las estrategias de negocios. El paradigma de la Gestión Estratégica de Recursos Humanos (GERH), considera al personal que forma parte de la organización, el factor decisivo para la competitividad. La irrupción tecnológica como vector de innovación, impacta de manera transversal a las organizaciones y sus procesos, redefiniéndolos hacia la obtención de resultados más efectivos. El objetivo de este estudio fue identificar los modos en que se promueven, construyen y gestionan los procesos de innovación a través de la gestión del talento humano y de qué manera se transforma la cultura organizacional de las empresas Pymes radicadas en la ciudad de Río Gallegos. Los resultados evidencian un desarrollo incipiente de prácticas profesionalizadas en la gestión de los recursos humanos y una tendencia hacia la implementación de procesos innovadores predominantemente, en el sector servicios. Estos resultados evidenciaron una perturbación importante ante la irrupción de la pandemia por Covid-19, que también se refleja en la información recopilada.

Introduction: During the COVID-19 pandemic, factors such as border closures, late receipt of vaccines, limitation of population circulation, relocation of nurses from vaccination areas to areas of care for patients with COVID-19, added to the fear of contagion affected vaccination coverage in several countries. Objective: Describe the perception of the COVID-19 vaccine and its effect on the regular vaccination coverage of indigenous peoples in the department of Presidente Hayes, Paraguay 2022. Methods: Descriptive, retrospective, observational study with a qualitative-quantitative cross-sectional design. Results: The characteristics of the indigenous peoples reveals that 110 (26.44%) are between 28 and 37 years old, 276 (66.35%) are female, 133 (31.97%) are of the Angaité ethnic group, 290 (69.71%) have studies up to the primary level and 178 (42.79%) have single marital status. The perception towards the COVID-19 vaccination was favorable in 201 subjects (48%) and very unfavorable in 148 (36%). There are indigenous peoples with great influence of cultural and religious beliefs in relation to vaccines. Regular vaccination was affected. Discussion: It was observed that the COVID-19 pandemic and the appearance of the vaccine developed distrust not only in the COVID-19 vaccine but also in the rest of the vaccines in some of the towns studied, Introducción: Durante la pandemia por COVID-19, factores como cierre de fronteras, recepción tardía de vacunas, limitación de circulación de la población, reubicación de enfermeros/as de áreas de vacunación a áreas de atención de pacientes con COVID-19, sumado el miedo al contagio, afectaron las coberturas de vacunación en varios países. Objetivo: Describir la percepción sobre la vacuna COVID-19 y su efecto en la cobertura de vacunación regular de pueblos indígenas del departamento de Presidente Hayes, Paraguay. 2022. Metodología: Estudio observacional descriptivo, retrospectivo de diseño cuali-cuantitativo de corte transversal. Resultados: Las características de los pueblos indígenas revela que 110(26,44 %) se ubica entre 28 a 37 años, 276(66,35 %) del sexo femenino, 133(31,97 %) son de la etnia Angaité, 290(69,71 %) poseen estudios hasta el nivel primario y 178(42,79 %) de estado civil soltero. La percepción hacia la vacunación COVID-19 fue favorable en 201 sujetos (48 %) y muy desfavorable en 148 (36 %). Existen pueblos indígenas con gran influencia de creencias culturales y religiosas en relación con las vacunas. La vacunación regular se vio afectada. Discusión: Se observó que la pandemia del COVID-19 y la aparición de la vacuna desarrolló desconfianza no solo en la vacuna COVID-19 si no también en el resto de las vacunas en algunos de los pueblos estudiados

