Educational leadership at the time of crisis: Lessons learned from the COVID-19 pandemic

COVID-19, the recent health threat that affected almost every part of the world, has had a huge impact on education and educators. While many researchers devoted their attention to exploring ways through which teachers and students could be supported at the time of a pandemic, this paper focuses on a different population: educational leaders. Effective educational leadership at the time of crisis is crucial not only because of its big impact and magnitude but also because it sets an example for how similar situations could be handled in the future. In this paper, the researcher first looks at the qualities and capacities needed of leaders at the time of emergency. She also discusses the need for educational contingency planning and crisis preparedness. Attention is then shifted to handling future crises and emergencies by shedding light on leadership essentials that school and district administrators should be equipped to handle. The paper ends by proposing some recommendations for leader preparation programs so that aspiring leaders are ready to deal with similar situations in the future. © Springer Nature Switzerland AG 2021. All rights reserved.

Limits of science-based approaches in global health: Sociocultural and moral lessons from Ebola and COVID-19

This chapter explores the significance of sociocultural and ethical limitations of non-science-based approaches toward effectively containing, managing, and ending global health emergencies. It refers to the 2013-2016 Ebola epidemic in West Africa and the current COVID-19 global pandemic to underscore the limits of science-based approaches in tackling infectious disease outbreaks. Against this background, it points to the significance of measures rooted in the humanities that have been (or are being) used to demonstrate the values of social, cultural, and ethical approaches in addressing global health emergencies. This chapter shows that while science-based approaches are essential, they are not sufficient toward addressing the varied challenges of global health emergencies. The experiences of Ebola epidemics in Africa and the COVID-19 global pandemic have shown that science-based approaches need to be buttressed by sociocultural and ethical measures to be successful. It has become self-evident that global health emergencies can be addressed sooner if non-science-based approaches are incorporated into the core responses. The successful approaches toward addressing global health emergencies will be ones that adequately harmonized science-based approaches with sociocultural and ethical measures. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2023. All rights reserved.

Breastfeeding in emergencies with assessment of recent humanitarian crises and the Covid-19 pandemic.

The world is becoming a place where the number of emergencies and humanitarian crises is increasing rapidly due to economic inequality and the gap between developed and underdeveloped countries, as well as climate changes leading to disruption of the natural balance and development of natural disasters. The most vulnerable groups of the population including women and children always are affected by disasters. The younger the child, the more vulnerable he/she is, especially if not naturally fed or having a mother or parents. Various humanitarian organizations have been involved in a number of crises, with the World Health Organization and UNICEF and other United Nations-related organizations leading the way. In the care of mothers, infants and young children, most important is to ensure appropriate nutrition because otherwise it can result in life-threatening health conditions. The lack of protection, support and promotion of natural nutrition (breastfeeding) and its disruption and undermining by uncritical and uncontrolled donations and distribution of infant formula are the biggest challenge due to the lack of information of mothers, those who provide support in emergencies from both governmental and non-governmental sector, without cross-sectoral cooperation, thus causing uncoordinated and sometimes harmful interventions. Therefore, it is recommended that governments issue guidelines on infant and young child nutrition prior to the occurrence of an emergency, and crisis management regulations in which the issue of infant and young child nutrition will be given due consideration.Copyright © 2020 Croatian Paediatric Society. All rights reserved.

Overview of the FIRE 2022 track: Information Retrieval from Microblogs during Disasters (IRMiDis)

Microblogging sites such as Twitter play an important role in dealing with various mass emergencies including natural disasters and pandemics. The FIRE 2022 track on Information Retrieval from Microblogs during Disasters (IRMiDis) focused on two important tasks – (i) to detect the vaccine-related stance of tweets related to COVID-19 vaccines, and (ii) to detect reporting of COVID-19 symptom in tweets. © 2022 Copyright for this paper by its authors.

