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[5] Longer usage of mobile phones resulted in poorer sleep quality (delayed sleep phase, sleep duration, altered sleeping patterns, chronotype, and sleep quality), increased fatigue, and insomnia which, in turn, results in several mental health issues. [...]melatonin offers an alternative treatment to the currently available pharmaceutical therapies for sleep disorders with fewer side effects. The individuals who were undergoing medical treatment for any mental health disorders were excluded from the study. [...]sleep in multiple ways restores both normal levels of brain activity and normal "balance" among the different functions of the central nervous system.
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Villella reviews The Gray Zones of Medicine: Healers and History in Latin America edited by Diego Armus and Pablo F. Gomez, Compound Remedies: Galenic Pharmacy from the Ancient Mediterranean to New Spain by Paula S. De Vos and For All of Humanity: Mesoamerican and Colonial Medicine in Enlightenment Guatemala by Martha Few.
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[...]to restore the wellbeing of the students, a proper sleep hygiene practice should be promoted that may eventually help reduce stress. [...]stress and fear of COVID-19 epidemic is reasonable in population. [...]maintaining good sleep behavior is of utmost importance for a normal life. [...]recall biases may be present.
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Unlike some of Cather's other works, such as My Ántonia, which focus more on the negative effects of physical isolation, Cather offers in these novels a more complicated portrait of isolation's value to women who need independence from their communities in order to explore the widely dissimilar fields of agriculture and opera. Stout discusses at some length the "redefinition of women" that Cather undertakes in writing the careers of Alexandra and Thea.5 She also notes the "ambiguity" of Cather's female characters in general, in their ability to step outside gender roles and to pursue their interests in spite of naysayers in their communities.6 In the context of Stout's broad study of Cather's life and career as a modernist, where isolation indirectly impacts the self-discovery of Cather's early heroines, I argue that isolation is in fact the key ingredient in their emotional development and in their successful careers. While this narrative highlights the importance of isolation in order to allow experimentation and self-discovery, Cather also pays close attention to the way that physical isolation, especially in combination with poverty, can discourage people from pursuing their interests and can damage their mental health. While isolation does take a serious toll on their mental health, it also plays a vital role in their success because it allows them to experiment with new ideas unhindered and because it gives them space to recharge away from the demands of difficult relationships.
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Sakho discusses Pittsburgh PA as the realist city, highlighting the experience of Norm Conti of showing the film Rodney King to his classes and his vision to expand the work of the Elsinore Bennu Think Tank for Restorative Justice beyond the training and educative actions of Inside-Out modeling. She frames her situatedness and then lay a foundation for how she understands the intersection of social living, storytelling, and exploratory writing. She offers this context first in order to provide the reader with her positionality as the author of this work. She identifies as a Black woman adult educationist with Afrocentrism roots who views phenomena through a Black Activist Mothering lens informed by Africana Womanism. These identities and frameworks provide the foundation to "conduct the work of locating one's cultural knowledge and intellect and then snatching one's centeredness from marginalization" when she's seeking to be in conversation with normative intellectual texts.
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The issue includes an examination of the history of resistance to the Pittsburgh Bureau of Police, an analysis of mercy as a resistant social value among Black migrants leaving the South in August Wilson's Pittsburgh Play Cycle, and a community-engaged research article offered in support of a reconnection between young Black women and their cultural history in order to enhance maternal health. There is a moving poem that addresses systemic racism and the denial of justice, a living stories analysis of an online writing and performance course that included both police officers and returning citizens, and an interview with a man facing a life sentence in prison, where he offers his perspective on the problems our communities are facing. [...]the issue offers a follow-up to Norman Conti's piece "Stanton Heights," which was published in Kalfou vol. 5, no. 2 (2018), as well as a review of David A. Harris's A City Divided: Race, Fear and the Law in Police Confrontations.
