Global COVID-19 Pandemic Research Articles

Epigenetic regulation of human FOXP3+ Tregs: from homeostasis maintenance to pathogen defense.

Regulatory T cells (Tregs), characterized by the expression of Forkhead Box P3 (FOXP3), constitute a distinct subset of T cells crucial for immune regulation. Tregs can exert direct and indirect control over immune homeostasis by releasing inhibitory factors or differentiating into Th-like Treg (Th-Treg), thereby actively contributing to the prevention and treatment of autoimmune diseases. The epigenetic regulation of FOXP3, encompassing DNA methylation, histone modifications, and post-translational modifications, governs the development and optimal suppressive function of Tregs. In addition, Tregs can also possess the ability to maintain homeostasis in diverse microenvironments through non-suppressive mechanisms. In this review, we primarily focus on elucidating the epigenetic regulation of Tregs as well as their multifaceted roles within diverse physiological contexts while looking forward to potential strategies involving augmentation or suppression of Tregs activity for disease management, particularly in light of the ongoing global COVID-19 pandemic.

The Effect of the COVID-19 Pandemic on Turnover Intentions among Field Technicians: A Case Study in Philippines

The COVID-19 pandemic has caused several disruptions, necessitating adaptation to the current circumstances. The concept of the “New Normal” has been introduced to facilitate coexistence with the virus. Nevertheless, numerous industries saw significant impacts, both in terms of financial losses and personnel attrition. This development has a significant impact on the agriculture industry, particularly on field technicians (FTs). The present study seeks to understand the factors that influence the inclination to leave one’s job among field technicians. A purposive sampling strategy was used to choose fifty-three participants who were then requested to complete a survey-type questionnaire on various factors including perceived supervisor support, workload, perceived alternative jobs, perceived benefits, COVID-19, and job satisfaction. A SmartPLS structural equation modeling (SEM) analysis indicated that job satisfaction did not operate as a mediator in the relationship between turnover intention and its determinants, such as workload, supervisor support, benefits, and employment alternatives. Furthermore, this study verified that the restrictions imposed during the COVID-19 epidemic did not influence the connection between job satisfaction and turnover intention. This study represents one of the initial investigations conducted on workers in the Philippine farm sector during the ongoing COVID-19 pandemic. Ultimately, the discoveries could be utilized to assess the distinct circumstances arising from the current global COVID-19 pandemic.

Developing a multi-objective model for a multi-level supply chain of blood products under uncertainty and the global pandemic: a hybrid robust optimization approach

The global COVID-19 pandemic has caused a substantial decrease in the blood supply and its products as a vital commodity. It has had adversely affected on the activities of blood organizations and facilities as well as public health. In this critical situation, the particular supply and blood demand products have affected certain sensitive managerial decisions. The purpose of the present study is to develop a multi-objective formulation for a multi-level supply chain of blood products under uncertainty and global pandemic conditions. The modeling is based on three objectives: minimizing the costs of the entire blood supply chain network, minimizing the pandemic virus transmission by donors in each of the blood donation centers, and maximizing the attractiveness of the blood donation centers in order to optimize the blood supply chain conditions and meet the needs of patients in the best possible way. Besides, since uncertainty is an integral part of supply chains, an efficient combination of scenarios, intervals and fuzzy robust optimization approaches is applied. As the results show, using robust approaches to deal with uncertain parameters can provide excellent conditions for efficient responses to those who demand blood products as well as pandemic patients who need the plasma of survivors.

PENGARUH KEBIJAKAN DIVIDEN, KEBIJAKAN HUTANG DAN PROFITABILITAS TERHADAP NILAI PERUSAHAAN (Studi Empiris Pada Perusahaan Sektor Food & Beverage yang Terdapat Di Bursa Efek Indonesia Periode 2018-2022)

This research aims to determine the influence of dividend policy, debt policy and profitability on company value in food and beverage sector companies listed on the Indonesia Stock Exchange for the period 2018 - 2022. To minimize a significant decline in share prices, management needs to adopt policies that can influence company value in front of investors. The phenomenon of the Food and Beverage industry has just slumped due to the global Covid-19 pandemic, the situation of the FB industry at the beginning of 2020 declined drastically due to the pandemic, andthe presence of the FB industry cannot be avoided by everyone. In this research, the author used secondary data in the form of financial reports of companies in the food and beverage sector listed on the Indonesia Stock Exchange for the period 2018 - 2022. The sampling technique was using the purposive sampling method. This research took a sample of 33 companies from a population of 17 companies in the food and beverage sector listed on the Indonesia Stock Exchange. The research method used in this research is a descriptive statistical method with classical test analysis, and multiple linear regression analysis using the Statistical Package for the Social Science (SPSS) version 16 program. Based on the description above, further research is needed to determine the consistency regarding factors that influence company value in food beverage sector companies. The results of this research show that dividend policy, debt policy and profitability have a positive effect on company value.Keywords: dividend policy, debt policy, profitability and firm value.

