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1.
2022 International Mobile and Embedded Technology Conference, MECON 2022 ; : 9-12, 2022.
Article in English | Scopus | ID: covidwho-1840280

ABSTRACT

With present social networking it's simple to communicate with anyone who is already know (e.g., Instagram, Facebook, Snapchat, etc...) while other applications like tinder, bumble, etc. allows users to meet new individuals with similar interests but are solely based on dating. Even among children, the use of devices such as mobile phones are becoming more common. Most of the above-mentioned applications are meant for adults for socializing and dating. These applications also struggle with regulating adult content and thus, another red flag for parents allowing kids to maintain any online social life. Most teenagers spend their time playing in their neighborhood, and it may be their sole opportunity to meet new people [1]. During demanding time like COVID-19 it has becomes difficult, especially for teenagers to make new friends to play with. Face-to-face social interactions for adolescents are important and Ballance help towards solving this problem. The app displays all the people in the area, as well as the sport they are interested in. Users can add each other to one's friends list. Video call, chat and get to know each other online. Once users like each other as friends, they can now decide whether to meet or not and thus avoiding unnecessary human contact. A model is trained for adult / NSFW image detection, no user can upload any adult photos on the app and thus assuring all the parents that the app is safe and appropriate for children. © 2022 IEEE.

2.
Chinese Journal of Disease Control and Prevention ; 26(2):193-199, 2022.
Article in Chinese | EMBASE | ID: covidwho-1822639

ABSTRACT

Objective To investigate the willingness and influencing factors with novel coronavirus vaccines(COVID-19 vaccines) among college students in Shanghai. Methods From February 23 to March 15, 2021, a web based questionnaire survey was conducted among students from four colleges to analyze the willingness rate of COVID-19 vaccines. Multivariate Logistic regression was used to analyze influencing factors of the willingness to receive vaccines. Results Of 4 462 subjects, 78.04% were willing to receive COVID-19 vaccines. Logistic regression analysis showed that students from the technology university and the vocational school had higher willingness to vaccinate (OR=1.53, 1.50), compared with those from medical college. Respondents did not agree that vaccines are important for protecting health (OR=0.11) and did not agree that all vaccines marketed through National Medical Products Administration are safe (OR=0.42) were less willing to be vaccinated. Those who had no one nearby to vaccinate against COVID-19 were less willing to be vaccinated (OR=0.68). The main reasons for refusing or hesitating to be vaccinated were concerned about the safety(73.88%) and efficacy(55.61%) of the vaccine. Further investigation showed that 37.86%, 48.27% and 35.31% of respondents who had previously chosen not to vaccinate or were unsure about vaccinating against COVID-19 were willing to vaccinate if recommended by the government, doctors, relatives and friends, respectively. Conclusion The willingness rate of COVID-19 vaccination among college students was high in Shanghai. The relevant departments should do a good job in the coordination of vaccination so that the vaccination work can be carried out effectively.

3.
Archivos Venezolanos de Farmacologia y Terapeutica ; 41(1):58-63, 2021.
Article in Spanish | EMBASE | ID: covidwho-1822556

ABSTRACT

Introduction: The study aimed to determine the prevalence of psychoactive substance use in Peruvian population during the pandemic. Method: The research was a quantitative de- scriptive, non-experimental cross-sectional design. The sam- ple consisted of 1932 subjects of both sexes, aged between 18 and 65 years. For the collection of information, a survey was elaborated with questions related to the consumption of psychoactive substances, work and family information during the pandemic. Results: In the results it was found that people who telework consume more alcohol, tobacco, energizers, tranquilizers and marijuana;those who work remotely have a higher consumption of tranquilizers. Alcohol is the most con- sumed legal drug, followed by tobacco and marijuana. Sub- stance use decreased during the quarantine period. People who consume alcohol presented higher percentages of con- tagion and loss of a family member. They also consider that they have support from their family or friends to cope with a COVID-19 contagion. Conclusions: It is concluded that in the Peruvian population the consumption of alcohol, tobacco and marijuana prevails, there is a decrease in the consumption of psychoactive substances;however, consumption contin- ues despite the restrictions established but the Peruvian state and the risks produced by consumption.

4.
Pakistan Journal of Medical and Health Sciences ; 16(3):429-431, 2022.
Article in English | EMBASE | ID: covidwho-1819185

ABSTRACT

Objective: To determine the frequency and pattern of myths and misconceptions regarding COVID-19 vaccine in the general population at Isra University Hospital Hyderabad Material and Methods: This cross-sectional survey base study was conducted at the Isra University Hospital Hyderabad, during a period of six months from August 2021 to January 2022. All the patients who visited the OPD and their attendants of any age or gender, were included. All the subjects were properly counseled that their privacy was fully secured and their name and contact numbers were taken. After obtaining sociodemographic information, the participants were interviewed regarding COVID-19 infection in the past, previous vaccination history for diseases other than COVID-19, conceptions, and myths regarding COVID-19 vaccination, acceptance of COVID-19 vaccination, reasons to vaccinate for COVID-19, and reasons not to vaccinate for COVID-19. All the information was gathered via study proforma including questioner and SPSS version 26 was used for the purpose of data analysis. Results: A total of 145 individuals of either gender were studied regarding myths and misconceptions of COVID-19 vaccine, their average age was 27.71+9.86 years and females were in majority 62.1%. Among the study population, doctors, private employee and housewives were the most common as 44.1%, 11%, 11.7% and 9% respectively. Most of the cases 62.1% were unmarried. According to the myths and misconceptions, 8.3% said it can affect fertility, 23.4% had no trust on its effectiveness and safety, 14.5% said it is an artificial infection procedure, 11% were afraid from its dangerous side effects, 3.4% said the vaccine will change their DNA, 13.8% said it is a controversial substance and 6.9% afraid that they will die within 2 years. 24.1% cases heard myths from family, 24.8% heard from friends and 51% heard by social media. 17.2% had idea that it is an international conspiracy and 4.8% said this may cause sexual dysfunction and 4.8% said it is a procedure of implanting microchip to control them. Conclusion: There were several misconceptions in the general population, most myths like effects of male fertility, distrust on vaccine efficacy, they will be infected artificially, fear of dangerous side effects, controversial substances were observed to be the commonest myths and misconceptions regarding the COVID-19 vaccine in the general population. Above ideas were adopted mostly by the friends and social media.

