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1.
Topics in Antiviral Medicine ; 30(1 SUPPL):246-247, 2022.
Article in English | EMBASE | ID: covidwho-1880100

ABSTRACT

Background: Persistent COVID-19 symptoms have been reported up to six months (M6) after hospital discharge. Little is known on the frequency and the nature of persistent symptoms beyond M6. Here we assessed, in the longitudinal prospective French COVID-19 cohort, symptoms that persisted twelve months after admission for COVID-19. Methods: Hospitalized patients with a virologically-confirmed COVID-19 were enrolled. Follow-up was planned with a physician's visit at M3, M6 and M12 post-admission. At M12, manual assessment of muscle strength of each limb was assessed using the modified Medical Muscle Research council Scale for testing muscle strength (mMRC). Patients were also interviewed on health-related quality-of-life (SF-12) and on psychological distress (HADS). Associations between persistence of ≥ 3 symptoms at M12 and clinical characteristics at admission were assessed through bivariate and multivariate logistic regression. Results: By September 2021, M12 data were available for 737 patients enrolled between February 3rd and July 15th 2020. Median age was 61 years, 64% were men and 37% were admitted to intensive care unit during the acute phase. At M12 visit, 27% of participants had ≥ 3 symptoms, with no change between M6 and M12 globally. Fatigue (46%), dyspnea (33%) and joint pain (21%) were the 3 most frequently reported symptoms. Presence of ≥ 3 symptoms was associated with both anxiety and depression, an impaired quality of life and mMRC scale < 57. The mean percentage of predicted value of distance walked in 6 min (6MWT) was 88% (IQR 74-100) for the 163 patients who realised the 6MWT, this percentage was lower in patients who reported dyspnea (85% [IQR 71;99] vs 95% [IQR 76;101], p=0.04). Compared to men, women more often reported presence of ≥ 3 symptoms (39% vs 21%), depression and anxiety (respectively, 12% vs 6% and 21% vs 10%), an altered quality of life for the physical component only (54% vs 46%), and a slight or a moderate disability (respectively, 20% vs 14% and 6% vs 4%). Women had less often returned to work than men (34% vs 23%). Conclusion: A fourth of individuals admitted to hospital for COVID-19 still had ≥3 persistent symptoms at M12 post-discharge, with no improvement between M6 and M12. Also, 25% of those who initially had a professional occupation were not back to work at M12. Women reported more often ≥3 symptoms, suffered more from anxiety and depression, and had less often returned to work than men.

2.
Health and Social Care Chaplaincy ; 10(2):137-140, 2022.
Article in English | Scopus | ID: covidwho-1879348

ABSTRACT

Four topic areas are covered in this issue of Health and Social Care Chaplaincy: (i) healthcare chaplaincy, spiritual care and disability, (ii) COVID-19, (iii) deuterocanonical considerations of the “Angel Raphael” and (iv) the artwork of Rembrandt. © 2022

3.
Kinesiology Review ; 11(2):191-196, 2022.
Article in English | Scopus | ID: covidwho-1879110

ABSTRACT

The coronavirus pandemic required teachers to abruptly turn to online settings to deliver instruction. Unfortunately, evidence-based guidance for online instruction in the field of physical education is lacking, specifically for students with disabilities. Therefore, this scoping review sought to identify peer-reviewed literature addressing online learning in K–12 adapted physical education settings. The Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews Checklist was used to guide this scoping review. A database search was conducted for relevant articles, and a data charting process was completed to identify articles meeting inclusion criteria. Five articles were determined to be within the scope of this review (one research article and four commentary articles). This scoping review highlighted a lack of literature pertaining to online learning in K–12 adapted physical education. Considering the likelihood of online learning becoming increasingly relevant, more concerted efforts are needed to investigate trends in these settings to determine best practices and how students with disabilities experience adapted physical education within an online setting. © 2022 Human Kinetics, Inc.

