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1.
Arq. ciências saúde UNIPAR ; 26(3)set-dez. 2022.
Статья в португальский | WHO COVID, LILACS - Страны Америки - | ID: covidwho-2205389

Реферат

Introdução: A violência contra à mulher é caracterizada especialmente pela desigualdade de gênero, diferença hierárquica, subordinação e pela agressividade do parceiro ou ex-parceiro. Entre os principais subtipos, cita-se; a violência física, psicológica, sexual, patrimonial e moral. Com o surgimento da pandemia de coronavírus em 2020 na tentativa de contenção da doença, medidas protetivas como o isolamento social aumentaram o convívio familiar. Dessa forma, as vítimas de violência passaram a ficar ainda mais tempo expostas aos seus agressores e consequentemente com maiores dificuldades para denunciar os abusos sofridos, pois a prestação dos serviços públicos, instituições de segurança e judiciais também foram restringidas. Objetivo: Caracterizar os casos de violência contra a mulher em tempos de pandemia de coronavírus em um município do Sudoeste do Paraná. Materiais e métodos: Trata-se de um estudo descritivo, documental e transversal com abordagem quantitativa realizada em um município do Sudoeste do Paraná a partir da coleta de dados, por meio das fichas de notificação de violência contra a mulher entre 2019 e 2021. Resultados e discussão: O estudo demonstrou prevalência de notificações no ano de 2019 em mulheres com idade de 12 a 18 anos (27,2%), brancas (71,3%), com ensino médio (21,9%), sendo ainda estudantes (23,1%) ou desempregadas (17,2%), sem companheiro (52,4%), residentes da área urbana (74%), heterossexuais (50,6%), sem possuir algum tipo de deficiência (51,8%). Ao verificar a tipologia da agressão com maior incidência, observou-se a lesão autoprovocada (53,6%) por meio da intoxicação /envenenamento (41,4%). Quanto a violência interpessoal, notou-se que a maioria das agressões foram ocasionadas pelo próprio cônjuge da vítima (12,4%), utilizando da força física (29,3%), salienta-se que o álcool não estava presente na maior parte das agressões. Conclusão: Evidencia-se a prevalência de violência autoprovocada (53,6%), em adolescentes com ensino médio, brancas, sem companheiro, residentes da área urbana, agredidas em ambiente domiciliar, motivadas por conflitos geracionais, sendo as violências mais incidentes a física por meio de envenenamento/intoxicação. Diante do exposto é importante abordar o fato de que é necessário realizar capacitações com os profissionais de saúde referente a ficha de notificação e orientá-los da importância de preenchê-la de forma correta, para haja a tomada de providências de acordo com cada necessidade.


Introduction: Introduction: Violence against women is characterized especially by gender inequality, hierarchical difference, subordination and aggressiveness of the partner or ex partner. Among the main subtypes are physical, psychological, sexual, patrimonial and moral violence. With the emergence of the COVID-19 pandemic in 2020 in an attempt to contain the disease, protective measures such as social isolation increased family coexistence. As a result, the victims of violence have been exposed to their aggressors for even longer and consequently find it more difficult to report the abuse they have suffered, since the provision of public services, security and judicial institutions have also been restricted. Objective: To characterize the cases of violence against women during the COVID-19 pandemic in a municipality in the southwest of Paraná. Materals and methods: This is a descriptive, documentary, and cross-sectional study with a quantitative approach carried out in a municipality in the Southwest of Paraná from data collection performed through the notification forms of violence against women notified between 2019 and 2021. Results and discussion: The study showed a prevalence of notifications in the year 2019 in women aged 12 to 18 years (27.2%), white (71.3%), with high school education (21.9%), being still students (23.1%) or unemployed (17.2%), without a partner (52.4%), residents of the urban area (74%), more specifically the Padre Ulrico neighborhood (12.4%), heterosexual (50.6%), without having any type of disability (51.8%). When checking the type of aggression with the highest incidence, we observed self-harm (53.6%) through intoxication/ poisoning (41.4%). As for interpersonal violence, it was noted that most aggressions were caused by the victim's own spouse (12.4%), using physical force (29.3%), and alcohol was not present in most aggressions. Conclusion: The prevalence of self- inflicted violence (53.6%) is evident in adolescents with high school education, white, without a partner, urban residents, assaulted in the home environment, motivated by generational conflicts, with the most incident violence being physical violence through poisoning/intoxication. Given the above, it is important to address the fact that it is necessary to conduct training with health professionals regarding the notification form and guide them on the importance of filling it out correctly, so that there is taking action according to each need.


