\ BIP! Finder for COVID-19 - Impact-based ranking

BIP! Finder for COVID-19

This version of BIP! Finder aims to ease the exploration of COVID-19-related literature by enabling ranking articles based on various impact metrics.

Last Update: 18 - 01 - 2023 (628506 entries)

Provided impact measures:
Popularity: Citation-based measure reflecting the current impact.
Influence: Citation-based measure reflecting the total impact.
Reader Attention: The current number of Mendeley readers.
Social Media Attention: The number of recent tweets related to this article.
*More details on these impact measures can be found here.
Score interpretations:
Exceptional score (in top 0.01%).
Substantial score (in top 1%).
Average score (in bottom 99%).
Score not available.
Main data sources:
CORD-19 dataset(1) (list of papers)
LitCovid hub(2) (list of papers)
PMC & PubMed (citations)
Mendeley (number of readers)
COVID-19-TweetIDs(3) (tweets)

Use:  Impact  Relevance & Impact
TitleVenueYearImpactSource
1101Reliability and Psychometric Validity of the Marathi Version of Corona Anxiety Scale  

BACKGROUND: The COVID-19 Anxiety Scale (CAS) was developed and validated in 2020 as a psychometrically suitable measure of anxiety incurred by the COVID-19 pandemic. Availability in English language limits its utility in our setting where majority are Marathi speaking. AIM: To establish reliability and validity of the Marathi adaptation of CAS. METHOD: CAS was translated by bilingual experts, followed by forward and backward translation processes. Final version was used. Eighty volunteers, versed in both English and Marathi languages were included. The original English version of the scale was first applied, followed by the Marathi translation, after a hiatus of 14 days. RESULT: Mean score of the original English version was 2.95 (±2.79) and that of the Marathi version was 2.80 (±2.76), showing significant correlation (0.001 level) with Kendall’s tau-b of 0.830. The Marathi version of CAS has a high degree of internal consistency as demonstrated by a Cronbach’s-alpha of 0.809. The scale has significant concurrent validity and acceptable split-half reliability. A principal components analysis with varimax rotation was performed on the CAS responses of the participants, which yielded one factor with an eigen value greater than one, representing 58.51% of the total variance. CAS was found to be easily understandable and capable of adequately evaluating and measuring various aspects of Corona anxiety. CONCLUSION: The Marathi version of CAS is a valid and reliable instrument to assess anxiety due to Corona virus in the Marathi speaking population of India.

Indian J Psychiatry2022       CORD-19
1102A Comparison of Prevalence of Stress and Anxiety during the COVID-19 Pandemic Among Healthcare Professionals and General Population: A Web-Based Cross-Sectional Study  

NOTE: This paper has already been presented in Andhra Pradesh Psychiatry Conference (APPSYCON) 2020. AIM: To assess the prevalence of stress and anxiety among individuals of two groups; Healthcare Professionals (HPs) and non-Healthcare Professionals (non-HPs). METHODS: A cross-sectional study was conducted between 31(st) August 2020 and 9(th) September 2020 through a web-based questionnaire, designed using the Perceived Stress Scale (PSS) and Hamilton Anxiety Rating Scale (HAM-A). Total 390 participants were recruited using the Snowballing Sampling Method. RESULTS: Out of 390 participants, 180 were HPs (46.15%) and 210 were non-HPs (53.84%). Mean age of the respondents was 32.94 ± 10.201 years 86.1% respondents reported moderate stress and 9.5% high perceived stress; while 9.7% respondents had mild to moderate anxiety and 8% had severe anxiety. The difference between the levels of stress and anxiety among HPs and non-HPS was statistically insignificant. CONCLUSION: The sample population showed moderate level of stress and low level of anxiety with no statistically significant difference between HPs and non-HPs; but a significant number of people in the sample population had significant levels of stress and anxiety.

Indian J Psychiatry2022       CORD-19
1103Preferred mode of presentation: Symposium Title of Symposium: Impact of COVID-19 on the mental health of children and adolescents  

The COVID 19 pandemic has affected everyone in one form or the other. Children and adolescents seem to be a vulnerable group considering their critical period of development. The pandemic has affected their daily routines. High rates of depression, anxiety and stress reaction has been observed in children and adolescents during the pandemic. Containment measures including closure of schools, isolation and restriction of outdoor activities have impacted their day to day activities. This can additionally lead to difficulties with social development and may in turn contribute to onset of various metal health issues in this age group. Besides onset of new symptoms, children already having mental health issues including psychiatric disorders and neuro developmental disorders may experience an exacerbation of pre-existing symptoms. Disruption of services including medical services, special schools and rehabilitation services also poses one of the major challenges. Witnessing the death of either parent, relatives or both parents to COVID is quite stressful and one of the major psychosocial issues which hasn’t been adequately addressed. This can further lead to mental health issues along with various economic and logistic issues including employment, homelessness, migration and poverty.Addressing these issues includes inter-sectoral coordination and there is pressing need to focus on mental health issues of children and adolescents in a more holistic manner. Order of presentation: Rajesh Sagar – Introduction and overview Pallavi Rajhans – Impact of the pandemic and containment measures on mental health of children and adolescents and on children with special needs Bichitra N. Patra – Psychosocial impact of parental job loss, poverty and orphanhood on children and adolescents

Indian J Psychiatry2022       CORD-19
1104EXPERIENCE AND SATISFACTION OF TELEPSYCHIATRY CONSULTATIONS AMONG PATIENTS AND CLINICIANS  

BACKGROUND: During the Covid-19 pandemic, telepsychiatry has become normalised in multiple institutes across India as the primary method of care delivery. However, not much evidence is available regarding the experience of a tele-psychiatry consultation for both the care-providing clinician as well as the recipient. OBJECTIVE: This study aims to assess the experience and satisfaction of the clinician and the patients/their caregiver during a telepsychiatry consultation. METHODS: Clinicians scored their experience of providing the consultation to patients over a call(video/audio) in a detailed Google form based questionnaire on a 6 point Likert scale, ranging from very dissatisfied to very satisfied. Patient’s sociodemographic details were collected in a standard manner. Patients were sent a modified version of the Google form questionnaire on their registered mobile number to report their degree of satisfaction, after the call ended. RESULTS: 371 consecutive teleconsultations between April to June 2021 were assessed by 3 clinicians, of which 132 patients/caregivers responded back. The patients had a mean age of 43.5 years, were mostly male, married, educated beyond matric, employed and belonged to urban nuclear families. The average distance of their location from the hospital was 178 km and more than 80% of the patients were accompanied by their relatives in the teleconsultation. 53.6% of the consultations did not face any technological problems, while 24% had connectivity issues from the patient side. Overall, ~66.8% clinicians and 62% of the patients reported being satisfied to a large extent. 66% of the clinicians felt teleconsultation experience was same as an in-person consultation. CONCLUSIONS: Teleconsultation in psychiatric patients might not be as difficult as intuitively thought and needs to be explored further as an opportunity to reach out to a larger population, beyond the urban educated sociodemographic group who are the primary beneficiaries in the current scenario.

Indian J Psychiatry2022       CORD-19
1105Pattern and prevalence of various psychiatric co-morbidities in post operative patients of mucormycosis in Vindhya region  

Corona virus disease 19 (Covid-19) was declared as global pandemic by WHO in March 2021. India has witnessed two waves of Covid 19 in the month of March 2021 and March 2022. Due to improper use of steroids in the treatment of these patients post covid mucormycosis patients has increased drastically in the second wave. This resulted in overall increase of psychiatric illness in these patients. INTRODUCTION: Post operative patients of mucormycosis were left with number of psychiatric disorders like depression, adjustment disorder, anxiety, post traumatic disorder etc. Covid per se as well as mucormycosis infection led to long term emotional and mental trauma to the patient. AIMS AND OBJECTIVES: 1. To study the magnitude and prevalence of the psychiatric illnesses. 2. To quantify anxiety and depression amongst these patients. Methodology: STUDY SITE: Department Of Psychiatry, Dept of Ophthamology, Dept of otorhinolaryngology SSMC, Rewa (MP) STUDY DESIGN: Hospital based Cross sectional study STUDY DURATION: 06 months Selection Criteria INCLUSION: 1. Diagnosed patients according to ICD 10 DCR. 2. Operated cases of mucormycosis. 3. Diagnosed case of mucormycosis after Covid 19 infection. 4. Give written informed consent. EXCLUSION: 1. Patient requiring ICU Care. 2. Not willing for consent. ASSESSMENT: General, systemic & mental status examination. Scales: HAMD, HAMA RESULTS: Result will be subjected to statistical analysis and will be presented directly. CONCLUSION: This study enables us to focus on various psychiatric co-morbidities and to establish temporal co-relationship between emergences of psychiatric symptoms post operatively, their pattern and prevalence.

