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1.
Journal of STEM Education : Innovations and Research ; 23(3):5-11, 2022.
Article in English | ProQuest Central | ID: covidwho-2034341

ABSTRACT

This study investigates the effect of the COVID-19 pandemic on teacher self-efficacy with delivering designbased learning to elementary students in online or blended settings. This study also identifies what resources and supports teachers need to engage elementary students in design-based learning in online or blended settings. The population for this study was elementary teachers teaching STEM content and included a sample of four elementary STEM teachers from rural and suburban communities. Each participating teacher completed a semi-structured interview consisting of queries targeting both research questions within the study. The results of the qualitative analysis revealed a temporary decrease in teachers'selfefficacy at the beginning of the shift to a virtual environment. A lack of student access to resources at home, the teachers'lack of control and support for the student in a synchronous manner, and a shift in priorities for STEM education contributed to the temporary decrease in the teachers'self-efficacy. To remediate this, teachers reported condensing activities and the Engineering Design Process. They cited fellow educator support, previous coursework, additional time, and access to teacher resources as supports that would be beneficial in the current environment.

2.
Family Practice Management ; 29(5):12-16, 2022.
Article in English | CINAHL | ID: covidwho-2033991

ABSTRACT

After the upheaval of the last two years, many physicians are reassessing their priorities. Coaching provides a framework for learning from the past to build a brighter future.

3.
American Journal of Public Health ; 112(10):1368-1369, 2022.
Article in English | ProQuest Central | ID: covidwho-2033857

ABSTRACT

In AJPH and elsewhere, a steady stream of research articles, blogs, and opinion pieces have been published supporting the expansion of the community health worker (CHW) workforce.1 As frontline public health workers, CHWs have played an important role in COVID-19 response and prevention.2 Moreover, there is ever-increasing evidence of their effectiveness in promoting access to primary and preventive care, building bridges between communities and health care systems, and improving health outcomes for chronic conditions, particularly in underserved communities.3 Workforce growth is predicated upon sustainable, dedicated financing mechanisms. In the United States, CHW employment often relies on grants and other short-term resources.1,4 Long-term flexible funding models are important for both workforce development and program continuity.5 Medicaid coverage for CHW services has been identified as a potential solution for the constraints to CHW program sustainability.4 Similarly, occupational certification for CHWs provides a pathway for career development and higher earning potential while encouraging workforce growth and integration.6 Although Medicaid coverage and certification are commonly touted as enablers of workforce growth, we actually know very little about how these two policies affect the CHW labor force. Jones et al. state that low wages are the main predictor of resignations among frontline health workers, but they did not examine how wages affect turnover. Because of data limitations, turnover in this study was narrowly defined as leaving the CHW workforce altogether;job transitions within the field were not captured.

4.
Hospital Employee Health ; 41(9):100-102, 2022.
Article in English | CINAHL | ID: covidwho-2033672

ABSTRACT

The article offers information about the moral injury faced by the healthcare workers in the U.S. It mentions that healthcare workers suffered a comparable level of mental turmoil and ethical conflict amid the Covid-19 pandemic. It discusses that potential moral injury associated with significantly higher depressive symptoms.

5.
Journal of Organizational Effectiveness: People and Performance ; 2022.
Article in English | Web of Science | ID: covidwho-2032226

ABSTRACT

Purpose The COVID-19 pandemic pushed organizations across the world to suddenly adopt work from home at a mass scale to maintain business continuity. This study aims to investigate the influence of lack of social interaction in work from the home arrangement on employee work effectiveness. Design/methodology/approach The data were analysed using the partial least square (PLS) structural equation modelling (SEM) approach, a nonparametric method based on total variance, through SmartPLS software 3.0. The data were collected from 399 participants in India using the snowball sampling technique. The target populations were the people who were working from home due to the pandemic and by asking them to forward the survey link in their network. Findings The results suggest that social interaction has a significant positive impact on work effectiveness. However, this impact is not affected by the employee's perceived benefits of maintaining social distancing during the pandemic. The study also found that social interaction is important for both genders and found no significant difference in the relationship between social interaction and work from home effectiveness for male and female employees. Practical implications This study will be useful for human resource practitioners and managers as they build strategies to adopt work from home as a regular practice even in non-pandemic situations. Originality/value This study is the first to examine the influence of lack of social interaction on the work from home effectiveness during the COVID-19 times. It examines the moderating role of the perceived benefits of maintaining social distancing and gender on the effect of lack of social interaction as a barrier to work from home effectiveness.

