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1.
Int J Environ Res Public Health ; 20(2)2023 Jan 12.
Article in English | MEDLINE | ID: covidwho-2233387

ABSTRACT

Background: Compassionate care served by healthcare workers (HCWs) has been recognized as one of the most critical aspects of high-quality care. Unfortunately, there is still an unmet need for the assessment of compassionate care from the patient's perspective. During the COVID-19 pandemic, many new rules were enacted to tackle the raging pandemic, which raised concerns about its effect on compassionate care. Methods: A cross-sectional study involving 315 patients from three public hospitals was conducted during the conditional movement control order (CMCO). A self-administered Malay version of the Relational Aspect of Care Questionnaire (RAC-QM) was used to assess compassionate care. Multiple linear regression was used to determine the predictors. Results: More than 90% of the patients were Malays, Muslims, and fell under the B40 household income category. Companions were present for 51.7% of the patients, but 75.2% had no visitors. All hospitals received scores of more than 90%. Occupation (student, p = 0.032), dependency level (total dependent, p < 0.001), and household income level (M40, p = 0.027) were the statistically significant predictors for compassionate care. Conclusions: The current study revealed that compassionate care to patients was not compromised during the pandemic. Patients with disabilities or financial constraints are more likely to experience less compassionate care, while students are generally more satisfied. This study may provide clues for hospital administrators and policymakers regarding the vulnerable group of patients. It also provides opportunities for future research to study the perspective of HCWs.


Subject(s)
COVID-19 , Humans , COVID-19/epidemiology , Malaysia/epidemiology , Cross-Sectional Studies , Pandemics , Health Personnel
2.
Int J Environ Res Public Health ; 19(24)2022 12 10.
Article in English | MEDLINE | ID: covidwho-2155107

ABSTRACT

During the initial phase of the coronavirus disease 2019 (COVID-19) pandemic, there was a critical need to create a valid and reliable screening and surveillance for university staff and students. Consequently, 11 medical experts participated in this cross-sectional study to judge three risk categories of either low, medium, or high, for all 1536 possible combinations of 11 key COVID-19 predictors. The independent experts' judgement on each combination was recorded via a novel dashboard-based rating method which presented combinations of these predictors in a dynamic display within Microsoft Excel. The validated instrument also incorporated an innovative algorithm-derived deduction for efficient rating tasks. The results of the study revealed an ordinal-weighted agreement coefficient of 0.81 (0.79 to 0.82, p-value < 0.001) that reached a substantial class of inferential benchmarking. Meanwhile, on average, the novel algorithm eliminated 76.0% of rating tasks by deducing risk categories based on experts' ratings for prior combinations. As a result, this study reported a valid, complete, practical, and efficient method for COVID-19 health screening via a reliable combinatorial-based experts' judgement. The new method to risk assessment may also prove applicable for wider fields of practice whenever a high-stakes decision-making relies on experts' agreement on combinations of important criteria.


Subject(s)
COVID-19 , Public Health , Humans , Cross-Sectional Studies , COVID-19/epidemiology , Risk Assessment , Records
3.
Int J Environ Res Public Health ; 19(19)2022 Oct 10.
Article in English | MEDLINE | ID: covidwho-2066092

ABSTRACT

BACKGROUND: Mobile health (mHealth) has been considered as a prominent concept in digital health and is widely used and easily accessible. Periodic follow-up visits, previously planned procedures, and rehabilitation services for stroke survivors have been cut down during the recent COVID-19 pandemic. Therefore, in this qualitative study we aimed to explore the need for a mobile application in stroke management by informal caregivers. METHODS: A phenomenological qualitative study was conducted from November 2020 to June 2021. Thirteen respondents were recruited from two public rehabilitation centers in Kota Bharu, Kelantan, Malaysia. In-depth interviews were conducted. A comprehensive representation of perspectives from the respondents was achieved through purposive sampling. The interviews were conducted in the Kelantanese dialect, recorded, transcribed, and analyzed by using thematic analysis. RESULTS: Thirteen participants were involved in the interviews. All of them agreed with the need for a mobile application in stroke management. They believed the future stroke application will help them to seek information, continuous stroke home care, and help in the welfare of caregivers and stroke patients. CONCLUSIONS: The current study revealed two themes with respective subthemes that were identified, namely, self-seeking for information and reasons for using a stroke mobile application in the future. This application helps in reducing healthcare costs, enhancing the rehabilitation process, facilitating patient engagement in decision making, and the continuous monitoring of patient health.


