Management of centralized transition ward in a large general hospital in Shanghai during the epidemic caused by severe acute respiratory syndrome coronavirus 2 omicron variant infection.

The epidemic of coronavirus disease 2019 (COVID-19) has seriously affected people's normal work, life, and medical treatment. Since Mar. 2022, there has been a pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) omicron variant in Shanghai. In order to meet the needs of hospitalization for patients, and at the same time for better control of epidemic and nosocomial infections, a large hospital in Shanghai innovatively set up a centralized transition ward in the hospital, and established scientific rules of medical work, regulations for prevention of nosocomial infections and efficient norms for patient admission. During the operation of the ward, a total of 211 patients were treated and one of the patients was confirmed of COVID-19 recurrence. All work was carried out methodically, and neither hospitalized patients nor medical staff had nosocomial infection of COVID-19. The preparation, operation and management of the central transition ward in our hospital are summarized here to provide guidance and reference for general hospitals to carry out similar work under the epidemic.Copyright © 2022, Second Military Medical University Press. All rights reserved.

Looking into shopping behavior and attitudes during the early transition phase of the COVID-19 pandemic

As Covid-19 vaccination in the U.S. begins and hopes of a gradual return to normalcy are raised after much disruption in the shopping behavior of consumers, there is a need to examine consumers' shopping patterns at different stages of the pandemic to adequately understand the potential impacts on shopping behavior. This study explored the shopping behavior of Florida residents during the early transition phase of the pandemic, using data collected from an online survey from February to April 2021. A comprehensive analysis was conducted examining the shopping patterns in terms of purchase frequency, expenditure, and shopping trip distance as well as individuals' shopping attitudes. Further analysis of the shopping behavior was also carried out to investigate whether and how key demographic variables, including age, income, and gender, might be associated with their shopping patterns and attitudes. The analysis reveals that finding and comparing products were big motivators for using online shopping, while concerns about putting personal information online, shipping costs, and the return process may discourage online shopping. Women spent less than men but had significantly higher purchase frequencies than men. People generally liked shopping without interacting with anyone, which suggests that in-store shopping was not necessarily motivated by the need for social interactions. However, price, safety, and parking availability were the top factors in choosing the stores to shop from. Thus, urban and transportation planners should promote compact, mixed-use development and parking management strategies to reduce vehicle shopping trips and the need for separate trips for different purposes. © 2023 ICE Publishing: All rights reserved.

Going Green Post COVID-19: Employer Perspectives on Skills Needs

Achieving a just transition to a low carbon economy and society, in the wake of the COVID-19 pandemic, is arguably one of the greatest policy challenges facing governments. It is also of deep concern to businesses, employees and the organisations that represent them. Much of the focus, particularly at policy level, has been on the potential of this transition to create new jobs especially through the growth of renewable energy and clean technology. In this paper, we argue that this focus on ‘green jobs', and in particular new green jobs, grossly underestimates the skills needs of a future workforce able to deliver a transition to a more sustainable low-carbon economy. The focus of this study is to gain an understanding of what skills are required to support the transition beyond these sectors. It critically reports on the results of a series of in-depth interviews with senior managers in key organisations within Cambridgeshire and Peterborough, UK. It sheds a light on the significant employment transitions taking place in organisations who are not specifically focused on delivering ‘green' products or services. It finds widespread acknowledgement of the importance of a green recovery, albeit predicated by economic growth. The key skills needs reported, at all levels were likely to be ‘soft' transferrable skills rather than ‘hard' technical skills. COVID-19 was recognised as both a disrupter and as a catalyst for a green transition.

Digital Transition and Readjustment on EU Tourism Industry

This is a heterodox review of Political Economy, Macroeconomics and Business Management on the readjustment effect in the tourism sector due to the impact of the digital transition and its aggravation with the COVID-19 crisis and the Ukraine war. A synthesis of the paradigmatic change with the digital economy and how it affects labor and professional relations is proposed, requiring a transformation of the economic system and the production process. Attention is focused on the tourism sector and its paradox in the European Union: despite its growing importance, however, its recognition and transformation is insufficient. This paradox is intensified in the Spanish case, where more European recovery funds are being allocated and yet the vulnerability of its SMEs and tourism entrepreneurs is growing.

