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Objective: To explore the double psychosocial threats of the COVID-19 pandemic, targeted behavior toward Chinese Americans, and the correlates to their mental health. Methods: A quantitative, cross-sectional, and descriptive design was utilized by using a purposive convenience sample of 301 Chinese Americans over the age of 18 residing in the United States. Online data collection was conducted through the social media platform WeChat from April 8–21, 2021. Descriptive statistical analysis was used for the participants' demographic characteristics, Multidimensional Scale of Perceived Social Support (MSPSS), Double Threat Situations, COVID-19 Racial Discrimination, and General Anxiety Disorder-7 (GAD-7). Stepwise logistic regression was conducted to verify predictors for anxiety levels by GAD-7. Results: In this sample (N = 301), 127 (42.19%) were male and 174 (57.81%) were female. The average age was 41.67 (SD = 5.89). Among MSPSS subscales, social support from family (MSPSS-Fam, 79.73%, n = 240) and social support from significant others (MSPSS-SO, 73.75%, n = 222) were high. 231 (76.74%) reported threats due to their Chinese ethnic background during the COVID-19 outbreak. Predictors for the high anxiety level by GAD-7 were COVID-19 racial discrimination from the local community (OR = 0.47, 95% CI = 0.39–0.71, p < 0.001), media/online (OR = 0.36, 95% CI = 0.26–0.53, p < 0.001), the perceived threat from the COVID-19 virus (OR = 0.33, 95% CI = 0.23–0.51, p < 0.001) and Perceived racism threat from Chinese background related to COVID-19 (OR = 0.31, 95% CI = 0.21–0.49, p < 0.001). Conclusions: COVID-19 double-threats (The virus and racial discrimination) situations are significantly related to the high level of anxiety among Chinese Americans. The sense of belonging and social perceptions of Chinese immigrants is closely related to public health problems in Western societies and needs to be addressed at all levels. Our findings call for the attention of healthcare workers to specific racism double-threatened situations and high mental health risks, as well as direct and indirect ethnic discrimination that Chinese Americans are experiencing during this pandemic, the long-term influences and effective coping ways related to this issue should be explored in further research. © 2023, Tech Science Press. All rights reserved.
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Objective To analyze the status of job satisfaction of human organ donation coordinators in Fujian province during the normalization period of novel coronavirus pneumonia (COVID-19) epidemic prevention and control and put forward corresponding suggestions. Methods The job satisfaction of human organ donation coordinators in Fujian province was investigated by online questionnaires. The correlation analysis of all dimensions of the overall job satisfaction of human organ donation coordinators was carried out, and the influencing factors of the overall job satisfaction were analyzed. Results The overall job satisfaction of human organ donation coordinators was (2.9 0.8), which was a relatively low score. The job promotion satisfaction was (4.7 1.3), (2.0 1.4) for the job pay and benefits satisfaction, and (2.0 1.3) for the job communication satisfaction. The job pay and benefits satisfaction was positively correlated with job communication satisfaction -0.653 , P<0.05). Multiple factors differed in job satisfaction. The overall job satisfaction of human organ donation coordinators was associated with gender, nature of job, working years, average monthly income, age, educational background and nature of post. Conclusions The job satisfaction of human organ donation coordinators is relatively low in Fujian province during the normalization period of COVID-19 epidemic prevention and control. Flexible and diverse methods should be employed from the government and hospital levels to further improve security policies for human organ donation coordinators.Copyright © 2021 Journal of Zhongshan University. All right reserved.
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Background and Objectives: The concept of health literacy shaping attitudes and behaviours is critical in preventing and controlling person-to-person transmission in the spread of infectious diseases. Health literacy is a determinant of health;it impacts the effective use of health behaviour by empowering individuals and communities to prevent epidemics like Coronavirus and Monkeypox. The study aims to assess the association between health-protective behavior and health literacy for preventing the spread of the Coronavirus during the pandemic in adolescents of Rawalpindi, Pakistan. Materials and Methods: A cross-sectional descriptive study was conducted in public and private schools of Rawalpindi, 387 middle and high school students. Multiple linear regression was used to find the association between the main explanatory variable, health literacy and the outcome variables, health knowledge and health behaviour. The study was conducted in ten different sessions, each requiring one hour from 1st August to 31st October 2021, the self-administered questionnaire was used as a data collection tool, and a total of 387 participants took part in the study. Data were entered and analysed using SPSS Version 27. Results: Multiple linear regression analyses showed a significant association between health literacy and health knowledge (= 0.04, 95% CI = 0.005– 0.069, p=0.023), and between health literacy and health behaviour (= 0.07, 95% CI = 0.048–0.099, p<0.001). Conclusion: Health literacy is significantly associated with increased hand hygiene knowledge and behaviour. Government should prioritise health literacy policy and practice and make it more sustainable, effective, and integral using the multi-level targeted approach for the national educational sector. © 2023, Mashhad University of Medical Sciences. All rights reserved.
