Onsite versus home-office: differences in sleep patterns according to workplace.

Background and objective: This study aimed to evaluate the sleep patterns of students and employees working onsite versus those working from home during the COVID-19 pandemic using actigraphy. Methods: A total of 75 students/employees (onsite: N = 40, home-office: N = 35; age range: 19-56 years; 32% male; 42.7% students, 49.3% employees) were studied between December 2020 and January 2022 using actigraphy, a sleep diary, and an online questionnaire assessing sociodemographics and morningness-eveningness. Independent-sample t-tests, paired-sample tests, and a multivariate general linear model adjusting for age (fixed factors: sex and work environment) were applied. Results: Overall, onsite workers had significantly earlier rise times (7:05 [SD: 1:11] versus 7:44 [1:08] hours) and midpoints of sleep (2:57 [0:58] versus 3:33 [0:58] hours) on weekdays compared to home-office workers. Sleep efficiency, sleep duration, variability of sleep timing, and social jetlag did not differ between the groups. Discussion: Home-office workers showed a delay in sleep timing that did not affect any other sleep parameters such as sleep efficiency or nighttime sleep duration. The work environment had only marginal impact on sleep patterns and thus sleep health in this sample. Sleep timing variability did not differ between groups. Supplementary Information: The online version of this article (10.1007/s11818-023-00408-5) contains supplementary material 1 and 2, which is available to authorized users.

The Impact of Coronavirus Disease 2019 Pandemic on Female Patients Seeking or Undergoing Fertility Treatment in a Single In vitro Fertilisation Clinic in Greece: An International, Cross-sectional Study.

Background: The temporary delay in fertility treatments due to the coronavirus disease 2019 (COVID-19) pandemic, in combination with the imposed lockdowns, has created psychological distress and anxiety amongst infertile patients. Aims: The aim of this study was to evaluate how the pandemic has influenced assisted reproduction technology (ART) patients in Greece, during the second wave of the pandemic. An additional aim was to examine the effects of the pandemic on cross-border patients in particular, compared to national ones. Settings and Design: This study was a cross-sectional, questionnaire-based study, distributed to 409 patients of a single in vitro fertilisation (IVF) clinic in Greece, during the period between January until the end of April 2021. Materials and Methods: The survey was conducted online via E-mail and was distributed to national and international female patients of a single IVF clinic in Greece, who were undergoing ART treatment during the second wave of the COVID-19 pandemic. Patient participation was anonymous, and participants provided informed consent for collection and publication of data. Statistical Analysis Used: The mean values of baseline characteristics, along with answer percentages per questionnaire item, were calculated. Collected data were cross-tabulated, and the Chi-square test was used as a measurement of the differences between national and cross-border patients. A P value lower than 0.05 was considered statistically significant. All analyses were conducted using the SPSS Statistics software. Results: From 409 initial candidates, 106 women, with a mean age of 41.2 years, completed the questionnaire (26% response rate). The majority of national patients did not experience any delays in their fertility plans (62%), while cross-border patients experienced over 6 months of delays (54.7%). The main reason for fertility postponement was travel restrictions due to COVID-19 for cross-border patients (62.5%), while national patients cited additional reasons. The majority of patients experienced a degree of stress (65.2%) due to the delays, however were not fearful of COVID-19 infection (54.7%). Most patients were aware of the protective measures taken by IVF clinics (80.2%), and this was a determinant factor (71.7%) for their decision to restart their fertility treatment. Conclusion: The COVID-19 pandemic lockdowns had a significant emotional impact on patient receiving or undergoing ART treatment in Greece. This impact was more pronounced on cross-border patients. This highlights the need for continuation of ART care, with the appropriate protective measures, during the pandemic, as well as during similar times of crisis in the future.

Restoring services targeting sexual and reproductive health during the COVID-19 pandemic

The ongoing coronavirus disease-2019 (COVID-19) pandemic continues to be a public health emergency of global concern. The findings of the studies have reported that owing to the pandemic, the delivery of essential and emergency sexual and reproductive health-care services has been significantly jeopardized. This has resulted in a considerable rise in the number of episodes of gender-based violence, with the situation being grimmer in settings with poor health systems or among people who are being exposed to some form of humanitarian emergencies. This calls for an indispensable need to improve the delivery of sexual and reproductive health-related services to all women, especially those living in low-resource settings. To conclude, the COVID-19 pandemic has accounted for the disruption of almost all types of health-care services and the same thing has been observed with regard to the delivery of sexual and reproductive health-care needs of women. It is the need of the hour to bridge the existing gap and give adequate priority to the special needs of women, which very much determine their quality of life.

