Research hotspots and theme analysis of infection management in operating room based on Nvivo software.

Objective To analyze the research hotspots and theme in the field of infection prevention and control（infection control) management in operating room in recent six years in China, so as to provide reference for further research on infection control management in operating room. Methods The articles related to infection control management in operating room published in China National Knowledge Infrastructure（CNKI), Wanfang and VIP databases from 2015 to 2021 were selected as the research objects, and Nvivo software query, coding and cluster analysis were adopted as the main methods to visually present the research hotspots and theme groups in the field of infection management in operating rooms. Results A total of 128 literatures with 30 high-frequency keywords were included. After free coding, 8 parent nodes, 28 child nodes, 60 secondary nodes and 1 736 coding reference points were formed. Six theme groups had been formed, which were the guidelines for infection control of COVID-19 infection, construction and management of clean operating rooms, management of relevant personnel in operating rooms, management of surgical supplies, operating room environment control, theoretical support and occupational exposure control. Conclusion The research content related to infection control management in operating rooms is becoming increasingly mature, and is constantly improving in line with the development of the times. The research direction and theory are also showing a trend of diversification. In response to the huge challenge of COVID-19 situation, it is supposed to preparing for surgery protection in general hospitals actively, ensure the safety of patients and medical staff, and prevent hospital infection events. (English) [ FROM AUTHOR] 目的 分析国内近6年手术室感染预防和控制(感控)管理领域的研究热点和主题内容, 为手 术室感控管理的进一步研究提供借鉴。方法 选取2015-2021年中国知网、万方和维普等数据库刊出的手术 室感控管理相关内容的期刊论文作为研究对象, 主要采用 Nvivo软件查询、编码、聚类分析等研究方法, 以可视 化方式呈现手术室感控管理领域的研究热点和主题类团。结果 共纳入128篇文献, 30个高频关键词;经自由 编码形成8个树状节点、28个子节点、60个次节点、1736个编码参考点;形成6个主题类团, 分别为新型冠状 病毒(新冠病毒)感染疫情感染防控指引、洁净手术室建设与管理、手术室相关人员管理、手术用品管理、手术室 环境管控、理论支持与职业暴露管控。结论 手术室感控管理相关研究内容日渐成熟, 且紧扣时代发展不断完 善, 研究方向和理论也呈多元化趋势。在应对新冠病毒感染疫情的巨大挑战下积极做好综合医院的手术防护 准备工作, 保障患者和医务人员安全, 防止医院内感染事件的发生。 (Chinese) [ FROM AUTHOR] Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health 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.)

Research hotspots and theme analysis of infection management in operating room based on Nvivo software

Objective To analyze the research hotspots and theme in the field of infection prevention and control（infection control) management in operating room in recent six years in China, so as to provide reference for further research on infection control management in operating room. Methods The articles related to infection control management in operating room published in China National Knowledge Infrastructure（CNKI), Wanfang and VIP databases from 2015 to 2021 were selected as the research objects, and Nvivo software query, coding and cluster analysis were adopted as the main methods to visually present the research hotspots and theme groups in the field of infection management in operating rooms. Results A total of 128 literatures with 30 high-frequency keywords were included. After free coding, 8 parent nodes, 28 child nodes, 60 secondary nodes and 1 736 coding reference points were formed. Six theme groups had been formed, which were the guidelines for infection control of COVID-19 infection, construction and management of clean operating rooms, management of relevant personnel in operating rooms, management of surgical supplies, operating room environment control, theoretical support and occupational exposure control. Conclusion The research content related to infection control management in operating rooms is becoming increasingly mature, and is constantly improving in line with the development of the times. The research direction and theory are also showing a trend of diversification. In response to the huge challenge of COVID-19 situation, it is supposed to preparing for surgery protection in general hospitals actively, ensure the safety of patients and medical staff, and prevent hospital infection events. (English) [ FROM AUTHOR] 目的 分析国内近6年手术室感染预防和控制(感控)管理领域的研究热点和主题内容, 为手 术室感控管理的进一步研究提供借鉴。方法 选取2015-2021年中国知网、万方和维普等数据库刊出的手术 室感控管理相关内容的期刊论文作为研究对象, 主要采用 Nvivo软件查询、编码、聚类分析等研究方法, 以可视 化方式呈现手术室感控管理领域的研究热点和主题类团。结果 共纳入128篇文献, 30个高频关键词;经自由 编码形成8个树状节点、28个子节点、60个次节点、1736个编码参考点;形成6个主题类团, 分别为新型冠状 病毒(新冠病毒)感染疫情感染防控指引、洁净手术室建设与管理、手术室相关人员管理、手术用品管理、手术室 环境管控、理论支持与职业暴露管控。结论 手术室感控管理相关研究内容日渐成熟, 且紧扣时代发展不断完 善, 研究方向和理论也呈多元化趋势。在应对新冠病毒感染疫情的巨大挑战下积极做好综合医院的手术防护 准备工作, 保障患者和医务人员安全, 防止医院内感染事件的发生。 (Chinese) [ FROM AUTHOR] Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health 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.)

