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Der Artikel geht Rekonfigurationen des Supermarkts als zentralem (halb-)öffentlichen Bezugspunkt der Alltagspraxis im Zuge der Maßnahmen zur Eindämmung der Verbreitung des Corona-Virus im Frühjahr 2020 nach. Das Hereinbrechen der Pandemie hat öffentliche Räume nicht nur aufgrund der permanenten Konfrontation mit dem Ansteckungsrisiko mit dem Virus verändert, sondern auch affektive Ansteckungsdynamiken freigesetzt, die im Raum des Supermarktes besonderen Niederschlag fanden. Im Anschluss an die Arbeiten Gabriel Tardes untersucht der Artikel mit einer Heuristik der Ansteckung leitfadengestützte Interviews und arbeitet heraus, in welchen Weisen der Supermarkt nicht nur durch Covid-19, sondern auch durch sozial konstituierende und zirkulierende Affekte zu einem pandemischen Raum wurde. Die Atmosphäre des Supermarkts als intensivem, pandemischem Raum charakterisiert der Artikel als ‚unheimlich' und geprägt von Angespanntheit, gesteigerter sozialer Kontrolle und Gefühlen des Eingeschlossenseins. In einem Ausblick geben wir zu bedenken, dass das Ansteckungsgeschehen mit sozialen Ungleichheiten verwoben ist, was sich mit dem Konzept der affektiven Disposition weiter bestimmen ließe. The article explores reconfigurations of the supermarket as an important (semi-)public place of everyday practice following the measures taken to contain the spread of the coronavirus in spring 2020 in Germany. The onset of the pandemic has not only transformed public spaces due to permanent confrontations with the risk of infection with the virus, but initiated affective dynamics of contagion that found particular expression in the space of the supermarket. Following Gabriel Tarde, the article uses a heuristic of contagion to examine semi-structured interviews. It analyzes the ways in which the supermarket became a pandemic space not only through Covid-19, but also through socially constitutive and circulating affects. The atmosphere of the supermarket is characterized as an intense, 'uncanny' pandemic space that is defined by tension, increased social control and feelings of confinement. Processes of affective contagion – the text suggests prospectively – are also interwoven with social inequalities, which can be further analyzed with the concept of affective disposition. [ABSTRACT FROM AUTHOR]

Background: In the German hospital landscape and emergency care the COVID-19 pandemic was a stress test. Emergency medical health care in Germany is ensured by the supply chain between prehospital emergency rescue and clinical emergency care in the emergency rooms. In hospitals and emergency care settings a rapid, simple, accurate, and cost-effective test is needed to identify SARS-CoV‑2. In the central emergency department it is important to strictly separate patients with suspected COVID-19 from non-infected emergency persons. Methods: Given the background mentioned above, the performance of antigen tests in the ambulance service of the city Jena and the central emergency department of the university hospital Jena was analysed and in addition verified by using the RT-PCR gold standard. Several multiple testing procedures were performed by using antigen tests in the ambulance service and the central emergency department, and by using one or both of these antigen tests followed by the RT-PCR test. A total of 980 patients were included in the study over a two-month period (October/November 2022). Results: The average age of all patients was 65 years. More than half of the actively treated patients came from the city of Jena. The sensitivity and specificity of the antigen tests were 66.7% and 99.2% in the clinical setting (the central emergency department) and 68.8% and 96.7% in the prehospital setting (in the ambulance service) compared to RT-PCR. In the prehospital setting the sensitivity of the antigen testing was slightly higher (2%) than the clinical antigen testing. Regarding the parallel testing, 6% of antigen tests had a false negative SARS-CoV‑2 antigen test result in the ambulance service and 4.6% of antigen tests had a false negative SARS-CoV‑2 antigen test result in the central emergency department. The false-negative antigen tests, and thus the potentially unrecognized individuals, were further reviewed by considering the Ct-value. Conclusion: The use of antigen testing in the ambulance service and the emergency department can lead to a quick classification of COVID and non-COVID areas of an emergency department. The measurement accuracy of antigen testing in the ambulance service and central emergency department is not equivalent to the RT-PCR. Nevertheless, antigen testing is a useful initial screening tool for early detection of SARS-CoV‑2 in prehospital and clinical settings. Dual antigen testing may be useful for more accurate diagnosis of the SARS-CoV‑2 pathogen. [ABSTRACT FROM AUTHOR]

