cord-034579-3s26tjrd	2020	A telephone survey was used to assess changes in anxiety, inhaler adherence, physical activity, and behaviour during the pre-lockdown and lockdown periods compared to normal. Acute Exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) are a frequent problem for people with COPD, adversely affecting morbidity and mortality and are an important cause of unscheduled healthcare contacts including admission to hospital 1 Secondly, we assessed self-reported behaviour change during the pre-lockdown and lockdown period by telephone interview in order to explore potential reasons for any observed changes in AECOPD treatment frequency In this observational study a 38% increase in community managed exacerbation events during the COVID-19 lockdown in 2020 was seen compared to the same six-week period in 2019, as measured by primary care prescription records.
cord-117800-jzokod4q	2020	To slow down the spread of Covid-19, administrative regions within Pakistan imposed complete and partial lockdown restrictions on socio-economic activities, religious congregations, and human movement. After conducting econometric analyses (Regression Discontinuity and Negative Binomial Regressions) on official data from the National Institute of Health (NIH) Pakistan, we find that the strategies did not lead to a similar level of Covid-19 caseload (positive cases and deaths) in all regions. In terms of reduction in the overall caseload (positive cases and deaths), compared to no lockdown, complete and partial lockdown appeared to be effective in four regions: Balochistan, Gilgit Baltistan (GT), Islamabad Capital Territory (ICT), and Azad Jammu and Kashmir (AJK). On the other hand, complete and partial lockdowns have been Umer & Khan 4 very effective in the containment of the virus in the province of Balochistan and the three administrative territories/regions of Gilgit Baltistan (GB), Islamabad Capital Territory (ICT), and Azad Jammu and Kashmir (AJK).
cord-219681-83p1ujl4	2020	We find UK ''local lockdowns'' of cities and small regions, focused on limiting how many people a household can interact with and in what settings, are effective in turning the tide on rising positive COVID-19 cases. Using a difference-in-difference methodology, we estimate the impact of local lockdowns imposed in the late summer of 2020 on a number of UK cities, examining the effects on both containment of cases and consumer spending. (2020) using US fintech data and following this Opportunity Insights (Chetty et al., 2020a,b) produced 3 https://www.bbc.com/news/uk-england-52934822 4 We typically observe common pre-trends between control and treatment groups, however, we do observe noticeable increases in the number of positive COVID-19 cases for the treatment groups just before and after local lockdowns. On aggregate we observe the sharp fall in UK credit card spending near the time of the spike in Covid-19 cases and national lockdown announcement on 23 March 2020 and then a fairly steady recovery May -August.
cord-220723-yl2tg6q4	2020	
cord-253910-pmurx4jh	2020	We calibrate estimates of the economic costs as different % loss in Gross Domestic Product (GDP) against possible benefits of avoiding life years lost, for different scenarios where current COVID‐19 mortality and comorbidity rates were used to calculate the loss in life expectancy and adjusted for their levels of poor health and quality of life. All rights reserved We selected 10 European countries with populations over five million and average income/person over £15,000/year and examine the relation between the outcomes of the excess death as reported in Human Mortality Database of the University of California (5) and the different levels of lockdown as calculated and reported as a composite measure based on nine response indicators including school closures, workplace closures, hospitality venue closures and travel bans, in the Government Response Stringency from Blavatnik School of Government, University of Oxford (6) to see if there were any clear relationships.
cord-258072-6d5ieakl	2020	After reviewing the pertinent literature which included scales such as, Impact of Event Scale -Revised (IES-R), Perceived stress scale 10 (PSS-10), and the international guidelines, a self administered, pre-validated web-based questionnaire with 18 questions in English, exploring age and domains of knowledge about COVID-19, understanding reasons for lockdown, stressors which included fear of infection, helplessness and boredom, scarce supplies, and post quarantine stressors related to work, finances and stigma was floated on a famous social media site, Facebook (groups from New Delhi). Variations in eating patterns were observed in the present study in 79.5% of participants, with people aged 35-50 years experiencing maximum alterations in diet patterns that were positively correlated with the practice of social distancing and fear of acquiring the disease on meeting someone. 4. Dr. Himanshu Dadlani: Conception and design of the study, acquisition of data, or analysis and interpretation of data, drafting the article, critically evaluating and giving final approval.
