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This paper works towards a social geography of eating disorders through the lens of the coronavirus pandemic in the UK. Through an empirical engagement with experience-centred knowledge, I couple nine in-depth interviews with autoethnographic material, drawing out the spatial (real and virtual) and temporal (habit, routine, anticipation, non-linearity) dimensions of eating disorder experience, management and recovery; highlighting principally how pandemic lockdown conditions intensified space-time, mind/body and social relations across various micro-domestic and macro-governmental scales. I engage 'lightly' with Foucauldian concepts of disciplinary and biopolitical power to draw out broad-brush themes around matters of containment, control and surveillance; taking feminist inspiration to think through Foucault critically as I explore a nexus of gendered pandemic power relations. In doing so, I contribute towards new feminist understandings of the disciplinary gaze, emphasizing the ongoingness of surveillance through both physical body-checking and what I term psychological 'guising'. Through such (in)voluntary disordered bodily practices, and an engagement with the feminist mind/body dualism, I emphasize the complexity of EDs as embodied mental illnesses, further complicating feminist understandings of control. I close by discussing the ethical-methodological importance of 'empathy' while emphasizing the overall imperative of critical qualitative inquiry for socio-cultural geographies and beyond. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic affected the lives of older adults. Yet, little is known about changes in well-being among older adults during the pandemic, especially when COVID-19 measures were relaxed. Therefore, we aimed to assess changes in the well-being of older adults during multiple turning points of the pandemic. This longitudinal study included data from Dutch older adults (≥65 years old) participating in the Lifelines COVID-19 cohort. Data consisted of seven questionnaires, administered every 2–4 months between May 2020 and October 2021. The outcomes were quality of life (n  = 14 682), physical fitness (n  = 14 761), and feelings of isolation (n  = 14 611), all graded on a scale from 0 to 10. Changes in well-being were analysed by multivariable linear mixed-effects models. The context of measures was described using the Government Stringency Index. Quality of life and feelings of isolation decreased when measures were tightened and increased when measures were relaxed. For example, when measures relaxed after the first lockdown in May 2020, quality of life increased by 0.23 [95% confidence interval (CI): 0.16–0.29] towards July 2020. Physical fitness decreased by 0.26 [95% CI: 0.15–0.37] during the study period. Differences between subsamples were not found, except for sex in feelings of isolation, which differences diminished after a period of relaxed measures. Changes in quality of life and feelings of isolation improved after periods of stringent COVID-19 measures. Physical fitness did not improve after measures were relaxed, suggesting a possible negative effect of the pandemic on the physical fitness of older adults. [ABSTRACT FROM AUTHOR]

Background The coronavirus disease 2019 (COVID-19) pandemic impacted cancer services worldwide. We examined the effect of the first three pandemic waves on the number of electronic (e)-referrals to rapid access clinics (RACs) for breast, lung and prostate cancer in Ireland. Methods This study used a retrospective, repeated cross-sectional design. The predicted weekly number of e-referrals by suspected cancer types from March 2020 to May 2021 was calculated using the Holt-Winters seasonal smoothing method, based on the observed numbers from a representative pre-pandemic period (01 January 2019 to 01 March 2020) and compared this with the observed number across the first three pandemic waves (02 March 2020 to 09 May 2021). Percentage differences were calculated between observed and predicted numbers of e-referrals for the three RACs and patterns were examined in each wave. Results Observed e-referrals were lower than predicted for all three RACs in the first wave of the pandemic (15.7% lower for breast, 39.5% lower for lung and 28.1% lower for prostate) with varying levels of recovery in the second and third waves for the three e-referral types. Conclusions The COVID-19 pandemic impacted patterns of e-referrals to RACs in the first three pandemic waves in Ireland. Early identification of changes in engagement with health services, such as a decrease in primary care presentations with a resultant decrease in e-referrals to RACs can allow for a rapid response from cancer control programmes. Continued surveillance of the impact of service disruption on cancer services allows policy makers and strategic leaders in cancer control programmes to respond rapidly to mitigate the impact on cancer outcomes. [ABSTRACT FROM AUTHOR]

Teachers are returning to schools during the COVID-19 pandemic under the weight of unprecedented stressors to engage a student body that has also experienced stress and trauma. In this study, we examined how confident 454 teachers (55% Black) from 41 charter schools in New Orleans, Louisiana, were in their ability to address students' social-emotional needs upon their return to school. Results showed that Black teachers were more likely to report a greater sense of efficacy in addressing students' needs. Both Black and White teachers identified the top three resources needed to assist students: mental health supports, trainings, and in-class resources. [ABSTRACT FROM AUTHOR]

Objective Cystic Fibrosis Foundation guidelines recommend annual diabetes screening by oral glucose tolerance test (OGTT) in pediatric patients with cystic fibrosis (CF) starting at the age of 10 years. Adherence to these guidelines proves to be challenging, and the nationwide screening rates are still considered suboptimal. The aim of this study was to assess and improve the screening rates at our large pediatric center. Methods A 4-year retrospective audit of OGTT completion among pediatric patients with CF of age ≥10 years who are not yet diagnosed with diabetes was conducted. A collaborative working group was formed to identify the barriers to screening and formulate a quality improvement plan, which was monitored and evaluated for a 9-month period. Results Diabetes screening rates determined by OGTT completion at our center showed a gradual decline during the COVID-19 pandemic from 2019 to 2022. Following the implementation of the quality improvement plan during the summer of 2023, there was a marked increase in OGTT ordering compliance by providers as well as test completion by patients. Notably, the fractional OGTT completion rate rose from 45% during the preintervention phase (January-April 2023) to 70% during the postintervention phase (May-September 2023). Conclusion Diabetes screening in pediatric patients with CF can be effectively improved by refining practices related to patient experience, care coordination, and laboratory testing strategies. [ABSTRACT FROM AUTHOR]

Background The COVID-19 pandemic has resulted in great incertitude and overwhelming changes in healthcare that have had a direct impact on antibiotic prescription. However, the influence of this pandemic on antibiotic consumption in patients undergoing surgery has not yet been analysed. The goal of this study was to analyse antimicrobial consumption and prescription in the same period of 2019 (pre-COVID-19), 2020 (beginning of the COVID-19 pandemic) and 2021 (established COVID-19) according to the DDD system in surgical patients at a tertiary-level hospital. Methods A prospectively maintained database was analysed. All patients who underwent elective or emergency gastrointestinal surgery during the same period (2019, 2020 and 2021) were included. Those who received at least 1 of the 10 most frequently prescribed antimicrobials during those periods were analysed. Results A total of 2975 patients were included in this study. In 2020, the number of procedures performed decreased significantly (653 versus 1154 and 1168 in 2020 versus 2019 and 2021, respectively; P  = 0.005). Of all patients who underwent surgery during these periods, 45.08% received at least one of the antimicrobials studied (45.8% in 2020 versus 22.9% and 22.97% in 2019 and 2021, respectively; P  = 0.005). Of these, 22.97% of the patients received a combination of these antimicrobials, with ceftriaxone/metronidazole being the most frequent. Hepato-Pancreato-Biliary and Liver Transplant, Emergency Surgery and Colorectal Surgery units had higher antibiotic consumption. Conclusions The COVID-19 pandemic has resulted in a significant decrease in surgical activity and higher post-operative antimicrobial prescription compared with previous and subsequent years. [ABSTRACT FROM AUTHOR]

