Evaluating Efficiency of a Provincial Telerehabilitation Service in Improving Access to Care During the COVID-19 Pandemic

Scope: Early in the COVID-19 pandemic, community rehabilitation stakeholders from a provincial health system designed a novel telerehabilitation service. The service provided wayfinding and self-management advice to individuals with musculoskeletal concerns, neurological conditions, or post-COVID-19 recovery needs. This study evaluated the efficiency of the service in improving access to care. Methodology: We used multiple methods including secondary data analyses of call metrics, narrative analyses of clinical notes using artificial intelligence (AI) and machine learning (ML), and qualitative interviews. Conclusions: Interviews revealed that the telerehabilitation service had the potential to positively impact access to rehabilitation during the COVID-19 pandemic, for individuals living rurally, and for individuals on wait lists. Call metric analyses revealed that efficiency may be enhanced if call handling time was reduced. AI/ML analyses found that pain was the most frequently-mentioned keyword in clinical notes, suggesting an area for additional telerehabilitation resources to ensure efficiency. © 2023, University Library System, University of Pittsburgh. All rights reserved.

Analysis of vaccination strategies against COVID-19 in Spain and the scientific bases on which they have been based (May 2022)

After about a year and a half (at the moment these lines are being written) since the start of the massive vaccination campaign in which, thanks to the high coverage achieved in all groups eligible for vaccination, it has been possible to significantly reduce the morbidity and mortality due to COVID-19, it is important to review the scientific basics that have supported the recommendations implemented to date and those that could be adopted in the near future taking into consideration the epidemiological situation. The objective of this article is, therefore, to address the foundations of some of the technical decisions proposed by the Committee on Programme and Registry of Vaccinations (National Immunization Technical Advisory Group in Spain) and the Technical Working Group on Vaccination against COVID-19. Throughout the eleven updates of the Vaccination Strategy against COVID-19 in Spain, several issues pose intense debate as the vaccination intervals between doses, the convenience of using different types of vaccines, the use of heterologous schemes of vaccination, the benefits of hybrid immunity and the use of a fourth dose (second booster dose) for selected populations. All this without forgetting essential aspects of safety of vaccines. This article is divided into the following sections: Vaccination intervals;Heterologous or mixed scheme;Hybrid immunity (vaccination after infection and infection after vaccination [breakthrough]);Second booster dose.

Wild meat consumption in urban Sierra Leone during the Covid-19 pandemic

Wild meat is associated with an increased risk of zoonotic diseases. In some West African countries wild meat consumption declined as the result of official restrictions following Ebola outbreaks during 2013-2016, and was also affected by the current Covid-19 pandemic. In Sierra Leone, a country affected by these diseases, we documented wild meat use in four markets in the capital, Freetown. From a total of 197 interviews, we analysed the influence of age and gender on the types of wild meat eaten and the reasons for their consumption. We found that more men than women consumed wild meat, and for both genders taste was the main reason for eating wild meat. Age did not affect wild meat consumption amongst women. Evidence for changes in consumer behaviour in response to zoonotic disease risk was mixed. Although some consumers avoided wild meat because of disease risk, none stated this was the primary reason for not eating wild meat, and monkeys (presumed to carry a high zoonotic disease risk) were amongst the species cited as being consumed often. More work is needed to identify the best pathway towards safe and sustainable consumption of wild meat in urban Sierra Leone.

Idiopathic anomalous congenital band causing small intestinal obstruction in a 5-month-old dog

A 5-month-old, intact male, yellow Labrador retriever was presented with a 24-hour history of anorexia and vomiting. Abdominal imaging revealed the presence of a mechanical obstruction in the jejunum and peritoneal effusion. Cytologic evaluation and culture of the effusion prior to surgery identified a suppurative exudate with bacteria consistent with septic peritonitis and suspected to be related to the intestinal lesion. An exploratory laparotomy was performed, and a segment of jejunum was circumferentially severely constricted by an off-white, fibrous band of tissue. Resection and anastomosis of the strangulated segment of jejunum and excision of the constricting band provided resolution of the clinical signs. The dog made a complete recovery. Histologic evaluation revealed the band to be composed of fibrovascular and smooth muscle tissue, consistent with an idiopathic anomalous congenital band. No other gastrointestinal lesions were observed, either grossly at surgery or histologically in the resected segment of intestine. To our knowledge, a similar structure has not been reported in the veterinary literature.Copyright © 2022 Canadian Veterinary Medical Association. All rights reserved.

