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PurposeThe study aims to investigate the impact of workplace ostracism (WO) and fear of the COVID-19 pandemic on the family life of restaurant employees. This research is based on the conservation of resources (COR) theory and work-family interface model to understand the theoretical underpinnings of mistreatment in the food sector during the COVID-19 pandemic.Design/methodology/approachThe study utilized a survey with a structured questionnaire to collect time-lagged data from 238 restaurant employees in the central region of Punjab province in Pakistan. The collected data were analyzed using the SPSS tool with modern-day techniques like bootstrapping, process macro and SmartPLS.FindingsThe study reveals that perceived stress levels of the employees increase due to ostracism, leading to work-family conflict. Furthermore, the study found that employees who fear COVID-19 are less stressed by ostracism.Originality/valueThe study's significant contribution lies in demonstrating that the impact of ostracism in the workplace is quite different from what was expected. The results have shown that ostracism can reduce the perceived stress levels of employees, leading to a decrease in work-family conflict, especially in the presence of fear of COVID-19.
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The COVID-19 pandemic has led to increased use of online resources in educational institutions, making e-learning a necessity. This study aimed to investigate how students from four colleges at Jazan University in Saudi Arabia perceived and accepted e-learning and e-evaluation. Methods: 236 students participated in a cross-sectional study conducted in October 2021. The students completed a well-constructed questionnaire with 22 closed-ended questions divided into five domains. The students rated their answers on a 5-point Likert scale from 1 to 5. To analyze the collected data, the researchers utilized SPSS (v26). Result: Out of the total 236 students who participated in the study, most (30.5%) from the College of Public Health and Tropical Medicine (59.8%) used laptops, while 78% of students had a favorable impression of e-learning. Students' perceptions were focused on whether e-learning and e-evaluation methods helped them understand the study material smoothly and clearly. Among the students, 27% strongly agreed, 25% agreed, 16% were neutral, 11% disagreed, and 11% strongly disagreed. Additionally, 28% of the students strongly agreed, and 34% agreed that exam questions during e-evaluation were appropriate and comprehensive. Although online learning may result in less social contact, a lack of social presence, and difficulties in communication harmonization, e-learning still has some positive effects on students. It is considered a powerful platform, especially during emergencies or for those unable to attend in-person classes to complete their studies. The study has significant implications for higher education institutions, especially during emergencies, where online learning is necessary. Future research can further explore the factors that affect student perceptions and acceptance of elearning and e-evaluation and how to improve them. © 2023, Pakistan Journal of Life and Social Sciences. All Rights Reserved.
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Background: During the SARS-CoV-2 virus pandemic, University Hospital Birmingham NHS Trust Oncology Department incorporated the ultrahypofractionated regime of 26Gy/5 fractions alongside the moderate hypofractionated regime of 40Gy/15 fractions as part of local adjuvant breast radiotherapy treatment (RT) for eligible patients. We conducted a local study to assess the real-life experience of patients undergoing ultrahypofractionated schedule to compare feasibility and toxicity to the fast-forward trial during the COVID - 19 pandemic. Methods: A single institution, retrospective, qualitative study. Patients included had early-stage breast cancer and received adjuvant radiotherapy between 23 March 2020 and 31 May 2020, a total of 211 patients. Inclusion was irrespective of any other neoadjuvant/adjuvant treatments. Data were collected retrospectively for treatment dose, boost dose and toxicity. Results: Of the total 211 patients, 85 were treated with 26Gy in 5# and 19 patients received a boost as per the fast-forward protocol. Of these 85 patients, 15.9% did not report any skin toxicity post-treatment. 63.5% of patients reported RTOG Grade 1, 15.9% had RTOG Grade 2, and 1.6% reported RTOG Grade 3 skin toxicity. 3.2% of the patients could not be contacted for follow-up. Of the 19 patients who received a breast boost, 10.53% reported no skin changes. 78.9% reported Grade 1 skin toxicity. Both Grades 2a and 2b skin toxicity were reported by 5.26% each. The patient demographics and tumour characteristics in our study cohort were comparable to those within the fast-forward trial. In terms of post-RT skin toxicity, fewer patients reported any toxicity in the UHB patient cohort versus those in the trial, and the number of Grade 2/3 toxicities reported was also low. A delay in toxicity reporting from 2 weeks for 40Gy/15 to 3 weeks for 26Gy/5 was observed. Conclusion: Our study concluded that offering ultrahypofractionation was convenient for patients;reducing the number of hospital visits during the SARS-CoV-2 virus pandemic appeared safe in terms of acute post-RT-related skin toxicity. The reduced hospital visits limited exposure of patients and staff to the SARS-CoV-2 virus while also ensuring efficient use of Radiotherapy Department resources. Local follow-up protocols have been amended to ensure review at 3 weeks for the 26Gy/5 schedule to acknowledge the delay in acute toxicity development. To date, there is only 5-year toxicity and relapse data available from the fast-forward trial;therefore, hypofractionation schedules should be offered to patients as long as they fulfil the criteria and understand the limitations of the study as well as accelerated peer review processes in the face of the pandemic. © 2022 The Author(s).