Introducción: La violencia contra las mujeres se caracteriza especialmente por la desigualdad de género, la diferencia jerárquica, la subordinación y la agresividad de la pareja o ex pareja. Entre los principales subtipos, se menciona; la violencia física, psicológica, sexual, patrimonial y moral. Con la aparición de la pandemia de coronavirus en 2020 en un intento de contener la enfermedad, las medidas de protección como el aislamiento social han aumentado la convivencia familiar. Así, las víctimas de la violencia han quedado aún más expuestas a sus agresores y, en consecuencia, tienen mayores dificultades para denunciar los abusos sufridos, ya que también se ha restringido la prestación de servicios públicos, de seguridad y de instituciones judiciales. Objetivo: Caracterizar los casos de violencia contra la mujer en tiempos de pandemia de coronavirus en un municipio del sudoeste de Paraná. Materiales y métodos: Se trata de un estudio descriptivo, documental y transversal con enfoque cuantitativo realizado en un municipio del suroeste de Paraná a partir de la recolección de datos a través de las formas de notificación de la violencia contra las mujeres entre 2019 y 2021. Resultados y discusión: El estudio mostró una prevalencia de notificaciones en 2019 en mujeres de 12 a 18 años (27,2%), de raza blanca (71,3%), con estudios secundarios (21,9%), siendo aún estudiantes (23,1%) o desempleadas (17,2%), sin pareja (52,4%), residentes en el área urbana (74%), heterosexuales (50,6%), sin tener algún tipo de discapacidad (51,8%). Al verificar el tipo de agresión con mayor incidencia, se observó la lesión autoinfligida (53,6%) a través de la intoxicación / envenenamiento (41,4%). En cuanto a la violencia interpersonal, se observó que la mayoría de las agresiones fueron causadas por el propio cónyuge de la víctima (12,4%), utilizando la fuerza física (29,3%), se destaca que el alcohol no estuvo presente en la mayoría de las agresiones. Conclusión: Se evidencia la prevalencia de la violencia autoprovocada (53,6%), en adolescentes con educación médica, brancas, sin compañía, residentes del área urbana, agredidos en ambiente domiciliario, motivados por conflictos geracionales, siendo las violencias más incidentes a la física por medio de envenenamiento/intoxicación. Dado lo anterior es importante abordar el hecho de que es necesario realizar una capacitación con los profesionales de la salud respecto a la ficha de notificación y orientarlos sobre la importancia de llenarla correctamente, para que exista la toma de acciones de acuerdo a cada necesidad.


Тема - темы
Humans , Female , Pregnancy , Adolescent , Adult , Health Profile , Violence Against Women , Pandemics , COVID-19 , Poisoning , Social Isolation , Women , Wounds and Injuries , Cross-Sectional Studies/methods , Health Personnel , Health Personnel/education , Crime Victims/statistics & numerical data , Notification/statistics & numerical data , Aggression/psychology , Professional Training , Physical Abuse/statistics & numerical data
2.
Psico USF ; 26(spe): 33-44, 2021. tab
Статья в английский | WHO COVID, LILACS - Страны Америки - | ID: covidwho-2197459

Реферат

This study aimed to estimate validity evidence based on the internal structure and accuracy of the adapted version of the Learning Strategies Assessment Scale for High School (EAVAP-EM), using Confirmatory Factor Analysis (CFA). Participants were 701 first- to third-year high school students (M = 16.1; SD = 1.0), from public and private institutions in the states of Paraná and São Paulo. The CFA indicated the presence of the three factors of the EAVAP-EM, with adequate internal consistency. The instrument also showed good fit indices. There were positive and significant correlations between the factors, with magnitude ranging from medium to large. Moreover, students reported making more use of metacognitive strategies. The results evinced significant advances regarding measures with good psychometric parameters to assess learning strategies, considering their relevance to the psychoeducational context (AU).


Objetivou-se no presente estudo estimar indicadores de validade com base na estrutura interna e precisão da versão adaptada da Escala de Avaliação das Estratégias de Aprendizagem para o Ensino Médio (EAVAP-EM), por meio de uma análise fatorial confirmatória (AFC). Participaram 701 alunos do primeiro ao terceiro ano do Ensino Médio (M = 16,1; DP = 1,0), provenientes de instituições públicas e particulares dos estados do Paraná e de São Paulo. A AFC indicou a presença dos três fatores da EAVAP-EM, com consistência interna considerada adequada, sendo que o instrumento apresentou bons índices de ajuste. Houve correlações positivas e significativas entre os fatores, com magnitude variando de média a grande. Ainda, os estudantes reportaram fazer mais uso de estratégias metacognitivas. Os resultados evidenciam importantes avanços no que concerne a medidas com bons indicadores psicométricos para avaliação das estratégias de aprendizagem, considerando sua relevância ao contexto psicoeducacional (AU).


El objetivo del presente estudio fue estimar evidencias de validez a partir de la estructura interna y la precisión de la versión adaptada de la Escala de Evaluación de Estrategias de Aprendizaje para la Escuela Preparatoria (EAVAP-EM), mediante un Análisis Factorial Confirmatorio (AFC). Participaron 701 estudiantes de primero a tercer año de secundaria (M = 16.1; DS = 1.0), de instituciones públicas y privadas de las provincias de Paraná y São Paulo. El AFC indicó la presencia de los tres factores del EAVAP-EM, con consistencia interna considerada adecuada. El instrumento mostró índices de ajuste adecuados. Hubo correlaciones positivas y significativas entre los factores, cuya magnitud varió de moderada a alta. Además, los estudiantes informaron que hacen un mayor uso de las estrategias metacognitivas. Los resultados evidencian avances importantes en cuanto a medidas con buenos indicadores psicométricos para evaluar estrategias de aprendizaje, considerando su relevancia para el contexto psicoeducativo (AU).


