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1.
Journal of Water Resource and Protection ; 14(4):305-317, 2022.
Article in English | CAB Abstracts | ID: covidwho-20245288

ABSTRACT

This paper aims to analyze the research on the current situation of water-saving agriculture development in Europe. Water-saving agriculture in Europe started early, governments and farmers in various countries have a strong awareness of water-saving in agriculture and have achieved certain results. Due to the global spread of the COVID-19 pandemic, the lack of up-to-date field research, the complexity of various agricultural disciplines and categories, and the lack of information sharing, the current cognition of recent progress in the development of water-saving agriculture in Europe is not comprehensive enough. This paper selects four representative European countries: Spain, Germany, Italy, and Denmark as the research objects. Based on the existing research of Chinese and Western scholars, this paper analyzes and studies the current situation of water-saving agriculture in Europe. It has far-reaching significance for other countries in the world to have further development in water-saving agriculture and to protect water resources.

2.
Endocrine, Metabolic and Immune Disorders - Drug Targets ; 23(4):578, 2023.
Article in English | EMBASE | ID: covidwho-20243836

ABSTRACT

Background: East during COVID-19 is a potentially serious and fatal new infection that first broke out in Italys North Eastduring Spring 2020. Among subjects considered more clinically vulnerable, patients with adrenal insufficiency (AI) have a known increased risk of infections, that could lead to poor prognosis and death due to adrenal crisis. Even the psychological and sociooccupational impact of COVID-19 could affect the health of AI patients, requiring a dynamic and continuous adaptation of the daily glucocorticoid (GC) therapy. Aim(s): To investigate if AI patients have a higher risk for COVID-19 infection than the general population, all residents in the red zone Veneto, in North-East Italy. Moreover, based on a purpose-built ADDI-COVID questionnaire, the study aimed to evaluate the subjective perception of an increased risk for COVID-19 infection and pandemic-related psycho-social impact, working life and self-adjustments of GC therapy. Method(s): Open-label, cross-sectional monocentric study on 84 (65 primary and 19 secondary) AI patients, all resident in Veneto, followed-up at the Endocrinology Unit, University-Hospital of Padua, for at least 3 years, in good and stable clinical conditions. At the end of the first COVID-19 wave (by August 2020), all patients underwent serological investigation of anti-SARS-CoV2 IgG and ADDI-COVID questionnaire. All AI patients enrolled were contacted during March-April 2021 to evaluate eventual COVID-19 infection occurrence after the second and third waves, completing a follow-up period of about 12 months. Result(s): All AI patients resulted negative to the serological test for anti-SARS-CoV2 IgG at the end of the first wave of COVID-19. After the second and third pandemic waves, COVID-19 infection occurred in 8 (10%) patients, and none needed intensive care or hospitalization. Half patients felt an increased risk of COVID-19 infection, significantly associated with an increased stress (p = 0,009) and the consequent increase of GC stress-dose (p = 0,002). Only one patient reported adrenal crisis stress correlated. The great majority of the 61 (73%) worker patients changed their working habits during the lockdown, which was inversely related with COVID-19-related stress (p = 0,0015). A significant association was found between workers and endocri- nologist contact (p= 0,046) since 18 among 20 AI patients who contacted the endocrinologist were workers. Discussion and Conclusion(s): Patients with AI residence in Veneto did not show a higher incidence of COVID19-infection compared with general population residents in Veneto after the first pandemic waves. However, the perception of increased COVID- 19 infection risk significantly impacted the psychological well-being, working habits and GC daily doses of AI patients. Especially during this pandemic period, therapeutic patient education was crucial to prevent and treat situations or conditions that could lead to an adrenal crisis. The endocrinologic consultation could help to strengthen the awareness of AI patients, especially if they were workers.

