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This study aims to provide a comprehensive overview of Micro, Small, and Medium Enterprises (MSMEs) in Davao de Oro by employing descriptive quantitative research. The focus is on demographics and operational characteristics. Twelve registered MSMEs from five municipalities were included using convenience sampling. Our analysis revealed a dynamic entrepreneurial landscape among respondents aged 26-30 years old, with a significant presence of female entrepreneurs. Maragusan and New Bataan emerged as central hubs, reflecting diverse geographical distribution. The duration of operations indicated a mix of newer and established enterprises, and a substantial portion of surveyed businesses operated with moderate monthly expenses. Perceptions regarding the impact of lockdown measures were consistent, with a significant proportion of respondents perceiving severe negative effects, particularly at Level 5. This study underscores the challenges faced by MSMEs due to the COVID-19 pandemic, emphasizing the need for tailored policies to support diverse business needs. Policymakers are urged to leverage these insights for evidence-based interventions, considering the urgency of addressing economic repercussions and promoting resilient recovery in Davao de Oro. Suggested strategies include financial assistance, business continuity programs, and capacity-building initiatives to alleviate hardships and foster economic recovery post-COVID-19. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic brought significant changes to daily life in Poland, with restrictions affecting various sectors, including entertainment, education, and travel. The pandemic's impact extended to intimate aspects of life. This study aimed to compare the sexual functioning of young adults in Poland before and during the pandemic, using the Changes in Sexual Functioning Questionnaire (CSFQ-14). Methods: The research involved an online survey with demographic questions, the CSFQ-14 for pre-pandemic sexual functioning, and modified CSFQ-14 questions for the pandemic period. Sexual dysfunction was determined using predefined cutoff scores. Results: Overall, the study found no significant difference in the sexual functioning of young Poles during the COVID-19 pandemic compared to before. However, there were gender-specific trends. Women reported enhanced pleasure, satisfaction, and orgasm during lockdown, while men faced challenges with erection and ejaculation. A higher proportion of women experienced overall sexual dysfunction compared to men, both before and during the pandemic. This research provides insights into the impact of the COVID-19 pandemic on the sexual lives of young Poles. While overall sexual functioning remained relatively stable, specific aspects varied by gender. Conclusions: The study emphasizes the need to consider demographic factors, such as age and gender, when assessing the effects of external stressors like a pandemic on sexual health. Further research is essential to fully grasp these complexities and their potential long-term consequences. [ABSTRACT FROM AUTHOR]

The COVID-19 outbreak was a serious challenge for countries around the globe. With the objective of mitigating the spread of the virus, both national and international health organizations swiftly enacted quarantine measures across numerous cities around the globe. This presented a unique chance to evaluate the consequences of human actions on the quality of the air. This study aimed to investigate airborne microbial levels in different outdoor locations in Al-Madinah City, Kingdom of Saudi Arabia (KSA), during the COVID-19 pandemic by comparing lockdown against non-lockdown conditions. Twelve outdoor locations were investigated in terms of microbial total counts using the open plate method during and after the COVID-19 lockdown. Environmental factors that could affect the airborne microbial load, including humidity, temperature and wind speed, were recorded during the assessment. The means of the total colony-forming units (CFU) for each cubic meter (m3) of air were calculated. Lockdown restrictions caused significant decreases in the biological contaminants in all locations compared with the numbers after the pandemic. Gram-positive bacteria represented most of the samples, with fewer fungal strains detected. The outdoor average total bacterial counts ranged between 0.00±0.00-8337.50±248.98 CFU/m3, compared with 2903.75±407.60-19722.50±475.03 CFU/m3 after the pandemic. The mean concentrations of total fungi were lower than those of bacteria and ranged between 0.00±0.00-143.75±131.75 CFU/m3 during the COVID-19 lockdown and were elevated after the lockdown to reach 28.75±49.80-776.25±298.78 CFU/m3. Based on the available data, there are no studies comparing outdoor microbial counts during and after the COVID-19 pandemic. Therefore, this research offers additional perspectives on the air quality experienced amidst the COVID-19 pandemic and the subsequent implementation of lockdown measures and could serve as a valuable resource for monitoring and implementing measures to control air pollution.

