Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 17 de 17
Filter
3.
Journal of General Internal Medicine ; 37:S322, 2022.
Article in English | EMBASE | ID: covidwho-1995630

ABSTRACT

BACKGROUND: African-Americans (AA) are underrepresented in mobile health (mHealth) intervention research studies which can perpetuate health inequities and the digital divide. A community based, user-centered approach to designing mHealth interventions may increase their sociocultural relevance and effectiveness, especially with increased smartphone use during the COVID-19 pandemic. We aimed to refine an existing mHealth intervention via a virtual focus group series for use in a randomized controlled trial (RCT) aiming to improve cardiovascular health (CVH) in AAs. METHODS: AA community members (N=15) from churches in Minneapolis and Rochester, Minnesota were enrolled in a virtual, 3-session focus group series over 5 months to refine an existing CVH focused mHealth application (FAITH! App). Participants completed a baseline electronic survey capturing sociodemographics, mobile technology use, and electronic health information sources prior to start of focus groups. Participants accessed the FAITH! App via their smartphones and received a Fitbit synced to the app. Participants engaged with multimedia CVH focused education modules, a sharing board for social networking, and diet/PA self-monitoring. Participant feedback on app features prompted iterative revisions to yield a refined app. Primary outcomes were app usability (assessed via Health Information Technology Usability Evaluation Scale [Health-ITUES], range 0-5) and user satisfaction which were evaluated via electronic survey after the final focus group. A predetermined goal of mean overall Health-ITUES score of ≥4 was set for the app to advance for use in the RCT. RESULTS: Participants (mean age [SD] 56.9 [12.3] years, 13, 86.7% female) attended a mean 2.8 focus groups (80% attended all sessions). Participant feedback resulted in app refinements to increase visual appeal, increase diversity and gender balance in testimonial videos, further improve ease of diet/PA self-monitoring, and add fitness videos as well as a moderated sharing board. The revised FAITH! App achieved a mean overall Health-ITUES score of ≥4 (mean 4.39, range 3.20-4.95). Participants positively rated updated app content, visual appeal, and use of social incentives to maintain engagement. Increasing user control and further refinement of the moderated sharing board were identified as areas for future improvement. CONCLUSIONS: Virtual focus group data can improve usability and increase participant satisfaction in mHealth lifestyle interventions aiming to promote CVH in AAs.

4.
Journal of Educational Administration ; 2022.
Article in English | Scopus | ID: covidwho-1752287

ABSTRACT

Purpose: This study centers the reflections of principals across the USA as they navigated the overwhelming stress of closing and reopening schools during a global pandemic. Specifically, the authors explored how school principals addressed self-care and their own well-being during the pandemic. Design/methodology/approach: This research study is part of a broader qualitative study conducted by 20 scholars from across the USA in Spring 2020 and organized by the Consortium for Policy Research in Education (CPRE). This national research team conducted 120 qualitative interviews with public school principals in 19 different states and 100 districts. As part of this team, the authors coded and analyzed all 120 transcripts in NVivo using a self-care framework. Findings: The responses from the participants capture some of the complexity of self-care during the COVID-19 pandemic. The authors found evidence of both negative and positive sentiments towards self-care that will be described in five major themes. For the tensions with self-care, the authors developed two primary themes: leaders eat last and keep from falling off the cliff. For the demonstrations of self-care, the authors also developed three primary themes: release the endorphins, people need people and unplug from work. Originality/value: Although researchers have identified the stressors and reactions of principals during the early months of the COVID-19 pandemic, little is known on how principals engaged in self-care practices. This study aims to identify these self-care practices and offer recommendations for principals. © 2022, Emerald Publishing Limited.

