Impact Of Coronavirus Disease 2019 Lockdown Research Articles

Trends of type 2 diabetes with pulmonary tuberculosis patients,2013–2022, and changes after the coronavirus disease 2019 (COVID-19) pandemic

BackgroundTo describe the trends of Type 2 Diabetes with Pulmonary Tuberculosis (T2DM-TB) patients from 2013 to 2022 and to investigate the impact of COVID-19 lockdown on glycemic control and associated factors in T2DM-TB. MethodsIn this population-based study of the First Affiliated Yijishan Hospital of Wannan Medical College in China, we described the 10-year trends of patients diagnosed with T2DM-TB. We included patients diagnosed with TB, T2DM-TB and T2DM-TB patients for comparative analysis, aged 15 years or older. Data were missing, and both multidrug-resistant (MDR) TB patients and non-T2DM patients were excluded from our study. ResultsWe pooled Type 2 Diabetes (T2DM) and Tuberculosis (TB) data from The First Affiliated Yijishan Hospital of Wannan Medical College in China, gathered between January 1, 2013, and December 31, 2022. The data included 14,227 T2DM patients, 6130 TB patients, and 982 T2DM-TB patients. During the past 10 years, the number of inpatients with TB decreased, while the number of patients with T2DM and T2DM-TB increased year by year. To rule out any influence factors, we analyzed the ratio of the three groups. The ratio of TB/T2DM decreased year by year (p < 0.05), while the ratio of TB-T2DM/TB increasing year by year (p = 0.008). During the COVID-19 epidemic period, there was no significant change in the ratio of TB-T2DM/T2DM (p = 0.156). There was no significant change in the proportion of male patients with TB and TB-T2DM (p = 0.325; p = 0.190), but the proportion of male patients with T2DM showed an increasing trend (p < 0.001). The average age of TB patients over the past 10 years was 54.5 ± 18.4 years and showed an increasing trend year by year (p < 0.001). However, there was no significant change in the age of T2DM or TB-T2DM patients (p = 0.064; p = 0.241). Patients data for the first (2013–2017) and the last (2018–2022) five years were compared. We found that the number of T2DM and TB-T2DM in the last five years was significantly higher than in the first five years, but the number of TB was significantly lower than in the first five years. There is a significant statistical difference in the proportion of TB/T2DM and TB-T2DM/TB, which is similar to the previous results. The average age (56.0 ± 17.6 years) of TB patients in the last five years is significantly higher than in the first five years (53.1 ± 18.9) (p < 0.001). The number of male patients with T2DM in the last five years is higher than that in the first five years, with significant difference (p < 0.001). ConclusionThe trends of T2DM-TB among hospitalized TB patients have increased significantly over the past 10 years, which may be related to the increase in the number of T2DM cases. The COVID-19 pandemic has been effective in controlling the transmission of TB, but it has been detrimental to the control of T2DM. Male patients with T2DM and elderly TB patients are the key populations for future prevention and control efforts.

Impact of COVID-19 lockdown on hospital admissions for epistaxis in Germany.

Reports of a decrease in hospital admissions during the coronavirus disease 2019 (COVID-19) lockdown period have raised concerns about delayed or missed diagnoses and treatments for non-COVID-19-related illnesses. To investigate the impact of the COVID-19 pandemic-induced lockdown and its end on hospital admissions of patients with epistaxis in Germany. A retrospective analysis based on the national database of the Hospital Remuneration System was used to compare hospital admissions during defined time periods between 2019 and 2022 with the lockdown period as the reference period. This was done on a weekly basis before, during, and after the lockdown. An Interrupted Time Series was used as the analysis method. In our analysis, we included 26183 patients. The implementation of the lockdown led to a substantial reduction in the overall occurrence of epistaxis among patients (P < 0.05). This effect was most pronounced in the age group of 0-39 years, where the decrease was highly significant (P < 0.001). However, there was no change observed in patients aged 80 years and older (not significant). With the end of the lockdown period, the overall number of patients, especially in the youngest age group, increased abruptly and significantly (P < 0.01). During the lockdown period, there was a decrease in hospital admissions for younger patients with epistaxis, possibly due to the fear of COVID-19 exposure. We also conclude that the severity of epistaxis was not underestimated in the elderly during the pandemic.

