Query: COVID-19 China   new-normal

title: The Ongoing COVID 19 Epidemic Curves Indicate Initial Point Spread in China with Log Normal Distribution of New Cases Per Day with a Predictable Last Date of the Outbreak
abstract: During an epidemic outbreak it is useful for planners and responsible authorities to be able to plan 12 ahead to estimate when an outbreak of an epidemic is likely to ease and when the last case can be 13 predicted in their area of responsibility. Theoretically this could be done for a point source epidemic 14 using epidemic curve forecasting. The extensive data now coming out of China makes it possible to test 15 if this can be done using MS Excel a standard spreadsheet program available to most offices. The 16 available data is divided up for whole China and the different provinces. This and the high number of 17 cases makes the analysis possible. Data for new confirmed infections for Hubei, Hubei outside Wuhan, 18 China excluding Hubei as well as Zhejiang and Fujian provinces all follow a log normal distribution that 19 can be used to make a rough estimate for the date of the last new confirmed cases in respective areas.

title: Unprecedented Challenges, Familiar Paradoxes: COVID 19 and Governance in a New Normal State of Risks
abstract: Through the lens of paradoxes, this essay understands China's COVID 19 responses, focusing on normal and non normal governance, competing values, expertise and politics, centralization and decentralization, public and private, and technology and institution. Preliminary lessons are drawn regarding pandemic governance: embedding resilience into all aspects of governance; developing a public value framework for pandemic governance and improving individuals' ethical capacity; institutionalizing policy capacity on pandemic governance and requiring expertise in relevant positions; balancing centralized coordination and decentralized responses with a stable and ready to work commanding center; enabling businesses and nonprofits for pandemic governance but regulating them appropriately; and enacting technologies to revolutionize pandemic governance with proper institutional safeguards. This article is protected by copyright. All rights reserved.

title: New normal and new future: summing up and reflection for the future scientific prevention and control COVID 19 to ensure its enduring and steady progress/ Xin Chang Tai Xin Wei Lai Zong Jie Fan Si Wei Wei Lai Ke Xue Fang Kong COVID 19Xing Wen Zhi Yuan
abstract: To summarize the experience of prevention and control of COVID 19 epidemic in different stages in China,to reflect on the existing research problems and to explore how to do scientific and accurate prevention and control measurements in the new normal situation of COVID 19 infection  The statistical data,literature and website reports from WHO and China were reviewed Results The pandemic situation of COVID 19 in the world was analyzed,and the experience of three epidemic stages in China was summarized Some suggestions on the clinical drug researches,nucleic acid and antibody detection and case notification of COVID 19 in China were put forward  In the future,COVID 19 events will become a new normal due to the spread or clusters of cases caused by imported patients Before the implementation of active immunization,it will be a new future situation to do personal protection,strengthen prevention and controlling the transmission of imported cases in the community

title: Hybrid Classroom: Designing for the New Normal after COVID 19 Pandemic
abstract: In the end of December 2019, there was a reported of novel coronavirus in Wuhan, China. Later, this virus named COVID 19 became one of a major outbreak of the world. Since the virus can be spread through the air, the social distancing is essential. Many reports indicated that this will make the world change into a new normal. Working or learning from home by using information and communication technologies will become a new standard of the future. This paper proposed the ideas of the King Mongkut's University of Technology Thonburi to design and implement the hybrid classroom for teaching and conducting university's business after the pandemic crisis. The hybrid classroom concept aims to reducing the number of involved people in each activity by offloading some group of people to online from their home. The hybrid room has also been designed to allow online and physical attendees interact during operating sessions. The conclusion of this paper describes the problems and obstacles that arise during the implementation of prototype rooms, as well as the solutions and future direction of this work.

title: The new normal dentistry in the COVID 19 pandemic world
abstract: In December 2019, a new coronavirus disease mostly with the symptoms of pneumonia cropped out in Wuhan, China The COVID 19 outbreak has spread out worldwide and it has created huge uncertainty COVID 19 was announced by the World Health Organization as a pandemic on March 11, 2020, with infection cases occurring in 185 countries all over the world There is no clear information about how long this pandemic will continue whether its different types will be seen, or whether it will reappear in the future Dentists are in close contact with patients' blood, aerosol, droplet, and saliva during dental procedures Therefore, dentists are at a high risk of being infected with COVID 19 During dental procedures, COVID 19 can be transmitted through inhalation of aerosols from an infected person or through contact with mucous membranes, oral fluids, contaminated instruments, and surfaces The aim of this article is to collect all information about the COVID 19 outbreak that dentists should be aware of when they perform the dental practice

title: Dental clinical practice changes needed during the COVID 19 pandemic: The 'new normal'
abstract: In December 2019, a novel coronavirus (2019 nCOV) emerged in Wuhan, China It has affected the entire globe causing the ongoing pandemic The SARS CoV 2 infection could be asymptomatic or mildly symptomatic in most cases of COVID 19 Therefore, there is a difficulty in diagnosis of SARS Cov 2 infection based only on the clinical findings and hence requires the confirmatory laboratory testing In dental clinical practice, there is a very high risk of transmission of SARS Cov 2 infection Therefore, there is an urgent need to assess and minimize the risk in dental care settings Each patient in dental clinical practice needs to be considered as the potentially infectious and managed accordingly with the use of appropriate infection prevention and control measures The approaches and measures for risk alleviation need to be emphasized and practiced appropriately to prevent the infection This review presents the important changes needed in routine and emergency dental practice in the current pandemic

title: The challenge and response of mental health institutions in COVID 19 pandemic: from chaos to new normal
abstract: Coronavirus disease 2019 (COVID 19) shows a global outbreak. Patients with mental disorders are categorized as a vulnerable group that faces a high risk of the disease. COVID 19 has a heavy impact on mental health. Mental health institutions in China, the first country to report COVID 19, have encountered unprecedented difficulties and challenges. In this article, we provide a brief summary of the challenges and lessons learned by firstline mental health staff in mental health institutions in China during this period, and we propose suggestions to deal with similar challenges in the future.