Тема - темы
Humans , Male , Female , Adolescent , Adult , Psychometrics , Metacognition , Learning , Students/psychology , Reproducibility of Results , Education, Primary and Secondary
3.
Motriz (Online) ; 28(spe1): e10210012421, 2022. tab, graf
Статья в английский | WHO COVID, LILACS - Страны Америки - | ID: covidwho-2171424

Реферат

Abstract Aim: To verify the effects of a 2-week of high-intensity interval training (HIIT) on physical performance in young female athletes. Methods: female rugby players (n = 13; 15.92 ± 0.76 years old) participated in an 8-session of HIIT supervised through online video calls for two weeks. They were evaluated pre- and post-HIIT for 3-min of burpees, 1-min of sit-ups, maximum push-ups, and 1-min of squats. Perceptions related to training protocols were collected through the Physical Activity Enjoyment Scale (PACES) post-intervention. Results: Significant improvements in burpees (pre:54.15 ± 18.03 and after: 63.15 ± 15.18), sit-ups (pre:24.38 ± 13.38 and after: 31.15 ± 13.15), push-ups (pre: 9.46 ± 6.59 and after: 13.85 ± 7.33) and squats (pre: 48.00 ± 8.37 and after: 54.85 ± 8.79) were observed. PACES revealed positive perceptions related to the enjoyment of participating in this HIIT. Conclusion: Virtually supervised HIIT improved physical performance in young female athletes during the COVID-19 pandemic, and maybe an efficient strategy for the quarantine period.


Тема - темы
Humans , Female , Adolescent , Quarantine , Mentoring , Physical Functional Performance , Internet-Based Intervention , Rugby
4.
J Clin Sleep Med ; 18(8): 2087-2088, 2022 08 01.
Статья в английский | MEDLINE | ID: covidwho-2202831
5.
Swiss Med Wkly ; 152: w30214, 2022 07 18.
Статья в английский | MEDLINE | ID: covidwho-2202463

Реферат

OBJECTIVES: We present an adolescent with cardiogenic shock due to ventricular tachycardia 2 weeks after SARS-CoV-2 infection. Acute myocarditis or myocardial dysfunction is associated with SARS-CoV-2 infection, but diagnosis may be difficult, even including endomyocardial biopsy. CASE REPORT: A 15-year-old healthy adolescent was admitted to our hospital 2 weeks after SARS-CoV-2 infection with cardiogenic shock due to ventricular tachycardia. After cardioversion, antiarrhythmic treatment, ventilation, and inotropic support, the severely reduced myocardial function recovered completely within 2 weeks. Cardiac magnetic resonance imaging and cardiac catheterisation including right ventricular endomyocardial biopsy revealed an increased number of CD68+ macrophages in the myocardium, but nested (RT-) polymerase chain reaction (PCR) investigations revealed no viral or bacterial DNA/RNA. DISCUSSION: SARS-CoV-2 infection may be associated with myocarditis leading to life-threatening arrhythmia and severe myocardial systolic and diastolic dysfunction, which may be short lasting and completely recover. Although former SARS-Cov-2 infection might suggest SARS-CoV-2-associated myocarditis, definite histological diagnosis including nested PCR investigations remains difficult.


Тема - темы
COVID-19 , Myocarditis , Tachycardia, Ventricular , Adolescent , COVID-19 Testing , Humans , Myocarditis/diagnosis , SARS-CoV-2 , Shock, Cardiogenic , Tachycardia, Ventricular/diagnosis , Tachycardia, Ventricular/etiology
6.
Swiss Med Wkly ; 152: w30204, 2022 07 04.
Статья в английский | MEDLINE | ID: covidwho-2202461

Реферат

BACKGROUND: Subjective well-being is an important target in the COVID-19 pandemic. Residential greenness may help cope with stress and hence influence subjective well-being during this mentally and physically challenging time. METHODS: We analysed the association between residential greenness and life satisfaction in 9,444 adults in the COVCO-Basel cohort. We assessed if the association is modified by age, sex, household income, financial worries, canton of residence, or month of study entry. In addition, we assessed if the association is attributed to specific types of greenspace or accessibility to greenspace. RESULTS: The association between residential greenness and life satisfaction varied by age groups, household income, and financial worries. Residential greenness was positively associated with life satisfaction in those with high household income and the least financially worried, and negatively associated with life satisfaction in the youngest age group (18-29 years) and the most financially worried. Living closer to a forest, but not to a park or an agricultural area, was associated with lower life satisfaction in the youngest age group. CONCLUSIONS: Residential greenness effects on life satisfaction vary according to sociodemographic characteristics. Living in a greener area does not benefit all dwellers in Basel and its region equally, with the most apparent benefit for those with high household income and without financial concerns.


Тема - темы
COVID-19 , Adolescent , Adult , COVID-19/epidemiology , Cross-Sectional Studies , Humans , Pandemics , Parks, Recreational , Personal Satisfaction , Young Adult
7.
JCO Clin Cancer Inform ; 6: e2100177, 2022 05.
Статья в английский | MEDLINE | ID: covidwho-2196620

