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39,406 Research products, page 1 of 3,941

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  • Other research product . 2021
    Open Access
    Authors: 
    Hamilton Winkelman, Charles;
    Publisher: eScholarship, University of California
    Country: United States

    The game is set on a college campus and starts with the player having an exposure to someone infected with COVID-19. The player then has to make decisions about what to after their exposure.

  • Other research product . 2020
    Open Access Turkish
    Authors: 
    Yılmaz, Burak;
    Publisher: Işık Üniversitesi
    Country: Turkey

    Işık Üniversitesi öğretim görevlileri tarafından Covid-19 Pandemisi'nin ele alındığı yazı dizisi serisinin "İzleme Deneyiminin Yarınına Dair" konu başlıklı yayınıdır. Sosyal izolasyonun ve evde kalmanın, alışkanlıklarımızı hem değiştirmekte hem de geliştirmekte olduğunu deneyimlediğimiz zamanlardan geçmekteyiz. Bu durumun yansımalarının, birçok farklı disiplinin konusu olduğu biliniyor. Bunlardan bir tanesi de izleme alışkanlıklarımızın uğradığı değişimin daha da görünür hale gelmesi diyebiliriz.

  • Open Access
    Authors: 
    Filipič, Anja;
    Country: Slovenia

    The COVID -19 pandemic began in 2020 and caused a major turnaround in education systems all over the world. Legislators were faced with a decision: to close schools and save lives or to preserve the economy intact. In most countries around the world, they decided to close kindergartens and primary and secondary schools, as well as the universities, or to introduce distance education. The so-called COVID-19 crisis put teachers in front of some completely new tasks and more challenging challenges that were hitherto unknown and required them to adapt and respond immediately in educational practice. In just a few weeks, teachers had to place traditional classroom teaching in an online environment. Because social and emotional aspects have a significant impact on students’ learning, teachers had to learn how to conduct distance education as effectively as possible. With the emergence of the pandemic, they also had to think about how to organize the individual stages of the teaching process, what to do as direct distance education, and prepare for unpredictable distance education. This complex situation was a challenge even for the most prepared and experienced teachers. Although smartboards and PowerPoint presentations are already established in traditional teaching, the integration of technologically supported distance education is at a completely different stage than teachers have been accustomed to and trained in so far. The COVID -19 pandemic has led to teachers being suddenly forced to start teaching online, which, among other things, poses a challenge to transforming teacher education and institution-specific education. In the theoretical part of the master's thesis, we defined the teacher's professional role, professional development of teachers, teacher resilience, distance education, challenges during distance education with the emphasis on the professional development of teachers during distance education, and stress in teachers during distance education. In the empirical part, we used survey questionnaires and partially structured interviews to research what challenges teachers faced during distance education, how they solved challenges, how teachers developed professionally during distance education, and what stress they experienced during that time. The research approach was qualitative and quantitative empirical research in which classroom teachers from the 1st to the 6th grade participated. The results of the survey showed that the participating teachers think that they were partially prepared for distance education in spring 2020 and well prepared in autumn 2020 to winter 2021, which means that teachers were better prepared for another lockdown. Awareness of technology, more education, and more experience contributed to better preparedness for school closures. Teachers believe that appropriate technical conditions, good knowledge of technology, encouragement, school support, and clear instructions and goals from the school are important for the success of distance education. Teachers would like more education on the topic of making distance education materials and content. Participants see the possibility for better quality distance education in sharing experiences and cooperation. As sources of stress, the participants pointed out technical problems, more difficult implementation of some forms of lessons, and preparation of materials. The vast majority of the participants state that the challenges of distance education have had a significant impact on their professional learning and development. The research provided insight into distance education between the first period (spring 2020) and the second period (autumn 2020 to winter 2021). The results of the research represent a professional contribution in the field of didactics and are useful for future students and classroom teachers in the design of distance education.

  • Open Access English
    Authors: 
    Shanshan Feng; Xiao-Feng Luo; Xin Pei; Zhen Jin; Mark Lewis; Hao Wang;
    Country: Canada

    Classical epidemiological models assume mass action. However, this assumption is violated when interactions are not random. With the recent COVID-19 pandemic, and resulting shelter in place social distancing directives, mass action models must be modified to account for limited social interactions. In this paper we apply a pairwise network model with moment closure to study the early transmission of COVID-19 in New York and San Francisco and to investigate the factors determining the severity and duration of outbreak in these two cities. In particular, we consider the role of population density, transmission rates and social distancing on the disease dynamics and outcomes. Sensitivity analysis shows that there is a strongly negative correlation between the clustering coefficient in the pairwise model and the basic reproduction number and the effective reproduction number. The shelter in place policy makes the clustering coefficient increase thereby reducing the basic reproduction number and the effective reproduction number. By switching population densities in New York and San Francisco we demonstrate how the outbreak would progress if New York had the same density as San Francisco and vice-versa. The results underscore the crucial role that population density has in the epidemic outcomes. We also show that under the assumption of no further changes in policy or transmission dynamics not lifting the shelter in place policy would have little effect on final outbreak size in New York, but would reduce the final size in San Francisco by 97%.

