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A Qualitative Analysis of Older Adults’ Cognitive Appraisal in Coping during the COVID-19 Pandemic: The Role of Social Capital 新冠肺炎大流行期间老年人应对认知评价的定性分析:社会资本的作用
Pub Date : 2023-10-19 DOI: 10.3390/covid3100111
Linying Dong, Alexandra Katsiris, Mariah Lecompte, Cassandra Skrotzki, Lixia Yang
The ability to adaptively cope with the challenges of stressful events such as the COVID-19 pandemic is crucial for healthy aging. One effective coping strategy is social coping in which social networks are tapped for support. However, our review of the current literature on older adults’ coping abilities reveals two shortcomings: (1) a lack of consideration of a specific context and (2) an inadequate amount of attention paid to the different types of social networks in the cognitive appraisal process. As coping is a process in which older adults undergo the cognitive appraisal process to identify appropriate coping strategies, the shortcomings result in an incomplete understanding of older adults’ coping efforts and impair the development of effective community and intervention programs to improve older adults’ well-being. To fill this gap, drawing on the Transactional Model of Stress and Coping and the Social Capital Theory, we conducted 22 interviews with older adults who experienced lockdown measures during COVID-19. Our in-depth qualitative analysis shows the different roles played by bonding and bridging social capital in the cognitive appraisal process and illustrates the influence of a specific context on cognitive appraisals and subsequent coping efforts. Our findings provide significant contributions to theories regarding coping and social capital, as well as practices and policies for improving the well-being of older adults.
适应性应对COVID-19大流行等压力事件挑战的能力对于健康老龄化至关重要。一种有效的应对策略是利用社会网络来寻求支持的社会应对。然而,我们回顾了目前关于老年人应对能力的文献,发现了两个不足之处:(1)缺乏对特定情境的考虑;(2)在认知评估过程中对不同类型的社会网络的关注不足。由于老年人的应对是一个认知评估过程,在这个过程中,老年人通过认知评估来确定适当的应对策略,这些缺陷导致了对老年人应对努力的不完全理解,并影响了有效的社区和干预计划的发展,以改善老年人的福祉。为了填补这一空白,我们利用压力与应对的交易模型和社会资本理论,对在COVID-19期间经历过封锁措施的老年人进行了22次采访。我们深入的定性分析表明,在认知评估过程中,社会资本的结合和桥接发挥了不同的作用,并说明了特定背景对认知评估和随后的应对努力的影响。我们的研究结果对应对和社会资本的理论,以及改善老年人福祉的实践和政策都有重要的贡献。
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引用次数: 0
Housing Status and COVID-19 Prevention Recommendations among People Who Use Drugs 吸毒者的住房状况和COVID-19预防建议
Pub Date : 2023-10-17 DOI: 10.3390/covid3100110
Izza Zaidi, Ashly E. Jordan, Lauren Jessell, Leonardo Dominguez Gomez, Alex Harocopos, Michelle Nolan
Housing conditions can increase health risks for people who use opioids (PWUO). Little research documents the influence of housing on PWUO’s ability to practice disease prevention methods. This study examines associations between housing status of PWUO in NYC and their ability to practice COVID-19 prevention recommendations during the initial wave of the pandemic. Participants were recruited via convenience sampling and administered a survey. Eligibility required age ≥18 years, using opioids ≥3times in the prior 30 days, and accessing a health-related service in the prior year. Descriptive and bivariate statistics assessed relationships between housing and the ability to practice social distancing, access soap and running water or hand sanitizer (soap), and access face masks. Multivariable Poisson regression was used to examine relationships between housing and the potential to practice COVID-19 prevention recommendations. The 329 participants were grouped into stable housing (34.3%), unstable/shelter housing (31.9%), and street homeless (33.7%) categories. Street homeless PWUO were significantly less likely to have access to soap and face masks than those stably housed. There were no significant differences between PWUO experiencing unstable and stable housing. PWUO experiencing street homelessness may have had increased vulnerability to COVID-19. Providing low-threshold health-related resources and increasing linkages to housing opportunities could promote health of PWUO experiencing street homelessness during future emergencies.