Background: The present study evaluated the implementation of the European Resuscitation Council Corona-Virus-Disease 2019 (COVID-19) resuscitation guidelines in Germany 1 year after publication. Aim of the work: To evaluate the practical implementation of the COVID-19 resuscitation guidelines in Germany one year after their publication. Material and methods: In an online survey between April and May 2021 participants were asked about awareness of COVID-19 resuscitation guidelines, corresponding training, the resuscitation algorithm used and COVID-19 infections of emergency medicine personnel associated with COVID-19 resuscitation. Results: A total of 961 (8%) of the 11,000 members took part in the survey and 85% (818/961) of questionnaires were fully completed. While 577 (70%) of the respondents were aware of the COVID-19 guidelines, only 103 (13%) had received respective training. A specific COVID-19 resuscitation algorithm was used by 265 respondents (32%). Adaptations included personal protective equipment (99%), reduction of staff caring for the patient, or routine use of video laryngoscopy for endotracheal intubation (each 37%), securing the airway before rhythm analysis (32%), and pausing chest compressions during endotracheal intubation (30%). Respondents without a specific COVID-19 resuscitation algorithm were more likely to use mouth-nose protection (47% vs. 31%; p < 0.001), extraglottic airway devices (66% vs. 55%; p = 0.004) and have more than 4 team members close to the patient (45% vs. 38%; p = 0.04). Use of an Filtering-Face-Piece(FFP)-2 or FFP3 mask (89% vs. 77%; p < 0.001; 58% vs. 70%; p ≤ 0.001) or performing primary endotracheal intubation (17% vs. 31%; p < 0.001) were found less frequently and 9% reported that a team member was infected with COVID-19 during resuscitation. Conclusion: The COVID-19 resuscitation guidelines are still insufficiently implemented 1 year after publication. Future publication strategies must ensure that respective guideline adaptations are implemented in a timely manner. [ABSTRACT FROM AUTHOR]

Background: The SARS-CoV‑2 pandemic posed unexpected challenges for hospitals worldwide and in addition to the supply emergency, simultaneously caused a high pressure to innovate. Due to the high number of cases of COVID-19 patients requiring intensive care, structured networking of hospitals gained particular importance. The tele-ICU communication platform TeleCOVID was developed to improve the quality of intensive care both by enabling teleconsultations and by supporting patient transfers. Objective: The present study aimed to survey user experiences with TeleCOVID. The study investigated the extent to which the app is used, the user experiences of the participating hospitals, and the resulting implications for the further development of the telemedicine application. Material and methods: A user survey was conducted in May 2022 using an online questionnaire. The survey contained both closed and open questions with a free text field. It was sent via the Hessian Ministry of Social Affairs and Integration (HMSI). All 135 hospitals in Hesse were contacted by e‑mail and invited to participate in the study. The results of the closed questions were analyzed using descriptive statistics, and the results of the open questions were clustered and thematically summarized using qualitative content analysis. Results: The study showed that TeleCOVID was used primarily for transfer requests, followed by the need for a treatment consultation without a transfer request. Most often, ECMO treatment or treatment in a hospital of a higher care level was required. The content analysis showed that users particularly rated the possibility of a data protection-compliant and structured transfer of patient data as advantageous. It is also worth mentioning that in almost 25% of the cases a transfer of patients could be prevented by TeleCOVID. Disadvantages frequently mentioned by respondents were the lack of connection to the electronic hospital information system, the increased time required for the registration process, and the poor primary accessibility of contact persons. Conclusion: In a further development of the application the connection to the electronic hospital information system should be considered particularly urgent. In addition, the time expenditure should be reduced by a simplified login process. Due to interface barriers, an alternative data infrastructure would also be conceivable to create interoperability. The introduction of a web client could also increase usability. The main beneficiaries of hospital networking are physicians and patients in a context associated with a high workload and specific medical issues. Continuation and expansion of the app to intensive care medicine and beyond are therefore recommended. In further studies on the project, personal interviews with decision makers could be useful to conduct a more targeted needs analysis. [ABSTRACT FROM AUTHOR]

