ABSTRACT
Introduction: After acute COVID infection, individuals experience fatigue and a reduced exercise tolerance, however the relationship between these variables has not been established. Aim(s): This study explored the impact of fatigue severity on exercise tolerance in individuals post-COVID infection. Method(s): This observational cohort analysis of individuals attending COVID-rehabilitation was assessed using the Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) questionnaire and Incremental Shuttle Walk Test (ISWT) pre- to post- rehabilitation. Individuals were split into mild and severe fatigue (FACIT-F</>=30) groups. Result(s): 295 individuals were assessed (64% male, mean[SD] age 54[15] years, BMI 30.1[8.7] kg/m ). 193 (65%) individuals were in the severe fatigue group. Baseline ISWT distance was reduced in the severe fatigue group (287[181]m) compared to the mild fatigue group (396[217]m, p<0.05). There was a weak positive correlation between Pre-FACIT-F and baseline ISWT (r=0.28). There was a significant improvement in ISWT following rehabilitation of 90[114]m and 62[77]m for severe and mild fatigue groups respectively but there was no differences between groups (p=0.13)Conclusion: Those with severe fatigue had reduced exercise tolerance compared to those with mild fatigue prior to rehabilitation. Rehabilitation improves exercise tolerance in those with mild and severe fatigue, and there are no differences between groups.
ABSTRACT
The authors discuss the phenomenon of religious and political leadership focusing on Bishop Marcelo Crivella from the Universal Church of the Kingdom of God (IURD), the current mayor of the city of Rio de Janeiro, in the context of the political involvement of his religious institution and the beginnings of the COVID-19 pandemic. In the article, selected concepts of leadership are applied in the background of the theories of a religious field, existential security, and the market theory of religion, to analyze the case of the IURD leadership political involvement and bishop/mayor Crivella’s city management before and during the pandemic, in order to show how his office constitutes an important part of the strategies of growth implemented by the IURD charismatic leader Edir Macedo, the founder and the head of this religious institution and, at the same time, Crivella’s uncle. The authors prove how Crivella’s policies mingle the religious and the political according to Macedo’s political alliances at the federal level, in order to strengthen the church and assure its political influence. © 2020, The Author(s).