  • Open Access English
    Authors: 
    JONES, Erik;
    Publisher: Swedish Institute for European Policy Studies (SIEPS)
    Country: Italy

    Published online: June 2021 In July 2020, the European Council agreed on a plan to help Member States’ recovery from the COVID-19 pandemic. The agreement has important implications, writes Professor Erik Jones, but challenges remain. One crucial factor is whether the Member States succeed in managing their recovery and resilience plans. (2021:11epa) In July 2020, the European Council agreed on a new mechanism – Next Generation EU – to fund a €750 billion financial support to help member states’ recovery from the COVID-19 pandemic. In this European Policy Analysis, Erik Jones, professor at the Johns Hopkins School of Advanced International Studies, describes both the intense bargaining leading up to the agreement and its implications. Highlighting the important differences of principle between Member States, he underlines that Europe came to agreement and not consensus.

  • Open Access Indonesian
    Authors: 
    Basnawi, C. (Choiriyah);
    Publisher: Airlangga University
    Country: Indonesia

    Coordination is one of the important aspects in the management of Covid-19 handling in Surabaya. In itsimplementation, some problems arise such as the problem of ego-sectoral that becomes one of the obstacles inhandling this coordination process. Problems related to coordination also appear in various mass media, this factshows that the problem of coordination related to Covid-19 handling in Surabaya is a strategic and interestingissue to study. The writing method used in this paper is a literature review to find the formulation of appropriateand effective forms of coordination patterns. The writer also collected Primary data from online discussions todescribe the pattern of coordination from the other Local Government Agencies as a form of best practice thatmight be adopted in Surabaya so that they could build better management of Covid-19 handling in Surabaya.The results showed that the pattern of coordination in the management of Covid-19 handling that is initiated bythe Surabaya City Government needs some improvement. In vertical coordination, it is necessary to strengthengood coordination between the City Government of Surabaya and the Government of the Province of East Java.For Horizontal coordination, Surabaya Government needs to reinforce the coordination with the city or districtgovernment in the surrounding area. These things are necessary because Surabaya is an agglomeration areawhere there are still many people who do mobility in and out. The conclusion from this study is that there is aneed to strengthen coordination patterns both vertically and horizontally with various stakeholders involved inthe management of Covid-19 handling in Surabaya. At the end of this paper, the researcher also gave arecommendation and trying to show best practices in applying the coordination pattern that has been carried outby other regional governments as a form of illustration that might be able to be adopted to improve Covid-19handling in Surabaya.

  • Open Access
    Authors: 
    Leemrijse, C.; Boeije, H.R.; Zonneveld, E.; Schelven, F. van;
    Publisher: Nivel
    Country: Netherlands

    Deze publicatie is een van de publicaties die zijn voortgekomen uit de tweede meting, in april-mei 2021, binnen het project 'Zorgen en zwaaien' (2020-2022), dat is gesubsidieerd door ZonMw en deel uitmaakt van het ZonMw-COVID-19-programma. Conclusies - Door corona komt er meer zorg op de schouders van naasten met een zelfstandig wonend familielid, maar naasten hebben geen behoefte aan extra ondersteuning. - Het welbevinden van bijna een derde van de mensen met een verstandelijke beperking die zelfstandig wonen is door corona verslechterd. - Naasten maken zich wel zorgen over de gevolgen van een eventuele derde lockdown, want de rek is er bij hun familielid inmiddels wel uit.

  • Open Access Indonesian
    Authors: 
    Sidabuke, I. (Idaria); Parapat, F. (Friska); Aritonang, J. (Juneris);
    Publisher: Universitas Muhammadiyah Buton
    Country: Indonesia

