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1.
Oncology (Williston Park) ; 34(7): 244, 2020 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-32674205

RESUMO

Now that the world has been dealing with the coronavirus disease 2019 (COVID-19) pandemic for several months, we have learned so much. Some of the modifications we have made have been "good" and will hopefully help oncology care, education, and research going forward. Here are some of the issues and changes that the pandemic engendered.


Assuntos
Inovação Organizacional , Telemedicina/métodos , Betacoronavirus , Pesquisa Biomédica , Ensaios Clínicos como Assunto/métodos , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Detecção Precoce de Câncer/métodos , Detecção Precoce de Câncer/tendências , Humanos , Oncologia/métodos , Oncologia/organização & administração , Oncologia/tendências , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Telecomunicações/tendências
3.
Pediatr Pulmonol ; 55(8): 2128-2134, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32530552

RESUMO

BACKGROUND: We aimed to evaluate anxiety among children with cystic fibrosis (CF) and their mothers related to the COVID-19 pandemic. METHODS: A total of 45 patients with CF and their mothers were enrolled in the study together with 90 age-matched healthy children and their mothers as a control group. The State and Trait Anxiety Inventory (STAI) was administered by teleconference with children aged 13 to 18 years old and their mothers. The STAI for children was administered with children aged 9 to 12 years. Results were compared with age-matched healthy children and their mothers. The relationship between anxiety scores of children with CF and their mothers was evaluated by comparing with clinical data of children with CF. At the conclusion of the teleconference, mothers were asked whether their anxiety had changed as a result of the interview. RESULTS: It was found that healthy children aged 13 to 18 years had higher state anxiety scores than age-matched children with CF. Mothers of children with CF had higher trait anxiety scores, especially those of children aged 0 to 12 years, than mothers of healthy children (P < .05). For mothers of children with CF, state anxiety scores were higher among those whose children had chronic Pseudomonas infection (P < .05). Most mothers of children with CF stated that their anxiety decreased following the interview. CONCLUSION: The COVID-19 pandemic may increase anxiety among mothers of children with CF as well those with healthy children. However, COVID-19 had no effect on the anxiety of children with CF. Informing parents of children with CF about COVID-19 by teleconference may decrease anxiety.


Assuntos
Ansiedade/complicações , Infecções por Coronavirus/complicações , Infecções por Coronavirus/psicologia , Fibrose Cística/complicações , Fibrose Cística/psicologia , Mães , Pneumonia Viral/complicações , Pneumonia Viral/psicologia , Adolescente , Ansiedade/diagnóstico , Ansiedade/terapia , Betacoronavirus , Estudos de Casos e Controles , Criança , Pré-Escolar , Depressão , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pandemias , Infecções por Pseudomonas/complicações , Infecções por Pseudomonas/psicologia , Inquéritos e Questionários , Telecomunicações
4.
Br J Soc Psychol ; 59(3): 628-640, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32564418

RESUMO

Amid increased acts of violence against telecommunication engineers and property, this pre-registered study (N = 601 Britons) investigated the association between beliefs in 5G COVID-19 conspiracy theories and the justification and willingness to use violence. Findings revealed that belief in 5G COVID-19 conspiracy theories was positively correlated with state anger, which in turn, was associated with a greater justification of real-life and hypothetical violence in response to an alleged link between 5G mobile technology and COVID-19, alongside a greater intent to engage in similar behaviours in the future. Moreover, these associations were strongest for those highest in paranoia. Furthermore, we show that these patterns are not specific to 5G conspiratorial beliefs: General conspiracy mentality was positively associated with justification and willingness for general violence, an effect mediated by heightened state anger, especially for those most paranoid in the case of justification of violence. Such research provides novel evidence on why and when conspiracy beliefs may justify the use of violence.


