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OBJECTIVES: On March 11, 2020, the WHO classified COVID-19 as a global pandemic. Measures to quell the pandemic included limiting non-essential activities including clinic visits and procedures. It is unclear if individuals with OI had disruptions in their access to healthcare or medications, and if such disruptions affected patients' symptoms. METHOD(S): A REDCap survey was distributed through the OI Foundation on August 31. Surveys completed through September 11 by individuals with OI or their caregiver are included in this analysis. Participants were asked to compare their symptoms and access to healthcare during the first 4 months of the pandemic to the 4 months before the pandemic. RESULT(S): 85 surveys were completed, and 6 were partially completed. The median age of participants was 40 years;35% were children. 32% of participants self-identified as having severe OI. Although most reported no changes in bone pain or fractures, 46% reported they were less likely to seek emergency medical care to treat a fracture, while 33% reported they were more likely to treat fractures at home (Fig 1A). There were delays in accessing all services, with greatest delays accessing dentistry (74%) and aquatic therapy (84%) (Fig 1B). 36% of participants receiving bisphosphonate infusions had delayed infusions because of the pandemic (Fig 1C). Of note, 50% of planned surgeries were delayed. CONCLUSION(S): Although many individuals with OI and their caregivers reported delays in accessing bone-related services/clinics during this 4-month period, there was not a concomitant increase in reported symptoms. This may have related to shelter-in-place restrictions and decreased activity. Limitations of this study include small sample size and potential selection bias because responses were obtained only from OIF members. To address these limitations, we are distributing the survey through healthcare providers of individuals with OI across major regions of the US from a variety of practice types including endocrine, orthopedics and multidisciplinary clinics. Furthermore, as the COVID-19 pandemic continues, we hope that this survey will provide information to address what aspects of healthcare may be in greatest need, as well as the modality through which services may be met. (Figure Presented).
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PurposeThis study aims to explore the impact of COVID-19 on women and children in the UK who were victims of domestic abuse.Design/methodology/approachThe authors draw from their experiences of working in the domestic abuse sector to reflect on the impact of lockdown restrictions on women and children, focussing on the impact of government restrictions that created an environment in which abusers could control the movement of victims.FindingsThe impact of the pandemic was significant as victims were locked into the abuse, unable to escape for fear of breaching lockdown rules. The lockdown affected victims of different forms of violence against women and girls in the UK including forced marriage and female genital mutilation, which highlighted the ramifications of intersectional inequalities for abuse victims.Originality/valueThis paper articulates the devastating impact of the pandemic on vulnerable women, and their fair and just access to the family courts. This paper concludes that women were failed by the government and that there was not nearly enough support from support agencies, which has left many at risk and suffering significant harm.
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The COVID-19 pandemic has caused significant changes in global sustainability, but specifically, this study analyses the impact of lockdown on health and behavior in the game of football. The 2020/2021 Italian football competitive season (indicated as "post-COVID”), taking place following an obliged lockdown and longer than the normal summery season break, was characterized by very short recovery times and was compared to the 2018–2019 "pre-COVID” season, which had a regular course. The comparisons were about anthropometric and hormonal responses, muscle damage, and the physical performance of players in the major league (Serie A), and were made considering two extreme points of the competitive seasons: before the preparatory period (T0) and at the end of the season (T1). Turning to the results, it is significant to note the following: (1) body fat percentage was lower at the start (T0) of the post-COVID season than at the start of the pre-COVID season. During both seasons, serum CK and LDH increased in T1 and were significantly higher in both T0 and T1 of the post-COVID season. (2) Cortisol and testosterone concentrations increased in both seasons from T0 to T1;however, in the post-COVID season, concentrations of both were higher than in the previous season. The testosterone to cortisol ratio increased at the end of the pre-COVID season, whilst strongly decreasing at T1 of the post-COVID season. (3) Blood lactate concentrations significantly decreased during the pre-COVID season but remained unchanged during the post-COVID season. We may conclude that the enforced suspension period and the consequent rapid resumption of all activities influenced the physical and physiological state of professional footballers.
