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Browsing by Subject "COVID-19 pandemic"
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Item 359 Public sunscreen dispenser distribution in the United States: Continued COVID-19 trends during 2021(Elsevier, 2022) Szeto, M.D.; Kokoska, R.; Maghfour, J.; Rundle, C.; Presley, C.; Harp, T.; Hamp, A.; Wegener, V.; Hugh, J.; Dellavalle, R.; Medicine, School of MedicineThe COVID-19 pandemic may have significantly affected consumer preferences and societal behavior regarding sun protection and skin cancer. IMPACT Melanoma is a United States nonprofit organization for skin cancer prevention/education, and a prominent nationwide sunscreen distributor. Substantial decreases in the distribution of public dispensers and sunscreen were noted at the onset of the pandemic in 2020, especially to public health departments and parks/recreation facilities. Analysis of 2021 data has revealed that total distribution remained at similar levels relative to 2020. However, private business (-77%), public health department (-71%), and healthcare facility (-41%) orders decreased the most, while nonprofits (+612%) and educational institutions (+86%) greatly increased orders. 2021 orders continued to demand only hybrid (physical combined with chemical formulation) sunscreens. Maine, Massachusetts, and Wyoming received the greatest total numbers of dispensers and sunscreen in 2021. Despite organizational and regional fluctuations, these persistent overall reductions in public access to sunscreen are concerning, and corroborate broader pandemic patterns of falling retail consumer sunscreen sales. Dermatologists should be made aware of this pandemic-era erosion of consumer attitudes towards sun protection and sun damage risk, and encouraged to continue advocating for sunscreen use during the pandemic.Item ASO Visual Abstract: Breast Cancer Screening, Diagnosis, and Surgery During the Pre- and Peri-pandemic—Experience of Patients in a Statewide Health Information Exchange(Springer, 2023) Milgrom, Zheng Z.; Milgrom, Daniel P.; Han, Yan; Hui, Siu L.; Haggstrom, David A.; Fisher, Carla S.; Mendonca, Eneida A.; Pediatrics, School of MedicineThe COVID-19 pandemic affected delivery of breast cancer care, including screening, diagnosis, and surgery. This study (https://doi.org/10.1245/s10434-023-13119-w) compared patient data from 1 year before the outbreak, during lockdown, and 1 year after lockdown to identify changes in patterns or timeliness of care.Item Continuing Research During a Crisis(Springer, 2021-04) Kroenke, Kurt; Bair, Matthew J.; Sachs, Greg A.; Medicine, School of MedicineItem Digital contact does not promote wellbeing, but face-to-face contact does: A cross-national survey during the COVID-19 pandemic(Sage, 2021) Newson, Martha; Zhao, Yi; Zein, Marwa El; Sulik, Justin; Dezecache, Guillaume; Deroy, Ophelia; Tunçgenç, Bahar; Biostatistics, School of Public HealthWith restricted face-to-face interactions, COVID-19 lockdowns and distancing measures tested the capability of computer-mediated communication to foster social contact and wellbeing. In a multinational sample (n = 6436), we investigated how different modes of contact related to wellbeing during the pandemic. Computer-mediated communication was more common than face-to-face, and its use was influenced by COVID-19 death rates, more so than state stringency measures. Despite its legal and health threats, face-to-face contact was still positively associated with wellbeing, and messaging apps had a negative association. Perceived household vulnerability to COVID-19 reduced the positive effect of face-to-face communication on wellbeing, but surprisingly, people’s own vulnerability did not. Computer-mediated communication was particularly negatively associated with the wellbeing of young and empathetic people. Findings show people endeavored to remain socially connected, yet however, maintain a physical distance, despite the tangible costs to their wellbeing.Item Dynamic changes in medical education amidst the COVID-19 pandemic: Adapting to virtual ophthalmology residency interviews(Elsevier, 2022) Patel, Om U.; Bonner, Andrew; Sisk, Morgan; Grant, Maria B.; Ophthalmology, School of MedicineItem Editorial. Pediatric neurosurgery along with Children's Hospitals' innovations are rapid and uniform in response to the COVID-19 pandemic(American Association of Neurological Surgeons, 2020-04) Weiner, Howard L.; Adelson, P. David; Brockmeyer, Douglas L.; Maher, Cormac O.; Gupta, Nalin; Smyth, Matthew D.; Jea, Andrew; Blount, Jeffrey P.; Riva-Cambrin, Jay; Lam, Sandi K.; Ahn, Edward S.; Albert, Gregory W.; Leonard, Jeffrey R.; Neurological Surgery, School of MedicineThe COVID-19 pandemic is an unprecedented international crisis, with enormous health, economic, and social consequences, the likes of which have not been experienced in recent human history. The global medical community is facing historic practical and ethical challenges that require an urgent response. This situation has necessitated swift decision-making in the neurosurgery community. An inspiring and consistent message emerged from the resultant conversation, demonstrating our discipline’s response to this tragedy, which was strikingly rapid, uniform, and thoughtful across the many centers represented. Not surprisingly, pediatric neurosurgeons are able to lead their teams through this unprecedented time with creative decision-making and a razor-sharp focus on the health of both patients and colleagues. At the time of this writing, each center reported either no or only a small number of COVID-19–positive cases at their pediatric hospital, among either patients or staff, and a range of documented coronavirus community transmissions. Several notably consistent themes emerged from this exchange among the 13 members of the Journal of Neurosurgery: Pediatrics Editorial Board, the common concept being that decision-making remains dynamic and is modified as needed on a daily basis.Item Effects of the COVID-19 pandemic on late postpartum women living with HIV in Kenya(Public Library of Science, 2023-03-29) Humphrey, John M.; Alera, Marsha; Enane, Leslie