Environmental Wellness Coping Strategies During Covid-19 Among Australian Families

The worldwide outbreak of the COVID-19 pandemic affected every part of human lives, including the environment. Though not a welcoming era, it is certain that the 2019 pandemic was not the first of its kind nor is it going to be the last to affect human wellness. The various protocols implemented to mitigate the spread of the pandemic had significant effects on the wellness dimension relating to the environment. This study intended to explore the environmental wellness challenges experienced by some families in Melbourne, Australia, during COVID-19 and the strategies they used as they transitioned through the pandemic. The study outcome indicated that, the pandemic had both positive and negative effects on the environmental wellness of the families in this study. The strategies of the families are worthy of notice, for future approaches to deal with any pandemic. The study framed five possible inductive themes along the environmental wellness situation before COVID-19, overall effect of COVID-19 on environmental wellness, impact of COVID-19 on specific aspects of environmental wellness, pathways to the management of environmental wellness during COVID-19 and critically analyzing recommended changes to environmental wellness by the families in the study. It is expected that the proper implementation of the proposed strategies will significantly contribute toward environmental wellness for individuals and families facing environmental wellness challenges.Copyright © 2023, Codon Publications. All rights reserved.

'Feel like going crazy': Mental health discourses in an online support group for mothers during COVID-19

COVID-19 has become a mental health pandemic. The impact on vulnerable demographic groups has been particularly severe. This paper focuses on women in employment in Hong Kong who have had to balance remote work and online schooling for over 2 years. Using semi-ethnography and theme-oriented discourse analysis, we examine 200 threads that concern members' mental health on a popular Facebook support group for mothers. We demonstrate that mental health messages are typically framed as 'troubles talk'. Other support group members actively align with a trouble-teller through 'caring responses', namely expressions of empathy and sympathy. These are realized through assessments of the trouble-teller's experience, reports of similar experiences;expressions of compassion and advice-giving. Mental health talk online is heavily mitigated, nevertheless the medium provides a space for expressing mental health troubles and providing informal psychosocial support. We advocate the importance of microanalytic discourse studies for mental health research to get insights into people's lived experiences during the pandemic. [ABSTRACT FROM AUTHOR] Copyright of Discourse & Society is the property of Sage Publications, Ltd. 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.)