Реферат

PURPOSE: Patients with cancer are at increased risk of severe COVID-19 disease, but have heterogeneous presentations and outcomes. Decision-making tools for hospital admission, severity prediction, and increased monitoring for early intervention are critical. We sought to identify features of COVID-19 disease in patients with cancer predicting severe disease and build a decision support online tool, COVID-19 Risk in Oncology Evaluation Tool (CORONET). METHODS: Patients with active cancer (stage I-IV) and laboratory-confirmed COVID-19 disease presenting to hospitals worldwide were included. Discharge (within 24 hours), admission (≥ 24 hours inpatient), oxygen (O2) requirement, and death were combined in a 0-3 point severity scale. Association of features with outcomes were investigated using Lasso regression and Random Forest combined with Shapley Additive Explanations. The CORONET model was then examined in the entire cohort to build an online CORONET decision support tool. Admission and severe disease thresholds were established through pragmatically defined cost functions. Finally, the CORONET model was validated on an external cohort. RESULTS: The model development data set comprised 920 patients, with median age 70 (range 5-99) years, 56% males, 44% females, and 81% solid versus 19% hematologic cancers. In derivation, Random Forest demonstrated superior performance over Lasso with lower mean squared error (0.801 v 0.807) and was selected for development. During validation (n = 282 patients), the performance of CORONET varied depending on the country cohort. CORONET cutoffs for admission and mortality of 1.0 and 2.3 were established. The CORONET decision support tool recommended admission for 95% of patients eventually requiring oxygen and 97% of those who died (94% and 98% in validation, respectively). The specificity for mortality prediction was 92% and 83% in derivation and validation, respectively. Shapley Additive Explanations revealed that National Early Warning Score 2, C-reactive protein, and albumin were the most important features contributing to COVID-19 severity prediction in patients with cancer at time of hospital presentation. CONCLUSION: CORONET, a decision support tool validated in health care systems worldwide, can aid admission decisions and predict COVID-19 severity in patients with cancer.


Тема - темы
COVID-19 , Neoplasms , Adolescent , Adult , Aged , Aged, 80 and over , COVID-19/complications , COVID-19/diagnosis , Child , Child, Preschool , Female , Hospitals , Humans , Male , Middle Aged , Neoplasms/complications , Neoplasms/diagnosis , Neoplasms/therapy , Oxygen , SARS-CoV-2 , Young Adult
8.
Inj Prev ; 28(5): 440-445, 2022 10.
Статья в английский | MEDLINE | ID: covidwho-2193893

Реферат

CONTEXT: No evidence-based review has compared injury risks sustained on trampolines at home and in trampoline centres. OBJECTIVE: To present pooled results for injury type, site and treatment from studies reporting injuries that occurred on trampolines at home and in trampoline centres. DATA SOURCES: MEDLINE, Scopus, Google Scholar and Embase databases were searched to 31 December 2021. STUDY SELECTION: Inclusion criteria: (1) assessment of trampoline injuries (home and trampoline centres); (2) children and adolescents; (3) the point estimate was reported as an odds ratio (OR); and (4) an internal comparison was used. DATA EXTRACTION: Data were reported according to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. A random-effects model was used to estimate effect. RESULTS: There were 1 386 843 injuries (n=11 studies). There was an increased likelihood of musculoskeletal and/or orthopaedic injuries (OR 2.45, 95% CI 1.66 to 3.61, p<0.001), lower extremity injury (OR 2.81, 95% CI 1.99 to 3.97, p<0.001), sprains (OR 1.64, 95% CI 1.36 to 1.97, p<0.001) and a need for surgery (OR 1.89, 95% CI 1.37 to 2.60, p<0.001) at trampoline centres compared with home trampolines. Conversely, upper extremity injury (OR 0.49, 95% CI 0.25 to 0.95, p=0.03), concussion (OR 0.48, 95% CI 0.35 to 0.65, p<0.001) and lacerations (OR 0.46, 95% CI 0.35 to 0.59, p<0.001) were less likely to occur at trampoline centres than at home. CONCLUSIONS: Children using trampoline centres are more likely to suffer severe trauma and require surgical intervention than children using home trampolines. Development and implementation of preventative strategies, public awareness, and mandatory safety standards are urgently required for trampoline centres.


Тема - темы
Athletic Injuries , Leg Injuries , Sprains and Strains , Adolescent , Athletic Injuries/epidemiology , Child , Databases, Factual , Humans
9.
Probl Endokrinol (Mosk) ; 67(5): 20-28, 2021 10 06.
Статья в Русский | MEDLINE | ID: covidwho-2203924

Реферат

BACKGROUND: The association between vitamin D deficiency and the severity of COVID-19 is currently being actively discussed around the world. AIM: The aim of this study was to assess the prevalence of vitamin D insufficiency and deficiency and compare it with the incidence rates of SARS-CoV-2 in eight Federal Districts of the Russian Federation. MATERIALS AND METHODS: We included 304,564 patients (234,716 women; 77,1%) with serum 25(OH)D levels results performed September 2019 through October 2020. RESULTS: Only 112,877 people (37.1%) had a normal serum 25(OH)D level, others had a deficiency. Vitamin D insufficiency and deficiency was presented with the same frequency in women and men, and no differences were found depending on the geographical location and age in subjects from 18 to 74 years old. However, subjects over 75 years more often had vitamin D deficiency, while subjects under 18 years had normal levels in over 50% cases. In addition, 21,506 patients were tested for SARS-CoV-2 by PCR with further comparison of results with serum 25(OH)D level. The SARS-CoV-2 positivity rate was detected in 3,193 subjects, negative in 18,313. There were no differences in the morbidity in a vitamin D deficiency and a normal level. Thus, 14.8% subjects had positive PCR rates among vitamin D deficiency patients (4,978 tests), 14.9% when 25(OD)D level was from 20 to 30 ng/ml (7,542 tests), 15.0% among those who had 25(OH)D 30- 50 ng/ml (6,622 tests), and 13.9% when vitamin D was more than 50 ng/ml (4,612 tests). CONCLUSION: There was no association between the COVID-19 incidence and vitamin D status in different regions of Russia. Although the nutrient deficiency persists in all regions and is most often diagnosed in people over 75 years old.


