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[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.

Purpose: The purpose of this study is to examine existing studies on recycled food supply chain management during the COVID-19 epidemic. Theoretical framework: The theoretical framework of the study includes research areas, research agendas, and implications for the viability during the crisis. Design/Methodology/Approach: Mendeley Desktop Software retrieved articles from ScienceDirect.com and Google Scholar. This review included 63 full papers published in 2019–2021. Findings: This review covers food waste management, food safety, insecurity, crises, wellness, food supply chains and chain management, impact on alternative and local food systems, consumption, evaluation of alternative food provision systems, scaling and food policies, proposed business models, strategies, and mechanisms, logistics, economics, and resilience building. The research agendas include refusing, reducing, reusing, repurposing, recycling, and rescaling abandoned or outmoded goods, and rescaling. Implications include food supply chain management, food network viability, impact evaluation, and nutrition risk management. Research, practical, and social implications: This study presents research themes and agendas for adaptive management to ensure viability throughout the COVID-19 outbreak and its long-term impacts. It provides insights into food waste management, food safety, security, insecurity, wellness, food supply networks, chain management, etc. Socially, it offers future studies on outbreak viability, food network vitality, effect evaluation, and nutrition risk management. Originality/Value: In view of the current COVID-19 situation, this study revises food supply chain management. Food supply chain management on a worldwide scale has been impacted by this outbreak. This situation calls for an out-of-the-box solution.

Collaborative learning is a teaching method that brings together students to discuss a topic important for a given course or curriculum and solve a related problem or create a product. By doing this, learners create knowledge together and gain 21st –century skills such as communication, critical thinking, decision making, leadership and conflict management. Universities had to close their campuses and turn their education fully online in 2020 due to the COVID-19 pandemic, which created a forced step in the evolution of the digitalisation of collaborative teaching. How did TU Delft face this challenge? How did the students experience the online version of collaborative learning? How did distant learning affect their motivation? This article presents four student team projects investigating these questions from the collaborative learning perspective. One of the significant findings of these projects is the lack of socio-emotional interactions during online collaborative work. We present a few guidelines on how to enable these interactions when designing online or blended collaborative education., Science Education and Communication

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.

The paper presents a web-based system designed to visualize a simulation of ca. 500,000 residents of a city during the COVID-19 outbreak. Each agent's infection status and mobility are presented in the time scale. The main effort was to ensure simplicity from the user's perspective and smooth operation on various client devices. The full range of software engineering problems is discussed, from efficient data storage to optimization of visualization methods., Green Open Access added to TU Delft Institutional Repository ‘You share, we take care!’ – Taverne project https://www.openaccess.nl/en/you-share-we-take-care Otherwise as indicated in the copyright section: the publisher is the copyright holder of this work and the author uses the Dutch legislation to make this work public., Transport and Logistics

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.

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.

Objective: This study examined the impact of the coronavirus disease 2019 (COVID-19) pandemic in Italy by specifically looking at the psychosocial response of children/adolescents with neurodevelopmental disabilities (NDD) and their parents, and explored which factors could potentially contribute to increasing or mitigating stress-related behaviors in children/adolescents as well as their parents’ stress. Method: An online anonymous survey was designed to investigate family demographic characteristics, COVID-19 outbreak and restriction-related variables, children/adolescents’ behavioral regulation problems, parental stress, and resilience. Data were collected from 1,472 parents (83.1% mothers) of 1632 NDD children/adolescents (33.7% females). Results: Compared to pre-emergency, parents reported a significant increase in their children’s behavioral regulation problems: Anxious/depressed behavior, Attention problems, and Aggressive behavior (p,.001), and they reported feeling more Overwhelmed and Burdened (p,.001) as parents but less Unfulfilled, Numbness, Devastated, and Angry (p,.001). A hierarchical stepwise regression analysis revealed that both behavioral regulation problems in NDD children/adolescents and parental stress are—at least partially—buffered by resilience factors in parents (Perception of self, Planned future, Family cohesion). Conclusions: Results showed that behavioral regulation problems in children/adolescents with NDD and parental stress increased. However, parental resilience can act as a protective factor, counterbalancing parental difficulties in the care of their NDD children during the emergency. Identifying risk and protective factors impacting the psychosocial response ofchildren/adolescents with NDD and their parents is essential to implement appropriate support interventions both for parents and children/adolescents with NDD during the COVID-19 pandemic