Enhanced Role of EMA in EU Crisis Response

The regulation also sets out obligations on marketing authorization holders (MAHs) and medical devices manufacturers, authorized representatives, importers, distributors, and notified bodies duties to: * Provide information that will assist with the monitoring by the MSSG/MDSSG of shortages of medicinal products and devices contained in the critical medicines list and updating this when necessary * Provide a justification for any failure to provide the requested information by the established deadlines * Immediately provide any evidence of an actual or potential shortage of medicinal products or devices * Provide information to EMA by 2 Sep. 2022 that will enable the establishment of a Single Point of Contact (SPOC) network, and the industry Single Point of Contact (iSPOC) network, with mandates to updating this when necessary (7). Enhanced advisory role In addition to the measures designed to address medicinal and medical device shortages, an Emergency Task Force (ETF) will also be established within EMA to provide scientific advice and review evidence on medicines that have the potential to address public health emergencies, offer scientific support to facilitate clinical trials, and support existing EMA committees with their authorization and safety monitoring of medicines (8). According to the document published by EMA on Crisis Preparedness and Management, the key benefits for EMA of having these responsibilities include: * Accelerated evaluation and access to safe and effective medicines which could treat or prevent a disease causing, or likely to cause, a public health emergency * Improved quality of data and the effective use of resources through increased support at EU level towards the conducting of clinical trials in preparation for, and during a public health emergency * Improved coordination and harmonization at EU level in preparation for and during a public health emergency (7).

Managing systemic risk in emergency management, organizational resilience and climate change adaptation

PurposeThis paper applies the theory of cascading, interconnected and compound risk to the practice of preparing for, managing, and responding to threats and hazards. Our goal is to propose a consistent approach for managing major risk in urban systems by bringing together emergency management, organisational resilience, and climate change adaptation.Design/methodology/approachWe develop a theory-building process using an example from the work of the Greater London Authority in the United Kingdom. First, we explore how emergency management approaches systemic risk, including examples from of exercises, contingency plans and responses to complex incidents. Secondly, we analyse how systemic risk is integrated into strategies and practices of climate change adaptation. Thirdly, we consider organisational resilience as a cross cutting element between the approaches.FindingsLondon has long been a champion of resilience strategies for dealing with systemic risk. However, this paper highlights a potential for integrating better the understanding of common points of failure in society and organisations, especially where they relate to interconnected domains and where they are driven by climate change.Originality/valueThe paper suggests shifting toward the concept of operational continuity to address systemic risk and gaps between Emergency Management, Organizational Resilience and Climate Change Adaptation.

The Role of Institutionalization Police Support in Emergency Situation: Evidence from Indonesia

Role of Police Supporting Institutions in an Emergency in Indonesia. Regulations related to police duties and the condition of medical personnel are actually at the forefront of emergencies and pandemic disasters, but in Indonesia the police also called the front guard in efforts to prevent the emergency spread of Covid-19. It can be seen if there is gaps in the implementation of police duties during an emergency. This study aims to find out the existence of police as the institution that having mandate to manage and handle emergencies situation such as pandemic of COVID-19. This study used doctrinal legal research as one of the legal research methods. The findings show that management of health protection in Indonesia particularly in pandemic situation had not maximal. As can be seen there are several barriers to Indonesian Police in handling the emergency situations. Firstly, the internal problem in the institution, then it needs a revitalization. Secondly, the lack of adequate funding for the police's performance. Thirdly, as well as the external cause is the lack of publick awareness or the culture of society to be able to cooperate with the police in preventing the spread of COVID-19 in Indonesia. © 2023, Lembaga Contrarius Indonesia. All rights reserved.

Dynamic evaluation of regional economic resilience under major public emergencies: based on an improved dynamic evaluation model of grey incidence projection-fuzzy matter element

The sudden outbreak of COVID-19 in 2020 causes great impact on the economic development of all countries and even the whole world. Under the background of major public emergencies, a timely dynamic evaluation of regional economic resilience can provide an objective basis for economic regulation and control behavior. Based on the existing evaluation model, an improved dynamic evaluation model of grey incidence projection- fuzzy matter element is proposed in this study. The improved model is a universal evaluation model that can be used in different contexts. This model method can, not only limited to analyzing economic resilience, but also be applied to other different contexts. The evaluation indexes are selected (from the market, industry, investment, foreign trade and finance) to construct an evaluation index system of regional economic resilience under major public emergencies. The improved dynamic evaluation model of grey incidence projection- fuzzy matter element is applied to evaluate economic resilience of Hubei province (with its neighboring areas) in context of COVID-19. At the same time, the relative validity of the model is tested based on the empirical evaluation results.

