Journal articles on the topic 'Academic Handwashing'

The coronavirus (COVID-19) pandemic is having a devastating impact on global health. In the United States and abroad, there is concern for how the novel coronavirus will affect vulnerable populations, including people experiencing homelessness. Individuals who lack stable housing are more likely to have preexisting health conditions and limited access to basic preventative hygiene practices such as handwashing and sanitizing. The situation has become critical in Los Angeles’ Skid Row neighborhood, where nearly 5,000 unhoused residents (13% of the city’s homeless population) reside on any given night. Community members’ concerns have mounted as social and health services in the area have decreased, and early efforts to prevent the transmission of coronavirus did not adequately address the lack of access to handwashing stations and hand sanitizing products. This Practice Note details an academic–community partnership that uses grassroots organizing to provide “do-it-yourself” handwashing stations to the Skid Row neighborhood. We describe how an academic–community partnership was mobilized to establish innovative practices in response to the coronavirus, offering lessons and recommendations for others hoping to do similar work.

Background Various perceptions and practices have been associated with the COVID-19 pandemic. In this study, we assessed the perception and practices regarding COVID-19 among residents in selected urban communities of Ibadan, Oyo State, Nigeria. Methods A descriptive cross-sectional study design using a multi-stage sampling technique was used to recruit 360 respondents (Mean age: 33.2 ± 10.6 years; 62.5% females) from households in Ibadan. Data were collected using an interviewer-administered questionnaire from 3rd to 6th June 2020. Those who demonstrated washing of the palm, back of the hand, spaces between the fingers, fingernails, wrist, and thumbs had six points and were categorized to have had a good practice of handwashing. Descriptive statistics were conducted. Bivariate analyses of sociodemographic characteristics and good handwashing practices were conducted using Chi-square test. Logistic regression was conducted to identify the determinants of good handwashing practices. P-values < 0.05 were statistically significant. Results Going to the hospital (95%) and calling the COVID-19 help number (58.3%) were the frequently reported practices among respondents following the development of COVID-19 symptoms. Also, 89 (26%) knew they could contract COVID-19, while 41 (12%) perceived it as an exaggerated event. The effects most frequently reported by respondents were hunger/low income (48.8%) and academic delay (8.8%). Use of face masks by 64.5% and social distancing (48%) were the most frequently reported practices for prevention. Only 71 (20.8%) demonstrated good handwashing practices. The perception of the likelihood to contract COVID-19 and practices to prevent COVID-19 had a weak correlation of 0.239 (p < 0.001). Conclusion Gaps exist in the practices that prevent COVID-19. There is a need to improve handwashing, use of face masks and other practices that prevent COVID-19. Implications across public health communication and policies were stated.

Background.Despite agreement that handwashing decreases hospital-acquired infections (HAIs), physician hand hygiene remains suboptimal. Interventions to empower patients to discuss handwashing have had variable success.Objective.To understand patient perceived barriers to discussing physician hand hygiene and to determine whether patients prefer electronic alerts over printed information as an intervention to discuss physician handwashing.Design.Cross-sectional study of 250 medical/surgical patients at an academic medical center.Results.Ninety-six percent of patients had heard of HAIs. Ninety-six percent of patients thought it was important for physicians to clean their hands before touching anything in a patient's room. The majority of patients (78%) believed patients should remind physicians to clean their hands. Thirty-two percent of patients observed physician hand hygiene noncompliance. In multivariate analysis, predictors of not speaking up regarding physician hand hygiene included never having worked in health care (odds ratio [OR], 2.8 [95% confidence interval (CI), 1.5-5.1]), not observing a physician clean hands before touching the patient (OR, 2.4 [95% CI, 1.3-4.4]), and not thinking patients should have to remind physicians to clean hands (OR, 5.5 [95% CI, 2.4-12.7]). Ninety-three percent of patients favored electronic device reminders over printed information as an intervention to encourage patients to discuss hand hygiene with their doctors.Conclusions.The strongest predictor of not challenging a doctor to clean their hands was not believing it was the patient's role to do so. Patients prefer electronic device reminders to printed information as an aid in overcoming barriers to discussing hand hygiene with physicians.

