Mandatory Quarantine Research Articles

Bordering: Australia’s Policy to Border During COVID-19

Why did Australia border earlier than most other states in response to the outbreak of COVID-19? Between mid-January and March 2020, the Australian government adopted increasingly restrictive travel bans that led to the country closing its borders to all non-residents, adopting mandatory hotel quarantines for 14 days and a travel ban on Australians travelling overseas. These actions were in contravention of the World Health Organization advice to states on travel restrictions. Australia’s border closure was one of the strictest and, ultimately, longest in the world. In this article, we complement existing explanations on bordering that include critical border studies, securitization and bio/necropolitics with theoretical approaches from public policy literature to examine the domestic conditions that inform border closure policies and practices. We demonstrate that the decision to border, in this case, was not a rejection of World Health Organization advice but a turn towards the domestic pull factors – including domestic expert advice – to border.

Employment, labor and social protection in a hybrid enforcement regime

The features of the hybrid law enforcement regime in the field of employment, labor and social protection are considered. Russia and the whole world have entered an era of turbulence, when customary and even emergency legal regimes that have been developed over decades do not allow us to respond effectively to challenges, regulate public relations and protect the rights and freedoms of legal entities in response to changes in the current situation. The traditional systematic approach to legal regulation using blocks of legislation formed in advance as a reaction to the situation changing in one direction or another often does not justify itself and each time requires a creative and individual, rather than template, approach from the law enforcement officer to the selection of used tools and norms of different legal regimes , which requires active rule-making to fill emerging gaps. Avoiding complex legal regulation adds originality to rulemaking and law enforcement in the early 2020s, the general direction of which is to accelerate the creation of rules of conduct in the field of labor, employment and social protection by increasing the role of the Government, speeding up the lawmaking process, expanding regional rulemaking, and giving greater legitimacy to the instructions of officials in comparison with documented acts. The legislator has consistently optimized the legal technique of preparing and adopting laws that meet the needs of operational support of a special military operation with labor legal means. The growth of regional rule-making in the field of social protection requires the elimination of shortcomings and unification at the federal level. A noticeable phenomenon was in a number of cases the replacement of written administrative acts with instructions from a senior official. The legal regimes formed in this way - aimed at countering the spread of the coronavirus COVID-19, accompanying the conduct of a special military operation, etc., can be called hybrid or constructed – assembled from various legal elements and do not form systems sufficient to achieve an integration-entropy balance. Moreover, for this design, elements of normatively established special legal regimes are used, which, however, have undergone significant transformation - a self-isolation regime instead of mandatory quarantine measures, special measures in the economic sphere instead of special economic measures established by presidential decree; mobilization – but partial. All this points to the 2020s as a period of hybrid law enforcement, when elements of other emergency regimes are used to construct the current law enforcement regime, but not in combination, while avoiding measures that entail a radical and total violation of civil rights and freedoms. At the same time, accelerated law-making clearly indicates that the array of norms that have been created over decades is insufficient to regulate the current agenda.

SARS-CoV-2 Infection Risk Imposed by Fully-vaccinated Air Travelers Attending an Island-confined Quarantine System Enabling Tourism During the Pandemic: A Retrospective Cohort Study.

This study aimed to identify the incidence of SARS-CoV-2 infection among fully vaccinated air travelers participating in an island-confined quarantine system (Phuket Sandbox Program). It also compared the differential risk of SARS-CoV-2 infection across different COVID-19 vaccines and the difference in time-to-detection periods between asymptomatic and symptomatic cases. This retrospective cohort study determined the cumulative incidence of SARS-CoV-2 infection among 63,052 air travelers who participated in a quarantine program from July 1 to October 31, 2021. Using Poisson regression with robust standard errors, we estimated the relative risk of SARS-CoV-2 infection across different brands and types of COVID-19 vaccines, adjusting for relevant covariates. We visualized the time-to-detection periods for SARS-CoV-2 infection using Kaplan-Meier failure curves and compared these curves for asymptomatic and symptomatic travelers using the log-rank test. The overall incidence of SARS-CoV-2 infection was 0.3%. Individuals vaccinated with Ad26.COV2.S, Gam-COVID-Vac, CoronaVac, and replicating viral vector vaccines faced a significantly higher risk of infection than those who received the BNT162b2 and mRNA vaccines. The time-to-detection periods for asymptomatic and symptomatic cases did not differ significantly. Despite the relatively low risk of SARS-CoV-2 infection, a risk of breakthrough cases remained with certain vaccines. Given the high proportion of asymptomatic cases, quarantine and intermittent testing should be implemented. The mandatory quarantine system proved effective in managing positive cases without necessitating a complete shutdown of travel. Implementing an island quarantine could be a viable strategy for reintroducing travel and tourism during a future COVID-19 outbreak or a new pandemic.

