Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 5.681
Filtrar
1.
Global Health ; 17(1): 48, 2021 04 19.
Artículo en Inglés | MEDLINE | ID: mdl-33874977

RESUMEN

OBJECTIVE: To explore the influences of digital media use on the core symptoms, emotional state, life events, learning motivation, executive function (EF) and family environment of children and adolescents diagnosed with attention deficit hyperactivity disorder (ADHD) during the novel coronavirus disease 2019 (COVID-19) pandemic. METHOD: A total of 192 participants aged 8-16 years who met the diagnostic criteria for ADHD were included in the study. Children scoring higher than predetermined cut-off point in self-rating questionnaires for problematic mobile phone use (SQPMPU) or Young's internet addiction test (IAT), were defined as ADHD with problematic digital media use (PDMU), otherwise were defined as ADHD without PDMU. The differences between the two groups in ADHD symptoms, EF, anxiety and depression, stress from life events, learning motivation and family environment were compared respectively. RESULTS: When compared with ADHD group without PDMU, the group with PDMU showed significant worse symptoms of inattention, oppositional defiant, behavior and emotional problems by Swanson, Nolan, and Pelham Rating Scale (SNAP), more self-reported anxiety by screening child anxiety-related emotional disorders (SCARED) and depression by depression self-rating scale for children (DSRSC), more severe EF deficits by behavior rating scale of executive function (BRIEF), more stress from life events by adolescent self-rating life events checklist (ASLEC), lower learning motivation by students learning motivation scale (SLMS), and more impairment on cohesion by Chinese version of family environment scale (FES-CV). The ADHD with PDMU group spent significantly more time on both video game and social media with significantly less time spend on physical exercise as compared to the ADHD without PDMU group. CONCLUSION: The ADHD children with PDMU suffered from more severe core symptoms, negative emotions, EF deficits, damage on family environment, pressure from life events, and a lower motivation to learn. Supervision of digital media usage, especially video game and social media, along with increased physical exercise, is essential to the management of core symptoms and associated problems encountered with ADHD.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/psicología , Internet/estadística & datos numéricos , Adolescente , Trastorno por Déficit de Atención con Hiperactividad/epidemiología , Niño , China/epidemiología , Femenino , Humanos , /psicología , Masculino , Encuestas y Cuestionarios
2.
Bull Math Biol ; 83(5): 57, 2021 04 09.
Artículo en Inglés | MEDLINE | ID: mdl-33835296

RESUMEN

As COVID-19 spreads throughout the world without a straightforward treatment or widespread vaccine coverage in the near future, mathematical models of disease spread and of the potential impact of mitigation measures have been thrust into the limelight. With their popularity and ability to disseminate information relatively freely and rapidly, information from social media platforms offers a user-generated, spontaneous insight into users' minds that may capture beliefs, opinions, attitudes, intentions and behaviour towards outbreaks of infectious disease not obtainable elsewhere. The interactive, immersive nature of social media may reveal emergent behaviour that does not occur in engagement with traditional mass media or conventional surveys. In recognition of the dramatic shift to life online during the COVID-19 pandemic to mitigate disease spread and the increasing threat of further pandemics, we examine the challenges and opportunities inherent in the use of social media data in infectious disease modelling with particular focus on their inclusion in compartmental models.


Asunto(s)
/epidemiología , Conductas Relacionadas con la Salud , Pandemias , Medios de Comunicación Sociales , Actitud Frente a la Salud , Monitoreo Epidemiológico , Humanos , Internet/estadística & datos numéricos , Conceptos Matemáticos , Pandemias/prevención & control , Medios de Comunicación Sociales/estadística & datos numéricos
3.
Sci Rep ; 11(1): 5313, 2021 03 05.
Artículo en Inglés | MEDLINE | ID: mdl-33674661

RESUMEN

A recent mathematical model has suggested that staying at home did not play a dominant role in reducing COVID-19 transmission. The second wave of cases in Europe, in regions that were considered as COVID-19 controlled, may raise some concerns. Our objective was to assess the association between staying at home (%) and the reduction/increase in the number of deaths due to COVID-19 in several regions in the world. In this ecological study, data from www.google.com/covid19/mobility/ , ourworldindata.org and covid.saude.gov.br were combined. Countries with > 100 deaths and with a Healthcare Access and Quality Index of ≥ 67 were included. Data were preprocessed and analyzed using the difference between number of deaths/million between 2 regions and the difference between the percentage of staying at home. The analysis was performed using linear regression with special attention to residual analysis. After preprocessing the data, 87 regions around the world were included, yielding 3741 pairwise comparisons for linear regression analysis. Only 63 (1.6%) comparisons were significant. With our results, we were not able to explain if COVID-19 mortality is reduced by staying at home in ~ 98% of the comparisons after epidemiological weeks 9 to 34.