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In recent years, natural disasters have been raging around the world, among which COVID-19, a public health pandemic, is still spreading all over the world. Emergency material distribution (EMD) in rescue work is facing serious challenges in the term of coordination, efficiency, traceability, identification, credibility, and security, privacy, and transparency. To address the issues, this paper develops a framework based on blockchain technology so that the operation information of EMD can be safely and promptly transmitted to the blockchain system. The scheme could achieve to query, track and record the operation status of emergency material collection, vehicle scheduling, inventory management, relief material allocation and others in real time. By using this framework, a case study on medical rescue materials distribution for COVID-19 is provided to illustrate how blockchain technology and Internet of Things (IoT) technology can be effective. The research provides insights on using the disruptive blockchain technology to effectively coordinate the deployment of emergency supplies, vehicles and personnel, and improve the transparency and credibility of rescue work to minimize the losses caused by disasters. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.
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Purpose: Osteoarthritis and rheumatoid arthritis (RA) are multifaceted diseases of articular cartilage and synovial tissue that created unique barriers for patients during the COVID-19 pandemic. Delays in treatment can exacerbate the disease course and increase the risk of sustaining an injury. This paper uses a population-based survey to elucidate how the COVID-19 pandemic affected health outcomes in patients with osteoarthritis and RA. Method(s): Data was received from the National Health Interview Survey (NHIS) 2020. Adults were asked if they were ever diagnosed with osteoarthritis or RA;"yes" responses were assigned to the "Arthritis" group and "no" responses were assigned to the control. Participants were asked whether the COVID-19 pandemic delayed their medical care and if they had been clinically diagnosed with depression in 2020. Injury questions included whether participants suffered any injury, suffered a significant injury at home, stopped work due to injury, and if they experienced a major change in work activities. Statistical analysis was adjusted for large-scale surveys using STATA VSN 7.0 and a two-sided p<0.05 was considered significant. Result(s): Of the 31,525 patients identified, 26.5% (n=8,338) were diagnosed with osteoarthritis or RA. Arthritis patients had a similar incidence of COVID-19, however, a significantly greater proportion had delayed medical care (18.4% vs. 13.2%, p<0.001) and depression (26.6% vs. 14.21%, p<0.001). Patients in the arthritis group suffered an injury (12.4% vs. 8.1%, p<0.001), a significant injury at home (6.2 vs. 2.6%, p<0.001), stopped work due to injury (0.5% vs. 0.2%), and had major changes in work due to injury (1.4% vs. 0.6%, p<0.001) at an increased rate compared to the control group. Conclusion(s): Despite having the same incidence COVID-19, patients with arthritis had more difficulties accessing healthcare, experienced greater rates of depression and significant injury, and stopped working more frequently. Physicians should be cognizant of barriers patients face and their increased risk of injury. [Formula presented]Copyright © 2023
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In this work, we coated perovskite quantum dots (CsPbBr3) with metal oxide (ZnO) by an in-situ oxidation strategy to obtain CsPbBr3@ZnO nanocrystals, which effectively improved the moisture stability of the perovskite material. In addition, the ZnO layer can also transfer the interaction with gas molecules to the inner CsPbBr3, giving the CsPbBr3@ZnO nanocrystals good gas-sensing properties at room temperature. This study considered CsPbBr3@ZnO films’ structural, morphological, and gas sensing properties;and simulated breath monitoring tests. Later a sensor based on CsPbBr3@ZnO nanocrystals was prepared and used to detect the presence of heptanal (a breath biomarker for lung cancer and COVID-19) in different gases, including air, artificial breath, and real breath. The sensor displayed a fairish sensitivity (S = 0.36) alongside a brief response/recovery time (36.5 s/5.3 s) towards 200 ppm heptanal prepared with air, and the limit of detection could reach up to 2 ppm in the air and 3 ppm in artificial breath (made up of air, ethanol, isopropanol, 7-tridecanone, and n-tetradecane). Furthermore, the intelligent classification algorithms were used to identified the real breath samples containing heptanal (1–5 ppm) with an 82.5% accuracy rate in simulated breath monitoring tests. Theory calculation results showed that the good response to heptanal was attributed to both the positive adsorption energy (+3 eV) and the increased lattice distortion induced by heptanal. These sensors show great potential to be an effective method for early detection and treatment of lung cancer and COVID-19 for a healthy and prolonged life. We believe that this research will open the door toward more stable and practical perovskite-based sensors.
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Objective To analyze the status of job satisfaction of human organ donation coordinators in Fujian province during the normalization period of novel coronavirus pneumonia (COVID-19) epidemic prevention and control and put forward corresponding suggestions. Methods The job satisfaction of human organ donation coordinators in Fujian province was investigated by online questionnaires. The correlation analysis of all dimensions of the overall job satisfaction of human organ donation coordinators was carried out, and the influencing factors of the overall job satisfaction were analyzed. Results The overall job satisfaction of human organ donation coordinators was (2.9 士 0.8), which was a relatively low score. The job promotion satisfaction was (4.7 土 1.3)， (2.0 土 1.4) for the job pay and benefits satisfaction, and (2.0 土 1.3) for the job communication satisfaction. The job pay and benefits satisfaction was positively correlated with job communication satisfaction —0.653 ， P<0.05). Multiple factors differed in job satisfaction. The overall job satisfaction of human organ donation coordinators was associated with gender, nature of job, working years, average monthly income, age, educational background and nature of post. Conclusions The job satisfaction of human organ donation coordinators is relatively low in Fujian province during the normalization period of COVID-19 epidemic prevention and control. Flexible and diverse methods should be employed from the government and hospital levels to further improve security policies for human organ donation coordinators. © 2021 Journal of Zhongshan University. All right reserved.
