Months Of COVID-19 Research Articles

COVID-19 in Kidney Transplant Recipients: A Multicenter Experience from the First Two Waves of Pandemic

BackgroundKidney transplant recipients have an increased risk of complications from COVID-19. However, data on the risk of allograft damage or death in kidney transplant recipients recovering from COVID-19 is limited. In addition, the first and second waves of the pandemic occurred at different times all over the world. In Turkey, the Health Minister confirmed the first case in March 2020; after that, the first wave occurred between March and August 2020; afterward, the second wave began in September 2020. This study aims to demonstrate the clinical presentations of kidney transplant recipients in the first two waves of the pandemic in Turkey and explore the impact of COVID-19 on clinical outcomes after the initial episode.MethodsPatients with COVID-19 from seven centers were included in this retrospective cohort study. Initially, four hundred and eighty-eight kidney transplant recipients diagnosed with COVID-19 between 1 March 2020 to 28 February 2021 were enrolled. The endpoints were the occurrence of all-cause mortality, acute kidney injury, cytokine storm, and acute respiratory distress syndrome. In addition, longer-term outcomes such as mortality, need for dialysis, and allograft function of the surviving patients was analyzed.ResultsFour hundred seventy-five patients were followed up for a median of 132 days after COVID-19. Forty-seven patients (9.9%) died after a median length of hospitalization of 15 days. Although the mortality rate (10.1% vs. 9.8%) and intensive care unit admission (14.5% vs. 14.5%) were similar in the first two waves, hospitalization (68.8% vs. 29.7%; p < 0.001), acute kidney injury (44.2% vs. 31.8%; p = 0.009), acute respiratory distress syndrome (18.8% vs. 16%; p = 0.456), and cytokine storm rate (15.9% vs. 10.1%; p = 0.072) were higher in first wave compared to the second wave. These 47 patients died within the first month of COVID-19. Six (1.4%) of the surviving patients lost allografts during treatment. There was no difference in the median serum creatinine clearance of the surviving patients at baseline (52 mL/min [IQR, 47–66]), first- (56 mL/min [IQR, 51–68]), third- (51 mL/min [IQR,48–67]) and sixth-months (52 mL/min [IQR, 48–81]). Development of cytokine storm and posttransplant diabetes mellitus were independent predictors for mortality.ConclusionsMortality remains a problem in COVID-19. All the deaths occur in the first month of COVID-19. Also, acute kidney injury is common in hospitalized patients, and some of the patients suffer from graft loss after the initial episode.

Recovery, Waikīkī A Poem for Haunani

ABSTRACT “Recovery, Waikīkī” is an aloha ʻāina poem. Written from the perspective of an ʻŌiwi surfer paddling out to a break in Waikīkī, the poem interrogates mass corporate tourism during the early months of Covid-19 in Hawaiʻi. “Recovery, Waikīkī” is dedicated to ʻŌiwi poet, educator, and activist Haunani-Kay Trask.

COVID-Related Perceptions of the Future and Purpose in Life Among Older Canadian Women.

Global events that prime thoughts of proximity to death (e.g., the COVID-19 pandemic) can compress individuals' perceptions of future time horizons, and previous studies have found that compressed time horizons can be beneficial for older adults' well-being. However, findings from recent studies are mixed, and studies of well-being during the early months of COVID-19 show that older adults have fared comparatively well. The current study examines relationships between Future Time Perspective (FTP), COVID-19 impact, and purpose in life (PIL) among older Canadian women (N = 190; ages 59+). We expected that total FTP would be positively associated with PIL but that FTP subscales would be associated with PIL in different ways; COVID-19 impact would not be associated with PIL, but COVID-19 impact would moderate the FTP-PIL relationship. We found partial support for these hypotheses, as well as prevalence of social connection themes in open-ended question responses regarding COVID-19 impact.

The benefits of nature in the age of anthropocene education

Few children today enjoy regular contact with nature. The youngest children go from home to nursery school without having the opportunity to dip their hands in the earth or to watch the leaves of a tree playing with the wind. After several months of Covid-19 developing new variants, the situation has worsened. This makes it all the more important to demonstrate the benefits of welcoming toddlers outdoors.