3.
International Journal of Child-Computer Interaction ; 33:1-16, 2022.
Article in English | APA PsycInfo | ID: covidwho-20242160

ABSTRACT

In recent years, research in Child-Computer Interaction has shifted the focus from design with children, giving them a voice in the design process, to design by children to bring child participants different benefits, such as engagement and learning. However, design workshops, encompassing different stages, are challenging in terms of engagement and learning, e.g., they require prolonged commitment and concentration. They are potentially more challenging when held at a distance, as in recent years due to the COVID-19 pandemic. This paper explores at-a-distance smart-thing design by children, how it can engage different children and support their learning in programming. The paper reports a series of design workshops with 20 children, aged from 8 to 16 years old, all held at a distance. They were all organised with the DigiSNaP design framework and toolkit. The first workshop enabled children to explore what smart things are, to start ideating their own smart things and to scaffold their programming. The other workshops enabled children to evolve their own smart-thing ideas and programs. Data were gathered in relation to children's engagement and learning from different sources. Results are promising for future editions of smart-thing design at a distance or in a hybrid modality. They are discussed along with guidelines for smart-thing design by children at a distance. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

4.
Journal of Workplace Learning ; 35(3):288-305, 2023.
Article in English | ProQuest Central | ID: covidwho-20241349

ABSTRACT

Purpose: The study refers to a health-care organization engaged in adopting "home health care" as a new object of activity. This study aims to explore how the reconfiguration of the object influences the transformative perspective, affecting not just a service but a broader approach and meaning behind patient care. It also investigates the main contradictions at play and the levers to support inter-organizational learning while facing the new challenges and change processes. Design/methodology/approach: The work is based on a qualitative and ethnographic methodology directed to examine cultural, practical and socio-material aspects. The activity theory is assumed as a powerful approach to understand collective learning and distributed agency processes. Findings: The renewal of the new object of work is analyzed as a trigger for shifts in representations, cultural processes and collective support implemented by the organization. Three agentic trajectories -- technical, dialogical and collaborative agency -- were cultivated by the management to deliver home health care through joint exercises of coordination and control, dialogical spaces and collaborative process. Research limitations/implications: The data collection was disrupted by the pandemic. A follow-up study would be beneficial to inquire how the learning processes shifted or were influenced by the contextual changes. Practical implications: This contribution provides a practical framework for health-care organizations aiming to navigate and explore the physiological tensions and contradictions emerging when the object of work is changed. Originality/value: The paper develops the field of intra- and inter-organizational learning by presenting an intertwined and structural connection between these processes and the renewing of the object of work. It advises that processes of transformation must be handled with attention to the critical and collective dynamics that accompany sustainable and situated changes.

