Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 20 de 23
Filter
1.
Sci Rep ; 12(1): 7049, 2022 04 29.
Article in English | MEDLINE | ID: covidwho-1873540

ABSTRACT

Intrusive memories of trauma are recurrent distressing sensory-perceptual impressions of the traumatic event that enter consciousness spontaneously and unwanted. They often contain the worst moment/s ('hotspots') of the trauma memory and have primarily been studied in clinical populations after real trauma. Intrusive memories can also be studied using analogue trauma as an 'experimental psychology model'. Little is known about the features of analogue trauma hotspots. Here we report an ancillary analysis of data from a randomized controlled trial. Seventy non-clinical participants viewed a trauma film containing COVID-19 related footage. Features of hotspots/intrusive memories of the film were explored using linguistic analysis and qualitative content coding. Participants reported on average five hotspots (M = 9.5 words/hotspot). Akin to hotspots soon after real trauma, analogue hotspots/intrusions primarily contained words related to space. Most contained sensory features, yet few cognitions and emotions. Results indicate that features of analogue trauma hotspots mirror those of hotspots soon after real trauma, speaking to the clinical validity of this 'experimental psychology model'.ClinicalTrials.gov ID: NCT04608097, registered on 29/10/2020.


Subject(s)
COVID-19 , Memory , Wounds and Injuries/psychology , Affect , COVID-19/psychology , Cognition , Humans , Motion Pictures
2.
BMJ ; 377: o1224, 2022 05 19.
Article in English | MEDLINE | ID: covidwho-1861612
3.
Med Educ ; 56(5): 583-584, 2022 05.
Article in English | MEDLINE | ID: covidwho-1807213
4.
PLoS One ; 17(4): e0266563, 2022.
Article in English | MEDLINE | ID: covidwho-1789186

ABSTRACT

BACKGROUND: Social status gradients are powerful health determinants for individuals living in poverty. We tested whether winning an Academy award (Oscar) for acting was associated with long-term survival. METHODS: We conducted a longitudinal cohort analysis of all actors and actresses nominated for an Academy award in a leading or a supporting role. For each, a control was identified based on age, sex, and co-staring in the same film. RESULTS: Overall, 2,111 individuals were analyzed with 1,122 total deaths occurring during a median follow-up of 68.8 years. Comparisons of winners to controls yielded a 4.8% relative difference average life-span (95% confidence interval: 1.6 to 7.9, p = 0.004), a 5.1 year absolute increase in life expectancy (95% confidence interval: 3.0 to 7.2, p < 0.001), and a 41% improvement in mortality hazard (95% confidence interval: 19 to 68, p < 0.001). The increased survival tended to be greater in recent years, for individuals winning at a younger age, and among those with multiple wins. The increased survival replicated in secondary analyses comparing winners to nominees and was not observed in analyses comparing nominees to controls. CONCLUSIONS: Academy award winning actors and actresses show a positive association between success and survival, suggesting the importance of behavioral, psychological, or other modifiable health factors unrelated to poverty.


Subject(s)
Awards and Prizes , Life Expectancy , Cohort Studies , Humans , Longevity , Motion Pictures
6.
Travel Med Infect Dis ; 44: 102175, 2021.
Article in English | MEDLINE | ID: covidwho-1466927

ABSTRACT

Global travelers, whether tourists or secret agents, are exposed to a smörgåsbord of infectious agents. We hypothesized that agents pre-occupied with espionage and counterterrorism may, at their peril, fail to correctly prioritize travel medicine. To examine our hypothesis, we examined adherence to international travel advice during the 86 international journeys that James Bond was observed to undertake in feature films spanning 1962-2021. Scrutinizing these missions involved ∼3113 min of evening hours per author that could easily have been spent on more pressing societal issues. We uncovered above-average sexual activity, often without sufficient time for an exchange of sexual history, with a remarkably high mortality among Bond's sexual partners (27.1; 95% confidence interval 16.4-40.3). Given how inopportune a bout of diarrhea would be in the midst of world-saving action, it is striking that Bond is seen washing his hands on only two occasions, despite numerous exposures to foodborne pathogens. We hypothesize that his foolhardy courage, sometimes purposefully eliciting life-threatening situations, might even be a consequence of Toxoplasmosis. Bond's approach to vector-borne diseases and neglected tropical diseases is erratic, sometimes following travel advice to the letter, but more often dwelling on the side of complete ignorance. Given the limited time Bond receives to prepare for missions, we urgently ask his employer MI6 to take its responsibility seriously. We only live once.


