The Impact of COVID-19 on Supply Chain in UAE Food Sector

The COVID-19 outbreak has significantly impacted supply chains and has caused several supply chain disruptions in almost all industries worldwide. Moreover, increased transportation costs, labor shortages, and insufficient storage facilities have all led to food loss during the pandemic, and this disruption has affected the logistics in the food value chain. As a result, we examine the food supply chain, which is one of the key industries COVID-19 has detrimentally affected, impacting, indeed, on the entire business process from the supplier all the way to the customer. Retail businesses are thus facing supply issues, which affect consumer behavior by creating stress regarding the availability of food. This has a negative impact on the amount of food that is available as well as its quality, freshness, safety, access to markets, and affordability. This study examines the impact of COVID-19 on the United Arab Emirates food distribution systems and how consumer behavior changed in reaction to interruptions in the food supply chain and the food security problem. Hypothesis testing was used in the study's quantitative methodology to assess consumer behavior, and participants who were consumers were given a descriptive questionnaire to ascertain whether the availability and security of food had been impacted. The study used JASP 0.17.2 software to develop a model of food consumption behavior and to reveal pertinent connections between each construct. Results show that consumer food stress and consumption behavior are directly impacted by food access, food quality and safety, and food pricing. Furthermore, food stress has an impact on how consumers behave when it comes to consumption. Food stress, however, is not significantly influenced by food supply.

Building Geographic Information System Story Maps for Jakarta's Local Community Health Infrastructures Awareness

COVID-19 is caused by the novel coronavirus SARS-CoV-2. First started in Wuhan, COVID-19 has spread everywhere, including Indonesia. COVID-19 can cause severe pneumonia, severe acute respiratory distress syndrome (ARDS) symptoms, and multiple organ failure. According to the WHO, COVID-19 generally has an incubation period of 5-6 days, ranging from 1 to 14 days. However, in Jakarta, the cases have decreased significantly since the implementation of PPKM (Restrictions of Activity), running since early July 2021. The government claimed that the PPKM rule has significantly impacted COVID-19 cases, decreasing every day, especially in Jawa-Bali Region. In addition, the Vaccination rate in Indonesia also played a significant part in decreasing COVID-19 cases, with Jakarta currently standing with 9 million people fully vaccinated per December 2021. To monitor the development of COVID-19 in Jakarta and provide information to the public about health facilities, especially hospitals in Jakarta, in this study, the distribution area of COVID-19 cases will be mapped with CHIME using ArcGIS Online tools. The analysis results obtained based on the mapping results that most cases were in the Cengkareng area, and the area with the most hospitals werein East Jakarta. © 2022 IEEE.

Building a Framework for a More Inclusive Healthcare System

Objective: With the explosion in the use of telehealth technologies, it is essential to address the challenges in global telehealth inequity in order to create a path to healthcare equality. To this end, this research paper focuses on investigating telehealth as it relates to the COVID-19 pandemic and its impact on healthcare inequality, telehealth inequity, and the continued vulnerabilities with increased demand in implementation. Study Design: A set of voluntary questions were e-mailed to active members of the IEEE-SA (Institute of Electrical and Electronics Engineers Standards Association) Transforming the Telehealth Paradigm: Sustainable Connectivity, Accessibility, Privacy, and Security for all. The interview answers were analyzed via deductive thematic analysis organized into higher themes and theme-specific codes. Setting: The country of residence varied among individuals who are the IEEE-SA Telehealth program members. These continents included: North America, South America, Africa, Asia, and Europe. Participants: Global healthcare leaders who are active members of the IEEE-SA Transforming the Telehealth Paradigm: Sustainable Connectivity, Accessibility, Privacy, and Security for all participated. The occupations of these individuals ranged from a variety of areas within the healthcare domain, such as physicians, scientists, and public health experts. Main outcome measure: Qualitative data obtained voluntarily from global healthcare leaders participating in the IEEE-SA Transforming the Telehealth Paradigm: Sustainable Connectivity, Accessibility, Privacy, and Security for all. Results: The major themes that emerged from the participants' responses included: telehealth infrastructure and access, digital literacy and user interface, government regulations, and telehealth legislation. Conclusions: Telehealth has the power to decrease healthcare disparities, thus getting closer to achieving health equity. However, there are three significant common global barriers to the implementation of telehealth: infrastructure, digital literacy, and government regulations. Because the results were based on interviewer responses, the conclusions acknowledged how the background of respondents, including career and education, influenced their experiences and, thus, the responses. Suggestions for change in reducing barriers to telehealth accessibility are detailed in this research. These suggestions were derived from respondents and focused on the global barriers to implementation. To reduce these barriers, changes in political health policy, patient health education, health provider telemedicine support, and in regulation for telemedicine are suggested. Limitations in our research project included a small sample size and the ensuing lack of representation from more geographical regions.

