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1.
Journal of Hospitality and Tourism Insights ; : 21, 2022.
Article in English | Web of Science | ID: covidwho-1806844

ABSTRACT

Purpose - The COVID-19 pandemic caused unprecedented global turmoil and a halt on international tourism. This study aims to evaluate the scientific literature about tourism crisis and disasters and depicts how this research stream evolved in the face of economic, security, health, environmental or trust crises, further providing insights about a research agenda on this stream. Design/methodology/approach - This study uses bibliometric methods and topic models, specifically latent Dirichlet allocation (LDA) methods to evaluate the nature and course of the tourism crises and disasters scientific literature. Data from 2,810 documents were retrieved from the Web of Science database and were used to perform the analysis. Findings - The results show an increase of tourism crises and disasters scientific literature departing from 2010, and a surge in 2020 and 2021 due to the COVID-19 pandemic. Furthermore, themes such as tourism competitiveness, tourism demand, crisis management, perceived risk, natural disasters and destination recovery are among the most relevant themes in the research line, showing that the effect of economic and financial crises on tourism industry, sustainable tourism and tourism demand are set to be among the most relevant in the upcoming years. Research limitations/implications - This study fills a void in the tourism literature by providing a roadmap to understand the past, present and future of the tourism crises and disasters research line and the avenues for future research in this field, including methods, in the period post-COVID-19. Originality/value - Previous studies on tourism crises and disasters were focused on literature review and on the relationship between crises and disasters and the tourism industry. This study uses a set of methods unused before in the research stream, namely, a combination of bibliometric methods and LDA methods, to provide a road map for the present state-of-the-art of tourism crises and disasters research and promising future research lines.

2.
The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation ; 41(4):S537-S537, 2022.
Article in English | EuropePMC | ID: covidwho-1781928

ABSTRACT

Introduction Bilateral cavitary lung lesions with calcification in a patient with chronic COVID requiring transplantation are described. Case Report 46-year-old woman presented for lung transplant with respiratory failure due to COVID-19 pneumonia following remdesivir, decadron, tocilizumab and baricitinib therapy. Cavitary upper lobe lung lesions were noted on imaging with negative cultures. She was started on VV ECMO as a bridge to bilateral lung transplant. Explanted lungs were consolidated and fibrotic with bilateral upper lobe calcification surrounding cavitary lesions. Varied microscopic pathology included NSIP pattern of inflammation, and foci of airway centered inflammation with giant cells suggesting chronic hypersensitivity reaction. The calcification was reminiscent of dendriform/metastatic calcification, and involved areas of necrotic/mummified parenchyma. Summary Cavitation as a late stage complication of COVID19 has been described in rare cases and is considered atypical. The constellation of findings in our case, including cavitary lesions with associated dendriform like calcifications are unique and maybe attributable to COVID19 itself +/- exacerbation of underlying chronic lung disease +/- intercurrent infection, or COVID19 related cavitation with superimposed secondary changes due to ECMO treatment. Bilateral lung transplantation has a reasonable short-term prognosis for patients with end stage respiratory failure secondary to COVID19;examination of these native lungs may expand our concept of COVID19 related chronic lung injury patterns.

3.
Web of Science; 2022.
Preprint in English | Web of Science | ID: ppcovidwho-331396

ABSTRACT

BACKGROUND: Countries have focused research on developing strategies to fight COVID-19, prevent hospitalizations, and maintain economic activities. OBJECTIVE: This study aimed to establish a survival analysis and identify risk factors for patients with COVID-19 in a upper middle-income city in Brazil. METHODS: We performed a retrospective cohort study with 280 hospitalized patients with COVID-19. The eCOVID platform provided data used to monitor COVID-19 cases and help communication between professionals. RESULTS: Survival analysis showed that age ≥ 65 years was associated with decreased survival (54.8%). Females had lower survival rate than males (p=0.01). Regarding risk factors, urea concentration (p<0.001), hospital LOS (p=0.002), oxygen concentration (p=0.005), and age (p=0.02) were associated with death. CONCLUSION: Age, hospital LOS, high blood urea concentration, and low oxygen concentration were associated with death by COVID-19 in the studied population. These findings corroborate with studies conducted in research centers worldwide.