5.
Journal of the Liaquat University of Medical and Health Sciences ; 21(1):44-49, 2022.
Article in English | EMBASE | ID: covidwho-1818978

ABSTRACT

OBJECTIVE: To assess the psychological impact of the COVID-19 pandemic on health care workers in tertiary care hospitals of Karachi. METHODOLOGY: This is a multicentric cross-sectional study conducted at tertiary care hospitals of Karachi (Pakistan). A total of 350 health care workers, including both males and females, from different private and Government tertiary care hospitals, were approached and enrolled after fulfilling the selection criteria from May to Aug 2020. The semi-structured Performa was used for demographic details while the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder (GAD 7) were administered to evaluate depression and anxiety, respectively. RESULTS: Out of 350 participants, 220 (62.8%) have depression in this study, while 206 (58.8%) have anxiety. The degree of depression was mild in 81 (23.1%) of health care workers, moderate in59 (16.8%), moderately severe in 50 (14.2%), severe in 30 (8.6%). Similarly, mild anxiety was present in 75 (21.4%), moderate in 74 (21.1%), and severe anxiety in 57 (16.3%) persons. The most common problem they faced is ―Fear of transmission of disease family /close friends, being present in 311 (88.9%) p-value = 0.014. CONCLUSION: It is evident that health care workers are affected with depression and anxiety due to pandemic. It is necessary to take appropriate steps to manage the psychological impact of the stress to be more productive in their respective fields.

6.
Clinical Cancer Research ; 27(6 SUPPL 1), 2021.
Article in English | EMBASE | ID: covidwho-1816930

ABSTRACT

Background: Cancer survivors often experience financial hardship due to high costs associated with cancer treatment. Our objective was to (1) identify determinants of financial hardship, and to (2) evaluate the impact of financial hardship on mental health symptoms among cancer survivors during the COVID-19 pandemic. Methods: We used nationally representative data from the COVID-19 Household Impact Survey collected at three-time points: April 20-26, May 4-10, and May 30th -June 8 th of 2020. Our primary exposure was cancer survivor status, based on participant's self-report of a cancer diagnosis (n=854, 7.1%). We defined financial hardship using the following question: “Suppose you have an unexpected expense that costs $400. Based on your current financial situation, how would you pay for this expense?” Respondents were categorized as experiencing financial hardship if they chose the following options: I wouldn't be able to pay for it right now;sell something;use a payday loan, deposit advance, or overdraft;borrow from a friend or family member. Chi-square (χ2 ) tests were used to compare reported financial hardship among cancer survivors to other U.S. adults. Multivariable Poisson regression was used to identify determinants of financial hardship among cancer survivors. We used multinomial logistic regression to evaluate associations of financial hardship on mental health symptoms of cancer survivors. Results: Eighteen percent of cancer survivors reported experiencing financial hardship. Cancer survivors aged 30-44 (44.8%) and 45-59 years (25.9%) more frequently reported financial hardship compared to adults without cancer (23.4%, 16.7%, respectively, χ2p<0.05). Compared to cancer survivors aged 60+ years, those aged 18-29 (aPR: 2.54, 95% CI;1.51-4.28), 30-44 (aPR:3.41, 95% CI:2.26-5.16), and 45-59 years (aPR:3.66, 95% CI:2.26-5.16) were more likely to experience financial hardship. Cancer survivors on Medicaid (aPR: 1.76, 95% CI: 1.16-2.66) were more likely to experience financial hardship compared to their counterparts. Compared to those without a high school degree, cancer survivors with some college education (aPR: 0.30, 95% CI: 0.18-0.47) and with a ≥Baccalaureate degree (aPR:0.05, 95% CI: 0.02- 0.14) were less likely to experience financial hardship. Rural cancer survivors had 61% higher prevalence of financial hardship compared to urban residents (aPR: 1.61, 95% CI:1.00-2.58), however, suburban residents were less likely to experience financial hardship compared to cancer survivors living in urban areas (aPR: 0.65, 95% CI:0.44-0.98). Cancer survivors who experienced financial hardship were more likely to report feeling depressed (aOR: 2.78, 95% CI: 1.39-5.56), lonely (aOR: 3.06, 95% CI: 1.39-6.72), and hopeless (aOR: 3.16, 95% CI: 1.36-7.37) 3-7 days during the last 7 days. Conclusion: Lower SES measures and younger age were determinants of experiencing financial hardship among cancer survivors. During the COVID-19 pandemic, there is a high burden of mental health symptoms among cancer survivors experiencing financial hardship.