Impact of COVID-19 Lockdown on Traumatic Bone Fracture Patterns and Hospital Outcomes in 1646 Elderly Patients: A Retrospective Study in Turkey.

BACKGROUND During the Coronavirus Disease-2019 (COVID-19) pandemic-related lockdowns, modifications in trauma-related behavior and other factors in the elderly population may have occurred. The present retrospective study aimed to compare outcomes from emergency admissions to a major trauma center in Turkey of 1646 elderly patients with traumatic bone fractures that occurred before, during, and after the COVID-19 pandemic lockdown period. MATERIAL AND METHODS A cohort of 1646 elderly trauma patients admitted between September 15, 2019 and September 15, 2020 were retrospectively scanned from the hospital registry system and were grouped as admitted during the COVID-19 pandemic before (Group 1), during (Group 2), or after (Group 3) the lockdown restrictions. Demographic and clinical data were examined by making comparisons between the 3 groups. RESULTS In all groups, female sex was more prevalent. Fractures were more common in the ulna and femur than in other bones (P=0.026, P=0.035). Among the groups, in Group 2, injuries due to the mechanism of falling from one's own height on the ground were more prominent (79.2%). Hospital costs were lower in Group 1 (P<0.001). The majority of hospitalized patients (n=874; 53.1%) were in Group 2 (P=0.009). CONCLUSIONS During pandemic lockdowns, the mechanism of falling from one's own height was more common in the elderly population. The ulna and femur were the predominant bones fractured. Therefore, during lockdown periods, precautions should be taken to prevent the elderly from falling from their own height.

Comparative Study of the Long-Term Impact of the COVID-19 Pandemic on Mental Health and Nutritional Practices Among International Elite and Sub-Elite Athletes: A Sample of 1420 Participants from 14 Countries

BackgroundAlthough several studies have shown that the Coronavirus Disease 2019 (COVID-19) lockdown has had negative impacts on mental health and eating behaviors among the general population and athletes, few studies have examined the long-term effects on elite and sub-elite athletes. The present study aimed to investigate the long-term impact of COVID-19 lockdown on mental health and eating behaviors in elite versus sub-elite athletes two years into the pandemic. A cross-sectional comparative study was conducted between March and April 2022, involving athletes from 14 countries, using a convenient non-probabilistic and snowball sampling method. A total of 1420 athletes (24.5 ± 7.9 years old, 569 elites, 35% women, and 851 sub-elites, 45% women) completed an online survey-based questionnaire. The questionnaire included a sociodemographic survey, information about the COVID-19 pandemic, the Depression, Anxiety and Stress Scale—21 Items (DASS-21) for mental health assessment, and the Rapid Eating Assessment for Participants (REAP-S) for assessing eating behavior.ResultsThe results showed that compared to sub-elite athletes, elite athletes had lower scores on the DASS-21 (p = .001) and its subscales of depression (p = .003), anxiety (p = .007), and stress (p < .001), as well as a lower REAP-S score indicating lower diet quality (p = .013).ConclusionIn conclusion, two years into the pandemic, elite athletes were likelier to have better mental health profiles than sub-elite athletes but surprisingly had lower diet quality.

Physical activity and sedentary time distribution among adult residents during COVID-19 circuit breaker movement restrictions in Singapore: a public health perspective.

Social lockdowns and quarantines have been enforced in various populations to mitigate the spread of coronavirus disease 2019 (COVID-19) in the community. This study investigated the impact of COVID-19 lockdown, known as circuit breaker movement restrictions (CBMR), on physical activity (PA) and sedentary time (ST) distribution patterns among Singapore residents aged 21-65 years. This was a cross-sectional retrospective study that utilised a 44-item questionnaire that included sections to determine PA and ST distribution patterns before and during CBMR. It also included information on sleep duration, PA preference and routine, awareness of local initiatives and perceptions on barriers towards PA during the CBMR period. There was an overall decrease in PA and a significant increase in physical inactivity and ST during the CBMR period. A greater proportion of participants reported sleeping for longer hours, suggesting positive adaptations in sleep habits during CBMR. Majority were unaware of online exercise initiatives and programmes offered during the CBMR period, and >50% of the respondents never used an online resource for exercise. Singapore residents seemed to prefer outdoor and facility-based venues for exercise and PA, and closure of facilities was the primary barrier for PA during the CBMR period. Reduced PA and increased ST during CBMR reflect negative lifestyle adaptations and may have adverse public health implications. Increased sleep duration suggests successful coping, which may consequently lead to physical and mental health benefits. While Singapore adult residents may be flexible with certain aspects of being physically active, they seemed less adaptive to changes in type of exercise, facility and environment.