4.
Cadernos Gestao Publica E Cidadania ; 27(87):19, 2022.
Article in English | Web of Science | ID: covidwho-1706202
5.
Revista Juridica ; 3(65):227-252, 2021.
Article in Portuguese | Scopus | ID: covidwho-1694993

ABSTRACT

Objectives: Through a doctrinal analysis, this article aims to analyze the impacts and reflexes of Law No. 14.010/20 on the principle of access to justice under the current context, considering the declaration of quarantine and isolation of the citizen, as well as the legislator’s concern in seeking to preserve and guarantee fundamental rights with the legislative innovation. Methodology: The current study has as methodology the exploratory and descriptive research, and its results are treated qualitatively, from the collection of information in secondary sources that aim to clarify the reflections of the new legislation, that is, Law No. 14.010/20, on the principle of access to justice. Results: In the process of conducting the research, it was possible to conclude that the legislation is correct and, when interpreted in accordance with the constitutional principle of access to justice, its main objective is to (i) ensure and strengthen such constitutional principle and (ii) guarantee citizens the exercise of their citizenship in the democratic rule of law. Contributions: The main contribution of the paper consists in recommending that policies of extra fiscal incentives be applied and evaluated considering the normative framework. © 2021, Centro Universitario Curitiba - UNICURITIBA. All rights reserved.

6.
Revista Brasileira De Enfermagem ; 74:4, 2021.
Article in English | Web of Science | ID: covidwho-1626587

ABSTRACT

Objective: to report the experience of a health team in restructuring service at a mastology outpatient clinic. Methods: an experience report in a public university service mastology outpatient in Ceara between March and April 2020. Service in this outpatient clinic is exclusively for women and who have breast changes for surgical treatments ranging from nodulectomies to mastectomies with oncoplastic. Results: increased COVID-19 cases brought the need to restructure healthcare services. The following steps were followed: identification of scheduled patients, reading of clinical developments in electronic medical records, individual assessment to define whether or not appointment would remain, telephone contact to inform about unscheduling. Among the 555 consultations scheduled for March and April 2020, 316 (56.9%) were maintained. Final considerations: restructuring consultations at a mastology outpatient clinic optimized the waiting time for consultations and avoided crowds at service, providing patient safety.

8.
WSEAS Transactions on Mathematics ; 20:637-649, 2021.
Article in English | Scopus | ID: covidwho-1608005

ABSTRACT

This study aims to map and model the determinants of food security. Mapping is done by cluster and biplot analysis, while modeling is done by non-linear path analysis. This research is mix-method research that combines quantitative and qualitative research. In the qualitative method, this study applies a qualitative Discourse Network Analysis (DNA) approach. Sources of DNA data come from various information in cyberspace (mass media, journals, articles, etc.) that are in accordance with the research context. In DNA data processing, statements, actors, concepts/issues, sentiments, along with the origin of the organization will be generated. As for the quantitative method, this study uses descriptive statistical analysis, biplot, cluster, and non-linear path analysis (square and cubic). The coefficient of determination for both quadratic and cubic path analysis is 0.88, which means that the influence of the independent variable simultaneously on the Y variable is 0.88, which is very strong. Thus, the model formed is quite good because the predictor variable is able to explain food security by 88% while the rest is explained by other factors outside the model. The originality of this research is the reconstruction of non-linear path analysis which is more flexible (no need for assumptions of normality and homogeneity) and is equipped with a measurement model. © 2021 World Scientific and Engineering Academy and Society. All rights reserved.