title: We Cannot Go Back to the Old World, Before Global Pandemic Declaration of the COVID 19 Pandemic: Developing New Normal Practices in Society
abstract: COVID 19, the most serious public health crisis of this century, was first described as pneumonia with an unknown cause, before it was confirmed by China's Center For Disease Control on January 8. COVID 19 spread to Korea within 2 weeks, and during the quarantine process on January 20, the first patient was identified. So far in Korea, 14,000 patients have contracted COVID 19 and 300 deaths have occurred. There were concerns about a nationwide epidemic in Korea, with 907 patients who had contracted COVID 19 on March 2. The spread of the virus in the community was identified on February 17, and mainly originated from contacts worshipping at the Sincheonji Church in Daegu. However, the outbreak was well managed through prompt identification of patients, tracking, isolating contacts, and actively implementing a patient classification triage system. Individuals entering the country have accounted for about 2,400 cases, which is about 16% of all COVID 19 cases in Korea and the fatality rate was around 2.1% Compared to the rest of the world, it seems that the proportion of young people affected by COVID 19 was higher than other countries. In the public health weekly report, over 90% of patients with COVID 19 did not need intubation with oxygen, and the spread between families was about 6 times higher than the spread among non family members  The disease has spread from bats to humans through mediated animals (pengloine) but a number of patients have been found to be unrelated to the Wuhan fish market. Therefore, whether or not China's Wuhan fish market is the main area is still controversial, but is believed to be spread through common sources.  High level administrative authorities were persuaded to respond quickly, especially in Republic of Korea and Japan, where large numbers of patients have emerged due to the outflow of patients from China. Despite advice from the WHO, COVID 19 continued to spread, and the WHO declared it a pandemic on March 11. The WHO revised its strategy for the other region from the initial response, and advised the implementation of measures against the pandemic based on the Asian experience. Despite this strategy, the number of COVID 19 patients continue to increase 6 months after the declaration of the pandemic. In particular, the number of cases is increasing in the United States, India, and Brazil as the disease spreads, and in Germany, Singapore, and Hong Kong, 3 countries that were considered to be exemplary countries, have been experiencing a small wave of outbreaks. Among 37 therapeutic drugs being trialed for the treatment of COVID 19, only 15 drugs are in Phase 3 clinical trials  There are 26 COVID 19 vaccine clinical trials, and 139 substances are in pre clinical stages of development  However, currently there's no silver bullet and there may never be one, so for now, stopping COVID 19 outbreaks comes down to the basics of public health and disease control [4] Yes, there

title: The New Normal in Dentistry after COVID 19 Outbreak
abstract: The outbreak of SARS COV2 responsible COVID 19 disease created a worldwide health emergency After its first case was accounted for in 2019, 31st December by World Health Organization in Wuhan city of china, and afterward spreading in different nations, with India surpassing cases even the inception nation as on twentieth of May 2020 The WHO declared the disease as pandemic way back and countries over the world adoptinglockdown and contact tracing to limit the contagion The virus transmits person to person predominantlythrough respiratory routes through direct contact, droplets and possibly aerosols Because of the unique nature of practice in dentistry, most procedure generate significant amount of aerosols and droplets, posing a possible risk of infection transmission Understanding the concern of risk of transmission in dental practice, this literature is aimed to discuss the possible risk associated with practice and aim to raise awareness of the same with preventive measures especially after the lockdown end in day to day practice

title: COVID 19 in a Designated Infectious Diseases HospitalOutside Hubei Province,China
abstract: A new type of novel coronavirus infection (COVID 19) occurred in Wuhan, Hubei Province. Previous investigations reported patients in Wuhan city often progressed into severe or critical and had a high mortality rate.The clinical characteristics of affected patients outside the epicenter of Hubei province are less well understood.  All confirmed COVID 19 case treated in the Third People's Hospital of Shenzhen,from January 11, 2020 to February 6, 2020, were included in this study. We analyzed the epidemiological and clinical features of these cases to better inform patient management in normal hospital settings.  Among the 298 confirmed cases, 233(81.5% had been to Hubei while 42(14% had not clear epidemiological history. Only 192(64% cases presented with fever as initial symptom. The lymphocyte count decreased in 38% patients after admission. The number (percent) of cases classified as non severe and severe was 240(80.6% and 58(19.4% respectively. Thirty two patients (10.7% needed ICU care. Compared to the non severe cases, severe cases were associated with older age, underlying diseases, as well as higher levels of CRP, IL 6 and ESR. The median (IRQ) duration of positive viral test were 14(10 19) Slower clearance of virus was associated with higher risk of progression to severe clinical condition. As of February 14, 2020, 66(22.1% patients were discharged and the overall mortality rate remains 0.  In a designated hospital outside the Hubei Province, COVID 19 patients were mainly characterized by mild symptoms and could be effectively manage by properly using the existing hospital system.