住房条件会增加阿片类药物使用者的健康风险。很少有研究记录住房对PWUO实践疾病预防方法的能力的影响。本研究调查了纽约市PWUO的住房状况与他们在大流行初期实施COVID-19预防建议的能力之间的关系。通过方便抽样的方式招募参与者并进行调查。资格要求年龄≥18岁,在过去30天内使用阿片类药物≥3次,并在前一年获得与健康相关的服务。描述性和双变量统计评估了住房与保持社会距离、获得肥皂和自来水或洗手液(肥皂)以及获得口罩的能力之间的关系。使用多变量泊松回归来检验住房与实施COVID-19预防建议的可能性之间的关系。329名参与者被分为稳定住房(34.3%)、不稳定/庇护住房(31.9%)和街头无家可归者(33.7%)三类。街头无家可归的PWUO比那些稳定居住的人更不可能获得肥皂和口罩。经历不稳定和稳定住房的PWUO之间没有显著差异。街头无家可归的PWUO可能更容易感染COVID-19。提供低门槛的健康相关资源并增加与住房机会的联系,可促进在未来紧急情况下街头无家可归的PWUO的健康。
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引用次数: 0
Changes in Lifestyle Habits in Individuals with Diabetes during the COVID-19 Pandemic: The ELSA-Brasil Cohort Study COVID-19大流行期间糖尿病患者生活习惯的变化:elsa -巴西队列研究
Pub Date : 2023-10-12 DOI: 10.3390/covid3100109
William Jones Dartora, Maria Inês Schmidt, Rosane Harter Griep, Bruce B. Duncan
The COVID-19 pandemic and society’s response to it may have constrained the ability of those with diabetes to achieve a healthy lifestyle. We conducted a longitudinal study to assess the frequency and magnitude of sedentary habits, physical activity, sleep, alcohol consumption, weight, and smoking from July 2020 to February 2021 and compared these levels to those before the pandemic (2017–2019) in 1082 participants of the ELSA-Brasil study with known diabetes. Our results showed that inappropriate sleep duration was common (649, 68.9%) before the pandemic. Many (447, 31.1%) with this problem achieved an adequate sleep duration during the pandemic. Significant increases occurred in time in front of screens (1.3; 95%CI 0.66–2.11 h/day) and time sitting or reclining (1.4, 95%CI 0.8–2.3 h/day). Physical activity decreased (270, 95%CI 243–298 MET-min/wk). Alcohol consumption decreased without statistical significance (−19.6, 95%CI −51.1–11.9 g/w). In general, changes were similar between diabetics and non-diabetics, except that screen time in-creased less (−0.18, −0.35–−0.01 h/day) for those with diabetes. Sleep duration improved, but the frequency of sedentary habits increased, and physical activity decreased during the pandemic. Understanding changes brought on by the pandemic is essential to facilitate the implementation of quality health care for those with diabetes in moments of social stress.
2019冠状病毒病大流行和社会对此的反应可能限制了糖尿病患者实现健康生活方式的能力。我们进行了一项纵向研究,以评估2020年7月至2021年2月期间久坐习惯、身体活动、睡眠、饮酒、体重和吸烟的频率和程度,并将这些水平与已知糖尿病的1082名elsa - brazil研究参与者在大流行(2017-2019)之前的水平进行比较。我们的结果显示,在大流行之前,睡眠时间不适当很常见(649人,68.9%)。有这一问题的许多人(447人,31.1%)在大流行期间获得了充足的睡眠时间。在屏幕前的时间显著增加(1.3;95%CI 0.66-2.11 h/天)和坐下或躺卧时间(1.4,95%CI 0.8-2.3 h/天)。体力活动减少(270%,95%可信区间为243-298 MET-min/周)。酒精摄入量下降,但无统计学意义(- 19.6,95%CI - 51.1-11.9 g/w)。总的来说,糖尿病患者和非糖尿病患者之间的变化相似,除了糖尿病患者的屏幕时间增加较少(- 0.18小时/天,- 0.35 - - 0.01小时/天)。大流行期间,睡眠时间有所改善,但久坐习惯的频率增加,身体活动减少。了解大流行带来的变化对于促进在社会压力时刻为糖尿病患者提供高质量卫生保健至关重要。
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引用次数: 0
SARS-CoV-2: An Update on the Biological Interplay with the Human Host SARS-CoV-2:与人类宿主生物相互作用的最新进展
Pub Date : 2023-10-10 DOI: 10.3390/covid3100108
Giuseppe Lippi, Fabian Sanchis-Gomar, Camilla Mattiuzzi, Brandon M. Henry
Coronavirus Disease 2019 (COVID-19) is an infectious respiratory illness caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease, first identified in the Chinese city of Wuhan in November 2019, has since spread worldwide, is the latest human pandemic and has officially infected over 800 million people and has caused nearly seven million deaths to date. Although SARS-CoV-2 belongs to the large family of coronaviruses, it has some unique biological characteristics in its interplay with the human host. Therefore, this narrative review aims to provide an up-to-date overview of the structure of the virus, incubation and shedding in the human host, infectivity and biological evolution over time, as well as the main mechanisms for invading human host cells and replicating within. We also proffer that ongoing epidemiological surveillance of newly emerged variants must always be accompanied by biological studies aimed at deciphering new advantageous traits that may contribute to increasing virulence and pathogenicity, such that the most appropriate strategies for establishing a (relatively) safe coexistence with the human host can be implemented.