Quarantine Order Violators System using Face Recognition (FACID)

Face recognition technology is commonly utilized for user authentication and verification by analysing a digital image of a person's face and matching it against a database of faces for identification purposes. The COVID-19 pandemic has led to mandatory quarantines and the use of quarantine bracelets for some individuals, which can be time-consuming and require a lot of effort. Face recognition technology can help raise awareness about the current situation and alleviate some of the burden associated with quarantine measures. The aim of this research is to concentrate on the face recognition of individuals with a history of quarantine, as a measure to prevent the spread of COVID-19 in educational institutions like universities, colleges, and schools. This research study concentrates on individuals with a history of quarantine orders. The system will employ the Histograms of Oriented Gradients (HOG) algorithm for face detection. Additionally, the system will utilize the Face Landmark Algorithm to compare the 128-d vector with images stored locally. The system will make use of the Helen face collection dataset for its data requirements. The aim of this study is to explore and identify techniques for detecting individuals who violate quarantine measures and issuing notifications through the proposed system. By implementing this system, it could contribute to creating a more secure environment within the educational institution and potentially reduce the spread of the virus.

Determinants of successful disease control through voluntary quarantine dynamics on social networks

In the wake of epidemics, quarantine measures are typically recommended by health authorities or governments to help control the spread of the disease. Compared with mandatory quarantine, voluntary quarantine offers individuals the liberty to decide whether to isolate themselves in case of infection exposure, driven by their personal assessment of the trade-off between economic loss and health risks as well as their own sense of social responsibility and concern for public health. To better understand self-motivated health behavior choices under these factors, here we incorporate voluntary quarantine into an endemic disease model – the susceptible–infected–susceptible (SIS) model – and perform comprehensive agent-based simulations to characterize the resulting behavior-disease interactions in structured populations. We quantify the conditions under which voluntary quarantine will be an effective intervention measure to mitigate disease burden. Furthermore, we demonstrate how individual decision-making factors, including the level of temptation to refrain from quarantine and the degree of social compassion, impact compliance levels of voluntary quarantines and the consequent collective disease mitigation efforts. We find that successful disease control requires either a sufficiently low level of temptation or a sufficiently high degree of social compassion, such that even complete containment of the epidemic is attainable. In addition to well-mixed populations, we have also analyzed other more realistic social networks of contacts, including spatial lattices, small-world networks, and real social networks. Our work offers new insights into the fundamental social dilemma aspect of disease control through non-pharmaceutical interventions, such as voluntary quarantine and isolation, where the collective outcome of individual decision-making is crucial.

Effect of COVID-19 Pandemic on Admission Pattern to Pediatric Surgery Division at King Fahad University Hospital and Subsequent Quality of Presentation in Cases: A Comparative Study and Single-Center Experience.

