So, You Want to Build a Program?

This article will help dementia care service organizations develop and evaluate intervention programs in the absence of evidence-based solutions, which is key, given: the limited access family caregivers have to evidence-based intervention programs;and the need for organizations to use limited resources to develop and test new programs to serve families living with dementia. It draws upon two case studies of interventions developed at an academic-service center: KINDER and Ayudando a Quien Ayuda;evaluates lessons learned in assessing the two programs to refine them by applying the Exploration, Preparation, Implementation, Sustainment (EPIS) framework, and recommends ways organizations can refine interventions prior to efficacy-testing.

Flipping the Frame: How Rudy Gobert Went From an Episodic Bad Actor to a Thematic Hero

Rudy Gobert's positive COVID-19 diagnosis in March of 2020 started the process that led to American sports shutting down in the early days of the pandemic. After the diagnosis, video of him touching reporters' voice recorders at a press availability went viral. This framing analysis in five mainstream newspapers finds that over the course of 72 hours, Gobert went from a bad actor to a hero in news copy as an episodic frame focusing on his actions gave way to a thematic frame about the virus and its effects on the country.

U.S. Public Transportation Ridership Analysis and Prediction based on COVID-19

In this paper, a research was conducted to analyse and predict the impacts of COVID-19 on public transportation ridership in the U.S. and 5 most populous cities of the U.S. (New York City, Los Angeles, Chicago, Houston, Philadelphia). The paper aims to exploit the correlation between COVID-19 and public transportation ridership in the U.S. and make the reasonable prediction by machine learning models, including ARIMA and Prophet, to help the local governments improve the rationality of their policy implementation. After correlation analyses, high level of significant and negative correlations between monthly growth rate of COVID-19 infections and monthly growth rate of public transportation ridership are decidedly validated in the total U.S., and New York City, Los Angeles, Chicago, Philadelphia, except Houston. To analyse the errors of Houston, we consult the literature and made a discussion of Influencing factors. We find that the level of public transportation in quantity and utilization is terribly low in Houston. In addition, the factors, such as the lack of planning law and estimation of urban expressways, the high level of citizens' dependence on private cars and pride of owning cars play a considerable roll in the errors. And the impacts can be predicted to a certain extent through two forecasting models (ARIMA and Prophet), although the precision of our models is not enough to make a precise forecast due to the limitations of model tuning and model design. According to the comparison of the two models, ARIMA models' forecasting accuracy is between 6% and 10%, and Prophet's forecasting accuracy is between 8%-12%, depending on the city. Since the insufficient stationarity, periodicity, seasonality of time series, the Prophet models are hard be more refined. © 2023 SPIE.

Reaching city youth with an online summer arts workshop in Los Angeles

The Summer Arts Workshop (SAW) is a community-based art therapy program with a social justice focus. It has been offered through the Helen B. Landgarten (HBL) Art Therapy Clinic at Loyola Marymount University (LMU) since 2007 in partnership with Dolores Mission School in Boyle Heights, a historically under-resourced part of East Los Angeles. In 2020, due to the COVID-19 pandemic and stay-at-home orders in Los Angeles, the SAW leadership team adapted the workshop to an online format. The authors took advantage of the online format to extend the reach of the workshop to several school sites in marginalized communities in Los Angeles County, including a juvenile hall high school, which is a prison for youth in a state youth detention centre. The greatest challenge in adapting to an online format was preserving the core component of the workshop: building trust and healthy attachments through expressive art making. The authors overcame this and other challenges and succeeded in providing connecting experiences for participants and facilitators during a time of social isolation and collective anxiety. This chapter shows how teletherapy can bridge gaps of access, particularly for marginalized populations. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Reflexiones necesarias sobre seguridad alimentaria en Cuba

Cuba exhibe indicadores promedio de consumo aparente diario de alimentos que rebasan las recomendaciones nutricionales diarias. Sin embargo, este consumo depende en gran medida de importaciones de alimentos, ya que los esfuerzos de política por reactivar el sector agropecuario aún no se revierten en incrementos de la producción doméstica. Esta situación se ha acrecentado en años recientes, marcados por la pandemia de la Covid-19 y el recrudecimiento del bloqueo estadounidense. Como resultado, se evidencia una contracción de la disponibilidad de alimentos como resultado de las caídas en la producción nacional y en las importaciones. Ello, junto a otros factores, dificultan el acceso a los alimentos. Por demás, el gasto en alimentación sigue siendo el más importante dentro del gasto familiar, limitando las posibilidades de otros consumos igualmente relevantes. Este artículo examina en mayor profundidad la problemática que significa para las familias cubanas alcanzar la seguridad alimentaria en el contexto actual. [ FROM AUTHOR] Copyright of International Journal of Cuban Studies is the property of Pluto Journals 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.)

Oxygen Saturation in Hospitalized COVID-19 Patients and Its Relation to Colchicine Treatment: A Retrospective Cohort Study with an Updated Systematic Review.

