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1.
Neuropsychology ; 2023.
Article in English | PubMed | ID: covidwho-2185599

ABSTRACT

OBJECTIVES: (a) To characterize the frequency of objective cognitive deficits and self-perceived cognitive difficulties and (b) to explore demographic and clinical predictors of cognitive dysfunction and cognitive complaints. METHOD: One hundred and ten adults diagnosed with COVID-19 between March and November 2020, aged ≤ 74 years underwent a brief neuropsychological evaluation 12 months after infection, which included: Brief Visuospatial Memory Test-Revised, California Verbal Learning Test, and Symbol Digit Modalities Test. T scores < 38 were considered abnormal performance;cognitive dysfunction was defined as ≥ 2 abnormal tests. Participants also completed Broadbent's Cognitive Failure Questionnaires (CFQ), Hospital Anxiety and Depression Scale, Modified Fatigue Impact Scale, and Short-Form Health Survey. CFQ ≥ 43 was considered indicative of cognitive complaints. RESULTS: Twenty participants (18.2%) had cognitive dysfunction and 36 (33.3%) had cognitive complaints. Cognitive dysfunction was related to lower education, preinfection history of headache/migraine, and acute COVID-19 symptoms of headache and sleep disturbance. Cognitive complaints were more likely to occur in women, those with fewer years of education, and acute COVID-19 symptoms of headache and sleep disturbance. Cognitive complaints were also significantly related to symptoms of anxiety, depression, and fatigue. Sex and psychopathology were not significant predictors of cognitive dysfunction. Modest associations were found between CFQ total score and cognitive test performance. DISCUSSION: A subset of individuals develops cognitive difficulties in the context of post-COVID syndrome. Results may support the protective effect of education, a known proxy of cognitive reserve. COVID-19 infection symptoms of headache and sleep disturbance appear to be risk factors for long-term cognitive difficulties. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

2.
Hematology, Transfusion and Cell Therapy ; 44(Supplement 2):S467, 2022.
Article in English | EMBASE | ID: covidwho-2179169

ABSTRACT

Objetivo: Quantificar e determinar a prevalencia dos tipos sanguineos em nossa regiao. Materiais e metodos: Foi realizada coleta de dados dos arquivos de laudos imunohematologicos dos pacientes que receberam transfusao de hemocomponentesem nosso servico de imunohematologia da Santa Casa de Ourinhos entre os anos de 2018 ate julho de 2022, realizamos o levantamento das Fenotipagens ABO/RhD, realizados pela metodologia convencional em tubo empregando anti-soros. Para a analise dos resultados aplicamos estatistica simples. Resultados: Dentre os 3129 pacientes catalogados, 1641 eram do sexo feminino disposto em 41,44%(680) O positivo;6,09%(100) O negativo;35,22%(578) A positivo;3,96%(65) A negativo;8,84%(145) B positivo;1,34%(22) B negativo;2,86%(47) AB positivo;0,24%(4) AB negativo;1488 do sexo masculino disposto em 41,13% (612) O positivo;5,11% (76) O negativo;33,13%(493) A positivo;4,10%(61) A negativo;11,20%(167) B positivo;0,94%(14) B negativo;3,90%(58) AB positivo;0,47%(7) AB negativo. Discussao: A prevalencia da distribuicao fenotipica do sistema ABO foi de maioria O e A em ambos os sexos, em contrapartidaos tipos sanguineos B e AB aparecem em menor intensidade. Voltando a atencao para o RhD foi observado uma prevalencia de pacientes positivos para esse grupo, representando 88,85%. Atualmente no Brasil, estima-se que a producao de hemocomponentes supere 8 milhoes de unidades ao ano, o que possibilita cerca de 1,7 milhao de transfusoes. Quando o isolamento social foi decretado no estado de Sao Paulo, os bancos de sangue entraram em estado de alerta para com seus doadores pois os hemocomponentes mais utilizados em procedimentos de emergencia sao os concentrados de hemacias (CH), plasma fresco congelado (PFC) e concentrados plaquetas (CP). Nos anos de 2020 e 2021 os pacientes diagnosticados com COVID-19 necessitavam de grandes quantidades de CH, por conta de anemias causadas pela doenca. Conclusao: O estudo da prevalencia dos tipos sanguineos e de grande importancia para que haja por parte do banco de sangue uma captacao de doadores do mesmo perfil e com isso nao acarrete a falta de hemocomponentes no atendimento do paciente. Essas informacoes podem ser utilizadas em futuros estudos demograficos onde haja relacao entre tipagens sanguineas e certas patologias, como hemorragias ou neoplasias. Copyright © 2022