The coronavirus disease 2019 (COVID-19) pandemic has affected healthcare systems worldwide, with mandatory quarantine and isolation measures being implemented to curb the spread of the virus. These measures have potentially led to delayed or complicated presentations of non-COVID-19 cases, including pediatric surgical cases. This study aims to evaluate pediatric surgical admission patterns, analyze the incidence of surgical diagnoses, and assess the severity of presentation during the COVID-19 period compared to the pre-COVID-19 period. This retrospective observational study was conducted at a university hospital in the eastern region of Saudi Arabia to assess the effect of the pandemic on pediatric surgery admissions patterns and severity of presentation duringthe COVID-19 period (March 2, 2020, to March 1, 2022) and pre-COVID-19 period (March 1, 2018, to March 1, 2020). Of the 903 pediatric surgical admissions, 366 (40.5%) presented during the COVID-19 period. The admission rate per month decreased by 6.9 during COVID-19 compared to pre-COVID-19 (mean [SD]: 21.5 [9.3] vs. 14.6 [8.2], p = 0.01). The most common admission diagnoses were appendicitis (17.5%) and inguinal hernia (15.8%). There was a 15% increase in the percentage of emergency admissions (54.4% vs. 47.3%, p = 0.037) during COVID-19 compared to pre-COVID-19. Of note, the percentage of patients admitted with acute appendicitis increased by 35.9% (20.8% vs. 15.3%, p = 0.03). Furthermore, the emergency admissions for patients with inguinal hernia doubled (26.6% vs. 12.7%, p = 0.035). No significant difference in ICU admissions, hospital length of stay, and routine discharge were observed. In conclusion, the COVID-19 pandemic correlated with a significant decrease in overall admissions and an increase in emergency admissions, including those for appendicitis and inguinal hernia. The increase in complicated conditions was not significant. There was no significant difference in ICU admissions and hospital length of stay. Future studies involving multiple centers are necessary to validate these findings.

Un análisis del impacto del covid-19 en el mundo editorial en Argentina: redes sociales, digitalización y activismo digital

Since March 2020, the effects of the mandatory quarantine promoted by governments to face the pandemic by covid-19, generated an unprecedented impact on the characteristics that the global and national book industry had so far. The present work is part of a project based in the Gino Germani Research Institute of the University of Buenos Aires called “The Argentine edition, between the State and the market”, and its objective is to reflect analytically on the current moment in the publishing world, considering the conjunctural transformations suffered by publishers in terms of economic impact, reprogramming of publishing plans, the initiatives undertaken by publishers and digital activism put into practice in this context. To carry out this objective, we present the results of a survey carried out among 131 publishers in Argentina in May 2020. The results allow us to describe the importance of the digital environment, social networks and digital activism in this new scene. As an example of digital initiatives, we will describe the collective projects “¡Sálvese quien lea!” and Feria del Libro en Casa.

ASSESSING THE LEGAL RAMIFICATIONS OF THE COVID-19 PANDEMIC ON ADMINISTRATIVE CONTRACTS IN THE UNITED ARAB EMIRATES: COMPARATIVE REVIEW

Background: This study aims to establish whether COVID-19 qualified as a force majeure event or exceptional circumstance according to the laws of the United Arab Emirates (UAE) and assess if a particular principle can circumvent contractual duties. It investigates how COVID-19 impacted administrative contracts in the UAE, using UAE laws and case studies to explore legal theories that justify failure to perform an obligation in such contracts. The UAE, like many other countries, faced an unpredictable event and utilised all its resources and manpower to combat the danger and ensure the safety of its people. This resulted in various restrictions, such as mandatory quarantine for everyone entering the UAE and limitations on travel outside the country. Additionally, certain Emirates within the UAE, such as Abu Dhabi, imposed entry restrictions, requiring a negative COVID-19 test result for entry and later mandating that only vaccinated individuals were permitted to enter. Additionally, the study explores the necessary criteria for demonstrating force majeure or exceptional circumstances in said contracts. This study used an analytical approach to examine laws and court decisions. Based on the findings, the outbreak of COVID-19 did not directly impact administrative contracts in the UAE. This is likely due to the authorities’ effective handling of the situation. Notably, the theories of force majeure and exceptional circumstances could not be automatically and generally applied to all contracts because each contract was unique and required individual considerations. The study presents potential theoretical and practical applications, highlighting opportunities for future research.