Copyright of Nosileftiki is the property of Hellenic Nurses' Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The COVID-19 outbreak was a serious challenge for countries around the globe. With the objective of mitigating the spread of the virus, both national and international health organizations swiftly enacted quarantine measures across numerous cities around the globe. This presented a unique chance to evaluate the consequences of human actions on the quality of the air. This study aimed to investigate airborne microbial levels in different outdoor locations in Al-Madinah City, Kingdom of Saudi Arabia (KSA), during the COVID-19 pandemic by comparing lockdown against non-lockdown conditions. Twelve outdoor locations were investigated in terms of microbial total counts using the open plate method during and after the COVID-19 lockdown. Environmental factors that could affect the airborne microbial load, including humidity, temperature and wind speed, were recorded during the assessment. The means of the total colony-forming units (CFU) for each cubic meter (m³) of air were calculated. Lockdown restrictions caused significant decreases in the biological contaminants in all locations compared with the numbers after the pandemic. Gram-positive bacteria represented most of the samples, with fewer fungal strains detected. The outdoor average total bacterial counts ranged between 0.00±0.00-8337.50±248.98 CFU/m³, compared with 2903.75±407.60-19722.50±475.03 CFU/m³ after the pandemic. The mean concentrations of total fungi were lower than those of bacteria and ranged between 0.00±0.00-143.75±131.75 CFU/m³ during the COVID-19 lockdown and were elevated after the lockdown to reach 28.75±49.80-776.25±298.78 CFU/m³. Based on the available data, there are no studies comparing outdoor microbial counts during and after the COVID-19 pandemic. Therefore, this research offers additional perspectives on the air quality experienced amidst the COVID-19 pandemic and the subsequent implementation of lockdown measures and could serve as a valuable resource for monitoring and implementing measures to control air pollution. [ABSTRACT FROM AUTHOR]

The relation between equity and efficiency remains at the heart of regional policy. This study captures the effect of the COVID-19 pandemic government responses on the above-mentioned relation. To do so, we employ cross-sectional data from US states for 2020 and a spatial econometric model specification in the context of Corona policy effects. We find an inverted-'U' relationship between inequality and efficiency. Additionally, the effect of the intensity of government responses to COVID-19 on the equity–efficiency relation depends on the state's per capita gross domestic product (GDP) levels. [ABSTRACT FROM AUTHOR]

Orientation: The outbreak of the coronavirus diease 2019 (COVID-19) pandemic directly and indirectly disrupted global production, consumption, and trade patterns. Regional blocs were not an exception. Research purpose: The article aims to investigate the effects of COVID-19 pandemic on regional trade, with a specific focus on the Common Market for Eastern and Southern Africa (COMESA) regional trading bloc. Motivation for the study: The outbreak of the COVID-19 pandemic generated remarkable economic adjustments with severe penalties affecting diverse communities and people globally. As such, regional communities such as COMESA were not an exception. However, relatively little is known about the effects of this pandemic on international trade within particular regional economic communities, and more specifically in the COMESA region. Research design, approach and method: By employing a cross-sectional type gravity model and utilising the Poisson pseudo-maximum likelihood (PPML) method, the article explored trade data for 14 COMESA member states and explicitly regressed intra-COMESA trade values on various measures of the severity of COVID-19 in 2020. The article further assessed the impact of COVID-19 in the COMESA region within the framework of the traditional gravity model variables. Main findings: The findings of this article confirm significant negative effects of COVID-19 cases and lockdown measures on intra-COMESA trade in the exporting country. In the importing country, the effect of COVID-19 on intra-COMESA trade was found to be insignificant regardless of the quantifying measure. Practical/managerial implications: It is recommended in this article that the COMESA regional bloc and the African continent, in general, should expand their respective pharmaceutical production and research and development capacity to be able to respond and advance their future inoculation drives intended to restrain the trade-related impacts of communicable diseases of the COVID-19 nature. Contribution/value-add: This article contributes to the COVID-19 epidemic knowledge base and the existing international trade COVID-19 nexus by enhancing the understanding of the impact of global health shocks on economic outcomes from developing countries perspective. It further presents new empirical evidence that can be utilised as a springboard for policymakers in COMESA to formulate future regional response mechanisms to health crisis of the COVID-19 form.

This research report investigated the impacts of the COVID-19 lockdown restrictions on CO, SO2, and NO2 trends in Durban from 2019 to 2021. The COVID-19 lockdown restrictions proved to decrease greenhouse gas (GHG) emissions globally; however, the decrease in GHG emissions was for a short period only. Space-borne technology has been used by researchers to understand the spatial and temporal trends of GHGs. This study used Sentinel-5P to map the spatial distribution of CO, SO2, and NO2. Use was also made of the Atmospheric Infrared Sounder (AIRS), Modern-Era Retrospective Analysis for Research and Applications, Version 2 (MERRA-2), and the Ozone Monitoring Instrument (OMI) to understand the temporal trends of CO, SO2, and NO2, respectively. To validate the results of this study, we used the Sequential Mann–Kendall (SQMK) test. This study indicated that there were no significant changes in all the investigated gases. Therefore, this study failed to reject the null hypothesis of the SQMK test that there was no significant trend for all investigated gasses. Increasing trends were observed for CO, SO2, and NO2 trends during winter months throughout the study period, whereas a decreasing trend was observed in all investigated gases during the spring months. This shows that meteorological factors play a significant role in the accumulation of air pollutants in the atmosphere. Most importantly, this study has noted that there was an inverse relationship between the trends of all investigated gases and the COVID-19 lockdown restrictions. [ABSTRACT FROM AUTHOR]

