34 results on '"McDonnell D"'
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2. The dangers of having only one pandemic exit strategy.
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Su Z, Bentley BL, McDonnell D, Cheshmehzangi A, Ahmad J, Šegalo S, da Veiga CP, and Xiang YT
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- Humans, SARS-CoV-2, Public Health, Health Policy, Communicable Disease Control methods, COVID-19 epidemiology, COVID-19 prevention & control, Pandemics prevention & control
- Abstract
Background: When it comes to pandemic response, preparation can be the key. Between 2020 and 2024, the fast-paced development of COVID-19-often compounded by pubic policies' failures to reflect the latest reality and the public's divergent reactions to the pandemic and the policies-means that society should prepare for exit strategies that can reflect the reality of the pandemic and the interests of the people. Yet oftentimes societies only have one exit strategy with limited scope. This paper investigates the dangers of having only one pandemic exit strategy for pandemics like COVID-19., Methods: Analyses were based on a review of the literature on COVID-19 exit strategies and our own research. The PubMed literature search focused on two concepts-"COVID-19″ and "exit strategy"-and was limited to peer-reviewed papers published between 2020 and 2024 in English., Results: A total of 31 articles were included in the final review. Analyses showed that existing studies on COVID-19 exit strategies often focused on using the modelling method to gauge one exit strategy. Exit strategies were often discussed in the context of implementing, easing, or lifting specific pharmaceutical or non-pharmaceutical interventions. Staged and country-wide coordinated exit strategies were also discussed in the literature, both of which were often deemed as comparatively rigorous options compared to single or stand-alone exit strategies. Drawing on the overall development of COVID-19 and our own research, we presented and discussed the importance of having multiple exit strategies that are considerate of all possible pandemic trajectories, diverse interests of the public, and the communication challenges officials might face in introducing or implementing pandemic policies., Conclusion: This paper underscored the importance of having multiple exit strategies for societies to prepare for pandemics. The insights of this study can help inform health policies so that they can more comprehensively and compassionately protect the needs and wants of the "public" in public health, particularly in grave times like COVID-19., Competing Interests: Declaration of Competing Interest The authors have no conflict of interest to declare., (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
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- 2024
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3. Where is the money? Insights into China's post-COVID healthcare corruption-busting campaign.
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Su Z, Bentley BL, Yu X, Jiang J, Liu Y, McDonnell D, Cheshmehzangi A, da Veiga CP, and Xiang YT
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- Humans, China epidemiology, SARS-CoV-2, Delivery of Health Care economics, Pandemics, COVID-19 epidemiology
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- 2024
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4. Where should "Humans" be in "One Health"? Lessons from COVID-19 for One Health.
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Su Z, McDonnell D, Cheshmehzangi A, Bentley BL, Šegalo S, da Veiga CP, and Xiang YT
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- Humans, Global Health, Public Health, COVID-19 prevention & control, One Health
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The culling of animals that are infected, or suspected to be infected, with COVID-19 has fuelled outcry. What might have contributed to the ongoing debates and discussions about animal rights protection amid global health crises is the lack of a unified understanding and internationally agreed-upon definition of "One Health". The term One Health is often utilised to describe the imperative to protect the health of humans, animals, and plants, along with the overarching ecosystem in an increasingly connected and globalized world. However, to date, there is a dearth of research on how to balance public health decisions that could impact all key stakeholders under the umbrella of One Health, particularly in contexts where human suffering has been immense. To shed light on the issue, this paper discusses whether One Health means "human-centred connected health" in a largely human-dominated planet, particularly amid crises like COVID-19. The insights of this study could help policymakers make more informed decisions that could effectively and efficiently protect human health while balancing the health and well-being of the rest of the inhabitants of our shared planet Earth., (© 2024. The Author(s).)
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- 2024
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5. "Blank papers" speak volumes: A call for mental healthcare reforms in China post-COVID.
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Su Z, Bentley BL, McDonnell D, Cheshmehzangi A, da Veiga CP, Nie JB, and Xiang YT
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- Humans, Health Care Reform, China, COVID-19, Mental Health Services, Psychiatry
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Competing Interests: Competing interest The authors declare that they have no competing interests.
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- 2023
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6. Disaster preparedness in healthcare professionals amid COVID-19 and beyond: A systematic review of randomized controlled trials.
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Su Z, McDonnell D, Ahmad J, and Cheshmehzangi A
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- Humans, Randomized Controlled Trials as Topic, Health Personnel, Delivery of Health Care, COVID-19, Disasters
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Background: Disasters like COVID-19 are oftentimes inevitable, which makes disaster preparedness indispensable to global health and social stability. However, there is a dearth of understanding of how well healthcare professionals, who often have to work at the epicenter of disasters as they evolve, are trained to be sufficiently prepared for these crises. To this end, this study aims to examine the characteristics and effectiveness of existing interventions that aim to improve healthcare professionals' disaster preparedness., Methods: We searched RCTs that aim to improve healthcare professionals' disaster preparedness in databases including PubMed, PsycINFO, CINAHL and Scopus. Results were screened against the eligibility criteria. The review was registered with PROSPERO (CRD42020192517) and conducted following the PRISMA guidelines., Results: A total of 7382 articles were screened for eligibility, among which, 27 RCTs, incorporating 35,145, met the inclusion criteria. Review results show that most of the eligible RCTs were conducted in high-income countries. Only two RCTs were developed in disaster contexts that share similarities with COVID-19. Most of the interventions did not address critical disaster coping abilities, such as how can healthcare professionals protect or improve their personal or the general public's mental health amid pandemics. Furthermore, almost half of the disaster preparedness RCTs failed to generate statistically significant outcomes., Conclusions: Albeit inevitable, disasters are preventable. Our study results underscore the imperative of designing and developing effective and comprehensive interventions that could boost healthcare professionals' disaster preparedness, so that these frontline workers can better protect personal and public health amid global crises like COVID-19., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 Elsevier Ltd. All rights reserved.)