Travel bubble policies for low‐risk air transport recovery during pandemics

AbstractGlobal pandemics restrict long‐haul mobility and international trade. To restore air traffic, a policy named “travel bubble” was implemented during the recent COVID‐19 pandemic, which seeks to re‐establish air connections among specific countries by permitting unrestricted passenger travel without mandatory quarantine upon arrival. However, travel bubbles are prone to bursting for safety reasons, and how to develop an effective restoration plan through travel bubbles is under‐explored. Thus, it is vital to learn from COVID‐19 and develop a formal framework for implementing travel bubble therapy for future public health emergencies. This article conducts an analytical investigation of the air travel bubble problem from a network design standpoint. First, a link‐based network design problem is established with the goal of minimizing the total infection risk during air travel. Then, based on the relationship between origin‐destination pairs and international candidate links, the model is reformulated into a path‐based one. A Lagrangian relaxation‐based solution framework is proposed to determine the optimal restored international air routes and assign the traffic flow. Finally, computational experiments on both hypothetical data and real‐world cases are conducted to examine the algorithm's performance. The results demonstrate the effectiveness and efficiency of the proposed model and algorithm. In addition, compared to a benchmark strategy, it is found that the infection risk under the proposed travel bubble strategy can be reduced by up to 45.2%. More importantly, this work provides practical insights into developing pandemic‐induced air transport recovery schemes for both policymakers and aviation operations regulators.

An observational study on imported COVID-19 cases in Hong Kong during mandatory on-arrival hotel quarantine

BackgroundHong Kong enforced stringent travel restrictions during the COVID-19 pandemic. Understanding the characteristics of imported COVID-19 cases is important for establishing evidence-based control measures. MethodsRetrospective cohort study summarising the characteristics of imported cases detected in Hong Kong between 13 November 2020 and 31 January 2022, when compulsory quarantine was implemented. FindingsA total of 2269 imported COVID-19 cases aged 0–85 years were identified, of which 48.6 % detected on arrival. A shorter median delay from arrival to isolation was observed in Delta and Omicron cases (3 days) than in ancestral strain and other variants cases (12 days; p < 0.001). Lower Ct values at isolation were observed in Omicron cases than in ancestral strain or other variants cases. No Omicron cases were detected beyond 14 days after arrival. Cases detected after 14 days of quarantine (n=58, 2.6 %) were more likely asymptomatic at isolation and had higher Ct value during isolation, some of them indicating re-positivity or post-arrival infections. ConclusionsTesting inbound travellers at arrival and during quarantine can detect imported cases early, but may not prevent all COVID-19 introductions into the community. Public health measures should be adapted in response to the emergence of SARS-CoV-2 variants based on evidence from ongoing surveillance.

Aislamiento y depresión en los adultos mayores en Argentina en el periodo 2020 - 2022

Introduction: Isolation and depression in the context of pandemic was something that generated controversy. The fact that from one day to the next older adults could not see their loved ones because they could not leave their homes, or nursing homes, caused the quality of life to decrease. The problem is posed: What is the relationship between isolation and depression in older adults in Argentina in the period 2020 - 2022? Material and methods: The design of the study is a literature review for which a search and evaluation of the existing literature and previous research on depression, isolation and pandemic will be carried out through the databases PubMed, Google Academic, Scielo, etc. inclusion criteria were used; adults over 65 years of age in the context of pandemic between the years 2020 and 2022. Search in English and Spanish. Results: An exhaustive bibliographic search was carried out through various academic storage sites such as PubMed, Google Academic, Cohrane library, among others. Analyzing in depth 18 articles. Conclusion: The imposition of mandatory quarantine by COVID - 19 is associated with decline in mood and quality of life. Also with the decline in care in older adults in Argentina

Cost effectiveness and decision analysis for national airport screening options to reduce risk of COVID-19 introduction in Uganda, 2020

