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 present moment is not the first time that America has found itself at war with a pathogen during a time of international conflict. Between crowded barracks at home and trenches abroad, wartime conditions helped en...The present moment is not the first time that America has found itself at war with a pathogen during a time of international conflict. Between crowded barracks at home and trenches abroad, wartime conditions helped enable the spread of influenza in the fall of 1918 during World War I such that an estimated 20%–40% of U.S. military members were infected. While the coronavirus disease 2019(COVID-19) pandemic is unparalleled for most of today's population, it is essential to not view it as unprecedented lest the lessons of past pandemics and their effect on the American military be forgotten. This article provides a historical perspective on the effect of the most notable antecedent pandemic, the Spanish Influenza epidemic, on American forces with the goal of understanding the interrelationship of global pandemics and the military, highlighting the unique challenges of the current pandemic, and examining how the American military has fought back against pandemics both at home and abroad, both 100 years ago and today.展开更多
The COVID-19 pandemic posed challenges to the tourism sector globally.We investigated changes in visitor demographics,satisfaction level,and its determinants pre-and peri-COVID-19.Data were collected using questionnai...The COVID-19 pandemic posed challenges to the tourism sector globally.We investigated changes in visitor demographics,satisfaction level,and its determinants pre-and peri-COVID-19.Data were collected using questionnaire surveys in 2019 and 2021 within Banff National Park(BNP).The data analyses were based on a sample size of 1183 respondents by conducting factor analysis,correlation analysis and stepwise regression analysis.Results highlight that there were fewer international visitors and more local and domestic visitors during the pandemic.Park attributes were evaluated at a higher satisfaction level peri-COVID-19.The quality of the Park facilities and services were the most important satisfaction determinants pre-and peri-COVID-19,and all the Park COVID-19 measures and actions received positive experience from visitors.This research fills this knowledge gap by developing a better understanding in the change of visitor demographics and satisfaction level in BNP under the context of the pandemic.It also provides implication for both scholars and practitioners to understand the impacts of the pandemic on Park visitation.The study can provide insights for utilizing the pandemic as a transformative strength and for mitigating its negative impact on tourism industry.展开更多
Purpose:Methods to tackle Covid-19 have been developed by a wave of biomedical research but the pandemic has also influenced many aspects of society,generating a need for research into its consequences,and potentially...Purpose:Methods to tackle Covid-19 have been developed by a wave of biomedical research but the pandemic has also influenced many aspects of society,generating a need for research into its consequences,and potentially changing the way existing topics are investigated.This article investigates the nature of this influence on the wider academic research mission.Design/methodology/approach:This article reports an inductive content analysis of 500 randomly selected journal articles mentioning Covid-19,as recorded by the Dimensions scholarly database on 19 March 2021.Covid-19 mentions were coded for the influence of the disease on the research.Findings:Whilst two thirds of these articles were about biomedicine(e.g.treatments,vaccines,virology),or health services in response to Covid-19,others covered the pandemic economy,society,safety,or education.In addition,some articles were not about the pandemic but stated that Covid-19 had increased or decreased the value of the reported research or changed the context in which it was conducted.Research limitations:The findings relate only to Covid-19 influences declared in published journal articles.Practical implications:Research managers and funders should consider whether their current procedures are effective in supporting researchers to address the evolving demands of pandemic societies,particularly in terms of timeliness.Originality/value:The results show that although health research dominates the academic response to Covid-19,it is more widely disrupting academic research with new demands and challenges.展开更多
为分析新冠疫情常态化防控下老年人的公交车出行行为,以2022年大连市老年人公交车出行为例,结合计划行为理论与出行习惯为理论框架,构建偏最小二乘法结构方程模型(partial least squares-structural equation model,PLS-SEM),分析态度...为分析新冠疫情常态化防控下老年人的公交车出行行为,以2022年大连市老年人公交车出行为例,结合计划行为理论与出行习惯为理论框架,构建偏最小二乘法结构方程模型(partial least squares-structural equation model,PLS-SEM),分析态度、主观规范、知觉行为控制、出行习惯、出行意愿与出行行为间的作用关系。结果表明:新冠疫情常态化防控下,老年人的知觉行为控制对出行行为有显著的直接和间接影响,且在所有因素中影响作用最大,总效应为0.552;其余依次为出行意愿、出行习惯、态度和主观规范,主观规范对出行行为的影响作用最小,总效应为0.082;新冠疫情常态化防控下态度与知觉行为控制仍是出行习惯的前因。基于PLS-SEM的老年人公交车出行行为分析,反映新冠疫情常态化防控下各因素影响老年人公交车出行选择行为的内在作用机理。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.