Background: Colchicine has been proposed as a cytokine storm-blocking agent for COVID-19 due to its efficacy as an anti-inflammatory drug. The findings of the studies were contentious on the role of colchicine in preventing deterioration in COVID-19 patients. We aimed to evaluate the efficacy of colchicine in COVID-19-hospitalized patients. Design: A retrospective observational cohort study was carried out at three major isolation hospitals in Alexandria (Egypt), covering multiple centers. In addition, a systematic review was conducted by searching six different databases for published studies on the utilization of colchicine in patients with COVID-19 until March 2023. The primary outcome measure was to determine whether colchicine could decrease the number of days that the patient needed supplemental oxygen. The secondary outcomes were to evaluate whether colchicine could reduce the number of hospitalization days and mortality rate in these patients. Results: Out of 515 hospitalized COVID-19 patients, 411 were included in the survival analysis. After adjusting for the patients' characteristics, patients not receiving colchicine had a shorter length of stay (median: 7.0 vs. 6.0 days) and fewer days of supplemental oxygen treatment (median: 6.0 vs. 5.0 days), p < 0.05, but there was no significant difference in mortality rate. In a subgroup analysis based on oxygen equipment at admission, patients admitted on nasal cannula/face masks who did not receive colchicine had a shorter duration on oxygen supply than those who did [Hazard Ratio (HR) = 0.76 (CI 0.59-0.97)]. Using cox-regression analysis, clarithromycin compared to azithromycin in colchicine-treated patients was associated with a higher risk of longer duration on oxygen supply [HR = 1.77 (CI 1.04-2.99)]. Furthermore, we summarized 36 published colchicine studies, including 114,878 COVID-19 patients. Conclusions: COVID-19-hospitalized patients who were given colchicine had poorer outcomes in terms of the duration of supplemental oxygen use and the length of their hospital stay. Therefore, based on these findings, the use of colchicine is not recommended for COVID-19-hospitalized adults.

Evaluation of the Perceived Pedestrian Level of Service in the post COVID-19 era: The case of Thessaloniki, Greece

The promotion of active transportation modes in urban areas is a key challenge towards the minimization of motor traffic externalities. After the COVID-19 outbreak, cities around the world started investing heavily in infrastructure for pedestrians and cyclists towards the enhancement of social distancing. However, infrastructure adequacy in the post COVID-19 era needs to be evaluated. Level of Service (LOS) as it is proposed by the Highway Capacity Manual (HCM) is the most common methodological tool to assess pedestrian facilities. Nonetheless, pedestrians' perceptions are more than needed especially in the post COVID-19 era. In this paper an online survey is conducted for the assessment of the main pedestrian facilities in the city of Thessaloniki, Greece. Respondents' sociodemographic characteristics, their social distancing perception as well as their travel habits after the COVID-19 outbreak are concerned. The main research goal is to reveal the most significant factors that affect pedestrians' perceived level of service (PLOS) using regression modeling. The results can shed light on respondents' perceptions about PLOS in the post COVID-19 era. Last, results can assist in policy making for the promotion of active transport modes in urban areas with respect to the current health recommendations for public spaces. © 2023 The Authors. Published by ELSEVIER B.V.

Coverage of cervical cancer screening in Uruguay, 2018 / Cobertura de tamizaje de cáncer de cuello de útero en Uruguay, 2018 / Cobertura do rastreamento do câncer do colo do útero no Uruguai, 2018

Introducción: el cáncer de cuello uterino (CCU) causa una significativa pérdida de años por discapacidad y muerte prematura en el mundo. Se relaciona fuertemente, por su etiología, a las inequidades socioeconómicas. Alcanzar una cobertura del 80% del tamizaje poblacional a través de la colpocitología oncológica constituye una de las principales estrategias para disminuir la morbimortalidad por este cáncer. Objetivos: describir la cobertura de tamizaje en CCU de las mujeres de 21 a 64 años, usuarias del Sistema Nacional Integrado de Salud (SNIS) de Uruguay en el año 2018 y explorar su comportamiento según edad, lugar de residencia, características socioeconómicas y culturales del territorio. Métodos: estudio descriptivo, en base a fuentes de datos secundarios, con una muestra que alcanzó el 95% del universo. La técnica de tamizaje considerada fue la colpocitología oncológica de (PAP) con vigencia de hasta 3 años al 30/9/2018. Resultados: la cobertura de tamizaje en CCU en 2018 fue del 57%, siendo menor en las primeras y últimas edades consideradas, variando por zona geográfica, encontrándose menor porcentaje de PAP vigente en las mujeres residentes en departamentos con menores índices de desarrollo humano y con mayor porcentaje de hogares por debajo de la línea de pobreza. Conclusiones: la cobertura de tamizaje en CCU en Uruguay debe aumentar para disminuir la morbimortalidad por este cáncer. Se requiere implementar acciones para reducir la heterogeneidad entre edades y departamentos de residencia. Esta estimación constituye una línea de base que permite comparar la situación país pospandemia COVID-19 replicando la misma metodología.