Indian J Psychiatry2022       CORD-19
1106A study on behavioural problems in children and adolescents during COVID pandemic and its impact on the mental wellbeing of parents- an online survey  

BACKGROUND: The COVID-19 pandemic has led to unprecedented changes in the lives of billions of children due to national containment measures and school closures. The minors are particularly vulnerable to behavioural difficulties amidst the uncertainties. Increased responsibilities in the parents are adding to their mental turmoil. Hence, it is imperative that the issue is addressed to halt an emerging Mental Health pandemic. AIMS: The study aimed at assessing behavioral problems of children and adolescents during home confinement and its correlation with mental well-being of the parents. METHOD: The study used an internet-based questionnaire covering sociodemographic and clinical variables, completed by 250 parents of children between 4-17 years of age. Strengths and difficulties questionnaire (SDQ) for behavioral problems in children and Adult Well-being Scale for parents was used for evaluation. Statistical analysis was done by Pearson Correlation and ANOVA test. RESULTS: Emotional (t=2.102, p=0.05) and Hyperactivity (t=2.15, p=0.03) scores were more in boys as compared to girls. Conduct (t=4.87, p<0.01), Hyperactivity (t=4.46, p<0.01) and emotional (t=2.54, p=0.01) problems were positively associated with the use of online platforms with increased screen time showing a statistically significant correlation with psychopathology. Total difficulty score showed positive correlation with depression (r=0.28, p<0.01), anxiety (r=0.27, p<0.01) and irritability (r=0.34, p<0.01) in parents. DISCUSSION: The results reflect that children’s disruptive and emotional problems increased with the increased screen time which could be due to social skills deficit in an unexpected setting of school closure and home confinement. This negatively impacts parents’ well-being as shown in our results in keeping with previous studies conducted. CONCLUSION: The study revisits the negative impact of behavioral problems in children on parental wellbeing which has increased manifold in stressful times of today. The importance of ameliorating distress of parents as well as targeting problematic behaviors is crucial for positive mental health.

Indian J Psychiatry2022       CORD-19
1107Type of article: Case Report: Case of Late onset Paranoid Schizophrenia following COVID-19 infection: A Case Report  

BACKGROUND: COVID 19 is a contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease has spread worldwide, leading to ongoing pandemic. Although it is most often linked with respiratory symptoms, it might result in neuropsychiatric complications CASE DESCRIPTION: A 76 year old female patient presented with symptoms of auditory hallucinations since last 9 months. She reported hearing of derogatory voices of multiple persons discussing about her continuously. She developed persecutory delusions few weeks later. She had symptoms of COVID 19 infection 1 month prior to the onset of psychiatric symptoms and was tested positive for the same. She was started on tab. Risperidone 2mg/day later increased to 3mg/day and tab. Trihexiphenidyl 2mg/day. With antipsychotic treatment, there was significant improvement. The delusions resolved and hallucinations reduced by around 80%, according to patient. DISCUSSION: Emerging research indicates that COVID 19 is multi-systemic vascular disease affecting several organs. Numerous influenza virus strains already been implicated in development of mental illnesses such as acute psychosis, schizophrenia, depressive disorders and anxiety disorders.

Indian J Psychiatry2022       CORD-19
1108New Onset OCD in a young female: COVID-19 pandemic as stressor;A Case Report  

BACKGROUND: Coronavirus disease is a new and rapidly evolving pandemic. The physical consequences are well documented but the mental health challenges have been less well considered. AIM: To discuss new onset OCD phenomenon in a patient with history of COVID 19 infection in family members. METHODOLOGY: (CASE REPORT): A 25 yr old, unmarried female, seen in walked in OPD presented with complaints of repeated handwashing and bathing,decreased interest in work, irritability.She was asymptomatic till pre Covid period,when the media buzzed with coronavirus cases all over the world.Patient’s mother and younger brother got infected with coronavirus.While taking care of them she developed repeated,intrusive,irrational thoughts of getting infected with the virus which she was unable to control following which she repeatedly washed her hands multiple times in a day despite developing irritant dermatitis due to excessive use of soap.All this led to impairment in her day to day functioning.For all these complaints patient was prescribed fluoxetine 60 mg & clonazepam 1 mg daily & weekly CBT sessions were planned. CONCLUSION: OCD is sixth most disabling psychiatric disorder with lifetime prevalence of 1.9–3.3%. Among wide variety of problems faced by patients of OCD, COVID 19 has aggravated their plight manifold.

Indian J Psychiatry2022       CORD-19
1109Free paper: Psychological impact of second wave COVID-19 pandemic on medical and nursing staff in a tertiary care hospital  

INTRODUCTION: The novel coronavirus disease (COVID-19) is one of the most devastating global health crisis that has led to stressed healthcare systems around the world. Early studies of mental health symptoms during the current pandemic had shown evidence of depression, anxiety, stress, and other mental health conditions. Assessing the impact of COVID-19 on the mental health needs of medical and nursing staff can help to alleviate mental health impact and secure sustained delivery of health care services. AIMS: To understand impact of COVID 19 pandemic on current psychological status of medical and nursing staff and to know the prevalence of stress, anxiety and depressive symptoms. METHODS: An online cross-sectional survey was done to collect socio-demographic and clinical characteristics using validated tools (self-reported stress, anxiety and depression scales) from March 15, 2021 to 15 July, 2021 at SVS medical college and hospital, Telangana. DASS 21 and PSS4 were used in the study to assess anxiety, depression and perceived stress. RESULTS: A total of 125 medical and nursing staff were recruited in the study and sociodemographic data, DASS 21, PSS4 scores have been collected. The data will be analysed using appropriate statistical tools and results will be compiled. CONCLUSION: Covid-19 is found to increase stress, depressionand anxiety and has psychological burden on hospital staff. Understanding the psychological burden can improve mental well-being of healthcare workers and improve the healthcare system.

Indian J Psychiatry2022       CORD-19
1110Screening of personality profile and aggressive intent in pooled analysis of COVID-19 survivors-An Analytical, Cross-sectional Study  

BACKGROUND: A bidirectional relationship was seen between COVID 19 survivors and psychological issues. Global research shows 1 – 7% of patients infected with COVID had aggressive behaviour in acute as well as post illness stage. In general population, people with higher extroversion scores were associated with lesser social distancing, thereby high chances of infection. No clear data exists from India to comment on personality profile or aggressive intent among COVID survivors. AIM: The current study aimed to assess the personality profile and aggression intent among COVID-19 survivors in patients from Telangana. METHODOLOGY: This study is conducted in hospital out-patient or in-patient setting of KIMS, Narketpally,Nalgonda, Telangana in patients of COVID- 19. A total of 157 COVID-19 patients were recruited based on convenient sampling. The data from patients was collected using standardized objective semi-structured proforma which contains clinical and sociodemographic profile, Big Five Inventory, Assessment of Aggressive Intent (which includes six components). RESULTS: Among the study population, 18.5% of them had positive scores in one or more of the six components of aggression. On personality assessment, patients with aggression had significantly lower mean scores on agreeableness (p value 0.003) and significantly higher mean scores on neuroticism (p value 0.049). CONCLUSION: COVID survivors, along with medical complications, have a risk of having psychological disturbances like aggression. Clinicians should be aware and screen for these psychological issues when the patient comes for follow-up. Early intervention and management of aggression can help in improving the patient's quality of life.

Indian J Psychiatry2022       CORD-19
1111Telemedicine Mediated Service Delivery for Substance Use Disorders  

Telemedicine in addiction service delivery- Dr. D Basu For around last two decades, telepsychiatry has been practiced in India to reach the unreached population with variable degree of success. COVID-19 pandemic limited healthcare access due to travel and face to face consultation restrictions. It warranted an urgent and widespread expansion of telepsychiatry practice, and application of the same in management of patients using substance. In spite of the advantage of increased access, there are some inherent limitations in the form of inability to perform detailed physical examination and restriction of medication prescriptions. Dr. Basu will discuss the opportunities and challenges in telemedicine-based service delivery for substance use disorders. Telemedicine and Opioid substitution treatment (OST)- Dr. A. Ghosh Opioid substitution treatment (OST) was significantly affected during pandemic, as there was a strict requirement of face-to-face consultation. Only United States shifted the buprenorphine-naloxone assisted OST induction through teleconsultation. Many other countries including India has allowed preliminary assessment for OST through teleconsultation, but induction and dispensing were essentially through in person consultation. The dispensing of OST has been mechanized in some other countries. Dr. Ghosh will review the adaptations and challenges in OST delivery during the pandemic. Telemedicine mediated service delivery in the Drug Deaddiction & Treatment Centre (DDTC), PGIMER, Chandigarh- Dr. T. Mahintamani In DDTC, PGIMER, a synchronous, stepwise (telephonic, video, and in-person consultation) direct-care model has been adopted for provision of teleconsultation. A psychiatrist with post-graduate qualification performs initial assessment through telephonic or video-consultation. The prescriptions are sent through WhatsApp platform. If there is a felt need for in-person care, the patient is called in the OPD. Whenever required the feedback of consultant is sought after. Patients were found to experience stronger therapeutic relationship and physician empathy with in person consultation. Difficulty in telephonic registration, privacy and connectivity issues were commonly faced by the service users. Dr. Mahintamani will discuss the experience from DDTC, PGI, Chandigarh.

