scholarly journals A Cross-Sectional Survey Exploring the Impact of the COVID-19 Pandemic on the Cancer Care of Adolescents and Young Adults

2021 ◽  
Vol 28 (4) ◽  
pp. 3201-3213
Author(s):  
Kaitlyn Howden ◽  
Camille Glidden ◽  
Razvan G. Romanescu ◽  
Andrew Hatala ◽  
Ian Scott ◽  
...  
Keyword(s):  
Young Adults ◽  
Cancer Treatment ◽  
Cancer Care ◽  
Negative Impact ◽  
Positive Impact ◽  
Care Delivery ◽  
Adolescents And Young Adults ◽  
P Value ◽  
Cross Sectional Survey ◽  
The Impact

We aimed to describe the negative and positive impacts of changes in cancer care delivery due to COVID-19 pandemic for adolescents and young adults (AYAs) in Canada, as well as the correlates of negative impact and their perspectives on optimization of cancer care. We conducted an online, self-administered survey of AYAs with cancer living in Canada between January and February 2021. Multiple logistic regression was used to identify factors associated with a negative impact on cancer care. Of the 805 participants, 173 (21.5%) experienced a negative impact on their cancer care including delays in diagnostic tests (11.9%), cancer treatment (11.4%), and appointments (11.1%). A prior diagnosis of mental or chronic physical health condition, an annual income of <20,000 CAD, ongoing cancer treatment, and province of residence were independently associated with a negative cancer care impact (p-value < 0.05). The majority (n = 767, 95.2%) stated a positive impact of the changes to cancer care delivery, including the implementation of virtual healthcare visits (n = 601, 74.6%). Pandemic-related changes in cancer care delivery have unfavorably and favorably influenced AYAs with cancer. Interventions to support AYAs who are more vulnerable to the adverse effects of the pandemic, and the thoughtful integration of virtual care into cancer care delivery models is essential.

scholarly journals Generalized Joint Hypermobility and Anxiety in Adolescents and Young Adults, the Impact on Physical and Psychosocial Functioning

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 525
Author(s):  
Janneke de Vries ◽  
Jeanine Verbunt ◽  
Janine Stubbe ◽  
Bart Visser ◽  
Stephan Ramaekers ◽  
...  
Keyword(s):  
Young Adults ◽  
Psychosocial Functioning ◽  
Negative Impact ◽  
Pain Catastrophizing ◽  
Joint Hypermobility ◽  
Adolescents And Young Adults ◽  
P Value ◽  
High Performing ◽  
Generalized Joint Hypermobility ◽  
The Impact

The purpose of this study was to study the association between the presence of generalized joint hypermobility (GJH) and anxiety within a non-clinical high performing group of adolescents and young adults. Second, to study the impact of GJH and/or anxiety on physical and psychosocial functioning, 168 adolescents and young adults (mean (SD) age 20 (2.9)) were screened. Joint (hyper)mobility, anxiety, and physical and psychosocial functioning were measured. In 48.8% of all high performing adolescents and young adults, GJH was present, whereas 60% had symptoms of anxiety. Linear models controlled for confounders showed that adolescents and young adults with GJH and anxiety had decreased workload (ß (95%CI) −0.43 (−0.8 to −0.08), p-value 0.02), increased fatigue (ß (95%CI) 12.97 (6.3–19.5), p-value < 0.01), and a higher level of pain catastrophizing (ß (95%CI) 4.5 (0.5–8.6), p-value 0.03). Adolescents and young adults with only anxiety had increased fatigue (ß (95%CI) 11 (4.9–19.5). In adolescents and young adults with GJH alone, no impact on physical and psychosocial functioning was found. Adolescents and young adults with the combination of GJH and anxiety were significantly more impaired, showing decreased physical and psychosocial functioning with decreased workload, increased fatigue, and pain catastrophizing. Presence of GJH alone had no negative impact on physical and psychosocial functioning. This study confirms the association between GJH and anxiety, but especially emphasizes the disabling role of anxiety. Screening for anxiety is relevant in adolescents and young adults with GJH and might influence tailored interventions.

scholarly journals THE IMPACT OF OIL PRICE ON STOCK MARKET:EMPIRICAL EVIDENCE FROM US

2021 ◽  
Vol 9 (1) ◽  
pp. 330-337
Author(s):  
Shanaz hakim , Tugut Tursoy,
Keyword(s):  
Stock Market ◽  
Crude Oil ◽  
Negative Impact ◽  
Positive Impact ◽  
Oil Price ◽  
P Value ◽  
Crude Oil Price ◽  
Crude Oil Prices ◽  
Interactive Relationship ◽  
The Impact

The analysis of this research focuses on the interactive relationship among the fluctuation of crude oil prices, the real GDP and the stock market of United State. This empirical investigation uses data is in between 1990 and 2018 with the Vector Auto-regression (VAR) analysis, and multiple regressions with its assumption were used in order to analyses data.  Findings, oil price and economic growth are very important determinates of stock market in US because the p-value of this were less than the common alpha α =0.05. For instance, the crude oil price had positive impact on stock market because for each unit increasing of crude oil price, the stock market will increase by (0.276901) after holding all other variable constant. However, we find that GDP has negative impact on the participations of increasing the stock market.