Asunto(s)
/mortalidad , Salud Global , Política de Salud , Pandemias/prevención & control , Cuarentena/normas , /prevención & control , /virología , Europa (Continente)/epidemiología , Humanos , Internet/estadística & datos numéricos , Modelos Lineales , Pandemias/estadística & datos numéricos , Dinámica Poblacional/estadística & datos numéricos , /patogenicidad
4.
J Med Internet Res ; 23(4): e26331, 2021 04 12.
Artículo en Inglés | MEDLINE | ID: mdl-33667176

RESUMEN

BACKGROUND: In the current era of widespread access to the internet, we can monitor public interest in a topic via information-targeted web browsing. We sought to provide direct proof of the global population's altered use of Wikipedia medical knowledge resulting from the new COVID-19 pandemic and related global restrictions. OBJECTIVE: We aimed to identify temporal search trends and quantify changes in access to Wikipedia Medicine Project articles that were related to the COVID-19 pandemic. METHODS: We performed a retrospective analysis of medical articles across nine language versions of Wikipedia and country-specific statistics for registered COVID-19 deaths. The observed patterns were compared to a forecast model of Wikipedia use, which was trained on data from 2015 to 2019. The model comprehensively analyzed specific articles and similarities between access count data from before (ie, several years prior) and during the COVID-19 pandemic. Wikipedia articles that were linked to those directly associated with the pandemic were evaluated in terms of degrees of separation and analyzed to identify similarities in access counts. We assessed the correlation between article access counts and the number of diagnosed COVID-19 cases and deaths to identify factors that drove interest in these articles and shifts in public interest during the subsequent phases of the pandemic. RESULTS: We observed a significant (P<.001) increase in the number of entries on Wikipedia medical articles during the pandemic period. The increased interest in COVID-19-related articles temporally correlated with the number of global COVID-19 deaths and consistently correlated with the number of region-specific COVID-19 deaths. Articles with low degrees of separation were significantly similar (P<.001) in terms of access patterns that were indicative of information-seeking patterns. CONCLUSIONS: The analysis of Wikipedia medical article popularity could be a viable method for epidemiologic surveillance, as it provides important information about the reasons behind public attention and factors that sustain public interest in the long term. Moreover, Wikipedia users can potentially be directed to credible and valuable information sources that are linked with the most prominent articles.


Asunto(s)
Conductas Relacionadas con la Salud , Educación en Salud/estadística & datos numéricos , Internet/estadística & datos numéricos , Lenguaje , Medicina , /mortalidad , Brotes de Enfermedades , Humanos , Pandemias , Opinión Pública , Estudios Retrospectivos
5.
J Med Internet Res ; 23(3): e23097, 2021 03 11.
Artículo en Inglés | MEDLINE | ID: mdl-33600348

RESUMEN

BACKGROUND: With the spread of COVID-19, an infodemic is also emerging. In public health emergencies, the use of information to enable disease prevention and treatment is incredibly important. Although both the information adoption model (IAM) and health belief model (HBM) have their own merits, they only focus on information or public influence factors, respectively, to explain the public's intention to adopt online prevention and treatment information. OBJECTIVE: The aim of this study was to fill this gap by using a combination of the IAM and the HBM as the framework for exploring the influencing factors and paths in public health events that affect the public's adoption of online health information and health behaviors, focusing on both objective and subjective factors. METHODS: We carried out an online survey to collect responses from participants in China (N=501). Structural equation modeling was used to evaluate items, and confirmatory factor analysis was used to calculate construct reliability and validity. The goodness of fit of the model and mediation effects were analyzed. RESULTS: The overall fitness indices for the model developed in this study indicated an acceptable fit. Adoption intention was predicted by information characteristics (ß=.266, P<.001) and perceived usefulness (ß=.565, P<.001), which jointly explained nearly 67% of the adoption intention variance. Information characteristics (ß=.244, P<.001), perceived drawbacks (ß=-.097, P=.002), perceived benefits (ß=.512, P<.001), and self-efficacy (ß=.141, P<.001) jointly determined perceived usefulness and explained about 81% of the variance of perceived usefulness. However, social influence did not have a statistically significant impact on perceived usefulness, and self-efficacy did not significantly influence adoption intention directly. CONCLUSIONS: By integrating IAM and HBM, this study provided the insight and understanding that perceived usefulness and adoption intention of online health information could be influenced by information characteristics, people's perceptions of information drawbacks and benefits, and self-efficacy. Moreover, people also exhibited proactive behavior rather than reactive behavior to adopt information. Thus, we should consider these factors when helping the informed public obtain useful information via two approaches: one is to improve the quality of government-based and other official information, and the other is to improve the public's capacity to obtain information, in order to promote truth and fight rumors. This will, in turn, contribute to saving lives as the pandemic continues to unfold and run its course.


Asunto(s)
/prevención & control , Comportamiento del Consumidor/estadística & datos numéricos , Información de Salud al Consumidor/métodos , Información de Salud al Consumidor/estadística & datos numéricos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , China/epidemiología , Información de Salud al Consumidor/normas , Estudios Transversales , Femenino , Comunicación en Salud/métodos , Comunicación en Salud/normas , Humanos , Internet/normas , Internet/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Pandemias , Atención al Paciente , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , Adulto Joven
6.
Psychiatry Res ; 298: 113799, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33611165

