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Deepening Divides or Inciting Change? Ongoing Impacts of COVID-19 on Teaching and Teacher Education in the United States 加深分歧还是推动变革?COVID-19 对美国教学和师范教育的持续影响
Pub Date : 2024-06-08 DOI: 10.3390/covid4060051
Noah Borrero
Through the lenses of teaching and teacher education, this article explores the evolving impacts of the COVID-19 pandemic on education. Challenges associated with COVID-19 in schooling, learning, teaching, and teacher education are highlighted to showcase ongoing systemic inadequacies and emerging opportunities for change. Cultural assets are presented as a theoretical framework for bridging gaps between individualistic and collective approaches to learning. Specific classroom projects that foster cultural assets are connected with a larger educational movement for Ethnic Studies in public education in the United States to provide examples of ways that education can evolve in more equitable ways into the future.
本文通过教学和师范教育的视角,探讨了 COVID-19 大流行病对教育的不断演变的影响。文章强调了 COVID-19 在学校教育、学习、教学和师范教育方面带来的挑战,以展示当前系统性的不足和新出现的变革机遇。文化资产作为一个理论框架被提出来,用于弥合个人主义和集体主义学习方法之间的差距。将促进文化资产的具体课堂项目与美国公共教育中更广泛的种族研究教育运动联系起来,为教育在未来以更公平的方式发展提供范例。
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引用次数: 0
Psychological Determinants of COVID-19 Vaccination Uptake among Pregnant Women in Kenya: A Comprehensive Model Integrating Health Belief Model Constructs, Anticipated Regret, and Trust in Health Authorities 肯尼亚孕妇接种 COVID-19 疫苗的心理决定因素:整合健康信念模型结构、预期后悔和对卫生机构信任的综合模型
Pub Date : 2024-06-05 DOI: 10.3390/covid4060050
S. Ayieko, Christine Markham, Kimberly Baker, Sarah E. Messiah
Pregnant women, considered at risk of COVID-19 complications because of the immunosuppressive and physiological changes in pregnancy, were initially hesitant to receive COVID-19 vaccination. This study assessed the association between COVID-19 vaccination uptake, psychological determinants (health belief model (HBM) constructs, anticipated regret, trust in health authorities), and provider recommendation among pregnant women in Kenya. Using data from a cross-sectional study, we conducted correlations, binary and multivariable logistic regressions, and moderation analysis to explore relationships between COVID-19 vaccination and psychological variables. Of the 115 pregnant women, 64% reported receiving provider recommendations for COVID-19 vaccination. There were weak positive correlations between the variables. Participants with high anticipated regret scores were more likely to receive COVID-19 vaccination compared to their peers (AOR = 4.27; 95% CI, 1.23–14.85), while provider recommendation increased the odds of COVID-19 vaccination (OR = 3.70; 95% CI, 1.53–8.92). None of the HBM constructs were significantly associated with COVID-19 vaccination. The findings related to psychological variables require the reconceptualization of theory-informed interventions to streamline healthcare provision. The critical role of healthcare providers in COVID-19 vaccination recommendations suggests a need to empower health practitioners with effective communication skills to improve maternal health outcomes.
