BACKGROUND During the COVID-19 pandemic,the implementation of telemedicine has represented a new potential option for outpatient care.The aim of our study was to evaluate digital literacy among cardiology outpatients....BACKGROUND During the COVID-19 pandemic,the implementation of telemedicine has represented a new potential option for outpatient care.The aim of our study was to evaluate digital literacy among cardiology outpatients.METHODS From March to June 2020,a survey on telehealth among cardiology outpatients was performed.Digital literacy was investigated through six main domains:age;sex;educational level;internet access;availability of internet sources;knowledge and use of teleconference software programs.RESULTS The study included 1067 patients,median age 70 years,41.3%females.The majority of the patients(58.0%)had a secondary school degree,but among patients aged≥75 years old the most represented educational level was primary school or none.Overall,for internet access,there was a splitting between"never"(42.1%)and"every day"(41.0%),while only 2.7%answered"at least 1/month"and 14.2%"at least 1/week".In the total population,the most used devices for internet access were smartphones(59.0%),and WhatsApp represented the most used app(57.3%).Internet users were younger compared to non-internet users(63 vs.78 years old,respectively)and with a higher educational level.Age and educational level were associated with nonuse of internet(age-per 10-year increase odds ratio(OR)=3.07,95%CI:2.54-3.71,secondary school OR=0.18,95%CI:0.12-0.26,university OR=0.05,95%CI:0.02-0.10).CONCLUSIONS Telemedicine represents an appealing option to implement medical practice,and for its development it is important to address the gaps in patients’digital skills,with age and educational level being key factors in this setting.展开更多
The COVID-19 pandemic has resulted in over 33 million confirmed cases and over 1 million deaths globally,as of 1 October 2020.During the lockdown and restrictions placed on public activities and gatherings,green space...The COVID-19 pandemic has resulted in over 33 million confirmed cases and over 1 million deaths globally,as of 1 October 2020.During the lockdown and restrictions placed on public activities and gatherings,green spaces have become one of the only sources of resilience amidst the coronavirus pandemic,in part because of their positive effects on psychological,physical and social cohesion and spiritual wellness.This study analyzes the impacts of COVID-19 and government response policies to the pandemic on park visitation at global,regional and national levels and assesses the importance of parks during this global pandemic.The data we collected primarily from Google’s Community Mobility Reports and the Oxford Coronavirus Government Response Tracker.The results for most countries included in the analysis show that park visitation has increased since February 16th,2020 compared to visitor numbers prior to the COVID-19 pandemic.Restrictions on social gathering,movement,and the closure of workplace and indoor recreational places,are correlated with more visits to parks.Stay-at-home restrictions and government stringency index are negatively associated with park visits at a global scale.Demand from residents for parks and outdoor green spaces has increased since the outbreak began,and highlights the important role and benefits provided by parks,especially urban and community parks,under the COVID-19 pandemic.We provide recommendations for park managers and other decision-makers in terms of park management and planning during health crises,as well as for park design and development.In particular,parks could be utilized during pandemics to increase the physical and mental health and social well-being of individuals.展开更多
Mother-to-child transmission(MTCT)of syphilis remains a leading cause of stillbirth and death among neonates in many developing countries.In 2007,World Health Orgernization launched the global elimination of MTCT(EMTC...Mother-to-child transmission(MTCT)of syphilis remains a leading cause of stillbirth and death among neonates in many developing countries.In 2007,World Health Orgernization launched the global elimination of MTCT(EMTCT)of syphilis.Given the high burden of congenital syphilis,China subsequently released the specific national EMTCT policies and programs to reduce MTCT of syphilis.The congenital syphilis incidence rate per 100,000 live births in China has markedly decreased from 69.9 in 2013 to 11.9 in 2019.However,due to the global pandemic of COVID-19,the current measures for eliminating MTCT of syphilis are greatly challenged.In this article,we summarize the strategies and measures for the EMTCT of syphilis in China in the past 20 years,the remarkable achievements by the policy support under the leadership of the government.In the context of COVID-19 pandemics,strengthening emergency response to the regional outbreaks of COVID-19,adopting safe,rapid,early and high-quality clinical care for 100%of pregnant women to receive prenatal syphilis testing services,ensuring the availability of Benzathine penicillin for the treatment,and strengthening the closed-loop management of pregnant women and newborns infected with syphilis are the key measures to determine the effectiveness of MTCT for syphilis.Lessons from China may be valuable for other countries that are planning to eliminate MTCT of syphilis.展开更多