冠状病毒病2019 (COVID-19)是由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的一种传染性呼吸道疾病。该疾病于2019年11月在中国武汉市首次发现,此后已在全球蔓延,是最新的人类大流行,迄今已正式感染8亿多人,造成近700万人死亡。虽然SARS-CoV-2属于冠状病毒大家族,但它在与人类宿主的相互作用中具有一些独特的生物学特性。因此,本综述旨在对病毒的结构、在人类宿主中的孵化和脱落、传染性和随时间的生物进化,以及入侵人类宿主细胞和在体内复制的主要机制提供最新的概述。我们还提出,对新出现的变异进行流行病学监测必须始终伴随着旨在破译可能有助于增加毒力和致病性的新优势性状的生物学研究,以便实施与人类宿主建立(相对)安全共存的最适当策略。
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引用次数: 0
Psychotherapy Incorporating Equine Interaction as a Complementary Therapeutic Intervention for Young Adults in a Residential Treatment Program during the COVID-19 Pandemic 在2019冠状病毒病大流行期间,将马的相互作用作为一种补充治疗干预措施纳入住院治疗计划中的年轻人的心理治疗
Pub Date : 2023-10-04 DOI: 10.3390/covid3100107
Katie Holtcamp, Molly C. Nicodemus, Tommy Phillips, David Christiansen, Brian J. Rude, Peter L. Ryan, Karen Galarneau
Substance use disorder has become an epidemic in the young adult population across the United States, and these numbers rose during the COVID-19 pandemic. Psychotherapy incorporating equine interaction has emerged to show promise in the mental health community as a complementary form of therapy for this age group and offered a viable treatment option during the pandemic due to the outdoor nature of the treatment environment. However, research concerning its use within a residential treatment program was lacking. The objective of this study was to evaluate the efficacy of psychotherapy incorporating equine interaction in a residential treatment program during the COVID-19 pandemic for developing an emotionally safe environment for learning for young adults. Participants (ages 18–25 years) were those in a substance abuse residential treatment program utilizing psychotherapy incorporating equine interaction during the COVID-19 pandemic. Participants were involved in weekly equine therapy for 2–7 weeks. Participants were divided according to length of stay at the residential facility and participation level with equine interactive activities. Assessment of emotional safety and long-term memory development was performed at the beginning and end of the treatment program. The development of memories centered around equine information that was covered during the treatment program. Semantic memory was assessed using a self-reporting knowledge exam and procedural memory was assessed using a skill evaluation. Emotional safety was determined using a self-reporting survey instrument. Paired t-tests determined significant improvement in emotional safety (p = 0.02) and semantic (p = 0.01) and procedural (p = 0.00) memory for all participants by the end of the program. The one-way analysis of variance indicated length of stay and participation level were not significant indicators of emotional safety (length of stay: p = 0.91, participation level: p = 0.98) and semantic (length of stay: p = 0.09, participation level: p = 0.60) and procedural (length of stay: p = 0.25, participation level: p = 0.09) memory development. These results suggest psychotherapy incorporating equine interaction was an efficient complementary therapeutic intervention for developing emotional safety and encouraging learning in a young-adult residential addiction treatment program during the COVID-19 pandemic.