4.
Internet Interv ; 29: 100544, 2022 Sep.
Article in English | MEDLINE | ID: covidwho-1864187

ABSTRACT

Background: Bangladesh is a lower-middle-income country affected by a severe lack of mental health service availability due to a scarcity of mental health experts, limited mental health literacy, and community stigma. In other low and middle-income countries, the online provision of mental health care services has addressed issues affecting service availability, accessibility, mass awareness of services, and stigma. Objective: The current study sought to understand stakeholders' perceptions of the potential of digital media-based mental health care delivery in strengthening Bangladesh's mental health system. Method: Online in-depth interviews were conducted with seven psychiatrists and eleven people with lived experiences of mental health issues. In addition, two online focus groups were conducted with ten psychologists and nine mental health entrepreneurs. A thematic analysis of the audio transcriptions was used to identify themes. Result: Stakeholders perceived that the benefits of digital media-based mental health services included the potential of increasing the awareness, availability, and accessibility of mental health services. Participants recommended: the rehabilitation of existing pathways; the use of social media to raise awareness; and the implementation of strategies that integrate different digital-based services to strengthen the mental health system and foster positive mental health-seeking behaviors. Conclusion: Growing mental health awareness, combined with the appropriate use of digital media as a platform for distributing information and offering mental services, can help to promote mental health care. To strengthen mental health services in Bangladesh, tailored services, increased network coverage, and training are required on digital mental health.

5.
Occup Ther Health Care ; : 1-19, 2022 Jun 03.
Article in English | MEDLINE | ID: covidwho-1878604

ABSTRACT

There is mounting evidence that the vascular manifestations associated with COVID-19 are linked to ischemic strokes. The emergence of patients with both COVID-19 and cerebrovascular accidents (COV-CVA) has created a need to adjust occupational therapy service delivery for inpatients with this dual diagnosis. This clinical perspective paper conceptualizes COV-CVA as a health condition using the International Classification of Functioning, Disability and Health Framework (ICF). The Occupational Therapy Practice Framework-4 was used to guide clinical considerations and recommendations for the evaluation, intervention, and discharge planning of patients with COV-CVA.

6.
Healthcare (Basel) ; 10(5)2022 May 13.
Article in English | MEDLINE | ID: covidwho-1875550

ABSTRACT

Pain, fatigue, and depression, considered aging with disability (AwD) symptoms, are known to be substantially higher among middle-aged adults with long-term disability compared to their age peers. Participation has been recognized as an important component of health. This cohort survey study reports findings on the relationship between AwD symptoms and ability to participate in, and satisfaction with participation in, social roles and activities using PROMIS measures. Data were collected at three time points from individuals aged 45-64 with an average of two decades of disability duration and primarily living in the state of Missouri, USA. This study reports on Time 1 (T1) and Time 3 (T3), pre- and post-COVID-19 pandemic declaration, respectively. Multiple regressions using both individual AwD symptoms and a composite measure demonstrated that having more pain, fatigue, and depression was associated with worse participation outcomes. Lower physical function scores were also related to lower participation scores, as was being female and living with others, and having more income reduced participation. Better physical health and identifying as African American/Black were associated with higher participation scores. Our findings suggest that AwD symptoms, along with other sociodemographic and health factors, play a substantial role in the social participation outcomes for persons aging with disability and remain consistent over time.

7.
2022 International Conference on Sustainable Computing and Data Communication Systems, ICSCDS 2022 ; : 8-14, 2022.
Article in English | Scopus | ID: covidwho-1874306

ABSTRACT

The concept of e-learning is not new to the education sector. However, in the recent years, with the outbreak of COVID-19, the importance of e-learning has grown globally. It has completely transformed the way in which learning is imparted to students. Unlike traditional chalk and board method of teaching, e-learning makes learning simpler, easier, and more effective. Earlier the access to knowledge was not accessible to all. Students with economic constraints, geographical boundaries or physical disabilities had scarce opportunities in the academic province. The concept of online education has broken all these barriers. Today's learners are engaged in appropriate, mobile, self-paced, and customized content. This need is satisfied by the online style of learning, where students can study at their own convenience and demand. This research work has proposed an E-Learning Website for Beginners especially designed keeping in mind the students of rural areas and backward classes who may not have access to correct and sufficient resources to learn the tools which are required in day-to-day life. The web-application will provide the user a complete basic knowledge on the various Microsoft Office Tools through videos, images and text materials provided on the platform. There is a quiz at the end of every course, so that students can examine themselves. Students can also download the course material from the platform. Being an open-source platform, this e-learning website can be used by any school or college students. © 2022 IEEE.

