Three-month Clinical Status of A Cohort of Adult Hospitalized COVID-19 Pimpaka Srisiriwanna M.D., Poolsuk Janepanish Visudtibhan Ph.D., Kumthorn Malathum M.D

Background: A significant portion of individuals with SARS-CoV-2 infection have persistent COVID-19 symptoms after recovery. Symptoms may be new or persistent from the initial illness, which could cause both psychological and physical difficulty to the patients. These symptoms are collectively known as "long COVID-19 syndrome". There is limited information about this syndrome in the Thai population. Objectives: We aimed to describe and evaluate the risk for post COVID-19 symptoms among hospitalized COVID-19 patients in a university hospital. Methods: A prospective descriptive study was conducted on symptomatic COVID-19 patients admitted in Ramathibodi Hospital from July 1 to September 10, 2021. All surviving COVID-19 patients received a telephone assessment every month until 3 months after discharge and electronic medical records were reviewed. Information collected included symptoms, severity, treatment, duration of symptom, complication of COVID-19 and treatment. The New York Heart Association (NYHA) functional classification was used to categorized severity of dyspnea. Results: Among 253 evaluable patients, 57.3% were female and the mean age was 59.3 years old. Of these, 66% and 24.1% had moderate (pneumonia and SpO2 90%) and severe COVID-19 (pneumonia with severe respiratory distress and SpO2 90%), respectively. Almost all patients were inadequately vaccinated (unvaccinated 53.3%, partially vaccinated 41.9%). Overall, complete resolution of symptoms before 1 month after onset were noted in 47 patients (18.5%) and 72 (28.5%) patients had at least one persistent symptom at three months. The most common symptom is sleep disturbance (11.9%);29.2% remain in NYHA II and 0.8% in NYHA III and IV each. Female gender (OR 1.94;[95% CI 1.09-3.48], p=0.024), history of receiving dexamethasone (OR 1.04;[95% CI 1.01-1.08], p=0.004) and length of hospitalization (OR 1.04;[95% CI 1.00-1.08], p=0.034) were associated with being in NYHA II. Additionally, 5.9% had bacterial infection, and most were urinary tract infection and pneumonia, respectively. The risk factor associated with post-COVID-19 bacterial infection is bed ridden status (OR 23.3;[95% CI 5.79-93.72], p=<0.001). Conclusions: A significant number of COVID-19 patients had residual COVID-19 symptoms and still not fully functional at least 3 months after recovery. A major limitation of this study is obtaining information by telephone interview since hospital visit were not encouraged to limit mobility of people during pandemic, which may have led to a recall bias.

COMPARATIVE ANALYSIS OF THE FEATURES OF ORGANIZING MEASURES TO COMBAT THE COVID-19 PANDEMIC IN THE HEALTH SYSTEMS OF THE RUSSIAN FEDERATION AND FOREIGN COUNTRIES

The study analyzed available literatures covering the organization of measures to combat the COVID-19 pandemic in the healthcare systems of the Russian Federation and several foreign countries. For the comprehensive assessment of the specifics of organizing measures to combat the COVID-19 pandemic, countries were chosen based on geographical distances from China (the closest is Korea, and the most remote are the Great Britain and Haiti), maximum population on their continent (the United States is in North America, and Brazil in South America), and significant differences in the functioning of the healthcare systems. The peculiarities of organizing measures to combat the COVID-19 pandemic in the considered countries were associated with a complex of political, financial, economic, demographic, and organizational factors, the individual combination of which determined the peculiarities of the development of the epidemic process in each specific case. Moreover, as a priority manifestation of the severity of these factors, the capabilities of the healthcare system, including the availability of services of medical workers, sufficient number of testing equipment, medical protection equipment, hospital beds, and other parameters, should be considered. The main role was played by global state strategies implemented in the healthcare systems of the analyzed countries at the pre-epidemic stage and, in most cases, aimed at optimizing the financial and economic provisions of state guarantees of medical care. The general criteria for the differential diagnosis of COVID-19 in the national recommendations of all the states considered were respiratory symptoms and general infectious intoxication. In addition, fever and respiratory symptoms were accepted as priority criteria for COVID-19 screening. © 2023 Vestnik Rossijskoj Voenno-Medicinskoj Akademii. All rights reserved.

