OBJECTIVES: This study aimed to examine the occurrence of adverse childhood experiences (ACE) in the adult Slovak population and to examine the relationships between mental and physical health, ACE, attachment anxiety and avoidance, and loneliness. SAMPLE AND SETTINGS: A cross-sectional study with a representative Slovak sample (n = 1018, mean age 46.24 years, 48.7 % men) collected in April 2019 data on ACE (Adverse Childhood Experiences International Questionnaire; ACE-IQ), attachment (Experiences in Close Relationships Revised; ECR-R-14), mental and physical health (SF-8 Health Survey; questions on long-term health difficulties) and loneliness single-item question. Nested linear regression models were employed to analyzed the associations. RESULTS: Over 75 % of respondents reported at least one ACE, and nearly a third reported four or more. Community violence (43.6 %), violent treating of a household member (38.1 %), emotional abuse (34.4 %) and emotional neglect (30.9 %) were the most common ACE. The average number of ACE was 2.7 (± 2.6). Multiple ACE were associated with attachment insecurity and loneliness. ACE were found to be significantly associated with both physical and mental health. Attachment anxiety and avoidance were linked to mental health, but only attachment anxiety remained significant when loneliness was included. Loneliness was associated with mental and physical health difficulties. CONCLUSION: ACE and loneliness are associated with physical health difficulties. ACE, attachment anxiety and loneliness are linked to mental health difficulties. Preventing child maltreatment and addressing loneliness are key to mitigating the long-term health effects of ACE.
- Publication type
- Journal Article MeSH
INTRODUCTION: The issue of the impact of religion and spirituality on mental health is a phenomenon which has recently become increasingly more accentuated. Despite the attention given to the topic, many questions still remain as to whether and how religion and spirituality affect a person's mental wellbeing. In the text below, we have focused on examining the relationship between religion and spirituality and mental health among young adults in the Czech Republic. Research also explored the idea that forgiveness can be viewed as a component of religion or spirituality. MATERIALS AND METHODS: The research project was executed in close cooperation with STEM/MARK, a renowned data collection agency. The methodological framework was constructed with a dual focus: leveraging standardized questionnaires to ensure data reliability and comparability while also incorporating tailored questions that delve into the participants' socioeconomic status (SES) and background details. The study unfolded across four online sessions, a format chosen for its convenience and effectiveness in facilitating participant engagement while accommodating our respondents' diverse schedules. The total sample approached comprised of 270 young adults that expressed certain form of religiosity. RESULTS: Forgiveness and the depth of one's personal religious or spiritual history emerged as the most influential factors. Forgiveness was significantly associated with an increase in self-blame (positively), and decrease in refocusing, planning (both negatively), and putting things into perspective (negatively) (Beta = 0.25, Beta = -0.06, and Beta = -0.16, respectively). In contrast, a deeper personal religious history was positively associated with self-blame, rumination, and refocusing (Beta = 0.22, Beta = 0.13, and Beta = 0.15, respectively). CONCLUSION: The finding that forgiveness may be a risk factor associated with regularly elevated depressive symptoms, stress, and maladaptive coping strategies such as self-blame and ruminating over problems, while negatively affecting physical, psychological, and environmental quality of life, clearly points to the need to examine the inner aspects of individual religions and spiritualities. These findings suggest that religious and spiritual beliefs may play a key role in how people experience and manage the emotional burdens and difficulties of life.
- Publication type
- Journal Article MeSH
The etiological agent of yaws is the spirochete Treponema pallidum (TP) subsp. pertenue (TPE) and infects the children of Papua New Guinea, causing ulcerative skin lesions that impairs normal growth and development. Closely related strains of Treponema pallidum subsp. pertenue, JE11, and TE13 were detected in an ulcer biospecimen derived from a 5-year-old yaws patient. Cloning experiments validated the presence of two distinct but similar genotypes, namely TE13 and JE11, co-occurring within a single host. While coinfection with highly related TPE strains has only limited epidemiological and clinical relevance, this is the first documented coinfection with genetically distinct TP strains in a single patient. Similar coinfections in the past were explained by the existence of over a dozen recombinant loci present in the TP genomes as a result of inter-strain or inter-subspecies recombination events following an anticipated scenario of TP coinfection, i.e., uptake of foreign DNA and DNA recombination.