cord-262787-3a3c8ee1	2020	
cord-263174-dpa6yjao	2020	Our data showed that glycemic control during the coronavirus lockdown period can be adequately achieved and be comparable to the pre-lockdown period in children with type 1 diabetes mellitus wearing insulin pump equipped with sensor. Although the reported amount of carbohydrates consumed did not differ significantly between the two periods in our data, meal timing has drastically moved to a looser routine with frequent late-night eating and a significantly increased percentage of consuming the first meal of the day later that 10.00 a.m. In a large, recent study on adult population with T1DM, skipping breakfast was associated with lower odds of reaching good glycemic control and higher mean blood glucose values [12] .  Glycemic control during the coronavirus lockdown can be comparable to the pre-lockdown period in children with type 1 diabetes mellitus wearing insulin pump equipped with sensor  Mean time in range (TIR) did not significantly differ between the two periods.
cord-263248-8y1u0h6y	2020	The lockdown presented in pane c (starts in day 39) is optimal for the more heterogeneous population that experiences, with the optimal lockdown timing, no second wave (and the total number infected is minimal at 4.9 percent). That lockdown, however, is yet too early for the less heterogeneous population where a moderate second epidemic wave develops and leads to a total of 15.8 percent infected (a substantially higher cost as compared to the minimal cost of 11 percent associated with the lockdown starting in day 44). Heterogeneous scenarios show much lower long-term costs of the epidemics and peak levels of the infected as compared to the traditional homogeneous case. With optimal lockdown strategy, the total number of infected people may be reduced to as low as five percent in the heterogeneous population.
cord-264821-68us87xb	2020	Positive coping skills and personal resilience are key factors that may protect an individual from lockdown-induced fatigue and other mental and psychological health consequences of the pandemic and the measures implemented to control the disease. Studies have shown that individuals with poor coping skills (Liang et al., 2020) and a negative mind set characterised by excessive worrying, hopelessness and pessimism (Moore et al., 2020) are at higher risk for developing mental and psychological issues related to the pandemic, possibly including lockdown-induced fatigue. Despite evidence showing the increased tendency of young people to develop fatigue related to lockdown measures, no studies examining how individual resilience and coping skills reduce fatigue in college students have yet been conducted. Therefore, this study was conducted to examine the levels of lockdown-induced fatigue and its association with personal resilience and coping skills in college students.
cord-268524-lr51ubz5	2020	This time experience was not explained by the levels of perceived stress or anxiety, although these were considerable, but rather by the increase in boredom and sadness felt in the lockdown situation. The aim of the present study was thus to conduct a scale survey on a large sample of an as yet untested population-French people-in order to assess not only the perceived stress related to Covid-19 but also the emotions (happiness, boredom, arousal) felt during as compared to before the lockdown and their links to the subjective experience of time. There is thus a risk in this period of pandemic that the chronic stress related to Covid-19 and its corollaries (anxiety, fear of death) are particularly high and therefore impact the subjective experience of time by speeding up the perceived passage of time.
cord-268816-nth3o6ot	2020	
cord-275071-2uiaruhg	2020	
cord-275503-rxjilkff	2020	To date, no studies have been conducted on how the pandemic, the resultant social restrictions, and the cancelling of elective operations in hospitals has affected the rate of emergency surgeries. The data for this retrospective study was collected from three Finnish The weekly mean incidence of emergency and urgent surgery remained stable after the announcement of the national lockdown (Fig. 1A) . The number of the most common operation, laparoscopic appendicectomy, decreased by 32 per cent (from 75 to 51, p = 0⋅03) three weeks before the lockdown. However, the decrease was followed by a notable rebound (64 per cent, p = 0⋅01) from 37 to 61 operations per three weeks. A notable rebound in the rate of appendicectomies and hip fracture operations was seenthree weeks after the lockdown started. The general mobility of the population measured by the amount of traffic on the main roads did not result in a decreased rate in emergency or urgent surgery.
