Terminology Management for Social Media Communication During Covid 19 Pandemic: A Case Study with a Portuguese Higher Education Institution

The process of attracting new students is a constant challenge for Portuguese Higher Education Institutions (HEIs). It is challenging because it implies the definition of a communication strategy that uses both traditional and digital tactics to promote the institution and its educational offer. Considering the constraints resulting from the COVID-19 pandemic, HEIs had to change their strategies and, in a short period, create digital communication mechanisms to facilitate new students' access to relevant information about the institution. This paper intends thus to determine and evaluate which are the predominant factors in seeking information about a degree in business sciences, specifically regarding the Porto Accounting and Business School in Portugal. To do that, we will consider the various factors that tend to influence the decision-making process of choosing a higher education degree, namely: the institutional website, social networks (Instagram, Facebook, Twitter and YouTube), other contact mechanisms (live chat, e-mail, text messages, ZOOM videoconference) and alumni testimonials. This study will also consider the role of terminology and positive language to obtain a successful communication strategy for social media. The analysis of these factors, combined with research developed with a focus group of high school students' graduates to assess their online preferences, will allow the presentation of a digital communication proposal whose purpose is to attract and retain new students. This proposal will consider the role of a strategic terminology management approach to capture students' attention when responding to their social media preferences. This paper results from the perception that being aware of the students' online preferences and communication skills and needs is essential to enhance the quality of the digital communication that HEIs promote in social media channels, especially in a time frame as specific and multifaceted as the one that we are currently experiencing. © The Authors, (2022). All Rights Reserved. No reproduction, copy or transmission may be made without written permission from the individual authors.

Adherence to protective mechanical ventilation in COVID-19 versus non-COVID-19-associated acute respiratory distress syndrome: Comparison between two prospective cohorts.

OBJECTIVE: To compare adherence to protective mechanical ventilation (MV) parameters in patients with acute respiratory distress syndrome (ARDS) caused by COVID-19 with patients with ARDS from other etiologies. DESIGN: Multiple prospective cohort study. SETTING: Two Brazilian cohorts of ARDS patients were evaluated. One with COVID-19 patients admitted to two Brazilian intensive care units (ICUs) in 2020 and 2021 (C-ARDS, n=282), the other with ARDS-patients from other etiologies admitted to 37 Brazilian ICUs in 2016 (NC-ARDS, n=120). PATIENTS: ARDS patients under MV. INTERVENTIONS: None. MAIN VARIABLES OF INTEREST: Adherence to protective MV (tidal volume ≤8mL/kg PBW; plateau pressure ≤30cmH2O; and driving pressure ≤15cmH2O), adherence to each individual component of the protective MV, and the association between protective MV and mortality. RESULTS: Adherence to protective MV was higher in C-ARDS than in NC-ARDS patients (65.8% vs. 50.0%, p=0.005), mainly due to a higher adherence to driving pressure ≤15cmH2O (75.0% vs. 62.4%, p=0.02). Multivariable logistic regression showed that the C-ARDS cohort was independently associated with adherence to protective MV. Among the components of the protective MV, only limiting driving pressure was independently associated with lower ICU mortality. CONCLUSIONS: Higher adherence to protective MV in patients with C-ARDS was secondary to higher adherence to limiting driving pressure. Additionally, lower driving pressure was independently associated with lower ICU mortality, which suggests that limiting exposure to driving pressure may improve survival in these patients.

Parental perception about the pandemic impact on mental health of children: a cross-sectional study : Sonia Pinto

Background The pandemic may increase mental issues among children. This study aimed to explore parental perceptions on the pandemic impact on the health status of their children, with a focus on mental health. Methods An online nationwide cross-sectional study has been conducted amongst Italian parents (from April 2022-ongoing). The survey included: Strength and Difficulties Questionnaire (SDQ), Kessler-6 (K6) for parent's psychological distress, and pandemic-related items. The outcomes were: child's SDQ above the clinical cut-off and perceived child's worsening of sleep, appetite, physical and mental health during the pandemic. Multivariable regressions were run (p < 0.05 as significant). Results Up to date, participants were 333 (88% female). Mean age was 40.7 years (SD = 6.7). Considering their children, 52.9% were female and mean age was 6.62 (SD = 4.3). A total of 12.6% of children passed the SDQ cut-off. Having parents who are healthcare workers (adjOR=4.1), having parents positive for K6 (adjOR=4.0) and having a poor economic situation (adjOR=3.9) were significantly associated with a higher probability of passing the cut-off. Considering the pandemic, 15.4% declared their child had worse sleep, 12.2% lower appetite, 6.6% more physical issues, and 22.9% more mental issues. Using electronic devices more than before the pandemic was significantly associated with worsening of sleep (adjOR=2.9) and appetite (adjOR=6.9). Having parents who are healthcare workers was significantly associated with worsening of sleep (adjOR=2.3) and mental health (adjOR=2.4). Having parents positive for K6 was significantly associated with worsening of mental health (adjOR=5.3). Conclusions This study suggested a perceived substantial worsening of children's health, especially considering mental health. Exploring how parents recognize their children's health and how the COVID-19 has changed daily habits should be considered as a public health priority in Europe. Key messages Children having parents who are healthcare workers, having parents positive for K6 and having a poor economic situation had a higher risk to pass the clinical cut-off of SDQ. According to parents’ perceptions, the impact of the pandemic was relevant on children's health, especially on mental health.