    Selama pandemic Covid-19, kegiatan posyandu tidak optimal cakupannya. Posyandu haruslah dapat berjalan meskipun di situasi pandemic Covid-19 ini, dikarenakan di monitoring kesehatan ibu, anak, tumbuh kembang anak Balita hingga imunisasi di masyarakat berlangsung di posyandu, hanya 19.2% posyandu yang tetap berjalan selama pandemic. Salah satu faktor penyebab rendahnya kunjungan posyandi selama pandemic Covid-19 ialah adanya rasa khawatir ibu, bayi akan terinfeksi Covid-19 apabila membawa bayinya ke posyandu. Faktor yang mempengaruhi kecemasan salah satu faktornya adalah kurangnya pemahaman/pengetahuan. Dari survey awal di lokasi penelitian didapati mayoritas orangtua merasa cemas jika membawa bayi Balitanya ke posyandu takut terinfeksi Covid-19. Tujuan penelitian ini adalah untuk menganalisis ada ada hubungan pengetahuan dan kecemasan orangtua bawa bayi ke posyandu di tengah pandemi Covid-19. Metode penelitian ini adalah analitik dengan pendekatan cross sectional, Populasi penelitian ini adalah seluruh ibu yang memiliki bayi usia 0-12 bulan di Kelurahan Pekan Tanjung Morawa, Kabupaten Deli Serdang, Sumatera Utara sejumlah 80 orang. Populasi penelitian ini menggunakan teknik simple random sampling dengan jumlah populasi adalah 66 orang. Uji analisi penelitian menggunakan chi-square. Hasil penelitian ini menunjukkan ada hubungan yang signifikan antara pengetahuan dan kecemasan orangtua bawa bayi ke posyandu di pandemi Covid-19 (p-value= <0.05). Dari hasil penelitian ini dilakukan pendidikan kesehatan/penyuluhan posyandu yang aman di tengah pandemic Covid-19 maupun adanya inovasi pengembangan posyandu di pandemic covid-19.

  • Open Access Finnish
    Authors: 
    Turtiainen, Marika; Vornanen, Viivi;
    Country: Finland

    Tämän opinnäytetyön tarkoituksena oli tuottaa opas, joka kasvattaa ymmärrystä ja tietämystä ruumiinkuvan häiriöstä sekä sen hoitomahdollisuuksista. Opas on luotu tukimateriaaliksi fysioterapeuteille sekä heidän asiakkaillensa, joille fysioterapeutti voi sen tarpeen mukaan suunnata. Opas sisältää konkreettisia harjoitteita, joita asiakkaalla on mahdollisuus toteuttaa itsenäisesti sekä reflektoida omia kokemuksiaan harjoitteista. Oppaan tavoitteena on tarjota hyödyllistä informaatiota myös muille sosiaali- ja terveysalan ammattilaisille, sekä ruumiinkuvan häiriöstä kiinnostuneille henkilöille. Nykyajan sosiaalisen median tuomat ulkonäköpaineet ja esimerkiksi Covid-19-pandemian myötä muuttuneet liikkumistottumukset altistavat mielenterveydellisille ongelmille kuten ruumiinkuvan häiriölle. Ruumiinkuvan häiriö voi altistaa muille vakaville mielenterveydellisille oireille kuten stressille, masennukselle sekä ahdistuneisuudelle. Ruumiinkuvan häiriön hoidossa käytetään muun muassa psykofyysisen fysioterapian menetelmiä. Ammatillisen osaamisen kehittäminen sekä syvempi perehtyminen aiheeseen on tärkeää ja ajankohtaista haittojen ehkäisemiseksi. Asiakkaan yksilöllinen kohtaaminen ja arviointi sekä ammattimaiset vuorovaikutustaidot ovat tärkeä osa terapiaprosessia. Lisäksi tarkkaan valitut ja yksilölliset harjoitteet ovat suuri työkalu ruumiinkuvan häiriöön keskittyvässä fysioterapiassa. Tiedonhakuprosessi mukaili kirjallisuuskatsauksen kriteerejä. Tietoa etsittiin suomen- sekä englanninkielisistä tutkimusartikkeleista, kirjoista sekä muista akateemisista tietokannoista. Tietoa saatiin myös yhteistyökumppanin välityksellä. Arvioimme lähteiden luotettavuuden kriittisesti ja valitsimme löytyneistä aineistoista aiheeseemme relevanteimmat. Ruumiinkuvan häiriön pitkittyessä sillä voi olla vakavia terveydellisiä seurauksia, jonka vuoksi aiheeseen tulisi perehtyä tarkemmin prevention ja promootion kannalta. Nykyisen, melko vähäisen tiedon saatavuuden vuoksi aihe vaatii lisää tutkimusta sekä koulutusta ammattilaisille. Opinnäytetyöllä ja oppaalla pyrimme lisäämään tietoa ruumiinkuvan häiriön hoitoon soveltuvista fysioterapiamenetelmistä ja tältä osalta täyttämään havaitsemaamme koulutuksellista aukkoa. The purpose of the thesis is to produce a brochure that will increase physiotherapists´ general understanding and knowledge of both body dysmorphic disorder, and the means of treating the condition. Physiotherapists can use the brochure as an additional source of information. The physiotherapist can also distribute the brochure to their client if necessary. The brochure includes exercises that the client can practice individually while reflecting on their experiences in relation to the examples presented. Additionally, the brochure offers information for other healthcare professionals and people interested in the subject in general. A variety of social media platforms influence the external pressure related to a personas self-confidence in their physical appearance in our current society. Additionally, the surge of the Covid-19 pandemic has caused challenges regarding the ability to conduct physical exercise in its previous form. As a result of these factors, mental health disorders such as the body dysmorphic disorder (BDD), have also increased in prevalence. A person suffering from the BDD is at an increased risk of contracting other serious mental illnesses such as stress, depression and anxiety. Various psychophysical physiotherapy methods are used to treat BDD. Given the current situation, it is imperative to increase the professionals´ in-depth knowledge in order to improve the prevention of the potential hazards posed by the illness. Through appropriate social interaction and conducting the physiotherapeutic evaluation based on this, the client is treated as an individual. Also, a carefully chosen individualistic therapeutic technique provides a strong foundation for the treatment of body dysmorphic disorder through the means of physiotherapy. Literature review was used to gather the necessary information. The exercises were developed by combining together information from both Finnish and English research publications, books and academic article databases. Our partner responsible for the publication of the brochure also contributed information to the brochure. Symptoms of the body dysmorphic disorder can be severe once they are prolonged. The importance of having a pre-emptive capability of treating illnesses as soon as possible through proper knowledge and general symptom recognition is therefore of great importance. In light of the current lack of information among professionals more research is clearly needed. Our thesis and brochure contribute to filling the mentioned research void by increasing the available information on both physiotherapeutic methods as well as general knowledge of body dysmorphic disorder.

