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This web-based survey explored factors associated with food insecurity (FI) among health sciences students during the COVID-19 pandemic. FI was assessed using the USDA 6-item tool. Multivariable logistic regression was used for data analyses. Of the 816 respondents, 74.7% were female and 22.1% were food insecure. An annual income of <$25,000, housing instability, use of a food pantry over the past 12 months, and receiving financial support from family were independently associated with increased odds of being food insecure even after adjusting for other covariates. Further research exploring FI screening and interventions among health sciences university students is needed.
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The global pandemic caused by COVID-19, has boosted the integration of online learning in Higher Education settings (HE), and traditional universities have been forced to adapt to hybrid learning systems. Digital Transformation is a process that must be carried out by universities and requires substantial and strategic changes in all of its processes. This work presents the case of a university created and developed fully online. The experiences of this university can be useful for other institutions that need to follow a similar path. The presented research was developed in the framework of a European project: "Empower Competences for Onlife Learning in HE'' (ECOLHE), developed by a consortium of institutions from several European countries. This research applies several data gathering tools such as in-depth interviews with academic government, focus groups involving teachers-researchers, teachers-tutors and administrative staff and an online survey administered to students. In this work, visions on the elements and difficulties of a digital university are presented: technology must be a way for the improvement of teaching, research, and knowledge sharing, and the change from a traditional face-to-face setting to an online or hybrid system doesn't consist in only applying digital technologies. In addition, we present some lessons learnt that are useful for the implementation of digital transformation in HE institutions. © 2023, Ibero-American Association for Distance Higher Education (AIESAD). All rights reserved.
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The main goal of this research was to analyze the education in universities through virtual platforms in Honduras caused by COVID.19. A quantitative approach was used, with an exploratory-descriptive research level;in addition, questionnaires were used with a reliability level of 0.847 Cronbach's Alpha. The sample consisted of five private universities represented by sixty teachers. It was found that a fast adaptation to virtuality was achieved, which reflected a high level of satisfaction of the teachers. It is concluded that private institutions at the higher education develop new strategies to maintain the fluency of classes by having programs and platforms for virtual teaching
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Wastewater-based epidemiology (WBE) has been utilized for outbreak monitoring and response efforts in university settings during the coronavirus disease 2019 (COVID-19) pandemic. However, few studies examined the impact of university policies on the effectiveness of WBE to identify cases and mitigate transmission. The objective of this study was to retrospectively assess relationships between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) wastewater outcomes and COVID-19 cases in residential buildings of a large university campus across two academic semesters (August 2020-May 2021) under different COVID-19 mitigation policies. Clinical case surveillance data of student residents were obtained from the university COVID-19 response program. We collected and processed building-level wastewater for detection and quantification of SARS-CoV-2 RNA by RT-qPCR. The odds of obtaining a positive wastewater sample increased with COVID-19 clinical cases in the fall semester (OR = 1.50, P value = 0.02), with higher odds in the spring semester (OR = 2.63, P value < 0.0001). We observed linear associations between SARS-CoV-2 wastewater concentrations and COVID-19 clinical cases (parameter estimate = 1.2, P value = 0.006). Our study demonstrated the effectiveness of WBE in the university setting, though it may be limited under different COVID-19 mitigation policies. As a complementary surveillance tool, WBE should be accompanied by robust administrative and clinical testing efforts for the COVID-19 pandemic response. © 2022 American Chemical Society.
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Objective: While there are several studies that have focused on the role of face masks in preventing airborne transmission of SARS-CoV-2, few data are available on their effects on physiological measures, and no study has examined their effects on blood pressure (BP). The purpose of our study was to investigate the effect of surgical masks on BP in drug-treated hypertensive patients who had a routine follow-up visit to a university hospital outpatient hypertension clinic. Design and method: The study included already treated hypertensive patients aged > 18 years, while the exclusion criteria were atrial fibrillation or any other arrhythmia affecting the BP measurement, an arm circumference > 42 cm, mental disorders, Parkinson disease, pregnancy, intolerance to the BP measurement method, or unwillingness to participate. A new surgical mask was provided to all participants to replace the face mask that was already in use. After the routine mask-on office BP measurement, patients were left alone and randomized to automated office BP measurement, with measurements taken after first wearing a mask for 10 min, then without wearing the mask for 10 min, and vice versa. Results: A total number of 265 patients were included in the study. Among the participants, 115 were women (43.4%), the mean age was 62 ± 12 years, and the mean office BP was 134 ± 15 / 81 ± 12 mmHg. There was no significant difference between mask-on unattended systolic BP (133 ± 15 mmHg) and mask-off unattended systolic BP (132 ± 15 mmHg) (P = 0.13) or between mask-on unattended diastolic BP (77 ± 13 mmHg) and mask-off unattended diastolic BP (76 ± 13 mmHg) (P = 0.32). Moreover, there was no difference in the heart rate (mask-on first, 69 ± 11 bpm;mask-off first, 69 ± 11 bpm, P = 0.7). Conclusions: Common surgical masks do not affect systolic/diastolic BP levels during unattended BP measurements in treated hypertensive patients.
