Challenges Of COVID-19 Research Articles

Impact assessment of COVID-19 global pandemic on water, environment, and humans.

One of the most significant threats to global health since the Second World War is the COVID-19 pandemic. Due to COVID-19 widespread social, environmental, economic, and health concerns. Other unfavourable factors also emerged, including increased trash brought on by high consumption of packaged foods, takeout meals, packaging from online shopping, and the one-time use of plastic products. Due to labour shortages and residents staying at home during mandatory lockdowns, city municipal administrations' collection and recycling capacities have decreased, frequently damaging the environment (air, water, and soil) and ecological and human systems. The COVID-19 challenges are more pronounced in unofficial settlements of developing nations, particularly for developing nations of the world, as their fundamental necessities, such as air quality, water quality, trash collection, sanitation, and home security, are either non-existent or difficult to obtain. According to reports, during the pandemic's peak days (20 August 2021 (741K cases), 8 million tonnes of plastic garbage were created globally, and 25 thousand tonnes of this waste found its way into the ocean. This thorough analysis attempts to assess the indirect effects of COVID-19 on the environment, human systems, and water quality that pose dangers to people and potential remedies. Strong national initiatives could facilitate international efforts to attain environmental sustainability goals. Significant policies should be formulated like good quality air, pollution reduction, waste management, better sanitation system, and personal hygiene. This review paper also elaborated that further investigations are needed to investigate the magnitude of impact and other related factors for enhancement of human understanding of ecosystem to manage the water, environment and human encounter problems during epidemics/pandemics in near future.

COVID-19 challenge with regard to medical schools social accountability: new professional and human perspectives

Medical schools play a central role in the compilation and development of professional knowledge, which is why they have privileges and resources that are justified only to the extent that they use them to serve the community, particularly those who are most in need. Medical schools social accountability focuses on the training, healthcare provision and research services they offer. The principles of medical education and the structure proposed by the Flexner Report are in crisis due to the COVID-19 pandemic, and redefinition of the social contract is required. This document offers a proposal for medical schools social accountability that includes anticipation of the needs of the community, patient-centered inter-professional care, training of people in the area of health and collaboration between institutions. It highlights the need for a conscious institution that finds new training spaces other than hospitals, where each patient is cared for in a personalized way, with inter-professional training models that consider the student as a person who takes care of him/herself in open collaboration with organizations. Leaders must act now because it is their social responsibility and because it is the right thing to do.

Blended learning programs in hearing health care in developing countries during a pandemic: Opportunity or disaster?

Introduction: With COVID-19, tertiary education was mostly transferred to online instead of face-to-face learning, as this was the only way to go forward during the pandemic. Blended learning refers to teaching that combine face-to-face instruction with online learning. It has the advantages that students can learn at their own pace through the convenience of online learning and can interact with peers and tutors in face-to-face sessions. For blended learning, the challenges during COVID-19 were even more. The Eduplex Training Institute (ETI) in South Africa, presents blended learning programs in hearing health care for students. Completion of these programs during COVID-19 were specifically challenged since students completed an online theoretical component and had to travel to South Africa to attend face-to-face practical workshops. In Africa, travel restrictions were set in many countries and specific travel to South Africa was prohibited by many governments. This prohibited students from attending face-to-face practical sessions and additional plans had to be made for students to successfully complete programs. Methodology: The purpose of this study was to determine whether students and tutors from developing countries, found blended learning during COVID-19 as a possible way to continue studies. A survey research design was implemented to determine students’ and tutors’ perceptions regarding blended learning during the COVID-19 pandemic, challenges faced and adaptations that had to be made to complete programs successfully. Results: Results indicated that students and tutors felt that it was possible to complete blended learning programs successful during the COVID-19 pandemic but there were several challenges that required adaptations to current programs. Students considered the lack of availability and affordability of internet connectivity as the biggest challenge, followed by the lack of access to personal equipment, unsuitable learning environments and insufficient time for learning as many of the students were working while studying. For tutors the main challenges were that they had to be adaptable – programs could not continue as initially planned. This had specific influence on the timeline of the program as it took students longer to complete programs than the initial time that was allocated. Other challenges included lack of appropriate learning material for the original planned face-to-face sessions that had to be presented in a different manner, lack of appropriate training to design and manage learning management programs, lack of personal equipment and software programs at their home environment and keeping students motivated. Changes that were required to the programs included: use of programs that required little data, ensuring Word documents, PowerPoint presentations and PDF files were downloadable, restricted use of images and graphics, use of pre-recorded lectures and allowing additional contact sessions. Conclusion: Although blended learning in general composes many challenges to students in developing countries, these challenges were even more during the COVID-19 pandemic. Blended learning is however often the only way in which these students can acquire new knowledge and therefore strategies should be implemented to ensure the success thereof. With the combination of dedicated tutors and motivated students many challenges can be overcome, and new plans can be made to result in the successful completion of training programs.