6.
HemaSphere ; 6:373-375, 2022.
Article in English | EMBASE | ID: covidwho-2032169

ABSTRACT

Background: Patients with red blood cell disorders (RBCD), are likely to be at increased risk of complications from SARS-Co-2 (Coid-19), but eidence in this population is scarce due to its low frequency and heterogeneous distribution. Aims: ERN-EuroBloodNet, the European Reference Network in rare hematological disorders, established a European registry to determine the impact of COVID-19 on RBCD patients and identify risk factors predicting seere outcomes. Methods: The ERN-EuroBloodNet registry was established in March 2020 by VHIR based on Redcap software in accordance with the Regulation (EU) 2016/679 on personal data. The local Research Ethics Committee confirmed that the exceptional case of the pandemic justifies the waier of informed consent. Eligible patients had confirmed RBCD and COVID-19. Data collected included demographics, diagnosis, comorbidities, treatments, and COVID-19 symptoms and management. For analysis of COVID-19 seerity, two groups were established 1) Mild: asymptomatic or mild symptoms without clinical pneumonia and 2) Seere: pneumonia requiring oxygen/respiratory support and/or admission to intensie care unit. Continuous ariables were compared using the Wilcoxon rank-sum test or Kruskall Wallis test, while categorical ariables were analyzed using the Chi-square test or Fisher's Exact test. Releant factors influencing disease or seerity were examined by the logistic regression adjusted for age. Results: As of February 25, 2022, 42 medical centers from 10 EU countries had registered 428 patients: 212 Sickle cell disease (SCD), 186 Thalassemia major and intermedia (THAL). The mean age of SCD was lower (22y) than of THAL (39.4y). Splenectomy and comorbidities were higher in THAL (51.4% and 61,3%) than in SCD (16,3% and 46,8%) (p<0.001, p=0.004). Age and BMI correlated with COVID-19 seerity, as described in the general population (p=0.003, p<0.001). Fig 1 shows age distribution and COVID-19 seerity by disease seerity groups. The mean age for seere COVID-19 was lower in patients with seere SCD (SS/SB0 s SC/SB+: 23y s 67.5y) and THAL (major s intermedia: 43.5 s 51.3y) (p<0.001). Potential risk factors such as eleated ferritin, current chelation or history of splenectomy did not confer additional risk for deeloping seere COVID-19 in any patient group. Only diabetes as a comorbidity correlated with seerity grade in SCD (p=0.01) and hypertension in THAL (p=0.009). While seere COVID-19 infection in SCD was associated with both ACS (p<0.001) and kidney failure requiring treatment (p<0.001), this was not predicted by a history of preious ACS or kidney disease in steady state. Oerall, 14,6% RBC patients needed oxygen/respiratory support, 4% were admitted to ICU with an oerall mortality rate of 1%, much lower than reported in other similar cohorts. Hospital Son Espases, Palma de Mallorca, Spain;54 Clinical Pharmacology Serice, Hospital Uniersitari Vall d'Hebron, Barcelona, Spain;55 Vall d'Hebron Institut de Recerca, Barcelona, Spain;56 Diision of Hematology and Oncology, Department of Internal Medicine, American Uniersity of Beirut Medical Center, Beirut, Lebanon;57 UOC Pediatric Hematology Oncology, Uniersity of Padoa, Padoa, Italy;58 Department of Haematology, Oxford Uniersity Hospitals NHS Foundation Trust, Oxford, United Kingdom;59 Translational Research in Child and Adolescent Cancer, Vall d'Hebron Institut de Recerca, Barcelona, Spain Background: Patients with red blood cell disorders (RBCD), are likely to be at increased risk of complications from SARS-Co-2 (Coid-19), but eidence in this population is scarce due to its low frequency and heterogeneous distribution. Aims: ERN-EuroBloodNet, the European Reference Network in rare hematological disorders, established a European registry to determine the impact of COVID-19 on RBCD patients and identify risk factors predicting seere outcomes. Methods: The ERN-EuroBloodNet registry was established in March 2020 by VHIR based on Redcap software in accordance with the Regulation (EU) 2016/679 on personal data. The local Research Ethics Committee confirm d that the exceptional case of the pandemic justifies the waier of informed consent. Eligible patients had confirmed RBCD and COVID-19. Data collected included demographics, diagnosis, comorbidities, treatments, and COVID-19 symptoms and management. For analysis of COVID-19 seerity, two groups were established 1) Mild: asymptomatic or mild symptoms without clinical pneumonia and 2) Seere: pneumonia requiring oxygen/respiratory support and/or admission to intensie care unit. Continuous ariables were compared using the Wilcoxon rank-sum test or Kruskall Wallis test, while categorical ariables were analyzed using the Chi-square test or Fisher's Exact test. Releant factors influencing disease or seerity were examined by the logistic regression adjusted for age. Results: As of February 25, 2022, 42 medical centers from 10 EU countries had registered 428 patients: 212 Sickle cell disease (SCD), 186 Thalassemia major and intermedia (THAL). The mean age of SCD was lower (22y) than of THAL (39.4y). Splenectomy and comorbidities were higher in THAL (51.4% and 61,3%) than in SCD (16,3% and 46,8%) (p<0.001, p=0.004). Age and BMI correlated with COVID-19 seerity, as described in the general population (p=0.003, p<0.001). Fig 1 shows age distribution and COVID-19 seerity by disease seerity groups. The mean age for seere COVID-19 was lower in patients with seere SCD (SS/SB0 s SC/SB+: 23y s 67.5y) and THAL (major s intermedia: 43.5 s 51.3y) (p<0.001). Potential risk factors such as eleated ferritin, current chelation or history of splenectomy did not confer additional risk for deeloping seere COVID-19 in any patient group. Only diabetes as a comorbidity correlated with seerity grade in SCD (p=0.01) and hypertension in THAL (p=0.009). While seere COVID-19 infection in SCD was associated with both ACS (p<0.001) and kidney failure requiring treatment (p<0.001), this was not predicted by a history of preious ACS or kidney disease in steady state. Oerall, 14,6% RBC patients needed oxygen/respiratory support, 4% were admitted to ICU with an oerall mortality rate of 1%, much lower than reported in other similar cohorts. Summary/Conclusion: Results obtained so far show that seere COVID-19 occurs at younger ages in more aggressie forms of SCD and THAL. Current preentie approaches focus on age oer disease seerity. Our data highlights the risk of seere COVID-19 infection in some young patients, particularly those with SS/SB0 SCD, suggesting that immunization should be considered in this pediatric group as well. Results between similar sized cohorts of RBCD patients ary between each other and those presented here, highlighting the importance of collecting all of these small cohorts together to ensure adequate statistical power so that definitie risk factors can be reliably identified and used to guide management of patients with these rare disorders in the light of the ongoing pandemic. (Figure Presented).