How can tourism destinations regain public support under public health emergencies? - An empirical study based on the underdog effect

Disasters and crises such as COVID-19 can have a negative effect on the images of tourism destinations. However, existing studies have mainly focused on the recovery of such images after crises;little research has examined the reasons for reversing the image of epidemic-resistant tourism destinations and their renewed popularity. This article investigates tourism destination image management in the context of epidemics. By means of the underdog effect, this paper examines the influence of two factors-the severity of an epidemic and degree of anti-epidemic efforts-on public willingness to travel following that epidemic;it does so through a pre-study and two formal experiments, and it investigates the mechanisms underlying the effect of those two factors on willingness to travel. The following findings emerged. First, public perceptions of tourism destinations' anti-epidemic efforts were mainly evident in four ways: government measures, social support, tourism labor actions, and destination residents' attitudes. Second, there was an interactive effect between the degree of tourism destinations' anti-epidemic efforts and the severity of the epidemic in tourism destinations: destinations with high epidemic severity received the same public support as those with low epidemic severity when they displayed a higher degree of anti-epidemic efforts. Third, public empathic responses played a mediating role in those processes. The theoretical contributions of this paper are as follows. First, it enhances research on the recovery of tourism destination image in the context of disasters and crises;it proposes the novel idea of underdog image building as a way of reversing tourism destination image. Second, it expands theoretical research on the underdog effect in tourism: it shows that in the context of public health events such as epidemics, the underdog effect has its own conditions and time influences. Third, this study enriches research on tourists' emotions and feelings: it clarifies the important role of tourism destinations' efforts to deal with epidemics and reverse the negative impacts of an epidemic. This paper provides suggestions for reversing the negative image of tourism destinations and promoting positive emotions for marketing following public health emergencies. This study finds that tourism destinations should do the following. First, modify information related to an underdog state to promote the image of the destination. Second, fully utilize public emotional resources and promote emotional advantages. Third, prevent problems before they arise and improve the tourism public health system.

YOLOv7 for Face Mask Identification Based on Deep Learning

The World Health Organization (WHO) has publicized a global public health emergency due to the COVID-19 coronavirus pandemic. Wearing a mask in public can provide protection against the spread of disease. Tremendous progress has been made in object detection in recent times, thanks in large part to deep learning models, which have shown encouraging results when it comes to recognizing objects in images. Recent technological developments have made this progress possible. Wearing a mask in public is one way to prevent the transmission of COVID-19 from others. Our study employs You Only Look Once (YOLO) v7 to determine whether a subject is wearing a mask, and then divides them into three groups depending on the degree to which they are wearing a mask correctly (none, bad, and good). In this study, we merged two datasets, the Face Mask Dataset (FMD) and the Medical Mask Dataset (MMD), to conduct our experiment. These models' evaluations and ratings include crucial criteria. According to our data, YOLOv7 achieves the highest mAP (98.5%) in the "Good"class. © 2023 IEEE.

Design as the Mediator of New Social Health Culture. Towards a Co-benefits Model

The COVID-19 pandemic accelerated the need for change, raising questions about the current approach to health. The re-definition of the role of health and well-being towards an interdisciplinary approach is knowledge-driven and technology-enabled and the focus of innovation is shifting from the treatment of disease to prediction and prevention. The new model of the ‘co-benefit belt' through design activates a process of systemic improvement and extends beyond the digital, pursuing the logic of interaction. The role of Design as a mediator is emphasized, lending itself to emergency situations, to the design of protection devices by implementing multifunctional and shared protection dynamics, intervening in rethinking the universe of devices with Human Centered Design approaches, optimizing methods and processes. The case study presented describes the development of the research project funded by the Campania Region, "Smart&Safe”. Design for new individual protection devices”, among the initiatives to fight against Covid-19. The research proposes an update in the redesign of individual Personal Protective Equipment (PPE), to explore a new dimension of the project that highlights the transition to an Individual and Intelligent Protection System (IIPS), reflecting on the various levels of safety faced during health emergencies. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Regional consultation on enhancing the capacity of Member States to implement anti-stigma programmes in the Eastern Mediterranean Region

[...]the economic downturns, social polarization, public health emergencies, widespread humanitarian emergencies, forced displacement, climate crises, and even COVID-19 are major threats to mental health in the Eastern Mediterranean Region. The Comprehensive Mental Health Action Plan 2013-2030 (8), the Regional Framework to Scaleup Action on Mental Health in the Eastern Mediterranean Region (9), the World Mental Health Report (10), and the associated tools and resources published by WHO provide strategic directions for addressing stigma and discrimination. Recommendations Through outreach activities and advocacy at national and subnational levels, Member States are to strengthen multisectoral partnerships, including with people who experience mental health disorders and their support networks, to leverage scarce resources for mental health and integrate anti-stigma actions into mental health law, policies, and interventions.