Introduction: Lockdown measures in response to the COVID-19 pandemic had an appreciable impact on the education of all medical, dental and non-medical healthcare professional students. These included the closure of universities necessitating a rapid move to e-learning and a new practical approach to conducting teaching-learning classes. However, initially, there was a lack of knowledge and expertise regarding e-learning approaches and the affordability of internet bundles and equipment. Materials and Methods: We conducted two pilot studies to assess such current challenges, replaced by a two-stage approach including a full investigation involving 32 private and public universities during the early stages of the pandemic, followed by a later study assessing the current environment brought about by the forced tops. Results: The top challenges at the start of the pandemic included a lack of familiarity with the e-learning approaches, the cost of the internet, a lack of IT equipment and the quality of the classes. To address identified challenges, universities offered support to staff and students. Since then, e-learning approaches have widened the possibilities for teaching and learning at convenient times. However, challenges remain. Conclusions: There were considerable challenges at the start of the pandemic. Several key issues have been addressed with hybrid learning here to stay. The remaining challenges include a lack of ICT equipment. However, new innovations will continue.

This paper examines the trade resilience of low-income and food-deficit countries (LIFDCs) during the COVID-19 pandemic. Since the pandemic declaration, LIFDCs have faced unique challenges due to their heavy reliance on food imports. This paper identifies the differential trade effects of COVID-19 lockdowns on agri-food exports to LIFDCs using a dynamic treatment effects model and monthly product-level agri-food trade data. The baseline results show a sharp decrease in agri-food exports to LIFDCs in the first three months after the pandemic declaration and a gradual recovery afterward. Additional analyses at the product and country levels show that LIFDCs focused on securing cereal products from foreign sources and that imports of other agri-food products contracted considerably relative to the counterfactual. The foreign supply chains of LIFDCs were less resilient in the first quarter after the treatment than those of other low-income countries, but their recovery was also faster than in those other countries. The paper provides the empirical underpinning for concerns raised by international organizations regarding the resilience of agri-food supply chains and COVID-19 containment measures, revealing the differential impact that lockdowns had on agri-food trade resilience in the developing world. [ABSTRACT FROM AUTHOR]

In this paper, we study the impact of the coronavirus disease 2019 pandemic in estimated panel vector autoregression models for 92 countries. The large cross‐section of countries allows us to shed light on the heterogeneity of the responses of stock markets and nitrogen dioxide emissions as high‐frequency measures of economic activity. We quantify the effect of the number of infections and four dimensions of policy measures: (1) containment and closure, (2) movement restrictions, (3) economic support, and (4) adjustments of health systems. Our main findings show that a surprise increase in the number of infections triggers a drop in our two measures of economic activity. Propping up economic support measures, in contrast, raises stock returns and emissions and, thus, contributes to the economic recovery. We also document vast differences in the responses across subsets of countries and between the first and the second wave of infections. [ABSTRACT FROM AUTHOR]

ntroduction: Lockdown measures in response to the COVID-19 pandemic had an appreciable impact on the education of all medical, dental and non-medical healthcare professional students. These included the closure of universities necessitating a rapid move to e-learning and a new practical approach to conducting teaching-learning classes. However, initially, there was a lack of knowledge and expertise regarding e-learning approaches and the affordability of internet bundles and equipment. Materials and Methods: We conducted two pilot studies to assess such current challenges, replaced by a two-stage approach including a full investigation involving 32 private and public universities during the early stages of the pandemic, followed by a later study assessing the current environment brought about by the forced tops. Results: The top challenges at the start of the pandemic included a lack of familiarity with the e-learning approaches, the cost of the internet, a lack of IT equipment and the quality of the classes. To address identified challenges, universities offered support to staff and students. Since then, e-learning approaches have widened the possibilities for teaching and learning at convenient times. However, challenges remain. Conclusions: There were considerable challenges at the start of the pandemic. Several key issues have been addressed with hybrid learning here to stay. The remaining challenges include a lack of ICT equipment. However, new innovations will continue. [ABSTRACT FROM AUTHOR]