Implication of COVID-19 pandemic on the incidence of Clostridioides difficile infection in a Greek tertiary hospital.

Introduction. C. difficile infection (CDI) represents an important global threat. In the COVID-19 era, the multifactorial nature of CDI has emerged.Hypothesis - Aim. The aim was to assess the impact of COVID-19 pandemic on the incidence of CDI in a Greek hospital.Methodology. A retrospective study was performed throughout a 51 month period (January 2018 to March 2022), divided into two periods: pre-pandemic (January 2018 to February 2020) and COVID-19 pandemic (March 2020 to March 2022). The effects of the pandemic compared to the pre-pandemic period on the incidence of CDI [expressed as infections per 10 000 bed days (IBD)] were studied using interrupted time-series analysis.Results. Throughout the study, there was an increase in the monthly CDI incidence from 0.00 to 11.77 IBD (P<0.001). Interrupted time-series disclosed an increase in CDI incidence during the pre-pandemic period from 0.00 to 3.36 IBD (P<0.001). During the COVID-19 pandemic period the linear trend for monthly CDI rose from 2.65 to 13.93 IBD (P<0.001). The increase rate was higher during the COVID-19 pandemic period (r2 = +0.47) compared to the pre-pandemic period (r1 = +0.16).Conclusion. A significant increase of CDI incidence was observed, with the rate of the rise being more intense during the COVID-19 pandemic.

Impact of COVID-19 on transfusion care of patients with hemoglobin disorders in India

As we navigate the first pandemic of our generation, we've been learning and adapting ourselves to this viral infection and its consequences. It's been more than two years since the World Health Organization (WHO) declared coronavirus disease 2019 (COVID-19) pandemic, and the virus has crippled the healthcare services in almost all the countries of the world. The healthcare systems in various parts of the world are still in the phase of recovery from the effect of the pandemic, as each country is witnessing the emergence of various variants causing multiple waves of infection. As an important part of the health care system, blood banks were one of the affected services. Most of the blood centers in India reported a significant reduction in blood donation during the COVID-19 pandemic. As transfusion services constitute a crucial backbone for the management of transfusion-dependent patients with hemoglobinopathies, the substantial reduction in the timely blood supply drastically affected these patients. All major healthcare centers in India were designated as COVID-19 care centers, which left very few options for these patients to visit for their routine care. Every country managed this acute blood shortages and developed unique strategies to support patients requiring blood transfusion. This manuscript aims to provide a snapshot of the challenges faced by the blood banks and transfusion services in India in the care of patients with hemoglobinopathies, and the mitigation strategies that were adopted.Copyright © Annals of Blood. All rights reserved.

New Opportunities Model for Monitoring, Analyzing and Forecasting the Official Statistics on Coronavirus Disease Pandemic

At the beginning of 2020, it became obvious that the coronavirus disease 2019 (COVID-19) pandemic will have a fairly significant scale and duration. There was an unmet need for the analysis and forecast of the development of events. The forecast was needed to make the managerial decisions in terms of knowledge on the dynamics of the pandemic, considering and analyzing the incoming official statistics about the pandemic, modeling and predicting the behavior of this statistics. Due to the objective and subjective factors, the available statistics is far from the unknown true data regarding the pandemic. Therefore, strictly speaking, it was necessary to model and predict not the dynamics of the pandemic, but the dynamics of the official (i.e. government) statistics on the pandemic. This paper proposes a new model, referred to as the new opportunities model, to monitor, analyze and forecast the government statistics on COVID-19 pandemic. A modeling approach is offered in this regard. The modeling approach is important as it answers simple questions on what awaits us in the near future, which is the current phase of the pandemic and when all this will be over. The new opportunities model is applied to three different countries in terms of area, economy and population, namely Russia, Romania and Moldova, plus the Campania region in Italy, and proves to be efficient over other similar models including the classical Susceptible-Infected (SI) model. © 2023, Publishing House of the Romanian Academy. All rights reserved.