In March 2020,the WHO defined the diffusion of novel coronavirus,Severe Acute Respiratory Syndrome-Coronavirus-2(SARS-CoV-2)as pandemic.[1-3]As a consequence,the Italian Government among others has enforced quarantine...In March 2020,the WHO defined the diffusion of novel coronavirus,Severe Acute Respiratory Syndrome-Coronavirus-2(SARS-CoV-2)as pandemic.[1-3]As a consequence,the Italian Government among others has enforced quarantine on the population to contain the diffusion of the infection.Quarantine refers to the separation of communities who have been exposed to an infectious disease.[1-3]Elderly people's lives have been drastically affected by the lockdown and the fear related to the disease’s potential effects and transmission.Fear of contracting COVID-19 is on the rise due to the death toll and alarming news reports in the media.[2,3].展开更多
As the COVID-19 pandemic unfolded,questions arose as to whether the pandemic would amplify or pacify tropical deforestation.Early reports warned of increased deforestation rates;however,these studies were limited to a...As the COVID-19 pandemic unfolded,questions arose as to whether the pandemic would amplify or pacify tropical deforestation.Early reports warned of increased deforestation rates;however,these studies were limited to a few months in 2020 or to selected regions.To better understand how the pandemic infl uenced tropical deforestation globally,this study used historical deforestation data(2004–2019)from the Terra-i pantropical land cover change monitoring system to project expected deforestation trends for 2020,which were used to determine whether observed deforestation deviated from expected trajectories after the fi rst COVID-19 cases were reported.Time series analyses were conducted at the regional level for the Americas,Africa and Asia and at the country level for Brazil,Colombia,Peru,the Democratic Republic of Congo and Indonesia.Our results suggest that the pandemic did not alter the course of deforestation trends in some countries(e.g.,Brazil,Indonesia),while it did in others(e.g.,Peru).We posit the importance of monitoring the long-term eff ects of the pandemic on deforestation trends as countries prioritize economic recovery in the aftermath of the pandemic.展开更多
Appropriate oral hygiene significantly reduces the possibility of oral infections.However,dental caries and periodontal diseases are major oral health issues causing chronic diseases due to poor oral health.Recently,h...Appropriate oral hygiene significantly reduces the possibility of oral infections.However,dental caries and periodontal diseases are major oral health issues causing chronic diseases due to poor oral health.Recently,herbal compounds have gained interest in maintaining oral health.Extracts of burdock root(Arctium),noni fruit(Morinda citrifolia),and neem leaf(Azadirachta indica)are now used as intracanal medicaments in endodontics and periodontics.Plectranthus amboinicus species and other plants produces essential oil likeβ-caryophyllene,p-cymene,andγ-terpinene can exhibit antibacterial activity;highlighting phytoconstituents plays a vital role in oral health.The COVID-19 pandemic highlighted the importance of hygiene and sanitization,to curb SARS-CoV-2.Oral cavity is among the gateways for virus entry into saliva.Saliva is a potential reservoir of SARS-CoV-2,and there is an increased risk of infection if there is any fissure in the mouth.This enables entry of virus into the vascular system through gingival or periodontal pocket,possibly reaching lung periphery then to lung vessels by interacting with endothelial surface receptors triggering pulmonary vasoconstriction and lung damage due to endothelial dysfunction.This review aims to draw attention to the possible route of SARS-CoV-2 infection via the oral cavity and the importance of oral hygiene against COVID-19.展开更多
COVID-19 posed challenges for global tourism management.Changes in visitor temporal and spatial patterns and their associated determinants pre-and peri-pandemic in Canadian Rocky Mountain National Parks are analyzed.D...COVID-19 posed challenges for global tourism management.Changes in visitor temporal and spatial patterns and their associated determinants pre-and peri-pandemic in Canadian Rocky Mountain National Parks are analyzed.Data was collected through social media programming and analyzed using spatiotemporal analysis and a geographically weighted regression(GWR)model.Results highlight that COVID-19 significantly changed park visitation patterns.Visitors tended to explore more remote areas peri-pandemic.The GWR model also indicated distance to nearby trails was a significant influence on visitor density.Our results indicate that the pandemic influenced tourism temporal and spatial imbalance.This research presents a novel approach using combined social media big data which can be extended to the field of tourism management,and has important implications to manage visitor patterns and to allocate resources efficiently to satisfy multiple objectives of park management.展开更多