COVID-19 Inpatient Caseloads in General Hospitals Did Not Affect Quality Indicator Compliance Rates in Israel.

Early in the global COVID-19 pandemic, a concern was raised that potentially high volumes of COVID-19 inpatients in general hospitals might compromise the hospitals' capabilities to maintain high-quality care for routine patients and, thereby, to comply with indicators specifying quality of care. The objective of this study is to evaluate the impact of the surges of COVID-19 inpatients into general hospitals in Israel on the compliance rates for selected quality indicators reported by these hospitals within the Israeli National Program for Quality Indicators (NPQI). Compliance rate data were collected from the quality indicators reports made to the NPQI by participating hospitals. COVID-19 inpatient volume data were obtained from the Ministry of Health Digital Technologies and Data Division. Both datasets were analyzed on a week-by-week basis and plotted one alongside the other on a time scale. Association of each quality indicator's compliance rate with the number of COVID-19 inpatients was tested by Pearson's correlation analysis. The study included data from July 1, 2019 through June 30, 2022, spanning the duration of the COVID-19 pandemic in Israel. Five quality indicators included in the study were: Surgical repair of femoral neck fracture within 48h of admission; Assessment of cerebral ischemic event risk for patients with atrial fibrillation; Duplex carotid ultrasound within 72h of emergency department admission for patients with suspected transient ischemic attack; Antibiotic prophylaxis for caesarean sections; and Percutaneous coronary intervention within 90min for patients presenting with ST-elevation myocardial infarction. Compliance rates for five quality indicators, representing different aspects of routine health care, remained steady - even at times with high volumes of COVID-19 inpatients in general hospitals. This lack of effect was prominent throughout the analyzed period, i.e., general hospitals maintained similar compliance rates for all quality indicators both during the surges of COVID-19 patients and between these periods. Statistical analysis showed no correlation between the quality indicators' compliance rates and the number of COVID-19 inpatients. Our findings indicate that high volumes of COVID-19 inpatients in general hospitals did not affect the hospitals' capability to comply with routine health care quality indicators. The results of our study imply that general hospitals in Israel were able to withstand the challenges associated with the care of COVID-19 inpatients while preserving high quality of care for routine patients.

Fostering Creative Writing through Poetry in EFL Classroom

This study was conducted to examine how the ELT teacher implements creative writing through poetry in the ELT classroom during pandemic and to describe how the students express their emotions through tone of poetry in their creative writing. It is due to the existence of creative writing in language teaching and learning practice is significant to gaining students’ creativity and thinking. One of them is writing poetry. However, few literatures discussed on the method used by teachers through writing poems as well as the concern for emotion and tone embedded in students’ writing products. This study used qualitative descriptive with Indonesian EFL university students of the non-English department at an Islamic University in Indonesia as the participants. The result shows that teachers use student-centered methods to implement creative writing through poetry in the classroom during the global COVID-19 pandemic. The meeting was organized using Zoom Meeting with performing Warm-Up, Lead-In (Creation of Poem and Reading the Poem), and Follow-up. In addition, it was also found that the student’s creative works posted on Instagram were based on the negative variations of poetry tone including threatening, painful, and discouraged. The study underscores the pedagogical efficacy of student-centered creative writing in ELT, highlighting its role in enhancing emotional intelligence and validating the integration of digital platforms for remote learning. It advocates for culturally responsive curricula that leverage creative expression as a conduit for emotional articulation and critical thinking

The effect of the global COVID-19 pandemic on the secondary sector in Côte d‘Ivoire

The effect of the global COVID-19 pandemic on the secondary sector in Côte d‘Ivoire

Effect of virtual cardiac rehabilitation during the COVID-19 pandemic on health-related quality of life of older adults with cardiac problems