9.
European Neuropsychopharmacology ; 53:S597, 2021.
Article in English | EMBASE | ID: covidwho-1596915

ABSTRACT

Background: The outbreak of COVID-19 and the physical isolation measures taken by the governments to reduce its propagation might have negative psychological consequences on the population [1, 2]. In this study, we aimed to explore, for the first time, how mental health status fluctuated along the weeks of the emergency state in Portugal, and to identify which factors may shape these changes in mental health outcomes. Methods: A longitudinal survey study using a convenience sample was conducted, evaluating demographic, clinical, lifestyle and mental health variables in the Portuguese population at three different time-points. Mental health was assessed by means of the Depression, Anxiety and Stress Scale (DASS-21), and with quality of life (QoL) self-evaluation, satisfaction, and quality of sleep questions. Google Forms was used for the online survey, and social media and national newspapers were used to advertise and recruit possible volunteers. The first time-point took place between the 23rd of March and the 5th of April 2020, and the second and third time-points were 4 weeks and 8 weeks later, respectively. 748 participants (mean age = 39.52, % females = 79.95) provided data at all time-points. Repeated-measures analyses were performed to explore whether mental health significantly varied across time. Next, multiple regression models were used in order to identify the sociodemographic, clinical and lifestyle factors significantly associated with each dependent variable's change (DASS-21 subscales and QoL measures). The following predictors were tested in the multiple regression models: age, sex, employment status, house balcony and/or terrace, living with children/teenagers/elderly, having a diagnosis of a psychiatric/physical disorder, consumption of substances several times a week, daily amount of time dedicated to sport/looking for COVID-19 related news, and the NEO-FFI subscales. Results We observed that depression (χ2F(2)=23.19, p<.001, Kendall's W=0.793), anxiety (χ2F(2)=97.04, p<.001, Kendall's W=0.745) and stress (χ2F(2)=35.11, p<.001, Kendall's W=0.788) symptoms seemed to improve as the weeks passed during the state of emergency, while the perception of quality of life (self-evaluation: χ2F(2)=140.4, p<.001, Kendall's W=0.749;satisfaction: χ2F(2)=82.02, p<.001, Kendall's W=0.765) and sleep (χ2F(2)=23.5, p<.001, Kendall's W=0.796) got worse. All multiple regression models were statistically significant (DASS-21 Depression: F(17,730)=6.53;p<.001, R2=0.132;DASS-21 Anxiety: F(17,730)=5.12;p<.001, R2=0.106;DASS-21 Stress: F(17,730)=7.16;p<.001, R2=0.143;QoL self-evaluation: F(17,730)=5.8;p<.001, R2=0.119;QoL satisfaction: F(17,730)=6.9;p<.001, R2=0.138;Quality of sleep: F(17,730)=1.98;p=.01, R2=0.044). Regarding the significant predictors, in summary, being female, younger, actively working, and extroverted appear to be protective factors of mental health adaptability during this particular period. On the contrary, having a psychiatric diagnosis or physical illness, and higher neuroticism seem to be risk factors for mental health worsening. Conclusions: Our results provide relevant and novel insights about the course of mental health changes and its predictors during the outbreak of COVID-19, which may help identify potential vulnerability groups. Importantly, the lack of a more diverse sample could limit the generalizability of our results, and other factors that were not considered in our analysis might also have a significant impact on mental health. No conflict of interest

10.
IOP Conference Series. Earth and Environmental Science ; 891(1), 2021.
Article in English | ProQuest Central | ID: covidwho-1569507

ABSTRACT

The COVID-19 pandemic that occurred in most areas of the world caused many negative effects, including health, social and economic declined. One alternative to prevented it is to make immunostimulant supplements from natural resources that are available in surrounding environment along with encouraging development of home industries to produce them. In Kalimantan, Indonesia, one of the natural sources that have been utilized and proven locally as a medicinal plant is Bawang Dayak (Eleutherine bulbosa). One of its functions is as an immunostimulant supplement, but until now there has not been much research on the manufacture of E. bulbosa as a home industry product that functions as an immunostimulant supplement. E.bulbosa was demonstrated high antioxidant activity 1.48 μg/ml IC50 value and significantly increased immunity. The E.bulbosa was also contained iso-eleutherine and iso-eleutherol which have the potential as an anti-virus. In this study, several E. bulbosa derivated products, namely teabags and infusions, were introduced and compared starting from technical process, economic analysis, and storage period. Recent study showed that 1 kg of E. bulbosa can produce about 20 boxes of teabags (10 tea bags/box) that can be stored for 6-12 months, with a total profit reached 2-3 times of total production cost. While, 1 kg E. bulbosa was produced 16 bottles containing 330ml infusion drink which can be stored for 3-5 days in refrigerator, and it was provided 2 times profit of total production cost. However, these two products can be used as an alternative to stay healthy along with increase in added value and income for communities.