由于妊娠期的免疫抑制和生理变化,孕妇被认为有发生 COVID-19 并发症的风险,因此她们最初对接种 COVID-19 疫苗犹豫不决。本研究评估了肯尼亚孕妇中 COVID-19 疫苗接种率、心理决定因素(健康信念模型(HBM)构建、预期后悔、对卫生机构的信任)和提供者推荐之间的关联。利用一项横断面研究的数据,我们进行了相关性、二元和多变量逻辑回归以及调节分析,以探讨 COVID-19 疫苗接种与心理变量之间的关系。在 115 名孕妇中,64% 的人表示接受了医疗服务提供者关于接种 COVID-19 疫苗的建议。这些变量之间存在微弱的正相关。与同龄人相比,预期遗憾得分高的参与者更有可能接种 COVID-19 疫苗(AOR = 4.27;95% CI,1.23-14.85),而医疗服务提供者的建议会增加接种 COVID-19 疫苗的几率(OR = 3.70;95% CI,1.53-8.92)。没有一个 HBM 构建与 COVID-19 疫苗接种有显著相关性。与心理变量相关的研究结果要求我们重新认识以理论为依据的干预措施,以简化医疗保健服务的提供。医疗保健提供者在 COVID-19 疫苗接种建议中的关键作用表明,有必要赋予医疗保健从业人员有效的沟通技巧,以改善孕产妇的健康状况。
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引用次数: 0
Staff Resiliency in Long-Term Care during the COVID-19 Pandemic: A Qualitative Study COVID-19 大流行期间长期护理机构员工的应变能力:定性研究
Pub Date : 2024-06-03 DOI: 10.3390/covid4060049
Behrouz Danesh, Shannon Freeman, Piper J. Jackson, T. Klassen-Ross, Alexandria Freeman-Idemilih, D. Banner
The COVID-19 pandemic has had a major impact on long-term care facilities (LTCFs). While much attention has been paid to the impact of the pandemic on residents, less attention has been given to the experiences of staff and factors impacting their resilience in facing challenges working in LTCF. This research describes the factors contributing to the resiliency of LTCF staff during the COVID-19 pandemic in northern British Columbia (BC). Transcripts from 53 participants who completed one-hour semi-structured interviews were included and thematic analysis was conducted. All participants had experience working in a LTCF facility in northern BC during the pandemic. The LTCF staff described resilience as the ability to adapt to changing circumstances and protocols, while also maintaining a positive attitude and uplifting spirits during times of adversity. The analysis revealed five key themes influencing staff resilience: (1) availability and provision of resources for staff, (2) leadership and management within LTCFs, (3) social support available to staff, (4) impact of residents’ morale on staff resilience, and (5) personal attributes and characteristics of the staff. Understanding and addressing the five themes can guide the development of targeted strategies and interventions aimed at enhancing staff resilience and well-being during challenging circumstances. By recognizing and addressing the specific needs of LTCF staff, it is possible to improve the overall quality of care provided in LTCF and promote the well-being of both residents and staff. The findings shed light on the interplay of these themes and their profound influence on LTCF staff. Identifying staff’s needs and factors that contribute to their resilience may lower staff turnover, leading to a stronger and more resilient healthcare system, capable of safeguarding vulnerable populations, particularly during times of crisis such as the COVID-19 pandemic.
COVID-19 大流行对长期护理机构(LTCF)产生了重大影响。虽然大流行病对住户的影响受到了广泛关注,但对员工的经历以及影响他们面对在 LTCF 工作的挑战时的应变能力的因素却关注较少。本研究描述了在不列颠哥伦比亚省(BC 省)北部发生 COVID-19 大流行期间促进 LTCF 工作人员复原力的因素。53 名参与者完成了一小时的半结构化访谈,研究人员对访谈记录进行了主题分析。所有参与者都曾在大流行期间在不列颠哥伦比亚省北部的一家 LTCF 机构工作过。LTCF 工作人员将抗逆力描述为适应不断变化的环境和协议的能力,同时在逆境中保持积极的态度和振奋的精神。分析揭示了影响员工抗逆力的五个关键主题:(1)员工资源的可用性和供应;(2)LTCF 内部的领导和管理;(3)员工可获得的社会支持;(4)居民士气对员工抗逆力的影响;以及(5)员工的个人属性和特征。了解并解决这五个主题,可以指导制定有针对性的策略和干预措施,以提高员工在充满挑战的环境中的抗逆力和幸福感。通过认识和解决长者照护中心员工的特殊需求,可以提高长者照护中心的整体照护质量,促进住客和员工的福祉。研究结果揭示了这些主题的相互作用及其对 LTCF 员工的深远影响。确定员工的需求以及有助于提高其抗逆力的因素,可以降低员工流失率,从而建立一个更强大、更有抗逆力的医疗保健系统,能够保护弱势群体,尤其是在 COVID-19 大流行等危机时期。
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引用次数: 0
Computational Discovery of Novel Imidazole Derivatives as Inhibitors of SARS-CoV-2 Main Protease: An Integrated Approach Combining Molecular Dynamics and Binding Affinity Analysis 计算发现作为 SARS-CoV-2 主要蛋白酶抑制剂的新型咪唑衍生物:分子动力学与结合亲和力分析相结合的综合方法
Pub Date : 2024-05-23 DOI: 10.3390/covid4060046
B. A. Babalola, A. Adegboyega