物质使用障碍已成为美国年轻人中的一种流行病,在COVID-19大流行期间,这些数字有所上升。结合马的相互作用的心理治疗已经出现,在精神卫生界显示出希望,作为对这一年龄组的补充治疗形式,并且由于治疗环境的户外性质,在大流行期间提供了一种可行的治疗选择。然而,关于其在住宅治疗方案中的应用的研究是缺乏的。本研究的目的是评估在2019冠状病毒病大流行期间,将马互动纳入住院治疗项目的心理治疗效果,为年轻人创造一个情感安全的学习环境。参与者(年龄在18-25岁)是在COVID-19大流行期间使用包含马互动的心理治疗的药物滥用住院治疗项目中的参与者。参与者每周接受马术治疗2-7周。参与者根据在住宅设施的停留时间和参与马互动活动的程度进行划分。在治疗方案开始和结束时进行情绪安全和长期记忆发展评估。记忆的发展以马的信息为中心,在治疗计划中被覆盖。语义记忆采用自我报告知识测验评估,程序记忆采用技能测验评估。使用自我报告调查工具确定情绪安全。配对t检验表明,到项目结束时,所有参与者的情绪安全(p = 0.02)、语义记忆(p = 0.01)和程序记忆(p = 0.00)都有了显著改善。单因素方差分析显示,留院时间和参与水平对情绪安全(留院时间:p = 0.91,参与水平:p = 0.98)、语义记忆(留院时间:p = 0.09,参与水平:p = 0.60)和程序记忆(留院时间:p = 0.25,参与水平:p = 0.09)发展无显著影响。这些结果表明,在2019冠状病毒病大流行期间,纳入马互动的心理治疗是一种有效的补充治疗干预措施,可用于培养年轻人的情绪安全和鼓励学习。
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引用次数: 1
The rs2228145 Variant of the Interleukin-6 Receptor (IL-6R) Gene Impacts on In Vitro Cellular Responses to SARS-CoV-2 VOC B1.1.7 Recombinant Spike Protein 白介素-6受体(IL-6R)基因rs2228145变异对体外细胞对SARS-CoV-2 VOC B1.1.7重组刺突蛋白反应的影响
Pub Date : 2023-10-03 DOI: 10.3390/covid3100106
Saira Sarwar, Rebecca Aicheler, Lee Butcher, Katie Rees, Stephen Potter, Richard Rowlands, Richard Webb
Given the variability in inflammatory responses to SARS-CoV-2 infection observed within human populations, we aimed to develop an in vitro model system (based on monocyte-macrophages, a key relevant cell type) that could yield insights regarding the impact of rs2228145, a clinically relevant polymorphism within the coding region of a key inflammatory gene in the body’s response to SARS-CoV-2 infection: the interleukin-6 receptor (IL-6R) gene. Three monocyte-macrophage cell-lines (U937, THP-1, MM6) were shown to exhibit AA, AC and CC rs2228145 genotypes, respectively, and to exhibit an MM6 > THP-1 > U937 pattern regarding basal levels of soluble IL-6R (sIL-6R) release. Similar MM6 > THP-1 > U937 patterns were seen regarding the extents to which (i) circulating levels of the IL-6/sIL-6R ‘active complex’ increased and (ii) phosphorylation of the downstream transcription-factor STAT3 occurred, following treatment with SARS-CoV-2 spike protein (SP). Moreover, a blocking antibody for the ACE-2 entry receptor for SARS-CoV-2 suppressed effects (i) and (ii), suggesting that interaction between SP and ACE-2 is the initial event that triggers IL-6/IL-6R signalling in our system. Production of IL-8 occurred to greater extents in A549 lung epithelial cells treated with tissue-culture supernatants from SP-treated MM6 cultures than SP-treated THP-1 or U937 cultures. Our data indicate that the rs2228145 genotype significantly impacts upon SP-associated IL-6/sIL-6R signalling in vitro, suggesting that it may influence in vivo risk of developing severe COVID-19 and/or long-COVID symptoms following infection by SARS-CoV-2. Thus, the rs2228145 genotype may have potential as a biomarker that differentiates between patients at risk of developing severe and/or prolonged symptoms following infection by SARS-CoV-2 and those who are at less risk.