Background: Healthcare Associated Infections (HAIs) are a major cause of high morbidity, disability, mortality and rising costs for health systems. Preventing the HAI risk by planning and implementing effective preventive strategies is important to safeguard patient health. Handwashing is one of the fundamental measures for preventing transmission of hospital-acquired infections.Methods: This cross-sectional observational study was conducted in the surgical ICU from January to February 2018 to evaluate the presence of adhesion to the different aspects of HH. Inclusion criteria included all nurses and allied healthcare workers of surgical ICU while all other HCWs were excluded. Two observers collected all HH data. During this analysis, 3000 HH opportunities were observed. HH compliance was tested for all 5 moments as per WHO guidelines. Data thus collected were entered into a computer-based spreadsheet for analysis using SPSS statistical software (version 20) (IBM Corp., NY, USA).Results: Overall hand hygiene compliance observed as per WHO Guidelines was 79.8%. Nurses had an adherence rate of 77.8%; allied staff adherence was 81.8%. Nurses’ compliance after touching patient surroundings was lowest at 60.7%. 96% staff was aware of the facts like diseases prevented by hand washing, ideal duration of HH, reduction of health care associated infections.Conclusions: Overall, the involved ICUs showed low levels of adherence to best hygiene practices with overall compliance of 79.2%. This suggests the need to implement immediate strategies for infection control in the ICUs. A multidisciplinary intervention could be effective in preventing and control the HAI risk.

Hand hygiene habits and the knowledge of their health implications were investigated among students of a tertiary institution in Southwestern Nigeria. A descriptive survey guided by twenty research questions and four research hypotheses was carried out. A total of 400 undergraduates were randomly selected across the five colleges in the University. The highest respondents were of less than 20 years of age (74%), followed by 21-25 years (25%). Two hundred and four (51%) of the respondents claimed that water which is vital to hand hygiene habit is scarce, 124 (31%) wash hands before meal only, 96(24%) wash hands after toileting, however, 368 (92%) had knowledge that good handwashing habit prevents diseases and infestations. Massive campaigns and awareness are subjacent to improve the culture and habit of hand-washing. Hygiene education should be introduced in all academic curricula to guide in the prevention of the rapid spread of epidemics of which hand seems the first contact of disease infestation.

Coronavirus disease 2019 (COVID-19) pandemic has impacted many aspects of people’s lives all over the world. This Facebook survey study aimed to investigate the COVID-19-related factors that were associated with sleep disturbance and suicidal thoughts among members of the public during the COVID-19 pandemic in Taiwan. The online survey recruited 1970 participants through a Facebook advertisement. Their self-reported experience of sleep disturbance and suicidal thoughts in the previous week were collected along with a number of COVID-19-related factors, including level of worry, change in social interaction and daily lives, any academic/occupational interference, levels of social and specific support, and self-reported physical health. In total, 55.8% of the participants reported sleep disturbance, and 10.8% reported having suicidal thoughts in the previous week. Multiple COVID-19-related factors were associated with sleep disturbance and suicidal thoughts in the COVID-19 pandemic. Increased worry about COVID-19, more severe impact of COVID-19 on social interaction, lower perceived social support, more severe academic/occupational interference due to COVID-19, lower COVID-19-specified support, and poorer self-reported physical health were significantly associated with sleep disturbance. Less handwashing, lower perceived social support, lower COVID-19-specified support, poorer self-reported physical health, and younger age were significantly associated with suicidal thoughts. Further investigation is needed to understand the changes in mental health among the public since the mitigation of the COVID-19 pandemic.

The COVID-19 pandemi has changed the world in all sectors, particularly the health, economy, and education sectors. World Health Organization (WHO) announced the coronavirus outbreak (COVID-19) as a global pandemi. Therefore each country began implementing social distancing policies. The President of Indonesia insists on doing all activities from home: work at home, study at home and worship at home. Budi Luhur University carried out the President's appeal by carrying out work and learning activities from home by prioritizing the health and safety of the entire academic community. It is also a form of value embodiment of responsibility, cooperation, love, mutual help, being patient, and being grateful for the situation during a pandemi. Services are provided in the form of personal protective equipment (PPE) to hospitals around Jakarta to protect doctors and health workers. The services implemented also consist of socializing to the public about social distancing, washing hands regularly, wearing masks, staying at home campaigns, and providing handwashing places for online taxi bike drivers. The strategic steps exerted in the form of dedication to various communities are based on human values and the embodiment of the mental attitude of the philosophical value "Cerdas Berbudiluhur".