Impact of COVID-19 lockdown on adolescents in treatment for obesity

ObjectiveThe aim of this study was to evaluate the impact of coronavirus disease 2019 (COVID-19) lockdown on body mass index (BMI) z-score of adolescents treated for obesity, and to assess the correlation between BMI z-score changes and lifestyle variables. MethodsThis cross-sectional study recruited 66 participants aged 11–18 years with overweight or obesity who attended our obesity clinics before and after the lockdown. We assessed demographic and anthropometric characteristics as well as lifestyle variables. ResultsThe mean BMI z-score of the participants was stable during this period (p = 0.233). Balanced diet, snacking, and sweet beverage consumption improved in about half of the participants. Having at least one parent at home was associated with a significantly more balanced diet (p = 0.008) and an increase in family activities (p = 0.015). Physical activities decreased (51.5%) and screen time increased for most of the adolescents (86.4%). The BMI z-score decreased significantly when three or more lifestyle habits improved (p<0.001). ConclusionsThis study showed that BMI z-scores were stable for a majority of adolescents treated for obesity during the COVID19 lockdown, along with positive and negative changes on weight-related lifestyle habits. This extraordinary period may have created opportunities for lifestyle modification and has emphasized the importance of family support in the management of obesity in adolescents.

Factors Influencing the Antenatal Care Attendance of Pregnant Women During the First COVID-19 Wave Lockdown in Thailand.

The coronavirus disease 2019 (COVID-19) outbreak impacted healthcare service management worldwide. Thailand had limited healthcare resources. During the pandemic, several medical supplies were in high demand and expensive. The Thai government needed to declare a lockdown to reduce the unnecessary use of medical supplies. Antenatal care (ANC) services have adapted to the outbreak situation. However, information about the potential impact of COVID-19 lockdown on pregnant women and the reduction of disease exposure risk in this population remains unclear. Thus, this study aimed to assess the percentage of ANC attendance and factors affecting the scheduled ANC attendance of pregnant women during the first COVID-19 wave lockdown in Thailand. This retrospective cross-sectional study included Thai women who were pregnant between 1 March and 31 May 2020. An online survey was conducted among pregnant women who had first ever ANC attendance before 1 March 2020. A total of 266 completed responses were returned and analysed. Statistically, the sample size was representative of the population. The predictors of scheduled ANC attendance during the lockdown were identified through logistic regression analysis. Overall, 223 (83.8%) pregnant women had scheduled ANC attendance during the lockdown. The predictive factors of ANC attendance were non-relocation (adjusted odds ratio [AOR] = 2.91, 95% confidence interval [CI]: 1.009-8.381) and access to health services (AOR = 2.234, 95% CI: 1.125-4.436). During the lockdown, ANC attendance slightly declined, and the extended duration of each ANC or reduced face-to-face interactions with healthcare professionals. For pregnant women with non-relocation, healthcare providers must provide opportunities to contact them directly if they had doubts. The limited number of pregnant women who access health services allowed the clinic to be less crowded and therefore easy to ANC attendance.

The Impact of COVID-19 Lockdown on Pediatric Hospital Admissions in Turkey

Abstract Objective Health care utilization has declined significantly during the coronavirus disease 2019 (COVID-19) pandemic. We aimed to analyze the impact of COVID-19 lockdowns on pediatric admissions in a Turkish medical center. Methods This retrospective study was conducted by analyzing the numbers and records, including diagnoses, of patients admitted to our pediatric department between March 11, 2020 (the day of the first confirmed COVID-19 case in Turkey) and June 11, 2020 and comparing it with the diagnoses and numbers for the same period in 2019. The most common reasons for admissions were investigated. Results Totally, 89,607 patients were included. Patient visits reduced drastically by 63.11 to 36.89% during the lockdown period compared to the preceding year. In addition to the impact of COVID-19 lockdowns on the total volume of patients, we observed significant variations in the distribution of diagnoses among children. The percentage of respiratory, gastrointestinal, immunological, and ophthalmologic diseases and allergic reactions statistically decreased (p &lt; 0.001). In contrast, the relative percentage of neonatal, urogenital, neurological, cardiovascular, hematological, and dermatological diseases significantly increased (p &lt; 0.001) among emergency department (ED) admissions. Notably, the percentage of respiratory diseases among ED patients decreased by 66.81 to 33.19%. Conclusion COVID-19 strongly affected health care utilization. The public must be educated about the safety of hospital environments, and families should be encouraged to visit hospitals in case of emergencies. Additionally, changes in public health advice may help alter health care consumption patterns.