鉴于在人群中观察到的对SARS-CoV-2感染的炎症反应的可变性,我们旨在开发一种体外模型系统(基于单核细胞-巨噬细胞,一种关键的相关细胞类型),该系统可以深入了解rs2228145的影响,rs2228145是人体对SARS-CoV-2感染反应的关键炎症基因编码区域内的临床相关多态性:白细胞介素-6受体(IL-6R)基因。三种单核巨噬细胞细胞系(U937, THP-1, MM6)分别表现出AA, AC和CC rs2228145基因型,并表现出MM6 >THP-1祝辞关于可溶性IL-6R (sIL-6R)释放基础水平的U937模式。类似的MM6 >THP-1祝辞在使用SARS-CoV-2刺突蛋白(SP)治疗后,在以下程度上观察到U937模式(i) IL-6/sIL-6R“活性复合物”的循环水平增加和(ii)下游转录因子STAT3的磷酸化发生。此外,针对SARS-CoV-2的ACE-2进入受体的阻断抗体抑制了效应(i)和(ii),这表明SP和ACE-2之间的相互作用是触发我们系统中IL-6/IL-6R信号传导的初始事件。与sp处理过的THP-1或U937培养物相比,sp处理过的MM6培养物的组织培养上清处理过的A549肺上皮细胞产生IL-8的程度更高。我们的数据表明,rs2228145基因型在体外显著影响sp相关的IL-6/sIL-6R信号传导,这表明它可能影响SARS-CoV-2感染后出现严重COVID-19和/或长时间COVID-19症状的体内风险。因此,rs2228145基因型可能有潜力作为区分感染SARS-CoV-2后出现严重和/或长期症状风险的患者和风险较低的患者的生物标志物。
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引用次数: 0
Perceived Stress and Coping among University Students Amidst COVID-19 Pandemic COVID-19大流行期间大学生的感知压力和应对
Pub Date : 2023-09-29 DOI: 10.3390/covid3100105
Coral L. Shuster, Marie C. Tate, Christina T. Schulz, Cheyenne T. Reyes, Megan M. Drohan, Angela G. Astorini, Amy L. Stamates, Manshu Yang, Mark L. Robbins
University students may have experienced heightened levels of stress during the COVID-19 pandemic; however, less is known about coping mechanisms (i.e., approach and avoidance) that were used to manage such stress. Further, there is a need to identify groups of students who may have been at elevated risk for stress. The present study examined the association between coping and perceived stress and whether there were differences in stress based on sociodemographic factors and COVID-19-related changes in employment, housing, and income. Data were collected from 150 university students between the ages of 18 and 25 years (M = 20.68; SD = 1.73). Results indicated that those who endorsed more approach coping skills had lower levels of stress and those who endorsed more avoidance coping skills had higher levels of stress. Additionally, females, those who lost income, and non-heterosexual individuals endorsed higher levels of stress. The results demonstrate the importance of targeted discussions with university students regarding stressors and coping mechanisms.
在2019冠状病毒病大流行期间,大学生可能经历了更大的压力;然而,人们对用来管理这种压力的应对机制(即接近和回避)知之甚少。此外,有必要确定哪些学生可能有较高的压力风险。本研究调查了应对和感知压力之间的关系,以及基于社会人口因素和与covid -19相关的就业、住房和收入变化,压力是否存在差异。数据收集自150名年龄在18至25岁之间的大学生(M = 20.68;Sd = 1.73)。结果表明,采用更接近的应对技巧的人压力水平较低,而采用更回避的应对技巧的人压力水平较高。此外,女性、失去收入的人以及非异性恋者的压力水平更高。结果表明,与大学生就压力源和应对机制进行针对性讨论的重要性。
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引用次数: 0
Effectiveness of COVID-19 Vaccination on Transmission: A Systematic Review COVID-19疫苗预防传播的有效性:一项系统评价
Pub Date : 2023-09-23 DOI: 10.3390/covid3100103
Anouk Oordt-Speets, Julia Spinardi, Carlos Mendoza, Jingyan Yang, Graciela Morales, John M. McLaughlin, Moe H. Kyaw
Vaccination against infectious disease affords direct protection from vaccine-induced immunity and additional indirect protection for unvaccinated persons. A systematic review was conducted to estimate the indirect effect of COVID-19 vaccination. From PubMed and Embase, 31 studies were included describing the impact of original wild-type COVID-19 vaccines on disease transmission or viral load. Overall, study results showed the effectiveness of COVID-19 vaccination against SARS-CoV-2 transmission (range 16–95%), regardless of vaccine type or number of doses. The effect was apparent, but less pronounced against omicron (range 24–95% for pre-omicron variants versus 16–31% for omicron). Results from viral load studies were supportive, showing SARS-CoV-2 infections in vaccinated individuals had higher Ct values, suggesting lower viral load, compared to infections among the unvaccinated. Based on these findings, well-timed vaccination programs may help reduce SARS-CoV-2 transmission—even in the omicron era. Whether better-matched vaccines can improve effectiveness against transmission in the omicron era needs further study.