Тема - темы
COVID-19 , Vitamin D Deficiency , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Morbidity , SARS-CoV-2 , Vitamin D , Vitamin D Deficiency/diagnosis , Young Adult
10.
JMIR Public Health Surveill ; 7(11): e29600, 2021 11 25.
Статья в английский | MEDLINE | ID: covidwho-2197930

Реферат

BACKGROUND: Although government agencies acknowledge that messages about the adverse health effects of e-cigarette use should be promoted on social media, effectively delivering those health messages is challenging. Instagram is one of the most popular social media platforms among US youth and young adults, and it has been used to educate the public about the potential harm of vaping through antivaping posts. OBJECTIVE: We aim to analyze the characteristics of and user engagement with antivaping posts on Instagram to inform future message development and information delivery. METHODS: A total of 11,322 Instagram posts were collected from November 18, 2019, to January 2, 2020, by using antivaping hashtags including #novape, #novaping, #stopvaping, #dontvape, #antivaping, #quitvaping, #antivape, #stopjuuling, #dontvapeonthepizza, and #escapethevape. Among those posts, 1025 posts were randomly selected and 500 antivaping posts were further identified by hand coding. The image type, image content, and account type of antivaping posts were hand coded, the text information in the caption was explored by topic modeling, and the user engagement of each category was compared. RESULTS: Analyses found that antivaping images of the educational/warning type were the most common (253/500; 50.6%). The average likes of the educational/warning type (15 likes/post) were significantly lower than the catchphrase image type (these emphasized a slogan such as "athletesdontvape" in the image; 32.5 likes/post; P<.001). The majority of the antivaping posts contained the image content element text (n=332, 66.4%), followed by the image content element people/person (n=110, 22%). The images containing people/person elements (32.8 likes/post) had more likes than the images containing other elements (13.8-21.1 likes/post). The captions of the antivaping Instagram posts covered topics including "lung health," "teen vaping," "stop vaping," and "vaping death cases." Among the 500 antivaping Instagram posts, while most posts were from the antivaping community (n=177, 35.4%) and personal account types (n=182, 36.4%), the antivaping community account type had the highest average number of posts (1.69 posts/account). However, there was no difference in the number of likes among different account types. CONCLUSIONS: Multiple features of antivaping Instagram posts may be related to user engagement and perception. This study identified the critical elements associated with high user engagement, which could be used to design antivaping posts to deliver health-related information more efficiently.


Тема - темы
Electronic Nicotine Delivery Systems , Social Media , Vaping , Adolescent , Emotions , Humans , Young Adult
11.
JMIR Public Health Surveill ; 7(6): e29528, 2021 06 10.
Статья в английский | MEDLINE | ID: covidwho-2197929

Реферат

BACKGROUND: COVID-19 testing remains an essential element of a comprehensive strategy for community mitigation. Social media is a popular source of information about health, including COVID-19 and testing information. One of the most popular communication channels used by adolescents and young adults who search for health information is TikTok-an emerging social media platform. OBJECTIVE: The purpose of this study was to describe TikTok videos related to COVID-19 testing. METHODS: The hashtag #covidtesting was searched, and the first 100 videos were included in the study sample. At the time the sample was drawn, these 100 videos garnered more than 50% of the views for all videos cataloged under the hashtag #covidtesting. The content characteristics that were coded included mentions, displays, or suggestions of anxiety, COVID-19 symptoms, quarantine, types of tests, results of test, and disgust/unpleasantness. Additional data that were coded included the number and percentage of views, likes, and comments and the use of music, dance, and humor. RESULTS: The 100 videos garnered more than 103 million views; 111,000 comments; and over 12.8 million likes. Even though only 44 videos mentioned or suggested disgust/unpleasantness and 44 mentioned or suggested anxiety, those that portrayed tests as disgusting/unpleasant garnered over 70% of the total cumulative number of views (73,479,400/103,071,900, 71.29%) and likes (9,354,691/12,872,505, 72.67%), and those that mentioned or suggested anxiety attracted about 60% of the total cumulative number of views (61,423,500/103,071,900, 59.59%) and more than 8 million likes (8,339,598/12,872,505, 64.79%). Independent one-tailed t tests (α=.05) revealed that videos that mentioned or suggested that COVID-19 testing was disgusting/unpleasant were associated with receiving a higher number of views and likes. CONCLUSIONS: Our finding of an association between TikTok videos that mentioned or suggested that COVID-19 tests were disgusting/unpleasant and these videos' propensity to garner views and likes is of concern. There is a need for public health agencies to recognize and address connotations of COVID-19 testing on social media.


Тема - темы
COVID-19/diagnosis , Diagnostic Tests, Routine , Social Media , Adolescent , Community Networks , Humans , SARS-CoV-2 , Video Recording , Young Adult
12.
JMIR Public Health Surveill ; 7(6): e23976, 2021 06 11.
Статья в английский | MEDLINE | ID: covidwho-2197875

