ABSTRACT
Technological advances and COVID-19 have led to expedited technology use and online learning in higher education. Increased technology use and online learning have led individuals to either adapt or experience technostress. Higher education is a ripe context for technostress to occur, especially for students, since many courses are being offered in a hybrid and/or synchronous online format due to COVID-19. Students have often been required and/or encouraged to use multiple technologies, especially webcams, during online courses. Thus, this study explores the technostress students could be experiencing from requested webcam use as well as potential influencers and outcomes of technostress for students via exploring factors from Davis's [Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319-340] technology acceptance model in a new proposed model. Results indicated the model was a significant predictor for digital skills, perceived ease of use, technostress, and cognitive learning for students being required or not required to use webcams. Implications for researchers and instructors as well as future research directions are discussed.
ABSTRACT
The 4th edition of the "Braun-Falco Textbook", an international standard text of dermatology, allergy and sexually transmitted disorders has been thoroughly rewritten and reedited and offers a comprehensive state-of-the-art review of the entire field for clinicians in hospital and private practice. The editors assembled an expert team of authors with outstanding international reputation who present a concise overview of the complete spectrum of dermatology and its groundbreaking progress with particular emphasis on aspects of practical care within the specialty. The treatment recommendations are based on current international guidelines and standards of care, and pay special attention to latest therapeutic progress as well as recent pathophysiological concepts. A special emphasis has been put on a unique array of high quality figures and a clear, easily understandable structure of the respective chapters. Besides the printed version, the new edition is available as a digital version. New aspects of the 4th edition that reflect the tremendous and rapid progress of dermatology include an up to date clinical classification of dermatoses, current guidelines and therapeutic concepts in inflammatory and neoplastic diseases, and dermatological aspects of the new Covid-19 infection. "Braun-Falco's Dermatology" is a must for specialists and trainees in dermatology, and of great value for all physicians who encounter skin diseases in general. © Springer-Verlag GmbH Germany, part of Springer Nature 1991, 2000, 2009, 2022. All rights reserved.
ABSTRACT
BACKGROUND: SARS-CoV-2 has massively changed the care situation in hospitals worldwide. Although tumour care should not be affected, initial reports from European countries were suggestive for a decrease in skin cancer during the first pandemic wave and only limited data are available thereafter. OBJECTIVES: The aim of this study was to investigate skin cancer cases and surgeries in a nationwide inpatient dataset in Germany. METHODS: Comparative analyses were performed in a prepandemic (18 March 2019 until 17 March 2020) and a pandemic cohort (18 March 2020 until 17 March 2021). Cases were identified and analysed using the WHO international classification of diseases codes (ICDs) and process key codes (OPSs). RESULTS: Comparing the first year of the pandemic with the same period 1 year before, a persistent decrease of 14% in skin cancer cases (n = 19 063) was observed. The largest decrease of 24% was seen in non-invasive in situ tumours (n = 1665), followed by non-melanoma skin cancer (NMSC) with a decrease of 16% (n = 15 310) and malignant melanoma (MM) with a reduction of 7% (n = 2088). Subgroup analysis showed significant differences in the distribution of sex, age, hospital carrier type and hospital volume. There was a decrease of 17% in surgical procedures (n = 22 548), which was more pronounced in minor surgical procedures with a decrease of 24.6% compared to extended skin surgery including micrographic surgery with a decrease of 15.9%. CONCLUSIONS: Hospital admissions and surgical procedures decreased persistently since the beginning of the pandemic in Germany for skin cancer patients. The higher decrease in NMSC cases compared to MM might reflect a prioritization effect. Further evidence from tumour registries is needed to investigate the consequences of the therapy delay and identify the upcoming challenges in skin cancer care.