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600-2.236) and people of African descent (OR = 1.415; 95%CI 1.236-1.620), respectively (

<0.01) than in the population group that did not identify as belonging to one of those ethnic-racial groups.

There is an association between ethnic-racial status and type of insurance in the contributory and subsidized health systems in Colombia. Ethnic-racial status is a structural component of inequity in access to health services and heightens the disadvantages of people and population groups with low socioeconomic status.

There is an association between ethnic-racial status and type of insurance in the contributory and subsidized health systems in Colombia. Ethnic-racial status is a structural component of inequity in access to health services and heightens the disadvantages of people and population groups with low socioeconomic status.The coronavirus disease COVID-19 has spread throughout the world and has been declared as a pandemic by the World Health Organization on March 11th, 2020. The COVID-19 is caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). One possible mode of virus transmission is through surfaces in the healthcare settings. This paper reviews currently used disinfection strategies to control SARS-CoV-2 at the healthcare facilities. Chemical disinfectants include hypochlorite, peroxymonosulfate, alcohols, quaternary ammonium compounds, and hydrogen peroxide. Advanced strategies include no-touch techniques such as engineered antimicrobial surfaces and automated room disinfection systems using hydrogen peroxide vapor or ultraviolet light.The psychological health of people all around the world is severely affected due to the COVID-19 outbreak. This study examined a moderated mediation model in which college belongingness mediated the relationship between coronavirus anxiety and psychological adjustment, and this mediation effect was moderated by social media addiction. A total of 315 undergraduate students (M = 21.65±3.68 years and 67% females) participated in this study. The results demonstrated that college belongingness partially mediated the association between coronavirus anxiety and psychological adjustment. The mediating part from coronavirus anxiety to college belongingness was moderated by social media addiction. In comparison with the high level of social media addiction, coronavirus anxiety had a stronger predictive effect on college belongingness under the low and moderate levels of social media addiction condition. Our findings highlight that college belongingness is a potential mechanism explaining how coronavirus anxiety is related to psychological adjustment and that this relation may depend on the levels of social media addiction.This study investigated the relationships between active, problem-focused, and maladaptive coping with stress during the Coronavirus outbreak, the Big Five personality traits, and social support among Israeli-Palestinian college students (n = 625). Emotion-focused coping negatively correlated with social support, openness, extraversion, conscientiousness, and agreeableness, while it positively correlated with neuroticism. On the other hand, problem-focused coping was found to positively correlate with social support, openness, extraversion, conscientiousness, and agreeableness, but negatively correlate with neuroticism. Thus, positive social support may increase one’s ability to cope actively, adaptively, and efficiently. In addition, Israeli-Palestinian college students high in openness, extraversion, agreeableness, and conscientiousness tend to use active problem-focused coping while those high in neuroticism tend to use maladaptive emotion-focused coping.

This study is aimed at developing multidimensional leisure participation assessment tool for the elderly to achieve quantitative and qualitative assessment of leisure participation and leisure exploration.

This study collected preliminary items through literature review, statistical office data, and survey of the elderly’s leisure activities and considered the list of leisure activities as assessment items by conducting a Delphi survey. Reliability was verified through internal consistency and test-retest reliability. The assessment tool was finally confirmed using content validity and discriminant validity.

A total of 81 leisure items classified into 8 categories and 22 subcategories were obtained through data collection and Delphi survey. Cronbach’s

value was 0.939, and Intraclass Correlation Coefficient was 0.941. A content validity test was confirmed by validating that I-CVI was 0.78 or more and the S-CVI was 0.95. According to the result of discriminant validity, there was a difference in the number of participating leisure activities and leisure activities with participation intention by age.

The leisure participation assessment tool for the elderly developed in this study can obtain information on the overall view of the leisure of the elderly by measuring leisure exploration, leisure participation, and interference factor affecting leisure participation.

The leisure participation assessment tool for the elderly developed in this study can obtain information on the overall view of the leisure of the elderly by measuring leisure exploration, leisure participation, and interference factor affecting leisure participation.

Scientific evidence that supports the psychometric properties of the COPM as a tool to enable personalized care has been repeatedly shown. selleck kinase inhibitor However, there is a lack of studies about its utility within the Spanish research community.

This qualitative study seeks to ascertain the perceptions of professionals from social health centers, nursing homes, and Spanish rehabilitation services about the clinical utility of the COPM as a standardized instrument.

