The rapid spread of COVID 19 outbreak has put a heavy burden on human society and is a great challenge for health care workers. The present study aims to assess the perceptions of nursing personnel regarding challenges in usage of PPE during COVID 19 pandemic and to find out the association between severity of physical symptoms and selected personal variables of nursing personnel. A quantitative approach with descriptive survey research design was used for the study. Web based self-administered questionnaire, rating scale and checklist were developed and distributed among study participants in the “Google forms”. A total of 134 participants were included in the study. Out of the 134 participants, 85(63.4%) nursing personnel were working in the government sector and 49(36.6%) of nursing personnel were working in the private sector. The top five challenges in the usage of PPE ranked based on self-reported data were; 1. difficulty to meet the basic needs such as food and fluids, 2. difficulty to meet elimination needs, 3. Unable to relax, 4. difficulty to meet hygienic needs and 5. disconnected with friends and family during working hours. Analysis of physical symptoms experienced by the nursing personnel showed that 41(30.6%) had mild symptoms, 54(40.3%) had moderate symptoms and 39(29.1%) had severe symptoms experienced owing to PPE usage. The most common physical symptoms reported by nurses were heat stress 124(92.5%), head ache 120(89.6%), exhaustion 117(87.3%) and dryness in throat (86.6%). There were no significant association between physical symptoms of nursing personnel and selected personal variables at 0.05 level of significance.

Coronavirus infection (COVID-19) has quickly emerged as a global pandemic leading to critical health complications. The possibility and risk of vertical transmission of this virus is still unclear, particularly as it relates to pregnant women and their fetuses. Regarding scientific data, there is insufficient research focused on COVID-19 infection complicated with hydrops fetalis and intrauterine fetal demise. In this study, we report an intra uterus fetal death due to hydrops fetalis and twin-to-twin transfusion syndrome (TTTS) in monochorionic–monoamniotic (MCMA) twin pregnancy associated with mild COVID-19 infection in a 33-week-pregnant woman.

This article seeks to relate (trans)generational issues with the phenomenon of sociodromology and education in the COVID-19 pandemic period that began globally in the first months of 2020 and 2021. To make such crossings possible, we will initially present under which aspects we are addressing the term generation, and its respective phenomenological development, transgenerationality. Once these concepts have been properly presented it is also necessary to relate those information with the generations that are currently living within educational environments, especially schools. After such an exposition, we will present the theory that contemplates the vector of acceleration and its respective consequence for humanity. Sociodromology emerges as a theoretical instrument that makes it possible to critically glimpse how the speed of machines has dictated our lives, having a perverse facet of exclusion that determines which groups may be able or unfit at their pace. Finally the text concludes its reflection on the current educational context using the critical tools of socio-pedagogy, which views the subjects who are involved in the educational process as representatives of an even greater order in the world, which transcends schools. In this perspective, education as a pillar of knowledge acquisition should be revised in addition to its pre-determined role in society and should form individuals who could change the world and their communities.

Background: Vascular thrombotic events such as pulmonary embolisms have been frequently reported in the course of SARS-Cov-2 infection. However, sagittal sinus thrombus is extremely rare, and patients may lack other appealing Covid-19 infection symptoms. Case report: 46-year-old female with past medical history of Hyperlipidemia, Hypertension presented to Emergency room with headache, chest pain, vomiting. SARS-CoV-2 IgG Antibodies were reactive. Except for elevated PTT-Lupus Anticoagulant at 50 Sec, Hypercoagulable workup was negative. The MRI venogram findings were consistent with the Dural thrombus of superior sagittal sinus. Patient subsequently developed chest pain, and Computed tomography angiography found pulmonary emboli within segmental branches of the right lower lobe pulmonary artery. Patient was managed in the ICU with Heparin and switched to Coumadin for discharged. Conclusion: The incidence of Cerebral Venous Sinus thrombus (CVST) among Covid-19 patients is inferior to 0.02%. And most of the patients lack typical Covid-19 presentations such as pneumonia. The lack of symptoms may promote the insidious course of pre-thrombotic events that lead to CVST. However more Retrospective studies are necessary to established consistent odd ratios. Due to the higher mortality associated with CVST and the ongoing of Covid-19 pandemic, we recommend a higher level of clinical suspicion.