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Introduction: : This study examined Filipino nursing students' use of household materials as low-cost simulators and how they aid in online return demonstrations. Methods: : Summative content analysis guided this study. We collected uploaded YouTube videos (n=14) depicting Filipino nursing students using low-cost simulators in their skills demonstration. We used Bengtsson's approach to content analysis to analyze the data. Findings: : Four themes of low-cost simulators were identified: home and hardware, health and beauty, creative articles, and entertainment. The categories under home and hardware were tools, containers, furniture, and packaging. Health and beauty low-cost simulators were toiletries and medical supplies. Creative articles included fabrics, clothing accessories, and stationeries. Entertainment low-cost-simulators had toys and computer accessories. Discussion: : During the COVID-19 pandemic, our research uncovered home equipment employed as low-cost simulators to help nursing students' online simulation of skills demonstration. We recommend further investigation of whether students learned using low-cost simulators.
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In the past few decades E-learning in higher education is increased and played a vital role in pandemics like COVID-19. Particularly, online examinations are conducted on e-learning platforms which leads to many security and cheating issues. For this reason, numerous research is available proposed methodologies and techniques for seamless execution of online examination. However, it is hard to find any study that provides the latest systematic literature review of anti-cheat or cheating prediction techniques and the approaches in the literature. We have analyzed 2223 studies. However, after applying inclusion and exclusion criteria 23 studies relevant studies are finalized. The review revealed that there are three types of proctoring, fully live online, recorded & reviewed and fully automated. This study provides a comparative analysis of online examination techniques & tools performed on 23 studies from the last five years 2017 to 2021. Furthermore, in this time duration five leading cheating prevention features are identified.14 important techniques which are mostly used in this time duration are found in which best frequent approach used in literature is NLP and 10 data sets including both public and private are identified. Proceeding toward the proposed solution, a total of 20 tools for the anti-cheat examinations are found. Almost 23 leading existing tools were found in the literature. To narrow down the criteria for adoption factor is analyzed and studies of the online anti-cheat examination solution adoption in different countries are also investigated. Finally, the overall cost of the e-learning infrastructure, specifically the conduction of examinations is determined by comparing the key factors of the global adoption with major online exam features. © 2022 IEEE.
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Objectives: The objective of this study was to investigate derangement of liver enzymes in COVID-19 patients. The prevalence of deranged hepatic enzymes with COVID-19 infection, its association with other co-morbidities and any changes in its prognosis were investigated. Methodology: This study was conducted in Mayo hospital from 1st June 2021 till 31st September 2021. A number of 224 patients were included in this study. Both male and female patients of varying age groups were included in the study. Laboratory tests were conducted to collect data related to liver enzyme values of each patient. Liver function test (LFT) was performed twice, first on day 1 and then on day 7 to observe any further changes in liver enzymes values in COVID-19 patients. The LFTs of the patients told us Bilirubin, Alanine aminotransferase (ALT), Alkaline Phosphatase (ALP), C-reactive protein (CRP), Ferritin and D-dimer levels in the body. The data were analyzed by SPSS analysis. The t-test used was for the comparison of standard features in both groups. The P value less than 0.05 was regarded significant. Data about co-morbidities, autoimmune disease and its treatment, and outcome was also collected. Gender, autoimmune disease and COVID-19 PCR data was analyzed using descriptive analysis. Prevalence of deranged liver enzymes in COVID-19 patients was analyzed using paired sample test. Association with co-morbidities and prognosis was also analyzed by frequency analysis. Result(s): Sample consists of 224 individuals among them the ratio of male and female was 50:50 with age ranging 17-90 years. There were 220 COVID-19 PCR positive patients, 1 negative and 3 suspected patients with about 89.7 per cent patients having no autoimmune disease. The results showed that bilirubin, ALT and D-dimer show significant derangement in COVID-19 patients while ALP, CRP and Ferritin did not. The patients with both diabetes mellitus and hypertension showed the highest percentage of association with the value being 25 percent. Other co-morbidities like asthma, chronic liver disease and hepatitis C among many other also showed association with corona virus disease. And the results of prognosis showed that 33 percent, of the patients were shifted to the ICU. 18.8 percent of the patients were admitted in the hospital. 20.5 percent of the patients died. 18.8 percent were discharged and 6.3 percent shifted to the HDU. Conclusion(s): As the results show liver enzyme ALT, D-dimer and bilirubin show significant derangement in COVID-19 patients. This concludes that some, but not all, of the liver enzyme derangement is prevalent in COVID-19 patients. The patients with both diabetes mellitus and hypertension showed highest association with COVID-19. The patients being shifted to the ICU was the highest prognosis of disease. Other than that a large number of patients died, some were admitted to the hospital due to worsening condition, some discharged and others shifted to the HDU. Copyright © 2022 Lahore Medical And Dental College. All rights reserved.