7.
HemaSphere ; 6:368-370, 2022.
Article in English | EMBASE | ID: covidwho-2032134

ABSTRACT

Background: Philadelphia-negatie chronic myeloproliferatie neoplasms (MPN) typically incur high rates of thrombosis and infections and cytoreductie drugs may modulate such risks. Aims: The present analysis aims at assessing the seerity and outcomes of MPN facing coronairus disease 2019 (COVID-19). Hence, we aimed to assess the impact of immunosuppressie agents and comorbidity burden in COVID- 19 outcome. Methods: The EPICOVIDEHA registry is an online surey (www.clinicalsureys.net) that has collected since April 2020 until January 2022 5,445 cases of COVID-19 in indiiduals with baseline haematological malignancies (Salmanton-García et al, 2021 Hemasphere) The surey is promoted by the European Hematology Association - Infectious Diseases Working Party (EHA-IDWP) and has been approed centrally by the Institutional Reiew Board and Ethics Committee of Fondazione Policlinico Uniersitario A. Gemelli - IRCCS - Uniersità Cattolica del Sacro Cuore, Rome, Italy (Study ID: 3226). Results: Oerall, 308 patients (5.6%) with MPN were obsered for a median of 102 days (IQR: 21-223, range 22-97) after COVID-19 diagnosis. Median age at infection was 69 years (IQR: 58-77, range 22-97) and at least one comorbidity was reported from most of the indiiduals (62.6%, n = 193). A large portion of patients had a history of cardiopathy (n=109, 35.4%), diabetes (n=40, 15.9%), or chronic pulmonary disease (n=44, 14.3%). Myelofibrosis (MF) (n=140, 45.4%) was the most prealent baseline malignancy, with 18 MF patients (12.9%) reporting 3 or more comorbidities. Out of the whole cohort, 72 patients (42.8% of MF) receied immunosuppressige therapies including steroids, immunomodulatory drugs (IMiDs) or JAK-inhibitors. Hospitalization and consecutie admission to intensie care unit was required for 187 (60.7%) and 45 (24%) patients, respectiely. At multiariate logistic regression, Hospital admission was predicted by age >70 years (OR 2.809;95% CI 1.651-4.779), exposure to immunosuppressie therapies (OR 2.802;95% CI 1.5380-5.103) and comorbidity burden. During the study follow-up (median 101 days;range 21-222) 84 patients deceased after a median time of 14 days (IQR: 8-49, range 0-457) since COVID-19 diagnosis. The fatality rate (FR) decreased from 40.3% (50 out of 124) in the first two quarters of year 2020 to 15.8% (3 out of 19) in the first two quarters of year 2021 (p<0.05). Death was principally attributable to COVID-19 in 58 patients (69.0%) and contributable by COVID-19 in 15 (17.9%). FR was particularly high (54 out of 140, 38.6%) in MF patients and in patients receiing immunosuppressie agents (32 out of 86, 37%). Moreoer, FR increased from 13.0% in indiiduals with no comorbidity to 36.0% and 62.1% in those with >2 or >3 comorbidities, respectiely. More specifically, three comorbidities independently increased the FR: chronic cardiopathy (HR 1.653;95%CI 1.017-2.687), chronic pulmonary disease (HR 1.847;95% CI 1.097-3.109), and diabetes mellitus (HR 1.712;95% CI 1.006-2.914). A heay comorbidity burden, namely 3 or more comorbidities (HR 2.956;95% CI 1.403-6.227), adanced age, namely >70 years (HR .809;95% CI 1.651-4.779), myelofibrosis (HR 2.501;95% CI 1.384-4.519), and ICU admission (HR 2.669;95% CI 1.641-4.342) independently predicted FR. (MF) (n=140, 45.4%) was the most prealent baseline malignancy, with 18 MF patients (12.9%) reporting 3 or more comorbidities. Out of the whole cohort, 72 patients (42.8% of MF) receied immunosuppressige therapies including steroids, immunomodulatory drugs (IMiDs) or JAK-inhibitors. Hospitalization and consecutie admission to intensie care unit was required for 187 (60.7%) and 45 (24%) patients, respectiely. At multiariate logistic regression, Hospital admission was predicted by age >70 years (OR 2.809;95% CI 1.651-4.779), exposure to immunosuppressie therapies (OR 2.802;95% CI 1.5380-5.103) and comorbidity burden. During the study follow-up (median 101 days;range 21-222) 84 patients deceased after a median time of 14 days (IQR: 8-49, range 0-457) since COVID-19 diagnosis. The fatality rate (FR) dec eased from 40.3% (50 out of 124) in the first two quarters of year 2020 to 15.8% (3 out of 19) in the first two quarters of year 2021 (p<0.05). Death was principally attributable to COVID-19 in 58 patients (69.0%) and contributable by COVID-19 in 15 (17.9%). FR was particularly high (54 out of 140, 38.6%) in MF patients and in patients receiing immunosuppressie agents (32 out of 86, 37%). Moreoer, FR increased from 13.0% in indiiduals with no comorbidity to 36.0% and 62.1% in those with >2 or >3 comorbidities, respectiely. More specifically, three comorbidities independently increased the FR: chronic cardiopathy (HR 1.653;95%CI 1.017-2.687), chronic pulmonary disease (HR 1.847;95% CI 1.097-3.109), and diabetes mellitus (HR 1.712;95% CI 1.006-2.914). A heay comorbidity burden, namely 3 or more comorbidities (HR 2.956;95% CI 1.403-6.227), adanced age, namely >70 years (HR .809;95% CI 1.651-4.779), myelofibrosis (HR 2.501;95% CI 1.384-4.519), and ICU admission (HR 2.669;95% CI 1.641-4.342) independently predicted FR. Summary/Conclusion: COVID-19 infection led to a particularly dismal outcome in patients exposed to immunosuppressie agents and in those with chronic heart or pulmonary diseases, or diabetes. These data allow to tailor future strategies for preenting seere COVID-19 in MPN patients. (Table Presented).