5.
Open Nursing Journal ; 16(1), 2022.
Article in English | Scopus | ID: covidwho-2054697

ABSTRACT

Background: The COVID-19 pandemic has largely impacted nursing education. Owing to the element of confinement, emergency education fostered conflicts between problems and their solutions, leading to higher stress among students. Objective: The aim of the study was to identify the determinants of perceived stress in nursing students during confinement due to the COVID-19 pandemic. Methods: This multicentric, quantitative, and cross-sectional study employed the multiple linear regression model. The study was conducted at seven nursing graduate schools in the Iberian Peninsula, with 1,058 nursing graduate students in confinement. An online questionnaire was administered to nursing students between April 23rd and May 02nd, 2020. According to socio-demographic data, COVID-19 experience, satisfaction with learning strategies, and coping strategies ( Brief COPE scale ) of the nursing students, the model was developed with the Perceived Stress Scale as the explained variable. Results: Stress is predictable in the form of greater coping-avoidance (b = 2.415;p < .001) when a family member is infected (b =-2.354;p = .005) and in younger students (b =-.104;p = .002). It tends to be lower with higher coping-reflective (b =-2.365;p < .001) and when the students have a more favourable self-perceived life (b =-1.206;p < .001). Furthermore, the stress has been found to be higher in Portuguese students (b =-1.532;p < .001) and women (b = 2.276;p < .001) than their Spain and male counterparts, respectively. Among variables related to academics, perceived stress is higher when the students are dissatisfied with the time spent on the computer (b = 1.938) and with the evaluation methods (b = 1.448). Conclusion: Personal factors and the ease of mobilisation of the proposed training strategies affect the students’ ability to deal with stress. Emergency education should consider stress predictors so that the students can adapt to training better. © 2022 Lourenço et al.

6.
Humanidades & Inovacao ; 9(6):294-303, 2022.
Article in Portuguese | Web of Science | ID: covidwho-1976036

ABSTRACT

Because of the attempts to control the Covid-19 pandemic, the population is under the recommendations of distance and social isolation. Knowing that the humanization process includes social relationships and interactions, we are concerned about the possibility of collective involvement of problems and diseases of various kinds, mainly psychic. For this reason, this article, which is configured as a Narrative Review, aims to list some consequences that the processes of social distancing and isolation can cause to the population, thus suggesting ways to minimize these problems and, therefore, contribute to the promotion people's quality of life. The problems identified range from sadness and deep loneliness to occurrences of depression and suicide due to losses in various ways that present themselves in daily life, but they may have minimized their occurrences through the use of communication technologies, as well as through experience recreational activities, which can be of different orders.