Nutritional condition impacts academic performance and cognitive development. In Peru, the prevalence of chronic undernutrition in children is 6.9%, increasing the risk of mortality and morbidity. This study aimed to develop an educational intervention to achieve an improvement in the healthy habits of children in a primary education school in Lima who live in vulnerable socioeconomic conditions. We conducted a prospective quasi-experimental pre-test and post-test study of an educational intervention. The information was collected through the adaptation of the WHO questionnaire “Global School-based Student Health Survey” (GSHS), with anthropometric variables, socioeconomic level, hygiene and eating habits. One hundred eight students from 5 to 13 years old from Arenitas del Mar School in Lima (Peru) participated. The educational intervention improved eating habits. Fruit and vegetable consumption 3 or more times/day (50.9%) increased after the educational intervention (49% vs. 62.9%,) p < 0.0001. There was an improvement in hygiene habits, such as the frequency of handwashing with soap (32.4% vs. 63.9%) and the frequency of weekly bathing 4–6 times/week (25% vs. 47.5%) p < 0.0001. The educational intervention promoted better healthy living behaviors, eating habits and hygiene. This kind of initiative is a crucial tool to establish healthy living habits.

(1) Background: The health behavior (HB) of adolescents develops in the school or family setting and plays an important role in their future health status. Health literacy (HL) has been identified as an important factor in modifying health behavior in addition to socioeconomic factors. health-promoting school (HPS) programs also have a significant role in providing students with the means of learning the importance of knowledge, behavior, and skills for a healthy lifestyle. (2) Method: This study aims to identify the association between HB, HL measured in comprehensive health literacy (CHL) and functional health literacy (FHL), HPS programs, and socioeconomic factors among high school students in Surabaya, Indonesia. A cross-sectional study was conducted, and 1066 students were evaluated as respondents. (3) Result: The results of multivariate analyses showed that following factors were associated with better health behavior: female, better academic performance, higher grade, higher father’s education, lower allowance, and better CHL and FHL. The strongest association for HB was gender. CHL was especially associated with handwashing, physical activity, and drug abuse. FHL was associated with smoking and drug abuse. The implementation of HPS programs did not reach an optimum level and only influenced physical activity. (4) Conclusion: The findings confirm that CHL and FHL have a significant association with several HBs. HB intervention in the HPS program is recommended to incorporate the CHL and FHL for a better health impact.

From preventing cholera and diarrhea by reducing exposure to human waste, to reducing transmission of COVID-19 through handwashing, water, sanitation and hygiene (WASH) can save lives. Numerous global health initiatives have been created to combat the spread of infectious diseases. However, according to the Sanitation and Hygiene Fund, “decades of under investment in sanitation and hygiene have made this sector the weakest link in our efforts to achieve the [Sustainable Development Goals (SDGs)].” There appear to be various reasons for the lag in global attention to, funding toward, and innovation around WASH-related diseases. Firstly, WASH is comprised of three interrelated components, water, sanitation, and hygiene, each of which has its own subset of indicators, priorities, and infrastructure, thus making streamlined communications and impact measurement within the sector incredibly complex. Secondly, WASH is a field that bridges many sectors, and there has historically been a lack of understanding of where responsibility lies to consistently fund and execute WASH interventions, programming, and policymaking. Additionally, public health research and funding tend to favor evaluations using randomized controlled trials (RCTs), which are often referred to as the “gold standard.” RCTs, like all single evaluative methods, have limitations which may not effectively capture the complexity of WASH interventions and their subsequent multi-sectoral outcomes. In some cases “it may be infeasible (or unethical) to randomize communities to a [WASH] intervention” which would prohibit the research from reaching the current “gold standard” threshold for academic rigor and subsequent funding. A new concept called “Transformative WASH” has recently emerged in the WASH sector as a result of three RCTs and calls for a “comprehensive package of WASH interventions” to effectively improve health and social outcomes. We believe that the current definition of the “gold standard” in academic research is failing the WASH sector and does not align with “Transformative WASH.” Rather, the “gold standard” should instead be a mixed methods research toolkit that utilizes Human-Centered Design (HCD) practices, and proxy methods such as “participatory design” or “Behavior Centered Design theory” to better design and evaluate WASH interventions.