Introduction During the coronavirus disease of 2019 (COVID-19) pandemic, routine childhood immunization rates dropped dramatically across the world, and the Military Health System (MHS) was no exception. In the MHS, which is a large, universally covered, low-to-no-cost health system, the immunization rates with the measles, mumps, and rubella (MMR) vaccine remain below the rate necessary to prevent community transmission of measles. We aimed to improve childhood immunization rates in the MHS with an expansive quality improvement project. Materials and Methods Measles, mumps, and rubella immunization rates served as proxy outcome measures for routine immunization rates tracked by the Center for Disease Control multi-immunization combination measures. The tracked measure was the percentage of 16- to 18-month olds and 6-year olds who had received MMR #1 and MMR #2, respectively. Various countermeasures were implemented throughout the study period, and standard quality improvement analyses informed the effect of countermeasures. Results By January 2023, the percentage of 16- to 18-month olds and 6-year olds who had received MMR #1 and MMR #2 was 85% and 91%, respectively, with no positive shift in immunization rates despite various countermeasures introduced during the study period. For reference, the MMR immunization rates of commercial health maintenance organization and commercial preferred provider organization for 24-month-old populations were 92% and 90.3%, respectively. On chart review, the most common cause for under-immunization (55%) was vaccine abandonment. MMR #1 rates rose to 92% in 24-month olds. Conclusions Measles, mumps, and rubella immunization rates within the MHS remained below commercial health system rates and below public health standards required for herd immunity despite various countermeasures throughout the COVID-19 pandemic. Immunization rates increased with age, suggesting that children within the MHS eventually catch up despite potential barriers. [ABSTRACT FROM AUTHOR]

Introduction The COVID-19 pandemic profoundly affected the health and well-being of people globally. Some studies suggest individuals with overweight or obesity may have been more adversely impacted by pandemic restrictions. Additionally, military personnel may have been more vulnerable to stress during the pandemic because of job demands (e.g. work in close quarters). Our research group was conducting a randomized clinical trial of a weight management intervention in active duty military personnel with overweight or obesity when the COVID-19 pandemic struck. Thus, we collected additional pandemic-related data from participants enrolled during the COVID-19 pandemic and conducted exploratory analyses to understand how the pandemic affected their stress levels and perceived abilities to engage in health behaviors like exercise and healthy eating. The aims of this exploratory study were to: (1) assess associations between pandemic-related stress and health behaviors with body fat percentage (BF%) and psychological and physical health, and (2) explore how pandemic-related stress and health behaviors affected BF% during and after the intervention. Materials and Methods A total of 29 active duty Navy personnel (55% female, 69% White) were enrolled after the onset of pandemic restrictions and completed measures assessing pandemic-related stress and health behaviors as well as measures of general psychological and physical health before the intervention. BF% was collected at 5 timepoints, including baseline, during, and following the intervention. Bivariate correlations assessed associations at baseline. Linearmixed-effects longitudinal models explored how pandemic-related stress and health behaviors affected BF%. Post-hoc analyses evaluated the effects of pandemic factors on BF% at each timepoint. Results Most participants perceived of the pandemic as increasing stress and detracting from their abilities to engage in health behaviors (i.e. exercise and healthy eating). Higher pandemic stress was significantly associated with reporting exercise and healthy eating as more difficult, worse overall health, and more anxiety and general stress. Reporting exercise as harder during the pandemic also was associated with more psychological distress at baseline. A linearmixed- effects model controlling for age, sex, and number of intervention sessions attended revealed endorsing "exercise as harder" was associated with higher BF%. Post-hoc regression analyses revealed rating "exercise as harder" significantly predicted higher BF% 3 months post-intervention (B = 0.65, P  = .01), whereas pandemic stress was not significantly associated with higher BF% at 3 month (B =0.14, P  = .08) or 6 month (B = 0.21, P  = .09) follow-up. Conclusions As expected, most participants perceived of the pandemic as heightening stress and interfering with engagement in health behaviors. It is possible that pandemic-related stress may have exacerbated weight gain-promoting behaviors and/or interfered with achievement of desired weight management outcomes. Outside the context of the pandemic, it may be beneficial for healthcare providers to screen individuals for stress and perceptions of ease of engagement in health behaviors before enrollment in a weight management intervention. Further, tailoring interventions to mitigate stress and promote perceptions of ease in engaging in health behaviors may promote better weight management outcomes. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic disrupted the daily life and routines of Americans across the United States (U.S.), including those of our active-duty service members (ADSMs). Limited movement orders enacted during this time to promote social distancing prohibited access to fitness and dining facilities for ADSMs. This study aims to expand on previous work identifying changes in body mass index (BMI) among U.S. Army service members by identifying changes in body mass index (BMI) among active-duty service members from both the Navy and Marine Corps during the same time period. Methods: We conducted a retrospective cohort study of active-duty service members from the Navy and Marine Corps using data from the Military Health System Data Repository. BMI was calculated and categorized according to CDC guidelines both before (February 2019 - January 2020) and during the pandemic (September 2020 - June 2021). Women who were pregnant or delivered during and one year prior to the study periods were excluded. Statistical analyses included paired t-tests evaluating mean BMI, percent change, and the Stuart-Maxwell test for marginal homogeneity. Results: We identified 98,330 active-duty Sailors and 55,298 active-duty Marines for inclusion in this study. During the pandemic period the percentage of Sailors with Underweight decreased by 11%, Healthy weight decreased by 11.1%, Overweight increased by 2.1%, and the percentage of Sailors with Obesity increased by 16.5%. During this same time period, Marines with Underweight decreased by 1%, Healthy weight decreased by 16%, Overweight increased by 3.0%, and Marines with Obesity increased by 51%. The largest increases in service members with overweight and obesity observed among both cohorts were among female service members, service members under age 20, and service members with a Junior Enlisted rank. Conclusions: Significant increases in obesity were observed amongst active-duty United States Navy and Marine Corps service members during DoD pandemic mitigation efforts. Increased rates of obesity likely effected fitness and force readiness. Future interventions should be targeted at younger, Junior-Enlisted Marines and Sailors to promote healthy lifestyles and provide education on nutrition, appropriate exercise, sleep hygiene, and stress management. [ABSTRACT FROM AUTHOR]

This article discusses a study on the impact of the COVID-19 pandemic on surgical rates in different population groups in Ontario, Canada. The study found that surgery rates decreased significantly for all subgroups during the pandemic, but by 2023, most subgroups had returned to pre-pandemic levels except for immigrants and recent migrants who continued to have lower rates. The findings suggest a need for policy interventions to ensure equitable access to surgery for marginalized populations during the pandemic recovery. Further research is needed to understand the causes of disparities in surgical access and develop policies to address them. [Extracted from the article]