Very rapid insight generation to support UK health and care systems: An AHSN approach.

COVID-19 challenges are well documented. Academic Health Science Networks (AHSNs) are a key partner to NHS and care organizations. In response to managing COVID-19 challenges, Wessex AHSN offered rapid insight generation and rapid evaluation to local NHS and care systems to capture learning during this period. This novel "Rapid Insight" approach involved one-off online deliberative events with stakeholders to generate insights linked to specific, priority areas of interest, followed by rapid analysis and dissemination of the findings. Key objectives were to enable system leaders to build their adaptive leadership capability and learn from the experience of COVID-19 to inform recovery planning and system support. Rapid Insight (RI) gathered together health and care professionals into a tightly managed, virtual forum to share system intelligence. Focused questions asked about the systems' response to the pandemic, what changes to continue and sustain, or discontinue. Participants responded simultaneously to each question using the virtual chat function. Immediate thematic analysis of the chat conducted in 48-72 h by paired analysts for each question strengthened analytical integrity. Mind maps, the key output, provided easily assimilated information and showed linkages between themes. Telephone or virtual interviews of key informants (health and care professionals and patients) and routinely collected data were synthesized into short reports alongside several RI events. However, insufficient time limited the opportunities to engage diverse participants (e.g., mental health users). Data from RI can scope the problem and immediate system needs, to stimulate questions for future evaluative work. RI facilitated a shared endeavor to discover "clues in the system" by including diverse opinions and experience across NHS and care organizations. Although these rapid virtual events saved on travel time, digital exclusion might constrain participation for some stakeholders which needs other ways to ensure inclusion. Successful rapid engagement required Wessex AHSN's existing system relationships to champion RI and facilitate participant recruitment. RI events "opened the door" to conversations between up to 150 multi-professional clinicians to share their collective response to COVID-19. This paper focuses on the RI approach with a case example and its further development.

Analysis of the Effect of Workload and Anxiety during the Covid-19 Pandemic on Nakes Performance with Work Stress as Intervening Variables at THB Bekasi Hospital

COVID-19 has greatly impacted the sustainability of public health services, including services in hospitals. In an effort to handle the pandemic by the government, hospitals are required to adapt quickly to the situation. The spread of the virus and the increasing number of positive cases that are getting faster day by day also make the bed capacity in hospitals to be full which will directly increase the workload of health workers coupled with the mental anxiety of hospital employees against the spread of the COVID-19 virus which makes the work climate full of stress. and concerns that result in a high turnover of hospital employees. This study aims to determine the effect of the workload resulting from the high number of patients visiting and undergoing treatment at the THB Hospital during the pandemic period and the anxiety arising from health workers caring for patients infected with the COVID-19 virus on the performance of the health workers themselves with work stress as an intervention variable. This type of research was conducted using a quantitative research approach. The population in this study were all health workers at THB Bekasi hospital who worked in the period from March 2020 to March 2021, totaling 100 employees. Based on this, researchers are trying to identify existing problems and challenges during the COVID-19 pandemic to be evaluation and learning material for hospitals, and researchers are compiling several recommendations to minimize disruption from the pandemic. COVID-19 and other challenges will then be faced in the future.

Indonesian female academics and the pandemic: the challenges of COVID-19 and academic work

ABSTRACT The COVID-19 pandemic brought unprecedented challenges to higher education. This paper explores the challenges Indonesian female academics encountered during the pandemic in which the boundaries between home and work were further blurred. Accordingly, the gender gap was further widened as unpaid and unacknowledged academic and domestic work disproportionately affected women. This paper draws on data gathered from survey, diary studies and in-depth interviews with female academics in the social sciences and humanities. It examines how Indonesian female academics juggled domestic and professional work at home, caring duties both at home and work, and shouldering administrative workloads. In addition, findings reveal that female academics found new meanings in their academic work and the importance of caring and collective solidarity, especially in a crisis such as the pandemic.