Telemedicine use in health facility during covid-19 pandemic: Literature review

Background: The policy of imposing restrictions on community activities during the Covid-19 pandemic is a challenge to the accessibility of health services. Therefore, we need the best solution for safe access to health services. Aims: This study aims to analyze telemedicine use in health facilities during the Covid-19 pandemic by looking at comparisons and similarities in use and reviewing the inhibiting and supporting factors for the success of telemedicine. Methods: The research method is a literature review that was obtained through the Scopus database and published in 2020- 2021 in English. Cleaning of articles was carried out with the inclusion and exclusion criteria so that seven articles were reviewed. Results: The lack of multidisciplinary use, healthcare practitioners' inability to connect with patients, under-integrated systems, and lack of technological knowledge and capacity all hinder telemedicine adoption. Positive patient feedback, a well-supported telemedicine service system, and partnerships with specialists all help make telemedicine more effective. Conclusion: During a pandemic, the use of telemedicine in healthcare settings is extremely beneficial for healthcare providers and patients during healthcare consultations, and there are supporting aspects such as WHO recognition and simplicity of operation. However, obstacles remain, such as a lack of specialized knowledge and multidisciplinary technology. © 2022 Widya Hapsari Murima, Ahmad Rido'i Yuda Prayogi, Aisyah Putri Rahvy, Nuranisah Djunaedi, Inge Dhamanti.

Confidence and coincidences in executive decision-making during periods of crisis

PurposeThe purpose of this study, which is grounded in decision-making theory, is to explore whether the occurrence of meaningful coincidences can positively influence executive confidence during periods of crisis. Design/methodology/approachThrough a qualitative study with 24 interviews, this study focuses on Italian hospitality facilities in the Campania Region of southern Italy to explore how an executive confidence led by meaningful coincidences can influence managerial decisions during crisis situations. Data are analyzed through a deductive coding for qualitative analysis. FindingsThe framework proposes the connection by coincidences and confidence, emphasizing the process through which meaningful coincidences can positively influence executive confidence and managerial decision-making. The insights that emerge suggest a number of positive and beneficial aspects for decision-making during a period of crisis such as the COVID-19 pandemic. Originality/valueTo the best of the authors' knowledge, this is the first study in the literature aimed at investigating, by means of qualitative methodologies, the positive outcomes of executive confidence in decision-making led by meaningful coincidences during crisis periods in the specific context of the Italian hospitality industry.

Evaluation of animal biosafety webinar series for professionals working in animal facilities across Pakistan during the COVID-19 pandemic

Experimental research with animals can help the prevention, cure, and alleviation of human ailments. Animal research facilities are critical for scientific advancement, but they can also pose a higher risk than other biomedical laboratories. Zoonosis, allergic reactions, bites, cuts, and scratches by animals are all substantial concerns that can occur in animal facilities. Furthermore, human error and unexpected animal behavior pose a risk not just to humans, but also to the environment and the animals themselves. The majority of biosafety and biosecurity training programs focus on clinical and biomedical laboratories dealing with human safety factors, with little emphasis on animal biosafety. The current virtual training was designed to improve biosafety and biosecurity capabilities of animal laboratory personnel, researchers, and veterinarians from different regions of Pakistan. The results revealed that understanding was improved regarding triggers for risk assessment in addition to annual and regular reviews (56% to 69%), biosecurity (21% to 50%), decontamination (17% to 35%), safe handling of sharps (21% to 35%), Dual Use Research of Concern (DURC) (17% to 40%), Personal Protective Equipment (PPE) usage by waste handlers (60.9% to 75%), waste management (56% to 85%), animal biosafety levels (40.57% to 45%), and good microbiological practices and procedures (17% to 35%). To bring human and animal laboratories up to the same level in terms of biosafety and biosecurity, it is critical to focus on areas that have been overlooked in the past. Training programs focusing on animal biosafety should be conducted more frequently to strengthen bio risk management systems in animal research facilities.Copyright © 2021