8.
Hematology, Transfusion and Cell Therapy ; 43:S524, 2021.
Article in English | EMBASE | ID: covidwho-1859730

ABSTRACT

Introdução: A pandemia de COVID-19 trouxe uma série de impactos sociais, econômicos, culturais e políticos para o país e o mundo. Na saúde, observamos a sobrecarga do sistema, com mudança do perfil epidemiológico dos pacientes e necessidade de reestruturação da rede de atendimento devido à alta transmissibilidade do vírus. No setor privado, observamos ainda redução das internações por doenças crônicas não transmissíveis e das cirurgias eletivas. Objetivo: Avaliar o impacto da pandemia COVID-19 na demanda transfusional de um hospital privado de perfil oncológico na cidade de São Paulo. Método: Realizada análise retrospectiva, a partir de dados dos sistemas informatizados, do número total de hemocomponentes transfundidos. O movimento médio transfusional foi correlacionado com a taxa de ocupação hospitalar e oscilações de fases da pandemia na cidade de São Paulo. Resultados: Em 2019 tivemos um total de 7.869 transfusões e média mensal de 656 transfusões. Enquanto a taxa de ocupação média ficou em 86,04%. Em 2020 tivemos 6.618 transfusões, com média de 551 transfusões/mês e taxa de ocupação de 83,67%. No primeiro semestre de 2021 foram realizadas 3.472 transfusões, com média de 579 transfusões/mês e taxa média de ocupação de 83,07%. Analisando mês a mês, observamos as piores taxas transfusionais nos meses de maio, junho e julho de 2020 e todo período de 2021. As oscilações de fase da pandemia de covid-19 tiveram picos expressivos em julho e agosto de 2020 e março e abril de 2021. Discussão: Pacientes oncológicos, principalmente onco-hematológicos, demandam um elevado suporte transfusional durante o tratamento, não podendo ser postergado em grande parte dos casos. Os pacientes oncológicos, devido a imunossupressão, fazem parte do grupo de risco para Covid-19. Com isso, foram implantadas rigorosas medidas para contenção da propagação do vírus, tornando seguros os ambientes e atendimento, reduzindo o risco de exposição para os pacientes e colaboradores, como a restrição de acesso para visitantes e acompanhantes, reagendamento de consultas e cirurgias, fechamento do pronto socorro e encaminhamento dos casos suspeitos para rede referenciada. Houve queda na procura de atendimento hospitalar, redução de agenda cirúrgica eletiva e diminuição das taxas de ocupação e rotatividade de leitos. Consecutivamente, a redução do volume transfusional no cenário de pandemia foi inevitável em comparação ao período anterior (2019). Os períodos com reduções expressivas estiveram em concordância com o agravamento do cenário pandêmico. Conclusão: A redução do movimento transfusional está diretamente relacionada a queda da taxa de ocupação de leitos oncológicos e fases do cenário pandêmico na cidade de São Paulo. O movimento atual é de retomada no volume de atendimento e aprimoramento das práticas de medidas de proteção aos pacientes oncológicos em toda a linha de cuidado.

9.
Hematology, Transfusion and Cell Therapy ; 43:S523-S524, 2021.
Article in Portuguese | EMBASE | ID: covidwho-1859729

ABSTRACT

Introdução: A Covid-19 é uma infecção respiratória aguda causada pelo coronavírus SARS-CoV-2, de elevada transmissibilidade e distribuição global. A chegada da pandemia de Covid-19 ao Brasil ocorreu em fevereiro de 2020 impactando diretamente a vida dos brasileiros e das instituições de saúde, que tiveram de se adaptar diante de um vírus até então desconhecido e da mudança do perfil epidemiológico dos pacientes. No setor privado, observamos ainda redução das taxas de internações não relacionada ao COVID-19 e das cirurgias eletivas. Objetivo: Avaliar o impacto nas taxas de solicitações de reservas de hemocomponentes para as cirurgias eletivas em hospital de referência ortopédica na cidade de São Paulo. Método: Realizada análise retrospectiva, a partir de dados dos sistemas informatizados, através do número de reservas de hemocomponentes solicitados e utilizados, no período de janeiro de 2019 a junho de 2021. Os dados encontrados foram correlacionados com o número total de cirurgias e fases da pandemia na cidade de São Paulo. Resultados: Em 2019 foram reservados 1.797 hemocomponentes, com uma média mensal de 150 reservas e taxa de utilização de 19,66%. Neste período a média mensal de cirurgias realizadas foi de 931. No ano de 2020 foram reservados 1.211 hemocomponentes, com média 101 reservas ao mês, com taxa de utilização de 18,58% e média mensal de 749 cirurgias. No primeiro semestre de 2021 foram solicitados 557 hemocomponentes para reservas cirúrgicas, com média de 93 reservas ao mês, consumo médio de 22,16% e a realização média de 7801 cirurgias por mês. Analisando o período, observamos uma queda significativa nas taxas de reserva de hemocomponentes segundo trimestre de 2020 e nos meses de março e abril de 2021. O decreto de pandemia no estado de São Paulo teve início no mês de março de 2020, com picos expressivos nos meses de julho e agosto de 2020 e março e abril de 2021. Discussão: Segundo a Associação Nacional de Hospitais Privados (ANHP) em 2020 houve uma redução de 32% das cirurgias eletivas agendadas em todo o país. Em nosso serviço observamos uma queda importante do número de cirurgias, mais expressiva no segundo trimestre de 2020, com recuperação gradual ao longo do ano, contudo, com nova queda nos meses de março e abril de 2021. Esses períodos correspondem ao início da pandemia no país e a segunda onda de transmissão na cidade de São Paulo ocorreu em 2021, quando ocorreu a redução estratégica das cirurgias eletivas com objetivo reduzir a taxa de ocupação hospitalar e aguardar a melhora da taxa de giro de leito. Consecutivamente, observamos uma queda das solicitações de reservas de hemocomponentes para cirurgias, mais expressiva nos meses com menor número de cirurgias. Contudo, essa queda não foi observada na taxa de utilização de hemocomponentes reservados, sugerindo que não houve alteração do perfil dos pacientes cirúrgicos da instituição no período. Conclusão: A pandemia de covid-19 teve um impacto negativo no número de cirurgias, de solicitações de reserva cirúrgica, assim como observado em diferentes hospitais durante o cenário de incertezas da pandemia. A retomada dos índices a valores pré-pandemia tem acontecido de forma gradual e ainda com baixa expressão.