RESUMEN

BACKGROUND: Suicide reports during the COVID pandemic is an increasing cause for concern. However, there is a limited understanding of suicide among individuals with positive/suspected COVID diagnosis specifically. Hence, this study, using online newspaper reports, aimed to determine factors influencing suicide among individuals withCOVID-19 infection status. METHODOLOGY: Information regarding positive/suspected COVID related suicide was obtained from online newspapers published in 4 languages between 30th Jan 2020 to 16th August 2020 using google news aggregator. Of 235 online identified, 93 were eligible for analysis after the exclusion and analysed using descriptive statistics. RESULTS: Median Age of COVID related suicide victims was 45 years (range 15 - 80) wherein 61.3% belonged to 30-59 year age group, and 75.3% were males. 50% of suicides occurred within the first week of COVID diagnosis confirmation, and 50% suicides occurred at COVID centres. Hanging (53.8%) was the commonest method of suicide, followed by jumping (12.9%). CONCLUSION: Higher risk for suicide was observed among male gender and those with positive/suspected COVID infection within the first week, while receiving treatment in COVID care centres. Hanging and jumping were the two commonest methods. The above highlight an urgent need to integrate suicide preventive strategies into standard care protocols of COVID-19 positive and suspected cases.


Asunto(s)
/psicología , Suicidio/psicología , Suicidio/estadística & datos numéricos , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , India , Internet/estadística & datos numéricos , Masculino , Medios de Comunicación de Masas/estadística & datos numéricos , Persona de Mediana Edad , Adulto Joven
7.
Rev Bras Enferm ; 74Suppl 1(Suppl 1): e20200631, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33533806

RESUMEN

OBJECTIVE: to know the strategies to cope with domestic violence against women disseminated by digital media at the beginning of the COVID-19 pandemic. METHODS: a documentary study with a qualitative approach. The search took place from March 11 to April 30, 2020, from four sources: newspapers and online portals, social network, official government pages and third sector portals. Thematic content analysis of the findings was performed. RESULTS: seventy-seven strategies were identified in the journalistic press, 93 in the social network, 45 in government portals and 40 in third sector organizations. From analysis, three empirical categories emerged: Strategies for communication with women; Strategies adopted by customer service; Strategies to inform the population. FINAL CONSIDERATIONS: most of strategies were adaptations of existing services, centered on the reporting of violence by women.


Asunto(s)
Adaptación Psicológica , Comunicación , Violencia Doméstica/psicología , Difusión de la Información/métodos , Internet/estadística & datos numéricos , Medios de Comunicación Sociales/estadística & datos numéricos , Adulto , Anciano , Anciano de 80 o más Años , Brasil/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias
8.
BMC Infect Dis ; 21(1): 215, 2021 Feb 25.
Artículo en Inglés | MEDLINE | ID: mdl-33632140

RESUMEN

BACKGROUND: Public health is increasingly turning to non-traditional digital data to inform HIV prevention and control strategies. We demonstrate a parsimonious method using both traditional survey and internet search histories to provide new insights into HIV testing and pre-exposure prophylaxis (PrEP) information seeking that can be easily extended to other settings. METHOD: We modeled how US internet search volumes from 2019 for HIV testing and PrEP compared against expected search volumes for HIV testing and PrEP using state HIV prevalence and socioeconomic characteristics as predictors. States with search volumes outside the upper and lower bound confidence interval were labeled as either over or under performing. State performance was evaluated by (a) Centers for Disease Control and Prevention designation as a hotspot for new HIV diagnoses (b) expanding Medicaid coverage. RESULTS: Ten states over-performed in models assessing information seeking for HIV testing, while eleven states under-performed. Thirteen states over-performed in models assessing internet searches for PrEP information, while thirteen states under-performed. States that expanded Medicaid coverage were more likely to over perform in PrEP models than states that did not expand Medicaid coverage. While states that were hotspots for new HIV diagnoses were more likely to over perform on HIV testing searches. CONCLUSION: Our study derived a method of measuring HIV and PrEP information seeking that is comparable across states. Several states exhibited information seeking for PrEP and HIV testing that deviated from model assessments. Statewide search volume for PrEP information was affected by a state's decision to expand Medicaid coverage. Our research provides health officials with an innovative way to monitor statewide interest in PrEP and HIV testing using a metric for information-seeking that is comparable across states.


Asunto(s)
Infecciones por VIH/prevención & control , Conducta en la Búsqueda de Información , Internet/estadística & datos numéricos , Profilaxis Pre-Exposición/estadística & datos numéricos , Infecciones por VIH/diagnóstico , Infecciones por VIH/epidemiología , Humanos , Medicaid/estadística & datos numéricos , Prevalencia , Estados Unidos/epidemiología
10.
Cancer Radiother ; 25(1): 45-50, 2021 Feb.
Artículo en Francés | MEDLINE | ID: mdl-33402288