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Culture plays an important role in the development of mental health, especially during childhood and adolescence. However, less is known about how participation in cultural rituals is related to the wellbeing of youth who are Black, Indigenous, and People of Color (BIPOC), and part of the Global Majority. This is crucial amid the COVID-19 pandemic, a global event that has disproportionally affected BIPOC youth and disrupted participation in rituals. The goal of this paper is to promote advances in clinical child and adolescent psychology focused on rituals. We begin by defining culture and rituals and examining their role on development. We illustrate these issues with the Lunar New Year in China, Maya rituals in México, Ramadan in Turkey, and Black graduations and Latinx funerals in the United States. We discuss how the pandemic has affected participation in these rituals and their potential impact on BIPOC children and adolescents' mental health. We propose future directions and recommendations for research.
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COVID-19 , Pandemias , Adolescente , COVID-19/epidemiología , Conducta Ceremonial , Niño , Familia , Humanos , Salud Mental , Estados UnidosRESUMEN
The overarching structures like intuitionistic fuzzy sets, Pythagorean fuzzy sets, m-polar fuzzy sets, and neutrosophic fuzzy sets etc. have their own inadequacies and impediments. These models are unable to do work because of their impediments in many real life situations. To overcome these deficiencies, in this paper, we introduce a set entitled Pythagorean m-polar fuzzy neutrosophic set (PmFNS), as a hybrid model of Pythagorean fuzzy set, m-polar fuzzy set and single-valued neutrosophic set. We define some notions related to PmFNS with the help of illustrations. We also present some concept of Pythagorean m-polar fuzzy neutrosophic topology alongside its leading characteristics. We render two applications of PmFNS of scarcity of water and uplifting economy ruined due to COVID-19 using TOPSIS. © 2022, Neutrosophic Sets and Systems. All Rights Reserved.
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Purpose This paper draws on the affordance perspective, to explore the social media (SM) usage experiences that might render valuable for academic women professionals, for knowledge exchange, networking and success. Owing to the increased SM usage during COVID-19 pandemic, this paper tries to find out that in what ways do SM affordances facilitate the underprivileged group of women professionals to grow in their careers in a masculine, conservative society through knowledge exchange. Design/methodology/approach By utilizing qualitative study design, the authors collected data from 31 women employed in Pakistani universities, through unstructured questionnaires. The responses were analyzed through Nvivo. Findings The generated themes suggested that women in Pakistan are aware of SM's potential for knowledge exchange among fellow professionals. They use it to aid them in communication, collaboration and networking. Additionally, they utilize it to share knowledge and build networks that are vital for career progression and success. Research limitations/implications The paper concludes with the implications for practitioners that would aid them in boosting career prospects for women academicians through SM usage in a developing country Pakistan;where women's career outlooks are not as promising as for men;or as bright as for women working in the developed economies. Originality/value This a unique attempt to explore knowledge exchange dimensions with the help of SM in the context of working women by the deploying the phenomenological approach.