The legal responsibility of the employer and employee for the work environ­ment is designed for a working life where the work is mainly carried out on the employer’s premises and under his control. As work from home, which has in­creased significantly during the coronavirus pandemic, can be expected to persist in the future, the legal responsibility for the work environment that applies to the employer and the employee is highlighted. The purpose of this article is to analyze the legal responsibility for the working environment in working from home and teleworking and to outline the problems that regulation may cause., Arbetsgivarens och arbetstagarens juridiska ansvar för arbetsmiljön är utformat för ett arbetsliv där arbetet huvudsakligen bedrivs i arbetsgivarens lokaler och under dennes kontroll. I och med att hem- och distansarbete kan förväntas öka i omfattning i spåren av coronapandemin aktualiseras vilket rättsligt ansvar för arbetsmiljön som gäller för arbetsgivaren och arbetstagaren. Avsikten i den här artikeln är att analysera det rättsliga ansvaret för arbetsmiljön vid distansarbete och skissera eventuella brister i regleringen., Hem- eller distansarbete - rättsliga utmaningar för arbetsmiljö och försäkringsskydd

The legal responsibility of the employer and employee for the work environ­ment is designed for a working life where the work is mainly carried out on the employer’s premises and under his control. As work from home, which has in­creased significantly during the coronavirus pandemic, can be expected to persist in the future, the legal responsibility for the work environment that applies to the employer and the employee is highlighted. The purpose of this article is to analyze the legal responsibility for the working environment in working from home and teleworking and to outline the problems that regulation may cause., Arbetsgivarens och arbetstagarens juridiska ansvar för arbetsmiljön är utformat för ett arbetsliv där arbetet huvudsakligen bedrivs i arbetsgivarens lokaler och under dennes kontroll. I och med att hem- och distansarbete kan förväntas öka i omfattning i spåren av coronapandemin aktualiseras vilket rättsligt ansvar för arbetsmiljön som gäller för arbetsgivaren och arbetstagaren. Avsikten i den här artikeln är att analysera det rättsliga ansvaret för arbetsmiljön vid distansarbete och skissera eventuella brister i regleringen., Hem- eller distansarbete - rättsliga utmaningar för arbetsmiljö och försäkringsskydd

Pandemi menjadi bagian dari sejarah yang terjadi di negara Indonesia. Salah satu pademi yang pernah terjadi adalah penyebaran covid19 yang terjadi pada tahun 2019 sampai dengan 2022. Awalnya penyebaran virus hanya ada di titik tertentu, namun karena beberapa hal, penyebarannya bertambah. Penyebaran Covid19 semakin meluas dan menambah panjang daftar pasien yang harus melaksanakan isolasi mandiri maupun perawatan di rumah sakit. Ketersediaan alat dan pembiasaan masyarakat dalam penerapan prokes perlu ditingkatkan guna meminimalisir penyebaran. Mencuci tangan merupakan salah satu prokes yang harus dilakukan, dimana Politeknik Negeri Batam ikut berpartisipasi dalam bentuk pembuatan Alat cuci tangan Foot Operated (AFO). Alat ini merupakan modifikasi dari alat cuci tangan konvensional dengan perbedaan kontrol pengeluaran sabun dan aliran air yang berasal dari injakan kaki pengguna . Dari hasil pembuatan, alat dengan dimensi 1140x660x1670mm dapat bekerja sesuai dengan desain yang direncanakan dan alat tersebut dapat digunakan oleh masyarakat sekitar. Dengan alat ini diharapkan dapat membantu mengurangi penyebaran covid19 sehingga pandemi yang terjadi hampir di antero negeri dapat teratasi dari langkah dan perbuatan kecil yang kami lakukan ini.

This paper shows the added value of using the existing specific domain knowledge to generate new derivated variables to complement a target dataset and the benefits of including these new variables into further data analysis methods. The main contribution of the paper is to propose a methodology to generate these new variables as a part of preprocessing, under a double approach: creating 2nd generation know dge-driven variables, catching the experts criteria used for reasoning on the field or 3rd generation data-driven indicators, these created by clustering original variables. And Data Mining and Artificial Intelligence techniques like Clustering or Traffic light Panels help to obtain successful results. Some results of the project INSESS-COVID19 are presented, Basic descriptive analysis gives simple results that eventhough they are useful to support basic policy-making, especially in health, a much richer global perspective is acquired after including derivated variables. When 2nd generation variables are available and can be introduced in the method for creating 3rd generation data, added value is obtained from both basic analysis and building new data-driven indicators., Peer Reviewed, Postprint (author's final draft)