BACKGROUND: In March 2020, on the recommendation of the Chief Medical Officer, routine elective hospital medical activity was suspended and a national ‘stay at home order’ was implemented for a period of 16 weeks in response to the global COVID-19 pandemic. Most hospitals suspended their Cardiac Rehabilitation services. Many older adults did not receive the medical help they needed. This will have an impact on their health-related quality of life (HRQoL) now and thereafter. OBJECTIVE: Explore the effect of Virtual Cardiac Rehabilitation VCR delivered during Covid-19 Pandemics on the overall health-related quality of life (HRQoL) of older adults with cardiac problems. METHODS: A retrospective study design was used. Rand-36 scores in a population of older adults aged 60+ who participated in VCR between March 2020 and September 2021 were compared pre- and post-program. Convenience sampling method was used and only those who gave informed written consent for data use were included. SPSS version 27 was used to analyze data using descriptive statistics. RESULTS: Significant increases in median post-VCR scores, compared to pre-VCR scores (p < 0.001) were shown in the Physical domain from (95% CI 307.5–342.5). Mental health domain from (95% CI 301.5–340.5). There was statistically highly significant difference in scores in Chester Step Test METs pre- post VCR 16% (p < 0.001). There were no significant differences found in patients’ perception of Physical Function, Role Limit (Emotional) and Energy/Fatigue (p > 0.05). CONCLUSIONS: VCR delivered during Covid-19 Pandemic, had positive effect on the overall HRQoL of older adults with cardiac problems. VCR offered as an option in CR may potentially improve completion rate and facilitate behavioral modifications.

Hidradenitis Suppurativa in the SARS-CoV-2 Pandemic: Investigation of Trigger Factors in a Single Center.

Background: Hidradenitis suppurativa (HS) is a debilitating, chronic inflammatory disease associated with multiple triggers. As the world struggles with the global COVID-19 pandemic, it is important to review the trigger factors for chronically ill HS patients during the COVID-19 pandemic. This work investigates the self-described trigger factors of HS patients that emerged during the COVID-19 outbreak. Methods: We anonymously surveyed 110 HS patients during the SARS-CoV-2 pandemic using a 25-question questionnaire that included trigger factors for deterioration. Demographic, personal, and HS-specific information was also collected to identify potential trigger factors for HS exacerbation. All HS patients were asked if their HS had worsened compared to the time before the pandemic. Results: Compared to before the pandemic, 20% of HS patients (n = 22) reported a worsening of HS. Patients with an HS exacerbation were significantly more likely to avoid contact with a doctor than those without an exacerbation (45.5% vs. 18.2%; p = 0.007). HS involvement, severity, exercise activity, and BMI had no association with worsening HS (p > 0.05). Interestingly, dietary changes and increased consumption of sweets and treats were associated with worsening HS (p = 0.011 and p = 0.013). Specifically, eating more sweets and treats was associated with a 6-fold increased risk of worsening HS. The results suggest that diet has an important influence on HS relapses. Further investigation is needed to determine whether diet is a triggering factor independent of the SARS-CoV-2 pandemic. In addition, gluteal HS involvement was associated with a more than 4.3-fold risk of HS exacerbation. Conclusions: In the management of HS patients, it is important to consider that gluteal involvement and the consumption of sweets are more often associated with deterioration.

And now everything is supposed to be normal again – just like that?!

The global pandemic of Covid-19 has had massive effects on many levels. For many sectors, the restrictions are gone but normalcy is not fully restored. The performing arts, for example, have been especially vulnerable to sharp restrictions, with audiences staying at home. The aim of this article is to explore what it means for freelance musicians in the art/classical music genre to re-establish their careers after the pandemic. The empirical data consists of interviews with Swedish freelance musicians from 2021 and 2022. The article concludes that the pandemic and its aftermath present the freelancers with substantial practical challenges and emotional dilemmas. Some of the freelancers have been able to re-establish their careers and performer identities, while others are still struggling to get back into the loop. The pandemic has started processes of change, which are now negotiated in relation to going back to ‘normal’.

A prediction model for secondary invasive fungal infection among severe SARS-CoV-2 positive patients in ICU.

