关键词： COVID 19   Quality of life   Ghana   Mental health and psychiatry   Pandemics   Diabetes mellitus   Regression analysis   Infectious diseases  

摘要： Background The Coronavirus Disease (COVID-19), initially thought to be a respiratory disease, is now known to affect multiple organ systems with variable presentation and devastating or fatal complications. Despite the large numbers of people who have suffered this disease globally, the mid- to long-term impact of COVID-19 on a person's general well-being and physical function has not been fully investigated in Ghana. Aim This study sought to determine the Quality of Life (QoL) and associated factors among Ghanaian patients following clinical recovery from COVID-19 infection. Methods This was a cross-sectional quantitative study involving 150 COVID-19 recovered patients attending the review clinic of the Ghana Infectious Disease Centre. Quality of life was estimated using the EuroQol Group Association five-domain, five-level questionnaire (EQ-5D-5L) while participants' overall health status was measured on a visual analogue scale (EQ-VAS): a scale ranging from 0 (worst health) to 100 (best health). Kruskal-Wallis tests were used to assess differences in domain and overall QoL scores while quantile regression was used to determine demographic and clinical factors associated with QoL scores. Results The mean QoL from the EQ-5D-5L assessment tool was (81.5 +/- 12.0) %, while the self-reported QoL from the EQ-VAS tool (75.6 +/- 22.0) %. Persistence of symptoms after 30 days was significantly associated with EQ-5D-5L QoL (Adjusted median difference [95% CI] = -9.40 [-14.19, -4.61], p<0.001) while access to rehabilitative centres was significantly associated with EQ-VAS QoL (Adjusted median difference [95% CI] = -29.60 [-48.92, -10.29], p = 0.003). Conclusion Quality of life was relatively good among the COVID-19 recovered patients. Persistence of symptoms and access to rehabilitative centres significantly predicted one's QoL.

关键词： COVID-19   Anguilla anguilla   Lough Neagh   EEL ANGUILLA-ANGUILLA   EUROPEAN EEL   GROWTH   RIVER   MODEL   AGE  

摘要： Northern Ireland went into COVID-19 enforced lockdown with the rest of the UK in March 2020. A stay-at-home order banned "non-essential" travel and contact with others, and closing schools and businesses. Such closures also impacted commercial fishing activities, including the Lough Neagh eel fishery. The eel fishery in Lough Neagh, Northern Ireland is the largest in Europe with an annual mean catch of around 330 t, valued at similar to 3 pound M. The effect of the Northern Ireland lockdown was the reduction of the Neagh fleet by 60% and delay to the start of the yellow eel fishing season by 2 months. The pandemic reduced the market demand for Lough Neagh yellow eel from similar to 280,00 kg yr(-1) to 100,000 kg yr(-1). The objective of the study was to assess the impact of the regulations on silver eel output and the socio-economic effects on fishers and the fishery. The main impact of the market disruption was for an increase in silver eel escapement of about 15% and for those fishers who remained in the fishery, at least in the short term, a continuing livelihood. In contrast, there were direct socio-economic consequences; the fishery had to reduce in size with associated cultural and heritage loss. Upon the lifting of COVID-19 restrictions the former fleet size did not and has not returned highlighting the wide ranging socio-economic impacts from the pandemic. As of November 2023, the market demand for eel across Europe remains deflated.

关键词： Quality of life   Externalising mental health problems   Internalising mental health problems   Psychosomatic symptoms   Youths   LATENT   PREVALENCE   RESILIENCE   SYMPTOMS   MODELS   NUMBER   LIFE  

摘要： BackgroundMental health and health-related quality of life (HRQoL) in children and adolescents deteriorated during the COVID-19 pandemic. The aim of this population-based longitudinal study was to explore whether distinct mental health trajectories in youths can be identified over the course of the *** health problems (MHP), psychosomatic symptoms and HRQoL were assessed at five time points between May 2020 and October 2022 in 744 children and adolescents aged 7 to 20 years using established instruments. We used generalized mixture modeling to identify distinct mental health trajectories and fixed-effects regressions to analyse covariates of the identified profiles of *** found five distinct linear latent trajectory classes each for externalising MHP and psychosomatic symptoms and four trajectory classes for internalising MHP. For HRQoL, a single-class solution that indicates a common development process proved to be optimal. The largest groups remained almost stable at a low internalising and externalising symptom level (64 to 74%) and consistently showed moderate psychosomatic symptoms (79%), while 2 to 18% showed improvements across the pandemic. About 10% of the youths had consistently high internalising problems, while externalising problems deteriorated in 18% of youths. Class membership was significantly associated with initial HRQoL, parental and child burden, personal resources, family climate and social *** mental health of most children and adolescents remained resilient throughout the pandemic. However, a sizeable number of youths had consistently poor or deteriorating mental health. Those children and adolescents need special attention in schools and mental health care.