One of the most pressing challenges associated with SARS treatment is the emergence of new variants that may be transmissible, causing more severe disease or being resistant to the current standard of treatment. This study aimed to identify potential drug candidates from novel imidazole derivatives against SARS-CoV-2 main protease (Mpro), a crucial drug target for treating viral infection, using a computational approach that integrated molecular docking and dynamics simulation. In this study, we utilized AutoDock Vina within the PyRx workspace for molecular docking analysis to explore the inhibitory effects of the compounds on the Mpro, a drug target for SARS-CoV-2. The ADMET properties of these compounds, including absorption, distribution, metabolism, excretion, and toxicity, were evaluated using the SwissADME and ADMETLab servers. Each of the 18 compounds that were tested demonstrated strong binding affinities towards Mpro, with imidazolyl–methanone C10 showing the most significant binding affinity. Moreover, pyridyl–imidazole C5, thiophenyl–imidazole C1, and quinoline–imidazole C14 displayed binding affinities of −8.3, −8.2, and −7.7 Kcal/mol, respectively. These compounds interacted with specific amino acid residues (HIS A:41—CYS A:145) within the Mpro protein. To assess the stability of the ligand with the best binding affinity, molecular dynamics (MD) simulations were conducted using Schrodinger software, which revealed its stability over the simulation period. The study provides valuable insights into the potential of imidazole derivatives as SARS-CoV-2 Mpro inhibitors. All compounds including C10 display promising characteristics and hold potential as drug candidates for SARS-CoV-2. However, further optimization and experimental validation of these compounds are necessary to advance their development as effective therapeutics against viral infections.
与 SARS 治疗相关的最紧迫挑战之一是新变种的出现,它们可能具有传播性,导致更严重的疾病,或对目前的治疗标准产生抗药性。本研究旨在利用分子对接和动力学模拟相结合的计算方法,从新型咪唑衍生物中发现抗 SARS-CoV-2 主蛋白酶(Mpro)的潜在候选药物,Mpro 是治疗病毒感染的关键药物靶点。在这项研究中,我们利用 PyRx 工作区中的 AutoDock Vina 进行了分子对接分析,以探索这些化合物对 SARS-CoV-2 药物靶标 Mpro 的抑制作用。使用 SwissADME 和 ADMETLab 服务器评估了这些化合物的 ADMET 特性,包括吸收、分布、代谢、排泄和毒性。接受测试的 18 种化合物均与 Mpro 具有很强的结合亲和力,其中咪唑基甲酮 C10 的结合亲和力最强。此外,吡啶基咪唑 C5、噻吩基咪唑 C1 和喹啉基咪唑 C14 的结合亲和力分别为 -8.3、-8.2 和 -7.7 Kcal/mol。这些化合物与 Mpro 蛋白中的特定氨基酸残基(HIS A:41-CYS A:145)相互作用。为了评估具有最佳结合亲和力的配体的稳定性,研究人员使用 Schrodinger 软件进行了分子动力学(MD)模拟,结果显示该配体在模拟期间具有稳定性。这项研究为了解咪唑衍生物作为 SARS-CoV-2 Mpro 抑制剂的潜力提供了宝贵的见解。包括 C10 在内的所有化合物都显示出良好的特性,具有作为 SARS-CoV-2 候选药物的潜力。然而,这些化合物还需要进一步的优化和实验验证,以推动其发展成为抗病毒感染的有效疗法。
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引用次数: 0
How Political Ideology and Media Shaped Vaccination Intention in the Early Stages of the COVID-19 Pandemic in the United States 政治意识形态和媒体如何影响美国 COVID-19 大流行初期的疫苗接种意向
Pub Date : 2024-05-20 DOI: 10.3390/covid4050045
Dilshani Sarathchandra, Jennifer Johnson-Leung
As a pharmaceutical intervention, vaccines remain a major public health strategy for mitigating the effects of COVID-19. Yet, vaccine intake has been affected by various cognitive and cultural factors. We examine how a selected set of factors (i.e., knowledge, concern, media, peer influence, and demographics) shaped COVID-19 vaccination intention in the early phase of the pandemic (Fall 2020). Using a survey conducted in three US states (Idaho, Texas, and Vermont) just prior to the rollout of the first vaccines against COVID-19, we find that COVID-19 concern was the primary driver of vaccination intention. Concern was shaped mainly by two factors: political ideology and media sources. Yet, ideology and media were much more important in affecting concern for those who leaned politically conservative, as opposed to those who leaned liberal or remained moderate. The results from our structural equation models affirm that the information politically conservative respondents were receiving reinforced the effects of their ideology, leading to a greater reduction in their concern. We discuss the potential implications of these findings for future pandemic preparedness.
