Era Of COVID Research Articles

Post-Infection Fatigue Syndromes in the Era of Long COVID: The Case of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.

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Assessment of Alpha Feto Protein in Patients with Hepatocellular Carcinoma Presenting to HCC Clinic During Era of COVID19 Pandemic

Abstract Background Hepatocellular carcinoma (HCC), a major health problem worldwide, is one of the most common primary neoplasms of the liver and one of the most common solid tumors in the world. More than 500,000 new cases were diagnosed each year. HCC accounts for between 85% and 90% of primary liver cancer. It is the fifth most common cancer worldwide and the third most common cause of cancer mortality. Aim of the Work The aim of this study is to assess of alpha fetoprotein in patients who are diagnosed with hepatocellular carcinoma after COVID-19 infection. Patients and Methods This is cross Sectional Study on 60 Egyptian patients with HCC presenting to multidisciplinary clinic during era of Covid 19 pandemic divided into two subgroups: Group I: 30 patients with HCC and COVID 19 infection and group II: 30 patients with HCC who weren’t infected with COVID 19. Results In this study we found that there was insignificant difference between both studied groups as regards age and sex (p = 0.92 and p = 0.119, respectively). In this study we demonstrated that there was insignificant difference between both studied groups as regards etiology of HCC (p > 0.05). In this thesis we cleared that there was highly significant difference between both studied groups as regards Liver presentations (P < 0.001). In this thesis we found that there was significant difference between both studied groups as regards CBC (p < 0.05). In this study we demonstrated that there was significant difference between both studied groups as regards liver function tests (p < 0.05). Our results showed that that there was highly significant difference between both studied groups as regards AFP (p = 0.002). In study in our hands, we found that there was highly significant difference between both studied groups as regards tumor size and tumor stage (p < 0.001). In this study we found that there was highly significant difference between both studied groups as regards MELD score (p < 0.001). In this study we illustrated that Child Pugh class, MELD score, AFP and COVID-19 infection were the independent risk factors associated with poor survival among HCC patients Conclusion Our study concluded that tumor marker parameters, including AFP, can be used as Prognostic tools for HCC patients with СOVID-19. In which there were higher mortality rate among HCC with COVID-19 with higher levels of AFP.

Analysis of Semarang City Disbudpar Instagram Content Strategy in the New Era of Covid 19

Efforts to grow tourism in the new era of Covid-19 in Semarang City have encouraged the Semarang City Culture and Tourism Office to promote tourism through various media platforms. One strategy is to promote tourism content through social media Instagram @disbudparkotasemarang. Accessibility encourages tourists to search for information on Instagram. This condition encourages content planning not only to display various destinations. This study aims to find out how to analyze the Semarang City Disbudpar Instagram Content Strategy in the New Era of Covid 19?. The method used is qualitative descriptive using The Circular Model of SoMe to analyze the findings. The results show that the @disbudparkotasemarang Instagram account has basically gone through four important stages in planning content, namely: Share, Optimaze, Manage and Engage. The content strategy is carried out by interacting with posts, displaying cultural events, and tours. This strategy is able to attract user attention as seen from the number of likes and comments that are very different. It's just that the implementation hasn't shown good performance, with the engagement rate still at a moderate level of 1.28 percent. Although, there has been an increase, posts, followers and users during 2022. It is important to plan content by paying attention to the level of engagement which is indicated by interactive communication.

Proposal to apply a "Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment (PERMA)" based approach to manage the COVID-19-related mental health problems in the era of long COVID.

Long COVID (LC)-related health problems are highly concerned. Many patients seem to have "recovered" from an acute SARS-CoV-2 infection, however, they might experience various symptoms, almost involving all organs and systems. Of those, neuropsychiatric symptoms like depression, anxiety, and post-traumatic stress disorder (PTSD) are not rare. These problems significantly impact the quality of life (QOL) of patients, family, and caregivers, even lead a tragic suicide outcome. Other than the conventional psychological and medical approaches, here, we proposal a positive emotion, engagement, relationships, meaning, and accomplishment (PERMA)-based approach to fight against these COVID-19-related mental health problems (CRMHPs). This approach is characterized by positive psychological interventions and self-achievements, which has been proved to be a powerful tool against mood disorders in common people. Nowadays, abolishment of certain prophylactic measures (such as isolation, lockdown, compulsorily wearing a mask and maintaining social distance, measures to avoid crowding) enables us to have more opportunities to contact patients and implement the PERMA-based approach to the patients with CRMHPs. We believe that application of PERMA-based approach is conducive to alleviate the influence of the CRMHPs and improve their QOL.