Human resources are considered a valuable and strategic factor for local companies. Therefore, its inclusion in the function of entrepreneurial production assumes an inescapable consideration for the generation of sustainable and sustainable competitive advantages that favor the adaptation of organizations to the dynamism of the market, innovating in business strategies. The paradigm of Strategic Human Resources Management (GERH), considers the staff that is part of the organization the decisive factor for competitiveness. The technological irruption as a vector of innovation, impacts in a transversal way to the organizations and their processes redefining them towards more effective results. The aim of this study was to identify the ways in which they are promoted, constructed and managed innovation processes through human talent management and how the organizational culture of SMEs based in the city of Río Gallegos is transformed. The results show an incipient development of professionalized practices in the management of human resources and a trend towards the implementation of innovative processes predominantly, in the service sector. These results showed an important disturbance in the face of the outbreak of the Covid-19 pandemic, which is also reflected in the information collected., Los recursos humanos son considerados un factor valioso y estratégico para las empresas del ámbito local. Por tanto, su inclusión en la función de producción empresaria, asume una consideración ineludible para la generación de ventajas competitivas sostenibles y sustentables que favorezcan la adaptación de las organizaciones al dinamismo del mercado, innovando en las estrategias de negocios. El paradigma de la Gestión Estratégica de Recursos Humanos (GERH), considera al personal que forma parte de la organización, el factor decisivo para la competitividad. La irrupción tecnológica como vector de innovación, impacta de manera transversal a las organizaciones y sus procesos, redefiniéndolos hacia la obtención de resultados más efectivos. El objetivo de este estudio fue identificar los modos en que se promueven, construyen y gestionan los procesos de innovación a través de la gestión del talento humano y de qué manera se transforma la cultura organizacional de las empresas Pymes radicadas en la ciudad de Río Gallegos. Los resultados evidencian un desarrollo incipiente de prácticas profesionalizadas en la gestión de los recursos humanos y una tendencia hacia la implementación de procesos innovadores predominantemente, en el sector servicios. Estos resultados evidenciaron una perturbación importante ante la irrupción de la pandemia por Covid-19, que también se refleja en la información recopilada.

From the XIII century, the event of “La Virgen de la Cabeza” has left an everlasting mark on the personality of Andújar. The “Romería” or pilgrimage to the church has become a religious reference point beyond the borders of Spain. Countless pilgrims have worshipped the carving of “la Morenita” (a nickname that refers to the statue’s dark skin), in the Sanctuary of the mountains of “Sierra Morena”, to beg for a favour. On several occasions the statue has visited its people in the city of Andújar so as to closely assist the supplications and prayers of its sons. At the request of the Brotherhood of the “Virgen de la Cabeza”, the descent of the statue of the “Morenita” in Autumn 2022 was intended to express gratitude for the endless protection and relief that our patron saint has granted us during the Covid-19 pandemic that devastated our people. The reason for the present article is to collect each of these visits and report the moment and causes that prompted the different moves of the statue. We are making a detailed tour on the visits that occurred from the XVI century to the XXI century, as it is during these centuries that we can find most of the documents registering the different visits to Andújar of the statue., Desde que, en el siglo XIII, el acontecimiento de “La Virgen de la Cabeza” marcara para siempre la personalidad de Andújar y su Romería se convirtiera en un referente que traspasara las fronteras de nuestro País, ingente cantidad de romeros han venerado la Imagen de “La Morenita” en su Santuario de Sierra Morena para implorar sus favores. Igualmente, cantidad de veces su imagen ha visitado a su pueblo en la ciudad de Andújar para atender con mayor cercanía las peticiones y plegarias de sus hijos. Recoger cada una de esas visitas y dar a conocer el momento y las causas que produjeron su traslado, es la razón que justifica este trabajo que surge con motivo de la bajada de la Imagen de la Morenita en el otoño del año 2022 solicitada por su Cofradía Matriz como expresión de acción de gracias por cuantas protecciones y consuelos ha procurado nuestra Patrona durante la Pandemia con que la Covid-19 ha azotado a nuestras gentes. Haremos un recorrido lo más detallado posible por todas aquellas que se sucedieron entre el siglo XVI y el siglo XXI, dado que, en esos siglos es cuando se producen la mayor cantidad de documentos que testimonian las distintas traslaciones de la Imagen.

