ABSTRACT
Background: COVID-19 was declared as a pandemic by World Health Organization on March 11, 2020, and still constitutes a serious health problem affecting millions of people across the world. The evaluation and follow-up of ongoing and/or newly developing neurological involvement after recovery from COVID-19 are important. This study aims to reveal post-COVID-19 neurological symptoms and risk factors for their development. Method(s): Patients over the age of 18 years who applied to centers, at least 4 weeks after COVID-19 infection and agreed to participate in the study were included in this cross-sectional study between January 20 and March 15, 2021. The patients were evaluated face to face, and their sociodemographic data, medical history, post-COVID-19 neurological symptoms, treatments, and Beck Depression Inventory scores were recorded. All statistical analyses were performed using SPSS 23 for Windows software package (SPSS Inc., Chicago, IL). Result(s): Four hundred patients were included in this study, an average of 108+5.12 days had passed after the onset of COVID-19. The rate of post-COVID-19 neurological involvement was 73.3%, and the top 3 most common symptoms were headache (47%), myalgia (43%), and sleep disturbance (39%). Having depression (OR: 4.54, 95% Cl:1.88-10.96), female gender (OR:2.18, 95% Cl:1.36-3.49), hospitalization (OR: 2.01, 95% Cl:103-3.64), and usage of favipiravir (OR:2.07 95 Cl:1.15-3.72) were determined as independent predictors of developing prolonged neurological symptoms. Conclusion(s): The long-term consequences of COVID-19 remain uncertain. It should be remembered that neurological symptoms are very common in post-infectious patients and long-term follow-up may be required in the management of this condition. Copyright © 2022, ASEAN Neurological Association. All rights reserved.
ABSTRACT
This article presents an analysis of aquaculture at the global level, stressing the extent to which the sector faces a range of challenges, among them a rising demand for seafood products in response to demographic growth, a global biodiversity crisis and planet-wide changes that include the effects of climate disruption. At the same time, it does not seem that we are currently on course to meet the international biodiversity objectives we have set ourselves: wide-ranging changes are needed in many sectors of production to achieve this. And the COVID crisis has revealed the low resilience of globalized production systems and shown why it might be advantageous to repatriate some production. Though aquaculture still has important environmental problems to resolve before it is sustainable, it has some competitive advantages by comparison with other animal products that ought to enable it to confront the food security challenge in the period to 2050. Various scenarios are proposed, including an increase, on a trend basis, of 44% in global aquaculture production. All these scenarios will require political choices (given that conservation and sustainable-farming approaches can rarely be fully reconciled) and the public will need to be provided with honest information, while biodiversity is prioritized as both a universal common good and a source of future solutions.