Indian J Psychiatry2022       CORD-19
1112Psychological effect of mild to moderate COVID-19 on hospitalised patients  

BACKGROUND: Widespread outbreaks of COVID-19 are associated with symptoms of psychological distress in the patients. Apart from physical and economic, this disease has taken a huge mental and emotional toll on the patients, their caretakers, family and the health care workers. AIM: To assess the psychological impact on hospitalised patients with mild to moderate COVID-19. MATERIALS AND METHODS: All adult patients above the age of 18 years with RTPCR confirmed diagnosis of COVID 19 admitted in our COVID Hospital were included in the study after obtaining informed consent. Patients requiring ICU were excluded. They were assessed with a self made Socio demographic proforma, Depression, anxiety, stress scale (DASS 21) and Psycho Social Assessment (PSA) score for COVID-19. RESULTS: 40 % of the patients showed significant psychological impact which was predicted using the scales. In this study, female gender, being a student, presence of physical symptoms, comorbid illnesses, contact history were associated with higher rates of anxiety and depression. Further results will be presented heneforth. CONCLUSION: Social isolation, hospitalisation, financial insecurity, and being more susceptible to COVID-19 infections are associated with higher levels of psychological distress. Psychological crisis interventions targeting the high risk populations with heavy psychological stress should come up to reduce the negative psychosocial impact on public mental health.

Indian J Psychiatry2022       CORD-19
1113Impact Of Covid 19 On Mental Health And Quality Of Life  

BACKGROUND-: The novel coronavirus disease emerged and rapidly spread to countries all over the world. This study aimed to assess the impact of covid 19 among COVID-19 survivors after their successful treatment at home or discharge from the COVID-19 treatment center. METHODS-: This was a cross-sectional, hospital-based study performed among 200 COVID-19 survivors after 3-6 months . The Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety and depression. Posttraumatic Stress Disorder (PTSD)-Checklist (PCL) and Brief OC Scale were used to measure PTSD and OC symptoms. Data were analyzed by descriptive and inferential statistics using the SPSS. RESULTS -: It was seen that Older COVID-19 survivors (≥50 years) were more likely to show symptoms of depression and anxiety (P < 0.001) compared to younger ones. Furthermore, COVID-19 survivors who were ≥50 years of age had a greater level of PTSD compared to younger ones; similar trends were seen in those experiencing OC symptoms. In the present study , majority were obsessed with fears of contamination and an equal number had compulsive handwashing. CONCLUSION-: Anxiety, depression, PTSD, and OC symptoms are common among the COVID-19 survivors and that underscores the need to diagnose and manage mental health morbidities among these survivors long after their recovery from COVID-19.

Indian J Psychiatry2022       CORD-19
1114Ring up and care: Experience from clinician initiated telephonic follow-up for older persons with mental illness  

BACKGROUND: Tele-psychiatry has grown exponentially during COVID-19 pandemic. As regular out-patient services were shutdown, we initiated a telephonic follow up consultation from Geriatric Mental Health department, for patients who had their first face to face consultation up-to 2 months prior to pandemic induced lock down with the intent to maintain the continuity of care. METHODS: In this background we are reporting our experience of this unique initiative, in terms of acceptance of service, status of patients, compliance and barriers to care. The data is reviewed and reported descriptively after obtaining the Institutional Ethic Committee approval. RESULTS: A total of 179 patients (N=179) were rung up and 120 could be contacted, among which 8 patients had deceased at the time of call. Hundred and eight patients (108) consented for tele-follow up consultation, whose mean age was 68.76±7.22 years. Majority of patients (74.07%) were still symptomatic at the time of follow-up call and expressed their felt need for psychiatric care which was unmet. Forty patients (39.22%) had stopped prescribed medicines. Unavailability of consultation as well as psychotropic medicines in the locality were the major reasons for poor compliance. Sixteen patients (14.8.1%) required urgent referral to the nearby district mental health service. CONCLUSION: Clinician initiated telephonic follow-up was well received. This initiative has uncovered hurdles to care and unmet needs of patients of geriatric psychiatry in such unprecedented situation and would help in improving the preparedness.

Indian J Psychiatry2022       CORD-19
1115Effects Of Lockdown On Sleep Pattern In The General Population During Covid-19 Pandemic  

BACKGROUND AND AIM: COVID-19 Pandemic hit India in January 2020. In order to curb the spread of the virus, a nationwide lockdown was instated on March 24(th). The lockdown has had an adverse psychological impact on the general population. Sleep is essential because of its many benefits for mental and physical health. Lack of sleep can impair both mental and physical functioning like decision making, mood changes, anxiety symptoms, jeopardize immune response, increase accidents and increase medical expenditures. The current study was aimed at assessing the sleep patterns during the pandemic in the general public. MATERIAL AND METHOD: This was a cross sectional, observational descriptive survey study conducted through social media platforms. Socio demographic data such age, gender, marital status, etc along with sleep schedules, working routine was assessed using a semi structured proforma. Insomnia Severity Index (ISI) and Patient Health Questionnaire- 4 (PHQ-4) were tools used to assess insomnia; depression and anxiety respectively. RESULT: A total of 124 subjects were included in the study. Sleep patterns revealed a delay in routine bed times, with a reduction in sleep quality and increase in total sleep duration. Moderate to severe insomnia was seen in 9% of patients and 29% had subthreshold insomnia. Anxiety was found in 19% and 22% had depressive symptoms. CONCLUSION: Lockdown due to the COVID 19 pandemic was associated with changes in sleep pattern, quantity and quality of night-time sleep and had also led to manifestation of emotional symptoms in the general population.

Indian J Psychiatry2022       CORD-19
1116COVID-19 VACCINE HESITANCY FOR CHILDREN IN PARENTS: A CROSS-SECTIONAL SURVEY AMONG HEALTHCARE PROFESSIONALS IN INDIA  

AIMS AND OBJECTIVES: COVID Vaccine has been recently approved for children less than 18 years in India. Health care providers are consistently cited as the most important resource for vaccine information by ‘Vaccine Hesitant Parents ’VHPs, and provider recommendation for vaccination is crucial for improving vaccine uptake. So the study aims to assess in Healthcare professionals, the Prevalence of parental COVID-19 vaccine hesitancy and their knowledge, attitude, beliefs and perception towards paediatric COVID-19 vaccine. MATERIALS AND METHODS-: A cross-sectional study was conducted, using a Snowball Sampling Technique, through a self- designed web-based questionnaire among the Health-care Professionals having children less than 18 years of age across India after taking Ethics Approval. RESULTS: Prevalence of Hesitancy among health care professionals regarding pediatric COVID-19 vaccine is 3.3%. Significant correlation was seen between those who wanted to vaccinate their children and the ones who had taken vaccine themselves (p=0.00). The most important source of information was internet and social media (34.3%). About 90% of the participants were aware about the vaccine and knew about its side effects and contraindications. Majority of the people believed in usefulness of vaccine in preventing infection (p=0.008) and in reducing severity (p= 0.009). 90% of the people understood importance of vaccine and feel it is a need for community at large (p=0.00). DISCUSSION-: There is a reduction in hesitancy for Pediatric COVID-19 vaccine as compared to adult vaccine among HCWs as shown in other studies which shows increased trust and positive attitude and beliefs towards vaccine. CONCLUSION-: The prevalence of Vaccine Hesitancy was found to be 3.3%. Majority of the participants had positive beliefs and attitude towards pediatric COVID-19 Vaccine, thus can contribute towards Acceptance in community at large.

Indian J Psychiatry2022       CORD-19
1117Referral Pattern to Department of Psychiatry During Covid Period in A Covid-19 Nodal Centre- A Descriptive Study  

AIM : To study referral pattern to department of psychiatry during covid period in a covid-19 nodal centre. MATERIALS AND METHODS: STUDY TYPE – Descriptive study STUDY PERIOD – 6 months ( may 2020 to October 2020 ) All the individuals referred to department of psychiatry were covid positive. Reasons for referrals are documented and Psychiatric diagnosis was determined using ICD – 10 criteria. Those with depression were prescribed with SSRI’s, patients diagnosed with psychosis were given antipsychotics, symptomatic treatment given to patients with organic delirium. RESULTS: Out of 137 referrals 25.54% were diagnosed with Alcohol dependence syndrome with withdrawal symptoms, 21.89% were diagnosed with organic delirium, 18.24% were with psychosis, 5.83% are with depression, 1.45% were with acute stress reaction, 1.45% with deliberate self harm behaviour, 16.05% were with no disorder, 10.21% were with other disorders. CONCLUSION: During covid period the most common referral to department of psychiatry was altered behaviour and the most common psychiatric diagnosis was alcohol use disorder with withdrawal state. The majority of the patients were males (88).

