ABSTRACT
Purpose: Expansion of the donor pool remains a major unmet need for solid organ transplants (SOT). Early data suggests that at least some severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (COVID) nucleic acid test positive (NAT+) organs could be transplanted safely although there is substantial controversy about this topic. Method(s): A retrospective analysis of the national United States Organ Procurement and Transplantation Network database was performed, demonstrating initial experience with COVID NAT+ deceased donor organs with a focus on kidney transplants, from August 8, 2020, to Sep 29, 2021. Result(s): During this time period, 17,143 COVID NAT negative (NAT-) deceased donors and 150 COVID NAT+ deceased donors were assessed for organ donation (Figure 1) (Table 1). When compared to COVID NAT- donors, there was a higher (p<0.001 for all) non-recovery rate for COVID NAT+ hearts (35% vs 87%), lungs (71% vs 99%), livers (24% vs 53%), and pancreas (89% vs 98 %). Of a total of 385 recovered organs from 150 COVID NAT+ donors, 276 (72%) organs were transplanted into 262 recipients. Majority of donors had a COVID NAT+ <=7 days prior to procurement (94;62.7%). While only a minority of pancreases, hearts, lungs, and livers were procured, almost all were transplanted post-procurement. In contrast, there was a high discard rate for kidneys post-procurement (102/295;34.6%) with the most common reason (~70%) for discards being 'exhaustion of the wait list'. Presumably superior quality COVID NAT+ kidneys were discarded compared with COVID NAT- kidneys (mean KDPI: 67% vs 76%;p=0.04). Limited outcome data was available with a median post-transplant follow-up of 75 days (range: 23-243 days). Three kidney allograft losses (2 due to allograft thrombosis) and five deaths (2 kidneys, 3 livers) were reported, of which, one was due to respiratory failure and one due to sepsis. Conclusion(s): These data provide early reassuring evidence on the utilization of non-lung COVID NAT+ organs. However, a substantially lower procurement rate for non-kidney transplantable organs and a high discard rate for kidneys were noted. (Table Presented).
ABSTRACT
Electronic word of mouth (e-WOM) is a vital channel for the exchange of customer-generated content. As the e-WOM messages created by consumers pile all around the Web, they generate an unbiased voice about products and services. With their high-level production in online environments, e-WOM message contributions go far beyond consumer decision-making. They become a vital source for gaining insights on designing and improving marketing offerings. The purpose of the study is to analyze service improvement opportunities for subscription-based video-on-demand (sVoD) services by exploring customer-generated eWOM messages. In addition to this, the study aims to comprehend the effects of the COVID-19 pandemic on expectations, real feelings, and attitudes of customers towards its subscription-based video-on-demand services and to compare these emotions with those in the pre-pandemic period. Acting on customer-generated e-WOM messages for sVoD services, the paper provides a real-time analysis of monitoring customer needs and wants in a fast-moving service environment with topic-based sentiment analysis. The main procedures include data extraction and pre-processing, topic modeling, sentiment analysis, and opportunity analysis. When pre-covid and post-covid sentiments are compared, it is found that all sentiment scores have decreased, except for content diversity. The rich content offered by Amazon has led subscribers to take step to post positive comments about the platform. Addtionally, the results show possible service improvement opportunities in streaming quality, TV series content selection, use of commercials, and customer value generation in sVoD service encounters. The study identifies service improvement opportunities using data mining technology, which can provide a more in-depth understanding of consumer perceptions of marketing offerings and service quality. In addition, it analyzes the perceptions of consumers toward sVoD services in times of the Covid-19 pandemic.
ABSTRACT
Objective: Health anxiety can be a risk factor for mental health and well-being. People can experience higher levels of health anxiety during pandemic outbreaks because such pandemic outbreaks can cause additional stress and threats. In this sense, people can be more vulnerable to health anxiety during the COVID-19 outbreak. To better understand and overcome health anxiety, it is important to examine factors that affect health anxiety during the COVID-19 outbreak. This study aimed to examine the effects of age, gender, perceived risk, exposure to media, depression, anxiety, and stress on health anxiety during the early phase of the COVID-19 outbreak in Turkey.Materials and Method: The participants included 1473 adults and the data were collected via an online tool. The demographic questions, the Depression Anxiety Stress Scale, and the Short Health Anxiety Scale were used to collect data. Multiple linear regression analysis was implemented to analyze the data using R program. Results: The results showed that anxiety was the strongest positive predictor of health anxiety, following stress, TV News and social media, depression, and risk perception. Age and gender were not found to be significant predictors.Conclusions: This study showed that the significant predictors of health anxiety can escalate health anxiety during the COVID-19 outbreak. The results and limitations are discussed along with implications for future research and intervention and prevention planning. © 2021 Sociedad Española para el Estudio de la Ansiedad y el Estrés - SEAS. Colegio de la Psicología de Madrid. Todos los derechos reservados.