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The paper presents and discusses data from a qualitative study carried out in April and May 2020 with families under lockdown in Italy (N = 319) and Greece (N = 297). The research examined how confinement and restrictions on movement had impacted families' everyday geographies (with a particular focus on ‘liminal' places located between homes and public spaces, such as balconies, hallways, courtyards, backyards), as well as parents' most valued public spaces and propensity (and modes) to use them. Data were analysed following a top-down thematic approach. The results suggest that restricted access to public spaces (as enforced during the Greek and Italian lockdowns) may influence the signification of domestic places, prompt remodulation of the dialectic between public and private spheres, and bring to light the social value of families' (parents and children's) experiences in public spaces.
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Due to the covid-19 pandemic, governments were forced to adopt lockdown policies to effectively control the pandemic. These restrictions increased anxiety, depression, and lifestyle changes. This systematic review aims to analyze changes in dietary patterns in the worldwide population during the COVID-19 lockdown. 11 studies were selected from the 1412 founds after searching in three databases. Searching keywords were: "Change dietary”, "COVID-19 dietary” "Confinement dietary”. Inclusion criteria were: studies that collected people's dietary patterns during the COVID-19 lockdown and recorded the consumption of food groups and the variations in lifestyle habits. This research found that people increased their consumption of food. People increased their sedentary hours, slept more but exercised less, leading to gain weight during the lockdown, as well as a poorer sleeping quality and higher anxiety levels.Alternate : Debido a la pandemia de COVID-19, los gobiernos se vieron obligados a tomar medidas de confinamiento para controlar eficazmente el contagio. Sin embargo, después de un tiempo de control al poblado, estas restricciones hicieron la gente tener más ansiedad y depresión, incluso cambiar el estilo de vida.
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The unprecedented lockdown of human activities during the COVID-19 pandemic has significantly influenced social life in China. However, understanding the impact of this unique event on the emissions of different species is still insufficient, prohibiting the proper assessment of the environmental impacts of COVID-19 restrictions. Here we developed a multi-air-pollutant inversion system to simultaneously estimate the emissions of NOx, SO2, CO, PM2.5 and PM10 in China during COVID-19 restrictions with high temporal (daily) and horizontal (15 km) resolutions. Subsequently, contributions of emission changes versus meteorological variations during the COVID-19 lockdown were separated and quantified. The results demonstrated that the inversion system effectively reproduced the actual emission variations in multi-air pollutants in China during different periods of COVID-19 lockdown, which indicate that the lockdown is largely a nationwide road traffic control measure with NOx emissions decreasing substantially by ∼40 %. However, emissions of other air pollutants were found to only decrease by∼10% because power generation and heavy industrial processes were not halted during lockdown, and residential activities may actually have increased due to the stay-at-home orders. Consequently, although obvious reductions of PM2.5 concentrations occurred over the North China Plain (NCP) during the lockdown period, the emission change only accounted for 8.6 % of PM2.5 reductions and even led to substantial increases in O3. The meteorological variation instead dominated the changes in PM2.5 concentrations over the NCP, which contributed 90 % of the PM2.5 reductions over most parts of the NCP region. Meanwhile, our results suggest that the local stagnant meteorological conditions, together with inefficient reductions of PM2.5 emissions, were the main drivers of the unexpected PM2.5 pollution in Beijing during the lockdown period. These results highlighted that traffic control as a separate pollution control measure has limited effects on the coordinated control of O3 and PM2.5 concentrations under current complex air pollution conditions in China. More comprehensive and balanced regulations for multiple precursors from different sectors are required to address O3 and PM2.5 pollution in China.
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[...]the journal Nutrition and Food Science has published this special issue exploring the intersection of nutrition and COVID-19 [1], [2], [3], [4], [5], [6], [7], [8]. [...]a study explored the factors related to sedentary lifestyle in a Brazilian sample during the COVID-19 initial quarantine [8]. [...]the papers published in the special issue "The relationship between nutrition and COVID-19” underlined the importance of nutrition in mitigating the mental and health-related impacts of the COVID-19 pandemic.
