Tuesday, December 17, 2024

 

Scientists can now predict how climate change will alter plant growth cycles



The oldest citizen science project in the United States yields new discoveries



Florida Museum of Natural History

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A new study shows it's possible for researchers to predict plant growth cycles, like leaf production and flowering time, with much more accuracy than ever before. The authors say this will be a critical tool for anticipating and mitigating the effects of global climate change.

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Credit: Florida Museum of Natural History




On February 2, 1887, residents of Punxsutawney Pennsylvania consulted a large rodent regarding the arrival of spring, marking the first official celebration of Groundhog Day. According to Rob Guralnick, curator of biodiversity informatics at the Florida Museum of Natural History, our ability to predict the timing of seasons hasn’t improved much since then.

“We can’t generate good forecasts for whether spring will arrive early or late next year nearly as well as we can make predictions about the weather,” he said.

Weather patterns influence when a season begins and ends, but the ways in which plants and animals respond to these patterns, called phenology, is just as crucial. Meteorologists can make reliable temperature forecasts months in advance, but when it comes to predicting when a species of tree will start growing leaves throughout its range, scientists are often left shrugging. 

When complex factors like climate change are added to the mix, such predictions become even more difficult to make.

But a new study published in the journal Communications Earth & Environment is set to make seasonal forecasting a little less onerous and a lot more reliable. The authors enhanced existing approaches used to predict phenology and added a measurement of how fast an area warms in spring. This improvement allowed the authors to predict how the timing of leaf and flower production would change over a period spanning more than 150 years.

Plant species in the U.S. are flowering three to four weeks earlier than they did 150 years ago

The breakthrough was sparked by the rediscovery of an old 19th-century report containing thousands of detailed phenological observations for plants and animals throughout the eastern United States. The observations represent the earliest effort organized under the Smithsonian Institution to monitor biological cycles in the United states with volunteer collections, making it the first phenology-based citizen science project in the country.

Using these historical growth patterns as a starting point, the authors tested the accuracy of their equations. Given that plants produced leaves and flowers at a certain time in the 1850s, they predicted how the timing of those patterns would have changed 17 years later. They compared their results with modern observations to see how well they matched up.

Theresa Crimmins, the director of the USA National Phenology Network and co-author of the study, happened across the report while working on a book chapter about phenology. “I dug up this old document and realized there was actual data in it. Most of the other reports that had been referenced were just summaries.”

The report was the result of a short-lived citizen science network established by the Smithsonian Institution to monitor seasonal conditions and was published in two volumes by the U.S. Patent Office. The production of volume two, which contains the data on plants and animals — was significantly delayed due to a flurry of official documents that needed to be printed during the Civil War. When it finally made its way into print, the second half of the report contained information on when dozens of plants produced leaves, flowers and fruit from Michigan to Florida and as far west as California. 

“This is the oldest dataset we have where we’re looking at broad-scale phenology, and the change between then and now is striking,” Guralnick said.

To test their equations, the authors began by comparing the historical growth cycles with observations made within the last decade for 18 plant species. They anticipated differences between the two time periods caused by climate change, but they were unprepared for the magnitude of how much had been altered.

“All 18 species advanced their leaf growth and flowering phenology,” Crimmins said. “On average, it’s occurring more than three weeks earlier than it did in the past. There are some species that are flowering more than a month earlier.”

The fact that global warming has resulted in earlier springs and longer summers is well-established, but owing to the lack of historical data, it’s rare to obtain confirmation that spans such a large breadth of time.

Rate of springtime warming influences when plants produce leaves and flowers

Not all areas — or all species — in the eastern U.S. have experienced the same rate of change over 175 years. Phenology in the northeastern U.S. has, for example, advanced to a greater degree than in the Southeast. The well-worn equations that have been used to predict leaf growth and flowering time have been unable to account for this and other seemingly anomalous patterns.

Normally, scientists use two broad variables to predict phenology: where the plant is located and how much warm weather it needs to become active. This tends to work well for individual species in a limited area, but it’s less effective at predicting broad changes, like the arrival of spring for an entire forest.