Thirty occupational therapists and physiotherapists in four focus groups discussed the experience of applying the COPM. The interpretative phenomenological analysis (IPA) incorporated a multidimensional model of clinical utility based on the components of acceptable, appropriate, accessible, and practicable by the clients, professionals, and institutions.

. The results of the utility study showed that the COPM helped professionals and clients to gain significant involvement in the treatment process. The COPM contributed to the process of further goal setting, occupation-based, and client-centered, thus achieving considerable satisfaction from the clients that had treatment. The professional training and adaptation to the geriatric population were vital to this process.

The COPM is a useful and viable tool for the institutions that are supportive of a client-centered approach in the Spanish context.

The COPM is a useful and viable tool for the institutions that are supportive of a client-centered approach in the Spanish context.

To investigate the relationship between the eccentric calcification of aortic valve and transcatheter heart valve (THV) distortion and the impact of THV distortion on echo parameters and clinical outcomes.

The effects of eccentric calcification of the aortic valve on the THV distortion and the relationship between THV distortion and clinical impact were not fully understood.

Patients with symptomatic severe aortic stenosis who were undergoing THV implantation were enrolled. Patients underwent preprocedural, postprocedural multislice computed tomography (MSCT), and follow-up transthoracic echocardiogram (TTE).

(ΔCS) is defined as the difference between the maximum and minimal calcium scores of the three cusps, while

(VDS) is defined as the difference between the longest and shortest stent frame, as obtained using MSCT. Patients were divided into two groups according to ΔCS “noneccentric calcification group” and “eccentric calcification group.”

A total of 118 patients were enrolled (59 patients in noneccentric and 59 in eccentric calcification groups). VDS was significantly lower in the noneccentric calcification group than in the eccentric calcification group (1.31 ± 0.82 mm vs. 1.73 ± 0.76 mm,

=0.004). VDS was not associated with the degree of paravalvular leak (PVL) and aortic valvular mean pressure gradient (AVPG) at 30-day and 1-year follow-up TTE and the cumulative rates of all-cause death and rehospitalization at 2-year clinical follow-up.

Eccentric valvular calcification was associated with longitudinal THV distortion. However, THV distortion was not associated with PVL, AVPG, and adverse clinical events during midterm follow-up.

Eccentric valvular calcification was associated with longitudinal THV distortion. However, THV distortion was not associated with PVL, AVPG, and adverse clinical events during midterm follow-up.

Societal lockdowns in response to the COVID-19 pandemic have led to unprecedented disruption to daily life across the globe. A collateral effect of these lockdowns may be a change to transmission dynamics of a wide range of infectious diseases that are all highly dependent on rates of contact between humans. With timing, duration and intensity of lockdowns varying country-to-country, the wave of lockdowns in 2020 present a unique opportunity to observe how changes in human contact rates, disease control and surveillance affect dengue virus transmission in a global natural experiment. We explore the theoretical basis for the impact of lockdowns on dengue transmission and surveillance then summarise the current evidence base from country reports.

We find considerable variation in the intensity of dengue epidemics reported so far in 2020 with some countries experiencing historic low levels of transmission while others are seeing record outbreaks. Despite many studies warning of the risks of lockdown for dengtings. Further analyses might ultimately allow this unique natural experiment to provide insights into how to better control dengue that will ultimately lead to better long-term control.Since the emergence of COVID-19, thousands of people undergo chest X-ray and computed tomography scan for its screening on everyday basis. This has increased the workload on radiologists, and a number of cases are in backlog. This is not only the case for COVID-19, but for the other abnormalities needing radiological diagnosis as well. In this work, we present an automated technique for rapid diagnosis of COVID-19 on computed tomography images. The proposed technique consists of four primary steps (1) data collection and normalization, (2) extraction of the relevant features, (3) selection of the most optimal features and (4) feature classification. In the data collection step, we collect data for several patients from a public domain website, and perform preprocessing, which includes image resizing. In the successive step, we apply discrete wavelet transform and extended segmentation-based fractal texture analysis methods for extracting the relevant features. This is followed by application of an entropy controlled genetic algorithm for selection of the best features from each feature type, which are combined using a serial approach. In the final phase, the best features are subjected to various classifiers for the diagnosis. The proposed framework, when augmented with the Naive Bayes classifier, yields the best accuracy of 92.6%. The simulation results are supported by a detailed statistical analysis as a proof of concept.