作为一种药物干预措施,疫苗仍然是减轻 COVID-19 影响的主要公共卫生策略。然而,疫苗摄入量受到各种认知和文化因素的影响。我们研究了在大流行的早期阶段(2020 年秋季),一组选定的因素(即知识、关注、媒体、同伴影响和人口统计学)是如何影响 COVID-19 疫苗接种意向的。通过在美国三个州(爱达荷州、德克萨斯州和佛蒙特州)进行的一项调查,我们发现,就在第一批 COVID-19 疫苗推出之前,COVID-19 关注是疫苗接种意向的主要驱动因素。关注度主要受两个因素的影响:政治意识形态和媒体来源。然而,意识形态和媒体对政治倾向保守者的关注度的影响要比倾向自由或温和者大得多。结构方程模型的结果证实,政治保守派受访者接收到的信息强化了他们意识形态的影响,从而导致他们的担忧程度进一步降低。我们将讨论这些发现对未来大流行病防备工作的潜在影响。
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引用次数: 0
Mortality of Laryngeal Cancer before and during the COVID-19 Pandemic COVID-19 大流行之前和期间的喉癌死亡率
Pub Date : 2024-05-17 DOI: 10.3390/covid4050044
R. Nocini, G. Lippi, C. Mattiuzzi
(1) Background: The interplay between coronavirus disease 2019 (COVID-19) and laryngeal cancer represents a substantial challenge for both patients and healthcare. To garner information on recent mortality data for laryngeal cancer, including during the COVID-19 pandemic, we analyzed real-world data from the US Centers for Disease Control and Prevention (CDC). (2) Methods: We searched the CDC WONDER online database 2018–2022 using the ICD-10 code for laryngeal cancer (C32; malignant neoplasm of the larynx). We also performed a sub-analysis between genders and across ten-year age groups. The data were analyzed with one-way analysis of variance (ANOVA) and Tukey’s post hoc test. (3) Results: The trend of age-adjusted mortality ×100,000 did not change significantly between the years 2018 and 2022 (p = 0.553). Males had higher age-adjusted mortality rates (M/F ratios between 4.6 and 5.0), but no significant variation was found in both genders (males: p = 0.676; females: p = 0.596). Although the mortality rate remained unchanged in people aged 35–84 years, the variation reached statistical significance in those aged 85 or older (p = 0.004), displaying a significant increase in 2021 compared to 2018 (p = 0.006) and 2019 (p = 0.039). (4) Conclusions: The impact of the COVID-19 pandemic on mortality for laryngeal cancer seems to be relatively modest in the general US population. Nevertheless, closer attention must be paid to older people, for whom the unfavorable consequences of misdiagnosis or mistreatment of this and other types of cancers can be exacerbated.