Summary: Introduction: cervical cancer causes a significant loss of years due to disabilities and early deaths around the world. Due to its etiology, it is closely linked to socio- economic inequalities. Cervical cancer screening coverage of 80 % of the population through and pap smear constitutes one of the main strategies to reduce morbimortality of this kind of cancer. Objectives: to describe cervical cancer screening coverage in women between 21 and 64 years old, users of the National Integrated Health System (SNIS) in Uruguay in 2018 and explore their behavior according to age, place of residence, socio-economic and territorial cultural characteristics. Method: descriptive study, based on secondary data sources of a sample representing 95% of the universe. The screening technique considered in the study was a pap smear, valid for up to three years on September 30, 2019. Results: cervical cancer screening coverage in 2018 was 57%, lower in the first and last ages considered and it varied depending on the geographical area. A lower percentage of valid smear tests was found in women who were residents of provinces with lower human development index and a higher percentage of homes below the poverty line. Conclusions: cervical cancer screening coverage in Uruugay needs to increase in order to reduce morbimortality. The implementation of actions aimed at reducing differences between ages and places of residence is required. This estimation may be taken as a baseline that allows for a comparison with the post-COVID 19 pandemic situation, by replicating the same method.

Introdução: o câncer do colo do útero (CCU), causa uma perda significativa de anos por incapacidade e morte prematura no mundo estando fortemente relacionada, por sua etiologia, às iniquidades socioeconômicas. Uma das principais estratégias para reduzir a morbimortalidade por esse câncer é alcançar 80% de cobertura de rastreamento populacional por meio da colpocitologia oncológica. Objetivos: descrever a cobertura do rastreamento do CCU em mulheres de 21 a 64 anos, usuárias do Sistema Nacional Integrado de Saúde (SNIS) do Uruguai em 2018 e analisar seu comportamento de acordo com idade, local de residência, características socioeconômicas e culturais do território. Métodos: estudo descritivo, baseado em fontes de dados secundárias de uma amostra que atingiu 95% do universo. A técnica de rastreamento considerada foi a colpocitologia oncológica (PAP) válida por até 3 anos a partir de 30/09/2018. Resultados: a cobertura de rastreamento no CCU em 2018 foi de 57%, sendo menor nas primeiras e últimas idades consideradas, variando por área geográfica, encontrando menor percentual de PAP atual em mulheres residentes em departamentos com menores índices de desenvolvimento humano e com maior percentual de famílias abaixo da linha de pobreza. Conclusões: deve-se aumentar a cobertura de rastreamento no CCU no Uruguai para reduzir a morbimortalidade por esse câncer. É necessário implementar ações para reduzir a heterogeneidade entre idades e departamentos de residência. Essa estimativa constitui uma linha de base que permite comparar a situação do país pós-pandemia por COVID-19, replicando a mesma metodologia.

Behavioural plasticity and the anthropause: an urban bird becomes less aggressive

Urban areas often impose strong, novel selection pressures on wildlife. Phenotypic plasticity, including behavioural plasticity, is an important mechanism helping organisms establish populations in novel environments. Behavioural plasticity can be difficult to study in urban wildlife because many urban environmental variables are challenging to isolate and manipulate experimentally. We took advantage of the COVID-19 lockdowns to assess whether urban birds expressed territorial aggression differently when relieved from frequent encounters with humans. We used simulated territorial intrusions to measure the behavioural responses of resident dark-eyed juncos, Junco hyemalis, on an urban college campus in Los Angeles, U.S.A. We found that the population overall displayed significantly reduced movement and singing behaviour associated with territorial aggression in a pandemic year (2021) compared to a typical year (2019). Furthermore, individuals measured in both 2019 and 2021 had significantly reduced responses in 2021, demonstrating that individual birds maintained behavioural plasticity in these traits. Our results show that human disturbance likely has a significant effect on the expression of behaviours associated with territorial aggression in urban birds. © 2023 The Author(s)

Librerías y libreros independientes y de libros leídos en Bogotá y Medellín. Tipologías y funciones

A partir de los resultados de la aplicación de una encuesta a 214 usuarios de librerías en Bogotá y Medellín, y de la realización de 21 entrevistas a libreros de estas mismas dos ciudades, este artículo presenta un análisis de las condiciones en las que cada librero o dueño de librería desempeña su papel y las funciones que desarrolla en relación con las particularidades de cada librería. Con ello, se busca contribuir al conocimiento de estos espacios tan importantes dentro del tejido de estas dos ciudades, más aún en el marco de la pandemia por COVID-19. Las conclusiones del análisis permiten establecer las características principales que se esperan actualmente de un librero y del espacio de la librería, así como proponer una serie de recomendaciones para fortalecer la red librera del país.Alternate : Based on the results of the application of a survey to 214 users of bookstores in Bogotá and Medellín, and 21 interviews with booksellers in these same two cities, this article presents an analysis of the conditions in which bookseller or bookstore owners performs their role and the functions they perform in relation to the particularities of each bookstore. The aim is contributed to the knowledge of these important spaces within the fabric of our cities, even more so in the framework of the COVID-19 pandemic. The conclusions of the analysis make it possible to establish the main characteristics that are currently expected of a bookseller and the bookstore space, as well as to propose a series of recommendations to strengthen the country's bookstore network.