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- 2023
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7. It was the best of times, it was the worst of times: a tale of two cities-Beijing and Shanghai-why the divergent COVID-19 control outcomes?
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Su Z, Cheshmehzangi A, McDonnell D, Bentley BL, Ahmad J, Šegalo S, da Veiga CP, and Xiang YT
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- Humans, Beijing, Cities epidemiology, SARS-CoV-2, China epidemiology, COVID-19
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Coronavirus disease 2019 (COVID-19) both creates and complicates public health challenges. Yet, the pandemic also provides a unique lens for dissecting complex issues in global health that could benefit society in the long run. In this article, we discuss the underlying reasons that can help explain the divergent COVID-19 control outcomes between Beijing and Shanghai-two advanced metropolises that are similar in their municipal capacity, administrative capability and pandemic strategy. We hope insights from this investigation contribute to the development of disease prevention systems, such as context-specific and data-driven public health strategies that could yield optimal pandemic control outcomes with minimal unintended consequences, both amid and beyond COVID-19., (© The Author(s) 2022. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
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- 2023
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8. Experiences of undergraduate nursing students who worked clinically during the COVID-19 pandemic.
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Dempsey L, Gaffney L, Bracken S, Tully A, Corcoran O, McDonnell-Naughton M, Sweeney L, and McDonnell D
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- Humans, Pandemics, Learning, Students, Nursing psychology, Education, Nursing, Baccalaureate, COVID-19
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Aim: This study explored the experiences of undergraduate nursing students who worked clinically during the COVID-19 pandemic in Irish healthcare settings., Design: A qualitative descriptive approach was employed., Methods: Online focus group interviews were used to collect data from general nursing students (N = 47) between February and April 2021. Data were analysed using thematic analysis., Results: Descriptive thematic analysis of the data revealed five themes; changes in care delivery, changes in communication and relationships with the patient, an emotionally charged work atmosphere, coping strategies during the pandemic and student learning specific to COVID-19. Challenges such as an increased workload, fear of contracting the virus and taking on novel and additional roles were revealed. Students remained undeterred, and despite the many challenges faced, they largely viewed their experiences as a source of personal and professional growth, and benefitted from the learning opportunities afforded to them., (© 2022 The Authors. Nursing Open published by John Wiley & Sons Ltd.)
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- 2023
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9. Post-pandemic policy imperatives to stem violence against women in China.
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Su Z, Bentley BL, Cheshmehzangi A, McDonnell D, Ahmad J, Šegalo S, Chen H, da Veiga CP, and Xiang YT
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- Female, Humans, Pandemics prevention & control, Violence, Crime, Policy, COVID-19 prevention & control, Domestic Violence prevention & control
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Violence against women is rampant in China. Even though meaningful strides have been made in the country, it remains disturbingly common for men to assault women-verbally or physically, who may or may not be their partners-in broad daylight in China. To make the situation worse, COVID-19, along with its restrictions, has both undermined women's ability to escape from abuse or violence and society's ability to provide timely help to victims. In light of the rising violence against women post-COVID, in this paper, we discuss the policy imperatives for countries like China to establish effective guardrails and support systems to protect women from the dehumanizing and destabilizing crime that is violence against women-a social malaise that not only harms and undermines the safety of society's daughters, mothers, and grandmothers, but also the integrity of local communities and social contract, let along shared humanity and global solidarity at large., Competing Interests: Declaration of Competing Interest The authors have no competing interests to declare., (Copyright © 2022 Elsevier Inc. All rights reserved.)
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- 2023
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10. Technology-based interventions for health challenges older women face amid COVID-19: a systematic review protocol.
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Su Z, Cheshmehzangi A, Bentley BL, McDonnell D, Šegalo S, Ahmad J, Chen H, Terjesen LA, Lopez E, Wagers S, Shi F, Abbas J, Wang C, Cai Y, Xiang YT, and da Veiga CP
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- Female, Humans, Aged, Aged, 80 and over, Quality of Life, Communicable Disease Control, Pandemics prevention & control, Technology, Systematic Reviews as Topic, COVID-19 epidemiology
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Background: Pandemics, such as COVID-19, are dangerous and socially disruptive. Though no one is immune to COVID-19, older persons often bear the brunt of its consequences. This is particularly true for older women, as they often face more pronounced health challenges relative to other segments in society, including complex care needs, insufficient care provisions, mental illness, neglect, and increased domestic abuse. To further compound the situation, because protective measures like lockdowns can result in unintended consequences, many health services older women depend on can become disrupted or discontinued amid pandemics. While technology-based interventions have the potential to provide near-time, location-free, and virtually accessible care, there is a dearth of systematic insights into this mode of care in the literature. To bridge the research gaps, this investigation aims to examine the characteristics and effectiveness of technology-based interventions that could address health challenges older women face amid COVID-19., Methods: A systematic review of randomized trials reporting on technology-based interventions for older women (≥65 years) during COVID-19 will be conducted. The databases of Web of Science, ScienceDirect, PubMed/MEDLINE, PsycINFO, CINAHL, and Scopus will be searched. Retrieved citations will be screened independently by at least two reviewers against the eligibility criteria. Included studies will be assessed using the Cochrane ROB-2 tool. Data will be extracted independently by the reviewers. Where possible, meta-analyses will be performed on relevant study outcomes and analysed via odds ratios on the dichotomized outcomes. Where applicable, heterogeneity will be measured using the Cochrane Q test, and publication bias will be assessed via funnel plots and Egger's regression test., Discussion: Technology has the potential to transform healthcare for the better. To help society better safeguard vulnerable populations' health and quality of life, this investigation sets out to gauge the state-of-the-art development of technology-based interventions tailored to the health challenges older women face amid COVID-19. In light of the growing prevalence of population ageing and the inevitability of infectious disease outbreaks, greater research efforts are needed to ensure the timely inception and effective implementation of technology-based health solutions for vulnerable populations like older women, amid public health crises like COVID-19 and beyond., Systematic Review Registration: PROSPERO CRD42020194003., (© 2022. The Author(s).)