(1) 背景:2019年冠状病毒病(COVID-19)与喉癌之间的相互作用对患者和医疗保健都是一个巨大的挑战。为了收集包括 COVID-19 大流行期间在内的喉癌近期死亡率数据信息,我们分析了美国疾病控制和预防中心(CDC)提供的真实世界数据。(2)方法:我们使用喉癌的 ICD-10 编码(C32;喉部恶性肿瘤)搜索了 2018-2022 年美国疾病预防控制中心 WONDER 在线数据库。我们还进行了性别间和十年年龄组间的子分析。数据采用单因素方差分析(ANOVA)和Tukey事后检验进行分析。(3)结果:2018年和2022年之间,年龄调整后死亡率×100,000的趋势没有显著变化(p = 0.553)。男性的年龄调整后死亡率较高(男女比例在 4.6 和 5.0 之间),但在两性中均未发现显著差异(男性:p = 0.676;女性:p = 0.596)。虽然 35-84 岁人群的死亡率保持不变,但 85 岁及以上人群的死亡率变化达到了统计学意义(p = 0.004),与 2018 年(p = 0.006)和 2019 年(p = 0.039)相比,2021 年的死亡率出现了显著增长。(4) 结论:在美国普通人群中,COVID-19 大流行对喉癌死亡率的影响似乎相对较小。不过,必须更加密切关注老年人,因为误诊或误治这种癌症和其他类型的癌症可能会加重对老年人的不利影响。
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引用次数: 0
COVID-19 Therapeutics Use by Social Deprivation Index in England, July 2020–April 2023 COVID-19 2020 年 7 月至 2023 年 4 月英格兰按社会贫困指数分列的治疗药物使用情况
Pub Date : 2024-05-15 DOI: 10.20944/preprints202403.1157.v1
Angela Falola, Hanna Squire, Sabine Bou-Antoun, Alessandra Løchen, Colin S. Brown, Alicia Demirjian
Coronavirus disease-19 (COVID-19) has disproportionately affected certain demographics in England, exacerbating existing health disparities. Effective therapeutics are a critical line of defence against COVID-19, particularly for patients at elevated risk for severe disease. Surveillance systems were established to monitor the usage of COVID-19 therapeutics in hospital and community settings and to inform stewardship. Three antiviral therapies—nirmatrelvir plus ritonavir (Paxlovid®), remdesivir (Veklury®), and molnupiravir (Lagevrio®)—and two neutralising monoclonal antibody therapies (nMAbs)—sotrovimab (Xevudy®) and casirivimab with imdevimab (Ronapreve®)—were in use in England between July 2020 and April 2023. This paper aims to illuminate trends in the utilisation of COVID-19 therapeutics treatment in both hospital and community settings, stratified by the Index of Multiple Deprivation (IMD) in England. Chapter 3 of the English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) Report 2022 to 2023 also discusses the epidemiological surveillance of these five directly acting antiviral COVID-19 therapeutics’ use in England between 2022 and 2023.
冠状病毒病-19(COVID-19)对英格兰某些人口群体的影响格外严重,加剧了现有的健康差距。有效的治疗方法是抵御 COVID-19 的一道关键防线,尤其是对严重疾病风险较高的患者而言。我们建立了监控系统,以监测 COVID-19 治疗药物在医院和社区环境中的使用情况,并为监管工作提供信息。2020 年 7 月至 2023 年 4 月期间,英格兰使用了三种抗病毒疗法--尼尔马特韦加利托那韦(Paxlovid®)、雷米地韦(Veklury®)和莫鲁吡韦(Lagevrio®),以及两种中和单克隆抗体疗法(nMAbs)--索罗维单抗(Xevudy®)和卡西利韦单抗加伊莫德单抗(Ronapreve®)。本文旨在阐明医院和社区环境中 COVID-19 疗法的使用趋势,并根据英格兰的多重贫困指数 (IMD) 进行分层。英格兰抗菌药物使用和耐药性监测计划(ESPAUR)2022 年至 2023 年报告》第 3 章还讨论了 2022 年至 2023 年期间英格兰对这五种直接作用抗病毒 COVID-19 疗法使用情况的流行病学监测。
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引用次数: 0
Assessing the Impact of COVID-19 on Subjective Well-Being and Quality of Life in Mexico: Insights from Structural Equation Modeling 评估 COVID-19 对墨西哥主观幸福感和生活质量的影响:结构方程模型的启示
Pub Date : 2024-05-13 DOI: 10.3390/covid4050041
Ignacio Alejandro Mendoza-Martínez, Edmundo Marroquín-Tovar, Jorge Pablo Rivas-Díaz, Araceli Durand, Gustavo Enrique Sauri-Alpuche, B. García-Rivera