Developing a resilient healthcare supply chain to prevent disruption in the wake of emergency health crisis

PurposeThe study aims to identify and analyse the drivers of resilient healthcare supply chain (HCSC) preparedness in emergency health outbreaks to prevent disruption in healthcare services delivery in the context of India.Design/methodology/approachThe present study has opted for the grey clustering method to identify and analyse the drivers of resilient HCSC preparedness during health outbreaks into high, moderate and low important grey classes based on Grey-Delphi, analytic hierarchy process (AHP) and Shannon's information entropy (IE) theory.FindingsThe drivers of the resilient HCSC are scrutinised using the Grey-Delphi technique. By implementing AHP and Shannon's IE theory and depending upon structure, process and outcome measures of HCSC, eleven drivers of a resilient HCSC preparedness are clustered as highly important, three drivers into moderately important, and two drivers into a low important group.Originality/valueThe analysis and insights developed in the present study would help to plan and execute a viable, resilient emergency HCSC preparedness during the emergence of any health outbreak along with the stakeholders' coordination. The results of the study offer information, rationality, constructiveness, and universality that enable the wider application of AHP-IE/Grey clustering analysis to HCSC resilience in the wake of pandemics.

Improving Healthcare Facilities in Remote Areas Using Cutting-Edge Technologies

Healthcare is a critical field of research and equally important for all nations. Providing secure healthcare facilities to citizens is the primary concern of each nation. However, people living in remote areas do not get timely and sufficient healthcare facilities, even in developed countries. During the recent COVID-19 pandemic, many fatalities occurred due to the inaccessibility of healthcare facilities on time. Therefore, there is a need to propose a solution that may help citizens living in remote areas with proper and secure healthcare facilities without moving to other places. The revolution in ICT technologies, especially IoT, 5G, and cloud computing, has made access to healthcare facilities easy and approachable. There is a need to benefit from these technologies so that everyone can get secure healthcare facilities from anywhere. This research proposes a framework that will ensure 24/7 accessibility of healthcare facilities by anyone from anywhere, especially in rural areas with fewer healthcare facilities. In the proposed approach, the patients will receive doorstep treatment from the remote doctor in rural areas or the nearby local clinic. Healthcare resources (doctor, treatment, patient counseling, diagnosis, etc.) will be shared remotely with people far from these facilities. The proposed approach is tested using mathematical modeling and a case study, and the findings confirm that the proposed approach helps improve healthcare facilities for remote patients.

Healthcare facilities' level of preparedness response on COVID-19 preventive measures in selected regions of Tanzania: A perspective of healthcare workers

Background: After the first patient of COVID-19 was announced by the Ministry of Health in Tanzania from Arusha region, the hottest discussion in the community was the fear on how our health facilities were prepared against the spread of coronavirus disease. Objective and significance: This study aims at assessing healthcare facilities level of preparedness response on preventive measures against COVID-19 in selected regions of Tanzania through the contributions of healthcare workers. This study will add value in building capacity to fight COVID-19 pandemic and possibly any other pandemic of similar significance in the future. Methods: Analytical cross-sectional study design which applied quantitative research strategy was conducted from August to October 2022. A total of 596 healthcare workers were involved in the study from 40 healthcare facilities in Dar es Salaam, Mwanza, Arusha, and Dodoma regions of Tanzania. Descriptive statistics were analyzed by a statistical package SPSS version 26 (IBM Corp., Armonk, NY) giving frequencies, percentages, and significant association between variables. Results: Overall level of preparedness was poor at 52%, only 25% of preventive measures were good prepared and 23% moderately prepared. Availability of hand washing station with soap and water to ensure hand hygiene for healthcare workers was most prepared by 87.1% while designated ambulance facility for transporting patients from isolation area to other COVID-19 referral facilities was less prepared by 30.4% in this study. Conclusion: The preparedness responses was poor in selected regions of Tanzania which cause less capacity to fight against COVID-19 whenever it emerges. © 2020 The author (s).