Subject(s)
Travel Medicine , Travel , Humans , Motion Pictures
7.
PLoS Med ; 18(9): e1003744, 2021 09.
Article in English | MEDLINE | ID: covidwho-1440980

ABSTRACT

BACKGROUND: In South Africa, breastfeeding promotion is a national health priority. Regular perinatal home visits by community health workers (CHWs) have helped promote exclusive breastfeeding (EBF) in underresourced settings. Innovative, digital approaches including mobile video content have also shown promise, especially as access to mobile technology increases among CHWs. We measured the effects of an animated, mobile video series, the Philani MObile Video Intervention for Exclusive breastfeeding (MOVIE), delivered by a cadre of CHWs ("mentor mothers"). METHODS AND FINDINGS: We conducted a stratified, cluster-randomized controlled trial from November 2018 to March 2020 in Khayelitsha, South Africa. The trial was conducted in collaboration with the Philani Maternal Child Health and Nutrition Trust, a nongovernmental community health organization. We quantified the effect of the MOVIE intervention on EBF at 1 and 5 months (primary outcomes), and on other infant feeding practices and maternal knowledge (secondary outcomes). We randomized 1,502 pregnant women in 84 clusters 1:1 to 2 study arms. Participants' median age was 26 years, 36.9% had completed secondary school, and 18.3% were employed. Mentor mothers in the video intervention arm provided standard-of-care counseling plus the MOVIE intervention; mentor mothers in the control arm provided standard of care only. Within the causal impact evaluation, we nested a mixed-methods performance evaluation measuring mentor mothers' time use and eliciting their subjective experiences through in-depth interviews. At both points of follow-up, we observed no statistically significant differences between the video intervention and the control arm with regard to EBF rates and other infant feeding practices [EBF in the last 24 hours at 1 month: RR 0.93 (95% CI 0.86 to 1.01, P = 0.091); EBF in the last 24 hours at 5 months: RR 0.90 (95% CI 0.77 to 1.04, P = 0.152)]. We observed a small, but significant improvement in maternal knowledge at the 1-month follow-up, but not at the 5-month follow-up. The interpretation of the results from this causal impact evaluation changes when we consider the results of the nested mixed-methods performance evaluation. The mean time spent per home visit was similar across study arms, but the intervention group spent approximately 40% of their visit time viewing videos. The absence of difference in effects on primary and secondary endpoints implies that, for the same time investment, the video intervention was as effective as face-to-face counseling with a mentor mother. The videos were also highly valued by mentor mothers and participants. Study limitations include a high loss to follow-up at 5 months after premature termination of the trial due to the COVID-19 pandemic and changes in mentor mother service demarcations. CONCLUSIONS: This trial measured the effect of a video-based, mobile health (mHealth) intervention, delivered by CHWs during home visits in an underresourced setting. The videos replaced about two-fifths of CHWs' direct engagement time with participants in the intervention arm. The similar outcomes in the 2 study arms thus suggest that the videos were as effective as face-to-face counselling, when CHWs used them to replace a portion of that counselling. Where CHWs are scarce, mHealth video interventions could be a feasible and practical solution, supporting the delivery and scaling of community health promotion services. TRIAL REGISTRATION: The study and its outcomes were registered at clinicaltrials.gov (#NCT03688217) on September 27, 2018.


Subject(s)
Audiovisual Aids , Breast Feeding , Community Health Services/methods , Community Health Workers , Counseling , Health Promotion/methods , House Calls , COVID-19 , Female , Humans , Maternal-Child Health Services , Mentors , Mothers , Motion Pictures , Organizations , Pandemics , Pregnancy , South Africa , Videotape Recording
9.
AMA J Ethics ; 23(5): E423-427, 2021 05 01.
Article in English | MEDLINE | ID: covidwho-1217326

ABSTRACT

Global transformation demanded by the COVID-19 pandemic prompts consideration of how prior epidemics have contributed to and continue to shape our cultural and sociological understandings of health care and patients. Documentaries and cinematic narratives have charted the 1980s AIDS epidemic in the United States, and this article traces a historical arc of that crisis, contrasts historical (HIV) and current (SARS-CoV-2) contagion experiences, and reviews thematic representations of AIDS and COVID-19 experiences among vulnerable patients and populations.


