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Objectives: There is a paucity of data on echocardiographic findings in patients with COVID-19 supported with Venovenous Extracorporeal Membrane Oxygenation (VV ECMO). This study aimed to compare baseline echocardiographic characteristics of mechanically ventilated patients for acute respiratory distress syndrome (ARDS) due to COVID-19 infection with and without VV ECMO support and to describe the incidence of new echocardiographic abnormalities in these patients. Method(s): Single-center, retrospective cohort study of patients admitted from March 2020 to June 2021 with COVID-19 infection, that required mechanical ventilation, and had an available echocardiogram within 72 hours of admission. Follow-up echocardiograms during ICU stay were reviewed. Result(s): A total of 242 patients were included in the study. One-hundred and forty-five (60%) patients were supported with VV ECMO. Median (IQR) PaO2/ FiO2 was 76 (65-95) and 98 (85-140) in the VV ECMO and non-ECMO patients, respectively (P = < 0.001). On the admission echocardiograms, the prevalence of left ventricular (LV) systolic dysfunction (10% vs 15%, P= 0.31) and right ventricular (RV) systolic dysfunction (38% vs. 27%, P = 0.27) was not significantly different in the ECMO and non-ECMO groups. However, there was a higher proportion of acute cor pulmonale (41% vs. 26 %, P = 0.02) in the ECMO group. During their ICU stay, echocardiographic RV systolic function worsened in 44 (36%) patients in the ECMO group compared with six (10%) patients in the non-ECMO group (P< 0.001). The overall odds ratio for death for patients with worsening RV systolic function was 1.8 (95% confidence interval 0.95-3.37). Conclusion(s): Echocardiographic findings suggested that the presence of RV systolic dysfunction in COVIDECMO patients was comparable to the non-ECMO group on admission. However, a higher percentage of patients on ECMO developed worsening RV systolic function during follow-up.
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Purpose: COVID-19 pandemic has accelerated the adoption of home-based teleworking globally. Coupled with this, there are rising concerns about workplace cyberbullying. However, less studies have explored workplace cyberbullying in non-western countries. The purpose of the current study is to examine whether workplace cyberbullying affects employees' intention to stay and to find out the mechanisms underlying the relationship. Design/methodology/approach: Data were collected among Indian home-based teleworkers. Data were analysed using SmartPLS and SPSS-PROCESS macro. Findings: Results show that workplace cyberbullying negatively impacts intention to stay and affective commitment acts as a mediator between this link. The results also reveal that workplace social capital moderates the negative effects of workplace cyberbullying on affective commitment. The results further confirm that workplace social capital moderated the indirect impact of workplace cyberbullying on intention to stay via affective commitment. Practical implications: This study highlights the potential of leveraging workplace social capital in order to reduce the negative effects of workplace cyberbullying. Originality/value: These findings can complement the previous studies on the impact of negative work events on affective commitment and intention to stay as well as extend researchers' understanding of the underlying mechanism between workplace cyberbullying and intention to stay. Furthermore, this research explains how employees can utilise social resources from workplace social capital to mitigate the negative outcomes of workplace cyberbullying. © 2023, Emerald Publishing Limited.
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Drawing on self-determination theory (SDT) (Deci & Ryan, 2000, 2008a, 2008b, 1985;Ryan & Deci, 2000, 2017, 2019;Ryan et al., 2019, 2021) and conservation of resources (COR) theory (Hobfoll, 1989, 2004, 2011), this study constructed an mindfulness-employee involvement (M-EI) model to explore the mechanism of enhancing psychological safety (Edmondson, 1999;Edmondson & Lei, 2014;Dekker & Edmondson, 2022) by leveraging mindfulness (Baer et al., 2006;Hou et al., 2014;Kudesia, 2019) and employee involvement practices (Lawler, 1994;Riordan et al., 2005;Wood, 2020). Specifically, the study explored whether an organization or individuals are responsible for making people feel safe, as well as how COVID-19 lockdown practices could impact the above-mentioned mechanism. A quantitative survey was conducted and analysed via structural equation modelling. The regression results supported both a positive, direct correlation between mindfulness and psychological safety and an indirect correlation via employee involvement moderated (i.e., made less positive) by COVID-19 lockdown practices. Considering the uniqueness of Chinese culture, the Five Facet Mindfulness Questionnaire (FFMQ) 18 with a better model fit was constructed as the measurement for mindfulness. It is important to leverage both intrinsic and extrinsic factors to enhance psychological safety levels, allowing better mental health, accumulated intrinsic motivation, and greater autonomy at work for sustainable growth. © 2023 The Author.