5.
Valori e Valutazioni ; (32)2023.
Article in Italian | ProQuest Central | ID: covidwho-20241328

ABSTRACT

In Italy, there is a clear disparity between cities and villages located in marginal areas. The progressive depopulation of inland areas and the urban polarization represent consolidated dynamics difficult to adapt to the new paradigm of sustainable development. The post-Covid-19 pandemic scenario offers the opportunity to redefine new parameters of intervention and new visions for the regeneration of villages in accord with the new challenges of decentralization and distancing. The project «Renaissance of villages for the revitalization of marginal areas» (2021) aims to create the conditions to repopulate and rebalance shrinking territories by establishing new centres of attractiveness. This project envisages the active involvement of municipalities to implement multi-sectoral analysis and spatial assessment approaches in planning processes. It intends to develop an interactive web dashboard for local authorities and spatial planners to create both a learning environment and a participative spatial decision support system for future local policy actions toward sustainable local development. This study presents the project's preliminary phase which aims to create the general framework of the web dashboard. A reconstruction of the village definition and the spatial selection of villages throughout Italy are presented as innovative aspects since the absence of an agreed definition of the village in the national and international level documents. Moreover, this study provides a quantitative spatial multivariate analysis cluster that analyzes, and groups Italian territories based on socioeconomic dynamics. The result of this analysis allows us to divide the territory into archetypes and to structure a framework that supports the definition of future scenarios for the regeneration of small urban areas considering the diversified needs and potential of the villages belonging to specific archetypes analyzed in the study.In Italia esiste una netta disparità tra città e borghi situati in aree marginali. Il progressivo spopolamento delle aree interne e la polarizzazione urbana rappresentano dinamiche consolidate poco affini ai paradigmi dello sviluppo sostenibile. Lo scenario post pandemico offre oggi l'opportunità di ridefinire nuovi parametri di inter- vento e nuove visioni per la rigenerazione dei borghi in accordo con le sfide imposte dal decentramento e dal distanziamento fisico. Il progetto «Rinascimento dei borghi per la rivitalizzazione delle aree marginali» (2021) mira a creare le condizioni per ripopolare e rigenerare i territori in contrazione. L'efficacia del progetto si fonda sul coinvolgimento attivo dei comuni nei processi di pianificazione e sull'integrazione in essi di analisi multisettoriali sperimentando un approccio basato sulla va- lutazione territoriale. Nell'ambito del progetto s'intende sviluppare un cruscotto web interattivo indirizzato alla pubblica amministrazione e ai pianificatori territoriali, al fine di creare un sistema partecipativo di supporto alle decisioni spaziali propedeutico allo sviluppo di scenari di sviluppo locale sostenibile. Questo studio presenta la fase preliminare del progetto in cui viene predisposta la struttura generale del cruscotto web. La ricerca e la ricostruzione della definizione di borgo, seguita dalla se- lezione spaziale dei borghi in tutta Italia, sono presentati come aspetti innovativi data l'attuale assenza di una definizione a livello nazionale e internazionale. Inoltre, questo studio fornisce un'analisi spaziale quantitativa multivariata che analizza e riunisce in cluster i territori italiani in base alle dinamiche socioeconomiche. Il risultato di questa analisi permette di suddividere il territorio in archetipi e di strutturare un quadro di riferimento che supporti la definizione di scenari futuri per la rigenerazione delle piccole aree urbane, considerando le esigenze e le potenzialità diversificate di ogni singolo borgo.

6.
BMJ : British Medical Journal (Online) ; 369, 2020.
Article in English | ProQuest Central | ID: covidwho-20241315

ABSTRACT

ObjectiveTo quantify the impact of coronavirus disease 2019 (covid-19) on all cause mortality in Nembro, an Italian city severely affected by the covid-19 pandemic.DesignDescriptive study.SettingNembro, in the Bergamo province of Lombardy, northern Italy.PopulationResidents of Nembro.Main outcome measuresMonthly all cause mortality between January 2012 and April 2020 (data to 11 April), number of confirmed deaths from covid-19 to 11 April 2020, and weekly absolute number of deaths between 1 January and 4 April across recent years by age group and sex.ResultsNembro had 11 505 residents as of 1 January 2020. Monthly all cause mortality between January 2012 and February 2020 fluctuated around 10 per 1000 person years, with a maximum of 21.5 per 1000 person years. In March 2020, monthly all cause mortality reached a peak of 154.4 per 1000 person years. For the first 11 days in April, this rate decreased to 23.0 per 1000 person years. The observed increase in mortality was driven by the number of deaths among older people (≥65 years), especially men. From the outbreak onset until 11 April 2020, only 85 confirmed deaths from covid-19 in Nembro were recorded, corresponding to about half of the 166 deaths from all causes observed in that period.ConclusionsThe study findings show how covid-19 can have a considerable impact on the health of a small community. Furthermore, the results suggest that the full implications of the covid-19 pandemic can only be completely understood if, in addition to confirmed deaths related to covid-19, consideration is also given to all cause mortality in a given region and time frame.

7.
Sustainability ; 15(11):8909, 2023.
Article in English | ProQuest Central | ID: covidwho-20240235

ABSTRACT

This paper examines whether destination cards can simultaneously serve tourists' needs and sustainability goals. It provides useful insights for tourism authorities and policymakers in designing a smart tourist card that meets the needs of tourists while preserving and supporting areas' wellbeing. Taking Thessaloniki city as a case study, a tourist survey, designed based on the key features of European destination cards, was implemented to identify needs and motivations. Interesting insight was revealed: tourists want to self-explore the city, are coming with their families, are history-lovers and gastronomy-keen, and are strongly willing to be provided with a destination card offering unlimited access to public transport. The latter reveals an opportunity for the city;the tourists are willing to use sustainable mobility options, which means that a base of sustainable travelling exists. The proposed Thessaloniki smart card can bring together tourists' needs with the city's sustainability goals;the development of tourist packages, including sustainable mobility provisions, walking-talking tours, and bike rentals, should be the backbone of the card. The next challenge for the city is to build a cooperation network to support this smart destination card implementation and promotion.