Dreaming for the World: A Jungian Study of Dreams During the COVID‐19 Pandemic

This project explores what dreams might reveal about the collective psyche’s response to the COVID‐19 pandemic in its first year, before the development of vaccines. A brief survey, distributed to Jungian colleagues and organizations, and to various social media sites, invited people to submit online a dream related to the COVID‐19 pandemic. Four hundred and thirty‐six dreams were submitted. Forty additional Russian dreams were collected and submitted by Russian colleagues. Using qualitative research methods based on phenomenological hermeneutics, the researchers categorized and counted the range of COVID imagery. In addition, the researchers describe a range of psychic responses to the pandemic, including horror, grief, sickness, social discord, and violence, but also images of healing and transformation, increased sense of community, and spiritual renewal. Several healing nightmares are presented. Healing alchemical and anima/animus imagery is described. Twelve dreams are introduced and presented. It is concluded that the collective psyche, rooted in the Self, is a healing resource for social and cultural trauma. This project supports Beradt’s (1968) inspirational study of dreaming in Nazi Germany, as well as recent studies of COVID‐related dreams and recent publications on the social nature of dreaming.Alternate :Ce projet explore ce que les rêves peuvent révéler en ce qui concerne la réponse de la psyché collective à la pandémie de COVID‐19 dans sa première année, avant le développement des vaccins. Un court questionnaire, distribué à des collègues et des organisations Jungiennes, et à divers sites de réseaux sociaux, invitait les personnes à mettre en ligne un rêve en lien avec la pandémie de COVID‐19. Quatre cent trente‐six rêves ont été mis en ligne. D’autre part quarante rêves ont été collectés et mis en ligne par des collègues Russes. En utilisant les méthodes de recherche qualitative fondées sur l’herméneutique phénoménologique, les chercheurs ont établi des catégories et ont dénombré la variété de l’imagerie liée au COVID. De plus, les chercheurs ont décrit un certain nombre de réponses psychiques à la pandémie, par exemple l’horreur, le chagrin, la maladie, la discorde sociale et la violence, mais également des images de guérison et de transformation, un sentiment accru de communauté, et du renouveau spirituel. Plusieurs cauchemars de guérison sont présentés. L’imagerie de la guérison alchimique et celle liée à l’anima/animus est décrite. Douze rêves sont décrits et présentés. La conclusion apportée est que la psyché collective, enracinée dans le Soi, est une ressource de guérison en ce qui concerne le traumatisme social et culturel. Ce projet soutient l’étude inspirante de Beradt (1968) de rêves dans l’Allemagne Nazie, ainsi que des études récentes de rêves en lien avec la COVID et des publications récentes sur la nature sociale du rêve.Alternate :Dieses Projekt untersucht, was Träume über die Reaktion der kollektiven Psyche auf die COVID‐19‐Pandemie im ersten Jahr vor der Entwicklung von Impfstoffen verraten könnten. Eine kurze Umfrage, die an Jungianische Kollegen und Organisationen sowie an verschiedene Social‐Media‐Sites verteilt wurde, lud Menschen ein, online einen Traum im Zusammenhang mit der COVID‐19‐Pandemie einzureichen. Vierhundertsechsunddreißig Träume wurden eingereicht. Vierzig weitere russische Träume wurden gesammelt und von russischen Kollegen zugesandt. Unter Verwendung qualitativer Forschungsmethoden auf der Grundlage phänomenologischer Hermeneutik kategorisierten und zählten die Forscher die Bandbreite der COVID‐Bilder. Darüber hinaus beschreiben die Forscher eine Reihe psychischer Reaktionen auf die Pandemie, darunter Entsetzen, Trauer, Krankheit, soziale Zwietracht und Gewalt, aber auch Bilder von Heilung und Transformation, gesteigertem Gemeinschaftsgefühl und spiritueller Erneuerung. Mehrere heilende Albträume werden präsentiert. Heilend alchemistische und Anima/Animus‐Bilder werden beschrieben. Zwölf Träume werden vorgestellt und präsentiert. Es wird der Schluß gezogen, daß die im Selbst verwurzelte kollektive Psyche eine heilende Ressource für soziale und kulturelle Traumata darstellt. Dieses Projekt unterstützt Beradts (1968) inspirierende Studie über das Träumen in Nazi‐Deutschland sowie neuere Studien zu COVID‐bezogenen Träumen und neuere Veröffentlichungen über die soziale Natur des Träumens.Alternate :Questo progetto esplora cosa possono rivelare i sogni sulla risposta della psiche collettiva alla pandemia di COVID‐19 nel suo primo anno, prima dello sviluppo dei vaccini. Un breve sondaggio, distribuito a colleghi e organizzazioni junghiane, e a vari siti di social media, ha invitato le persone a presentare online un sogno legato alla pandemia di COVID‐19. Sono stati