Partisanship, Policy, and Americans’ Evaluations of State-Level COVID-19 Policies Prior to the 2020 Election

The COVID-19 pandemic was a key policy issue during the 2020 election in the United States. As such, it is important to analyze how voters evaluated government responses to the pandemic. To this end, in this article, we examine factors that influenced Americans’ evaluations of state-level COVID-19 policy responses. We find that during the pandemic onset period, Americans typically rated their state governments’ responses more favorably if their governor was a co-partisan. In contrast, during the re-opening period, we find that Democrats relied on both partisanship and policy to evaluate their state-level responses, while Republicans continued to rely solely on partisanship. We contend that given the complex policy environment surrounding COVID-19, Americans may have not been fully aware of the policies their state governments adopted, so they relied on partisan cues to help them evaluate their state-level policy responses. But by the re-opening period, Americans likely had enough time to better understand state-level policy responses; this allowed Democrats to also evaluate their state-level responses based on policy. These findings shed light on how Americans evaluated COVID-19 responses just prior to the 2020 election.

Case Report: A Case of Eyelid Myoclonic Status With Tonic–Clonic Seizure and Literature Review

Eyelid myoclonus with or without absence epilepsy is a rare and usually misdiagnosed disease in the neurology department. It is an idiopathic general epileptic syndrome, the onset period is 6–8 years, and is more common in girls. It is characterized by rapid abnormal eye blinking, accompanied by upward rolling of the eye and slight backward movement of the head, with eye closure sensitivity and photosensitivity. The seizure is frequent and short, dozens or even hundreds of times a day; a small number of patients may have eyelid myoclonus status. We report a patient who visits the hospital for the first time with eyelid myoclonic problem; the patient continued to wink the eyes, eye rolled up, and backward movement of the head, accompanied by impairment of consciousness. Video electroencephalography (VEEG) suggests continued spike slow-wave, polyspike slow-wave. After the patient had 2, 4, 6, 8, 10, 12, and 14 Hz of intermittent photic stimulation (IPS), her seizures and epileptic discharges reduced or stopped. Seven min after giving stimulation at 20 Hz, the child developed an occipital-initiated tonic–clonic seizure, which demonstrated that after sufficient IPS stimulation, the occiput cortex became excited and initiated a brain network, leading to diffuse brain discharge and tonic–clonic seizures. At 1 h after onset, the child developed a nonconvulsive state, with impairment of consciousness despite no eyelid myoclonic movements, and VEEG suggested a large number of epileptic discharges. After 10 min of administrating midazolam, the patient's EEG immediately became normal, and the patient regained consciousness. Therefore, this paper presents an eyelid myoclonus status patient with occipital origin seizure, we recorded the whole course of the disease and the treatment effect, and reviewed the literature accordingly.

Object Detection in High resolution using Satellite Imagery with Deep Learning

Earlier, the progression of the descending lung was the primary driver of the chaos that runs across the world between the two people, with more than a million people dies per year goes by. The cellular breakdown in the lungs has been greatly transferred to the inconvenience that people have looked at for a very predictable amount of time. When an entity suffers a lung injury, they have erratic cells that clump together to form a cyst. A dangerous tumor is a social affair involving terrifying, enhanced cells that can interfere with and strike tissue near them. The area of lung injury in the onset period became necessary. As of now, various systems that undergo a preparedness profile and basic learning methodologies are used for lung risk imaging. For this, CT canal images are used to see and save the adverse lung improvement season from these handles. In this paper, we present an unambiguous method for seeing lung patients in a painful stage. We have considered the shape and surface features of CT channel pictures for the sales. The perspective is done using undeniable learning methodologies and took a gender at their outcome.

Multistage Lung Cancer Detection and Prediction Using Deep Learning

Earlier, the progression of the descending lung was the primary driver of the chaos that runs across the world between the two people, with more than a million people dies per year goes by. The cellular breakdown in the lungs has been greatly transferred to the inconvenience that people have looked at for a very predictable amount of time. When an entity suffers a lung injury, they have erratic cells that clump together to form a cyst. A dangerous tumor is a social affair involving terrifying, enhanced cells that can interfere with and strike tissue near them. The area of lung injury in the onset period became necessary. As of now, various systems that undergo a preparedness profile and basic learning methodologies are used for lung risk imaging. For this, CT canal images are used to see and save the adverse lung improvement season from these handles. In this paper, we present an unambiguous method for seeing lung patients in a painful stage. We have considered the shape and surface features of CT channel pictures for the sales. The perspective is done using undeniable learning methodologies and took a gender at their outcome.