10.
Palabra Clave ; 25(1), 2022.
Article in Spanish | Scopus | ID: covidwho-1835470

ABSTRACT

This document intends to analyze the sentiments underlying COVID-19 vaccination tweets. To achieve the objective, 38,034 publications from this social network are extracted through data mining, applying Machine Learning techniques, specifically sentiment analysis and network analysis, to identify the feelings expressed by Twitter users. We also identify the most relevant Twitter accounts on vaccination issues. The results suggest that feelings about vaccines are primarily negative;fear and anger, respectively, are the most recurring emotions in Twitter opinions. Moreover, we noted that the most relevant accounts belong to the media, politicians, and influencers, classified according to their feelings toward the vaccine. Opposition to the government with feelings of anger and opposition to recognized media with joyful emotions stand out. © 2022 Universidad de La Sabana. All rights reserved.

11.
International Journal of Emerging Technology and Advanced Engineering ; 12(2):94-99, 2022.
Article in English | Scopus | ID: covidwho-1716517

ABSTRACT

In 2020 the first case of COVID-19 was reported in Peru, the number of infected people was confirmed to be 1,001,227 people in the country, there was congestion in hospitals and only COVID-19 cases were attended, canceling patients' appointments. It was proposed the realization of the prototypes of the mobile application to reduce congestion in hospitals where the user registers his symptoms. The scrum methodology was used since it benefits in the realization of work that requires little time. As a result, 20 people from different districts were surveyed about the operation of the mobile application and prototypes were made about the operation of the application that will obtain the user's personal data, the answer to the questions that will be administered by the hospitals, and the results will be sent by e-mail or text message. © 2022 University of Las Palmas de Gran Canaria, Faculty of Geography and History. All Rights Reserved.

12.
Suma De Negocios ; 12(26):1-13, 2021.
Article in Spanish | Web of Science | ID: covidwho-1649838

ABSTRACT

To reduce the rate of contagion by Covid-19, the Colombian government has adopted, among other measures, for mandatory isolation, with divided opinions, because despite helping to reduce the spread of the virus, it generates mental and economic problems that are difficult to overcome. The objective of this document was to analyze the underlying sentiments in the Twitter comments related to isolation, identifying the topics and words most frequently used in this context. A machine learning algorithm was built to identify sentiments in 72,564 posts and a social network analysis was applied establishing the most frequent topics in the data sets. The results suggest that the algorithm is highly accurate in classifying feelings. Also, as the isolation extends, comments related to the quarantine grow proportionally. Fear was identified as the predominant feeling throughout the period of confinement in Colombia.