Factors Influencing Knowledge Level of COVID-19 among Healthcare Workers: A Cross-sectional Survey in Four Regions of Tanzania

Up to April 24th 2020, the Government of Tanzania announced 284 cases of COVID-19, among them 7 were in intensive care, 37 recoveries, 10 deaths and the rest in stable condition while Dar es Salaam region was leading in number of infected cases followed by Mwanza, Arusha and Dodoma regions. This study was conducted to evaluate level of COVID-19 knowledge among healthcare workers in selected regions of Tanzania in order to identify the existing gap of knowledge in combating COVID-19. This study applied a quantitative analytical cross-sectional survey design in Dar es Salaam, Arusha, Mwanza and Dodoma regions of Tanzania from 24th of August till 3rd October, 2022. A total of 596 healthcare workers from 40 healthcare facilities were involved. Frequencies and percentages were analyzed for categorical variables. Association between categorical variables were analyzed by using Chi-square and variables were significant at P-value < 0.05. This study found that, healthcare workers have an average of 79.4% correct answers with overall level of knowledge at 70%, 24% and 6% of healthcare workers holding good, moderate and low levels of knowledge respectively. Multinomial logistic regression showed significant associations with service experience of 1-5 years (OR = 0.093, 95% CI, 0.011-0.759, P-value= 0.027) when good and poor knowledge compared. This study found moderate knowledge among healthcare workers. Significant association with level of knowledge reported in age, field profession, level of education, category of healthcare facility and situation of caring COVID-19 patients in facility. [ FROM AUTHOR] Copyright of Journal of Pure & Applied Microbiology is the property of Dr. M. N. Khan and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Achieving Zero Stunting: A Sustainable Development Goal Interlinkage Approach at District Level

The sustainable development goals (SDGs) provide an integrated framework of targets and indicators, including the elimination of stunting, to support better development planning. Indonesia faces a significant challenge as it ranks fourth globally in terms of stunting prevalence, exacerbated by disparities across regions, gender, and socioeconomic status, further compounded by the ongoing COVID-19 pandemic. Given the interlinked nature of SDGs, this study provides empirical support for the prioritization of SDG indicators, primarily in the context of stunting elimination at the district level in Indonesia. This study employed a combination of economic complexity and network theory, utilizing data from a comprehensive set of 54 indicators spanning 28 targets within 13 SDG goals in 514 districts. The analysis is based on network metrics, including revealed comparative advantage (RCA), proximity, centrality, and density to establish the SDG interlinkage network and identify key priority indicators. The findings highlight the importance of prioritizing indicators such as civil registration, health facilities and services, access to basic facilities and housing, and access to ICT in efforts to reduce stunting, particularly among disadvantaged households. Given the unique resources and capacities of each region, our analysis offers district-specific prioritization strategies for stunting elimination.

Lessons learned from the COVID-19 pandemic: implications for semiprofessional soccer clubs after the crisis- a team study

In 2019-2020 and 2020-2021, the COVID-19 pandemic led to unexpected behavioral restrictions, allowing only the individual training of the athletes. The purpose of the present study was to record the effects of a home-based training program on physical performance at a semi-professional level, after the Covid-19 confinement, in terms of external load. Twenty soccer players from one semi-professional team participated in this study. The data was collected by GPS devices, with an accelerometer and gyroscope, and a sampling rate 10Hz. The external load is evaluated by the total distance, the high-intensity runs, the sprint distance as well as the number of accelerations and decelerations. Three matches before and twelve games after the lockdown were analyzed and compared. During the confinement period, the players performed 5-6 training sessions per week. This period lasted over 4 four months. The training sessions were monitored by a free smartphone application. Similarly, the players communicated with the technical staff with a free internet application. The results showed significant increases (p < 0.05) in the total distance covered during the matches after the intervention. No significant increase in high-intensity runs and the number of accelerations were found (p > 0.05). The present data suggest that an intervention monitored by a free application could improve athletic performance at the semi-professional level, even after long-term abstinence from team training such as quarantine or off-season periods. These data might provide affordable solutions to the semi-professional soccer teams, which could be used during the off-season period leading to reduce detraining effects and higher performance in the forthcoming championship.