As COVID-19 pandemic spreads worldwide, universities and academic institutions were forced to shift their face-to-face education to online learning since spring 2020. This shift was termed “emergency remote education or learning”, caused many distractions to students, and posed many challenges for both assessment and examination systems and practices at our Zhejiang University-University of Edinburgh (ZJU-UoE) Biomedical Science Institute, like other educational institutions worldwide. This necessitated the development of alternative and effective approaches and procedures to teach students, and several changes and adaptions of assessments and examinations at ZJU-UoE institute. In this article, we described the implications of the COVID-19 pandemic for student assessment systems and practices at ZJU-UoE Institute. The article is particularly reflecting on alternative approaches and strategies that we have developed at ZJU-UoE institute to change and adapt student assessments and examinations during COVID-19 pandemic. These changes involved developing general examination strategies and settings, including online (MCQ-type) test exam settings and online written exam settings, and developing effective procedure and policy to safeguard academic integrity during the COVID-19 pandemic that can help with facing various education and learning challenges in a time of crisis worldwide.

A survey on food choices with a randomized sample population of individuals using various social media in Nigeria was conducted during the COVID1-19 pandemic. The data generated was subjected to basic standard statistical analysis. The parameters indicated that 94% of the population is young adults, 58.9 % percent are city dwellers, 63.6% are students, 23.4 % are into business, 86.9% are graduates; 73.8% consume various diets, 23.4% are vegetarians and only 2.8% fed only on proteins, 30.8% of them go on two meals per day. The most choices on influence on food purchases decision are hunger (26.2%), mood (26.2%), past experience (45.8%), quality of the food products (66.7%), cost of the food products (50.5%) and government approval (28%). Also,other most preferred choices are for self-prepared food (40.21%), enhanced local diets (36 %), and a blend of foreign and local diets purchases (24%). Other highest choices include: easy preparation (37.4%), shelf life (29%); cute packaging (23.4%), swelling property preference (20.6%), minimal cooking time and energy preference (37.4%). The weighted sum, index and rank on factors influencing food choices showed that the influence of quality of food product ranked highest, followed by influence on cost. Also preference for enhanced local healthy diets to foreign ranked highest, minimal cooking time and energy costs ranked highest. These nutritional adaptations have implications to individuals, food scientists, manufacturers in the food industry, food regulatory agencies, government and other decision bodies.

The pandemic corona virus disease 19 (COVID-19), caused by (SARS-CoV-2) a single stranded-RNA virus, has been spread rapidly worldwide with high rate of morbidity and mortality. Few months after the spread of the pandemic, few medications have proven to be efficient in human clinical trials. Several antiviral drugs have been used outside the scope of their initial medical use, such as lopinavir, hydroxychloroquine or azithromycin. Recent researches were done to show the efficacy of ivermectin in reducing SARS-CoV-2 viral RNA within 2 days. The use of ivermectin in in vitro studies has proven its efficacy against Corona virus. Based on the potency of ivermectin in in vitro studies, various clinical trials including patients infected with COVID-19 have been started; most of them have not been completed yet. Since the way how the virus infects the cells in vitro and in vivo is different, a decisive comment about how the ivermectin could exactly be beneficial to the patients has not been proven yet. Nevertheless, if ivermectin is compared to the other therapeutic treatments available for COVID-19 management, ivermectin has proved to have leverage over them. New randomized controlled clinical trials to assess the effectiveness of ivermectin the management of COVID-19 are strongly and urgently needed.

It is known that seasonal influenza virus vaccination is important to be taken every year among healthcare workers (HCWs) to avoid transmission of influenza virus and its complications inside the workplace. The reason behind the importance of vaccination is that HCWs are at high risk to be infected with influenza virus. Among the studies addressing the rates of influenza vaccine status among HCWs, a study was conducted in three Middle East countries where the vaccination rates were 24.7%, 67.2%, and 46.4% in United Arab Emirates, Kuwait, and Oman, respectively. Now, after the pandemic of COVID-19 there are beliefs that vaccination with influenza virus could decrease the deaths from COVID-19. A recent retrospective cohort study to detect the effect of seasonal influenza vaccine on the deaths among COVID-19 patients showed that the individuals who didn’t take the influenza vaccine in the last year before being infected with COVID-19 had a higher risk of being hospitalized when compared with patients who took the vaccine. In conclusion, seasonal influenza vaccine could have an important role in the prevention of COVID-19. Seasonal influenza vaccine coverage should be improved among HCWs. New tailored health education programs to improve the attitudes and beliefs of HCWs towards seasonal influenza vaccine during the era of COVID-19 are strongly and urgently needed.

Given the limited access to medical facilities, impeding lockdown, and social isolation during the COVID-19 pandemic, an upsurge in postpartum depression among pregnant mothers in their puerperal period has become more apparent alongside an eventual increase in suicidal behavior. This article aimed to discuss the crucial aspects of different clinical case studies treated during recent periods throughout the COVID-19 pandemic via teleconsultations. We hoped to demonstrate tremendous opportunities for the application of healthcare via therapeutic tools online in telemedicine to manage such conditions in a developing country like Bangladesh with a severe scarcity of healthcare infrastructure and resources.