This limitation is generally attributed to large amounts of variation within and between species.

A maple tree will respond differently than an oak, for example, and an oak in one area will respond differently than an individual of the same species in another.

Climate change throws another curve ball.

“Not only is there variation across species, there’s variation across latitudes in the rate of global warming. Climate is warming faster at higher latitudes,” said co-author Lindsay Campbell, an assistant professor at the University of Florida’s Florida Medical Entomology Laboratory.

But even when scientists account for this unequal warming, there are other patterns that have so far eluded explanation. Red maples, for example, are among the earliest active plants in eastern North America. In late winter and early spring, leafless maples send out numerous crimson flowers that stand out among other bare and dormant trees like a signal flare. Pink azaleas take a more measured approach, with leaves and flowers arriving later in the season, towards mid-Spring. But in some conditions, this sequence can be reversed, and what are generally considered to be later-flowering plants — such as pink azaleas — can bear flowers before those considered to be early bloomers — like maples — that grow at the same latitude.

Guralnick suspected there was a missing piece of the puzzle that, if found, would help make sense of the patterns.  In addition to a plant’s location and warmth requirements, he added a measurement for warming velocity, the rate at which heat is ratcheted up during spring. Areas next to large bodies of water tend to have slow warming velocities, because water takes longer to heat than air. Since water also retains warmth longer than air, these areas also tend to have warmer winters. He drew some back-of-the-napkin sketches and sought help from Crimmins and Campbell to refine the idea and develop a model for how warming velocity along with warm requirements might both determine phenology.

To test the idea, two museum interns, Michaela Keys and Carolyn Davis, digitized the historical data from the Smithsonian report. Co-author Erin Grady, a graduate student in the UF department of biology, compiled modern observations taken by citizen scientists that are publicly available through iNaturalist and the National Phenology Network. 

After running the numbers, their intuition was confirmed. With the addition of warming velocity, their predictions accurately aligned with the patterns in their data.

It also provided an explanation for the patterns that until then had proven intractable, such as later-flowering plants outpacing early bloomers. Though they generally flower late, a pink azalea in an area where spring temperatures increase rapidly can end up producing flowers before a maple growing in an area where temperatures climb more slowly.

The increased accuracy at predicting cycles within ecosystems may give conservationists a leg up when it comes to planning ahead. As global temperatures continue to increase due to climate change, species are not only changing up when they do things, but they’re also doing them in different places as their distributions shift, Guralnick said.

“I’ve always been skeptical about whether we’ll be able to predict what the world will look like in the near future, but I think we’re getting better at it as we take a more holistic view and as we get the underlying processes nailed down. Doing so helps us manage the diversity we have left.”

Pink azaleas (Rhododendron periclymenoides) grows in moist, shady environments throughout much of the Northeast United States and typically flower early in the year.

Credit

Florida Museum of Natural History

r rubrum) are one of the first plants to bloom in eastern North America during late winter and spring, but depending on how fast temperatures increase, they could be outpaced by plants that typically flower later in the year.


How TikTok & Co are shaping cultural production



RMU project CEDITRAA on Africa and Asia research extended



 News Release 

Goethe University Frankfurt

Tunde Aladese 

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Nigerian film and music production is now one of the world’s largest: Thanks to Netflix and film screenings, the comedy “Confusion Na Wa” by Kenneth Gyang is also experiencing a renaissance in Germany. On the right, Nigerian actress and screenwriter Tunde Aladese ((c) Cinema Kpatakpata)

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Credit: ((c) Cinema Kpatakpata)




FRANKFURT. The CEDITRAA research project addresses nothing less than a new world order in cultural production. While US-American cultural production dominated the world in the 20th century, new players have emerged in recent decades as a result of digitalization: In Asia, South Korea's culture is gaining in importance, while in Africa, Nigerian film and music production has become one of the largest industries of its kind in the world. Since 2021, the joint project CEDITRAA, operated by the Rhine-Main Universities (RMU) partners Goethe University Frankfurt and Johannes Gutenberg University Mainz, together with Pan-Atlantic University in Lagos, Nigeria, has been investigating cultural entrepreneurs and the opportunities that arise for them as a result of the digital transformation in cultural production. The project will now receive another three years of funding to the tune of almost €1.4 million; this follows an earlier €2.1 million in funding from the Federal Ministry of Education and Research’s (BMBF) Regional Studies funding line. The RMU joint project will start on January 1, 2025. In addition to Goethe University and Johannes Gutenberg University Mainz, the strategic Rhine-Main Universities (RMU) alliance also includes TU Darmstadt.