This study aimed to describe the challenges of higher education in implementing online learning during the pandemic Covid-19 outbreak. This study was a qualitative research with a phenomenological approach. Data were collected from 408 students and 20 Lectures from 6 public universities and 6 private universities in Java, Sumatera, Kalimantan, Sulawesi, Nusa Tenggara, and Maluku, by filling out online questionaires and in-depth interviews via social media. The process of data analysis was data reduction, identifying themes, mapping interrelationships between themes, and concluding findings The results of data analysis showed that there were two main challenges, both for lecturers and students. First, limited resources, such as electronic devices (laptops/smartphones/others), learning resources, electricity, and internet connections. Second, lack of knowledge/skills on how to use the online learning media, finding and/or providing learning resources, managing online learning, providing online measuring tools, and carrying out online assessments. This condition has the greatest impact on students from low economic families, and who live in areas with limited access to learning facilities, such as electricity, and internet connections. Most of them lose learning opportunities because of these limitations. Third, the difficulty of time management during the online learning period.

Neuropsychiatric symptoms are a common complication of COVID-19, with symptoms documented both during acute COVID-19 infection (parainfectious) and persisting or developing after the resolution of respiratory symptoms (postinfectious). Patients have presented with a variety of symptoms such as anosmia, thrombotic events, seizures, cognitive and attention deficits, new-onset anxiety, depression, psychosis, and rarely catatonia. Etiology appears to be related to disruption of regular neurotransmission and hypoxic injury secondary to systemic inflammation and cytokine storm. Although rare, catatonia and each of its subtypes have now been reported as complications of COVID-19 and therefore should be considered known to occur in both the parainfectious and postinfectious states. Diagnosis of catatonia in the context of COVID-19 should be considered when work-up for more common medical causes of encephalopathy are negative, there is no identifiable psychiatric etiology for catatonia, and there is a positive response to benzodiazepines.

The COVID-19 pandemic that caused unprecedented havoc on global tourism industry will all blow over, however whether the tourists' real-time on-site emotional experience in the reopened tourism destinations is higher or lower than that of the period before the pandemic outbreak has not been studied. Since this is an important basis for managers to design tourist win-back strategies, this study empirically examines the impact of the COVID-19 outbreak on tourists' real-time on-site emotional experience using geo-tagged check-in user-generated content data in China's National 5A scenic spots from November 7, 2019 to April 8, 2020. Results show that although the COVID-19 pandemic doesn't destroy the tourist attractions, tourists' real-time on-site emotional experience after the outbreak of COVID-19 is significantly lower than that of the period before the COVID-19 outbreak, suggesting that tourism destinations should not only focus on the recovery of tourist arrivals, but also pay attention to the tourist experience recovery during the tourism recovery stage. Results also provide empirical evidence and practical implications for destinations in tourist experience management during and after the COVID-19 pandemic.

INTRODUCTION: During the COVID-19 pandemic, cancer patients have been regarded as having a high risk of severe events if they are infected with SARS-CoV-2, particularly those under medical or surgical treatment. The aim of this study was to assess the posttreatment risk of infection by SARS-CoV-2 in a population of patients operated on for colorectal cancer 3 months before the COVID-19 outbreak and who after hospitalization returned to an environment where the virus was circulating. MATERIALS AND METHODS: This French, multicenter cohort study included consecutive patients undergoing elective surgery for colorectal cancer between January 1 and March 31, 2020, at 19 GRECCAR hospitals. The outcome was the rate of COVID-19 infection in this group of patients who were followed until June 15, 2020. RESULTS: This study included 448 patients, 262 male (58.5%) and 186 female (41.5%), who underwent surgery for colon cancer (n = 290, 64.7%), rectal cancer (n = 155, 34.6%), or anal cancer (n = 3, 0.7%). The median age was 68 years (19-95). Comorbidities were present in nearly half of the patients, 52% were at least overweight, and the median BMI was 25 (12-42). At the end of the study, 448 were alive. Six patients (1.3%) developed COVID-19 infection; among them, 3 were hospitalized in the conventional ward, and none of them died. CONCLUSION: The results are reassuring, with only a 1.3% infection rate and no deaths related to COVID-19. We believe that we can operate on colorectal cancer patients without additional mortality from COVID-19, applying all measures aimed at reducing the risk of infection.