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- 2022
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11. Facial recognition law in China.
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Su Z, Cheshmehzangi A, McDonnell D, Bentley BL, da Veiga CP, and Xiang YT
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- Humans, Pandemics, Privacy, China epidemiology, COVID-19, Facial Recognition
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Although the prevalence of facial recognition-based COVID-19 surveillance tools and techniques, China does not have a facial recognition law to protect its residents' facial data. Oftentimes, neither the public nor the government knows where people's facial images are stored, how they have been used, who might use or misuse them, and to what extent. This reality is alarming, particularly factoring in the wide range of unintended consequences already caused by good-intentioned measures and mandates amid the pandemic. Biometric data are matters of personal rights and national security. In light of worrisome technologies such as deep-fake pornography, the protection of biometric data is also central to the protection of the dignity of the citizens and the government, if not the industry as well. This paper discusses the urgent need for the Chinese government to establish rigorous and timely facial recognition laws to protect the public's privacy, security, and dignity amid COVID-19 and beyond., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2022
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12. Crisis communication strategies for health officials.
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Su Z, Zhang H, McDonnell D, Ahmad J, Cheshmehzangi A, and Yuan C
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- Humans, Evidence Gaps, Communication, COVID-19 epidemiology
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Background: Mixed messaging among health officials are prevalent amid COVID-19. Crisis communication strategies have the potential to help health officials effectively address issues such as mixed messages and improve their crisis communication efficacy. However, there is a dearth of insights in the literature. Therefore, to bridge the research gap, this study aims to examine practical strategies health officials can utilize to improve their crisis communication efficacy., Methods: A literature review on effective crisis communication strategies amid COVID-19 was conducted in PubMed, Scopus, and PsycINFO, with a focus on scholarly literature published in English., Results: The findings of the study identified the following strategies that health officials can utilize to improve their crisis communication capabilities: (1) develop fact-based, transparent, and accountable messaging, (2) utilize people-centered and empathetic persuasive strategies, and (3) leverage international collaboration for consistent messaging and comprehensive crisis communication., Conclusion: COVID-19 has challenged health officials with unprecedented crisis communication duties and responsibilities. In this study, we underscored the importance of effective crisis communication amid global health emergencies like COVID-19, and identified communication strategies health officials could adopt or adapt to improve their crisis communication efficacy. Future research could explore strategies health officials can use to better communicate with government officials and media professionals to further help health officials improve their crisis communication capabilities, their abilities to avoid preventable miscommunication or mixed messaging, and in turn, society's collective strengthen in curbing and controlling the pandemic., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Su, Zhang, McDonnell, Ahmad, Cheshmehzangi and Yuan.)
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- 2022
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13. A call to ban the sale of tobacco products.
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Su Z, McDonnell D, Cheshmehzangi A, Ahmad J, Šegalo S, and da Veiga CP
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- Humans, Pandemics, Smoking epidemiology, Commerce, COVID-19 epidemiology, Tobacco Products
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Tobacco is both toxic and addictive. Mounting evidence shows that tobacco use has a detrimental impact on almost every aspect of human health, causing or worsening deadly public health crises from the cancer epidemic to the COVID-19 pandemic. However, while tobacco use is a threat to both personal and public health, it continues to surge across the world, especially in China and other low- and middle-income countries. To this end, this article argues in favor of using a ban on the sale of all tobacco products as a practical solution to the global tobacco use epidemic. It is our hope that insights provided by our work will inspire swift policy actions in countries such as China and beyond to curb the tide of rising tobacco consumption, so that populations around the world could be better shielded from the pervasive and long-lasting damage that tobacco products cause or compound., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Su, McDonnell, Cheshmehzangi, Ahmad, Šegalo and da Veiga.)
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- 2022
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14. The Advantages of the Zero-COVID-19 Strategy.
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Su Z, Cheshmehzangi A, McDonnell D, Ahmad J, Šegalo S, Xiang YT, and da Veiga CP
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- COVID-19 Vaccines, Humans, Pandemics prevention & control, Public Health, Post-Acute COVID-19 Syndrome, COVID-19 complications, COVID-19 epidemiology, COVID-19 prevention & control
- Abstract
Introduction : To curb the COVID-19 pandemic, countries across the globe have adopted either a mitigation or anelimination policy, such as the zero-COVID-19 strategy. However, further research is needed to systematically investigate the advantages of the zero-COVID-19 strategy in the literature. To bridge the research gap, this study examines the zero-COVID-19 strategy in terms of its advantages as a global anti-pandemic framework. Methods : A literature review was conducted in PubMed, PsycINFO, and Scopus to locate academic articles that discussed the advantages of the zero-COVID-19 strategy. Braun and Clarke's thematic analysis approach was adopted to guide the data analysis process. Results : The findings of our study show that the advantages of the zero-COVID-19 strategy range from short-term (e.g., limited virus infections, hospitalizations, and deaths), to medium-term (e.g., reduced presence of other infectious diseases), and long-term (e.g., low incidence of long COVID-19). While local residents mainly leverage these advantages, they also impact the global community (e.g., stable global supply of essentials, such as COVID-19 vaccines). Conclusions : COVID-19 is catastrophic, yet controllable. Our study examined the advantages of the zero-COVID-19 strategy from a nuanced perspective and discussed how these advantages benefit both the local and the global community in pandemic control and management. Future studies could investigate the shortcomings of the zero-COVID-19 strategy, especially its unintended consequences, such as adverse impacts on vulnerable populations' mental health, so that society could more efficiently, economically, and empathetically capitalize on the potential of the zero-COVID-19 strategy for the betterment of personal and public health.