Measuring the performance of SMEs during the pandemic situation using system dynamic

Purpose: This study aims to create a system dynamics simulation model to forecast the performance of small and medium-sized enterprises (SMEs) if some decision-making is executed to reduce the negative of the coronavirus disease 2019 (COVID-19) pandemic. In particular, this study will focus on SMEs that belong to the furniture industry because the furniture industry is one of the leading industries in Indonesia. Design/methodology/approach: The study develops a system dynamics-based model by using three subsystems, i.e. the "production subsystem,” "demand and revenue subsystem” and "raw material (or wood supply) subsystem.” Findings: The best scenario is the third scenario which increases the capacity to the normal situation and government subsidy during and after the pandemic. This scenario gives the best performance for industry revenue and gross domestic product (GDP). However, for the government, the most significant expenditure occurs in the third scenario. This seems a trade-off for the government whether to save the wooden-based furniture industry by encouraging the industry to continue operating during the pandemic accompanied by high subsidies or limiting the activities of the wooden-based furniture industry to prevent the spread of COVID-19 by providing low subsidies. Research limitations/implications: First, this study does not try to combine the system dynamics (SD) methodology with the other method or use a multi-methodology since SD has several limitations and the other method may have several advantages compared to SD. Second, the models used in this study do not consider the decline in forest area and quality. Third, the demand for wooden-based furniture is obtained from historical data on domestic and foreign sales and fourth, the model does not include the government budget as a constraint to make any subsidy to help the SMEs. Practical implications: This study provides essential insights into implementing the policies in the world pandemic situation when SMEs face lockdown policy. Social implications: The study revealed that relevant policy scenarios could be built after simulating and analyzing each scenario's effect on SMEs' performance during the pandemic. Originality/value: This study will enrich the previous study on the impact of the pandemic on SMEs and the dynamic system modeling on SMEs. The previous study discussed the pandemic's impact on SME performance and the impact's analysis in isolation from the dynamic nature of SME owners' decisions or government policy. In this study, the impact generated from the pandemic situation could be different depending on the decision and policies taken by managers from SMEs and the government. © 2023, Emerald Publishing Limited.

COVID-19 impacts and videoconference healthcare preferences in relation to depression and sexual risk behaviors among young adults assigned female at birth: a cross-sectional study.

Background: Due to decreased access to sexual and reproductive health (SRH) services and an increase in depressive symptoms, the coronavirus disease 2019 (COVID-19) pandemic has exacerbated the risk of unsafe sexual behaviors among already vulnerable young adults assigned female at birth (AFAB). Despite its potential for improving SRH outcomes, little is known about how young adults view virtual SRH counseling. We designed a survey to examine these perspectives and further characterize pandemic-associated changes in mood and healthcare access in young adults AFAB. Methods: Patients of a Midwest family planning organization who were AFAB and aged 21-24 years were recruited via convenience sampling between May and September 2021. Participants answered survey questions about how they perceived that the pandemic had affected their mood and healthcare access. The Patient Health Questionnaire (PHQ)-8 assessed depressive symptoms. Additional questions probed SRH risk behaviors and experience with and opinions on virtual healthcare and research. Non-responses to questions were not included in analyses. Associations among these variables were analyzed using non-parametric bivariate tests (chi-square and Mann-Whitney U). Results: One hundred twenty people participated in the survey. Participants had a median age of 22 years and self-identified predominantly as female and White. Three-quarters of respondents reported their mood worsened as a result of the pandemic and more than 3 in 10 had depression. Those reporting pandemic-worsened mood had more severe depressive symptoms than those who did not (U=722.500, P=0.005). Most reported sexual intercourse in the past 3 months, nearly all of whom reported at least one SRH risk. Pandemic mood impacts were not associated with SRH risk. One in four participants reported pandemic-associated difficulty accessing healthcare, which was not associated with depression or SRH risk. Most reported comfort with videoconference healthcare, including technology, speaking with a provider, and having enough privacy. Conclusions: The COVID-19 pandemic has increased depression and SRH risk among young adults AFAB and, at the same, impeded their access to healthcare. The study findings suggest that no matter the degree of depression or presence of SRH risk, videoconferencing may be an acceptable option for advancing research and addressing unmet SRH needs in this population.