The global COVID-19 pandemic has resulted in over seven million deaths, and IFI can further complicate the clinical course of COVID-19. Coinfection of COVID-19 and IFI (secondary IFI) pose significant threats not only to healthcare systems but also to patient lives. After the control measures for COVID-19 were lifted in China, we observed a substantial number of ICU patients developing COVID-19-associated IFI. This creates an urgent need for predictive assessment of COVID-19 patients in the ICU environment for early detection of suspected fungal infection cases. This study is a single-center, retrospective research endeavor. We conducted a case-control study on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) positive patients. The cases consisted of patients who developed any secondary IFI during their ICU stay at Jilin University China-Japan Union Hospital in Changchun, Jilin Province, China, from December 1st, 2022, to August 31st, 2023. The control group consisted of SARS-CoV-2 positive patients without secondary IFI. Descriptive and comparative analyses were performed, and a logistic regression prediction model for secondary IFI in COVID-19 patients was established. Additionally, we observed an increased incidence of COVID-19-associated pulmonary aspergillosis (CAPA) during this pandemic. Therefore, we conducted a univariate subgroup analysis on top of IFI, using non-CAPA patients as the control subgroup. From multivariate analysis, the prediction model identified 6 factors that are significantly associated with IFI, including the use of broad-spectrum antibiotics for more than 2 weeks (aOR=4.14, 95% CI 2.03-8.67), fever (aOR=2.3, 95%CI 1.16-4.55), elevated log IL-6 levels (aOR=1.22, 95% CI 1.04-1.43) and prone position ventilation (aOR=2.38, 95%CI 1.15-4.97) as independent risk factors for COVID-19 secondary IFI. High BMI (BMI ≥ 28 kg/m2) (aOR=0.85, 95% CI 0.75-0.94) and the use of COVID-19 immunoglobulin (aOR=0.45, 95% CI 0.2-0.97) were identified as independent protective factors against COVID-19 secondary IFI. The Receiver Operating Curve (ROC) area under the curve (AUC) of this model was 0.81, indicating good classification. We recommend paying special attention for the occurrence of secondary IFI in COVID-19 patients with low BMI (BMI < 28 kg/m2), elevated log IL-6 levels and fever. Additionally, during the treatment of COVID-19 patients, we emphasize the importance of minimizing the duration of broad-spectrum antibiotic use and highlight the potential of immunoglobulin application in reducing the incidence of IFI.

Moving towards single fraction peripheral lung stereotactic body radiation therapy: patient care during and after the global COVID-19 pandemic

Moving towards single fraction peripheral lung stereotactic body radiation therapy: patient care during and after the global COVID-19 pandemic

Unmasking the escalation: a comparative analysis of diabetic ketoacidosis severity before and during the COVID-19 pandemic in a Tunisian pioneer study

ABSTRACT Background The severity of diabetic ketoacidosis (DKA) at diagnosis increased during the global COVID-19 pandemic. This study aimed to analyze the impact of the pandemic on the clinical and biological severity of DKA in patients with new-onset diabetes mellitus (DM) in Tunisia. Research design and methods The study included patients hospitalized for new-onset DKA 2 years prior and 2 years during the COVID-19 pandemic. Data was collected retrospectively, and DKA severity was classified based on biological parameters like potential of hydrogen (pH) and HCO3-. Results The results showed that DKA was more severe during COVID-19, as evidenced by lower potential of hydrogen (pH) (p = 0.006), and serum bicarbonate (HCO3-) levels (p = 0,005). Despite the higher severity of DKA was higher during COVID-19, intensive care unit hospitalizations remained equivalent (p = 0.359). The prevalence of hyponatremia was also higher during COVID-19 (p = 0.024). Conclusion The findings suggest that delayed diagnosis and COVID-19 May contribute to the increased severity of DKA and electrolyte imbalance during the pandemic. Further research is needed to better understand the underlying mechanisms and develop appropriate strategies to address this issue.