Digital formative assessments have the features of digital learning environment and can be used by teachers to both empower students’ learning and adapt the next steps in the learning process of their students. They are effective tools that can help lecturers and tutors to both collect and analyze the required information and data for supporting the teaching and learning processes. Importantly, digital formative assessments have been particularly critical during the COVID-19 pandemic due to increased students’ learning outside traditional classrooms, limited face-to-face classes and other students’ learning and assessment difficulties at many educational institutions worldwide. In this article, we describe the essential features and importance of digital formative assessments and their recently developed communication methods. We also discuss the significance of digital formative assessments in measuring students’ learning and skills in times of global crisis such as the COVID-19 pandemic.

CoV-2 disease 2019 (COVID-19) pandemic has exerted a great burden on the health and economic systems worldwide. One of the most important factors that affect the severity and prognosis of COVID-19 is the occurrence of hyperstimulation of the immune system resulting in “cytokine storm”. Similar to SARS-CoV, an intracellular complex called nod like receptor family pyrin domain containing 3 (NLRP3) inflammasome was found to be activated by SARS-CoV-2, then in turn stimulates several interleukins and initiates the inflammatory cascade. In addition, other inflammatory mediators such as interferons e.g., IFN-α, and IFN-γ, interleukins e.g., IL-1β, IL-12, IL-18, tumor necrosis factor-α (TNF- α), and chemokines e.g., CCL2, CXCL10 have been reported in severely ill patients. These mediators represent the corner stone in developing cytokine storm that results in uncontrolled systemic inflammatory reaction with subsequent acute respiratory distress syndrome (ARDS), multiple organ failure and eventually death. Based on its anti-inflammatory effects, colchicine has also gained attention to be utilized in the management of COVID-19 patient. Colchicine exerts its anti-inflammatory effect through inhibition of formation of microtubules which is considered an essential step in several cellular processes such as division, signalling, and migration. Also, colchicine affects the cytokine cascade by inhibiting IL-1β leading to reduction in neutrophils recruitment, free radicles production and inflammasome stimulation. This raises the concerns about the effectiveness of colchicine in COVID-19 treatment and the possibility of providing an improvement of the clinical course of the disease.

Background: Annual influenza outbreaks constitute a major public health concern in the United States. But this health burden appears dwarfed by the impact of COVID-19. Our aim is to quantify the excess mortality attributable to COVID-19, compared to previous influenza seasons. Methods: We retrospectively compare weekly mortality figures attributable to influenza and pneumonia in the United States from 2013 to 2019 with corresponding figures attributable to influenza, pneumonia, and COVID-19 from 2019 to 2021. We utilize a difference in differences regression methodology to estimate excess mortality observed in 2019-21 compared to 2013-2019. Results: Mortality patterns attributable to influenza, pneumonia, and COVID-19 differ significantly from the 2013-19 experience. Notably, distinct, aperiodic mortality waves occur in the 2019-2021 window, and mortality is well in excess of what is observed in typical influenza seasons. Conclusions: The COVID-19 pandemic has led to considerable excess mortality in the United States, and has strained public health resources. One might expect that the mortality waves observed during the pandemic will be damped by increasing levels of vaccination, and prior infections.

The economic and social effects that the COVID-19 pandemic and the associated measures to address it are having in Latin America may lead to serious long-term consequences that would affect the achievement of the Sustainable Development Goals. In this article, the collaboration of environmental economists from eight countries in the region discusses the possible effects of the pandemic on air pollution, deforestation, and other relevant environmental aspects related to the SDGs. In addition to presenting an account of some of the initial effects of the health crisis on the environment, the paper discusses potential effects in terms of environmental regulations and public policy interventions. Finally, the paper presents an agenda on new research topics that arise due to the pandemic or have gained greater importance due to it, including the impacts on the achievement of the Sustainable Development Goals. Briefly, this paper is a novel view of the sustainable development in Latin America and the Covid-19 impacts on this process.