A reliable emergency logistics network for COVID-19 considering the uncertain time-varying demands

The evolving COVID-19 epidemic pose significant threats and challenges to emergency response operations. This paper focuses on designing an emergency logistic network, including the deployment of emergency facilities and the allocation of supplies to satisfy the time-varying demands. A Demand prediction-Network optimization-Decision adjustment framework is proposed for the emergency logistic network design. We first present an improved short-term epidemic model to predict the evolutionary trajectory of the epidemic. Then, considering the uncertainty of the estimated demands, we construct a capacitated multi-period, multi-echelon facility deployment and resource allocation robust optimization model to improve the reliability of the decisions. To address the conservativeness of robust solutions during the evolution of the epidemic, an uncertainty budget adjustment strategy is proposed and integrated into the rolling horizon optimization approach. The results of the case study show that (i) the short-term prediction method has higher accuracy and the accuracy increases with the amount of observed data; (ii) considering the demand uncertainty, the proposed robust optimization model combined with uncertainty budget adjustment strategy can improve the performance of the emergency logistic network; (iii) the proposed solution method is more efficient than its benchmark, especially for large-scale cases. Moreover, some managerial insights related to the emergency logistics network design problem are presented.

COVID-19 Challenges and Responses of the Roxas City Government towards Sustainable Strategies for Inclusive Policy Directions

COVID-19 Challenges and Responses of the Roxas City Government towards Sustainable Strategies for Inclusive Policy Directions

The Unexpected Positive Outcomes for Summer Camps in the Time of COVID-19

The COVID-19 pandemic completely upended the camping industry, posing unique and significant challenges to youth summer engagement experiences, with many camps choosing not to operate in the summer of 2020. These canceled programs resulted in staff layoffs and loss of revenue. Some state requirements necessitated camp closures, while other camps closed due to uncertainty about the ability to provide a safe, healthy camp experience that retained the essence of summer camp. The small portion of camps that did open were forced to be cre-ative in how they offered programs. Some camps chose to run limited in-person programs, some offered family camps for family units, while others transitioned to virtual camp experiences. For these camps that did run in some capacity, several national organizations were able to gather data regarding operational challenges and benefits. Using document analysis, this project examined research findings from four national camp organizations. This cross-organizational analysis high-lights the experiences of camps offering in-person summer programs and services in implementing nonpharmaceutical interventions (NPIs) to minimize the risk of COVID-19 transmission in 2020. Camps used a variety of NPIs that involved both personal responsibility and community cooperation to create a camp experience that was socially distant and as sanitary as possible. This study also examines the experiences of camps offering virtual programs and services as a means to connect with individuals and support socialization needs of youth. These virtual programs varied widely, but all provided youth the opportunity to connect with like-minded campers and staff to have community building experiences despite isolation. In the context of many COVID-19 challenges, this study identifies positive benefits associated with operating camp in the summer of 2020. These unexpected positive impacts encompass health center operations, food service, programmatic changes, changes to the structure of camper units, and a shifting focus toward mental, emo-tional, and social health. Many of these positive outcomes are perceived by camp administrators as beneficial changes that will likely remain after the pandemic and continue to impact the camping industry for the foreseeable future.

Exploring How McDonald’s Changed its Marketing Strategy to Face the Challenges of COVID-19

This study will highlight the impact of COVID-19 on McDonald’s brand marketing strategy. In the study, we will analyze the changes in the operating model of McDonald’s corporation in China. We will understand the marketing strategy changes made by McDonald’s before and after COVID-19. In this study, we point out COVID-19’s impact on McDonald’s. We identify the differences in McDonald’s sales strategy before and after COVID-19. We will confirm whether McDonald’s marketing strategy changes before and after COVID-19 worked. We use SWOT to specifically analyze the development of McDonald’s in the restaurant industry. Then we use the 4Ps to analyze the changes made by McDonald’s during the epidemic. Finally, the validity of the analysis is verified by analyzing the financial statements of recent years. We will point out the marketing strategy changes made by McDonald’s before and after COVID-19 and find out what measures McDonald’s took in response to the challenges of the epidemic.