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Objectives: Prior studies have documented multiple organ injuries related to COVID-19. These findings raisedconcerns on the impact of injuries on the health of patients discharged. We aim to identify and evaluate the minimalresidual lesions as well as the critical organs by applying the 18F-FDG PET/CT dynamic modeling approach fordischarged COVID-19 patients. Methods: Seven healthy volunteers (without COVID-19 infection or tumor history) completed static 18F-FDGPET/CT scan as control group 1. Dynamic 18F-FDG PET scans were performed for 19 patients including 7discharged COVID-19 patients (COVID-19 group) and 12 non-metastatic, newly diagnosed thyroid cancer (controlgroup 2). Dynamic 18F-FDG PET/CT scans were carried out two to three months after discharge for COVID-19group. Dynamic scans were performed from the apex of lung to the lower margin of liver. Patlak graphic analysis (Ki calculation) based on the dynamic modeling and SUV analysis from conventional static data were performed. Inaddition, COVID-19 group also completed lung function test one month after discharge. Results: COVID-19 patients were consecutively recruited, consisting of four severe and three mild pneumoniacases. Figure 1A shows the time course of recovery for a representative COVID-19 patient. One patient suffered anincreased 18F-FDG uptake of the lower lobe of bilateral lungs and a slightly impaired lung function. Although nosignificant differences were found for SUV between COVD-19 group and control group 1 in myocardial ( p =0.1677) and liver ( p = 0.0701), the SUV of lungs, brain, spleen, kidney, cervical vertebrae, thoracic vertebrae, lumbar vertebrae, and pelvisacrum in the COVID-19 group were significantly higher than that in the control group 1( p < 0.05 for all;Figure 1B ). Consistent with static results, the Ki values of myocardial and liver were notsignificantly different between COVID-19 group and control group 2. However, the Ki values of lung from severepneumonia were significantly higher than that of mild pneumonia ( p = 0.0034) and control group 2 ( p = 0.0003;Figure 1C ). Conclusion: Given such small number of enrolled, this preliminary study suggested that 18F-FDGPET/CT provided a reliable estimate of residual lesions and may act as a potential tool for evaluating recoverystatus in discharged COVID-19 subjects.
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Background: Coronavirus disease 2019 (COVID-19) is now still an emerging, evolving pandemic, causing more than 64 million people infected. Hypertension, a common cardiovascular condition, has been reported as a risk factor for higher mortality. In order to a better management, it is necessary to know the clinical course and identify the factors associated with clinical outcomes in COVID-19 patients with hypertension.Methods and results: A total of 148 COVID-19 cases who had pre-existing hypertension with clarified outcomes (discharge or deceased) were included in this study. Medical history, clinical manifestation, epidemiological, and laboratory data were analyzed. 45 (30.4%) patients had died during hospitalization, multivariate COX regression analysis revealed some predicted factors at admission for in-hospital death including elevated level of hs-cTn (HR: 3.98, 95% CI:1.95-8.16) and IL-6 (HR: 3.31, 95% CI: 1.42-7.72). Patients with uncontrolled blood pressure (BP) (n = 52) which were defined as systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg for more than once (≥ 2 times) during hospitalization, were more likely to have ICU admission (P=0.037), invasive mechanical ventilation(P=0.028), and renal injury(P=0.005). With a stricter criterion which was defined as systolic BP ≥ 130 mmHg or diastolic BP ≥ 80 mmHg for more than once (≥ 2 times) during hospitalization, 105 (70.9%) patients with uncontrolled BP had higher mortality rate (P=0.046). In our study, there were 35 (23.6%) patients taking renin-angiotensin-aldosterone system (RAAS) suppressor including angiotensin converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARB) and spironolactone. Patients with these RAAS suppressors treatment were less likely to be admitted to ICU (P = 0.048). And treatment with RAAS suppressors didn't have an obvious influence in mortality.Conclusion: Among COVID-19 patients with hypertension, elevated hs-cTn and IL-6 at admission were associated with higher mortality, suggesting that they could possibly be used as predictors for fatal outcomes. Blood pressure control with a stricter criterion of less than 130/80mmHg during hospitalization is associated with better prognosis. And treatment with RAAS suppressors didn't not contribute to a higher mortality.
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New impact of the coVID-19 outbreak, the key layout of offline store numerous fast fashion brands suffered huge losses, and electronic business channels rely on local web celebrity the advantage of fast fashion brand also highlights, along with the rise of the tide, the main consumer groups are becoming more and more young and consumption trend of change, China local fast fashion brands must reasonable analysis of its future development trend, to us ar in the vast space to grow up. © The Authors, publis ad by EDP Sciences, 2020.