The main purpose of this paper is to examine online library resources during the COVID-19 pandemic situation at higher educational institutions in Pakistan. During the current pandemic situations, all the educational activities have been postponed and transformed into online latterly. A cross-sectional study consisting of a sample of 2378 from library patrons of public sector universities in Pakistan. A structured questionnaire has been administered based on different parts using an attitudinal scale of (dis)agreement has been used and pre-tested randomly with the reliability value ranging from .03 to .842. It is pertinent here to mention that during the COVID-19 pandemic, all the educational activities were shifted to online mode and it was not possible to collect information physically. Hence, an online method was opted and the questionnaire was shared through emails and WhatsApp numbers of public sector university library users. The study findings reveal that COVID-19 outbreak, fear of infection, and social distancing have favorable effects on online library information resources. Similarly, the results also support the argument that accessibility of manuscripts, accessibility of periodicals, and accessibility of books have favorable effects on online library resources. The study suggested that similar nature of the study may be conducted using mixed-method research and a different set of variables in the future.

The Indian Institute of Technology (IIT) in Kharagpur created the National Digital Library of India (NDLI). It is a single-window portal that accumulates and collates information from prestigious Indian and international educational institutions, as well as other relevant sources. It is free and accessible to the public. The objective of the study was to find out the student teachers' usage and access of the NDLI during the Covid-19 outbreak. The online survey method was employed for the study. The investigator designed the questionnaire in Google Forms. The researcher sent the questionnaire about the National Digital Library of India via email and classroom WhatsApp group. A sample consisted of 92 student teachers who participated from the university department and colleges of education, Dindigul District, Tamil Nadu, India. The respondents for the research were chosen using a simple random sampling technique. The investigator prepared a structured questionnaire about the NDLI and the access and usage of various electronic resources for academic purposes in the digital library. The data was collected from the participants and analysed in MS Excel. The results of the study revealed that 78.26% of the student teachers are aware of the NDLI and 78.26 percent of student teachers using the NDLI. A total of 54.35 percent of student teachers have an account in the NDLI. The majority of student teachers used NDLI resources daily (21.74%), weekly twice (40.22%), and weekly (32.61). The majority of the student teachers satisfied the electronic resources available in the NDLI.

This study aimed to examine the research support and availability of print resources to university students during COVID-19 in Pakistan. Along with other pandemic related issues during the lockdown, university students faced study issues as all the teaching activities were shifted to online, and they faced unavailability of print resources. A quantitative study design was opted to conduct the study. A total of 2745 university students participated in the survey. This form was sent to 5950 students through their emails and WhatsApp groups. A well-structured questionnaire was constructed and pre-tested from 30 randomly selected students. The study findings showed that COVID-19 affected the educational institutions of several countries generally and Pakistan particularly. The university libraries were closed as lockdown and social distancing was implemented as per the guidelines of the World Health Organization (WHO). University students were restricted to their homes and were not allowed to visit the library. Therefore, they faced the non-accessibility of books, periodicals, manuscripts, and lack of research support facilities. This study concluded that university libraries were closed during the COVID-19 outbreak and the students faced a deficit of research support and non-availability of print resources in Pakistan. It is recommended that the university libraries should strengthen their digital resources to facilitate students in terms of research support facilities and availability of online books, manuscripts, and periodicals to tackle the issues of university students.

Based on daily data from Thomson Reuter's Refnitiv, we investigate the effect of information and communication technology (ICT) on the profitability and risk of the European banking industry during the COVID-19 pandemic. Specifically, we empirically examine whether and how ICT diffusion affects banks' stock return, credit default swaps (CDS) spreads and market volatility over the period spanning from January 1, 2020, to March 31, 2020. Our evidence demonstrates that ICT improves banks' performance measures and reduces risks. These effects are more significant in the post-COVID-19 period.

Objectives Near-source tracking of SARS-CoV-2 RNA in the sewage drains serving particular buildings may allow rapid identification of SARS-CoV-2 infection cases or local outbreaks. In this pilot study, we investigated whether this was the case for nursing homes (NH). Methods The study involved five NH (from A to E) affiliated to the Clínico-Malvarrosa Health Department, Valencia (Spain). These were nursing or mixed nursing/care homes of different sizes, altogether providing care for 472 residents attended by a staff of 309. Near-source sewage samples were screened for presence of SARS-CoV-2 RNA by RT-qPCR at least 5 days per week during the study period. SARS-CoV-2 RNA testing in nasopharyngeal swabs from residents and staff was performed with the TaqPath COVID-19 Combo Kit (Thermo Fisher Scientific, Massachusetts, USA). Results SARS-CoV-2 RNA was detected in wastewater samples from four of the five NH. SARS-CoV-2 infection cases were documented in three of these four NH. Of the two NH without SARS-CoV-2 infection cases, no SARS-CoV-2 RNA was detected in sewer samples from one facility, while it was repeatedly detected in samples from the other. Presence of SARS-CoV-2 RNA in sewage preceded identification of isolated cases among residents or staff or outbreak declaration in two NH, with lag times ranging from 5 to 19 days. Conclusion Our study demonstrated that intermittent or persistent detection of SARS-CoV-2 RNA in NH sewers can provide an early warning of subsequent individual cases or outbreaks in these facilities.