Assessing the impact of the COVID-19 pandemic on patients with genitourinary malignancies.

2021 ◽  
Vol 39 (6_suppl) ◽  
pp. 38-38
Author(s):  
Hala Borno ◽  
Sylvia Zhang ◽  
Scarlett Lin Gomez ◽  
Celia Kaplan ◽  
Christine Miaskowski ◽  
...  
Keyword(s):  
Cancer Treatment ◽  
Household Income ◽  
Negative Impact ◽  
Survey Study ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Cross Sectional Survey ◽  
Annual Household Income ◽  
Ongoing Research ◽  
The Impact

38 Background: The COVID-19 pandemic has vast implications on the health system. Patients with a cancer diagnosis may face greater challenges in the context of the current COVID-19 pandemic. Methods: We sought to assess the impact of the COVID-19 pandemic among patients with genitourinary malignancies. We performed a cross-sectional survey study at a Comprehensive Cancer Center during the current pandemic. Results: A total of 86 participants were recruited to the study to date, 72.1% had prostate, 19.8% had kidney, and 12.8% had bladder cancer. A subset (n = 5) had more than one primary tumor. The mean time from diagnosis was 6.47 years (std dev 6.01, range from 0 to 27 years). Overall, 73% reported having metastatic disease and prior treatment with surgery (62%), radiation (71%), or systemic therapy (68%), with 68.6% currently receiving cancer treatment. In the study, 78.9% of patients were >65 years of age and 88.2% were White. The majority of participants had a bachelor’s degree or higher level of education (74.4%), were legally married (82.6%), were homeowners (91.9%), and reported an annual household income of >$100,000 (56.0%). Among respondents, 7% reported loss/change of health insurance and 30% reported a decrease in household income. Among patients with reduced household income, 23% reported a reduction of more than 50%. In this study, 28% of patients reported that the pandemic impacted their cancer treatment. Overall 7% reported decrease in frequency of labs, 11% reported a delay in obtaining a scan, 5% reported treatment delays, and 96% reported use of telemedicine (video or telephone) visit. Overall, 59% reported fear of hospitalization, 23% reported delays in seeking medical care, and 16% reported missing required medications. Conclusions: The negative impact of the COVID-19 pandemic on patients with genitourinary malignancies is extensive. Ongoing research is evaluating the impact across socio-demographically groups and examine clinical outcomes associated with delays in care and medication non-adherence.

scholarly journals The impact of COVID‐19 on the cancer care of adolescents and young adults and their well‐being: Results from an online survey conducted in the early stages of the pandemic

Cancer ◽  
2020 ◽  
Vol 126 (19) ◽  
pp. 4414-4422 ◽  
Author(s):  
Urška Košir ◽  
Maria Loades ◽  
Jennifer Wild ◽  
Milan Wiedemann ◽  
Alen Krajnc ◽  
...  
Keyword(s):  
Young Adults ◽  
Cancer Care ◽  
Online Survey ◽  
Well Being ◽  
Adolescents And Young Adults ◽  
Early Stages ◽  
The Impact

scholarly journals Impact of consultant obstetric presence on serious incidents

2019 ◽  
Vol 24 (3) ◽  
pp. 187-193
Author(s):  
Sherif Shawer ◽  
Shirley Rowbotham ◽  
Alexander Heazell ◽  
Teresa Kelly ◽  
Sarah Vause
Keyword(s):  
Negative Impact ◽  
Positive Impact ◽  
Care Delivery ◽  
A Priori ◽  
Improve Patient Care ◽  
Positive Influence ◽  
Content Type ◽  
Uk National Health Service ◽  
The Impact ◽  
Improve Patient