8.
Psychologie Française ; 2022.
Article in French | ScienceDirect | ID: covidwho-2031634

ABSTRACT

Résumé Introduction: Les musiciens d’orchestre professionnels souffrent fréquemment de troubles musculo-squelettiques liés à leurs conditions de travail. Au printemps 2020, le confinement et l’arrêt des activités professionnelles liés à la pandémie de la COVID-19 pouvait présenter une opportunité de récupération mais également augmenter leur incertitude professionnelle et être source d’émotions négatives. Objectif: Le premier objectif est d’évaluer l’évolution des troubles musculo-squelettiques des musiciens professionnels liée à l’arrêt des activités professionnelles provoqué par la COVID-19. Le second est d’examiner l’impact de l’incertitude professionnelle générée par la pandémie et le confinement sur la pratique instrumentale, en fonction des émotions qu’elle a provoquées. Méthode: Un questionnaire sur la pratique instrumentale et les troubles musculo-squelettiques a été renseigné par 439 musiciens d’orchestres français en 2019 (période d’activité professionnelle). Pendant le confinement (avril 2020), un second questionnaire portant sur ces variables ainsi que sur l’incertitude professionnelle, les émotions, l’épuisement émotionnel et le vécu du confinement a été renseigné par 172 musiciens. Résultats: La pratique instrumentale et la prévalence des troubles musculo-squelettiques ont chuté entre les périodes d’activité et de confinement. L’incertitude professionnelle pendant le confinement corrélait aux émotions négatives. L’épuisement émotionnel médiatisait les relations entre l’incertitude et l’effort perçu à pratiquer son instrument, d’une part, et le plaisir ressenti, d’autre part. Conclusion: Pour les musiciens d’orchestre confinés, l’incertitude était associée aux émotions négatives. Jouer de son instrument demandait plus d’effort et n’était pas un facteur de bien-être, soulignant les difficultés pour une reprise de l’activité professionnelle dans des conditions qui limiteraient le risque de blessures. Introduction: Professional orchestra musicians frequently suffer from musculoskeletal disorders related to their working conditions. In the spring of 2020, the lockdown and the interruption of their professional activities because of the COVID-19 pandemic could have presented an opportunity for them to recuperate but could also have increased their professional uncertainty and been a source of negative emotions. Objective: The first objective is to evaluate the evolution of musicians’ musculoskeletal disorders in relation to the interruption of their professional activities due to COVID-19. The second is to examine the impact of professional uncertainty caused by the pandemic on their instrument practice as a function of the emotions it generated. Method: A questionnaire concerning instrument practice and musculoskeletal disorders was completed by 439 French orchestra musicians in 2019 (period of professional activity). During lockdown (April 2020), a second questionnaire measuring these variables as well as professional uncertainty, emotions, emotional exhaustion, and the lockdown experience was completed by 172 musicians. Results: Instrument practice and musculoskeletal disorders decreased between the periods of activity and lockdown. Professional uncertainty during lockdown correlated with negative emotions. Emotional exhaustion mediated the relations between uncertainty and the effort perceived when practicing one’s instrument on the one hand and the pleasure experienced during practice on the other. Conclusion: For orchestra musicians in lockdown, uncertainty was related to negative emotions. Playing their instrument required more effort and was not associated with well-being, emphasizing the difficulties regarding the resumption of their professional activity in conditions which would limit the risk of injury.

9.
Nurse Education Today ; : 105567, 2022.
Article in English | ScienceDirect | ID: covidwho-2031593

ABSTRACT

Background Increased professional commitment is essential for relieving the nursing workforce shortage, which is exacerbated by the COVID-19 pandemic. The professional commitment of graduating nursing students is a powerful predictor of their work commitment. However, limited information is available regarding graduating nursing students' professional commitment. Existing studies investigating nursing students' professional commitment are limited by their lack of theoretical foundation. Objectives To investigate the level of graduating nursing students' professional commitment and its multilevel influencing factors from the perspective of the Ecological Systems Theory in the early days following the COVID-19 outbreak. Design A descriptive cross-sectional study. Setting Three educational institutions in Shanghai, China. Participants 513 nursing students who were graduating with an associate or bachelor's degree. Methods The independent variables were measured by a self-designed questionnaire. The dependent variable professional commitment was measured by the Nursing Professional Commitment Scale. Hierarchical regression analyses, which allowed the independent variables entered in order, were performed to identify the significant predictor variables of the professional commitment and its dimensions. Results The level of professional commitment was 100.15 ± 20.35 (score ranged between 34 and 136). The individual factors (degree, whether had received a scholarship during the past academic years, ΔR2 = 0.142), family factors (parents and siblings' attitudes towards one's majoring in nursing, ΔR2 = 0.153), educational factors (academic faculty's belief in nursing profession, leaders' emphasis on nursing profession, satisfaction with clinical instructors' role modeling, ΔR2 = 0.097), and social factors (reason for majoring in nursing, perceived nurse-patient relationship, ΔR2 = 0.153) were significant predictors of the graduating nursing students' professional commitment (R2 = 47.6 %, F = 32.277, p < 0.001). Conclusions The graduating nursing students had a moderate level of professional commitment, which needed to be improved. Nursing educators should comprehensively consider various factors to understand the relationship between individuals and environmental systems, and implement targeted interventions to shape the positive professional values of nursing students.