China: export opportunities for food

The People's Republic of China has the largest population in the world, making it both one of the most fascinating and rapidly expanding import markets for food and beverages as well as one of the most difficult. The Chinese market is appealing to foreign food producers because of the country's high per capita income and quick urbanization. The Agriculture Chapter addressed fundamental trade barriers and will support a significant increase in the export of food, agricultural, and seafood products from the United States, boosting farm and fishery revenue, stimulating rural economies, and fostering employment growth. Numerous non-tariff barriers to the export of U.S. agricultural and seafood products are discussed, including those relating to rice, dairy, infant formula, horticulture products, animal feed and feed additives, pet food, and agricultural biotechnology products, as well as meat, chicken, and seafood. The U.S. has achieved significant export successes thus far, despite the pandemic. Decrees 248 and 249, which take effect on January 1, 2022, mandate that foreign suppliers of particular food products to China register with the GACC before presenting their goods for customs clearance. Several Global Agricultural Information Network (GAIN) reports on GACC Decrees 248 and 249 have been published by FAS offices in China. For the most recent information on whether their business has to register, whether it can self-register, or if it needs to be recommended for registration by a U.S. competent body, U.S. exporters should examine the GAIN system, which offers points of contact at the GACC. According to Euromonitor, urban Chinese customers who are short on time choose shopping near residential areas, especially in the wake of the COVID-19 outbreak. During the crisis, consumers grew accustomed to shopping in their immediate areas. As a result, many major modern grocery chains have used a multi-format strategy and constructed smaller-format stores. Freshippo, Yonghui, and Carrefour are all opening smaller, more neighborhood-focused stores that place an increased emphasis on fresh foods. Some of these shops also act as e-commerce order warehouses and offer prompt home deliveries. Particularly Yonghui has opened Yonghui Mini Stores quickly as an addition to its hypermarket and major supermarket operations. The food processing sector in China has been expanding steadily in recent years. According to the Chinese Ministry of Industry and Information Technology (MIIT), sales, production, and income in the sector rose in 2020. The total profits of China's largest food processing firms reached 620.66 billion yuan (about US$97 billion) in 2020, an increase of 6.8% over the same period in 2019. According to MIIT, these businesses' profit growth was 3.1% higher than the average for all industrial sectors.

Exploring the influence of self-efficacy and autonomy on outdoor recreation behaviors during the COVID-19 pandemic

Outdoor Recreation (OR) provides the benefits of physical activity and traditional leisure placed in an outdoor environment. Motivation, self-efficacy, and autonomy can increase depending on the physical and social environment. This study explored the relationship between self-efficacy and autonomy on OR behaviors and identified barriers and facilitators to OR during the COVID-19 pandemic. Survey information was collected from 995 U.S. adults (93.6% white, 64.0% female) regarding OR behaviors, changes in OR during COVID-19, and OR self-perceptions. Significant positive correlations existed between autonomy and self-efficacy (r = 0.138, p < 0.01), and self-efficacy and pre/post pandemic OR behaviors 2020 (r = 0.158, p < 0.01), (r = 0.129, p < 0.01) respectively. Qualitative data implied barriers and facilitators to OR as: social, mental health, and increased or changed OR/physical activity. Implications from this research are beneficial to OR and health professionals to promote overall physical and mental well-being for OR participants.

Recreational travel behavior and COVID-19: insights from expected utility and the theory of planned behavior

Understanding what factors play a role in people's decisions to travel during a pandemic is important to public health officials and to stakeholders in the travel and tourism industry in the United States (US) and worldwide. This study examines factors influencing people's decisions to cancel/postpone recreational travel within the US amidst the COVID-19 pandemic. Our conceptual framework extends the Expected Utility model, commonly used in economics to model decisions under risk and uncertainty, to incorporate subjective norms and perceived behavioral control from the Theory of Planned Behavior. Our results suggest that risk perceptions, subjective norms, and concerns over transmitting COVID-19 to others play a significant role in the decision to cancel and postpone recreational travel. Results also suggest that perceived behavioral control may be less relevant to travel decisions when traveling involves elevated health risks.