inviati 436 sogni. Altri quaranta sogni russi sono stati raccolti e inviati da colleghi russi. Usando metodi di ricerca qualitativa basati sull’ermeneutica fenomenologica, i ricercatori hanno categorizzato e contato l’assortimento dell’immaginario relativo al COVID‐19. Inoltre, i ricercatori descrivono una serie di risposte psichiche alla pandemia, incluso orrore, dolore, malattia, tensione sociale e violenza, ma anche immagini di guarigione e trasformazione, maggiore senso di comunità , e rinnovamento spirituale. Vengono presentati diversi incubi che sono stati terapeutici. Vengono descritte la guarigione alchemica e le immagini di anima/animus. Vengono introdotti e presentati dodici sogni. Gli Autori concludono che la psiche collettiva, radicata nel Sé, è una risorsa curativa per il trauma sociale e culturale. Questo progetto supporta lo stimolante studio di Berardt (1968) sui sogni nella Germania nazista, così come studi recenti sui sogni legati al COVID‐19 e con le recenti pubblicazioni sulla natura sociale dei sogni.Alternate :Ð' этом проекте исследуется, что могут рассказать сновидения о реакции коллективной психики на пандемию COVID‐19 в течение первого года, до того, как были разработаны вакцины. Ð' краткой анкете, рассылавшейся юнгианским коллегам и организациям, а также размещенной в социальных сетях, респондентам предлагалось предоставить в электронном виде свои сновидения, связанные с пандемией COVID‐19. Было прислано четыреста тридцать шесть сновидений. Еще сорок сновидений на русском языке было собрано и предоставлено российскими коллегами. Используя качественные методы исследования, основанные на феноменологической герменевтике, исследователи произвели подсчеты и классификацию и получили диапазон образов COVID. Кроме того, исследователи описали целый ряд психологических реакций на пандемию, среди которых ужас, горе, заболевания, социальные разногласия и насилие, но вместе с тем и образы исцеления и трансформации, усиленное чувства общности и духовное обновление. Описывается ряд кошмарных сновиденийс целебным эффектом. Приведены исцеляющие алхимические образы анимы/анимуса. Подробно представлено двенадцать сновидений. Исследователи приходят к заключению, что Ñ€ÐµÑ ÑƒÑ€ÑÐ¾Ð¼ для исцеления социальных и культурных травм является коллективная психика, опирающаяся на Самость. Ð'ыводы проекта подтверждают результаты вдохновляющего исследования Берадта о сновидениях в нацистской Ð"ермании (1968), а также недавних исследований сновидений, связанных с COVID, и публикаций о социальной природе сновидений.Alternate :Este proyecto explora lo que los sueños podrían revelar sobre la respuesta de la psique colectiva a la pandemia de COVID‐19 en su primer año, antes del desarrollo de las vacunas. A través de una breve encuesta, distribuida entre colegas y organizaciones Junguianas, así como en diversas redes sociales, se invitó a la gente a enviar en línea un sueño relacionado con la pandemia de COVID‐19. Se presentaron 436 sueños. Otros cuarenta sueños rusos fueron posteriormente recogidos y enviados por colegas rusos. Utilizando métodos de investigación cualitativa basados en la hermenéutica fenomenológica, los investigadores categorizaron y contaron una gama de imágenes de COVID. Además, los investigadores describen una serie de respuestas psíquicas a la pandemia, que incluyen horror, dolor, enfermedad, discordia social y violencia, pero también imágenes de curación y transformación, aumento del sentido de comunidad y renovación espiritual. Se presentan varias pesadillas curativas. Se describen imágenes alquímicas curativas y de anima/animus. Se introducen y presentan doce sueños. Se concluye que la psique colectiva, enraizada en el Self, es un recurso curativo para el trauma social y cultural. Este proyecto apoya el inspirador estudio de Beradt (1968) sobre los sueños en la Alemania nazi, así como estudios recientes sobre los sueños relacionados con el COVID y con publicaciones recientes sobre la naturaleza social de los sueños.Alternate :为世界做梦:æ–°å† ç–«æƒ…æœŸé—´æ¢¦å¢ƒçš„è£æ ¼å­¦æ´¾ç ”ç©¶è¿™ä¸ªé¡¹ç›®æŽ¢è®¨äº†æ¢¦å¢ƒå¦‚ä½•æ­ç¤ºé›†ä½"心灵对COVID‐19疫情所做出的反应, 这些梦境发生在疫情第一年, åœ¨ç–«è‹—å¼€å‘ä¹‹å‰ã€‚æœ¬ç ”ç©¶å‘è£æ ¼å­¦æ´¾åŒè¡Œå'Œç»„织, 以及通过各种社会åª'ä½"网站分发了一份简短的调查, 邀请人们在线提交与COVID‐19疫情有关的梦。共收集到四百三十六个梦。另外还收集了40个俄罗斯人的梦, å¹¶ç”±ä¿„ç½—æ–¯åŒäº‹æäº¤ã€‚ç ”ç©¶ä½¿ç”¨äº†åŸºäºŽçŽ°è±¡å­¦è¯ é‡Šå­¦çš„å®šæ€§ç ”ç©¶æ–¹æ³•, ç ”ç©¶äººå‘˜å¯¹ä¸Žæ–°å† ç›¸å…³çš„æ„è±¡è¿›è¡Œäº†åˆ†ç±»å'Œç»Ÿè®¡ã€‚此外, ç ”ç©¶äººå‘˜è¿˜æè¿°äº†æ¢¦ä¸­äººä»¬å¯¹ç–«æƒ…åšå‡ºçš„ä¸€ç³»åˆ—å¿ƒç†ååº”, 包括恐怖、悲伤、疾病、社会不å'Œè°å'Œæš´åŠ›, 但也有治愈å'Œè½¬å˜çš„意象、增强的社区感å'Œç²¾ç¥žæ›´æ–°çš„æ„è±¡ã€‚ç ”ç©¶ä»‹ç»äº†å‡ ä¸ªå¸¦æœ‰æ²»æ„ˆæ€§çš„å™©æ¢¦ã€‚æè¿°äº†æ²»æ„ˆæ€§çš„ç‚¼é‡‘æœ¯å'Œé˜¿å°¼çŽ›/阿尼玛斯意象。介绍并展示了12个梦。ç»"论是, æ¤æ ¹äºŽ “自性”的集ä½"心灵是治疗社会å'Œæ–‡åŒ–创伤的一种资源。这个项目的ç»"果支持了Beradt(1968)在纳粹德国的梦境的é¼"èˆžäººå¿ƒçš„ç ”ç©¶ç»"æžœ, ä¹Ÿä¸Žæœ€è¿‘å…³äºŽæ–°å† æ¢¦å¢ƒç ”ç©¶çš„ç»"æžœ, 及最近发表的关于梦境的社会性质的ç»"果一致。