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- 2022
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15. Public health crises and Ukrainian refugees.
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Su Z, McDonnell D, Cheshmehzangi A, Ahmad J, Šegalo S, Pereira da Veiga C, and Xiang YT
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- Ethnicity, Humans, Public Health, COVID-19, Communicable Diseases epidemiology, Refugees
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Conflicts are inevitable, and so are refugees. Due to conflicts in Ukraine, the global refugee population has reached new highs. As people continue to flee Ukraine amid the ongoing pandemic in droves, their exposure to COVID-19 and infectious diseases that are common among the refugee population, such as tuberculosis, is on the rise as well. Also factoring in the fact that Ukraine has a large population living with communicable diseases like HIV and hepatitis C, along with other non-communicable conditions like diabetes and cancer, there is a pronounced need to protect these refugees and local residents from potential public health crises. In this paper, we investigate the challenges that health and government officials face in addressing refugees' health needs and preferences. Furthermore, we discuss the imperative to provide timely and effective health services to refugees, such as psychoneuroimmunology-based interventions that could help address refugees' multifactorial and multifaceted health needs and requirements. While conflicts are inevitable, public health crises are not. In light of the renewed imperative to safeguard shared humanity and solidify global solidarity, collaborative actions are needed to ensure fair, kind, and true public health environments are available to refugees of the current conflict and beyond., (Copyright © 2022 Elsevier Inc. All rights reserved.)
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- 2022
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16. 6G and Artificial Intelligence Technologies for Dementia Care: Literature Review and Practical Analysis.
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Su Z, Bentley BL, McDonnell D, Ahmad J, He J, Shi F, Takeuchi K, Cheshmehzangi A, and da Veiga CP
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- Artificial Intelligence, Humans, Quality of Life, Technology, COVID-19, Dementia psychology, Dementia therapy
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Background: The dementia epidemic is progressing fast. As the world's older population keeps skyrocketing, the traditional incompetent, time-consuming, and laborious interventions are becoming increasingly insufficient to address dementia patients' health care needs. This is particularly true amid COVID-19. Instead, efficient, cost-effective, and technology-based strategies, such as sixth-generation communication solutions (6G) and artificial intelligence (AI)-empowered health solutions, might be the key to successfully managing the dementia epidemic until a cure becomes available. However, while 6G and AI technologies hold great promise, no research has examined how 6G and AI applications can effectively and efficiently address dementia patients' health care needs and improve their quality of life., Objective: This study aims to investigate ways in which 6G and AI technologies could elevate dementia care to address this study gap., Methods: A literature review was conducted in databases such as PubMed, Scopus, and PsycINFO. The search focused on three themes: dementia, 6G, and AI technologies. The initial search was conducted on April 25, 2021, complemented by relevant articles identified via a follow-up search on November 11, 2021, and Google Scholar alerts., Results: The findings of the study were analyzed in terms of the interplay between people with dementia's unique health challenges and the promising capabilities of health technologies, with in-depth and comprehensive analyses of advanced technology-based solutions that could address key dementia care needs, ranging from impairments in memory (eg, Egocentric Live 4D Perception), speech (eg, Project Relate), motor (eg, Avatar Robot Café), cognitive (eg, Affectiva), to social interactions (eg, social robots)., Conclusions: To live is to grow old. Yet dementia is neither a proper way to live nor a natural aging process. By identifying advanced health solutions powered by 6G and AI opportunities, our study sheds light on the imperative of leveraging the potential of advanced technologies to elevate dementia patients' will to live, enrich their daily activities, and help them engage in societies across shapes and forms., (©Zhaohui Su, Barry L Bentley, Dean McDonnell, Junaid Ahmad, Jiguang He, Feng Shi, Kazuaki Takeuchi, Ali Cheshmehzangi, Claudimar Pereira da Veiga. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 27.04.2022.)
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- 2022
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17. Technology-Based Mental Health Interventions for Domestic Violence Victims Amid COVID-19.
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Su Z, Cheshmehzangi A, McDonnell D, Chen H, Ahmad J, Šegalo S, and da Veiga CP
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- Humans, Mental Health, Pandemics, Technology, COVID-19 epidemiology, Domestic Violence
- Abstract
Introduction: Domestic violence is a threat to human dignity and public health. Mounting evidence shows that domestic violence erodes personal and public health, spawning issues such as lifelong mental health challenges. To further compound the situation, COVID-19 and societies' poor response to the pandemic have not only worsened the domestic violence crisis but also disrupted mental health services for domestic violence victims. While technology-based health solutions can overcome physical constraints posed by the pandemic and offer timely support to address domestic violence victims' mental health issues, there is a dearth of research in the literature. To bridge the research gap, in this study, we aim to examine technology-based mental health solutions for domestic violence victims amid COVID-19., Methods: A literature review was conducted to examine solutions that domestic violence victims can utilize to safeguard and improve their mental health amid COVID-19. Databases including PubMed, PsycINFO, and Scopus were utilized for the literature search. The search was focused on four themes: domestic violence, mental health, technology-based interventions, and COVID-19. A reverse search of pertinent references was conducted in Google Scholar. The social ecological model was utilized to systematically structure the review findings., Results: The findings show that a wide array of technology-based solutions has been proposed to address mental health challenges faced by domestic violence victims amid COVID-19. However, none of these proposals is based on empirical evidence amid COVID-19. In terms of social and ecological levels of influence, most of the interventions were developed on the individual level, as opposed to the community level or social level, effectively placing the healthcare responsibility on the victims rather than government and health officials. Furthermore, most of the articles failed to address risks associated with utilizing technology-based interventions (e.g., privacy issues) or navigating the online environment (e.g., cyberstalking)., Conclusion: Overall, our findings highlight the need for greater research endeavors on the research topic. Although technology-based interventions have great potential in resolving domestic violence victims' mental health issues, risks associated with these health solutions should be comprehensively acknowledged and addressed.