Impact of COVID-19 Lockdown on the Metabolic Control Parameters in Patients with Diabetes Mellitus: A Systematic Review and Meta-Analysis.

BackgroundAbrupt implementation of lockdowns during the coronavirus disease 2019 (COVID-19) pandemic affected the management of diabetes mellitus in patients worldwide. Limited access to health facilities and lifestyle changes potentially affected metabolic parameters in patients at risk. We conducted a meta-analysis to determine any differences in the control of metabolic parameters in patients with diabetes, before and during lockdown.MethodsWe performed searches of five databases. Meta-analyses were carried out using random- or fixed-effect approaches to glycaemic control parameters as the primary outcome: glycosylated hemoglobin (HbA1c), random blood glucose (RBG), fasting blood glucose (FBG), time-in-range (TIR), time-above-range (TAR), time-below-range (TBR). Mean difference (MD), confidence interval (CI), and P value were calculated. Lipid profile was a secondary outcome and is presented as a descriptive analysis.ResultsTwenty-one studies enrolling a total of 3,992 patients with type 1 or type 2 diabetes mellitus (T1DM or T2DM) were included in the study. Patients with T1DM showed a significant improvement of TIR and TAR (MD=3.52% [95% CI, 0.29 to 6.74], I2=76%, P=0.03; MD=−3.36% [95% CI, −6.48 to −0.25], I2=75%, P=0.03), while FBG among patients with T2DM significantly worsened (MD=3.47 mg/dL [95% CI, 1.22 to 5.73], I2=0%, P<0.01). No significant difference was found in HbA1c, RBG, and TBR. Use of continuous glucose monitoring in T1DM facilitated good glycaemic control. Significant deterioration of lipid parameters during lockdown, particularly triglyceride, was observed.ConclusionImplementation of lockdowns during the COVID-19 pandemic did not worsen glycaemic control in patients with diabetes. Other metabolic parameters improved during lockdown, though lipid parameters, particularly triglyceride, worsened.

The Impact of COVID-19 Lockdown on Patients with Lymphedema.

Background: The coronavirus disease 2019 (COVID-19) pandemic poses a challenge to management of lymphedema. The aim of this study was to assess general health conditions and evaluate the problems and concerns of lymphedema patients with regard to access to care and provision of management and control follow-ups during the lockdown period between March and June 2020. Methods: A web-based online survey, which included questions about demographic and clinical properties, compliance with restrictions and self-management, complications, needs, and difficulties in accessing health care, as well as the presence of psychological symptoms, was applied. Results: Two hundred three patients (190 female and 13 male) replied. Majority of them (73.4%) were between 30 and 60 years old and had high school/university education (67%). The duration of lymphedema was more than 3 years and sites were commonly extremities with mild to moderate intensity in 70.5% patients. Majority of them adhered to stay home warnings (88.7%). Weight gain was a common problem and self-care methods were generally skipped (81.8%). Seventeen percent of them had wounds and/or cellulitis. Forty percent of patients needed to apply to health centers to renew the pressure garment, but could not reach it. More than 70% of patients had sleep disorders and anxiety/stress. Majority of patients used television and social media to get information related to COVID-19 and the exposure time was commonly 2 to 6 hours. Conclusions: The COVID-19 lockdown had a great impact on lymphedema patients' health care not only from medical but also from psychosocial aspects. All these implications have to be identified and dealt with properly to avoid concerns and consequences of future pandemic lockdowns. Lymphedema services should be well prepared to be delivered virtually, enable effective care, and share knowledge to meet the needs of patients suffering from lymphedema.

The impact of COVID-19 lockdown on mental health: A study from rural population of Haryana, India.