Impact of COVID-19 on nursing work in emergency units / Impacto da COVID-19 no trabalho de enfermagem em unidades de urgência/emergência / Impacto del COVID-19 en el trabajo de enfermería en unidades de urgencia/emergencia

Resumo Objetivo Analisar o impacto da pandemia da Coronavirus Disease 2019 (COVID-19) no trabalho de enfermagem em unidades de urgência e emergência. Métodos Pesquisa de abordagem qualitativa realizada entre profissionais de enfermagem atuantes em unidades de urgência e emergência no estado do Rio de Janeiro, Brasil. Dados coletados via online por meio de formulário semiestruturado e submetidos à análise lexicográfica no software Interface de R pour Analyses Multidimensionnelles de Textes Et de Questionnaires (IRAMUTEQ). Resultados Participaram 31 profissionais de enfermagem. O aproveitamento do corpus textual foi de 94,9% mediante a geração de seis classes de segmentos de textos, que possibilitou identificar que os profissionais que atuam nessas unidades têm vivenciado sobrecarga no desenvolver laboral, dada a carga horária de trabalho exaustiva, bem como a falta de infraestrutura, de equipamentos de proteção e de recursos humanos. Ainda, evidenciaram-se desgastes físicos e mentais, com ênfase para o estresse e a exaustão, além do sentimento de medo pelo receio de contaminação. Conclusão A pandemia da COVID-19 promoveu impactos diretos no trabalho de enfermagem em unidades de urgência e emergência no que tange a aspectos relacionados a recursos humanos e materiais e infraestrutura, além da assistência prestada aos pacientes em condições graves.

Resumen Objetivo Analizar el impacto de la pandemia de Coronavirus Disease 2019 (COVID-19) en el trabajo de enfermería en unidades de urgencia y emergencia. Métodos Investigación de enfoque cualitativo realizada entre profesionales de enfermería que actúan en unidades de urgencia y emergencia en el estado de Rio de Janeiro, Brasil. Datos recopilados en línea a través de formulario semiestructurado y presentados para análisis lexicográfico en el software Interface de R pour Analyses Multidimensionnelles de Textes Et de Questionnaires (IRAMUTEQ). Resultados Participaron 31 profesionales de enfermería. El aprovechamiento del corpus textual fue del 94,9 % mediante la producción de seis clases de segmentos de textos, lo que posibilitó identificar que los profesionales que actúan en esas unidades han vivido una sobrecarga en el quehacer laboral, considerando la duración de la jornada de trabajo agotadora, como también la ausencia de infraestructura, de equipos de protección y de recursos humanos. Además, se evidenciaron desgastes físicos y mentales, con énfasis en el estrés y el agotamiento, además del sentimiento de miedo por el temor a la contaminación. Conclusión La pandemia de COVID-19 ocasionó impactos directos en el trabajo de enfermería en unidades de urgencia y emergencia en lo que se refiere a aspectos relacionados con recursos humanos y materiales y con la infraestructura, además de la atención brindada a los pacientes en condiciones graves.

Abstract Objective To analyze the impact of the Coronavirus Disease 2019 pandemic (COVID-19) on nursing work in emergency units. Methods A qualitative research conducted among nursing professionals operating in emergency units in the state of Rio de Janeiro, Brazil. Data collected online through a semi-structured form and submitted to lexicographic analysis in the software Interface de R pour Analyses Multidimensionnelles de Textes Et de Questionnaires (IRAMUTEQ). Results Thirty-one nursing professionals participated. The use of the text corpus accounted for 94.9%, through the generation of six classes of text segments, which made it possible to identify that professionals working in these units have experienced overload in developing work, given the exhausting workload, as well as the lack of infrastructure, protective equipment and human resources. Also, physical and mental exhaustion was evidenced, with emphasis on stress and exhaustion, in addition to the feeling of fear for fear of contamination. Conclusion The COVID-19 pandemic promoted direct impacts on nursing work in emergency units regarding aspects related to human and material resources and infrastructure, in addition to the care provided to patients in severe conditions.

