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Background and Objectives In the midst of the pandemic, new coronavirus mutants continue to emerge;the most relevant variant worldwide is omicron. Here, patients who recovered from the disease living in Jilin Province were analyzed to identify factors affecting the severity of omicron infection and to provide insights into its spread and early indication. Methods In this study, 311 cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were divided into two groups. Data on the patients' demographic characteristics and laboratory tests, including platelet count (PLT), neutrophil count (NE), C-reactive protein (CRP), serum creatinine (SCR), and neutrophil-to-lymphocyte ratio (NLR), were collected. The biomarkers for moderate and severe coronavirus disease 2019 (COVID-19) and factors affecting the incubation period and time to subsequent negative nucleic acid amplification test (NAAT) were also investigated. Results Age, gender, vaccination, hypertension, stroke, chronic obstructive pulmonary disease (COPD)/chronic bronchitis/asthma, and some laboratory tests were statistically different between the two groups. In the receiver operating characteristic (ROC) analysis, PLT and CRP had higher area under the ROC curve values. In the multivariate analysis, age, hypertension, COPD/chronic bronchitis/asthma, and CRP were correlated with moderate and severe COVID-19. Moreover, age was correlated with longer incubation. In the Kaplan-Meier curve analysis, gender (male), CRP, and NLR were associated with longer time to subsequent negative NAAT. Conclusions Older patients with hypertension and lung diseases were likely to have moderate or severe COVID-19, and younger patients might have a shorter incubation. A male patient with high CRP and NLR levels might take more time to turn back negative in the NAAT.
ABSTRACT
Background and Objectives: In the midst of the pandemic, new coronavirus mutants continue to emerge; the most relevant variant worldwide is omicron. Here, patients who recovered from the disease living in Jilin Province were analyzed to identify factors affecting the severity of omicron infection and to provide insights into its spread and early indication. Methods: In this study, 311 cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were divided into two groups. Data on the patients' demographic characteristics and laboratory tests, including platelet count (PLT), neutrophil count (NE), C-reactive protein (CRP), serum creatinine (SCR), and neutrophil-to-lymphocyte ratio (NLR), were collected. The biomarkers for moderate and severe coronavirus disease 2019 (COVID-19) and factors affecting the incubation period and time to subsequent negative nucleic acid amplification test (NAAT) were also investigated. Results: Age, gender, vaccination, hypertension, stroke, chronic obstructive pulmonary disease (COPD)/chronic bronchitis/asthma, and some laboratory tests were statistically different between the two groups. In the receiver operating characteristic (ROC) analysis, PLT and CRP had higher area under the ROC curve values. In the multivariate analysis, age, hypertension, COPD/chronic bronchitis/asthma, and CRP were correlated with moderate and severe COVID-19. Moreover, age was correlated with longer incubation. In the Kaplan-Meier curve analysis, gender (male), CRP, and NLR were associated with longer time to subsequent negative NAAT. Conclusions: Older patients with hypertension and lung diseases were likely to have moderate or severe COVID-19, and younger patients might have a shorter incubation. A male patient with high CRP and NLR levels might take more time to turn back negative in the NAAT.
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INTRODUCTION: The COVID-19 pandemic is raging worldwide; the number of new cases and deaths is increasing daily. This study aims to examine the knowledge, attitudes, and practices (KAP) toward COVID-19 among residents of Quang Binh, Vietnam. METHODOLOGY: A cross-sectional study was conducted between the 1st and 10th of March 2022 in Quang Binh with 413 participants through convenience sampling. A self-designed questionnaire was used for data collection, using SPSS (IBM Corp, Armonk, NY) version 26.0 for management and analysis. RESULTS: Among the 413 participants, 80.5% of participants had good knowledge about COVID-19. Kinh people and those with a high level of education have higher odds of having good knowledge. 78.2% of participants had a positive attitude and 78.2% had good practice toward COVID-19. Knowledge-Practice scores and Attitude-Practice scores have a positive correlation. TV (65.4%) and the internet (66.6%) are the most popular channels for information about COVID-19. Common barriers for participants taking COVID-19 prevention measures were "due to the demands of life" (61%) or "due to the specificity of the work" (47.7%). CONCLUSIONS: Residents of Quang Binh have a moderate KAP towards COVID-19. Health education programs are needed to improve knowledge about COVID-19 among Quang Binh residents, with a focus on ethnic minorities and people with low levels of education.