IntroductionEarly during the COVID-19 outbreak, various approaches were utilized to prevent COVID-19 introductions from incoming airport travellers. However, the costs and effectiveness of airport-specific interventions have not been evaluated.MethodsWe evaluated policy options for COVID-19-specific interventions at Entebbe International Airport for costs and impact on COVID-19 case counts, we took the government payer perspective. Policy options included; (1)no screening, testing, or mandatory quarantine for any incoming traveller; (2)mandatory symptom screening for all incoming travellers with RT-PCR testing only for the symptomatic and isolation of positives; and (3)mandatory 14-day quarantine and one-time testing for all, with 10-day isolation of persons testing positive. We calculated incremental cost-effectiveness ratios (ICERs) in US$ per additional case averted.ResultsExpected costs per incoming traveller were $0 (Option 1), $19 (Option 2), and $766 (Option 3). ICERs per case averted were $257 for Option 2 (which averted 4,948 cases), and $10,139 for Option 3 (which averted 5,097 cases) compared with Option I. Two-week costs were $0 for Option 1, $1,271,431 Option 2, and $51,684,999 Option 3. The per-case ICER decreased with increase in prevalence. The cost-effectiveness of our interventions was modestly sensitive to the prevalence of COVID-19, diagnostic test sensitivity, and testing costs.ConclusionScreening all incoming travellers, testing symptomatic persons, and isolating positives (Option 2) was the most cost-effective option. A higher COVID-19 prevalence among incoming travellers increased cost-effectiveness of airport-specific interventions. This model could be used to evaluate prevention options at the airport for COVID-19 and other infectious diseases with similar requirements for control.

Large environmental changes reduce valence-dependent belief updating

When updating beliefs, humans tend to integrate more desirable information than undesirable information. In stable environments (low uncertainty and high predictability), this asymmetry favors motivation towards action and perceived self-efficacy. However, in changing environments (high uncertainty and low predictability), this process can lead to risk underestimation and increase unwanted costs. Here, we examine how people (n = 388) integrate threatening information during an abrupt environmental change (mandatory quarantine during the COVID-19 pandemic). Given that anxiety levels are associated with the magnitude of the updating belief asymmetry; we explore its relationship during this particular context. We report a significant reduction in asymmetrical belief updating during a large environmental change as individuals integrated desirable and undesirable information to the same extent. Moreover, this result was supported by computational modeling of the belief update task. However, we found that the reduction in asymmetrical belief updating was not homogeneous among people with different levels of Trait-anxiety. Individuals with higher levels of Trait-anxiety maintained a valence-dependent updating, as it occurs in stable environments. On the other hand, updating behavior was not associated with acute anxiety (State-Anxiety), health concerns (Health-Anxiety), or having positive expectations (Trait-Optimism). These results suggest that highly uncertain environments can generate adaptive changes in information integration. At the same time, it reveals the vulnerabilities of individuals with higher levels of anxiety to adapt the way they learn.

Impact of the COVID-19 related border restrictions on influenza and other common respiratory viral infections in New Zealand.

New Zealand's (NZ) complete absence of community transmission of influenza and respiratory syncytial virus (RSV) after May 2020, likely due to COVID-19 elimination measures, provided a rare opportunity to assess the impact of border restrictions on common respiratory viral infections over the ensuing 2 years. We collected the data from multiple surveillance systems, including hospital-based severe acute respiratory infection surveillance, SHIVERS-II, -III and -IV community cohorts for acute respiratory infection (ARI) surveillance, HealthStat sentinel general practice (GP) based influenza-like illness surveillance and SHIVERS-V sentinel GP-based ARI surveillance, SHIVERS-V traveller ARI surveillance and laboratory-based surveillance. We described the data on influenza, RSV and other respiratory viral infections in NZ before, during and after various stages of the COVID related border restrictions. We observed that border closure to most people, and mandatory government-managed isolation and quarantine on arrival for those allowed to enter, appeared to be effective in keeping influenza and RSV infections out of the NZ community. Border restrictions did not affect community transmission of other respiratory viruses such as rhinovirus and parainfluenza virus type-1. Partial border relaxations through quarantine-free travel with Australia and other countries were quickly followed by importation of RSV in 2021 and influenza in 2022. Our findings inform future pandemic preparedness and strategies to model and manage the impact of influenza and other respiratory viral threats.