  • Open Access Russian
    Authors: 
    Ussov W. Yu.;
    Country: Russian Federation

    Puropose of the study. Basing on the previously obtained results on the proven high efficiency of magnetic resonance imaging (MRI) of the chest organs in the visualization of major lung diseases, in the current period of mass incidence of viral pneumonia (VP) caused by COVID-19, we tried to study the possibility of using MRI OGK to image lung damage in this pathology both in primary detection and for follow-up reconvalescence control. Material and methods. MRI of the chest in T1 -, T2-weighted modes (T1-w, T2-w), also with fat suppression, diffusion-weighted, STIR-modes, in the axial and frontal planes, with breath holding, or with automatic synchronization of acquisition with breathing was carried-out in 47 patients with VP of various severity, 32 of them were confirmed by PCR as COVID-19, all did have a clinic of pneumonia. The control group comprised 15 volunteers, of them 8 non-smokers, and 7 smokers. In 18 patients, an CT study of the chest was also performed, with a step of 0.5–1.25 mm, with full coverage of the chest and reconstruction of axial and frontal slices, with a comparison of MRI and CT of the chest. In 8 patients, MRI of the chest was then performed again, for follow-up control of clinical recovery. There were no deaths among our patients Results. The duration of a complete MRI examination of the chest was less than 25 minutes in all cases (21 ± 4 minutes on average), and less than 10 minutes in the chest CT. In all cases, MRI imaging of the affected area was achieved using a group of MRI protocols, which included axial T1-w and axial and frontal T2-w, and lasted < 12 minutes, counting the time for laying the patient. In normal patients without pathology of the lungs, not smoking, the lung was visualized as a diffuse homogeneous air region with a minimum share interstitial and vascular space. In patients - smokers, lung MRI was slightly enhanced in the dorsal parts of both lungs, disorders of airiness and interstitial exudative changes weren't present. In the acute phase of the disease, pulmonary ventilation disorders and interstitial exudative changes that form the morphological basis of lung damage in COVID-19 were visualized as local, corresponding to the location and nature (sub-segmental, segmental, polysegmental) of the pathological focus, both T1-w and T2-w modes. MRI of the chest provided diagnosis of lung pathology in all cases, while the extent of the pathological focus on the MRI image in T2-w was 14–19% greater than on the CT. The correlation of the calculated volume of affected lung tissue between CT and MRI of the chest wasas high as r = 0.95 (p < 0.001). The values of the volume of the affected tissue in T1-w and T2-w did not differ from each other in the intergroup comparison and correlated strongly and reliably, r = 0.985 (p < 0.001). MRI in DWI mode showed a sensitivity of 81% (38/47) in detecting COVID-lung lesions. The duration of DWI in all cases was more than 6 minutes, more than twice as long as all other MRI protocols together. The volume of pleural effusion, clearly visible with T2-VI, in all our cases did not exceed 100 ml. In a prospective follow-up of 8 patients with COVID-19, chest MRI ptovided evidence-based visualization of the recovery process in all cases, with a decrease or complete regression of the exudation component. Conclusion. MRI of the chest with respiratory synchronization or with breath-holding can be used for early diagnosis of inflammatory lung lesions in COVID-viral pneumonia and for subsequent follow-up control, is not accompanied by radiation exposure and closely correlates with the results of chest CT recruited as a modern standard for the diagnosis of pneumonia.