COVID-19 impacts on United States crawfish. (Special Issue: COVID-19 impacts on selected commodities.)

This research determines the impacts of COVID-19 US on crawfish production and consumption for 2020 and 2021 using an Equilibrium Displacement Model. In the US, crawfish is one of the seafood commodities where most production is consumed by domestic consumers (7% of domestic consumption is from imports). Crawfish and rice are complementary. Therefore, the impacts of COVID-19 on crawfish consumption simultaneously influence rice production and crawfish producers and consumers. In the first year of COVID-19 (2020), the reduction in crawfish retail demand caused negative effects on final consumers and producers. However, crawfish consumption recovered significantly in the second year (2021), which could compensate for the loss in 2020. Overall, consumer and producer gains ranged from $549 to $626 million if the COVID-19 pandemic only impacted retail consumption. However, in 2021, the increase in production costs due to higher oil/diesel prices and other input prices caused the farm supply to decrease. As a result, total welfare gains ranged from $200 to $228 million. If the demand in 2021 did not increase, but the crawfish farm supply decreased, consumer and producer losses ranged from $929 to $1045 million. Overall, the total effects of COVID-19 on consumers and producers for 2020 and 2021 depend on its effects in 2021. If the demand in 2021 increased following the decrease in farm supply, consumers and producers would benefit from the shocks of COVID-19 due to higher post-COVID-19 demand.

Does the absence of zoo visitors during the COVID-19 pandemic impact Gorilla behavior?

Whether or not primates are behaviorally affected by the presence of visitors in a zoo setting is a question of great relevance to zoo animal well-being. The situation imposed by the COVID-19 pandemic provided an unusual opportunity to examine how the absence of visitors impacts behavior. We took advantage of this opportunity to study the behavior of a gorilla troop during periods of no-visitors compared to our long-term database on gorilla behavior during normal zoo operations. While there were notable individual differences in response to visitors, we found no significant relationship between presence of visitors and behavior. These results suggest that the presence of visitors does not have a significant impact on behavior and well-being of zoo-housed gorillas.

Clinical and epidemiologic features of SARS-CoV-2 in dogs and cats compiled through national surveillance in the United States

OBJECTIVE: To characterize clinical and epidemiologic features of SARS-CoV-2 in companion animals detected through both passive and active surveillance in the US. ANIMALS: 204 companion animals (109 cats, 95 dogs) across 33 states with confirmed SARS-CoV-2 infections between March 2020 and December 2021. PROCEDURES: Public health officials, animal health officials, and academic researchers investigating zoonotic SARS-CoV-2 transmission events reported clinical, laboratory, and epidemiologic information through a standardized One Health surveillance process developed by the CDC and partners. RESULTS: Among dogs and cats identified through passive surveillance, 94% (n = 87) had reported exposure to a person with COVlD-19 before infection. Clinical signs of illness were present in 74% of pets identified through passive surveillance and 27% of pets identified through active surveillance. Duration of illness in pets averaged 15 days in cats and 12 days in dogs. The average time between human and pet onset of illness was 10 days. Viral nucleic acid was first detected at 3 days after exposure in both cats and dogs. Antibodies were detected starting 5 days after exposure, and titers were highest at 9 days in cats and 14 days in dogs. CLINICAL RELEVANCE: Results of the present study supported that cats and dogs primarily become infected with SARS-CoV-2 following expo- sure to a person with COVID-19, most often their owners. Case investigation and surveillance that include both people and animals are necessary to understand transmission dynamics and viral evolution of zoonotic diseases like SARS-CoV-2.

Resilience of U.S. cattle and beef sectors: lessons from COVID-19. (Special Issue: COVID-19 impacts on selected commodities.)