cord-275827-r86ygqmy	2020	
cord-277667-vclij9ax	2020	
cord-283416-dhtintid	2020	Abstract Introduction The risk of acquiring SARS-CoV-2 in a hospital setting and the need of reorganizing the Emergency Departments (EDs) to cope with infected patients have led to a reduction of ED attendances for non-infectious acute conditions and to a different management of chronic disorders. Methods We performed a retrospective study evaluating the frequency and features of ED attendances for seizures during the lockdown period (March 10th April 30th 2020) in the University Hospital of Trieste, Italy. We studied the possible pandemic impact on the way patients with seizures sought for medical assistance by comparing the lockdown period to a matched period in 2019 and to a period of identical length preceding the lockdown (January 18th – March 9th 2020). We performed a retrospective study evaluating the frequency and features of ED attendances for seizures during the lockdown period, in order to verify if the pandemic could have had an impact on how patients with seizures sought medical assistance.
cord-283708-k9hquon7	2020	
cord-287676-qh7zeyyx	2020	title: COVID-19 pandemic: Impact caused by school closure and national lockdown on pediatric visits and admissions for viral and non-viral infections, a time series analysis A time series analysis of 871,543 pediatric emergency visits revealed that the COVID-19 lockdown and school closure were associated with a significant decrease in infectious diseases disseminated through airborne or fecal-oral transmissions: common cold, gastro-enteritis, bronchiolitis, acute otitis. We conducted a quasi-experimental interrupted time series analysis based on multicenter prospective French surveillance data for pediatric emergency department (PED) visits and related hospital admissions. [13] While the role of the children in the dissemination of SARS-CoV-2 is still being discussed, finding that school closure and national lockdown were linked to a dramatic decrease in pediatric emergency visits concerning gastroenteritis, acute otitis media, bronchiolitis, and other viral diseases could be not only an unexpected benefit for the children but could also raise the question of the impact on the health care system of starting lifting the French national lockdown by reopening the schools.
cord-288288-f7yhw3a0	2020	
cord-288851-lz5qc1f3	2020	title: Improved glycemic control amongst people with long-standing diabetes during COVID-19 lockdown: a prospective, observational, nested cohort study CONCLUSIONS: There is an overall improvement of glycemic control during COVID-19 lockdown independent of increase in physical activity in people with long duration of diabetes. Therefore, we prospectively studied the effect of lockdown on physical activity and glycemic control in people with pre-existing type 2 diabetes mellitus. We observed an overall improvement of glycemic parameter in people with long-standing type 2 diabetes associated with an increase in physical activity as assessed with GPAQ score during the lockdown period unlike the conventional belief of worsening of glycemic control and limitation of physical activity. This is the first large, prospective study amongst people with long-standing type 2 diabetes to assess the effect of more than 3 months duration of lockdown on glycemic control.
cord-298953-9aifql2f	2020	The second key resource used in this paper is the Outdoor Recreation Valuation (ORVal) model (Day and Smith 2017) , which we use not only to predict demand for visits to greenspace under the restrictive rules of the lockdown but also to estimate the changes in economic value experienced by residents of England as a consequence of those rules. In this paper, we assume that differences between the ORVal predictions of recreation behaviour under the lockdown rules and those observed in the Google mobility data are the net result of those, and possibly other, factors. 8 Given the nature of the MENE data, the ORVal model progresses from the assumption that each day represents a recreation choice occasion on which individuals can select from a choice set comprising (1) not taking an outdoor trip, and then (2) an option for traveling to each site by car and (3) an option for each site visited on foot.
cord-306227-63qvvkvk	2020	This article, therefore, focuses on the public perception of comparative lockdown scenario analysis and how they may affect the sustainable development goals (SDGs) and the strategic management regime of COVID-19 pandemic in Bangladesh socio-economically as well as the implications of the withdrawal of partial lockdown plan. First of all, the government should come up with a comprehensive strategic plan accompanied by non-governmental and social organizations and law enforcement to analyse the spread of the virus, identifying the most vulnerable hosts, properly tracked the movement of general people, precise estimation of economic losses from different financial and industrial sectors, educational diminutions and professional and informal employment disruption to picture an integrated scenario of the current situation and future predictions by which the revival of the negative aspects of the country could be managed.