Green Revolution and Ecological Transition: Italy's Response to the Pandemic

As a consequence of the economic crisis caused by the Covid-19 Pandemic, Italy and other member States of the European Union have suffered consider-able economic damage. To redress this situation, the European Commission authorized the return of a large amount of financial resources to European countries, in the form of loans and subsidies, as means for implementing the Next Generation EU, an ambitious program allowing member States to launch significant public spending policies. According to these initiatives, Italy ad-opted the National Recovery and Resilience Plan (Pnrr), which includes six primary missions to modernize the country. The second mission, called the green revolution and ecological transition, is one of the pillars of the EU Next Generation project and constitutes an essential guideline for the future development of the country.

Spatial clustering-based method for Italian marginal areas toward the sustainable regeneration

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.

The Russian coal industry in an uncertain world: Finally pivoting to Asia?

Despite the urgent need to reduce coal consumption to mitigate climate change, coal has received renewed interest as a source of energy due to the perfect storm of climate, health, geopolitical and energy crises. Post-COVID recovery boosted global coal production and Asian coal consumption. Because of the 2022 Russian invasion of Ukraine, coal saw a rise in demand in Europe to replace sanctioned natural gas and oil. Combined with volatile prices, these developments highlight profound uncertainties for the world's coal exporters. This paper focuses on Russia, which so far has been the world's largest fossil fuel exporter and third-largest coal exporter and where the coal sector is the backbone of several regional economies and local communities. Using the Triple Embeddedness Framework (TEF), the paper reviews internal and external pressures on the Russian coal industry and evaluates its capacity to adapt to the rapidly changing socio-political and techno-economic environment. Russian coal exporters have attempted to accelerate their shift to the East following the European Union's sanctions over the war in Ukraine and the Russian coal infrastructure is being expanded to serve the Asia-Pacific market. The analysis concludes that the Russian coal industry is not preparing for more long-term changes in international coal markets, and this exacerbates the magnitude of risks for local communities and regional economies within Russia as well as for global decarbonisation.

Deterioration of the subjective financial well-being during the coronavirus pandemic: a latent transition analysis

PurposeThe authors seek (1) to identify the profiles of subjective financial well-being (SFWB) of bank customers before and during the coronavirus disease 2019 (COVID-19) pandemic, (2) to analyze the transition to profiles of lower SFWB during the pandemic and (3) to identify the factors driving such transitions.Design/methodology/approachThe authors surveyed five countries during 2019 and 2020 to measure SFWB. The authors applied latent class analysis (LCA) to identify profiles of bank customers according to a mix of SFWB indicators in pre-pandemic times (Study 1). The authors validated the profiles during the pandemic and identified the SFWB dimensions that deteriorated during the crisis (Study 2). Finally, the authors applied latent transition analysis (LTA) to explore transitions to profiles of lower SFWB and identify the drivers.FindingsThe authors identified three profiles of customers in pre- and post-pandemic periods for four dimensions of SFWB: control over finances, capacity to absorb financial shocks, ability to track financial goals and financial freedom. Gender, age, trust in banks and bank-supporting policies were related to transitions across profiles of SFWB during the pandemic. These relationships are contingent upon contextual country-related variables.Research limitations/implicationsBanks and policymakers should reduce customers' exposure to the pandemic's long-lasting adverse effects on SFWB and should identify and control the multiplier role that contextual variables play.Originality/valueExtant literature has not fully identified the dimensions of SFWB that changed due to the COVID-19 pandemic. The authors narrow this gap by identifying three SFWB profiles of customers, analyzing the patterns of SFWB change and connecting these changes to individual, provider and contextual factors.

