scholarly journals Factors Affecting Pandemic Biosecurity Behaviors of International Travelers: Moderating Roles of Gender, Age, and Travel Frequency

2021 ◽  
Vol 13 (21) ◽  
pp. 12332
Author(s):  
Myung Ja Kim ◽  
C. Michael Hall ◽  
Mark Bonn

Research undertaken during the COVID-19 pandemic has identified a number of significant factors that affect international travelers’ biosecurity behavior. Tourists’ age and gender as well as travel frequency have been found to have significant impacts on consumers’ non-pharmaceutical intervention practices. However, despite the importance of age, gender, and travel frequency, such studies have overlooked international tourists’ values, attitudes, interventions, and behaviors relevant to biosecurity during a pandemic. In order to bridge this gap, the purposes of this study are to build and test a conceptually comprehensive framework on the relationships between values, attitudes, interventions, and behaviors, along with the moderating effects of age, gender, and travel frequency. To meet the study objectives, a digital survey was administered during 1–5 September 2020, which generated n = 386 total useable responses. Data were analyzed using the partial least squares approach. The results revealed that tourists’ values have the greatest effect on their attitudes toward COVID-19 biosecurity for travel, which in turn positively influences interventions and behaviors. Interventions also have a significant impact on travelers’ COVID-19 biosecurity behavior. This study expands the theoretical understanding of biosecurity and pandemic behavior. The findings of this research also provide significant insights to the literature as well as stakeholders, such as governments, health organizations, international health and tourism agencies, and destinations, with respect to managing international travel biosecurity measures.

Author(s):  
Robert J. Cramer ◽  
Andrea R. Kaniuka ◽  
Farida N. Yada ◽  
Franck Diaz-Garelli ◽  
Ryan M. Hill ◽  
...  

2021 ◽  
Vol 12 ◽  
pp. 215265672110038
Author(s):  
Markus Jukka Lilja ◽  
Anni Koskinen ◽  
Paula Virkkula ◽  
Seija Inkeri Vento ◽  
Jyri Myller ◽  
...  

Objectives The aim was to compare the control of chronic rhinosinusitis with nasal polyps (CRSwNP) after endoscopic sinus surgery (ESS), in patients with/without nonsteroidal anti-inflammatory drug exacerbated respiratory disease (NERD). Study Desing: A retrospective hospital-based sample of CRSwNP patients with/without NERD with follow-up. Setting Tertiary rhinology centers. Methods Electronic patient record data from 116 CRSwNP patients (46 with NERD and 70 without NERD) undergoing ESS during 2001–17 were studied. Mean follow-up time was 9.9 years (range 1.1–15.3). Endpoints reflecting uncontrolled CRSwNP were revision ESS, and need for rescue/advanced therapy (e.g. antibiotics, oral corticosteroids and/or biological therapy) during follow-up. NERD was variable of interest and gender, age, asthma, allergic rhinitis (AR), smoking, Lund-Mackay (LM) score of sinus computed tomography scans previous ESS and baseline total ethmoidectomy were used as covariates. Results Twenty-one (49.7%) NERD patients and 18 (25.7%) non-NERD patients underwent revision ESS within a mean ± SD of 4.3 ± 2.8 and 3.7 ± 2.6 years, respectively (p = .013, by Logrank test). In Cox´s regression models, NERD, female gender, young age, asthma, AR, previous ESS, and lack of total ethmoidectomy were associated with revision-ESS. In adjusted model, only the total ethmoidectomy predicted revision-free survival. In adjusted logistic regression model, there was an insignificant trend that NERD and LM score were associated with the need for rescue/advanced therapy in the follow-up. Conclusions Patients with NERD had higher risk of uncontrolled CRSwNP than patient group without NERD, as measured by revision ESS and/or need for rescue/advanced therapy in the follow-up. In addition, baseline total ethmoidectomy was associated with revision-free survival.


Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Shayandokht Taleb ◽  
Dorothea Parker ◽  
Lamya Ibrahim ◽  
Billie Hsieh ◽  
Muhammad E Haque ◽  
...  

Introduction: We asked whether intracerebral hemorrhage (ICH) patients admitted to inpatient rehabilitation facilities(IRF) improve differently based on their involvement of the corticospinal tract(CST). Aim: To predict associating radiological factors affecting discharge FIM score. Methods: We reviewed the patients’ characteristics and their respective imaging findings presenting with ICH between 4/17 to 8/19. The ICH volume and edema around the ICH were measured using analyze software. The main outcome measure was FIM score at time of discharge. Statistical significance was set at 0.05. Results: Among the 53 patients included, 49% were female. The median age of the patients was 62 years (IQR 25,89). The median length of stay at IRF was 22days (IQR 14,26). In univariate analysis, FIM score at the time of discharge FIM score at the time of discharge admission were significantly associated with NIHSS (estimate -1.26, p<0.001), and ICH volume (estimate -3.45, p=0.01). However, the univariate analysis did not reveal an association of age (estimate -0.15, p=0.4) and gender (estimate 0.207, p=0.97) with FIM score at the time of discharge.Multiple regression analysis reflected that the CST involvement had a decrement in functional improvement on FIM in comparison with patients with intact CST when adjusting for age ( p = 0.008), gender ( p <0.01), NIHSS at the time of admission ( p <0.01), and the ICH volume ( p =0.02). Conclusion: This preliminary study suggests that functional improvement declines in ICH patients with CST involvement.


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