Human resources are considered a valuable and strategic factor for local companies. Therefore, its inclusion in the function of entrepreneurial production assumes an inescapable consideration for the generation of sustainable and sustainable competitive advantages that favor the adaptation of organizations to the dynamism of the market, innovating in business strategies. The paradigm of Strategic Human Resources Management (GERH), considers the staff that is part of the organization the decisive factor for competitiveness. The technological irruption as a vector of innovation, impacts in a transversal way to the organizations and their processes redefining them towards more effective results. The aim of this study was to identify the ways in which they are promoted, constructed and managed innovation processes through human talent management and how the organizational culture of SMEs based in the city of Río Gallegos is transformed. The results show an incipient development of professionalized practices in the management of human resources and a trend towards the implementation of innovative processes predominantly, in the service sector. These results showed an important disturbance in the face of the outbreak of the Covid-19 pandemic, which is also reflected in the information collected., Los recursos humanos son considerados un factor valioso y estratégico para las empresas del ámbito local. Por tanto, su inclusión en la función de producción empresaria, asume una consideración ineludible para la generación de ventajas competitivas sostenibles y sustentables que favorezcan la adaptación de las organizaciones al dinamismo del mercado, innovando en las estrategias de negocios. El paradigma de la Gestión Estratégica de Recursos Humanos (GERH), considera al personal que forma parte de la organización, el factor decisivo para la competitividad. La irrupción tecnológica como vector de innovación, impacta de manera transversal a las organizaciones y sus procesos, redefiniéndolos hacia la obtención de resultados más efectivos. El objetivo de este estudio fue identificar los modos en que se promueven, construyen y gestionan los procesos de innovación a través de la gestión del talento humano y de qué manera se transforma la cultura organizacional de las empresas Pymes radicadas en la ciudad de Río Gallegos. Los resultados evidencian un desarrollo incipiente de prácticas profesionalizadas en la gestión de los recursos humanos y una tendencia hacia la implementación de procesos innovadores predominantemente, en el sector servicios. Estos resultados evidenciaron una perturbación importante ante la irrupción de la pandemia por Covid-19, que también se refleja en la información recopilada.

The Covid-19 pandemic constituted an unprecedented disruption to the Moroccan economy and society, forcing public authorities to accelerate the digital transition in order to ensure the continuity of essential services and productive activities. Although digital tools have proven to be opportune in addressing health challenges, they have also revealed the extent of the digital divide with the exclusion of rural populations from online platforms. Teleworking has demonstrated its operational efficiency but raises managerial challenges such as remote management of employees. The crisis has disrupted traditional management patterns, requiring in-depth reflection on the evolution of digital-based management methods. Regarding the education sector, the assessment of ICT equipment in schools predicted the inability to deploy distance learning accessible to all in an equitable manner. This partial digitalization has hindered the objective of pedagogical continuity. In summary, while digital technologies have enabled the continuation of activities, this crisis reveals the need to accelerate digital transformation in Morocco to bridge the digital divide and adapt managerial practices to the new challenges of teleworking. &nbsp, The Covid-19 pandemic constituted an unprecedented disruption to the Moroccan economy and society, forcing public authorities to accelerate the digital transition in order to ensure the continuity of essential services and productive activities. Although digital tools have proven to be opportune in addressing health challenges, they have also revealed the extent of the digital divide with the exclusion of rural populations from online platforms. Teleworking has demonstrated its operational efficiency but raises managerial challenges such as remote management of employees. The crisis has disrupted traditional management patterns, requiring in-depth reflection on the evolution of digital-based management methods. Regarding the education sector, the assessment of ICT equipment in schools predicted the inability to deploy distance learning accessible to all in an equitable manner. This partial digitalization has hindered the objective of pedagogical continuity. In summary, while digital technologies have enabled the continuation of activities, this crisis reveals the need to accelerate digital transformation in Morocco to bridge the digital divide and adapt managerial practices to the new challenges of teleworking. &nbsp

