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1.
Frontiers in Education ; 7, 2022.
Article in English | Web of Science | ID: covidwho-2043434

ABSTRACT

COVID-19 pandemic was and continues to be a shock and a challenge to the entire world. This health and safety challenge found its way into the world of higher education, even in programs that were already delivered in online environments. In this study, we examined the perceptions of 79 developing principals enrolled in a Master of Education Degree program in Educational Administration at Texas A&M University in the United States as they processed the efficacy of a virtual professional development (VPD) leadership for a state certificate in Advancing Educational Leadership (AEL). The state agency has required AEL as a 3-day state-mandated face-to-face training which is a basic requirement for school leaders who evaluate teachers. In fact, per state policy, AEL was delivered in a face-to-face format since it began in 2015, but was transformed to a VPD format in 2020, for the first time, as a response to safety concerns resulting from the COVID-19 pandemic. The Texas Education Agency indicated that the training would go back to a face-to-face format after Fall 2021;however, recently the Agency determined that virtual training could continue, along with face-to-face. Initially, this study was conducted to add information to the policy consideration as to whether to leave the option open for university principal preparation programs to offer the AEL virtually or face-to-face;however, with the alteration of the policy and with the findings of the study, we now provide empirical support, based on a a concurrent triangulation mixed methods design, for the Agency's policy action. This study might be the first published in support of this AEL training policy.

2.
Annals of Clinical Psychiatry ; 34(1):1, 2022.
Article in English | EMBASE | ID: covidwho-1913156

ABSTRACT

BACKGROUND: Mental health problems were heterogeÂneously increased among the population groups during the COVID 19 pandemic.1 The pandemic promoted existAîng suicide risk factors such as illicit drugs and alcohol use, access to lethal means, and social disconnectedness.2 According to the CDC, 40% of US adults reported sympÂtoms of depression, anxiety, or increased substance use during COVID-19, and 10.7% of the participants reported suicidal ideation.3 OBJECTIVE: This study aimed to compare suicide rates among adult population (18-64 years old) in Marion County, Indiana in 2019 and 2020. METHODS: Data for 2019 and 2020 was ed from coroners' records in Marion County, Indiana. In 2019 and 2020, a cumulative total of 130 and 157 suicide cases were reported, respectively. We identified 104 adult suicide cases in 2019 and 116 adult suicide cases in 2020 with age range of 18 to 64 years. We analyzed the data for age, race, genÂder, job, marital status and the method of suicide. RESULTS: From 2019 to 2020, adult suicides increased by 11.5%, from 104 to 116 cases. In 2019, cases were highest during the month of January (14.4%). Most cases were white (79.8%). The average age was 39.6 years old and male to female ratio was 3.9:1.1. Almost half of the cases (49%) were unemÂployed and 36.5% were employed. Regarding marital status, 47.1% of those died by suicide were never marÂried, 27.8% were married and 19.2% were divorced. Regarding the method of suicide, gunshot wound was the most common method (58.6%), followed by hangAîng (32.6%), drug toxicity, asphyxiation, and sharp force trauma with 1.9% each. In 2020, cases were highest in January (12%) and December (11.2%). In 2019, most cases were white (76.72%). The average age was 35.7 years old and male to female was 8.6:3. About one third of cases (33.6%) were unemployed and 43.1% were employed. Regarding mariÂtal status, the majority (58.6%) were never married, while 23.2% and 13.7% were married and divorced respectively. The most common method of suicide was gunshot wound (63.7%), followed by hanging (24.1%), drug toxicity (4.3%), and asphyxiation (4.3%). CONCLUSION: Suicide rates among adults increased by 11.5% in Marion County, Indiana. While white males had the highest suicide rates during both years, female suicides increased from 20% in 2019 to 26% in 2020. Average age of those who died by suicide was younger in 2020. A rise in suicide was seen in unmarried and employed individuals. Suicide by gunshot wounds and drug toxicity also increased. Our findings echoed the CDC findings.3 Public health measures which target certain population groups such can mitigate suicide rates during a global pandemic.