As part of the second phase, the project’s 18 scientists are changing their perspective: having previously focused on cultural production, they are now turning to its distribution. Their underlying assumption is that the new distribution channels themselves constitute a factor in media production and that the question of how to control channels and distribution networks will determine whether there will emerge a shift in emphasis away from the traditional cultural industries. While this shows that artists and cultural entrepreneurs alike are already taking advantage of the benefits of digital infrastructures – like portals or platforms – during media production, at the same time a lot depends on who owns and controls this infrastructure. The central questions asked by the researchers include: Do TikTok and portals like YouTube, Netflix or irokotv, Spotify and Boomplay shape cultural formats? And how do globally active online communities emerge in the process of music production that are simultaneously locally shaped and rooted?

The participating researchers come from different disciplines: In addition to ethnology and African studies, Korean studies, sinology, film studies and economics are also represented – making the joint project both interdisciplinary and international. In addition, CEDITRAA also uses the existing research infrastructures of the Frankfurt-based Centre for Interdisciplinary African Studies (ZIAF) and the Interdisciplinary Centre for East Asian Studies (IZO) as well as the Georg Forster Forum (GFF) at Johannes Gutenberg University Mainz.

When it comes to securing data and results, CEDITRAA benefits from the cooperation with the Deutsches Filminstitut & Filmmuseum, Europe's leading institution for digital research and education platforms in the film sector. At Goethe University, CEDITRAA will also cooperate with the new Center for Critical Computational Studies C3S (https://www.c3s-frankfurt.de), where digital methods of researching social transformation processes will be critically tested.

Squid Game 

 

Towards smart cities: Integrating ground source heat pump systems with energy piles



In a comprehensive review, researchers examine the benefits of this innovative dual technology for energy-efficient smart cities



Shibaura Institute of Technology

Schematic of the components of an energy pile for small to medium residential units 

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The energy pile system consists of four main elements: the geostructure, the embedded heat exchanger, the heat pump unit, and the distribution system.

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Credit: Shinya Inazumi from SIT, Japan Image source: https://www.mdpi.com/2624-6511/7/6/138




Human civilization is currently evolving at an unprecedented rate, with new breakthroughs every single day. This has become possible due to never-tapped-before levels of energy resources. However, the unsustainable development has recently raised concerns about adverse effects on the environment, resulting in a growing urgency to address issues pertaining to energy efficiency and climate change, especially in urban environments. Notably, rapid urbanization has worsened the urban heat island effect, a phenomenon where a city experiences significantly warmer temperatures than the surrounding rural areas, increasing the energy demand for heating and cooling systems. As a result, conventional air source heat pumps often suffer from reduced efficiency in high-temperature urban environments, prompting higher electricity consumption and operating costs. This pressing issue underscores the need for innovative, sustainable energy solutions.

The integration of ground source heat pump (GSHP) systems with energy piles has emerged as a promising answer to this challenge. Energy piles uniquely combine the structural support of foundation systems with geothermal heat exchange capabilities, providing a dual-purpose solution that aligns with smart city development goals. In addition, advances in geotechnical and energy technologies have made it possible to implement these systems in diverse urban conditions.

In a recent study, a team of researchers, led by Professor Shinya Inazumi from the College of Engineering at the Shibaura Institute of Technology and Associate Professor Apiniti Jotisankasa from Kasetsart University, has comprehensively reviewed the integration of GSHP systems with energy piles. Their paper was published in Smart Cities on November 25, 2024.

Prof. Inazumi remarks, “In recent years, there has been an increasing global emphasis on reducing carbon emissions and transitioning to renewable energy sources. This study aimed to provide a practical, scalable solution that bridges geotechnical engineering with renewable energy systems, contributing to sustainable urban infrastructure while addressing critical issues of energy management and environmental impact.”