The upheaval wrought on the U.S. beef industry by the global COVID-19 pandemic carried with it several lessons that might help improve resiliency should there be a reoccurrence. First, the futures market for fed cattle fell well before cash prices, which sent a signal to market cattle early, and those who did so benefited. Second, the decline in futures anticipated the closure of slaughter plants and provided an opportunity to purchase and store beef primals in anticipation of future scarcity. Third, the beef industry has ways of slowing or stopping the pipeline of animals destined for feed yards and can "store" these animals in background feeding facilities or on pasture or rangeland. Producers who waited to sell feeder cattle benefited from higher feeder cattle prices once the processing facilities reopened. Fourth, cow slaughter plants responded to the pandemic and subsequent scarcity of labor much better than large fed-cattle plants. Cow plants are not as sophisticated and complex as fed-cattle plants. This relative simplicity may help explain the superior performance of these plants during the crisis. Sixth, the academic work on the value of building smaller plants as a response against concentration provides mixed results-these plants require more labor per animal and can be even more susceptible to labor scarcity. Seventh, the observed increase in boxed beef prices, even as fed cattle prices fell, demonstrates the risk-mitigating impact of producer ownership of downstream activities in the value chain.

The contagion effect of COVID-19-induced uncertainty on US tourism sector: evidence from time-varying granger causality test

This study investigates the effect of COVID-19-induced uncertainty on the overall stock market and the stock performance of the tourism and hospitality industry and its subsectors utilizing a novel time-varying robust Granger causality test. The results show that the COVID-19 pandemic-induced uncertainty has an adverse impact on the overall economy, tourism and hospitality industry, and subsectors of tourism and hospitality. However, the impact of COVID-19 pandemic-induced uncertainty is more significant in the tourism and hospitality industry and its subsectors. In particular, hotels sector has experienced the largest impact from the COVID-19 pandemic, followed by restaurants and airline sectors, respectively. Research and practical implications are discussed.

Impacts of COVID-19 on U.S. seafood availability. (Special Issue: COVID-19 impacts on selected commodities.)

Seafood is the food group with the highest share traded, and the U.S. is the world's largest seafood importer, importing 79% of the seafood consumed. Hence, a study examining the impacts of the measures to contain COVID-19 on U.S. seafood imports will not only show how U.S. seafood availability has been affected, but will also give strong indications of how resiliently the global seafood markets have worked through the pandemic. We find that U.S. imports of seafood actually increased in 2020 and 2021, suggesting supply chains were able to adapt to potential disruptions. Moreover, for the 14 largest product forms imported to the U.S., there are no strong price movements. Given that there is a global market for most species groups, this adaption also suggests that the markets have worked quite well beyond the U.S. Hence, while there have undoubtedly been market shocks associated with the COVID-19 measures such as the reduction in demand from the restaurant sector and the increased sales in the retail sector, opportunities seem to balance out challenges, and the supply chains for seafood to the U.S. have been highly resilient.

Special Issue: The sharing economy in a post-pandemic world. (Special Issue: The sharing economy in a post-pandemic world.)

This special issue includes 17 articles addressing knowledge gaps in the tourism and hospitality literature regarding the sharing economy and the impacts of the COVID-19 pandemic. The articles provide systematic literature syntheses, seminal theory-building efforts and creative endeavors that unveil novel findings related to the sharing economy's evolution in the post-pandemic era.

Special Issue: COVID-19 impacts on selected commodities. (Special Issue: COVID-19 impacts on selected commodities.)

This special issue consists of seven articles examining the impacts of the COVID-19 pandemic on the markets of selected commodities, including: seafood, lumber, crawfish, cattle/beef, fruits and vegetables in the USA, cotton and garments in Bangladesh, and fuel oil globally.

Memorable dining experiences amidst the COVID-19 pandemic

Purpose: This study aims to investigate the effects of memorable dining experiences (MDEs) in the USA during the COVID-19 pandemic. Design/methodology/approach: A total of 530 valid survey responses were collected in the USA. Partial least squares structural equation modeling (PLS-SEM) was used to estimate inner and outer models. A two-stage approach was applied to test the moderating effects of restaurant safety measures. Additional analyses were conducted to compare electronic word of mouth (eWOM) intention and actual eWOM behavior. Findings: All five dimensions contributed to the overall memorability of a dining experience, with affect being the primary factor. Overall memorability was positively related to subjective well-being and actual eWOM behavior. Restaurant safety measures were positively related to the overall experience but did not moderate the relationship between any dimension and overall memorability. Research limitations/implications: Findings provide empirical support for the conceptualization of MDEs during a pandemic and underscore the importance of actual eWOM behavior in restaurant research. Practical implications: Results offer guidance for restaurant managers in designing MDEs. Originality/value: The restaurant industry is evolving from simply providing products and services to creating experiences. Yet the impacts of crafting MDEs are not well understood, especially during a pandemic. This study filled this gap by investigating MDEs and their effects on subjective well-being and eWOM behavior.