8.
Value in Health ; 26(6 Supplement):S237-S238, 2023.
Article in English | EMBASE | ID: covidwho-20240135

ABSTRACT

Objectives: To understand changes to granting access to novel vaccines by NITAG and payers and how prevention has become a focus in many markets Methods: Secondary research by studying various NITAG documents and published articles followed by primary research with experts in EU4 and UK Results: For NITAG recommendations, disease burden, vaccine efficacy, vaccine safety, followed by Epidemiology and mathematical modelling are conducted by most Western countries. Published studies on efficacy, effectiveness and reactogenicity are considered as key reference. UK specifically takes into account health economic modelling outputs. Recommendations in other markets are also considered in making local decisions. For vaccine funding payers consider the efficacy, durability and dosing regimen as key drivers, followed by aspects of strain coverage, formulation and storage. Platform were not considered by payers, while physicians considered it to be very important. For cost containment reasons, many NITAGs issue a recommendation for a narrow patient population Payers in all markets indicated that there is focus or prioritization of prevention strategies from ongoing COVID-19 pandemic and are likely to remain. UK for instance has increased its prevention budgets;however, this does not mean there is higher willingness to pay. In Germany there is no ring-fenced prevention specific budget. Conclusion(s): Severity of the disease is an important criterion in assessing the burden, an influential factor in vaccine decision making. In all countries in focus, Payers anticipate that the evaluation of new vaccines launched post-COVID-19 to be faster. Structural changes in Italy (restructure of AIFA and new NITAG) and UK (new public health agency), add to uncertainties on timelines. The length of the evaluation process will depends mainly on pre-work done with availability of local data on burden, epidemiology, and cost-effectiveness modelling.Copyright © 2023

9.
Analisi Linguistica e Letteraria ; 30(1):309-330, 2022.
Article in German | Scopus | ID: covidwho-20239833

ABSTRACT

This article deals with German phonetics and prosody in research and teaching in view of the strong digital orientation to which Covid19-bound lockdown has forced researchers and teachers since spring 2020. Phonetic and phonological theory and the practice of German as a Foreign Language (DaF)-teaching addressed to Italian learners form the basis of the observation: first, the paper presents phonetic and prosodic characteristics of adult Italian learners' oral production in L2 German, then it discusses how public speeches can be used in online DaF-courses in order to correct and eliminate the typical foreign accent shown by Italian learners of German. An outline of relevant aspects of German prosody for this specific group of learners is performed on the basis of authentic speech material. © 2022 EDUCatt. All rights reserved.

10.
Pharmaceutical Technology Europe ; 33(4):30-31, 2021.
Article in English | ProQuest Central | ID: covidwho-20239365

ABSTRACT

Vials are versatile;in addition to liquids, they can be used to package lyophilized and cryogenic products, as well as those in powder form. If there are stability issues, reformulation will be required;this decision will be influenced by the nature of the vaccine, preferred shipping methods, and the container options. In-house manufacture may require investment in new capacity for a dedicated line for mass production of a single product or a flexible filling operation that can handle multiple products and different size vials. Depending on the future global needs for vaccinations, prefilled syringes may gain a significant market share.