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BACKGROUND: Stressful events like the COVID-19 pandemic can significantly impact education. Online learning has become crucial in educational institutions such as schools, institutes, and universities. AIM: This study's purpose is to evaluate the psychological impact of online education on university students in Al-Madinah Al-Munawara. METHODS: A cross-sectional study using a self-administered survey is designed based on previous studies and frameworks to assess the psychological impact of online education. RESULTS: The present study showed that 21.8% of students always had trouble concentrating through the online learning process. About 23.4% had thoughts that their ability to study is impaired. About 19.8% found it difficult to work up. There is a negative impact on psychological health because 13.9% feel agitated, 20.8% become nervous, 20.6% become watchful and on guard, and 21.8% are usually distressed and find it difficult to relax. The sleep mode was also affected in 19.0% of participants, besides lack of interest which was noted in 17.7%. Hence, students experienced harmful and unwanted psychological impacts during the COVID-19 pandemic and lockdown period. CONCLUSION: Results of the present study suggest a relation between online education and the negative psychological status of students. Students experienced increased depression, anxiety, and stress that had a negative effect on their daily schedule and social well-being during the COVID-19 pandemic.
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Introduction: The COVID-19 pandemic has influenced healthcare systems, particularly in the areas of non-communicable diseases, such as hypertension, where the majority of patients require medication therapy and frequent visits. The postal medicine delivery (PMD) approach was an innovative solution to keep antihypertensive drugs accessible under the social distance regulation. Objective: We aimed to investigate the effectiveness of the PMD in terms of blood pressure (BP) control (< 140/90 mmHg), and target organ damage (TOD) including myocardial infarction, heart failure, acute stroke, and progression of chronic kidney disease) during the use of PMD. Design and method: This was a cross-sectional study in a university hospital, conducted between 11th March to 27th May 2020 when the hospital policy stated that outpatient departments' service would be reduced, and physicians were encouraged to use PMD. Patients without a history of TOD and who had a history of well BP control (< 140/90 mmHg) for the last 2 weeks, were enrolled. All of the patients used smartphones and LINE® applications for contacting the nurse coordinator every 3 months to report their home BP. After 6 months of PMD, patients were assigned to have a follow-up visit at the hospital for office BP measurement and having metabolic panel checked. Results: Thirty-eight patients met the inclusion criteria, and 68% were women. Most of the patients (97.4%) had used home BP monitoring (HPBM). The rate of BP control in goal was 64.2%. There was no TOD during the PMD approach. The medication boxes were sent successfully via postal service within 5-10 days, with no loss or damage recorded. All of the patients reported that they had been taking their antihypertensive medications. More than two-thirds (68.4%) continued to follow a low-sodium diet, while 76.3 percent continued to exercise regularly. Conclusions: In the COVID-19 epidemic, the PMD method could be another effective and safe strategy to enhance medicine access, if suitable enrolment criteria and communication between healthcare practitioners and patients are maintained. (Figure Presented).