11.
International Journal of Clinical Pharmacy ; 43(6):1747-1747, 2021.
Article in English | Web of Science | ID: covidwho-1558042
12.
United European Gastroenterology Journal ; 9(SUPPL 8):786-787, 2021.
Article in English | EMBASE | ID: covidwho-1491000

ABSTRACT

Introduction: At pediatric age, an emergency endoscopic procedure is required in a limited number of circumstances, mainly due to accidental foreign body ingestion (FBI), gastrointestinal bleeding and caustic ingestion. FBI may represent most of the procedures, occurring typically in young children (6 months to 3 years of age) at home. Although most FBIs in the gastrointestinal tract pass spontaneously without complications, endoscopic or surgical removal may be required in a few cases. SARS-CoV2 pandemic has led to significant family lifestyle changes, which forced children to stay at home for prolonged periods of time. It has been suggested that pandemic contingency may have increased the frequency of domestic accidents during lockdown period (namely FBI and caustic ingestion) and consequently the risk of potentially fatal episodes, as compared with non-pandemic periods. Aims & Methods: A retrospective analysis of the overall admissions to the pediatric emergency department of a tertiary referral hospital center with need of emergency endoscopy was performed. Children and adolescents aged between 0 and 18 years were included in the study. We compared the first 6 months of the pandemic (peak months April to September 2020-Group A) with the homologous period of the previous year (2019-Group B). The aim of the study was to evaluate if the changes in the lifestyle and hospital practices imposed by the pandemic had an impact on the frequency and profile of the emergency endoscopy. Chi-square and Mann-Whitney U tests were used for statistical analysis using IBM-SPSS®. Statistically significance was considered when p-value was under 0.05. Results: A total of 89 cases were analyzed (54% of the admissions in group A). Median age of admissions was 4.5 years. Groups did not differ for gender (p = 0.399) or age (p = 0.242). Concerning overall emergency endoscopies, 28% (25/89) occurred in children under the age of two, with most of these episodes occurring in Group A (19/89;p = 0.009). Groups did not differ considering the endoscopy indication (foreign body ingestion, caustic ingestion, food impaction and digestive hemorrhage) (p=0.899), nor about the presence of associated lesions (p = 0.597). The most frequent ingestions were caustics (18%, 16/89), coins (17%, 15/89), food impaction (12%, 11/89) and batteries (10%, 9/89). However, battery ingestions and food impactions were more frequent in 2020, respectively 67% (9/89;p = 0.419) and 64% (7/89;p = 0.49). There were no statistically significant differences on the time delay to reach the emergency department (p = 0.934) or on the time delay since emergency room admission until the endoscopic procedure (p = 0.266). More foreign bodies were removed in Group A (p = 0.026) and when lesions were present, they were more frequently seen on the esophagus (p = 0.007). Most of the patients (84%) were discharged home, after a brief recovery time after the procedure, with no difference between groups (p = 0.397). Conclusion: This study shows that there were no significant differences between both groups on the number and type of emergency endoscopies, on the time to reach the emergency room or to the performance of the endoscopy. Children under the age of 2 had more episodes with need of emergency endoscopy during the pandemic as compared to the homologous period. Overall, the pandemic did not seem to affect the quality of healthcare practice concerning emergency endoscopic procedures.