Background The aim of this research was to synthetise the existing evidence on the impact of epidemic-related lockdown measures on women and children’s health in low- and lower-middle-income countries (LLMICs).Methods A mixed-methods systematic review was conducted of qualitative, quantitative and mixed-methods evidence. Between 1st and 10th of November 2021, seven scientific databases were searched. The inclusion criteria were that the paper provided evidence on the impact of lockdown and related measures, focused on LLMICs, addressed impacts on women and child’s health, addressed epidemics from 2000-2020, was peer-reviewed, provided original evidence, and was published in English. The Joanne Briggs Institute’s critical appraisal tools were used to assess the quality of the studies, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting. The evidence from the papers was grouped by type of lockdown measure and categories of impact, using a narrative databased convergent synthesis design.Results The review process identified 46 papers meeting the inclusion criteria from 17 countries that focussed on the coronavirus disease 2019 (COVID-19) and Ebola epidemics. The evidence on the decrease of utilisation of health services showed plummeting immunisation rates and faltering use of maternal and perinatal services, which was linked to a growth of premature deaths. Impacts on the mental health of children and women were convincingly established, with lockdowns associated with surges in depression, anxiety and low life satisfaction. Vulnerability may be compounded by lockdowns, as livelihoods were disrupted, and poverty levels increased.Conclusion Limitations included that searches were conducted in late-2020 as new research was being published, and that some evidence not published in English may have been excluded. Epidemic-related lockdown measures carry consequences for the health of women and children in lower-income settings. Governments will need to weigh the tradeoffs of introducing such measures and consider policies to mitigate their impacts on the most vulnerable.

Several studies have linked the COVID-19 pandemic to unfavorable mental health outcomes. However, we know little about long-term changes in mental health due to the pandemic so far. Here, we used longitudinal data from a general population sample of 1388 adults from Germany, who were initially assessed between April and May 2020 (i.e., at the beginning of the COVID-19 pandemic in Germany) and prospectively followed up after 6 (n = 1082) and 12 months (n = 945). Depressive and anxiety symptoms as well as loneliness did not change from baseline to 6-month follow-up. While anxiety symptoms did not change in the long run, depressive symptoms and loneliness increased and life satisfaction decreased from baseline to 12-month follow-up. Moreover, vulnerable groups such as younger individuals or those with a history of mental disorders exhibited an overall higher level of psychopathological symptoms across all assessment waves. Our findings suggest a deterioration in mental health during the course of the COVID-19 pandemic, which emphasizes the importance to implement targeted health promotions to prevent a further symptom escalation especially in vulnerable groups. [ABSTRACT FROM AUTHOR]

In order to explore the effects of COVID-19 control measures on the concentration and composition of PM2.5-bound polycyclic aromatic hydrocarbons (PAHs), and to better understand the sources of PM2.5-bound PAHs, PM2.5, samples were collected at two sites in urban and suburban areas of Shanghai before the lockdown, during the lockdown, after the lockdown in 2020, and during the same periods in 2019. The mass concentrations of 21 individual PAHs were determined via GC-MS analysis. While the COVID-19 control measures significantly reduced the absolute concentration of PM2.5-bound PAHs, they had no significant effect on their relative abundances, indicating that the significantly reduced traffic emission may not originally be the major source of PAHs in Shanghai. The differences in the composition of PM2.5-bound PAHs at three different lockdown-related periods may be caused by the gas-particle distribution of semi-volatile PAHs. The similarity in the composition of PM2.5-bound PAHs in different functional areas and different periods brings more uncertainties to the identification of PAH sources using the diagnostic ratios. During the lockdown period, the toxic equivalent concentration of PM2.5-bound PAHs in Shanghai was estimated to decrease by about 1/4, which still exhibits substantial carcinogenic risk upon exposure via inhalation. [ABSTRACT FROM AUTHOR]

Several measures, including behavioral restrictions for individuals, have been taken throughout the world to control the spread of COVID-19. The aim of these measures is to prevent infected persons from coming into contact with susceptible persons. Since the behavioral restrictions for all citizens, such as city-wide lockdowns, were directly linked to the stagnation of economic activities, the assessment of such measures is crucial. In order to evaluate the effects of behavioral restrictions, we employed the broken-link model to compare the situation of COVID-19 in Shanghai, where a lockdown was implemented from March to June 2022, with the situation in Taiwan, where the spread of COVID-19 has been well controlled so far. The results show that the small link-connection probability was achieved by the substantial isolation of infected persons, including the lockdown measures. Although the strict measures for behavioral restrictions were effective to reduce the total number infected people, the daily reported cases per one million people followed the curve evaluated by the broken-link model. This result considers that infections are unavoidable for the population. [ABSTRACT FROM AUTHOR]

