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Discover Health Systems ; 2(1), 2023.
Article in English | EuropePMC | ID: covidwho-2247896

ABSTRACT

Background The COVID-19 pandemic has had a marked impact on educational disruption and progression of students. Linked to this, studies have demonstrated increases in depression, anxiety, and stress, with long-term outcomes yet to be understood. Students in Higher Education (HE) were at particular risk due to circumstances such as financial stress from job loss, shifting to online learning and uncertainties about the future, with many international students isolated from social support networks. This study explored lived experiences of determinants for academic disruption in HE students during the COVID-19 pandemic across Germany and the UK. Methods The study used qualitative secondary data collected from extension and mitigation claim forms from 2019 until 2021 from a university with campuses in the UK and Germany. A phenomenological perspective was utilised to draw out experiences and insights into determinants for mitigation from students to enhance our understanding of real problems encountered during a period of crisis. Thematic data analysis was used to create themes of influence for mitigation of assessments. Results Themes identified pre and during the COVID-19 pandemic included;pre-COVID: work-related commitments;bereavement;illness of a family member;mental and physical health issues;natural disasters, during 2020/21, themes created were;COVID-19 social impacts;workplace and financial demands;psychological distress;physical illness, with subthemes evolving such as family responsibilities;and caring for others;furlough and its financial impacts;heavy workload for frontline health care workers;mental health impacts;physical abuse and crime, COVID-19 physical symptoms. Conclusion We suggest an Integrated ‘Determinants of Wellbeing Framework' for supporting HE students during critical times such as a pandemic. Our suggested framework was adapted from determining health inequalities and the concept of the ‘flourishing student' that maps the relationship between the student, their environment and well-being. It is hoped the framework will serve to inform future theories around disruption to student progression and to explore the relevant impact on educational outcomes in HE thus assisting in appropriate support planning.

2.
World J Emerg Surg ; 15(1): 26, 2020 04 09.
Article in English | MEDLINE | ID: covidwho-47590

ABSTRACT

Since December 2019, the world is potentially facing one of the most difficult infectious situations of the last decades. COVID-19 epidemic warrants consideration as a mass casualty incident (MCI) of the highest nature. An optimal MCI/disaster management should consider all four phases of the so-called disaster cycle: mitigation, planning, response, and recovery. COVID-19 outbreak has demonstrated the worldwide unpreparedness to face a global MCI.This present paper thus represents a call for action to solicitate governments and the Global Community to actively start effective plans to promote and improve MCI management preparedness in general, and with an obvious current focus on COVID-19.


Subject(s)
Civil Defense/standards , Coronavirus Infections , Disaster Planning/standards , Mass Casualty Incidents , Pandemics , Pneumonia, Viral , COVID-19 , Delivery of Health Care/standards , Global Health , Human Rights/standards , Humans , Mass Casualty Incidents/classification , Risk Assessment
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