Learning outcomes The learning objectives of this case study are listed below: • What is corporate social responsibility (CSR)? • The role of CSR in creating opportunities to growth. • Distinguish the ways in which social marketing evolved differently in urban and rural areas. • Obstacles in CSR • CSR beyond the competition. Case overview/synopsis The case of CSR by Reckitt Benckiser (RB) follows the marketing practices through purpose-led marketing through CSR. RB Pakistan Limited is a fast-moving consumer goods provider in Pakistan following a vision of the world where people are healthier and live well. The purpose is to make a difference by giving people innovative solutions for healthier lives and happier homes. This means they are expending their capabilities and investing in innovation to stay ahead of the game. RB is trying to achieve this vision by following the strategy of health and hygiene awareness in rural marketing through various types of communications, by introducing low price products to reduce diarrhea and open defecation. In urban areas, the young generation is the trend creators and they are much involved in awareness of state of the world. RB is committed in providing innovative solutions with the help of well-organized programs such as reaching new moms, educating them and providing awareness sessions in schools to students for handwashing practices. RB carries these activities with the help of non-government organizations and small support of Government of Pakistan. Complexity academic level This case is appropriate for MBA (Marketing) courses. The case explains the significance of CSR in capitalizing the growing trend and unleashing untapped areas and remaining competitive by providing innovative solutions. The case can be taught to the strategic marketing students. Subject code CSS 8: Marketing. Supplementary materials Teaching Notes are available for educators only.

IntroductionHealthcare-associated infections (HCAIs) are the most frequent adverse event compromising patient safety globally. Patients in healthcare facilities (HCFs) in low-income and middle-income countries (LMICs) are most at risk. Although water, sanitation and hygiene (WASH) interventions are likely important for the prevention of HCAIs, there have been no systematic reviews to date.MethodsAs per our prepublished protocol, we systematically searched academic databases, trial registers, WHO databases, grey literature resources and conference abstracts to identify studies assessing the impact of HCF WASH services and practices on HCAIs in LMICs. In parallel, we undertook a supplementary scoping review including less rigorous study designs to develop a conceptual framework for how WASH can impact HCAIs and to identify key literature gaps.ResultsOnly three studies were included in the systematic review. All assessed hygiene interventions and included: a cluster-randomised controlled trial, a cohort study, and a matched case-control study. All reported a reduction in HCAIs, but all were considered at medium-high risk of bias. The additional 27 before-after studies included in our scoping review all focused on hygiene interventions, none assessed improvements to water quantity, quality or sanitation facilities. 26 of the studies reported a reduction in at least one HCAI. Our scoping review identified multiple mechanisms by which WASH can influence HCAI and highlighted a number of important research gaps.ConclusionsAlthough there is a dearth of evidence for the effect of WASH in HCFs, the studies of hygiene interventions were consistently protective against HCAIs in LMICs. Additional and higher quality research is urgently needed to fill this gap to understand how WASH services in HCFs can support broader efforts to reduce HCAIs in LMICs.PROSPERO registration numberCRD42017080943.