10.
Nurse Education Today ; : 105560, 2022.
Article in English | ScienceDirect | ID: covidwho-2031590

ABSTRACT

Background The COVID-19 global pandemic was declared in March 2020. By June 2022, the total deaths worldwide attributed to COVID-19 numbered over 6.3 million. Health professionals have been significantly impacted worldwide primarily those working on the frontline but also those working in other areas including nursing, midwifery, and paramedic higher education. Studies of occupational stress have focused on the clinical health professional roles but scant attention has been drawn to the pressures on university-based academic staff supporting and preparing professionals for frontline health work. Design and objectives This qualitative study sought to explore the challenges experienced by health academics (nurses, midwives and paramedics), during COVID-19 and identify strategies enlisted. Setting and participants Six Australian and two United Kingdom universities collaborated, from which 34 health academics were individually interviewed via video or teleconference, using six broad questions. Ethical approval was obtained from the lead site and each participating University. Data analysis Thematic analysis of the data was employed collaboratively across institutions, using Braun and Clarke's method. Results Data analysis generated four major themes describing academics': Experiences of change;perceptions of organisational responses;professional and personal impacts;and strategies to support wellbeing. Stress, anxiety and uncertainty of working from home and teaching in a different way were reported. Strategies included setting workday routine, establishing physical boundaries for home-working and regular online contact with colleagues. Conclusions The ability of nursing, midwifery and, paramedic academic staff to adapt to a sudden increase in workload, change in teaching practices and technology, while being removed from their work environment, and collegial, academic and technological supports is highlighted. It was recognised that these changes will continue post-COVID and that the way academics deliver education is forever altered.

11.
Journal of Thoracic Oncology ; 17(9):S213-S214, 2022.
Article in English | EMBASE | ID: covidwho-2031514

ABSTRACT

Introduction: It was aimed to evaluate the efficacy, local control and survival in patients with inoperable primary or metastatic lung cancer who underwent stereotactic body radiotherapy (SBRT) using the Cyberknife-M6 (CK-M6) with lung optimized treatment (LOT) module. Methods: Ethics committee (no: 2018-7/6) and scientific research project (OUAP (T) 2019/1) approval were obtained. 23 lesions of 21 patients were treated between April 2019 to December 2020 at our department. The patients were immobilized in the supine position by wearing a Synchrony vest, with the hands at their sides. A planning 4D-CT was obtained in a free breathing modality. The gross target volumes was created both on the full-inhale and full-exhale phases and internal target volume (ITV) was created. By taking an image of patients on the treatment device, tracking modality was selected according to the visibility of the target. Zero-View tracking was applied in 10 patients, 1-View in 10 patients, 2-View in 1 patients. 3 to 5 mm margin added for planning target volume (PTV) according to tracking method. Median ITV and PTV was 9,38 (2-52,34) and 20,27 (9,25-82,7) cc, respectively. An InCise2 multileaf collimator optimized by the Monte Carlo algoritm was used in all patients. A pair of the orthogonal kV X-ray imaging systems were used for simultaneous target tracking. Median prescribed dose was 48 Gy in 4 fractions (30-54 Gy in 3-6 fractions) administered consecutively or every other day. Prescription isodose covering 95% of PTV was 82,5% (77,4-99,3). Median conformity and homogeneity index was 1,17 (1,02-1,77) and 1,22 (1,09-1,29), respectively. Median BED10 was 100 Gy (53,62-151,2) and median beam on time was 26 minutes (12-42). Results: Patients were evaluated on January 2022. The median follow-up was 21 months (2-33). The median age was 68 (53-80) and 40% of the cases were adenocarcinoma. Two patients diagnosed with radiologically. Median lesion size was 13 mm (9-27). SBRT was applied to 13 primary tumors, 3 lung metastases and 7 lymph nodes. At initial evaluation, complete, partial and stable response was found 30%, 65% and 5%, respectively. During the follow-up, 3 patients locally recurred at a median of 11 months (9-14). The median and one-year local recurrence free survival was 22 months, and 89%. Acute and late grade 1-2 pulmonary complications was seen in 10 patients in a median of 7 months (2-13). While the cause of death in 6 cases was existent cardiac morbidity, covid19 pneumonia, lung infection (2) and progression (2), it was unknown in 1 patient. The median and one-year survival was 23 months and 95%. Conclusions: LOT module of the CK-M6 Xsight lung tracking system allows for the application of fiducial-free motion management strategies. The advantage of our study is that the most appropriate tracking modality can be selected prospectively before treatment. In our study, excellent local control with a median survival of 23 months for primary and metastatic lung cancer. With a median treatment time 26 minutes, noninvasive CK-M6 based SBRT was efficient, safe and comfortable treatment in lung cancer. Keywords: lung cancer, Cyberknife-M6, stereotactic body radiotherapy