RESUMEN

PURPOSE: The annual follow-up in radiotherapy for prostate cancer consists of an oral interview with a radiation oncologist. The present study aimed at surveying the target population on their knowledge and perceptions of telemedicine. MATERIALS AND METHODS: A prospective study was conducted at the Lucien Neuwirth Cancer Institute (France) that included patients with prostate cancer undergoing treatment or in follow-up, during spring 2019 (n=158). A specific questionnaire was designed for the study. Patient's self-evaluation of satisfaction and enthusiasm was assessed through visual analog scale (VAS) (0/10 to 10/10). RESULTS: One hundred and fifty-eight patients completed the survey. The vast majority of the population commonly used phone for communication and 56% of patients owned internet connexion. Around 56% of patients declared telemedicine knowledge without having ever experienced telemedicine. If 60.8% of patients would not be against telemedicine with a median enthusiasm VAS of 6/10, patients' opinions were divergent: 48.7% of patients would like to keep a classical follow-up and 48.7% of patients would envision to alternate classical consultation with telemedicine. CONCLUSION: This feasibility study with an aged cohort showed that telemedicine is a valuable option for long-term radiotherapy follow-up, even if therapeutic education and information will be necessary to supervise this novel approach.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Neoplasias de la Próstata/radioterapia , Telemedicina/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , Estudios de Factibilidad , Estudios de Seguimiento , Humanos , Internet/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Encuestas y Cuestionarios/estadística & datos numéricos , Teléfono/estadística & datos numéricos
11.
JMIR Public Health Surveill ; 7(1): e22273, 2021 01 25.
Artículo en Inglés | MEDLINE | ID: mdl-33428580

RESUMEN

BACKGROUND: Effective communication is critical for mitigating the public health risks associated with the COVID-19 pandemic. OBJECTIVE: This study assesses the source(s) of COVID-19 information among people in Nigeria, as well as the predictors and the perceived accuracy of information from these sources. METHODS: We conducted an online survey of consenting adults residing in Nigeria between April and May 2020 during the lockdown and first wave of COVID-19. The major sources of information about COVID-19 were distilled from 7 potential sources (family and friends, places of worship, health care providers, internet, workplace, traditional media, and public posters/banners). An open-ended question was asked to explore how respondents determined accuracy of information. Statistical analysis was conducted using STATA 15.0 software (StataCorp Texas) with significance placed at P<.05. Approval to conduct this study was obtained from the Lagos State University Teaching Hospital Health Research Ethics Committee. RESULTS: A total of 719 respondents completed the survey. Most respondents (n=642, 89.3%) obtained COVID-19-related information from the internet. The majority (n=617, 85.8%) considered their source(s) of information to be accurate, and 32.6% (n=234) depended on only 1 out of the 7 potential sources of COVID-19 information. Respondents earning a monthly income between NGN 70,000-120,000 had lower odds of obtaining COVID-19 information from the internet compared to respondents earning less than NGN 20,000 (odds ratio [OR] 0.49, 95% CI 0.24-0.98). In addition, a significant proportion of respondents sought accurate information from recognized health organizations, such as the Nigeria Centre for Disease Control and the World Health Organization. CONCLUSIONS: The internet was the most common source of COVID-19 information, and the population sampled had a relatively high level of perceived accuracy for the COVID-19 information received. Effective communication requires dissemination of information via credible communication channels, as identified from this study. This can be potentially beneficial for risk communication to control the pandemic.


Asunto(s)
/prevención & control , Información de Salud al Consumidor/estadística & datos numéricos , Información de Salud al Consumidor/normas , Adulto , Estudios Transversales , Humanos , Internet/estadística & datos numéricos , Nigeria/epidemiología , Percepción , Encuestas y Cuestionarios
12.
Cochrane Database Syst Rev ; 1: CD013040, 2021 01 29.
Artículo en Inglés | MEDLINE | ID: mdl-33511633