Реферат

BACKGROUND: The diverse Asian American population has been impacted by the COVID-19 pandemic, but due to limited data and other factors, disparities experienced by this population are hidden. OBJECTIVE: This study aims to describe the Asian American community's experiences during the COVID-19 pandemic, focusing on the Greater San Francisco Bay Area, California, and to better inform a Federally Qualified Health Center's (FQHC) health care services and response to challenges faced by the community. METHODS: We conducted a cross-sectional survey between May 20 and June 23, 2020, using a multipronged recruitment approach, including word-of-mouth, FQHC patient appointments, and social media posts. The survey was self-administered online or administered over the phone by FQHC staff in English, Cantonese, Mandarin, and Vietnamese. Survey question topics included COVID-19 testing and preventative behaviors, economic impacts of COVID-19, experience with perceived mistreatment due to their race/ethnicity, and mental health challenges. RESULTS: Among 1297 Asian American respondents, only 3.1% (39/1273) had previously been tested for COVID-19, and 46.6% (392/841) stated that they could not find a place to get tested. In addition, about two-thirds of respondents (477/707) reported feeling stressed, and 22.6% (160/707) reported feeling depressed. Furthermore, 5.6% (72/1275) of respondents reported being treated unfairly because of their race/ethnicity. Among respondents who experienced economic impacts from COVID-19, 32.2% (246/763) had lost their regular jobs and 22.5% (172/763) had reduced hours or reduced income. Additionally, 70.1% (890/1269) of respondents shared that they avoid leaving their home to go to public places (eg, grocery stores, church, and school). CONCLUSIONS: We found that Asian Americans had lower levels of COVID-19 testing and limited access to testing, a high prevalence of mental health issues and economic impacts, and a high prevalence of risk-avoidant behaviors (eg, not leaving the house) in the early months of the COVID-19 pandemic. These findings provide preliminary insights into the impact of the COVID-19 pandemic on Asian American communities served by an FQHC and underscore the longstanding need for culturally and linguistically appropriate approaches to providing mental health, outreach, and education services. These findings led to the establishment of the first Asian multilingual and multicultural COVID-19 testing sites in the local area where the study was conducted, and laid the groundwork for subsequent COVID-19 programs, specifically contact tracing and vaccination programs.


Тема - темы
Asian Americans/psychology , COVID-19 Testing/statistics & numerical data , COVID-19/ethnology , Healthcare Disparities/ethnology , Mental Disorders/ethnology , Pandemics , Risk Reduction Behavior , Adolescent , Adult , Aged , Asian Americans/statistics & numerical data , COVID-19/prevention & control , Child , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , San Francisco/epidemiology , Socioeconomic Factors , Surveys and Questionnaires , Young Adult
13.
Cancer Epidemiol Biomarkers Prev ; 30(10): 1884-1894, 2021 10.
Статья в английский | MEDLINE | ID: covidwho-2194255

Реферат

BACKGROUND: We described the demographics, cancer subtypes, comorbidities, and outcomes of patients with a history of cancer and coronavirus disease 2019 (COVID-19). Second, we compared patients hospitalized with COVID-19 to patients diagnosed with COVID-19 and patients hospitalized with influenza. METHODS: We conducted a cohort study using eight routinely collected health care databases from Spain and the United States, standardized to the Observational Medical Outcome Partnership common data model. Three cohorts of patients with a history of cancer were included: (i) diagnosed with COVID-19, (ii) hospitalized with COVID-19, and (iii) hospitalized with influenza in 2017 to 2018. Patients were followed from index date to 30 days or death. We reported demographics, cancer subtypes, comorbidities, and 30-day outcomes. RESULTS: We included 366,050 and 119,597 patients diagnosed and hospitalized with COVID-19, respectively. Prostate and breast cancers were the most frequent cancers (range: 5%-18% and 1%-14% in the diagnosed cohort, respectively). Hematologic malignancies were also frequent, with non-Hodgkin's lymphoma being among the five most common cancer subtypes in the diagnosed cohort. Overall, patients were aged above 65 years and had multiple comorbidities. Occurrence of death ranged from 2% to 14% and from 6% to 26% in the diagnosed and hospitalized COVID-19 cohorts, respectively. Patients hospitalized with influenza (n = 67,743) had a similar distribution of cancer subtypes, sex, age, and comorbidities but lower occurrence of adverse events. CONCLUSIONS: Patients with a history of cancer and COVID-19 had multiple comorbidities and a high occurrence of COVID-19-related events. Hematologic malignancies were frequent. IMPACT: This study provides epidemiologic characteristics that can inform clinical care and etiologic studies.


Тема - темы
COVID-19/mortality , Neoplasms/epidemiology , Outcome Assessment, Health Care/statistics & numerical data , Adolescent , Adult , Aged , Aged, 80 and over , Child , Cohort Studies , Comorbidity , Databases, Factual , Female , Hospitalization/statistics & numerical data , Humans , Influenza, Human/epidemiology , Male , Middle Aged , Pandemics , Prevalence , Risk Factors , SARS-CoV-2 , Spain/epidemiology , United States/epidemiology , Young Adult
14.
Medicine (Baltimore) ; 100(31): e26854, 2021 Aug 06.
Статья в английский | MEDLINE | ID: covidwho-2191051

Реферат

ABSTRACT: Prompted by the need to measure the impact of the coronavirus disease 2019 on main areas of quality of life related to mental health (MH), the COV-19-impact on quality of life (COV19-QoL) scale has been developed recently. We measured how patients seeking face-to-face MH care perceived the coronavirus disease 2019 impact on QoL and how socio-demographic factors, stress, and personality contributed to QoL in this diagnostically diverse population.Patients aged 18 to 65 years (n = 251) who came for the first time to the outpatient units during the 6-week index-period (May 21-July 1, 2020) were included. The cross-sectional assessment involved sociodemographic variables, working diagnosis, personality traits (7-dimension model, including HEXACO and DELTA), stress (list of threatening experiences and proximity to virus), and COV19-QoL.The perceived impact of the pandemic on QoL was above the theoretical mean of a 5-point scale (COV19-Qol = 3.1 ±â€Š1.2). No association between total COV19-QoL score, sociodemographic parameters, and working diagnoses was found in the present sample. After testing whether positional (threatening experiences), or dispositional (personality) factors were predominant in the perceived impact of COV-19 on QoL, significant predictors of the outcome were personality traits Disintegration (B = 0.52; P < .01) and Emotionality (B = 0.18; P < .05).It seems that pervasiveness and uncertainty of the pandemic threat triggers-especially in those high on Disintegration trait-a chain of mental events with the decrease of QoL as a final result. Present findings could be used to establish a profile of MH help seeking population in relation to this biological disaster, and to further explore QoL and personality in different contexts.