Extreme situations such as the COVID-19 pandemic transparently show all the shortcomings of the Serbian system that should, in theory, provide support and protection to citizens in such circumstances. A particularly demanding task was to determine and measure the well-being of individuals during the pandemic, especially those from marginalized groups whose needs are not the priority to the system even under regular circumstances, those on the bottom of the social hierarchy who cannot influence the policies that shape their daily lives, or the decisions of authorities that further reproduce social inequalities. The paper examines institutional ethics of care during the pandemic in Serbia through the analysis of the adequacy of lockdown measures and their effects on the girls and women trafficking survivors. Analysis of the data collected in semi-structured interviews with girls and women showed that three central elements of the institutional (ethics of) care: the purpose of care, recognition of power relations, and the need for pluralistic tailoring of care to meet individuals’ needs, were not fulfilled during the pandemic and that the logic of institutional care has had a politicizing character in Serbia.

Copyright of Pädiatrie & Pädologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The aim of this research was to synthetise the existing evidence on the impact of epidemic-related lockdown measures on women and children's health in low- and lower-middle-income countries (LLMICs). Methods: A mixed-methods systematic review was conducted of qualitative, quantitative and mixed-methods evidence. Between 1st and 10th of November 2021, seven scientific databases were searched. The inclusion criteria were that the paper provided evidence on the impact of lockdown and related measures, focused on LLMICs, addressed impacts on women and child's health, addressed epidemics from 2000-2020, was peer-reviewed, provided original evidence, and was published in English. The Joanne Briggs Institute's critical appraisal tools were used to assess the quality of the studies, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting. The evidence from the papers was grouped by type of lockdown measure and categories of impact, using a narrative databased convergent synthesis design. Results: The review process identified 46 papers meeting the inclusion criteria from 17 countries that focussed on the coronavirus disease 2019 (COVID-19) and Ebola epidemics. The evidence on the decrease of utilisation of health services showed plummeting immunisation rates and faltering use of maternal and perinatal services, which was linked to a growth of premature deaths. Impacts on the mental health of children and women were convincingly established, with lockdowns associated with surges in depression, anxiety and low life satisfaction. Vulnerability may be compounded by lockdowns, as livelihoods were disrupted, and poverty levels increased. Conclusion: Limitations included that searches were conducted in late-2020 as new research was being published, and that some evidence not published in English may have been excluded. Epidemic-related lockdown measures carry consequences for the health of women and children in lower-income settings. Governments will need to weigh the tradeoffs of introducing such measures and consider policies to mitigate their impacts on the most vulnerable. [ABSTRACT FROM AUTHOR]

Copyright of Public Health Forum is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

While many evaluations of the response from residential social services to the COVID-19 pandemic have pointed to high mortality rates and human rights violations, some have given a positive assessment of their performance. Whatever the verdict, it is a fact that the clients of residential social services were subject to stricter and longer lockdown measures than the rest of the population. Our ethnographic research describes the lockdown technologies used at Home F, a residential institution for people identified as disabled. Setting out from the assumption that freedom is not the antithesis of some united regulatory regime but is the result of the intersection of various repertoires and logics of influence, the research analyses the 'passages' that regulate relations between the clients and their surroundings before and during the pandemic. It shows that the regulatory mechanisms that were put in place to facilitate an effective pandemic response do not constitute a new apparatus but only an intensification of technologies already in place. With the aim of mitigating risk, they delegitimise the needs of clients, render relations dependent on obedience, and pass moralised judgements on behaviour. Such 'pedagogical arrangements' cause emotional suffering and do not leave much space for freedom. In the discussion in the article we link our findings to the current debates about the productivity of power and (post)critical pedagogy, concluding that while pedagogy necessarily accompanies the management of risks, a critical gesture that delegitimises the interests and opinions of the objects of pedagogy may not be the most appropriate pedagogical method available. [ABSTRACT FROM AUTHOR]