The influence of customer organizational socialization on customer citizenship behavior in theme parks

Theme parks feature different themes such as films and stories. They often socialize their patrons before they visit, which makes them an ideal context for exploring customer organizational socialization's influences. Considering the challenges theme parks face after the COVID-19, customer citizenship behavior, which is a kind of discretionary, spontaneous, and positive behavior towards the theme parks, is strongly suggested. This study aims to examine the relationship between customer organizational socialization and CCB towards organizations (CCB-O), employees (CCB-E), and other customers (CCB-C). Based on affective events theory, an integrated model is proposed with customer delight and affective commitment as the mediating factors. It is empirically tested on a sample of 413theme park visitors in Shanghai Disneyland and Ningbo Fantawild theme parks. Covariance-based structural equation modeling (CB-SEM) and bootstrapping methods through SPSS 25 and Mplus 8 are adopted as the key analytical techniques. The results reveal: (1) Customer organizational socialization positively influences all three targetbased CCB. It has the strongest total effect on CCB-O, and the weakest total effect on CCB-C. (2) Both customer delight and affective commitment play a mediating role in the relationship between customer organizational socialization and CCB. The affective commitment however is found to play a more critical role than customer delight. Specifically, customer delight does not mediate the effect of customer organizational socialization on CCB-E or CCB-C, while affective commitment mediates the relationships between customer organizational socialization and all three types of CCB. (3) Customer delight and affective commitment have different chain mediating effects between customer organizational socialization and different types of CCB. This study offers some theoretical contributions. First, this study enriched customer research by introducing theories from the organizational behavior field, and further highlighted customers' role as"partial employees". Second, this study explored the mechanism of customer organizational socialization on CCB at both emotional and attitudinal levels. The results in part challenged previous research that suggested customer delight is the core outcome of the theme park experience. Third, this study extended the application of affective events theory to customer research in the theme park context. The research findings are also insightful for theme park managers. First, various strategies can be taken to enhance customer organizational socialization. Successful theme parks always possess themes that have laid a good market foundation. Their visitors thereby absorb the knowledge before they visit the park, and are likely to do good things for the park. Second, ways to enhance customer delight and affective commitment, especially affective commitment, should be developed in theme parks, so that more CCB can be encouraged and help to alleviate the cost of running theme parks.

Does Fake News in Different Languages Tell the Same Story? An Analysis of Multi-level Thematic and Emotional Characteristics of News about COVID-19.

Fake news is being generated in different languages, yet existing studies are dominated by English news. The analysis of fake news content has focused on lexical and stylometric features, giving little attention to semantic features. A few studies involving semantic features have either used them as the inputs to classifiers with no interpretations, or treated them in isolation. This research aims to investigate both thematic and emotional characteristics of fake news at different levels and compare them between different languages for the first time. It extends a state-of-the-art topic modeling technique to extract news topics and introduces a divergence measure to assess the importance of thematic characteristics for identifying fake news. We further examine associations of the thematic and emotional characteristics of fake news. The empirical findings have implications for developing both general and language-specific countermeasures for fake news.

The Effects of Visit Status on Guests' Attitudes and Visit Intentions in the Theme Park Context

The need for status has been recognized as a significant consumer motive. Although the literature discusses the main antecedents of guests' attitudes and behavioral intentions, the phenomenon of status-seeking in the theme park context has not received enough empirical attention. Additionally, the COVID-19 pandemic altered guests' attitudes, and safety-related procedures became the most important antecedents of attitudes and behavioral intentions. This study aims to explore the effects of the perceived status of the visit and safety measures undertaken by theme parks on guests' attitudes and visit intentions by using experimental design. The results indicate that the perceived status of the visit positively influences guests' attitudes and visit intentions, while safety measures undertaken by theme parks have significant effects on guests' perceptions.

From surviving to co-creating: the effects of the reshaped physical and social servicescape on customer citizenship behavior

The pandemic has reshaped customer perceptions of the new normal with both the physical and social service environments. Surprisingly, however, how reshaped servicescape design affects customers, especially their value co-creation behaviors, has not been studied. Drawing on value co-creation and signaling theory, this research aims to examine the comprehensive effects of the physical servicescape (signages, partitions, and spatial density) and the social servicescape (other customer misbehavior) on customer citizenship behavior and revisit intention via the mediating roles of perceived competence, perceived ethicality, and other customer trust. This study conducts two between-subjects experimental design studies with both written and pictorial manipulations in restaurant and retail store contexts to increase generalizability for services marketing. Signages and other customer misbehavior promote customer citizenship behavior through perceived competence and ethicality while partition shows the mixed results on customer perceptions. This paper contributes to servicescape and customer citizenship literature by identifying how the servicescape affects customer citizenship behavior via customers' perception. The findings of this current study also offer practical guidance as to how firms can be more strategic in design choices.