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Background: During the SARS-CoV-2 virus pandemic, University Hospital Birmingham NHS Trust Oncology Department incorporated the ultrahypofractionated regime of 26Gy/5 fractions alongside the moderate hypofractionated regime of 40Gy/15 fractions as part of local adjuvant breast radiotherapy treatment (RT) for eligible patients. We conducted a local study to assess the real-life experience of patients undergoing ultrahypofractionated schedule to compare feasibility and toxicity to the fast-forward trial during the COVID - 19 pandemic. Methods: A single institution, retrospective, qualitative study. Patients included had early-stage breast cancer and received adjuvant radiotherapy between 23 March 2020 and 31 May 2020, a total of 211 patients. Inclusion was irrespective of any other neoadjuvant/adjuvant treatments. Data were collected retrospectively for treatment dose, boost dose and toxicity. Results: Of the total 211 patients, 85 were treated with 26Gy in 5# and 19 patients received a boost as per the fast-forward protocol. Of these 85 patients, 15.9% did not report any skin toxicity post-treatment. 63.5% of patients reported RTOG Grade 1, 15.9% had RTOG Grade 2, and 1.6% reported RTOG Grade 3 skin toxicity. 3.2% of the patients could not be contacted for follow-up. Of the 19 patients who received a breast boost, 10.53% reported no skin changes. 78.9% reported Grade 1 skin toxicity. Both Grades 2a and 2b skin toxicity were reported by 5.26% each. The patient demographics and tumour characteristics in our study cohort were comparable to those within the fast-forward trial. In terms of post-RT skin toxicity, fewer patients reported any toxicity in the UHB patient cohort versus those in the trial, and the number of Grade 2/3 toxicities reported was also low. A delay in toxicity reporting from 2 weeks for 40Gy/15 to 3 weeks for 26Gy/5 was observed. Conclusion: Our study concluded that offering ultrahypofractionation was convenient for patients;reducing the number of hospital visits during the SARS-CoV-2 virus pandemic appeared safe in terms of acute post-RT-related skin toxicity. The reduced hospital visits limited exposure of patients and staff to the SARS-CoV-2 virus while also ensuring efficient use of Radiotherapy Department resources. Local follow-up protocols have been amended to ensure review at 3 weeks for the 26Gy/5 schedule to acknowledge the delay in acute toxicity development. To date, there is only 5-year toxicity and relapse data available from the fast-forward trial;therefore, hypofractionation schedules should be offered to patients as long as they fulfil the criteria and understand the limitations of the study as well as accelerated peer review processes in the face of the pandemic.
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Purpose: Although the research stream in the area of career plateau acknowledges its ramifications, yet investigation on how this phenomenon can be reduced is sparse. This study aims to address this gap by illuminating the role of proactive personality (PP) as a factor of minimizing plateau via playful work design (PWD), career adaptability (CA) and perceived work-life balance (PWLB). Design/methodology/approach: A cross-sectional study design was applied and structural equation modelling was used to assess the hypothesized relationships among PP, CA, PWD, perceived work design and career plateau. A total of 338 employees from public and private universities were sampled from February 2020 to July 2020. Findings: The results highlighted that CA mediated the relationship between PP and PWLB, as well as, PWD mediated the association between PP and PWLB. Further, the authors got support for both serial mediation paths i.e. PP, CA, PWLB and career plateau and PP, PWD, PWLB and career plateau. Originality/value: The findings of this study provide much needed ways to overcome career plateau in the academic sector. Moreover, the use of multiple serial paths has enhanced the underlying factors of PP and career plateau nexus. © 2021, Emerald Publishing Limited.
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Background: Pediatricians are facing mental health issues including anxiety, depression, and insomnia, regardless of whether they are, or are not dealing directly with the COVID-19 patients. Objective of this study was to determine the frequency of depression, anxiety, and stress, during COVID-19 pandemic, among pediatricians using Depression, Anxiety, Stress Self-reporting (DASS-21) score. Material and Methods: This descriptive, Cross-Sectional Study was conducted at The Children's Hospital & Institute of Child Health, Faisalabad and Allied Hospital Faisalabad & affiliated hospitals, Pakistan;from August 2020 to October 2020. A total of 110 pediatricians from district Faisalabad of Pakistan, fulfilling the eligibility criteria, were included in the study. An e-questionnaire was circulated which was filled and submitted by the pediatricians online. The e-questionnaire included 33 questions, including 21 questions from the DASS-21 questionnaire. Demographic details like age, gender, place of work, current working position were recorded. Data were collected and analyzed by SPSS v.20. P-value less than 0.05 was taken as significant. Results: Pediatricians reporting symptoms of depression using DASS-21 were 39/110;mild (11), moderate (16) and severe (07). Pediatricians reporting symptoms of anxiety were 40/110;mild (09), moderate (21) and severe (05). Pediatricians reporting symptoms of stress were 33/110;mild (10), moderate (15) and severe (06). More pediatricians in younger age groups reported statistically significant symptoms of stress (p-value=0.017). Significant symptoms of anxiety and stress were reported in pediatricians, who suffered from COVID-19 infection (p-value=0.006 & 0.055), and those who witnessed the death of a COVID-19 patient (p-value=0.013 & 0.012) Conclusion: During the COVID-19 pandemic, pediatricians are suffering from mental health issues like depression, anxiety, and stress;despite the lower frequency and severity of COVID-19 infection in pediatric patients. Measures should be taken to support mental health of pediatricians during this time of crisis.