13.
United European Gastroenterology Journal ; 9(SUPPL 8):886, 2021.
Article in English | EMBASE | ID: covidwho-1490932

ABSTRACT

Introduction: The COVID-19 pandemic may have an important effect on non-COVID-19 patients, namely due to allocation of healthcare resources to COVID-19 patients. Outpatients with chronic conditions requiring frequent medical attention, like liver cirrhosis, may suffer a greater impact due to lack of access to consultations and a possible delay in emergency room admissions. Aims & Methods: Our aim is to evaluate the impact of the COVID-19 pandemic on non-COVID-19 patients with decompensated liver cirrhosis (DLC). A retrospective single center study was conducted, including patients admitted due to DLC from 15/03/2019 to 15/03/2021. DLC was defined, in cirrhotic patients, as admission due to ascites, spontaneous bacterial peritonitis (SBP), acute kidney injury (AKI), hepatic encephalopathy (EH), rupture of gastroesophageal varices (RGEV) and/or alcoholic hepatitis (AH). Hepatocellular carcinoma patients were excluded. Patients were allocated in two groups according to date of admission: COVID- 19 group (C group) if admitted between 15/03/2020 and 15/03/2021 and pre-COVID-19 group (pC group) if admitted in the previous year. Demographic, clinical and laboratory variables were compared between groups. Child-Pugh and Model for End-stage Liver Disease Sodium (MELDNa) were assessed at admission. Results: One-hundred-and-forty patients were included, 74 (53%) during COVID-19 pandemic (mean age 63±12 years, with 51 males), and 66 (47%) pre-COVID-19 (mean age 63±11 years, with 46 males). Alcohol consumption was the most frequent cause of cirrhosis in both groups. The majority of patients presented with Child-Pugh C in both groups and the mean MELDNa score at admission was 22±7 points in C group and 22±8 in pC group. The most common comorbid condition was diabetes (C group: n=15;20%;pC group: n=25;38%) and the mean Charlson Comorbidity Index was 5±2 points in both groups (p>0.05). The presentations of DLC, in C group and pC group, were respectively: ascites: 77% versus (vs) 73%;AKI: 39% vs 55%;HE: 50% vs 46%;RGEV: 14% vs 15%;AH: 14% vs 6%;SBP: 4% vs 14%. The median length of hospital stay was 8 days (IQR: 10) in C group and 11 days (IQR: 16) in pC group. Twelve patients died during hospital stay in C group (16%) and 12 in pC group (18%). The average time of follow-up was 156±119 days in C group and 112±100 days in pC group. Twenty-two deaths (30%) occurred during follow-up in C group and 15 (23%) in pC group;28 patients were readmitted during follow-up in C group (45%) and 26 (48%) in pC group. The absolute number of deaths was higher during COVID-19 (n=34 vs n=27), as well as the total number of admitted patients (n=74 vs n=66). However, mortality rates did not significantly differ in the two groups (46% vs 41%;p>0.05). SBP was more frequent in pC group (p=0.045). There was a tendency towards a higher number of first time DLC with AH during COVID- 19 (n=7 vs n=1, p=0.053). None of the other above-mentioned variables were significantly different between groups (p>0.05). Conclusion: During COVID-19 pandemic, we observed a higher absolute number of hospitalizations due to DLC and a proportional larger number of deaths. Nevertheless, severity at admission and mortality rates during and after hospitalization did not increase significantly during the pandemic period. There was a higher number of first time DLC with AH during COVID-19, which may reflect greater alcohol consumption during lockdown.

14.
16th Iberian Conference on Information Systems and Technologies, CISTI 2021 ; 2021.
Article in Portuguese | Scopus | ID: covidwho-1449478

ABSTRACT

The Covid-19 pandemic had an unprecedented impact on the tourism industry. It is believed that the recovery of the sector goes through a strong investment in technologies that allow creating and managing tourists' perception of the virtual image of tourist destinations. This article proposes a discussion about the relevance of User Generated Content (UGC) to reveal the virtual image of a tourist destination, in order to contribute to the creation of a Smart Tourism Destination (STD). The virtual image is studied from the perspective of the public transport system due to the fact that its improvement is one of the objectives of the Tourism of Portugal strategic plan for the creation of a STD in the decade 2017-2027. The methodology used was qualitative, through a bibliographical research, in which the key factors of this theme were addressed. After the study carried out it was concluded that the exploration of UGCs can allow managers and regulatory and tourism promoting entities to extract a lot of interesting information about how to take better advantage of the technologies adopted to create value for tourists. © 2021 AISTI.

15.
International Journal of Environmental Research and Public Health ; 17(11), 2020.
Article in English | CAB Abstracts | ID: covidwho-1409597

ABSTRACT

Background: This study's aims are to assess the current evidence presented in the literature regarding the potential risks of COVID-19 infection among pregnant women and consequent fetal transmission.

