ABSTRACT
ObjectiveThe purpose of this study was to investigate the impact of the COVID-19 pandemic on the quality of life of families of children with disabilities and the mediating roles of perceived social support, perceived parental self-efficacy, psychological health, psychological resilience, and perceived family burden on this relationship. BackgroundChildren with disabilities and their families are among the most affected populations from the restrictions imposed to prevent the spread of COVID-19 virus, as the special education and rehabilitation services they had been receiving were interrupted. MethodA correlational survey design was used to collect data from 824 parents of children with disabilities in Turkey. Path analysis was used to examine the direct and indirect effects of COVID-19 on family quality of life. ResultsResults indicated that COVID-19 had a significant total effect on family quality of life and perceived social support, parental self-efficacy and psychological resilience had a mediating role on the relationship between impact of the COVID-19 pandemic and family quality of life. Perceived social support was found to the strongest mediator of the relationship between the impact of COVID-19 and the family quality of life, while perceived family burden did not have a statistically significant association with these variables. ConclusionFamily quality of life for children with disabilities decreased as the impact of COVID-19 pandemic increased. Perceived social support, parental self-efficacy and psychological resilience had mediating roles in the relationship between the impact of the COVID-19 pandemic and family quality of life. ImplicationsCOVID-19 has resulted in disruption of special education and rehabilitation services for children with disabilities and their families. Changes in daily routines have brought up additional responsibilities to parents of children with disabilities. These additional responsibilities may adversely affect and increase the burden and stress families of children with disabilities experience. The high levels of stress in families negatively affect the welfare and quality of life and result in decreased parental attention to support their children. Findings of this study show the mediating link of perceived social support, parental self-efficacy and psychological resilience in the relationship between the impact of the COVID-19 pandemic and family quality of life. Policymakers and service providers should develop and implement specific care actions to support children with disabilities and their families during and after the pandemic.
ABSTRACT
In Covid-19 pandemic, countries have developed various policies to get over this period with minimum damage. These policies have been updated and are still being updated at each stage of the pandemic to maximize benefit to the society. Vaccination policies of countries have become crucial after vaccine was developed. Some inequalities such as opportunity of developed countries and inability of other countries to access vaccine and anti-vaccination are considerable hinders to prevent spread of the pandemic. We used Covid-19 data to cluster European Union Countries, Candidate Countries and Potential Candidate Countries. At the first stage of the study, optimum algorithm was determined with use of internal and stability validation indexes for clustering of countries. At the second stage of the study, model algorithm was applied and it was determined that there are 20 countries in the first cluster and 14 countries in the second cluster. In conclusion of the study, cluster-based variables analysis shows that deaths and positive rate are lower since vaccination rate is high no matter how high is the number of new cases and the reproduction rate.
ABSTRACT
Coronavirus disease 2019-induced acute respiratory distress syndrome (ARDS) is more severe in morbidly obese patients. Mechanical ventilation differs between obese and non-obese patients. We examined these differences in an obese (body mass index = 47 kg/m2) 32-year-old patient followed up in our clinic. The patient was admitted to the intensive care unit due to respiratory failure. Recruitment maneuvers were performed in pressure-controlled ventilation mode. The optimal positive end-expiratory pressure was 25 cm H2O. The inspiratory pressure was adjusted to 45 cm H2O to provide a tidal volume of 6 ml/kg and driving pressure ≤ 15. The patient was discharged with full recovery.
Subject(s)
COVID-19/therapy , Obesity, Morbid , Respiration, Artificial/methods , Respiratory Distress Syndrome/therapy , Adult , COVID-19/blood , COVID-19/complications , COVID-19/diagnostic imaging , Humans , Intensive Care Units , Male , Obesity, Morbid/complications , Positive-Pressure Respiration/methods , Respiratory Distress Syndrome/complications , Tidal VolumeABSTRACT
Due to the COVID-19 outbreak which showed its deadly results all around the world in the first quarter of 2020, all the countries have taken different measures. It is planned with lockdown, which has been a primary measure, to minimize human contact and decrease transmission rates. Various lockdown measures have been taken and implemented in different regions of Turkey, too. This research studies the effect of the change in densities in different locations on COVID-19 health data, based on the mobility trends in a certain time period and COVID-19 health data obtained regarding the related time period in Turkey. Thus, it is shown that decreasing the mobility trend has a positive effect on statistics concerning human life.