Background: Hand hygiene by healthcare personnel is a critical infection prevention intervention. Direct observation, the most widely utilized method to observe hand hygiene practices, often provides an incomplete picture due to small sample size and altered behavior in the presence of observers. A growing number of healthcare facilities are employing electronic hand hygiene monitoring systems to capture overall compliance rates. These electronic systems can provide a wealth of data on hand hygiene practices within and across healthcare facilities. Objective: We used high-accuracy electronic monitoring data to perform a detailed analysis of hand hygiene practices across numerous facilities that varied in key hospital characteristics. Methods: In total, 11 tertiary-care facilities were equipped with an electronic hand hygiene monitoring system. Hospitals varied in size, region, area classification (urban vs rural), acuity level, and teaching status. The electronic monitoring system was composed of uniquely assigned employee badges and electronically monitored dispensers. Every recorded dispensing event was time stamped and associated with a specific healthcare worker, the location of the dispenser, and the specific product being dispensed (ie, alcohol-based hand rub [ABHR] or hand soap). The total number of dispensing events for each product type and the total number of hours worked were calculated for each healthcare worker and were used to determine hand hygiene frequency. Hospital attributes, such as size and area classification, were obtained from publicly available sources including but not limited to facility-owned websites and CMS data. Results: More than 15.7 million hand hygiene events, performed by nearly 11,000 healthcare workers, were captured by the electronic monitoring system and were included in the analysis. Overall, median hand hygiene frequency was 4.1 events per hour and ranged from 2.0 events per hour to 5.6 events per hour, depending on the facility. ABHR use (median, 3.6 events per hour) was more frequent than handwashing (median, 0.4 events per hour). Hospitals included in the analysis ranged from small (<20 beds) rural facilities to large (>600 beds) academic hospitals and provided a variety of services from general medical-surgical treatment to intensive care. Interfacility differences in observed hand hygiene frequency were analyzed. Conclusions: The current analysis reinforces and builds upon previous work that examined a smaller subset of 5 hospitals located in a single geographic region. Combined, these datasets represent >20 million hand hygiene events among ∼15,000 healthcare workers from 16 unique healthcare facilities. This analysis provides detailed information about hand hygiene practices across a diverse set of healthcare facilities.Funding: Ecolab, Inc, provided support for this study.Disclosures: Jessica Carol Albright and Cheryl A Littau report salary from Ecolab.

The achievement of children's quality of life is undoubtedly linked to the development of positive habits that will continue to be practiced in future lives. This can be done by developing awareness and behavior of a balanced clean and healthy lifestyle. The purpose of this study was to determine the increase in the PHBS ability of children. Various efforts have been made so that children with intellectual disabilities can maintain their cleanliness. The efforts made by the teacher are still not maximal so that the delivery of information about PHBS must be completed by another method, namely demonstration. This research was conducted at SDLB 127710 Pematangsiantar5 with an action research method that refers to the Kurt Lewin model. Data collection techniques used purposive sampling and data analysis with the Wilcoxon test. The results showed an increase in understanding of the PHBS of children with intellectual disabilities able to learn SDLB 127710 Pematangsiantar through the demonstration method. This is evidenced by the increase in the score, where the initial assessment was obtained (59%), while in the first cycle, the average score was good (69.9%). In short, the understanding of children with intellectual disabilities being able to learn about PHBS is increased by using the demonstration method. 
 Keywords: Intellectual Disability Children, PHBS program, Demonstration methods
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The tendency to reject new information that contradicts prevailing norms has haunted the field of medicine, sometimes with deadly results. It took decades to adopt the practice of handwashing between physicians’ conduct of human autopsies and attending to women in labor. Something similar has happened with art critics, says Michelle Marder Kamhi. The idea that the fine arts are primarily representational has been a bitter pill for academic philosophers of art to swallow.