摘要： All over the world, waste and its disposal are becoming a more prominent issue, as landfills swell up and growing evidence points to its contribution to climate change and environmental degradation. In the developing world, waste pickers sort through solid waste and sell it to vendors, who will recycle the product into something consumable. The work they do is vital to climate change mitigation, as well as urban cleanliness. In a way, waste pickers, especially in India, are vehicles of environmental justice, but they are often discriminated against and subjected to inhumane working conditions. In this environment, the pandemic hit, making waste pickers’ already precarious life even worse. This paper attempts to fill the gap in the academic literature by compiling a systemized literature review of the impacts of COVID-19 on waste-pickers’ lives using an environmental justice perspective. The review also uses a Feminist Political Ecology perspective to illuminate the double jeopardy that female waste pickers face in the era of COVID-19, which academia often ignores. Ultimately, this paper shows that COVID-19 exacerbated the preexisting injustices that the waste picker community face and created an immense burden on women. This paper will show that it is important to notice the differentiation between female and male waste picker challenges, especially at the crux of the COVID-19 pandemic. This paper has important policy implications as well as research considerations for both environmental justice and feminist political ecology scholars.

关键词： COVID-19   SARS-CoV-2   Infection prevention and control (IPC)   Healthcare workers (HCW)   KAP   Hand hygiene (HH)   COVID-19 response   Lower-Middle-Income Country (LMIC)   Triaging   Screening   Alcohol-based handrub (ABHR)   Guinea  

摘要： BackgroundIn response to the COVID-19 pandemic, WHO launched a strategic preparedness and response plan, outlining public health measures to support countries worldwide. Healthcare workers have an increased risk of becoming infected and their behaviour regarding infection prevention and control (IPC) influences infection dynamics. IPC strategies are important across the globe, but even more in low-resource settings where capacities for testing and treatment are limited. Our study aimed to assess and implement COVID-19 pandemic preparedness and response measures in Faranah, Guinea, primarily focusing on healthcare workers' IPC knowledge, attitude and practice (KAP).MethodsThe study was conducted between April 2020 and April 2021 assessing IPC pandemic preparedness and response measures such as healthcare workers' KAP, alcohol-based handrub (ABHR) consumption and COVID-19 triaging in the Faranah Regional Hospital and two associated healthcare centres. The assessment was accompanied by IPC training and visual workplace reminders and done in pre- and post- phases to evaluate possible impact of these IPC *** overall knowledge score in the Faranah Regional Hospital was 32.0 out of 44 at baseline, and did not change in the first, but increased significantly by 3.0 points in the second follow-up. The healthcare workers felt closer proximity to SARS-CoV-2 overtime in addition to higher stress levels in all study sites. There was significant improvement across the observed triaging practices. Hand hygiene compliance showed a significant increase across study sites leading to 80% in Faranah Regional Hospital and 63% in healthcare centers. The average consumption of ABHR per consultation was 3.29 mL with a peak in February 2020 of 23 *** increased stress levels among HCWs, the ongoing IPC partnership well prepared the FRH in terms of triaging processes with a stronger impact on IPC practice than on theoretical knowledge. Throughout the pandemi

关键词： Ageing   Coronavirus disease 2019   Covid-19   Dermatochalasis   Eyelids   N95 face mask   DERMATITIS   SKIN   EXPRESSION  

摘要： PurposeTo evaluate the eyelid features' changes after N95 face mask (FM) usage in healthcare workers through the new type of Coronavirus Disease 2019 (COVID-19) pandemic and make a comparison with home-office workers as a control group with a computer vision *** and methodsSixty healthcare workers and forty control participants with similar demographic features included. Standardized biometric photographs which were taken before and after the COV & Idot;D-19 pandemic, analyzed by the ImageJ program (NIH, Bethesda, Md.) software. The distances between the central light reflex on the cornea and the upper (UE) and lower eyelid (LE) were recorded as the marginal reflex distances. (MRD1, MRD2 respectively) Parameters of pretarsal show (PTS) of UE and brow pupil diameter (BPD) were analyzed for both of the *** were no significant differences among the groups' measurements before the COVID-19 pandemic. In healthcare workers' group after the pandemic, values of MRD1, PTS, BPD showed a significant decrease in their right eye (p = 0.001, p = 0.002, p = 0.001 respectively) and same values reduced in the left eyes as well when compared with pre-pandemic measurements. (p = 0.048, p = 0.001, p = 0.001 respectively) PTS and BPD values were decreased for both right and left eyes of the controls. (p = 0.044, p = 0.001 and p = 0.001, p = 0.001 respectively) MRD1 measurements after the pandemic showed no difference either in the right or left eyes of the control group after the pandemic. (p = 0.071 and p = 0.065 respectively).DiscussionResults showed that both BPD and PTS values decreased independently from the previous FM usage in both of the groups. Even though MRD1 values remained within the normal values, a significant decrease was detected in the healthcare workers group which suggested the cause was newly developed upper eyelid (UE) dermatochalasis after long hours of FM usage. Although it is hard to make a truly objective evaluation both usage of s

关键词： COVID-19   COVID-19-associated mucormycosis   immunosuppression   mortality   EPIDEMIOLOGY   ZYGOMYCOSIS  