12.
The International Journal of Management Education ; 20(3):100700, 2022.
Article in English | ScienceDirect | ID: covidwho-2031348

ABSTRACT

This paper provides an example of the successful incorporation of a virtual project-based learning (PBL) assignment as a significant component of two business courses during the COVID-19 pandemic. In these courses, undergraduate accounting and global business students worked with local nonprofits to solve real-world business problems in a virtual environment. This collaboration afforded students the opportunity to practice professional competency skills while growing in their understanding of business and of nonprofits. This paper discusses the challenges and successes that occurred during the implementation of the virtual project, encourages the use of PBL and other innovative teaching projects when teaching online, and facilitates faculty design and implementation of virtual learning programs.

13.
Collegian ; 2022.
Article in English | ScienceDirect | ID: covidwho-2031217

ABSTRACT

Background : Although rural nurses’ roles are indispensable for coronavirus disease 2019 (COVID-19) management, increased roles, workload, burnout, and reduced job satisfaction can hinder their work, potentially affecting nurses’ disaster nursing competencies. Aim : The aim of the study was to identify the predictors of rural nurses’ disaster nursing competencies during the COVID-19 pandemic. Methods : Nurses from rural community hospitals in South Korea (N=204) were surveyed during June–July 2021. We used the Professional Quality of Life and Disaster Nursing Preparedness-Response Competencies questionnaires. Multiple regression analysis was performed to identify the predictors of disaster nursing competencies. Findings : The mean score for disaster nursing competency of the 204 participants was 110.80 (standard deviation=19.14). Disaster nursing competencies correlated with age, nursing career, compassion satisfaction, and secondary traumatic stress. Compassion satisfaction (β=.27, p=.004), prior disaster nursing education (β=.19, p=.005), and prior participation in disaster nursing care (β=.16, p=.022) predicted disaster nursing competencies, together accounting for 24.2% of the variance. Discussion : Our findings imply that increasing opportunities for continuing education regarding disaster nursing is crucial to enhance the related competencies in rural nurses. This study also highlights the necessity for stakeholders to develop programs aimed at increasing rural nurses’ compassion satisfaction. Conclusion : Prior disaster nursing education, prior participation in disaster nursing care, and compassion satisfaction predicted disaster nursing competencies among rural nurses, with compassion satisfaction being the strongest predictor.

14.
Íconos. Revista de Ciencias Sociales ; - (74):15-32, 2022.
Article in Spanish | Academic Search Complete | ID: covidwho-2030401

ABSTRACT

This article deals with the forms of subjectivation of social inequality in students in the last year of secondary school in the Autonomous City of Buenos Aires, Argentina. It proposes a useful theoretical line of inquiry to analyze educational inequality and to think about its configuration in the context of the pandemic caused by COVID-19. This study explores the logics through which young people project their post-school educational or labor trajectories. In this sense, debates are revised regarding how to characterize secondary education and socialization processes among similar sectors. The main objective of the article is to take up the following question: how did social inequality become sedimented in student experiences? Based on this question, an in-depth analysis is made of the types of paths and expectations that secondary school students develop during their educational experience in order to understand the subjective processing of inequality. In conclusion, we characterize the current expressions of tensions and complexities due to the expansion of secondary schooling and the emerging lines of differentiation that are taking shape. Thus, the importance becomes evident of paying attention to the interrelation between what institutions believe they offer in their educational projects and the students' expectations about the future. (English) [ FROM AUTHOR] Este artículo versa sobre las formas de subjetivación de la desigualdad social en estudiantes del último año de la secundaria, en la Ciudad Autónoma de Buenos Aires, Argentina. Se plantea una línea teórica útil para analizar la desigualdad educativa y pensar su configuración en el contexto de la pandemia provocada por la covid-19. Con este trabajo se exploran las lógicas desde las cuales las y los jóvenes proyectan sus trayectorias educativas o laborales postescolares. En este sentido, se recuperan las discusiones sobre cómo caracterizar la educación secundaria y los procesos de socialización entre sectores similares. La propuesta principal del artículo consiste en retomar la siguiente pregunta: ¿cómo se sedimentó la desigualdad social en las experiencias estudiantiles? A partir de tal interrogante se profundiza en el análisis de los tipos de recorridos y las expectativas que las y los estudiantes del nivel secundario construyen en su experiencia educativa para entender el procesamiento subjetivo de la desigualdad. Al concluir, se muestra la expresión actual de las tensiones y complejidades a la par de la expansión en la cobertura de la escuela secundaria y las nuevas líneas de diferenciación que se conforman. Así se evidencia la importancia de prestar atención a la interrelación entre aquello que las instituciones creen ofrecer desde su propuesta escolar y las expectativas del alumnado acerca del futuro. (Spanish) [ FROM AUTHOR] Copyright of Íconos. Revista de Ciencias Sociales is the property of FLACSO Ecuador (Facultad Latinoamericana de Ciencias Sociales) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

