scholarly journals Analysis of the sources of COVID-19 transmission in France by Self-assessment Web-application before and after the partial autumnal lockdown: Observational Study (Preprint)

Author(s):  
Fabrice Denis ◽  
Anne-Lise Septans ◽  
Florian Le Goff ◽  
Stephan Jeanneau ◽  
François-Xavier Lescure
2021 ◽  
Author(s):  
Fabrice Denis ◽  
Anne-Lise Septans ◽  
Florian Le Goff ◽  
Stephan Jeanneau ◽  
François-Xavier Lescure

BACKGROUND We developed a questionnaire on a web-application for COVID-19 circumstances of contamination analysis in France during the 2nd wave of pandemic. OBJECTIVE To analyze the impact on contaminations characteristics of the second partial lockdown in France to adapt health public restrictions to further pandemic surges. METHODS Between 12/15/2020 and 12/24/2020, after a national media campaign, users of sourcecovid.fr web-application were asked questions about their own or a close relative COVID-19 contamination after 8/15/2020 in France. Data of contamination’s circumstances were assessed and compared before and after the second partial lockdown which occurred on 10/25/2020 during the second wave of pandemic and was ongoing on 12/24/2020. RESULTS As of December 24, 2020, 441 000 connections on web-application were observed. 2218 questionnaires were assessable for analysis. 61.8% were sure of their contamination origin and 38.2% thought they knew it. The median age of users was 43.0 years (IQR 32 to 56), 50.7% were male. The median incubation time of the assessed cohort was 4.0 days (IQR 3 to 5). Private area (family and friends) was the main source of contamination (50.2%) followed by work colleagues: 27.7%. The main time of contamination of the day was the evening (35.3%) before the lockdown and was reduced to 18.2% after it (P<0.001). The person who transmitted the virus to the user before and after the lockdown was significantly different (P<0.001): a friend (29.0% vs 14.1%), a family close relative (23.1% vs 32.7%), a work colleague (23.9% vs 34.2%). The main location where the virus was transmitted to the users before and after lockdown was significantly different too (P<0.001), respectively: Home (21.3% vs 25.5%), at work (22.4% vs 29.6%), collective places (33.0% vs 15.0%), and care centers (4.4% vs 9.7%). CONCLUSIONS Modalities of transmissions significantly changed before and after the 2nd lockdown in France. The main sources of contaminations remained the private area and work colleagues. Work became the main location of contamination after lockdown whereas collective places contaminations were strongly reduced. CLINICALTRIAL ClinicalTrials.gov NCT04670003


Author(s):  
Fabrice Denis ◽  
Arnaud Fontanet ◽  
Yann-Mael Le Douarin ◽  
Florian Le Goff ◽  
Stephan Jeanneau ◽  
...  

2021 ◽  
Vol 5 (1) ◽  
pp. e000862
Author(s):  
Irina Korotchikova ◽  
Sukainah Al Khalaf ◽  
Ewa Sheridan ◽  
Rory O'Brien ◽  
Colin P Bradley ◽  
...  

ObjectivesTo examine the characteristics of paediatric attendances to the emergency department (ED) in Cork University Hospital (CUH) before and after the expansion of free general practitioner (GP) care to children under the age of 6 years.DesignThis is a retrospective observational study that used a large administrative dataset.SettingThe study was conducted in major Irish tertiary referral centre that serves a total population of over 1.1 million. It is a public hospital, owned and managed by the health service executive.ParticipantsChildren aged 0–15 years who attended CUH ED during the study period of 6 years (2012–2018) were included in this study (n=76 831).InterventionsFree GP care was expanded to all children aged 0–5 years in July 2015.Main outcome measuresPaediatric attendances to CUH ED were examined before (Time Period 1: July 2012–June 2015) and after (Time Period 2: July 2015–June 2018) the expansion of free GP care to children under 6. Changes in GP referral rates and inpatient hospital admissions were investigated.ResultsPaediatric presentations to CUH ED increased from 35 819 during the Time Period 1 to 41 012 during the Time Period 2 (14.5%). The proportion of the CUH ED attendances through GP referrals by children under 6 increased by over 8% in the Time Period 2 (from 10 148 to 14 028). Although the number of all children who attended CUH ED and were admitted to hospital increased in Time Period 2 (from 8704 to 9320); the proportion of children in the 0–5 years group who attended the CUH ED through GP referral and were subsequently admitted to hospital, decreased by over 3%.ConclusionThe expansion of free GP care has upstream health service utilisation implications, such as increased attendances at ED, and should be considered and costed by policy-makers.