ABSTRACTIntroduction:COVID-19 (Coronavirus Disease 2019) is a disease caused by a virus named SARS-CoV-2 and was discovered in December 2019 in Wuhan, China, a global threat has largely affected the country’s economic and social values. Moreover, the mitigation strategies being used to counterattack the pandemic attributes a lot of unrest and stress in the masses which has led to several mental health problems like anxiety, depression, sleep loss, post-traumatic stress disorder, etc.Objective:In this study, the impact of lockdown on mental health and its related disorders was observed.Method:A total of 367 patients from 69 villages of Narwana sub-division, Haryana, India was included in this study and their mental health status was assessed using Beck’s Depression Inventory (BDI).Results:Out of the 367 mental health-related patients, half of them (~ 48%) showed the signs of depression ranging from mild to severe. Also, 40% of the patients showed signs and symptoms of anxiety, fear and stress and (~15%) showed signs of sleep loss. Women (~58%) were significantly found to be more prone to mental illness and psychiatric disorders than men (~42%). This study also reports the increase in domestic violence cases during the lockdown period. The study presents a clear understanding that although lockdown and social isolation helps in achieving the goal of reducing infections, a restricted access of social support systems leads to loneliness and various mental issues including anxiety and depression.Conclusion:We conclude that COVID-19 is a big threat to women safety and health especially in rural population and as the crisis evolves and continues, it is very essential to raise awareness and psychological counseling among the masses.

Narratives of loss: the impact of Covid-19 lockdown on experiences of loss, grief, and bereavement.

Introduction Restrictions imposed to eliminate the spread of the coronavirus disease 2019 (COVID-19) virus had significant implications on peoples' experiences of caring for family/whānau at the end of life, and on their own bereavement process. Aim This qualitative research explored the impact of COVID-19 lockdown restrictions on experiences of loss, grief and bereavement in Aotearoa New Zealand. Methods This qualitative narrative research used semi-structured interviews with 10 participants who experienced the loss of a loved one during Levels 3 or 4 lockdown in Aotearoa New Zealand (23 March-13 May 2020). Interviews were coded using NVivo software and inductive thematic analysis was used to evaluate the data. Results Results were grouped into three themes: death experience; mourning in isolation; and availability of support. These themes provide insight into the challenges and difficulties participants faced when they experienced the death of a loved one during a COVID-19 lockdown, and the impact of these restrictions on their experiences of grief and bereavement. Discussion The findings from this research suggest there is an increased risk of prolonged grief among those bereaved during lockdown. Primary care professionals need to be aware of this increased risk in order to identify need and provide access to bereavement support.

Abstract- Poster

Background • Coronavirus disease 2019 (COVID-19) pandemic has caused a rapidly evolving as well as a psychologically distressful situation.• Undergraduate (UG) Health sciences students (HSSs) are prone to depression, anxiety, and stress during such pandemic period due to the negative impact of COVID-19 lockdown on their academics. Aim• To assess the mental health impact of COVID-19 lockdown and its relationship with the resilience among undergraduate health sciences students.Method• Data were collected from undergraduate health sciences students by using Depression, Anxiety, and Stress scale – 21 item (DASS -21) which was used to assess mental health impact of COVID-19 and the Brief Resilience Scale (BRS) which was used to assess the level of Resilience among study participants.• Data were analyzed by using SPSS 15, Chi-square, Fisher exact and Pearson’s correlation tests.Results• The prevalence of depression, anxiety, and stress were 7.6%, 6.3%, and 1.0% respectively.• As regards resilience, 1.3%, 56.7%, and 42.0% had high, normal, and low levels respectively.• Those study participants with high resilience had lower rates depression, anxiety, and stress as the psychological impact of COVID-19 lockdown.Conclusion• Resilience acts as a protective factor against depression, anxiety, and stress due to COVID-19 lockdown.• Hence, programs to strengthen the resilience among undergraduate health sciences students must be the priority which can have preventing value during stressful period of pandemics.