Development and Current Situation of Forest Use by Camping Sites in Japan

After the Second World War, camping and camping sites in forests have developed and increased significantly from the 1980 s to 1990 s in Japan, relying on the laws and institutions established from the 1950 s to 1970 s across multiple administrative sectors, obtaining social approval as a legitimatized outdoor activity and forest use. Since the 2000s, the management of these camping sites has deteriorated mainly owing to economic recession, which caused the movement of camping site renewal by the private sector. This movement directed the diversification of forest use by camping sites in recent years. Camping facilities have been developed in many ways to meet the needs of campers, including organized group camps that promote education and experience in forests, solo camps, glamping, and workcations under the spread of the COVID-19 that demand relaxing or productive environment, and leisure camps that require enrichment of outdoor activities. As a result of this diversification, possibilities for effective utilization of forests and regional revitalization through the management of camping sites have been observed. Many camping sites have utilized forest lands, standing trees, and forest spaces to develop facilities and services, and there are cases where firewood production for campers has promoted the reorganization and development of local forestry and securing of personnel for forest management. In addition to securing local employment brought by reorganization, local revitalization in rural and mountainous areas has been promoted through the linkage of the needs of campers to positive economic effects, increase of the visitors who deeply connected to local people, and comprehensive and sustainable use of resources in local societies. © 2023 Nihon Ringakkai. All rights reserved.

Evaluation of Out-of-Hospital Cardiac Arrests in Births and Neonates: Opportunities to Improve Care

INTRODUCTION: Home births have increased 77% from 2004 to 2017 and further increased with the COVID-19 pandemic. While the majority of home births are uneventful, some are complicated and require attendance of emergency medical services (EMS). Understanding characteristics of out-of-hospital births and EMS care is increasingly important to improve care. METHODS: We conducted a chart review of pediatric out-of-hospital cardiac arrests (POHCAs) from EMS agencies across the United States to evaluate the care provided by first responders. The study was approved by Oregon Health & Science University and respective IRBs. RESULTS: Of 1,020 POHCAs, 54 were responses to births and 43 were for other neonates. While most neonatal POHCAs occurred in a home or residence (84%), some births occurred at other locations such as a health care facility, public or commercial building, and street or highway. Bystander cardiopulmonary resuscitation was performed in less than half of births but more than half of other neonates. Return of spontaneous circulation was twice as likely for births as for other neonates (27% versus 13%). Overall, serious adverse safety events were observed in three-fourths of neonatal resuscitations. Births were more likely to be associated with failure to follow the correct resuscitation algorithm and lack of positive pressure ventilation. CONCLUSION: There are unique challenges in the care of out-of-hospital births for the EMS system. There is an opportunity to improve use of neonatal resuscitation protocols and early ventilation. [ FROM AUTHOR] Copyright of Obstetrics & Gynecology is the property of Lippincott Williams & Wilkins and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Autonomy, identity, and design in the COVID-19 era

This chapter examines the state of response and likely long-term implications across the continuum of place types for older adults, from independent housing to skilled nursing, with a focus on how physical settings and technological systems can empower autonomy and identity. It does so by adopting a person-environment (P-E) exchange framework as articulated by Chaudhury and Oswald (J Aging Stud 51:100821, 2019) This framework is structured in three sections: components of P-E interaction, P-E processes, and environment-related outcomes. Components of P-E interaction include individual characteristics, social factors, physical/built environments, and technological systems with this chapter focusing on the last two. These components form a milieu within which the dialectic interaction between agency and belonging occurs and ultimately informs assessments regarding autonomy and identity. Emergent themes discussed in this chapter include a heightened emphasis on inclusive housing models, age-friendly integration of technology, environmental flexibility in design and programming, and enhanced support for the needs of caregivers. Examining place change through an integrative P-E framework offers a lens to understanding what implications to agency and belonging might be tied to modifications in the physical and technological environment in response to COVID-19 and how that might inform outcomes related to autonomy and identity among older adults. The environmental responses to COVID-19 will accelerate the ability of independent housing to serve individuals longer in their homes and should promote a radical embrace of small house approaches to skilled care, thereby challenging assisted living as a place type altogether. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Transthoracic echocardiography outcomes in critical COVID-19 and association with symptom burden - a longitudinal cohort study