Parent Perspectives on Educational and Psychosocial Intervention for Recent-Onset Type 1 Diabetes in Their School-Age Child: A Qualitative Study

<b>Objective.</b> The recent-onset period of type 1 diabetes (T1D) in early school-age children should include comprehensive, parent-focused T1D education as well as family-centered resources and support to help with adjustment. Here, we present parent/caregiver perspectives on specific areas of concern during the recent-onset period of T1D and their preferred timing for different topics related to T1D education. <p><b> Methods.</b> Parents/caregivers of 5- to 9-year-old children with T1D completed a card-sorting task and qualitative interview to describe ongoing areas of concern and preferred educational topics during the first year after T1D diagnosis. </p> <p><b> Results.</b> Thirteen parents/caregivers (aged 35.1 ± 6.9 years) of a child with T1D (aged 8.9 ± 0.8 years, 11.3 ± 7.0 months post-diagnosis) completed the card-sorting task, and 11 completed the qualitative interview. Parents/caregivers endorsed four preferred stages of education: basic education and T1D survival skills during month 1 post-diagnosis, application and practice of T1D skills from months 1–3, access to community supports to cope with anxiety and distress from months 3–6, and support to build autonomy and manage burnout beyond month 6 post-diagnosis. Parents/caregivers endorsed four main themes for ongoing concerns: anxiety, autonomy, distress, and support.</p> <p><b> Conclusion.</b> Parents endorsed four time points for education and psychosocial services within the first year of a T1D diagnosis. Parents/caregivers may benefit the most from psychosocial interventions 3–6 months post-diagnosis, once they have had sufficient time to develop basic T1D management skills. These findings support the need for regular parent psychosocial screening and access to scalable psychosocial interventions in the first year post-diagnosis of T1D. </p>

Parent Perspectives on Educational and Psychosocial Intervention for Recent-Onset Type 1 Diabetes in Their School-Age Child: A Qualitative Study

<b>Objective.</b> The recent-onset period of type 1 diabetes (T1D) in early school-age children should include comprehensive, parent-focused T1D education as well as family-centered resources and support to help with adjustment. Here, we present parent/caregiver perspectives on specific areas of concern during the recent-onset period of T1D and their preferred timing for different topics related to T1D education. <p><b> Methods.</b> Parents/caregivers of 5- to 9-year-old children with T1D completed a card-sorting task and qualitative interview to describe ongoing areas of concern and preferred educational topics during the first year after T1D diagnosis. </p> <p><b> Results.</b> Thirteen parents/caregivers (aged 35.1 ± 6.9 years) of a child with T1D (aged 8.9 ± 0.8 years, 11.3 ± 7.0 months post-diagnosis) completed the card-sorting task, and 11 completed the qualitative interview. Parents/caregivers endorsed four preferred stages of education: basic education and T1D survival skills during month 1 post-diagnosis, application and practice of T1D skills from months 1–3, access to community supports to cope with anxiety and distress from months 3–6, and support to build autonomy and manage burnout beyond month 6 post-diagnosis. Parents/caregivers endorsed four main themes for ongoing concerns: anxiety, autonomy, distress, and support.</p> <p><b> Conclusion.</b> Parents endorsed four time points for education and psychosocial services within the first year of a T1D diagnosis. Parents/caregivers may benefit the most from psychosocial interventions 3–6 months post-diagnosis, once they have had sufficient time to develop basic T1D management skills. These findings support the need for regular parent psychosocial screening and access to scalable psychosocial interventions in the first year post-diagnosis of T1D. </p>

Characteristics of the South China Sea Monsoon from the Onset to Withdrawal before and after 1993/94

