Protected through Part-time Employment? Labor Market Status, Domestic Responsibilities, and the Life Satisfaction of German Women during the COVID-19 Pandemic

The COVID-19 lockdown measures have challenged individuals to reconcile employment, childcare, and housework. This article addresses whether these challenges have reduced life satisfaction among German women by focusing on their labor market status and drawing upon a topical online survey (Kantar) collected in Germany at two points in time: May 2020 and November 2020. We find that part-time employed women were better protected against a decline in life satisfaction, but only during the first lockdown. Economically inactive women were most likely to experience a decline in life satisfaction during the first lockdown, but least likely during the second lockdown. Life satisfaction has further decreased between the first and the second lockdown, and the likelihood of a decrease has converged for full-time, part-time, and economically inactive women. © 2022 The Author(s) 2021.

A Gamified Social Media-Based Head and Neck Radiology Education Initiative of the American Society of Head and Neck Radiology: Viewership and Engagement Trends at 3 Years.

BACKGROUND AND PURPOSE: Social media has made inroads in medical education. We report the creation and 3-year (2018-2021) longitudinal assessment of the American Society of Head and Neck Radiology Case of the Week (#ASHNRCOTW), assessing viewership, engagement, and impact of the coronavirus disease 2019 (COVID-19) pandemic on this Twitter-based education initiative. MATERIALS AND METHODS: Unknown cases were tweeted from the American Society of Head and Neck Radiology account weekly. Tweet impressions (number of times seen), engagements (number of interactions), and new followers were tabulated. A social media marketing platform identified worldwide distribution of Twitter followers. Summary and t test statistics were performed. RESULTS: #ASHNRCOTW was highly visible with 2,082,280 impressions and 203,137 engagements. There were significantly greater mean case impressions (9917 versus 6346), mean case engagements (1305 versus 474), case engagement rates (13.06% versus 7.76%), mean answer impressions (8760 versus 5556), mean answer engagements (908 versus 436), answer engagement rates (10.38% versus 7.87%), mean total (case + answer) impressions (18,677 versus 11,912), mean total engagements (2214 versus 910), and total engagement rates (11.79% versus 7.69%) for cases published after the pandemic started (all P values < .001). There was a significant increase in monthly new followers after starting #ASHNRCOTW (mean, 134 versus 6; P < .001) and significantly increased monthly new followers after the pandemic started compared with prepandemic (mean, 178 versus 101; P = .003). The American Society of Head and Neck Radiology has 7564 Twitter followers throughout 130 countries (66% outside the United States). CONCLUSIONS: Social media affords substantial visibility, engagement, and global outreach for radiology education. #ASHNRCOTW viewership and engagement increased significantly during the COVID-19 pandemic.

Extensive carotid artery thrombosis in the setting of COVID-19 infection

Objective: NA Background: Thrombotic complications have been reported in critically ill patients with coronavirus 2019 (COVID-19) pneumonia. Although the mechanism is incompletely understood, abnormal coagulation parameters reflective of a chronic DIC pattern has been shown. We present a unique stroke case of a patient with COVID-19 due to an extensive thrombus in the carotid artery. Design/Methods: NA Results: A 63-year-old African American male with a history of hypertension and coronary artery disease, presented as a stroke alert with sudden onset aphasia and right upper extremity weakness (NIHSS was 11). The time of the onset of his symptoms was unknown, he was not a candidate for IV thrombolysis. He was diagnosed with COVID-19 two weeks prior to his presentation, requiring a 4-day hospitalization with a peak D-dimer of 0.91 mg/L (reference range < 0.41μg/mL). Heparin infusion was transitioned to oral anticoagulation with Apixaban 5mg twice daily. The patient was seen 3 months after his stroke. His follow up NIHSS was 3, repeat CTA head and neck showed complete resolution of the ICA thrombus without any underlying significant carotid stenosis and D-dimer was normal, 0.36 μg/mL (reference range < 0.41μg/mL). Conclusions: Our case of acute ischemic stroke resultant of a COVID-19 induced hypercoagulable state, highlights the knowledge gaps related to COVID-19 thromboembolic manifestations. The optimal approach for anti-thrombotic therapy for patients with COVID-19 is unclear, multiple trials are ongoing.