13.
Ocean and Coastal Research ; 69, 2021.
Article in English | Scopus | ID: covidwho-1575848

ABSTRACT

The frequency and intensity of ocean related hazards and its overlapping and cascading effects are escalating with devastating and unsustainable impact on life and livelihoods in the Western Tropical Atlantic. From the Bahamas to Brazil, from Mexico and Central America to the Lesser Antilles, coastal and maritime communities have been impacted by hurricanes, storm surges, earthquakes, sargassum and oil spills along with other climate, weather and human induced events. In addition to the coastal impacts, ocean hazards also have affected the safe and timely delivery of goods and services in a region that is extremely dependent on maritime transport. COVID-19 has compounded even more the situation of millions of people in the region and put extreme pressure on government officials, including disaster management and health professionals as well as the maritime industry. Climate change will only exacerbate the situation. The UN Decade of Ocean Science for Sustainable Development (2021-2030) presents itself as a once-in-a-lifetime opportunity to stop the cycle of disasters with “A Safe Ocean” as one of its seven major societal outcomes. The Western Tropical Atlantic Safe Ocean Working Group was established to co-design and co-deliver with local, national and regional partners transformative strategies that will facilitate and inspire actions to reduce and mitigate the ocean related threats while creating resilient and safer coastal communities and maritime activities. At the core is an Integrated Multi Hazard Ocean Data and Forecast System. Its services would be linked to education, outreach, readiness and communication that empowers and recognizes national and local policy decisions and includes individual response for the protection of life and livelihoods. This effort should support relevant science and strengthen capacity leaving no one or country behind. © 2021 The authors.

14.
American Journal of Gastroenterology ; 116(SUPPL):S1374, 2021.
Article in English | EMBASE | ID: covidwho-1534877

ABSTRACT

Introduction: Patients greater than 65 years old (yo) represent up to 30% of all Ulcerative colitis (UC) patients. A few studies in this population have shown poor outcomes with higher rates of infection, neoplasm, hospitalization, and mortality. However, no robust data exist on the use of biologics in the elderly population with UC. We present a retrospective analysis from 2010 to 2020 comparing outcomes such as mortality, adverse events, hospitalizations, and remission of moderate to severe UC patients 65 yo or more (≥) to those less than (<) 65 yo prescribed biologics. Methods: Data was gathered retrospectively from January 2010 to December 2020. Cohorts consisted of patients ≥18 yo with UC and no other co-existing autoimmune disease who were prescribed, biologic agents. Patient demographics were summarized as mean or proportions (%). Outcomes of interest were compared between groups according to age cutoff (≥65 yo vs , 65 yo) with the use of Pearson's chi-square or Fisher's exact test as appropriate. Multivariate analysis was conducted using logistic regression to identify independent variables associated with any of the outcomes of interest in both age groups. Results: 133 patients were included. The patient's baseline demographic characteristics were not found to be statistically significant (Table). Composite infection (18% vs 9%), skin adverse events (37% vs 32%), neoplasm (19% vs 2%), and mortality (6% vs 2%) between groups (≥ 65 yo vs <65 yo) were not statistically significant (P=0.38, P=0.70, P=0.11, P=0.48;respectively). Hospitalization and remission at 1, 3, and more than 5 years from biologics prescription were not statistically significant. However, age-stratified infections for pneumonia (PNA/COVID) resulted in statistical significance in those ≥80 yo (p<0.05). Multivariate analysis revealed that higher numbers of prescribed biologics since UC diagnosis were associated more with death (P=0.013) and neoplasm (P=0.046) in patients ≥65 yo. Conclusion: Age was not found to be an independent variable associated with any poor outcomes. Death and neoplasm events were associated with a greater number of prescribed biologics in those ≥ 65 yo and may reflect refractory versus longer disease course. Studies with larger samples of patients greater than 80 yo are required to confirm the association between PNA in this cohort. However, COVID was the etiology of the PNA. No difference in efficacy regarding remission, re-admission, or flare events was found between groups..

15.
American Journal of Gastroenterology ; 116(SUPPL):S1366-S1367, 2021.
Article in English | EMBASE | ID: covidwho-1534874