Purpose Many organisations, including the Royal College of Obstetricians and Gynaecologists, have recommended increasing the number of hours of consultant obstetric presence in UK National Health Service maternity units to improve patient care. St Mary’s Hospital, Manchester implemented 24-7 consultant presence in September 2014. The paper aims to discuss these issues. Design/methodology/approach To assess the impact of 24-7 consultant presence upon women and babies, a retrospective review of all serious clinical intrapartum incidents occurring between September 2011 and September 2017 was carried out by two independent reviewers; disagreements in classification were reviewed by a senior Obstetrician. The impact of consultant presence was classified in a structure agreed a priori. Findings A total of 72 incidents were reviewed. Consultants were directly involved in the care of 75.6 per cent of cases before 24-7 consultant presence compared to 96.8 per cent afterwards. Negative impact due to a lack of consultant presence fell from 22 per cent of the incidents before 24-7 consultant presence to 9.7 per cent after implementation. In contrast, positive impact of consultant presence increased from 14.6 to 32.3 per cent following the introduction of 24-7 consultant presence. Practical implications Introduction of 24-7 consultant presence reduced the negative impact caused by a lack of, or delay in, consultant presence as identified by serious untoward incident (SUI) reviews. Consultant presence was more likely to have a positive influence on care delivery. Originality/value This is the first assessment of the impact of 24-7 consultant presence on the SUIs in obstetrics.

scholarly journals Impact of Fitspiration Content on Social Media among Followers in Singapore Universities

2021 ◽  
Vol 1 (1) ◽  
pp. 64-78
Author(s):  
Jia Hui Shericia Poh ◽  
Ho Jin Chung
Keyword(s):  
Social Media ◽  
Negative Impact ◽  
Positive Impact ◽  
Multiple Choice Questions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Perceived Impact ◽  
Negative Impacts ◽  
Short Answer Questions ◽  
The Impact

Fitspiration content on social media has been popularized over the last few years, with the intention to influence users to lead healthy and fit lifestyles. The present study aimed to identify the impact of fitspiration content on social media among young adult followers in Singapore. Method: Participants were 124 university students in Singapore who completed a cross-sectional survey. The survey included 16 multiple choice questions, 4 short-answer questions and 8 open-ended questions. Descriptive statistics was adopted for quantitative data and content analysis was utilized for qualitative data. The perceived impact of fitspiration content was explained through three themes: 1) Positive impact of fitspiration content on social media, 2) Negative impact of fitspiration content on social media, and 3) Perceived impact of social media on self.  Three other themes were also developed for understanding the conditions influenced by fitspiration content on social media: 1) Evaluation and satisfaction with one’s fitness journey, 2) Motivational levels of participants, and 3) Diet restrictions. Results showed that positive impact were experienced by the majority of the participants, whereas some participants experienced negative impacts. It was concluded that fitspiration content on social media does inspire users to become a better version of themselves both physically and mentally. However, it is also dependent on the perceptions of the users and the extent to which they allowed such content to influence them.

scholarly journals Drug Recovery and Copay Assistance Program in a Community Cancer Center: Charity and Challenges

2019 ◽  
Vol 15 (7) ◽  
pp. e628-e635 ◽  
Author(s):  
Robert D. Siegel ◽  
Richard G. Slough ◽  
Howland E. Crosswell ◽  
Theresa M. Standifer ◽  
Michael E. Borron ◽  
...  
Keyword(s):  
Young Adults ◽  
Cancer Care ◽  
Financial Burden ◽  
Cost Savings ◽  
Adolescents And Young Adults ◽  
Cancer Center ◽  
Care Providers ◽  
Assistance Program ◽  
The Cost ◽  
The Impact

PURPOSE: The cost of cancer care is escalating dramatically, in part because of the rising expense of systemic cancer therapy. This creates financial dilemmas for patients and insurers and potential economic disruption for institutions attempting to provide cancer care to the underserved. Our institution initiated a drug recovery and copay assistance program (DRCAP) to mitigate the impact of the rising cost of parenteral medications. METHODS: We performed a 3-year review of our strategies to mitigate financial burden of parenteral therapeutics and supportive care medicines. Financial metrics were established and analyzed before and after implementing DRCAP. Medication encounters and associated costs were stratified by adolescents and young adults (15 to 39 years of age), and adults 40 years of age and older and were annualized from 2016 to 2018. RESULTS: The DRCAP resulted in a total of nearly $3.5 million worth of drugs replaced or copay assistance yearly in 2017 and 2018. This accounted for approximately 10% of our pharmacy budget for parenteral medications in each of these years. The vast majority was received in the form of drug replacement. The DRCAP resulted in assistance to 173 and 256 patients in 2017 and 2018, respectively. CONCLUSION: A DRCAP increased availability of otherwise unaffordable parenteral oncolytics and resulted in cost savings for our institution. Adolescents and young adults were disproportionately represented because of inadequate or no insurance. Despite the salutary benefits, such programs likely inflate the overall cost of cancer care. Cancer care providers participating in a DRCAP will remain in this conundrum until market forces can affect the cost of oncology therapeutics.

scholarly journals A Statistical Analysis of the Nigerian External Reserveand the Impact of Military and Civilian Rule