Assuntos
Betacoronavirus , Infecções por Coronavirus/psicologia , Comportamento Paranoide/psicologia , Pneumonia Viral/psicologia , Opinião Pública , Telecomunicações , Violência/psicologia , Ira , Atitude Frente a Saúde , Decepção , Feminino , Humanos , Masculino , Pandemias , Comportamento Paranoide/virologia , Reino Unido , Tecnologia sem Fio
8.
PLoS One ; 15(5): e0232802, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32469875

RESUMO

The general objective of this study is to analyze student satisfaction with the use of virtual campuses in university teaching in order to discover the main variables influencing the overall online teaching-learning process that give quality to the virtual educational process. To this end, an ex-post-facto research methodology was applied to 1084 university students, who completed an ad hoc designed questionnaire, which allowed us to carry out descriptive analysis, classification trees and fuzzy inference systems using SPSS and Matlab software. The results suggest that four variables predominantly influence the quality of the teaching-learning processes in virtual campuses: satisfactory teacher responses to student questions and observations, the positive attitude of teachers towards the use of information and communication technologies, students having appropriate digital skills, and activities that encourage ideas and debate.


Assuntos
Desempenho Acadêmico/psicologia , Educação/métodos , Aprendizagem , Estudantes/psicologia , Adulto , Feminino , Humanos , Masculino , Software , Espanha , Inquéritos e Questionários , Ensino/psicologia , Telecomunicações , Universidades , Interface Usuário-Computador , Adulto Jovem
9.
Head Neck ; 42(7): 1503-1506, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32415882

RESUMO

The SARS-CoV-2 pandemic has rapidly transformed health care delivery around the globe. Because of the heavy impact of COVID-19 spread, cancer treatments have necessarily been de-prioritized, thus exposing patients to increased risk of morbidity and mortality due to delayed care. In this scenario, cancer specialists need to assess critical oncology patients case by case to carefully balance risk vs benefit in treating tumors and preventing SARS-CoV-2 infection. Here, we report early insights into how the management of patients with sinonasal and anterior skull base cancer might be affected by the COVID-19 pandemic. We provide recommendations for preoperative tests, indications for immediate care vs possible delayed treatment, and warnings relating to dural resection and intracranial dissection, given the potential neurotropism of SARS-CoV2 and practical suggestions for managing cancer care in a period of limited resources. We also postulate some thoughts on the promising role of telemedicine in multidisciplinary case discussions and posttreatment surveillance.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Neoplasias Nasais , Pandemias/prevenção & controle , Neoplasias dos Seios Paranasais , Pneumonia Viral/prevenção & controle , Neoplasias da Base do Crânio , Tomada de Decisão Clínica , Infecções por Coronavirus/epidemiologia , Acesso aos Serviços de Saúde , Humanos , Controle de Infecções , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Neoplasias Nasais/diagnóstico , Neoplasias Nasais/terapia , Neoplasias dos Seios Paranasais/diagnóstico , Neoplasias dos Seios Paranasais/terapia , Equipe de Assistência ao Paciente , Equipamento de Proteção Individual , Pneumonia Viral/epidemiologia , Encaminhamento e Consulta , Neoplasias da Base do Crânio/diagnóstico , Neoplasias da Base do Crânio/terapia , Telecomunicações , Telemedicina , Tempo para o Tratamento
11.
J Surg Educ ; 77(4): 729-732, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32253133

RESUMO

BACKGROUND: The COVID-19 pandemic presents a unique challenge to surgical residency programs. Due to the restrictions recommended by the Centers for Disease Control and Prevention and other organizations, the educational landscape for surgical residents is rapidly changing. In addition, the time course of these changes is undefined. METHODS: We attempt to define the scope of the problem of maintaining surgical resident education while maintaining the safety of residents, educators, and patients. Within the basic framework of limiting in-person gatherings, postponing or canceling elective operations in hospitals, and limiting rotations between sites, we propose innovative solutions to maintain rigorous education. RESULTS: We propose several innovative solutions including the flipped classroom model, online practice questions, teleconferencing in place of in-person lectures, involving residents in telemedicine clinics, procedural simulation, and the facilitated use of surgical videos. Although there is no substitute for hands-on learning through operative experience and direct patient care, these may be ways to mitigate the loss of learning exposure during this time. CONCLUSIONS: These innovative solutions utilizing technology may help to bridge the educational gap for surgical residents during this unprecedented circumstance. The support of national organizations may be beneficial in maintaining rigorous surgical education.