Amid the backdrop of the COVID-19 pandemic, the living conditions of the population were dramatically altered, with social distancing measures and the looming threat to public health leaving a profound impact on people’s lives. This study aims to assess the influence of COVID-19 on subjective well-being and overall quality of life in Mexico. A structural model with latent variables was used. Data were extracted from the National Self-Reported Well-being Survey (SWLS) from October 2020 and January 2021, featuring a robust sample size of 3615 residents from urban areas in Mexico, all aged 18 and above. Findings revealed that around 38% of the variance in overall life satisfaction in October 2020 and January 2021 could be attributed to Personal well-being (0.231), Personal satisfaction (0.320), Satisfaction with the environment (0.076), and Negative emotional states (−0.116). In comparison, October 2019 to January 2020 saw a lower 20% explained variance, primarily associated with Personal well-being (0.184), Personal satisfaction (0.270), and Satisfaction with the environment (0.052). Reliability assessments, including Cronbach’s Alpha coefficients, Rho_a, and Composite Reliability, all surpassed 0.70 for each subscale. In addition, our study confirmed convergent validity, as the Average Variance Extracted (AVE) consistently exceeded 0.50 across all subscales, while the discriminant coefficient exceeded 0.70.
在 COVID-19 大流行的背景下,人们的生活条件发生了巨大变化,社会隔离措施和迫在眉睫的公共卫生威胁对人们的生活产生了深远影响。本研究旨在评估 COVID-19 对墨西哥人主观幸福感和整体生活质量的影响。研究采用了潜变量结构模型。数据提取自 2020 年 10 月至 2021 年 1 月的全国幸福感自述调查(SWLS),样本量为墨西哥城市地区的 3615 名 18 岁及以上居民。调查结果显示,2020 年 10 月和 2021 年 1 月总体生活满意度约 38% 的差异可归因于个人幸福感(0.231)、个人满意度(0.320)、环境满意度(0.076)和消极情绪状态(-0.116)。相比之下,2019 年 10 月至 2020 年 1 月的解释方差较低,仅为 20%,主要与个人幸福感(0.184)、个人满意度(0.270)和对环境的满意度(0.052)有关。信度评估,包括 Cronbach's Alpha 系数、Rho_a 和复合信度,每个子量表都超过了 0.70。此外,我们的研究还证实了收敛效度,因为所有分量表的平均方差提取(AVE)均超过了 0.50,而判别系数则超过了 0.70。
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引用次数: 0
Impact and Occurrence of Herpesvirus and Aspergillosis Superinfection in Patients with Severe COVID-19 Pneumonia 严重 COVID-19 肺炎患者疱疹病毒和曲霉菌病超级感染的影响和发生率
Pub Date : 2024-05-13 DOI: 10.3390/covid4050042
Antoinette D. Reichert, Júlia M. da Silva Voorham, Karin H. Groenewegen, Huub La van den Oever
Background: Pulmonary superinfections with Herpesviridae and Aspergillus spp. are common in severe coronavirus disease 2019 (COVID-19) pneumonia but their epidemiology and impact remain poorly understood. Methods: We conducted a retrospective observational study of 61 mechanically ventilated COVID-19 patients at Deventer Hospital’s ICU (2020–2021) who underwent bronchoalveolar lavage (BL) due to clinical deterioration. We analyzed blood and respiratory samples, treatment, and clinical outcomes. Results: Among 61 mechanically ventilated COVID-19 patients who underwent BL, 34 (55.7%) had superinfections, with 18 having COVID-19-associated pulmonary aspergillosis (CAPA), 7 having herpes simplex virus (HSV) infection, and 9 having both. Patients with HSV had later diagnoses (median 14 vs. 8 days, p = 0.014), longer mechanical ventilation (median 47 vs. 18.5 days, p = 0.015), and longer ICU stays (median 74 vs. 24 days, p = 0.021) compared to CAPA patients. At baseline, laboratory parameters and treatment (dexamethasone or tocilizumab) showed no significant association with superinfections. Mortality did not differ significantly among groups. Conclusion: In mechanically ventilated COVID-19 patients undergoing bronchoalveolar lavage, HSV reactivation occurred later in the course of illness and was associated with longer mechanical ventilation and ICU stays compared to CAPA. Baseline parameters did not predict superinfections.