Application of Traditional Vaccine Development Strategies to SARS-CoV-2.

Over the past 150 years, vaccines have revolutionized the relationship between people and disease. During the COVID-19 pandemic, technologies such as mRNA vaccines have received attention due to their novelty and successes. However, more traditional vaccine development platforms have also yielded important tools in the worldwide fight against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A variety of approaches have been used to develop COVID-19 vaccines that are now authorized for use in countries around the world. In this review, we highlight strategies that focus on the viral capsid and outwards, rather than on the nucleic acids inside. These approaches fall into two broad categories: whole-virus vaccines and subunit vaccines. Whole-virus vaccines use the virus itself, in either an inactivated or an attenuated state. Subunit vaccines contain instead an isolated, immunogenic component of the virus. Here, we highlight vaccine candidates that apply these approaches against SARS-CoV-2 in different ways. In a companion article (H. M. Rando, R. Lordan, L. Kolla, E. Sell, et al., mSystems 8:e00928-22, 2023, https://doi.org/10.1128/mSystems.00928-22), we review the more recent and novel development of nucleic acid-based vaccine technologies. We further consider the role that these COVID-19 vaccine development programs have played in prophylaxis at the global scale. Well-established vaccine technologies have proved especially important to making vaccines accessible in low- and middle-income countries. Vaccine development programs that use established platforms have been undertaken in a much wider range of countries than those using nucleic acid-based technologies, which have been led by wealthy Western countries. Therefore, these vaccine platforms, though less novel from a biotechnological standpoint, have proven to be extremely important to the management of SARS-CoV-2. IMPORTANCE The development, production, and distribution of vaccines is imperative to saving lives, preventing illness, and reducing the economic and social burdens caused by the COVID-19 pandemic. Vaccines that use cutting-edge biotechnology have played an important role in mitigating the effects of SARS-CoV-2. However, more traditional methods of vaccine development that were refined throughout the 20th century have been especially critical to increasing vaccine access worldwide. Effective deployment is necessary to reducing the susceptibility of the world's population, which is especially important in light of emerging variants. In this review, we discuss the safety, immunogenicity, and distribution of vaccines developed using established technologies. In a separate review, we describe the vaccines developed using nucleic acid-based vaccine platforms. From the current literature, it is clear that the well-established vaccine technologies are also highly effective against SARS-CoV-2 and are being used to address the challenges of COVID-19 globally, including in low- and middle-income countries. This worldwide approach is critical for reducing the devastating impact of SARS-CoV-2.

Impact of COVID-19 on Unaccompanied Immigrant Minors and Families: Perspectives from Clinical Experts and Providers

ABSTRACT The number of unaccompanied immigrant minors (UIMs) and families from Central America seeking asylum in the U.S. continues to rise. This growth, combined with restrictive government policies, led to crowded and suboptimal conditions in Customs and Border Patrol and non-governmental organization facilities. COVID-19 further taxed facilities and exacerbated uncertainty surrounding length of detention, basic human rights, and family reunification. The current project features testimonies from the authors who work as clinical experts and providers in Texas – a top destination for Central American immigrants. In collaboration with a deputy director of a not-for-profit human rights organization, volunteer psychologists, and the director of a humanitarian respite center, we describe challenges faced by administrators and clinical staff in addressing the mental health needs of immigrant children and families during the COVID-19 pandemic. The primary themes identified were anti-immigrant policies that occurred concurrently with COVID-19; difficulty implementing COVID-19 protocols alongside scarcity of supplies and volunteers; increased mental health needs among UIMs and immigrant families; and challenges in UIM placement upon release from custody. Strategies for addressing clinical challenges in the near- and long-term and opportunities for improvement in care systems to immigrant youth, including correcting anti-immigrant policies, addressing ongoing COVID-19 protocols and challenges, meeting mental and physical health needs, facilitating release and reunification for unaccompanied immigrant minors, and maximizing youth resilience through trauma-informed interventions, are presented.