7.
Respirology ; 27(SUPPL 1):67, 2022.
Article in English | EMBASE | ID: covidwho-1816631

ABSTRACT

Introduction/Aim: Fewer exacerbations of chronic lung disease during the COVID-19 pandemic may be due to the introduction of measures to prevent SARS-CoV-2 transmission and the associated lower prevalence of other respiratory viruses. Our aim was to determine the acceptability of continuing with (COVID-19) infection control measures to lower future exacerbation risk. Methods: Adults with chronic lung disease in Australia were asked via an online survey to specify the infection control measures and policies that should continue, during the flu season or at all times, once most of the population have received the COVID-19 vaccine. Pre-specified thresholds: general support for measure: ≥66% of respondents;absence of significant support: ≤33%;meaningful difference between lung disease groups: ≥10%. Results: 137 people (asthma = 29, bronchiectasis = 29, COPD = 58, ILD = 21) from all Australian states and territories participated. Mean (SD) MRC breathlessness score was 2.4(1.0) and 75% were Female. 94% and 85% reported COVID-19 (86% two doses) and flu vaccination respectively. The table summarizes all survey responses. Responses were generally consistent across lung disease groups, except those with bronchiectasis were more supportive of continuation of face coverings on public transport (66%) and people with asthma would continue to physically distance outdoors (69%). People with ILD did not support (30%) face coverings outdoors during flu season but were supportive (75%) of healthcare staff wearing masks. People with bronchiectasis (24%) did not support a policy of physically distancing outdoors for everyone at all times. Conclusion: Adults with chronic lung diseases in Australia are supportive of physically distancing indoors and hand hygiene as measures to reduce exacerbations. There was lack of support for widespread continuation of face coverings but policies for use on public transport during the flu season were acceptable. Avoidance of busy places and friends/ family who are unwell with colds/flu are strategies they will adopt when majority of the population are vaccinated for COVID-19. (Figure Presented).

8.
International Journal of Pharmacy Practice ; 30(SUPPL 1):i22-i23, 2022.
Article in English | EMBASE | ID: covidwho-1816104

ABSTRACT

Introduction: Housebound patients may face challenges to their medicines management due to reduced household mobility and potential lack of access to healthcare services. Previous literature has explored the medication-related needs of housebound patients from pharmacists' perspectives (1-2). However little work has focussed on the patient/family perspective. In this study, we used data obtained from those staying at home as much as possible during the COVID-19 pandemic to fill this gap. Aim: To explore home medicine practices and safety for people who were housebound during the COVID19 pandemic and to create guidance, from the patient/family perspective, for enabling pharmacists to facilitate safe medicine practices for this population. Methods: Interviews were carried out with people who were taking at least one long term medication and met the criteria for ?shielding' and/or were over 70 years of age during the first wave of the COVID-19 pandemic in the UK and/or their family carers. Respondents were recruited through patient and public involvement representatives, the research team's networks, and support groups. Potential participants were approached via personal contact and social media. Interviews were conducted by telephone or video conferencing and participants asked about their medicines management while staying at home. Inductive thematic analysis was carried out. Patient and public involvement representatives were involved in the data analysis alongside the researchers. Results: Fifty people were interviewed (16 males, 34 females;mean age 68 years, range 26-93 years). Interview data suggested diversity of experiences of medicines management while staying at home. Some respondents reported no or little change, others an initial crisis followed by re-stabilisation, and others that the pandemic was a tipping point, exacerbating underlying challenges and having negative effects on their health and wellbeing. Medicine safety issues reported included omitted doses and less-effective formulations being used. Participants also described experiencing high levels of anxiety related to obtaining medicines, monitoring medicines and feeling at risk of contracting COVID-19 while accessing medicine-related healthcare services. Key factors identified as facilitating a smooth transition included patients' own agency, support from family, friends and community, good communication with pharmacy staff, continuity of pharmacy services and synchronisation of medicines supply so that a maximum of one collection/delivery was required each month. Conclusion: The study findings that we have presented relate to the UK only;this may limit the generalisability of our findings to other countries. Findings from Ireland are in the process of being analysed and will provide a basis of comparison. In addition, more females took part than males, despite efforts to address this. However, our findings suggest pharmacy staff can support medicines management for people who are housebound by synchronisation of medicines supply, delivering medicines where possible, developing/raising awareness of alternative means of communication, providing continuity of pharmacy services and signposting any community support available.