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Introduction: Coronavirus disease 2019 (COVID-19) rapidly spread across the globe,evolving into a global pandemic,with a crucial impact on healthcare systems. Several short-term follow-up studies emphasized the persistence of symptoms, referred as long COVID, in a significant number of discharged patients even without history of cardiopulmonary diseases, with dyspnea being one of the most frequent complaint [1-3]. Even though those reports on recovered COVID-19 patients did not describe major left ventricle (LV) function abnormalities, subtle cardiac changes may be present. Purpose(s): We aimed to investigate the presence of subclinical cardiac dysfunction, assessed by transthoracic echocardiography (TTE) in recovered COVID-19 patients, without previous cardiopulmonary disease at 1 year follow-up. Method(s): 310 COVID-19 consecutive hospitalized patients were prospectively included between March and April 2020. 66 patients out of 251 recovered patients had no previous history of coronary artery disease, arrhythmia, arterial hypertension, valvular heart disease, asthma, chronic obstructive pulmonary disease and obstructive sleep apnea, respectively and were included in the final analysis (Figure 1). The follow-up consisted in 2 parts, a 6-months visit including clinical and physical examination, chest computed tomography and spirometry and a 12-months visit including clinical and physical examination, spirometry and TTE. Result(s): 66 patients (mean age 51.39+/-11.15 years, 45 (68.2%) males) were included in the final analysis. 23 (34.8%) patients reported dyspnea at 1 year. TTE parameters were in the normal range, with a mean LV ejection fraction of 56.9+/-4.6%, mean global longitudinal strain (GLS) of -20.9+/-2.3%, global constructive work (GCW) of 2381.4+/-463.6 mmHg% and global work index (GWI) of 2132.5+/-419.2 mmHg%. Type 1 diastolic dysfunction was observed in 11 (16.7%) patients. One (1.5%) patient had type 2 diastolic dysfunction. A normal respiratory pattern was reported in 31 (47%) patients at 6 months spirometry, while 19 (28.8%) patients had a restriction pattern. No significant differences regarding clinical, laboratory or imaging findings at baseline were found between groups. The following TTE parameters were significantly different in patients with and without dyspnea at 1 year: GLS (-19.97+/-2.14 vs. -21.38+/-2.37, p=0.039), GCW (2183.72+/-487.93 vs. 2483.14+/-422.42, p=0.024) and GWI (1960.06+/-396.21 vs. 2221.17+/-407.99, p=0.030). Multivariable logistic regression showed that GCW and GWI were inversely and independently associated with persistent dyspnea, one year after COVID-19 (p=0.035, OR 0.998, 95% CI 0.997-1.000;p=0.040, OR 0.998, 95% CI 0.997-1.000) (Table 1). Conclusion(s): Persistent dyspnea one year after COVID-19 was present in more than a third of patients without known cardiovascular or pulmonary diseases. GCW and GWI were the only echocardiographic parameters independently associated with symptoms, suggesting a decrease in myocardial performance in this population and subclinical cardiac dysfunction.