Subject(s)
COVID-19 , Mobile Applications , Stroke Rehabilitation , Stroke , Caregivers , Humans , Pandemics , Qualitative Research , Stroke/therapy , Stroke Rehabilitation/methods
4.
J Formos Med Assoc ; 120 Suppl 1: S26-S37, 2021 Jun.
Article in English | MEDLINE | ID: covidwho-1972180

ABSTRACT

BACKGROUND: As Coronavirus disease 2019 (COVID-19) pandemic led to the unprecedent large-scale repeated surges of epidemics worldwide since the end of 2019, data-driven analysis to look into the duration and case load of each episode of outbreak worldwide has been motivated. METHODS: Using open data repository with daily infected, recovered and death cases in the period between March 2020 and April 2021, a descriptive analysis was performed. The susceptible-exposed-infected-recovery model was used to estimate the effective productive number (Rt). The duration taken from Rt > 1 to Rt < 1 and case load were first modelled by using the compound Poisson method. Machine learning analysis using the K-means clustering method was further adopted to classify patterns of community-acquired outbreaks worldwide. RESULTS: The global estimated Rt declined after the first surge of COVID-19 pandemic but there were still two major surges of epidemics occurring in September 2020 and March 2021, respectively, and numerous episodes due to various extents of Nonpharmaceutical Interventions (NPIs). Unsupervised machine learning identified five patterns as "controlled epidemic", "mutant propagated epidemic", "propagated epidemic", "persistent epidemic" and "long persistent epidemic" with the corresponding duration and the logarithm of case load from the lowest (18.6 ± 11.7; 3.4 ± 1.8)) to the highest (258.2 ± 31.9; 11.9 ± 2.4). Countries like Taiwan outside five clusters were classified as no community-acquired outbreak. CONCLUSION: Data-driven models for the new classification of community-acquired outbreaks are useful for global surveillance of uninterrupted COVID-19 pandemic and provide a timely decision support for the distribution of vaccine and the optimal NPIs from global to local community.


Subject(s)
COVID-19 , Pandemics , COVID-19/epidemiology , Community-Acquired Infections/classification , Disease Outbreaks , Humans , Machine Learning , Models, Statistical , SARS-CoV-2 , Taiwan
5.
Quaestiones Geographicae ; 41(2):139-151, 2022.
Article in English | Academic Search Complete | ID: covidwho-1910944

ABSTRACT

Coronavirus disease-2019 (COVID-19) in Indonesia began to appear on March 2, 2020 and led to a number of fatalities. Spatial analysis is important to study the spatio-temporal trend of COVID-19 cases and fatalities to get a better understanding of the spread as well as to mitigate it. However, such a comprehensive study at national level is not to be seen in Indonesia with limited health infrastructure. This study aims to analyse the spatio-temporal distribution and clusters of COVID-19 in Indonesia for a year period. COVID-19 cases, as well as the fatalities as a consequence of this disease, were collected from the government through publicly shared data. A geographic information system (GIS) was used to manage and analyse the data on demographics, cases, and fatalities. The case fatality rate (CFR) was produced based on the number of cases and deaths per province weekly. The spatio-temporal data of both cases and fatalities were generated from the data. Finally, K-means clustering was employed to classify the cluster of Indonesia based on the proportion of vulnerable age groups, cases, and CFR. The results show that most of the provinces in Indonesia are affected by COVID-19, but the fatalities are not distributed evenly throughout the country. Based on the K-means clustering, two provinces are classified as moderate, namely the Province of East Kalimantan and North Kalimantan. The Province of Jakarta is classified as high, because the vulnerable age group there is highly correlated with the number of cases and deaths. [ FROM AUTHOR] Copyright of Quaestiones Geographicae is the property of Sciendo 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 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 . (Copyright applies to all s.)