3.
Annals of Clinical Psychiatry ; 34(1):2, 2022.
Article in English | EMBASE | ID: covidwho-1913155

ABSTRACT

BACKGROUND: Suicide behavior among seniors is conÂsidered a significant public health problem across many countries. Its rates in the United States have increased steadily, especially in the life course of older white men, estimated at 48.7/100,000.1 Studies have described many stressors that play a role in attempting or dying by suicide in this age group, e.g., chronic physical ill-ness, mental illness, and social isolation. However, the influence of pandemics on suicide rates is not fully addressed, particularly those with lockdowns and limited social interactions. OBJECTIVE: We aim to study the impact of the COVID-19 pandemic on the rate of suicide among the geriatric populaÂtion in Marion County, Indiana. METHODS: Data for 2019 and 2020 was ed from coroners' records in Marion County, Indiana. In 2019 and 2020, a cumulative total of 130 and 157 suicide cases were reported, respectively. We identified 22 elderly suicide cases in 2019 and 34 elderly suicide cases in 2020 with age range of 65 to 94 years. We analyzed the data for age, race, gender, job, marital status, and the method of suicide. RESULTS: A total of 17% of elderly suicide cases are identiÂfied in 2019 and 22% of elderly suicide cases are identified in 2020. Elderly suicide cases increased by 55% from 2019 to 2020. In 2019, all elderly suicide cases were white, averAâge age was 76 years old, and male to female was 9:2 ~5:1. Approximately 59% of elderly suicide cases were retired, 27% were employed and only 2% were unemÂployed. Regarding marital status, 36% who died by suiÂcide were married, 32% were divorced and 18% were widowed. Most common method of suicide was gunÂshot wound (73%) followed by drug overdose (9%) and hanging (9%). Cases were highest in August (18%) and September (18%). In 2020, almost all elderly suicide cases were white (except one was black), average age was 75.7 years old, and male to female ratio was 10:1. Approximately 56% of elderly suicide cases were retired, 20% were employed, and 20% were unemployed. Regarding marital status, 35% were widowed, 30% were married, and 26% were divorced. Most common method of suicide was gunshot wound (88%), followed by drug overdose (6%), and hanging (6%). Cases were highest in August (21%), December (15%), June (12%) and July (12%). CONCLUSION: Based on our findings, elderly suicide increased by 55% in 2020 in Marion County, Indiana, compared to 2019. However, the other parameters (e.g., race, employment, marital status) remained relatively unchanged. Although previous studies explained the steady increase in the suicide rate among the elderly,1 we believe COVID-19 pandemic lockdown and the limited social interaction have contributed to the rise seen in 2020. In addition, the geriatric population is growing and expected to outweigh the youth in a few years2;hence addressing suicide among the elderly is an urgent public health problem, requires extra efforts, especially during similar circumstances.

4.
Journal of the American College of Cardiology ; 79(9):2162-2162, 2022.
Article in English | Web of Science | ID: covidwho-1848591
6.
Annals of Clinical Psychiatry ; 34(1):1-1, 2022.
Article in English | Web of Science | ID: covidwho-1717340
7.
Annals of Clinical Psychiatry ; 34(1):2-2, 2022.
Article in English | Web of Science | ID: covidwho-1717339
8.
Journal of the American Geriatrics Society ; 69(SUPPL 1):S74, 2021.
Article in English | EMBASE | ID: covidwho-1214838

ABSTRACT

Background: Coronavirus 2019 (COVID-19), also known as Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), infection is a pandemic that causes acute respiratory injury, hospital admission and death. Older adults are at a higher risk of serious illness and death from this pandemic. Many COVID-19 patients have a pre-existing cardiovascular disease (CVD). We aim to develop a risk factor stratification tool, using Artificial Intelligence (AI) method, to predict mortality, ICU admission, and length of hospital stay, in patients with CVD during this pandemic. Methods: This is a retrospective cohort study. An IRB approval was obtained. Patients with confirmed (SARS-Cov-2) test, age more than 60 and older, who were admitted to the Sparrow hospital between March 2020 and October 2020 were included. CV risk factors including Hypertension (HTN), Chronic Ischemic Heart Disease (CHD), Heart Failure (HF), and Cardiac Arrhythmia (CA) were used. Results: Of the 426 patients with COVID-19(mean age:74.5 years), at least 1 CVD was identified in most patients. HTN being the most common (55%), followed by CHD (22%), HF (20%) and CA (3%). Multivariable logistic regression has been conducted to identify risk factors for adverse outcomes and competing risk survival analysis for mortality. Outcomes measures included hospital stay > 7 days, ICU admission, and death. Discussion: Our data suggests patients with HTN required longer hospital stay, had higher ICU admissions and death rate. Conclusion: CV risk factors are common in older adults. HTN is the commonest CVD in this population. Several CV risk factors may contribute to the severity of COVID19 and its impact on older adults. Our study suggests that CV risk factors including HTN, HF, CHD, and CA have major impact on COVID-19 infection in hospitalized geriatric populations - see graph 1. Patients with HTN, had longer hospital stay, ICU admission, and mortality. Based on this work, we suggest that a large data sample might be required to develop an AI software that can help predict outcomes and the need for certain resources for older patients.

9.
Journal of the American Geriatrics Society ; 69:S148-S148, 2021.
Article in English | Web of Science | ID: covidwho-1195029
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