RESUMEN

BACKGROUND: Pulmonary rehabilitation is a proven, effective intervention for people with chronic respiratory diseases including chronic obstructive pulmonary disease (COPD), interstitial lung disease (ILD) and bronchiectasis. However, relatively few people attend or complete a program, due to factors including a lack of programs, issues associated with travel and transport, and other health issues. Traditionally, pulmonary rehabilitation is delivered in-person on an outpatient basis at a hospital or other healthcare facility (referred to as centre-based pulmonary rehabilitation). Newer, alternative modes of pulmonary rehabilitation delivery include home-based models and the use of telehealth. Telerehabilitation is the delivery of rehabilitation services at a distance, using information and communication technology. To date, there has not been a comprehensive assessment of the clinical efficacy or safety of telerehabilitation, or its ability to improve uptake and access to rehabilitation services, for people with chronic respiratory disease. OBJECTIVES: To determine the effectiveness and safety of telerehabilitation for people with chronic respiratory disease. SEARCH METHODS: We searched the Cochrane Airways Trials Register, and the Cochrane Central Register of Controlled Trials; six databases including MEDLINE and Embase; and three trials registries, up to 30 November 2020. We checked reference lists of all included studies for additional references, and handsearched relevant respiratory journals and meeting abstracts. SELECTION CRITERIA: All randomised controlled trials and controlled clinical trials of telerehabilitation for the delivery of pulmonary rehabilitation were eligible for inclusion. The telerehabilitation intervention was required to include exercise training, with at least 50% of the rehabilitation intervention being delivered by telerehabilitation. DATA COLLECTION AND ANALYSIS: We used standard methods recommended by Cochrane. We assessed the risk of bias for all studies, and used the ROBINS-I tool to assess bias in non-randomised controlled clinical trials. We assessed the certainty of evidence with GRADE. Comparisons were telerehabilitation compared to traditional in-person (centre-based) pulmonary rehabilitation, and telerehabilitation compared to no rehabilitation. We analysed studies of telerehabilitation for maintenance rehabilitation separately from trials of telerehabilitation for initial primary pulmonary rehabilitation. MAIN RESULTS: We included a total of 15 studies (32 reports) with 1904 participants, using five different models of telerehabilitation. Almost all (99%) participants had chronic obstructive pulmonary disease (COPD). Three studies were controlled clinical trials. For primary pulmonary rehabilitation, there was probably little or no difference between telerehabilitation and in-person pulmonary rehabilitation for exercise capacity measured as 6-Minute Walking Distance (6MWD) (mean difference (MD) 0.06 metres (m), 95% confidence interval (CI) -10.82 m to 10.94 m; 556 participants; four studies; moderate-certainty evidence). There may also be little or no difference for quality of life measured with the St George's Respiratory Questionnaire (SGRQ) total score (MD -1.26, 95% CI -3.97 to 1.45; 274 participants; two studies; low-certainty evidence), or for breathlessness on the Chronic Respiratory Questionnaire (CRQ) dyspnoea domain score (MD 0.13, 95% CI -0.13 to 0.40; 426 participants; three studies; low-certainty evidence). Participants were more likely to complete a program of telerehabilitation, with a 93% completion rate (95% CI 90% to 96%), compared to a 70% completion rate for in-person rehabilitation. When compared to no rehabilitation control, trials of primary telerehabilitation may increase exercise capacity on 6MWD (MD 22.17 m, 95% CI -38.89 m to 83.23 m; 94 participants; two studies; low-certainty evidence) and may also increase 6MWD when delivered as maintenance rehabilitation (MD 78.1 m, 95% CI 49.6 m to 106.6 m; 209 participants; two studies; low-certainty evidence). No adverse effects of telerehabilitation were noted over and above any reported for in-person rehabilitation or no rehabilitation. AUTHORS' CONCLUSIONS: This review suggests that primary pulmonary rehabilitation, or maintenance rehabilitation, delivered via telerehabilitation for people with chronic respiratory disease achieves outcomes similar to those of traditional centre-based pulmonary rehabilitation, with no safety issues identified. However, the certainty of the evidence provided by this review is limited by the small number of studies, of varying telerehabilitation models, with relatively few participants. Future research should consider the clinical effect of telerehabilitation for individuals with chronic respiratory diseases other than COPD, the duration of benefit of telerehabilitation beyond the period of the intervention, and the economic cost of telerehabilitation.


Asunto(s)
Enfermedad Pulmonar Obstructiva Crónica/rehabilitación , Trastornos Respiratorios/rehabilitación , Telerrehabilitación/métodos , Sesgo , Enfermedad Crónica , Ensayos Clínicos Controlados como Asunto/estadística & datos numéricos , Disnea/rehabilitación , Tolerancia al Ejercicio/fisiología , Humanos , Internet/estadística & datos numéricos , Ensayos Clínicos Controlados no Aleatorios como Asunto/estadística & datos numéricos , Cooperación del Paciente/estadística & datos numéricos , Calidad de Vida , Ensayos Clínicos Controlados Aleatorios como Asunto/estadística & datos numéricos , Teléfono/estadística & datos numéricos , Telerrehabilitación/estadística & datos numéricos , Comunicación por Videocoferencia/estadística & datos numéricos , Prueba de Paso/estadística & datos numéricos
13.
Plast Reconstr Surg ; 147(1): 231-238, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33370071

RESUMEN

BACKGROUND: Non-board-certified plastic surgeons performing cosmetic procedures and advertising as plastic surgeons may have an adverse effect on a patient's understanding of their practitioner's medical training and patient safety. The authors aim to assess (1) the impact of city size and locations and (2) the impact of health care transparency acts on the ratio of board-certified and non-American Board of Plastic Surgeons physicians. METHODS: The authors performed a systematic Google search for the term "plastic surgeon [city name]" to simulate a patient search of online providers. Comparisons of board certification status between the top hits for each city were made. Data gathered included city population, regional location, practice setting, and states with the passage of truth-in-advertising laws. RESULTS: One thousand six hundred seventy-seven unique practitioners were extracted. Of these, 1289 practitioners (76.9 percent) were American Board of Plastic Surgery-certified plastic surgeons. When comparing states with truth-in-advertising laws and states without such laws, the authors found no significant differences in board-certification rates among "plastic surgery" practitioners (88.9 percent versus 92.0 percent; p = 0.170). There was a significant difference between board-certified "plastic surgeons" versus out-of-scope practitioners on Google search between large, medium, and small cities (100 percent versus 92.9 percent versus 86.5; p < 0.001). CONCLUSIONS: Non-board-certified providers tend to localize to smaller cities. Truth-in-advertising laws have not yet had an impact on the way a number of non-American Board of Plastic Surgery-certified practitioners market themselves. There may be room to expand the scope of truth-in-advertising laws to the online world and to smaller cities.