- MeSH
- DNA, Bacterial genetics MeSH
- Yaws * microbiology MeSH
- Phylogeny MeSH
- Genotype * MeSH
- Coinfection * microbiology MeSH
- Humans MeSH
- Child, Preschool MeSH
- Sequence Analysis, DNA MeSH
- Treponema pallidum * genetics isolation & purification classification MeSH
- Treponema MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Child, Preschool MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- Geographicals
- Papua New Guinea MeSH
BACKGROUND: Biodegradable (BD) stents made from polydioxanone have been used only in human airways. These stents combine the advantages of classical tracheal stents, and fewer side effects are expected due to their biocompatibility and their time-limited presence in airways. However, new clinical consequences have arisen. Here, the authors share their experiences with BD stents for tracheal indications, focusing on their safety and efficacy. METHODS: This was a retrospective review of a collected database of adult patients who underwent implantation of biodegradable tracheal stents between September 2013 and December 2022 at the Department of Respiratory Medicine of the 1st Faculty of Medicine in Prague and Thomayer University Hospital. The indications included functionally significant nonmalignant tracheal stenosis and tracheomalacia. Self-expandable, biodegradable, polydioxanone tracheal stents manufactured by ELLA-CS Ltd. (Hradec Kralove, Czech Republic) were implanted during rigid bronchoscopy under general anaesthesia. All patients were followed up in the department and were provided with the necessary care. The main efficacy and safety parameters and relationships were analysed using descriptive statistics and Fisher ́s exact, Wilcoxon and Kruskal‒Wallis tests. RESULTS: A total of 65 stents were implanted in 47 adult patients. During the first two months after implantation, when adequate function was expected, the stent was found to be effective in 26 out of 39 patients who completed this period (66.7%). The clinical effectiveness reached 89.7%, as early restenoses were mostly mild and necessitated treatment in only 4 patients. The frequencies of significant mucostasis, migration and granulation tissue growth were 2.6%, 7.5% and 23.1%, respectively, during this period. Thirty-four participants completed the half-year follow-up period after the first or second stent insertion, and some were followed up beyond this period. Poor control of symptoms, the development of restenosis and the need for interventions were characteristic of this period as the stents degraded. Twenty-two patients who experienced remodelling or stabilization of the tracheal lumen achieved a stent-free state. Seven patients underwent subsequent surgical treatment. CONCLUSIONS: BD stents are safe and provide adequate tracheal support until they begin to degrade. The use of BD stents necessitates close monitoring of patients and accurate treatment of possible restenosis. TRIAL REGISTRATION: Based on project NT14146 - Biodegradable stents in the management of the large airways (2013-2015, MZ0/NT), registered on May 1, 2013, in the Research and Development and Innovation Information System of the Czech Republic and at ClinicalTrials.gov (reg. no. NCT02620319, December 2, 2015).
- MeSH
- Bronchoscopy * MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Polydioxanone MeSH
- Prosthesis Design MeSH
- Retrospective Studies MeSH
- Aged MeSH
- Tracheal Stenosis * surgery MeSH
- Stents * MeSH
- Trachea surgery MeSH
- Tracheomalacia surgery MeSH
- Absorbable Implants * MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
Východiska. Hraní hazardních her je rizikovou aktivitou. Největší nárůst prevalence hraní různých druhů online hazardních her se týká kurzových sázek uzavíraných před utkáním online a poté kurzových sázek uzavíraných v průběhu utkání online. Existují koncepční východiska a doporučení v podobě zodpovědného hraní, jak efektivně redukovat problémové hráčství. Tento koncept je v České republice nový. Cíle. Zmapovat a popsat průběh online hazardního hraní u jedinců s poruchou hraní hazardních her závislých na online sportovním sázení a zmapovat vnímání a využívání preventivních opatření zodpovědného hraní z pohledu těchto hráčů. Metody. Výzkumný design je kvalitativní, jedná se o případové studie. Jako výzkumné metody byly použity polostrukturované interview, dotazník PGSI, životní křivka. Formou analýzy dat byla interpretativní analýza. Soubor tvořilo 10 hráčů hazardních her – kteří se minimálně jeden rok věnují online sportovnímu sázení a aktuálně jsou v pobytové léčbě na oddělení v psychiatrické nemocnici (PN). Výsledky a závěry. Většina respondentů sázela na sport land-based ještě předtím, než se přesunuli do online prostředí. Pouze ve dvou případech jedinci využívali jen jednu tuzemskou sázkovou kancelář. Nastavení limitů v aplikaci žádnému z respondentů dlouhodobě nepomohlo. Ve všech případech probíhala komunikace mezi hráčem a infolinkou provozovatele sázkové hry. Největší problémy před nástupem do léčby působily finanční problémy, zhoršené zdraví a vztahové problémy.