16.
Annals of Phytomedicine-an International Journal ; 10(1):S115-S120, 2021.
Article in English | Web of Science | ID: covidwho-1389932

ABSTRACT

The COVID-19 pandemic has occurred for more than a year. In the present, it is important to look for COVID-19 drugs to cure COVID-19 sufferers. However, increasing stamina or immunity is more important for everyone to prevent viruses or diseases from entering the body. Herbal remedies that are easy to find and easy to consume are an option to increase immunity. There are three herbal remedies that function to increase body immunity from Kalimantan, Indonesia, especially origin on Dipterocarps forest ecosystem, i.e., Pasak Bumi (Eurycoma longifolia Jack.),Akar Kuning (Coscinium fenestratum (Gaertn.) Colebr.) and Bawang Dayak (Eleutherine bulbosa (L.) Merr). The three medicinal plants are easily found in traditional markets and online shopping, and their function to increase the body's immunity.

17.
Journal of Cardiovascular Disease Research ; 12(3):672-676, 2021.
Article in English | GIM | ID: covidwho-1374774

ABSTRACT

The general public is familiar with the physical manifestations of SARS-CoV-2 infection and takes the required precautions to minimize coronavirus exposure and manage COVID-19 symptoms if they develop. The pandemic's effects on mental health, on the other hand, has not been properly explored and grasped. The specific study attempts to accentuate on the epidemiology, clinical characteristics, transmission patterns, and management of the COVID-19 virus. There has been limited number of studies focusing on resultant mental health due to the impact of the virus. Currently, the situation necessitates public knowledge, which can aid in crisis response. This study intends to highlight the very aspect of people's mental health which has evidently been affected. Along with highlighting the narrative review of prior research on mental health symptoms and treatment associated with COVID-19, this study consolidates existing data on the COVID-19 outbreak and its repercussions on mental health.

18.
Holos ; 37(3):16, 2021.
Article in Portuguese | Web of Science | ID: covidwho-1365870

ABSTRACT

We are going through a multidimensional humanitarian crisis about which we have more questions than certainties, and in this scenario, issues related to mental health are of great concern. Thus, this study aimed to understand how critical thinking has addressed issues related to mental health in times of Covid-19 pandemic. The methodology used was bibliographic research, through the study of scientific publications in journals and books, configuring an analytical and critical-argumentative investigation. As a result, it was understood that for the different authors of critical thinking, especially in the Latin American context, it is necessary to build another world beyond exploration, an example is the utopia of good living, which, from the world Andean, Amerindian, feminist has co-produced collective actions that point to new ways of living

19.
Enfermeria Global ; 20(3):530-543, 2021.
Article in English | Scopus | ID: covidwho-1362726

ABSTRACT

Objective: To analyze, describe and explain the impact of the pandemic on the role of nursing, according to literature. Method: Narrative review of the literature based on searches in databases (Pubmed, BDENF, Scielo, Google Scholar), on the references of articles, and official websites. The search used the combination of descriptors: COVID-19 and Enfermagem and Pandemia and only COVID- 19. Results: 44 references were selected, according to the inclusion criteria. It was shown that the pandemic impact the routines of nursing work in many ways, affecting the updating of measures to prevent occupational infections and protective equipment-related pressure injuries, mental health care, the proportion of infection among nurses, although it brings more visibility and recognition to the importance of nursing workers in health care. Conclusion: The pandemic forced nurses to submit to new working conditions, which caused personal and labor issues that are associated with the quality of health care. © COPYRIGHT Servicio de Publicaciones - Universidad de Murcia

20.
Frontiers in Communication ; 6:16, 2021.
Article in English | Web of Science | ID: covidwho-1341615

ABSTRACT

The COVID-19 pandemic has been a challenge for science communication in terms of addressing the question of uncertainty and how it translates into risk. This task has been aggravated by the complexity of the pandemic and the current post-truth environment. The article suggests that there is a need to analyze the practices of correcting risk information that is uncertain, but not necessarily false, made by online news media about COVID-19. This is a point of analysis where the uncertainty and risk linked to science, the pandemic, and the post-truth condition meet. The qualitative discursive analysis yielded three important results: (1) uncertainty can be fought by increasing uncertainty;(2) a multiplication of facts or reasons may not be the most prominent strategy in practices of correction;and (3) the use of hyperlinks with additional information can increase uncertainty and risk.

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