Identifying Frames of the COVID-19 Infodemic: Thematic Analysis of Misinformation Stories Across Media.

Background: The word "infodemic" refers to the deluge of false information about an event, and it is a global challenge for today's society. The sheer volume of misinformation circulating during the COVID-19 pandemic has been harmful to people around the world. Therefore, it is important to study different aspects of misinformation related to the pandemic. Objective: This paper aimed to identify the main subthemes related to COVID-19 misinformation on various platforms, from traditional outlets to social media. This paper aimed to place these subthemes into categories, track the changes, and explore patterns in prevalence, over time, across different platforms and contexts. Methods: From a theoretical perspective, this research was rooted in framing theory; it also employed thematic analysis to identify the main themes and subthemes related to COVID-19 misinformation. The data were collected from 8 fact-checking websites that formed a sample of 127 pieces of false COVID-19 news published from January 1, 2020 to March 30, 2020. Results: The findings revealed 4 main themes (attribution, impact, protection and solutions, and politics) and 19 unique subthemes within those themes related to COVID-19 misinformation. Governmental and political organizations (institutional level) and administrators and politicians (individual level) were the 2 most frequent subthemes, followed by origination and source, home remedies, fake statistics, treatments, drugs, and pseudoscience, among others. Results indicate that the prevalence of misinformation subthemes had altered over time between January 2020 and March 2020. For instance, false stories about the origin and source of the virus were frequent initially (January). Misinformation regarding home remedies became a prominent subtheme in the middle (February), while false information related to government organizations and politicians became popular later (March). Although conspiracy theory web pages and social media outlets were the primary sources of misinformation, surprisingly, results revealed trusted platforms such as official government outlets and news organizations were also avenues for creating COVID-19 misinformation. Conclusions: The identified themes in this study reflect some of the information attitudes and behaviors, such as denial, uncertainty, consequences, and solution-seeking, that provided rich information grounds to create different types of misinformation during the COVID-19 pandemic. Some themes also indicate that the application of effective communication strategies and the creation of timely content were used to persuade human minds with false stories in different phases of the crisis. The findings of this study can be beneficial for communication officers, information professionals, and policy makers to combat misinformation in future global health crises or related events.

Research focus and theme trend on fulminant myocarditis: A bibliometric analysis.

Aims: This study intends to explore the research focus and trends of fulminant myocarditis (FM) to have a better understanding of the topic. Materials and methods: The data were downloaded from the Web of Science (WoS) database using the topic (TS) advanced search strategy. Many instruments were used to extract, analyze, and visualize the data, such as Microsoft Excel, HistCite Pro, GunnMap, BibExcel, and VOSviewer. Results: From 1985 to 2022, 726 documents were indexed in the WoS. The United States and Columbia University were the most productive country and institutions. Keywords co-occurrence was carried out and four research themes were identified. In addition, the top three prolific authors, the first three highly cited authors, and the core authors of the author co-citation network were identified. The topics that they kept an eye on were analyzed, and the research areas of key authors were similar to the results of keyword co-occurrence. The hot topics of FM were related to the mechanical circulatory support, etiology, diagnosis, and the disease or therapy associated with FM. Conclusion: This study carried out a systematic analysis of the documents related to FM from 1985 to 2022, which can provide a guideline for researchers to understand the theme trend to promote future research to be carried out.