Background. Gambling is a risky activity. Prematch online sports betting has experienced the greatest increase in popularity among all forms of online gambling, with in-play betting following closely behind. There are specific principles and guidelines in responsible gambling aimed at reducing problem gambling effectively. The concept of responsible gambling is new in the Czech Republic. Objectives. To map and describe the progression of online gambling among individuals with gambling disorders who are addicted to online sports betting and to explore the perception and use of preventive responsible gambling measures from the perspective of these players. Methods. The study is based on qualitative research, specifically utilising individual case studies. The research methods include semistructured interviews, the Problem Gambling Severity Index (PGSI) questionnaire, and a life curve to track the progression of gambling. Data analysis was conducted using interpretative methods to analyse the findings. The sample comprised ten individuals selected on the basis of a minimum of one year of experience with online sports betting as the criterion for inclusion in the study. They were currently undergoing residential treatment for gambling disorders in a psychiatric hospital. Results and Conclusions. Initially, most respondents started with land-based sports betting before moving to online platforms. Two individuals only used a single domestic betting agency. Setting limits within the betting application did not help any respondent. In all instances, interaction occurred between the player and the betting operator’s helpline. Primary concerns before treatment included financial problems, declining health, relationship difficulties.
Pracovníci ve zdravotnických a sociálních službách hrají klíčovou roli při zajištění celkové pohody pacientů žijících v domovech pro seniory díky svému rozsáhlému a komplexnímu zapojení se do této péče. Ke kompletní pohodě, fyzické i psychické, patří i sexuální potřeby seniorů, což je oblast, která je často tabuizována nebo přehlížena v seniorském věku jako zbytečná či nepotřebná. Ukazuje se však, že opak je pravdou. Jedním z úkolů profesionálních pečovatelů by mělo být aktivní zapojení do procesu pozorného naslouchání sexuálním obavám a problémům seniorů, náprava mylné představy o sexualitě u starších jedinců, podpora sebevědomí rezidentů domovů pro seniory a jejich povzbuzení k otevřené komunikaci svých obav. Starší dospělí často řeší problémy týkající se sexuálního zdraví spíše sami, než aby aktivně komunikovali s formálními pečovateli. Přítomnost rozpaků, strach z ukončení pobytu v sociálním zařízení a pocit, že profesionál postrádá zájem nebo pochopení, to vše přispívá k váhavosti při řešení sexuálních záležitostí během kontaktu seniorů s personálem. Hlavním cílem naší studie bylo prozkoumat postoje formálních pečujících v domovech pro seniory k sexualitě u starších dospělých pomocí nestandardizovaného dotazníku vlastní konstrukce. Dotazník byl anonymní, sběr dat proběhl v měsících únor a březen 2024, elektronickou formou byl rozeslán prostřednictvím sociální platformy. Z výsledků tohoto dotazníkového šetření vyplývá, že postoje pečujících k sexualitě seniorů nejsou signifikantně závislé na délce praxe v oboru. Určitá přímo úměrná souvislost byla zjištěna mezi ochotou komunikovat a dosaženým stupněm vzdělání, i když statisticky byla spíše méně významná. Většina respondentů sdílela názor, že starší lidé nemají v podmínkách domova pro seniory možnost se k problematice sexuality vyjádřit a že jejich sexualita je významně ovlivněna prostředím, ve kterém žijí. Všichni respondenti se shodli na tom, že sexualita ve stáří je přirozená, ale jen 56 % dotázaných se domnívalo, že je potřeba o tomto tématu se seniory hovořit. Více než čtvrtina respondentů se necítila být kompetentní o této problematice se seniory hovořit. Tyto závěry nás vedou ke zdůraznění potřeby věnovat se této oblasti života seniorů, jelikož sexualita úzce souvisí nejen se sexem samotným, ale také obecně se vztahy a její ignorace může vést k pocitům osamění, případně až k rozvoji syndromu deprese, jehož incidence ve stáří narůstá.