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Background: To mitigate the COVID-19 pandemic, many countries have recommended the use of booster vaccinations. The relationship between the degree of adverse vaccine reactions and elevated antibody titers is of interest;however, no studies have investigated the temporal changes in antibody titers based on repeated measurements after a third dose of the BNT162b2 vaccine. Methods: This prospective longitudinal cohort study was conducted with 62 healthcare workers who received a third dose of the BNT162b2 at Okayama University Hospital, Japan. Venous blood draw and fingertip whole blood test sample collection were conducted at the early (3–13 days) and 1-month time points;only FWT sample collection was conducted at the 2-month time point. Information on adverse reactions within 1 week after vaccination was also obtained. The association between fever of 37.5 °C or higher and antibody titers after the third dose of BNT162b2 was examined using a mixed-effects model and Poisson regression with robust variance. Results: A trend toward higher antibody titers in the early period after vaccination was observed in the febrile individuals, but the differences were not significant at 1 and 2 months post-vaccination (the partial regression coefficient for fever was 8094.3 [-1910.2, 18,098.8] at 1 month after vaccination, and 1764.1 [-4133.9, 7662.1] at 2 months after vaccination in the adjusted models). Conclusion: The findings suggest that the presence of fever after the third vaccine does not predict a sustained elevation in serum antibody titers. © 2022 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases
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Purpose: This paper explores why and how, and in what context, individuals' accounting of self, ethics and morality and self-knowledge of the limits of accountability can frame their account giving and judging in an organisational formal performance evaluation process. Design/methodology/approach: Building upon the Butlerian notions of accountability as advanced by Messner (2009) and Roberts (2009), the authors conducted a qualitative field study at a Vietnamese public university, involving face-to-face interviews, observation of performance evaluation meetings and examination of archival documents. Findings: The authors found that individuals experience conflicting ethical and moral values when they rely on their self-knowledge of accountability (the ability to self-account) in their account giving and judging in the university's formal academic performance evaluation process. In addition, the authors found that when individuals want to provide the best account to the account demander, their understanding of their ability to self-account and the formal organisational accountability process influence their views on what authentic account giving means. As a result, enhanced ethics-to-others has the potential to be an ethical burden and may not lead to authentic or beyond minimum accounting of "self”. Yet, in the Vietnamese socio-cultural and political context within which the university operates, and in the situation of ethical and moral conflicts in self-accountability, the authors found evidence of individuals' self-accountability behaviours that is based on the co-existence of a sense of responsibility to others and self-knowledge of the limits of accountability. Research limitations/implications: Although this study was limited to one Vietnamese public university, its findings enhance the knowledge about how individual ethical and moral values, self-knowledge of the limits of accountability and the formal organisational accountability process connect with each other in the socio-cultural and political context within which an organisation operates. Practical implications: The study highlights the role of the context of local socio-cultural norms and values and of physical social interaction in developing the sense of connection to others, which influences the way individuals' ethical and moral values are mobilised to shape account-giving and judging behaviours. Social implications: The emphasis on the role of the sense of connection to others on personal accountability and the emphasis on physical, face-to-face interaction in developing sense of connection to others leads to an interesting issue regarding the sense of connection in the virtual social interaction setting, which has become increasingly popular globally, especially during and after the COVID-19 pandemic, and its implication for the use of personal ethical and moral values in organisational accountability practices. Originality/value: Adding to the conversation on how a formal organisational accountability process can be effective, this study identified (1) the unpredictable outcomes of using ethics as rules for accountability practices due to potentially conflicting ethical values;(2) the diverse understandings of self-accounting, leading to different ideas of authentic accounting;and (3) the possibility of moral accountability behaviours based on the co-existence of a sense of connection to others and an understanding of the limits of accountability. © 2022, Emerald Publishing Limited.
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From the last two years due to emergence of COVID-19, a first pandemic of the century, caused hard time to continuing normal lifestyle in all aspects including the campus lifestyle of students. All the academic activities such as classes, examinations, evaluations and placement are going as usual in online mode like earlier. In this regard, we have conducted a Web-based survey on students about their mental condition concerning corona anxiety, coping with stress, worry, and fear. In our survey, 620 students participated from different discipline and states to rejoin the campus either online or offline mode. 372 (60%) students want to attend offline classes while 248 (40%) students want online classes. Additionally, generating the rules using a rough set approach to identify corona anxiety in students. © 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
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This study explores student experiences of online learning during the global COVID19 pandemic. The paper assesses whether the outcomes of constructivist inquiry-based learning can still be achieved online. A qualitative research approach was used to survey online learning experiences of students. A total of 27 registered Construction Studies university students conveniently sampled across all levels of study completed a questionnaire with close ended questions. The data collection was computed and analysed using SPSS version 27. Mean values, standard deviations and reliability values were computed. Results of the survey indicated that most students spent more time doing work during online learning. Students indicated that they were able to think more critically and discuss concepts and collaborate with other students. There was a handful of students that were more stressed, socially inactive and lacked outdoor activity due to online learning. The sample is drawn from a single university in South Africa and findings cannot be generalized across all student populations. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.