Author(s):  
Theresia Devi Indriasari ◽  
Kusworo Anindito ◽  
Eddy Julianto ◽  
Bertha Laroha Paraya Pangaribuan

<span>Indonesia is a country located on top of some tectonic plates that bring potential natural disasters. Disaster management system is considered essential in controlling the situation in the site both before and after the disaster takes place. In disaster situation, the government and society are involved in a volunteer team in order to help minimize victims and support survivors. However, the volunteering activities are often hindered since there are problems in the disaster site. One of the problems is late responses due to poor coordination among volunteers that drives the delay in disaster relief. Therefore, it is necessary to have an application that maps the positions of volunteers in a disaster site, so that the disaster management coordinator can disseminate volunteers to disaster areas based on needs. The purpose of the study is to propose an application called ‘MyMapVolunteers’ that effectively and efficiently detects the position of the volunteers in order to improve disaster management service. In this case, real time and location based service technology will able to detect the position of each volunteer. ‘MyMapVolunteers’ is composed of two platforms, which are mobile and web applications. Mobile platform is an application that uses GPS function provided by the smartphone to find the volunteers’ location coordinates and then send the data of the location automatically and manually. The web platform is used to receive volunteers’ location data and to present them in google map, therefore disaster management coordinator can monitor the positions of and search for volunteers faster.</span>


2014 ◽  
Vol 8 (2) ◽  
pp. 162-168
Author(s):  
Maria Vânia Silva Nunes ◽  
Ana Almeida Pinho ◽  
Helena Mauricio Campos ◽  
Paula Abreu ◽  
Isabel Pinto Gonçalves ◽  
...  

ABSTRACT Objective: In the present paper we present an observational study of the implementation of a Neuropsychological Stimulation Program at an Elderly Day Care Center in low-educated participants with very similar backgrounds concerning social economic status. Methods: The implemented program tackled several dimensions, including daily orientation sessions, cognitive stimulation sessions twice a week, followed by movement sessions, and structured sessions conducted every two weeks. Cognitive Evaluation was performed before and after implementation of the program. Results: Results are discussed taking into consideration cognitive outputs as well as non-cognitive outputs and the specificities of community-based intervention. Conclusion: It was concluded that community-based intervention is set to become vital in promoting dementia prevention.


2019 ◽  
Vol 3 (2) ◽  
Author(s):  
C. Edmundson ◽  
A. Cassens ◽  
G. Mafi ◽  
D. Stein ◽  
A. Riggs ◽  
...  

ObjectivesMeat color is often seen by consumers as an indicator of freshness and wholesomeness. Nitrite-embedded (NE) packaging forms nitric oxide myoglobin, which imparts a bright red color similar to oxymyoglobin. However, limited research has determined the effects of NE packaging to improve the appearance of atypically dark cutting beef. Consumers’ perception of NE packaging ultimately determines its success in the market. Educating consumers through infographics can transfer knowledge more effectively than text alone, potentially being a useful method to introduce and simplify the complexity of NE packaging’s role in improving the surface color of beef steaks. The objectives of this study were to evaluate FreshCase® nitrite-embedded packaging’s effect on atypical dark-cutting beef steaks and to evaluate student consumer perception of nitrite-embedded packaging improving the surface color of beef before and after exposure to infographics containing equal content.Materials and MethodsAtypical dark-cutting (n = 13, pH 5.70 ± 0.09) and normal-pH (n = 13, pH = 5.57 ± 0.1) USDA Low Choice beef strip loins were selected 3 d postharvest. Atypical dark-cutting loins were cut into 2.54 cm thick steaks and randomly packaged in polyvinyl chloride film (PVC) or NE film. Normal-pH control loins were cut 2.54 cm and randomly packaged in PVC overwrap. Packages were placed in a coffin-style retail case under fluorescent lighting for 6 d. Instrumental color was observed every 24 h using a HunterLab MiniScan XE spectrophotometer. The color was determined as a* values and chroma. In the second objective, surveys using a ten-point Likert sliding scale (0 = not familiar at all, 10 = extremely familiar) were randomly allocated and emailed via Qualtrics to students enrolled in the Introduction to Animal Science course at Oklahoma State University. These surveys used a pre-questionnaire to evaluate students’ pre-perception of their knowledge of beef color and NE packaging. After the pre-perception questionnaire students were provided one of the following: a static infographic presented as a still image with annotated graphics, a 46 s video infographic with audio and animated graphics, or both infographic formats. A post-questionnaire followed exposure to students’ respective infographic to evaluate changes in the perception of knowledge.ResultsAtypical dark-cutting steaks treated in NE packaging had higher (P < 0.05, more red intensity) chroma and a* values compared to atypical dark-cutting steaks in PVC on d 4, 5, and 6. There was a significant difference (P < 0.05) in the students’ (n = 288) pre- and post-questionnaire self-assessment of their familiarity with NE packaging. Prior to randomly viewing infographics, students were less familiar (= 3.18) with NE packaging than after viewing infographics (= 6.46). However, there was no significant difference in perceptions (P = 0.22) between viewing the different infographic formats.ConclusionThe results suggest that NE packaging with consumer education can improve their perceptions and knowledge and enhance the appearance of atypical dark-cutting beef.