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PurposeThe purpose of this study is to look at the attitudes of the employees in terms of sharing knowledge during COVID-19 in an online environment and the various difficulties associated and to analyze knowledge sharing (KS) in a virtual office setting, using the conservation of resources theory.Design/methodology/approachA qualitative approach was used by conducting face-to-face interviews online through GoogleMeet, Skype and Zoom. A total of 34 interviews from 14 multinational companies (or their subsidiaries), in a supervisory role, were conducted for the study. A thematic analysis was conducted to analyze the responses.FindingsDuring a crisis, the tendency of employees to share knowledge at the individual, team and organizational level increases and is interlinked. The results of this study suggest that during the initial phases of lockdown, the creativity levels among employees were high;however, as the work from the office got postponed because of extended lockdowns, the creativity level of employees saw a dip. Furthermore, the findings of this study also highlighted that KS in remotely located teams was found to be dependent on the extent to which the team members knew each other, such that known teams were in a better position to share knowledge than a newly formed team with unknown or less known members.Research limitations/implicationsThis study has 34 respondents which is an acceptable number for a qualitative inquiry. However, the number of industries could be increased for generalization purposes. Responses were collected from a group of knowledge workers who were willing to correspond digitally, using social media channels of the authors, such as Linkedin. Responses collected personally could provide different results.Practical implicationsThis study provides insights into visible change in organizational processes. The conceptual model developed in this study has several implications which will help chief knowledge officers to understand why the various individual, team and organizational factors lead to KS, particularly with respect to COVID-19.Originality/valueThis study has explored a contemporary phenomenon – KS during the ongoing COVID-19 pandemic, in an online environment. This study depicts the extant literature on knowledge management during a pandemic, thus bridging the scholarly gap. This study tried to bring in a broader perspective by selecting respondents across continents, domains and varied age groups. Fourth, most studies analyzing KS/knowledge hiding in the extant literature, especially during the pandemic, have followed a quantitative approach. This study followed a qualitative approach to gain insights into the KS of the firm and the thoughts and practicalities behind it.
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Burnout, a negative job-related psychological state common with health professionals, results in valuable healthcare research loss. Team mindfulness, promoting work engagement, represents an aspect effective in reducing burnout. In a series of diverse-membership academic meetings intended to reduce research burnout—employing writing prompts, doodling, and continuous developmental feedback—team mindfulness was demonstrated when conducted in person. Therefore, whether team mindfulness is evident when meetings are held online is relevant. During the first eighteen months of COVID-19 limitations requiring these meetings to be online, it was previously reported that team mindfulness was diminished. Question-asking, submitted doodles, and feedback responses were analyzed for the following year of the same group, both quantitively and qualitatively, and with respect to COR theory, to determine if the result persisted. Team mindfulness was also compromised in the second year with respect to the entire group but not regarding the individual relationship with the facilitator. For a diverse-membership group to demonstrate team mindfulness, it is suggested that creating and using avatars similar to those used in online games might be effective. To continue the successful aspect of team mindfulness found online for this group or similarly designed groups, a one-on-one meeting between participant and facilitator is recommended. [ABSTRACT FROM AUTHOR] Copyright of Challenges (20781547) is the property of MDPI 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 abstract 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 abstract. (Copyright applies to all Abstracts.)
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Background/Introduction: Long coronavirus disease 2019 (COVID-19) was described in a significant number of discharged patients, with dyspnea being one of the most frequent complaint. Even though COVID-19 follow-up studies did not describe major left ventricle (LV) function abnormalities, subtle cardiac changes may be present. Purpose(s): We investigated the presence of subclinical cardiac dysfunction, assessed by transthoracic echocardiography (TTE) in recovered COVID-19 patients, without previous cardiopulmonary diseases at 1 year follow-up. Method(s): 310 consecutive COVID-19 patients were prospectively included.66 patients out of 251 recovered patients without history of cardiopulmonary diseases underwent 1 year follow-up consisting of clinical examination, chest computed tomography, spirometry and TTE Results: 23 (34.8%)patients out of 66 patients (mean age 51.3 +/- 11.1 years, 45 (68.2%)males) reported dyspnea at 1 year. TTE parameters were in the normal range, with a mean LV ejection fraction of 56.9 +/- 4.6%, mean global longitudinal strain (GLS) of -20.9 +/- 2.3%, global constructive work (GCW) of 2381.4 +/- 463.6mmHg% and global work index(GWI) of 2132.5 +/- 419.2mmHg%. A normal respiratory pattern was reported in 31(47%) patients at 6 months spirometry, while 19(28.8%) patients had restriction pattern. No significant differences regarding clinical, laboratory or imaging findings at baseline were found between groups. The following parameters were significantly different in patients with and without dyspnea at 1 year: GLS (-19.9 +/- 2.1 vs.- 21.3 +/- 2.3, p=0.039), GCW (2183.7 +/- 487.9 vs.2483.1 +/- 422.4, p=0.024) and GWI(1960.0 +/- 396.2 vs. 2221.1 +/- 407.9, p=0.030). Multivariable logistic regression showed that GCW and GWI were inversely and independently associated with persistent dyspnea at 1 year (p=0.035, OR 0.998, 95% CI 0.997-1.000;p=0.040, OR 0.998, 95% CI 0.997-1.000). Conclusion(s): Persistent dyspnea 1 year after COVID-19 was present in more than a third of patients without known cardiopulmonary diseases. GCW and GWI were the only echocardiographic parameters independently associated with symptoms, suggesting a decrease in myocardial performance in this population and subclinical cardiac dysfunction.