Generation Z and Intention to Travel: Effects of the Perception of COVID-19

Previous studies have investigated the effects of the coronavirus pandemic on different aspects of tourism behaviour. However, research on a specific generational group, Generation Z, is still limited. This exploratory study aims to examine, for members of this generation, the effect of the perceived risk of COVID-19 and nonpharmaceutical interventions (NPI) on their intention to travel and, in turn, whether this intention influences their willingness to pay extra to benefit from additional safety measures. With this approach, a Structural Equations methodology has been applied based on 629 surveys received and using SmartPLS 3.0 to analyse them. The results showed that the higher the travel intention of Gen Z, the higher the individual's willingness to pay for additional security measures, the perceived risk of COVID-19 positively influences the NPI taken and in turn, these NPI influence a higher travel intention. However, the authors have not found a significant effect between the perceived risk and Gen Z's intention to travel. Finally, they discuss the theoretical and practical implications of the results, providing suggestions for the recovery of Gen Z tourism after the pandemic. © 2023, Hipatia Editorial. All rights reserved.

Fruit characterization and plant quality of Spanish cedar (Cedrela odorata L.) during the early nursery stage

Objective: The aim of this study was to characterize Spanish cedar (Cedrela odorata L.) fruits and seeds, and to evaluate the effects of provenance, substrata, and fertilizer on germination and plant quality in nursery. Design/Methodology/Approach: The fruits and seeds from Spanish cedars were collected in three different towns: C-32 (Francisco Trujillo Gurria), C-40 (Ernesto Aguirre Colorado), and C-41 (Carlos A. Madrazo). Those towns are in Plan Chontalpa, Tabasco, Mexico. After they were harvested, the samples were morphometrically characterized. Seed production efficiency (SPE), germination (%), and Dickson Quality Index (DQI) were estimated. Two completely randomized experimental designs with factorial arrangement of treatments were used. The factors were the provenance, four or three substrata, and two levels of GreenfoolR 600 fertilizer. Results: Fruits of 3.46 cm in length and 1.81 cm in width were collected;the mean number of seeds per fruit was 49.36. Seed production efficiency ranged from 48.1% to 52.72%, with 32.86% germination. The seeds from Town C-41 obtained the highest germination percentage, with the use of black soil:sand as substrate. The plants fertilized and developed in black soil:sand substrate obtained a higher DQI. Study Limitations/Implications: The activity restriction caused by the Sars-Cov-2 pandemic was the main limitation. The lower number of producers and plantations from Town C-32 was the implication. Findings/Conclusions: Fruit and seed characteristics were different among provenances. The provenance impacted on seed germination, but not on the plant quality index (DQI). Instead, the substrate and fertilizer impacted on the DQI.

A ‘donut effect'? Assessing housing transactions during COVID-19 across the Spanish urban–rural hierarchy

We assess if a 'donut effect' has occurred in Spain during the COVID-19 pandemic. Our results show a synchronized 30% drop in housing purchases during the national lockdown in 2020, followed by a significant increase from 2021 across the rural-urban continuum, including core cities, suburbs, towns and rural areas, exceeding pre-pandemic levels. We thus found no evidence of a ‘donut effect' in Spain. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

COVIDMe: a digital twin for COVID-19 self-assessment and detection

The COVID-19 virus has governments worldwide implementing new testing strategies, trying to increase their testing capacity so they can have a complete picture of the spread of COVID-19 with as much fidelity as possible. Simultaneously, people are looking to make sense of all the information and official recommendations to manage COVID-19. We present a DT for health in the context of the COVID-19 endemic stage aiming at bridging the gap between health authorities and the general population while offering an alternative approach to screen entire communities at a relatively low cost. We outline the architecture for the platform and present open challenges to make it a safe and effective tool to combat COVID-19 after our first iteration on it. © 2023 Elsevier Inc. All rights reserved.