A.; Kipchumba, Bett; Goodrich, Suzanne; Scanlon, Michael; Songok, Julia; Musick, Beverly; Diero, Lameck; Yiannoutsos, Constantin; Wools-Kaloustian, Kara; Medicine, School of MedicineAlthough an estimated 1.4 million women living with HIV (WHIV) are pregnant each year globally, data describing the effects of the COVID-19 pandemic on postpartum women in low- and middle-income countries (LMICs) are limited. To address this gap, we conducted phone surveys among 170 WHIV ≥18 years and 18-24 months postpartum enrolled in HIV care at the Academic Model Providing Access to Healthcare in western Kenya, and assessed the effects of the pandemic across health, social and economic domains. We found that 47% of WHIV experienced income loss and 71% experienced food insecurity during the pandemic. The majority (96%) of women reported having adequate access to antiretroviral treatment and only 3% reported difficulties refilling medications, suggesting that the program's strategies to maintain HIV service delivery during the early phase of the pandemic were effective. However, 21% of WHIV screened positive for depression and 8% for anxiety disorder, indicating the need for interventions to address the mental health needs of this population. Given the scale and duration of the pandemic, HIV programs in LMICs should work with governments and non-governmental organizations to provide targeted support to WHIV at highest risk of food and income insecurity and their associated adverse health outcomes.Item Global health electives in the COVID-19 era: resuming travel and strengthening global health academic partnerships(IJME, 2022-05) Haq, Heather; Msekandiana, Amos; Matshaba, Mogomotsi; Thahane, Linoeo; Watts, Jennifer; Tam, Reena; St Clair, Nicole; Schubert, Charles; Rule, Amy; Pannaraj, Pia; Pitt, Michael; Oleson, David; Murray, Brittany; Morris, Lee; Mendoza, Joanne; McHenry, Megan; Keating, Elizabeth; Ferrer, Kathy; Crouse, Heather; Condurache, Tania; Batra, Maneesh; Barnes, Adelaide; Conway, James; Pediatrics, School of MedicineItem How are Bariatric Patients Coping During the COVID-19 Pandemic? Analysis of Factors Known to Cause Weight Regain Among Postoperative Bariatric Patients(Elsevier, 2020) Athanasiadis, Dimitrios I.; Hernandez, Edward; Hilgendorf, William; Roper, Alexandra; Embry, Marisa; Selzer, Don; Stefanidis, Dimitrios; Surgery, School of MedicineBackground The global coronavirus disease 2019 (COVID-19) pandemic is wreaking havoc on society. Bariatric patients are more prone to severe infection due to their high body mass index (BMI) and are more vulnerable to the effects of isolation, such as depression or disruption of their health habits. Objectives To quantify the impact of self-quarantine on bariatric patients and self-quarantine’s relationship with weight gain. Setting Academic hospital, United States. Methods A 30-item survey examining several known contributors to weight regain was distributed among the postoperative bariatric patients of our clinic. Changes in eating habits, exercise, depression, social support, loneliness, and anxiety were studied, among others. Results A total of 208 patients completed the survey (29.3% response rate). A large percentage of patients reported increases in their depression (44.2%), loneliness (36.2%), nervousness (54.7%), snacking (62.6%), loss of control when eating (48.2%), and binge eating (19.5%) and decreases in their social support (23.2%), healthy food eating (45.5%), and activity (55.2%). Difficulty in accessing vitamins was reported by 13%. Patients more than 18 months out of surgery regained more than 2 kg during an average of 47 days. Risk factors for weight regain were found to be loss of control when eating, increases in snacking and binge eating, reduced consumption of healthy food, and reduced physical activity. Conclusion Bariatric patients are negatively affected by the COVID-19 pandemic and subsequent social isolation on many levels. This patient population is vulnerable to crisis situations; thus, additional intervention is needed to address behaviors that lead to weight regain.Item Impact of the coronavirus disease-2019 pandemic on Veterans Health Administration Sleep Services(Sage, 2023-05-03) Sico, Jason J.; Koo, Brian B.; Perkins, Anthony J.; Burrone, Laura; Sexson, Ali; Myers, Laura J.; Taylor, Stanley; Yarbrough, W. Claibe; Daggy, Joanne K.; Miech, Edward J.; Bravata, Dawn M.; Medicine, School of MedicineObjectives: To understand the impact of the coronavirus disease-2019 pandemic on sleep services within the United States Department of Veterans Affairs using separate surveys from "pre-COVID" and pandemic periods. Methods: Data from a pre-pandemic survey (September to November 2019) were combined with data from a pandemic-period survey (August to November 2020) to Veterans Affairs sleep medicine providers about their local sleep services within 140 Veterans Affairs facilities). Results: A total of 67 (47.9%) facilities responded to the pandemic online survey. In-lab diagnostic and titration sleep studies were stopped at 91.1% of facilities during the pandemic; 76.5% of facilities resumed diagnostic studies and 60.8% resumed titration studies by the time of the second survey. Half of the facilities suspended home sleep testing; all facilities resumed these services. In-person positive airway pressure clinics were stopped at 76.3% of facilities; 46.7% resumed these clinics. Video telehealth was either available or in development at 86.6% of facilities and was considered a lasting addition to sleep services. Coronavirus disease-2019 transmission precautions occurred at high rates. Sleep personnel experienced high levels of stress, anxiety, fear, and burnout because of the pandemic and in response to unexpected changes in sleep medicine care delivery. Conclusions: Sleep medicine services within the Veterans Affairs evolved during the pandemic with many key services being interrupted, including in-lab studies and in-person positive airway pressure clinics. Expansion and initiation of telehealth sleep services occurred commonly. The pandemic adversely affected sleep medicine personnel as they sought to maintain access to care.
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