Work from home practices and employment relations during COVID-19 movement control order in Malaysia

The presence of COVID-19 movement control order (MCO) and working instructions from home contribute to a flexible working arrangement. Work from home (WFH) is likely part of the ‘new normal’ as the global community continues to fight COVID-19. The question arises as to how the employment relations takes place while working from home due to MCO and whether technological facilities and smart devices have successfully created harmonious and effective employment relationships. This paper aims to explore how WFH during MCO can affect employment relations in Malaysia. Based on qualitative online survey data with 725 respondents and analyzed using the reflexive thematic analysis technique, this study found that four major elements influence employment relations, namely: Digital Transformation, Digital Communication, Support (institutional & social), and New Working Style. These elements can either strengthen and at the same time weaken existing employment relationships. The study also showed that the success of WFH on employment relations is a concept of relationships that exist based on trust and this is shown through a symbol of cooperation that is trusted on the commitment of work given. Therefore, it is the responsibility of each member of the organization to put in their utmost and maintain smooth and harmonious employment relations. Employees and employers with the support of the Government should join hands to overcome the challenges of COVID-19 and ensure that the new work style of WFH efficiently functions for the betterment of everyone, society, and the nation at large.

Are sustainable investments interdependent? The international evidence.

The rising concerns about climate change and environmental degradation have urged various stakeholder to focus on sustainable investments that are facing a drag from the Covid-19 pandemic. Since environmental and Covid-19 challenges are global, it is critical to assess the interlinkages of sustainable investments. In this research, we employ the dependence, centrality, and dynamic network approach to examine the interdependence and its determinants across multiple countries between January 2009 and March 2021. The findings indicate France as the lead risk transmitter while Japan and Taiwan show risk reception among international markets. We observe an increase in dependence during economic turmoil notably in Covid-19 episode. The centrality network revealed the prominent significance of sustainable investments in the European countries that can be attributed to their exceptional efforts to combat the climate change. Finally, our results suggest that the volatility in gold prices is the key driver of interdependence of sustainable investments.

A qualitative study of coping strategies in persons with spinal cord injury during the COVID-19 pandemic.

The objective of this study was to identify strategies that persons with spinal cord injury (PwSCI) used to cope with COVID-19 pandemic-related challenges. This qualitative phenomenological study utilized focus group discussions (FGDs) to collect participants' responses. Two virtual FGDs using Zoom were conducted in June and July, 2021. Each FGD consisted of seven participants with spinal cord injury (SCI) living in communities in Nepal. A thematic analysis approach was used to analyze and interpret the data. Four major themes related to coping strategies PwSCI used during the pandemic were identified: (a) use of social support, (b) serving others, (c) engagement in self-care activities, and (d) positive thinking and creativity. Findings suggest that many participants used healthy coping strategies to cope with COVID-19 pandemic-related stress and challenges. Identification and reinforcement of healthy coping strategies in PwSCI are essential for health professionals to help these individuals navigate the psychosocial adaptation process during the pandemic. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Psychosocial Challenges of the Coronavirus Disease-2019 Pandemic Among Frontline Health Care Providers and Their Coping Mechanisms at Mbarara Regional Referral Hospital, Southwestern Uganda.

As a novel global health pandemic, Coronavirus Disease-2019 (COVID-2019) has posed various challenges to frontline healthcare providers (FHCPs). This study explored the social and psychological challenges of COVID-19 to the FHCPs at Mbarara Regional Referral Hospital, southwestern Uganda. This was a cross-sectional study with a qualitative approach. Participants were purposively selected, consented, and interviewed. Interviews were audio-recorded and transcribed. Data were entered into NVivo 10 software and analyzed using a thematic analysis approach. Fourteen FHCPs with diverse roles, including 8 men, were interviewed. Participants' median age was 38 years (range: 26-51 years) and eleven of them were married. The subjects' experiences were explored in relation to perceived social and psychological challenges of working during the COVID-19 pandemic, and coping mechanisms in the COVID-19 pandemic situation. The social challenges identified were burnout, domestic violence, and a financially constrained environment. A further, psychological challenge was anxiety, as well as fear and distress. FHCPs responded with a variety of coping mechanisms, including situational acceptance, religious coping, coping through emotional support of others, and bulk purchase of supply-constrained basic necessities. FHCPs experienced numerous social and psychological challenges, which negatively affected their quality of life amidst a wavering pandemic. As the pandemic rages on, creative and low-cost psychosocial interventions for FHCPs are needed, possibly including more formal peer support, and an improved flow of information about ongoing infectious disease control interventions, so FHCPs feel more knowledgeable about what is ahead.