9.
Brain Injury ; 36(SUPPL 1):76-77, 2022.
Article in English | EMBASE | ID: covidwho-1815743

ABSTRACT

Objective: Despite the rapid growth of virtual health services in response to COVID-19, people affected by traumatic brain injury (TBI) experience symptoms that can undermine their ability to access and benefit from such services. This study assessed the feasibility, usability, and acceptability of LoveYourBrain Mindset, a manualized, 6-week yoga, mindfulness, and psychoeducation program delivered online to people with TBI and caregivers. To enhance accessibility, participants choose between two interactive tracks, either a weekly 75-min gentle yoga class or a 45-min group discussion on Zoom. Participants also receive weekly pre-recorded tools by email (1-min psychoeducational videos, 45-min yoga classes, 10-min meditations, 25-min yoga nidra meditations). Methods: LoveYourBrain Foundation recruited prospective participants from October 2020-March 2021 through clinical, advocacy, and social media outreach. People were eligible if they were a TBI survivor or caregiver, age 15 to 70, able to participate in gentle exercise and/or group discussion, and consented for their data to be used for research. Self-reported survey data were collected electronically in eligibility and feedback forms. We assessed feasibility by describing the number of people enrolled, number of programs successfully offered, and mean attendance;usability by examining use of the tools;and acceptability by analyzing satisfaction measures. Results: A total of 62 programs were offered by LoveYourBraintrained Facilitators during the study period. No programs were canceled from low enrollment. Eight hundred and nine eligible people enrolled, including 733 people with TBI and 76 caregivers. Participants were majority white (n = 654, 80.8%), non- Hispanic (n = 690, 85.3%), female (n = 640, 79.1%), educated (college graduate/equivalent or higher) (n = 657, 81.2%), and had a median age of 43 years (range 18-80 years). TBI severity ranged from mild (n = 272, 38.1%), moderate (n = 247, 34.6%), to severe (n = 195, 27.3%). Participants were located mostly in 47 states in the US (n = 601, 74.1%) or 8 Canadian provinces (n = 192, 23.7%). A majority (n = 584, 72.2%) attended ≥1 interactive classes, while 26.8% were 'no-shows' (n = 217) and 1.0% withdrew (n = 8). Mean attendance in the interactive classes was 7 (SD 1) people per program. Most participants (n = 263, 74.0%) completed some tools in 5 or all 6 weeks of their program, most often the videos (n = 256, 72.1%), meditations (n = 142, 40.0%), yoga classes (n = 133, 37.5%), and yoga nidras (n = 105, 29.6%). Participants reported high satisfaction (M = 9.1 out of 10, SD 1.4) and a majority (n = 308, 86.7%) would 'Definitely, yes' recommend it to a friend or family. Conclusion: High attendance, engagement, and satisfaction with LoveYourBrain Mindset suggests that online delivery of yoga, mindfulness, and psychoeducation is feasible and acceptable for people with TBI and caregivers. The program's scalability has implications on expanding access to holistic health services for this marginalized community, yet greater efforts are needed to reach minority groups with disproportionately worse access to care, particularly Black, Indigenous and People of Color.

10.
Journal of Clinical and Diagnostic Research ; 16(SUPPL 2):35-36, 2022.
Article in English | EMBASE | ID: covidwho-1798718

ABSTRACT

Introduction: Teaching and learning is an evolutionary process, it never ends. The emerging of information and communication technology had made teaching and learning activity a very dynamic process. It has evolved from classroom dependent stage to an online environment. Conventional chalk and talk method is being replaced by E-learning. With emergence of COVID-19 pandemic, medical schools started using distance teaching-learning platform to train their students. Aim: This study was conducted to evaluate effectiveness of distance learning among medical students. Materials and Materials: A cross-sectional survey was conducted among medical students using a structured and validated questionnaire designed by subject experts incorporating statements related to advantages and challenges associated with distance learning and suggestions to address the same. Questionnaire was administered through google forms and responses collected. Descriptive statistics was used to analyses responses. Results: A total 83% of students expressed face to face interaction was missing in distance learning, 90% opined there was no disciplined way of learning, 76% lacked motivation, for 84% learning was passive, 78% felt monitoring by faculty was missing, 94% expressed practical sessions were ineffective, 88% missed critical thinking exercises of class room sessions, 98% missed social interaction with their friends, 90% missed competitiveness, 73% perceived that overall learning experience was poor with distance learning, 76% had issues with connectivity, 82% missed real time feedback form staff, 73% experienced psychological disturbance, 68% suffered from headache, visual disturbance, 78% opined there was a feeling of isolation. However, 90% enjoyed learning at their own pace, 95% opined that E-assessments provided immediate feedback and 84% expressed there was flexibility in distance learning. 90% opined to the use of blended learning format with class room learning for practical sessions and distance learning for theoretical part. Conclusion: Effectives of distance learning varied among students depending on their perception. Most of the students missed collaborative learning environment of classroom and hands-on practical sessions whereas they enjoyed the flexibility during distance learning. Blended learning approach was suggested by students to compliment class room learning and distance learning.

11.
Journal of Clinical and Diagnostic Research ; 16(4):EC23-EC26, 2022.
Article in English | EMBASE | ID: covidwho-1791825

ABSTRACT

Results: Out of total 193, 120 (62.17%) were regular donors. Introduction: Most Sri Lankan blood donations (93%) are from Majority donors were male donors (168,87.04%) and among mobile blood donation campaigns. Restricted community gathering 25-35 years group (85,44.05%). Most had completed grade during the Coronavirus Disease-2019 (COVID-19) pandemic has 13 exam (66,34.19%), only 28 (14.5%) had a degree and 106 adversely affected the blood supply. Further, Kilinochchi has lower (54.92%) donors were within 10 km from the blood bank. The blood donation rates than other Sri Lanka areas. majority of 122 (63.21%) were aware from a friend, and 16.06% Aim: To describe the level of donor satisfaction, identify the (n=31) were aware from Youtube. Gaining information from a barriers and factors to increase in-house blood donors of a District friend was statistically associated with the distance to the blood General Hospital, Kilinochchi. bank (p-value=0.036). A majority 190 (98.44%) of the in-house Materials and Methods: This questionnaire-based cross-blood donors were satisfied with the services provided by the sectional study was conducted with 193 in-house voluntary blood blood bank staff, and 188, 97.40% had stated they are confident donors in blood bank at District General Hospital (DGH) Kilinochchi, about the facilities provided by the blood bank for in-house blood Sri Lanka, from April 2021 to July 2021. Donors with at least one donation. year of residence in Northern province were included, and data Conclusion: Majority of the in-house blood donors were was collected by pretested, self-administered questionnaire. satisfied with the services provided by the blood bank staff and The parameters assessed were socio-demographic data, donor blood bank facilities. Delivering information regarding blood satisfaction, blood donation information receiving methods, donation via friends to the population who reside close to the factors affecting blood donation, and factors to improve blood blood bank and awareness programs by health care workers donation. Data entered and analysed using Statistical Package would be the best method to improve in-house blood donations of Social Sciences (SPSS) version 22.0. in this area.