Students' psychological perceptions toward online learning engagement and outcomes during the COVID-19 pandemic: a comparative analysis of students in three different countries

Due to COVID-19, universities have shifted to offer online learning for their students from traditional face-to-face learning. Despite various efforts made by university administrators for their students' online learning during the COVID-19 pandemic, not much has been identified about how students perceived online learning and what factors affected their online learning engagement and outcomes. Examining students' motivation, self-efficacy, and anxiety as key factors for their online learning engagement and outcomes, this study conducted a self-administered online survey with college students in three countries: the U.S., South Korea, and Colombia. This study used SEM to test hypotheses and conducted a multi-group analysis to find differences among students. The findings indicated that students' self-efficacy and anxiety significantly impacted their online learning engagement, influencing online learning outcomes. Although students were highly engaged in online learning, their perceived online learning was not so effective and rigorous compared to face-to-face learning.

Comparative analysis of epidemiological trends of COVID-19 in Shanghai and New York City

ObjectiveTo assess the effects of countermeasures against coronavirus disease 2019 (COVID-19) in Shanghai from March to May 2022 in comparison with epidemiological trend of COVID-19 in New York City. MethodsDaily confirmed cases, asymptomatic SARS-CoV-2 carriers, and daily deaths were obtained in the Shanghai Municipal Health Commission and the Center for Disease Control and Prevention (CDC) of the United States. Descriptive study was conducted by using these data. ResultsFrom March 1 to May 17, the number of daily asymptomatic SARS-CoV-2 infections in Shanghai was up to 58 times as large as that of daily confirmed cases;however, the number of daily confirmed cases in Shanghai was generally less than that in New York in the same time period. At the peak of the COVID-19 epidemic, the growth of daily attack rate in Shanghai was significantly lower than that in New York (P < 0.05). Moreover, the number of daily death was evidently less than that in New York. In addition, the vaccination rate in the elderly (aged 60 years) in Shanghai was evidently lower than that in New York (aged 65 years). ConclusionThe COVID-19 epidemics in Shanghai from March to May 2022 and in New York after December 2021 were both caused by the Omicron variant. Compared with the Delta variant, the Omicron variant has stronger replication ability and infectivity, resulting in challenges to the containment of the epidemic in metropolis such as Shanghai and New York City. The epidemic in New York City remained crucial due to absence of effective countermeasures, while that in Shanghai has been effectively contained with strict countermeasures. The prevention and control strategies may be adjusted along with the continual evolution of SARS-CoV-2 and increasing trend of imported COVID-19 cases.

Effects of customers' perceived risks of sharing economy on self-protective behavior toward COVID-19. (Special Issue: The sharing economy in a post-pandemic world.)

Purpose: This study aims to investigate how customers' perceived risks of sharing economy (SE) affect their self-protective behaviors when using SE, leading to their future behavioral intention. Additionally, this study looks into whether there are any differences between accommodation-sharing and ride-sharing customers in the aforementioned relationships. Design/methodology/approach: An online survey targeting two groups of SE customers (i.e. accommodation sharing and ride sharing) was used. Using partial least squares structural equation modeling, the mechanism of how SE customers' perceived risks of SE affect their self-protective behaviors, which in turn influence their future behavior intention. A multigroup analysis was performed to assess the difference between the two groups of SE customers. Finally, a multivariate analysis of variance (MANOVA) was conducted to see the potential differences between the five classifications of self-protective behaviors in their perceived risks. Findings: SE customers' psychological risks positively affected their hygiene protective behaviors and social protective behaviors, influencing their behavior intention and relative intention (compared with traditional services). Social risk had a negative impact on SE customers' hygiene protective behaviors. There was a significant difference between accommodation sharing and ride sharing customers in their psychological mechanism of how perceived risks influence their self-protective behaviors. Practical implications: The findings of this study help SE platforms and service providers better understand their customers' perceived risks of their services and suggest them to promote their customers' self-protective behaviors so that perceived risks can be mitigated, thereby generating strong behavior intentions. As the results indicated that there is a significant difference between the two major forms of SE (i.e. accommodation sharing and ride sharing) in their customers' perceived risks and self-protective behavior, SE platforms can further refine their operational and marketing efforts based on the findings. Originality/value: This study offers a comprehensive understanding of SE customers' self-protective behaviors by examining the effects of SE customers' different perceived risks on their self-protective behaviors during the unprecedented pandemic. Furthermore, the comparison of the two most popular forms of SE (i.e. accommodation sharing and ride sharing) provides new perspectives to understand customers' behavior in the SE context.