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Appelt et al discusses how a multidisiplinary, community-engaged partnership reframed their understanding of Pittsburg PA's maternal-child health crisis. In spring 2020, COVID-19 quickly and disproportionately swept across the US' unequal and racially segmented social landscape, claiming the lives of many Black Americans. Amid this deepening public health crisis, the brutal murder of George Floyd by police sparked widespread protests and increased support for the Black Lives Matter movement (BLM). BLM calls the attention to structural racism and its many devastating effects, including the high numbers of US maternal and infant deaths disproportionately affecting African American and Black families. While recent discussions related to racial justice have primarily focused on urgent issues related to policing, the need for racial health equity, too, is dire.
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University students frequently show high levels of physical inactivity as well as a sedentary lifestyle. This fact has been increased after the recent health crisis caused by the COVID-19. Physical exercise, as part of the programs of the Healthy Universities, could be a strategy to face this problem. The purpose of this pilot study was to analyze the effects of an exercise program on the level of physical activity, mental health, and body composition in sedentary university students. A longitudinal study with repeated measures was designed. 14 students were evaluated at three different moments: at the beginning of the exercise program, after program completion, and two weeks after the end of the program. The followings instruments were used: International Physical Activity Questionnaire (level of physical activity), DASS-21 questionnaire (level of stress, depression, and anxiety), Pittsburgh Sleep Quality Index Questionnaire (quality of sleep), a body tape measure (perimeters), and a body composition monitor (weight, BMI, % fat mass and % muscle mass). After five weeks of intervention and two weeks post-intervention, the levels of physical activity, mental health and quality of sleep were improved (p < 0.05). Regarding body composition, muscle mass was the only variable that improved after five weeks of exercise program (p = 0.04). The results of the present study showed that the actions of universities based on healthy training programs improve the level of physical activity, mental health, and body composition of university students. Alternate : La inactividad física y sedentarismo se encuentran presentes en un alto porcentaje de los estudiantes universitarios, hecho que se ha visto acentuado tras la crisis sanitaria vivida recientemente a causa de la COVID-19. El ejercicio físico como parte de los programas de las Universidades Saludables se presenta como una posible estrategia para afrontar esta problemática. El objetivo de este estudio piloto fue analizar los efectos de un programa de entrenamiento sobre el nivel de actividad física (AF), salud mental y composición corporal en estudiantes universitarios sedentarios. Se diseñó un estudio longitudinal de medidas repetidas. 14 estudiantes fueron evaluados en tres momentos temporales: al iniciar el programa de entrenamiento, tras su finalización y dos semanas tras la finalización del programa. Los diferentes instrumentos utilizados fueron los siguientes: Cuestionario Internacional de Actividad Física (nivel de AF), cuestionario DASS-21 (nivel de estrés, depresión y ansiedad) y Cuestionario Pittsburgh Sleep Quality Index (calidad del sueño) cinta métrica corporal (perímetros) y bioimpedancia (peso, IMC, % masa grasa y % masa muscular). Tras cinco semanas de entrenamiento y dos semanas post-entrenamiento se observaron mejoras significativas en el nivel de AF, salud mental y calidad del sueño de los participantes (p < ,05). La masa muscular fue la única variable relacionada con la composición corporal que mejoró significativamente tras cinco semanas de ejercicio físico supervisado (p = ,04). Los resultados del presente estudio demostraron que las acciones de las universidades basadas en programas de entrenamiento saludables mejoran el nivel de AF, la salud mental y la composición corporal de los estudiantes universitarios.Alternate :A inatividade física e o sedentarismo estão presentes em uma alta porcentagem de estudantes universitários, fato que se acentuou após a crise de saúde vivida recentemente devido ao COVID-19. O exercício físico como parte dos programas das Universidades Saudáveis é apresentado como uma possível estratégia para lidar com esse problema. O objetivo deste estudo piloto foi analisar os efeitos de um programa de treinamento no nível de atividade física (AF), saúde mental e composição corporal em universitários sedentários. Foi desenhado um estudo longitudinal de medidas repetidas. 14 alunos foram avaliados em três momentos: no início do programa de treinamento, após sua conclusão duas semanas após a conclusão do programa. Os diferentes instrumentos utilizados foram: Questionário Internacional de Atividade Física (nível de AF), questionário DASS-21 (nível de estresse, depressão e ansiedade) e Questionário Pittsburgh Sleep Quality Index (qualidade do sono), fita métrica corporal (perímetros) e bioimpedância ( peso, IMC, % de massa gorda e % de massa muscular). Após cinco semanas de treinamento e duas semanas pós-treinamento, foram observadas melhorias significativas no nível de AF, saúde mental e qualidade do sono dos participantes (p < 0,05). A massa muscular foi a única variável relacionada à composição corporal que melhorou significativamente após cinco semanas de exercício físico supervisionado (p = 0,04). Os resultados do presente estudo demonstraram que as ações das universidades baseadas em programas de treinamento saudável melhoram o nível de AF, saúde mental e composição corporal dos universitários.