Understanding Individual Perception and Experience of Fear during Mandatory Quarantine: Lessons from the COVID-19 Pandemic in Ghana

Understanding Individual Perception and Experience of Fear during Mandatory Quarantine: Lessons from the COVID-19 Pandemic in Ghana

Safety management practices among Saudi healthcare professionals during pandemic

The COVID-19 pandemic has greatly impacted organizational processes and activities. Unlike previous pandemics, COVID-19 has affected everyone directly or indirectly. To protect employees from the virus and associated risks, organizations have focused on developing occupational health and safety management systems. While safety policies and practices were already in place before the pandemic, the emergence of new physical and psychological risks has led organizations to amend their safety and health management systems. Governments have introduced health containment measures such as social distancing, working in shifts, and mandatory quarantine to enhance safety for people worldwide. Employers have also introduced safety measures to build confidence in implementation. These safety management practices have influenced employees' behaviors during the pandemic, and this study aims to examine their impact. Specifically, the study aims to determine the impact of management practices on the behavior of healthcare employees regarding their safety in a threatening environment. Additionally, the study seeks to investigate the indirect influence of management practices on employees' behavior through perceived risks and efficacy. It is important to note that there has been a lack of research on the impact of COVID-19 on healthcare workers in Saudi Arabia. This study found that management commitment did not directly influence employee safety behavior. However, management commitment towards workplace safety practices had a significant and direct influence on healthcare employees' perceived risk associated with COVID-19 and their efficacy. Consequently, management commitment was found to indirectly influence employee safety behavior through efficacy.

Effectiveness of contact tracing for COVID-19 in Belgium

Contact tracing and investigation can prevent infectious disease transmission when carried out promptly. Data obtained from contact tracing also provides unique information on transmission dynamics that can be useful for policy making. The proportion of secondary infections arising from index cases that were previously identified as a close contact, hence “known index cases”, has been indicated by ECDC as a key performance indicator for contact tracing. Few empirical studies have been published on the effectiveness of contact tracing and investigation during the COVID-19 pandemic.&#x0D; Using data from the Belgian COVID-19 contact tracing (Sept 2020 – Dec 2021), we investigated the impact of contact tracing on onward transmission. Known index cases were compared to those not previously identified as close contact. More specifically, we compared their traced contacts and secondary cases as well as the serial interval, representing the time from illness onset in the primary case to illness onset in the secondary case. In addition, we investigated contact and transmission characteristics by age.&#x0D; Known index cases, previously informed about their exposure, were linked to fewer high-risk contacts and secondary infections. In addition, they presented a lower secondary attack rate compared to those not previously identified by contact investigation, suggesting behavioural changes. Also, a shorter serial interval was observed for known index cases. In addition to breaking transmission chains, contact tracing provides important information on transmission characteristics. When exploring age-specific data, we observed increased transmission rates from children to adults during the circulation of Delta and Omicron variants without an increase in contact rates between these age groups.&#x0D; The lower secondary attack rates for known index cases suggest that contact tracing in Belgium has been effective in reducing onward transmission. Their lower number of traced contacts and shorter serial interval are indicative that individuals aware of their exposure to SARS-CoV-2 were more reserved in their social contact behaviour. This reflects the mandatory quarantine for high-risk contacts. Our study also shows that in times of high burden on the healthcare system, key performance indicators of contact tracing should be interpreted with caution in light of changing intervention strategies. Many external factors influence the effectiveness of contact tracing like testing policy and compliance, the cooperation of index cases, and the imposed and adopted quarantine and isolation policies.&#x0D;

Medijacijska uloga negativnoga afekta u odnosima između stilova sukoba roditelja s adolescentima, zadovoljavanja triju osnovnih psiholoških potreba i zadovoljstva životom