Advanced search in Research products
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The following results are related to COVID-19. Are you interested to view more results? Visit OpenAIRE - Explore.
39,406 Research products, page 1 of 3,941
  • Other research product . 2021
    Open Access
    Authors: 
    Hamilton Winkelman, Charles;
    Publisher: eScholarship, University of California
    Country: United States

    The game is set on a college campus and starts with the player having an exposure to someone infected with COVID-19. The player then has to make decisions about what to after their exposure.

  • Other research product . 2020
    Open Access Turkish
    Authors: 
    Yılmaz, Burak;
    Publisher: Işık Üniversitesi
    Country: Turkey

    Işık Üniversitesi öğretim görevlileri tarafından Covid-19 Pandemisi'nin ele alındığı yazı dizisi serisinin "İzleme Deneyiminin Yarınına Dair" konu başlıklı yayınıdır. Sosyal izolasyonun ve evde kalmanın, alışkanlıklarımızı hem değiştirmekte hem de geliştirmekte olduğunu deneyimlediğimiz zamanlardan geçmekteyiz. Bu durumun yansımalarının, birçok farklı disiplinin konusu olduğu biliniyor. Bunlardan bir tanesi de izleme alışkanlıklarımızın uğradığı değişimin daha da görünür hale gelmesi diyebiliriz.

  • Open Access
    Authors: 
    Filipič, Anja;
    Country: Slovenia

    The COVID -19 pandemic began in 2020 and caused a major turnaround in education systems all over the world. Legislators were faced with a decision: to close schools and save lives or to preserve the economy intact. In most countries around the world, they decided to close kindergartens and primary and secondary schools, as well as the universities, or to introduce distance education. The so-called COVID-19 crisis put teachers in front of some completely new tasks and more challenging challenges that were hitherto unknown and required them to adapt and respond immediately in educational practice. In just a few weeks, teachers had to place traditional classroom teaching in an online environment. Because social and emotional aspects have a significant impact on students’ learning, teachers had to learn how to conduct distance education as effectively as possible. With the emergence of the pandemic, they also had to think about how to organize the individual stages of the teaching process, what to do as direct distance education, and prepare for unpredictable distance education. This complex situation was a challenge even for the most prepared and experienced teachers. Although smartboards and PowerPoint presentations are already established in traditional teaching, the integration of technologically supported distance education is at a completely different stage than teachers have been accustomed to and trained in so far. The COVID -19 pandemic has led to teachers being suddenly forced to start teaching online, which, among other things, poses a challenge to transforming teacher education and institution-specific education. In the theoretical part of the master's thesis, we defined the teacher's professional role, professional development of teachers, teacher resilience, distance education, challenges during distance education with the emphasis on the professional development of teachers during distance education, and stress in teachers during distance education. In the empirical part, we used survey questionnaires and partially structured interviews to research what challenges teachers faced during distance education, how they solved challenges, how teachers developed professionally during distance education, and what stress they experienced during that time. The research approach was qualitative and quantitative empirical research in which classroom teachers from the 1st to the 6th grade participated. The results of the survey showed that the participating teachers think that they were partially prepared for distance education in spring 2020 and well prepared in autumn 2020 to winter 2021, which means that teachers were better prepared for another lockdown. Awareness of technology, more education, and more experience contributed to better preparedness for school closures. Teachers believe that appropriate technical conditions, good knowledge of technology, encouragement, school support, and clear instructions and goals from the school are important for the success of distance education. Teachers would like more education on the topic of making distance education materials and content. Participants see the possibility for better quality distance education in sharing experiences and cooperation. As sources of stress, the participants pointed out technical problems, more difficult implementation of some forms of lessons, and preparation of materials. The vast majority of the participants state that the challenges of distance education have had a significant impact on their professional learning and development. The research provided insight into distance education between the first period (spring 2020) and the second period (autumn 2020 to winter 2021). The results of the research represent a professional contribution in the field of didactics and are useful for future students and classroom teachers in the design of distance education.

  • Open Access English
    Authors: 
    Shanshan Feng; Xiao-Feng Luo; Xin Pei; Zhen Jin; Mark Lewis; Hao Wang;
    Country: Canada

    Classical epidemiological models assume mass action. However, this assumption is violated when interactions are not random. With the recent COVID-19 pandemic, and resulting shelter in place social distancing directives, mass action models must be modified to account for limited social interactions. In this paper we apply a pairwise network model with moment closure to study the early transmission of COVID-19 in New York and San Francisco and to investigate the factors determining the severity and duration of outbreak in these two cities. In particular, we consider the role of population density, transmission rates and social distancing on the disease dynamics and outcomes. Sensitivity analysis shows that there is a strongly negative correlation between the clustering coefficient in the pairwise model and the basic reproduction number and the effective reproduction number. The shelter in place policy makes the clustering coefficient increase thereby reducing the basic reproduction number and the effective reproduction number. By switching population densities in New York and San Francisco we demonstrate how the outbreak would progress if New York had the same density as San Francisco and vice-versa. The results underscore the crucial role that population density has in the epidemic outcomes. We also show that under the assumption of no further changes in policy or transmission dynamics not lifting the shelter in place policy would have little effect on final outbreak size in New York, but would reduce the final size in San Francisco by 97%.