Using Mobile Device Data to Understand the Effect of Stay-at-Home Orders on Residents' Mobility

Problem definition: This study addresses three important questions concerning the effectiveness of stay-at-home orders and sociodemographic disparities. (1) What is the average effect of the orders on the percentage of residents staying at home? (2) Is the effect heterogeneous across counties with different percentages of vulnerable populations (defined as those without health insurance or who did not attend high school)? (3) If so, why are the orders less effective for some counties than for others? Academic/practical relevance: To combat the spread of coronavirus disease 2019 (COVID-19), a number of states in the United States implemented stay-at-home orders that prevent residents from leaving their homes except for essential trips. These orders have drawn heavy criticism from the public because whether they are necessary and effective in increasing the number of residents staying at home is unclear. Methodology: We estimate the average effect of the orders using a difference-in-differences model, where the control group is the counties that did not implement the orders and the treatment group is the counties that did implement the orders during our study period. We estimate the heterogeneous effects of the orders by interacting county features with treatment dummies in a triple-difference model. Results: Using a unique set of mobile device data that track residents' mobility, we find that, although some residents already voluntarily stayed at home before the implementation of any order, the stay-at-home orders increased the number of residents staying at home by 2.832 percentage points (or 11.25%). We also find that these orders are less effective for counties with higher percentages of uninsured or less educated (i.e., did not attend high school) residents. To explore the mechanisms behind these results, we analyze the effect of the orders on the average number of work and nonwork trips per person. We find that the orders reduce the number of work trips by 0.053 (or 7.87%) and nonwork trips by 0.183 (or 6.50%). The percentage of uninsured or less educated residents in a county negatively correlates with the reduction in the number of work trips but does not correlate with the reduction in the number of nonwork trips. Managerial implications: Our results suggest that uninsured and less educated residents are less likely to follow the orders because their jobs prevent them from working from home. Policy makers must take into account the differences in residents' socioeconomic status when developing new policies or allocating limited healthcare resources. © 2021 INFORMS.

Awareness of Anesthesiology Practices in the Coronavirus Disease 2019 Pandemic and Coronavirus Disease 2019 Normalization Period

Objectives: On March 11, 2020, the World Health Organization declared the new coronavirus disease 2019 (COVID-19) as a global epidemic. This study aims to assess anesthesiology and reanimation physicians' knowledge of the anesthesiology practices published by the Turkish Republic Ministry of Health during pandemic period, their awareness in Turkey. Method(s): This descriptive cross-sectional study included 2834 anesthesiologist physicians who are members of Turkish Society of Anesthesiology and Reanimation. Data were collected online over 8 weeks using a questionnaire form by SurveyMonkey (San Mateo, CA) website after national and local ethics committee approval. Result(s): The study included 332 physicians (research associates and specialist physicians). Eighteen participants were excluded from the study since they merely gave their consent and did not respond to the questions. It was determined that participants' level of awareness about the possibilities of protection during the pandemic period was high, a low level of awareness about preparation for the operating room and case management, and a high level of understanding about the normalization period. Conclusion(s): Anesthesiology and reanimation physicians had a moderate understanding and awareness of COVID-19 perioperative management. Physicians were observed to have inadequate knowledge of algorithms for personal protective equipment, equipment disinfection protocol, and general anesthesia. In this era of easier access to the current information, it is critical to maintaining the highest level of knowledge and awareness among anesthesiology and reanimation physicians who manage the COVID-19 pandemic, to ensure the continuity of training to transfer them to team members, and to carry out procedures following the recommendations.Copyright © 2022 Turkish Anaesthesiology and Intensive Care Society. All rights reserved.

Child Flourishing, School Engagement, Physical Activity, and Screen Time During the Coronavirus Disease 2019 Pandemic in 2020.