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PurposeThis study examines how satisfaction with work-life balance (WLB) in combination with satisfaction with organization's COVID-19 responses (SOCV19R) helps to enhance subjective well-being and performance during the lockdown due to COVID-19.Design/methodology/approachThe data of this time-lagged study were gathered through an online survey with three-waves between March and May 2020 in Spain (N = 167). Hierarchical multiple regression and PROCESS were used to test the hypotheses.FindingsDirect relationships between SOCV19R and subjective well-being and performance were not significant. Instead, SOCV19R increased employees' well-being and performance through a higher satisfaction with WLB (full mediation).Originality/valueThe novelty of this study is the evaluation of SOCV19R as a form of organizational support in times of crisis. This study suggests that a good organizational reaction to face a crisis such as the pandemic, encourages employees' WLB and helps them to boost their well-being and performance. It may be concluded that work-life balance (WLB) in Spain was seen as a luxury in good times and turned out to be a necessity in bad times. The present study recommends practical implications and provides lessons for human resource management for future crises or similar work conditions.
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This article develops a typology on COVID-19 denialism so we might better understand its sources and what can be done to counter them. The typology will analyze denialism as manifested in great power competition, driven by economics and business interests, motivated by political ideology and populist movements, caused by national security imperatives, and compromised by politicized science. The article also examines the use by China and Russia of social media such as Twitter to create "epistemological chaos" in the industrialized democracies about COVID-19 to further their strategic goals and undermine public confidence in science and technology. Finally, the article concludes with some thoughts on how the social media has replaced traditional news media as a source of information for the public generally, but specifically how it has distorted the public's information about the pandemic and vaccines developed to protect against COVID.
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Lockdown or movement control order (MCO) was implemented all over the world, including Malaysia and Indonesia, during the coronavirus disease 2019 (COVID-19) pandemic. During the lockdown period, human activities were restricted. The restriction led to the reduction of human-made particulate matter released to the atmosphere. One of the indicators that could be used to estimate the concentration of particulate matter in the atmosphere is aerosol optical depth (AOD). The aim of this study is to investigate the variation in AOD level over the Malaysia and Indonesia region during this restriction period. This study has utilized monthly and daily Moderate Resolution Imaging Spectroradiometer (MODIS) Terra AOD product that can be accessed through National Aeronautics and Space Administration (NASA)'s Geospatial Interactive Online Visualization and Analysis Infrastructure (GIOVANNI) system. The developed long-term time-averaged map showed a high AOD level over Sumatera and South Kalimantan, with the maximum value being 0.4. The comparison among during, pre- and post-lockdown periods showed a reduction in the AOD level. The maximum AOD level decreased to 0.3 during the lockdown period compared to 0.4 in the pre- (2019) and post-lockdown periods (2021 and 2022). Average monthly time series showed no spike in the AOD level in 2020 and 2021. Hovmöller diagram showed low AOD throughout the latitude and longitude during lockdown compared to the pre- and post-lockdown periods. Analyses of the yearly AOD level showed reduction in the AOD level from +11.31% in 2019 to -18.17% and -18.01% in 2020 and 2021, respectively. The result also showed that the average daily AOD percentage during the lockdown period in 2020 had decreased to -5.34% from -3.18% in 2019 and had increased to +1.26 in 2021.