Predicting Retail Company Bankruptcies in the Era of COVID

Trade journals and the popular press have suggested that the COVID-19 pandemic precipitated a second “retail apocalypse.” The current study tests whether pre-pandemic data can be used to predict COVID-19 retail firm bankruptcies using a chaos-based model. This study successfully uses a chaos statistic calculated from stock market time-series returns for pair-match retail firms prior to the pandemic to predict bankruptcies occurring shortly afterwards.

Perceptions and Practices of Herbal Remedy Usage during the COVID-19 Pandemic: A Call for Evidence-Based Healthcare in Pakistan

Objective: To determine the prevalence, perception and practices towards the use of herbal remedies by Pakistani population during the era of covid 19 pandemic. Methodology: This cross-sectional explorative study was conducted at Department of medicine Sir Syed Medical College Karachi 2021 from the month of August 2021 to December 2021. An online google form well written by primary investigator was distributed generally to various what’s up forum throughout Pakistan with no specific inclusion or exclusion criteria. First section of the questionnaire included demographics of participants, second section include about the use of herbal remedy types, perception, beliefs of their use, source of getting them and the remedies used for the prevention of covid virus Results: This study, was conducted from August to December 2021 spread through google online forms, included 332 respondents, 52.1% of participants utilized herbal remedies for COVID-19 prevention, with 55.5% belonging to the 25-45 age group with 81.3% of them were educated females. A significant association (p<0.05) was observed between herbal remedy usage and age group, gender, education, and occupation. Senna Makki (38.8%), ginger (17.7%), and kalonji (10.2%) were commonly used herbs. While 37.7% reported health benefits, 15.1% believed these herbs had no side effects, and 22.3% used them for virus prevention. Attitudes toward herbal remedy usage revealed that 47.4% agreed these herbs could prevent disease, and 36% believed no additional preventive measures were necessary while using them. Family tradition (19.3%), health professionals (14.5%), and internet/media (14.2%) were key sources of information, while Hakeem stores (16.6%) and family members (7.8%) were common herbal remedy providers. Conclusion: This study highlights an urgent need for evidence-based healthcare interventions in Pakistan regarding the utilization of herbal remedies during the virus pandemic especially when there are risks associated with the improper use and potential influence from media. Key words: Covid 19 pandemic, Herbal remedies, Perception, Practices

Incidence of COVID-19 in general surgery emergency and complications associated in different types of management

Background COVID-19 disease causes complications that are classified according to likelihood to high such as venous thromboembolism, acute kidney injury, and postintensive care syndrome. Other complications are low in likelihood such as cytokine release syndrome, pancreatic injury, gastrointestinal complications, and pregnancy-related complications. Mortality and morbidity are really high when it is combined with surgical intervention especially under general anesthesia. Objectives To evaluate the incidence of COVID-19 in general surgery emergency and complications associated in different types of management. Patient and method This is a retrospective study from June 2020 to January 2021 including all COVID-19 positive cases admitted in general surgery department during previously mentioned period. Before September 2020, screening for COVID was based on swab for only clinically suspected COVID-positive patients. Starting from September 2020, routine swab to all admitted patients was done. All data collected about included cases in study underwent statistical analysis to get results. Results In this study, incidence of COVID-19 is 1.35%, mortality incidence is 26.4% (about 92.9% of mortality cases underwent surgery) and morbidity incidence is 30.2%. About 74% (73.6%) of positive cases improved and discharged. Management of cases is according to guidelines of management to each disease and decision of ER consultant. About 77.4% of cases are managed surgically; about 70.7% of cases operated upon underwent exploration. However, 60.4% of cases are admitted with sepsis and septic shock. Asymptomatic cases for COVID during admission are 26.4%. Conclusion Incidence of COVID-19 in acute general surgery emergency in Kasr Al-Ainy is not that high. However, cases operated upon in the era of COVID are associated with high incidence of mortality. Cases are presented to our institute late, which might be an effect of lock down.