This paper first estimated the infectious capacity of COVID-19 based on the time series evolution data of confirmed cases in multiple countries. Then, a method to infer the cross-regional spread speed of COVID-19 was ...This paper first estimated the infectious capacity of COVID-19 based on the time series evolution data of confirmed cases in multiple countries. Then, a method to infer the cross-regional spread speed of COVID-19 was introduced in this paper, which took the gross domestic product(GDP) of each region as one of the factors that affect the spread speed of COVID-19 and studied the relationship between the GDP and the infection density of each region(China's Mainland, the United States, and EU countries). In addition, the geographic distance between regions was also considered in this method and the effect of geographic distance on the spread speed of COVID-19 was studied. Studies have shown that the probability of mutual infection of these two regions decreases with increasing geographic distance. Therefore, this paper proposed an epidemic disease spread index based on GDP and geographic distance to quantify the spread speed of COVID-19 in a region. The analysis results showed a strong correlation between the epidemic disease spread index in a region and the number of confirmed cases. This finding provides reasonable suggestions for the control of epidemics. Strengthening the control measures in regions with higher epidemic disease spread index can effectively control the spread of epidemics.展开更多
Corona Virus Disease 2019(COVID-19)has brought the new challenges to scientific research.Isodon suzhouensis has good anti-inflammatory and antioxidant stress effects,which is considered as a potential treatment for CO...Corona Virus Disease 2019(COVID-19)has brought the new challenges to scientific research.Isodon suzhouensis has good anti-inflammatory and antioxidant stress effects,which is considered as a potential treatment for COVID-19.The possibility for the treatment of COVID-19 with I.suzhouensis and its potential mechanism of action were explored by employing molecular docking and network pharmacology.Network pharmacology and molecular docking were used to screen drug targets,and lipopolysaccharide(LPS)induced RAW264.7 and NR8383 cells inflammation model was used for experimental verification.Collectively a total of 209 possible linkages against 18 chemical components from I.suzhouensis and 1194 COVID-19 related targets were selected.Among these,164 common targets were obtained from the intersection of I.suzhouensis and COVID-19.Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enriched 582 function targets and 87 target proteins pathways,respectively.The results from molecular docking studies revealed that rutin,vitexin,isoquercitrin and quercetin had significant binding ability with 3 chymotrypsin like protease(3CLpro)and angiotensin converting enzyme 2(ACE2).In vitro studies showed that I.suzhouensis extract(ISE)may inhibit the activation of PI3K/Akt pathway and the expression level of downstream proinflammatory factors by inhibiting the activation of epidermal growth factor receptor(EGFR)in RAW264.7 cells induced by LPS.In addition,ISE was able to inhibit the activation of TLR4/NF-κB signaling pathway in NR8383 cells exposed to LPS.Overall,the network pharmacology and in vitro studies conclude that active components from I.suzhouensis have strong therapeutic potential against COVID-19 through multi-target,multi-pathway dimensions and can be a promising candidate against COVID-19.展开更多
This highlight presents a recent technique of“Light Vaccine”for COVID-19 pandemic control.Though this technique has the germicidal advantage to SARS-CoV-2,its shortcomings will limit the wide and in-depth applicatio...This highlight presents a recent technique of“Light Vaccine”for COVID-19 pandemic control.Though this technique has the germicidal advantage to SARS-CoV-2,its shortcomings will limit the wide and in-depth application.We make a perspective of real nano light vaccine,which will play an important role in the prevention and control of COVID-19.Briefly,This flow chart described the MWCNT was fabricated with strong acid and base conditional mixture in order to achieve the p-WCNT(chemical process);then modified with RNA layse and receptor binding domain(RBD)by covalent conjugation and physical absorption to get f-WCNT(functionalization);thereafter,f-WCNT was used in the multi-cell culture system interacting with SARS-CoV-2 to identify the special affinity of f-WCNT to ACE2 labeled alveolar type II cells and the inhibition capacity to SARS-CoV-2.This design,is different from the so called“light vaccine”,has the real function to against SARS-CoV-2 by local cellular temperature-rising through photothermal conversion under the near infrared(NIR)light irradiation,according to the physical and chemical nature of carbon nanotubes,and initiates the immune response consequently.展开更多