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- 2022
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18. The need for a disaster readiness mindset: A key lesson from the coronavirus disease 2019 (COVID-19) pandemic.
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Su Z, McDonnell D, and Ahmad J
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- Humans, Pandemics prevention & control, SARS-CoV-2, COVID-19, Disaster Planning
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- 2022
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19. Mind the "Vaccine Fatigue".
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Su Z, Cheshmehzangi A, McDonnell D, da Veiga CP, and Xiang YT
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- COVID-19 Vaccines adverse effects, Fatigue, Humans, Vaccination adverse effects, COVID-19 prevention & control, Vaccines adverse effects
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Background: Omicron scares and speculations are gaining momentum. Amid the nonstop debates and discussions about COVID-19 vaccines, the "vaccine fatigue" phenomenon may become more prevalent. However, to date, no research has systematically examined factors that shape people's vaccine fatigue. To bridge the research gap, this study aims to investigate the antecedents that cause or catalyze people's vaccine fatigue., Methods: A narrative literature review was conducted in PubMed, Scopus, and PsycINFO to identify factors that shape people's vaccine fatigue. The search was completed on December 6, 2021, with a focus on scholarly literature published in English., Results: A total of 37 articles were reviewed and analyzed. Vaccine fatigue was most frequently discussed in the context of infectious diseases in general at the pre-vaccination stage. Vaccine fatigue has been identified in the general public, the parents, and the doctors. Overall, a wide range of antecedents to vaccine fatigue has been identified, ranging from the frequency of immunization demands, vaccine side effects, misconceptions about the severity of the diseases and the need for vaccination, to lack of trust in the government and the media., Conclusion: Vaccine fatigue is people's inertia or inaction towards vaccine information or instruction due to perceived burden and burnout. Our study found that while some contributors to vaccine fatigue are rooted in limitations of vaccine sciences and therefore can hardly be avoided, effective and empathetic vaccine communications hold great promise in eliminating preventable vaccine fatigue across sectors in society., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Su, Cheshmehzangi, McDonnell, da Veiga and Xiang.)
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- 2022
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20. What "Family Affair?" Domestic Violence Awareness in China.
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Su Z, McDonnell D, Cheshmehzangi A, Ahmad J, Chen H, Šegalo S, and Cai Y
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- China epidemiology, Female, Humans, Public Health, COVID-19, Domestic Violence prevention & control
- Abstract
Introduction: Domestic violence is toxic to society. With approximately one in three women on average falling victim to domestic violence, systematic solutions are needed. To further complicate the issue, mounting research shows that COVID-19 has further exacerbated domestic violence across the world. Situations could be even more pronounced in countries like China, where though domestic violence is prevalent, there is a dearth of research, such as intervention studies, to address the issue. This study investigates key barriers to domestic violence research development in China, with a close focus on salient cultural influences., Methods: A review of the literature on domestic violence in China in PubMed, PsycINFO, and Scopus was conducted to answer the research question. The search was focused on three themes, domestic violence, China, research, and cultural influences., Results: The study findings show that categorizing domestic violence as a "family affair" is a key barrier to domestic violence research development in China-an incremental hindrance that prevents the public and policymakers from understanding the full scale and scope of domestic violence in China. In addition to abusers, witnesses, and victims, even law enforcement in China often dismisses domestic violence crimes as "family affairs" that resides outside the reach and realm of the law. The results indicated that mistreating domestic violence crimes as "family affairs" is a vital manifestation of the deep-rooted cultural influences in China, ranging from traditional Confucian beliefs in social harmony to the assumed social norms of not interfering with other people's businesses., Conclusion: Domestic violence corrupts public health and social stability. Our study found that dismissing domestic violence cases as "family affairs" is an incremental reason why China's domestic violence research is scarce and awareness is low. In light of the government's voiced support for women's rights, we call for the Chinese government to develop effective interventions to timely and effectively address the domestic violence epidemic in China., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Su, McDonnell, Cheshmehzangi, Ahmad, Chen, Šegalo and Cai.)
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- 2022
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21. Mind the "worry fatigue" amid Omicron scares.
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Su Z, McDonnell D, Ahmad J, Cheshmehzangi A, and Xiang YT
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- Fatigue, Humans, Pandemics prevention & control, SARS-CoV-2, COVID-19
- Abstract
In addition to worry, the accumulated unknowns and uncertainties about COVID-19 may also result in "worry fatigue" that could harm the public's vigilance towards the pandemic and their adherence to preventive measures. Worry could be understood as future-oriented concerns and challenges that could result in negative outcomes, whereas worry fatigue is the feeling of extreme burden and burnout associated with too much worry unsolved. As the world embraces its second COVID-19 winter, along with the pandemic-compromised holiday season, the Omicron variant has been declared a variant of concern by the World Health Organization. However, the fluid and unpredictable nature of COVID-19 variants dictates that, instead of definitive answers that could ease people's worry about Omicron, dividing debates and distracting discussions that could further exacerbate people's worry fatigue might be the norm in the coming months. This means that, amid the ever-changing public health guidance, the forever-breaking news reports, and the always-debatable media analyses, government and health officials need to be more invested in addressing people's potential worry and worry fatigue about the pandemic, to ensure the public's rigorous cooperation and compliance with safety measures., (Copyright © 2021 Elsevier Inc. All rights reserved.)