  • Open Access English
    Authors: 
    JONES, Erik;
    Publisher: Swedish Institute for European Policy Studies (SIEPS)
    Country: Italy

    Published online: June 2021 In July 2020, the European Council agreed on a plan to help Member States’ recovery from the COVID-19 pandemic. The agreement has important implications, writes Professor Erik Jones, but challenges remain. One crucial factor is whether the Member States succeed in managing their recovery and resilience plans. (2021:11epa) In July 2020, the European Council agreed on a new mechanism – Next Generation EU – to fund a €750 billion financial support to help member states’ recovery from the COVID-19 pandemic. In this European Policy Analysis, Erik Jones, professor at the Johns Hopkins School of Advanced International Studies, describes both the intense bargaining leading up to the agreement and its implications. Highlighting the important differences of principle between Member States, he underlines that Europe came to agreement and not consensus.

  • Open Access Indonesian
    Authors: 
    Basnawi, C. (Choiriyah);
    Publisher: Airlangga University
    Country: Indonesia

    Coordination is one of the important aspects in the management of Covid-19 handling in Surabaya. In itsimplementation, some problems arise such as the problem of ego-sectoral that becomes one of the obstacles inhandling this coordination process. Problems related to coordination also appear in various mass media, this factshows that the problem of coordination related to Covid-19 handling in Surabaya is a strategic and interestingissue to study. The writing method used in this paper is a literature review to find the formulation of appropriateand effective forms of coordination patterns. The writer also collected Primary data from online discussions todescribe the pattern of coordination from the other Local Government Agencies as a form of best practice thatmight be adopted in Surabaya so that they could build better management of Covid-19 handling in Surabaya.The results showed that the pattern of coordination in the management of Covid-19 handling that is initiated bythe Surabaya City Government needs some improvement. In vertical coordination, it is necessary to strengthengood coordination between the City Government of Surabaya and the Government of the Province of East Java.For Horizontal coordination, Surabaya Government needs to reinforce the coordination with the city or districtgovernment in the surrounding area. These things are necessary because Surabaya is an agglomeration areawhere there are still many people who do mobility in and out. The conclusion from this study is that there is aneed to strengthen coordination patterns both vertically and horizontally with various stakeholders involved inthe management of Covid-19 handling in Surabaya. At the end of this paper, the researcher also gave arecommendation and trying to show best practices in applying the coordination pattern that has been carried outby other regional governments as a form of illustration that might be able to be adopted to improve Covid-19handling in Surabaya.

  • Open Access
    Authors: 
    Leemrijse, C.; Boeije, H.R.; Zonneveld, E.; Schelven, F. van;
    Publisher: Nivel
    Country: Netherlands

    Deze publicatie is een van de publicaties die zijn voortgekomen uit de tweede meting, in april-mei 2021, binnen het project 'Zorgen en zwaaien' (2020-2022), dat is gesubsidieerd door ZonMw en deel uitmaakt van het ZonMw-COVID-19-programma. Conclusies - Door corona komt er meer zorg op de schouders van naasten met een zelfstandig wonend familielid, maar naasten hebben geen behoefte aan extra ondersteuning. - Het welbevinden van bijna een derde van de mensen met een verstandelijke beperking die zelfstandig wonen is door corona verslechterd. - Naasten maken zich wel zorgen over de gevolgen van een eventuele derde lockdown, want de rek is er bij hun familielid inmiddels wel uit.

  • Open Access Indonesian
    Authors: 
    Sidabuke, I. (Idaria); Parapat, F. (Friska); Aritonang, J. (Juneris);
    Publisher: Universitas Muhammadiyah Buton
    Country: Indonesia