文摘BACKGROUND During the COVID-19 pandemic,the implementation of telemedicine has represented a new potential option for outpatient care.The aim of our study was to evaluate digital literacy among cardiology outpatients.METHODS From March to June 2020,a survey on telehealth among cardiology outpatients was performed.Digital literacy was investigated through six main domains:age;sex;educational level;internet access;availability of internet sources;knowledge and use of teleconference software programs.RESULTS The study included 1067 patients,median age 70 years,41.3%females.The majority of the patients(58.0%)had a secondary school degree,but among patients aged≥75 years old the most represented educational level was primary school or none.Overall,for internet access,there was a splitting between"never"(42.1%)and"every day"(41.0%),while only 2.7%answered"at least 1/month"and 14.2%"at least 1/week".In the total population,the most used devices for internet access were smartphones(59.0%),and WhatsApp represented the most used app(57.3%).Internet users were younger compared to non-internet users(63 vs.78 years old,respectively)and with a higher educational level.Age and educational level were associated with nonuse of internet(age-per 10-year increase odds ratio(OR)=3.07,95%CI:2.54-3.71,secondary school OR=0.18,95%CI:0.12-0.26,university OR=0.05,95%CI:0.02-0.10).CONCLUSIONS Telemedicine represents an appealing option to implement medical practice,and for its development it is important to address the gaps in patients’digital skills,with age and educational level being key factors in this setting.
基金supported by the APFNet National Park Research Project(2017SP2-UBC).
文摘The COVID-19 pandemic has resulted in over 33 million confirmed cases and over 1 million deaths globally,as of 1 October 2020.During the lockdown and restrictions placed on public activities and gatherings,green spaces have become one of the only sources of resilience amidst the coronavirus pandemic,in part because of their positive effects on psychological,physical and social cohesion and spiritual wellness.This study analyzes the impacts of COVID-19 and government response policies to the pandemic on park visitation at global,regional and national levels and assesses the importance of parks during this global pandemic.The data we collected primarily from Google’s Community Mobility Reports and the Oxford Coronavirus Government Response Tracker.The results for most countries included in the analysis show that park visitation has increased since February 16th,2020 compared to visitor numbers prior to the COVID-19 pandemic.Restrictions on social gathering,movement,and the closure of workplace and indoor recreational places,are correlated with more visits to parks.Stay-at-home restrictions and government stringency index are negatively associated with park visits at a global scale.Demand from residents for parks and outdoor green spaces has increased since the outbreak began,and highlights the important role and benefits provided by parks,especially urban and community parks,under the COVID-19 pandemic.We provide recommendations for park managers and other decision-makers in terms of park management and planning during health crises,as well as for park design and development.In particular,parks could be utilized during pandemics to increase the physical and mental health and social well-being of individuals.
基金National Natural Science Foundation of China(81772209 and 81601804).
文摘Mother-to-child transmission(MTCT)of syphilis remains a leading cause of stillbirth and death among neonates in many developing countries.In 2007,World Health Orgernization launched the global elimination of MTCT(EMTCT)of syphilis.Given the high burden of congenital syphilis,China subsequently released the specific national EMTCT policies and programs to reduce MTCT of syphilis.The congenital syphilis incidence rate per 100,000 live births in China has markedly decreased from 69.9 in 2013 to 11.9 in 2019.However,due to the global pandemic of COVID-19,the current measures for eliminating MTCT of syphilis are greatly challenged.In this article,we summarize the strategies and measures for the EMTCT of syphilis in China in the past 20 years,the remarkable achievements by the policy support under the leadership of the government.In the context of COVID-19 pandemics,strengthening emergency response to the regional outbreaks of COVID-19,adopting safe,rapid,early and high-quality clinical care for 100%of pregnant women to receive prenatal syphilis testing services,ensuring the availability of Benzathine penicillin for the treatment,and strengthening the closed-loop management of pregnant women and newborns infected with syphilis are the key measures to determine the effectiveness of MTCT for syphilis.Lessons from China may be valuable for other countries that are planning to eliminate MTCT of syphilis.