With state-wide quarantine policies during the COVID-19 pandemic like those implemented in the state of Texas, intimate partner violence (IPV) shelter staff were forced to incorporate new safety measures to keep survivors and advocates safe. To understand the impact of these adaptations fully, authors interviewed shelter staff and residents to capture both of their experiences living and working in the same shelter during the height of the coronavirus pandemic (summer 2020) to understand how changes in policy and procedure in shelters impacted survivors and advocates. A qualitative phenomenological design was utilized to collect and analyze data from 10 staff and 10 survivors to develop both a textual and a structural description of participant experiences living in an IPV shelter. The current study captured the survivors' and advocates' perspectives related to the 1) vacillating views of shelter social distancing and quarantine policies, 2) shelter occupancy and staffing unpredictability, 3) the broader challenges related to environmental stressors and 4) mobility challenges. Results of this study highlight factors related to interpersonal relationships within the shelter and structural factors of shelter which contributed to stress for participants. The coronavirus is continuing to present challenges for shelters. Implications can be drawn from provider and client experiences that can inform policies and procedures for future health crises, including the need to mitigate environmental stress and transportation challenges, as well as considerations for maintaining social support should social distancing be necessary in future epidemics. [ABSTRACT FROM AUTHOR]

This study investigates the link between tourist flows to and from China and the COVID-19 death rate. This includes the moderating influence of the quality of health security in the underlying relationship. Bilateral tourist flows data to and from China to 152 countries are used for the empirical analysis. The results show that tourist flows to and from China are associated with a higher COVID-19 death rate. This suggests that international tourism flow is one of the major conduits for the transmission of COVID-19 across borders, especially at the initial stage of the pandemic. Furthermore, the results show that countries with stronger health security capabilities are better at reducing COVID-19 death rates even when they attract a higher number of tourist inflows from China or when they register a higher number of tourist flows to China. Governments, especially in countries that are more globally connected through international tourism, should consider using some share of the economic stimulus funds to enhance health capabilities to deal with the COVID-19 pandemic as well as potential future pandemics. [ABSTRACT FROM AUTHOR]

AbstractThe COVID-19 pandemic focused the world’s attention on the gross relative health risks, inequities and injustices experienced by first responders, of whom front-line, hospital-based nurses may be the most vulnerable. A series of research syntheses prior to the pandemic estimated that such front-line nurses were at approximately two-fold greater risk of experiencing mental health challenges such as increased symptoms (and diagnoses) of anxiety, depression and PTSD than were nursing administrators or otherwise similar, people in the general population. Aiming to clarify how the pandemic impacted such mental health risks, we conducted a rapid review and meta-analysis of observational studies from the worldwide published and gray research literature. Twelve longitudinal studies that covered the pandemic’s pre-vaccination phase were included. The overall pooled increased relative risk of mental health challenges among frontline, hospital-based nurses from pre-pandemic to the pre-vaccination phase of the COVID-19 pandemic was 2.62 (95% CI 2.10, 3.27). But sensitivity and moderator analyses accounting for research design limitations better estimated two-fold increased risks (relative risks ranged from 1.69 to 2.00). Already at elevated risk of experiencing symptoms of anxiety, depression and PTSD and so, such increased symptoms and diagnoses among front-line, hospital-based nurses probably doubled during the early, pre-vaccination phase of the pandemic, perhaps quadrupling among women. Implications for nursing practice, health care policy, future pandemic preparedness as well as future research are discussed. [ABSTRACT FROM AUTHOR]

The period of the coronavirus pandemic (SARS-CoV-2), which hit Poland in early March 2020, has become a great challenge for the whole education sector. The limitations in the functioning of schools, imposed on all teachers, including RE teachers, created the immediate need to adapt to new conditions and start remote teaching. Some of these teachers have never worked in such a way before, have not used information and communication technology, and possessed no or only elementary digital competences. Therefore, the author of the article attempts to seek answers to the following questions: To what extent could RE teachers count on methodological help of those responsible for RE teaching in individual dioceses during the pandemic and has the need to use digital didactics in distance teaching of Religious Education been recognized? The author present the context of her research, formulate the research problem and indicate its relevance and originality, which is based on presenting the issues of remote teaching from the perspective of methodological support for teachers of RE given by the Catholic Church in Poland, then describe the results of a critical analysis of materials for RE teachers published on-line during the pandemic and give conclusions. [ABSTRACT FROM AUTHOR]

Until recently, the recognition to the European Union of the capacity to borrow from capital markets for spending purposes was considered almost inconceivable without a treaty amendment. When borrowing for spending was authorized under the Next Generation EU program to support the recovery of member states from the unprecedented consequences of the coronavirus, it was immediately faced with the suspicion that the pandemic was being used as a pretext to promote the creation of a fiscal and transfer union by the back door in violation of the principle of conferral. In its NGEU judgment, the German Federal Constitutional Court concluded that the authorization to borrow under the program could not be considered ultra vires. However, the ambiguous and controversial reasoning of the Constitutional Court gives rise to uncertainty as to whether the funding and financing model introduced by the recovery program could be used again in the future, beyond the exceptional circumstances of the pandemic. At the same time, it appears that, in this case, the Constitutional Court applied a considerably more restrained version of its ultra vires review compared to its recent case law on the asset purchase programs of the European Central Bank. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic caused widespread disruptions in cancer care. We hypothesized that the greatest disruptions in diagnosis occurred in screen-detected cancers. We identified patients (≥18 years of age) with newly diagnosed cancer from 2019 to 2020 in the US National Cancer Database and calculated the change in proportion of early-stage to late-stage cancers using a weighted linear regression. Disruptions in early-stage diagnosis were greater than in late-stage diagnosis (17% vs 12.5%). Melanoma demonstrated the greatest relative decrease in early-stage vs late-stage diagnosis (22.9% vs 9.2%), whereas the decrease was similar for pancreatic cancer. Compared with breast cancer, cervical, melanoma, prostate, colorectal, and lung cancers showed the greatest disruptions in early-stage diagnosis. Uninsured patients experienced greater disruptions than privately insured patients. Disruptions in cancer diagnosis in 2020 had a larger impact on early-stage disease, particularly screen-detected cancers. Our study supports emerging evidence that primary care visits may play a critical role in early melanoma detection. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Medicina y Cine / Journal of Medicine & Movies is the property of Ediciones Universidad de Salamanca 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.)