Urban Traumatic Moving Injuries Before and During SARS-CoV-2: A Multilinear Regression Analysis.

Background The onset of the coronavirus pandemic (COVID-19/SARS-CoV-2) saw an overall decline in traffic. Fundamental shifts in the pattern of traffic-related traumas were observed across the United States and beyond.  Objectives This study aims to predict changes in the length of stay (LOS) for patients sustaining traumatic moving injuries before and during the coronavirus pandemic.  Methods All moving injuries (bicycle accidents, pedestrians struck, motor vehicle/motorcycle accidents) before and during the first SARS-CoV-2 wave in the US were extracted from our hospital's trauma registry. The study period was from March 1st to October 31st of 2019 and 2020, respectively. Ordinary least squares (OLS) multilinear regression models were estimated with a significance level of 0.05.  Results In both periods, the Glasgow coma scores (GCS), ICU LOS, injury severity scores (ISS), and admitting service had significant impacts on hospital duration. Higher GCS scores increased the hospital LOS by 0.811 days in 2019 and 0.587 days in 2020. A higher ISS resulted in an increase in LOS by 0.207 days in 2019 and 0.124 days in 2020. The ICU admissions increased LOS by 0.82 days in 2019 and 1.25 days in 2020. Admissions to trauma services increased in duration by 2.111 days in 2019 and 1.379 days in 2020. Average LOS dropped from 3.09 to 2.50 days between both periods.  Conclusion Our trauma center saw significant changes in the admission patterns of moving injuries during COVID-19. We must therefore be better prepared to handle increased volume during public health emergencies and potential reductions in trauma utilization. Local injury prevention efforts may help reduce the burden on trauma centers during such emergencies as they did during COVID-19, allowing for greater focus on non-trauma patients.

Development of a model by LASSO to predict hospital length of stay (LOS) in patients with the SARS-Cov-2 omicron variant.

The length of stay (LOS) in hospital varied considerably in different patients with COVID-19 caused by SARS-CoV-2 Omicron variant. The study aimed to explore the clinical characteristics of Omicron patients, identify prognostic factors, and develop a prognostic model to predict the LOS of Omicron patients. This was a single center retrospective study in a secondary medical institution in China. A total of 384 Omicron patients in China were enrolled. According to the analyzed data, we employed LASSO to select the primitive predictors. The predictive model was constructed by fitting a linear regression model using the predictors selected by LASSO. Bootstrap validation was used to test performance and eventually we obtained the actual model. Among these patients, 222 (57.8%) were female, the median age of patients was 18 years and 349 (90.9%) completed two doses of vaccination. Patients on admission diagnosed as mild were 363 (94.5%). Five variables were selected by LASSO and a linear model, and those with P < 0.05 were integrated into the analysis. It shows that if Omicron patients receive immunotherapy or heparin, the LOS increases by 36% or 16.1%. If Omicron patients developed rhinorrhea or occur familial cluster, the LOS increased by 10.4% or 12.3%, respectively. Moreover, if Omicron patients' APTT increased by one unit, the LOS increased by 0.38%. Five variables were identified, including immunotherapy, heparin, familial cluster, rhinorrhea, and APTT. A simple model was developed and evaluated to predict the LOS of Omicron patients. The formula is as follows: Predictive LOS = exp(1*2.66263 + 0.30778*Immunotherapy + 0.1158*Familiar cluster + 0.1496*Heparin + 0.0989*Rhinorrhea + 0.0036*APTT).