The characteristics and possible impact factors of the South China Sea summer monsoon (SCSSM) evolution from onset to withdrawal before and after 1993/94 are investigated using ERA-Interim, CPC rainfall, and OLR data. During the late-onset period of 1979–1993, the SCSSM was characterized by stronger onset intensity and a gradual withdrawal, resulting in a continuous, strong preflood season in Southern China and a slower rain-belt retreat from north to south China in September. In addition, the rain-belt in the Yangtze River basin persisted much longer during summer. However, during the early-onset period in 1994–2016, the SCSSM is associated with a weaker onset intensity and comparatively faster retreat. The advanced preflood season lasted intermittently throughout May and the whole eastern China precipitation lasted until October when it retreated rapidly, making the rain-belt in Southern China persist for an extended duration. Further analysis indicates that a strong modulation of SCS intraseasonal oscillation (ISO) on the SCSSM evolution is observed. There are two active low-frequency oscillations over the SCS in summer during the late-onset period but three during the early-onset period. The wet ISO in the Northwest Pacific propagating northwestward into the SCS and enhanced SCSSM ISO activity may contribute to the early onset and faster withdrawal after 1993/94. The effect of warm western Pacific sea surface temperatures (SST) on the SCSSM evolution is also discussed.

Concept of infectious diseases in Ayurveda

COVID-19, a disease caused by SARS-Cov-2 virus, has become pandemic and is spreading widely across the world, and resulted in deaths of millions in just few months. Statistically, it is noted that worldwide deaths has occurred due to outbreak of infectious diseases. There is list of epidemics caused by infectious diseases like Ebola, Severe Acute Respiratory Syndrome (SARS), swine flu, bird flu, etc. But, spread of COVID-19 is much more remarkable in very short period of time. Modern system of medicine, do not have any definitive management. Now, we need to think about other systems of medicine to break this chain. So in Ayurvedic perspective, the COVID-19 can be considered as Aupasargika/ AgantujaVyadhi (Infectious disease). Present study aims to understand the principles of Ayurveda, in view of concept, epidemiology, etiopathology, prognosis, prevention and management of infectious diseases. It comprises of probable approaches of infectious diseases through Ayurveda. References established on data pertaining to available in Ayurveda classics, modern texts, peer review journals regarding the same. The speedily spread of COVID-19 is due to indulgence in the etiological factors, by people of this era. The onset period of this pandemic wasVasantaRutu(spring), hence KaphaPrakopa(vitiation of Kapha) is there. And the further pathogenesis is like ShwasanakaSannipatikaJwara(fever due to vitiation of all humors). So, Panchakarma (Internal purification), Rasayana Chikitsa (Rejuvenating treatment) and Sadvritta (Good regime) can be included in the management of such diseases. From this study it can be concluded that disease is produced due to an imbalance between physical and mental elements, as it reduces resistance of body against disease. If we cure or prevent this imbalance and the strengthen host's defense system by Ayurvedic drugs, lifestyle modifications, and diet modifications, the body will be immune to diseases.

Continuous Glucose Monitoring Decreases Hypoglycemia Avoidance Behaviors, but not Worry in Parents of Youth With New Onset Type 1 Diabetes

Background: Existing research shows that hypoglycemia fear (HF) is common in parents of children with established type 1 diabetes (T1D). We examined parental HF in the T1D recent-onset period and evaluated whether continuous glucose monitoring (CGM) adoption relates to improved outcomes of parental HF. Methods: In TACKLE-T1D, a prospective study of five- to nine-year olds with recent-onset T1D, parents completed the Hypoglycemia Fear Survey-Parents (HFS-P) at baseline (T1) and 6 (T2) and 12 (T3) months post-baseline. The HFS-P measures worry about hypoglycemia (HFS-Worry score) as well as hypoglycemia avoidance behaviors (HFS-Behavior score). We recorded CGM start dates for youth during the same time period through medical record review. Results: Between T1 and T2, 31 youth (32.3%) initiated CGM therapy, and between T2 and T3, an additional 17 youth (17.7%) began using CGM, leaving 48 youth who never initiated CGM therapy (50%) in the recent-onset period. Parents reported moderate HFS-Worry scores at T1 (32.9 ± 11.9), which increased between T1 and T2 (37.6 ± 11.4, P < .001) and plateaued between T2 and T3 (37.7 ± 12.4, P = .89). In contrast, parental HFS-Behavior scores decreased between T1 (33.1 ± 5.8) and T2 (32.2 ± 6.0, P = .005) and plateaued between T2 and T3 (32.2 ± 6.0, P = .95). Baseline HFS-Behavior and Worry scores were associated with increased adoption of CGM between T1-T2 and T2-T3, respectively. Parents of children initiating CGM therapy between T1 and T2 showed the largest decrease in HFS-Behavior ( P = .03). Conclusions: Initiating CGM therapy within the first 12 months of T1D may help reduce parents’ use of hypoglycemia avoidance behaviors, but has little effect on parents’ hypoglycemia worry.