Indian J Psychiatry2022       CORD-19
1118Screening of Depression and Anxiety Among Resident Doctors at a Tertiary Care Hospital in Gujarat during COVID-19 Pandemic: An Online Survey  

BACKGROUND: Corona virus disease (COVID-19) has emerged as a public health emergency & pandemic, which has affected the world in several domains including financial & psychological. Resident doctors helping the community during this tragedy at frontline have also suffered from psychological problems during their duty. AIM: To screen for anxiety & depression among resident doctors of various departments involved/not involved in COVID-19 duty at a tertiary care hospital. METHODS: A cross-sectional study conducted on 175 resident doctors who were screened for depression using Public Health Questionnaire-9 (PHQ-9) and for anxiety using Generalized Anxiety Disorder-7 Scale (GAD-7). The study was conducted through an online survey using Google forms. RESULTS: Out of 175 resident doctors, 15.42% screened positive for depression requiring treatment and 15.42% for having significant anxiety. Significant association was found between depression & presence of any kind of symptoms and psychiatric comorbidity; between anxiety and gender, presence of psychiatric comorbidity & any kind of symptoms. CONCLUSION: Our study suggested elevated levels of anxiety & depression due to COVID-19 pandemic. There is a need of early diagnosis & psychiatric intervention to help them cope with the issue.

Indian J Psychiatry2022       CORD-19
1119A Study to evaluate depression, anxiety and stress among medical interns during COVID crisis  

The novel coronavirus (SARS-CoV-2) that emerged in Wuhan, China, commonly presents as a severe acute respiratory disease referred to as coronavirus disease-2019 (COVID-19).The pandemic had a great impact on mental health of health care worker especially medical interns who were prematurely exposed to such nightmarish experience. To evaluate level of stress, depression and anxiety on medical interns a cross sectional observational study was performed .Assessment of mental status of interns was of prime importance because they are going to lead countries’ health care system in upcoming times. METHOD: A cross-sectional observational study conducted between may 2021 to June 2021. Participants were medical interns posted in COVID-19 wards. They were invited to participate using whatsapp application. Link was sent to 250 students out of which 210 choose to submit completely filled form. A 21 items self rated scale DASS was used to evaluate depression, anxiety disorder and stress. RESULTS: 210 interns participated in study out which 40 % (n=84) were females and 60% (n=126) were males. The mean depression score on DASS scale was 11.19(S.D=7.18) , mean anxiety score was 13.79(S.D=4.46) and mean score of stress was 15.95(S.D 3.53). There was no statistically significant difference in depressive, anxiety, stresses related symptoms. CONCLUSION: There was negative effect on mental health of interns posted in COVID-19 wards with stress being more prevalent than anxiety followed by depressive symptoms however it was much lower than interns from other countries.

Indian J Psychiatry2022       CORD-19
1120Study of Relationship between Mental Health Impact of COVID-19 lockdown and Resilience among Physiotherapists  

BACKGROUND: • Coronavirus disease 2019 (COVID-19) outbreak and lockdown has caused negative impact on mental health status of health care workers including the physiotherapists as physiotherapists are also involved in the care of patients with COVID-19 infection. • Taking care of COVID-19 infected patients can be exhaustive both physically and mentally due to involved risk of contracting the disease which may prove fatal for some. • Due to ongoing lockdown many physiotherapists are not able to work either fully or partially as per their potential. So, physiotherapists like other health care workers are not immune to mental health impacts of COVID-19 lockdown. AIM: • To assess relationship between psychological impact of COVID-19 in the form of anxiety and depression, and the resilience among physiotherapists. METHODS: • Data were collected from total 378 physiotherapists. • Beck’s depression inventory (BDI), generalized anxiety disorder 7 item (GAD-7) scale, and brief resilience scale (BRS) were used to assess depression, anxiety, and resilience respectively among the study participants. • Data were analyzed by using SPSS 15 and, Chi-sqaure, Fisher exact, and Person’s correlation tests. RESULTS: • Prevalence of anxiety and depression were 37.8% and 31% respectively. • As regards the resilience, 2.9% had high, 74.3% had normal, and 22.8% had low resilience levels. • Physiotherapists who had high level of resilience had lower rates of anxiety on GAD-7 and lower rates of depression on BDI. CONCLUSION: • Strengthening the resilience of physiotherapists can promote their mental health in longer run in face of stressful event like COVID-19 lockdown. • So, resilience strengthening programs must be the priority.

Indian J Psychiatry2022       CORD-19
1121Post Traumatic Stress Disorder(PTSD) in Heath Care workers (HCWs) during Covid Pandemic- Case series  

>AIMS AND OBJECTIVE: To present a series of 4 cases of PTSD in HCWs during the covid second wave METHODOLOGY: Reporting 4 different cases of PTSD in healthcare workers. 02 medical officers, 01 Nurse, and 01 health assistant who reported symptoms of vague nature arising out of stress during handling of Covid 19 pts and on detailed evaluation , had classical features of ICD 10 diagnosis of PTSD. All of them had clear cut psychological symptoms arising in close temporal relation to experiencing the trauma of handling covid patients and the agony and disaster that befell us during the covid second wave from April to Aug 2021. None of them had any past history of psychiatric illness or genetic loading of significance. None of them had any other significant live stressor in personal life. Thus underlying the life threatening nature of Covid exposure as a healthcare worker and it’s psychological implications. All of them were referred for vague symptoms like irritable mood, not able to function as before, physical symptoms of headache, marital discord etc. The exposure ranged from personal handling of serious covid patients to handling dead bodies in the mortuary to managing relatives of dying patients. No preventive distressing mechanism was available to them, the need of which is the learning from this study. Also , all of them were successfully treated with good outcome an d restored functionality, with empathetic support, rest, psycho education, relaxation and a short course of SSRIs RESULTS: High index of suspicion, empathetic handling, psycho education, behavioral modifications and cognitive counseling with a short course of antidepressants helped all of them improve significantly with return to almost normal functioning. CONCLUSION: The Covid experience has been a life threatening experience for HCWs involved in treatment of serious covid patients during covid pandemic esp the second wave. It has been a never before experienced reality, completely overwhelming and traumatogenic enough to cause PTSD in some of them. For the few diagnosed as PTSD there would be many undiagnosed HCWs. The focus should be on high index of suspicion for PTSD in HCWs and early detection,treatment and rehabilitation

Indian J Psychiatry2022       CORD-19
1122Virtual Interviews for Breast Imaging Fellowship During the COVID-19 Pandemic: Perspectives of Program Directors and Applicants  

OBJECTIVE: To compare in-person and virtual breast fellowship interview experiences from the perspective of fellowship program directors (PDs) and applicants. METHODS: Three separate voluntary, anonymous, e-mail delivered surveys were developed for PDs, in-person interview applicants in 2019–2020, and virtual interview applicants in 2020–2021. PD and applicant survey responses regarding the two interview cycles were compared. RESULTS: The response rate was 56% (53/95) for PDs, 19% (23/123) for in-person applicants, and 38% (49/129) for virtual applicants. PDs reported significantly lower cost for virtual compared to in-person interviews (P < 0.001). They reported no significant difference in number of applications received, number of applicants interviewed, applicant pool geographic regions, number of interview days offered, or format of interviews. Most PDs (31/53, 58%) felt the virtual format still allowed them to get to know the applicants well. Cost was significantly higher for in-person compared to virtual applicants (P < 0.001). More in-person applicants (11/23, 48%) listed cost as a barrier compared to virtual applicants (7/49, 14%) (P = 0.002). Virtual and in-person applicants reported a similar number of program applications, but virtual applicants completed more interviews (P = 0.012). Both groups preferred scheduled time to speak with the current fellows and a one-on-one interview format with two to four faculty members. Most applicants (36/49, 73%) felt the virtual format still allowed them to get to know each program well. CONCLUSION: Virtual interviews provide a reasonable alternative to in-person interviews for breast imaging fellowship applicants, with decreased cost being the main advantage.

J Breast Imaging2022       CORD-19
1123Women's Experience With Screening Mammography During the COVID-19 Pandemic: A Multi-Institutional Prospective Survey Study  

OBJECTIVE: Evaluate women’s anxiety and experience undergoing screening mammography during the COVID-19 pandemic. METHODS: An IRB-approved anonymous survey was administered to women receiving screening mammography across six sites in the U.S. and Singapore from October 7, 2020, to March 11, 2021. Using a 1–5 Likert scale, women rated their pre- and post-visit anxiety regarding having their mammogram during the COVID-19 pandemic, importance of observed COVID-19 precautions, and personal risk factors for breast cancer and severe COVID-19 illness. Post-visit change in anxiety was evaluated. Multivariable logistic regression was used to test associations of pre-visit anxiety with breast cancer and COVID-19 risk factors. RESULTS: In total, 1086 women completed the survey. Of these, 59% (630/1061) had >1 breast cancer risk factor; 27% (282/1060) had >1 COVID-19 risk factors. Forty-two percent (445/1065) experienced pre-visit anxiety. Pre-visit anxiety was independently associated with risk factors for severe COVID-19 (OR for >2 vs 0 risk factors: 2.04, 95% confidence interval [CI]: 1.11–3.76) and breast cancer (OR for >2 vs 0 risk factors: 1.71, 95% CI: 1.17–2.50), after adjusting for age and site. Twenty-six percent (272/1065) of women reported post-visit anxiety, an absolute 16% decrease from pre-visit anxiety (95% CI: 14%–19%, P < 0.001). Provider masking (941/1075, 88%) and physical distancing (861/1085, 79%) were rated as the most important precautions. CONCLUSION: Pre-visit anxiety was associated with COVID-19 or breast cancer risk factors and declined significantly after screening mammography. Provider masking and physical distancing were rated the most important precautions implemented by imaging clinics.