7.
Bangladesh Journal of Medical Science ; 21(3):702-709, 2022.
Article in English | Academic Search Complete | ID: covidwho-1875388

ABSTRACT

Background: There is a need to analyze a worldwide database of the coronavirus disease of 2019 (COVID-19) pandemic. This may prove valuable to facilitate better strategies and planning on prevention, screening, surveillance, early diagnosis, containment and treatments. Method: We extracted 14,259 case reports of COVID-19 dated 11th November 2019 to 18th March 2020 from Johns Hopkins University Repository Online Databaseof 58 countries. After extensive data preprocessing, a multi-disciplinary expert researcherthen conducted series of vetting to categorizefree-text description of symptoms into discreet standardizedcategories. Continuous variables were presented by using median and inter-quartile range whereas categorical variables were presented by frequency and percentage. Result: A total of 2191 cases (15.4%) were included for demographic analysis. The median age was46 years (IQR26 years) with 787 (35.9%) cases involved patients aged of 60 and above while patients less than18 years of age were reported in 79 (3.6%) cases. Majority of the patients were males (n=1227, 56.7%). There were a total of 20standardized categories of COVID-19 symptoms. The most prevalent were fever (74.8%), nonproductive cough (42.2%), fatigue (13.1%), sore throat (12.8%) and shortness of breath (11.7%). Other symptoms with frequency of more than 1% were chest discomfort, nasal congestion, muscular pain, chills and rigors, headache, diarrhoea, expectoration and joint pain. Other more uncommon symptoms reported include loss of appetite, conjunctivitis, toothache and abdominal pain. Asymptomatic manisfestations were reported in 8 cases (1.0%). All population are susceptible to COVID-19 especially the older age group. There were 20 standardized categories of symptoms wherefever, non-productive cough, fatigue, sore throat and shortness of breath were the most commonly reported. Conclusion: Findings of this study contribute to a deeper understanding on COVID-19 and may prove useful for researchers to better-design screening and surveillance strategies via more accurate risk-prediction modelling. [ FROM AUTHOR] Copyright of Bangladesh Journal of Medical Science is the property of Ibn Sina Medical College, Ibn Sina Trust 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 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 . (Copyright applies to all s.)

8.
Netw Model Anal Health Inform Bioinform ; 11(1): 21, 2022.
Article in English | MEDLINE | ID: covidwho-1850463

ABSTRACT

COVID-19 has triggered a global health crisis. Death from severe respiratory failure and symptoms, including fever, dry cough, sore throat, anosmia, and gastrointestinal disturbances, has been attributed to the disease. Development of screening and diagnosis methods prove to be challenging due to shared clinical features between COVID-19 and other pathologies, such as Middle Eastern respiratory syndrome, severe acute respiratory syndrome, and common colds. This study aims to develop a comprehensive one-stop online public health screening system based on clinical and epidemiological criteria. The immediate target populations are the university students and staff of University Sultan Zainal Abidin and the civil servants of the Malaysian Ministry of Science, Technology, and Innovation. Forty-nine (49) clinical and epidemiological factors associated with COVID-19 were identified and prioritized based on their prevalence via rigorous review of the literature and vetting sessions. A pilot study of 200 volunteers was conducted to assess the extent of risk mitigation of COVID-19 infection among the university students and civil servants using the prototyped model. Consequently, twelve (12) clinical parameters were identified and validated by the medical experts as essential variables for COVID-19 risk-screening. The updated model was then revalidated via real mass-screening of 5000 resulting in the final adopted CHaSe system. Principal component analysis (PCA) was used to confirm the weightage of risk level toward COVID-19 to procures the optimal accuracy, reliability, and efficiency of this system. Twelve (12) factor loadings accountable for 58.287% of the clinical symptoms and clinical history variables with forty-nine (49) parameters of COVID-19 were identified through PCA. The variables of the clinical and epidemiological aspects identified are the C6 (History of joining high-risk gathering (where confirmed cases had been recorded), CH11 [History of contact with confirmed cases (close contact)], CH13 [Duration of exposure with confirmed cases (minutes)] with substantial positive factors of 0.7053, 0.706 and 0.5086, respectively. The contribution toward high-risk infection of COVID-19 was firmly attributable to the variables CH14 [Last contact with confirmed cases (days)], CH13 [Duration of exposure with confirmed cases (minutes)], and S1 (Age). The revalidated PCA for 5000 respondents also yielded twelve significant PCs with a cumulative variance of 58.288%. Importantly, the medical experts have revalidated the CHaSe system for accuracy of all clinical aspects (clinical symptoms and clinical history) and epidemiological links to COVID-19 infection. After revalidating the model for 5000 respondents, the PC variance for PC1, PC2, PC3, and PC4 was 27.36%, 11.79%, 10.347%, and 8.785%, respectively, with the cumulative explanation of 58.288% in data variability. The level of risks detected using the CHaSe system toward COVID-19 provides optimal accuracy, reliability, and efficiency to conduct mass-screening of students and government servants for COVID-19 infection.

