Viral infections in inflammatory bowel disease: Tips and tricks for correct management.

Over the past decades, the treatment of inflammatory bowel diseases (IBD) has become more targeted, anticipating the use of immune-modifying therapies at an earlier stage. This top-down approach has been correlated with favorable short and long-term outcomes, but it has also brought with it concerns regarding potential infectious complications. This large IBD population treated with immune-modifying therapies, especially if combined, has an increased risk of severe infections, including opportunistic infections that are sustained by viral, bacterial, parasitic, and fungal agents. Viral infections have emerged as a focal safety concern in patients with IBD, representing a challenge for the clinician: they are often difficult to diagnose and are associated with significant morbidity and mortality. The first step is to improve effective preventive strategies, such as applying vaccination protocols, adopt adequate prophylaxis and educate patients about potential risk factors. Since viral infections in immunosuppressed patients may present atypical signs and symptoms, the challenges for the gastroenterologist are to suspect, recognize and diagnose such complications. Appropriate treatment of common viral infections allows us to minimize their impact on disease outcomes and patients' lives. This practical review supports this standard of care to improve knowledge in this subject area.

SARS-Cov-2 and environmental protection: A collective psychology agenda for environmental psychology research.

While the virus SARS-CoV-2 spreads all over the world, most countries have taken severe measures to protect their citizens and slow down the further spread of the disease COVID-19. These measures affect individuals, communities, cities, countries, and the entire planet. In this paper, we propose that the tremendous consequences of the corona crisis invite environmental psychology to focus more strongly on research questions that address major societal challenges from a collective psychology perspective. In particular, we stress that the corona crisis may affect how people appraise - and potentially respond to - the looming climate crisis. By consistently pointing out systemic links and their human factor, environmental psychology can become central to a scientific agenda of a sustainable 'post-corona society'. In order to provide a framework for future research towards a sustainable societal transformation, we build on the Social Identity Model of Pro-Environmental Action (SIMPEA) and extend its scope to understand people's responses following the corona crisis. The model allows predictions of previously not explicitly included concepts of place attachment, nature connectedness, basic psychological needs, and systems thinking. It may serve as a guiding framework for a better understanding of the transformation towards a sustainable future.