Children, Work, and Safety on the Farm during COVID-19: A Harder Juggling Act

ABSTRACT Objectives: Measures to curb the spread of COVID-19 in the Spring of 2020 immediately raised concerns among farm safety experts about the increase in children’s risk exposure due to changes in childcare and schooling arrangements. The goal of this study is to understand how farm parents were taking care of their children in the early months of COVID-19. Methods: I conducted univariate and inductive content analysis on survey data from 134 farm parents from 38 U.S. states to understand. Results: My findings overall confirm experts’ predictions. The move to distance learning for about three-quarter of respondents with school-age children and changes in childcare arrangements for over half of those with pre-school-age children led respondents to contend with fewer options and added responsibilities. Most frequently used adaptation strategies reflected lower reliance on the traditionally important social networks, a desire to preserve household income, and greater involvement of children on the farm. As a result, taking care of their children became harder for more than half of respondents with likely repercussions on children’s exposure to risk, parents’ well-being, and on the farm business. Conclusion: The empirical insights of this study provide descriptive baseline and contextual data for future research on the impact of COVID-19. The conceptual insights expand the farm safety literature by illustrating the need to study underappreciated structural factors shaping how farm parents juggle children with their professional obligations. Finally, findings around the complexity of raising children and connections to farm productivity and farm safety highlight the importance of considering farm women’s well-being alongside the safety of their children.

Therapists' resilience and posttraumatic growth during the COVID-19 pandemic.

This study aimed to examine therapists' unfolding response to the challenges of vicarious traumatization and transitioning to online therapy in the wake of the pandemic. This is the first study to empirically examine therapists' experience of resilience and posttraumatic growth during COVID-19. This longitudinal study reports on the self-reported resilience and posttraumatic growth of 185 psychotherapists (mostly White, female and North American) across 4 time points during the COVID-19 pandemic. Therapist-reported working alliance, vicarious traumatization, and acceptance of online therapy at baseline were examined as potential predictors of professional self-doubt at baseline as well as potential predictors of subsequent resilience (e.g., reduction of professional self-doubt) and posttraumatic growth. Therapists experienced moderate levels of professional self-doubt, more than outside pandemic times, and this self-doubt decreased over time, thus showing a resilient trajectory. Professional self-doubt at baseline was predicted by higher vicarious trauma and weaker working alliance, less clinical experience, and less acceptance of online therapy technology. Higher levels of resilience over time were predicted by less acceptance of online therapy. Moreover, therapists reported relatively low levels of posttraumatic growth, and this remained consistent during the subsequent 12 weeks. Posttraumatic growth was predicted by high levels of vicarious trauma, and acceptance of online therapy technology. Therapists in our study reported resilience during the initial months of COVID-19. Those who were relatively more traumatized and more comfortable in their online work during the pandemic experienced more posttraumatic growth. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Pandemic, politics and people: a psychosocial analysis of the first month of COVID-19 in Denmark

Even though COVID-19 is transmitted internationally, there are very different ways of combating its threats nationally. This article is a psychoanalytically informed psychosocial analysis of how the risk of COVID-19 contagion was dealt with politically and received by the population in Denmark in the first month after it arrived in the country. The question is how the social democratic Prime Minister, Mette Frederiksen, at the initial press conference addressing the nation in March and April 2020, succeeded in making the population accept comprehensive restrictions in their daily lives. The article argues that an unheard of agreement between the population, government and opposition was furthered by the Prime Minister’s double communication of a horror scenario and a construction of an exclusive and containing group of ‘Danes’ and served as a means of instilling anxiety and relief from anxiety at one and the same time. Psychologically, the group as a good object offers a defence against regressive, anxiety-ridden phantasies of infection and potential death. Politically, it forms a comforting cohesion between government and ‘Danes’, emphasised by Mette Frederiksen’s invocation of a caring welfare state that is closely associated with social democratic leadership. It thus stresses the interplay of the psychological as well as political aspects of an anxiety-provoking situation. On the one hand, the situation gave rise to a citizenship-based community, acting as a political and psychological subject, but on the other hand, this political mobilisation of community spirit neglected conflicts of interests, which surfaced later.