Introduction The U.S. Air Force's Intercontinental Ballistic Missile (ICBM) force stands ready to launch weapons 365 days per year. Since its inception, missileers vigilantly operate launch consoles on a 3-day cycle: minimum 24-hour alert-shift/24-hour travel-admin/24-hour off, leading to concerns that health, morale, and alertness are chronically impacted. In 2020, a Missileer Occupational Health Assessment (OHA) revealed 76% of respondents struggle with being rested for duty and 29% of respondents never feel adequately rested for duty. Later that year, 20th Air Force initiated long-duration operations to safeguard from the SARS CoV-2 (COVID-19) Pandemic, resulting in increased operations tempo, and exacerbating crew fatigue. 341st Operations Group and 341st Medical Group at Malmstrom Air Force Base enacted interventions to mitigate crew fatigue and support continued readiness during pandemic operations. They recorded, analyzed, and compiled findings in this report, including recommendations for long-term ICBM operations at Missile Wings. Materials and Methods All participants were Nuclear and Missile Operations Officers, or missileers, were continuously evaluated with qualitative and quantitative measures to ensure safety of the force during a period of unprecedented change. Interventions implemented and evaluated during the 9-month period included: environmental modifications, scheduling changes, and crew education on fatigue management, nutrition, anticipatory sleep preparation, and fitness. Most notably, the 341st Operations Group examined various 3-person and 4-person shift-length and alert duration schedules. Psychomotor vigilance testing results validated safety of operators and delta between pre- and post-shift measurements. Crew force readiness trends were analyzed for force-health awareness. Pre- and post-OHA results were compared for subjective changes. Fatigue and health-related outcomes were collected from a safety monitoring effort during standard and COVID-19 operations at 341st Missile Wing. Results Findings from qualitative and quantitative data indicate the optimal schedule is a 3-week cycle: 7-day alert/7-day recovery/7-day training-administrative utilizing 4-member or 3-member crews for low tempo operations. Crews experimented with shift-lengths of 24hrs-on/24hrs-off, 16hrs-on/8hrs-off, and 12hrs-on/12hrs-off. Maximum safe alert duration is 7 days due to task fatigue onset between 8 and 10 days. Short and long duration Duties Not to Include Flight (DNIF) (also known as Duties Not to Include Alert (DNIA) among missileers) rates decreased from the first to last month of the period by 74.6% and 79.2%, respectively. The number of alerts missed per month decreased 86% from baseline. The 2021 OHA found a 7% decline in members seeking separation, and absence of sleep, fatigue, and physical or mental health as missileer concerns. Conclusions This analysis has identified a sustainable alert rotation of 7/7/7 with emphasis on protected recovery and training time and has been continued after concluding pandemic operations, creating consistent schedule stability where there once was none. If executed properly, this alert rotation, regardless of shift-length selected, has potential to improve trust between crews and leadership, provides adequate recovery time between alerts to maintain health, and improves wellness, family stability, morale, unit cohesion, and crew force retention. Notably, all Air Force Global Strike Missile Operations Groups adjusted scheduling practices to align with these findings. [ABSTRACT FROM AUTHOR]

Background: Routine vaccination coverage in Latin America and the Caribbean declined prior to and during the coronavirus pandemic. We assessed the pandemic's impact on national coverage levels and analyzed whether financial and inequality indicators, immunization policies, and pandemic policies were associated with changes in national and regional coverage levels. Methodology: We compared first- and third-dose coverage of diphtheria–pertussis–tetanus-containing vaccine (DTPcv) with predicted coverages using time series forecast modeling for 39 LAC countries and territories. Data were from the PAHO/WHO/UNICEF Joint Reporting Form. A secondary analysis of factors hypothesized to affect coverages during the pandemic was also performed. Results: In total, 31 of 39 countries and territories (79%) had greater-than-predicted declines in DTPcv1 and DTPcv3 coverage during the pandemic, with 9 and 12 of these, respectively, falling outside the 95% confidence interval. Within-country income inequality (i.e., Gini coefficient) was associated with significant declines in DTPcv1 coverage, and cross-country income inequality was associated with declines in DTPcv1 and DTPcv3 coverages. Observed absolute and relative inequality gaps in DTPcv1 and DTPcv3 coverage between extreme country quintiles of income inequality (i.e., Q1 vs. Q5) were accentuated in 2021, as compared with the 2019 observed and 2021 predicted values. We also observed a trend between school closures and greater-than-predicted declines in DTPcv3 coverage that approached statistical significance (p = 0.06). Conclusion: The pandemic exposed vaccination inequities in LAC and significantly impacted coverage levels in many countries. New strategies are needed to reattain high coverage levels. [ABSTRACT FROM AUTHOR]

Coronavirus disease 2019 (COVID-19) has affected daily activities since December 2019. Burn injuries to head and neck can result in cosmetic and functional deformities. The purpose of this study was to characterize patients with burns to head and neck during the pandemic. This cross-sectional study reviewed patients in Burn Care Quality Platform Registry. Patients were included if they were aged 18 years or older and sustained burns to head and neck. Patients were stratified according to the date of injury into 1) March 13 to September 13, 2019 (ie, before COVID-19 pandemic, BC19) or 2) March 13 to September 13, 2020. March 13, 2020 was chosen because 1) COVID-19 was announced as a national emergency on that date and 2) it was the last day of in-person schools in the state of Georgia. Data collection included patient demographics, admission details, burn details, and hospital-related variables. During the study period, 157 patients had burns to head and neck (BC19, 70; C19, 71). Our data showed a 375% increase in March following the announcement of the pandemic (BC19, 4; C19,19). Admissions from another facility were statistically more than in the C19 group (P ≤.0001). For the C19 group, there were 53% more admissions from the emergency department than the BC19 group (P  = .001). Additionally, in the BC19 group, patients presented with concomitant inhalation injuries significantly more than the C19 group (P  = .04). In conclusion, the total number of burns is the same during BC19 and C19; however, there was a significant spike in the number of cases in March 2020. [ABSTRACT FROM AUTHOR]

Assessing the psychological needs of students and employees as they return to campus is crucial to resuming University life in a safe and secure way. The current research aimed to explore how safety concerns, anticipatory worry, and mitigation efforts affected the well-being of individuals within a campus community. A five-part survey was distributed via student & employee listservs in the Fall 2020 at a midsize private university in the Mid-Atlantic Mid-Atlantic United States. Participants were surveyed about sources of worry regarding Covid-19, levels of anticipatory worry, amenability to various mitigation strategies and whether intended implementation of safety mitigation measures impacted worry levels. Data collected from 559 students and employees indicated a relationship between source of worry and level of distress, with the greatest source of worry being fear of getting sick. Anticipatory worry after thinking about safety mechanisms was significantly lower than anticipated worry before thinking about safety mechanisms. No differences were found between students and employee experiences of worry, and there was no moderating effect of role on the difference between anticipated worry after, as compared to before, thinking about the mechanisms. Findings highlight how different sources of concern related to Covid-19 are associated with varying levels of distress, the significant impact that the presence of mitigation strategies can have on reducing overall levels of anticipatory worry, and the universality of distress associated with Covid-19. [ABSTRACT FROM AUTHOR]

This study aimed to uncover challenges faced by students transitioning from field training to virtual training due to primary school closures amid the COVID-19 pandemic. It also sought to explore the emotions of female students during virtual training and their satisfaction levels. Employing a narrative design within the qualitative method, the researcher conducted semi-structured interviews, including individual written interviews and focus groups. Thematic analysis was used to analyze the results. The study included 28 firstsemester students in the academic year 2021, with 12 participating in individual written interviews and 7 in the focus group. The results revealed numerous challenges stemming from the transition, such as the closure of primary schools, hindering access to specialized teachers, and the difficulty in finding suitable substitutes for teaching children with learning difficulties. Additionally, there was a notable inability to obtain authorization to teach children with learning difficulties remotely. [ABSTRACT FROM AUTHOR]