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Although the call to understand how sexual behaviors have been impacted by the COVID-19 pandemic has been established as an important area of study, research examining the extent to which gender, sexual attitudes, impulsivity, and psychological distress predicted breaking shelter-in-place (SIP) orders to engage in sexual behaviors with partners residing outside the home is undefined. Obtaining a deeper examination of the variables which predict risky sexual behaviors during SIP has important implications for future research at the intersection of public health, sexuality, and mental health. This study addressed the gap in the literature by considering how partnered sexual behaviors may be used during the COVID-19 pandemic to alleviate stress, as measured by breaking SIP orders for the pursuit of sexual intercourse. Participants consisted of 186 females and 76 males (N = 262) who predominately identified Caucasian/White (n = 149, 57.75%) and heterosexual/straight (n = 190, 73.64%) cultural identities with a mean age of 21.45 years (SD = 5.98, range = 18-65). A simultaneous logistic regression was conducted to examine whether mental health symptoms, sexual attitudes, and impulsivity predicted participants' decision to break SIP orders to engage in sexual intercourse. Based on our results, breaking SIP orders to pursue sexual activities with partners residing outside the home during the COVID-19 pandemic may be understood as an intentional strategy among men with less favorable birth control attitudes to mitigate the effects of depression. Implications for mental health professionals, study limitations, and future areas of research are additionally provided.
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[...]of shelter-in-place ordinances, adults with diabetes and/or hypertension were vulnerable because their routine care involves close monitoring and medication management. Some AMGA members contributed data to a common data repository managed by Optum and through a partnership with AMGA provided access to their data. Because the data elements are derived from EHRs, practice management systems, disease registries, and population health software, data are mapped and normalized to allow valid and reliable comparisons across organizations. Encounters without a practice site identifier were excluded (n = 361,745;8.7%). Because we were interested in examining weekly practice-level trends, which required multiple patients per week for reliable estimates, we excluded encounters from practice sites with fewer than 50 patients (184,003 encounters;4.4%) during the study period. The analytic sample includes 3,016,761 encounters from 764,521 adults with diabetes and/or hypertension. Because we were interested in telemedicine use among established patients of health care systems, we limited the analytic sample to patients with at least 1 visit and at least 1 diagnosis of diabetes and/or hypertension between January 1, 2019, and March 12, 2020.
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Background: Family is the smallest and basic unit of any society. The health of the family will have a great impact on any nation. There are several physical, social and psychological factors that can affect the health of a family. COVID-19 lock down has brought about several changes in the global village which can have either positive or negative impacts on the health of family which in turn will have effects on the health of a nation. Methodology: Research study utilized a descriptive cross sectional design. Snowball sampling was used to select 200 respondents for the study. Willingness and ability to comprehend English were major Inclusion criteria. A web-based questionnaire was used to collect data from the respondents using email WhatsApp or telegram. Data were analyzed using descriptive and Statistical inferences. Level of significance was set at 0.05. Results: The level of interaction between couples increased during COVID-19 lock down. There was a significant difference between mean scores of couples interaction with both children and adolescents before and during the lockdown (p= 0.022 and p<0.001 respectively). Although family functioning improved significantly during lockdown, however roles and enmeshed dimensions were significantly reduced during the lockdown (p=0.026 and p=0.046 respectively) Conclusion: The result has shown that COVID-19 lock down had positive on family;it strengthens and improved family relationship. This information can serves as evidence for nurses, physician and educationist working with family in developing more strategies that can help promote family bonding and functioning especially during crisis.
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Fluctuating building occupancy during the COVID-19 pandemic contributed to poor water quality and safety conditions in building water distribution systems (BWDSs). Natural disasters, man-made events, or academic institutional calendars (i.e., semesters or holiday breaks) can disrupt building occupant water usage, which typically increases water age within a BWDS. High water age, in turn, is known to propagate poor water quality and safety conditions, which potentially exposes building occupants to waterborne pathogens (e.g., Legionella) associated with respiratory disease or hazardous chemicals (e.g., lead). Other influencing factors are green building design and municipal water supply changes. Regardless of the cause, an increasing number of water management policies require building owners to improve building water management practices. The present study developed a Water Quality and Safety Risk Assessment (WQSRA) tool to address gaps in building water management for academic institutions and school settings. The tool is intended to assist with future implementation of water management programs as the result of pending policies for the built environment. The WQSRA was modeled after water management practices created for controlling water contaminants in healthcare facilities. Yet, a novel WQSRA tool was adapted specifically for educational settings to allow building owners to evaluate risk from water hazards to determine an appropriate level of risk mitigation measures for implementation. An exemplar WQSRA tool is presented for safety, facility, industrial hygiene, and allied professionals to address current gaps in building water management programs. Academic institutions and school settings should examine the WQSRA tool and formulate an organization-specific policy to determine implementation before, during, and after building water-disruptive events associated with natural or man-made disasters.