Mental health impact of coronavirus disease 2019 pandemic on children with psychiatric disorder

Introduction: The first full lockdown due to the coronavirus pandemic in Portugal started in March 2020 and sent home every child, only to return to school in September the same year. Children are thought to cope harder with this pandemic, but little is known about those already struggling with psychiatric conditions. Methods: We interviewed parents of 196 children in psychiatric follow-up in Clínica da Encarnação, a child psychiatry unit, Centro Hospitalar Universitário Lisboa Central, and reported their perception of the impact of the lockdown on the mental health of their children, as well as on their families. Results: The parents reported a slight deterioration of their children condition and symptomatology, particularly irritability and anxiety. We identified several important fragility factors such as female gender, lower school grade, higher daily screen time, lower housing quality, parental precarious job situation, parental psychiatric disorder, pharmacologic treatment, and shorter follow-up time. We also found some resilience factors such as coronavirus disease 2019 cases in the family and school failure, as well as male gender and shorter daily screen time. The parents who reported a deterioration of familial conflicts also reported a worse lockdown impact on their children psychiatric condition. Discussion: Our findings suggest a heterogeneous impact on these children’s psychiatric symptomatology. Efforts should be made towards prevention along with interventions. The fragility and resilience factors identified should help direct these interventions. © 2022, Portuguese Society of Paediatrics. All rights reserved.

Reflections of executive staff using the SaferCare Victoria COVID-19 clinical screening tool in a residential aged care service during the pandemic in Victoria, Australia

Screening tools are useful for identifying disease during an early and pre-symptomatic stage. Older people dwelling in residential aged care services are particularly susceptible to COVID-19 and if infected have a high mortality rate. This article describes the lived experiences and reflections of some of the executive staff of an aged care service following the use of a COVID-19 clinical screening tool developed by SaferCare Victoria. The reflections were based on experiences of the contributors to this article during the second wave of the pandemic during 2020 in Victoria, Australia. Open learning sessions were held via teleconference for staff to be trained in use of the tool. The tool was used in a variety of different circumstances for monitoring all residents. At times residents would decline to have certain observations taken and clinical staff were initially concerned about the potential extra work. The regular use of the tool to track a residents' clinical observations over a 14-day period allowed opportunities to identify early subtle changes from the individual's baseline. There was a perceived improvement in detection of residents with dehydration, delirium, urinary tract infections and those approaching the need for end-of-life care. Using the tool appears to assist in shifting the aged care service to a more systematic approach to responding to the pandemic. This appears to benefit the organisation, facility, staff, residents and their families however, more empirical research is required to test and validate these perceptions.

Economic democracy, embodied: A union co-op strategy for the long-term care sector

Unions and worker cooperatives have long represented distinct approaches to building worker voice. This paper draws from observations of the work of the “Co-op Exploratory Committee” of 1199SEIU, the nation’s largest union local, which is seeking to expand the development of unionized worker cooperatives. Described by Martin Luther King, Jr, as his “favorite” union, 1199SEIU has a storied history of organizing frontline healthcare workers and includes large numbers of women of color and immigrant workers among its membership. Since 2003, it has also represented workers at Cooperative Home Care Associates, the nation’s largest worker cooperative. Drawing from discussions among union officials, co-op leaders, and rank-and-file union members about the potential role of unionized worker cooperatives within the labor movement, the paper examines the creative tension between stakeholder and democratic logics in efforts to expand this model. It argues that continued union decline, heightened interest in economic alternatives, and systemic frailties exposed by Covid-19 may create new opportunities for building unionized worker co-ops at scale. © 2021 by Emerald Publishing Limited