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Objective Multisystem inflammatory syndrome in children (MIS-C), characterized by fever, inflammation, and multiorgan dysfunction, was newly defined after severe acute respiratory syndrome coronavirus 2 infection. The clinical spectrum of MIS-C can be classified as mild, moderate, and severe. We aimed to evaluate demographics, clinical presentations, laboratory findings, and treatment modalities of patients with MIS-C according to clinical severity. Methods We performed a retrospective study of patients who were diagnosed as having MIS-C between September 2020 and October 2021 in the Necmettin Erbakan University Meram Faculty of Medicine, Türkiye. Results A total of 48 patients (24 females and 24 males) with a median age at diagnosis of 10.3 years (range: 42 months-17 years) were enrolled, the most common clinical severity of MIS-C was moderate. The common presentations of patients were fever (97%), nonpurulent conjunctivitis (89.6%), rashes (81.3%), fatigue (81.3%), strawberry tongue (79.2%), and myalgia (68.8%). The most common laboratory findings were lymphopenia (81.2%), thrombocytopenia (54.1%), elevated D-dimer levels (89.5%), C-reactive protein (CRP;100%), procalcitonin (97%), erythrocyte sedimentation rate (87.5%), ferritin (95.8%), interleukin 6 (IL-6) (86.1%), and probrain natriuretic peptide (pro-BNP) (97%). High levels of CRP, procalcitonin, pro-BNP, and urea were associated with the severity of MIS-C (p < 0.05). Fifteen of the patients were found to have pulmonary involvement. Ascites were the most common finding on abdominal ultrasonography (11 patients) and were not seen in a mild form of the disease. During the study period, two patients died. Conclusion It is important to make patient-based decisions and apply a stepwise approach in treating patients with MIS-C due to the increased risk of complications and mortality. © 2022. Thieme. All rights reserved.
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During the confinement period resulting from the COVID-19 virus, distance, isolation, and uncertainty were inevitable among the general population. Young university students had to face emotions such as guilt, for not attending online classes;distrust, related to the quality of classes;fear, as a result of thinking that they were not learning and could fail their subjects;as well as death, in the face of the loss and illness of family members and friends. These are the results obtained in an exploratory quantitative study on the actions and decisions of individuals in emotional contexts carried out in 5 academic programs and based on 455 student surveys, which were administered during the last week of school activities at the Autonomous University of Ciudad Juarez in Nuevo Casas Grandes. Consequently, we affirm that the extreme situations experienced within the university community reach the resilience process as long as the problems are recognised and the difficulties faced. This should help to ensure the implementation of better-articulated learning strategies among teachers, academic authorities, and students to further friendlier educational processes with less tension between subjects that are more beneficial for everyone.
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Aim of the work: To evaluate the frequency of nail ridging (NR) in patients with rheumatoid arthritis (RA) and to study its relation to disease activity. Patients and methods: 230 RA patients and 97 matched controls from Helwan, Ain Shams and Mansoura university hospitals were studied. Disease activity score (DAS28) was assessed. NR has been searched for in all patients. The number of affected fingers was recorded. NR was determined by a magnifying lens, seen by naked eye or seen and felt. Dermoscopic photography of the NR using Dermalite DL4 3Gen dermatoscope has been recorded. Results: The median age of patients was 49 years (42–58 years);they were 221 females and 19 males (F:M 11.1:1) with a disease duration 9 years (5–11 years). Their DAS28 was 3.6 (2.9–4.6). NR was significantly increased in RA cases vs. control;73% vs 20%;p < 0.001. In patients, NR was detected by a magnifying lens in 32.6%, seen in 27% and seen and felt in 13.5%. Joint deformities were significantly higher in those with NR. DAS28 was a significant independent predictor of NR;for every one-point increase in DAS28, there was a 153 times higher odds to exhibit NR at a sensitivity of 93.5%, specificity 80.3% and at a diagnostic accuracy of 90%. Conclusion: NR is a frequent finding in RA. An integrated rheumatological- dermatological clinical evaluation may be helpful and further studies are required to prove the importance of this sign for follow up of RA patients.