15.
Dental Nursing ; 18(9):440-441, 2022.
Article in English | CINAHL | ID: covidwho-2030353

ABSTRACT

In this article, author discusses about the impacts of the dental staffing crisis, poor management and bad leadership on the dentistry, increased amid the Covid-19 pandemic in Australia.

16.
31st ACM Web Conference, WWW 2022 ; : 673-676, 2022.
Article in English | Scopus | ID: covidwho-2029540

ABSTRACT

The COVID-19 pandemic exacerbated the ongoing opioid crisis in the United States. Individuals with a substance use disorder are vulnerable to relapse during times of acute stress. Online peer support communities (OPSCs) have the potential to decrease social isolation and increase social support for participants. In September 2020, we launched a private, professional-moderated OPSC using the Facebook Group platform to study its effects on the mental health wellness of women undergoing substance use treatment. This study was particularly meaningful as the participants were not able to join in-person treatment sessions due to the COVID-19 pandemic. Preliminary findings indicate that study participants reported decreased loneliness and increased online social support three months after initiating the OPSC. They tended to interact with content initiated by a clinical professional more than those generated by peers. © 2022 ACM.

17.
Journal of Christian Nursing ; : 208-208, 2022.
Article in English | CINAHL | ID: covidwho-2029099
18.
Journal of Early Childhood Teacher Education ; 43(3):389-405, 2022.
Article in English | ProQuest Central | ID: covidwho-2028859

ABSTRACT

The integration of technology in the classroom has become commonplace in early childhood education;however, promoting outdoor learning is not as emphasized. A wealth of research has documented how young children learn and develop while engaging with technology or outdoor play, but limited literature exists on balancing these learning experiences to support children’s developmental outcomes. The present paper seeks to review current literature on the effects of technology and outdoor learning on young children’s development. Building off of the relevant literature, this paper will provide recommendations for early childhood teacher educators to guide teachers in training on balancing appropriate technology use and outdoor learning. Given the COVID-19 global pandemic, teaching implications regarding balancing technology and outdoor learning are also addressed.

19.
Prehospital and Disaster Medicine ; 37(5):571-573, 2022.
Article in English | ProQuest Central | ID: covidwho-2028612

ABSTRACT

In the event of a mass-casualty incident (MCI), hospital emergency departments (EDs) may be called upon to provide care to a large number of critically ill patients. As EDs plan for MCIs, determining how to best allocate staff members can play a significant role in the success or failure of a response. In academic EDs, a group that is often overlooked during MCI planning is the resident physicians. We argue that MCI plans at academic hospitals should consider the re-deployment of emergency medicine resident physicians in non-critical hospital rotations back to the ED.

20.
Archives des Maladies Professionnelles et de l'Environnement ; 2022.
Article in English, French | Scopus | ID: covidwho-2027828

ABSTRACT

During the COVID-19 pandemic, repeated exposure of health care workers to unpredictable challenges in practice can affect their professional quality of life. The objectives of this study were to assess professional quality of life among healthcare workers during the COVID-19 pandemic and to investigate the relationships between professional quality of life and resilience. We conducted a cross-sectional, descriptive, and analytical study, carried out in October and November 2020, among 250 health professionals, practicing in Tunisia. Data were collected through an online questionnaire distributed on social networks. We used the “Professional Quality of Life Scale-5” to assess professional quality of life and the “Brief Resilience Scale” to assess resilience. Compassion satisfaction was low to moderate in 77.6% of participants. Most participants (90.4%) had moderate burnout. Compassion fatigue was low to moderate in 98% of cases. Healthcare professionals with higher resilience scores had significantly higher compassion satisfaction scores, and significantly lower burnout and compassion fatigue scores. In addition, higher burnout scores were associated with significantly lower compassion satisfaction scores and significantly higher compassion fatigue scores. These associations were found after multivariate analysis using multiple linear regression. Our results highlight the altered professional quality of life among healthcare workers during the COVID-19 pandemic. Immediate interventions are essential to improve psychological resilience and build health systems capacity. © 2022 Elsevier Masson SAS

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