A crowd clustering prediction and captioning technique for public health emergencies.

The COVID-19 pandemic has come to the end. People have started to consider how quickly different industries can respond to disasters due to this public health emergency. The most noticeable aspect of the epidemic regarding news text generation and social issues is detecting and identifying abnormal crowd gatherings. We suggest a crowd clustering prediction and captioning technique based on a global neural network to detect and caption these scenes rapidly and effectively. We superimpose two long convolution lines for the residual structure, which may produce a broad sensing region and apply our model's fewer parameters to ensure a wide sensing region, less computation, and increased efficiency of our method. After that, we can travel to the areas where people are congregating. So, to produce news material about the present occurrence, we suggest a double-LSTM model. We train and test our upgraded crowds-gathering model using the ShanghaiTech dataset and assess our captioning model on the MSCOCO dataset. The results of the experiment demonstrate that using our strategy can significantly increase the accuracy of the crowd clustering model, as well as minimize MAE and MSE. Our model can produce competitive results for scene captioning compared to previous approaches.

[The acute abdomen in children]. / Akutes Abdomen im Kindesalter.

BACKGROUND: Because 8-10% of children in the emergency room present with acute abdominal pain, a systematic work-up is essential to rule out acute abdomen. OBJECTIVES: This article highlights the etiology, symptoms, diagnostic workup, and treatment of acute abdomen in children. MATERIALS AND METHODS: Review of the current literature. RESULTS: Abdominal inflammation, ischemia, bowel and ureteral obstruction, or abdominal bleeding are causes of acute abdomen. Extra-abdominal diseases such as otitis media in toddlers or testicular torsion in adolescent boys can also lead to symptoms of acute abdomen. Abdominal pain, (bilious) vomiting, abdominal guarding, constipation, blood-tinged stools, abdominal bruise marks, and poor condition of the patient with symptoms such as tachycardia, tachypnea, and hypotonia up to shock are leading symptoms of acute abdomen. In some cases, emergent abdominal surgery is needed to treat the cause of the acute abdomen. However, in patients with pediatric inflammatory multisystem syndrome temporarily associated with SARS-CoV­2 infection (PIMS-TS), a new disease causing an acute abdomen, surgical treatment is rarely needed. CONCLUSIONS: Acute abdomen can lead to nonreversible loss of an abdominal organ, such as bowel or ovary, or develop into acute deterioration of the patient's condition up to the state of shock. Therefore, a complete history and thorough physical examination are needed to timely diagnose acute abdomen and initiate specific therapy.

Concordance between COVID-19 mortality statistics derived from clinical audit and death certificates in Östergötland county, Sweden.

OBJECTIVES: Despite early notions that correct attribution of deaths caused by SARS-CoV-2 infection is critical to the understanding of the COVID-19 pandemic, three years later, the accuracy of COVID-19 death counts is still contested. We aimed to compare official death statistics with cause-of-death assessments made in a clinical audit routine by experienced physicians having access to the full medical record. STUDY DESIGN: Health service quality evaluation. METHODS: In Östergötland county (pop. 465,000), Sweden, a clinical audit team assessed from the start of the pandemic the cause of death in individuals having deceased after testing positive for SARS-CoV-2. We estimated the concordance between official data on COVID-19 deaths and data from the clinical audit using correlations (r) between the cause-of-death categories and discrepancies between the absolute numbers of categorised deaths. RESULTS: The concordance between the data sources was poor regarding whether COVID-19 was the underlying or a contributing cause of death. Grouping of the causes increased the correlations to acceptable strength. Also including deaths implicated by a positive SARS-CoV-2 test in the clinical categorisation of COVID-19 deaths reduced the difference in absolute number of deaths; with these modifications, the concordance was acceptable before the COVID-19 vaccination program was initiated (r = 0.97; symmetric mean absolute percentage error (SMAPE) = 19%), while a difference in the absolute numbers of deaths remained in the vaccination period (r = 0.94; SMAPE = 35%). CONCLUSIONS: This study highlights that carefulness is warranted when COVID-19 death statistics are used in health service planning and resonates a need for further research on cause-of-death recording methodologies.

Changes in Acute ED Visits by Race/Ethnicity During the Early COVID-19 Pandemic.