Background: The COVID-19-related deaths are growing rapidly around the world, especially in Europe and the United States. Purpose: In this study we attempt to measure the association of these variables with case fatality rate (CFR) and recovery rate (RR) using up-to-date data from around the world. Methods: Data were collected from eight global databases. According to the raw data of countries, the CFR and RR and their relationship with different predictors was compared for countries with 1000 or more cases of COVID-19 confirmed cases. Results: There were no significant correlation between the CFR and number of hospital beds per 1000 people, proportion of population aged 65 and older ages, and the number of CT per one million inhabitants. Furthermore, based on the continents-based subgroup univariate regression analysis, the population (R2=0.37, P=0.047), GPD (R2=0.80, P<0.001), number of ICU Beds per 100,000 people (R2=0.93, P=0.04), and number of CT per one million inhabitants (R2=0.78, P=0.04) were significantly correlated with CFR in America.  Moreover, the income-based subgroups analysis showed that the GPD (R2=0.30, P=0.001), number of ICU Beds per 100,000 people (R2=0.23, P=0.008), and the number of ventilator (R2=0.46, P=0.01) had significant correlation with CFR in high-income countries. Conclusion: The level of country’s preparedness, testing capacity, and health care system capacities also are among the important predictors of both COVID-19 associated mortality and recovery. Thus, providing up-to-date information on the main predictors of COVID-19 associated mortality and recovery will hopefully improve various countries hospital resource allocation, testing capacities, and level of preparedness.

COVID-19 is a respiratory illness caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and declared by the World Health Organization a global public health emergency. Among the severe outbreaks across South America, Uruguay has become known for curtailing SARS-CoV-2 exceptionally well. To understand the SARS-CoV-2 introductions, local transmissions, and associations with genomic and clinical parameters in Uruguay, we sequenced the viral genomes of 44 outpatients and inpatients in a private healthcare system in its capital, Montevideo, from March to May 2020. We performed a phylogeographic analysis using sequences from our cohort and other studies that indicate a minimum of 23 independent introductions into Uruguay, resulting in five major transmission clusters. Our data suggest that most introductions resulting in chains of transmission originate from other South American countries, with the earliest seeding of the virus in late February 2020, weeks before the borders were closed to all non-citizens and a partial lockdown implemented. Genetic analyses suggest a dominance of S and G clades (G, GH, GR) that make up >90% of the viral strains in our study. In our cohort, lethal outcome of SARS-CoV-2 infection significantly correlated with arterial hypertension, kidney failure, and ICU admission (FDR < 0.01), but not with any mutation in a structural or non-structural protein, such as the spike D614G mutation. Our study contributes genetic, phylodynamic, and clinical correlation data about the exceptionally well-curbed SARS-CoV-2 outbreak in Uruguay, which furthers the understanding of disease patterns and regional aspects of the pandemic in Latin America., SCOPUS: ar.j, info:eu-repo/semantics/published

[Abstract] The COVID-19 outbreak has affected societies and organisations in an unprecedented way. This has resulted in negative impacts to economic and social issues, but it is a “blessing in disguise” for environmental issues. This paper analyses how the outbreak has affected organisations’ sustainability priorities. Prior to the COVID-19 outbreak, such priorities were on the economic dimension followed by the environmental and social dimensions. A survey was sent to 11,657 organisations to analyse such changes, with a 5.60% response rate. The results show that for organisations, the main priority is now on the social dimension, followed by the economic one; however, the environmental dimension has suffered a negative impact in prioritisation, regardless of organisation type, country where they are based, organisation size, or the time they have been working on sustainability. We are currently facing an environmental conundrum, where air quality has improved and pollution has decreased in societies, but organisations are starting to neglect such environmental issues. The COVID-19 outbreak is an opportunity for organisations to better contribute to sustainability by ensuring that the efforts that have been undertaken in the last three decades are not forgotten, and that societies and organisations are better coupled to face such crises and avert rebound effects.