ABSTRACT
Objective: This research was conducted in a descriptive-relational type in order to examine the relationship between the investigation of the perceived stress levels and adherence to treatment of individuals with type 2 diabetes during the coronavirus disease-2019 pandemic. Materials and Methods: The population of the study consisted of adult individuals diagnosed with diabetes for at least 1 year, who were admitted to the Ínternal Medicine Clinic of a Training and Research Hospital located in the southeast of Turkey. The sample of the study consisted of 184 individuals with type 2 diabetes who accepted to participate in the study and met the research criteria. The data of the study were collected from the Patient Identification Form, the Perceived Stress Scale, and the Patient Adherence to Type 2 Diabetes Mellitus Treatment Scale forms. Descriptive statistics, independent groups t-test, one-way analysis of variance, Kruskal–Wallis, Dunn–Bonferroni test, and Pearson correlation analysis were used to evaluate the data. Results: The mean total score of patient compliance in the treatment of perceived stress and type 2 diabetes was found to be 23.82 ± 8.34 and 99.69 ± 17.68, respectively. The difference between the overall total score averages of the patient adherence scale in the treatment of type 2 diabetes, according to the individual's state of having coronavirus disease 2019 and the disruption of controls during the pandemic process, and the total sub-dimension of perceived stress, and having coronavirus disease-2019 in the family was found to be statistically significant (P < .05). A weak negative correlation was found between perceived stress and mean scores of adherence to treatment (P < .05). Conclusion: In the study, it was determined that individuals with diabetes had moderate levels of perceived stress and adherence to treatment and that as perceived stress levels increased, their level of adherence to treatment decreased. © 2021 IDRiM Society.
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Introduction:Coronavirus disease 2019(Covid19) is more common in some occupations and also many workers have been influenced in term of socioeconomic conditions in this period.The aim of this study is to investigate the occupational distribution of the patients diagnosed with Covid19, in two dimensions that work-related covid19 transmission(WRCT) and pandemic-related economic worsening(PREW). Method:The study population of this cross-sectional study was 271 workers, out of 1505 who were diagnosed with Covid19 at Hospital between 19.03.2020-04.09.2021.A structured questionnaire were applied by telephone interview.The outcomes of the study were WRCT and PREW. International Standard Classification of Occupations and Erikson-Goldthorpe social class chart was used for occupational and socioeconomic classifications.Descriptive statistics is presented. Chi square test is used in comparison of proportions. Results:Of 233 workers who accepted to participate in the study, 51.5% were male(n=120).The mean age was 37.7(±9.2).WRCT was found 3.6 times higher in healthcare workers(CI%95 1.9-6.9).PREW was observed in 53 workers(%27.7).Twenty workers had quit from their jobs(8.5%).PREW was higher in private sector(OR=6.69 CI %95 3.1-14.5).PREW was found significantly high in self-employed and small business owners compared to other social classes(p=0.001). Conclusions:Healthcare workers are expose higher biological risk factors while small business owners might be vulnerable against economical risk factor. The white collar workers who could work from home were the luckiest, the virus risk has been reduced while ensuring business continuity.
ABSTRACT
Understanding people's psychological reactions to the pandemic is important in controlling the spread of disease and preventing psychological disorders associated with the COVID-19 pandemic. This study focuses on anxiety as a psychological reaction to the coronavirus pandemic. It aims to produce a Turkish adaptation of the Coronavirus Anxiety Inventory (CAI;Wheaton, Ward, Sanders, Keel, & van Meter, 2020) and examine its reliability and validity. The study participants consisted of 428 undergraduate students (335 females and 93 males) aged between 18 and 32 years. The researchers used Mplus and K programs for data analysis and confirmatory factor analysis to test the construct validity of the Turkish adaptation. Moreover, using correlation analysis. the researchers examined the relationship between CAI and Depression Anxiety Stress Scale (DASS-21). Cronbach's alpha internal consistency coefficient was calculated to test the reliability of the scale. The results of the confirmatory factor analysis showed that the single-factor structure of the CAI with nine items had adequate lit indices. that is, it showed good features in terms of measuring coronavirus-related anxiety. Item factor loadings changed between 0.56 and 0.81. and Cronbach's alpha internal consistency coefficient was 0.84. A statistically significant difference was found between the scores of the upper and lower 27% groups. Furthermore, statistically significant positive relationships between CAI and DASS were noted. Consequently. this study provides a number of evidences that the Turkish adaptation of CAI with nine items based on a seven-point Likert-type scale was a reliable and valid instrument for measuring coronavirus-related anxiety in undergraduate students. This research uses CAI to determine university students' anxiety levels amid the CONID-19 pandemic. The researchers suggest that particular attention should be given to a balanced distribution in terms of gender and age in future studies.
ABSTRACT
Dentists are exposed to the highest risk of occupational respiratory and droplet infections by working face-to-face with patients. The aim of this study was to investigate the knowledge of symptoms and modes of transmission of COVID-19, stress levels and clinical practice modifications of Turkish dentists during the COVID-19 pandemic. An online survey (15 questions) was sent to Turkish dentists from May 5 to 12 May, 2020. The survey comprised questions about dentists' demographic characteristics, their knowledge about COVID-19, stress levels and the measures taken in dental clinics against COVID-19. This study included a total of 1,095 Turkish dentists. The data were expressed as frequency with percentage values for overall variables. Dentists were most familiar with high fever among the symptoms of COVID-19 (99.4%) and 99.2% of them reported that COVID-19 was transmitted with eye, mouth and nasal mucosa contact on surfaces contaminated with the droplets of infected persons. While the stress levels of females were higher than males, the stress levels of dentists with more than 20 years of professional experience were found to be lower. Regarding the precautions to be taken as a preventive measure when working again, 86.6% of the dentists took precautions by increasing daily patient care intervals and only 38.4% of the dentists wore an N95 mask. During this pandemic, knowing the conditions about when the treatments can be applied and the precautions to be taken will shed light on dentistry staff. Current recommendations of national authorities about the coronavirus should be followed.