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Copyright of Motif Academy Journal of Folklore is the property of Motif Yayincilik 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 With growing emphasis on palliative care for neurodegenerative conditions, understanding trends in place of death helps improve quality of end-of-life care for people with Parkinson's disease and related disorders (PDRDs), focusing allocation of resources and training and identifying inequalities. Objectives Review national and regional place of death trends for people with PDRD including pre- and post-pandemic trends. Methods Mortality data for England and Wales (March 2018 and July 2022) were analysed with summary statistics and interrupted time series, exploring place of death for those who died with PDRD, with and without coexisting dementia, with reference to all deaths in England and Wales. Results Of 2,415,566 adult deaths, 56,790 included mention of PDRD. Hospital deaths were most common in people with PDRD (39.17%), followed by care homes (38.84%). People with PDRD were half as likely to die in hospice compared with the general population (2.03 vs 4.94%). Proportion of care home deaths fell significantly after March 2020 (40.6–37%, P  = 0.035). Regionally, London was an outlier with a lower proportion of deaths occurring in care homes with a higher proportion of hospital deaths. Conclusion Place of death for people with PDRD is changing, with more hospice and home deaths. People with PDRD, particularly those with co-existent dementia, are less likely to access inpatient hospice care than the general population. Since the COVID-19 pandemic, the proportion of care home deaths has reduced significantly with an increase in home deaths, with implications for service and resource allocation. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has caused a significant disruption in the social lives and mental health of people across the world. This study aims to asses the effect of using internet search volume data. We categorize the widely searched keywords on the internet in several categories, which are relevant in analyzing the public mental health status. Corresponding to each category of keywords, we conduct an appropriate statistical analysis to identify significant changes in the search pattern during the course of the pandemic. Binary segmentation method of changepoint detection, along with the combination of ARMA-GARCH models are utilized in this analysis. It helps us detect how people's behavior changed in phases and whether the severity of the pandemic brought forth those shifts in behaviors. Interestingly, we find that rather than the severity of the outbreak, the long duration of the pandemic has affected the public health status more. The phases, however, align well with the so-called COVID-19 waves and are consistent for different aspects of social and mental health. We further observe that the results are typically similar for different states as well. [ABSTRACT FROM AUTHOR]

This study uses a qualitative research mixed methods design to explore the Coronavirus pandemic's uncertainty effect on mature board governance practices and a board decision processes framework within 16 large Australian financial services entities. Findings provide support for two effects. Firstly, the Coronavirus pandemic had led to a hesitation effect on the board members on-going journey of developing a conscious sense of 'self' and awareness. Secondly, the skills and diversity of personalities of directors comprising the board has a positive impact on the effectiveness and success of strategic decisions. The ongoing ambiguity impact of the Coronavirus pandemic on effective board decision-making processes was investigated. The board members expressed confidence in the Australian financial services sector's ability to overcome the global Coronavirus pandemic's temporary uncertainty impact on board decision processes frameworks. Future research may extend the focus to senior executives' or owners' EI personality traits to investigate the relationship between such individual's or teams' traits and ongoing effective board decision-making processes during uncertainty in either developing or developed countries or a cross-cultural study. [ABSTRACT FROM AUTHOR]

The novel coronavirus outbreak has significantly heightened environmental costs and operational challenges for civil aviation airlines, prompting emergency airport closures in affected regions and a substantial decline in ridership. The consequential need to reassess, delay, or cancel flight itineraries has led to disruptions at airports, amplifying the risk of disease transmission. In response, this paper proposes a spatial approach to efficiently address pandemic spread in the civil aviation network. The methodology prioritizes the use of a static gravity model for calculating route-specific infection pressures, enabling strategic flight rescheduling to control infection levels at airports (nodes) and among airlines (edges). Temporally, this study considers intervals between takeoffs and landings to minimize crowd gatherings, mitigating the novel coronavirus transmission rate. By constructing a discrete space–time network for irregular flights, this research generates a viable set of routes for aircraft operating in special circumstances, minimizing both route-specific infection pressures and operational costs for airlines. Remarkably, the introduced method demonstrates substantial savings, reaching almost 53.4%, compared to traditional plans. This showcases its efficacy in optimizing responses to pandemic-induced disruptions within the civil aviation network, offering a comprehensive solution that balances operational efficiency and public health considerations in the face of unprecedented challenges. [ABSTRACT FROM AUTHOR]

Some students may struggle to understand the contents of courses with intensive conceptual content and problem-solving, especially when the courses are offered online. Offering courses online may present challenges such as technological issues, time management, and a lack of interaction with instructors. This paper investigates the effect of using educational videos and recorded lectures on students enrolled learning and performance. A questionnaire survey was conducted among students in the "Engineering Economics" course at an international institution for pre-engineering students before they chose their specialization. The survey was conducted during the Fall 2021 semester (before the coronavirus pandemic) and the "Spring 2022" semester (during the pandemic). The performance of students during the "Spring 2022" semester was compared with their performance during the "Fall 2021" semester, when students relied solely on face-to-face lectures. During the "Spring 2022" semester, educational videos and recorded lectures were made available to students. Analysis results revealed that students had a positive perception towards the use of educational videos and recorded lectures. Students' feedback regarding watching videos and recorded lectures was quite positive and enhanced their performance in the course. A generic VBA framework was developed to suggest educational videos and recorded lectures relevant to selected course topics. An initial pilot test of this tool received very positive feedback from students. [ABSTRACT FROM AUTHOR]

The coronavirus disease 2019 (COVID‐19) pandemic led to health care disruptions and declines in cancer diagnoses in the United States. However, the impact of the pandemic on cancer incidence rates by stage at diagnosis and race and ethnicity is unknown. This cross‐sectional study calculated delay‐ and age‐adjusted incidence rates, stratified by stage at diagnosis and race and ethnicity, and rate ratios (RRs) comparing changes in year‐over‐year incidence rates (eg, 2020 vs 2019) from 2016 to 2020 for 22 cancer types based on data obtained from the Surveillance, Epidemiology, and End Results 22‐registry database. From 2019 to 2020, the incidence of local‐stage disease statistically significantly declined for 19 of the 22 cancer types, ranging from 4% (RR = 0.96; 95%CI, 0.93‐0.98) for urinary bladder cancer to 18% for colorectal (RR = 0.82; 95%CI, 0.81‐0.84) and laryngeal (RR = 0.82; 95%CI, 0.78‐0.88) cancers, deviating from pre‐COVID stable year‐over‐year changes. Incidence during the corresponding period also declined for 16 cancer types for regional‐stage and six cancer types for distant‐stage disease. By race and ethnicity, the decline in local‐stage incidence for screening‐detectable cancers was generally greater in historically marginalized populations. The decline in cancer incidence rates during the first year of the COVID‐19 pandemic occurred mainly for local‐ and regional‐stage diseases across racial and ethnic groups. Whether these declines will lead to increases in advanced‐stage disease and mortality rates remain to be investigated with additional data years. Nevertheless, the findings reinforce the importance of strengthening the return to preventive care campaigns and outreach for detecting cancers at early and more treatable stages. [ABSTRACT FROM AUTHOR]

Background The COVID-19 pandemic has had a profound global impact on health-care systems and patient outcomes. However, the specific effects of the pandemic on cancer incidence rates in the United States during its initial year remain unknown. Methods In this study, we analyzed data from the Surveillance, Epidemiology, and End Results–22 registries, which encompass approximately 50% of the US population. We investigated changes in monthly incidence rates stratified by various factors, including cancer type, stage, age group, sex, race and ethnicity, socioeconomic status, rural-urban status, and registry locations. We compared the incidence rates observed during the pandemic with those from the previous year. Results Our findings revealed a decline in incidence rates for all cancer sites combined starting in March 2020, coinciding with the implementation of stay-at-home orders. This decline reached its lowest point in April 2020 and persisted at a lower level until May 2020. Notably, compared with April 2019, the incidence rates in April 2020 dropped by 48.1% and did not consistently return to prepandemic levels. The reduction in cancer rates was more pronounced in urban and affluent counties. Across all cancer types, there was a statistically significant decrease in incidence rates during the pandemic, with the largest declines observed in thyroid (71.2%), prostate (57.9%), breast (54.9%), and colon and rectum cancers (54.1%). Furthermore, these decreases were primarily observed in early stage rather than late-stage disease. Conclusions The COVID-19 pandemic had a statistically significant impact on cancer outcomes. Monitoring long-term consequences of the pandemic on cancer incidence, stage at diagnosis, and mortality trends will be crucial. [ABSTRACT FROM AUTHOR]