OBJECTIVE: To examine changes in flourishing, school engagement, physical activity, and recreational screen time among school-aged children in the United States during the Coronavirus Disease 2019 (COVID-19) pandemic in 2020. METHODS: In this cross-sectional study, data come from the 2018-2020 National Survey of Children's Health for 68,203 children aged 6 to 17 years. Flourishing is always/usually curious to learn, resilient and having self-regulation. School engagement is always/usually completing homework and having interest in doing well in school. Other outcomes are daily 60+ minutes physical activity or number of such days, and daily recreational screen time or 2+ hours/day. Weighted regression models compare 2020 to 2019 and 2019 to 2018 adjusting for child/household covariates and state indicators. RESULTS: Among children age 6 to 17 years in 2020, there was a decline in flourishing (OR = 0.69; 95% CI, 0.63, 0.75), school engagement (OR = 0.71; 95% CI, 0.64, 0.79), physically active days (0.26 days, 95% CI, 35, 0.17), and daily 60+ minutes activity (OR = 0.91; 95% CI, 0.83, 1.00), and increase in daily recreational screen time (0.29 hours; 95% CI, 0.25, 0.34) and 2+ hours/day (OR = 1.65; 95% CI, 1.49-1.83) compared to 2019. These differences were observed across all evaluated demographic and socioeconomics subgroups. There were no significant differences between 2019 and 2018, indicating that the 2020-2019 differences were related to the pandemic rather than a continuation of prepandemic trends. CONCLUSIONS: Children's flourishing, school engagement, and physical activity declined while recreational screen time increased during the COVID-19 pandemic in 2020. Monitoring these outcomes in the long-run is important to assessing needs and promoting children's learning and development.

Postpartum people's experiences of and responses to the COVID-19 pandemic during the first year of the pandemic: A descriptive qualitative study.

BACKGROUND: Most evidence on the impact of pandemic on perinatal population's experiences has reported such effects in a portion of the pandemic. OBJECTIVES: The aim of this study was to understand the postpartum people's experiences of and responses to the coronavirus disease 2019 pandemic during the first year and to identify their health care needs. DESIGN: This is a descriptive qualitative study. METHODS: This study was conducted in British Columbia, Canada, between March 2020 and April 2021. Participants (N = 268) were at 4 months postpartum and were recruited as part of the Pregnancy Specific Anxiety Tool study through prenatal care clinics and classes, community laboratory services and social media. Qualitative data were obtained using six online open-ended questions and were analysed using thematic analysis. RESULTS: Findings were grouped under five central themes: protecting baby (with three categories including hypervigilance, constant decision-making to find balance and developmental issues); psychological adjustments (with three categories including coping, anxiety and grief); experience of isolation and lack/loss of support (with two categories including isolation and loss of expected support); unexpected interruptions and life events (with four categories including interrupted maternity leave, unexpected changes/life events, positive impacts and interruption in health care services); and perceived postpartum care needs (with five categories including in-person visits, allowing support persons, providing information/education/support groups, mental health and social support and pro-active check-ins). CONCLUSION: Several impacts of the pandemic persisted throughout the first year, particularly isolation and lack of support. These findings can inform responsive health care services to address the emerging needs of postpartum people throughout the pandemic.

Burnout and patient safety perceptions among surgeons in the United Kingdom during the early phases of the coronavirus disease 2019 pandemic: A two-wave survey.

BACKGROUND: Surgeons in the UK report high burnout levels. Burnout has been found to be associated with adverse patient outcomes but there are few studies that have examined this association in surgeons and even fewer which have examined this relationship over time. PURPOSE: The main aim was to examine the relationships between surgeon burnout and surgeons' perceptions of patient safety cross-sectionally and longitudinally. The secondary aim was to test whether surgeons' burnout levels varied over the first six months of the coronavirus disease 2019 pandemic. METHODS: This paper reports data from a two-wave survey (first wave from 5 May and 30 June 2020, the second wave 5 January to 30 February 2021). The dataset was divided into a longitudinal group (for surgeons who responded at both the time points) and two cross-sectional groups (for surgeons who responded at a one-time point, but not the other). RESULTS: The first key finding was that burnout was associated with patient safety outcomes measured at the same time point (Group 1 = 108, r = 0.309, p < 0.05 and Group 2 = 84, r = 0.238, p < 0.05). Second, burnout predicted poor patients' safety perceptions over time, and poor patient safety predicted burnout over time (Group 3 = 39, p < 0.05). Third, burnout increased between the first and second surveys (t = -4.034, p < 0.05). CONCLUSION: Burnout in surgeons may have serious implications for patient safety. Interventions to support surgeons should be prioritised, and healthcare organisations, surgeons and psychological specialists should collaborate on their development.

Effects of the COVID-19 pandemic on semen quality in male partners of infertile couples: a hospital-based observational study.