J Breast Imaging2022       CORD-19
1124Contagions, Congregations and Constitutional Law: Reciprocity and Religious Freedom in the 1918 and 2020 Pandemics  

This article undertakes a comparison of legal restrictions on religious gatherings in the USA during the 1918 Spanish Flu pandemic and the COVID-19 pandemic. After contextualizing each pandemic within its legal, political, and social culture, the analysis distills prevailing principles between the two health crises and their approach to religious liberty. Evidence suggests that courts in both periods relied on proportionality and equality to resolve disputes between government bans on worship services and conscientious objectors. However, the experience of multiple local governments in 1918 and other nations in 2020 models a better way. Instead of using proportionality or equality, these state officials relied on reciprocity between government and religious groups. Their approach tended to produce fewer bans, lower case counts, and greater trust during the pandemic and offers a useful precedent for current US lawmakers managing the religious freedom concerns of COVID-19.

N/A2022       CORD-19
1125Evidence-Based Policing Is Here to Stay: Innovative Research, Meaningful Practice and Global Reach  

RESEARCH QUESTION: In the context of important advances as well as global reach, what more is needed for evidence-based policing to bridge the divide between academic research and police practice? DATA: We draw on 18 case studies reported in The Globalization of Evidence-Based Policing: Innovations in Bridging the Research-Practice Divide (Piza and Welsh, 2022). These accounts of innovations provide a range of qualitative evidence on the integration of scientific research in contemporary policing. FINDINGS: The case studies describe some plausible causal links in four key processes: (a) transferring scientific knowledge to the practice community, (b) empowering officers to conduct police-led science, (c) aligning the work of researchers and practitioners, and (d) incorporating evidence-based policing in daily police functions. CONCLUSIONS: While there is much work to do to achieve population-level impacts, many innovative efforts at bridging the research-practice divide in policing are becoming embedded enough to make that happen.

N/A2022       CORD-19
1126Accreditation of conformity assessment bodies in the field of environmental testing in India  

The assessment of conformity assessment bodies (CABs) in the field of environmental testing is conducted as per ISO/IEC 17,025:2017 by the accreditation bodies (AB). All the environmental testing CABs are required to face the assessment for getting accreditation as per the applied scope of accreditation for the testing of air, water and soils samples. The CABs may undertake the testing of various samples as per the facility available within the CAB. The testing of environmental parameters can be segregated into three discipline, namely biological testing, chemical testing and mechanical testing. The techniques of assessment for the applicant CABs and accredited CABs can be divided into two categories, off site assessment and onsite assessment. The types of assessment adopted by the accreditation bodies (AB) can be different at different stage based on the requirement of the economic environment of the country. In this paper, the various types of assessment techniques along with the national accreditation processes in India are discussed.

N/A2022       CORD-19
1127Subsewershed SARS-CoV-2 Wastewater Surveillance and COVID-19 Epidemiology Using Building-Specific Occupancy and Case Data  

[Image: see text] To evaluate the use of wastewater-based surveillance and epidemiology to monitor and predict SARS-CoV-2 virus trends, over the 2020–2021 academic year we collected wastewater samples twice weekly from 17 manholes across Virginia Tech’s main campus. We used data from external door swipe card readers and student isolation/quarantine status to estimate building-specific occupancy and COVID-19 case counts at a daily resolution. After analyzing 673 wastewater samples using reverse transcription quantitative polymerase chain reaction (RT-qPCR), we reanalyzed 329 samples from isolation and nonisolation dormitories and the campus sewage outflow using reverse transcription digital droplet polymerase chain reaction (RT-ddPCR). Population-adjusted viral copy means from isolation dormitory wastewater were 48% and 66% higher than unadjusted viral copy means for N and E genes (1846/100 mL to 2733/100 mL/100 people and 2312/100 mL to 3828/100 mL/100 people, respectively; n = 46). Prespecified analyses with random-effects Poisson regression and dormitory/cluster-robust standard errors showed that the detection of N and E genes were associated with increases of 85% and 99% in the likelihood of COVID-19 cases 8 days later (incident–rate ratio (IRR) = 1.845, p = 0.013 and IRR = 1.994, p = 0.007, respectively; n = 215), and one-log increases in swipe card normalized viral copies (copies/100 mL/100 people) for N and E were associated with increases of 21% and 27% in the likelihood of observing COVID-19 cases 8 days following sample collection (IRR = 1.206, p < 0.001, n = 211 for N; IRR = 1.265, p < 0.001, n = 211 for E). One-log increases in swipe normalized copies were also associated with 40% and 43% increases in the likelihood of observing COVID-19 cases 5 days after sample collection (IRR = 1.403, p = 0.002, n = 212 for N; IRR = 1.426, p < 0.001, n = 212 for E). Our findings highlight the use of building-specific occupancy data and add to the evidence for the potential of wastewater-based epidemiology to predict COVID-19 trends at subsewershed scales.

ACS ES T Water2022       CORD-19
1128Wastewater Surveillance of SARS-CoV-2 at a Canadian University Campus and the Impact of Wastewater Characteristics on Viral RNA Detection  

[Image: see text] Because of the increased population density, high-risk behavior of young students, and lower vaccination rates, university campuses are considered hot spots for COVID-19 transmission. This study monitored the SARS-CoV-2 RNA levels in the wastewater of a Canadian university campus for a year to provide actionable information to safely manage COVID-19 on campus. Wastewater samples were collected from the campus sewer and residence buildings to identify changes, peaks, and hotspots and search for associations with campus events, social gatherings, long weekends, and holidays. Furthermore, the impact of wastewater parameters (total solids, volatile solids, temperature, pH, turbidity, and UV absorbance) on SARS-CoV-2 detection was investigated, and the efficiency of ultrafiltration and centrifugation concentration methods were compared. RT-qPCR was used for detecting SARS-CoV-2 RNA. Wastewater signals largely correlated positively with the clinically confirmed COVID-19 cases on campus. Long weekends and holidays were often followed by increased viral signals, and the implementation of lockdowns quickly decreased the case numbers. In spite of online teaching and restricted access to campus, the university represented a microcosm of the city and mirrored the same trends. Results indicated that the centrifugation concentration method was more sensitive for wastewater with high solids content and that the ultrafiltration concentration method was more sensitive for wastewater with low solids content. Wastewater characteristics collected from the buildings and the campus sewer were different. Statistical analysis was performed to manifest the observations. Overall, wastewater surveillance provided actionable information and was also able to bring high-risk factors and events to the attention of decision-makers, enabling timely corrective measures.

ACS ES T Water2022       CORD-19
1129Development of Ultrapure and Potent Tannic Acids as a Pan-coronal Antiviral Therapeutic  

[Image: see text] The rampageous transmission of SARS-CoV-2 has been devastatingly impacting human life and public health since late 2019. The waves of pandemic events caused by distinct coronaviruses at present and over the past decades have prompted the need to develop broad-spectrum antiviral drugs against them. In this study, our Pentarlandir ultrapure and potent tannic acids (UPPTA) showed activities against two coronaviral strains, SARS-CoV-2 and HCoV-OC43, the earliest-known coronaviruses. The mode of inhibition of Pentarlandir UPPTA is likely to act on 3-chymotrypsin-like protease (3CLpro) to prevent viral replication, as supported by results of biochemical analysis, a 3CLpro assay, and a “gain-of-function” 3CLpro overexpressed cell-based method. Even in the 3CLpro overexpressed environment, Pentarlandir UPPTA remained its antiviral characteristic. Utilizing cell-based virucidal and cytotoxicity assays, the 50% effective concentrations (EC(50)) and 50% cytotoxicity concentration (CC(50)) of Pentarlandir UPPTA were determined to be ∼0.5 and 52.5 μM against SARS-CoV-2, while they were 1.3 and 205.9 μM against HCoV-OC43, respectively. In the pharmacokinetic studies, Pentarlandir UPPTA was distributable at a high level to the lung tissue with no accumulation in the body, although the distribution was affected by the food effect. With further investigation in toxicology, Pentarlandir UPPTA demonstrated an overall safe toxicology profile. Taking these findings together, Pentarlandir UPPTA is considered to be a safe and efficacious pancoronal antiviral drug candidate that has been advanced to clinical development.