5.
SAGE Open ; 11(4), 2021.
Article in English | Scopus | ID: covidwho-1528668

ABSTRACT

The purpose of the study was to understand the impact of involuntary remote working during the early phases of the COVID-19 pandemic on perceived stress and work-related burnout for workers with and without previous experience of remote work. The authors developed a questionnaire, open from March 23rd to May 19th, 2020, incorporating the Perceived Stress Scale, Copenhagen Burnout Inventory, demographic, and work-related questions. This sample consisted of 256 professionals who self-identified as working at home during the pandemic. Pandemic restrictions increased perceived stress for all participants, but age and gender had significant effects on stress and burnout. Burnout was most significant for respondents already working remotely before COVID-19. The most significant challenges reported were—communication, collaboration, and time management with colleagues via technology. Working from home may contribute to higher levels of perceived stress and work-related burnout, which questions moves by some employers to make working from home a permanent arrangement. © The Author(s) 2021.

6.
Hiv Medicine ; 22:217-217, 2021.
Article in English | Web of Science | ID: covidwho-1519218
7.
BJS Open ; 5(SUPPL 1):i11, 2021.
Article in English | EMBASE | ID: covidwho-1493706

ABSTRACT

Introduction: COVID-19 led to global disruption of healthcare and many students volunteered to provide clinical support. Volunteering to work was a unique medical education opportunity;however, it is unknown whether this was a positive learning experience. Methods: The COVID Ready 2 study is a national cross-sectional study of all medical students at UK medical schools. We will compare opinions of those who did and did not volunteer to determine the educational benefit and issues they faced. We will use thematic analysis to identify themes in qualitative responses, in addition to quantitative analysis. Results: The primary objective is to explore the effect of volunteering during the pandemic on medical education in comparison to those who did not volunteer. Our secondary objectives are to identify: whether students would be willing to assume similar roles in a non-pandemic setting;if students found the experience more or less beneficial than traditional hospital placements and reasons for this;what the perceived benefits and disadvantages of volunteering were;the difference in perceived preparedness between students who did and did not volunteer for foundation training year one and the next academic year;training received by volunteers;and to explore issues associated with volunteering, including safety issues and issues with role and competence. Conclusions: We anticipate this study will help identify volunteer structures that have been beneficial for students, so that similar infrastructures can be used in the future;and help determine whether formal voluntary roles should be introduced into the non-pandemic medical curriculum.

8.
Policy Futures in Education ; 2021.
Article in English | Scopus | ID: covidwho-1477206

ABSTRACT

This paper explores a possible future of postdigital education in 2050 using the means of social science fiction. The first part of the paper introduces the shift from 20th century primacy of physics to 21st century primacy of biology with an accent to new postdigital–biodigital reconfigurations and challenges in and after the COVID-19 pandemic. The second part of the paper presents a fictional speech at the graduation ceremony of a fictional military academy in a fictional East Asian country in 2050. This fictional world is marked by global warfare and militarization, and addressed graduates are the first generation of artificially evolved graduates in human history. The third part of the paper interprets the fictional narrative, contextualizes it into educational challenges of today, and argues for a dialogical, humanistic conception of new postdigital education in a biotech future. © The Author(s) 2021.

11.
Crit Public Health ; 32(1): 31-43, 2022 Jan 01.
Article in English | MEDLINE | ID: covidwho-1201296

ABSTRACT

In order to combat the COVID-19 pandemic, policymakers around the globe have increasingly invested in digital health technologies to support the 'test, track and trace' approach of containing the spread of the novel coronavirus. These technologies include mobile 'contact tracing' applications (apps), which can trace individuals likely to have come into contact with those who have reported symptoms or tested positive for the virus and request that they self-isolate. This paper takes a critical public health perspective that advocates for 'genuine participation' in public health interventions and emphasises the need to take citizen's knowledge into account during public health decision-making. In doing so, it presents and discusses the findings of a UK interview study that explored public views on the possibility of using a COVID-19 contact-tracing app public health intervention at the time the United Kingdom (UK) Government announced their decision to develop such a technology. Findings illustrated interviewees' range and degree of understandings, misconceptions, and concerns about the possibility of using an app. In particular, concerns about privacy and surveillance predominated. Interviewees associated these concerns much more broadly than health by identifying with pre-existent British national narratives associated with individual liberty and autonomy. In extending and contributing to ongoing sociological research with public health, we argue that understanding and responding to these matters is vital, and that our findings demonstrate the need for a forward-looking, anticipatory strategy for public engagement as part of the responsible innovation of the COVID-19 contact-tracing app in the UK.