Background The COVID-19 pandemic has resulted in a disruption of daily routines and changes in health behaviors leading to widespread concerns about unfavorable changes in weight status and a potential increase in the prevalence of obesity. This study examined the long-term impact of the COVID-19 pandemic on changes in weight status and its possible dependency on educational level and mental health. Methods The study utilizes the Danish Health and Well-being Survey with repeated self-reported information on weight status collected before the COVID-19 pandemic (autumn of 2019) and twice during the pandemic (autumns of 2020 and 2021). Information on educational level was derived from registers, whereas mental health was measured using validated scales. Generalized estimating equations were performed to investigate changes in mean weight and body mass index (BMI) category (BMI < 30 to BMI ≥ 30) between 2019 and 2021 and to investigate potential differences in changes in weight status by pre-pandemic educational level and mental health. Results Mean weight significantly increased by 0.34 kg [95% confidence interval (CI): 0.16–0.51] in 2020 and by 0.46 kg (95% CI: 0.26–0.66) in 2021 compared with pre-pandemic weight status. The increase was greater among individuals with lower educational levels and poorer mental health. There were no significant changes in BMI category during the pandemic. Conclusion The results showed a significant increase in mean weight among the Danish population, particularly among individuals with lower educational levels and poorer mental health, but without detectable differences in obesity, supporting a long-term but minor impact of the COVID-19 pandemic on weight status. [ABSTRACT FROM AUTHOR]

Background Few studies have investigated the impact of the COVID-19 pandemic on cancer survival. Those studies that have included pandemic vs prepandemic comparisons can mask differences during different periods of the pandemic such as COVID-19 waves. The objective of this study was to investigate the impact of the COVID-19 pandemic on cancer survival using an interrupted time series analysis and to identify time points during the pandemic when observed survival deviated from expected survival. Methods A retrospective population-based cohort study that included individuals diagnosed with cancer between January 2015 and September 2021 from Manitoba, Canada, was performed. Interrupted time series analyses with Royston–Parmar models as well as Kaplan–Meier survival estimates and delta restricted mean survival times at 1 year were used to compare survival rates for those diagnosed before and after the pandemic. Analyses were performed for 11 cancer types. Results Survival at 1 year for most cancer types was not statistically different during the pandemic compared with prepandemic except for individuals aged 50-74 years who were diagnosed with lung cancer from April to June 2021 (delta restricted mean survival times = −31.6 days, 95% confidence interval [CI] = −58.3 to −7.2 days). Conclusions With the exception of individuals diagnosed with lung cancer, the COVID-19 pandemic did not impact overall 1-year survival in Manitoba. Additional research is needed to examine the impact of the pandemic on long-term cancer survival. [ABSTRACT FROM AUTHOR]

Objective: The authors explored the psychosocial consequences of the COVID‐19 homestay lockdown for preschool‐age children and their parents using a mixed‐method design. Background: Few studies have examined the impact of a global pandemic on family adaptive processes among parents and their preschool age children. Method: Participants were 24 highly educated White and Asian parents with children enrolled in the Early Childhood Education Laboratory Preschool (ECELP) at Louisiana State University. Parents completed an online survey that assessed sociodemographic and health characteristics, and they participated in an interview with their children. Results: Content analysis of parent and child narratives yielded four core themes: (a) expanded family time with family needs prioritized, (b) staying informed with current pandemic news, (c) positive experiences included more time spent with family, and (d) negative experiences included disruptions to family and work‐related routines. Conclusion: Personal and professional challenges that families faced during the COVID‐19 lockdown were loss of familiar routines, managing stressors, and protecting health. Positive factors included prioritization of family needs and new opportunities for intergenerational relationships with extended family and grandparents. Implications: Parents, teachers, and extended family support adaptive family processes that promote resilience and psychosocial well‐being despite the uncertainties of a global pandemic. [ABSTRACT FROM AUTHOR]

Protective face masks were one of the central measures to counteract viral transmission in the COVID-19 pandemic. Prior research indicates that face masks impact various aspects of social cognition, such as emotion recognition and social evaluation. Whether protective masks also influence social avoidance behavior is less clear. Our project assessed direct and indirect measures of social avoidance tendencies towards masked and unmasked faces in two experiments with 311 participants during the first half of 2021. Two interventions were used in half of the participants from each sample (Experiment 1: protective face masks; Experiment 2: a disease prime video) to decrease or increase the salience of the immediate contagion threat. In the direct social avoidance measure, which asked for the deliberate decision to approach or avoid a person in a hypothetical social encounter, participants showed an increased willingness to approach masked as opposed to unmasked faces across experiments. This effect was further related to interindividual differences in pandemic threat perception in both samples. In the indirect measure, which assessed automatic social approach and avoidance tendencies, we neither observed an approach advantage towards masked faces nor an avoidance advantage for unmasked faces. Thus, while the absence of protective face masks may have led to increased deliberate social avoidance during the pandemic, no such effect was observed on automatic regulation of behavior, thus indicating the relative robustness of this latter behavior against changes in superordinate social norms. [ABSTRACT FROM AUTHOR]

The higher education ecosystem has been impacted significantly by the outbreak of the coronavirus (COVID-19), creating uncertainty regarding the future of higher education (HE). The coronavirus has compounded the challenges the United Arab Emirates (UAE) is facing in actively producing knowledge capital. This article collects evidence from current scholarly literature regarding the newly emerging skills and jobs needed for building aknowledge society in the UAE. This article explores how higher education in the UAE has transformed its role and its modes of delivery in response to the coronavirus pandemic and, additionally, offers recommendations for how to address these challenges while moving towards aknowledge society. The recommendations coming out of this study are multifaceted, along three main lines:1) maximising the research potential of the UAE's HEIs by building partnerships between public and private sectors; 2) embracing technology in higher education;3) customising curricula, course delivery, and assessment by adopting online education models; and4) making lifelong learning accessible and affordable for all citizens. By cultivating institutions that are responsive to the changing needs of the labour market, the UAE and its citizens are poised to come out of the pandemic with atransformed higher education system. [ABSTRACT FROM AUTHOR]

How the news media report who's responsible for political decisions is fundamental to an informed citizenry. Our study develops a new way of examining political responsibility coverage by drawing on the concept of informational opportunities in order to explore how television news could enhance audience understanding. We examine how television news reported who was responsible for making policies across England, Scotland, Wales and Northern Ireland during the coronavirus pandemic. Drawing on a content analysis study of five UK television news bulletins (N = 181), we found that reporting did not regularly attribute political responsibility to all four governments of the UK at the start of the pandemic. Once the nations began to adopt different lockdown measures the clarity of reporting legislative decisions improved, but there were still missed opportunities to clarify which government was responsible for specific policies. By way of conclusion, we argue that scholars examining how the media report political responsibility need to find creative ways of theorising and empirically studying informational opportunities in order to enhance public understanding. [ABSTRACT FROM AUTHOR]

