Incidence and Characterization of Post-COVID-19 Symptoms in Hospitalized COVID-19 Survivors to Recognize Syndemic Connotations in India: Single-Center Prospective Observational Cohort Study DOI Creative Commons
Chithira V Nair, Merlin Moni, Fabia Edathadathil

et al.

JMIR Formative Research, Journal Year: 2023, Volume and Issue: 7, P. e40028 - e40028

Published: Jan. 20, 2023

Long COVID, or post-COVID-19 syndrome, is the persistence of signs and symptoms that develop during after COVID-19 infection for more than 12 weeks are not explained by an alternative diagnosis. In spite health care recouping to prepandemic states, state tends be less recognized from low- middle-income country settings holistic therapeutic protocols do exist. Owing syndemic nature COVID-19, it important characterize syndrome.We aimed determine incidence in a cohort inpatients who recovered February July 2021 at tertiary-care center South India. addition, we comparing prevalence manifestations intensive unit (ICU) non-ICU patients, assessing persistence, severity, characteristics manifestations, elucidating risk factors associated with presence manifestations.A total 120 adult patients admitted specified time frame were recruited into study providing informed written consent. The included 50 requiring 70 without care. follow-up was conducted on second sixth discharge structured questionnaire. questionnaire filled patient/family member patient their visit hospital 2 through telephone 6 weeks.The mean age 55 years 55% men. Only 5% had taken first dose vaccination. Among 58.3% mild 41.7% moderate severe infection. 60.8% (n=73) least one persistent symptom week (41.7%) required inpatient stay. severity illness, age, requirement Fatigue most common reported 55.8%, followed dyspnea (20%) weight loss (16.7%). Female sex (odds ratio [OR] 2.4, 95% CI 1.03-5.58; P=.04) steroid administration stay (OR 4.43, 1.9-10.28; P=.001) found significant as revealed logistic regression analysis.Overall, treated postdischarge hospital. syndrome did significantly differ across mild, moderate, categories. identified predictors weeks.

Language: Английский

Facing the Growing COVID-19 Infodemic: Digital Health Literacy and Information-Seeking Behaviour of University Students in Slovenia DOI Open Access
Mitja Vrdelja,

S Vrbovšek,

Vito Klopčič

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(16), P. 8507 - 8507

Published: Aug. 12, 2021

The entire world is faced with the COVID-19 pandemic, which also accompanied by an infodemic. This refers to rapid spread of (accurate and false) information, mainly through internet usage increasing. Digital health literacy (DHL) therefore important for addressing challenges related online information services, as well navigation complex landscape huge amounts different (and conflicting) about COVID-19. aim this study examine level DHL in relation Slovenian university students determine information-seeking behaviour order plan prepare effective communication interventions sub-population. A cross-sectional survey, administered questionnaire, was conducted collect data on DHL. total 3621 participated, whom 70% were female average age 22.65 years (SD = 4.65). Bivariate analyses performed assess association key characteristics Overall, results show that among sufficient. Most difficulties reported assessing reliability (n 1484, 49.3%). Approximately one third 847, 27.9%) having problems finding their interest, somewhat more 900, 29.6%) making a selection all found. Students sufficient are likely seek search engines websites official institutions, while limited frequently using social media searches. It necessary establish systematic lift (HL) population groups.

Language: Английский

Citations

72

COVID-19 como sindemia: modelo teórico e fundamentos para a abordagem abrangente em saúde DOI Creative Commons
José Patrício Bispo Júnior, Djanilson Barbosa dos Santos

Cadernos de Saúde Pública, Journal Year: 2021, Volume and Issue: 37(10)