2013 ◽  
Vol 3 ◽  
pp. 49-62
Author(s):  
J. Ohakwe ◽  
I.V. Odo ◽  
C. Nwosu
Keyword(s):  
Time Series ◽  
Negative Impact ◽  
Positive Impact ◽  
Linear Trend ◽  
Arima Model ◽  
P Value ◽  
Constant Variance ◽  
Exponential Trend ◽  
The Impact ◽  
Series Technique

In this paper, the Nigerian External Reserve (ER) for the period 1960 – 2010 was modeled using descriptive time series technique and Box-Jenkins (ARIMA) model. Prior to the analysis the logarithm transformation was found to be the most appropriate to stabilize the variance of the data after the Bartlett's test of homogeneity of variance suggested non-constant variance. Applying the descriptive time series technique on the transformed data, a linear trend was found adequate which suggest an exponential trend for the untransformed data. However, the seasonal indexes were found to be insignificant which implies that the data is completely dominated by the trend. Furthermore, considering that the model obtained using the descriptive time series technique was found inadequate as suggested by the autocorrelation function (ACF) of the irregular component and therefore cannot be used for forecasting, a Box-Jenkins model was then fitted and was found adequate as suggested by the p-value = 0.00 for the modelsignificance. Furthermore using the Relative Percentage Change (RPC) to assess the impact ofthe various regimes on the ER data, it was found that the regimes of General Yakubu Gowon (Rtd) and Alhaji Shehu Shagari respectively had the most positive and negative impact on the ER data. Finally using the cumulative RPC in assessing the impact of civilian and military regimes on the ER data, it was discovered that the military had a higher positive impact than the civilian regimes.

scholarly journals Keseimbangan Kehidupan Kerja Ditinjau dari Beban Kerja dan Dukungan Sosial Pada Polisi

2021 ◽  
Vol 9 (3) ◽  
pp. 594
Author(s):  
Siti Lucyana Nurhasanah
Keyword(s):  
Social Support ◽  
Police Officers ◽  
Negative Impact ◽  
Positive Impact ◽  
Work Life ◽  
Work Life Balance ◽  
P Value ◽  
Life Balance ◽  
Beta Coefficient ◽  
The Impact

Penelitian ini bertujuan untuk mengetahui pengaruh beban kerja dan dukungan sosial terhadap keseimbangan kehidupan kerja pada polisi di Samarinda. Penelitian ini menggunakan pendekatan kuantitatif. Subjek penelitian ini adalah 110 orang anggota polisi di Samarinda yang dipilih dengan menggunakan teknik accidental sampling. Metode pengumpulan data yang digunakan adalah skala keseimbangan kehidupan kerja, beban kerja dan dukungan sosial. Data yang terkumpul di analisis dengan uji analisis regresi linear berganda dengan bantuan program Statistical Package for Social Sciences (SPSS) 25.0 for windows. Hasil penelitian menunjukkan bahwa: (1) ada pengaruh beban kerja dan dukungan sosial terhadap keseimbangan kehidupan kerja yaitu dengan nilai F = 44.990, R2 = 0.457, p = 0.000; (2) ada pengaruh beban kerja terhadap keseimbangan kehidupan kerja dengan koefisien beta = -0.322, serta nilai t hitung > t tabel (-3.939 > 1.982) dan nilai p = 0.000 (p < 0.05); (3) ada pengaruh dukungan sosial terhadap keseimbangan kehidupan kerja dengan nilai koefisien beta = 0.457, nilai t hitung > t tabel (5.597 > 1.982) dan nilai p = 0.000 (p < 0.05). Kontribusi beban kerja dan dukungan sosial dengan keseimbangan kehidupan kerja pada polisi adalah sebesar 45.7 persen. This study aimed to determine the impact of workload and social support on work life balance of Police in Samarinda. This study used quantitative approach. Research subject consist of 110 police officers that chosen using accidental sampling method. Data collection method used in this study was work life balance, workload and social support scale. Research data analyzed with multiple linear regression by the program Statistical Package for Social Science (SPSS) 25.0 for Windows.The results showed that: (1) there was positive impact of workload and social support towards work life balance with F value = 44.990, R2 = 0.457 and P value = 0.000; (2) there was negative impact of workload on work life balance with beta coefficient = -0.322, and t count > t table (-3.939 > 1.982) and p value = 0.000 (p < 0.05); (3) there was positive impact of social support on work life balance with beta coefficient = 0.457, t count > t table (5.597 > 1.982) and P value = 0.000 (p < 0.05). Contribution of workload and social support on work life balance of Police in Samarinda amounted to 45.7 percent.

Sign in / Sign up

Export Citation Format

Share Document