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Undoubtedly, one of the areas most affected by the Covid-19 pandemic process was educational activities. In this study, the 33 eighth graders of a public elementary school in Turkiye were observed for a six-week online learning period. The aim was to obtain whether any changes occur in their geometry attitudes during the process and to reveal their preferences between online distance learning (ODL) and regular face-to-face education. In this context, structured as a mixed study, a Geometry Attitude Scale (GAS) and a questionnaire about online distance learning was administered at the beginning;further GAS and learners' opinions in response to open-ended questions were administered at the end of the process. Quantitative results indicated that gender and mathematics achievement levels have no relationship with GAS and ODL. Still, the qualitative analysis provided that ODL does not cause any change in students' attitudes towards geometry lessons;moreover, students commonly prefer face-to-face education over ODL.
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In the current situation for the one that has trafficked the world in these derived last years of the world pandemic of the Covid-19, have wakened up even more the interest on the part of the scientific community the study of the right to the health for all the sectors of the world society and with more emphasis the Ecuadorian. In correspondence with these reflections, the present investigation had as objec-tive: to value the knowledge of the university students on the right on the right to the health. For the development of the investigation methods of dissimilar classifications like the theoretical, empiric and mathematical were presented statistical. He/she was carried out a traverse study of ex-ploratory type in university students of the right career of the Autonomous Regional University of the Andes of the Republic of Ecuador. The obtained results are viable, and they demonstrate to have validity and scientific accuracy.
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Introduction: COVID-19 can lead to acute respiratory failure (ARF) requiring admission to intensive care unit (ICU). This study analyzes COVID-19 patients admitted to the ICU, according to the initial respiratory support. Its main aim is to determine if the use of combination therapy: high-flow oxygen system with nasal cannula (HFNC) and non-invasive ventilation (NIV), is effective and safe in the treatment of these patients. Methods: Retrospective observational study with a prospective database. All COVID-19 patients, admitted to the ICU, between March 11, 2020, and February 12, 2022, and who required HFNC, NIV, or endotracheal intubation with invasive mechanical ventilation (ETI-IMV) were analyzed. HFNC failure was defined as therapeutic escalation to NIV, and NIV failure as the need for ETI-IMV or death in the ICU. The management of patients with non-invasive respiratory support included the use of combined therapy with different devices. The study period included the first six waves of the pandemic in Spain. Results: 424 patients were analyzed, of whom 12 (2.8%) received HFNC, 397 (93.7%) NIV and 15 (3.5%) ETI-IMV as first respiratory support. PaO2/FiO2 was 145 ± 30, 119 ± 26 and 117 ± 29 mmHg, respectively (p = 0.003). HFNC failed in 11 patients (91.7%), who then received NIV. Of the 408 patients treated with NIV, 353 (86.5%) received combination therapy with HFNC. In patients treated with NIV, there were 114 failures (27.9%). Only the value of SAPS II index (p = 0.001) and PaO2/FiO2 (p < 0.001) differed between the six analyzed waves, being the most altered values in the 3rd and 6th waves. Hospital mortality was 18.7%, not differing between the different waves (p = 0.713). Conclusions: Severe COVID-19 ARF can be effectively and safely treated with NIV combined with HFNC. The clinical characteristics of the patients did not change between the different waves, only showing a slight increase in severity in the 3rd and 6th waves, with no difference in the outcome. © 2022 Elsevier Ltd
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During the COVID-19 pandemic, educators changed their pedagogic practices, developed new teaching sequences, and blended learning approaches such as the flipped classroom. Claims have been made that the flipped classroom influences student motivation, enhances active engagement and class participation, and improves academic performance. Three teacher educators were invited to develop flipped instructional materials for chemistry teacher education. The materials included course plans, online videos, tasks, teaching, and online and face-to-face instruction learning sequences. This study examined opportunities and barriers to using the flipped classroom approach for chemistry teaching. Teacher educators were interviewed before and after running the course using the developed instructional materials. The interviews were then analyzed to identify the teachers' rationale, the opportunities, and the challenges of using the flipped classroom. Teacher educators found that integrating technology into their classrooms can enhance their ICT skills and that of their students. Educators believed flipped instructions could promote student-centered learning where students take responsibility for their learning, where and when it is most convenient. The teacher educators perceived that the approach helped students take an active role in their learning and enhance their participation. They also felt that it improved academic performance. Teacher educators also noted that their workload was reduced, and they had more time to interact with students. Some barriers and challenges were recognized as well. In the interviews, teacher educators described how ICT competencies and inadequate ICT infrastructures, such as poor internet connectivity and lack of ICT equipment, limited the use of the flipped classroom approach. The study provides suggestions for future research that can contribute to understanding the practical application of the flipped classroom approach.