‘Feel like going crazy’: Mental health discourses in an online support group for mothers during COVID-19

COVID-19 has become a mental health pandemic. The impact on vulnerable demographic groups has been particularly severe. This paper focuses on women in employment in Hong Kong who have had to balance remote work and online schooling for over 2 years. Using semi-ethnography and theme-oriented discourse analysis, we examine 200 threads that concern members’ mental health on a popular Facebook support group for mothers. We demonstrate that mental health messages are typically framed as ‘troubles talk’. Other support group members actively align with a trouble-teller through ‘caring responses’, namely expressions of empathy and sympathy. These are realized through assessments of the trouble-teller’s experience, reports of similar experiences;expressions of compassion and advice-giving. Mental health talk online is heavily mitigated, nevertheless the medium provides a space for expressing mental health troubles and providing informal psychosocial support. We advocate the importance of microanalytic discourse studies for mental health research to get insights into people’s lived experiences during the pandemic. [ FROM AUTHOR] Copyright of Discourse & Society is the property of Sage Publications, Ltd. 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.)

Themes Surrounding COVID-19 and Its Infodemic: Qualitative Analysis of the COVID-19 Discussion on the Multidisciplinary Healthcare Information for All Health Forum.

Background: Healthcare Information for All (HIFA) is a multidisciplinary global campaign consisting of more than 20,000 members worldwide committed to improving the availability and use of health care information in low- and middle-income countries (LMICs). During the COVID-19 pandemic, online HIFA forums saw a tremendous amount of discussion regarding the lack of information about COVID-19, the spread of misinformation, and the pandemic's impact on different communities. Objective: This study aims to analyze the themes and perspectives shared in the COVID-19 discussion on English HIFA forums. Methods: Over a period of 8 months, a qualitative thematic content analysis of the COVID-19 discussion on English HIFA forums was conducted. In total, 865 posts between January 24 and October 31, 2020, from 246 unique study participants were included and analyzed. Results: In total, 6 major themes were identified: infodemic, health system, digital health literacy, economic consequences, marginalized peoples, and mental health. The geographical distribution of study participants involved in the discussion spanned across 46 different countries in every continent except Antarctica. Study participants' professions included public health workers, health care providers, and researchers, among others. Study participants' affiliation included nongovernment organizations (NGOs), commercial organizations, academic institutions, the United Nations (UN), the World Health Organization (WHO), and others. Conclusions: The themes that emerged from this analysis highlight personal recounts, reflections, suggestions, and evidence around addressing COVID-19 related misinformation and might also help to understand the timeline of information evolution, focus, and needs surrounding the COVID-19 pandemic.

Themes and Sentiments of Online Comments Under COVID-19: A Case Study of Macau

This study investigates the comments posted in two popular channels on YouTube (February to July 2020) that reveal Macau people’s concerns and feelings under the COVID-19 pandemic in terms of the themes elaborated and sentiments expressed. By themes, Macau people showed their concerns on the epidemic situation, economy, the problems it caused, and how the government reacted to the epidemic. In addition, the theme on Mainland China evolved around whether the Central Government would help Macau carry through this pandemic. Moreover, the sentiment results represent Macau people’s worries and uncertainty towards the pandemic. Our study casts light on understanding the living condition of people being confronted with the epidemic in terms of their linguistic behaviour. © 2022, Springer Nature Switzerland AG.

Consumer reactions to different robotic servers in theme parks

Purpose>This study aims to understand the theme park visitors’ perceived robotic qualities featured in four different robots, assess their robotic functions and consumers’ loyalty toward four different robotic server types.Design/methodology/approach>A structured online survey of 399 respondents measured and compared consumer perceptions related to qualities and functions of robots in a theme park context and consumers’ behavioral intentions in four different robotic scenarios – anime, cartoon-like, human-like and animal-like robots in theme parks. Survey data were collected on an online platform and analyzed by SPSS.Findings>The results showed some expected differences in robotic qualities among the different robot-type scenarios, but similar reactions overall. The findings also provided insight into the type of robots that consumers prefer and showed a little more preference toward human-like robotic servers.Research limitations/implications>The study was restricted to several robotic scenarios in North American theme parks. Future qualitative and quantitative studies should look in more detail at theme park visitors’ participation in the robotic service delivery process, the robots’ mobility and interactions with fellow visitors.Practical implications>The findings can guide practitioners on robots’ looks, qualities and functionalities to consider for introducing to their patrons to create more interactive environments and experiences.Originality/value>The study revealed some new knowledge about consumer expectations for robotic servers in theme parks. To the best of the authors’ knowledge, this is the first study that compares different robot types on their perceived appearance, qualities and functionality, or consumers’ behavioral tendencies in the context of theme parks.