Impact of COVID-19 lockdown on small-scale farming in Northeastern Nile Delta of Egypt and learned lessons for water conservation potentials

The coronavirus disease-2019 (COVID-19) pandemic had a great impact on the agricultural sector, especially in developing countries. In particular, it caused exceptional challenges to small and local-scale farmers. Field questionnaires and interviews were used to investigate the effects of COVID-19 on small-scale farmers in the Northern Nile Delta of Egypt. Agricultural farms in Southern Port Said City represent emerging agricultural communities on newly reclaimed land, while those in Damietta are stable agricultural communities (old land of the Nile Delta). The questionnaire was divided into four questions groups to identify and analyze the different reasons that contributed to the disruption of farming systems and the agricultural sector. These groups were farmers' data, the effect of COVID-19 on agriculture inputs, infection rates and precautionary measures against COVID-19, and potential measures and governmental policies for controlling the negative impacts of COVID-19 and achieving agricultural sustainability. Results showed that the effect of lockdown was slightly lower in Damietta as compared to Port Said. Although fertilizers and labors costs, as well as water availability near Port Said, was not considerably affected during the lockdown, the total income of the small-scale farmers' notability decreased. The reluctance of major traders to buy crop production and keep the required balance of cash during the pandemic dramatically affected the crop production selling prices. Results showed that in the absence of agricultural extensions possibilities, there is a lack of awareness toward improving agricultural practices and switching to smart irrigation systems as a way of saving water and increasing crop productivity. The resistance against applying new agricultural practices and switching to smart irrigation systems depends mainly on farmers' financial capability and the nature of agricultural land either old or new. Activating the agricultural extensions roles is considered a keystone for enhancing agricultural sustainability in small-scale farming not only in developing regions of Egypt but also in other similar agricultural communities worldwide.

Impact of COVID-19 pandemic lockdown on the public transportation system and strategic plans to improve PT ridership: a review

The pandemic of coronavirus disease 2019 (COVID-19) has caused more than 198.03 million confirmed cases around the world, and nearly 31.65 million cases are reported in India as of 1st August 2021. Though it is reported to have originated from one particular place, the COVID-19 is continuously spreading to various countries due to the movement of people in and around the world. For curbing the spread of the COVID-19 virus, many countries have implemented lockdown and restrictions on public mobility (except the essential goods travel) within various zones. Though this lockdown is going to limit the spread of the virus, at the same time it creates an adverse impact on the livelihood of the people and economy of the country. Despite the surge in infections, the governments of different countries have to ease out the lockdown and allow the mobility of people from one place to another place by public transportation (PT) system due to various reasons. Hence, the present study explores the impact of COVID-19 lockdown on the PT system and the post-lockdown policies implemented by various countries to improve the PT ridership. Further, the study also addresses various challenges to operate the PT system and the emergency relief plans proposed by various countries to make the PT system more sustainable by integrating it with active transport modes such as cycling and walking. The discussed ease-out plans might help the policymakers to design a case-specific plan for the effective and safe operation of the PT system post-lockdown.

Perceived Stress and Quality of Life Among Final-Year Pharmacy Students in the United Arab Emirates During COVID-19 Pandemic Lockdown.

BackgroundCoronavirus disease-2019 (COVID-19) pandemic has caused huge disruptions worldwide affecting most people including university students. The impact of the pandemic lockdown on pharmacy students’ stress levels and quality of life (QoL) is not well studied. This study assessed the impact of COVID-19 lockdown on perceived stress levels and QoL among final-year undergraduate pharmacy students at Ajman University, United Arab Emirates (UAE).MethodsA cross-sectional electronic survey was conducted among final-year Bachelor of Pharmacy students at Ajman University during the COVID-19 lockdown period. The perceived stress scale and World Health Organization Quality of Life Instrument (WHOQOL-BREF) were administered through Google Forms. The filled responses were exported to IBM SPSS statistics, Version 26, scored as per the standard scoring procedures, and analyzed to answer the study objectives. Since the data were not distributed normally (p=0.000, Kolmogorov–Smirnov test), non-parametric tests (Mann–Whitney test and Kruskal–Wallis test) were performed to compare the median (IQR) scores with demographic parameters at an alpha value of 0.05.ResultsOf the eligible 94 students, 81 (male=16, 19.8%, female = 65, 80.2%) responded. The perceived stress level due to COVID-19 among the participants of a score of 24 suggests that the students suffered a “moderate” level of stress with no statistical significance between genders regardless of the place of residence in the seven Emirates (p=0.371) of the UAE. During the previous month of conducting the survey, 40.7% (n=33) of the respondents “very often” felt nervous and 22% (n=18) “fairly often” felt nervous with a median (IQR) score 3 (2–4); 3 denotes ‘sometimes’. Of the respondents, 6.2% (n=14) “very often” and 21% (n=17) “fairly often” felt that things were going their own way. Regarding the QoL statements, a median (IQR) score of 3 (3–4) was obtained for the question on “How much do you enjoy life?”, and the median scores were “4 (very much)” for more than half of the statements overall denoting a better QoL. The study reported females to have more physical pain, which may prevent them from carrying out their daily activities, than males (p=0.001) reflecting a better QoL among males over females during the lockdown. It also reflects a higher need for medications among females compared to males (p=0.014). All participants showed negative feelings, which is more apparent among male participants (4, 3–4.5) when compared to female participants (3, 2–3) (P = 0.001).ConclusionThe impact of COVID-19 lockdown on perceived stress and self-reported QoL is minimum. Age, gender and other demographic factors had little or no effect on stress levels, but gender influenced “experience of physical pain” and “requirement for medications”, with more likelihood in females. Student friendly educational approaches and proper implementation of educational reforms can help minimizing student stress and improving QoL during vulnerable times like lockdowns.