The combination of GHSP systems and energy piles is a transformative approach to reducing electricity consumption and operating costs in cities facing growing energy demands. It takes advantage of stable ground temperatures to provide efficient heating and cooling, thus outperforming traditional air-source systems. Furthermore, it promotes heat dissipation through optimized groundwater circulation, ensuring the longevity and performance of geothermal systems.

In the review, the researchers emphasize the need for tailored design and adaptive management of the proposed dual-structure infrastructure and advocate site-specific strategies to maximize benefits. In residential, commercial, and industrial buildings, these systems can significantly reduce heating and cooling costs while reducing carbon emissions. Smart cities can incorporate energy stacks into infrastructure replanning, aligning with climate action goals and improving resilience to the urban heat island effect. Notably, energy piles can be embedded in roads, bridges, and underground transportation systems to manage thermal loads. This integration could optimize the energy efficiency of transportation facilities and extend their structural life. Furthermore, these systems can complement solar and wind energy by providing stable thermal energy storage, improving the overall efficiency of the current energy system.

“Government-backed subsidies or tax rebates could encourage the widespread adoption of this technology, further reducing barriers such as high initial installation costs and promoting sustainable urban growth,” highlights Prof. Inazumi.

Lastly, the researchers encourage scientists and urban planners to explore the GHSP system and the energy pile-based integrated approach to promote sustainable urban development.

By bridging the gap between geotechnical engineering and renewable energy, this work lays the foundation for sustainable urban living, and by addressing energy challenges currently faced by humanity, it aims to pave the way for resilient, energy-efficient urban development!

 

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Reference

DOI: https://doi.org/10.3390/smartcities7060138

 

About Shibaura Institute of Technology (SIT), Japan

Shibaura Institute of Technology (SIT) is a private university with campuses in Tokyo and Saitama. Since the establishment of its predecessor, the Tokyo Higher School of Industry and Commerce, in 1927, it has maintained “learning through practice” as its philosophy in the education of engineers. SIT was the only private science and engineering university selected for the Top Global University Project sponsored by the Ministry of Education, Culture, Sports, Science and Technology and had received support from the ministry for 10 years, starting from the 2014 academic year. Its motto, “Nurturing engineers who learn from society and contribute to society,” reflects its mission of fostering scientists and engineers who can contribute to the sustainable growth of the world by exposing their over 9,500 students to culturally diverse environments, where they learn to cope, collaborate, and relate with fellow students from around the world.
Website: https://www.shibaura-it.ac.jp/en/

 

About Professor Shinya Inazumi from SIT, Japan

Dr. Shinya Inazumi is currently a Professor at the College of Engineering at Shibaura Institute of Technology. He received his M.S. and Ph.D. degrees from Kyoto University in 2000 and 2003, respectively. He is renowned for his contributions to the field of geotechnical engineering. He received the Best Paper Award of the 13th International Conference on Geotechnique, Construction Materials and Environment in 2023, the Reiwa 2nd Year Japan Society for Materials Science Award from The Society of Materials Science of Japan in 2021, and also the ISSN Outstanding Researcher Award and ISSN Golden Research Award in 2020, among others. He has published over 350 articles that have received over 1,000 citations. His broader research interests include civil engineering, geoinformatics, artificial intelligence and data science.

 

Funding Information

This research received no external funding.

 

New research about drought impacts on wildlife can inform conservation strategies



Animals may endure three-year droughts nearly seven times more often.



USDA Forest Service - Rocky Mountain Research Station

Giant Kangaroo Rat 

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A giant kangaroo rat, rescued and safely released by a permit-holder during a PG&E pipeline excavation project. Giant kangaroo rats are native to dry habitats in CA and adapted to short droughts, though multi-year droughts can cause populuations to plummet. Increased drought adds to conservation concerns for this endangered species.  