9.
Front Public Health ; 10: 836358, 2022.
Article in English | MEDLINE | ID: covidwho-1753421

ABSTRACT

Introduction: The unprecedented COVID-19 pandemic has greatly affected human health and socioeconomic backgrounds. This study examined the spatiotemporal spread pattern of the COVID-19 pandemic in Malaysia from the index case to 291,774 cases in 13 months, emphasizing on the spatial autocorrelation of the high-risk cluster events and the spatial scan clustering pattern of transmission. Methodology: We obtained the confirmed cases and deaths of COVID-19 in Malaysia from the official GitHub repository of Malaysia's Ministry of Health from January 25, 2020 to February 24, 2021, 1 day before the national vaccination program was initiated. All analyses were based on the daily cumulated cases, which are derived from the sum of retrospective 7 days and the current day for smoothing purposes. We examined the daily global, local spatial autocorrelation and scan statistics of COVID-19 cases at district level using Moran's I and SaTScan™. Results: At the initial stage of the outbreak, Moran's I index > 0.5 (p < 0.05) was observed. Local Moran's I depicted the high-high cluster risk expanded from west to east of Malaysia. The cases surged exponentially after September 2020, with the high-high cluster in Sabah, from Kinabatangan on September 1 (cumulative cases = 9,354; Moran's I = 0.34; p < 0.05), to 11 districts on October 19 (cumulative cases = 21,363, Moran's I = 0.52, p < 0.05). The most likely cluster identified from space-time scanning was centered in Jasin, Melaka (RR = 11.93; p < 0.001) which encompassed 36 districts with a radius of 178.8 km, from November 24, 2020 to February 24, 2021, followed by the Sabah cluster. Discussion and Conclusion: Both analyses complemented each other in depicting underlying spatiotemporal clustering risk, giving detailed space-time spread information at district level. This daily analysis could be valuable insight into real-time reporting of transmission intensity, and alert for the public to avoid visiting the high-risk areas during the pandemic. The spatiotemporal transmission risk pattern could be used to monitor the spread of the pandemic.


Subject(s)
COVID-19 , COVID-19/epidemiology , Humans , Malaysia/epidemiology , Pandemics , Retrospective Studies , Spatial Analysis
10.
Sci Rep ; 12(1): 2111, 2022 02 08.
Article in English | MEDLINE | ID: covidwho-1692556

ABSTRACT

Alterations in the three chemosensory modalities-smell, taste, and chemesthesis-have been implicated in Coronavirus Disease 2019 (COVID-19), yet emerging data suggest a wide geographic and ethnic variation in the prevalence of these symptoms. Studies on chemosensory disorders in COVID-19 have predominantly focused on Caucasian populations whereas Asians remain understudied. We conducted a nationwide, multicentre cross-sectional study using an online questionnaire on a cohort of RT-PCR-confirmed adult COVID-19 patients in Malaysia between 6 June and 30 November 2020. The aim of our study was to investigate their presenting symptoms and assess their chemosensory function using self-ratings of perceived smell, taste, chemesthesis, and nasal blockage. In this cohort of 498 patients, 41.4% reported smell and/or taste loss when diagnosed with COVID-19, which was the commonest symptom. Blocked nose, loss of appetite, and gastrointestinal disturbances were independent predictors of smell and/or taste loss on multivariate analysis. Self-ratings of chemosensory function revealed a reduction in smell, taste, and chemesthesis across the entire cohort of patients that was more profound among those reporting smell and/or taste loss as their presenting symptom. Perceived nasal obstruction accounted for only a small proportion of changes in smell and taste, but not for chemesthesis, supporting viral disruption of sensorineural mechanisms as the dominant aetiology of chemosensory dysfunction. Our study suggests that chemosensory dysfunction in COVID-19 is more widespread than previously reported among Asians and may be related to the infectivity of viral strains.Study Registration: NMRR-20-934-54803 and NCT04390165.


