The contribution of participation in meaningful activities on mental health during the COVID-19 lockdown in the Spanish population

Introduction: During the lockdown caused by COVID-19 in Spain, citizens had to stop performing activities in the usual way, which could have had an impact on mental health. The aim of this study was to determine the contribution of participating in meaningful activities on mental health in the Spanish population during the COVID-19 lockdown. Method: A cross-sectional online survey was developed and administered, where mental health (General Health Questionnaire), resilience (Connor-Davidson Resilience Scale), participation in meaningful activities (Engage-ment in Meaningful Activities Survey) and socio-demographic data were assessed. A hierarchical-linear-regression was used to identify key correla-tions. Results: The participants (N = 311) reported low mental health (M = 16.12/36) and a lower level of resilience (M = 25.48). The results of the re-gression revealed that 32.6% of the variance of the GHQ was significantly explained by the living space, including an outdoor space, resilience and participation in meaningful activities. The loss of meaningful activities was significantly related to mental health, with a significant contribution when controlling for the other variables (β = -.12). Conclusion: Although experi-mental studies are needed to determine causality, this study highlights the relationship between participation in meaningful activities and mental health during the lockdown. © 2023, Universidad de Murcia Servicio de Publicaciones. All rights reserved.

‘This is just a little flu’: analysing medical populist discourses on the Covid-19 pandemic in Brazil

This paper explores the concept of medical populism to examine how Brazil has responded to the Covid-19 pandemic. Recognising the centrality of discourses in framing health policy, we employ Critical Discourse Analysis (CDA) to identify and analyse (1) what were the main discursive frames that characterised medical populism in Brazil’s Covid-19 crisis? and (2) how were these frames constructed, legitimated and reproduced in discursive meanings, structures and schemes of argumentation? Our study is an effort to inform the literature about medical populism and, more broadly, public health policymaking, administration and governance of health crises. Specifically, we seek to uncover the underlying discursive features of medical populism and expose how they frame public health policy. Our case study shows ample evidence that the main discursive frames underpinning medical populism during the Covid-19 crisis in Brazil reflected the most widely agreed attributes of populism as a strategic political discourse, notably an antagonistic depiction of the health problem, overpoliticisation and moral interpretation of political actors. However, our findings challenge some theoretical assumptions of extant conceptualisations of medical populism, thus providing greater insights into the concept of medical populism by demonstrating how this type of political discourse may incorporate different discursive meanings, structures and schemes of argumentation into its populist repertoire. This can help us anticipate patterns of action and narratives for preparing responses to future public health emergencies in an era of increasing post-truth politics, as populist discourses seem likely to influence public policy and governance for some time.

Two known therapies could be useful as adjuvant therapy in critical patients infected by COVID-19. / Dos terapias conocidas podrían ser efectivas como adyuvantes en el paciente crítico infectado por COVID-19.

Pneumonia caused by coronavirus, which originated in Wuhan, China, in late 2019, has been spread around the world already becoming a pandemic. Unfortunately, there is not yet a specific vaccine or effective antiviral drug for treating COVID-19. Many of these patients deteriorate rapidly and require intubation and are mechanically ventilated, which is causing the collapse of the health system in many countries due to lack of ventilators and intensive care beds. In this document we review two simple adjuvant therapies to administer, without side effects, and low cost that could be useful for the treatment of acute severe coronavirus infection associated with acute respiratory syndrome (SARS-CoV-2). VitaminC, a potent antioxidant, has emerged as a relevant therapy due to its potential benefits when administered intravenous. The potential effect of vitaminC in reducing inflammation in the lungs could play a key role in lung injury caused by coronavirus infection. Another potential effective therapy is ozone: it has been extensively studied and used for many years and its effectiveness has been demonstrated so far in multiples studies. Nevertheless, our goal is not to make an exhaustive review of these therapies but spread the beneficial effects themselves. Obviously clinical trials are necessaries, but due to the potential benefit of these two therapies we highly recommended to add to the therapeutic arsenal.