Using DTI tractography to guide tDCS interventions in a complex acquired brain Injury neurorehabilitation protocol - a case report

51-year-old man (C.P.) had a diffuse-axonal-injury after falling from a 5-meter height, followed by a 22-minute anoxia due to a cardiac arrest. In the ICU, he tested positive to COVID-19, and needed intubation. After coronavirus infection, C.P. presented Guillain-Barre syndrome. 2months after discharge, he was admitted to rehabilitation. DTI tractography for evaluation of the structural integrity of white matter tracts revealed: i) Lesions in the basal ganglia;ii) Sequelary lesions in the right frontal, cortical, subcortical, temporal, parieto-occipital and cerebellar hemispheres;iii) Asymmetry of the corticospinal tracts - less fibers on the left;iv) Poor definition of the fibers of the right arcuate fasciculus;v)Asymmetrical thinning of the cortico-ponto-cerebellar tracts, worse on the left, and more discreetly in the spinocerebellar tracts. Based on this, C.P. underwent 4 different 30-session tDCS protocols consisting of twice-daily 20min 2mA sessions (10min interval), 5days/week (120sessions total), combined with physiotherapy, cognitive, swallowing and speech therapy. Montages: Pr1 (anode: Cz - 5x10cm;cathode: 10th Thoracic Vertebra - 5x7cm);Pr2 (1 - anode:C3;cathode:Fp2 / 2 - anode: Cerebellum;cathode:Fp2);Pr3 (anode:F3;cathode:Fp2) and Pr4 (anode:Cp5;cathode:Fp2). Except for Pr1, electrode size for all protocols were 5x7cm. We used the Coma Recovery Scale (CRS-R) and Rancho Los Amigos Scale (RLAS) for clinical assessments at the baseline and after every 10 sessions until the end of the intervention. At the baseline, C.P. presented a minimal responsive state of consciousness (CRS-R: 3;RLAS: Level 1) and tolerated well the tDCS interventions. CRS-R scores gradually improved in various domains during the treatment. At the end, RLAS score was level 5 and CRS-R, 19. Our preliminary results suggest DTI tractography may be a potential biomarker to guide more personalized tDCS interventions for complex cases of patients with acquired brain injuries. A second DTI tractography will be made in the future for comparison purposes. Research Category and Technology and Methods Clinical Research: 9. Transcranial Direct Current Stimulation (tDCS) Keywords: Acquired Brain Injury, Traumatic Brain Injury, COVID-19, Guillain Barre SyndromeCopyright © 2023

Urban humanities as a framework for the study of public space during the pandemic

COVID-19 has revealed limitations in traditional public space research methods. There is a need for new approaches to study and intervene during times of crisis. Interdisciplinary urban humanities approaches can help researchers respond to pandemic public space dynamics. This article develops a framework linking urban humanities practices–thick mapping, filmic sensing, and digital storytelling–to the production of space at multiple scales. A case study is presented of a course that employed these methods and proposed speculative design interventions to accommodate street vending, skateboarding, and unhoused people in the Westlake neighbourhood of Los Angeles. © 2023 Informa UK Limited, trading as Taylor & Francis Group.

"The Echoes of Echo Park”: Anti-Homeless Ordinances in Neo-Revanchist Cities

This article focuses on national and local anti-homeless ordinances and investigates emerging spatial banishment strategies and their impacts on unhoused folks' basic freedoms. First, we review debates on co-existing geographies of punishment and care through theoretical and legal lenses. Focusing on sixteen cities in the United States, we examine categories of anti-homeless ordinances and their evolution in the past two decades. Next, we focus on Los Angeles and use archival research and interviews with activists to examine the expansion of newly emerging anti-homeless spaces. Our research details ad hoc strategies of spatial banishment targeting homelessness. We find that the city represents a fragmented landscape of "no-go-zones” for the unhoused. We posit that the COVID-19 pandemic enabled various spatial banishment strategies and that Los Angeles is neo-revanchist. We advocate for city policies that abolish spatial banishment strategies and respond to the needs of the unhoused. © The Author(s) 2023.

Effect of Transportation Operation on Air Quality in China Based on MODIS AOD during the Epidemic

With the rapid growth of automobile numbers and the increased traffic congestion, traffic has increasingly significant effects on regional air quality and regional sustainable development in China. This study tried to quantify the effect of transportation operation on regional air quality based on MODIS AOD. This paper analyzed the space-time characteristics of air quality and traffic during the epidemic by series analysis and kernel density analysis, and quantified the relationship between air quality and traffic through a Geographically Weighted Regression (GWR) model. The main research conclusions are as follows: The epidemic has a great impact on traffic and regional air quality. PM2.5 and NO2 had the same trend with traffic congestion delay index (CDI), but they were not as obvious as CDI. Both cities with traffic congestion and cities with the worst air quality showed strong spatial dependence. The concentration areas of high AOD value in the east areas of the Hu line were consistent with the two gathering centers formed by cities with traffic congestion in space, and also consistent with the gathering center of cities with poor air quality. The concentration area of AOD decline was consistent with the gathering center formed by cities with the worst air quality. AOD had a strong positive correlation with road network density, and its GWR correlation coefficient was 0.68, then These provinces suitable for GWR or not suitable were divided. This study has a great significance for the transportation planning, regional planning, air quality control strategies and regional sustainable development, etc.