Subject(s)
COVID-19 Nucleic Acid Testing , Olfaction Disorders , SARS-CoV-2 , Self Report , Surveys and Questionnaires , Taste Disorders , Adolescent , Adult , Aged , Aged, 80 and over , COVID-19/complications , COVID-19/diagnosis , COVID-19/epidemiology , COVID-19/physiopathology , Female , Humans , Malaysia/epidemiology , Male , Middle Aged , Olfaction Disorders/diagnosis , Olfaction Disorders/epidemiology , Olfaction Disorders/etiology , Olfaction Disorders/physiopathology , Taste Disorders/diagnosis , Taste Disorders/epidemiology , Taste Disorders/etiology , Taste Disorders/physiopathology
11.
Turkish Journal of Computer and Mathematics Education ; 12(2):576-580, 2021.
Article in English | ProQuest Central | ID: covidwho-1668565

ABSTRACT

Malaysia is one the countries in the world that has declared Movement Control Order (MCO) method to break COVID-19 chain to save the nation from being infected by this contagious outbreak. All learning institutions were ordered to conduct distance learning classes. Students at the residential colleges were involved were separated into the Quarantined and Non-Quarantined categories and their welfare was taken care by the university management under the Department of Student Affairs. Subsequently, the food aspect was one of the crucial issues during this phenomenon. Thus, this study was conducted to investigate the Non-Quarantined residential college students' perceptions regarding the management of food during the MCO. This quantative study was conducted at Universiti Tun Hussein Onn Malaysia (UTHM). A survey was conducted where 520 students responded to the questionnaire distributed via WhatsApp mode. The data were analyzed using descriptive and inferential statistics. The results obtained were analyzed using Statistical Package for The Social Science Version 25.0 (SPSS 25). The findings indicated that majority of the respondents were satisfied with the food provided and there was no significant difference between the perceptions of male and female students towards the university's management in handling food during MCO.

12.
IJEBD (International Journal Of Entrepreneurship And Business Development) ; 4(2):211-215, 2021.
Article in English | Indonesian Research | ID: covidwho-1646760

ABSTRACT

Constructs and visualizes bibliometric networks research in COVID-19 and world tourism research with meta-analysis techniques using VOS-viewer analysis. Design/methodology/approach: This research is a bibliometric analysis, a statistical evaluation of published books or the chapters of a book of scientific articles in COVID-19 and tourism field also it is an effectual way to measure the influence of publication in the scientific community. First analysis using Scopus.com analysis search result COVID-19 and tourism research publication Next analysis using VOS-viewer a software tool for constructing and visualizing bibliometric networks in COVID-19 and tourism field. Findings: Based on VOS-viewer analysis using COVID-19 and tourism research publication 2020-2021 303 document results in scopus.com. COVID-19 and tourism research publication 2020-2021 303 document results scopus.com best 3 affiliations are Texas A&M University The University of Sydney and Griffith University;best 3 countries and territories are United Kingdom United States and Australia;best 3 funding sponsor are National Natural Science Foundation of China European Commission and European Research Council.

13.
Int J Environ Res Public Health ; 19(2)2022 01 14.
Article in English | MEDLINE | ID: covidwho-1635714

ABSTRACT

BACKGROUND: Stroke is a chronic disease that requires stroke survivors to be supported long-term by their families. This is especially because of the inaccessibility to post-stroke rehabilitation outside hospitals. The Corona Virus Disease 2019 (COVID-19) crisis and the pandemic restrictions in Malaysia are expected to exponentially increase the demand from family caregivers in supporting stroke survivors. Thus, this study aims to explore the burden, experience, and coping mechanism of the family caregivers supporting stroke survivors during the COVID-19 pandemic. METHODOLOGY: A phenomenological qualitative study was conducted from November 2020 to June 2021 in Malaysia. A total of 13 respondents were recruited from two public rehabilitation centers in Kota Bharu, Kelantan. In-depth interviews were conducted with the participants. Comprehensive representation of perspectives from the respondents was achieved through purposive sampling. The interviews were conducted in the Kelantanese dialect, recorded, transcribed, and analyzed using thematic analysis. RESULTS: Three themes on burdens and experiences were identified. They were worsening pre-existing issues, emerging new issues, and fewer burdens and challenges. Two themes on coping strategies were also identified. They were problem-focused engagement and emotion-focused engagement. CONCLUSIONS: The COVID-19 pandemic has changed the entire system of stroke management. While family caregivers mostly faced the extra burden through different experiences, they also encountered some positive impacts from the pandemic. The integrated healthcare system, especially in the era of digitalization, is an important element to establish the collaborative commitment of multiple stakeholders to compensate burden and sustain the healthcare of stroke survivors during the pandemic.