Subject(s)
Acquired Immunodeficiency Syndrome , COVID-19 , Acquired Immunodeficiency Syndrome/epidemiology , Humans , Motion Pictures , Pandemics , SARS-CoV-2 , United States/epidemiology
10.
Eur Rev Med Pharmacol Sci ; 25(7): 3116-3121, 2021 04.
Article in English | MEDLINE | ID: covidwho-1194852

ABSTRACT

OBJECTIVE: Since minimally invasive surgery and general anesthesia are both aerosol-generating procedures, their use became controversial during the outbreak of coronavirus disease 2019 (COVID-19). Moreover, social distancing resulted in serious psychological consequences for inpatients. This case report investigates pain distraction during awake laparotomy, as well as new possibilities for emotional postoperative support to inpatients. PATIENTS AND METHODS: A 72-year-old man affected by middle rectal adenocarcinoma underwent lower anterior resection plus total mesorectal excision under combined spinal-epidural anesthesia. A 3D mobile theatre (3DMT) was intraoperatively used for pain distraction. A postoperative "Cuddle delivery" service was instituted: video-messages from relatives and close friends were delivered daily to the patient through the 3DMT. Emotional correlations were investigated through a clinical interview by the psychologist of our Hospital. RESULTS: Intraoperative, as well as postoperative pain, resulted well-controlled: visual analogue scale (VAS) ≤3. Conversion to general anesthesia and postoperative intensive support/monitoring were unnecessary. The "Cuddle delivery" initiative positively fed our patient's mood and attitude, strengthening his bond to life. CONCLUSIONS: During pandemic, awake laparotomy under loco-regional anesthesia may be a crucial option in delivering acute care surgery to selected patients when intensive care beds are unavailable. Our procedure introduces potential ways to optimize this approach.


Subject(s)
Adenocarcinoma/surgery , Computers, Handheld , Family , Pain Management/methods , Pain, Postoperative/therapy , Pain, Procedural/therapy , Rectal Neoplasms/surgery , Video Recording , Aged , Anesthesia, Epidural/methods , Anesthesia, Spinal/methods , COVID-19/prevention & control , Humans , Laparotomy/methods , Male , Motion Pictures , Pain Measurement , Postoperative Care , Proctectomy/methods , SARS-CoV-2 , Wakefulness
13.
Nurs Sci Q ; 34(1): 23-27, 2021 01.
Article in English | MEDLINE | ID: covidwho-1067080

ABSTRACT

As social distancing seems to have become the new normal in the ongoing struggle to prevent the spread of COVID-19, this column focuses on the challenge of presence in the teaching-learning endeavor that often is lived in virtual settings. When presence is defined as being in the same place at the same time as another, suggesting that presence is essential to teaching-learning would certainly run counter to the recommended practice of social distancing. However, the question must be asked if it is essential for the teacher and learner to be in a particular place at the same moment for presence in teaching-learning to be known. Clarity of the meaning of presence in the teaching-learning endeavor is pursued through considering insights gained from the movie Patch Adams. Further, insights from the humanbecoming paradigm are explored to provide new ways of moving onward in teaching-learning.


Subject(s)
Education, Distance , Education, Nursing, Baccalaureate/organization & administration , Learning , Students, Nursing/psychology , Teaching , COVID-19/prevention & control , Humans , Motion Pictures , Nursing Education Research , Nursing Evaluation Research , Physical Distancing
14.
PLoS Comput Biol ; 16(11): e1008444, 2020 11.
Article in English | MEDLINE | ID: covidwho-1040035

ABSTRACT

We provide a stand-alone software, the BioAFMviewer, which transforms biomolecular structures into the graphical representation corresponding to the outcome of atomic force microscopy (AFM) experiments. The AFM graphics is obtained by performing simulated scanning over the molecular structure encoded in the corresponding PDB file. A versatile molecular viewer integrates the visualization of PDB structures and control over their orientation, while synchronized simulated scanning with variable spatial resolution and tip-shape geometry produces the corresponding AFM graphics. We demonstrate the applicability of the BioAFMviewer by comparing simulated AFM graphics to high-speed AFM observations of proteins. The software can furthermore process molecular movies of conformational motions, e.g. those obtained from servers which model functional transitions within a protein, and produce the corresponding simulated AFM movie. The BioAFMviewer software provides the platform to employ the plethora of structural and dynamical data of proteins in order to help in the interpretation of biomolecular AFM experiments.


