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1.
Frontiers in Education ; JOUR, 7.
Article in English | Web of Science | ID: covidwho-2099121

ABSTRACT

The COVID-19 pandemic and the escalation of the Black Lives Matter Movement worldwide have foregrounded the long-standing inequality in society and healthcare. The provision of culturally competent care has become more necessary than at any other time. However, cultural competence (CC) education remains inconsistent across medical schools, and little is known about how students develop their CC through campus-based classroom teaching. We took an ethnographic approach to study students' development of CC in campus-based formal classroom teaching. This study was conducted in a large London medical school in England. We triangulated data collected from 6-month participant observation, 25 individual interviews, and three focus groups to generate reliable accounts of students' CC developmental experience. Thick descriptions were developed through iterative, inductive, interactive, and reflexive review and interpretation of data using NVivo 11. The results show that students undergo staged cultural learning throughout their undergraduate medical curriculum through bespoke CC lectures, workshops, clinical/research projects, and integrated clinical simulations that incorporate CC and other clinical subjects. The early learning mainly takes place in the pre-clinical year of the curriculum, among which a range of valued-based sessions is observed as conducive to students' development of CC. As they progress, students develop their CC by attending clinical sessions with embedded cultural content. The curriculum in senior years presents reduced mandatory teaching, but more clinical exposure and opportunities to reach out to other subjects and disciplines. It means students start to have more diverse and dispersed learning experiences based on their individual choices, some of which may contribute to their development of CC. This study provides a rare insight into medical students' CC development through participation in campus-based classroom teaching. Various learning opportunities contribute to different aspects of CC development and cater to different learning preferences of the diverse student population. To support students' comprehensive development of CC, educators need to work collaboratively and use overt signposting to related disciplines and subjects. There needs to be recognition of students' learning not only in the formal curriculum but also in the informal and hidden curricula.

2.
Emerging Science Journal ; 5(Special issue):197-214, 2021.
Article in English | Scopus | ID: covidwho-1644101

ABSTRACT

The pandemic Covid-19 has been changing tourist behavior to visit a tourism destination. This study aims to investigate tourist’ visit intention after Covid-19 pandemic period in Indonesia by addressing the Covid-19 phenomenon, health consciousness and theory planned behavior framework. To answer hypotheses in this study, Confirmatory Factor Analysis-Structure Equation Model is used with quantitative approach. The research model is examined by SEM-PLS, using SmartPLS-3 software to analyze research framework. The results show that Covid-19 perception had not significantly impacted attitude, subjective norm, perceived behavioral control and intention. However, the perception of Covid-19 has a significant impact on non-pharmaceutical intervention, which in turn delivers a significant impact on attitude, subjective norm, perceived behavior control and visit intention. The hypothesis presumes that attitude, subjective norm, and perceived behavior control all have significant impact on intention to visit. In contrast, variable of health consciousness works less impact on intention to visit. This study makes significant contribution to the tourism literature by considering health issue and tourist visit behavior after Covid-19 period in Indonesia. © 2021 by the authors.

3.
Chinese Automation Congress (CAC) ; : 7451-7455, 2020.
Article in English | Web of Science | ID: covidwho-1398266

ABSTRACT

This study aims to provide a feasibility bask for image processing for automatic throat swab robot sampling. For target segmentation and identification in the oral environment, we use a robust instance segmentation algorithm Mask R-CNN. In order to solve the insufficiency of the data used, we use data augmentation methods based on the original data to increase the available effective data. Experiments have proved that good results have been achieved for the segmentation of the throat swab and the posterior pharyngeal wall.

4.
Structural Change and Economic Dynamics ; 57:57-67, 2021.
Article in English | Web of Science | ID: covidwho-1260868

ABSTRACT

Studies have shown that the COVID-19 pandemic has led to a significant drop in carbon emissions in 2020, however, it is an open question whether carbon emissions continue to decline after the COVID-19 pandemic. To forecast the changes in carbon emissions after the pandemic, this study analyzed the long-term relationship between the extreme events and carbon emissions since 1960, and short-term drivers of the changes in carbon emissions before and after the 2008 financial crisis. Extreme events cannot change the upward trend of carbon emission in the long run. Specifically, the extreme events (1973 oil crisis, the American Reserve Loan Association crisis, the disintegration of the former Soviet Union, the Asian financial crisis and the 2008 financial crisis) led to a decline in carbon emissions temporarily, however, a retaliatory rebound of carbon emission were occurred after the extreme events. The long-term relation-ship between extreme events and carbon emission indicate that this unfolding extreme event (COVID-19 pandemic) cannot change the trend the carbon emission, and carbon emission will be rebound after the pandemic. In addition, the decomposition results showed the main contributor to the retaliatory rebound of carbon emissions after the 2008 financial crisis was the decline in energy efficiency. The decline in energy efficiency was caused by the economic recovery plan post 2008 financial crisis, which stimulated the economy and employment at a cost of energy efficiency and environmental protection. The current economic recovery plans to deal with COVID-19 pandemic also prioritizes economic development and job creation, while ignoring energy efficiency. Therefore, the post-pandemic carbon emissions will repeat the carbon emissions after the 2008 financial crisis, i.e., there will a retaliatory rebound. To avoid the retal-iatory rebound, improving energy efficiency should be included in these economic recovery plan to cope with COVID-19 pandemic. (c) 2021 Elsevier B.V. All rights reserved.

5.
Chest ; 158(6):2700-2701, 2020.
Article in English | Web of Science | ID: covidwho-1046919
6.
Zhonghua Jie He He Hu Xi Za Zhi ; 43(4): 332-334, 2020 Apr 12.
Article in Chinese | MEDLINE | ID: covidwho-591071

ABSTRACT

Endotracheal intubation is an independent risk factor for respiratory infectious diseases. We conducted a retrospective study in 12 cases with COVID-19 who underwent endotracheal intubation at ICU of the Guangzhou eighth hospital from January 20 to February 10, 2020. The intubation procedure, anesthetic regimen, and complication were collected and analyzed. The 9 healthcare workers who involved in intubation received virus nucleic acid test and 14 days temperature monitoring. All 12 patients were successfully intubated under the guidance of bronchoscope, without any complications. Midazolam, Propofol and Morphine or fentanyl were used for sedation and analgesia, avoiding patients cough and agitated during the procedure. The 9 healthcare workers were protected under the Personal Protective Equipment(PPE) with positive pressure protective hood. The detection of oropharyngeal swab virus nucleic acid were negative in all 9 healthcare workers, none of them had fever or any respiratory symptoms. The PPE with positive pressure protective hood should be needed to perform bronchoscope-guided endotracheal intubation in patients with COVID-19, it could strengthen to protect healthcare workers from virus exposure.


Subject(s)
Bronchoscopes , Coronavirus Infections/therapy , Intubation, Intratracheal , Personal Protective Equipment , Pneumonia, Viral/therapy , Betacoronavirus , COVID-19 , China , Coronavirus Infections/prevention & control , Humans , Infection Control , Intensive Care Units , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Retrospective Studies , SARS-CoV-2
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