Impact of COVID-19 lockdown on prices of potato and onion in metropolitan cities of India

PurposeThis study focuses on accessing the impact of lockdown implemented to curb the pandemic of coronavirus disease 2019 (COVID-19) on prices of potato and onion crops using the time series analysis techniques.Design/methodology/approachThe present study uses secondary price series data for both crops. Along with the study of percent increase or decrease, the time series analysis techniques of autoregressive integrated moving average (ARIMA) and generalized autoregressive conditional heteroskedasticity (GARCH), as well as machine learning; neural network autoregressive (NNAR) models were used to model the prices. For the purpose of comparison, the data from past years were taken as the period of normalcy. The behaviour of the forecasts for the normal periods and during the pandemic based on respective datasets was compared.FindingsThe results show that there was an unprecedented rise in prices during the months of lockdown. It could be attributed to the decline in arrivals due to several reasons like issues with transportation and labour availability. Also, towards the end of lockdown (May 2020), the prices seemed to decrease. Such a drop could be attributed to the relaxations in lockdown and reduced demand. The study also discusses that how some unique approaches like e-marketing, localized resource development for attaining self-sufficiency and developing transport chain, especially, for agriculture could help in such a situation of emergency.Research limitations/implicationsA more extensive study could be conducted to mark the factors specifically that caused the increase in price.Originality/valueThe study clearly marks that the prices of the crops increased more than expectations using time series methods. Also, it surveys the prevailing situation through available resources to link up the reasons behind it.

Characteristics and sources of amine-containing particles in the urban atmosphere of Liaocheng, a seriously polluted city in North China during the COVID-19 outbreak

The Chinese government issued an unprecedentedly strict lockdown policy to control the spread of the novel coronavirus disease 2019 (COVID-19), significantly mitigating air pollution because of the dramatic reduction of industrial and traffic emissions. To explore the impact of COVID-19 lockdown (LCD) on organic aerosols, the mixing states and evolution processes of amine-containing particles were studied using a single particle aerosol mass spectrometer from January to March 2020 in Liaocheng, which is a seriously polluted city in North China. The counts and percentages of amine-containing particles in total obtained particles during the pre-LCD (547832, 29.8 %) were higher than those during the LCD (283983, 20.7 %) and post-LCD (102026, 18.4 %), mainly due to the reduced emission strength of amines and suppressed gas-to-particle partitioning of amines during the LCD and post-LCD. 74(C2H5)2NH2+ was the most abundant amine marker, which accounted for 98.2 %, 98.4 %, and 96.7 % of all amine-containing particles during the pre-LCD, LCD, and post-LCD, respectively. Correlation analysis and temporal variations indicated that the gas-to-particle partitioning of amines was facilitated by the stronger acidic environment and lower temperature, while the effect of RH and aerosol liquid water content was minor. The A-OC particles were the most abundant type (accounting for ~40 %) throughout the observation period. The temporal profiles and correlation analysis suggested that the impact of the increased O3 on the amines and their oxidation products (e.g., trimethylamine oxide) was minor. The identified particle types, correlation analysis, and the potential source contribution function results implied that the amine-containing particles were mainly derived from local and surrounding sources during the LCD, while those were mainly affected by long-range transport during the pre-LCD and post-LCD. Our results could deepen the comprehension of the sources and atmospheric processing of amines in the urban area of North China during the COVID-19 outbreak.