摘要： The emergence of COVID-19, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), triggered a global pandemic. Concurrently, reports of mucormycosis cases surged, particularly during the second wave in India. This study aims to investigate mortality factors in COVID-19-associated mucormycosis (CAM) cases, exploring clinical, demographic, and therapeutic variables across mostly Asian and partly African countries. A retrospective, cross-sectional analysis of CAM patients from 22 medical centers across eight countries was conducted, focusing on the first 3 months post-COVID-19 diagnosis. Data collected through the ID-IRI included demographics, comorbidities, treatments, and outcomes. A total of 162 CAM patients were included. The mean age was 54.29 +/- 13.04 years, with 54% male. Diabetes mellitus (85%) was prevalent, and 91% had rhino-orbital-cerebral mucormycosis. Surgical debridement was performed in 84% of the cases. Mortality was 39%, with advanced age (hazard ratio [HR] = 1.06, [P < .001]), rituximab use (HR = 21.2, P = .05), and diabetic ketoacidosis (HR = 3.58, P = .009) identified as risk factors. The mortality risk increases by approximately 5.6% for each additional year of age. Surgical debridement based on organ involvement correlated with higher survival (HR = 8.81, P < .001). The utilization of rituximab and diabetic ketoacidosis, along with advancing age, has been associated with an increased risk of mortality in CAM patients. A combination of antifungal treatment and surgical intervention has demonstrated a substantial improvement in survival outcomes.

关键词： UNITED-STATES  

摘要： Importance Neonatal mortality is a major public health concern that was potentially impacted by the COVID-19 pandemic. To prepare for future health crises, it is important to investigate whether COVID-19 pandemic-related interventions were associated with changes in neonatal mortality. ObjectiveTo investigate whether social distancing during the pandemic was associated with a higher neonatal mortality rate. Design, Setting, and Participants This cohort study examined maternal-linked birth and infant death records from the National Center for Health Statistics, a population-level US database, from 2016 through 2020. The mortality rates were correlated using machine learning-based autoregressive integrated moving average (ARIMA) models with the social distancing index (SDI). The reference period was January 2016 through February 2020, and the pandemic period was March through December 2020. Statistical analysis was performed from March 2023 to May 2024. Exposures SDI, computed from 6 mobility metrics. Main Outcomes and Measures The primary outcome was neonatal mortality rate, defined as death at age less than 28 days. Results The study included 18 011 173 births, of which 15 136 596 were from the reference period (7 753 555 [51.22%] male; 11 643 094 [76.92%] with maternal age of 20 to 34 years) and 2 874 577 were from the pandemic period (1 472 539 [51.23%] male; 2 190 158 [76.19%] with maternal age of 20 to 34 years). Through ARIMA-adjusted analyses, accounting for the declining mortality trend in the reference period, the mortality rates during the pandemic period did not significantly differ from the expected rates. SDI did not exhibit significant correlations with neonatal mortality (unadjusted: correlation coefficient [CC], 0.14 [95% CI, -0.53 to 0.70]; ARIMA adjusted: CC, 0.29 [95% CI, -0.41 to 0.77]), early neonatal mortality (unadjusted: CC, 0.33 [95% CI, -0.37 to 0.79]; ARIMA adjusted: CC, 0.45 [95% CI, -0.24 to 0.84]), and infant mortality (unadjusted: CC, -

关键词： HBSC   Well-being   Multiple health complaints   Life satisfaction   Loneliness   COVID-19 measures   Mental health   BEHAVIOR   CHILDREN   INEQUALITIES   LONELINESS   VERSION   IMPACT  

摘要： BackgroundThe COVID-19-pandemic has had a profound impact on the lives of adolescents worldwide. This study examined the subjective perception of the COVID-19 pandemic measures and its association with mental health and well-being (i.e., loneliness, life satisfaction and multiple health complaints) among 13- and 15-years-old adolescents from 22 *** from the cross-national Health Behaviour in School-aged Children (HBSC) 2021/22 study were used from representative samples of 22 countries (N = 67,544; 51.9% girls). The self-perceived impact of COVID-19 measure comprised 10 items asking about the impact on several dimensions of adolescent lives (e.g., relationships with family and friends, health, or eating behaviours). Measures of loneliness, multiple health complaints, and life satisfaction were included as indicators of mental health and well-being. A non-parametric multilevel latent class analysis considering individual and country-levels was conducted to identify classes of self-perceived impact of the COVID-19 measures. Multilevel logistic regression models adjusted by age and socioeconomic status were applied to assess the association between COVID-19 measure impact classes and mental *** classes were identified on individual level encompassing a neutral (51%), positive (31%), or negative (18%) perception of COVID-19 measures. A third of the adolescents reported a positive impact of the pandemic measures. The distribution of classes was heterogeneous within and across countries. Within the positive COVID-19 measure impact class, social relationships were the most important dimension, whereas mental health problems were mostly represented within the negative COVID-19 measure impact class. Girls with a negative perception of pandemic measures showed higher levels of loneliness and multiple health complaints and lower life satisfaction. 15-year-old adolescents and those with a low socioeconomic status reported higher levels of lonel