Negative ageism and compassionate ageism in news coverage of older people under COVID-19: how did the pandemic progression and public health responses associate with different news themes?

Previous studies have found negative ageing narratives in the media during the COVID-19 pandemic. However, few have focused on compassionate ageism and how the news responded to the progression of the COVID-19 pandemic. We investigated (a) media themes of negative and compassionate ageism and (b) their relationships with COVID-19 parameters and the public health response. The sample included 1,197 articles relevant to COVID-19 and older people in Hong Kong published between January and December 2020. We used thematic analysis to identify themes from the news articles and structural equation modelling to explore these themes' relationship with the number of older people infected, effective reproduction number, number of COVID-19 deaths and public health response parallel in time. Pandemic-related variables were lagged for a day - the time needed to be reflected in the news. Two negative ageism themes portrayed older people as vulnerable to COVID-19 but counterproductive in combating the pandemic. Two compassionate ageism themes depicted older people as a homogenous group of passive assistance recipients. The theme blaming older people was associated with the number of confirmed infections (beta = 0.418, p = 0.002) but vulnerability of older people was not associated with pandemic-related variables. The theme helping older people was negatively associated with the percentage of older people in confirmed infections (beta = -0.155, p = 0.019). The theme resources available was negatively associated with confirmed infections (beta = -0.342, p < 0.001) but positively associated with the Containment and Health Index (beta = 0.217, p = 0.005). Findings suggested that negative and compassionate ageism were translated into narratives about older people in the media as the pandemic evolved but did not address the actual risk they faced. Media professionals should be aware of the potential negative and compassionate ageism prompted by the news agenda and promote adequate health behaviours and responses.

Analyzing quantile spillover effects among international financial markets

This paper investigates the quantile-based spillover effects among 17 stock markets from January 1993 to January 2022, utilizing a quantile approach based on the variance decomposition of a quantile vector autoregression (QVAR) model. Compared with the traditional mean-based spill-over measures, this new quantile approach allows for a nuanced investigation of spillovers at every quantile and capture spillovers under extreme events. The results show that: (1) the total spillover is high and exhibits strong time-varying characteristics, and the tail spillover is higher and more complex in scale and direction;(2) the spillover at each quantile level shows an upward trend, especially during the 2008 crisis and the COVID-19 epidemic;(3) developed countries (or regions) are the net exporters of stock market spillovers, while the developing countries are the net importers;and (4) the 17 stock markets constitute different local financial networks, which may be related to economic conditions and geographical location.

Nonmydriatic Ultra-Widefield Fundus Photography in a Hematology Clinic Shows Utility for Screening of Sickle Cell Retinopathy.

PURPOSE: To determine the feasibility and accuracy of nonmydriatic ultra-widefield (UWF) fundus photographs taken in a hematology clinic setting for screening of sickle cell retinopathy (SCR) DESIGN: Prospective cohort study. METHODS: This single-site study took place at the Johns Hopkins Sickle Cell Center for Adults and the Wilmer Eye Institute. The study population was 90 eyes of 46 consecutive adults with sickle cell disease (SCD). Bilateral nonmydriatic fundus photos taken by clinic personnel during the participants' routine hematology appointment were graded by 2 masked retina specialists at the Wilmer Eye Institute for the presence of nonproliferative SCR (NPSR) and proliferative sickle retinopathy (PSR). A third retina specialist adjudicated in cases of grader disagreement. All participants underwent the standard dilated fundus examination (DFE) within 2 years of acquisition of UWF photographs. The main outcome measure was the sensitivity and specificity of nonmydriatic UWF images for the detection of NPSR and PSR RESULTS: PSR was noted in 19 of 90 eyes that underwent DFE and in 9 of 67 gradable UWF images. Interrater agreement between the 2 graders was moderate, with κ = 0.65 (range 0.43-0.87) for PSR. For gradable UWF photos, the sensitivity and specificity of detecting SCR using the nonmydriatic photos compared with the DFE were 85.2% and 62.5% for NPSR, respectively, and 69.2% and 100% for detection of PSR, respectively. One participant required ophthalmic therapy in both eyes for active sea-fan neovascularization. CONCLUSIONS: UWF imaging shows utility in screening for SCR and may help identify patients with PSR who require a DFE and who may benefit from treatment.

HierST: A Unified Hierarchical Spatialoral Framework for COVID-19 Trend Forecasting

The outbreak of the COVID-19 pandemic has largely influenced the world and our normal daily lives. To combat this pandemic efficiently, governments usually need to coordinate essential resources across multiple regions and adjust intervention polices at the right time, which all call for accurate and robust forecasting of future epidemic trends. However, designing such a forecasting system is non-trivial, since we need to handle all kinds of locations at different administrative levels, which include pretty different epidemic-evolving patterns. Moreover, there are dynamic and volatile correlations of pandemic conditions among these locations, which further enlarge the difficulty in forecasting. With these challenges in mind, we develop a novel spatialoral forecasting framework. First, to accommodate all kinds of locations at different administrative levels, we propose a unified hierarchical view, which mimics the aggregation procedure of pandemic statistics. Then, this view motivates us to facilitate joint learning across administrative levels and inspires us to design the cross-level consistency loss as an extra regularization to stabilize model training. Besides, to capture those dynamic and volatile spatial correlations, we design a customized spatial module with adaptive edge gates, which can both reinforce effective messages and disable irrelevant ones. We put this framework into production to help the battle against COVID-19 in the United States. A comprehensive online evaluation across three months demonstrates that our projections are the most competitive ones among all results produced by dozens of international group and even surpass the official ensemble in many cases. We also visualize our unique edge gates to understand the evolvement of spatial correlations and present intuitive case studies. Besides, we open source our implementation at https://github.com/dolphin-zs/HierST to facilitate future research towards better epidemic modeling. © 2021 ACM.

The Impact of COVID-19 on Diabetic Retinopathy Monitoring and Treatment.

PURPOSE OF REVIEW: Diabetic retinopathy (DR) is one of the leading causes of vision loss worldwide. Although screening and early treatment guidelines for DR have significantly reduced the disease burden, restrictions related to the COVID-19 pandemic have changed real-world practice patterns in the management of DR. This review summarizes evolving guidelines and outcomes of the treatment of DR in the setting of the pandemic. RECENT FINDINGS: Intravitreal injections for DR have decreased significantly globally during the pandemic, ranging from approximately 30 to nearly 100% reduction, compared to corresponding timepoints in 2019. Most studies on functional outcomes show a decrease in visual acuity on delayed follow-up. Changing practice patterns in the management of DR has led to fewer intravitreal injections and overall reduction in visual acuity on follow-up. As COVID variants emerge, it will be necessary to continue evaluating practice guidelines.