The effects of the coronavirus disease 2019 (COVID-19) pandemic on male fertility have received considerable attention because human testes contain high levels of angiotensin-converting enzyme-2 receptors, through which severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can enter. Early studies showed decreases in semen quality during and after recovery from COVID-19. However, no semen quality studies have examined the effects of widespread subclinical and mild disease, as well as changes in lifestyle, psychosocial behavior, intake of dietary supplements, and stress. This cross-sectional study compared semen quality parameters in male partners of infertile couples between men who underwent semen analysis before the COVID-19 pandemic (prepandemic group) and men who underwent semen analysis during the pandemic period (pandemic group); the analysis sought to clarify the overall effects of the pandemic. No participants in the pandemic group had experienced clinically overt disease. Among the 239 participants, mean body weight (P = 0.001), mean body mass index (P < 0.001), median sperm concentration (P = 0.014), total sperm count (P = 0.006), and total percentages of motile (P = 0.013) and abnormal cells (P < 0.001) were significantly greater in the pandemic group (n = 137) than those in the prepandemic group (n = 102). Among abnormal cells, the percentages of cells with excess residual cytoplasm (P < 0.001), head defects (P < 0.001), and tail defects (P = 0.015) were significantly greater in the pandemic group than those in the prepandemic group. With the exception of morphology, the overall semenogram results were better in the pandemic group than those in the prepandemic group.

COVID-19 and Lung Cancer: Strengthening the Prevention Component and Improving the Prognosis

The coronavirus disease-2019 (COVID-19) pandemic overwhelmed health-care delivery systems owing to the significant morbidity and mortality. Lung cancer in the year 2020 alone has accounted for more than 2.2 million new cases and 1.8 million deaths across the globe. The purpose of the current review is to explore the impact of COVID-19 on lung cancer and to identify measures that can improve the prognosis of cancer patients during the ongoing COVID-19 pandemic. An extensive search related to the topic was carried out in the PubMed and World Health Organization website. Relevant research articles focusing on COVID-19 and lung cancer published between April 2020 and June 2021 were included in the review. Forty-five studies similar to the current study objectives were identified initially. Among them, five were excluded due to unavailability of the complete version of the articles. Overall, forty articles were selected based on the suitability with current review objectives. Keywords used in the search include COVID-19 and Lung cancer in the title alone only. It has been estimated that patients with lung cancer will have a significantly higher risk of an adverse outcome, if they acquire COVID-19 infection. National bodies across multiple nations have released recommendations for both prevention and optimal management of COVID-19 infection among known lung cancer patients. To conclude, the COVID-19 pandemic has significantly affected patients with lung cancer. Owing to the emergence of evidence of poor prognosis of infection among lung cancer patients, there is an indispensable need to adopt a multidisciplinary treatment approach.

Predicting the outbreak of epidemics using a network-based approach

The spread of epidemics is a common societal problem across the world. Can operational research be used to predict such outbreaks? While equation-based approaches are used to model the trajectory of epidemics, can a network-based approach also be used? This paper presents an innovative application of epidemic modelling through the design of both approaches and compares between the two. The network-based approach proposed in this paper allows implementing heterogeneity at the level of individuals and incorporates flexibility in the variety of situations the model can be applied to. In contrast to the equation-based approach, the network-based approach can address the role of individual differences, network properties, and patterns of social contacts responsible for the spread of epidemics but are much more complex to implement. In this paper, we simulated the spread of infection at the beginning of Covid-19 (Coronavirus disease 2019) using both approaches. The results are showcased using empirical data for eight countries. Sophisticated measures, including partial curve mapping, are used to compare the simulated results with the actual number of infections. We find that the plots generated by the network-based approach match the empirical data better than the equation-based approach. While both approaches can be used to predict the spread of infections, we conclusively show that the proposed network-based approach is better suited with its ability to model the spread of epidemics at the level of an individual. Hence, this can be a model of choice for epidemiologists who are interested to model the spread of an epidemic. © 2023 Elsevier B.V.