    Selama pandemic Covid-19, kegiatan posyandu tidak optimal cakupannya. Posyandu haruslah dapat berjalan meskipun di situasi pandemic Covid-19 ini, dikarenakan di monitoring kesehatan ibu, anak, tumbuh kembang anak Balita hingga imunisasi di masyarakat berlangsung di posyandu, hanya 19.2% posyandu yang tetap berjalan selama pandemic. Salah satu faktor penyebab rendahnya kunjungan posyandi selama pandemic Covid-19 ialah adanya rasa khawatir ibu, bayi akan terinfeksi Covid-19 apabila membawa bayinya ke posyandu. Faktor yang mempengaruhi kecemasan salah satu faktornya adalah kurangnya pemahaman/pengetahuan. Dari survey awal di lokasi penelitian didapati mayoritas orangtua merasa cemas jika membawa bayi Balitanya ke posyandu takut terinfeksi Covid-19. Tujuan penelitian ini adalah untuk menganalisis ada ada hubungan pengetahuan dan kecemasan orangtua bawa bayi ke posyandu di tengah pandemi Covid-19. Metode penelitian ini adalah analitik dengan pendekatan cross sectional, Populasi penelitian ini adalah seluruh ibu yang memiliki bayi usia 0-12 bulan di Kelurahan Pekan Tanjung Morawa, Kabupaten Deli Serdang, Sumatera Utara sejumlah 80 orang. Populasi penelitian ini menggunakan teknik simple random sampling dengan jumlah populasi adalah 66 orang. Uji analisi penelitian menggunakan chi-square. Hasil penelitian ini menunjukkan ada hubungan yang signifikan antara pengetahuan dan kecemasan orangtua bawa bayi ke posyandu di pandemi Covid-19 (p-value= <0.05). Dari hasil penelitian ini dilakukan pendidikan kesehatan/penyuluhan posyandu yang aman di tengah pandemic Covid-19 maupun adanya inovasi pengembangan posyandu di pandemic covid-19.

  • Open Access Finnish
    Authors: 
    Turtiainen, Marika; Vornanen, Viivi;
    Country: Finland

    Tämän opinnäytetyön tarkoituksena oli tuottaa opas, joka kasvattaa ymmärrystä ja tietämystä ruumiinkuvan häiriöstä sekä sen hoitomahdollisuuksista. Opas on luotu tukimateriaaliksi fysioterapeuteille sekä heidän asiakkaillensa, joille fysioterapeutti voi sen tarpeen mukaan suunnata. Opas sisältää konkreettisia harjoitteita, joita asiakkaalla on mahdollisuus toteuttaa itsenäisesti sekä reflektoida omia kokemuksiaan harjoitteista. Oppaan tavoitteena on tarjota hyödyllistä informaatiota myös muille sosiaali- ja terveysalan ammattilaisille, sekä ruumiinkuvan häiriöstä kiinnostuneille henkilöille. Nykyajan sosiaalisen median tuomat ulkonäköpaineet ja esimerkiksi Covid-19-pandemian myötä muuttuneet liikkumistottumukset altistavat mielenterveydellisille ongelmille kuten ruumiinkuvan häiriölle. Ruumiinkuvan häiriö voi altistaa muille vakaville mielenterveydellisille oireille kuten stressille, masennukselle sekä ahdistuneisuudelle. Ruumiinkuvan häiriön hoidossa käytetään muun muassa psykofyysisen fysioterapian menetelmiä. Ammatillisen osaamisen kehittäminen sekä syvempi perehtyminen aiheeseen on tärkeää ja ajankohtaista haittojen ehkäisemiseksi. Asiakkaan yksilöllinen kohtaaminen ja arviointi sekä ammattimaiset vuorovaikutustaidot ovat tärkeä osa terapiaprosessia. Lisäksi tarkkaan valitut ja yksilölliset harjoitteet ovat suuri työkalu ruumiinkuvan häiriöön keskittyvässä fysioterapiassa. Tiedonhakuprosessi mukaili kirjallisuuskatsauksen kriteerejä. Tietoa etsittiin suomen- sekä englanninkielisistä tutkimusartikkeleista, kirjoista sekä muista akateemisista tietokannoista. Tietoa saatiin myös yhteistyökumppanin välityksellä. Arvioimme lähteiden luotettavuuden kriittisesti ja valitsimme löytyneistä aineistoista aiheeseemme relevanteimmat. Ruumiinkuvan häiriön pitkittyessä sillä voi olla vakavia terveydellisiä seurauksia, jonka vuoksi aiheeseen tulisi perehtyä tarkemmin prevention ja promootion kannalta. Nykyisen, melko vähäisen tiedon saatavuuden vuoksi aihe vaatii lisää tutkimusta sekä koulutusta ammattilaisille. Opinnäytetyöllä ja oppaalla pyrimme lisäämään tietoa ruumiinkuvan häiriön hoitoon soveltuvista fysioterapiamenetelmistä ja tältä osalta täyttämään havaitsemaamme koulutuksellista aukkoa. The purpose of the thesis is to produce a brochure that will increase physiotherapists´ general understanding and knowledge of both body dysmorphic disorder, and the means of treating the condition. Physiotherapists can use the brochure as an additional source of information. The physiotherapist can also distribute the brochure to their client if necessary. The brochure includes exercises that the client can practice individually while reflecting on their experiences in relation to the examples presented. Additionally, the brochure offers information for other healthcare professionals and people interested in the subject in general. A variety of social media platforms influence the external pressure related to a personas self-confidence in their physical appearance in our current society. Additionally, the surge of the Covid-19 pandemic has caused challenges regarding the ability to conduct physical exercise in its previous form. As a result of these factors, mental health disorders such as the body dysmorphic disorder (BDD), have also increased in prevalence. A person suffering from the BDD is at an increased risk of contracting other serious mental illnesses such as stress, depression and anxiety. Various psychophysical physiotherapy methods are used to treat BDD. Given the current situation, it is imperative to increase the professionals´ in-depth knowledge in order to improve the prevention of the potential hazards posed by the illness. Through appropriate social interaction and conducting the physiotherapeutic evaluation based on this, the client is treated as an individual. Also, a carefully chosen individualistic therapeutic technique provides a strong foundation for the treatment of body dysmorphic disorder through the means of physiotherapy. Literature review was used to gather the necessary information. The exercises were developed by combining together information from both Finnish and English research publications, books and academic article databases. Our partner responsible for the publication of the brochure also contributed information to the brochure. Symptoms of the body dysmorphic disorder can be severe once they are prolonged. The importance of having a pre-emptive capability of treating illnesses as soon as possible through proper knowledge and general symptom recognition is therefore of great importance. In light of the current lack of information among professionals more research is clearly needed. Our thesis and brochure contribute to filling the mentioned research void by increasing the available information on both physiotherapeutic methods as well as general knowledge of body dysmorphic disorder.