Digitalization in Women Entrepreneurship: Use of social media

Entrepreneurship has come a long way since its inception around a century ago, but women’s entry into this field is not very primitive. The era of COVID 19 brought about a new milestone in the way businesses have been operating since so many years. With the advent of pandemic, the businesses got disrupted and entrepreneurs had no choice but to operate their businesses from home through digital platforms. Slowly and gradually many business processes started running through online mode. During this phase many women entrepreneurs in India and abroad also shifted towards this new mode of doing business. Women entrepreneurs specially benefitted from this online set up and in a short span of time many women entrepreneurs started operating their business through social media platforms like Facebook, Instagram, Twitter, WhatsApp, LinkedIn etc. due to ease of operation and low-cost involvement. Toady social media is a popular platform among women entrepreneurs to show their creativity and business skills while earning profits. There are some challenges also which women face while operating on social media. But these can be dealt with by safe and smart usage of these platforms. The objectives of this paper are to know about the various social media platforms used by women entrepreneurs in India, to examine the benefits to women entrepreneurs of business through social media and to investigate the challenges faced by women entrepreneurs in business through social media in our country. Therefore, we can say that the future of business through social media is very bright for women entrepreneurs not only in India but through out the world.

The accessibility and quality of health services for diabetes mellitus and chronic respiratory disease patients during Covid-19 in Northern Jordan: A mixed method study

Background The catastrophe caused by the Coronavirus disease has affected all services worldwide. A range of policies were introduced to slow the virus spread, which in turn, affected the accessibility and quality of healthcare services. This was a problematic and concerning for patients with chronic diseases, such as patients with diabetes mellitus (DM) and chronic respiratory diseases (CRD), due to their sustained need for ongoing health care. The aims of the study were: 1) assessing the level of both accessibility and quality of healthcare services during the Covid-19 pandemic from the DM and CRD patients’ perspectives, 2) assessing the association between the patients’ socio-demographics and their perspectives on health services accessibility and quality, and 3) exploring the perspectives of DM and CRD patients on barriers and facilitators of health services accessibility and quality during the era of COVID -19. Method Design. A sequential explanatory mixed-method was used in this study. In the quantitative part, a self -administered questionnaire was used to collect data from 300 patients with DM and/or CRD. In the qualitative part, focus group approach was used to collect data from 25 patients. Setting. Public, private and teaching hospitals were involved. Analysis. SPSS Version 25 was used to analyze the quantitative data. Thematic analysis was used to analyze the qualitative data. Results The quantitative findings indicated that almost 99% of the participating patients perceived barriers, ranging from low to high, to accessing health services during COVID-19. Additionally, more than half of the sample perceived low to moderate level of quality of health services. Four themes and nine subthemes related to barriers and facilitators were identified in the qualitative part of the study. Conclusion The study revealed that both quality and accessibility of healthcare services for DM and CRD patients were impacted during the era of COVID -19. The findings lay the ground for developing future health programs and establishing or revising policies with the goal of improving healthcare services quality and accessibility for the target population.

Endoscopic Endotracheal Intubation for ERCP In the Era of COVID: An Approach To Minimize Risk of Transmission of Infectious Diseases

Endoscopic Endotracheal Intubation for ERCP In the Era of COVID: An Approach To Minimize Risk of Transmission of Infectious Diseases

S3906 A Case of Pegylated-Polyethylene Glycol (PEG)-Induced Anaphylaxis: A Cautionary Case for the Gastroenterologist in the Era of COVID

S3906 A Case of Pegylated-Polyethylene Glycol (PEG)-Induced Anaphylaxis: A Cautionary Case for the Gastroenterologist in the Era of COVID

Performance assessment of bank XYZ DKI Jakarta branch using the balanced scorecard approach in the pandemi era of Covid 19

Performance assessment of bank XYZ DKI Jakarta branch using the balanced scorecard approach in the pandemi era of Covid 19

Implementasi Metode MAUT Dalam Pemilihan Aplikasi Pembuatan Media Pembelajaran Dimasa Pandemi Covid 19

Corona Virus disiase 2019 (covid 19) is an infectious disease caused by SARS-CoV-2 a type of Corona virus. This virus is transmitted through physical contact and causes symptoms of respiratory problems, colds, fever, dry cough, and attacks the human physical immunity. covid 19 has disrupted the activities of daily human life, including in the field of education. To prevent the spread of covid 19 the government proposes that during the covid 19 pandemic the teaching and learning process takes place online or online. In the online learning process so that students are more active, creative and enthusiastic, a system is needed decision support that can determine and choose the application of learning media during the covid 19 pandemic, a decision support system that can solve the problem using the MAUT (Multi Attribute Utility Theory) method and produce an appropriate decision based on the results of the data obtained such as alternatives and the criteria so as to produce a decision, namely the application of the best learning media in the era of covid 19, namely the Sony Vegas Pro application with a score of 0.9025.

