ABSTRACT
Objective: Kinesiophobia, inactivity and mood disturbances in post-COVID-19 individuals are poorly investigated. Therefore, the aim of this study was to compare measures of kinesiophobia, physical activity, depression, anxiety and stress in post-COVID-19 individuals and healthy individuals. Methods: This cross-sectional study was conducted between 25 November 2021 and 30 December 2021. The individuals were recruited from the general community. Kinesiophobia was assessed with the Tampa Scale of Kinesiophobia, physical activity levels with the International Physical Activity Questionnaire Short-Form, and mood (depression, anxiety, and stress) with the Depression Anxiety Stress-21 Scale in all individuals. Results: There were 29 volunteer individuals who had COVID-19 with a mean age of 33.41+or-7.95 years. Healthy controls consisted of 20 volunteers with a mean age of 31.3+or-7.81 years. Anxiety (55.2% versus 20%) and stress (34.5% versus 5%) were observed more frequently in the post-COVID-19 group. The scores for kinesiophobia and anxiety were significantly higher in post-COVID-19 individuals than healthy individuals (p< 0.05). The scores for physical activity, depression and stress were similar between groups (p >0.05). Significant correlations were found among post-COVID-19 individuals for (i) the scores for kinesiophobia and stress, and (ii) the scores for physical activity, stress, and depression (p< 0.05). There was no relationship between kinesiophobia and other outcomes in healthy individuals (p >0.05). Conclusion: Although a high degree of kinesiophobia is observed in both post-COVID-19 and healthy individuals, kinesiophobia, anxiety and stress measures were higher in people exposed to COVID-19 than others. In post-COVID-19 individuals, kinesiophobia increased as stress increased, and physical activities decreased while stress and depression increased. Hence, exercises, physical activities and psychological counseling should be recommended to individuals exposed to COVID-19.
ABSTRACT
Oilseeds are grown mainly for the extraction of vegetable oils and for its by-products needed in livestock feed and in other industrial uses. The oils obtained from them are becoming a staple food used in daily cooking in several countries, and as a result the world demand is constantly increasing. This situation, combined with the exponential increase in the world population and other cyclical factors, is leading to a surge pricing, especially in importing countries. This increase in prices is fueled by soaring oil prices and disruption in supplies following Covid-19 pandemic and geopolitical tensions in the Black Sea. Morocco is directly impacted by these fluctuations given that the country imports almost its total needs in vegetable oils, oilseeds and meals. The high dependence on imported vegetable oils and oilseed products has a detrimental effect on the economy of Morocco and weighs heavily on the country's trade balance. Considering their increasingly important role in society, the development of a local oilseed sector to reduce Morocco's dependence on imports and cope with the vagaries of global markets has never been more topical in the current context of sustainable agriculture and food sovereignty.
ABSTRACT
This article describes experiences of improving complementary feeding practices using a systems approach with particular focus on health systems strengthening. Achievements included: the development of national guidelines for optimum complementary feeding for children 6-23 months of age, inclusion of a specific indicator for complementary feeding in the new National Food and Nutrition Strategy, updated training packages to improve health worker counselling skills and strengthened social behaviour change communication activities. A systems approach requires strong coordination between all partners across sectors to ensure communities benefit from the synergistic effects of complementary interventions, while system strengthening was noted to improve the resilience of the Ministry of Health and Population to withstand the shocks of the COVID-19 pandemic and the subsequent Ukraine crisis.
ABSTRACT
Objective: The Covid-19 pandemic has revealed the importance of an evidence-based efficient triage system in the early identification of high risk patients and the rational use of limited medical resources for reducing mortality. The aim of this study was to evaluate the role of various inflammatory indices that can be easily calculated using readily accessible, inexpensive routine test parameters in risk stratification and prediction of prognosis in patients with Covid-19. Material and Methods: The study was carried out retrospectively with the data of 8036 patients with Covid-19, who were grouped according to their prognosis in outpatient and inpatient follow-ups, and inpatients as survivors and death. Using the complete blood count and C-reactive protein baseline results of the patients at admission, neutrophillymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), monocytelymphocyte ratio (MLR), MVP-platelet ratio (MPR), platelet mass index (PMI), systemic immune-inflammatory index (SII), systemic inflammatory response index (SIRI), and multi-inflammatory indices (MII) were calculated. Results: Our results demonstrate that almost all of the inflammatory indices were significantly different in severe patients and in patients with high mortality risk, but not all of them had a predictive value. It has been seen that the most effective factors in determining the disease severity at the onset of Covid-19 are SIRI and age, and SII, MII-1 and MII-3 may also contribute to this prediction. Our results have also revealed that NLR is the most effective independent factor to predict mortality both at disease onset and for inpatients. Conclusion: Inflammatory indices, especially SIRI, NLR, SII, MII-1 and MII-3 can substantially contribute to clinical decisions in the early identification of high-risk patients and predicting mortality beginning from the onset of Covid-19.