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- 2022
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22. Gender inequality and health disparity amid COVID-19.
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Su Z, Cheshmehzangi A, McDonnell D, Šegalo S, Ahmad J, and Bennett B
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- Domestic Violence prevention & control, Female, Humans, Public Policy, Unemployment, COVID-19, Health Status Disparities, Sexism, Women's Rights
- Abstract
Gender inequalities could lead to grave human and economic consequences, especially amid global health crises of the coronavirus 2019's (COVID-19) scale. The COVID-19 pandemic exacerbated gender inequalities women face and introduced new challenges that are unprecedented to society at large. Adverse effects of COVID-19, compounded by unintended consequences caused by public health policies such as lockdowns (e.g., delayed or canceled health services), have forced women to face issues ranging from COVID-19 infections and deaths, prolonged unemployment, to unparalleled scale and severity of domestic violence. However, though women face a canopy of debilitating challenges, there is a shortage of research that examines health solutions that can mitigate, if not offset, challenges women experience amid COVID-19. In this paper, we aim to shed light on why timely solutions are needed to mitigate gender inequalities and health disparities women face amid COVID-19 promptly. Furthermore, we underscore the imperative for cost-effective interventions that could shed light on the current health crisis and future pandemics., (Copyright © 2021. Published by Elsevier Inc.)
- Published
- 2022
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23. Technology-based interventions for nursing home residents: a systematic review protocol.
- Author
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Su Z, Meyer K, Li Y, McDonnell D, Joseph NM, Li X, Du Y, Advani S, Cheshmehzangi A, Ahmad J, da Veiga CP, Chung RY, Wang J, and Hao X
- Subjects
- Health Promotion, Humans, Nursing Homes, Research Design, SARS-CoV-2, Systematic Reviews as Topic, Technology, COVID-19, Quality of Life
- Abstract
Introduction: A growing number of technology-based interventions are used to support the health and quality of life of nursing home residents. The onset of COVID-19 and recommended social distancing policies that followed led to an increased interest in technology-based solutions to provide healthcare and promote health. Yet, there are no comprehensive resources on technology-based healthcare solutions that describe their efficacy for nursing home residents. This systematic review will identify technology-based interventions designed for nursing home residents and describe the characteristics and effects of these interventions concerning the distinctive traits of nursing home residents and nursing facilities. Additionally, this paper will present practical insights into the varying intervention approaches that can assist in the delivery of broad digital health solutions for nursing home residents amid and beyond the impact of COVID-19., Methods and Analysis: Databases including the PubMed, PsycINFO, CINAHL and Scopus will be used to identify articles related to technology-based interventions for nursing home residents published between 1 January 2010 to 30 September 2021. Titles, abstracts and full-text papers will be reviewed against the eligibility criteria. The Cochrane Collaboration evaluation framework will be adopted to examine the risk of bias of the included study. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses procedures will be followed for the reporting process and implications for existing interventions and research evaluated by a multidisciplinary research team., Ethics and Dissemination: As the study is a protocol for a systematic review, ethical approval is not required. The study findings will be disseminated via peer-reviewed publications and conference presentations., Trial Registration Number: CRD 42020191880., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2021
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24. Why is COVID-19 more deadly to nursing home residents?
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Su Z, McDonnell D, and Li Y
- Subjects
- Aged, Humans, Independent Living, Nursing Homes, Risk Factors, SARS-CoV-2, COVID-19
- Abstract
COVID-19 is deadly to older adults, with research showing that being older and having underlying chronic diseases are significant risk factors for COVID-19 related deaths. However, though similarities exist between both nursing home residents and older community-dwelling people, nursing home residents are substantially more vulnerable to COVID-19. A closer review of both demographic groups provides clarity concerning the difference within the context of COVID-19. Therefore, to address the research gap, drawing insights from Maslow's hierarchy of needs model, this article aims to examine similarities and differences in COVID-19 risk factors experienced by nursing home residents and community-dwelling older people., (© The Author(s) 2021. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
- Published
- 2021
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25. With Great Hopes Come Great Expectations: Access and Adoption Issues Associated With COVID-19 Vaccines.
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Su Z, McDonnell D, Cheshmehzangi A, Li X, Maestro D, Šegalo S, Ahmad J, and Hao X
- Subjects
- COVID-19 epidemiology, COVID-19 Vaccines adverse effects, Hope, Humans, Motivation, Vaccination statistics & numerical data, COVID-19 prevention & control, COVID-19 Vaccines administration & dosage, Health Services Accessibility statistics & numerical data, Pandemics prevention & control, Vaccination psychology
- Abstract
Although COVID-19 vaccines are becoming increasingly available, their ability to effectively control and contain the spread of the COVID-19 pandemic is highly contingent on an array of factors. This paper discusses how limitations to vaccine accessibility, issues associated with vaccine side effects, concerns regarding vaccine efficacy, along with the persistent prevalence of vaccine hesitancy among the public, including health care professionals, might impact the potential of COVID-19 vaccines to curb the pandemic. We draw insights from the literature to identify practical solutions that could boost people's adoption of COVID-19 vaccines and their accessibility. We conclude with a discussion on health experts' and government officials' moral and ethical responsibilities to the public, even in light of the urgency to adopt and endorse "the greatest amount of good for the greatest number" utilitarian philosophy in controlling and managing the spread of COVID-19., (©Zhaohui Su, Dean McDonnell, Ali Cheshmehzangi, Xiaoshan Li, Daniel Maestro, Sabina Šegalo, Junaid Ahmad, Xiaoning Hao. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org), 04.08.2021.)
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- 2021
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26. Mental health solutions for domestic violence victims amid COVID-19: a review of the literature.