Changes in Sleep-Wake Patterns and Disturbances Before and During COVID-19 in Urban American Indian/ Alaska Native Adolescents

ABSTRACT Background COVID-19 has profoundly affected sleep, although little research has focused on high-risk populations for poor sleep health, including American Indian/Alaska Native (AI/AN) adolescents. Methods This is the first longitudinal study to examine changes in sleep with surveys completed before the pandemic and during the early months of COVID-19 in a sample of urban AI/AN adolescents (N = 118; mean age = 14 years at baseline; 63% female). We use a mixed-methods approach to explore how COVID-19 affected urban AI/AN adolescents’ sleep, daily routines, and interactions with family and culture. Quantitative analysis examined whether pandemic-related sleep changes were significant and potential moderators of COVID-19’s effect on sleep, including family and community cohesion and engagement in traditional practices. Results : Findings demonstrate changes in sleep, including increases in sleep duration, delays in bedtimes and waketimes, and increases in sleep-wake disturbances (p’s <.001). Higher levels of family cohesion and higher levels of engagement in traditional practices moderated pandemic-related increases in weekday sleep duration. Qualitative analyses revealed changes in adolescents’ sleep and daily behaviors, as well as strategies adolescents used to cope with pandemic-related disruptions in sleep and routines. Conclusion Findings demonstrate positive and negative changes in sleep during COVID-19 stay-at-home orders, including simultaneous increases in sleep duration and sleep-wake disturbances. Results highlight the importance of considering multi-level influences on adolescent sleep, such as early school start times, family dynamics, and cultural factors. A multi-level approach may help guide prevention and intervention efforts to improve adolescent sleep health.

The epidemic within the pandemic: Behavioral health and substance use in the face of COVID-19

The epidemic within the pandemic: Behavioral health and substance use in the face of COVID-19

Learning from Others’ Disasters? A Comparative Study of SARS/MERS and COVID-19 Responses in Five Polities

The ability to successfully manage disasters is a function of the extent to which lessons are learned from prior experience. We focus on the extent to which lessons from SARS/MERS have been learned and implemented during the first wave of COVID-19, and the extent to which the source affects governance learning: from a polity's own experience in previous episodes of the same disaster type; from the experience of other polities with regard to the same disaster type; or by cross-hazard learning - transferring lessons learned from experience with other types of disasters. To assess which types of governance learning occurred we analyze the experience of four East Asian polities that were previously affected by SARS/MERS: South Korea, Taiwan, Singapore and Hong-Kong. Their experience is compared with that of Israel. Having faced other emergencies but not a pandemic, Israel could have potentially learned from its experience with other emergencies, or from the experience of others with regard to pandemics before the onset of COVID-19. We find that governance learning occurred in the polities that experienced either SARS or MERS, but not cross-hazard or cross-polity learning. The consequences in the 5 polities at the end of the first six months of Covid-19, reflected by the numbers of infected and deaths, on one hand, and by the level of disruption to normal life, on the other, verifies these findings. Research insights point to the importance of modifying governance structures to establish effective emergency institutions and necessary legislation as critical preparation for future unknown emergencies.

COVID‐19 linked to decreases in ED or hospital encounters for self‐harm or overdose

The initial 15 months of COVID‐19 were associated with a decline in hospital care for overdose or self‐harm in adolescents and young adults, according to a study conducted in Ontario.

COVID‐19 linked to decreases in ED/hospital OD encounters

The initial 15 months of COVID‐19 were associated with a decline in hospital care for overdose or self‐harm in adolescents and young adults, according to a study conducted in Ontario.

How Politics ‘Messed up with’ Institutionalization: A Case Study of the Investigation into the Death of Li Wenliang during the Initial Months of COVID-19

ABSTRACT This research offers a timely examination of the functioning of China’s National Supervisory Commission (NSC) in Dr. Li Wenliang’s case. Based on the normative analysis and empirical study, this research identifies two flaws of the NSC preset by particular features of a Leninist state, which make it vulnerable to politicization in the initiation and the course of this investigation: (i) Overreliance on certain factional power distribution; (ii) Twofold identity as an anti-corruption agency and a party disciplinarian concurrently. By challenging both the institutionalization and deinstitutionalization arguments with a critical case, this research advances new theoretical knowledge on the self-defeating mechanisms compromising institutionalization in the Leninist regime and highlights the significance of differentiating subtypes of authoritarianism in the comparative study of institutionalization.

COVID‐19 linked to decreases in ED or hospital encounters for self‐harm or overdose

The initial 15 months of COVID‐19 were associated with a decline in hospital care for overdose or self‐harm in adolescents and young adults, according to a study conducted in Ontario.

Examining the impact of employment status on sleep quality during the COVID-19 pandemic in two low-income neighborhoods in Pittsburgh, PA.