Subject(s)
COVID-19 , Humans , COVID-19/epidemiology , COVID-19/prevention & control , Pandemics/prevention & control , Health Knowledge, Attitudes, Practice , Cross-Sectional Studies , Vietnam/epidemiology , Surveys and QuestionnairesABSTRACT
Background: The recent global COVID-19 pandemic serves as another reminder that people in different urban neighborhoods need equal access to basic medical services. This study aims to improve the spatial accessibility of healthcare services toward the '15-minute city' goal. Methods: We chose Zhengzhou, China, as a case study. To improve spatial accessibility, two optimization models of optimal supply-demand allocation (OSD) and the capacitated p-medina problem (CPMP) were used. Spatial accessibility in this study is defined as the walking time from the communities to healthcare centers. Results: For the current status of healthcare services at the community level, the mean travel time is 18.3 min, and 39.6% of residents can access healthcare services within a 15-minute travel time. Population coverage within a 15-minute walking time is significantly lower than the national target of 80%. After redefining the service areas through OSD allocation, the mean travel time was reduced to 16.5 min, and 45.1% of the population could reach services. Furthermore, the 60 newly proposed healthcare centers selected by the CPMP model could potentially increase by 35.0% additional population coverage. The average travel time was reduced to 10 min. Conclusions: Both the redefinition of the service areas and the opening of new service centers are effective ways to improve the spatial accessibility of healthcare services. Two methods of this study have implications for urban planning practices towards the 15-minute city.
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Digital microfluidic (DMF) has been a unique tool for manipulating micro-droplets with high flexibility and accuracy. To extend the application of DMF for automatic and in-site detection, it is promising to introduce colorimetric sensing based on gold nanoparticles (AuNPs), which have advantages including high sensitivity, label-free, biocompatibility, and easy surface modification. However, there is still a lack of studies for investigating the movement and stability of AuNPs for in-site detection on the electrowetting-based digital microfluidics. Herein, to demonstrate the ability of DMF for colorimetric sensing with AuNPs, we investigated the electrowetting property of the AuNPs droplets on the hydrophobic interface of the DMF chip and examined the stability of the AuNPs on DMF as well as the influence of evaporation to the colorimetric sensing. As a result, we found that the electrowetting of AuNPs fits to a modified Young-Lippmann equation, which suggests that a higher voltage is required to actuate AuNPs droplets compared with actuating water droplets. Moreover, the stability of AuNPs was maintained during the processing of electrowetting. We also proved that the evaporation of droplets has a limited influence on the detections that last several minutes. Finally, a model experiment for the detection of Hg2+ was carried out with similar results to the detections in bulk solution. The proposed method can be further extended to a wide range of AuNPs-based detection for label-free, automatic, and low-cost detection of small molecules, biomarkers, and metal ions.
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This study investigates visitors' attitudes towards the reopening of the Chimelong Ocean Kingdom in China amid the global pandemic in 2020. The proposed framework utilizes the Push-Pull-Mooring model by adapting the THEMEQUAL dimensions. Seven perceptual variables are identified as a source of visitors' attitudes arising from their theme park experiences. The findings reveal that the pandemic is leading to a change in which PPM factors most influence visitors' decision to revisit a theme park. It proposes that the theme park industry should put these important factors together in order to develop a cohesive approach to cultivating safety and brand trust. [ABSTRACT FROM AUTHOR] Copyright of Journal of Travel & Tourism Marketing is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
ABSTRACT
Coronavirus diseases 2019 (COVID-19) has become a global pandemic. To add to the scarce information on this disease, here, we investigated the epidemiological and clinical characteristics of 93 hospitalized patients with COVID-19 in Jilin, China from January 22 to March 15, 2020.We retrospectively investigated the demographic information, recent exposure history, clinical symptoms or signs, comorbidity, chest computed tomographic (CT) scan or X-ray results, laboratory test results, diagnostic classification, treatment, length of hospitalization, complications, and outcomes.Of the 93 patients, 54 were male and 39 female. More than half of these patients had a history of exposure to infected patients. The mean incubation period was 10.4 days in 87 patients, where the data was available. The 5 most common symptoms of illness onset were fever, cough, expectoration, fatigue, and dyspnea. One patient was asymptomatic. The imaging results were abnormal in majority of the patients. Almost one-third of the patients had lymphopenia. All patients received antiviral therapy, 84 patients were treated with antibiotics and 54 received different doses of the hormone for methylprednisolone. In addition, 72 patients used traditional Chinese medicine. Oxygen therapy, high nasal flow oxygen, non-invasive ventilator, invasive ventilator and extracorporeal membrane oxygenation (ECMO) were used symptomatically in different patients. Except 1 patient who died during treatment, all others were discharged.The average incubation time is prolonged in the present analysis, as compared to that in other reports. A few patients symptoms improved but CT exacerbated. Therefore, we suggest that close follow-up observation is still required after discharge.