ACS Pharmacol Transl Sci2022       CORD-19
1130SARS-CoV-2 RNA and N Antigen Quantification via Wastewater at the Campus Level, Building Cluster Level and Individual-Building Level  

[Image: see text] Monitoring wastewater for SARS-CoV-2 from populations smaller than those served by wastewater treatment plants may help identify small spatial areas (subsewersheds) where COVID-19 infections are present. We sampled wastewater from three nested locations with different sized populations within the same sewer network at a university campus and quantified SARS-CoV-2 RNA using reverse transcriptase droplet digital polymerase chain reaction (PCR). SARS-CoV-2 RNA concentrations and/or concentrations normalized by PMMoV were positively associated with laboratory-confirmed COVID-19 cases for both the sewershed level and the subsewershed level. We also used an antigen-based assay to detect the nucleocapsid (N) antigen from SARS-CoV-2 in wastewater samples at the sewershed level. The N antigen was regularly detected at the sewershed level, but the results were not associated with either laboratory-confirmed COVID-19 cases or SARS-CoV-2 RNA concentrations. The results of this study indicate that wastewater monitoring based on quantification of SARS-CoV-2 RNA using PCR-based methods is associated with COVID-19 cases at multiple geographic scales within the subsewershed level and can serve to aid the public health response.

ACS ES T Water2022       CORD-19
1131Assessment of Concentration, Recovery and Normalization of SARS-CoV-2 RNA from Two Wastewater Treatment Plants in Texas and Correlation with COVID-19 Cases in the Community  

[Image: see text] The purpose of this study was to conduct a correlative assessment of SARS-CoV-2 RNA concentrations in wastewater with COVID-19 cases and a systematic evaluation of the effect of using different virus concentration methods and recovery and normalization approaches. We measured SARS-CoV-2 RNA concentrations at two different wastewater treatment plants (WWTPs) in the Bexar County of Texas from October 2020 to May 2021 (32 weeks) using reverse transcription droplet digital PCR (RT-ddPCR). We evaluated three different adsorption–extraction (AE) based virus concentration methods (acidification, addition of MgCl(2), or without any pretreatment) using bovine coronavirus (BCoV) as surrogate virus and observed that the direct AE method showed the highest mean recovery. COVID-19 cases were correlated significantly with SARS-CoV-2 N1 concentrations in Salitrillo (ρ = 0.75, p < 0.001) and Martinez II (ρ = 0.68, p < 0.001) WWTPs, but normalizing to a spiked recovery control (BCoV) or a fecal marker (HF183) reduced correlations for both treatment plants. The results generated in this 32-week monitoring study will enable researchers to prioritize the virus recovery method and subsequent correlation studies for wastewater surveillance.

ACS ES T Water2022       CORD-19
1132Comparison of the RSNA chest CT classification system and COVID-19 Reporting and Data System system in reporting COVID-19 pneumonia in symptomatic and asymptomatic patients  

BACKGROUND: Coronavirus disease (COVID-19) is a new infection with three pandemic waves up till now. CT plays an important role in diagnosis with multiple reporting systems that can be used during CT analysis. We aimed to compare reporting using the recommendations of the radiological society of North America (RSNA) versus the coronavirus disease reporting and data system (CO-RADS) and to assess the performance of CT if used in asymptomatic patients as a screening. Two hundred and fifty-one patients who underwent chest CT scanning either due to clinical suspicion or as screening before hospital admission were included in this retrospective observational cross-sectional study. This was followed by RT-PCR for confirmation. Three radiologists with different years of experience interpreted the CT findings using the RSNA recommendations and the CO-RADS reporting. The data were collected and compared. RESULTS: There was no statistically significant difference noted in the diagnostic accuracy obtained while using the RSNA recommendations and the CO-RADS reporting system. Also, a good inter-rater agreement was noticed while using the two reporting systems. The CT showed a highly significant value while used in the assessment of symptomatic patients in controversy to the screening of asymptomatic patients. CONCLUSION: Both reporting systems show similar diagnostic accuracy with a good almost similar inter-rater agreement. Both can be used while interpreting the CT images of cases with suspected COVID-19 infection. CT can be used effectively in the detection of COVID-19 infection between symptomatic patients while it is of a lower value in the screening of asymptomatic patients.

N/A2022       CORD-19
1133Quantität und Qualität des Strategieeinsatzes von Grundschülerinnen und Grundschülern in reziproken Lesegruppen  

To promote students’ reading achievement, national and international experts recommend programs in which children collaborate on reading tasks and learn various reading strategies. The results of evaluation studies show the effectiveness of such programs for the development of individual reading performance of students, but do not contain any information on how the joint strategy application takes place in the small groups. Using video data at three measurement time points, this paper examines whether and how 3rd grade students cooperatively apply the strategies of clarifying, questioning and predicting to nonfiction texts. Therefore, an intervention group that participated in peer-supported strategy-based reading instruction was compared to a control group that received regular German lessons without explicit strategy support. Both the quantity and quality of strategy use in the reading groups was coded using a deductively developed scheme. Results show that at all three measurement time points (pre-test, post-test, and follow-up), less than 50% of the students used reading strategies. Overall, the strategy most frequently used was questioning. A moderate positive training effect was particularly evident for predicting. What needs to be discussed is why students did not use more strategies at a higher level of elaboration and whether additional skills are needed for effective strategy use in small groups. The study underscores the importance of process-based data collection for the continued development of remedial approaches in research and practice.

N/A2022       CORD-19
1134Incidences de la (ré)organisation du (télé)travail en temps de crise du point de vue de l'encadrement intermédiaire  

Introduction La pandémie Covid-19 a bouleversé l’organisation du travail et a marqué un tournant dans le déploiement du travail médiatisé et distant. Partout où la continuation de l’activité était possible à distance, le télétravail s’est imposé. Néanmoins, il s’exerce dans des conditions inédites et l’organisation des modalités de travail se définit au gré de l’évolution de la situation et des mesures sanitaires gouvernementales. Objectif Dans ce contexte, l’objectif de cette étude est de comprendre quelles sont, du point de vue des managers intermédiaires, les incidences du télétravail en confinement puis lors de la reprise progressive de l’activité sur site, d’une part, sur le travail, son organisation et ses conditions de réalisation et, d’autre part, sur les collectifs de travail, le rapport au travail et la qualité de vie des salariés. Méthode Dans cette perspective, nous avons mené une étude exploratoire et compréhensive par entretiens semi-directifs auprès de 17 directeurs de service en poste en France dans un organisme public. Résultats L’analyse lexicale et morphosyntaxique réalisée montre que les modalités d’organisation/réorganisation du travail à différents moments de la crise, leur impact sur l’activité de travail, l’expérience psychosociale du télétravail au sein des services et les pratiques managériales déployées (3 classes) ont pu constituer des opportunités mais aussi générer des risques. Conclusion Les résultats de cette étude permettent d’identifier les bénéfices mais aussi les retombées potentiellement délétères du recours au télétravail en période de crise et fournissent des éléments de réflexions quant à son déploiement post-pandémie. Introduction The Covid-19 pandemic disrupted the organization of work and represented a turning point in the deployment of mediated and remote work. Wherever the continuation of the activity was possible at a distance, telework was imposed. Nevertheless, it is exercised in new conditions and the organization of work modalities is defined according to the evolution of the situation and governmental health measures. Objective In this context, the objective of this study is to understand what are, from the point of view of middle managers, the impacts of telework in confinement and then during the progressive re-establishment of the activity on site, on the one hand, on the work, its organization and its conditions of realization and, on the other hand, on the work collectives, the relationship to work and the quality of life of the employees. Method In this perspective, we carried out an exploratory and comprehensive study through semi-structured interviews with 17 directors of service in a French public organization. Results The lexical and morphosyntactic analysis performed shows that the modalities of work organization/reorganization at different moments of the crisis, their impact on work activity, the psychosocial experience of telework within the services and the managerial practices deployed (3 classes) could constitute opportunities but also generate risks. Conclusion The results of this study allow us to identify the benefits but also the potentially deleterious effects of the use of telework in times of crisis and provide elements for consideration in its post-pandemic deployment.

N/A2022       CORD-19
1135On board the quarantine-ship as "floating hotspot": Creeping externalization practices in the Mediterranean Sea  

Following the COVID-19 pandemic, migration was framed in Italy as ‘the emergency within the emergency’, leading the Italian Government to declare that its ports were not ‘‘safe places’ for people rescued from boats flying a foreign flag to disembark.’ As a result, under this guise of health and safety, in Italy migrants are now held in cruise ships repurposed as quarantine-ships for their sanitary isolation. We take this space as our analytic lens and draw on the experiences of the Elena Giacomelli whilst working as a caseworker for a humanitarian organization on board. In our analysis of the interactions of those working on board and the social relations produced therein, we unravel how these ships function as a form of Goffman’s totalitarian institution, where bio-political techniques are adopted that act on the body and mind of all on board, limiting access to asylum and functioning as a form of externalisation.