Economic disturbances in the COVID-19 crisis and their gendered impact on unpaid activities in Germany and Italy

This article investigates whether changes in women’s and men’s contributions to household income in Germany and Italy during the COVID-19 pandemic are associated with changes in unpaid work. The current health crisis represents a unique opportunity to explore these topics, because the restrictive measures imposed during the lockdown are likely to have generated an unexpected shock to both domestic work and individual ability to contribute to household income. Using data from two novel datasets collected in Germany and Italy during the pandemic, this article shows that changes to both contribution to household income and unpaid activities during the crisis have been gendered, affecting women more negatively than men. In addition, we suggest that economic disturbances during the pandemic are associated with gendered changes in unpaid work that seem to be driven by changes in bargaining power in both countries. Our results also show some support for enhanced traditionalization of domestic life among German couples during the crisis, as predicted by gender display theories, albeit only regarding childcare. © 2020 European Sociological Association.

Olfactory Bulb Signal Abnormality in Patients with COVID-19 Who Present with Neurologic Symptoms.

BACKGROUND AND PURPOSE: Unique among the acute neurologic manifestations of Severe Acute Respiratory Syndrome coronavirus 2, the virus responsible for the coronavirus disease 2019 (COVID-19) pandemic, is chemosensory dysfunction (anosmia or dysgeusia), which can be seen in patients who are otherwise oligosymptomatic or even asymptomatic. The purpose of this study was to determine if there is imaging evidence of olfactory apparatus pathology in patients with COVID-19 and neurologic symptoms. MATERIALS AND METHODS: A retrospective case-control study compared the olfactory bulb and olfactory tract signal intensity on thin-section T2WI and postcontrast 3D T2 FLAIR images in patients with COVID-19 and neurologic symptoms, and age-matched controls imaged for olfactory dysfunction. RESULTS: There was a significant difference in normalized olfactory bulb T2 FLAIR signal intensity between the patients with COVID-19 and the controls with anosmia (P = .003). Four of 12 patients with COVID-19 demonstrated intraneural T2 signal hyperintensity on postcontrast 3D T2 FLAIR compared with none of the 12 patients among the controls with anosmia (P = .028). CONCLUSIONS: Olfactory bulb 3D T2 FLAIR signal intensity was greater in the patients with COVID-19 and neurologic symptoms compared with an age-matched control group with olfactory dysfunction, and this was qualitatively apparent in 4 of 12 patients with COVID-19. Analysis of these preliminary finding suggests that olfactory apparatus vulnerability to COVID-19 might be supported on conventional neuroimaging and may serve as a noninvasive biomarker of infection.

Brain Imaging of Patients with COVID-19: Findings at an Academic Institution during the Height of the Outbreak in New York City.

BACKGROUND AND PURPOSE: A large spectrum of neurologic disease has been reported in patients with coronavirus disease 2019 (COVID-19) infection. Our aim was to investigate the yield of neuroimaging in patients with COVID-19 undergoing CT or MR imaging of the brain and to describe associated imaging findings. MATERIALS AND METHODS: We performed a retrospective cohort study involving 2054 patients with laboratory-confirmed COVID-19 presenting to 2 hospitals in New York City between March 4 and May 9, 2020, of whom 278 (14%) underwent either CT or MR imaging of the brain. All images initially received a formal interpretation from a neuroradiologist within the institution and were subsequently reviewed by 2 neuroradiologists in consensus, with disputes resolved by a third neuroradiologist. RESULTS: The median age of these patients was 64 years (interquartile range, 50-75 years), and 43% were women. Among imaged patients, 58 (21%) demonstrated acute or subacute neuroimaging findings, the most common including cerebral infarctions (11%), parenchymal hematomas (3.6%), and posterior reversible encephalopathy syndrome (1.1%). Among the 51 patients with MR imaging examinations, 26 (51%) demonstrated acute or subacute findings; notable findings included 6 cases of cranial nerve abnormalities (including 4 patients with olfactory bulb abnormalities) and 3 patients with a microhemorrhage pattern compatible with critical illness-associated microbleeds. CONCLUSIONS: Our experience confirms the wide range of neurologic imaging findings in patients with COVID-19 and suggests the need for further studies to optimize management for these patients.

COVID-19-Associated Miller Fisher Syndrome: MRI Findings.

Miller Fisher syndrome, also known as Miller Fisher variant of Guillain-Barré syndrome, is an acute peripheral neuropathy that can develop after exposure to various viral, bacterial, and fungal pathogens. It is characterized by a triad of ophthalmoplegia, ataxia, and areflexia. Miller Fisher syndrome has recently been described in the clinical setting of the novel coronavirus disease 2019 (COVID-19) without accompanying imaging. In this case, we report the first presumptive case of COVID-19-associated Miller Fisher syndrome with MR imaging findings.