8.
Communication and Critical Cultural Studies ; 19(2):109-111, 2022.
Article in English | ProQuest Central | ID: covidwho-1873773

ABSTRACT

This is the final instalment of a two-part forum series titled Cultural Chronicles of COVID-19, edited by Marina Levina. In part 1, the forum focussed on the role of language in shaping cultural response to the pandemic. The second part of the forum engages with the United States and global politics surrounding COVID-19. The authors focus on race, disability, colonialism, and public health to examine how politics are conducted during the pandemic.

10.
Sociol Health Illn ; 2022 Jun 02.
Article in English | MEDLINE | ID: covidwho-1874366

ABSTRACT

The pandemic has heightened anxieties, impacted mental health and threatened to create an overwhelming sense of existential dread. We recognise the material ways in which disabled people have been differentially impacted by Covid-19 and make a case for understanding the affective dimensions of the pandemic. We develop a theoretical approach - cutting across medical sociology and critical disability studies - that understands affect as a social, cultural, relational and psychopolitical phenomenon. We introduce a public engagement project that took place in March and April of 2020 that garnered blogspots from around the world to capture the pandemic's impact on the lives of disabled people. Our data analysis reveals three key affective themes: fragility, anxiety and affirmation. To understand the emotional impacts of Covid-19 upon the lives of disabled people we embed critical analyses of affect in the dual processes of disablism and ableism: the dis/ability complex. We conclude by considering how we might conceive of a post-pandemic recovery that places the health and well-being of disabled people at the centre of proceedings.

11.
Education Sciences ; 12(5):304, 2022.
Article in English | ProQuest Central | ID: covidwho-1871742

ABSTRACT

In stating that “learners could and should be able to bring new perspectives and determine more adapted solutions to current educational realities,” these authors go directly to the crux of the argument for greater student involvement that has been a driving force beyond this collection of papers. [...]a school catering for these two groups of young people was characterised by low expectations and poor academic outcomes, an example that the authors McGinley and Keane argue of an increasingly segregated system of provision for Travelers and recent migrants. [...]despite the evident success of these initiatives, the authors make the pertinent observation that both initiatives operate outside the mainstream education system and as a result have little impact or influence in addressing student disengagement and early school leaving within the broader context of mainstream schools. Evidence suggests that incidents of domestic violence have increased significantly through the period of the COVID-19 pandemic [1,2] and this has inevitably impacted the mental health of both adults and children.

12.
Generations Journal ; 45(3):1-11, 2021.
Article in English | ProQuest Central | ID: covidwho-1871740

ABSTRACT

This article, based on the author's experience, takes a critical look at the basis for the bias toward nursing home placement for people with severe physical disabilities. The author writes that the roots of such institutional bias lie in anti-Black racism and ableism. She lists parallels in the federal responses to Hurricane Katrina and the COVID-19 pandemic as examples of a "politics of disposability" for vulnerable and invisible communities. She longs to end her fear of being placed in a nursing home, and places hope in the work of disabled activists and allies committed to the community presence and participation of disabled people.

13.
Children ; 9(5):704, 2022.
Article in English | ProQuest Central | ID: covidwho-1871362

ABSTRACT

Globally, physical activity levels (PAL) among able-bodied and children with a form of disability remain low. This study aims to characterize PAL and identify the demographic variables affecting children from partaking exercises to promote active lifestyles. Methods: The Physical Activity Scale for Individuals with Physical Disabilities questionnaire was used for the study. A total of 140 data responses were collected online or physically via passive snowball recruitment and quantitatively analyzed. Results: Five factors were extracted from the dimensions, consisting of household chores, household maintenance, high intensity exercise training, miscellaneous activities and school-related activities. Able-bodied children were significantly (p = 0.000) more active (median = 15.05, IQR = 13.06) than children with physical disabilities (median = 3.09, IQR = 2.58). The B40 household group reported significantly (p < 0.05, MET < 5.16/week) lower participation in health-beneficial (moderate-vigorous intensity) exercises as recommended by international guidelines. Conclusion: Children with physical disabilities reported significantly lower education achievements and PAL compared to their able-bodied counterpart. The majority of Malaysian children (69.3%) surveyed did not achieve the recommended aerobic exercise prescription.