Resilience to COVID-19 challenges: Lessons for school psychologists serving school-attending youth with experiences of marginalization.

This special issue is focused on the lessons learned from the COVID-19 health crisis, showcasing new cross-cultural research from different countries, such as rural/urban US, South Africa, and Australia. The aim οf the special issue is to highlight new knowledge related to pandemic-related impacts, as well as underscore variables that will promote children's resilience and especially vulnerable and marginalized children. We argue that all adults associated with schools (e.g., teachers, school psychologists, administrators, aides, parents, and social workers) need to synergize in creating a caring school community that is purposefully committed to supporting student resilience, especially among students with experiences of marginalization. A multisystemic resilience approach has been adopted and the focus has been on caring adults in the school communities and how they can support the most vulnerable students if the adults (school psychologists parents, caregivers, teachers, and other role-players) take co-ownership of championing student resilience in times of crisis. The studies included in this special issue highlight important issues especially for school psychologists, such as girls' school engagement as a buffering factor to school disruptions, the value of multigenerational supports, the value of spirituality in dealing with crises, the sense of supportive connectedness with schools and finally teacher empowerment to support student wellbeing.

COVID-19 challenges and pregnancy desire among married/ in-union women in Kano and Lagos States, Nigeria

ABSTRACT This study examined the influence of COVID-19-induced challenges on pregnancy desire among married/in-union women of reproductive age in Lagos and Kano states, Nigeria. The performance monitoring for action (PMA) data were analysed using descriptive statistics and multilevel regression. About 12% of women desired no pregnancy; 43% would feel happy and unhappy respectively, if pregnancy occurred during the pandemic, while 13.9% would have mixed feelings. COVID-19 concern was associated with no pregnancy desire (OR = 1.14; CI = 1.05–1.24) but negatively associated with feeling happy (RRR: 0.83; CI: 0.71–0.98). Experience of partial household income loss was negatively associated with having mixed feelings (RRR = 0.30; CI = 0.13–0.69). Experience of complete income loss was negatively associated with feeling happy and mixed feelings respectively. In each state, women with COVID-19 concerns and household income loss should be empowered to prevent unwanted pregnancies and their attendant negative reproductive and mental health consequences.

COVID-19 response in Africa: impacts and lessons for environmental management and climate change adaptation.

The online version contains supplementary material available at 10.1007/s10668-023-02956-0.

Assessing the knowledge and practices of primary healthcare workers on malaria diagnosis and related challenges in view of COVID-19 outbreak in a Nigerian Southwestern metropolis.

The clinical features of COVID-19 and malaria are interrelated. Due to the similarity of symptoms between the two disease states, patients can be incorrectly diagnosed with the other ailment in areas with limited health resources. There is a dearth of knowledge of co-infection between COVID-19 and malaria from healthcare providers' perspective. Hence, this study assessed the ability of primary healthcare workers to diagnose malaria infection correctly from COVID-19 infection. A multistage sampling technique was used to select health care workers who were directly involved in malaria case management at 261 government-owned primary health facilities in Oyo State. Socio-demographic characteristics of respondents, knowledge and practices, COVID-19 differential diagnosis and challenges that healthcare workers face regarding malaria diagnosis were obtained using a standardized electronic structured questionnaire. Descriptive statistics, bivariate and multivariate analysis were conducted on data collected and significant results were interpreted at a 5% level of significance. A good percentage of the respondents (81.6%, 74.3%) had good knowledge about malaria and COVID-19. However, the knowledge gained did not translate to practice, as majority (86.2%) of respondents had poor malaria diagnosis practices. Practices relating to COVID-19 differential diagnosis in 69.7% of respondents were also poor. Most of the respondents attributed poor practices to the unavailability of Malaria Rapid Diagnostic Test (mRDT), inadequate training and continuous capacity improvement. Only 12.3% of the respondents have not had any form of training on malaria diagnosis and treatment in the last five years. Harmonization of regular trainings and continuous on-the job capacity building is essential to improve case identification, diagnosis and management of both ailments. Also, uninterrupted supplies of essential commodities such as mRDT in laboratories will reduce missed opportunities for malaria diagnosis.