Study ObjectivesAfrican Americans have faced disproportionate socioeconomic and health consequences associated with the COVID-19 pandemic. The current study examines employment and its association with sleep quality during the initial months of the pandemic in a low-income, predominantly African American adult sample.MethodsIn the early months of COVID-19 (March to May 2020), we administered a survey to an ongoing, longitudinal cohort of older adults to assess the impact of COVID-related changes in employment on self-reported sleep quality (N = 460; 93.9% African American). Participants had prior sleep quality assessed in 2018 and a subset also had sleep quality assessed in 2013 and 2016. Primary analyses focused on the prevalence of poor sleep quality and changes in sleep quality between 2018 and 2020, according to employment status. Financial strain and prior income were assessed as moderators of the association between employment status and sleep quality. We plotted trend lines showing sleep quality from 2013 to 2020 in a subset (n = 339) with all four waves of sleep data available.ResultsAll participants experienced increases in poor sleep quality between 2018 and 2020, with no statistical differences between the employment groups. However, we found some evidence of moderation by financial strain and income. The trend analysis demonstrated increases in poor sleep quality primarily between 2018 and 2020.ConclusionsSleep quality worsened during the pandemic among low-income African American adults. Policies to support the financially vulnerable and marginalized populations could benefit sleep quality.

Impact of the COVID-19 pandemic on referral to and delivery of gynecologic oncology care

ObjectiveTo evaluate the impact of the COVID-19 pandemic on referral to and delivery of gynecologic oncology care at a National Cancer Institute-designated Comprehensive Cancer Center. MethodsWe conducted a retrospective cohort study of patients referred for evaluation by a gynecologic oncologist at Washington University in St. Louis from October 2019 – February 2020 (pre-COVID-19), and April - August 2020 (COVID-19). The primary outcome, time from referral to evaluation by a gynecologic oncologist, was compared between the two time periods. Secondary outcomes included time from initial evaluation to treatment and delays/interruptions in care due to the pandemic. Sub-group analyses were performed on patients with a cancer diagnosis to evaluate the impact of COVID-19 on treatment decision making. Results884 patients were referred during the study period. Total referrals fell by 32% (526 to 358 patients, p < 0.001) and referrals for cancer fell by 18% (228 to 188 patients, p = 0.049). The pandemic did not impact time from referral to initial gynecologic oncology appointment overall (pre-COVID-19: 19.1 vs. COVID-19: 17.4 days, p = 0.315) or among patients with cancer (14.4 vs. 13.9 days, p = 0.662). Time from initial appointment to cancer treatment decreased by 9 days (34 days to 25 days, p = 0.001). ConclusionReferrals to gynecologic oncology decreased significantly during the early months of COVID-19. Though time from referral to evaluation was not impacted by the pandemic, time to treatment initiation decreased despite institutional changes related to COVID-19.

Tracer Pharmaceuticals Availability and Distribution Trends Prior to and During the Covid-19 Pandemic: A Comparative Study.

BackgroundCoronavirus disease 2019 (Covid-19) has had an unprecedented impact on the health products delivery system. To maintain routine health services, tracer pharmaceuticals (TPs) should always be available and accessible in healthcare institutions. Thus, this study aimed to explore the influence of the Covid-19 on TPs availability and distribution trends in the context of the Covid-19 pandemic in Ethiopia.MethodsAn institution-based comparative study was undertaken on 25 TPs in the pharmaceutical supply agency. From the agency’s logistical data, we collated the amount of TPs ordered, received, and distributed, as well as the stock status, by using an observation checklist. The collated data were recorded in Microsoft Excel and transferred to SPSS for analysis. A frequency and percentage analysis were performed to evaluate the fill rate, product availability, and stock-out duration. A dependent t-test was used to compare if there was a significant mean difference in TPs distribution before and after the Covid-19 at a p-value less than 5%.ResultsBefore Covid-19, 18 (72%) of the TPs were refilled above 80% of amount ordered. After the pandemic, however, the fill rate dropped to 48%. The availability of TPs during the Covid-19 was 60%. During the six months of Covid-19, the average stock-out duration for all TPs was 34.68 days, with Cimetidine 200mg/mL injectable (line-item fill rate = 0, days out of stock = 180 days) being the most stocked-out item. Tracer pharmaceuticals distribution before Covid-19 (M = 81,317, SD = 139,274) were significantly different after the pandemic (M = 60,212, SD = 94,966) at the 5% significance level (t (24) = 2.289, p = 0.031).ConclusionThis survey reveals how Covid-19 has influenced service providers’ logistics systems. Following the pandemic, the line fill rate fell below half with a three-fifths availability of products. To effectively manage supply chain disruptions experienced in Covid-19 and beyond, the agency in collaboration with stakeholders should make an effort to enhance end-to-end inventory visibility, establish a resilient logistics system, strengthen domestic manufacturers’ capabilities, and develop contingency plans with supplying partners.