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Credit: Ryan Donnelly




FORT COLLINS, Colo., December 11, 2024 — People around the world are dealing with drought, so it’s not shocking that it affects wildlife, too: lack of moisture contributes to habitat loss, affects how animals compete for resources, and leads to dehydration and heat stress. The surprising part? The extreme degree to which many animals may need to adapt.

New research predicts that many wildlife species in the continental United States will experience year-long droughts nearly five times as often in the coming decades (2050-2080) than they did historically (1950-2005). In an even more dramatic turn of events, three-year droughts may become nearly seven times more frequent.

“The degree of increased drought exposure for each species in our analysis strongly depends on future greenhouse gas concentrations,” said Dr. Merijn van den Bosch, the lead author of the study. “But even under a lower-concentration scenario, virtually all vertebrates face increased year-long and multi-year droughts in the second half of this century. The implications will depend on the species and the length of the drought.”

For example, the endangered giant kangaroo rat, which is native to dry habitats in California, has adapted to occasional short droughts. However, populations can plummet after multi-year droughts, compounding existing threats, including a loss of nearly all their historic habitat. This study shows that much of the remaining giant kangaroo rat range soon could face these longer droughts much more often. “That does not bode well for this already-endangered species,” said van den Bosch.

Likewise, the ranges of many game species whose populations are not currently at risk—including certain ducks and other waterfowl and ungulates like elks—also will face more frequent year-long and three-year droughts in the future. This trend could have implications for wildlife and game management.

Scientists aimed to identify areas with both high biodiversity and large predicted increases in drought to provide information about places where adaptive water management or habitat restoration could benefit the most wildlife species. They used state-of-the-art modeling techniques to predict future scenarios based on six different projections of temperature and moisture conditions. Then, they compared the frequency of observed and projected drought exposure to the range maps of 349 birds, 339 mammals, 280 amphibians, and 253 reptile species and created regional summaries.

It turned out, after they adjusted for land area, that the southwestern United States had the highest number of different species, the highest number of drought-threatened species, and the highest predicted change in drought exposure. “Some of the areas expected to see the greatest increase in drought, such as the southwestern U.S., are already quite dry,” said Dr. Zack Steel. “Many species living in these regions are adapted to periodic droughts, but the concern is that if they are already near the limit of what they can tolerate, the large increase in drought we’re expecting can have grave consequences for these ecosystems and the wildlife that depend on them.”

This research was led by Dr. Merijn van den Bosch, post-doctoral scientist at Colorado State University and the Rocky Mountain Research Station, along with senior author, Dr. Zack Steel, a research ecologist with the Rocky Mountain Research Station. Additional coauthors of this research include Dr. Jennifer Costanza from the USDA Forest Service’s Southern Research Station, Dr. Ryan Peek from California Department of Fish and Wildlife, and Dr. John Mola from Colorado State University. For more information, please visit the scientific publication in Communications Earth & Environment.

 

Study finds parents more open to racially diverse media for children than previously thought



Majority of parents recalled watching diverse programming with kids; while racial-ethnic identity predicted attitudes but not beliefs about such content



University of Kansas




LAWRENCE — New research from the University of Kansas has found that most parents recall watching media with diverse racial and ethnic portrayals of characters with their children and that their own racial-ethnic identity predicted their attitudes toward such content, but not necessarily their beliefs.

Judy Watts, assistant professor of journalism & mass communications at KU, led a study in which 367 Black, Latinx and white parents of children ages 4-7 were surveyed about media they’ve consumed with their kids. Two-thirds of respondents recalled consuming media such as television, movies, video games or books with portrayals of diverse characters and those of races different than their own.

“I was interested in seeing what led some parents in selecting what racially and ethnically diverse media to watch with their children,” Watts said. “My previous research was more conceptually focused on things kids learn in school or media effects over the lifespan. Childhood is an important time to learn about ourselves and others who may be different from ourselves.”

For the study, parents were asked to identify their race, ethnicity and that of their children. The Black, white and Latinx parents were also asked about their attitudes about media representations of race, such as if portrayals they recalled were helpful or not to determine attitudes about such media. They were also asked about ethnic/racial identity with questions such about how strongly they feel they belong with people who share their race and/or ethnicity.