Published: Jan. 1, 2021

This essay aims to present and discuss the theoretical framework for COVID-19 syndemic. The first part presents foundations principles of syndemic theory. For purposes this essay, was defined as a process synergic interaction between two or more diseases, in which effects are mutually enhanced. We discussed three principal typologies interaction: causal epidemics; epidemics interacting synergically; serial epidemics. In second part, is analyzed resulting from various groups diseases socioeconomic context. model considered chronic noncommunicable infectious parasitic mental health problems. addressed how social iniquities conditions vulnerability act at levels increase effect other pandemics. last section discusses need comprehensive, multisector, integrated responses COVID-19. A intervention presented that involves patient care dimensions. sphere care, authors defend structuring strong responsive systems, accessible entire population. economic dimension issue reclaiming ideals solidarity, promotion strategy, emphasis on determinants health. conclusion, lessons learned approach call government society develop policies link clinical, sanitary, socioeconomic, environmental interventions.Este ensaio tem como objetivo apresentar e discutir o quadro teórico da sindemia Na primeira parte, são apresentados os fundamentos princípios teoria sindêmica. Adotou-se conceito de processo interação sinérgica entre duas ou mais doenças, no qual efeitos se potencializam mutuamente. Foram discutidas três principais tipologias sindêmica: epidemias mutuamente causais; interagindo sinergicamente; causais em série. segunda é analisada uma resultante vários grupos doenças contexto socioeconômico. O modelo considerou crônicas não transmissíveis, infecciosas parasitárias problemas saúde mental. Abordou-se iniquidades sociais condições vulnerabilidade atuam diversos níveis atuação das demais pandemias. última seção, discute-se necessidade respostas abrangentes, multisetoriais integradas ao enfrentamento Foi apresentado um intervenção envolvendo dimensões assistencial socioeconômica. No âmbito assistencial, defendeu-se estruturação sistemas fortes, responsivos acessíveis toda população. dimensão econômica abordou resgate dos ideais solidariedade, estratégia promoção ênfase sobre determinantes sociais. Conclui-se que lições aprendidas com abordagem sindêmica exortam governos sociedade para desenvolvimento políticas articulem intervenções clínicas, sanitárias, socioeconômicas ambientais.Este ensayo tiene presentar y el cuadro la En primera presentan los principios teoría sindémica. Se adoptó concepto un proceso interacción más enfermedades, en efectos potencializan discutieron las tres principales tipologías sindémica: causales; interactuando sinérgicamente; causales serie. es analizada una varios enfermedades socioeconómico. El consideró crónicas transmisibles, parasitarias, así salud abordó cómo inequidades sociales condiciones vulnerabilidad actúan niveles actuación demás sección, discute necesidad respuestas integrales, multisectoriales combate presentó intervención implicando dimensiones asistencial socioeconómica. ámbito asistencial, defendió conformación fuertes, con capacidad respuesta accesibles población. La dimensión económica rescate ideales solidaridad, estrategia promoción salud, énfasis sociales. concluye lecciones abordaje sindémico exhortan gobiernos sociedad desarrollen implementen coordinen intervenciones sanitarias, socioeconómicas ambientales.

Citations

58

Environment and COVID-19 incidence: A critical review DOI
Jiatong Han,

Jie Yin,

Xiaoxu Wu

et al.

Journal of Environmental Sciences, Journal Year: 2022, Volume and Issue: 124, P. 933 - 951

Published: Feb. 21, 2022

Language: Английский

Citations

53

Promoting a Syndemic Approach for Cardiometabolic Disease Management During COVID-19: The CAPISCO International Expert Panel DOI Creative Commons

Wael Al Mahmeed,

Khalid Al‐Rasadi, Yajnavalka Banerjee

et al.

Frontiers in Cardiovascular Medicine, Journal Year: 2021, Volume and Issue: 8

Published: Dec. 15, 2021

Efforts in the fight against COVID-19 are achieving success many parts of world, although progress remains slow other regions. We believe that a syndemic approach needs to be adopted address this pandemic given strong apparent interplay between COVID-19, its related complications, and socio-structural environment. have assembled an international, multidisciplinary group researchers clinical practitioners promote novel COVID-19: CArdiometabolic Panel International experts on Syndemic COvid-19 (CAPISCO). This geographically diverse aims facilitate collaborative-networking scientific exchanges clinicians facing multitude challenges different continents during pandemic. In present article we our "manifesto", with intent provide evidence-based guidance global medical community for better management patients both after current

Language: Английский

Citations

45

Emergence of epidemic diseases: zoonoses and other origins DOI Open Access
Robin A. Weiss, Neeraja Sankaran

Faculty Reviews, Journal Year: 2022, Volume and Issue: 11

Published: Jan. 18, 2022

Infectious diseases emerge via many routes and may need to overcome stepwise bottlenecks burgeon into epidemics pandemics. About 60% of human infections have animal origins, whereas 40% either co-evolved with humans or emerged from non-zoonotic environmental sources. Although the dynamic interaction between wildlife, domestic animals, is important for surveillance zoonotic potential, exotic origins tend be overemphasized since zoonoses come anthropophilic wild species (for example, rats bats). We examine equivocal evidence whether appearance novel accelerating relate technological developments risk disease outbreaks. Then we briefly compare selected epidemics, ancient modern, Plague Athens COVID-19.

Language: Английский

Citations

38

Tourists’ risk perceptions and pro-environmental behaviour during the pandemic: the roles of environmental concern and environmental ethics reflection DOI
Ma Yong,

Haiyan Tang,

Jie Ren

et al.

Current Issues in Tourism, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 18

Published: May 9, 2024

The COVID-19 pandemic has served as a stark reminder to humanity of the urgent need address environmental concerns. Given intricate links between tourism and ecological issues, whether perceived risks during can foster pro-environmental behaviour through increased concern reflection about challenges. Drawing on social cognitive theory, this study delves into mechanisms that shape how visitors' risk perceptions influence their actions in context pandemic. From an online survey, 731 valid responses were accrued. findings reveal tourists' have significant positive behaviour, plays partially mediating role relationship behaviour. And ethics moderating mediated relationship. Based these findings, management implications are proposed promote among tourists, limitations future research directions highlighted.