STAD: State-Transition-Aware Anomaly Detection Under Concept Drifts

The detection of temporal abnormal patterns over streaming data is challenging due to volatile data properties and lacking real-time labels. The abnormal patterns are usually hidden in the temporal context, which can not be detected by evaluating single points. Furthermore, the normal state evolves over time due to concept drift. A single model does not fit all data over time. Autoencoders are recently applied for unsupervised anomaly detection. However, they usually get expired and invalid after distributional drifts in the data stream. In this paper, we propose an autoencoder-based approach (STAD) for anomaly detection under concept drift. In particular, we use a state-transition-based model to map different data distributions in each period of the data stream into states, thereby addressing the model adaptation problem in an interpretable way. We empirically demonstrate the state transition process and evaluate the anomaly detection performance on the Covid-19 dataset of Germany. © 2022 Copyright for this paper by its authors. Use permitted under Creative Commons License Attribution 4.0 International (CC BY 4.0). CEUR Workshop Proceedings (CEUR-WS.org)

GCC Hydrocarbon Economies and COVID: Old Trends, New Realities

The book considers the impact of COVID-19 on the GCC member states through the prism of challenges faced by their hydrocarbon sector. Yet, the publication's discourse is not solely focused on the problems experienced by the oil and gas industries of the GCC member states after the beginning of the COVID pandemic. Instead, the contributors will analyze how these challenges and subsequent response to them affected other aspects of the GCC socio-economic and political development, from direct impact of the COVID on the energy sector of the GCC to socio-economic consequences of the oil market crisis for the region and its potential fallouts for the international relations of the Gulf. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2023, corrected publication 2023.

Alternative Energy Investments as a Part of Global Smart Green Innovations

Concerns about the global environmental situation are leading to a search for new climate solutions, one of which is to stimulate an energy transition at the global level by expanding the use of alternative energy sources and introducing smart energy-saving technologies. Significant financial resources are needed for this purpose. Therefore, it is vital to assess the prospects for alternative energy in the post-COVID economy by analyzing the current state of this segment of the global energy market and the impact of the COVID-19 pandemic on it. The research uses statistical data from the World Bank, the International Energy Agency, and Bloomberg Information and Analysis Agency. The authors apply the methods of retrospective and comparative analysis and the least squares method. The analysis showed the growing importance of alternative energy, especially in developed countries, the serious impact of global energy inflation, and the favorable prospects for renewable energy sources in general. The study has drawn conclusions about the possibility of increasing investment in alternative energy. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Urban Green Spaces in Brazil: Challenges and Opportunities in the Context of the COVID-19 Pandemic

During the COVID-19 pandemic, urban green spaces were considered less prone to contagion, and thus people adopted them as alternative sites for improving mental health. The One Health concept advocated by health organizations worldwide supports the idea that the well-being of urban residents is strongly linked with physical activity in green areas. As the world grapples with the physical and mental health consequences of the COVID-19 pandemic, it becomes clearer that access to urban green spaces is a human rights issue. This study compared previously-mapped urban green spaces in five metropolitan regions in Brazil with the results of an extensive survey of municipal managers concerning possible increase in demand of population for green spaces. Urban green spaces of over 625 m2 were mapped in 117 municipalities, the total area of 4170 km2 representing 37.4% of the urban spaces analyzed in the five metropolitan regions. Out of these 117 municipalities, 49 had data available concerning demands of green spaces in the pandemic context. Overall, 20 municipalities (representing all five metropolitan regions) stated that there was an increase in visitation in urban green spaces, and 13 more indirectly suggested possible demands. When sustainability transitions are understood as geographical processes that happen in concrete places, urban green spaces then represent real locations where sustainable transitions can begin. The unequal distribution of these spaces also brings into consideration a social justice perspective, as well as aspects of public health that involve climate change resilience and epidemiological risk (SDG 11). © 2023, Scientific Publishing House of the Cardinal Stefan Wyszynski University. All rights reserved.