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Introduction: Nursing-home residents are among the highest risk group in the SARS-CoV-2 pandemic. At the onset of the SARS-CoV-2 pandemic, the majority of all deaths from or with SARS-CoV-2 occurred in long-term care facilities (LTCFs), so that maximum protective measures were mandated for these facilities. This study analyzed the impact of the new virus variants and the vaccination campaign on disease severity and mortality among nursing home residents and staff through 2022 as a basis for determining which protective measures remain necessary and appropriate. Methods: In five homes in Frankfurt am Main, Germany, with a total capacity for 705 residents, all cases occurring in the facility among residents and staff were recorded and documented (date of birth and diagnosis, hospitalization and death, vaccination status) and were descriptively analyzed with SPSS. Results: By 31st August 2022, 496 residents tested positive for SARS-CoV-2, 93 in 2020, 136 in 2021, and 267 in 2022; 14 residents presented with a second SARS-CoV-2 infection in 2022, having previously experienced an infection in 2020 or 2021. The percentage of hospitalizations decreased from 24.7% (2020) and 17.6% (2021) to 7.5% (2022), and the percentage of deaths decreased from 20.4% and 19.1% to 1.5%. In 2021, 61.8% of those infected were vaccinated (at least 2x); in 2022, 86.2% of residents had been vaccinated twice, 84% of whom had already had a booster vaccination. Hospitalization and death rates were significantly higher among the unvaccinated than the vaccinated throughout all years (unvaccinated 21.5% and 18.0%; vaccinated 9.8% and 5.5%; KW test p=0.000). However, this difference was no longer significant under the prevalence of the Omicron variant in 2022 (unvaccinated 8.3% and 0%; p=0.561; vaccinated 7.4% and 1.7%; p=0.604). From 2020 to 2022, 400 employees were documented as infected, with 25 having second infections in 2022. Only one employee showed a second infection in 2021 following the first in 2020. Three employees were hospitalized; no deaths occurred. Discussion and conclusion: Severe COVID-19 courses occurred with the Wuhan Wild type in 2020, with a high death rate among nursing-home residents. In contrast, during the waves in 2022 with the relatively mildly pathogenic Omicron variant, many infections but few severe courses and deaths were observed among the now mostly vaccinated and boostered nursing-home residents. Given the high immunity of the population and the low pathogenicity of the circulating virus – even in nursing-home residents – protective measures in nursing homes that restrict people's right to self-determination and quality of life no longer seem justified. Instead, the general hygiene rules and the recommendations of the KRINKO (German Commission for Hospital Hygiene and Infection Prevention) on infection prevention should be followed, and the recommendations of the STIKO (German Standing Commission on Vaccination) on vaccination not only against SARS-CoV-2 but also against influenza and pneumococci should be observed. [ABSTRACT FROM AUTHOR]