The Oral History of “Pandemic Time”: Students’ Lives Through the Global COVID-19 Pandemic

ABSTRACT This article offers a reflective account of student memories of the first years of the COVID-19 pandemic in both the Czech Republic and Israel. By comparing the narratives of students from these nations, we introduce the notion of “pandemic time” to describe the ways in which personal experiences of time rest betwixt and between objective historical events and individual meaning-making. In this way, we argue that university students narrated the crisis inherent in pandemic time on two overlapping levels. On the one hand, students’ memories revolved around the broader objective timeline of the COVID-19 pandemic (to include specific dates of lockdowns, university closures, openings, etc.). On the other hand, our student informants in both countries appeared to experience these events in ways that diverged from this objective timeline. Specific events in both countries that appeared to supersede the health threat posed by the pandemic shaped how they recounted their experiences of the pandemic. Using narrative analysis, we identified several key themes to explore student perspectives about pandemic time: how social isolation impacted an understanding of time, both referentially (when things happened in relation to each other) and temporally (within the overall span of the pandemic); how our narrators perceived the pandemic overall; broad and intimate experiences with COVID-19; how long remote learning lasted; and when narrators perceived the pandemic as having ended. By exploring this concept of pandemic time, we show how an international focus on oral history across national and cultural boundaries makes it possible to tease apart diverging experiences of time, memory, and crisis and to demonstrate how that relates directly to oral history theory and methodology.

Analysis and visualization of the research progress on surgical smoke

BackgroundWith the advancement of medical technology, tools such as electrosurgical equipment, laser knives, and ultrasonic scalpels have made modern medical procedures more convenient and effective. However, the generation of surgical smoke during these procedures poses significant health risks to medical personnel. Despite this, only a few studies have examined the literature systematically in this area. By analyzing bibliometric data on surgical smoke, we can gain insights into current research hotspots and forecast future trends. MethodsThis study included literature related to surgical smoke from the Web of Science and China National Knowledge Infrastructure (CNKI) databases, covering the period from 2000 to 2024. We used VOSviewer, CiteSpace, and BioBERT to visualize research trends and hotspots. ResultsIn the early stages of research, the focus was mainly on the composition, generation mechanisms, and susceptible populations related to surgical smoke. In recent years, with the development of laparoscopic surgery and the global COVID-19 pandemic, research interests have shifted towards occupational protection of healthcare workers and public health. Currently, the research in this field primarily explores the promoting effects of surgical smoke on conditions such as inflammation and tumors, as well as occupational protection and health education for healthcare workers. Disease research focuses heavily on Smoke Inhalation Injury, Infections, Neoplasms, Postoperative Complications, and Inflammation. ConclusionWe explored future research directions in the field of surgical smoke using VOSviewer, CiteSpace, and BioBERT. Our findings indicate that current research focuses on investigating the promoting effects of surgical smoke on conditions such as inflammation and tumors, as well as on occupational protection and health education for healthcare workers. We summarized existing preventive measures, aiming to facilitate further research advancements and the translation of research outcomes into clinical results. These efforts provide new insights for advancing research in occupational protection of healthcare workers.

A multi-fusion approach to classify pharyngitis, tonsillitis and oral cancer with iterative relief feature weighting

Bacterial pharyngitis and tonsillitis can lead to severe complications if untreated, while oral cancer poses risks of spreading if not detected early. Classifying pharyngitis, oral cancer, and tonsillitis is essential for timely and accurate medical interventions. Early diagnosis enables effective treatment planning, potentially saving lives and minimizing complications. Classification aids in tailoring specific medical approaches, contributing to better patient outcomes and healthcare management. The global COVID-19 pandemic has prompted a renewed interest in telemedicine for managing these conditions. Existing techniques, like Bag of Visual Words and individual pre-trained models, fall short in achieving optimal classification. To address this, we propose GHBResIncep, a framework that combines deep features from SE-ResNet, Inception-v4 and EfficientNetV2 with shallow features from improved BOVW, HOG, and Gabor filters. Employing an iterative relief feature weighting algorithm enhances feature selection. Our proposed model achieved highest classification accuracy of 95.58 %.The multi-fused features are fed into ML classifiers like XGBoost, showcasing significant improvements in various classification parameters compared to prior works.

The Importance Of Digital Transformation In A Post-Pandemic World

In the wake of the global COVID-19 pandemic, the business landscape has undergone a profound transformation, necessitating a paradigm shift towards digitalization for sustained resilience and growth. This article explores the pivotal role of digital transformation in the post-pandemic world, encompassing technological innovation, organizational adaptation, and cultural evolution. Drawing on insights from scholarly sources, we delve into the accelerated digital trends triggered by the pandemic and the challenges faced by businesses in this transformative journey. The importance of digital transformation is underscored by its role in enhancing resilience, adapting to unforeseen challenges, improving customer experiences, and facilitating data-driven decision-making. While acknowledging the inherent challenges, a well-defined digital strategy emerges as a crucial determinant for success. As we navigate the evolving business landscape, this article aims to provide a comprehensive understanding of the significance of digital transformation in fostering organizational agility and long-term success.