Assuntos
Competência Clínica , Infecções por Coronavirus/epidemiologia , Educação a Distância/métodos , Educação de Pós-Graduação em Medicina/organização & administração , Cirurgia Geral/educação , Pandemias/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Telecomunicações/organização & administração , Centers for Disease Control and Prevention, U.S. , Infecções por Coronavirus/prevenção & controle , Currículo , Feminino , Humanos , Internato e Residência/organização & administração , Masculino , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Medição de Risco , Estados Unidos , Realidade Virtual
12.
J Surg Educ ; 77(4): 733-734, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32278546

RESUMO

PROBLEM: The COVID-19 pandemic is an evolving crisis with widespread impact upon our medical system, including senior trainee travel for fellowship interviews. Numerous institutions have conscientiously deferred in-person interviews or virtual formats. Given the competitive nature of fellowship interviews, candidates may express concern that they are at a disadvantage in engaging in online meetings versus live, on-site interviews, and similarly may feel ill prepared to perform optimally during online interviews. APPROACH: We draw upon our experience with online interview platforms in this guide for fellowship candidates who are rapidly adapting to new technology and styles associated with videoconference interviews so that they can best promote themselves for competitive positions.


Assuntos
Competência Clínica , Infecções por Coronavirus/epidemiologia , Cirurgia Geral/educação , Entrevistas como Assunto , Pandemias/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Telecomunicações/organização & administração , Educação de Pós-Graduação em Medicina/organização & administração , Bolsas de Estudo/organização & administração , Feminino , Guias como Assunto , Humanos , Candidatura a Emprego , Masculino , Estados Unidos , Realidade Virtual
13.
Head Neck ; 42(7): 1516-1518, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32348582

RESUMO

As this ever-evolving pandemic lays itself, more of its impact is being understood. Until recently, most guidelines were reported to aid in managing and treating suspected or confirmed cases. Research institutions around the world are responding with a sense of confusion. Some are continuing routinely, especially those who are overseeing clinical trials that could offer life-saving therapies, particularly against the novel coronavirus. Since research must continue even in the face of a shutdown, we aim to collate the currently available recommendations from various organizations and provide guidance to head and neck researchers across the world during these trying times.


Assuntos
Betacoronavirus , Ensaios Clínicos como Assunto/organização & administração , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Gerenciamento de Dados , Comitês de Ética em Pesquisa , Humanos , Consentimento Livre e Esclarecido , Saúde do Trabalhador , Pandemias , Segurança do Paciente , Quarentena , Medição de Risco , Autoadministração , Telecomunicações
18.
Int J Med Inform ; 136: 104085, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32120317

RESUMO

BACKGROUND: Smartphone to-do list app was hypothesized to be more efficient than a paper-based list in the management of workflow and to provide additional benefits. PURPOSE: To analyze the impact of a mobile task-management application on the workflow of an ICU medical staff. METHODS: Superiority by a margin test, quasi-experimental study comparing the use of a smartphone application versus standard practice regarding tasks management in an academic ICU. Superiority margin was set at 8 % based on a pilot study. During two periods of 20 working days each (October 2018 and January 2019), medical staff managed tasks with both methods on a weekly rotation basis. Primary outcome was the proportion of daily tasks completed. Secondary outcomes assessed users' satisfaction and the impact of the app in terms of changes in clinical practice. RESULTS: 25 ICU physicians were enrolled. A total of 1983 tasks were recorded. The proportion of completed tasks per day was higher when using the smartphone app (99 % [96-100] versus 95 % [93-98] for the standard group, p = 0.006), but did not reach the superiority margin. Smartphone application was perceived as positive experience, as participants felt that they forgot fewer tasks (p = 0.02), were more aware of their progress on ongoing or remaining tasks (p = 0.03) and observed an improvement in communication among the medical staff (p = 0.03). CONCLUSION: This study failed to demonstrate the superiority of a smartphone app over paper-based lists regarding the proportion of daily tasks completed. However, positive feedback regarding the application was received from the medical staff.