Тема - темы
COVID-19/complications , Mental Health Services/statistics & numerical data , Quality of Life/psychology , Social Isolation/psychology , Adolescent , Adult , Aged , COVID-19/prevention & control , COVID-19/psychology , Cross-Sectional Studies , Humans , Male , Middle Aged , Surveys and Questionnaires
15.
Medicine (Baltimore) ; 100(21): e25645, 2021 May 28.
Статья в английский | MEDLINE | ID: covidwho-2190994

Реферат

ABSTRACT: Since December 2019, pneumonia caused by a novel coronavirus (SARS-CoV-2), namely 2019 novel coronavirus disease (COVID-19), has rapidly spread from Wuhan city to other cities across China. The present study was designed to describe the epidemiology, clinical characteristics, treatment, and prognosis of 74 hospitalized patients with COVID-19.Clinical data of 74 COVID-19 patients were collected to analyze the epidemiological, demographic, laboratory, radiological, and treatment data. Thirty-two patients were followed up and tested for the presence of the viral nucleic acid and by pulmonary computed tomography (CT) scan at 7 and 14 days after they were discharged.Among all COVID-19 patients, the median incubation period for patients and the median period from symptom onset to admission was all 6 days; the median length of hospitalization was 13 days. Fever symptoms were presented in 83.78% of the patients, and the second most common symptom was cough (74.32%), followed by fatigue and expectoration (27.03%). Inflammatory indicators, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) of the intensive care unit (ICU) patients were significantly higher than that of the non-ICU patients (P < .05). However, 50.00% of the ICU patients had their the ratio of T helper cells to cytotoxic T cells (CD4/CD8) ratio lower than 1.1, whose proportion is much higher than that in non-ICU patients (P < .01).Compared with patients in Wuhan, COVID-19 patients in Anhui Province seemed to have milder symptoms of infection, suggesting that there may be some regional differences in the transmission of SARS-CoV-2 between different cities.


Тема - темы
Antiviral Agents/therapeutic use , COVID-19/diagnosis , Cough/epidemiology , Fever/epidemiology , Hyperbaric Oxygenation/statistics & numerical data , Adolescent , Adult , Aged , Antibiotic Prophylaxis/statistics & numerical data , Blood Sedimentation , C-Reactive Protein/analysis , COVID-19/complications , COVID-19/epidemiology , COVID-19/therapy , COVID-19 Nucleic Acid Testing , Child , Child, Preschool , China/epidemiology , Cities/epidemiology , Cough/blood , Cough/therapy , Cough/virology , Female , Fever/blood , Fever/therapy , Fever/virology , Follow-Up Studies , Geography , Humans , Length of Stay/statistics & numerical data , Lung/diagnostic imaging , Male , Middle Aged , RNA, Viral/isolation & purification , Retrospective Studies , SARS-CoV-2/genetics , SARS-CoV-2/isolation & purification , Severity of Illness Index , Tomography, X-Ray Computed , Young Adult
16.
Medicine (Baltimore) ; 100(19): e25117, 2021 May 14.
Статья в английский | MEDLINE | ID: covidwho-2190989

Реферат

ABSTRACT: To describe and advise on management protocols and infection-protection experience of the radiology department in makeshift hospitals in Wuhan during the coronavirus disease 2019 (COVID-19) outbreak.Based on the literature review and the experience in the frontline, we retrospectively reviewed the configuration of the radiology department, human resource, personal protection, examination procedures for patients confirmed with COVID-19 in Wuhan fangcang shelter hospital.From February 11, 2020 to March 10, 2020, 2730 and 510 CT examinations were performed in the Hanjiang shelter hospital and Hanyang Sports School shelter hospital, respectively, including initial examinations and re-examinations. The maximum number of daily CT examinations reached 289. The CT scanned a patient approximately once every 13 mins.Fangcang shelter radiology department could be powerful components of both global and national responses to the COVID-19 pandemic.


Тема - темы
COVID-19/epidemiology , Infection Control/organization & administration , Mobile Health Units/organization & administration , Radiology Department, Hospital/organization & administration , Adolescent , Adult , Aged , China/epidemiology , Clinical Protocols , Disease Outbreaks , Female , Humans , Male , Middle Aged , Pandemics , Personal Protective Equipment , Personnel Administration, Hospital , Retrospective Studies , Risk Factors , SARS-CoV-2 , Severity of Illness Index , Young Adult
17.
Clin Infect Dis ; 74(12): 2173-2180, 2022 07 06.
Статья в английский | MEDLINE | ID: covidwho-2188401