文摘In March 2020,the WHO defined the diffusion of novel coronavirus,Severe Acute Respiratory Syndrome-Coronavirus-2(SARS-CoV-2)as pandemic.[1-3]As a consequence,the Italian Government among others has enforced quarantine on the population to contain the diffusion of the infection.Quarantine refers to the separation of communities who have been exposed to an infectious disease.[1-3]Elderly people's lives have been drastically affected by the lockdown and the fear related to the disease’s potential effects and transmission.Fear of contracting COVID-19 is on the rise due to the death toll and alarming news reports in the media.[2,3].
基金partially funded by Agrilac Resiliente and by Mitig ate+:Research for Low-Emission Food Systemsfunded by the project 18_Ⅲ_106_COL_A_Sustainable productive strategies
文摘As the COVID-19 pandemic unfolded,questions arose as to whether the pandemic would amplify or pacify tropical deforestation.Early reports warned of increased deforestation rates;however,these studies were limited to a few months in 2020 or to selected regions.To better understand how the pandemic infl uenced tropical deforestation globally,this study used historical deforestation data(2004–2019)from the Terra-i pantropical land cover change monitoring system to project expected deforestation trends for 2020,which were used to determine whether observed deforestation deviated from expected trajectories after the fi rst COVID-19 cases were reported.Time series analyses were conducted at the regional level for the Americas,Africa and Asia and at the country level for Brazil,Colombia,Peru,the Democratic Republic of Congo and Indonesia.Our results suggest that the pandemic did not alter the course of deforestation trends in some countries(e.g.,Brazil,Indonesia),while it did in others(e.g.,Peru).We posit the importance of monitoring the long-term eff ects of the pandemic on deforestation trends as countries prioritize economic recovery in the aftermath of the pandemic.
文摘Appropriate oral hygiene significantly reduces the possibility of oral infections.However,dental caries and periodontal diseases are major oral health issues causing chronic diseases due to poor oral health.Recently,herbal compounds have gained interest in maintaining oral health.Extracts of burdock root(Arctium),noni fruit(Morinda citrifolia),and neem leaf(Azadirachta indica)are now used as intracanal medicaments in endodontics and periodontics.Plectranthus amboinicus species and other plants produces essential oil likeβ-caryophyllene,p-cymene,andγ-terpinene can exhibit antibacterial activity;highlighting phytoconstituents plays a vital role in oral health.The COVID-19 pandemic highlighted the importance of hygiene and sanitization,to curb SARS-CoV-2.Oral cavity is among the gateways for virus entry into saliva.Saliva is a potential reservoir of SARS-CoV-2,and there is an increased risk of infection if there is any fissure in the mouth.This enables entry of virus into the vascular system through gingival or periodontal pocket,possibly reaching lung periphery then to lung vessels by interacting with endothelial surface receptors triggering pulmonary vasoconstriction and lung damage due to endothelial dysfunction.This review aims to draw attention to the possible route of SARS-CoV-2 infection via the oral cavity and the importance of oral hygiene against COVID-19.
基金This research was supported by the UBC APFNet Grant(Project ID:2022sp2 CAN).
文摘COVID-19 posed challenges for global tourism management.Changes in visitor temporal and spatial patterns and their associated determinants pre-and peri-pandemic in Canadian Rocky Mountain National Parks are analyzed.Data was collected through social media programming and analyzed using spatiotemporal analysis and a geographically weighted regression(GWR)model.Results highlight that COVID-19 significantly changed park visitation patterns.Visitors tended to explore more remote areas peri-pandemic.The GWR model also indicated distance to nearby trails was a significant influence on visitor density.Our results indicate that the pandemic influenced tourism temporal and spatial imbalance.This research presents a novel approach using combined social media big data which can be extended to the field of tourism management,and has important implications to manage visitor patterns and to allocate resources efficiently to satisfy multiple objectives of park management.