Subject(s)
Microscopy, Atomic Force/statistics & numerical data , Software , Computational Biology , Computer Graphics , Computer Simulation , Microscopy, Video/statistics & numerical data , Molecular Dynamics Simulation/statistics & numerical data , Molecular Structure , Motion Pictures , Nanotechnology , Protein Conformation , Proteins/chemistry , Proteins/ultrastructure , User-Computer Interface
16.
Trials ; 21(1): 1025, 2020 Dec 15.
Article in English | MEDLINE | ID: covidwho-977687

ABSTRACT

BACKGROUND: Entertainment-education (E-E) media can improve behavioral intent toward health-related practices. In the era of COVID-19, millions of people can be reached by E-E media without requiring any physical contact. We have designed a short, wordless, animated video about preventive COVID-19 behaviors that can be rapidly distributed through social media channels to a global audience. The E-E video's effectiveness, however, remains unclear. METHODS/DESIGN: This is a multi-site, parallel group, randomized controlled trial comparing the effectiveness of an E-E video on COVID-19 against (i) an attention placebo control (APC) video and (ii) no video. For our primary outcomes, we will measure knowledge about preventive COVID-19 behaviors. We will also use a list randomization approach to measure behavioral intent toward preventative COVID-19 behaviors. In each trial arm, participants will be randomized to a control list or a control list plus an item about social distancing, washing hands, cleaning household surfaces, sharing of eating utensils, and the stockpiling of essential goods. Using an online platform, we will recruit 17,010 participants (aged 18-59 years) from the USA, the UK, Germany, Spain, France, and Mexico. TRIAL REGISTRATION: German Clinical Trials Register #DRKS00021582 . Registered on May 12, 2020. DISCUSSION: This trial will utilize several randomization procedures, list experimentation methods, and state-of-the-art online technology to demonstrate the effectiveness of an E-E video to improve knowledge of, and behavioral intent toward, the prevention of COVID-19. Our results will inform future E-E video campaigns for COVID-19 and similar public health intervention needs.


Subject(s)
COVID-19/prevention & control , Communicable Disease Control , Health Education/methods , Health Knowledge, Attitudes, Practice , Motion Pictures , COVID-19/transmission , Disinfection , Hand Disinfection , Humans , Physical Distancing , Randomized Controlled Trials as Topic , Social Media
20.
J Med Humanit ; 41(4): 585-595, 2020 Dec.
Article in English | MEDLINE | ID: covidwho-743742

ABSTRACT

This paper describes an innovative just-in-time health humanities programme to educate and provide support to COVID-19 frontline doctors-in-training. The programme incorporates small-group screening of the Netflix documentary, The Next Pandemic from the Explained series, followed by a one-hour facilitated discussion to explore themes surrounding the current pandemic and its impact on frontline doctors in a tertiary paediatric hospital in Singapore. Themes derived from the film included preparedness, blame, and the impact on healthcare workers and public, which were further discussed to include concerns regarding current local readiness levels given global connectivity, the need for international cooperation, and the effects of blame such as racism and prejudice. The association with culture; the current impact on healthcare workers, physician-patient relationships, and the public including the role of social media, the government and associated public reactions were also explored. These rich discussions demonstrate the pivotal role health humanities has in times of uncertainty such as an emerging infectious disease outbreak by providing timely pandemic education and supporting reflective learning.


Subject(s)
Coronavirus Infections , Disease Outbreaks , Motion Pictures , Pandemics , Physicians , Pneumonia, Viral , Betacoronavirus , COVID-19 , Disease Outbreaks/prevention & control , Humans , SARS-CoV-2
SELECTION OF CITATIONS
SEARCH DETAIL