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Background: Percutaneous mechanical thrombectomy is an increasingly utilized treatment modality for acute pulmonary embolism (PE), improving pulmonary flow with embolus/thrombus modification. We aimed to investigated national trends and outcomes in patients with acute pulmonary embolism with and without cor pulmonale undergoing mechanical thrombectomy. Method(s): We utilized the National Inpatient Sample (NIS) Database 2016-2020 to identify the cohort with principal diagnosis of acute pulmonary embolism, with or without cor pulmonale using ICD-10 codes. Patients who had COVID-19 infection during hospital stay were excluded from the 2020 database. Primary outcome analysis included adjusted inpatient mortality rate utilizing predictive margins, during each calendar year stratified by sex, age, race, and median household income (MHOI). Result(s): There were a total of 389,527 hospitalizations (367,205 without cor pulmonale;22,322 with cor pulmonale) with a principal diagnosis of acute PE from 2016-2020. Out of these hospitalizations, 3,168 (0.81%) underwent mechanical thrombectomy during hospital stay. Ratio of mechanical thrombectomy amongst all PEs increased significantly throughout the years (0.39% in 2016 vs 1.68% in 2020, p trend <0.001). There was a significant decline in mortality of patients without cor pulmonale undergoing mechanical thrombectomy (12.72% in 2016 vs. 8.30% in 2020, p-trend <0.001), however this trend was not observed in patients with cor pulmonale (12.11% in 2016 vs. 8.87% in 2020, p-trend = 0.45). Conclusion(s): Our findings suggest that, throughout the years of 2016-2020, there was a trend suggesting an increase in ratio of mechanical thrombectomy amongst patients admitted with pulmonary embolism and decrease in inpatient mortality in patients without cor pulmonale undergoing mechanical thrombectomy. [Formula presented]Copyright © 2023
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Introduction: During the peak of COVID-19 crisis between May and September 2021, Hospital UiTM Sg. Buloh was converted to a full COVID-19 hospital. We described our experience in managing active COVID-19 patients and subsequent follow-ups. Result(s): 215 COVID-19 patients were admitted to Hospital UiTM Sg Buloh between May and September 2021;81 patients (38%) required ICU admission, and 134 patients (62%) required only ward admission. Mean age was 53 years old, male 61%, mean day of illness at presentation was 9 days, and mean duration of hospital admission was 10 days. Fully vaccinated patients were less likely to be admitted to ICU, OR 0.2 (0.04 - 0.89). ICU patients were more likely to be female Adj OR 2.0 (1.11-3.56), diabetic Adj OR 1.9 (1.04-3.68), have more extended hospital stay (17 vs. 6 days), and higher mortality OR 5.50 (2.64-11.34). In terms of laboratory investigations 24 hours prior to oxygen requirement, those required ICU admissions have higher creatinine (167 vs. 107 mmol/L), CRP (115 vs. 69 ug/L), and ALT (80 vs. 53 mmol/L), as well as lower PF ratio (148 vs. 210). Cardiac arrhythmias and secondary infection were more likely in ICU patients, Adj OR 16.44 (1.56-172.81) and 12.05 (5.44-26.69), respectively. While pneumothorax, pneumomediastinum, subcutaneous emphysema, and acute cor-pulmonale were only observed in ICU patients. Mortality was recorded in 43 cases (20%). 83 patients out of 172 COVID-19 survivors (48%) attended a 3-month follow-up which revealed no difference in symptoms, 6-minute-walk-tests, and spirometry between ICU and non-ICU patients. Conclusion(s): ICU COVID-19 patients have poorer outcomes during hospital admission but similar recovery with nonICU patients at 3-month follow-up.