cord-306270-9bsr2jz0	2020	
cord-308493-3fsn7awq	2020	Adults 18 years or older (N=407) completed an online survey that included demographic, household, and employment information along with standardized measures of psychological distress (State‐Trait Anxiety, Beck Depression) and relationship functioning – either the Dyadic Adjustment Scale if there were no children in the household or a Basic Family Relations Evaluation Questionnaire (CERFB) measuring conjugal, parental, and co‐parental functions. More specific aims of the study were to (a) compare lockdown responses from the pandemic convenience sample to benchmarks for established measures of individual, couple and parental functioning; (b) describe via qualitative analysis the ways in which participants felt their couple and family relationships had improved and/or deteriorated during the first few weeks of lockdown; (c) identify demographic, household, and employment-related correlates of pandemic relationship functioning and psychological distress with special attention to variations across couples with children at home, couples with no children, and couples with empty nests; and (d) explore possible changes in relationship functioning over time during the first three weeks of lockdown.
cord-311827-jfdlb2g8	2020	Abstract Most of the state governments in United States (U.S.) issued lockdown or business restrictions amid the COVID-19 pandemic in March 2020, which created a unique opportunity to evaluate the air quality response to reduced economic activities. Data acquired from 28 long-term air quality stations across the U.S. revealed widespread but nonuniform reductions of nitrogen dioxide (NO2) and carbon monoxide (CO) during the first phase of lockdown (March 15–April 25, 2020) relative to a pre-lockdown reference period and historical baselines established in 2017–2019. The lockdown or stay-at-home orders issued by the U.S. government to counter the COVID-19 pandemic has nonuniformly impacted air pollution in the U.S. More consistent NO 2 and CO declines than other pollutants coincide with reduced transportation and utility demands, while inter-site differences reflect not only the local lockdown policy but also population density. Assessing air quality changes in large cities during COVID-19 lockdowns: The impacts of traffic-free urban conditions in Almaty
cord-318437-tzp33iw7	2020	
cord-324708-2ypm0d52	2020	
cord-330562-dabjcvno	2020	
cord-335272-jypxi99z	2020	Moreover, both qualitative and quantitative study findings suggested that greater frequency of calling family members during lockdown could strengthen social relationships and increase social empathy. In response, our study of Indian adults unpacks how social factors such as sexual orientation, relationship status, and residence in high-infection areas, could be linked with several psychological outcomes during the lockdown. Next, we fitted separate multivariable linear regression models to estimate the association of the independent variables (sexual orientation, relationship status, high-risk group, and living in a state with high number of cases) with psychological outcomes (anxiety, depressive symptoms, Internet addiction and pornography consumption) adjusted for the sociodemographic covariates-age, gender, annual income, educational qualification, place of residence-and for individual personal resources (optimism and resilience). Our quantitative and qualitative findings both suggest that LGBT adults, compared to the heterosexuals, are at a higher risk of developing anxiety, depressive symptoms, and using pornography during the lockdown.
cord-335679-dpssd1ha	2020	
cord-337516-hrcf2udq	2020	
cord-342622-jqmz0mkz	2020	
cord-346664-ilebaqx3	2020	Through this study, we intend to assess any change in number and pattern of non-COVID surgical emergencies during the lockdown as well as the interventions required. Through this study, we intend to highlight the difference in patterns of patients who presented as a surgical emergency during the lockdown period (COVID outbreak). The differences in the profile and management of the patients (surgical emergencies) who were managed in the ED of the non-COVID hospital during the first month of the lockdown period and a similar period in the non-pandemic era (before January 30th in India) have been highlighted in Tables 1 and 2 . There was a marginal increase (17%) in the total number of surgical emergencies during the lockdown period, and the average distance covered by the patients to reach the hospital was around 25 km more (13% more) than the pre-COVID era, though the differences were not statistically significant.
cord-354475-im2py2or	2020	Although our results may be subject to sampling and recall bias, the unexpectedly high rates of anxiety and depression warrant an urgent call to action aiming at mitigating and managing mental health risks of senior high school students in future waves of pandemic. The aim of the present study was to examine the impact of the nationwide lockdown on the levels of anxiety and depression among last year senior high school students preparing for the upcoming Panhellenic university entrance exams. The questions were presented in four sections: (a) demographic characteristics, (b) anxiety and depressive symptoms over the first two weeks of February (prior to nationwide lockdown -baseline); (c) anxiety and depressive symptoms during the past two weeks (during lockdown -current), using the Greek versions of GAD-7 and PHQ-9 (The Patient Health Questionnaire Screeners, www.phqscreeners.com); (d) distress experienced during lockdown. To the best of our knowledge this is the first study reporting data concerning the impact of the nationwide lockdown on the mental health of last year senior high school students preparing for the national university entrance exams in Greece.