Objective: To look for any relationship between severe/critical coronavirus disease 2019 (COVID-19) illness and post-discharge cardiac function, and also assess any correlation between this and post-COVID symptom burden. Design: Observational cohort study with both retrospective and prospective components. Setting: Intensive Care Unit (ICU) and subsequent outpatient clinic at a tertiary hospital in Western Sydney, New South Wales (NSW), Australia. Patients: All patients admitted to the ICU with COVID-19 infection between 01 July 2021 and 31 December 2021 were included (n=89). Interventions: The cohort was divided into survivors (n=61) and non-survivors (n=28). Those who underwent transthoracic echocardiography (TTE) (survivors, n=22;and non-survivors, n=23). The survivors who had an inpatient TTE were invited back for a repeat TTE and standardised symptom assessment questionnaire (COVID-19 Yorkshire Rehabilitation Scale [C19-YRS]). For all patients, demographic, clinical, biochemical, and pharmacologic data was collected. Measurements and results: Eighty-nine patients were included in the initial dataset, of which 45 had a TTE whilst acutely unwell, and 22/45 survived to hospital discharge. There were no significant differences in the measured TTE parameters between survivors and non-survivors. Of the survivors with a follow-up TTE, the majority of the changes seen in the initial study had resolved. Despite this, there was still an appreciable symptom burden in the domains of fatigue, breathlessness, ability to independently do activities of daily living, and overall reduced perception of health. Conclusions: In a cohort of critically unwell COVID-19 patients, there were no significant echocardiographic differences between survivors and non-survivors. For the survivors, whilst the majority of acute cardiac changes associated with COVID-19 infection resolved over time, however, there remained a significant symptom burden, including breathlessness and fatigability, suggesting a non-cardiac aetiology of these symptoms.

Mother's Motivation of Giving Children Basic Immunization During COVID-19 Pandemic

Introduction: The number of visits for routine or basic immunizations decreased during the COVID-19 pandemic. Basic immunization is essential to offer in order to lessen the likelihood of outbreaks of various other diseases that will cause many children to become seriously ill, become paralyzed, or die. In contrast to responding to outbreaks, prevention of diseases that can be prevented by immunization also saves lives, conserves resources, and the COVID-19 pandemic's impact on healthcare systems is lessened. Nurses must understand why mothers choose to give their children the full range of the recommended basic vaccines. This study aims to describe the motivating factors for mothers to provide their children with basic immunizations during the COVID-19 pandemic. Methods: The seven Steps Colaizzi analysis method was employed in this study's qualitative descriptive design with in-depth interviews with 10 individuals. Participants are mothers who bring their child to health care institutions for basic immunization during the COVID-19 pandemic and who are fluent in both oral and written Indonesian. Participants were obtained selected through a purposive sampling technique. Results: The findings of this study revealed two themes that reflected its goal. The two themes are intrinsic factors, such as social support, the health care system, and the COVID-19 dynamic;and intrinsic factors, such as the need for health, experience, perception, and knowledge. Conclusion: Several factors, both internal to the mother and external, can affect a mother's motivation to provide children with basic immunization during the COVID-19 pandemic. [ FROM AUTHOR] Copyright of Malaysian Journal of Medicine & Health Sciences is the property of Universiti Putra Malaysia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

(Re)designing the continuum of care for older adults: The future of long-term care settings

This book broadens the visioning on new care environments that are designed to be inclusive, progressive, and convergent with the needs of an aging population. The contents cover a range of long-term care (LTC) settings in a single collection to address the needs of a wide audience. Due to the recent COVID-19 pandemic, rethinking the spatial design of care facilities in order to prepare for future respiratory and contagious pathogens is one of the prime concerns across the globe, along with social connectedness and autonomy in care settings. This book contributes to the next generation of knowledge and understanding of the growing field of the design of technology, programs, and environments for LTC that are more effective in infection prevention and control as well as social connectedness. To address these issues, the chapters are organized in four sections: Part I: Home- and community-based care;Part II: Facility-based care;Part III: Memory care and end-of-life care;and Part IV: Evidence-based applied projects and next steps. (Re)designing the Continuum of Care for Older Adults is an essential resource for researchers, practitioners, educators, policymakers, and students associated with LTC home and healthcare settings. With diverse topics in theory, substantive issues, and methods, the contributions from notable researchers and scholars cover a range of innovative programming, environments, and technologies which can impact the changing needs and support for older adults and their families across the continuum of care. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Očekávání žen ohledně porodu a vnímaný vliv protokolů COVID-19 na porod