It has been fifteen months since the World Health Organisation declared the COVID-19 outbreak a global pandemic and the first lockdowns went into effect, dramatically changing the social landscape for millions of individuals worldwide. Overnight, it seemed, Zoom became the default platform for video conferencing, rapidly morphing from brand name to eponymous generic—a verb and a place and mode of being all at once. This nearly ubiquitous transition to remote work and remote play was both unprecedented and entirely anticipated. While teleworking, digital commerce, online learning, and social networking were common fare by 2020, in March of that year telepresence shifted from option to mandate, and Zooming became a daily practice for tens of millions of individuals worldwide. In an era of COVID-19, our relationships and experiences are deeply intertwined with our ability to “Zoom”. This shift resulted in new forms of artistic practice, new modes of pedagogy, and new ways of social organising, but it has also created new forms (and exacerbated existing forms) of exploitation, inequity, social isolation, and precarity. For millions, of course, lockdowns and restrictions had a profound impact that could not be mitigated by the mediated presence offered by way of Zoom and other video conferencing platforms. For those of us fortunate enough to maintain a paycheck and engage in work remotely, Zoom in part highlighted the degree to which a network logic already governed our work and our labour within a neoliberal economy long before the first lockdowns began. In the introduction to The Postmodern Condition: A Report on Knowledge, Lyotard identifies a “logic of maximum performance” that regulates the contemporary moment: a cybernetic framework for understanding what it means to communicate—one that ultimately frames all political, social, and personal interactions within matrices of power laid out in terms of performativity and optimisation (xxiv.) Performativity serves as a foundation for not only how a system operates, but for how all other elements within that system express themselves. Lyotard writes, “even when its rules are in the process of changing and innovations are occurring, even when its dysfunctions (such as strikes, crises, unemployment, or political revolutions) inspire hope and lead to a belief in an alternative, even then what is actually taking place is only an internal readjustment, and its results can be no more than an increase in the system’s ‘viability’” (11-12). One may well add to this list of dysfunctions global pandemics. Zoom, in effect, offered universities, corporations, mass media outlets, and other organisations a platform to “innovate” within an ongoing network logic of performativity: to maintain business as usual in a moment in which nothing was usual, normal, or functional. Zoom foregrounds performativity in other senses as well, to the extent that it provides a space and context for social performance. In The Presentation of Self in Everyday Life, Erving Goffman explores how social actors move through their social environments, managing their identities in response to the space in which they find themselves and the audience (who are also social actors) within those spaces. For Goffman, the social environment provides the primary context for how and why social actors behave the way that they do. Goffman further denotes different spaces where our performances may shift: from public settings to smaller audiences, to private spaces where we can inhabit ourselves without any performance demands. The advent of social media, however, has added new layers to how we understand performance, audience, and public and private social spaces. Indeed, Goffman’s assertion that we are constantly managing our impressions feels particularly accurate when considering the added pressures of managing our identities in multiple social spaces, both face to face and online. Thus, when the world shut down during the COVID-19 pandemic, and all forms of social interactions shifted to digital spaces, the performative demands of working from home became all the more complex in the sharp merging of private and public spaces. Thus, discussions and debates arose regarding proper “Zoom etiquette”, for different settings, and what constituted work-appropriate attire when working from home (a debate that, unsurprisingly, became particularly gendered in nature). Privacy management was a near constant narrative as we began asking, who can be in our spaces? How much of our homes are we required to put on display to other classmates, co-workers, and even our friends? In many ways, the hyper-dependence on Zoom interactions forced an entry into the spaces that we so often kept private, leaving our social performances permanently on display. Prior to COVID-19, the networks of everyday life had already produced rather porous boundaries between public and private life, but for the most part, individuals managed to maintain some sort of partition between domestic, intimate spaces, and their public performances of their professional and civic selves. It was an exception in The Before Times, for example, for a college professor to be interrupted in the midst of his BBC News interview by his children wandering into the room; the suspended possibility of the private erupting in the midst of a public social space (or vice versa) haunts all of our network interactions, yet the exceptionality of these moments speaks to the degree to which we sustained an illusion of two distinct stages for performance in a pre-pandemic era. Now, what was once the exception has become the rule. As millions of individuals found themselves Zooming from home while engaging co-workers, clients, patients, and students in professional interactions, the interpenetration of the public and private became a matter of daily fare. And yes, while early on in the pandemic several newsworthy (or at least meme-worthy) stories circulated widely on mass media and social media alike, serving as teleconferencing cautionary tales—usually involving sex, drugs, or bowel movements—moments of transgressive privacy very much became the norm: we found ourselves, in the midst of the workday, peering into backgrounds of bedrooms and kitchens, examining decorations and personal