12.
Journal of Cardiovascular Disease Research ; 13(1):178-186, 2022.
Article in English | EMBASE | ID: covidwho-1791338

ABSTRACT

Background: Odisha was also affected by the spread of the novel coronavirus (SARS-Cov-2), responsible for the COVID-19 disease. For its mitigation the health system in a tertiary care institution was frantically deploying all personnel like from health , security, food handlers , dealing with transportation. Objective: Our aim was to assess exposure, perceptions, workload, and possible burnout of Security personnel during the COVID-19 pandemic and to suggest specific recommendations based on the study findings. Methodology: The type of study was a cross sectional study, placed at Cuttack district in Odisha. Time Period of this study was Aprilto June 2021. 465 were finally included in the study. On the days of the mental health status assessment security personnel's were appraised and accordingly a predesigned, pretested questionnaire was implemented to them. Results: 57.5% males and 67.2% females were at the risk of burn out while 38.4% and 32.4% were at the edge of severe burn out. There was a significant difference in the mean score between those aged less than 30 years at F (5.434, 2) and those between 30 to 50 years as well as those aged above 50 years with p- value 0.008 and 0.009 respectively. Conclusions: Specific strategies have to be recommended and adapted like changing work pattern taking breaks, avoiding overtime, balance work with life. The task should include different skills to cope with stress, time managementand social support from family, friends and peer. Besides this various relaxation strategies to promote fitness, developunderstanding of life, counseling, better sleep, exercise, and good balanced nutrition.

13.
Biomedical and Biopharmaceutical Research ; 17(2):246, 2020.
Article in English | EMBASE | ID: covidwho-1771986

ABSTRACT

Introduction: Introduction: Due to the context of social distancing imposed as a result of COVID-19 pandemic, universities are looking for emergency remote education alternatives. Objective: Objective:To propose and evaluate the students' perception of a teaching-learning model using online platforms to review physiology contents relating them to COVID-19 physiopathology and consequences. Methods: Methods: We organized a web course entitled “Special Topics in Human Physiology”, which aimed to review relevant physiology topics and relate them to COVID-19 with undergraduate students at the Federal University of Pampa. The course was held in May / 2020. The activities were carried out through synchronous meetings that took place through the Zoom platform twice a week, and asynchronous activities, using articles, case studies and online tools for active learning. After making the materials on the interaction between COVID-19 and physiological systems available, the most important points were discussed and the students' doubts were resolved in synchronous meetings. It was also proposed that students use their creativity to create flyers, schemes and drawings for publication on their social networks such as Instagram and or / Facebook in order to contribute to the dissemination of information about COVID-19 and to avoid the divulgation of “fake news”. This proposal was approved by the Institutional Education Committee (Research Ethics Committee No. 10,069. 20). Results: Results: 37 students that participated in the course answered our evaluation questionnaire (a response rate of 74%), students were asked if they ever had thought about the relationship of the different systems studied in Human Physiology course with the COVID-19 previously, 75.7% said “no”. Besides, 94.6% of the students affirmed that they shared information related to COVID-19 with their social group (family, friends, co-workers, etc.), yet, 97.3% said that the information discussed in the course helped them to select better sources of News and all the participants consider that establishing this relationship contributed and will impact their academic formation. Still, 86.5% said that their concern about the seriousness of the pandemic had increased after the course, 97.3%of students affirmed that studying the interactions of Sars-CoV-2 with the different body systems helped to understand better the CoViD-19. In addition, 75.7% of students considered that they learned “much” with this strategy of making relationships between physiology and COVID-19. We also asked if the course contributed to making the participants able to identify fake news about COVID-19 easily;94.6% said that contributed a lot. Besides, 81.1% of the participants thought that studying the action mechanisms of soap and hand sanitizer helped them much to understand the importance of hygiene care. Regarding the way in which the physiology topics related to CoVID-19 were worked, 59.5% considered it excellent, and 40.5% good. Conclusions and Support: Conclusion: We conclude that contextualizing physiological content with daily life situations, such as COVID-19, has a significant impact on the students' learning, and this type of method can be adopted in the web teaching, using online platforms. Additionally, this practice has an impact in the daily life of students, influencing their decisions and practices.