12.
Critical Care Medicine ; 49(1 SUPPL 1):101, 2021.
Article in English | EMBASE | ID: covidwho-1193918

ABSTRACT

INTRODUCTION: COVID-19 has brought attention to the health disparities even in a rural state such as Nebraska. COVID-19 patients admitted to CHI (Catholic Health Initiative) Health Nebraska had data collected concurrently to determine the intensive care unit (ICU) admissions. METHODS: Data from all patients with a positive SARSCoV- 2 polymerase-chain-reaction (PCR) test were collected regarding their health on admission, their progress during hospitalization, and their disposition after dismissal. Data were entered into an Excel spreadsheet and analyzed by SPSS-PC (ver 26.0). Emphasis was placed on critical care admission for patients. Continuous variables were analyzed using Student t-test and discrete variables were analyzed using Chi-square or Fisher's exact test. Apriori significance was p ≤ 0.05. RESULTS: From March 15, 2020, to July 15, 2020, 127 (29%) of 441 total COVID-19 positive patients were admitted to ICU beds in our healthcare system (CHI Health Nebraska;approximately 320 ICU beds). Significantly more male patients (58%;p<0.01) were admitted to ICU. Bodyweight (93.9 ± 32.6 vs. 83.1 ± 23.5 kg) and APACHE II score (12.6 ± 7.6 vs. 8.9 ± 5.6, P<0.01) on admission to ICU were also significantly (p<0.01) higher. Additionally, 50% of patients with COVID-19 positive PCR result belonged to minority race groups (African-American 21%;Asian 11%;Hispanic 68%;p < 0.001) when African-American represent 5%, Asian 2.7%, and Hispanics 10% of the Nebraska general population. For health disparities, significantly more (40%;p<0.03) ICU admissions were due to occupational exposure to COVID-19 (meatpacking plants). Total hospitalization length was significantly longer for ICU patients (18.6 ± 12.1 days) compared to non-ICU patients (12.5 ± 12.4 days, p<0.001). CONCLUSIONS: COVID-19 infection has resulted in significant health disparities with greater numbers of ICU admission from occupational exposure in a close workspace with minimal social distancing.

13.
Critical Care Medicine ; 49(1 SUPPL 1):93, 2021.
Article in English | EMBASE | ID: covidwho-1193903

ABSTRACT

INTRODUCTION: SARS-CoV-2 pandemic has brought about a race to determine what is efficacious against this new viral infection that causes COVID-19. We sought to evaluate our therapeutic algorithm for treating patients with SARSCoV- 19. METHODS: Data from patients admitted to our healthcare system with a positive polymerase chain reaction was concurrently reviewed. Demographics, progress during hospitalization, and disposition after discharge from the institutions were entered into an Excel spreadsheet and analyzed by SPSS (ver. 27.0). Continuous variables were analyzed using Student t-test and discrete variables were analyzed using Chi-square or Fisher's exact test. Apriori significance was p ≤ 0.05. Results are presented as percentages or mean (± SD). RESULTS: From March 15, 2020 - July 15, 2020, 127 (29%) of 464 total patients were hospitalized in our healthcare system (CHI Health Nebraska;approximately 1000 hospital beds). A treatment algorithm was developed to determine criteria for COVID-19 therapeutics and shared among the institutions. A total of 66 (14.6%) expired during their hospitalization. Mean age and admission creatinine clearance was significantly different for expired patients (72.2 ± 13.1 vs. 61.6 ± 18.7 years;48.5 ± 33.0 vs. 80.8 ± 50.5 ml/min;p<0.01). Twenty-two percent of patients required an ICU bed. Therapeutics that demonstrated a significant reduction (p<0.01) in mortality included convalescent plasma, proning intubated patients, and dexamethasone. Hydroxychloroquine, azithromycin, and remdesivir use did not reduce mortality. Tocilizumab significantly reduced mortality (13%, p<0.001). CONCLUSIONS: Convalescent plasma, dexamethasone, tocilizumab, and proning intubated patients all positively affected the patient outcome in SARS-CoV-19 infection.