Asunto(s)
Publicidad/estadística & datos numéricos , Comercialización de los Servicios de Salud/estadística & datos numéricos , Consejos de Especialidades/normas , Cirujanos/estadística & datos numéricos , Cirugía Plástica/normas , Publicidad/legislación & jurisprudencia , Certificación/estadística & datos numéricos , Ciudades/estadística & datos numéricos , Simulación por Computador , Técnicas Cosméticas/estadística & datos numéricos , Estudios Transversales , Humanos , Internet/legislación & jurisprudencia , Internet/estadística & datos numéricos , Comercialización de los Servicios de Salud/legislación & jurisprudencia , Seguridad del Paciente , Cirujanos/legislación & jurisprudencia , Cirujanos/normas , Cirugía Plástica/estadística & datos numéricos , Estados Unidos
15.
Rev. esp. drogodepend ; 45(4): 29-48, oct.-dic. 2020. graf, tab
Artículo en Español | IBECS | ID: ibc-199684

RESUMEN

El Trastorno de juego en Internet (IGD) se ha convertido en objeto de estudio en todo el mundo para ofrecer servicios especializados de salud mental a las personas afectadas. Sin embargo, prima la escasez de estudios relacionados con la efectividad de los tratamientos psicológicos para el IGD. El objetivo principal del presente estudio es evaluar los cambios psicológicos producidos durante el proceso de intervención del "Programa Individualizado Psicoterapéutico para la Adicción a las Tecnologías de la Información y la Comunicación" (PIPATIC) en adolescentes con IGD. MÉTODO: La muestra se compone de 31 adolescentes (de 12 a 18 años) de dos centros públicos de salud mental, asignados a (I) grupo experimental de intervención PIPATIC o (II) grupo de control de Terapia Cognitivo Conductual estándar (TCC). La intervención se evaluó en las fases pre, durante y post-tratamiento. RESULTADOS: No se encontraron diferencias significativas entre ninguno de los grupos en la fase de pretratamiento. En relación con las diferentes intervenciones examinadas, se encontraron diferencias significativas en las pruebas previas y posteriores en las siguientes variables: trastornos comórbidos, habilidades interpersonales y medidas de los terapeutas. Ambos grupos experimentaron una reducción significativa de los síntomas relacionados con el IGD, aunque el grupo PIPATIC experimentó mejoras significativas más relevantes tanto en el IGD cómo en el resto de variables examinadas. DISCUSIÓN Y CONCLUSIONES: Los resultados sugieren que el programa PIPATIC ha estimulado cambios más significativos en el tratamiento del IGD y sus síntomas comórbidos y habilidades sociales que la TCC. Por otro lado, cabe remarcar que la TCC estándar también consiguió mejoras en los participantes respecto al uso de videojuegos y la sintomatología del IGD. En consecuencia, el uso de un enfoque integrador que cuyo foco de intervención refiera tanto al IGD cómo a los síntomas comórbidos, las habilidades intrapersonales e interpersonales y la psicoterapia familiar parece resultar más efectivo en facilitar cambios psicológicos en adolescente que un foco de intervención únicamente centrado en abordar el trastorno adictivo


Internet Gaming Disorder (IGD) has become the subject of study all around the world in order to provide specialist mental health services for affected persons. Nevertheless, there is a definite shortage of studies on the effectiveness of psychological treatments for IGD. The main objective of this paper is to assess the psychological changes that take place during the intervention process on the "Individualised Psycho-therapy Program for Addiction to Information and Communication Technologies" (IPPAICT) in adolescents with IGD. METHOD: The sample consisted of 31 adolescents (aged 12 to 18) from two public mental health centres, assigned to (I) experimental IPPAICT group, or (II) Standard Behavioural Cognitive Therapy (SBCT). Interventional was assessed in the pre, during and post treatment stages. RESULTS: There were no significant differences between either of the groups in the pre-treatment stage. In regard to the different types of intervention, significant differences were observed in tests before and after in relation to the following variables: comorbid disorders, interpersonal skills and therapy measures. Both groups reported a significant reduction in the symptoms related to IGD, although the IPPAICT group reported more relevant significant improvements in IGD and the rest of the variables. DISCUSSION AND CONCLUSIONS: The results suggest that the IPPAICT programme brought about more significant changes in IGD treatment and comorbid symptoms and social skills than SBCT. On the other hand, attention is also brought to the fact that standard SBCT also reported improvements in the participants in regard to the use of videogames and IGD symptoms. Consequently, an integrating approach focussing on IGD and comorbid symptoms, intrapersonal and interpersonal skills and family psychotherapy appear to be more effective in bringing about psychological changes than an approach that exclusively focusses on treating the addiction disorder


Asunto(s)
Humanos , Masculino , Femenino , Niño , Adolescente , Juego de Azar/psicología , Internet/estadística & datos numéricos , Conducta Adictiva/psicología , Conducta Adictiva/terapia , Terapia Cognitivo-Conductual/métodos , Juego de Azar/epidemiología , Conducta Adictiva/epidemiología , Resultado del Tratamiento , Encuestas y Cuestionarios , Escala de Evaluación de la Conducta , Relaciones Familiares , Factores Socioeconómicos , Inteligencia Emocional , Habilidades Sociales , Distribución por Edad , España/epidemiología
16.
Artículo en Inglés | MEDLINE | ID: mdl-33375139