Emergency Distance Education (EDE), Urgent Transition to Distance Learning from the Perspective of UAE University Teachers

To combat the spread of COVID-19, education systems around the world were facing an unprecedented challenge of mass university closures. This research attempts to analyze this sudden and urgent transition to Distance Learning, which was a new experience for 93.9% of UAE university teachers. We have called this urgent situation "Emergency Distance Education”, to which we have given a definition. A survey was conducted among 240 teachers to express their opinion on this new way of teaching, and to answer a set of questions, such as: what were their main challenges? did they provide theoretical courses in the same way as practical courses? and what do they suggest as future solutions for best practices in Distance Learning? As result, we found three categories of challenges raised by the respondents, namely: Pedagogical, Technical, and Interaction problems. The results of this study show that the greatest number of teachers were suddenly transferred to Distance Education without having previous experience. And the most notable suggestion made by more than 60% of teachers, and which could be an open path to a new field of study, is that the measure of a credit hour in Distance Education compared to that in face-to-face must be reviewed. © 2023 NSP Natural Sciences Publishing Cor.

"Covid couldn't get us down": pandemic impact on effective access to transgender hormone therapy in Cordoba, Argentina / "La covid no ha podido con nosotrxs": impacto de la pandemia en el acceso efectivo de personas trans a tratamientos hormonales integrales en Córdoba, Argentina

Resumen El objetivo de este trabajo fue indagar el impacto de la pandemia de la covid-19 en el acceso de personas trans a tratamientos hormonales en los servicios de salud pública de la provincia de Córdoba, Argentina. En los meses de junio/julio de 2020, se realizaron 16 entrevistas telefónicas a personas trans en proceso de hormonización y usuarias de servicios públicos de salud, a profesionales sanitarios de dispositivos específicos de atención a personas trans, integrantes de organizaciones sociales y de gestión. Se aplicó un análisis temático que identificó tres temas y subtemas: 1) Estar a la deriva en relación al tratamiento hormonal: Reestructuración de servicios de salud; Sentimientos de incertidumbre; 2) Lo necesito, el cuerpo lo pide: suministro de hormonas: Significados en torno al tratamiento; Estrategias y resistencias; 3) Oportunidad de visibilizar fallas estructurales: las hormonas como la punta del iceberg: Déficit en las políticas públicas: en pandemia desde hace muchos años; Exclusiones del CIStema de salud. Se concluyó que la pandemia acarreó un grave retroceso para los derechos de las personas trans. Sin embargo, se identificaron estrategias claves de acceso, vinculadas principalmente a las organizaciones y activistas trans y travestis.

Abstract The purpose of this research was to study the impact of covid-19 pandemic on transgender people's access to healthcare and hormone gender-affirming treatments in public healthcare services of the province of Córdoba, Argentina. Between June/July-2020, sixteen telephone interviews were conducted with people in gender-affirming hormone treatments in public healthcare services, professionals, members of social organizations and management. A thematic analysis was carried out, identifiying three themes and sub-themes: 1) Being adrift in relation to hormonal treatment: Restructuring of healthcare services; Feelings of uncertainty. 2) I need it, the body asks for it: supply of hormones: Meanings around treatment; Strategies and resistance. 3) Opportunity to make visible structural failures: hormones as the tip of the iceberg: Deficit in public policies: in a pandemic for many years; Exclusions from the CISHealthcare System. We conclude that the pandemic implied a serious setback for transgender people's rights. However, strategies were identified, mainly linked to transgender organizations and activists, which were key to access.

Parent Experiences in the NICU and Transition to Home.

Families (n = 12) with infants born at <29 weeks gestation shared their experiences while in the NICU and transitioning home. Parents were interviewed 6-8 weeks after NICU discharge, including some during the acute phase of the COVID-19 pandemic. Findings regarding the parent experience in the NICU were focused around challenges navigating parent-infant separation, social isolation, communication difficulties, limited knowledge of preterm infants, mental health challenges. Parents also discussed supports that were present and supports they wished were present, as well as the impact of COVID-19 on their experiences. In the transition to home, primary experiences included the sudden nature of the transition, anxiety around discharge preparation, and the loss of the support from nursing staff. During the first few weeks at home, parents expressed joy and anxiety, particularly around feeding. The COVID-19 pandemic limited emotional, informational, and physical support to parents and resulted in limited mutual support from other parents of infants in the NICU. Parents of preterm infants in the NICU present with multiple stressors, rendering attending to parental mental health crucial. NICU staff need to address logistical barriers and familial priorities impacting communication and parent-infant bonding. Providing multiple opportunities for communication, participating in caretaking activities, and meeting other families can be important sources of support and knowledge for parents of very preterm infants.

