Non-invasive respiratory support in patients with severe community-acquired pneumonia.

Acute respiratory failure (ARF) is the leading cause of death in hospitalized patients with severe forms of COVID-19. At the beginning of COVID-19 pandemic the starting respiratory protocol suggested early use of intubation and artificial lung ventilation (ALV) in patients with severe pneumonia complicated by ARF. However, after the analysis of the published studies it was noted that the pathophysiology of the development of ARF in COVID-19 had features that determine the atypical clinical pattern - "silent hypoxemia". This leads to the late onset of respiratory support (RS) and, as a result, to the lower effectiveness of non-invasive RS methods. This article discusses the creation of an algorithm for the early use of various non-invasive RS methods in patients with COVID-19 complicated by ARF, that will decrease the frequency of hospitalization to the Intensive care units, tracheal intubation and ALV, reduce the duration of treatment and improve prognosis.Copyright © 2023 IRBIS LLC. All Rights Reserved.

The effect of COVID-19 pandemic on college enrollment: How has enrollment in criminal justice programs been affected by the pandemic in comparison to other college programs

The COVID-19 pandemic has affected various aspects of our lives. For many, it has affected their ability to attend school. While some have switched to online classes, others have had to drop or delay college until later. Using official enrollment data for 12 public universities in the State of Texas, this study explores the impact the COVID-19 pandemic has had on student enrollment in criminal justice programs. A series of statistical techniques, including t-tests comparing pre- and post-pandemic enrollment numbers and panel data analysis models, are utilized to investigate the trends and changes in the program enrollments between 2009 and 2021. While in alignment with the existing research on the effect of the COVID-19 pandemic on college enrollment in general the authors have found a negative statistically significant effect of the pandemic on total college enrollment for all universities in the sample, no statistically significant effect of the pandemic was found on enrollment in criminal justice programs at 12 public universities. The effect was also non-existent for engineering and all social science programs combined. In contrast to all other programs studied herein, enrollment in natural science programs was found to be positively associated with the pandemic. Authors offer an explanation for these findings as well as suggest ideas for future research. Copyright © 2023 Korotchenko and Dobbs.