Health and social care workers ensure patients‘ overall well-being in nursing homes through extensive and comprehensive care involvement. Comprehensive well-being, both physical and mental, also includes the sexual needs of seniors, an area that was often taboo or overlooked as unnecessary or unnecessary in seniority. However, it turns out that the opposite is accurate. One of the tasks of professional caregivers should be to be actively involved in the process of attentive listening to the sexual concerns and problems of the elderly, correcting any potential misconceptions about sexuality in older individuals, supporting the self-esteem of residents of nursing homes and encouraging them to communicate their concerns openly. Older adults often deal with sexual health issues on their own rather than actively communicating with formal caregivers. The presence of embarrassment, fear of ending the stay in a social facility and the feeling that the professional lacks interest or understanding all contribute to hesitancy in dealing with sexual matters during contact between seniors and staff. The main aim of our study was to investigate the attitudes of formal caregivers in nursing homes towards sexuality in older adults using a non-standardized questionnaire of our design. The questionnaire was anonymous, and data collection took place in February and March 2024. The questionnaire was sent electronically via a social platform. The results of this questionnaire survey show that the attitudes of caregivers to the sexuality of seniors are not significantly dependent on the length of experience in the field. A direct correlation was found between willingness to communicate and educational attainment, although statistically, it was less significant. Most respondents shared the opinion that older people do not have the opportunity to express themselves on the issue of sexuality in the conditions of a home for the elderly and that their sexuality is significantly influenced by the environment in which they live. All respondents agreed that sexuality in old age is natural, but only 56 % of respondents believed that it was necessary to talk about this topic with seniors. More than a quarter of respondents did not feel competent to speak to seniors about this issue. These conclusions lead us to emphasise the need to further focus on this area of the lives of seniors, as sexuality is closely related not only to sex itself but also to relationships in general, and ignoring it can lead to feelings of loneliness or even to the development of depression syndrome, the incidence of which increases in old age.
Cíl: Analyzovat a syntetizovat výsledky kvalitativních studií týkajících se životních zkušeností mladých pacientů po prodělané ischemické cévní mozkové příhodě (iCMP). Design: Syntéza kvalitativních studií. Byl dodržen doporučený postup dle ENTREQ pro zvýšení transparentnosti při předložení syntézy kvalitativních výzkumů. Metody: Pro vyhledávání kvalitativních studií bylo využito elektronických vědeckých databází CINAHL Plus (EBSCO), MEDLINE (OvidSP), PsycInfo (EBSCO), ScienceDirect (Elsevier), SocINDEX (EBSCO), Web of Science Core Collection a ProQuest, ve kterých bylo dohledáno 5 785 zdrojů. Pro metodologické posouzení kvality studií bylo využito CASP (Critical Appraisal Skills Programme Qualitative Research Checklist). Celkem bylo do literárního review zařazeno 7 kvalitativních studií zaměřených na životní zkušenosti mladých dospělých po iCMP. Výsledky: Cévní mozková příhoda v mladém věku způsobuje narušení ve třech oblastech: oslabení sebe sama a vlastní identity, sociální narušení a oslabení blízkých osobních vztahů. Na druhou stranu byla nalezena tři analytická témata související s copingovými strategiemi nebo osobními změnami: znovunalezení nového já, znovunalezení sociální role a pomoc ve vztahu. Závěr: Dohledaná zjištění našeho review mohou přinést hlubší porozumění zkušenostem mladých dospělých po cévní mozkové příhodě a současně jejich věkově přiměřeným potřebám v dlouhodobém rehabilitačním procesu.