Subject(s)
COVID-19 , Stroke Rehabilitation , Adaptation, Psychological , Caregivers , Family , Humans , Pandemics , Qualitative Research , SARS-CoV-2
14.
Nanomaterials (Basel) ; 11(12)2021 Nov 24.
Article in English | MEDLINE | ID: covidwho-1596091

ABSTRACT

The unprecedented development of perovskite-silicon (PSC-Si) tandem solar cells in the last five years has been hindered by several challenges towards industrialization, which require further research. The combination of the low cost of perovskite and legacy silicon solar cells serve as primary drivers for PSC-Si tandem solar cell improvement. For the perovskite top-cell, the utmost concern reported in the literature is perovskite instability. Hence, proposed physical loss mechanisms for intrinsic and extrinsic instability as triggering mechanisms for hysteresis, ion segregation, and trap states, along with the latest proposed mitigation strategies in terms of stability engineering, are discussed. The silicon bottom cell, being a mature technology, is currently facing bottleneck challenges to achieve power conversion efficiencies (PCE) greater than 26.7%, which requires more understanding in the context of light management and passivation technologies. Finally, for large-scale industrialization of the PSC-Si tandem solar cell, the promising silicon wafer thinning, and large-scale film deposition technologies could cause a shift and align with a more affordable and flexible roll-to-roll PSC-Si technology. Therefore, this review aims to provide deliberate guidance on critical fundamental issues and configuration factors in current PSC-Si tandem technologies towards large-scale industrialization. to meet the 2031 PSC-Si Tandem road maps market target.

15.
World J Clin Cases ; 9(28): 8374-8387, 2021 Oct 06.
Article in English | MEDLINE | ID: covidwho-1513222

ABSTRACT

BACKGROUND: The coronavirus disease 2019 (COVID-19) disproportionately affected African Americans (AA) and Hispanics (HSP). AIM: To analyze the significant effectors of outcome in African American patient population and make special emphasis on gastrointestinal (GI) symptoms, laboratory values and comorbidities. METHODS: We retrospectively evaluated the medical records of 386 COVID-19 positive patients admitted at Howard University Hospital between March and May 2020. We assessed the symptoms, including the GI manifestations, comorbidities, and mortality, using logistic regression analysis. RESULTS: Of these 386 COVID-19 positive patients, 257 (63.7%) were AAs, 102 (25.3%) HSP, and 26 (6.45%) Whites. There were 257 (63.7%) AA, 102 (25.3%) HSP, 26 (6.45%) Whites. The mean age was 55.6 years (SD = 18.5). However, the mean age of HSP was the lowest (43.7 years vs 61.2 for Whites vs 60 for AAs). The mortality rate was highest among the AAs (20.6%) and lowest among HSP (6.9%). Patients with shortness of breath (SOB) (OR2 = 3.64, CI = 1.73-7.65) and elevated AST (OR2 = 8.01, CI = 3.79-16.9) elevated Procalcitonin (OR2 = 8.27, CI = 3.95-17.3), AST (OR2 = 8.01, CI = 3.79-16.9), ferritin (OR2 = 2.69, CI = 1.24-5.82), and Lymphopenia (OR2 = 2.77, CI = 1.41-5.45) had a high mortality rate. Cough and fever were common but unrelated to the outcome. Hypertension and diabetes mellitus were the most common comorbidities. Glucocorticoid treatment was associated with higher mortality (OR2 = 5.40, CI = 2.72-10.7). Diarrhea was prevalent (18.8%), and GI symptoms did not affect the outcome. CONCLUSION: African Americans in our study had the highest mortality as they consisted of an older population and comorbidities. Age is the most important factor along with SOB in determining the mortality rate. Overall, elevated liver enzymes, ferritin, procalcitonin and C-reactive protein were associated with poor prognosis. GI symptoms did not affect the outcome. Glucocorticoids should be used judiciously, considering the poor outcomes associated with it. Attention should also be paid to monitor liver function during COVID-19, especially in AA and HSP patients with higher disease severity.