Obtaining medication histories via telepharmacy: an observational study.

BACKGROUND: Medication reconciliation is an effective strategy to reduce medication errors upon hospital admission. The process involves obtaining a best possible medication history (BPMH), which can be both time-consuming and resource-intensive. During the COVID-19 pandemic, telepharmacy was used to reduce the risk of viral transmission. Telepharmacy is the remote provision of pharmacy-led clinical services, such as obtaining BPMHs, using telecommunications. However, the accuracy of telephone-obtained BPMHs has not yet been evaluated. Therefore, the primary aim of this study was to evaluate the proportion of patients who have an accurate BPMH from the telephone-obtained BPMH compared to an in-person obtained BPMH. METHODS: This prospective, observational study took place in a large tertiary hospital. Recruited patients or carers had their BPMH obtained by a pharmacist over the telephone. The same patients or carers then had their BPMH conducted in-person to identify any deviations between the telephone-obtained and in-person obtained BPMH. All telephone-obtained BPMHs were timed with a stopwatch. Any deviations were categorised according to their potential consequence. An accurate BPMH was defined as having no deviations. Descriptive statistics were used to report all quantitative variables. A multivariable logistic regression was conducted to identify risk factors for patients and medications for having medication deviations. RESULTS: In total, 116 patients were recruited to receive both a telephone-obtained and in-person obtained BPMH. Of these, 91 patients (78%) had an accurate BPMH with no deviations. Of the 1104 medications documented across all the BPMHs, 1064 (96%) had no deviation. Of the 40 (4%) medication deviations, 38 were deemed low-risk (3%) and 2 high-risk (1%). A patient was more likely to have a deviation if they are taking more medications (aOR: 1.11; 95% CI: 1.01-1.22; p < 0.05). A medication was more likely to have a deviation if it was regular non-prescription medication (aOR: 4.82; 95% CI: 2.14-10.82; p < 0.001) or 'when required' non-prescription medication (aOR: 3.12; 95% CI: 1.20-8.11; p = 0.02) or a topical medication (aOR: 12.53; 95% CI: 4.34-42.17; p < 0.001). CONCLUSIONS: Telepharmacy represents a reliable and time-efficient alternative to in-person BPMHs.

"Jumping into the COVID-19 arena": The professional transition into clinical practice of new graduate nurses in Italy at time of COVID-19.

AIMS AND OBJECTIVES: To evaluate the impact of the professional transition of new graduate nurses during the COVID-19 pandemic. BACKGROUND: The transition from the role of student to the professional role can be challenging for new graduate nurses for the acquisition of higher autonomy and responsibility. The COVID-19 pandemic impacted the quality of the professional transition. DESIGN: This was a cross-sectional observational study following the Strengthening and Reporting of Observational Studies in Epidemiology checklist. METHODS: One hundred and two nurses who graduated in three consecutive sessions (November 2019-pre-pandemic, March 2020-pandemic outbreak, and November 2020-2nd wave) in a north Italian university located in the most affected Italian region by the COVID-19 pandemic, completed an online survey assessing well-being, risk of burnout, resilience, perceived stigma, strengths and limitations and quality of the professional transition. The study was performed between March and May 2021. RESULTS: 81.4% of participants described the professional transition as worse than expected, and new graduate nurses who worked in COVID-19 settings reported a more difficult transition to professional life. No differences emerged in burnout, mental well-being and perceived stigma between new graduate nurses who worked in COVID-19 settings and those who did not. Similarly, no differences emerged amongst the three graduated cohort sessions. The most commonly mentioned challenges faced during the transition were organisational aspects, suddenly acquired autonomy and lack of suitable coaching. CONCLUSION: New graduate nurses reported a challenging academic-professional transition, in particular, those who worked in COVID-19 settings. The mid- and long-term impact of experiencing an academic-professional transition in COVID-19 settings should be assessed and monitored. RELEVANCE TO CLINICAL PRACTICE: The professional transition of new graduate students should be adequately planned and monitored, new graduates should be assisted to develop realistic expectations about the transition, and an adequate coaching period should be guaranteed all the more during health emergencies.