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Die COVID-19-Pandemie beeinträchtigt den Tourismus weltweit, jedoch zeigen beliebte Urlaubsregionen bei Betrachtung der realen Buchungen für das Jahr 2020 sehr heterogene Abweichungsmuster im Vergleich zum Vorjahr. In diesem Zusammenhang ist unklar, ob und welche Maßnahmen zur Eindämmung der Pandemie das heterogene Buchungsverhalten erklären. Im vorliegenden Artikel werden tourismusrelevante Maßnahmen identifiziert und anhand von Flugpauschalreisebuchungen im deutschen Quellmarkt für Reisen zwischen Mai und Oktober 2020 untersucht. Die Analyse eines umfassenden Primärdatensatzes mittels Fixed-Effects-Modellierung zeigt, dass verschiedene, vom Quellland sowie vom Zielland ausgehende Maßnahmen das Buchungsverhalten in unterschiedlicher Effektstärke signifikant beeinflussen. Darunter fallen insbesondere Reisewarnungen und Quarantäneverordnungen für Rückkehrer. The COVID-19 pandemic has impacted the global tourism industry. However, when comparing the bookings made for different popular destinations in 2020 and 2019, the differences are very heterogeneous. Given this context, it is unclear whether and which COVID-19 countermeasures taken explain the heterogeneous booking behavior. In this paper, tourism-related measures are identified and analyzed with regard to flight package tour bookings from Germany, travel dates being between May and October 2020. The analysis of a comprehensive primary data set by using Fixed Effects Model methodology shows that several measures in both source and destination countries have had a significant influence on booking behavior. These include, amongst others, governmental travel warnings and quarantine regulations on return. [ABSTRACT FROM AUTHOR]

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Copyright of German Journal of Sports Medicine / Deutsche Zeitschrift fur Sportmedizin is the property of Verein zur Forderung der Sportmedizin Hannover e.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The coronavirus pandemic challenges the world in a previously unimaginable way. In Germany, the Robert Koch-Institute (RKI) as Germany’s national public health institute is in particular involved in the pandemic response. To support the pandemic related work of the scientists at the RKI, the library is providing a central ongoing literature collection and other services. The article describes the extent to which the RKI library is involved in managing the situation. [ABSTRACT FROM AUTHOR]

Background: The SARS-CoV-2 pandemic has an impact on the wellbeing of health care workers. The influence of a work-related sense of coherence as well as perceived organizational support on the level of burnout and the intention to leave the job is largely unknown, especially for physicians in German hospitals., Method: In December 2020 and January 2021, physicians of 81 hospitals in Hessian (Germany) participated in an online survey using the BAT (Burnout Assessment Tool), Work-SoC (Work-related Sense of Coherence), the POS-s (Perceived Organizational SUPPORT - short version) and literature-based items based., Results: Of 181 physicians, 34% showed a moderate or high burnout level, 21% would leave the job after the pandemic. The higher the work-SoC (β = -0.560; p < 0.001) and the higher the POS-s (β = -0.125; p < 0.05), the lower the burnout level. Not being able to care sufficiently for their patients has a negative impact on the sense of coherence. 46.4% reported that they did not feel sufficiently prepared by their employer during the pandemic. They wished to have support in the form of the mindfulness and resilience trainings (45%), emergency childcare (41%) and a crisis counselor in their team (32%)., Conclusion: Regardless of the pandemic, health-promoting work conditions have to be developed that facilitate coherent work and prevent "moral injuries" or enable physicians to deal with them., (Copyright © 2022. Published by Elsevier GmbH.)

Introduction: In Germany, the COVID-19 pandemic led to substantial changes in outpatient and acute clinical cardiac care and rehabilitation. To estimate the influence of the COVID-19 pandemic on cardiac rehabilitation in 2020, institutional performance was compared to the pre-pandemic year 2019., Methods: The performance numbers from rehabilitation institutions were compared. These data were provided in 2019 and 2020 as part of an online survey that the German Society for the Prevention and Rehabilitation of Cardiovascular Diseases (DGPR) performs annually., Results: Complete data for 2019 and 2020 were available from 60 institutions. The overall number of patients treated was reduced by 14.3%, with substantial differences between institutions. Women were more affected (-16.4%) than men (-13.4%) and retirees (-14.5%) significantly more than people still in the workforce (-7.5%). In 25 institutions (42.4%) there was a COVID-19 outbreak resulting in a partial or complete shutdown in 15.7%. In total, 34.5% of the institutions treated patients with COVID-19 infection, 30.5% after such an infection. A large majority of these institutions (72.1%) had to bear the costs for testing suspected cases of SARS-CoV-2-infection alone., Conclusion: The economic and logistic burden of the COVID-19 pandemic has posed a threat to cardiac rehabilitation in Germany., (Copyright © 2022. Published by Elsevier GmbH.)