Assessment of air pollution status during COVID-19 lockdown (March-May 2020) over Bangalore City in India.

The coronavirus disease 2019 (COVID-19), which became a global pandemic by March 2020, forced almost all countries over the world to impose the lockdown as a measure of social distancing to control the spread of infection. India also strictly implemented a countrywide lockdown, starting from 24 March to 12 May 2020. This measure resulted in the reduction of the sources of air pollution in general: industrial, commercial, and vehicular pollution in particular, with visible improvement in ambient air quality. In this study, the impact of COVID-19 lockdown on the ambient concentration of air pollutants over the city of Bangalore (India) is assessed using Continuous Ambient Air Quality Measurement (CAAQM) data from 10 monitoring stations spread across the city. The data was obtained from Central Pollution Control Board (CPCB) and Karnataka State Pollution Control Board (KSPCB). The analysis of the relative changes in the ambient concentration of six major air pollutants (NO, NO2, NOX, PM2.5, O3, and SO2) has been carried out for two periods: March–May 2020 (COVID-19 lockdown) and the corresponding period of 2019 during when there was no lockdown. The analysis revealed significant reduction in the concentration of ambient air pollutants at both daily and monthly intervals. This can be attributed to the reduction in sources of emission; vehicular traffic, industrial, and other activities. The average reduction in the concentration of NO, NO2, NOX, PM2.5, and O3 between 01 March and 12 May 2020 was found to be 63%, 48%, 48%, 18%, and 23% respectively when compared to the same period in 2019. Similarly, the comparative analysis of pollutant concentrations between pre-lockdown (01–23 March 2020) and lockdown (24 March–12 May 2020) periods has shown a huge reduction in the ambient concentration of air pollutants, 47.3% (NO), 49% (NO2), 49% (NOX), 10% (SO2), 37.7% (PM2.5), and 15.6% (O3), resulting in improved air quality over Bangalore during the COVID-19 lockdown period. It is shown that the strict lockdown resulted in a significant reduction in the pollution levels. Such lockdowns may be useful as emergency intervention strategies to control air pollution in megacities when ambient air quality deteriorates dangerously.

Impact of COVID-19 lockdown in patients with implantable cardioverter and cardiac resynchronization therapy defibrillators: insights from daily remote monitoring transmissions

Funding AcknowledgementsType of funding sources: None.BackgroundIn Italy, a strict lockdown was imposed from 8 March 2020 to stop the spread of the Coronavirus Disease 2019 (COVID-19). PurposeTo explore the effect of this lockdown on data transmitted by remote monitoring (RM) of implantable cardioverter and cardiac resynchronization therapy defibrillators (ICDs/CRT-Ds).MethodsRM daily transmissions from ICDs and CRT-Ds were analyzed and compared in two consecutive 1-month frames pre- and post-lockdown: Period I (7 February–7 March 2020) and Period II (8 March–7 April 2020). ResultsThe study cohort included 180 patients (81.1% male, 63.3% ICDs and 36.7% CRT-Ds) with a median age of 70 (interquartile range 62-78) years. The median value of physical activity provided by accelerometric sensors showed a significant reduction between Period I and II (13.1% [8.2-18.1%] versus 9.4% [6.3-13.8%], p < 0.001]. Eighty-nine percent of patients decreased their activity, for 43.3% the relative reduction was ≥25%. The mean heart rate decreased significantly (69.2 [63.8-75.6] bpm vs 67.9 [62.7- 75.3] bpm, p < 0.001), but with greater reduction (≈3 beats/minute) in patients aged < 70 years. Resting heart rate and thoracic impedance showed minor variations. No differences were observed in device pacing percentages and arrhythmias.ConclusionsIn cardiac patients, the lockdown imposed to contain COVID-19 outbreak significantly reduced the amount of physical activity and the mean heart rate. These side effects of in-home confinement quarantine should be taken in consideration for frail patients. Figure. Activity and mean heart rate trends