预防传染病的疫苗接种可直接防止疫苗引起的免疫,并为未接种疫苗的人提供额外的间接保护。对COVID-19疫苗接种的间接效果进行了系统评价。来自PubMed和Embase的31项研究描述了原始野生型COVID-19疫苗对疾病传播或病毒载量的影响。总体而言,研究结果显示,无论疫苗类型或剂量多少,COVID-19疫苗接种对SARS-CoV-2传播的有效性(范围为16-95%)。这种影响是明显的,但对组粒变异的影响不那么明显(组粒前变异的范围为24-95%,而对组粒变异的范围为16-31%)。病毒载量研究的结果是支持性的,显示接种疫苗的个体感染SARS-CoV-2的Ct值较高,表明与未接种疫苗的感染相比,病毒载量较低。基于这些发现,及时的疫苗接种计划可能有助于减少SARS-CoV-2的传播,即使在微米时代也是如此。更好匹配的疫苗是否能提高在微米时代对抗传播的有效性还需要进一步研究。
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引用次数: 0
Research Staff COVID-19 Pandemic Survey-Results from the Prevention and Early Treatment of Acute Lung Injury (PETAL) Network 研究人员COVID-19大流行流行调查-急性肺损伤预防与早期治疗(PETAL)网络结果
Pub Date : 2023-09-23 DOI: 10.3390/covid3100104
Jasreen Kaur Gill, Andrew Bissonette, Aaron A. Cook, Anja Kathrin Jaehne, Jacqueline Day, Sheri Renaud, Gordon Jacobsen, Kristine Nelson, Lori-Ann Kozikowski, Namita Jayaprakash, Jayna Gardner-Gray, Jennifer Swiderek, Cathryn F. Oldmixon, Nancy J. Ringwood, Robert L. Sherwin, Mark D. Williams, Arielle Hodari Gupta, Nicholas J. Johnson, Robert C. Hyzy, Pauline K. Park, Emanuel P. Rivers
Objectives: There is a lack of knowledge about the challenges of researchers who continued in-person research during the early phases of the COVID-19 pandemic. Design: Electronic survey assessing work-related exposure to COVID-19, logistical challenges, and procedural changes during the first year of the COVID-19 pandemic on clinical research. Setting: National Heart, Lung, and Blood Institute-sponsored Prevention and Early Treatment of Acute Lung Injury Clinical Trial Network Centers. Subjects: Research staff at research Network Sites. Measurements and Main Results: The 37-question survey was completed by 277 individuals from 24 states between 29 September 2020, and 12 December 2020, yielding a response rate of 37.7%. Most respondents (91.5%) indicated that non-COVID-19 research was affected by COVID-19 research studies. In response to the COVID-19 pandemic, 20% of respondents were reassigned to different roles at their institution. Many survey takers were exposed to COVID-19 (56%), with more than 50% of researchers requiring a COVID-19 test and 8% testing positive. The fear of infection was 2.7-times higher compared to pre-COVID-19 times. Shortages of personal protective equipment were encountered by 34% of respondents, primarily due to lack of access to N95 masks, followed by gowns and protective eyewear. Personal protective equipment reallocation from research to clinical use was reported by 31% of respondents. Most of the respondents (88.5%), despite these logistical challenges, indicated their willingness to enroll COVID-19 patients. Conclusions: During the first year of the COVID-19 pandemic, members of the research network were engaged in COVID-19 research despite logistical challenges, limited access to personal protective equipment, and fear of exposure. The research network’s survey experience can inform ongoing policy discussions to create research enterprises that can dexterously refocus research to address the knowledge gaps associated with novel public health emergencies while mitigating the effect of pandemics on existing research projects and research personnel.