Мировая торговля в условиях международной финансовой неопределенности

The article examines the relationship and interdependence of the main vectors of development of international trade and policy in the monetary sphere. It is noted that despite the general state of uncertainty characteristic of the last three years, starting from the era of covid, the future development of international economic relations will be determined by the dual impact of digitalization processes, including finance, and the climate agenda. Separately, the impact on the current state of international trade of the spread of the platform infrastructure created by the digital giants of the Megacap - 8 group, as well as the activities of mega-global financial corporations, is considered. Particular emphasis is placed on the ambiguity of the consequences of the widespread use of blockchain technology, the positive aspects of which are certainly recognized. It is concluded that the modern transformation of the field of finance and monetary policy is becoming one of the most important factors influencing the course of world trade. However, given that the results of this impact are still unclear, the main direction of the policy of states and international organizations should be to combine efforts to create acceptable regulatory mechanisms.

코로나 시대의 가정에서 어머니가 지각한 가족건강성이 양육스트레스에 미치는 영향: 사회적 지지의 매개효과를 중심으로

코로나 시대의 가정에서 어머니가 지각한 가족건강성이 양육스트레스에 미치는 영향: 사회적 지지의 매개효과를 중심으로

Value of Transthoracic Echocardiography in Predicting Short Term Major Adverse Cardiac Events after ST Elevation Myocardial Infarction in COVID 19 Era

Abstract Background Acute myocardial infarction remains a leading cause of morbidity and mortality worldwide. In the era of COVID 19, early risk stratification and identification of high-risk patients with ST-segment elevation myocardial infarction are of great significance in prognosis, and in guiding diagnosis and treatment decisions. Measuring left ventricular peak systolic global longitudinal strain may be a useful addition to ejection fraction using echocardiography. Aim of the Study Is to evaluate different parameters of echocardiography in predicting major adverse cardiac events in patients after acute ST-segment elevation myocardial infarction in the era of Covid 19. Methods and patients This study included 97 patients who presented with acute STsegment elevation myocardial infarction within 12 hours of onset of chest pain and managed by primary percutaneous coronary intervention, it was performed in Ain Shams university hospitals from January 2021 to June 2021. Echocardiography was used to measure ejection fraction and left ventricular strain parameters Results The study included 97 patients, 55 % of which presented with anterior STEMI. Out of the whole group 29 patients (21%) developed MACE at 3 months follow up. Within the whole group, the mean ejection fraction was (44.04±6.07% VS .40.07±6.52% p = 0.007) and the mean global longitudinal strain was (-12.56±3.61% VS -10.1±3.25% p=0.002). Based on CT chest finding, 33 patients were Covid 19 patients who were younger in age, included significantly more females and had significantly higher Killip score as compared to the non covid patients. Among COVID-19 patients, the mean ejection fraction was (46.11±5.29% VS 40.6±7.11% p=0.02) and the mean global longitudinal strain was (-13.17±3.35% VS 10.35±3.38% p=0.026). At 3 months follow up, 39% of the Covid patients had MACE as compared to 25% of the non covid patients P = 0.0001. Conclusion In the era of COVID 19, young patients with female gender who suffered from STEMI were more likely to be COVID 19 patients and were liable to develop MACE at 3 months follow up. However, their LV EF and GLS were comparable to non-COVID 19 patients Ethical approval this study protocol was approved by the local ethics committee with a consent was obtained from all participants. Abbreviations MACE: major adverse cardiac events; LV: left ventricle; GLS: global longitudinal strain; STEMI: ST elevation myocardial infarction

A New Cloud Computing-Based Assessment of Issues in Online Teaching Management in the Post-Epidemic Era of COVID-19

The COVID-19 pandemic has accelerated the development of online teaching and learning, and educational institutions are now facing new challenges and opportunities. Online teaching management has become a crucial issue in ensuring the quality of education in the post-epidemic era. Online teaching management is a complex issue that requires schools to provide technical support, develop interactive teaching methods, ensure fair assessment, provide time management support, and offer training and support to teachers. By addressing these challenges, schools can ensure the effectiveness and quality of online teaching in the post-epidemic era. This paper examined the issues and challenges associated with Online Teaching Management in the Post-Epidemic era of CoVID -19. The analysis is conducted in a study of China. The GAN_OTM (Generative Adversarial Network for Online Teaching Management) model is proposed as a solution to address the challenges faced in online teaching management during the post-epidemic era of COVID-19. This model leverages the power of deep learning and generative adversarial networks to generate realistic virtual classrooms and learning environments, personalized learning experiences, and provide real-time feedback to students and teachers. With developed GAN_OTM model discussed its potential benefits and contributions to online teaching management, including improved student engagement, personalized learning experiences, and scalability. Furthermore, highlight the performance metrics used to evaluate the GAN_OTM model and the importance of analyzing its results. In the other hand, teachers are not comfortable with online teaching management to interact with students.