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Purpose: This study aims to explore residents' emotional responses to tourism development and how the anticipated loss or gain of resources from it affects their attitudes and actions. The study extends the conservation of resources (COR) theory by using the cognitive appraisal (CA) theory to explain why the residents of Al-Juhfa village in Saudi Arabia become stressed and experience negative emotions due to tourism development and how they respond and cope with it. Design/methodology/approach: This study uses qualitative methods by applying purposive interviews to engage informants. Data were gathered from 38 residents of Al-Juhfa village, Saudi Arabia. A content analysis of the data collected was used. Findings: Findings indicate that residents who perceived they might lose resources (land, houses, heritage, sociocultural and Islamic values and job and investment opportunities) due to tourism development had negative emotions and attitudes towards tourism development. This led a group of residents to resist development and not allow tourists to enter the village. Without tourism knowledge and skills, the residents are worried they may lose control of their resources. Religiosity was a factor that helped to cope with the negative emotions, and other coping actions included accepting displacement with compensation, allowing foreign workers to enter the village with conditions and accepting development with their involvement. Research limitations/implications: The limitations of the current study are that the data were gathered for the duration of the COVID-19 outbreak when residents were highly anxious and still feeling fear;these feelings could have influenced the responses. Secondly, the data were collected through hardcopy surveys using close- and open-ended questions. Therefore, these data might be limited, as the topic and questions were politicly sensitive, and the informants might not have completely expressed their feelings, giving diplomatic answers instead. Therefore, the research should be repeated in different contexts with qualitative data using face-to-face techniques. Practical implications: Firstly, the residents are concerned about losing their resources, such as land, houses and heritage. The development cannot be fully successful without the involvement and support of the local community. Therefore, the government should help them remain in their village by offering them official permission (sukuk) to retain their land and houses. Secondly, the government can open new residential areas and build homes for the residents within the current village, especially as the village has only a few people. Residential areas, such as a compound with complete services, can be designed as part of the tourist attractions in Al-Juhfa. Social implications: The two theories of COR and CA were developed in the western context and used in tourism studies separately in other contexts, especially CA. However, as far as the authors' concern, this is the first study to use the two theories in one study to explore residents' emotions towards tourism development. Both theories explained the process of residents' emotions towards tourism impact and the negative emotional reactions to perceived threats and resultant stress and how residents cope with these emotions. Nevertheless, in the context of Al-Juhfa as a conservative community, these two theories are not the only factors that explain the residents' emotional response and attitude, instated that the residents' religiosity and their belief in Allah is also an important determinant that explains their emotions and attitude towards tourism's impact on their village and community. Originality/value: The attached version was edited and proofread by an expert. All comments from the reviewers were responded to. © 2023, Emerald Publishing Limited.
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Background It is a well-established fact that cardiovascular disease (CVD) adversely affects COVID-19 outcomes. However, the extend of the burden posed by CVD on hospitalized COVID-19 patients in the United States is unknown. In this study, using a national database, we estimated the effects CVD on COVID-19 hospitalizations in the United States. Methods This study is a retrospective analysis of National Inpatient Sample data, collected during 2020. Patients >=18 years of age, admitted with primary diagnosis of COVID-19 were included in the analysis. CVD was defined as presence of coronary artery disease, myocardial infarction, heart failure, sudden cardiac arrest, conduction disorders, cardiac dysrhythmias, cardiomyopathy, pulmonary heart disease, venous thromboembolic disorders, pericardial diseases, heart valve disorders, or peripheral arterial disease. The primary outcomes of the study were in-hospital mortality rate, prolonged hospital length of stay, mechanical ventilation, and disposition other than home. Multivariable logistic regression analysis was done to examine the association between presence of CVD and primary outcomes. Results During 2020 there were 1,050,040 COVID-19 hospitalizations in the United Sates. Of these 454650 (43.3%) had CVD. COVID-19 patients with CAD were older, males, and had higher comorbidity burden. The odds of in-hospital mortality (OR, 3.40;95% CI: 3.26-3.55), prolonged hospital length (OR, 1.71;95% CI: 1.67-1.76) and mechanical ventilation use (OR, 3.40;95% CI: 3.26-3.55), and disposition other than home (OR, 2.11;95% CI: 2.06-2.16) were significantly higher for COVID-19 hospitalizations with CAD. Mean hospitalization costs were also significantly higher among COVID-19 patients with CAD ($24,023 versus $15,320, P<0.001). The total cost of all COVID-19 hospitalizations during 2020 was $19.9 billion - $10.9 billion for those with CAD and $9.0 billion for those without CVD. Conclusion Cardiovascular disease was present in a substantial proportion of COVID-19 patients hospitalized in the United States and contributed to considerable adverse hospital outcomes and significantly higher hospitalization cost.Copyright © 2023 American College of Cardiology Foundation