Findings showed that Black and Latinx parents differed significantly on racial/ethnic identity than white parents, but not from each other, with both reporting higher levels of racial identity. That held consistent with previous research on ethnic/racial identity. The parents were also asked about the type of content featuring racial/ethnic depictions they recalled consuming with their children, how diverse the characters were and what sort of situations they were depicted in.

“Seeing what types of content families watched was very intriguing. Black families tended to watch content featuring members of their race. That is possibly because that type of diverse content wasn’t always as readily available as it is now,” Watts said. “Latinx families watched a lot of content featuring characters of their own race/ethnicity, but also with mixed characters. That could speak to things like assimilation into culture.”

The research was tested on themes of social identity gratification and multicultural theories. The former holds that people prefer to consume depictions of people similar to themselves, while the latter holds that people who have a strong racial/ethnic identity are favorable to depictions of other races and ethnicities as well. Each theory was partially supported by findings that ultimately, parents are open to diverse content for their children and their attitudes toward racially and ethnically diverse media portrayals are more open than previous research has indicated.

“This research shows that parents want to show their children diverse content that reflects their own racial/ethnic identities and that they’re open to diverse content as well,” Watts said. “It shows parents are supportive of diversity in content of media their children consume. Parents have various socialization goals for their children. They want to help them learn about their own identities and expose them to others. I think it shows it’s not a dichotomous decision or that it has to be one or the other.”

The study was supported by a research cultivation grant from the National Research Communication Association and was published in the journal Communication Research Reports.

Watts, who conducts research into media effects and influences, said the study’s results show parents have varying goals for using media to help their children learn about themselves as well as their identities. She is conducting follow-up research examining explicit and implicit portrayals of racial interactions in children’s media. Specifically, she is comparing portrayals including anthropomorphized animals and human characters and their use of racial characteristics to analyze if children understand such racial cues, which characters they liked and to which they assign morality.

The current study showed that nearly two-thirds of parents recalled seeing racially and ethnically diverse portrayals of characters with their children, often in positive contexts, such as characters with differing backgrounds being friends.

“I think this suggests that parents are open to and seeking racially and ethnically diverse content and having more diverse content available in children’s media in recent decades has been helpful,” Watts said. “It also helps us understand parents’ motivations in media they choose for their kids.”

 

CRIMINAL CAPITALI$M

Wedel studying how transnational networks shape non-Western offshore spaces



George Mason University




Janine Wedel, Distinguished University Professor, Schar School of Policy and Government, received money for a project on the growing non-Western offshore system used by transnational networks emanating from autocratic regimes such as Russia to skirt international checks and balances. Wedel and her colleagues are investigating these informal networks and how they enable “weaponized corruption” — the use of corruption for geopolitical ends — and the evasion of Western sanctions. They are also identifying emerging threats to global security and democratic integrity they present. 

Wedel received $445,000 from Carnegie Corporation of New York, Inc., for this research. Funding began in Oct. 2024 and will end in late Sept. 2026.

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ABOUT GEORGE MASON UNIVERSITY

George Mason University is Virginia’s largest public research university. Located near Washington, D.C., Mason enrolls more than 40,000 students from 130 countries and all 50 states. Mason has grown rapidly over the past half-century and is recognized for its innovation and entrepreneurship, remarkable diversity, and commitment to accessibility. In 2023, the university launched Mason Now: Power the Possible, a one-billion-dollar comprehensive campaign to support student success, research, innovation, community, and stewardship. Learn more at gmu.edu.

Long COVID’s effects on employment: financial distress, fear of judgment



In study, patient perspectives highlight how providers can help



Ohio State University




COLUMBUS, Ohio – Though research has shown that people with long COVID are more likely to be unemployed, the statistics don’t reveal what patients go through before they cut their hours, stop working or lose their jobs.

In a new study involving interviews of people with long COVID, researchers from The Ohio State University describe how the prolonged illness has affected not only patients’ job status, but also their overall well-being.

On top of symptoms including brain fog, fatigue, weakness and headaches, study participants reported lacking enough energy to do anything after work, loss of income and added insurance expenses when employment ended or changed, and emotional distress that comes with managing a misunderstood illness.