COVID-19 pandemic has changed the psychological condition of parents due to changes in their place of activity and their increasingly complex roles in terms of work, children’s education, and households. The conditions have facilitated the increase in parents’ aggressive conflict styles with adolescents and the decrease in satisfaction of their basic psychological needs. Increased negative affect with indications of anger and emotional exhaustion was often found in parents during mandatory quarantine at home. Thus, parents’ decreased satisfaction of basic psychological needs, their conflict styles with adolescents, and increased negative affect may reduce their life satisfaction. This study investigated how negative affect mediates the relationship between parent-adolescent conflict styles and parents’ life satisfaction, as well as between satisfaction of basic psychological needs and life satisfaction. A total of 183 parents of adolescents completed questionnaires assessing parent-adolescent conflict styles, negative affect, satisfaction of basic psychological needs, and life satisfaction. PLS-SEM was used to test hypotheses concerned with testing a theoretical framework from a prediction perspective when the structural model is complex. The hypothesized model performed excellently, as indicated by its predictive relevance and effect size on a significant path. Negative affect acts as a (1) full mediator in the relationship between satisfaction of basic psychological needs and life satisfaction, and (2) partial mediator between aggressive conflict style parent-child relationship and life satisfaction. The results of this study generally suggest that, to prevent each family member from developing adverse psychological problems, circumstances that necessitate quick changes in the family must be met with the pace of adaptation of family members. In general, the findings of this study imply that in limiting social conditions, family members are prone to committing and experiencing harshness and basic psychological needs frustration, thereby reducing their life satisfaction.

The COVID-19 Crisis as a Practice of Patience and an Opportunity for Post-Traumatic Growth: A Narrative Review

Context: This study was carried out in order to provide a narrative review of the practice of patience and an opportunity for post traumatic growth in coronavirus disease 2019 (COVID-19 crisis). COVID-19 is a type of disease-causing acute respiratory syndromes. The mental health of people has been negatively affected by COVID-19 due to increased complications and mortality, special living conditions, and mandatory quarantine. Reactions to this crisis depend on the person's emotional processing style; therefore, it is necessary to pay attention to cultural and social factors. Trauma is defined as an individual’s exposure to an event, such as the COVID-19 pandemic, resulting in serious injury or threat to the integrity of the self and others. Commonly, the person’s first response to a traumatic event involves fear and helplessness. A traumatic event cannot be merely viewed as a threat or loss, as it also creates opportunities for positive changes, known as post traumatic growth (PTG). In the present study, we aimed to discuss the concept of patience to facilitate PTG in the context of a viral disease. Evidence Acquisition: The type of study is a narrative literature review. The content under study was the content and opinions with the keywords Post-traumatic growth and patience. The sources used were the Holy Quran books in the field of Islamic sources. Scopus and Google Scholar databases were also used to search for articles with the keywords patience and PTG. In this regard, the views of Islamic philosophers, sages, and scientists were considered. Results: It was found that patience involves acceptance, positivity, responsibility and commitment, faith, hope, reliance, and trust. The development of patience involves emotional restraint (avoidance of complaining, expressing anger or inappropriate instinctual desires, and revenge), tolerance (having peace of mind, self-care, self-regulation, and openness), endurance (showing tenacity, perseverance, and firmness), and positive expectations (anticipating relief, hope of salvation, and reward or perfection). Conclusions: According to the findings of this study, it can be stated that in times of crisis, such as the COVID-19 pandemic, people need to practice patience at a higher level than before. The development of this model and its training by counselors and therapists can help people who have severe anxiety disorders and depression caused by bereavement crises and other crises.

Perceived quality of distance education during the COVID-19 pandemic by postgraduate students of a school of medicine

Introduction. When the government decreed the mandatory quarantine during the COVID-19 pandemic, a new way of exercising the pedagogical work in a synchronous or asynchronous way was initiated. Objectives. To know through the levels of dissatisfaction the perceived quality of distance education during the COVID-19 pandemic by postgraduate students. Methods. A descriptive observational study was carried out. The population consisted of 403 students, the variables were perceived quality and distance education. Descriptive statistics analysis and univariate analysis were applied. Results. Level of satisfaction with the perceived quality of distance education of the 413 students was indifference in 45.7%, dissatisfaction in 12.5% and satisfaction in 41.8%. The level of satisfaction of perceived quality corresponded mostly to the virtual learning environment and information received and content of the virtual classroom, while the highest level of indifference corresponded to distance education (78%), neuropedagogy (51.1%) and teacher (45.8%). Conclusions. Satisfaction responded to the environment, information, and materials, while dissatisfaction to the adaptation of pedagogical strategies and materials to virtuality.