Estimating the impacts on PM2.5 pollution and CO2 emissions by human activities in different urban regions is important for developing efficient policies. In early 2020, China implemented a lockdown policy to contain the spread of COVID-19, resulting in a significant reduction of human activities. This event presents a convenient opportunity to study the impact of human activities in the transportation and industrial sectors on air pollution. Here, we investigate the variations in air quality attributed to the COVID-19 lockdown policy in the megacities of China by combining in-situ environmental and meteorological datasets, the Suomi-NPP/VIIRS and the CO2 emissions from the Carbon Monitor project. Our study shows that PM2.5 concentrations in the spring of 2020 decreased by 41.87% in the Yangtze River Delta (YRD) and 43.30% in the Pearl River Delta (PRD), respectively, owing to the significant shutdown of traffic and manufacturing industries. However, PM2.5 concentrations in the Beijing-Tianjin-Hebei (BTH) region only decreased by 2.01% because the energy and steel industries were not fully paused. In addition, unfavorable weather conditions contributed to further increases in the PM2.5 concentration. Furthermore, CO2 concentrations were not significantly affected in China during the short-term emission reduction, despite a 19.52% reduction in CO2 emissions compared to the same period in 2019. Our results suggest that concerted efforts from different emission sectors and effective long-term emission reduction strategies are necessary to control air pollution and CO2 emissions. [ABSTRACT FROM AUTHOR]

Spain was one of the countries in which more severe lockdown policies were imposed during the second term of 2020 to mitigate the unprecedented health crisis. The measures restricted citizens' mobility, obliging families to stay confined at homes for 99 days since 15 March 2020. The measures created a number of challenges that affect the family climate. This paper aims to empirically analyse how the family climate in Spain has been affected by COVID-19. The family climate assessment was based on an online questionnaire answered by 2034 citizens. A multi-criteria decision-making method rooted in fuzzy logic and TOPSIS, and a fuzzy clustering method, are applied to analyse the effects of the COVID-19 on the family climate. The fuzzy clustering method reveals that there are three different family climate profiles, namely (1) extreme positive, (2) extreme negative, and (3) intermediate. Our results show that some traits affect having a more or less positive family climate. The authors discuss the main contributions and the policy implications that could provide insights into future measures. [ABSTRACT FROM AUTHOR]

Context: Coronavirus disease 2019 (COVID‑19) has shown the potential to affect the life of people all over the world either directly or indirectly. Aim: To assess the impact of lockdown measures on treatment of leprosy among patients who received treatment from a tertiary referral centre. Settings and Design: A retrospective study was conducted at the dermatology department of a tertiary referral centre. Materials and Methods: We did a retrospective analysis of case records of patients with leprosy who received treatment from our tertiary referral centre from 01 March 2020 to 31 May 2021. Results: During the 15‑month period, 59 patients received multi‑drug therapy (MDT) for leprosy from our centre. Thirty‑two patients (54.2%) were already receiving MDT as on March 2020, and 27 others (45.8%) were diagnosed with leprosy and started on MDT during the period from March 2020 to May 2021. Two patients (3.4%) developed COVID‑19 while on MDT. When lockdown measures were implemented, 12 patients (12/59, 20.3%) discontinued treatment, citing conveyance difficulties. Three patients (3/59, 5.1%) were lost to follow‑up. Limitations: Small sample size and reliance on retrospective data from a single centre were the major limitations of the study. Conclusion: A conscious effort is needed from healthcare professionals and the government to ensure that implementation of national programmes is not adversely affected by the ongoing COVID‑19 pandemic. [ABSTRACT FROM AUTHOR]

To verify the effects of Wuhan highway lockdown measures on the spread of COVID-19 across China cities, we extracted the vehicle outflow from Wuhan to 245 cities from the Chinese highway toll system. A dynamic exponential risk model that considered the vehicle outflow, city gross domestic product, city population, and distance between two cities was established to characterize the spread of pandemics and quantify the blocking effects. Results showed that an early highway lockdown measure could indeed reduce the confirmed cases and vehicles with 1–9 seats played a leading role. The confirmed cases in Guangxi, Henan, and Shanxi could be reduced by more than 50%, as well as Hubei by 20% if the highway was closed 3 days in advance. The blocking effects on Fujian, Jiangxi, Guangdong, Hunan, and Shandong were not obvious, where the number of confirmed cases only decreased by a small proportion (below 10%). The findings could be used to help each provincial government to adjust policies properly and improve the effectiveness of epidemic control and prevention. Moreover, the proposed method could also be applied to various countries or regions affected by COVID-19, as well as other similar pandemics. • Using highway toll system data to study the epidemic spread. • Observing impacts of Wuhan highway lockdown measures and different vehicle types on the epidemic spread in China. • Exploring key factors of epidemic spread in different provinces and regions of China. • Proposing policy recommendations for the prevention of epidemic spread. [ABSTRACT FROM AUTHOR]