Museum unions and social change: reopening with solidarity

Over the past two years, an explosion of organised labour activity has emerged across the museum industry in the United States. As the museum world adjusts to the 'new normal' of pandemic life, it is essential that workers continue to join forces against the rampant precarity in the cultural sector, exacerbated by the COVID-19 pandemic and the often-disastrous managerial responses to government shut-downs. Central to the healing of the sector after the trauma of pandemic-related layoffs and furloughs - and critical to the success of museums in the 21st century - is the shift in the self-identification of art museum workers away from the conceptualization of creative labour as removed from 'other' kinds of labour. This psycho-social transition on a mass scale opens the possibility of a movement of 'liberatory unionism' that can work to heal not just the museum sector, but harness worker power in support of intersectional social justice.

How do consumers select between hotels and Airbnb? A hierarchy of importance in accommodation choice. (Special Issue: The sharing economy in a post-pandemic world.)

Purpose: The purpose of this study is to examine the impact of key decision-making attributes on consumers' choice of accommodation among and between hotels and Airbnb. Design/methodology/approach: The study used a choice-based conjoint approach using 21 key decision-making factors that impact consumers' choice of accommodation across five segments ranging from economy to luxury. Latent class estimation was used to identify segments of respondents who tend to have similar preferences for accommodation. Findings: The results showed the presence of a consistent pattern of decision-making across the five accommodation segments, culminating in a hierarchy of importance in accommodation choice. The 21 key decision-making attributes comprised three tiers in order of decreasing importance: quality and service, amenities, and accessibility and safety. Further, latent class analysis indicated the presence of a hotel group and an Airbnb group of customers, which allowed us to identify how both types of providers might maximize the value of their offers to encourage customer switch. Research limitations/implications: The accommodation landscape is extremely dynamic (particularly as the COVID-19 pandemic unfolds) and complex. The present study cannot capture all of its intricacies but provides an invaluable foundation for future research on the topic of consumer choice in an evolving and competitive accommodation market. Originality/value: Extant research on accommodation choice has focused on hotels or Airbnb only. Moreover, research that has considered both types of accommodation simultaneously is limited in its conceptual and methodological scope. The present study synthesizes the fragmented literature on consumers' accommodation choices and offers a holistic and coherent schematic - the hierarchy of importance in accommodation choice - that can be used by future researchers and practitioners alike.

"It all goes back to trust": a qualitative exploration of extension professionals' perceptions of COVID-19 vaccines in rural Florida

While urban communities experienced high levels of infection at the onset of the COVID-19 pandemic, rural communities experienced an increase of confirmed cases during the fall months of 2020. Rural Americans were also among the most hesitant to receive the COVID-19 vaccine. The purpose of this study was to explore the perceptions of [State] extension professionals related to the COVID-19 vaccines in rural communities. Qualitative methods were utilized to gather data from extension professionals in rural area of [State], where vaccine uptake was below average. Results revealed frustration with the vaccine process, vaccine norms, and skepticism and mistrust to all be contributing factors to vaccine hesitancy in rural communities. Extension professionals discussed not feeling comfortable discussing topics related to public health with their clientele, citing the topic being outside their expertise. Practical recommendations from this study included utilizing a grassroots approach rather than relying on mass media, providing messages related to the COVID-19 vaccine that focus on education, rather than promotion, and testing new messages before they are disseminated.