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Objectives: To investigate the clinical value of contrast-enhanced CT combined with PET/CT in the differential diagnosis of mediastinal lymph node metastasis (MLNM) of non-small-cell lung cancer (NSCLC). Methods: A total of 120 patients with NSCLC combined with mediastinal lymphadenopathy hospitalized in our hospital were selected. All the patients received radical resection of lung cancer and mediastinal lymphadenectomy. After pathological diagnosis, they were divided into MLNM group (malignant group, undergoing contrast-enhanced CT) and non-MLNM group (benign group, receiving contrast-enhanced CT combined with PET-CT). The results were judged by two senior radiologists independently. The results of different scanning methods and postoperative pathology were compared using the t test, χ2 test and Pearson correlation coefficient test. Results: Compared with the pathological results, contrast-enhanced CT diagnosed 31 cases, with a coincidence rate of 62%, and contrast-enhanced CT combined with PET-CT diagnosed 42 cases, with a coincidence rate of 84%, presenting a statistically significant difference (P = 0.02). Among the 120 patients with lung cancer, pathological examination confirmed MLNM in 50 patients and benign enlargement in 70 patients, contrast-enhanced CT alone detected metastasis in 40 patients and benign enlargement in 80 patients, and contrast-enhanced CT combined with PET-CT detected metastasis in 47 patients and benign enlargement in 73 patients. The sensitivity and accuracy of the latter were significantly higher than those of the former (sensitivity, P = 0.01;accuracy, P = 0.01). With the increase in the malignancy of lymph nodes, the degree of CT enhancement, the concentration of radioactive substances and SUV value increased, showing positive correlations. Conclusion: Contrast-enhanced CT combined with PET/CT in the diagnosis of MLNM of NSCLC presents higher coincidence rate, sensitivity and accuracy. With the increase in tumor malignancy, the enhancement degree and radioactive substance concentration increase. The two methods are synergistic and complementary in diagnosing MLNM.
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The case study describes occupational therapy process for a client with daytime sleepiness and lack of sleep due to interstitial lung disease, a chronic pulmonary condition. COVID-19 long haulers are individuals who continue to experience medical complications weeks to months' post recovery from COVID-19 and studies have shown that sleep problems are prevalent among them, resulting in colloquial labeling of 'Coronasomnia' or 'COVID-somnia' (Bhat, & Chokroverty, 2021). [...]occupational therapy practitioners need easily accessible resources to prepare themselves in address sleep issues with this population. Acute and post-acute care occupational therapy practitioners and their supervisors are the target audience for this article that presents printer-ready resources related to sleep assessments, goals, and interventions that can be used with individuals with chronic pulmonary conditions. A case study from an acute care setting is provided to describe the occupational therapy process for a client with daytime sleepiness and lack of sleep due to interstitial lung disease.
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[...]the present study has focussed on assessing these changes in the sleeping patterns and providing the insight to prescribe interventions that may help to optimize sleep continuity and minimize sleep disruption. For group 2, mean subjective sleep quality score for pre-COVID period was 0.88 ± 0.55 while for COVID period score was 2.06 ± 0.7. [...]for group 3, mean subjective sleep quality score for pre-COVID period was 0.91 ± 0.58 while for COVID period score was 2.21 ± 0.74. For group 2, mean sleep latency score for pre-COVID period was 0.79 ± 0.65 while for COVID period score was 2.42 ± 0.66. [...]for group 3, mean sleep latency score for pre-COVID period was 0.85 ± 0.51 while for COVID period score was 2.3 ± 0.68. For group 2, mean sleep duration score for preCOVID period was 0.79 ± 0.55 while for COVID period score was 2.18 ± 0.64. [...]for group 3, mean sleep duration score for pre-COVID period was 0.76 ± 0.61 while for COVID period score was 2.12 ± 0.74.