16.
J Public Health Res ; 10(3)2021 Mar 24.
Article in English | MEDLINE | ID: covidwho-1148319

ABSTRACT

BACKGROUND: COVID-19 related knowledge, attitude and practice plays a major role in determining the readiness of the community to adopt the behavioural change towards recommended preventive measures outlined by public health officials. This study aims to assess the knowledge, attitude, and practice regarding COVID-19 among university students as well as its associated factors. METHOD: This is a cross sectional study that was conducted among students in a public university during the early phase of COVID-19 pandemic in Malaysia. An online validated self-administered questionnaire was used to collect the data. Mann-Whitney U and Kruskal Wallis test was used to determine the association between independent variables with knowledge, attitude, and practice score. RESULTS: Overall response rate of this study was 92.9 (n=524). Median score of knowledge domain was 78.0 (IQR= ±12.0), median attitude score of 49.0 (IQR= ±5.0), and median practice score of 80.0 (IQR= ±11.0). The mean knowledge, attitude and practice score were significantly higher among diploma holder (vs degree holder, p<0.05), residing in main Kota Kinabalu campus (vs non-KK campus, p<0.001), studying in medical faculty (vs non-medical faculty, p<0.001), and attended COVID-19 education (vs non-attendance; p<0.05). CONCLUSION: COVID-19 related knowledge and attitude were below satisfactory level during earlier phase of the pandemic. However, majority of respondents have positive behaviour towards COVID-19 prevention. This highlights the importance of accurate and tailored health education to improve the level of knowledge, attitude and practice of recommended measures to prevent COVID-19 spread.

17.
J Alloys Compd ; 849: 156702, 2020 Dec 30.
Article in English | MEDLINE | ID: covidwho-997086

ABSTRACT

In this research, due to the present pandemic of COVID-19, we are proposing a stable and fixed semitransparent photo-thermoelectric cell (PTEC) module for green energy harvesting. This module is based on the alloy of Bismuth Telluride Selenide (Bi2Te3Se), designed in a press tablet form and characterized under solar energy. Here, both aspects of solar energy i.e., light and heat are utilized for both energy production and water heating. The semitransparent PTEC converts heat energy directly to electrical energy due to the gradient of temperature between two electrodes (top and bottom) of thermoelectric cells. The PTEC is 25% transparent, which can be varied according to the necessity of the utilizer. The X-ray diffraction of material and electric characterization of module i.e., open-circuited voltage (VOC) and Seebeck coefficient were performed. The experimental observations disclose that in the proposed PTEC module with an increment in the average temperature (TAvg) from 34 to 60 °C, results in the rise of VOC âˆ¼ 2.4 times. However, by modifying the size of heat-absorbing top electrode and by increasing the temperature gradient through the addition of water coolant under the bottom electrode, an uplift in the champion device results in as increment of VOC ∼5.5 times and Seebeck coefficient obtained was -250 µV/0C, respectively. Results show that not only the selection of material but also the external modifications in the device highly effective the power efficiency of the devices. The proposed modules can generate electric power from light and utilize the penetrating sunlight inside the room and for the heating of the water which also acts as a coolant. These semitransparent thermoelectric cells can be built-in within windows and roofs of buildings and can potentially contribute to green energy harvesting, in situations where movement is restricted locally or globally.

18.
Am J Trop Med Hyg ; 103(3): 1201-1203, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-676499

ABSTRACT

The COVID-19 pandemic caught the world by surprise, causing millions of confirmed cases and hundreds of thousands of deaths. Hence, the Malaysian government announced a Movement Control Order at the start of the containment phase to flatten the epidemiological curve. Universiti Malaysia Sabah (UMS), a public university in Borneo, was accelerated into alert phase because of high risk of case importation from more than 400 China incoming undergraduates. Measures to mitigate the potential COVID-19 outbreaks in its population were taken by using conventional public health measures with special attention to task-shifting and widespread community mental health interventions. A Preparedness and Response Centre was established to overseer the mitigating measures happening inside the university. Measures taken included empowerment of frontline staff, strengthening of restrictions, strengthening university health center, vigorous contact tracing, widespread health education, maintaining cultural sensitivity, and establishment of early standard operating procedures and university continuity plans. Hence, UMS was able to ensure no importation of cases into its campus during both acute and containment phases at the nationwide level.


Subject(s)
Betacoronavirus , Coronavirus Infections/prevention & control , Mental Health , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , COVID-19 , Humans , Malaysia , SARS-CoV-2 , Universities
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