The outbreaks and quick spread of severe-acute-respiratory-syndrome-coronavirus 2 (SARS-CoV-2), causing the coronavirus disease 2019 (COVID-19), have badly affected the whole world due to continuous emergence-and-transmission of the latest-new viral-genomes forming new-variants revealing patterns of the SARS-CoV-2 outbreak-and-global-pandemic with badly affecting advanced-medical-science-technology-communication-agriculture-agronomy-plant-breeding-horticulture, health-environment-socio-economy, and different-issues. India's emphasis on okra, the ‘Nature's-Gift to Human-Disease-Free-Healthy-Life’ and the most ‘Economically-Important-Number-One-Consumption Vegetable-Crops’ is destroyed by various-diseases causing pathogens like the root-knot (RK)-diseases caused by the nematodes, Meloidogyne incognita (Kofoid & White) Chitwood, and easily checked by many chemical-pesticides. But it causes different carcinogenic effects on the environment and our life. So it is an urgent need to develop potential biomedicines. The pretreatments with ultra-high-diluted-biomedicines (UHDBMs) Gall 200C and Nematode 200C, prepared from okra-root-galls (ORG) and nematode-females (NF) respectively, applied by foliar spray@ 20 ml/plant, are highly effective against the root-knot-disease of okra, Abelmoschus esculentus (L.) Moench Cv. Ankur-40, with the increasing growth of plants and fruits-production. The UHDBMs-Gall 200C is more effective than the Nematode 200C. Both the pretreatments-UHDBMs are responsible for induce-systemic-acquired-defense-response of the pretreated-plants through the expression of pathogenesis-related (PR)-proteins-genes (22-14 numbers), which are more or less similar-molecular-range (295kD-11kD) of many coronavirus, which will be responsible for preventing-RK and COVID-19 like virus-diseases by inducing-defense-resistance or increasing innate-immunity respectively, and advanced in medical-science, technology, communication, agriculture, agronomy, plant breeding, horticulture, health, environment, socio-economy, and different application-issues with pollution-free globe, developing new-preventive typical-biomedical vaccines or treatments methods or drug development and research against the ‘21^st-Century Global Pandemic COVID-19 like Any Viral Diseases’ which lead to optimal contributions to the field of policymaking drug and vaccine development emphasizing new or important aspects of the study, and synthetic production of UHDBMs will be more practical implications, and social implications in the future research. And the farmers and the world would be benefitted most; by collecting and uprooting gall-roots after harvesting for cost-effective bio-controlling plant-diseases, and profit from shelling-and-buying of whole plants, fruits, and gall-roots also, and helps for the benefit of global health by developing the most cost-effective, personalized, non-toxic, easily-preparable, easily-maintainable, easily-available and suppliable, vaccines or treatments methods from their own product.

COVID-19 demonstrated a global catastrophe that touched everybody, including the scientific community. As we respond and recover rapidly from this pandemic, there is an opportunity to guarantee that the fabric of our society includes sustainability, fairness, and care. However, approaches to environmental health attempt to decrease the populations burden of COVID-19, toward saving patients from becoming ill along with preserving the allocation of clinical resources and public safety standards. This paper explores environmental and public health evidence-based practices toward responding to Covid-19. A literature review tried to do a deep dive through the use of various search engines such as Mendeley, Research Gate, CAB Abstract, Google Scholar, Summon, PubMed, Scopus, Hinari, Dimension, OARE Abstract, SSRN, Academia search strategy toward retrieving research publications, “grey literature” as well as reports from expert working groups. To achieve enhanced population health, it is recommended to adopt widespread evidence-based strategies, particularly in this uncertain time. As only together can evidence-informed decision-making (EIDM) can become a reality which include effective policies and practices, transparency and accountability of decisions, and equity outcomes; these are all more relevant in resource-constrained contexts, such as Nigeria. Effective and ethical EIDM though requires the production as well as use of high-quality evidence that are timely, appropriate and structured. One way to do so is through co-production. Co-production (or co-creation or co-design) of environmental/public health evidence considered as a key tool for addressing complex global crises such as the high risk of severe COVID-19 in different nations. A significant evidence-based component of environmental/public health (EBEPH) consist of decisions making based on best accessible, evidence that is peer-reviewed; using data as well as systematic information systems; community engagement in policy making; conducting sound evaluation; do a thorough program-planning frameworks; as well as disseminating what is being learned. As researchers, scientists, statisticians, journal editors, practitioners, as well as decision makers strive to improve population health, having a natural tendency toward scrutinizing the scientific literature aimed at novel research findings serving as the foundation for intervention as well as prevention programs. The main inspiration behind conducting research ought to be toward stimulating and collaborating appropriately on public/environmental health action. Hence, there is need for a “Plan B” of effective behavioural, environmental, social as well as systems interventions (BESSI) toward reducing transmission.