Service quality benchmarking of amusement parks using a hybrid approach

Purpose>The purpose of this paper is to develop a framework for benchmarking the service quality of amusement parks.Design/methodology/approach>A hybrid approach, which is a combination of AHP (analytic hierarchy process) and TOPSIS (Technique for Order Preference by Similarity to Ideal Solution), is applied for service quality benchmarking.Findings>Amusement parks are centers of attraction at various tourist destinations across the world. Their service quality is constituted by the attainment of certain quality attributes that varies with different parks. For sustaining in the industry, the managers of the parks need to have a good overview of the practices followed by them and their competitors that necessitate benchmarking of the service quality.Practical implications>The developed framework using the hybrid methodology of AHP and TOPSIS can be applied for comparing different amusement parks based on quality attributes, which will help the organizers in improving their service quality.Originality/value>The paper identifies various service quality attributes of amusement parks and an evaluation scheme for those attributes had been developed. Based on these, a framework had been developed for benchmarking of service quality of different amusement parks.

Epilogue

The book covered various events that have shaped the evolution of tourism and a wide range of tourism-related forms, aspects, concepts, notions and theories that have accompanied tourism evolution through the centuries. The book presented evolutionary examples for all key tourism subsectors, such as tourism organizations, airlines, cruise ships, trains, hotels/restaurants, theme parks and museums. It discussed current issues such as the recent COVID-19 pandemic, future trends and impacts, and provided useful case studies based on the evolution of tourism that may be used within a learning environment to stimulate discussions and debates.

Silver Linings Reported by Australians Experiencing Public Health Restrictions during the First Phase of the COVID-19 Pandemic: A Qualitative Report.

This national study investigated the positives reported by residents experiencing the large-scale public health measures instituted in Australia to manage the first wave of the COVID-19 pandemic in 2020. Most Australians had not previously experienced the traditional public health measures used (social distancing, hand hygiene and restriction of movement) and which could potentially impact negatively on mental well-being. The research design included qualitative semi-structured phone interviews where participants described their early pandemic experiences. Data analysis used a rapid identification of themes technique, well-suited to large-scale qualitative research. The ninety participants (mean age 48 years; 70 women) were distributed nationally. Analysis revealed five themes linked with mental well-being and the concept of silver linings: safety and security, gratitude and appreciation, social cohesion and connections, and opportunities to reset priorities and resilience. Participants demonstrated support for the public health measures and evidence of individual and community resilience. They were cognisant of positives despite personal curtailment and negative impacts of public health directives. Stories of hope, strength, and acceptance, innovative connections with others and focusing on priorities and opportunities within the hardship were important strategies that others could use in managing adversity.

Using Twitter to Understand the COVID-19 Experiences of People With Dementia: Infodemiology Study.

BACKGROUND: The COVID-19 pandemic is affecting people with dementia in numerous ways. Nevertheless, there is a paucity of research on the COVID-19 impact on people with dementia and their care partners. OBJECTIVE: Using Twitter, the purpose of this study is to understand the experiences of COVID-19 for people with dementia and their care partners. METHODS: We collected tweets on COVID-19 and dementia using the GetOldTweets application in Python from February 15 to September 7, 2020. Thematic analysis was used to analyze the tweets. RESULTS: From the 5063 tweets analyzed with line-by-line coding, we identified 4 main themes including (1) separation and loss; (2) COVID-19 confusion, despair, and abandonment; (3) stress and exhaustion exacerbation; and (4) unpaid sacrifices by formal care providers. CONCLUSIONS: There is an imminent need for governments to rethink using a one-size-fits-all response to COVID-19 policy and use a collaborative approach to support people with dementia. Collaboration and more evidence-informed research are essential to reducing COVID-19 mortality and improving the quality of life for people with dementia and their care partners.