Cíl: Studie hodnotila očekávání žen ohledně porodu a vnímané účinky protokolů COVID-19 na porod ve vybraných zdravotnických zařízeních v Umuahia, Abia, Nigérie. Metodika: Byla použita průřezová deskriptivní výzkumná metoda. Do studie bylo v období od března do prosince 2020 cíleně vybráno tři sta čtyři (304) žen z vybraných zdravotnických zařízení v Umuahii. Jako nástroj pro sběr dat byl použit validovaný dotazník vyvinutý výzkumnými pracovníky. Získaná data byla podrobena deskriptivní statistice četností, průměrů a směrodatných odchylek. Výsledky: Hlavní zjištění ukázala, že vysoce hodnocená očekávání žen během porodu byla zapojení žen do rozhodování o péči (3,69 ± 3,20), poskytování adekvátních informací o péči o miminko (3,65 ± 3,17) a pozitivní přístup poskytovatelů zdravotní péče (3,59 ± 3,11). Větší počet účastníků plně souhlasil s tím, že lockdown během pandemie vedl k vážným porodním závěrům (3,25 ± 2,98);a zpoždění při dodržování protokolů COVID-19 kvalifikovaným personálem během porodu představuje velkou hrozbu pro matku a dítě (3,58 ± 3,12). Na druhou stranu pozorování sociálního distancování porodními asistentkami (1,57 ± 1,28) a testování žen na covid-19 před přijetím (1,96 ± 1,58) nemělo na porod žádný negativní vliv. Závěr: Zapojení žen do rozhodování o jejich porodních plánech a péči představuje očekávání žen od jejich porodu. Poskytovatelé zdravotní péče musí těmto očekáváním plně porozumět a poskytovat péči, která je s nimi v souladu. Je také nezbytné, aby informace poskytované ženám v prenatálním období, zejména v době pandemie, byly komplexní a srozumitelné. To by mělo být použito k otevřené komunikaci o problémech, které mohou ovlivnit jejich porodní zkušenost, zejména během pandemie.Alternate :Aim: The study assessed women's childbirth expectations and perceived effects of COVID-19 protocols on delivery in selected healthcare facilities in Umuahia, Abia State, Nigeria. Methods: The study adopted a cross-sectional descriptive survey research design. 304 women were purposively recruited from March through December 2020 from selected healthcare facilities in Umuahia. A validated researcher-developed questionnaire was used as instrument for data collection. Data obtained were subjected to descriptive statistics of frequencies, means, and standard deviations. Results: Major findings showed highly rated expectations of women during childbirth were women's involvement in decision making about their care (3.69 ± 3.20), provision of adequate information on baby care (3.65 ± 3.17), and positive attitude of healthcare providers (3.59 ± 3.11). A greater number of the participants strongly agreed that COVID-19 lockdown led to severe labor outcomes (3.25 ± 2.98) and delays in observing COVID-19 protocols by skilled personnel during delivery pose a great threat to mother and baby (3.58 ± 3.12). On the other hand, observation of social distancing by midwives (1.57 ± 1.28) and testing women for COVID-19 before admission (1.96 ± 1.58) did not have any negative effect on the women's delivery. Conclusions: Women's involvement in decision making concerning their birth plans and care are among the women's expectations for their birth. Healthcare providers need to fully understand these expectations and provide care that is consistent with them. It is also essential that information provided to antenatal women, especially during pandemics, is comprehensive and comprehensible. This should be used to openly communicate issues that may impact their birth experience, particularly in pandemics.

Variations in the Spatial Distribution of Smart Parcel Lockers in the Central Metropolitan Region of Tianjin, China: A Comparative Analysis before and after COVID-19

The COVID-19 pandemic has led to a significant increase in e-commerce, which has prompted residents to shift their purchasing habits from offline to online. As a result, Smart Parcel Lockers (SPLs) have emerged as an accessible end-to-end delivery service that fits into the pandemic strategy of maintaining social distance and no-contact protocols. Although numerous studies have examined SPLs from various perspectives, few have analyzed their spatial distribution from an urban planning perspective, which could enhance the development of other disciplines in this field. To address this gap, we investigate the distribution of SPLs in Tianjin's central urban area before and after the pandemic (i.e., 2019 and 2022) using kernel density estimation, average nearest neighbor analysis, standard deviation elliptic, and geographical detector. Our results show that, in three years, the number of SPLs has increased from 51 to 479, and a majority were installed in residential communities (i.e., 92.2% in 2019, and 97.7% in 2022). We find that SPLs were distributed randomly before the pandemic, but after the pandemic, SPLs agglomerated and followed Tianjin's development pattern. We identify eight influential factors on the spatial distribution of SPLs and discuss their individual and compound effects. Our discussion highlights potential spatial distribution analysis, such as dynamic layout planning, to improve the allocation of SPLs in city planning and city logistics.