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Background: This study aims to assess factors associated with food security and dietary diversity among poor urban households of western Oromia, Ethiopia, after the outbreak of the Covid-19 pandemic. Method: A cross-sectional, community-based study was conducted in May to June 2021 with 361 poor urban households in the Horo Guduru Wollega zone, western Oromia, Ethiopia. A pre-tested structured questionnaire was used to collect primary data. Twenty-four hour reminder points were used to assess household dietary diversity, and household food security was assessed using the Household Food Insecurity Access Scale tool. Data were evaluated using the statistical software SPSS version 25.0. Results: This study showed a prevalence of food insecurity in households of 59.6%. The mean and standard deviation of household dietary diversity values were 4.19 ± 1.844. Family size (AOR = 8.5; 95% CI:3.295-21.92), monthly income (AOR = 3.52; 95% CI; 1.771-6.986), dietary diversity (AOR = 8.5; 95% CI; 3.92-18.59), knowledge (AOR = 3.0, 95% CI = 1.08-)8.347), attitude (AOR = 8.35, 95% CI:3.112-22.39) and practices against Covid-19 (AOR = 2.12; 95% CI:1.299-11.4) were factors significantly associated with food insecurity. Variables like educational status (AOR = 3.46; 95% CI:1.44-8.312), increased family size after the Covid-19 pandemic (AOR = 2.26; 95% CI:1.02-5.04), food security (AOR = 6.7; 95% CI:4.01-19.01), knowledge (AOR = 3.96; 95% CI:1.57-10.0), attitude (AOR = 3.9; 95% CI:1.75-8.82) and practices toward coronavirus (AOR = 2.23; 95% CI:2.18-23.95) were predictors significantly associated with dietary diversity. Conclusion: This study concluded that family size, monthly income, and dietary diversity were factors contributed to household food security. On the other hand, variables such as educational status, family size, and food security were highly relevant factors for dietary diversity after the outbreak of the Covid-19 pandemic. Knowledge, attitudes, and practices were also variables related to both household food security and dietary diversity. Therefore, immediate interventions such as nutrition-specific interventions can be suggested to address food insecurity and problems of inadequate food intake in poor urban households. In addition, governmental and non-governmental organizations should raise awareness and policies to support those at higher risk by developing affordable, sustainable and targeted social protection systems that ensure food security and adequate dietary intake at the household level.
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Although previous online learning studies have looked at how student outcomes are influenced in different settings, this study is unique in that it looks at the role of COVID-19 as a particular stressor. This study discussed how students' perceptions of health risks of COVID-19 (PHRC) influenced their academic performance through emotional exhaustion. This study also looked at how mindfulness and online interaction quality (OIQ) affected PHRC's direct effects on exhaustion, as well as PHRC's indirect effects on academic performance via exhaustion. The data for the current study were collected from 336 students in three waves who were studying online during COVID-19. The results through structural equation modeling (SEM) revealed that PHRC influenced academic performance. The results further revealed that mindfulness and OIQ attenuated the direct effects of PHRC on emotional exhaustion as well as indirect effects on academic performance through emotional exhaustion. This study provides some novel implications for practice and research.
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Drawing on conservation of resources (COR) theory, we aimed to investigate whether leisure crafting reduces emotional exhaustion by improving sleep quality and strengthening psychological detachment from the coronavirus disease 2019 (COVID-19) pandemic. We posited that sleep quality and psychological detachment from the COVID-19 pandemic mediate the negative relationship between leisure crafting and emotional exhaustion. We carried out a two-wave longitudinal study among a group of individuals (N = 216) from Wuhan, China. We measured leisure crafting, sleep quality, and psychological detachment from the COVID-19 pandemic at Time 1 and emotional exhaustion two months later at Time 2. We discovered that leisure crafting reduced emotional exhaustion at home by improving sleep quality and increasing psychological detachment from the COVID-19 pandemic. At the end of this article, we discuss theoretical and practical implications, research limitations, and directions for future research.