14.
Genetics in Medicine ; 24(3):S186, 2022.
Article in English | EMBASE | ID: covidwho-1768095

ABSTRACT

Introduction: Studies of telehealth genetic counseling (THGC) services, including videoconferencing and telephone counseling, have highlighted the need for further research on the patient experience. The COVID-19 pandemic resulted in a rapid shift from in-person genetic counseling to THGC. Most studies to date focused on THGC for cancer genetics, with only a handful of studies investigating patient satisfaction for other subspecialties. This study assessed patients’ perspectives of the advantages and disadvantages of THGC and their satisfaction with this service delivery model for multiple subspecialties. Methods: A patient satisfaction survey was designed to assess the experience of study participants at the time of referral, scheduling, during, and after the THGC appointment, as well as participants’ overall satisfaction with the THGC process. Survey invitations were emailed to 485 patients between December 2020 and September 2021 following their last anticipated THGC appointment. Descriptive statistics were used for the analysis. One-way ANOVA was used to measure differences in reported satisfaction across subspecialties. Results: A total of 103 patients responded (21.2%;103/485). Almost half of participants reported that they were referred for hereditary cancer counseling (48.5%;49/101) followed by reproductive genetics (13.9%;14/101), neurogenetics (12.9%;13/101), cardiogenetics (7.9%;8/101), clinical genomics/exome sequencing (3%;3/101), and ophthalmology (2%;2/101). Most respondents (90.7%;88/97) elected a telephone appointment versus videoconferencing, with the most common reason being “because it was easier” (70.8%;63/89). Patient-perceived advantages of a THGC appointment were not needing to travel (94.5%;86/91) and the ability to get an appointment that worked with their schedule (82.4%;75/91). Safety concerns related to COVID-19 were cited as a benefit of THGC for 38.5% (35/91). Patient-perceived drawbacks included someone overhearing the conversation who was not invited (14.4%;14/97) and distraction by other adults or children (7.2%;7/97). Only 7.9% (7/89) of respondents agreed or strongly agreed with the statement “If I needed genetic counseling again, I would choose an in-person appointment.” Nearly all respondents agreed or strongly agreed with the following statements: “I received the same care by telephone or video as I would expect at an in-person appointment” (95.5%;85/89), “I would recommend a phone or video appointment for genetic counseling to family and friends” (89.9%;80/89), and “Overall, I am satisfied with the quality of the appointment” (98.9%;88/89). There was no statistical difference in reported satisfaction across subspecialties (p = 0.823). Conclusion: Respondents for all subspecialties overwhelmingly reported that they were satisfied with the THGC experience. Some studies have suggested that providers prefer videoconferencing appointments. However, the vast majority of patients who responded to this survey elected telephone appointments, providing insight into patient preferences for THGC services. Although this survey was distributed during the pandemic, the most frequently selected benefits were related to logistical and scheduling issues as opposed to safety concerns related to COVID-19. These data support the use of THGC across multiple specialties as a patient-desired model of care, and helps to fill a gap in the literature by examining the experiences of patients seen for multiple subspecialties, beyond cancer genetics.

15.
International Conference on Computing, Communication, Electrical and Biomedical Systems, ICCCEBS 2021 ; : 353-368, 2022.
Article in English | Scopus | ID: covidwho-1750473

ABSTRACT

COVID-19 is one of the dangerous viruses that appears in 2020. The virus has gained popularity with its massive spread across the countries. The number of casualties has increased dramatically, which led many countries to declare a state of emergency as a result of the outbreak of this epidemic and their inability to control it. Several studies and researches have emerged to shed light on the mechanism of the virus and ways to prevent it, making it easier to control in the future. The World Health Organization (WHO) has begun to publish detailed numbers of injuries, deaths, and recovery cases and has given many advices, including the imposition of a total and partial curfew in many areas in addition to emphasizing the principle of social divergence in order to prevent the rapid spread of the virus among groups of society. The main goal of this paper is to design a system that used genetic algorithms (GAs) and the principles of linked open data (LOD) for improving the immunity system by enhancing social divergence. The system starts using GA for the purpose of finding the characteristics that must be present in a person who is dangerous to society in order to get away from him as much as possible. After taking these features, the system will take the values of these features and add it to the features for all persons in order to check it in the future and give alarm to all their friends or people around them. The RDF (Resource Description Framework) is a standard model for data interchange on the Web. The main idea for using RDF in this paper is finding a proper representation for user personal file and give the flexibility to connect many personal files in order to find a deep information and can reach an unknown person from known person using the FOAF (Friend Of A Friend) and vCard (virtual card) as a standard for vocabularies. The system takes the Statistics from the WHO which show the total infected cases in all countries arranged in decreasing order. The system gives a good result for analyzing the COVID-19 virus information and detecting the infected (possible infected) person and send warning to all nearest people and his friend and family, because sometimes the person has no coronavirus symptoms but he is infected so we need a technique for detecting that virus and take a proper action as soon as possible. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

