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Author(s):  
Gloria Martinez Perez ◽  
Matthew VanSumeren ◽  
Michael Brown ◽  
Tamara Hew-Butler

The COVID-19 pandemic caused significant training disruptions during the 2020–2021 season, due to lockdowns, quarantines, and strict adherence to the pandemic protocols. The main purpose of this study was to determine how the pandemic training restrictions affected training volume and performance in one collegiate swim team. Cumulative training volume data across a 28-week season were compared between a pandemic (2020–2021) versus non-pandemic (2019–2020) season. The swimmers were categorized into three groups (sprinters, mid-distance, and long-distance) based on their training group. The performance times of 25 swimmers who competed in the regional championships, during both the non-pandemic and pandemic year, were compared via one-way ANOVA. Twenty-six male and 22 female swimmers commenced the 2020–2021 (pandemic) season, with 23% of the swimmers voluntarily opting out. Three COVID-19 cases were confirmed (2%) by the medical staff, with no long-term effects. Significant reductions in the average swim volume were verified in sprinters (32,867 ± 10,135 vs. 14,800 ± 7995 yards; p < 0.001), mid-distance (26,457 ± 10,692 vs. 17,054 ± 9.923 yards; p < 0.001), and long-distance (37,600 ± 14,430 vs. 22,254 ± 14,418 yards; p < 0.001) swimmers (non-pandemic vs. pandemic season, respectively). In the regional performance analyses, the sprinters swam faster (n = 8; −0.5 ± 0.6 s), while the mid-distance (n = 10; 0.17 ± 2.1 s) and long-distance (n = 7; 6.0 ± 4.9 s) swimmers swam slower (F = 11.76; p = 0.0003; r2 = 0.52). Thus, the pandemic caused significant reductions in swim training volume, with sprinters performing better and long-distance swimmers performing worse at the regional championships.


Medicine ◽  
2021 ◽  
Vol 100 (51) ◽  
pp. e28136
Author(s):  
Lisa Caputo Sandy ◽  
Thomas J. Glorioso ◽  
Kevin Weinfurt ◽  
Jeremy Sugarman ◽  
Pamela N. Peterson ◽  
...  

2021 ◽  
pp. 245513332110623
Author(s):  
Divya Chaudhry

This article makes a case for leveraging medical tourism (MT) from the perspective of improving healthcare access in developing countries. The expansion of MT at an unprecedented rate has given rise to a number of ethical concerns in both home and destination countries. Ethical debates in this field have transcended the realm of global public health and have emerged across various disciplines including development, social justice, legal, trade and policy studies. Much of the academic literature in these domains has categorically held MT responsible for commodification of healthcare, creating a duality in healthcare systems of developing countries and making healthcare inaccessible and unaffordable for the disadvantaged sections of the population. While all these claims normatively seem justified, this article asserts that despite the several ethical concerns that have been raised, MT may not necessarily exacerbate healthcare equity issues in developing countries. In fact, MT may benefit destination countries by creating a highly specialised private sector which may provide services not only to foreign patients but also to wealthier domestic patients. Voluntary opting-out of domestic patients from public healthcare will result in decongestion of public healthcare facilities, which in turn could be accessed to a greater extent by the underprivileged population at affordable cost. In addition to contributing to the limited academic literature on this particular aspect of MT, this article presents an alternate view to promote MT in developing countries from the perspective of addressing challenges related to healthcare access.


Author(s):  
Abrar Hussain ◽  
Mufti Muhammad Yahya ◽  
Najib Ul Haq

The issue of religious rituals like congregational prayers (Salah with Jamaat) in Masajid is being extensively discussed during the pandemic of COVID-19. The suspension of religious congregations in the current scenario so as to ensure social (physical) distancing and the permission of praying (Salah) at home is discussed in the light of Islamic teachings. The discussion is mostly based on the Shariah view on human values whereby opting out safety especially in the wake of infectious diseases / pandemics. The references are primarily taken from Qura’n and Sunnah and Islamic Jurisprudence (Fiqh).


2021 ◽  
Vol 2022 (1) ◽  
pp. 105-125
Author(s):  
Maryam Mehrnezhad ◽  
Kovila Coopamootoo ◽  
Ehsan Toreini

Abstract Online tracking is complex and users find it challenging to protect themselves from it. While the academic community has extensively studied systems and users for tracking practices, the link between the data protection regulations, websites’ practices of presenting privacy-enhancing technologies (PETs), and how users learn about PETs and practice them is not clear. This paper takes a multidimensional approach to find such a link. We conduct a study to evaluate the 100 top EU websites, where we find that information about PETs is provided far beyond the cookie notice. We also find that opting-out from privacy settings is not as easy as opting-in and becomes even more difficult (if not impossible) when the user decides to opt-out of previously accepted privacy settings. In addition, we conduct an online survey with 614 participants across three countries (UK, France, Germany) to gain a broad understanding of users’ tracking protection practices. We find that users mostly learn about PETs for tracking protection via their own research or with the help of family and friends. We find a disparity between what websites offer as tracking protection and the ways individuals report to do so. Observing such a disparity sheds light on why current policies and practices are ineffective in supporting the use of PETs by users.