Covid 19 시대, 기독교인의 정신건강을 위한 심리상담의 방향성 : 대면예배 재개에 따른 심리사회적 경험 중심으로

Covid 19 시대, 대면예배재개에 따른 심리사회적 혼란에 직면한 기독교인이 직면 한 심리사회적 경험을 탐색하고 이를 토대로 심리상담의 방향성에 관한 연구의 필요 성이 제기 되고 있다. 본 연구는 2022년 6월부터 2022년 12월까지 Covid-19 상황에 서도 예배에 성실하게 참석한 기독교인 8인을 대상으로 면담을 진행하였다. 더불어 본 연구는 대면예배 재개 경험의 본질과 그 의미의 탐색이 가능한 현상학적 연구로 진행하였다. 또한 면담내용에 대한 분석은 Colazzi(1978)의 자료 분석 방법으로 진행 하였다. 연구 결과 5개 대 주제, 11개의 주제모음, 36개의 소주제가 확인 되었다. 면담내용 을 토대로 한 대 주제를 구체적으로 살펴보면 다음과 같다. “Covid 19 이전, 주체적으 로 예배에 참석 함”, “비대면 예배에 수동적으로 참석 함”, “대면예배가 재개 됨”, “대 면예배 재개에 따른 다양한 감정을 경험 함”, “대면예배재개로 인해 주체성이 회복 됨”으로 확인 되었다. 이와 같은 연구결과를 토대로 대면예배 재개에 따른 심리적 어 려움을 경험 중인 기독교인을 위한 심리상담의 방향성을 제시 하였다. 연구결과를 토대로 기독교인을 위한 심리상담의 방향성을 제시하면 다음과 같다. 첫째, Covid-19로 인한 기독교인의 심리·사회적 갈등을 이완시키기 위한 심리 상담이 필요하다. 둘째, Covid-19시대, 기독교인의 예배에 기인한 심리·사회적 문제는 대면예 배 참석으로 이완된다. 셋째, ‘예배’에 관한 다양한 논의에 관해 경청 및 공감하고자 하는 노력이 교회에 필요하다. 모쪼록 본 연구결과가 Covid 19시대, 다양한 심리·사회 적 문제에 직면한 기독교의 심리적 어려움을 해소하고 그들의 건강한 삶을 살아가는 데 도움이 되기 바란다.

Managing nonteaching staff for institutional best practices and goal achievement in public secondary schools in benue state, nigeria

Educational institutions target academic excellence through teaching and learning; to attain this, institutions employ best practices in handling teaching and nonteaching staff towards achievement of educational goals been teaching and learning. This study examines the extent of influence managing nonteaching staff in public secondary schools have on institutional best practices and goal achievement in boarding schools in the era of Covid 19. Specifically, the extent of influence of managing boarding master/mistress and cleaners has on institutional best practices and goal achievement. Two research questions and two hypotheses guided the study. The population of the study comprised 1,054 secondary school teachers drawn from 302 public secondary schools in Benue State. Out of which 350 teachers were randomly sampled. A self-structured questionnaire titled “Nonteaching staff and Best practices for Goal achievement Rating Scale (NBGRS)” was used to collect data for the study. Data collected was analysed using descriptive statistics of mean and standard deviation to answer the research questions while, Chi-square test of goodness of fit was used in testing the hypotheses at 0.05 alpha level of significance. Findings of the study revealed that managing boarding master/mistress and cleaners significantly influences institutional best practices and goal achievement in secondary schools. Recommendations were that; school administrators should build capacity through training and retraining of nonteaching staff in all aspects of Covid 19; for institutional best practices to be upheld for overall goal achievement in secondary schools.

Thrombolysis in STEMI in the era of COVID – Holding fort in cardiologist deficit locales

During the COVID-19 pandemic, the pharmaco-invasive approach in the management of ST Elevation Myocardial Infarction (STEMI) played a vital role in saving many lives. A retrospective observational study was conducted wherein 134 patients presenting with STEMI between (Dec 2019–Mar 2022) were thrombolysed with either streptokinase or tenecteplase in a centre where primary PCI was not available. There was no significant difference in the outcomes and their predictors between the SK and TNK groups. A prospective study with a larger sample size in the Indian population will be able to provide more substantial and promising results for further interventions.