11.
HemaSphere ; 7(Supplement 1):54-55, 2023.
Article in English | EMBASE | ID: covidwho-20239250

ABSTRACT

Background: After two years of COVID in which activities were reduced due to the pandemic and each one's life was affected by restrictions and limitations, the Sickle Cell Disease (SCD) Association in Padova teamed up with the Sickle Cell Group at the Pediatric Hematology Oncology and Bone Marrow Transplant Unit to celebrate the Sickle Cell Disease world day by organizing an online meeting with children/youths and their families. Theme of the meeting was: "My Life with SCD: poems, pictures and writings express our view on disease and care". Aim(s): One of the goals of this meeting was to create an opportunity for individuals with SCD to meet and have a constructive discussion with each other about the disease and express their feelings after two years of pandemic. Method(s): One month before the meeting children, teenager and parents were asked to sharer with the organizing team any drawing, painting, poem, writing, that they felt could express their feelings or experience of the disease itself or how it affected their life, or their experience in the hospital. The materials received were organized in a power point presentation and At the meeting, families were able to see a PowerPoint presentation with the poems, drawings, writings. Each author had the choice to personally share their production or have it read out loud by a member of the team. Free time to comment or share experiences was given. Result(s): 20 children, teenagers and parents participated. Countries of origin (Nigeria, Ghana, Congo, Albania, Italy), religious background (catholic, muslim, no religion, other) were different as well as disease genotype (HbSS, HbSC, HbSBdegree), severity or treatment received (Hydroxyurea, transfusion, Hematopoietic stem cell transplantation -HSCT, none). Drawings and writings regarded experience with the disease (mechanism of action, admissions), feelings experienced (fear, hope, light at the end of the tunnel), aspirations (sports) and gratitude (to the social and medical team, to parents) (Figure 1). Surprisingly, families who had a child having undergone HSCT, reported on the need and importance to talk about this experience for years after the event and made a request of a support goup. Finally, all families underlined the need to meet again soon to discuss together issues related to personal experience with SCD, even via web. of discussion with each other and with the drepanocytosis group;and that throug the online telematics platform it is still possible to involve all families, listening and trying to comfort them on doubts and perplexities about the disease, In conclusion, it can be said that after two years of pandemic, in our setting, online meeting can help patients and families reconnect with each other and activities can be planned to aid experiences and feelings. Patients' associations and Health Care Teams can collaborate in this area.

12.
Journal of Teaching in Physical Education ; 42(1):23-33, 2023.
Article in English | ProQuest Central | ID: covidwho-20239188

ABSTRACT

Purpose: To identify motivational determinants explaining Physical Education teachers' behaviors promoting students' physical activity (PA) amidst the COVID-19 pandemic. Method: Nine hundred thirty-one Italian and French teachers completed a questionnaire assessing motivational determinants (self-determined motivation, self-efficacy, perceived ease and usefulness toward digital technologies, engagement at work), their intention and behaviors promoting PA, in reference to before and during the pandemic. Path analyses tested the associations of changes in motivational determinants with changes in intention and behaviors. Results: Increases in autonomous, controlled motivation, self-efficacy, and perceived usefulness toward digital technologies, and a decrease in amotivation were associated with an increase in the intention to promote PA. In turn, an increase in intention, but also in self-efficacy, autonomous motivation, and perceived usefulness toward digital technologies were paired with an increase in behaviors promoting PA. Conclusion: Implications regarding the commitment of Physical Education teachers to challenging pedagogical situations, such as promoting PA amidst the COVID-19 pandemic, are discussed.

13.
Children's Geographies ; 21(3):473-486, 2023.
Article in English | ProQuest Central | ID: covidwho-20239162

ABSTRACT

The paper presents and discusses data from a qualitative study carried out in April and May 2020 with families under lockdown in Italy (N = 319) and Greece (N = 297). The research examined how confinement and restrictions on movement had impacted families' everyday geographies (with a particular focus on ‘liminal' places located between homes and public spaces, such as balconies, hallways, courtyards, backyards), as well as parents' most valued public spaces and propensity (and modes) to use them. Data were analysed following a top-down thematic approach. The results suggest that restricted access to public spaces (as enforced during the Greek and Italian lockdowns) may influence the signification of domestic places, prompt remodulation of the dialectic between public and private spheres, and bring to light the social value of families' (parents and children's) experiences in public spaces.