Abstract Background The present study aims to delineate the role of preexisting depression for changes in common mental health problems during the COVID-19 pandemic. Methods Using mixed-effects linear regression models, we analyzed data on the course of depressive (Patient Health Questionnaire-2) and anxiety (Generalized Anxiety Disorder-2) symptoms as well as loneliness (three-item UCLA Loneliness Scale) in a subset of the Socio-Economic Panel Study, a large and nationally representative household panel study from Germany. Participants were assessed during the first COVID-19 wave in Germany (March 31 to July 4, 2020; n = 6,694) and prospectively followed up at the peak of the second COVID-19 wave (January 18 to February 15, 2021; n = 6,038). Results Overall, anxiety and depressive symptoms decreased, whereas loneliness increased from the first to the second COVID-19 wave. However, depressive symptoms increased and the surge in loneliness was steeper in those with versus without clinically relevant depressive symptoms in 2019 or a history of a depressive disorder before the COVID-19 pandemic. Anxiety symptoms remained stable throughout the pandemic in individuals with versus without clinically relevant depressive symptoms in 2019. Pre-pandemic depression was associated with overall higher depressive and anxiety symptoms and loneliness across both assessments. The stringency of lockdown measures did not affect the results. Conclusions Our findings suggest that individuals with a history of depressive symptoms before the COVID-19 pandemic are at increased risk to experience an escalation of mental health problems due to the COVID-19 pandemic. Therefore, they might particularly profit from targeted prevention and early intervention programs.

Background The present study aims to delineate the role of preexisting depression for changes in common mental health problems during the COVID-19 pandemic. Methods Using mixed-effects linear regression models, we analyzed data on the course of depressive (Patient Health Questionnaire-2) and anxiety (Generalized Anxiety Disorder-2) symptoms as well as loneliness (three-item UCLA Loneliness Scale) in a subset of the Socio-Economic Panel Study, a large and nationally representative household panel study from Germany. Participants were assessed during the first COVID-19 wave in Germany (March 31 to July 4, 2020; n = 6,694) and prospectively followed up at the peak of the second COVID-19 wave (January 18 to February 15, 2021; n = 6,038). Results Overall, anxiety and depressive symptoms decreased, whereas loneliness increased from the first to the second COVID-19 wave. However, depressive symptoms increased and the surge in loneliness was steeper in those with versus without clinically relevant depressive symptoms in 2019 or a history of a depressive disorder before the COVID-19 pandemic. Anxiety symptoms remained stable throughout the pandemic in individuals with versus without clinically relevant depressive symptoms in 2019. Pre-pandemic depression was associated with overall higher depressive and anxiety symptoms and loneliness across both assessments. The stringency of lockdown measures did not affect the results. Conclusions Our findings suggest that individuals with a history of depressive symptoms before the COVID-19 pandemic are at increased risk to experience an escalation of mental health problems due to the COVID-19 pandemic. Therefore, they might particularly profit from targeted prevention and early intervention programs. [ABSTRACT FROM AUTHOR]

Introduction: Patients with chronic obstructive pulmonary disease (COPD) have an increased risk of acquiring severe coronavirus disease 2019 (COVID-19), which is why self-isolation was recommended. However, long periods of social isolation, accompanied by limited access to health care systems, might influence the outcome of patients with severe COPD negatively., Methods: Data from COPD and pneumonia patients at Charité-Universitätsmedizin Berlin and the volume of endoscopic lung volume reduction (ELVR) surgeries from the German Lung Emphysema Registry ( Lungenemphysem Register e.V .) were analyzed from pre-pandemic (2012 to 2019) to the pandemic period (2020 and 2021). In addition, 52 patients with COPD Global initiative for chronic Obstructive Lung Disease (GOLD) stage 4 status included in the lung emphysema registry received questionnaires during lockdowns from June 2020 to April 2021., Results: Admissions and ventilation therapies administered to COPD patients significantly decreased during the COVID-19 pandemic. Likewise, there was a reduction in ELVR treatments and follow-ups registered in German emphysema centers. Mortality was slightly higher among patients hospitalized with COPD during the pandemic. Increasing proportions of COPD patients with GOLD stage 3 and GOLD stage 4 status reported behavioral changes and subjective feelings of increasing COPD symptoms the longer the lockdown lasted. However, COPD symptom questionnaires revealed stable COPD symptoms over the pandemic time period., Summary: This study reveals reduced COPD admissions and elective treatment procedures of COPD patients during the pandemic, but a slight increase in mortality among patients hospitalized with COPD, irrespective of COVID-19. Correspondingly, patients with severe COPD reported subjective deterioration of their health status, probably caused by their very strict compliance with lockdown measures., (JCOPDF © 2023.)