基金Project supported by the National Natural Science Foundation of China (Grant Nos.62266030 and 61863025)International S & T Cooperation Projects of Gansu province (Grant No.144WCGA166)Longyuan Young Innovation Talents and the Doctoral Foundation of LUT。
文摘This paper first estimated the infectious capacity of COVID-19 based on the time series evolution data of confirmed cases in multiple countries. Then, a method to infer the cross-regional spread speed of COVID-19 was introduced in this paper, which took the gross domestic product(GDP) of each region as one of the factors that affect the spread speed of COVID-19 and studied the relationship between the GDP and the infection density of each region(China's Mainland, the United States, and EU countries). In addition, the geographic distance between regions was also considered in this method and the effect of geographic distance on the spread speed of COVID-19 was studied. Studies have shown that the probability of mutual infection of these two regions decreases with increasing geographic distance. Therefore, this paper proposed an epidemic disease spread index based on GDP and geographic distance to quantify the spread speed of COVID-19 in a region. The analysis results showed a strong correlation between the epidemic disease spread index in a region and the number of confirmed cases. This finding provides reasonable suggestions for the control of epidemics. Strengthening the control measures in regions with higher epidemic disease spread index can effectively control the spread of epidemics.
基金supported by the National Natural Science Foundation of China(82170481)Anhui Natural Science Foundation(2008085J39 and 2108085MH314)+2 种基金Excellent Top-notch Talents Training Program of Anhui Universities(gxbjZD2022073)Anhui Province Innovation Team of Authentic Medicinal Materials Development and High Value Utilization(2022AH010080)Suzhou University Joint Cultivation Postgraduate Research Innovation Fund Project(2023KYCX04).
文摘Corona Virus Disease 2019(COVID-19)has brought the new challenges to scientific research.Isodon suzhouensis has good anti-inflammatory and antioxidant stress effects,which is considered as a potential treatment for COVID-19.The possibility for the treatment of COVID-19 with I.suzhouensis and its potential mechanism of action were explored by employing molecular docking and network pharmacology.Network pharmacology and molecular docking were used to screen drug targets,and lipopolysaccharide(LPS)induced RAW264.7 and NR8383 cells inflammation model was used for experimental verification.Collectively a total of 209 possible linkages against 18 chemical components from I.suzhouensis and 1194 COVID-19 related targets were selected.Among these,164 common targets were obtained from the intersection of I.suzhouensis and COVID-19.Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enriched 582 function targets and 87 target proteins pathways,respectively.The results from molecular docking studies revealed that rutin,vitexin,isoquercitrin and quercetin had significant binding ability with 3 chymotrypsin like protease(3CLpro)and angiotensin converting enzyme 2(ACE2).In vitro studies showed that I.suzhouensis extract(ISE)may inhibit the activation of PI3K/Akt pathway and the expression level of downstream proinflammatory factors by inhibiting the activation of epidermal growth factor receptor(EGFR)in RAW264.7 cells induced by LPS.In addition,ISE was able to inhibit the activation of TLR4/NF-κB signaling pathway in NR8383 cells exposed to LPS.Overall,the network pharmacology and in vitro studies conclude that active components from I.suzhouensis have strong therapeutic potential against COVID-19 through multi-target,multi-pathway dimensions and can be a promising candidate against COVID-19.
基金This work was supported by National Natural Science Foundation of China(82071964)Shanghai Municipal Health Commission(GWV-10.1-XK09)and Shanghai Shenkang Center(SHDC2020CR2054B).
文摘This highlight presents a recent technique of“Light Vaccine”for COVID-19 pandemic control.Though this technique has the germicidal advantage to SARS-CoV-2,its shortcomings will limit the wide and in-depth application.We make a perspective of real nano light vaccine,which will play an important role in the prevention and control of COVID-19.Briefly,This flow chart described the MWCNT was fabricated with strong acid and base conditional mixture in order to achieve the p-WCNT(chemical process);then modified with RNA layse and receptor binding domain(RBD)by covalent conjugation and physical absorption to get f-WCNT(functionalization);thereafter,f-WCNT was used in the multi-cell culture system interacting with SARS-CoV-2 to identify the special affinity of f-WCNT to ACE2 labeled alveolar type II cells and the inhibition capacity to SARS-CoV-2.This design,is different from the so called“light vaccine”,has the real function to against SARS-CoV-2 by local cellular temperature-rising through photothermal conversion under the near infrared(NIR)light irradiation,according to the physical and chemical nature of carbon nanotubes,and initiates the immune response consequently.