文摘The present moment is not the first time that America has found itself at war with a pathogen during a time of international conflict. Between crowded barracks at home and trenches abroad, wartime conditions helped enable the spread of influenza in the fall of 1918 during World War I such that an estimated 20%–40% of U.S. military members were infected. While the coronavirus disease 2019(COVID-19) pandemic is unparalleled for most of today's population, it is essential to not view it as unprecedented lest the lessons of past pandemics and their effect on the American military be forgotten. This article provides a historical perspective on the effect of the most notable antecedent pandemic, the Spanish Influenza epidemic, on American forces with the goal of understanding the interrelationship of global pandemics and the military, highlighting the unique challenges of the current pandemic, and examining how the American military has fought back against pandemics both at home and abroad, both 100 years ago and today.
文摘The COVID-19 pandemic posed challenges to the tourism sector globally.We investigated changes in visitor demographics,satisfaction level,and its determinants pre-and peri-COVID-19.Data were collected using questionnaire surveys in 2019 and 2021 within Banff National Park(BNP).The data analyses were based on a sample size of 1183 respondents by conducting factor analysis,correlation analysis and stepwise regression analysis.Results highlight that there were fewer international visitors and more local and domestic visitors during the pandemic.Park attributes were evaluated at a higher satisfaction level peri-COVID-19.The quality of the Park facilities and services were the most important satisfaction determinants pre-and peri-COVID-19,and all the Park COVID-19 measures and actions received positive experience from visitors.This research fills this knowledge gap by developing a better understanding in the change of visitor demographics and satisfaction level in BNP under the context of the pandemic.It also provides implication for both scholars and practitioners to understand the impacts of the pandemic on Park visitation.The study can provide insights for utilizing the pandemic as a transformative strength and for mitigating its negative impact on tourism industry.
文摘Purpose:Methods to tackle Covid-19 have been developed by a wave of biomedical research but the pandemic has also influenced many aspects of society,generating a need for research into its consequences,and potentially changing the way existing topics are investigated.This article investigates the nature of this influence on the wider academic research mission.Design/methodology/approach:This article reports an inductive content analysis of 500 randomly selected journal articles mentioning Covid-19,as recorded by the Dimensions scholarly database on 19 March 2021.Covid-19 mentions were coded for the influence of the disease on the research.Findings:Whilst two thirds of these articles were about biomedicine(e.g.treatments,vaccines,virology),or health services in response to Covid-19,others covered the pandemic economy,society,safety,or education.In addition,some articles were not about the pandemic but stated that Covid-19 had increased or decreased the value of the reported research or changed the context in which it was conducted.Research limitations:The findings relate only to Covid-19 influences declared in published journal articles.Practical implications:Research managers and funders should consider whether their current procedures are effective in supporting researchers to address the evolving demands of pandemic societies,particularly in terms of timeliness.Originality/value:The results show that although health research dominates the academic response to Covid-19,it is more widely disrupting academic research with new demands and challenges.
文摘为分析新冠疫情常态化防控下老年人的公交车出行行为,以2022年大连市老年人公交车出行为例,结合计划行为理论与出行习惯为理论框架,构建偏最小二乘法结构方程模型(partial least squares-structural equation model,PLS-SEM),分析态度、主观规范、知觉行为控制、出行习惯、出行意愿与出行行为间的作用关系。结果表明:新冠疫情常态化防控下,老年人的知觉行为控制对出行行为有显著的直接和间接影响,且在所有因素中影响作用最大,总效应为0.552;其余依次为出行意愿、出行习惯、态度和主观规范,主观规范对出行行为的影响作用最小,总效应为0.082;新冠疫情常态化防控下态度与知觉行为控制仍是出行习惯的前因。基于PLS-SEM的老年人公交车出行行为分析,反映新冠疫情常态化防控下各因素影响老年人公交车出行选择行为的内在作用机理。