Background Prior studies showed that during the coronavirus disease 2019 (COVID-19) pandemic healthcare workers had a higher risk of developing post-traumatic stress disorder (PTSD) symptoms. However, studies conducted among doctors several years after the beginning of the COVID-19 pandemic are scarce. Aims To evaluate the prevalence of PTSD among hospital doctors and to describe potential explanatory factors. METHODS The Protec-Cov study was an observational, cross-sectional, multicentre study, which used an anonymous online questionnaire to evaluate PTSD in doctors from six hospitals in France between December 2021 and March 2022. The presence of PTSD was assessed using the Post-traumatic Stress Disorder Checklist Scale (PCLS) questionnaire with a cut-off of 44. RESULTS Among the 307 doctors included, 18% presented a PCLS ≥44. The multivariate analysis showed that factors associated with a PCLS ≥44 were having a higher workload than before the COVID-19 pandemic (odds ratio [OR] = 4.75; 95% confidence interval [CI] 1.68–13.38), not feeling recognized within the professional environment (OR = 2.83; 95% CI 1.26–6.33), and feeling isolated because of the lockdown (OR = 4.2; 95% CI 1.97–8.95). Approximately 30% of hospital doctors (n  = 91) felt a need for psychological support but only 31% of them (n  = 28) received support. Conclusions Based on our findings, a high prevalence of PTSD was observed among hospital doctors 2 years after the beginning of the COVID-19 pandemic. This study supports an early diagnosis of PTSD in this category of healthcare workers and warrants further study. [ABSTRACT FROM AUTHOR]

Background The COVID-19 pandemic created unprecedented challenges for the film industry. Following a shutdown of productions, The Safe Way Forward document was developed to outline disease mitigation protocols. Despite this framework, many unanticipated scenarios arose during reopening of film production with the ongoing pandemic. Aims To identify and document promising practices for mitigating COVID-19 transmission in the film industry that can inform future pandemics and other industries. Methods We conducted a literature search to review research regarding COVID-19 disease mitigation efforts in the film industry. Through client-facing consultancy and consultant group meetings, we identified those factors most important for disease mitigation in the film industry and applicable to future pandemics and other industries. The Delphi Method enabled experts to review lessons learned as studio consultants during the COVID-19 pandemic; learnings were coded and analyzed for recurring themes. Results We identified anxiety, mistrust, and poor communication as key contributors to decreased compliance with COVID-19 protocols. In response, our team demonstrated multi-specialty expertise, provided scientific explanations, and developed trust by listening empathetically and responding with clear, consistent messaging. These measures served to alleviate anxiety, improve compliance, and provide a safe return to production. Conclusions This study demonstrates the ability and agility of multi-disciplinary experts acting in the absence of clear guidance to support a safe return to film production. Workplace anxiety and non-compliance can be alleviated through effective communication by trusted experts. Lessons learned by our consultancy group can help protect workers across diverse industries in future pandemics. [ABSTRACT FROM AUTHOR]

Background The COVID-19 pandemic overwhelmed the capacity of the healthcare system, affecting the volume of demands and the care tasks of healthcare workers. Aims To examine the health indicators and exposure to psychosocial risks of Spanish healthcare workers 1 year into the COVID-19 pandemic and compare them with the results of the first wave. Methods We conducted a cross-sectional study using an online questionnaire (April–May 2020 and 2021). The data stem from the COTS 1 project database, corresponding to the first wave of COVID-19 (n = 1989) and COTS 2 (n = 1716) corresponding to 1 year later. The samples were independent. The prevalence of exposure to psychosocial risks and adverse health indicators was estimated for every occupational group, segregating the data by sex. Results Professionals of all types presented worse perception of health. In general, the results were worse for women, while geriatric assistants presented the greatest exposure to psychosocial risk in COTS 2 compared to COTS 1. Sleep problems, high quantitative demands and high concern about becoming infected and spreading COVID-19 were cross-disciplinary in COTS 1, while worse perception of health, high pace of work, high work–life conflict and low development opportunities stood out in COTS 2. Conclusions Exposure to psychosocial risks was already high during the first wave and a significant decline in working conditions was observed. The prolongation of the pandemic exacerbated these results and seems to have multiplied the pre-existing inequalities between the axes of segregation in the labour market. [ABSTRACT FROM AUTHOR]

Background The global coronavirus (Covid-19) pandemic created a profound disruption to the delivery of planned scientific research with unknown immediate and potentially longer-term impacts. Aims We explored researchers' experiences of the impact of the pandemic on the continued development and delivery of research into work and health, and on research infrastructure in this field. Methods A cross-sectional study. Results Thirty-three questionnaires were completed, representing a response rate of 15%. Sixty-one per cent of respondents were female, the majority (78%) had over 11 years of research experience and 76% worked mainly in academia. Most respondents (88%) were able to progress with research during the pandemic. A small proportion (4%) had studies paused or suspended due to the pandemic, while a larger proportion (19%) had research staff redeployed to assist with other studies or furloughed. Respondents described a range of emerging practical and logistical issues for research into work and health during the pandemic. Some benefited from increased opportunities to collaborate on new multidisciplinary studies, opportunities to engage participants in work and health research, and more flexible and inclusive work practices. Others experienced challenges that had an adverse impact, such as hampering research delivery (e.g. barriers to participant screening and intervention delivery), poor (home) working environments, reduced team cohesion and isolation. A range of future priorities for research was highlighted. Conclusions We describe lessons learned and opportunities that can be used to support or further research activities in the field of work and health research in the future. [ABSTRACT FROM AUTHOR]

Background During the COVID-19 pandemic, many US youth with HIV (YHIV) used telehealth services; others experienced disruptions in clinic and antiretroviral therapy (ART) access. Methods Using the Cost-effectiveness of Preventing AIDS Complications (CEPAC)-Adolescent HIV microsimulation model, we evaluated 3 scenarios: 1) Clinic : in-person care; 2) Telehealth : virtual visits, without CD4 or viral load monitoring for 12 months, followed by return to usual care; and 3) Interruption : complete care interruption with no ART access or laboratory monitoring for 6 months (maximum clinic closure time), followed by return to usual care for 80%. We assigned higher 1-year retention (87% vs 80%) and lower cost/visit ($49 vs $56) for Telehealth vs Clinic. We modeled 2 YHIV cohorts with non-perinatal (YNPHIV) and perinatal (YPHIV) HIV, which differed by mean age (22 vs 16 years), sex at birth (85% vs 47% male), starting CD4 count (527/μL vs 635/μL), ART, mortality, and HIV-related costs. We projected life months (LMs) and costs/100 YHIV over 10 years. Results Over 10 years, LMs in Clinic and Telehealth would be similar (YNPHIV: 11 350 vs 11 360 LMs; YPHIV: 11 680 LMs for both strategies); costs would be $0.3M (YNPHIV) and $0.4M (YPHIV) more for Telehealth than Clinic. Interruption would be less effective (YNPHIV: 11 230 LMs; YPHIV: 11 620 LMs) and less costly (YNPHIV: $1.3M less; YPHIV: $0.2M less) than Clinic. Higher retention in Telehealth led to increased ART use and thus higher costs. Conclusions Telehealth could be as effective as in-person care for some YHIV, at slightly increased cost. Short interruptions to ART and laboratory monitoring may have negative long-term clinical implications. [ABSTRACT FROM AUTHOR]