“For many individuals we talked to, their lives have been completely changed because of this chronic condition. And that’s really changed how they see themselves, how they experience life, how they interact with their families, how they provide for their families,” said lead author Sarah MacEwan, assistant professor of general internal medicine in Ohio State’s College of Medicine.

“In some cases, incredible financial instability has upended their lives. They’re facing extremely difficult choices and also trying to take care of themselves. It’s so important that we hear from them so we can improve the ways we can support them.”

Awareness of these employment-related challenges may help clinicians provide more holistic care to people with long COVID, researchers say. Examples include connecting patients to financial assistance, referring them to mental health practitioners or expediting requests for workplace accommodations.

The research was published recently in the Journal of General Internal Medicine.

MacEwan and colleagues conducted one-on-one interviews in late summer 2022 with 21 adult patients receiving treatment in the post-COVID recovery clinic at Ohio State Wexner Medical Center. Participants reported they had been doing well in daily life before having COVID-19 and were struggling with the effects of lingering symptoms for three or more months after an acute infection. They ranged in age from 19 to 68, three-fourths were women, and most were first infected with the SARS-CoV-2 virus in 2020.

Participants reported the illness interfered with both their work responsibilities and efforts to maintain work-life balance.

“Some quit their jobs because they just couldn’t handle working anymore. Some reduced their hours. And then some were involuntarily terminated from their jobs because of their symptoms,” said MacEwan, an investigator in Ohio State’s Center for the Advancement of Team Science, Analytics and Systems Thinking in Health Services and Implementation Science Research.

There were both financial and emotional repercussions. Loss of income followed either being unable to work, changing to a job with lower pay or having to reduce work hours. Those whose insurance status changed often had to spend more on policies that provided less coverage – all in the context of needing more care because they were chronically ill.

Participants also described feelings of loss of identity related to their professional and home lives and fear of judgment and stigma at work and among friends and family. In an earlier paper, the research team noted some patients faced skepticism in health care settings.

“One thing we’ve uncovered through this work is people not being believed by their providers about their symptoms or being brushed off or pushed into other diagnoses that they feel don’t reflect their experience,” MacEwan said. “It’s a real question of whether they are getting what they need from the providers they’re able to reach where they are.”

The current article focused in part on how patients made adjustments to get through the day – developing coping strategies they created or that were recommended by their care team, and accessing employer disability benefits and workplace accommodations.

“Some came up with solutions on their own, but it was wonderful to hear that great suggestions also came from additional specialists or therapists that these individuals were seeing,” MacEwan said.

Respondents reported taking frequent rest breaks, eliminating distractions, making lists, emailing themselves a daily report of completed projects, using visual prompts on whiteboards or talking themselves through tasks. Some patients were encouraged by health care providers to seek short- or long-term disability benefits or workplace accommodations such as remote work and flex time. Many participants said initial support from employers eventually waned.

Long COVID is federally recognized as a potential disability, which provides some employment protection to patients. The study authors noted that clinicians recommending established interventions such as rest and pacing may need to anticipate how such treatment strategies affect employment, financial status and mental health – and be ready to connect patients with resources to address the strains linked to making complex life choices.

“It’s important that we use lived experience to understand the needs of the population and not make assumptions. There are a lot of good ideas already out there, and people with other chronic conditions have solutions for some of these problems,” MacEwan said. “So maybe we don’t need to reinvent the wheel, but we certainly need to identify the needs and take steps to fill those gaps.”

This work was supported by a grant from the National Cancer Institute.

Co-authors, all from Ohio State, were Saurabh Rahurkar, Willi Tarver, Leanna Perez Eiterman, Halia Melnyk, Ramona Olvera, Jennifer Eramo, Lauren Teuschler, Alice Gaughan, Laura Rush, Stacy Stanwick, Susan Bowman Burpee, Erin McConnell, Andrew Schamess and Ann Scheck McAlearney.

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Contact: Sarah MacEwan, sarah.macewan@osumc.edu

Written by Emily Caldwell, Caldwell.151@osu.edu; 614-292-8152