Trends in co-morbidities during COVID-19 waves: A study of prevalence and dynamics in India

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its variants have instigated the global COVID-19 pandemic, which unfolded in waves over nearly three years since its emergence in 2019. Variances in host immune responses have resulted in a spectrum of symptoms ranging from asymptomatic to mild, moderate, severe pneumonia-like, or critical conditions. For many individuals, symptomatic conditions exacerbated and posed life-threatening risks, particularly when co-morbidities such as diabetes mellitus, chronic obstructive pulmonary disease (COPD), cardiovascular diseases (CVD), hypertension, malignancies, and HIV were present. This study was aimed to ascertain the co-morbidity trends across the two major waves of COVID-19. Method: In India, COVID-19 patients from the first wave (April 1, 2020 to January 31, 2021) and the second wave (March 1, 2021 to October 1, 2021) were categorized into asymptomatic, moderate, severe, and critical groups, with 100 patients in each category. These patient groups were further subdivided based on co-morbidities and subjected to data analysis. Results: Diabetes mellitus, hypertension, and lung complications were identified as common co-morbidities significantly impacting the quality of life for COVID-19 patients. Conclusions: Our data analysis has highlighted the influence of co-morbidities or multi-morbidities in exacerbating severe and critical conditions during both waves 1 and 2 of COVID-19 infections. Keywords: co-morbidities; COVID-19; diabetes mellitus; hypertension; lung complications

The Impact of COVID-19 on Māori Patients Attending Diabetes Annual Review.

Māori, the indigenous population of New Zealand, represent 17.1% of the country's population (Statistics New Zealand 2021) and are over-represented in all negative indices. In particular, Māori are underprivileged in terms of socioeconomics and health due to the residualeffects of colonization. The global COVID-19 pandemic, caused by the novel coronavirus SARS-CoV-2, has been one of the most significant public health crises in modern history. Vulnerable populations, such as the elderly and those with underlying health conditions, wereand remainat higher risk of severe outcomes. In the New Zealand context and given the health statistics, Māori were identified as a group that was at high risk from COVID-19.Using a mixed method approach, we attempt to identify the reasons why a cohort of New Zealand Māori with type II diabetes mellitus (DM II) and a history of regular attendancefailed their Diabetes Annual Review (DAR) post-COVID-19. Twelve Māori participants were recruited (> 18 years) from a Māori Diabetes database of an urban General Practitioners (GP) Clinic in Northland. A 9-point questionnaire and an unstructured telephone conversation utilizing a Kaupapa Māori (Māori philosophy) approach were utilized, and data were collated. Findings suggest the New Zealand government's COVID-19 vaccine mandates served to exacerbate Māori distrust of health professionals. Trust is the foundation of every successful relationship whether it be business, professional, health, or personal. Health delivery and uptake are based on this foundation. Whatever the reason for the loss of trust in the medical profession, historical colonial trauma, swayed by conspiracy theory, or otherwise, considering this factor should influence the structure and approach of public health initiatives directed toward Indigenous people internationally.

Exploring the Potential of Off-the-Shelf Tools as Digital Probes: Appropriation of a Mobile Diary App

Abstract When cultural probes emerged in 1999, they were, for the most part, crafted from physical, non-digital, materials used to explore people's lives through playful co-creation and ambiguity. They have since become an important method for design researchers to generate insights into user behavior. Today, there is a growing need for user research to involve remote alternatives, something that was very much amplified during the global COVID-19 pandemic. The ubiquity of smartphones has given researchers the potential to have a remote window into people's lives like never before. This raises questions about the probe-like qualities of smartphone apps from a design research perspective. What options are available to design researchers? What are their strengths and weaknesses? What criteria matter? How can we improve on them? We share what we learned while using a mobile diary app for a remote in-home study with 31 households. We discuss the limitations of the app we ended up using and identify the need for an easy-to-adapt, off-the-shelf digital probe suitable for design researchers. The results and findings are intended to encourage designers to work toward digital probes and provide guidance for those who depend on commercially available mobile dairy apps in the meantime.