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Surveys that have recruited participants through social media and news websites have led researchers and clinicians to conclude that the COVID-19 pandemic has precipitated a parallel pandemic of nightmares that reflect pandemic-induced psychological distress. Many of these surveys were administered to participants who intentionally opted into research knowing that the investigators were soliciting pandemic dream reports. This investigation surveyed 193 college students who were blind to the purpose of the study to assess the prevalence of pandemic dreams and to determine if the wording of the questions could shape responses. Fewer than half could recall a dream. Reports were brief, susceptible to priming, and unrelated to personal SARS-CoV-2/COVID-19 exposure. Although this sample was not truly random, it is probably more representative of the US population than those recruited through thematic websites. Clinicians should be aware of problems inherent in survey research and understand how their words can shape client responses.
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Previous estimates indicate that COVID-19 led to a large drop in the number of operating businesses operating early in the pandemic, but surprisingly little is known on whether these shutdowns turned into permanent closures and whether small businesses were disproportionately hit. This paper provides the first analysis of permanent business closures using confidential administrative firm-level panel data covering the universe of businesses filing sales taxes from the California Department of Tax and Fee Administration. We find large increases in closure rates in the first two quarters of 2020, but a strong reversal of this trend in the third quarter of 2020. The increase in closures rates in the first two quarters of the pandemic was substantially larger for small businesses than large businesses, but the rebound in the third quarter was also larger. The disproportionate closing of small businesses led to a sharp concentration of market share among larger businesses as indicated by the Herfindahl–Hirschman Index with only a partial reversal after the initial increase. The findings highlight the fragility of small businesses during a large adverse shock and the consequences for the competitiveness of markets.Plain English SummarySmall businesses were more likely to close permanently during the early stages of the COVID-19 pandemic than large businesses. Although they rebounded strongly thereafter, market concentration remains higher than before the pandemic. We obtain these results from analyzing administrative firm-level data covering all businesses filing sales taxes in California. Our analysis contributes to research by demonstrating the fragility of small businesses during a crisis relative to large businesses. Our findings imply that small businesses may need additional support given the trend toward purchases from large online retailers.
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When The Learning Center, a consumer health library at a cancer center, closed its doors in March 2020 due to the COVID-19 pandemic, there was not a robust system of virtual outreach in place. Staff decided to implement a chat/SMS service as one way to reach patrons during the library's 16-month shutdown, but usage numbers were low. A variety of factors can affect use and complicate success, and quantitative measures may not be the sole factor in evaluating a new service and whether it should continue. This article will talk about service implementation, challenges and context, patron and staff satisfaction, and lessons learned from the process.
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Most sectors of the economy came to a standstill due to the impact of the COVID-19 pandemic and the resultant lockdown in India and elsewhere. Conducting research in normal circumstances is very different from researching in a pandemic situation such as the COVID-19 pandemic the world has faced recently. The present essay attempts to spell out the methodological challenges—precision versus indication—encountered in research undertaken by the authors in three very unique circumstances.
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In 2016, NACAC's Transfer Advisory Committee encouraged the association to take a leading role in combating the stigma associated with community college attendance and transfer. According to national data, over 1 million first-time students change institutions within six years--resulting in an overall transfer rate of 38 percent. In an already ever-evolving higher education landscape, the arrival of the coronavirus pandemic has accelerated and amplified change. Overnight, the switch was made to virtual instruction. Campus housing emptied as students returned home. College administrators learned to supervise a staff working remotely. And through it all came increased worries about how best to sustain students' interest in higher education