Emergency department (ED) visits for conditions unrelated to the Coronavirus Disease 2019 (COVID-19) pandemic decreased during the early pandemic, raising concerns about critically ill patients forgoing care and increasing their risk of adverse outcomes. It is unclear if Hispanic and Black adults, who have a high prevalence of chronic conditions, sought medical assistance for acute emergencies during this time. This study used 2018-2020 ED visit data from the largest safety net hospital in Los Angeles County to estimate ED visit differences for cardiac emergencies, diabetic complications, and strokes, during the first societal lockdown among Black and Hispanic patients using time series analyses. Emergency department visits were lower than the expected levels during the first societal lockdown. However, after the lockdown ended, Black patients experienced a rebound in ED visits while visits for Hispanics remained depressed. Future research could identify barriers Hispanics experienced that contributed to prolonged ED avoidance.

Pediatric Dental Emergencies during the COVID-19 Pandemic in Romania: A Retrospective Study.

Pediatric dental emergencies can occur as a result of untreated dental caries, or can be caused by trauma or periodontal issues. The lockdown imposed during the COVID-19 pandemic reduced the number of centers authorized to deliver dental services in Romania, with only a small number of dentists delivering dental emergency treatments. The aim of this study was to investigate the demographic characteristics of children and adolescent patients who were treated in the dental emergency department of Oradea, Romania and to compare the patients who were treated in the dental emergency department in the pre-lockdown (2019), lockdown (2020) and post-lockdown year (2021). All patients who were treated in the dental emergency department were included in the study except for adults and medical files that did not contain all relevant information. Several variables were investigated (age, gender, living environment, location of affected teeth, type of emergency). In 2019, 257 children and adolescents were treated, in 2020, 198, and in 2021, 136. Most patients were aged 7-12 years in all investigated years (2019-47.9%; 2020-50.5%; 2021-43.4%), and the most affected teeth were located in the lower posterior arch (2019-53.3%; 2020-53%; 2021-48.5%). The most frequent emergencies were pulpitis (2019-40.5%; 2020-43.9%) and acute apical periodontitis (2021-42.6%). It was observed that in 2019, patients aged between 0 and 6 years were more frequently associated with trauma (p < 0.001), and in 2019 and 2020, patients aged between 7 and 12 years were more frequently associated with periodontal emergencies (p < 0.001). In 2020, patients from rural areas were more frequently associated with pulpitis (p = 0.025), and in 2021, patients from rural areas were more frequently associated with pulpitis or acute apical periodontitis, and patients from urban areas were associated more frequently with periodontal emergencies (p = 0.042). Pediatric patients with ages between 7 and 12 years old, who lived in an urban environment were most affected. Teeth located in the lower and upper posterior dental arches were most affected, and pulpitis or acute apical periodontitis were the most common pathologies.

Orthodontic care in orthodontic patients during the COVID-2019 pandemic: emergency, emergency response and orthodontic treatment preference.

BACKGROUND: The objective of this study was to investigate the characteristics of emergencies and the requirement for emergency treatment after the suspension of orthodontic appointments. The attitude towards orthodontic treatment preference was evaluated as well, including receiving orthodontic treatment and the preference for orthodontic appliances. SUBJECTS AND METHODS: An electronic questionnaire was distributed to the patients, including 4 sections: Section 1 - demographic and basic information; Section 2 - the characteristics of emergencies and emergency treatment requirements; Section 3 - the NRS-11 for pain and Manchester Orofacial Pain Disability Scale used to evaluate the intensity of orofacial pain and disability; and Section 4 - attitudes towards receiving orthodontic treatment and appliance preference. Descriptive statistics, Pearson's chi-square test, Wilcoxon's rank-sum test and stepwise generalized linear model (GLM) were performed with significance set at P < 0.05. RESULT: Most participants' (91.61%) follow-up appointments were suspended. The emergency rate and emergency treatment requirements were not different between the fixed appliance (FA) and clear aligner (CA) groups. Patients who reported emergencies (P < 0.01) in the FA group (P < 0.05) and some emergencies in the FA (P < 0.05) suffered worse pain and disability. More FA participants preferred alternative appliances (P < 0.05) due to pain and disability (P < 0.05). CONCLUSION: FA patients' emergencies caused worse pain and disability when orthodontic appointments were suspended. Pain and disability were not the causes of emergency treatment requirements. The CA group seemed to show a tendency towards orthodontic appliance preference, which was an ideal modality to weather the epidemic, combined with telemedicine.