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COVID-19 global pandemic has created a lot of stressful life events for the individuals. Some coped to this new way of living but the ones who couldn't develop mental distress. Sleep problems are common at the best of times, all the stress, worry created by this pandemic have made existing sleep difficulties even worse. Poor sleep quality is one of the major problem among young adult population, females showed more sleep related problems than males. The aim of the present study is to find out the effect of yoga nidra on quality of sleep among young female adults during Covid-19 pandemic. This quasi -experimental design was conducted among 24 young female adults, which were allocated equally into intervention and control group. The questionnaire used in the study was Pittsburgh Sleep Quality Index (PSQI). Intervention group was instructed to do yoga nidra for 3 weeks, every night for 30 minutes. Then both intervention and control group evaluated after 3 weeks. Data were analyzed using paired t test and correlation analysis. Data analysis showed that there was a significant difference in Global PSQI score (p < 0.01) for experimental group before and after the intervention. No significant difference found in the control group (p =. 157) before and after the yoga nidra intervention. The study concluded that yoga nidra significantly improved the sleep quality among young female adults during Covid-19 pandemic.
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By braiding together multiple environmental and social factors – ranging from land and water transportation networks, festivities, seafood-eating habits, agricultural cycles, and intensified population gathering during ‘Shuangqiang, or the quick harvesting and planting of rice crops’(p. 3) – Fang presents an ecosystem that set the scene for Zhejiang’s cholera outbreak in July 1962. Cholera had a greater impact in rural areas owing to the poor water-management infrastructure there;women participated in agricultural production, making their infection rate equal to men’s;and the superior nutrition and limited contact with civilians on military bases explains the lower caseload among soldiers. [...]the book can also be read as an account of the resistance, confrontations, and negotiations that occurred between various strands of power in moving towards that style of governance, which was not without its blind spots: public health staff encountered difficulties and even violence when attempting to check inoculation certificates of officers in the People’s Liberation Army (Chapter 4);overseas Chinese were exempted from vaccination certificate checks because the PRC needed their remittances and skills (Chapter 4);and the Zhejiang government adapted its 1963 vaccination campaign to avoid peak farming season due to the passive participation of local cadres and farmworkers the previous year (Chapter 6).
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CONTINUITY OF CARE (or simply, 'continuity'), which Haggerty et al define as the degree to which a patient experiences their care as 'coherent[, ...] connected and consistent with [their] medical needs and personal context', has been recognised as a feature of high-quality medical care, especially primary care, for more than half a century.1 Recent studies have reinforced this consensus, with data associating continuity with increased patient2 and provider3 satisfaction, decreased cost of care4 and even decreased mortality.5 However, measuring, tracking and improving continuity remains a significant challenge, in part because of the subjectivity and complexity of the patient-provider relationship. First (1), self-reported measures should be adapted to become inclusive of technology-enabled care. [...]3), utilisation indices should also be updated to incorporate the continuity effects of technology-enabled care. Authors James C Bohnhoff MD, Clinician-Research Fellow, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Dheepa Sekar MD, Clinical Instructor, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Aimee Pickering MD, Clinical Instructor, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Tiffany Yang MD, Assistant Professor of Pediatrics, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Maryam Zamanian MD Clinical Instructor, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Galen E Switzer PhD, Professor, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, Center for Health Equity Research and Promotion (CHERP), Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA, USA Competing interests:
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The Mid-Atlantic Section of ITE (MASITE) is featured. MASITE covers a large geographic area, and its membership numbers nearly 600. When COVID-19 first hit, the Section initially struggled transitioning from in-person offerings to virtual ones, unsure if digital platforms could accommodate the larger numbers of attendees it normally receives. MASITE was already using a digital marketing tool called Constant Contact to send emails to membership, manage events and registrations, and help with payments. The Section continued to use Constant Contact to handle the virtual events and send webinar links to registrants.