Life and Stress of Japanese Children and Adolescents During the Prolonged Coronavirus Disease 2019 (COVID-19) Pandemic

This study surveyed adult web monitor enrollees about the lives of and stress experienced by Japanese children and adolescents during the prolonged coronavirus disease 2019 (COVID-19) pandemic. The survey was conducted on February 10, 2022 (after the sixth wave) and August 19, 2022 (during the seventh wave of the COVID-19 pandemic in Japan), with 231 and 217 survey participants, respectively. The questionnaire was designed so that adults could assess the frequency of exercise, and difficulties experienced by children and adolescents around them. Regarding exercise opportunities, 22% of parents of middle and high school children reported that children's exercise opportunities "stayed the same” or "increased considerably” in the first survey. Whereas, in the second survey, all parents of middle and high school children reported that children's exercise opportunities "decreased.” Regarding stress, 17% of parents of adolescents 18 years and older responded that the stress experienced was the "same as before” or "a little less than before” in the first survey, but all of these parents responded "quite a bit” to the same question in the second survey. The findings suggest that the life changes caused by the COVID-19 pandemic may have a significant impact on children and adolescents and may increase stress. The long-term effects of the COVID-19 pandemic on children and adolescents should be further investigated. © Fuji Technology Press Ltd.

Understanding the dynamics of non-clinical staff reallocation to clinical practice during the first wave of COVID-19-a qualitative study

Background: During the coronavirus disease 2019 (COVID-19) pandemic one responsive strategy to ensure hospital staff capacity was reallocation of staff between departments. Unpredicted factors may influence how such a strategy is executed and knowledge of potential moderating factors is essential to improve future staff contingency plans. The aim of this study was to explore the dynamics of reallocating non-clinical staff from departments with low activity to clinical practice during the first wave of the COVID-19 pandemic at a 530-bed university hospital in the Capital Region of Denmark. Methods: This was a qualitative study based on six individual semi-structured interviews with non-clinical staff who were reallocated during the first wave of the COVID-19 pandemic, and eight interviews with leaders from departments reallocating staff. Data was analyzed using inductive content analysis. Results: The results showed that implementation of a staff contingency plan is influenced by a complex set of structural, perceptional, social, individual, and psychological moderating factors. Even though staff felt obligated and motivated to work and intended to cover shifts, reallocation was influenced by several other factors related to the contingency plan set-up, how the contingency plan and roles were interpreted by staff and leaders, how the leaders prioritized tasks and staff time, and the feeling of psychological safety. We found that staff and leaders interpreted the contingency plan in a social context, navigated the system, and made individual adjustments. Conclusions: This study sheds light on the dynamics of a reallocation process of non-clinical staff during the first wave of the COVID-19 pandemic. Reallocation is affected by a complex set of structural, perceptional, social, individual, and psychological moderating factors. Future staff contingency plans should take these factors into consideration to make better use of human resources in times of crisis and to improve staff experience with reallocation. © 2022 The authors.

Impact of COVID-19 Pandemic on Urological Service: Experience at a Taiwanese Tertiary Center

Purpose: The Taiwan Central Epidemic Command Center raised the coronavirus disease 2019 (COVID-19) pandemic alert to level 3 throughout the nation since May 19, 2021, and asked hospitals to reduce patient intake. Surgical departments were the worst affected. The aim of this study is to share experiences of urological practice adjustment in a tertiary medical center during the pandemic and to evaluate the impact of the COVID-19 pandemic on the urological service in Taiwan under a level 3 epidemic alert. Materials and Methods: This observational study was conducted from June 1, 2021, to June 31, 2021, when a level 3 pandemic alert was declared. Data of patients visiting the urology department at the Taipei Veterans General Hospital were recorded and compared with data 1 year before the COVID-19 outbreak in Taiwan (June 1, 2020, to June 31, 2020). Data included outpatient visits, elective surgeries, emergent surgeries, functional urological examinations, and diagnostic procedures in outpatient settings. Results: There was no significant decrease in all types of uro-oncological surgeries, except bladder urothelial carcinoma (UCB)-related procedures. The total number of UCB-related procedures showed 66.67% reduction. Stone-related surgeries were reduced by 45.7%. Only 12% of all transurethral prostate resections were performed in the pandemic. There was a significant decrease in all types of functional urology and andrology procedures. More than 30% reduction was noted in the number of patients visiting the urology department in June 2021 compared to that in June 2020. Conclusion: Our data provide a reference of how the urological service was affected during the level 3 pandemic alert in Taiwan. We postponed most elective surgeries and outpatient visits or diagnostic outpatient examinations procedures according to prioritization guidelines. Uro-oncology-related service was less affected because oncology patients have a stronger motivation for treatment. Benign urological condition-related procedures were significantly influenced. After the epidemic slowdown, the backlog should be gradually managed based on priority.