16.
Annals of Emergency Medicine ; 78(4):S100, 2021.
Article in English | EMBASE | ID: covidwho-1748255

ABSTRACT

Study Objective: During COVID-19, emergency medicine (EM) providers have labored to protect the health of their patients, often at the expense of their own well-being. Increased demands imposed on providers without intentional efforts to evaluate and improve wellness can lead to burnout, attrition, and compromise patient care. Practices that promote mindfulness, reflection and gratitude have been shown to reduce burnout. The Institute for Healthcare Improvement (IHI) Framework for Improving Joy In Work provides an approach to restore joy and engagement by first identifying elements that "matter most” to healthcare workers. The objective of this study was to identify common themes and associations that contribute to EM provider and staff (1) joy in work, (2) gratitude, and (3) personal wellness. Methods: This descriptive study used an electronic survey tool with open-ended questions adapted from the IHI framework to assess what matters most. Q1: What brings you joy in your work? Q2: Thinking back to what matters most, what are you grateful for? Q3: What do you do to maintain your personal wellness? In Nov. 2020, email listservs were used to recruit a voluntary sample of emergency physicians, advanced practice providers (APPs), residents, fellows, nurses and staff from 10 academic and community hospitals. Data were managed in Qualtrics and Excel. Qualitative analysis used inductive thematic coding by two authors independently, with verification by a third. Information redundancy signaled saturation for common themes. Pivot tables examined themes across demographics, and associations were analyzed with 2x2 contingency tables using chi-square, Fisher’s exact tests, and odds ratios (95% CI). Results: Of 254 respondents, 63% were female and 89% identified as White. Roles were 32% physicians, 8% APPs, 16% residents/fellows, and 44% nurses/staff. Response rates were 39-54% for providers. Common themes for joy in work were patient care (47%) and teamwork/camaraderie (43%), followed by feeling valued/appreciated (13%), making a difference (13%), and teaching/mentoring (9%). EM providers at academic sites were more likely to find joy in teaching/mentoring than those in the community (p=0.01;OR 10.5, 95% CI 1.3-82.6). For gratitude, themes were teamwork/ camaraderie (13%), family (12%), health (7%), and supportive work environment (7%). Themes for maintaining personal wellness were physical exercise (46%), time with family and friends (32%), hobbies (15%), and self-care (13%). Conclusions: Results of this study reveal common themes for EM providers and staff surrounding joy, gratitude, and wellness. By identifying elements that matter most, systems can take the next steps in the IHI framework to support and rejuvenate their healthcare team. Implications from our findings suggest that practices and future research to remove barriers and encourage meaningful provider-patient interactions, team camaraderie, teaching/mentoring, physical activity, and time with family/friends could increase joy and fulfillment for frontline healthcare workers.

17.
Open Forum Infectious Diseases ; 8(SUPPL 1):S397-S398, 2021.
Article in English | EMBASE | ID: covidwho-1746408

ABSTRACT

Background. Minority groups have the lowest vaccination rates when compared to the overall population. We aim to study the attitudes and perceptions of COVID-19 vaccination, about six months after vaccine rollout in the South Bronx. Methods. Cross-sectional anonymized online survey evaluating knowledge, attitude and perception about COVID-19 vaccination using SurveyMonkey™ was conducted in South Bronx community from April - June 2021. Results. Of the 281 participants, 67% were Latinx and 16% were African American (AA);69% (195) were fully vaccinated (FV) and 31% (86) with vaccine hesitancy (VH). The common reasons for hesitancy were "concerns about side effects" (38%), "vaccine is not safe" (27%) and "vaccine was approved too fast" (26%) (p< .001). VH were more likely to rely online/mobile apps (30%) and friends and family (23%) as compared to FV. VH were more likely to be AA, younger age (< 35 yrs), high school or lower education, single, unemployed, without comorbidities, not current on other eligible vaccines, and did not believe "vaccine is necessary to end the pandemic." Majority of participants from both cohorts trusted their primary care providers. Mistrust with healthcare and pharmaceutical companies was higher in VH (p=0.009). Both groups preferred to continue wearing mask and practice social distancing despite vaccination status. Conclusion. Persisting vaccine hesitancy is concerning in minority communities. Identifying the target population and implementation of innovative methods to improve COVID-19 vaccination acceptance leveraging primary care providers would be a possible solution.

18.
Open Forum Infectious Diseases ; 8(SUPPL 1):S467, 2021.
Article in English | EMBASE | ID: covidwho-1746386

ABSTRACT

Background. In January-March 2020, the Centers for Disease Control and Prevention (CDC) issued multiple warnings regarding COVID-19 travel-associated risks. We sought to describe US travelers seeking pretravel consultation regarding international travel at US Global TravEpiNet (GTEN) sites before and after the initial COVID-19 travel warnings. Methods. We prospectively collected data at 22 GTEN sites pre-COVID-19 (January-December 2019) and 18 GTEN sites during the COVID-19 pandemic (April 2020-March 2021). We excluded travelers evaluated during January-March 2020, when CDC travel guidance was evolving rapidly. Travelers used standardized questionnaires to self-report data regarding demographics and travel-related characteristics. Providers confirmed these data and documented their recommendations during pretravel consultation, which could be performed virtually. We conducted descriptive analyses of differences in demographics, travel-related characteristics, vaccinations, and medications (SAS v9.4;Cary, NC). Results. Compared with 16,903 pre-COVID-19 consultations, only 1,564 consultations occurred during the COVID-19 pandemic, a 90% reduction (Table). During COVID-19, a greater proportion of travelers were children aged 1-5 years, visiting friends and relatives (VFR), with itineraries ≥ 30 days, and going to Africa;a smaller proportion of travelers were aged > 55 years, or traveling to Southeast Asia or the Western Pacific. During COVID-19, fewer vaccine-eligible travelers received vaccines at the pretravel consultation except for yellow fever, and a greater proportion were referred to another provider for vaccination (Figure). Table. Demographics and travel-related characteristics of international travelers seeking pretravel consultation at Global TravEpiNet sites before and during the COVID-19 pandemic Table continued. Demographics and travel-related characteristics of international travelers seeking pretravel consultation at Global TravEpiNet sites before and during the COVID-19 pandemic Figure. Vaccinations and reasons for nonvaccination among vaccine-eligible international travelers at pretravel consultations at Global TravEpiNet (GTEN) sites before and during the COVID-19 pandemic. Among vaccine-eligible travelers, we summarized those who were vaccinated at the visit (blue) and not vaccinated (orange). We then categorized reasons for nonvaccination into: provider decision (solid), referral to another provider (dots), traveler refusal (striped), or other (hatched). COVID-19 vaccination was not available at GTEN sites during the analysis period;although COVID-19 vaccinations outside of GTEN sites might have affected vaccination recommendations, they were unlikely to have had a large effect given their limited availability in January-March 2021. Conclusion. Compared with pre-COVID-19, US travelers seeking pretravel consultations at GTEN sites during the pandemic might be at higher risk for travel-related infections given VFR status, traveling for ≥ 30 days, and going to Africa. Fewer vaccine-eligible travelers were vaccinated at pretravel consultations, which could reflect more virtual pretravel consultations. Counseling and vaccination for international travelers continue to be priorities during the COVID-19 pandemic.