Verifiable Surface Disinfection Using Ultraviolet Light with a Mobile Manipulation Robot †

Robots are being increasingly used in the fight against highly-infectious diseases such as the Novel Coronavirus (SARS-CoV-2). By using robots in place of human health care workers in disinfection tasks, we can reduce the exposure of these workers to the virus and, as a result, often dramatically reduce their risk of infection. Since healthcare workers are often disproportionately affected by large-scale infectious disease outbreaks, this risk reduction can profoundly affect our ability to fight these outbreaks. Many robots currently available for disinfection, however, are little more than mobile platforms for ultraviolet lights, do not allow fine-grained control over how the disinfection is performed, and do not allow verification that it was done as the human supervisor intended. In this paper, we present a semi-autonomous system, originally designed for the disinfection of surfaces in the context of Ebola Virus Disease (EVD) that allows a human supervisor to direct an autonomous robot to disinfect contaminated surfaces to a desired level, and to subsequently verify that this disinfection has taken place. We describe the overall system, the user interface, how our calibration and modeling allows for reliable disinfection, and offer directions for future work to address open space disinfection tasks. © 2022 by the authors.

Pandemia COVID-19: impacto y reacción rápida de la Urología COVID-19 Pandemic: Impact and rapid reaction of Urology

La pandemia COVID-19 causada por el virus SARS-CoV-2 ha ocasionado decenas de miles de muertos en España y logrado colapsar los hospitales de la red sanitaria en la Comunidad de Madrid, debido en gran parte a su particular tendencia a causar neumonías graves con necesidad de soporte ventilatorio. Este hecho ha ocasionado el colapso de nuestro centro, llegando a tener una ocupación del 130% de sus camas por enfermos COVID-19, y causando por tanto el cese absoluto de actividad del servicio de urología, la práctica desaparición de la docencia de los residentes y la incorporación de buena parte de la plantilla de urología al grupo de personal médico que atiende a estos pacientes. Para la recuperación de esta elevada cantidad de actividad suspendida será necesaria una priorización de la patología en base a criterios puramente clínicos, para la cual se proponen tablas que recogen la relevancia de cada patología dentro de cada área de la urología. Herramientas brindadas por la tecnología como la formación online o los simuladores quirúrgicos podrán ser útiles para la necesaria restitución de la formación de residentes.

The 2021 SIIM-FISABIO-RSNA Machine Learning COVID-19 Challenge: Annotation and Standard Exam Classification of COVID-19 Chest Radiographs.

We describe the curation, annotation methodology, and characteristics of the dataset used in an artificial intelligence challenge for detection and localization of COVID-19 on chest radiographs. The chest radiographs were annotated by an international group of radiologists into four mutually exclusive categories, including "typical," "indeterminate," and "atypical appearance" for COVID-19, or "negative for pneumonia," adapted from previously published guidelines, and bounding boxes were placed on airspace opacities. This dataset and respective annotations are available to researchers for academic and noncommercial use.

Improving online food ordering and delivery service quality by managing customer expectations: evidence from Italy

Purpose: Since the outbreak of the Covid-19 pandemic, many restaurants and catering businesses have introduced or improved online food ordering and delivery services (OFODSs). This study aims to identify service quality expectations about OFODSs, to examine their content and to suggest management strategies to meet these expectations. Design/methodology/approach: Adopting a qualitative method, four focus groups were conducted amongst Italian users of OFODSs. Findings: The results reveal three dimensions of expectations, each comprising two categories that can be set along a continuum: (1) basicness of expectations (ranging from implicit to explicit), (2) accuracy of expectations (ranging from fuzzy to precise) and (3) attainability of expectations (ranging from realistic to unrealistic). Content may refer to technical, social, economic, legal and technological aspects. To meet customer expectations, the following strategies are suggested: customer reassurance, flexibility, continuous improvement, customer education, adaptation to customers' requirements and monitoring of exceptions. Practical implications: This study provides specific activities in which restaurants and catering businesses could invest to enact the management strategies that emerged from the analysis. Originality/value: This paper proposes a new classification of expectations and framework for improving OFODS quality by managing customer expectations. © 2023, Angelo Bonfanti, Chiara Rossato, Vania Vigolo and Alfonso Vargas-Sánchez.