Реферат

BACKGROUND: In response to the recent serogroup W invasive meningococcal disease (IMD-W) epidemic in the Netherlands, meningococcal serogroup C (MenC) conjugate vaccination for children aged 14 months was replaced with a MenACWY conjugate vaccination, and a mass campaign targeting individuals aged 14-18 years was executed. We investigated the impact of MenACWY vaccination implementation in 2018-2020 on incidence rates and estimated vaccine effectiveness (VE). METHODS: We extracted IMD cases diagnosed between July 2014 and December 2020 from the national surveillance system. We calculated age group-specific incidence rate ratios by comparing incidence rates before (July 2017-March 2018) and after (July 2019-March 2020) MenACWY vaccination implementation. We estimated VE in vaccine-eligible cases using the screening method. RESULTS: Overall, the IMD-W incidence rate declined by 61% (95% confidence interval [CI], 40 to 74). It declined by 82% (95% CI, 18 to 96) in the vaccine-eligible age group (individuals aged 15-36 months and 14-18 years) and by 57% (95% CI, 34 to 72) in vaccine-noneligible age groups. VE was 92% (95% CI, -20 to 99.5) in vaccine-eligible toddlers (aged 15-36 months). No IMD-W cases were reported in vaccine-eligible teenagers after the campaign. CONCLUSIONS: The MenACWY vaccination program was effective in preventing IMD-W in the target population. The IMD-W incidence reduction in vaccine-noneligible age groups may be caused by indirect effects of the vaccination program. However, disentangling natural fluctuation from vaccine effect was not possible. Our findings encourage the use of toddler and teenager MenACWY vaccination in national immunization programs.


Тема - темы
Meningococcal Infections , Meningococcal Vaccines , Neisseria meningitidis, Serogroup C , Adolescent , Humans , Meningococcal Infections/epidemiology , Meningococcal Infections/prevention & control , Netherlands/epidemiology , Serogroup , Vaccination/methods , Vaccines, Conjugate
18.
Lancet Digit Health ; 3(9): e577-e586, 2021 09.
Статья в английский | MEDLINE | ID: covidwho-2184865

Реферат

BACKGROUND: Multiple voluntary surveillance platforms were developed across the world in response to the COVID-19 pandemic, providing a real-time understanding of population-based COVID-19 epidemiology. During this time, testing criteria broadened and health-care policies matured. We aimed to test whether there were consistent associations of symptoms with SARS-CoV-2 test status across three surveillance platforms in three countries (two platforms per country), during periods of testing and policy changes. METHODS: For this observational study, we used data of observations from three volunteer COVID-19 digital surveillance platforms (Carnegie Mellon University and University of Maryland Facebook COVID-19 Symptom Survey, ZOE COVID Symptom Study app, and the Corona Israel study) targeting communities in three countries (Israel, the UK, and the USA; two platforms per country). The study population included adult respondents (age 18-100 years at baseline) who were not health-care workers. We did logistic regression of self-reported symptoms on self-reported SARS-CoV-2 test status (positive or negative), adjusted for age and sex, in each of the study cohorts. We compared odds ratios (ORs) across platforms and countries, and we did meta-analyses assuming a random effects model. We also evaluated testing policy changes, COVID-19 incidence, and time scales of duration of symptoms and symptom-to-test time. FINDINGS: Between April 1 and July 31, 2020, 514 459 tests from over 10 million respondents were recorded in the six surveillance platform datasets. Anosmia-ageusia was the strongest, most consistent symptom associated with a positive COVID-19 test (robust aggregated rank one, meta-analysed random effects OR 16·96, 95% CI 13·13-21·92). Fever (rank two, 6·45, 4·25-9·81), shortness of breath (rank three, 4·69, 3·14-7·01), and cough (rank four, 4·29, 3·13-5·88) were also highly associated with test positivity. The association of symptoms with test status varied by duration of illness, timing of the test, and broader test criteria, as well as over time, by country, and by platform. INTERPRETATION: The strong association of anosmia-ageusia with self-reported positive SARS-CoV-2 test was consistently observed, supporting its validity as a reliable COVID-19 signal, regardless of the participatory surveillance platform, country, phase of illness, or testing policy. These findings show that associations between COVID-19 symptoms and test positivity ranked similarly in a wide range of scenarios. Anosmia, fever, and respiratory symptoms consistently had the strongest effect estimates and were the most appropriate empirical signals for symptom-based public health surveillance in areas with insufficient testing or benchmarking capacity. Collaborative syndromic surveillance could enhance real-time epidemiological investigations and public health utility globally. FUNDING: National Institutes of Health, National Institute for Health Research, Alzheimer's Society, Wellcome Trust, and Massachusetts Consortium on Pathogen Readiness.


Тема - темы
Ageusia , Anosmia , COVID-19 , Cough , Dyspnea , Fever , Population Surveillance/methods , Adolescent , Adult , Aged , Aged, 80 and over , Ageusia/epidemiology , Ageusia/etiology , Anosmia/epidemiology , Anosmia/etiology , COVID-19/complications , COVID-19/epidemiology , COVID-19/virology , Cough/epidemiology , Cough/etiology , Digital Technology , Dyspnea/epidemiology , Dyspnea/etiology , Female , Fever/epidemiology , Fever/etiology , Humans , Israel/epidemiology , Male , Middle Aged , Odds Ratio , Pandemics , SARS-CoV-2 , United Kingdom/epidemiology , United States/epidemiology , Young Adult
19.
Lancet Child Adolesc Health ; 5(6): e24-e25, 2021 06.
Статья в английский | MEDLINE | ID: covidwho-2184846

Тема - темы
COVID-19 , Adolescent , Child , Humans , SARS-CoV-2
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