14.
BMJ : British Medical Journal (Online) ; 369, 2020.
Article in English | ProQuest Central | ID: covidwho-20239103

ABSTRACT

Thirty fold increase In the province of Bergamo, Italy, researchers have reported a 30 fold increased incidence of Kawasaki like disease since the start of the covid-19 outbreak. Among the covid-19 group more children had cardiac symptoms (6 out of 10), Kawasaki disease shock syndrome (5 out of 10), macrophage activation syndrome (5 out of 10), and the need for adjunctive steroid treatment (8out of 10). In the pre-covid-19 group only two of 19 children had cardiac involvement and just three required adjunctive steroid treatment. A distinct syndrome Julia Kenny, a consultant in paediatric infectious diseases and immunology at Evelina London Children's Hospital, said that the Italian findings appear consistent with cases seen in the south east of England.

15.
Teaching Public Administration ; 41(1):99-107, 2023.
Article in English | ProQuest Central | ID: covidwho-20239075

ABSTRACT

The article focuses on challenges and disruption in the higher education sector in Italy due to COVID-19 pandemic. The study explores the experience of the Single-Cycle Master's Degree in Law of the University of Genoa, especially taking into account students' perspective.

16.
Veterinaria Italiana ; 58(1):41-45, 2022.
Article in English | CAB Abstracts | ID: covidwho-20238514

ABSTRACT

Infectious bronchitis virus (IBV) is among the most impactful poultry pathogens, whose control, based on biosecurity and routine vaccination, is hampered by the existence of countless genetic variants sharing poor cross-protection. A retrospective study was conducted on IBV positive samples collected in Italian broiler farms from 2012 to 2019. In 2015, the adopted vaccination protocol shifted from a Mass and 793B-based vaccines to the administration of Mass and QX vaccines, allowing to study how changes in vaccination strategies may affect IBV epidemiology, control and diagnosis in the field. The most frequently detected lineages were QX (70.3%), 793B (15.8%) and Mass (11.9%). The relative frequencies of QX and 793B detections remained stable throughout the study, while Mass detections significantly increased after the vaccination change. Rather than to an actual growth of Mass population size, this finding may be attributable to different vaccine interactions, with Mass strains being more frequently concealed by 793B vaccines than by QX ones. Based on the obtained results, the two vaccination protocols appear to be similarly effective in fighting IB outbreaks, which in the last decade have been caused primarily by QX field strains in Italy. These results indicate that vaccination strategies may significantly affect IBV epidemiology and diagnosis, and should therefore be considered when choosing and interpreting diagnostic assays and planning control measures.

17.
Tourism Geographies ; 25(4):969-983, 2023.
Article in English | Academic Search Complete | ID: covidwho-20238154

ABSTRACT

Urban tourism, as a social, cultural, and economic field, has been strongly affected by the COVID-19 pandemic. As a reverse effect of this crisis, however, there is a recent shift away from the dominant logics of performance and efficiency towards mindfulness, serenity, and similar concepts that shape the everyday life of an increasing number of people. All these terms are related to the semantic field of Muße, a word derived from the German language, which is defined as the experience of moments of freedom, indulgence, placidity, and recreation. Following the idea that social phenomena are reflected and reproduced in tourism, the objective is to explore how and where tourists experience Muße in urban tourism. A focus on Muße first enables a better understanding of tourists' travel behaviour, expectations, and needs. In the same vein, it is possible to examine tourism place-making since the need for Muße produces and transforms individual tourists' worlds of experiences. Although place-making practices and experiences have been widely studied, their relationship to Muße remains to be explored in urban and tourism research. With the aim to study practices and places of Muße in urban tourism, the presented qualitative content analysis draws upon 84 interviews conducted with tourists in Barcelona, Florence, and Paris in 2019. Findings show that the practice of sitting is relevant for experiences of Muße with a particular impact on place-making. Six categories are suggested to illustrate how Muße can be effective while tourists are sitting. This includes a detailed discussion of the spatial dimensions of Muße. In conclusion, places of Muße are highly individual, intangible, and complex. Insights into the characteristics of Muße and engagement with this new concept in international tourism research can be used as resources to study tourist place-making and support the planning for sustainable tourism development. [ FROM AUTHOR] Copyright of Tourism Geographies is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