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Background: Cor triatriatum sinistra (CTS) is a rare condition where the left atrium (LA) is divided by a thin membrane into an upper and lower chamber. Incidentally, the diagnosis is made in late adulthood, usually because of a favourable variant such as in our patient who presented with partial CTS. Case summary: We present the case of a 62-year-old female who presented with COVID-19. She was known for longstanding symptoms of dyspnoea on exertion as well as a minor stroke several years ago. Computed tomography on admission suggested there was a mass in the LA but transthoracic echocardiography and cardiac magnetic resonance imaging revealed the diagnosis of partial CTS in which the superior compartment received pulmonary venous drainage from the right lung and the left-sided pulmonary veins drained into the inferior chamber. Since there were signs of chronic pulmonary oedema she successfully underwent balloon dilatation of the membrane resulting in remission of symptoms and normalization of the pressure in the accessory chamber. Discussion: Partial CTS is a rare variant of CTS. Since part of the pulmonary veins drains in the lower chamber of the LA (and thereby unload the right ventricle), it is a favourable variant and patients may present later in life when membrane orifices calcify or it may be discovered as an incidental finding. In some patients requiring intervention, balloon dilatation of the membrane may be considered as an alternative to surgical removal of the membrane by thoracotomy.
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Purpose: Building on the conservation of resources (COR) theory, this study aims to investigate employee empowerment's moderation effect on the relationship of situational (job satisfaction, affective commitment) and dispositional (positive affectivity, emotional intelligence) variables toward the emotional exhaustion of service employees amidst the pandemic. Design/methodology/approach: In total, 288 service employees from various sectors in Indonesia participate as the study's respondents. This study applies a two-stage structural equation modeling approach to test the hypotheses. Findings: The results show that employee empowerment moderates situational and dispositional variables differently. While employee empowerment significantly influences situational variables, a different situation is found on dispositional variables, that employee empowerment does not significantly influence these variables. This study's findings portray the COR theory in practice and clarify the importance of employee empowerment for employees with particular attributions. Research limitations/implications: The present study bears four limitations: the cross-sectional design;no exploration of dispositional and situational variables' antecedents;the findings are limited to the service workers;and lastly, this study only takes Indonesian samples. Practical implications: From a practical perspective, this study reveals which type of service employees are responsive to empowerment policy and which are prone to experience emotional exhaustion, particularly during a crisis. Social implications: By understanding what factors determine employee empowerment's effectiveness, managers could maximize the impacts of their empowerment policies. Subsequently, it will create better service deliveries which might benefit the broader societal scope. Originality/value: This study contributes to both theoretical and practical understanding. Theoretically, this study adds and promotes using a categorical lens to examine the pattern of interactions between organizations and employees. © 2022, Jaya Addin Linando and M. Halim.
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The current study was designed to examine the role of sense of community at the outset of COVID-19 pandemic-related shutdowns as a longitudinal predictor of anxiety in couples. We also sought to investigate whether self-reported changes in perceived levels of benevolent world assumptions would serve as an indirect conveyor of this association. Data were collected at three time points during the first 6-months of pandemic shutdowns in the US and the current study utilized responses from 535 heterosexual cisgender couples. Mplus was used to path model lagged associations between sense of community at wave 1, world assumptions at waves 1 and 2 and anxiety symptoms at all three waves for both partners. Findings demonstrated direct effects within men and women with a stronger sense of community at wave 1 relating to lower anxiety at waves 2, and within women this effect extended to wave 3. Further, we found that a higher sense of community at wave 1 in men associated with perceived strengthening of benevolent world assumptions at the next wave for men and women. We noted that perceived strengthened benevolent world assumptions at wave 2 associated with lower anxiety at wave 3 within men. Indirect effects showed that a stronger sense of community at wave 1 associated with lower anxiety at wave 3 within men.