Language: Английский

Citations

8

Global health and health workforce development: what to learn from COVID‐19 on health workforce preparedness and resilience DOI Creative Commons
Ellen Kuhlmann, Gilles Dussault, Tiago Correia

et al.

The International Journal of Health Planning and Management, Journal Year: 2021, Volume and Issue: 36(S1), P. 5 - 8

Published: May 1, 2021

Abstract This Special Issue is dedicated to the healthcare workers across globe. It draws together studies from different disciplines and regions identify important lessons learned on weaknesses as well opportunities for health workforce innovation through a global lens. Beginning with strategic reflections role of public competences in responding COVID‐19 pandemic crisis, major themes include protection experiences frontline workers, systems policy, planning management issues, education labour markets. Developed collaboration European Public Health Association ‘Health Workforce Research’ section, contributes WHO International Year Care Workers (YHCW) 2021 recognition their dedication providing care during pandemic, even risking own life.

Language: Английский

Citations

38

The Role of Immunogenetics in COVID-19 DOI Open Access
Fanny Pojero, Giuseppina Candore, Calogero Caruso

et al.

International Journal of Molecular Sciences, Journal Year: 2021, Volume and Issue: 22(5), P. 2636 - 2636

Published: March 5, 2021

Coronavirus disease 2019 (COVID-19) is induced by SARS-CoV-2 and may arise as a variety of clinical manifestations, ranging from an asymptomatic condition to life-threatening associated with cytokine storm, multiorgan respiratory failure. The molecular mechanism behind such variability still under investigation. Several pieces experimental evidence suggest that genetic variants influencing the onset, maintenance resolution immune response be fundamental in predicting evolution disease. identification system reactivity function COVID-19 help elaboration personalized therapeutic strategies. In frenetic look for universally shared treatment plans, those are common other diseases/models also addressing future research terms drug repurposing. this paper, we discuss most recent updates about role immunogenetics determining susceptibility history infection. We propose narrative review available data, speculating lessons have learnt viral infections immunosenescence, discussing what kind aspects should deepened order improve our knowledge how host impacts outcome patients.

Language: Английский

Citations

37

Assessing Environmental Factors within the One Health Approach DOI Creative Commons
Sarah Humboldt-Dachroeden, Alberto Mantovani

Medicina, Journal Year: 2021, Volume and Issue: 57(3), P. 240 - 240

Published: March 5, 2021

Background: One Health is a comprehensive and multisectoral approach to assess examine the health of animals, humans environment. However, while gains increasing momentum, its practical application meets hindrances. This paper investigates environmental pillar approach, using two case studies highlight integration considerations. The first study pertains Danish monitoring surveillance programme for antimicrobial resistance, DANMAP. second illustrates occurrence aflatoxin M1 (AFM1) in milk dairy-producing ruminants Italian regions. Method: A scientific literature search was conducted PubMed Web Science locate articles informing cases. Grey gathered describe cases as well their contexts. Results: 19 10 reports were reviewed informed show how component influences apparent impacts human animal health. DANMAP highlights approaches farm fork. provides information on comprehensiveness DANMAP, but some shortcomings terms AFM1 case, metabolite carcinogenic mycotoxin B1, shows that dairy products are heavily impacted by changes climate economic drivers. Conclusions: conditions directly influence onset diffusion hazardous factors. Climate change, treatment soils, water standards slaughterhouses farms can have great impact Hence, it important include considerations, example, via engaging experts sharing data. Further will help better define roles environment scenarios.

Language: Английский

Citations

36

Patient experiences and perceptions of chronic disease care during the COVID-19 pandemic in India: a qualitative study DOI Creative Commons
Kavita Singh, Aprajita Kaushik, Leslie Johnson

et al.

BMJ Open, Journal Year: 2021, Volume and Issue: 11(6), P. e048926 - e048926

Published: June 1, 2021

People with chronic conditions are known to be vulnerable the COVID-19 pandemic. This study aims describe patients' lived experiences, challenges faced by people conditions, their coping strategies, and social economic impacts of pandemic.We conducted a qualitative using syndemic framework understand experiences disease care, during lockdown, strategies mitigators pandemic in context socioecological biological factors. A diverse sample 41 participants (hypertension, diabetes, stroke cardiovascular diseases) from four sites (Delhi, Haryana, Vizag Chennai) India participated semistructured interviews. All interviews were audio recorded, transcribed, translated, anonymised coded MAXQDA software. We used method qualitatively analyse on health, well-being.Participant categorised into themes: diagnosed COVID-19, preventive measures taken lessons learnt subgroup difficulties accessing healthcare while few reported teleconsultations. Most adverse impact which led higher reporting anxiety stress. Participants who tested positive experiencing discrimination stigma neighbours. taking essential measures.People experienced confluence (reciprocal effect) diseases difficulty healthcare, sedentary lifestyle increased stress anxiety. Patients' provide important insights inform effective transition mixed realm online consultations 'distanced' physical clinic visits.

Language: Английский

Citations

36