effects, and sharing in the comings and goings of pets and other family members entering and leaving the frame. Some users opted for background images or made use of blurring effects to “hide the mess” of their daily lives. Others, however, seemed to embrace the blur itself, implicitly or explicitly accepting the everydayness of this new liminality between public and private life. And while we acknowledge the transgressive nature of the incursions of the domestic and the intimate into workplace activities, it is worth noting as well that this incursion likewise takes place in the opposite direction, as spaces once designated as private became de facto workplace settings, and fell under the purview of a whole range of workplace policies that dictated appropriate and inappropriate behaviour. Not least of these intrusions are the literal and ideological apparatuses of surveillance that Zoom and other video conferencing platforms set into motion. In the original conception of the Panopticon, the observer could see the observed, but those being observed could not see their observers. This was meant to instill a sense of constant surveillance, whether the observer was there or not. In Discipline and Punish, Foucault considered those observed through the Panopticon as objects to be observed, with no power to turn the gaze back towards the structures of power that infiltrated their existence with such invasive intent. With Zoom, however, as much as private spaces have been infiltrated by work, school, and even family and friends, those leading classes or meetings may also feel a penetrative gaze by those who observe their professional performances, as many online participants have pushed back against these intrusions with cameras and audio turned off, leaving the performer with an audience of black screens and no indication of real observers behind them or not. In these unstable digital spaces, we vacillate between observed and observer, with the lines between private and public, visible and invisible, utterly blurred. Yet we should not lose sight of the fact that the panoptic power of the platform itself is hardly optic and remains one degree removed from its users, at the level of data extraction, collection, and exchange. In an already data-dependent era, more privacy and personal data has become available than ever before through online monitoring and the constant use of Zoom in work and social interactions. Such incursions of informatic biopower require further consideration within an emerging discussion of digital capital. There has also been the opportunity for these transformative, digital spaces to be used for an invited gaze into artistic and imaginative spaces. The global pandemic hit many industries hard, but in particular, artists and performers, as well as their performance venues, saw a massive loss of space, audiences, and income. Many artists developed performance spaces through online video conferencing in order to maintain their practice and their connection to their audiences, while others developed new curriculums and worked to find accessible ways for community members to participate in online art programming. Thus, though performers may still be faced with black squares as their audience, the invited gaze allows for artistic performances to continue, whether as digital shorts, live streamed music sets, or isolated cast members performing many roles with a reduced cast list. Though the issue of access to the technology and bandwidth needed to partake in these performances and programming is still front of mind, the presentation of artistic performances through Zoom has allowed in many other ways for a larger audience reach, from those who may not live near a performance centre, to others who may not be able to access physical spaces comfortably or safely. The ideology of ongoing productivity and expanded, remote access baked into video conferencing platforms like Zoom is perhaps most apparent in the assumptions of access that accompanied the widespread use of these platforms, particularly in the context of public institutions such as schools. In the United States, free market libertarian think tanks like the Cato Institute have pointed to the end of “Net Neutrality” as a boon for infrastructure investment that led to greater broadband access nationwide (compared to a more heavily regulated industry in Europe). Yet even policy think tanks such as the Information Technology and Innovation Foundation—with its mission to “formulate, evaluate, and promote policy solutions that accelerate innovation and boost productivity to spur growth, opportunity, and progress”—acknowledged that although the U.S. infrastructure supported the massive increase in bandwidth demands as schools and businesses went online, gaps in rural access and affordability barriers for low income users mean that more needs to be done to bring about “a more just and effective broadband network for all Americans”. But calls for greater access are, in effect, supporting this same ideological framework in which greater access presumably equates with greater equity. What the COVID-19 pandemic revealed, we would argue, is the degree to which those most in need of services and support experience the greatest degree of digital precarity, a point that Jenny Kennedy, Indigo Holcombe-James, and Kate Mannell foreground in their piece “Access Denied: How Barriers to Participate on Zoom Impact on Research Opportunity”. As they note, access to data and devices provide a basic threshold for participation, but the ability to deploy these tools and orient oneself toward these sorts of engagements suggests a level of fluency beyond what many high-risk/high-need populations may already possess. Access reveals a disposition toward global networks, and as such signals one’s degree of social capital within a network society—a “state nobility” for the digital age (Bourdieu.) While Zoom became the default platform for a wide range of official and institutional practices, from corporate meetings to college class sessions, we have seen over the past year unanticipated engagements with the platform as well. Zoombombing offers one form of evil media practice that disrupts the dominant performativity logic of Zoom and undermines the assumptions of rational exchange that