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Su Z, McDonnell D, Roth S, Li Q, Šegalo S, Shi F, and Wagers S
- Subjects
- Humans, Mental Disorders epidemiology, Randomized Controlled Trials as Topic, COVID-19 epidemiology, Crime Victims psychology, Domestic Violence psychology, Mental Disorders therapy
- Abstract
Background: Due to COVID-19, domestic violence victims face a range of mental health challenges, possibly resulting in substantial human and economic consequences. However, there is a lack of mental health interventions tailored to domestic violence victims and in the context of COVID-19. In this study, we aim to identify interventions that can improve domestic violence victims' mental health amid the COVID-19 pandemic to address the research gap., Main Text: Drawing insights from established COVID-19 review frameworks and a comprehensive review of PubMed literature, we obtained information on interventions that can address domestic violence victims' mental health challenges amid COVID-19. We identified practical and timely solutions that can be utilized to address mental health challenges domestic violence victims face amid COVID-19, mainly focusing on (1) decreasing victims' exposure to the abuser and (2) increasing victims' access to mental health services., Conclusion: Domestic violence is a public health crisis that affects all demographics and could result in significant morbidity and mortality. In addition to emphasizing mental health challenges faced by domestic violence victims, multidisciplinary interventions are identified that could provide timely and practical solutions to domestic violence victims amid the pandemic, which range from tailored shelter home strategies, education programs, escape plans, laws and regulations, as well as more technology-based mental health solutions. There is a significant need for more multipronged and multidisciplinary strategies to address domestic violence amid and beyond the pandemic, particularly interventions that could capitalize on the ubiquity and cost-effectiveness of technology-based solutions.
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- 2021
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27. The promise and perils of Unit 731 data to advance COVID-19 research.
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Su Z, McDonnell D, Cheshmehzangi A, Abbas J, Li X, and Cai Y
- Subjects
- Biological Warfare ethics, Humans, Japan, Morals, SARS-CoV-2, COVID-19, Human Experimentation ethics, Human Rights Abuses ethics, Nontherapeutic Human Experimentation ethics
- Abstract
Competing Interests: Competing interests: None declared.
- Published
- 2021
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28. Mental health consequences of COVID-19 media coverage: the need for effective crisis communication practices.
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Su Z, McDonnell D, Wen J, Kozak M, Abbas J, Šegalo S, Li X, Ahmad J, Cheshmehzangi A, Cai Y, Yang L, and Xiang YT
- Subjects
- Consumer Health Information standards, Health Communication standards, Humans, Mass Media standards, Pandemics, SARS-CoV-2, Social Media standards, COVID-19 epidemiology, Consumer Health Information methods, Health Communication methods, Mental Health statistics & numerical data
- Abstract
During global pandemics, such as coronavirus disease 2019 (COVID-19), crisis communication is indispensable in dispelling fears, uncertainty, and unifying individuals worldwide in a collective fight against health threats. Inadequate crisis communication can bring dire personal and economic consequences. Mounting research shows that seemingly endless newsfeeds related to COVID-19 infection and death rates could considerably increase the risk of mental health problems. Unfortunately, media reports that include infodemics regarding the influence of COVID-19 on mental health may be a source of the adverse psychological effects on individuals. Owing partially to insufficient crisis communication practices, media and news organizations across the globe have played minimal roles in battling COVID-19 infodemics. Common refrains include raging QAnon conspiracies, a false and misleading "Chinese virus" narrative, and the use of disinfectants to "cure" COVID-19. With the potential to deteriorate mental health, infodemics fueled by a kaleidoscopic range of misinformation can be dangerous. Unfortunately, there is a shortage of research on how to improve crisis communication across media and news organization channels. This paper identifies ways that legacy media reports on COVID-19 and how social media-based infodemics can result in mental health concerns. This paper discusses possible crisis communication solutions that media and news organizations can adopt to mitigate the negative influences of COVID-19 related news on mental health. Emphasizing the need for global media entities to forge a fact-based, person-centered, and collaborative response to COVID-19 reporting, this paper encourages media resources to focus on the core issue of how to slow or stop COVID-19 transmission effectively.
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- 2021
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29. Time to stop the use of 'Wuhan virus', 'China virus' or 'Chinese virus' across the scientific community.
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Su Z, McDonnell D, Ahmad J, Cheshmehzangi A, Li X, Meyer K, Cai Y, Yang L, and Xiang YT
- Subjects
- China epidemiology, Humans, SARS-CoV-2, COVID-19
- Abstract
Competing Interests: Competing interests: None declared.
- Published
- 2020
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30. 6G and artificial intelligence technologies for dementia care:literature review and practical analysis
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Su, Z. (Zhaohui), Bentley, B. L. (Barry L.), McDonnell, D. (Dean), Ahmad, J. (Junaid), He, J. (Jiguang), Shi, F. (Feng), Takeuchi, K. (Kazuaki), Cheshmehzangi, A. (Ali), and da Veiga, C. P. (Claudimar Pereira)
- Subjects
digital health ,COVID-19 ,first-perspective health solutions ,artificial intelligence ,6G ,dementia - Abstract
Background: The dementia epidemic is progressing fast. As the world’s older population keeps skyrocketing, the traditional incompetent, time-consuming, and laborious interventions are becoming increasingly insufficient to address dementia patients’ health care needs. This is particularly true amid COVID-19. Instead, efficient, cost-effective, and technology-based strategies, such as sixth-generation communication solutions (6G) and artificial intelligence (AI)-empowered health solutions, might be the key to successfully managing the dementia epidemic until a cure becomes available. However, while 6G and AI technologies hold great promise, no research has examined how 6G and AI applications can effectively and efficiently address dementia patients’ health care needs and improve their quality of life. Objective: This study aims to investigate ways in which 6G and AI technologies could elevate dementia care to address this study gap. Methods: A literature review was conducted in databases such as PubMed, Scopus, and PsycINFO. The search focused on three themes: dementia, 6G, and AI technologies. The initial search was conducted on April 25, 2021, complemented by relevant articles identified via a follow-up search on November 11, 2021, and Google Scholar alerts. Results: The findings of the study were analyzed in terms of the interplay between people with dementia’s unique health challenges and the promising capabilities of health technologies, with in-depth and comprehensive analyses of advanced technology-based solutions that could address key dementia care needs, ranging from impairments in memory (eg, Egocentric Live 4D Perception), speech (eg, Project Relate), motor (eg, Avatar Robot Café), cognitive (eg, Affectiva), to social interactions (eg, social robots). Conclusions: To live is to grow old. Yet dementia is neither a proper way to live nor a natural aging process. By identifying advanced health solutions powered by 6G and AI opportunities, our study sheds light on the imperative of leveraging the potential of advanced technologies to elevate dementia patients’ will to live, enrich their daily activities, and help them engage in societies across shapes and forms.