RESUMEN

The lockdown restrictions due to the COVID-19 pandemic have led to increased stress levels and feelings of anxiety in the general population. Problematic usage of certain online applications is one frequent way to compensate for negative feelings and stress. The current study investigated changes of online media consumption during the lockdown in Germany. Gender and age specific differences in specific online activities were assessed. n = 3245 subjects participated in an online survey conducted between the 8th April and the 11th May 2020. Participants' age ranged between 18 and >55 years. A considerably high percentage (71.4%) of participants reported increased online media consumption during the lockdown. Male participants were more likely to increase their consumption of gaming and erotic platforms, while female participants reported a higher increase in the engagement in social networks, information research, and video streaming than males. The findings revealed an increased usage of all online applications during the lockdown. For the clarification whether the increase might present a risk for elevated Internet-use disorders or can be regarded as a functional and time-limited phenomenon, further studies, assessing changes in these online activities after the end of the pandemic, are needed.


Asunto(s)
Internet/estadística & datos numéricos , Pandemias , Medios de Comunicación Sociales/estadística & datos numéricos , Adolescente , Adulto , Control de Enfermedades Transmisibles , Femenino , Alemania , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
17.
Cien Saude Colet ; 25(11): 4237-4248, 2020 Nov.
Artículo en Portugués | MEDLINE | ID: mdl-33175033

RESUMEN

Sex workers become increasingly economically vulnerable due to the restrictive measures implemented to combat the coronavirus pandemic. In this respect, the scope of this study is to analyze the content of prostitution websites and advertisements regarding measures related to the COVID-19 pandemic. It involved a description of the visits and analysis of content of communications on websites that advertise commercial sex transactions. The percentage change in the number of visits for three periods from 02/2019 to 04/2020 was calculated. Subsequently, ads with the terms "corona," "pandemic" and "quarantine" on websites that offer search engines were extracted. The Bardin method was then used for content analysis. There was an increase in the number of visits to prostitution websites between 2019 and 2020, followed by a decrease with the advent of the coronavirus pandemic crisis. With regard to the protection measures during the pandemic, health recommendations and the incentive to engage in virtual sex are highlighted. Of the 1,991,014 advertisements, 0.51% mention the COVID-19 crisis regarding noncompliance with social distancing, protection measures and the offer of online sex.


Asunto(s)
Publicidad/estadística & datos numéricos , Betacoronavirus , Infecciones por Coronavirus/prevención & control , Internet/estadística & datos numéricos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Trabajo Sexual/estadística & datos numéricos , Publicidad/métodos , Publicidad/tendencias , Infecciones por Coronavirus/epidemiología , Francia , Humanos , Italia , América Latina , Neumonía Viral/epidemiología , Portugal , Motor de Búsqueda/estadística & datos numéricos , España
18.
J Med Internet Res ; 22(11): e22407, 2020 11 23.
Artículo en Inglés | MEDLINE | ID: mdl-33147163

RESUMEN

BACKGROUND: The internet is a well-known source of information that patients use to better inform their opinions and to guide their conversations with physicians during clinic visits. The novelty of the recent COVID-19 outbreak has led patients to turn more frequently to the internet to gather more information and to alleviate their concerns about the virus. OBJECTIVE: The aims of the study were to (1) determine the most commonly searched phrases related to COVID-19 in the United States and (2) identify the sources of information for these web searches. METHODS: Search terms related to COVID-19 were entered into Google. Questions and websites from Google web search were extracted to a database using customized software. Each question was categorized into one of 6 topics: clinical signs and symptoms, treatment, transmission, cleaning methods, activity modification, and policy. Additionally, the websites were categorized according to source: World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), non-CDC government, academic, news, and other media. RESULTS: In total, 200 questions and websites were extracted. The most common question topic was transmission (n=63, 31.5%), followed by clinical signs and symptoms (n=54, 27.0%) and activity modification (n=31, 15.5%). Notably, the clinical signs and symptoms category captured questions about myths associated with the disease, such as whether consuming alcohol stops the coronavirus. The most common websites provided were maintained by the CDC, the WHO, and academic medical organizations. Collectively, these three sources accounted for 84.0% (n=168) of the websites in our sample. CONCLUSIONS: In the United States, the most commonly searched topics related to COVID-19 were transmission, clinical signs and symptoms, and activity modification. Reassuringly, a sizable majority of internet sources provided were from major health organizations or from academic medical institutions.


Asunto(s)
Infecciones por Coronavirus , Educación en Salud/estadística & datos numéricos , Internet/estadística & datos numéricos , Pandemias , Neumonía Viral , Motor de Búsqueda/estadística & datos numéricos , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Brotes de Enfermedades , Humanos , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Estados Unidos/epidemiología
19.
J Med Internet Res ; 22(11): e20044, 2020 11 20.
Artículo en Inglés | MEDLINE | ID: mdl-33151895