ABSTRACT
Visiting Friends and Relatives (VFR) travel is a significant component of travel across the globe. Whilst COVID-19 impacted all travel in all countries, its impact on VFR in certain cultures was particularly pronounced. Aside from reconnecting socially with friends and relatives, in some cultures, certain ceremonies and rituals were compromised, meaning a complex choice for residents between focusing on global health information (e.g., avoiding contact, especially with elderly who are at risk) and disobeying significant cultural rituals that signify respect and importance. Whilst most VFR travel research has focused on western countries, this research examined the impact of COVID-19 travel restrictions and health warnings on VFR travel in the country of Turkey. The significance of COVID-19 to VFR travel in Turkey is explained, and implications for the future are put forward.
ABSTRACT
Objective: Oxygen therapy for individuals with COVID-19 includes best practices for supportive management of acute respiratory syndrome. The aim of this study was to determine critical care nurses' levels of knowledge on oxygen therapy during the COVID-19. Method: This was a descriptive study. The study was conducted with COVID-19 critical care nurses (N=446) in a total of 16 hospitals affiliated with a healthcare group in Turkey. A total of 322 nurses were included in the study. The data were collected via the Oxygen Therapy Information Form prepared based on the literature through Google survey. Results: According to the oxygen therapy subscales, the mean score of the nurses varied from 40.77 to 86.21, and their total mean score was 72.99 (fairly). The nurses' knowledge on oxygen therapy was strongly correlated with their educational level and manner of work (p < 0.05). Conclusions: It can be asserted that in oxygen therapy, their knowledge on nursing interventions was adequate;however, their knowledge on oxygen therapy definitions and concepts was inadequate. In order to develop patient safety concerning oxygen therapy in COVID-19 patients, it is recommended that training programs be planned and competencies of nurses be assessed. In order to qualify legal competence about the safe oxygen therapy, clear protocols and professional guidelines are recommended.
ABSTRACT
Objective: In COVID-19 disease, it was observed that T lymphocytes decreased numerically, both CD4+ and CD8+ could decrease, and sometimes the CD8+ level increased significantly. The virus-specific CD8+ T-cells are thought to be TEM or TEMRA cells. However, the characteristics of these cells, particularly their role in the pathogenesis of SARS-CoV-2 infection or COVID-19 disease, are unclear. Therefore, this study aimed to examine the flow cytometric changes observed in T helper, T cytotoxic cells, and subtypes during diagnosis in pediatric patients diagnosed with COVID-19 infection with SARS-CoV-2 PCR positivity. Methods: Twenty-two children aged 0-18, diagnosed with COVID-19, with flow cytometry;T Helper Cell (TH), T Cytotoxic Cell (TC), T Naive Cells (TN), Central Memory (TCM), Effector Memory (TEM), RA + Effector memory (TEMRA) and Recent Thymic Emigrants (RTEs) were studied. Results: T cell counts were found to be expected in all age groups. The CD4/CD8 ratio increased in the under-five and over 16 age group. While TCM among CD4+T cells decreased in the group above 16 years of age, TEM decreased in all age groups. RTEs decreased in all except the age group 16+. Naive CD8+ T cells (TN) were found to be high in all age groups. Conclusion: A low number of CD4+ and CD8+ lymphocytes have been reported as a distinctive laboratory finding in 2019 Coronavirus disease (COVID-19). Having enough naive T cells is essential for the immune system to respond consistently to unknown pathogens. This study found that these cells were higher than expected in children.
ABSTRACT
COVID-19, which emerged in December 2019 and continues to wreak havoc, has led to the death of many people around the world. In this study, we aimed to uncover the variables underlying the exacerbation of the disease by considering the changes in T cell subsets in adults and juveniles with different disease severity of COVID-19. Peripheral blood samples of 193 patients (128 adults and 65 juveniles) diagnosed with COVID-19 were evaluated in a flow cytometer, and a broad T cell profile was revealed by examining T cell subsets in terms of exhaustion and senescence. We found remarkable differences in the effector memory (EM;CD45RA-CCR7-) cell subsets of severe pneumonia cases. The frequencies of EM2 CD4+ T, EM3 CD4+ T, EM3 CD8+ T, EM2 DN T and EM3 DN T cells were found to increase in severe pneumonia cases. Consistently, these cells were found in juveniles and uncomplicated adults in similar or lower proportions to healthy controls. The findings of our study provide a view of the T cell profile that may underlie differences in the course of COVID-19 cases in juveniles and adults and may provide new insights into the development of effective treatment strategies.