19.
Developmental Medicine and Child Neurology ; 64(SUPPL 1):23, 2022.
Article in English | EMBASE | ID: covidwho-1723119

ABSTRACT

Objectives: To understand the impact (health, cognitive, economic, and psychological) of the COVID-19 lockdown on children with chronic neurological disorders (epilepsy, cerebral palsy, autism, ADHD) in Nigeria. Methods: A focused group discussion of caregivers and children with chronic neurological conditions (epilepsy, cerebral palsy, brain tumor and muscular dystrophy) was conducted. Nine caregiver-patient pairs participated in the discussion while observing all precautionary measures. The responses of the participants were recorded, transcribed and analysed. Results: There was limited access to consulting physicians in the hospital to review the child's health status, and lack of money to purchase drugs as parents' means of livelihood were disrupted. Findings indicated that children seemed to have forgotten what they learnt in the previous academic period. Some of the children have torn their books, given that learning tutors gave out the books for children to practice at home. The lockdown policy imposed hunger in the households as parents couldn't attend to their various jobs. Households rarely eat recommended daily servings and mix of food. Some of the caregivers lost their jobs, others had their shops and businesses locked down, leading to inability to contribute money for household feeding. Children had access to cloth face masks. However, children seldom adhere to the use of facemask when necessary. Regular hand washing was common. Only one participant reported availability and use of hand sanitizer. The lockdown of worship centers conferred a sense of anger, frustration, and hopelessness among some of the participants. Caregivers believed they lost social interactions including drinking with friends. Conclusion: The COVID-19 lockdown had untoward effects on different aspects of the lives of children with chronic neurologic illnesses requiring the development of well adapted local strategies to mitigate unintended effects on children.

20.
Physiotherapy (United Kingdom) ; 114:e235-e236, 2022.
Article in English | EMBASE | ID: covidwho-1708392

ABSTRACT

Keywords: Virtual Physiotherapy;Patient satisfaction;Management of change Purpose: Due to COVID-19, delivery of face-to-face musculoskeletal (MSK) physiotherapy had to evolve quickly to ensure safety of patients and staff. Nuffield Health adopted a fully virtual service that evolved into a hybrid service of virtual and face-to-face as the restrictions were lifted, representing a significant change in the delivery of MSK physiotherapy. It was deemed important to monitor the quality of the service throughout this time, so the aim of this project was to monitor patient satisfaction throughout the changes in physiotherapy delivery throughout 2020. Methods: Patient satisfaction was measured by Net Promotor Scores (NPS), satisfaction levels and text feedback from patients accessing the Nuffield Health physiotherapy service by means of an anonymised survey sent via email upon discharge. NPS is a measure of customer experience using the question “How likely are you to recommend Nuffield to a friend?” Subtracting the percentage of Detractors (0–6/10) from the percentage of Promoters (9–10/10) yields the Net Promoter Score, which can range from a low of −100 (if every customer is a Detractor) to a high of 100 (if every customer is a Promoter). Data from December 2019–February 2020 was used as a control group, March to May 2020 as a purely virtual group and then onwards to March 2021 as a hybrid group. All comments related to the virtual or hybrid delivery of physiotherapy were included in the analysis. Results: Control group NPS +67/patient satisfaction 91% Virtual NPS +62/patient satisfaction 91% (I) was concerned when the continuing physio went online. However, the experience was excellent… I had to stay at home and the video chats and exercises helped my recovery. Hybrid June 2020–August 2020 NPS +52/Satisfaction 86% September 2020–December 2020 NPS +61/Satisfaction 90% January 2021–March 2021 NPS +67/Satisfaction 92% My Physio was excellent and I liked the convenience of a mix of online through the App and face to face Great service, delivered remotely. Lots of advice, and the app is a great way of keeping track. Conclusion(s): There was only a small initial drop in NPS score for the full virtual service, possibly due to understanding this was essential to the health of the nation and was a temporary change in service. As the hybrid model was introduced, NPS and satisfaction did reduce, but then improved to pre-pandemic levels. This could be explained by the Managing transitions model (Bridges, 2009) with the initial drop representing the “endings” zone and gradual recovery being representative of both clinicians and patients moving through the “neutral” to the “new beginnings” zone. Comments indicate some patients feel virtual appointments are inferior to face-to-face, but others liked the convenience and the use of an app. Impact: This service evaluation demonstrates level of patient satisfaction between a hybrid and fully face-to-face service are equal. This can be used as an ongoing model of care to provide choice to the individual and maximise efficiency of provision as the rehabilitation needs of the nation grow. Funding acknowledgements: None.

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