Perfil y características de la violencia contra los adultos mayores durante la pandemia de COVID-19

Objetivo: identificar el perfil sociodemográfico y las características de la violencia interpersonal contra los adultos mayores en el primer año de la pandemia de COVID-19 en una ciudad capital de la región sureste de Brasil. Método: investigación descriptiva, exploratoria con diseño transversal a partir del análisis de las notificaciones de casos sospechosos o confirmados de violencia contra el adulto mayor, ocurridos entre marzo de 2020 y marzo de 2021. Se realizó un análisis estadístico univariado y la prueba exacta de Fisher (p< 0,05). Resultados: hubo 2681 notificaciones en el período. Las principales víctimas fueron personas entre 60 y 64 años, de sexo femenino, blancas y con baja escolaridad. La mayoría de los casos se registró en el hogar. La violencia física y psicológica fueron las más comunes, con uso de fuerza física/golpes y amenaza, respectivamente. El agresor era generalmente del sexo masculino, más joven que la víctima, hijo o pareja. Las agresiones se produjeron más de una vez y fueron motivadas por conflictos generacionales. Hubo baja derivación a organismos de protección de adultos mayores. Conclusión: el perfil sociodemográfico obtenido revela que son víctimas vulnerables, sujetas a múltiples formas de violencia y que la integridad de su salud está en riesgo potencial. Alternate :Objective: to identify the sociodemographic profile and the characteristics of interpersonal violence against older adults in the first year of the COVID-19 pandemic in a capital city of the region southeast of Brazil. Method: descriptive, exploratory research with a cross-sectional design based on the analysis of the notifications of suspected or confirmed cases of violence against the elderly, occurred between March 2020 and March 2021. A univariate statistical analysis and Fisher's exact test (p< 0.05). Results: there were 2681 notifications in the period. The main victims were people between 60 and 64 years old, female, White and with low education. Most of the cases were registered in home. Physical and psychological violence were the most common, with use of physical force/blows and threats, respectively. The aggressor was generally male, younger than the victim, son or couple. The attacks occurred more than once and were motivated by generational conflicts. There was low referral to organizations for the protection of the elderly. Conclusion: the profile obtained sociodemographic reveals that they are vulnerable victims, subject to multiple forms of violence and that the integrity of their health is at potential risk.

Loneliness in Community-Dwelling, Older Adults: An Integrative Review

Loneliness is a major public health concern impacting the well-being of older adults. Loneliness increases older adults' risk of adverse health outcomes. Approximately 35% of adults over age 65 report frequent feelings of loneliness. A comprehensive search was performed of the literature published from 2011 to 2021. Primary studies that examined or described loneliness in the community-dwelling, older adult US population were included. The evidence was synthesized, and common themes were identified. Twenty-two studies were included. The University of California Los Angeles Loneliness Scale was the most frequently used measurement tool. Older adults experienced physical and psychological changes associated with loneliness. Common approaches to reduce loneliness included community-based, person-centered, and socialization approaches. Loneliness increases older adults' risk of adverse health outcomes. Future studies should consider the impact of loneliness on older adults across diverse backgrounds. The integration of loneliness screening tools may help promote targeted interventions and improve quality of care.

Racial Disparities in Patients With COVID-19 Infection: A National Inpatient Sample Analysis.

Introduction Evidence suggests the COVID-19 (coronavirus disease 2019) pandemic highlighted well-known healthcare disparities. This study investigated racial disparities in patients with COVID-19-related hospitalizations utilizing the US (United States) National Inpatient Sample (NIS). Methodology This was a retrospective study conducted utilizing the NIS 2020 database. The NIS was searched for hospitalization of adult patients with COVID-19 infection as a principal diagnosis using ICD-10 (International Classification of Diseases, Tenth Revision) codes. We divided the NIS into four major racial/ethnic groups: White, Black, Hispanic, and others. The primary outcome was inpatient mortality, and the secondary outcomes were the mean length of stay, mean total hospital charges, development of sepsis, septic shock, use of vasopressors, acute respiratory failure, acute respiratory distress syndrome, acute kidney failure, acute myocardial infarction, cardiac arrest, deep vein thrombosis, pulmonary embolism, cerebrovascular accident, and need for mechanical ventilation. Results Compared to White patients, Hispanic patients had higher adjusted inpatient mortality odds (aOR [adjusted odds ratio]: 1.25, 95% CI 1.19-1.33, p<0.001); however, Black patients had similar adjusted mortality odds (aOR: 0.96, 95% CI 0.91-1.01, p=0.212). Black patients and Hispanic patients had a higher mean length of stay (8.01 vs 7.13 days, p<0.001 and 7.67 vs 7.13 days, p<0.001, respectively), adjusted odds of cardiac arrest (aOR: 1.53, 95% CI 1.37-1.71, p<0.001 and aOR: 1.73, 95% CI 1.54-1.94, p<0.001), septic shock (aOR: 1.23, 95% CI 1.13-1.33, p<0.001 and aOR: 1.88, 95% CI 1.73-2.04, p<0.001), and vasopressor use (aOR: 1.32, 95% CI 1.14 - 1.53, p<0.001 and aOR: 1.87, 95% CI 1.62 - 2.16, p<0.001). Conclusion Our study showed that Black and Hispanic patients are at higher risk of adverse outcomes compared to White patients admitted with COVID-19 infection.