Impact of the COVID-19 Pandemic on Disordered Eating Behavior: Qualitative Analysis of Social Media Posts.

BACKGROUND: A growing body of evidence is suggesting a significant association between the COVID-19 pandemic and population-level mental health. Study findings suggest that individuals with a lifetime history of disordered eating behavior may be negatively affected by COVID-19-related anxiety, and prevention measures may disrupt daily functioning and limit access to treatment. However, data describing the influence of the COVID-19 pandemic on disordered eating behaviors are limited, and most findings focus on individuals in treatment settings. OBJECTIVE: The aim of this study is to characterize the experiences of Reddit users worldwide who post in eating disorder (ED)-related discussion forums describing the influence of the COVID-19 pandemic on their overall mental health and disordered eating behavior. METHODS: Data were collected from popular subreddits acknowledging EDs as their primary discussion topic. Unique discussion posts dated from January 1 to May 31, 2020 that referenced the COVID-19 pandemic were extracted and evaluated using inductive, thematic data analysis. RESULTS: Six primary themes were identified: change in ED symptoms, change in exercise routine, impact of quarantine on daily life, emotional well-being, help-seeking behavior, and associated risks and health outcomes. The majority of users reported that the COVID-19 pandemic and associated public health prevention measures negatively impacted their psychiatric health and contributed to increased disordered eating behaviors. Feelings of isolation, frustration, and anxiety were common. Many individuals used Reddit forums to share personal experiences, seek advice, and offer shared accountability. CONCLUSIONS: Reddit discussion forums have provided a therapeutic community for individuals to share experiences and provide support for peers with ED during a period of increased psychiatric distress. Future research is needed to assess the impact of the COVID-19 pandemic on disordered eating behavior and to evaluate the role of social media discussion forums in mental health treatment, especially during periods of limited treatment access.

Harnessing Telemedicine for the Provision of Health Care: Bibliometric and Scientometric Analysis.

BACKGROUND: In recent decades, advances in information technology have given new momentum to telemedicine research. These advances in telemedicine range from individual to population levels, allowing the exchange of patient information for diagnosis and management of health problems, primary care prevention, and education of physicians via distance learning. OBJECTIVE: This scientometric investigation aims to examine collaborative research networks, dominant research themes and disciplines, and seminal research studies that have contributed most to the field of telemedicine. This information is vital for scientists, institutions, and policy stakeholders to evaluate research areas where more infrastructural or scholarly contributions are required. METHODS: For analyses, we used CiteSpace (version 4.0 R5; Drexel University), which is a Java-based software that allows scientometric analysis, especially visualization of collaborative networks and research themes in a specific field. RESULTS: We found that scholarly activity has experienced a significant increase in the last decade. Most important works were conducted by institutions located in high-income countries. A discipline-specific shift from radiology to telestroke, teledermatology, telepsychiatry, and primary care was observed. The most important innovations that yielded a collaborative influence were reported in the following medical disciplines, in descending order: public environmental and occupational health, psychiatry, pediatrics, health policy and services, nursing, rehabilitation, radiology, pharmacology, surgery, respiratory medicine, neurosciences, obstetrics, and geriatrics. CONCLUSIONS: Despite a continuous rise in scholarly activity in telemedicine, we noticed several gaps in the literature. For instance, all the primary and secondary research central to telemedicine was conducted in the context of high-income countries, including the evidence synthesis approaches that pertained to implementation aspects of telemedicine. Furthermore, the research landscape and implementation of telemedicine infrastructure are expected to see exponential progress during and after the COVID-19 era.