still drive much of how we understand “effective” communication (Fuller and Goffey). While we may be tempted to dismiss Zoombombing and other forms of “shitposting” as “mere” trollish distractions, doing so does not address the political agency of strategic actions on these platforms that refuse to abide by “an intersubjective recognition that is based on a consensus about values or on mutual understanding” (Habermas 12). Kawsar Ali takes up these tactical uses in “Zoom-ing in on White Supremacy: Zoom-Bombing Anti-Racism Efforts” and explores how alt-right and white supremacist groups have exploited these strategies not only as a means of disruption but as a form of violence against participants. A cluster of articles in this issue take up the question of creative practice and how video conferencing technologies can be adapted to performative uses that were perhaps not intended or foreseen by the platform’s creators. xtine burrough and Sabrina Starnaman offer up one such project in “Epic Hand Washing: Synchronous Participation and Lost Narratives”, which paired live performances of handwashing in domestic spaces with readings from literary texts that commented upon earlier pandemics and plagues. While Zoom presents itself as a tool to keep a neoliberal economy flowing, we see modes of use such as burrough’s and Starnaman’s performative piece that are intentionally playful, at the same time that they attempt to address the lived experiences of lockdown, confinement, and hygienic hypervigilance. Claire Parnell, Andrea Anne Trinidad, and Jodi McAlister explore another form of playful performance through their examination of the #RomanceClass community in the Philippines, and how they adapted their biannual reading and performance events of their community-produced English-language romance fiction. While we may still use comparative terms such as “face-to-face” and “virtual” to distinguish between digitally-mediated and (relatively) unmediated interactions, Parnell et al.’s work highlights the degree to which these technologies of mediation were already a part of this community’s attempt to support and sustain itself. Zoom, then, became the vehicle to produce and share community-oriented kilig, a Filipino term for embodied, romantic affective response. Shaun Wilson’s “Creative Practice through Teleconferencing in the Era of COVID-19” provides another direct reflection on the contemporary moment and the framing aesthetics of Zoom. Through an examination of three works of art produced for screen during the COVID-19 pandemic, including his own project “Fading Light”, Wilson examines how video conferencing platforms create “oscillating” frames that speak to and comment on each other at the same time that they remain discrete and untouched. We have opened and closed this issue with bookends of sorts, bringing to the fore a range of theoretical considerations alongside personal reflections. In our feature article, “Room without Room: Affect and Abjection in the Circuit of Self-Regard”, Ricky Crano examines the degree to which the aesthetics of Zoom, from its glitches to its default self-view, create modes of interaction that drain affect from discourse, leaving its users with an impoverished sense of co-presence. His focus is explicitly on the normative uses of the platform, not the many artistic and experimental misappropriations that the platform likewise offers. He concludes, “it is left to artists and other experimenters to expose and undermine the workings of power in the standard corporate, neoliberal modes of engagement”, which several of the following essays in this issue then take up. And we close with “Embracing Liminality and ‘Staying with the Trouble’ on (and off) Screen”, in which Tania Lewis, Annette Markham, and Indigo Holcombe-James explore two autoethnographic studies, Massive and Microscopic Sensemaking and The Shut-In Worker, to discuss the liminality of our experience of the COVID-19 pandemic, on and off—and in between—Zoom screens. Rather than suggesting a “return to normal” as mask mandates, social distancing, and lockdown restrictions ease, they attempt to “challenge the assumption that stability and certainty is what we now need as a global community … . How can we use the discomfort of liminality to imagine global futures that have radically transformative possibilities?” This final piece in the collection we take to heart, as we consider how we, too, can stay in the trouble, and consider transformative futures. Each of these pieces offers a thoughtful contribution to a burgeoning discussion on what Zooming means to us as academics, teachers, researchers, and community members. Though investigations into the social effects of digital spaces are not new, this moment in time requires careful and critical investigation through the lens of a global pandemic as it intersects with a world that has never been more digital in its presence and social interactions. The articles in this volume bring us to a starting point, but there is much more to cover: issues of disability and accessibility, gender and physical representations, the political economy of digital accessibility, the transformation of learning styles and experiences through a year of online learning, and still more areas of investigation to come. It is our hope that this volume provides a blueprint of sorts for other critical engagements and explorations of how our lives and our digital landscapes have been impacted by COVID-19, regardless of the instability of our connections. We would like to thank all of the contributors and peer reviewers who made this fascinating issue possible, with a special thanks to the Cultural Studies Association New Media and Digital Cultures Working Group, where these conversations started … on Zoom, of course. References Bourdieu, Pierre. The State Nobility. Stanford UP, 1998. Brake, Doug. “Lessons from the Pandemic: Broadband Policy after COVID-19.” Information Technology and Innovation Foundation, 13 July 2020. <http://itif.org/publications/2020/07/13/lessons-pandemic-broadband-policy-after-covid-19>. “Children Interrupt BBC News Interview – BBC News.” BBC News, 10 Mar. 2017. <http://youtu.be/Mh4f9AYRCZY>. Firey, Thomas A. “Telecommuting to Avoid COVID-19? 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