目的:人们对在COVID-19大流行的早期阶段继续进行现场研究的研究人员所面临的挑战缺乏了解。设计:电子调查,评估与工作相关的COVID-19暴露情况、后勤挑战以及临床研究中COVID-19大流行第一年的程序变化。环境:国家心肺血液研究所资助的急性肺损伤预防和早期治疗临床试验网络中心。研究对象:研究网络站点的研究人员。测量和主要结果:来自24个州的277名个人在2020年9月29日至2020年12月12日期间完成了37个问题的调查,回复率为37.7%。大多数受访者(91.5%)表示,非COVID-19研究受到COVID-19研究的影响。为应对COVID-19大流行,20%的受访者被重新分配到所在机构的不同角色。许多受访者(56%)接触过COVID-19,超过50%的研究人员需要进行COVID-19检测,8%的研究人员检测呈阳性。对感染的恐惧是新冠肺炎前的2.7倍。34%的答复者遇到个人防护装备短缺的问题,主要原因是无法获得N95口罩,其次是防护服和防护眼镜。31%的答复者报告了个人防护装备从研究重新分配到临床使用的情况。尽管存在这些后勤挑战,但大多数受访者(88.5%)表示愿意招募COVID-19患者。结论:在2019冠状病毒病大流行的第一年,尽管面临后勤挑战、个人防护装备有限以及害怕接触,研究网络成员仍参与了2019冠状病毒病的研究。该研究网络的调查经验可以为正在进行的政策讨论提供信息,以创建研究企业,这些企业能够灵活地重新调整研究重点,以解决与新型公共卫生紧急情况相关的知识空白,同时减轻流行病对现有研究项目和研究人员的影响。
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引用次数: 1
Learning from Latin America: Coordinating Policy Responses across National and Subnational Levels to Combat COVID-19 向拉丁美洲学习:协调国家和国家以下各级应对COVID-19的政策
Pub Date : 2023-09-21 DOI: 10.3390/covid3090102
Michael M. Touchton, Felicia Marie Knaul, Hector Arreola-Ornelas, Renzo Calderon-Anyosa, Silvia Otero-Bahamón, Calla Hummel, Pedro Pérez-Cruz, Thalia Porteny, Fausto Patino, Patricia J. Garcia, Jorge Insua, Oscar Mendez, Carew Boulding, Jami Nelson-Nuñez, V. Ximena Velasco Guachalla
We provide policy lessons for governments across Latin America by drawing on an original dataset of daily national and subnational non-pharmaceutical interventions (NPIs) during the COVID-19 pandemic for eight Latin American countries: Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Mexico, and Peru. Our analysis offers lessons for health system decision-making at various levels of government and highlights the impact of subnational policy implementation for responding to health crises. However, subnational responses cannot replace coordinated national policy; governments should emphasize the vertical integration of evidence-based policy from national to local levels while tailoring local policies to local conditions as they evolve. Horizontal policy integration across sectors and jurisdictions will also improve coordination at each level of government. The Latin American experiences with policy and politics during the COVID-19 pandemic project glocal health policy recommendations that connect global considerations with local needs.
我们利用阿根廷、玻利维亚、巴西、智利、哥伦比亚、厄瓜多尔、墨西哥和秘鲁这八个拉丁美洲国家在2019冠状病毒病大流行期间每日国家和地方非药物干预措施的原始数据集,为拉丁美洲各国政府提供政策经验。我们的分析为各级政府的卫生系统决策提供了经验教训,并突出了地方政策实施对应对卫生危机的影响。然而,次国家层面的应对不能取代协调一致的国家政策;各国政府应强调从国家层面到地方层面的循证政策的纵向整合,同时根据当地情况调整地方政策。跨部门和辖区的横向政策整合也将改善各级政府的协调。拉丁美洲在2019冠状病毒病大流行期间的政策和政治经验项目是将全球考虑与当地需求联系起来的全球卫生政策建议。
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引用次数: 0
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COVID
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