The presented article deals with psychodynamic developments during the years 2020 to 2023 in the course of the Covid-19 pandemic. For a better understanding of the extraordinary stress situation, we develope a connection between the Positive Transac-tional Analysis map of the script and the concepts of Existential Psychotherapy. Helplessness, script bound coping reactions, symbiotic expectations and suppression of authentic feelings (mainly fear and grief) direct to confrontations with four existential concerns (Irvin Yalom): death, responsibility, isolation and sense. Post traumatic reactions seemingly not connecting to the pandemic (depressions, panic disorders, psychosomatic symptoms) are possible consequences. Using a case example of a couples' psychotherapy we demonstrate recollecting, dissolving and working out of the traumatic stress situation. [ABSTRACT FROM AUTHOR]

The world faced a crisis called the coronavirus pandemic, a disease that has been able to disrupt a large proportion of the power and activities of the whole world and has evolved all economic and social decisions. These decisions are primarily related to restrictions such as widespread lockdowns and social distancing. Different countries have taken various approaches and decisions to deal with this situation, each of which has positive and negative sides. Apart from this issue, the rapid spread of this pandemic has affected researchers' knowledge and viewpoints about this disease. Without any doubt, to expand our scientific knowledge and reduce the side effects of this challenge, it is essential to evaluate the behavior of COVID-19. Moreover, developing an effective vaccine in the short term was challenging. Regarding this issue, systematic thinking not only helps to find various ways to prevent this illness from spreading throughout the world but also reduces the mortality rate of this viral disease. From a systematic thinking perspective, governments and individuals play pivotal roles. They take care of vulnerable groups, support health employees, provide general education, identify new patients, and control specific situations in their countries. In such a situation where experts have not discovered any vaccine, governments and the people of society can be considered essential parameters to intensify or reduce the outbreak of this viral disease throughout the country. This paper's main objective and motivation are to utilize causal loop diagrams (CLDs) to evaluate and determine various affecting factors created by governments and members of societies that have direct impacts on deteriorating or decreasing the outbreak of COVID-19 in Iran from a system dynamics perspective. Hence, the statistics on the incidence and deaths caused by the coronavirus in Iran were extracted during some periods. Using the cause and effect diagrams, the behavior of the people and the government in increasing or decreasing the number of patients is discussed. [ABSTRACT FROM AUTHOR]

The world is constantly changing and urging people to prioritize their Work & Life Balance according to their personal needs and make sure they can adapt themselves to the environmental requirements to be socially accepted. The coronavirus pandemic has challenged people to change their lifestyles and shift their attention toward their mental and relationship health while also prioritizing physical well-being. The purpose of this research paper is to analyze different points of view and degrees in which the pandemic has affected people located in Romania by using Cornbach's alpha coefficient. Through Google Forms, a number of 160 Romanians took part in the survey conveying their experience during the coronavirus pandemic. [ABSTRACT FROM AUTHOR]

The coronavirus disease and the subsequent pandemic that followed drastically changed human civilization with disruptive effects on health and overall wellbeing of mankind. This disruptive effect has been shown to include changes in epidemiology of burn injuries. This study therefore aimed to determine the impact of covid-19 on acute burn presentation at the University College Hospital (UCH), Ibadan. This was a retrospective study carried out between April 1, 2019 and March 31, 2021. The period was divided into two: April 1, 2019 to March 31, 2020 and April 1, 2020 to March 31, 2021. Data obtained from the burn unit registry were analyzed using the Scientific Package For Social Sciences version 25. The only statistically significant finding from this study was the marked reduction in burn ICU admission during the pandemic (P < 0.001). A total of 144 patients presented to the burn intensive care unit at UCH, Ibadan during the period under review with 92 patients in the prepandemic year, and 52 patients in the pandemic year. Patient group from 0- to 9-year-olds representing 42% in prepandemic, and 30.8% in the pandemic period was the most affected age group. Scald was predominantly among the pediatric age group in both groups. Males were more likely to suffer flame burn in both study periods with a near gender equilibration during the pandemic. Burn injury during the pandemic resulted in more total body surface area burned. The lockdown effect of the pandemic resulted in a significant reduction in acute burn admissions at the UCH, Ibadan. [ABSTRACT FROM AUTHOR]

Background Widespread school closures and health care avoidance during the COVID-19 pandemic led to disruptions in access to pediatric mental health care. Methods We conducted a retrospective study of emergency and inpatient administrative claims from privately insured children aged 6–20 years in North Carolina between January 2019 and December 2020. We compared rates of emergency department (ED) visits (per 100 000 person-days) and risks of hospitalizations (per 100 000 persons) with diagnosis codes in each category (mental/behavioral health; suicidal ideation, suicide attempt, and intentional self-harm [SI/SA/ISH]; and social issues) across 3 time periods (pre-pandemic, lockdown, and reopening). We calculated the proportion and 95% confidence intervals (CI) of total ED visits and total hospitalizations attributable to mental/behavioral health and SI/SA/ISH across the 3 time periods. Results Rates of all categories of ED visits decreased from pre-pandemic to the lockdown period; from pre-pandemic to the reopening period, mental/behavioral health visits decreased but rates of SI/SA/ISH visits were unchanged. The proportion of ED visits attributable to mental/behavioral health increased from 3.5% (95% CI 3.2%–3.7%) pre-pandemic to 4.0% (95% CI 3.7%–4.3%) during reopening, and the proportion of SI/SA/ISH diagnoses increased from 1.6% (95% CI 1.4%–1.8%) pre-pandemic to 2.4% (95% CI 2.1%–2.7%) during the reopening period. Emergency care use for social issues and hospital admissions for mental/behavioral health and SI/SA/ISH diagnoses were unchanged across the study periods. Conclusions In the early pandemic, pediatric mental health care and acute suicidal crises accounted for increased proportions of emergency care. During pandemic recovery, understanding the populations most impacted and increasing access to preventative mental health care is critical. [ABSTRACT FROM AUTHOR]

Background Children enrolled in private insurance had reduced preventive health care during the coronavirus disease 2019 (COVID-19) pandemic. However, the impact of the pandemic on children enrolled in Medicaid has been minimally described. Methods We used an administrative claims database from North Carolina Medicaid to evaluate the rates of well-child visits and immunization administration for children ≤14 months of age, and used a quasi-Poisson regression model to estimate the rate ratio (RR) of each outcome during the pandemic period (3/15/2020 through 3/15/2021) compared with the pre-pandemic period (3/15/2019 through 3/14/2020). Results We included 83 442 children during the pre-pandemic period and 96 634 children during the pandemic period. During the pre-pandemic period, 405 295 well-child visits and 715 100 immunization administrations were billed; during the pandemic period, 287 285 well-child visits and 457 144 immunization administrations were billed. The rates of well-child visits (RR 0.64; 95% CI, 0.64–0.64) and vaccine administration (RR 0.55; 95% CI, 0.55–0.55) were lower during the pandemic compared with the pre-pandemic period. Conclusions The rates of well-child visits and immunization administrations among North Carolina children enrolled in public insurance substantially decreased during the first year of the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]