Background: The COVID-19 pandemic and its associated lockdown measures impacted mental health worldwide. However, the temporal dynamics of causal factors that modulate mental health during lockdown are not well understood. Objective: We aimed to understand how a COVID-19 lockdown changes the temporal dynamics of loneliness and other factors affecting mental health. This is the first study that compares network characteristics between lockdown stages to prioritize mental health intervention targets. Methods: We combined ecological momentary assessments with wrist-worn motion tracking to investigate the mechanism and changes in network centrality of symptoms and behaviors before and during lockdown. A total of 258 participants who reported at least mild loneliness and distress were assessed 8 times a day for 7 consecutive days over a 213-day period from August 8, 2020, through March 9, 2021, in Germany, covering a "no-lockdown" and a "lockdown" stage. COVID-19–related worry, information-seeking, perceived restriction, and loneliness were assessed by digital visual analog scales ranging from 0 to 100. Social activity was assessed on a 7-point Likert scale, while physical activity was recorded from wrist-worn actigraphy devices. Results: We built a multilevel vector autoregressive model to estimate dynamic networks. To compare network characteristics between a no-lockdown stage and a lockdown stage, we performed permutation tests. During lockdown, loneliness had the highest impact within the network, as indicated by its centrality index (ie, an index to identify variables that have a strong influence on the other variables). Moreover, during lockdown, the centrality of loneliness significantly increased. Physical activity contributed to a decrease in loneliness amid the lockdown stage. Conclusions: The COVID-19 lockdown increased the central role of loneliness in triggering stress-related behaviors and cognition. Our study indicates that loneliness should be prioritized in mental health interventions during lockdown. Moreover, physical activity can serve as a buffer for loneliness amid social restrictions. J Med Internet Res 2022;24(3):e32598 doi:10.2196/32598 [ABSTRACT FROM AUTHOR]

Globally, the adoption of COVID-19 containment measures, such as lockdowns, have been used to curb the rapid spread of the pandemic. However, these action regulations have caused substantial challenges to livelihoods. We explored the perceptions and experiences of COVID-19 implications for urban informal food traders in South Africa during the initial lockdown period that lasted five weeks. A rapid qualitative study was conducted during October–November 2020. Twelve key informants (seven men and five women) categorized into informal traders and food system expert groups were interviewed. Data were analyzed thematically using MAXQDA software. Participants perceived informal trading as a main source of livelihood for many individuals. Negative lockdown impacts described included forced business closure, increased food costs and reduced demand. The consensus among participants was that the government's lack of formal recognition for informal food traders pre-COVID-19 contributed to challenges they faced during the pandemic, as evidenced by their exclusion as "essential service providers" at the start of lockdown. Policies that fail to recognize and consider informal food traders during 'normal' times lead to widened social inequality gaps among already vulnerable groups during natural disasters and disease outbreaks. In the case of COVID-19 in South Africa, this caused severe hunger, food insecurity and income loss. [ABSTRACT FROM AUTHOR]

Introduction International studies on preterm birth rates during COVID-19 lockdowns report different results. This study examines preterm birth rates during lockdown periods and the impact of the mobility changes of the population in Bavaria, Germany. Material and Methods This is a secondary analysis of centrally collected data on preterm births in Bavaria from 2010 to 2020. Preterm births (< 37 weeks) in singleton and twin pregnancies during two lockdowns were compared with corresponding periods in 2010 - 2019. Fisher's exact test was used to compare raw prevalence between groups. Potential effects of two fixed lockdown periods and of variable changes in population mobility on preterm birth rates in 2020 were examined using additive logistic regression models, adjusting for long-term and seasonal trends. Results Unadjusted preterm birth rates in 2020 were significantly lower for singleton pregnancies during the two lockdown periods (Lockdown 1: 5.71% vs. 6.41%; OR 0.88; p < 0.001; Lockdown 2: 5.71% vs. 6.60%; OR = 0.86; p < 0.001). However, these effects could not be confirmed after adjusting for long-term trends (Lockdown 1: adj. OR = 0.99; p = 0.73; Lockdown 2: adj. OR = 0.96; p = 0.24). For twin pregnancies, differences during lockdown were less marked (Lockdown 1: 52.99% vs. 56.26%; OR = 0.88; p = 0.15; Lockdown 2: 58.06% vs. 58.91%; OR = 0.97; p = 0.70). Reduced population mobility had no significant impact on preterm birth rates in singleton pregnancies (p = 0.14) but did have an impact on twin pregnancies (p = 0.02). Conclusions Reduced preterm birth rates during both lockdown periods in 2020 were observed for singleton and twin pregnancies. However, these effects are reduced when adjusting for long-term and seasonal trends. Reduced population mobility was associated with lower preterm birth rates in twin pregnancies., Competing Interests: Conflict of Interest The authors declare that they have no conflict of interest., (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)