18.
BMJ : British Medical Journal (Online) ; 368, 2020.
Article in English | ProQuest Central | ID: covidwho-20237047
19.
Journal of Psychosomatic Research ; Conference: 10th annual scientific conference of the European Association of Psychosomatic Medicine (EAPM). Wroclaw Poland. 169 (no pagination), 2023.
Article in English | EMBASE | ID: covidwho-20235509

ABSTRACT

Aims: The aim of the present study was to study the prevalence of depression, anxiety, stress, and post-traumatic symptoms in Health-Care Workers (HCWs) of three Health Authorities of Emilia-Romagna, Italy during the COVID pandemic. Material(s) and Method(s): An online questionnaire was spread to the staff of the University Hospital of Modena and the Local Health Agencies of Modena and Romagna, including the Depression Anxiety Stress Scale (DASS-21), the Impact of Event Scale - Revised (IES-R), and the Utrecht Work Engagement Scale - Short Version (UWES-9). The scores at DASS-21 and IES-R were used as dependent variables in multivariate logistic regression models. Result(s): A total of 5868 HCWs were reached (response rate of 22.4%), 76.1% of which were women, mostly aged between 45 and 54 years. Rates of positive scores were: 27.9% DASS-21 Depression;28.4% DASS-21 Anxiety;34.7% DASS-21 Stress;21.9% IES-R. At the multivariate logistic regression, the following were statistically significant risk factors for positive scores: female sex, young age, and working at the front line. An increase in alcohol and tobacco consumption and worsening of eating habits were also strongly associated with symptoms. At UWES-9, the three samples reported lower vigor than dedication and absorption, which are at a medium-high level. Conclusion(s): HCWs have experienced high levels of emotional distress related to the COVID-19 pandemic. Significant improvements are needed not only in terms of organization and distribution of resources, but also in provision of dedicated psycho-social interventions.Copyright © 2023

20.
Journal of Psychosomatic Research ; Conference: 10th annual scientific conference of the European Association of Psychosomatic Medicine (EAPM). Wroclaw Poland. 169 (no pagination), 2023.
Article in English | EMBASE | ID: covidwho-20234884

ABSTRACT

Aims: Onco-hematologic diseases (lymphomas, myeloma, leukemia) require intensive treatment regimens and represent a burden at the affective and instrumental level for their caregivers. The aim of this study was to investigate the link between caregiving burden and depressive symptoms in caregivers of onco-hematologic patients during the SARS-CoV-2 pandemic. Method(s): A convenience sample of 101 caregivers of onco-hematologic patients were recruited at the Hematology Unit of the Holy Spirit Hospital, Pescara, Italy. Most of the caregivers were female (80%) with an average age of 41 years old (SD = 14.01). Participants were administered the Caregiver Burden Inventory (CBI), the Patient Health Questionnaire-9 (PHQ-9) for depression, and the Fear of Covid-19 Scale (FCV-19S) during two months of the COVID-19-related stay-at-home period (April-May 2021). Result(s): Moderate-to-severe depression (PHQ-9 > 10) were reported by 36% of caregivers. Depressive symptoms were associated with caregivers' time-dependence (r = 0.43), developmental (r = 0.61), physical (r = 0.72), social (r = 0.60), and emotional burden (r = 0.43) (all ps < 0.001). CBI explained 53% of the PHQ-9 variance, particularly the physical (beta = 0.54, p < 0.001) and the social (beta = 0.30, p < 0.01) dimensions of burden. Unexpectedly, COVID-19 was not associated with caregiver burden and depressive symptoms. Conclusion(s): Caregivers of onco-hematologic patients may experience depression due to the burden of caregiving, which is related mostly to the patients' disease rather than extraordinary, even dramatic events such as the pandemic. Psychological interventions are needed for them.Copyright © 2023

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