Assuntos
Pessoal de Saúde/estatística & dados numéricos , Unidades de Terapia Intensiva/organização & administração , Unidades de Terapia Intensiva/normas , Aplicativos Móveis/estatística & dados numéricos , Smartphone/estatística & dados numéricos , Telecomunicações/estatística & dados numéricos , Fluxo de Trabalho , Adulto , Feminino , Humanos , Masculino , Ensaios Clínicos Controlados não Aleatórios como Assunto , Projetos Piloto , Estudos Prospectivos , Telecomunicações/instrumentação
19.
PLoS One ; 15(3): e0230592, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32214372

RESUMO

The quantitative understanding of human behavior is a key issue in modern science. Recently, inhomogeneous human activities have been described by bursts (consecutive activities separated by long periods of inactivity) and characterized by fat-tailed inter-event time (interval between two activities) distributions. However, the dynamics between number of activities and activity duration are still unclear. In this study, we analyzed 133 million toll-free call records from China to study the dynamics between call frequency and call duration. We confirmed that both call frequency and call duration exhibit circadian cycles and weekly cycles. By analyzing intraday patterns of these two metrics, we found the opposite volatility and clustered distributions. Results of clustering analysis showed that calling activity to toll-free numbers can be clustered into four clusters. In the "Work" cluster, the distribution of call duration was significantly different from that in the other clusters. The corresponding time of "Work" cluster was much shorter than estimates based on common sense. Intraday patterns and clustering results showed that both call frequency and call duration are primarily related to circadian cycles, the nature of human beings, and that work is a secondary factor that affects these variables. Moreover, we found a strong positive correlation between call frequency and call duration, as well as polarization of joint probability. The polarization indicates two extremes in inhomogeneous calling activity to toll-free numbers, i.e., either people are very busy or very idle. The empirical probability of the extreme was approximately four times that of random probability. Our findings may have great usage for studying the dynamics of inhomogeneous human behavior.


Assuntos
Comportamento , Modelos Estatísticos , China , Análise por Conglomerados , Humanos , Telecomunicações
20.
PLoS One ; 15(3): e0229913, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32142544

RESUMO

This study presents financial network indicators that can be applied to inspect the financial contagion on real economy, as well as the spatial spillover and industry aggregation effects. We propose to design both a directed and undirected networks of financial sectors of top 20 countries in GDP based on symbolized transfer entropy and Pearson correlation coefficients. We examine the effect and usefulness of the network indicators by newly using them instead of the original Dow Jones financial sector as explanatory variables to construct the higher-order information spatial econometric models. The results demonstrate that the estimated accuracies obtained from both the two networks are improved significantly compared with the spatial econometric model using the original data. It indicates that the network indictors are more effective to capture the dynamic information of financial systems. And meanwhile, the accuracy based on the directed network is a little higher than the undirected network, which indicates the symbolized transfer entropy, i.e. the directed and weighted network, is more suitable and effective to reflect relationships in the financial field. In addition, the results also show that under the global financial crisis, the co-movement between financial sectors of a country/region and the global financial sector as well as between financial sectors and real economy sectors is increased. However, some sectors in particular Utilities and Healthcare are impacted slightly. This study tries to use the financial network indicators in modeling to study contagion channels on the real economy and the industry aggregation effects and suggest how network indicators can be practically used in financial fields.


Assuntos
Indústrias/economia , Modelos Econométricos , Telecomunicações/economia , Algoritmos , China , Pesquisa Empírica , Entropia , Humanos
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