Distriktssköterskors erfarenheter av arbete på hälsocentral i Västernorrland under Covid-19-pandemin - En kvalitativ intervjustudie Abstrakt Bakgrund: Under Covid-19 pandemin förändrades prioriteringen där planerad vård ställdes in eller sköts upp till förmån för akut vård. Patienternas sätt att söka vård har förändrades. Digitala vårdkontakter ökade. Nya riktlinjer, lösningar och rutiner utarbetades, gamla hierarkier luckrades upp. Arbete med skyddsutrustning var tidsödande, tungt och obehagligt. Det förekom brist på skyddsutrustning och oklarhet kring användning. Sjuksköterskor arbetade under stress och osäkerhet vilket påverkade det psykiska välbefinnandet. Stöd från ledning var avgörande. Osäkerhet kring sjukdomsläget hos patienter och personer i omgivningen påverkade sjuksköterskor negativt. Sjuksköterskor visade stort prov på ledarskap under pandemin och var delaktiga i utvecklingen av vården.Motiv: Få studier är gjorda om primärvården i Sverige under pandemin och det saknas kunskap om distriktssköterskornas erfarenheter. Ingen studie har tidigare undersökt erfarenheterna hos distriktssköterskor i Västernorrland. Syfte: Att beskriva distriktssköterskors erfarenheter av att arbeta på Hälsocentral under Covid-19 pandemin.Metod: Intervjustudie med kvalitativ innehållsanalys. Intervjuer genomfördes med 9 distriktssköterskor och sjuksköterskor vid hälsocentraler i Region Västernorrland under hösten 2023.Resultat: Analysen resulterade i huvudkategorin Från kaos till trygghet samt tre kategorier med åtta underkategorier. Kategorier: Känna oro och osäkerhet; Omställning till nya arbetssätt; Vara mer rustad för framtiden. Konklusion: Resultatet överensstämmer med tidigare studier kring distriktssköterskors erfarenheter under covid-19pandemin. Studien bidrar till att stärka bilden av distriktssköterskors erfarenheter under pandemin och ger en inblick i hur arbetet på hälsocentral upplevdes i region Västernorrland. Dessa erfarenheter kan användas för beredskap, District nurses’ experiences of working at a primary healthcare center in Västernorrland during the covid-19 pandemic - A qualitative interview study Abstract Background: During the Covid-19 pandemic there was a change in priority where planned visits were postponed and cancelled in favor of acute and emergency care. Patients’ ways of seeking health care changed. There was an increase in digital contacts with the health care system. New routines, guidelines and ways of working were invented, and old hierarchies were put to side. Working with personal protective equipment (PPE) was time consuming, heavy and uncomfortable. There was a lack of PPE and confusion about which PPE gave the right protection. Nurses’ work situation was characterized by stress and uncertainty, which affected their psychological wellbeing. Support from the leadership was crucial. Uncertainty about the infection state in patients and people in general had a negative effect on nurses. Nurses showed a great ability to lead the work during the pandemic and had an important role in care development. Motive: There are only a few studies about district nurses in primary healthcare during the pandemic in Sweden and knowledge about the district nurses’ experiences is lacking. No previous study has investigated experiences of district nurses in Västernorrland. Aim: To describe district nurses’ experiences of working in a primary healthcare center during the covid-19 pandemic. Methods: Qualitative content analysis through semi-structural interviews. Interviews were conducted with 9 district nurses and nurses at primary healthcare centers in Region Västernorrland during fall 2023. Result: One main category was identified: From chaos to safety. Three categories with a total of eight subcategories emerged. Categories: Feeling anxious and unsafe, Readjustment with new ways of working, Be more prepared for the future. Conclusion: The results correspond to previous studies about nurses’ experience