Aim: To report a synthesis of evidence presented in qualitative studies related to the experience of living with ischemic stroke in young patients. Design: A research synthesis of qualitative studies. The ENTREQ statement was followed to enhance transparency in reporting the synthesis of qualitative research. Methods: The electronic databases CINAHL Plus (EBSCO), MEDLINE (OvidSP), PsycInfo (EBSCO), ScienceDirect (Elsevier), SocINDEX (EBSCO), Web of Science Core Collection and ProQuest Science Database were used to gather data for a review of qualitative studies, yielding 5,785 sources. The methodological quality of studies was reviewed using the Critical Appraisal Skills Programme Qualitative Research Checklist. In total, seven sources were included in this literature review, focused on young adults' experience of ischemic stroke. Results: Stroke at a young age can cause a disruption of three domains: disruption of self and self-identity, social disruption, and disruption of close personal relationships. On the other hand, three analytical themes related to coping strategies or personal challenges have been found: re-establishing a new self, restablishing a social role, and relationship help. Conclusion: The findings of our review can provide a deeper insight into understanding the experience of a stroke at a younger age and their age-appropriate needs in the long-term rehabilitation process.
Dítě se sluchovým postižením vyrůstající ve slyšící společnosti čelí celé řadě výzev a nároků. Sluchové postižení nelze chápat pouze jako ztrátu jednoho ze smyslů. Jeho přítomnost ovlivňuje i další oblasti jako komunikaci, socializaci a kognitivní funkce. Neznalost skrytých důsledků sluchového postižení u osob zastávající pomáhající profese, může mít fatální dopad na kvalitu života jedince se sluchovou vadou. Cílem přehledové studie je analýza odborných zdrojů, které se věnují tématu sluchového postižení a jeho dopadu na dítě. Studie je zpracována na základě pěti odborných zdrojů, které se věnují důsledkům sluchového postižení z různých úhlů pohledu, jako je například dílčí rozvoj jazykových funkcí a porovnávají výsledky testových baterií dětí se sluchovým postižením se slyšícími vrstevníky. Výsledky výzkumů se vztahují k dětem s prelingvální vadou sluchu, která je kompenzovaná a dítě vyrůstá převážně v mluveném prostředí. U dětí se sluchovým postižením jsou patrné velké rozdíly v dosažených výsledcích výzkumu. V některých oblastech mohou dosahovat srovnatelných výsledků se svými slyšícími vrstevníky, celkově ovšem v konečném porovnání děti se sluchovým postižením spíše zaostávají, a to i když jsou zajištěny prediktory vedoucí děti s uvedeným smyslovým postižením k téměř normálnímu vývoji, jako je například včasnost kompenzace, intervence a podnětné rodinné a komunikační prostředí.
Children with hearing impairment are a very heterogeneous group. The heterogeneity of this group is not primarily due to the hearing impairment but to its indication on the child and its impact on the quality of life in the context of all their experiences. Hearing impairment is described as an information and communication barrier. Auditory deprivation affects the maturation of the auditory pathway and auditory centres, which are closely linked to cognitive function. The absence of an acoustic signal affects the development of spoken language, thinking and causes changes in perception. The significant impact of hearing impairment on an individual can occur in early childhood during the sensitive period when the child is most sensitive to changes and stimuli received. The consequence of hearing loss in a child is much more influenced by the interaction between the child and the environment than by the severity of the hearing loss itself. Hearing plays a vital role in development. In addition to providing language access, it enables social interaction, helping to acquire social norms and regulate one’s behaviour. A child with severe hearing loss growing up in a speaking environment does not have natural access to spoken language. The secondary consequences of hearing impairment can be observed to varying degrees, depending on external and internal factors, in the area of com- municative competence, which is closely linked to the ability to form social relationships. The effects are, therefore, also evident in the individual’s cognitive functions. The review study aims to analyse five research studies to indicate the secondary consequences of hearing impairments. The review is based on three empirical studies and two theoretical research studies published between 2012 and 2022 in Web of Science. The authors of three empirical and two theoretical studies examined the issue of hearing impair- ment in a total of 230 children with hearing impairment from the Netherlands, Italy, Sweden and America. The control group comprised 170 hearing peers and normative scales within the standardised tests. The individual studies worked mainly with pre-existing diagnostic materials focusing on specific areas of language competence, such as comprehension, spontaneous speech and referential communication. The comparison results show that the secondary consequences can vary in children with hearing impairment even when early intervention, setting of hearing technology and auditory rehabilitation, which has been cited as a fundamental predictor of normal development, is maintained. External and internal factors always influence the impact of hearing impairment on a child and cannot be clearly defined. However, based on the analysis of empirical and theoretical studies, areas of increased sensitivity to the absence of auditory stimuli can be more deeply designated. Such as the development of procedural and short-term phonological memory necessary to acquire concepts and respond to a linguistic stimulus. Increased prevalence, compared to hearing peers, of both external and internal psychopathological symptoms, with children compensated by hearing aids being more at risk than children with cochlear implants. The possible occurrence of associated language processing defects. In general, all studies agree that in most cases, children with hearing loss using hearing technology underperform compared to their hearing peers. This information is essential for subsequent rehabilitation care requiring a detailed diagnosis of the individual level of communication competence.