14.
Morbidity and Mortality Weekly Report ; 69(38):1360-1363, 2020.
Article in English | GIM | ID: covidwho-1115757

ABSTRACT

To assess local COVID-19 contact tracing implementation, data from two counties in North Carolina, USA were analysed during a period of high incidence. Routinely collected case investigation and contact tracing data from 1-30 June 2020 for Mecklenburg and from 15 June-12 July 2020 for Randolph counties were included. Health department staff members investigated 5514 (77%) persons with COVID-19 in Mecklenburg County and 584 (99%) in Randolph Counties. No contacts were reported for 48% of cases in Mecklenburg and for 35% in Randolph. Among contacts provided, 25% in Mecklenburg and 48% in Randolph could not be reached by telephone and were classified as nonresponsive after at least one attempt on 3 consecutive days of failed attempts. The median interval from specimen collection from the index patient to notification of identified contacts was 6 days in both counties. Despite aggressive efforts by health department staff members to perform case investigations and contact tracing, many persons with COVID-19 did not report contacts, and many contacts were not reached. These findings indicate that improved timeliness of contact tracing, community engagement and increased use of community-wide mitigation are needed to interrupt SARS-CoV-2 transmission.

15.
Frontiers in Education ; 5, 2021.
Article in English | Scopus | ID: covidwho-1054983

ABSTRACT

Rural school leaders are met with serious challenges and opportunities to lead rural schools in times of normalcy, but these challenges are amplified during a crisis. Rural school principals in the United States faced an unprecedented crisis when school buildings closed in spring 2020 due to the COVID-19 pandemic. The measure of rural school principals and their response to this crisis is exemplified through their leadership practices. Through qualitative methods, we examined the leadership practices of rural principals through the initial months of the COVID-19 pandemic and quarantine, and we found that rural principals exhibit the practices of caretaker leadership. From the findings, we used a meta-leadership frame to discuss the caretaker leadership practices of rural school principals. © Copyright © 2021 Hayes, Flowers and Williams.

16.
Srpski Arhiv Za Celokupno Lekarstvo ; 148(9-10):637-643, 2020.
Article in English | Web of Science | ID: covidwho-976148

ABSTRACT

At the beginning of the SARS Co V2 (COVID-19) pandemic, women worldwide represented the majority of health care workers. As part of the fight against the pandemic, women health care workers became a part of the significant frontline response. This led to unique challenges that affected women physicians as well as the women patients they were taking care of. The American College of Cardiology Women in Cardiology International Working Group set up a webinar to discuss the challenges being faced by women physicians and women patients in various parts of the world and look towards finding possible solutions for these issues in a webinar themed "WIC Global Perspectives: COVID-19."

17.
International Journal of Mechanical Engineering Education ; : 0306419020958100, 2020.
Article | Sage | ID: covidwho-788442

ABSTRACT

Due to the COVID-19 pandemic, universities across the world have curtailed face to face teaching. Associated with this is the halt to the delivery of the practical experience required of engineering students. The Multidisciplinary Engineering Education (MEE) team at The University of Sheffield have responded to this problem in an efficient and effective way by recording laboratory experiences and putting videos, quizzes and data online for students to engage with. The focus of this work was on ensuring all Learning Outcomes (LOs) for modules and courses were preserved. Naturally, practical skills cannot be easily provided using this approach, but it is an effective way of getting students to interact with real data, uncertainty and equipment which they cannot access directly. A number of short case studies from across the range of engineering disciplines are provided to inspire and guide other educators in how they can move experiments on line in an efficient and effective manner. No student feedback is available at the time of writing, but anecdotal evidence is that this approach is at least acceptable for students and a way of collecting future feedback is suggested. The effort expended on this approach and the artefacts produced will support student learning after the initial disruption of the lockdown has passed.

SELECTION OF CITATIONS
SEARCH DETAIL