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Background: It is known that acute cor pulmonale (ACP) worsens the prognosis of non-coronavirus disease 2019 (COVID-19) acute respiratory distress syndrome (NC-ARDS). The ACP risk score evaluates the risk of ACP occurrence in mechanically ventilated patients with NC-ARDS. There is less data on the risk factors and prognosis of ACP induced by COVID-19-related pneumonia. Objective: The objective of this study was to evaluate the prognostic value of ACP, assessed by transthoracic echocardiography (TTE) and clinical factors associated with ACP in a cohort of patients with COVID-19-related pneumonia. Materials and methods: Between February 2020 and June 2021, patients admitted to intensive care unit (ICU) at Amiens University Hospital for COVID-19-related pneumonia were assessed by TTE within 48 h of admission. ACP was defined as a right ventricle/left ventricle area ratio of >0.6 associated with septal dyskinesia. The primary outcome was mortality at 30 days. Results: Among 146 patients included, 36% (n = 52/156) developed ACP of which 38% (n = 20/52) were non-intubated patients. The classical risk factors of ACP (found in NC-ARDS) such as PaCO2 >48 mmHg, driving pressure >18 mmHg, and PaO2/FiO2 < 150 mmHg were not associated with ACP (all P-values > 0.1). The primary outcome occurred in 32 (22%) patients. More patients died in the ACP group (n = 20/52 (38%) vs. n = 12/94 (13%), P = 0.001). ACP [hazards ratio (HR) = 3.35, 95%CI [1.56-7.18], P = 0.002] and age >65 years (HR = 2.92, 95%CI [1.50-5.66], P = 0.002) were independent risk factors of 30-day mortality. Conclusion: ACP was a frequent complication in ICU patients admitted for COVID-19-related pneumonia. The 30-day-mortality was 38% in these patients. In COVID-19-related pneumonia, the classical risk factors of ACP did not seem relevant. These results need confirmation in further studies.
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President Elect and 2020 Program Chairperson-Amy Thompson reported Maryam Farsian from Volunteer State Community College agreed to serve as member-at-large. 114 s were submitted for the November 2020 130th Meeting, and gratitude was expressed for virtual meetings held through-out the summer to help plan the event. Steve Murphree reported member growth of an additional 57 members (with 166 regular, 120 life time, 120 student, 13 emeritus, 4 supporting, 4 sustaining, 17 high school student memberships), steady renewals despite the COVID-19 pandem-ic. income exceeding expenses, a continued shift to online payment formats that diminished the work as treasurer, but that electronic reports from PayPal and Square (both collect fees) were not yet sufficient to account for which individuals renewed their memberships. Collegiate Division Director-Fred Matthews reported that all three Collegiate Division meetings scheduled for April 2020 were canceled due to COVID-19 precautionary concerns. Since many universities pivoted to online and virtual modalities of teaching, research mentors and students were struggling to conduct effective research. REPORTS FROM COMMITTEES Local Arrangements Committee Chairpersons-Gary Henson and Richard Ignace of East Tennessee State University, hosts of the 2020 Annual meeting, reported they believed the Zoom sessions would support the meeting the following day as they had test driven the process in anticipation of the event.
ABSTRACT
Orientation: Beyond the motivation paradigm that underpins most telework research, the meaning paradigm offers a complementary vantage point to appreciate employees' desires in the face of emerging threats to the traditional workplace. Research purpose: The research developed and tested a multilevel moderated mediation model to explain the desire to telework. Motivation for the study: A high-performance culture based on leadership excellence dictates that organisations keep a pulse and act on desires of their employees, an urgent priority given the pandemic-induced structural changes to the traditional workplace. Research design or approach and method: Data were collected from a non-probability sample of 185 non-governmental sector employees. Mplus v8 was used to test the multilevel moderated mediation model. Main findings: The mediated relationship between quality of life and the desire to telework was significantly influenced by perceptions of workload and organisational support for telework. Organisational telework support had a compensatory effect on workload. There were significant differences in the desire to telework by gender, level and location of work. Practical and managerial implications: Despite the intensification and extensification of work characterising teleworking environments, the results affirm a growing desire to utilise telework opportunities as circumstances permit. Ensuring access to and availability of appropriate telework resources is paramount to satisfying this desire. Contribution or value-add: Insights on employee desires and the associated influence levers offer leadership teams an opportunity to translate them into dedicated actions that enhance the employee experience, and by extension, create thriving organisations.