Bark beetles vector symbiotic fungal species into their host trees during mass attacks. The symbiotic relationship with blue stain fungi of the Ascomycetes, including genera of Endoconidiophora (syn. = Ceratocystis), promotes successful establishment whereby the microbes help to overcome the host trees' defence and degrade toxic resins. This is the first study to evaluate both the volatile emissions from an insect-associated blue stain fungus over time and the insect response in a field trapping experiment. Volatile emissions from isolates of Endoconidiophora rufipennis (ER) were collected by solid-phase microextraction (SPME) and analysed by gas chromatography-mass spectroscopy (GC-MS) over a period of 30 days. This virulent North American fungus is closely related to E. polonica, a symbiotic fungus known from Eurasian spruce bark beetle Ips typographus.Nine volatiles were emitted by ER in substantial amounts: isoamyl acetate, sulcatone, 2-phenethyl acetate, geranyl acetone, geranyl acetate, citronellyl acetate, (R)- and (S)-sulcatol, and (R)-sulcatol acetate. A late peaking compound was geranyl acetone. In the field trapping experiment, three of the fungal volatiles (geranyl acetone, 2-phenethyl acetate and sulcatone) were tested in combination with a synthetic aggregation pheromone for I. typographus. Traps with geranyl acetone attracted lower numbers of I. typographus compared to traps with 2-phenethyl acetate, sulcatone or the pheromone alone as a control. The results showed that geranyl acetone acts as an anti-attractant and may act naturally on I. typographus as a cue from an associated fungus to signal an overexploited host.
- MeSH
- Ascomycota * physiology MeSH
- Coleoptera * physiology MeSH
- Pheromones metabolism MeSH
- Plant Bark metabolism MeSH
- Weevils * microbiology MeSH
- Animals MeSH
- Check Tag
- Animals MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
INTRODUCTION: The COVID-19 pandemic and its related restrictions, mainly social distancing, had an impact on the mental health of various groups, including adolescents. METHODS: The main goal of our study was to explore the impact of gender, age, resilience (measured using the Brief Resilience Scale), attachment anxiety, attachment avoidance (both measured using the Experiences in Close Relationships Revised Scale for adolescents), and mental and general health (measured using items of SF-8 Health Survey) on COVID anxiety (measured using the COVID Anxiety Scale) among a sample of Slovak adolescents (N = 1,786, age 15 to 19, mean age = 16.8, SD = 1.2). The data were collected online between 13 April and 24 May 2021. RESULTS: Four nested linear regression models were fitted to the data and evaluated. The significant predictors that had a greater effect than our smallest effect size of interest (β = 0.10) were gender (β = -0.26, p < 0.001, where boys had lower scores in COVID anxiety), general and mental health (β = -0.13 and β = -0.14, respectively, both with p < 0.001), resilience (β = -0.12, p < 0.001), and attachment avoidance (β = -0.11, p < 0.001). Similarly, age and attachment anxiety were significant predictors with a lower effect size (β = 0.06, p = 0.003, and β = 0.09, p < 0.001, respectively). DISCUSSION: Our results are in line with previous research findings highlighting the importance of prevention and interventions programs focused mainly on preventing loneliness and social disconnection, fostering secure attachment with parents and peers, and increasing the resilience of adolescents, especially in the stressful time of a pandemic, to promote their mental health.
- Publication type
- Journal Article MeSH