After the outbreak of the covid-19 disease in the world of human life, living organisms and their environment were affected in various ways. The outbreak of the covid-19 virus has posed many opportunities and challenges to the world environment. This article aims to investigate the effects of the outbreak of covid-19 disease on the environment. This research has studied the effects of the covid-19 virus on the environment through library and review methods. It has been studied and analyzed in the form of articles and related researches. The results of published sources show that quarantine and the requirement of humans to stay at home to break the covid-19 transmission chain caused the animals to feel safe, move out of their natural territory and into urban and rural areas. Reducing noise and air pollution and greenhouse gas emissions by reducing vehicle traffic and shutting down factories are other positive effects of the covid-19 outbreak that has helped improve air quality and reduce global warming. In addition to these positive effects, reducing conservation activities during the Covid-19 era in some areas has increased habitat destruction and poaching. Increasing household and hospital waste production, increasing the consumption of plastics and disposable materials, and decreasing waste recycling are the negative effects of the covid-19 virus epidemic, which, by destroying resources, puts pressure on the environment. Increased consumption of detergents and disinfectants will have many detrimental effects on the environment. In general, the positive effects of the covid-19 virus on the temporary and short-term environment seem to be small compared to the long-term consequences. Therefore, by overcoming covid-19, we should focus on rebuilding society and a healthy economy, and by fully understanding the opportunities and threats of this virus, we should consciously train environmental behaviors.

With unclaimed property assets reaching record levels, businesses have become, in some cases, overwhelmed and hamstrung by stagnant, unoptimized processes. That sentiment is compounded by ever-evolving regulatory changes, resulting in organizations struggling to hit compliance deadlines while delivering an optimal claimant experience. Often, early systems had periods of short-term success but are on the verge of obsolescence, resulting in stressed workflows and cumbersome integrations. Deploying an integrated IT infrastructure, supported by cloud-enabled AI, represents the quickest path to modernizing unclaimed property management. A fully integrated IT infrastructure is crucial to optimize the management of unclaimed property [1]. When lone solutions exist across an organization, companies miss out on automation opportunities generated through the interconnectedness of systems and data. AI presents organizations with the opportunity to traverse these gaps, enabling a vast library of applications to improve the perturbed workflows of unclaimed property teams. Automated data extraction, document comparison, fraudulent claim detection, and workflow completion analysis are just a few popular applications well suited for the unclaimed property space. In addition to the lagging technology currently deployed by many organizations, the unclaimed property landscape itself is evolving. Compliance issuance, asset availability, rates, the ability to collect fraudulently posted claims, and the claimant experience have all become hot-button items that are now front of mind for regulation agencies and businesses alike. Issuing duplication letters in a compliant manner, accommodating claimant inquiries regarding held assets, and managing, processing, and understanding the operational impact of rate changes are vexing problems many organizations now find themselves playing catch-up to address. The opportunity posed by cloud-enabled AI is furthered by economic, regulatory, and report cycle pressures on unclaimed property teams to do more with the same size or fewer resources. It’s now no longer simply a case of hitting the audit date deadline and checking off a box but an emerging priority for businesses at all sides of the market, from Fortune 500 to mid-market firms. In-house shared service teams are comfortable in areas of monitoring and curating business data; however, unclaimed property is an unknown territory with a learning curve, compliance gaps, and operational holes that, if ignored, stand to scale up exponentially. The combined fallout from regulatory changes and the recent pandemic have only made the situation riskier, with increased volatility in balancing time-sensitive tasks against stringent regulatory deadlines and growing claimant outreach.

The supply chain ecosystem plays a very important role in the success or failure of organizations, markets, and economies. Supply chain ecosystems are broadly defined as supply chain organizations and their collaborators. Today's combined challenges of pandemic shutdowns, rising internet usage, and skyrocketing climate change concerns demand that the supply chain ecosystem better connect with customers, when and how they want, to provide products and services with high levels of availability and zero defects, yet collaboratively do this to reduce transportation and production risks, often at the same time reducing operational costs and carbon footprints. Addressing these challenges, this work explores the cloud delivery capabilities of cloud-native architectures to enable the big data integrations and analytics that are needed to grow smarter supply chain ecosystems. This work describes what smart supply chain ecosystems are and how they are planning to grow their technology and integration capabilities. Discussing the industry-leading advanced and manufacturing technology producer ecosystems, it is explained how their technology collaboration and investment plans are driven by climate change and job creation goals. With these background models, the work examines the new digital reality of customer-driven experiences and economies that are demanding cloud-native and intelligent technology partnerships to deliver climate objectives, operational responsiveness, and compatibility to avoid trading economies of scale for economies of integration. The final objectives of this paper are to share key ideas about the need to balance the growing customer service direct-to-consumer business models with those for collaborative investment by market and industry. In doing this, it hopes to promote an intelligent supply chain ecosystem foundation for helping its different participating countries survive and thrive in the digital economy.