ABSTRACT

Introduction: There is limited literature available regarding the safety and efficacy of biological agents in Crohn's disease for patients aged 65 years old (yo) or greater (≥65). Existing knowledge from other autoimmune diseases regarding the initiation and maintenance of biologics in these patients has created skepticism given the potential risk of poor outcomes and mortality. We present a retrospective analysis of mortality, adverse events, rates of hospitalization, and remission in this vulnerable population compared with younger patients (<65 yo). Methods: Data was gathered retrospectively from January 2010 to December 2020. Cohorts consisted of patients ≥ 18 yo with Crohn's disease and no other co-existing autoimmune disease who were prescribed biologics agents. Patient demographics were summarized as mean or proportions (%). Outcomes of interest were compared between groups according to age cutoff (≥ 65 yo vs <65 yo) with the use of Pearson's chi-square or Fisher's exact test as appropriate. Multivariate analysis was conducted using logistic regression to identify independent variables associated with any of the outcomes of interest in both age groups. Results: 82 patients were included. Baseline demographic characteristics were similar between both groups (Table 1). Infection (30% vs 22%;P=0.63), mortality (10% vs 0%;P=0.34), and neoplasm events (0% vs 3%;P=0.15) did not reach statistical significance. Remission and hospitalization at the 1,3, 5-year endpoint after biologic prescription were similar (p>0.05). Age stratification revealed those greater than 70 yo had higher intraabdominal (IA) infections (p<0.01), whereas 65-70 yo subgroup had higher occurrence of skin abscess and rash (p<0.01). Mild skin adverse events (itching) along with mortality (N=1;COVID/Pneumonia) were higher in the 75-80 yo subgroup (p <0.01). Conclusion: In a diverse multicultural population treated with biologic agents, the occurrence of infection, neoplasm, and skin adverse events were similar in both groups. Intraabdominal infection was associated with viral and bacterial diarrhea (not clostridium difficile) when ≥70 yo. On the other hand, rash and skin abscesses were predominant in those aged 65-70 yo and itching in those 75-80 yo. Efficacy (readmission or remission) does not change despite the age group. Safety when age ≥65 yo is not guaranteed and clinical judgment should be used in each case. Larger studies in these affected age subgroups may be beneficial in understanding the clinical significance..

16.
International Journal on Working Conditions ; - (21):17-35, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1365935

ABSTRACT

Objective: to analyze the aspects of violence at work (structural, illnesses and deaths and stigma/discrimination) of Brazilian health professionals in the Covid-19 pandemic, through analyzes of Brazilian journalistic media. Methodology: Qualitative analysis of reports reported in two Brazilian news websites (G1 and Uol), within the period from April 20th to 30th in 2020, by using the words "Covid-19 and professional *";10 reports were selected, whose witch focus predominantly violence and health aspects of healthcare professionals during the pandemic. We used thematic content analysis to explore the journalistic material found. Results: violence is related to the intensification of work, in views of the increased demands for health care;shortage of personal protective equipment (PPE) and human resources to face the pandemic, illnesses and deaths by Covid-19, as well as difficulties in producing data on this matter;experiences of stigmas and discrimination because they are "possible spreaders of the virus";health professionals feel guilty and afraid of contaminating their families. Conclusion: there are impacts of structural violence at work, experiences of illnesses and deaths of professionals, stigma and discrimination, which corroborate the health care needs.

18.
Pharmaceuticals ; 14(4):08, 2021.
Article in English | MEDLINE | ID: covidwho-1208686

ABSTRACT

Neurobehavioral alterations and cognitive impairment are common phenomena that represent neuropsychiatric disorders and can be triggered by an exacerbated immune response against pathogens, brain injury, or autoimmune diseases. Pro-inflammatory molecules, such as cytokines and chemokines, are produced in the brain by resident cells, mainly by microglia and astrocytes. Brain infiltrating immune cells constitutes another source of these molecules, contributing to an impaired neurological synapse function, affecting typical neurobehavioral and cognitive performance. Currently, there is increasing evidence supporting the notion that behavioral alterations and cognitive impairment can be associated with respiratory viral infections, such as human respiratory syncytial virus, influenza, and SARS-COV-2, which are responsible for endemic, epidemic, or pandemic outbreak mainly in the winter season. This article will review the brain's pro-inflammatory response due to infection by three highly contagious respiratory viruses that are the leading cause of acute respiratory illness, morbidity, and mobility in infants, immunocompromised and elderly population. How these respiratory viral pathogens induce increased secretion of pro-inflammatory molecules and their relationship with the alterations at a behavioral and cognitive level will be discussed.

19.
Estudios Gerenciales ; 37(158):28-36, 2021.
Article in Spanish | Web of Science | ID: covidwho-1204436

ABSTRACT

The effects of the different message strategies related to COVID-19 on the generation of eWOM were analyzed;that is, if the publications referring to the pandemic receive greater participation by users of social networks in Colombia. 562 company posts on Facebook were reviewed, of which 382 were subjected to the negative binomial regression model. It was found that no message strategy related to COVID-19 affects the rate of comments. The influence of different types of content on reactions and shared content was also identified. It is concluded that social networks are recreation and entertainment scenarios;therefore, the informative content does not generate impacts on the volume of comments, reactions, or share content.

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