A double-edged sword: Teachers' perceptions of the benefits and challenges of online teaching and learning in higher education.

Due to the impact of the recent pandemic, the teaching and learning experience worldwide was marked by a wave of emergency digitalization. The sudden need to transition to online teaching and learning (OTL) has forced Higher Education actors to adapt quickly without proper planning. This study examines teachers' perceptions of the benefits and challenges posed by OTL during the pandemic in Higher Education. Data were collected from 636 teachers from 54 different countries using an internationally distributed online survey, and responses were coded using thematic analysis. While the main benefits perceived by teachers relate to flexibility (in tasks execution), accessibility, pedagogical innovation, and self-regulation, key challenges emerge in domains such as engagement, interaction, infrastructure/technical support, assessment and pedagogical practice. Our results further suggest a phenomenon that we describe as a "double-edged sword" with elements of OTL being perceived both as a benefit and a challenge. Results and implications for OTL and future blended practices in Higher Education are discussed.

The Emerging Challenges and Strengths of the National Health Services: A Physician Perspective.

The National Health Services (NHS) is a British national treasure and has been highly valued by the British public since its establishment in 1948. Like other healthcare organizations worldwide, the NHS has faced challenges over the last few decades and has survived most of these challenges. The main challenges faced by NHS historically have been staffing retention, bureaucracy, lack of digital technology, and obstacles to sharing data for patient healthcare. These have changed significantly as the major challenges faced by NHS currently are the aging population, the need for digitalization of services, lack of resources or funding, increasing number of patients with complicated health needs, staff retention, and primary healthcare issues, issues with staff morale, communication break down, backlog in-clinic appointments and procedures worsened by COVID 19 pandemic. A key concept of NHS is equal and free healthcare at the point of need to everyone and anyone who needs it during an emergency. The NHS has looked after its patients with long-term illnesses better than most other healthcare organizations worldwide and has a very diversified workforce. COVID-19 also allowed NHS to adopt newer technology, resulting in adapting telecommunication and remote clinic. On the other hand, COVID-19 has pushed the NHS into a serious staffing crisis, backlog, and delay in patient care. This has been made worse by serious underfunding the coronavirus disease-19coronavirus disease-19 over the past decade or more. This is made worse by the current inflation and stagnation of salaries resulting in the migration of a lot of junior and senior staff overseas, and all this has badly hammered staff morale. The NHS has survived various challenges in the past; however, it remains to be seen if it can overcome the current challenges.

Partner support and relationship quality as potential resources for childbirth and the transition to parenthood.

BACKGROUND: The aim of the present paper was to explore the role of partners for the stressful life events of birth and the transition to parenthood. METHODS: In a first prospective longitudinal study (N = 304 dyads) we tested whether relationship quality positively predicted fewer interventions during labor and birth, a more positive birth experience, and better well-being during the first six weeks after birth. In a second study we surveyed mothers (N = 980; retrospective quasi-experimental design) who had given birth during the first lockdown of the COVID-19 pandemic in spring 2020 - some in the absence of their partners - to test the assumption that regardless of relationship quality, the presence of the partner was positively related to low-intervention births and the birth experience. RESULTS: The results of the longitudinal study (Study 1) could be integrated into a Single Indicator model. They revealed that a high relationship quality assessed between week 5 and week 25 of pregnancy had a positive effect on birth experience for the mother and on psychological well-being during the transition to parenthood for both mothers and fathers. Results of the retrospective quasi-experimental field study (Study 2) revealed that the continuous presence of the partner was associated with a higher probability of a low-intervention birth and a more positive birth experience. Presence of a partner for only part of the birth did not positively predict labor and birth, but did positively predict the birth experience. The effects were independent of relationship quality. CONCLUSION: The results of both studies highlight the importance of partners for psychological well-being during labor and birth and the transition to parenthood.