RESUMEN

BACKGROUND: Individuals with large followings can influence public opinions and behaviors, especially during a pandemic. In the early days of the pandemic, US president Donald J Trump has endorsed the use of unproven therapies. Subsequently, a death attributed to the wrongful ingestion of a chloroquine-containing compound occurred. OBJECTIVE: We investigated Donald J Trump's speeches and Twitter posts, as well as Google searches and Amazon purchases, and television airtime for mentions of hydroxychloroquine, chloroquine, azithromycin, and remdesivir. METHODS: Twitter sourcing was catalogued with Factba.se, and analytics data, both past and present, were analyzed with Tweet Binder to assess average analytics data on key metrics. Donald J Trump's time spent discussing unverified treatments on the United States' 5 largest TV stations was catalogued with the Global Database of Events, Language, and Tone, and his speech transcripts were obtained from White House briefings. Google searches and shopping trends were analyzed with Google Trends. Amazon purchases were assessed using Helium 10 software. RESULTS: From March 1 to April 30, 2020, Donald J Trump made 11 tweets about unproven therapies and mentioned these therapies 65 times in White House briefings, especially touting hydroxychloroquine and chloroquine. These tweets had an impression reach of 300% above Donald J Trump's average. Following these tweets, at least 2% of airtime on conservative networks for treatment modalities like azithromycin and continuous mentions of such treatments were observed on stations like Fox News. Google searches and purchases increased following his first press conference on March 19, 2020, and increased again following his tweets on March 21, 2020. The same is true for medications on Amazon, with purchases for medicine substitutes, such as hydroxychloroquine, increasing by 200%. CONCLUSIONS: Individuals in positions of power can sway public purchasing, resulting in undesired effects when the individuals' claims are unverified. Public health officials must work to dissuade the use of unproven treatments for COVID-19.


Asunto(s)
Comunicación , Infecciones por Coronavirus/tratamiento farmacológico , Infecciones por Coronavirus/epidemiología , Gobierno Federal , Internet/estadística & datos numéricos , Medios de Comunicación de Masas/estadística & datos numéricos , Neumonía Viral/tratamiento farmacológico , Neumonía Viral/epidemiología , Adenosina Monofosfato/análogos & derivados , Adenosina Monofosfato/uso terapéutico , Alanina/análogos & derivados , Alanina/uso terapéutico , Azitromicina/uso terapéutico , Cloroquina/uso terapéutico , Fraude/estadística & datos numéricos , Humanos , Hidroxicloroquina/uso terapéutico , Lenguaje , Pandemias , Salud Pública/estadística & datos numéricos , Salud Pública/tendencias , Estados Unidos/epidemiología
20.
Ciênc. Saúde Colet ; 25(11): 4237-4248, nov. 2020. tab, graf
Artículo en Portugués | LILACS, Coleciona SUS, Sec. Est. Saúde SP | ID: biblio-1133022

RESUMEN

Resumo Trabalhadores do sexo tornam-se cada vez mais vulneráveis economicamente como resultado das medidas restritivas implementadas para responder à pandemia de coronavírus. Nesse sentido, o objetivo deste estudo é analisar o conteúdo dos websites e anúncios de prostituição sobre medidas relacionadas à pandemia por COVID-19. Trata-se de descrição do fluxo de visitas e análise de conteúdo das comunicações em websites que anunciam transações de sexo comercial. Realizou-se cálculo de variação percentual do número de visitas para três períodos compreendidos entre 02/2019 a 04/2020. Posteriormente, extraíram-se anúncios com os termos "corona", "pandemia" e "quarentena" em websites que oferecem mecanismo de busca. Para análise de conteúdo, utilizou-se o método de Bardin. Houve aumento no número de acessos nos websites de prostituição entre o ano de 2019 e 2020, seguido de queda com a advento da crise pandêmica por coronavírus. Dentre as medidas de proteção durante a pandemia, destacam-se as recomendações de saúde e o incentivo ao sexo virtual. Dentre 1.991.014 anúncios, 0,51% mencionam a crise por COVID-19 quanto ao descumprimento do distanciamento social, medidas de proteção e oferta de sexo on-line.


Abstract Sex workers become increasingly economically vulnerable due to the restrictive measures implemented to combat the coronavirus pandemic. In this respect, the scope of this study is to analyze the content of prostitution websites and advertisements regarding measures related to the COVID-19 pandemic. It involved a description of the visits and analysis of content of communications on websites that advertise commercial sex transactions. The percentage change in the number of visits for three periods from 02/2019 to 04/2020 was calculated. Subsequently, ads with the terms "corona," "pandemic" and "quarantine" on websites that offer search engines were extracted. The Bardin method was then used for content analysis. There was an increase in the number of visits to prostitution websites between 2019 and 2020, followed by a decrease with the advent of the coronavirus pandemic crisis. With regard to the protection measures during the pandemic, health recommendations and the incentive to engage in virtual sex are highlighted. Of the 1,991,014 advertisements, 0.51% mention the COVID-19 crisis regarding noncompliance with social distancing, protection measures and the offer of online sex.


Asunto(s)
Humanos , Neumonía Viral/prevención & control , Trabajo Sexual/estadística & datos numéricos , Infecciones por Coronavirus/prevención & control , Publicidad/estadística & datos numéricos , Internet/estadística & datos numéricos , Pandemias/prevención & control , Betacoronavirus , Neumonía Viral/epidemiología , Portugal , España , Infecciones por Coronavirus , Infecciones por Coronavirus/epidemiología , Publicidad/métodos , Publicidad/tendencias , Motor de Búsqueda/estadística & datos numéricos , Francia , Italia , América Latina
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...