  • Open Access Russian
    Authors: 
    Ussov W. Yu.;
    Country: Russian Federation

    Puropose of the study. Basing on the previously obtained results on the proven high efficiency of magnetic resonance imaging (MRI) of the chest organs in the visualization of major lung diseases, in the current period of mass incidence of viral pneumonia (VP) caused by COVID-19, we tried to study the possibility of using MRI OGK to image lung damage in this pathology both in primary detection and for follow-up reconvalescence control. Material and methods. MRI of the chest in T1 -, T2-weighted modes (T1-w, T2-w), also with fat suppression, diffusion-weighted, STIR-modes, in the axial and frontal planes, with breath holding, or with automatic synchronization of acquisition with breathing was carried-out in 47 patients with VP of various severity, 32 of them were confirmed by PCR as COVID-19, all did have a clinic of pneumonia. The control group comprised 15 volunteers, of them 8 non-smokers, and 7 smokers. In 18 patients, an CT study of the chest was also performed, with a step of 0.5–1.25 mm, with full coverage of the chest and reconstruction of axial and frontal slices, with a comparison of MRI and CT of the chest. In 8 patients, MRI of the chest was then performed again, for follow-up control of clinical recovery. There were no deaths among our patients Results. The duration of a complete MRI examination of the chest was less than 25 minutes in all cases (21 ± 4 minutes on average), and less than 10 minutes in the chest CT. In all cases, MRI imaging of the affected area was achieved using a group of MRI protocols, which included axial T1-w and axial and frontal T2-w, and lasted < 12 minutes, counting the time for laying the patient. In normal patients without pathology of the lungs, not smoking, the lung was visualized as a diffuse homogeneous air region with a minimum share interstitial and vascular space. In patients - smokers, lung MRI was slightly enhanced in the dorsal parts of both lungs, disorders of airiness and interstitial exudative changes weren't present. In the acute phase of the disease, pulmonary ventilation disorders and interstitial exudative changes that form the morphological basis of lung damage in COVID-19 were visualized as local, corresponding to the location and nature (sub-segmental, segmental, polysegmental) of the pathological focus, both T1-w and T2-w modes. MRI of the chest provided diagnosis of lung pathology in all cases, while the extent of the pathological focus on the MRI image in T2-w was 14–19% greater than on the CT. The correlation of the calculated volume of affected lung tissue between CT and MRI of the chest wasas high as r = 0.95 (p < 0.001). The values of the volume of the affected tissue in T1-w and T2-w did not differ from each other in the intergroup comparison and correlated strongly and reliably, r = 0.985 (p < 0.001). MRI in DWI mode showed a sensitivity of 81% (38/47) in detecting COVID-lung lesions. The duration of DWI in all cases was more than 6 minutes, more than twice as long as all other MRI protocols together. The volume of pleural effusion, clearly visible with T2-VI, in all our cases did not exceed 100 ml. In a prospective follow-up of 8 patients with COVID-19, chest MRI ptovided evidence-based visualization of the recovery process in all cases, with a decrease or complete regression of the exudation component. Conclusion. MRI of the chest with respiratory synchronization or with breath-holding can be used for early diagnosis of inflammatory lung lesions in COVID-viral pneumonia and for subsequent follow-up control, is not accompanied by radiation exposure and closely correlates with the results of chest CT recruited as a modern standard for the diagnosis of pneumonia.