Ethnography2022       CORD-19
1136Determinants of loneliness during the COVID-19 pandemic in the United States: A one-year follow-up study  

An initial study on loneliness during the first month of the COVID-19 pandemic in the United States found that those who were living alone or who were single experienced greater loneliness than those who lived with others or were in a romantic relationship. This study presents follow-up analyses using data collected from the same sample (N = 428) at a total of five points in time throughout the first year of the COVID-19 pandemic in the United States. Unlike most studies using a longitudinal design to track loneliness throughout the COVID-19 pandemic, the results of this study showed that loneliness scores generally decreased over this time period. However, additional analyses showed that when participants experienced a de-escalation in their romantic relationship status (e.g., transitioning from being in a dating relationship to being single or from being married to separated), loneliness scores increased. Because prior research shows a connection between living alone and loneliness, the researchers also tested whether decreases in the number of people one lives with predicted increases in loneliness. The data was inconsistent with this prediction. Overall, these findings join a minority of other longitudinal studies investigating loneliness during the COVID-19 pandemic that found either a decrease or no change in loneliness, while also illustrating that increases in loneliness during the COVID-19 pandemic occurred after people experienced a de-escalation in their romantic relationship status. These findings underscore the importance of life events during the COVID-19 pandemic that may increase loneliness—specifically transitioning out of romantic relationships. Thus, future research on predictors of loneliness should continue to use longitudinal designs to determine how changes in one’s life predict changes in loneliness.

J Soc Pers Relat2022       CORD-19
1137Understanding Teacher Self-Efficacy to Address Students' Social-Emotional Needs in the COVID-19 Pandemic  

Teachers are returning to schools during the COVID-19 pandemic under the weight of unprecedented stressors to engage a student body that has also experienced stress and trauma. In this study, we examined how confident 454 teachers (55% Black) from 41 charter schools in New Orleans, Louisiana, were in their ability to address students’ social-emotional needs upon their return to school. Results showed that Black teachers were more likely to report a greater sense of efficacy in addressing students’ needs. Both Black and White teachers identified the top three resources needed to assist students: mental health supports, trainings, and in-class resources.

Urban Educ (Beverly Hills Cali2022       CORD-19
1138A Group Emergency Decision-Making Method for Epidemic Prevention and Control Based on Probabilistic Hesitant Fuzzy Prospect Set Considering Quality of Information  

Epidemics can bring huge impacts to economic operation and human health, a practical and effective emergency decision-making (EDM) method is of great significance to reduce all kinds of losses and slow the spread of epidemics. In the process of EDM, decision information is usually uncertain and vague, and the psychological behaviors and various perspectives of decision makers (DMs) should be considered. Hence, this paper develops a group emergency decision-making (GEDM) method under risk based on the probabilistic hesitant fuzzy set (PHFS) and cumulative prospect theory (CPT), in which probabilistic hesitant fuzzy prospect set (PHFPS) that combines PHFS and CPT is developed to portray the vagueness of decision information and psychologies of DMs. Moreover, experts’ creditability in evaluation criteria is generally different because of the differences of their own knowledge structures, practical experience, individual preference and so on. A formula is proposed to measure the quality of decision information provided by experts for revising the expert weights. In addition, the evaluation criteria supporting the GEDM of epidemics are given. Finally, the proposed method is demonstrated by an empirical case study of COVID-19, and the comparison analysis based on the rank-biased overlap model and the sensitivity analysis are conducted to the illustrate the validity of the proposed method.

N/A2022       CORD-19
1139Eine Geschichte der Emerging Substances in Österreich  

Over time, many different groups of substances became the focus of interest, so their occurrence, behaviour and effects were studied. While in the 1990s, it was detergents and the formation of foam in water, later the causes of discolouration around tanneries were researched, as well as the presence of chemicals and pollutants near industrial plants. Organochlorine pesticides, brominated flame retardants, perfluoroalkyl substances or PFAS, organotin compounds are some examples of such Emerging substances. After pesticides and industrial chemicals, active pharmaceutical ingredients, cosmetics and personal care products have also become “Emerging substances”. Ultimately, however, it is the effect of the substances—whether persistent, bioaccumulative, mobile, toxic or even endocrine disruption—that attracts attention and triggers legal regulations. As the substances and the methods for their detection changed, so did the corresponding legislation. This in turn led to the use of new or slightly modified substances and substance groups. Innovative methods such as non-targeted analytics and biological effect tests or bioassays are now being utilised to address the variety and combined effects of the existing substances. In order to ensure comprehensive groundwater and water protection, the investigation and assessment methods must be developed. Furthermore, the existing and newly acquired knowledge need to be translated into regulatory consequences more quickly. Beyond that, a comprehensive societal transformation with regard to the sustainable use of natural water resources is essential for environmentally sound and healthy development. This must therefore be implemented on many different levels; with knowledge transfer and awareness-raising also having a significant role to play.

N/A2022       CORD-19
1140Difference in PaO2/FiO2 between high-flow nasal cannula and Venturi mask in hypoxemic COVID-19 patients  

The ratio between arterial blood partial pressure of oxygen and fraction of inspired oxygen (PaO(2)/FiO(2)) was largely used for grading and managing the respiratory failure in non-mechanically ventilated COVID-19. In these patients, the assessment of the true FiO(2) in the inspired mixture may be difficult with consequent inaccuracies in PaO(2)/FiO(2) assessment. In 30 severe COVID-19 patients, we observed that PaO(2)/FiO(2) values measured immediately before and after the transition from high-flow nasal cannula (HFNC) to one commercially available Venturi mask O(2) therapy were similar (bias mean value 0, standard deviation 23 mmHg). In COVID-19 patients recovering from respiratory failure, PaO(2)/FiO(2) is not different whether measured with a commercially available Venturi mask or HFNC.

N/A2022       CORD-19
1141A mechanical-thermodynamic model for understanding endocytosis of COVID-19 virus SARS-CoV-2  

We analyze the endocytosis process of COVID-19 (coronavirus disease 2019) virus SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) using a mechanical-thermodynamic model. The virus particle is designed to interface with the cell membrane as a hard sphere. The role of cytoplasmic BAR (Bin/Amphiphysin/RVs) proteins is considered in the endocytosis. Interestingly, the Endophilin N-BAR cytoplasmic proteins show resistance in participating endocytosis, whereas F-BAR, Arfaptin BAR, Amphiphysin N-BAR, and PX-BAR proteins participate in endocytosis. The increase in membrane tension, concentrated force between the cell membrane receptor, and spike glycoprotein present on the surface of virus particle promote the endocytosis. Also, the increase in the bending modulus of membrane leads to the two-phase solution of BAR protein concentration on the interior of cell membrane surface. We observe an unstable region of protein concentration, which may help one to retard the endocytosis process and thus the viral infection. Though the present study is focused on SARS-CoV-2, it can be extended to understand any other viral infections, involving endocytosis process.

Proc Inst Mech Eng C J Mech En2022       CORD-19
1142Relational turbulence and social network engagement during the summer of COVID-19: A repeated measures, dyadic analysis  

Background/Purpose: Relational turbulence theory suggests that changes in and around relationships create the potential for relational turbulence when everyday routines and scripts are upended and communication becomes polarized. In turn, perceptions of a romantic relationship as chaotic or tumultuous can influence a person’s engagement with their social network. Alternately, previous research also suggests that engagement with friends and family has the potential to influence married partner’s relationship quality. Research Design: This study examined these propositions among a sample of married couples (N = 64, 128 individuals) whose daily experiences and relationship dynamics changed during the COVID-19 lockdown period. Results/Conclusions: Based on a 10-week, weekly diary repeated measures design, results suggest that relational turbulence and the valence of social network engagement may be mutually influential, such that (a) relational turbulence may influence the way in which married partners interpret communication with social network members and (b) the valence of communication with social network members may influence experiences of relational turbulence.

J Soc Pers Relat2022       CORD-19
1143Negative health impact of tourists through pandemic: hospitality sector perspective  

Although the impact of tourism development on residents has received a lot of attention in the literature, the health impact of tourism has not been sufficiently addressed. Due to outbreaks of COVID-19, the importance of recognition of the negative health impact of tourism is relevant. Thus, the present study aims to identify the health impact of tourism through COVID-19 outbreaks considering residents’ perspectives. In the current research, we gathered data from semi-structured interviews conducted from 10th August to 30 August 2020 to investigate community perception regarding the negative health impact of tourism through the COVID-19 era. We conducted 30 interviews with some Iranian residents. Data is analyzed by thematic analysis via MAXQDA software. Residents perceived negative health impacts through COVID-19 outbreaks as containing three subthemes including general negative impacts, direct negative impacts, and indirect negative impacts. The results also show that residents use two coping strategies to face these negative health impacts, namely negative coping strategies and positive coping strategies. Perceived negative health impacts, and residents’ coping strategies are two major themes regarding Iranian residents’ perception toward tourism negative health impacts through COVID-19 outbreaks.