© 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group. The novel coronavirus (COVID-19) has been declared apublic health emergency of international concern by the World Health Organization. This pandemic has since saturated the headlines of major international media channels that disseminate information to global citizens. However, some media coverage of COVID-19 has negatively influenced Chinese travellers’ mental health due to the outbreak having been labelled “Chinese virus pandemonium.” Key world leaders have also parroted such sensationalism; for example, President Donald Trump called COVID-19 the “Chinese virus”. This discriminatory labelling has resulted in violent attacks on Chinese international travellers and students. This perspective article explores how misleading and discriminatory media reports may affect the mental well-being of ethnically Chinese travellers during the global COVID-19 pandemic.

Objectives: To assess the impact of COVID-19 outbreak on patient attendance at the dental clinic, University College Hospital, Ibadan and to make recommendations on how the oral healthcare services can adapt and evolve practices to appropriately care for increasing patients' load following the ease of lockdown.Materials and Methods: The attendance records of patients in the second quarter of 2019 and 2020 was retrieved from the medical records department of the Dental clinic of the University College Hospital, Ibadan and reviewed. Data collected included age, gender and the specialty clinic attended. Descriptive statistics were used to analyse the data. Frequencies and meanage were calculated and comparison of attendance was done using the student t test.Results: Three thousand, six hundred and seventy patients were seen in the second quarter of 2019 while 1276 were attended to during the same period in 2020. This showed a 66% decrease in clinic attendance in the period under review with reduction of 86.99% and 26.28% in April and June of these years respectively. The reduction in the attendance in the second quarter of 2019compared to the second quarter of 2020 was statistically significant (p=0.002).Conclusion: The COVID-19 epidemic is still a major public health concern that may still persist for some time therefore preventative measures are necessary to curtail the spread of this viral disease. Dental practitioners have an important role in this global fight for preventing the transmission of infectious diseases such as COVID-19 and must be trained ready for this role. It isrecommended that pragmatic approaches including standard infection prevention and control measures must be strictly adhered to in the oral health care settings to mitigate the spread of infection. &nbsp

Sewage can be used to determine the scale of COVID-19 outbreak. Sewage Epidemiology or Waste Based Epidemiology (WBE) approach has been successfully used to track and provide early warnings of outbreaks of pathogenic viruses such as Hepatitis A, Poliovirus and Norovirus. In untreated wastewater COVID-19 (excreted via faeces then introduced to wastewater) can survive from hours to days. Detection of COVID-19 can be carried out with nucleic acid−based polymerase chain reaction (PCR) assay, used for confirmation of COVID-19 patients around the globe. New cheaper and faster monitoring tools are being developed to detect Covid-19 in wastewater by biosensors, ELISA, or paper-based indicator methods. This will allow to reveal true scale of Covid-19 outbreak associated with population link to a specific wastewater treatment plant.

Liver Transplant Programs in Italy have faced a sequela of management and clinical decisionmaking problems due to the high incidence in some regions of the country of severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2). The Italian Society for Organ Transplantation (SITO) and the Board of Liver Transplant Program Directors issued a survey to assess the initial impact of this pandemic event on the routine activity of 22 Italian Liver Transplant Programs. One hundred percent of participants completed the survey within a few days. The analysis is presented dividing the centers in two macro-areas: north-central Italy and south-central Italy. The reason for this is that the two areas had a different incidence of the infection and because they have distinctive rates of cadaveric donation. Overall, all centers remained open although a reduction in the activity was noted. Transplant Programs reduced their outpatient activity both in terms of pre-transplant evaluation (68% of the centers) and transplant recipient follow-up (100%); a reduction in transplant activity was observed in the first two weeks of March only in the north-central macro area (23 LTs vs 39 in 2018 and 60 in 2019); overall, SARS-CoV-2 infection was registered for 24 liver transplant recipients and 37 health care providers in liver transplant units. In the perspective of the increasing magnitude of the epidemic, more data will be required to define appropriate strategies for the increasingly complex management of liver transplant patients.

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This is an author's accepted manuscript of: Yang, Y., Ruan, Q., Huang, S. S., Lan, T., & Wang, Y. (2021). Impact of the COVID-19 outbreak on tourists’ real-time on-site emotional experience in reopened tourism destinations. Journal of Hospitality and Tourism Management, 48, 390-394.https://doi.org/10.1016/j.jhtm.2021.07.014

Zheng, Y., Goh, E., & Wen, J. (2020). The effects of misleading media reports about COVID-19 on Chinese tourists’ mental health: a perspective article. Anatolia, 31(2), 337-340. https://doi.org/10.1080/13032917.2020.1747208