Author(s):  
Gloria Martinez Perez ◽  
Matthew VanSumeren ◽  
Michael Brown ◽  
Tamara Hew-Butler

The COVID-19 pandemic caused significant training disruptions during the 2020-21 season due to lockdowns, quarantines, and strict adherence to pandemic protocols. The main purpose of this study was to determine how pandemic training restrictions affected training volume and performance in one collegiate swim team. Cumulative training volume data, across a 28-week season, were compared between a pandemic (2020-2021) versus non-pandemic (2019-2020) season. Swimmers were categorized into three groups (Sprinters, Mid-Distance, and Long-Distance) based on training group. Performance times in 25 swimmers who competed in Regional Championships, during both the non-pandemic and pandemic year, were compared via 1-way ANOVA. 26 male and 22 female swimmers commenced the 2020-21 (pandemic) season, with 23% of swimmers voluntarily opting out. Three COVID-19 cases were confirmed (2%) by the medical staff with no long-term effects. Significant reductions in average swim volume were verified in Sprinters (32,867&plusmn;10,135 vs.14,800&plusmn;7,995yards;p&lt;0.001), Mid-Distance (26,457&plusmn;10,692 vs.17,054&plusmn;9.923yards;p&lt;0.001), and Long-Distance (37,600&plusmn;14,430 vs.22,254&plusmn;14,418yards;p&lt;0.001) swimmers (non-pandemic vs. pandemic season, respectively). In the Regional performance analyses, the Sprinters swam faster (n=8;-0.5&plusmn;0.6secs), while Mid-Distance (n=10;0.17&plusmn;2.1secs) and Long-Distance (n=7;6.0&plusmn;4.9secs) swimmers swam slower (F=11.76;p=0.0003;r2=0.52). Thus, the pandemic caused significant reductions in swim training volume, with Sprinters performing better and Long-Distance swimmers performing worse at Regional Championships.


Author(s):  
Shirsendu Podder ◽  
Simone Righi ◽  
Francesca Pancotto

Cooperative behaviour has been extensively studied as a choice between cooperation and defection. However, the possibility to not participate is also frequently available. This type of problem can be studied through the optional public goods game. The introduction of the ‘Loner’ strategy' allows players to withdraw from the game, which leads to a cooperator–defector–loner cycle. While pro-social punishment can help increase cooperation, anti-social punishment—where defectors punish cooperators—causes its downfall in both experimental and theoretical studies. In this paper, we introduce social norms that allow agents to condition their behaviour to the reputation of their peers. We benchmark this with respect both to the standard optional public goods game and to the variant where all types of punishment are allowed. We find that a social norm imposing a more moderate reputational penalty for opting out than for defecting increases cooperation. When, besides reputation, punishment is also possible, the two mechanisms work synergically under all social norms that do not assign to loners a strictly worse reputation than to defectors. Under this latter set-up, the high levels of cooperation are sustained by conditional strategies, which largely reduce the use of pro-social punishment and almost completely eliminate anti-social punishment. This article is part of the theme issue ‘The language of cooperation: reputation and honest signalling’.


2021 ◽  
Author(s):  
Arash Naeim ◽  
Sarah Dry ◽  
David Elashoff ◽  
Zhuoer Xie ◽  
Antonia Petruse ◽  
...  

UNSTRUCTURED Developing innovative, efficient, and institutionally scalable biospecimen consent for remnant tissue that meets the National Institutes of Health consent guidelines for genomic and molecular analysis is essential for precision medicine efforts in cancer. This study aims to pilot-test an electronic video consent that individuals could complete largely on their own. The University of California, Los Angeles developed a video consenting approach designed to be comprehensive yet fast (around 5 minutes) for providing universal consent for remnant biospecimen collection for research. The approach was piloted in 175 patients who were coming in for routine services in laboratory medicine, radiology, oncology, and hospital admissions. The pilot yielded 164 completed postconsent surveys. The pilot assessed the usefulness, ease, and trustworthiness of the video consent. In addition, we explored drivers for opting in or opting out. The pilot demonstrated that the electronic video consent was well received by patients, with high scores for usefulness, ease, and trustworthiness even among patients that opted out of participation. The revised more animated video pilot test in phase 2 was better received in terms of ease of use (P=.005) and the ability to understand the information (P<.001). There were significant differences between those who opted in and opted out in their beliefs concerning the usefulness of tissue, trusting researchers, the importance of contributing to science, and privacy risk (P<.001). The results showed that "I trust researchers to use leftover biological specimens to promote the public's health" and "Sharing a biological sample for research is safe because of the privacy protections in place" discriminated opt-in statuses were the strongest predictors (both areas under the curve were 0.88). Privacy concerns seemed universal in individuals who opted out. Efforts to better educate the community may be needed to help overcome some of the barriers in engaging individuals to participate in precision health initiatives. INTERNATIONAL REGISTERED REPORT RR2-29123


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