背景:疱疹病毒科和曲霉菌属的肺部超级感染在 2019 年冠状病毒病(COVID-19)重症肺炎中很常见,但对其流行病学和影响仍知之甚少。研究方法我们对德文特医院重症监护室(2020-2021年)的61名因临床病情恶化而接受支气管肺泡灌洗(BL)的COVID-19机械通气患者进行了回顾性观察研究。我们对血液和呼吸道样本、治疗和临床结果进行了分析。结果在61名接受支气管肺泡灌洗的COVID-19机械通气患者中,34人(55.7%)患有超级感染,其中18人患有COVID-19相关肺曲霉菌病(CAPA),7人患有单纯疱疹病毒(HSV)感染,9人同时患有这两种感染。与 CAPA 患者相比,HSV 患者确诊时间更晚(中位数为 14 天 vs. 8 天,p = 0.014),机械通气时间更长(中位数为 47 天 vs. 18.5 天,p = 0.015),在重症监护室的时间更长(中位数为 74 天 vs. 24 天,p = 0.021)。基线时,实验室参数和治疗(地塞米松或托珠单抗)与超级感染无明显关联。各组死亡率无明显差异。结论在接受支气管肺泡灌洗的COVID-19机械通气患者中,HSV再激活发生在病程的后期,与CAPA相比,与机械通气和重症监护室停留时间延长有关。基线参数并不能预测超级感染。
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引用次数: 0
The Relationship between Coping Strategies and State Anxiety during COVID-19 Lockdown: The Role of Perceived Emotional Intelligence COVID-19 封锁期间应对策略与状态焦虑之间的关系:感知情商的作用
Pub Date : 2024-05-12 DOI: 10.3390/covid4050040
Alessandro Geraci, Laura Di Domenico, Antonella D'Amico
Background: The outbreak of the COVID-19 pandemic has caused an unprecedented and unexpected change all around the globe. The long-term effects are still ongoing, especially those related to the confinement measures. The study took place during the first COVID-19 lockdown in Italy, where everyone was forced to stay home in order to reduce the spread of the virus. The aim was to investigate the role of perceived emotional intelligence abilities (PEI) in coping with COVID-19-related anxiety. Methods: A cross-sectional study design was employed, and this study used an online survey launched through social networks, inviting adults to participate. The participants anonymously completed a three-scale online measurement of self-reported emotional abilities, coping strategies (approach and avoidance), and state anxiety towards COVID-19. Results: perceived emotional intelligence and approach coping significantly predicted state anxiety. In addition, perceived emotional intelligence mediated the relationship between approach coping and state anxiety. Conclusions: the study highlights the positive role of perceived emotional abilities in dealing with the unprecedented event represented by the COVID-19 pandemic, and in particular, in coping with anxiety related to lockdown and confinement. Their results highlight the importance of fostering emotional intelligence for navigating critical life events.
背景:COVID-19 大流行病的爆发在全球范围内引发了一场前所未有、出乎意料的变革。其长期影响仍在持续,尤其是与封闭措施有关的影响。这项研究发生在意大利第一次 COVID-19 封锁期间,当时所有人都被迫留在家中,以减少病毒的传播。目的是研究感知情商能力(PEI)在应对 COVID-19 相关焦虑中的作用。研究方法本研究采用横断面研究设计,通过社交网络发起在线调查,邀请成年人参与。参与者匿名完成了一项三量表在线测量,内容包括自我报告的情绪能力、应对策略(接近和回避)以及对 COVID-19 的状态焦虑。结果表明:感知情商和接近应对显著预测了状态焦虑。此外,感知情商对接近应对和状态焦虑之间的关系起到了中介作用。结论:这项研究强调了感知情绪能力在应对 COVID-19 大流行病所代表的前所未有的事件,特别是在应对与封锁和禁闭有关的焦虑方面所起的积极作用。他们的研究结果凸显了培养情商对于应对重大生活事件的重要性。
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引用次数: 0
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COVID
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