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- 2022
31. Addressing biodisaster X threats with artificial intelligence and 6G technologies:literature review and critical insights
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Su, Z. (Zhaohui), McDonnell, D. (Dean), Bentley, B. L. (Barry L.), He, J. (Jiguang), Shi, F. (Feng), Cheshmehzangi, A. (Ali), Ahmad, J. (Junaid), and Jia, P. (Peng)
- Subjects
biosurveillance ,bioterrorism ,disease X ,COVID-19 ,biosafety ,sixth-generation technologies ,biodisaster X ,artificial intelligence ,biodisasters ,6G ,biotechnology - Abstract
Background: With advances in science and technology, biotechnology is becoming more accessible to people of all demographics. These advances inevitably hold the promise to improve personal and population well-being and welfare substantially. It is paradoxical that while greater access to biotechnology on a population level has many advantages, it may also increase the likelihood and frequency of biodisasters due to accidental or malicious use. Similar to “Disease X” (describing unknown naturally emerging pathogenic diseases with a pandemic potential), we term this unknown risk from biotechnologies “Biodisaster X.” To date, no studies have examined the potential role of information technologies in preventing and mitigating Biodisaster X. Objective: This study aimed to explore (1) what Biodisaster X might entail and (2) solutions that use artificial intelligence (AI) and emerging 6G technologies to help monitor and manage Biodisaster X threats. Methods: A review of the literature on applying AI and 6G technologies for monitoring and managing biodisasters was conducted on PubMed, using articles published from database inception through to November 16, 2020. Results: Our findings show that Biodisaster X has the potential to upend lives and livelihoods and destroy economies, essentially posing a looming risk for civilizations worldwide. To shed light on Biodisaster X threats, we detailed effective AI and 6G-enabled strategies, ranging from natural language processing to deep learning–based image analysis to address issues ranging from early Biodisaster X detection (eg, identification of suspicious behaviors), remote design and development of pharmaceuticals (eg, treatment development), and public health interventions (eg, reactive shelter-at-home mandate enforcement), as well as disaster recovery (eg, sentiment analysis of social media posts to shed light on the public’s feelings and readiness for recovery building). Conclusions: Biodisaster X is a looming but avoidable catastrophe. Considering the potential human and economic consequences Biodisaster X could cause, actions that can effectively monitor and manage Biodisaster X threats must be taken promptly and proactively. Rather than solely depending on overstretched professional attention of health experts and government officials, it is perhaps more cost-effective and practical to deploy technology-based solutions to prevent and control Biodisaster X threats. This study discusses what Biodisaster X could entail and emphasizes the importance of monitoring and managing Biodisaster X threats by AI techniques and 6G technologies. Future studies could explore how the convergence of AI and 6G systems may further advance the preparedness for high-impact, less likely events beyond Biodisaster X.
- Published
- 2021
32. It was the best of times, it was the worst of times: a tale of two cities—Beijing and Shanghai—why the divergent COVID-19 control outcomes?
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Su, Z, Cheshmehzangi, A, McDonnell, D, Bentley, B L, Ahmad, J, Šegalo, S, Veiga, C P da, and Xiang, Y -T
- Subjects
COVID-19 pandemic ,COVID-19 ,PREVENTIVE medicine - Abstract
Coronavirus disease 2019 (COVID-19) both creates and complicates public health challenges. Yet, the pandemic also provides a unique lens for dissecting complex issues in global health that could benefit society in the long run. In this article, we discuss the underlying reasons that can help explain the divergent COVID-19 control outcomes between Beijing and Shanghai—two advanced metropolises that are similar in their municipal capacity, administrative capability and pandemic strategy. We hope insights from this investigation contribute to the development of disease prevention systems, such as context-specific and data-driven public health strategies that could yield optimal pandemic control outcomes with minimal unintended consequences, both amid and beyond COVID-19. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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33. Why is COVID-19 more deadly to nursing home residents?
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Su, Z, McDonnell, D, and Li, Y
- Subjects
NURSING home residents ,COVID-19 ,OLDER people - Abstract
COVID-19 is deadly to older adults, with research showing that being older and having underlying chronic diseases are significant risk factors for COVID-19 related deaths. However, though similarities exist between both nursing home residents and older community-dwelling people, nursing home residents are substantially more vulnerable to COVID-19. A closer review of both demographic groups provides clarity concerning the difference within the context of COVID-19. Therefore, to address the research gap, drawing insights from Maslow's hierarchy of needs model, this article aims to examine similarities and differences in COVID-19 risk factors experienced by nursing home residents and community-dwelling older people. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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34. Erratum to: Why is COVID-19 more deadly to nursing home residents?
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Su, Z, McDonnell, D, and Li, Y
- Subjects
- *
NURSING home patients , *COVID-19 - Published
- 2022
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