N/A2022       CORD-19
1144COVID-19 and higher education in Vietnam: Systematically rethinking the quality assurance system and practices towards the 'new normal' in post-crisis era  

COVID-19 has spawned a critical shift in the landscape of higher education (HE) worldwide, entailing transformations of practices across the field, in which quality assurance (QA) for HE has also evolved to both reflect and stay adaptive to the ‘new normal’ formed during and beyond the pandemic. Against the COVID-19 context, this paper retells some of the existing debates for Vietnamese QA and accreditation activities, as well as identifies emerging challenges in QA practices in the post-pandemic era. Theoretically, the paper contributes a conceptual tool to examine the QA of the Vietnamese HE system, embracing three dimensions of teaching and learning, inputs and outputs. This further underpins our inquiry for QA practices in the Vietnamese HE context which has been scaffolded and developed accordingly. Drawn from a critical review and analysis of emerging policies and existing literature, practical implications and projections for the directions of Vietnamese QA in the future will be provided. This paper presents a timely insight for the process of policy-making and the implementation process of QA in Vietnamese HE during a time of uncertainties and looks towards building resilience to future crises.

N/A2022       CORD-19
1145Innovating teaching and instruction in turbulent times: The dynamics of principals' exploration and exploitation activities  

In turbulent environments, schools have to adapt to constantly changing conditions. According to ambidexterity theory, whether they are successful in this primarily depends on their leaders and how they manage the tension between the use of current knowledge (exploitation) and the search for new knowledge (exploration). Through unique top-down and bottom-up pathways, they thus influence the innovation outcome of a school. However, it is so far unclear whether these assumptions are correct. Using data from a panel of principals who are representative of Germany and were surveyed before and during the COVID-19 pandemic, we therefore investigate if and how school leaders adapted to the turbulent environment caused by the pandemic and evaluate the extent to which this had an impact on their schools’ innovations in teaching and instruction. The results demonstrate that principals’ exploration activities increased markedly during the pandemic, while their exploitation activities decreased noticeably. Further, a focus on the use and refinement of existing knowledge in comparatively predictable (pre-COVID-19) environments harmed principals’ readiness to explore new knowledge in increasingly uncertain environments. Nevertheless, exploitation had positive consequences for the innovativeness of schools, and exploration goes along with more radical innovations in teaching and instruction. Our research suggests that schools that innovatively addressed the COVID-19 pandemic had school leaders who were able to quickly shift between the two modes of exploitation and exploration. A capacity to transition seamlessly between these modes of thinking and working thus appears to be vital for the longevity of schools.

N/A2022       CORD-19
1146Use of oblique sagittal and coronal weighted images for diagnosis and grading of ACL graft injury  

BACKGROUND: This study was done to evaluate the value of adding the oblique sagittal and oblique coronal MRI to the standard MRI knee protocol for evaluation of suspected ACL graft injuries. RESULTS: This was a cross-sectional analytic study where we reviewed 36 MRI knee examinations of 36 patients (30 males, 6 females, age range: 17–60 years, mean age: 26 years) who were subjected to ACL reconstruction and follow-up arthroscopy. Two experienced radiologists, blinded to the results of each other, evaluated the status and the severity of the ACL graft injury using the routine knee MRI (protocol A) and using the routine MRI after adding the oblique sagittal and coronal imaging (protocol B). Weighted kappa statistics were used to evaluate the diagnostic accuracies of the knee MRI before and after the addition of the oblique sagittal and coronal weighted images (protocol A and protocol B, respectively) and to assess the interobserver agreement. The weighted kappa values according to the routine knee MRI were 0.357 (reader 1) and 0.399 (reader 2). The inclusion of additional oblique coronal imaging increased the weighted kappa values to 0.505 (reader 1) and 0.528 (reader 2). The interobserver agreement weighted kappa value also increased from 0.606 to 0.759 by adding the oblique sagittal and coronal imaging to the routine knee MRI examination. CONCLUSION: The additional use of oblique sagittal and coronal MRI of the knee improves the diagnostic accuracy for diagnosing and grading ACL graft injury with the arthroscopy used as a gold standard.

N/A2022       CORD-19
1147Impact of Artificial Intelligence on Corporate Board Diversity Policies and Regulations  

With the use of artificial intelligence (AI) technologies in company activities, discussions on how to use AI in company management have emerged. Although AI is not legally recognised as a director in company law, there are examples of robot directors such as Vital, which have managed to get a seat in the corporate boardroom. Today, AI is on the verge of playing an important role in corporate governance. However, whether it has a seat on the board of directors or an important role in decision making is still a hot topic. Another critical discussion in the field of corporate governance in recent years is board diversity, which aims to improve the corporate decision-making process and create efficiency. This article attempts to anticipate the potential impact of AI on corporate board diversity policies and regulations. Therefore, this article seeks to examine the effects of the inevitable use of AI in the corporate decision-making process on corporate board gender diversity discussions and regulations under three possibilities: AI as a board member, AI as an enabler to assist a decision maker or AI being used to help decision making such as selecting board members.

N/A2022       CORD-19
1148Legal gender recognition in times of change at the European Court of Human Rights  

The COVID-19 pandemic has made the role of identity papers for the enjoyment of human rights once more obvious. It is thus a suitable moment to analyse the current implementation of the right to change the gender and/or name on official documents and civil registries in Europe. This article specifically examines the jurisprudence on the right to gender recognition of the European Court of Human Rights. It concludes that the Court is moving towards recognising the right to change one’s legal gender and/or name on an unconditional basis, and that it will need to deliberate on the right to be free from any state-imposed gender label in the future.

N/A2022       CORD-19
1149Understanding travel behavior adjustment under COVID-19  

The outbreak and spreading of the COVID-19 pandemic have had a significant impact on transportation system. By analyzing the impact of the pandemic on the transportation system, the impact of the pandemic on the social economy can be reflected to a certain extent, and the effect of anti-pandemic policy implementation can also be evaluated. In addition, the analysis results are expected to provide support for policy optimization. Currently, most of the relevant studies analyze the impact of the pandemic on the overall transportation system from the macro perspective, while few studies quantitatively analyze the impact of the pandemic on individual spatiotemporal travel behavior. Based on the license plate recognition (LPR) data, this paper analyzes the spatiotemporal travel patterns of travelers in each stage of the pandemic progress, quantifies the change of travelers' spatiotemporal behaviors, and analyzes the adjustment of travelers' behaviors under the influence of the pandemic. There are three different behavior adjustment strategies under the influence of the pandemic, and the behavior adjustment is related to the individual's past travel habits. The paper quantitatively assesses the impact of the COVID-19 pandemic on individual travel behavior. And the method proposed in this paper can be used to quantitatively assess the impact of any long-term emergency on individual micro travel behavior.

N/A2022       CORD-19
1150Opportunities and challenges for integrating the development of sustainable polymer materials within an international circular (bio)economy concept  

HIGHLIGHTS: The production and consumption of commodity polymers have been an indispensable part of the development of our modern society. Owing to their adjustable properties and variety of functions, polymer-based materials will continue playing important roles in achieving the Sustainable Development Goals (SDG)s, defined by the United Nations, in key areas such as healthcare, transport, food preservation, construction, electronics, and water management. Considering the serious environmental crisis, generated by increasing consumption of plastics, leading-edge polymers need to incorporate two types of functions: Those that directly arise from the demands of the application (e.g. selective gas and liquid permeation, actuation or charge transport) and those that enable minimization of environmental harm, e.g., through prolongation of the functional lifetime, minimization of material usage, or through predictable disintegration into non-toxic fragments. Here, we give examples of how the incorporation of a thoughtful combination of properties/functions can enhance the sustainability of plastics ranging from material design to waste management. We focus on tools to measure and reduce the negative impacts of plastics on the environment throughout their life cycle, the use of renewable sources for their synthesis, the design of biodegradable and/or recyclable materials, and the use of biotechnological strategies for enzymatic recycling of plastics that fits into a circular bioeconomy. Finally, we discuss future applications for sustainable plastics with the aim to achieve the SDGs through international cooperation. ABSTRACT: Leading-edge polymer-based materials for consumer and advanced applications are necessary to achieve sustainable development at a global scale. It is essential to understand how sustainability can be incorporated in these materials via green chemistry, the integration of bio-based building blocks from biorefineries, circular bioeconomy strategies, and combined smart and functional capabilities. GRAPHIC ABSTRACT: [Image: see text]

N/A2022       CORD-19

(1) COVID-19 Open Research Dataset (CORD-19). 2020. Version 2022-06-02. Retrieved from https://ai2-semanticscholar-cord-19.s3-us-west-2.amazonaws.com/historical_releases.html. Accessed 2022-06-05. doi:10.5281/zenodo.3715506
(2) Chen Q, Allot A, & Lu Z. (2020) Keep up with the latest coronavirus research, Nature 579:193 and Chen Q, Allot A, Lu Z. LitCovid: an open database of COVID-19 literature. Nucleic Acids Research. 2020. (version 2023-01-10)
(3) Currently tweets of June 23rd to June 29th 2022 have been considered.

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