14.
International Journal of Environmental Research and Public Health ; 19(10):6118, 2022.
Article in English | ProQuest Central | ID: covidwho-1871292

ABSTRACT

The objective of the study was to examine the relationship between psychological flexibility, perceived stress, and psychological heath in relatives of people with a disability diagnosis. 151 relatives completed an online questionnaire that included 6-PAQ (parental psychological flexibility), PSS (perceived stress), GHQ-12 (psychological health) and WBSI (suppression of unwanted thoughts). The results showed significant relationships between the four measured variables. A bimodal distribution was observed in the variables related to psychological flexibility. The multiple regression showed that difficulties in self as context, committed actions and defusion explain a high percentage of the variance of parental stress and general psychological health. The study provides new evidence to consider psychological flexibility as a mediating variable in psychological well-being. The presented data served as the basis for the development of an ACT-based intervention protocol and the implementation of a clinical trial for relatives of children with disabilities.

15.
Generations Journal ; 45(3):1-12, 2021.
Article in English | ProQuest Central | ID: covidwho-1871266

ABSTRACT

The estimated 5.4 million children in the United States providing unpaid care, support, and assistance to their family members and other individuals are called "youth caregivers." Before the COVID-19 pandemic, youth caregivers existed on the fringes of American society, without recognition in state or federal policy. They experience higher levels of social isolation, depression, anxiety, and absenteeism from school in comparison to their non-caregiving peers. The pandemic has only served to widened the disparities they face. This article presents recommendations for research, policy, and practice to build a more equitable "Post-COVID-19" society for youth caregivers.

16.
International Journal of Environmental Research and Public Health ; 19(10):6136, 2022.
Article in English | ProQuest Central | ID: covidwho-1871197

ABSTRACT

Background: The aim of this study was to examine the association of the multiple facets of oral, motor, and social functions in community-dwelling older adults, to identify factors that might influence the risk of frailty. Methods: Of the 82 participants included in the study, 39 (5 males and 34 females) were young-old adults, with an average age of 70.5 ± 2.8 years, and 43 (14 males and 29 females) were old-old adults, with an average age of 78.7 ± 2.9 years. We assessed the risk factors for frailty among oral, motor, and social functions. Results: Statistical analysis showed a significant difference in the oral diadochokinesis between the groups (p = 0.006). According to the Spearman correlation analysis, a significant association was observed with age and oral diadochokinesis (rs = −0.262, p = 0.018), and social support (rs = −0.219, p = 0.049). Moreover, binomial logistic regression analysis revealed a significant association of frailty with the occlusal force (odds ratio, 0.031;95% confidence interval (95% CI), 0.002–0.430;p = 0.010), General Oral Health Index (odds ratio, 0.930;95% CI, 0.867–0.999, p = 0.046), and availability of social support (odds ratio, 0.803, 95% CI, 0.690–0.934, p = 0.004). Conclusions: To prevent frailty at an early stage, assessments of oral functions, and also that of the availability of social support, are important.

17.
Revue Medicale Suisse ; 17(722):119-123, 2021.
Article in French | EMBASE | ID: covidwho-1870418

ABSTRACT

Functional weakness of the limbs has an uncertain prognosis and little chance of recovery. Obese people in precarious situations may succeed in losing weight through an intensive lifestyle-based weight loss program. In patients with gonarthrosis, physiotherapy may decrease pain and disability when compared to injected corticosteroids. Patients suffering from an alcohol dependence syndrome can reduce their consumption with short-term consultations conducted by general practitioners. Fatigue and dyspnea are two frequent symptoms that may persist after the acute phase of the SARS-CoV-2 infection. PCR analysis for the detection of SARS-CoV-2 could be performed with the same degree of sensitivity on a nasopharyngeal or salivary swab.