Depression and anxiety symptoms remained elevated after 10 months of the COVID-19 pandemic in southern Brazil: findings from the PAMPA cohort

ObjectivesThis study aimed to examine the changes in depression and anxiety symptoms among Brazilian adults over 10 months of the COVID-19 pandemic. Study design/MethodsThe present study used data from wave 1 (June/July 2020) and wave 2 (December 2020/January 2021) of the Prospective Study About Mental and Physical Health (PAMPA) Cohort, a state-level, ambispective longitudinal study with adults from southern Brazil. The frequency of anxiety and depressive symptoms was assessed using the Hospital Anxiety and Depression Scale. Anxiety and depressive symptoms before social distancing were retrospectively assessed during wave 1. ResultsMost of the 674 participants were classified as non-symptomatic for depressive (85.0%) and anxiety symptoms (73.2%) before the COVID-19 pandemic. At wave 1, there were increases in symptoms of depression (7.6% [95% confidence interval [CI]: 7.2%, 8.1%]) and anxiety (9.1% [95% CI: 8.6%, 9.5%]). These decreased at wave 2 (depression: 6.9% [95% CI: 6.5%, 7.2%]; anxiety: 7.4% [95% CI: 7.1%, 7.8%]) although they were still elevated compared with pre-COVID (depression: 4.5% [95% CI: 4.2%, 4.8%]; anxiety: 5.8% [95% CI: 5.5%, 6.1%]). Adults living alone (b = 0.44 [95% CI: 0.07, 0.82]) had a faster trajectory in anxiety symptoms than their counterparts. Cohort members who were living alone (b = 0.24 [95% CI: 0.06, 0.42]) and with diagnosed chronic disease (0.32 [95% CI: 0.18, 0.46]) had a faster increase in depressive symptoms than their respective counterparts. Participants aged ≥60 years showed a slower trajectory of depressive (b = −0.46 [95% CI: −0.73, −0.18]) and anxiety (b = −0.61 [95% CI: −1.20, −0.02) symptoms. ConclusionsDuring 10 months of COVID-19, anxiety and depression symptoms improved but were still higher than before COVID-19.

Facilitating Disability Sport and Physical Recreation during the Initial Months of COVID-19: Examining Organizational Innovation in Third Sector Organizations

This article explores the organizational innovation of third sector sport organizations (TSSOs) that deliver or facilitate the delivery of sport and physical recreation for disabled participants during the first five months of COVID-19 suppression measures in England. Drawn from qualitative data with key personnel, findings first demonstrate the strategic, financial, user, and human resource dimensions of constraint placed upon the TSSOs. The blend of online/digital and physical innovations adopted by the TSSOs, and how they have contributed to the implementation of novel administrative processes, and technical services and products by the organizations to continue to engage with their target audiences during this time are then documented.

Well-Being During the COVID-19 Pandemic: The Roles of Age, Race, and Gender

In the early months of COVID-19, behavioral modifications (i.e., social distancing) were the only means available to ameliorate contagion. These had widespread ramifications for well-being, although older adults showed relatively less disruption and high resilience than their younger counterparts (Carney et al., 2021). Early findings highlight the need for a life course perspective when examining reactions to COVID-19, based on social structure, personal agency, and individual differences such as age, gender, and personality (Settersten et al., 2020). The presentations in this symposium contribute to a developing body of research that delves deeper into individual lived experiences during COVID-19. Using data from the Health and Retirement Study, Ryan examines cohort and age differences in pandemic-related social contact, communication, loneliness, and well-being for women in the US, revealing that the impact of pandemic-attributed psychosocial experiences on well-being differed by age group. Newton et al. examine associations between perceptions of future time, COVID-19 disruption, and psychological well-being among older Canadian women, finding that COVID-19 disruption moderated the relationship between constrained time horizons and well-being. Birditt and colleagues assessed racial disparities in relationships between COVID-related stress, social isolation, and depression among adults aged 18-97 from the Survey of Consumers, and found ethnic/racial minorities reported greater pandemic-related stress and that stress and social isolation had detrimental effects on well-being. A discussion by Lodi-Smith will emphasize the necessity to include individual differences – age, race, gender, cohort, cultural context –when examining pandemic-related well-being in order to provide a more nuanced body of research.