2013 ◽  
Vol 6 (2) ◽  
pp. 125-130
Author(s):  
Danelina E. Vacheva ◽  
Verjinia K. Simeonova ◽  
Boyko St. Stamenov

Summary Bulgaria ranks first in the world in incidence, morbidity and death associated with cerebrovascular disease. The aim of the study was to investigate, follow-up and register recovery of activities of daily living (using the toilet and maintaining personal hygiene) in patients with sequelae from cerebrovascular disease in a subacute stage, who underwent physiotherapy and rehabilitation. Sixty-one patients were included and followed up. They were given tailored physiotherapy and rehabilitation. This included kinesitherapy, occupational therapy and electrotherapy. All the patients filled in self-assessment questionnaires before and after the rehabilitation course. Major parameters were assessed, irrespective of the limb affected -dominant or non-dominant. Results were analyzed using the Wilcoxon rank test. At the end of the rehabilitation course, the Wilcoxon curves were driven to the right, confirming improvement concerning independence, irrespective of involvement of dominant or non-dominant limb.


EAD em FOCO ◽  
2016 ◽  
Vol 6 (2) ◽  
Author(s):  
Fernanda Roda Cassundé ◽  
Edson Gomes Silva ◽  
Laís da Silva Santos ◽  
Adler Henrique Santos Souza ◽  
Graça Suely Gomes Souza ◽  
...  

O presente trabalho tem como objetivo avaliar as expectativas e experiências dos estudantes em relação à disciplina O Estado e os problemas contemporâneos, do Curso de Especialização em Gestão Pública da Universidade Federal do Vale do São Francisco (Univasf). Para isso, foi realizada a aplicação do questionário de autoavaliação Colles (Constructivist Online Learning Environment Survey) verificando-se as possíveis mudanças na percepção e comparando-se os resultados do antes e do depois referente a seis dimensões: relevância, reflexão, interação, apoio dos tutores, apoio dos colegas e compreensão. Participaram da pesquisa 97 alunos, em dois momentos diferentes: no início das aulas, para conhecer as expectativas dos estudantes e no final delas, para se ter uma compreensão da realidade vivenciada. Os resultados revelaram que a análise da experiência sempre foi inferior quando comparada à análise da expectativa em todos os aspectos apresentados, evidenciando que alguns participantes sentenciaram não ter alcançado os objetivos pretendidos.Palavras-chave: Colles, Educação a distância, Avaliação, Pós-graduação, PNAP.  Social Constructivist Evaluation of an Experience in Distance Education: the use of Colles as Data Collection InstrumentAbstract This study aims to evaluate the students expectations and experiences regarding the subject "The State and the contemporary problems", in Public Management post-graduation from the Federal University of São Francisco Valley (UNIVASF). For this, the application carried out the self-assessment questionnaire COLLES (Constructivist On-line Learning Environment Survey) checking for possible changes in perception and comparing the results before and after referring to the six dimensions: relevance, reflection, interaction, support tutors, peer support and understanding. The participants were 97 students in two different times at the beginning of classes, to meet the expectations of students and at the end of these, to have an understanding of experienced reality. The results showed that the students' experience overcame the negative assessment in all aspects presented, showing that some participants sentenced not have achieved the intended objectives.Keywords: COLLES, Distance education, Evaluation, Postgraduate studies, PNAP. 


2020 ◽  
Vol 4 (1) ◽  
pp. 215-221
Author(s):  
Ni Luh Putu Martini ◽  
Irna Nursanti ◽  
Giri Widakdo

This study aimed to determine the effect of the risk checks web application on the knowledge of mothers to detect high risk early in pregnancy. The research design used in this study was a quasi-experimental design with one group design without control. The results showed that the mean difference before and after the intervention was 13.00, with a p-value of 0.000. In conclusion, the risk check web application can increase mothers' knowledge to detect high risk early in pregnancy.   Keywords: Web Application, High-Risk Pregnancy


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