18.
Revue Medicale Suisse ; 16(708):1790-1795, 2020.
Article in French | EMBASE | ID: covidwho-1870410

ABSTRACT

Medical care of adults with disabilities, especially those with intellectual disabilities, can be ethically difficult. Several questions arise frequently. Can we administer a life-saving treatment that could impact negatively the patient’s quality of life when the patient isn’t able to give consent? During this Covid-19 period, can the use of chemical or physical restraints be considered as mistreatment, whereas the aim is to protect others? These are situations where the ethical question holds a central role. Although each clinical situation is unique, this article highlights, through four clinical cases, the ethical principles that should guide physicians in their decision-making process.

19.
Romanian Journal of Neurology/ Revista Romana de Neurologie ; 21(1):75-77, 2022.
Article in English | EMBASE | ID: covidwho-1870331

ABSTRACT

Background. COVID-19 emerged in Wuhan, China and spread rapidly, becoming a global health pandemic. The condition, apart from its typical respiratory presentation, may also cause neurological complications. Case presentation. A 35-year-old, ex-smoker presented with bilateral lower limb weakness associated with urinary incontinence and constipation following the resolution of a suspected COVID-19 infection. His MRI-Spine showed areas of abnormal densities confirming the diagnosis of transverse myelitis. On the presence of positive SARS-CoV-2 antibodies, COVID-19 was concluded as the pathological trigger for the condition. He was treated using Methylprednisolone and Plasmapheresis with supportive limb physiotherapy which led to a partial recovery of the patient’s disability. Conclusion. This is the first case of TM associated with COVID-19 in Pakistan and considering the current scenario of a global pandemic, COVID-19 needs to be considered as an important differential for not only TM but other neurological manifestations like encephalitis, neuritis etc.

20.
Journal of Investigative Medicine ; 70(4):1039-1040, 2022.
Article in English | EMBASE | ID: covidwho-1868750

ABSTRACT

Purpose of Study Severe Neonatal Hyperbilirubinemia (SNH) is a major cause of neonatal mortality in Sub-Saharan Africa and can cause neurodevelopmental disability in survivors. Exchange transfusions (ET) to reduce high bilirubin levels are common in low/middle income countries (LMIC) due to late detection of jaundice. Mothers are often discharged from hospital < 24 hours after delivery. A Blended Learning Quality Improvement (QI) Program using digital technology (the in- country workshop was cancelled due to COVID 19 pandemic) was developed between Georgetown University (GU) and district hospitals in Ghana to improve quality of neonatal care (funded by GU Global Health Initiative). The objective of this program was to facilitate QI activity at a Ghana District Hospital (GDH) promoting early care seeking in mothers for neonatal jaundice so that phototherapy may be used to decrease SNH and ET. Methods Used GU faculty used Zoom and WhatsApp platforms to work with GDH staff to facilitate formation of a QI team, implement interactive health education with videos by trained midwives for antenatal/post-partum mothers, initiate daily rounds by physicians in postnatal wards, promote community health nurses to call/visit mothers postnatally at home, and maintain data on pre-defined key outcome indicators. The goal was to reduce the proportion of inborn infants ≥ 34 weeks gestational age being brought to the neonatal unit with SNH (serum bilirubin levels ≥ 340umol/L or 20 mg/dL) by 15% within 3 months. The program was exempted from review by the GU IRB. Statistical analysis: Chi- square;Fisher exact test. Summary of Results From Oct 2019 to Jan 2020, 14 (28%) of 50 discharged infants were readmitted with SNH and 7 (14%) received ET. Figure 1 shows the trend graph of infants admitted with SNH and ET each month after the initiation of the QI project in Jan 2020. Table 1 shows the decline in SNH and ET in the 3 months post intervention as well as a significant sustained decline for 16 months. There was a significant increase in infants being brought in for bilirubin levels < 255umol/L after the intervention. Conclusions Despite internet connectivity problems, this digitally mediated QI project demonstrated success in reduction of SNH and ET in a district hospital in a LMIC. Regular review of trend graphs and repeated facilitation, implemented through low-cost digital technology, are effective in promoting QI activities and can be applied regionally and globally. The increase in infants being brought in for mild jaundice points to the need for objective methods of determining bilirubin levels in the community. (Figure Presented).

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