Project description:The aim of this study was to investigate the impact of the COVID-19 pandemic on pelvic trauma surgery in Poland. This study comprises 132 consecutive patients admitted for pelvic fracture surgery from 2019 to 2022, separating them into 2 groups; pre-COVID (1 year before the outbreak of pandemic - 2019) and COVID period (in Poland 2020-2022). The data was collected respectively in a single trauma center. Demographic data was collected, additionally, the type of fracture according to Young-Burgess and Letournel-Judet classification system, date of the injury and surgery, the surgical approach and stabilization methods, mechanism of trauma, concomitant injuries, body mass index (BMI), blood transfusions, number of days spent in the hospital, and surgery duration. Patients during the pandemic had statistically significantly shorter duration of hospital stay, and lesser amount of blood units transfused comparing to the non- pandemic group, 4.50 days vs. 6.90 days (p < 0.001) and 1.20 units vs. 1.40 units (p = 0.0401) respectively. Patients with acetabulum fractures required more blood transfusion units (p < 0.0001), comparing to those with pelvic ring injuries. Moreover, the acetabulum fractures were more time demanding comparing to pelvic ring injury (151 min vs. 128 min, respectively) (p < 0.0001) as well as length of hospital stay was longer (5.18 days, 3.85 days (respectively) (p = 0.042). During the COVID-19 period, comparing patients with acetabulum fractures to those with pelvic ring injuries, they required more blood transfusion units, the acetabulum fractures were more time demanding with increased days of hospitalization. Additionally, patients during the COVID-19 period remained hospitalized for a shorter period of time and received lesser amount of blood transfusions with pelvic ring injuries.

| S-EPMC11845521 | biostudies-literature

Surgical Management Strategy for Breast Cancer Patients During the COVID-19 Outbreak.

Project description:In December 2019, a new coronavirus pneumonia began to break out globally. COVID-19 pandemic challenges the health systems worldwide and influences the treatments for other diseases. The incidence rate of breast cancer ranks first among all malignant tumors among women. During the pandemic, medical workers should strictly monitor the condition of patients and strengthen the management and prevention measures to make sure patients can be operated safely. This article will discuss the arrangements and management of surgical treatment for patients with breast cancer.

| S-EPMC7383096 | biostudies-literature

Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries.

Project description:BackgroundGeneral practitioners (GPs) play a key role in managing the COVID-19 outbreak. However, they may encounter difficulties adapting their practices to the pandemic. We provide here an analysis of guidelines for the reorganisation of GP surgeries during the beginning of the pandemic from 15 countries.MethodsA network of GPs collaborated together in a three-step process: (i) identification of key recommendations of GP surgery reorganisation, according to WHO, CDC and health professional resources from health care facilities; (ii) collection of key recommendations included in the guidelines published in 15 countries; (iii) analysis, comparison and synthesis of the results.ResultsRecommendations for the reorganisation of GP surgeries of four types were identified: (i) reorganisation of GP consultations (cancelation of non-urgent consultations, follow-up via e-consultations), (ii) reorganisation of GP surgeries (area partitioning, visual alerts and signs, strict hygiene measures), (iii) reorganisation of medical examinations by GPs (equipment, hygiene, partial clinical examinations, patient education), (iv) reorganisation of GP staff (equipment, management, meetings, collaboration with the local community).ConclusionsWe provide here an analysis of guidelines for the reorganisation of GP surgeries during the beginning of the COVID-19 outbreak from 15 countries. These guidelines focus principally on clinical care, with less attention paid to staff management, and the area of epidemiological surveillance and research is largely neglected. The differences of guidelines between countries and the difficulty to apply them in routine care, highlight the need of advanced research in primary care. Thereby, primary care would be able to provide recommendations adapted to the real-world settings and with stronger evidence, which is especially necessary during pandemics.

| S-EPMC8127252 | biostudies-literature

In the middle of the COVID-19 outbreak: Early practical guidelines for psychosocial aspects of COVID-19 in East Java, Indonesia.

Project description:It is generally recognized that psychosocial interventions are an essential component in dealing with the COVID-19 outbreak. Research focusing on the handling of psychosocial conditions in the COVID-19 outbreak seems sparse. After reviewing several scholarly articles, we recommend several things that can be used as a basis for developing practical guidelines for handling psychosocial problems, especially in East Java Province, Indonesia. Development of practical guidelines for first-hand response and early treatment of psychosocial aspects of COVID-19 in East Java Province, Indonesia, based on the recommendations of 14 articles related to COVID-19 psychosocial handling was carried out. Some evidence strongly supports the need for knowledge about the stages of COVID-19, understanding of psychosocial responses, understanding of psychosocial interventions, and availability of hotline services in psychosocial interventions at each stage of the COVID-19 outbreak. It is important to provide practical guidance for the early management of psychosocial aspects of the innovative COVID-19 in providing more comprehensive care. There is strong evidence of the need for practical guidance on initial handling of the psychosocial aspects of COVID-19 for the community, especially in Indonesia's East Java Province.

| S-EPMC7431361 | biostudies-literature

The impact of COVID-19 on surgical practice in Jordan during the second outbreak: A survey.

Project description:BackgroundCOVID-19 is an acute respiratory pandemic with no available effective antiviral treatment or widely available effective vaccine. Surgical practice has faced widespread problems due to the pandemic including viral transmission risk and cross-infection, staffing problems, prioritizations of surgical procedures, and lack of beds due to occupancy of hospitals and ICU beds with COVID-19 patients.MethodsA survey was conducted between October 31 to November 4, 2020, through google forms. The questionnaire involved 16 questions sent to consultants and specialists of all general and special surgical specialties and subspecialties in Jordan.ResultsWe have got responses from surgeons of all public and private sectors in Jordan. There was a pronounced decline in the number of elective and emergency procedures performed during October 2020 due to COVID-19 pandemic related reasons.ConclusionsThe impact of COVID-19 on the surgical practice in Jordan during October 2020 was moderate to prominent. Measures that could be made to alleviate this impact include the assignment of certain hospitals for covid-19 patients as a step before the establishment of field hospitals and the cooperation between the private and the public health sectors.

| S-EPMC7844362 | biostudies-literature

COVID-19 Outbreak: An Overview.

Project description:BACKGROUND:In late December 2019, Chinese health authorities reported an outbreak of pneumonia of unknown origin in Wuhan, Hubei Province. SUMMARY:A few days later, the genome of a novel coronavirus was released (http://viro-logical.org/t/novel-2019-coronavirus-genome/319; Wuhan-Hu-1, GenBank accession No. MN908947) and made publicly available to the scientific community. This novel coronavirus was provisionally named 2019-nCoV, now SARS-CoV-2 according to the Coronavirus Study Group of the International Committee on Taxonomy of Viruses. SARS-CoV-2 belongs to the Coronaviridae family, Betacoronavirus genus, subgenus Sarbecovirus. Since its discovery, the virus has spread globally, causing thousands of deaths and having an enormous impact on our health systems and economies. In this review, we summarize the current knowledge about the epidemiology, phylogenesis, homology modeling, and molecular diagnostics of SARS-CoV-2. Key Messages: Phylogenetic analysis is essential to understand viral evolution, whereas homology modeling is important for vaccine strategies and therapies. Highly sensitive and specific diagnostic assays are key to case identification, contact tracing, identification of the animal source, and implementation of control measures.

| S-EPMC7179549 | biostudies-literature

COVID-19 Outbreak, Senegal, 2020.

Project description:The spread of severe acute respiratory syndrome coronavirus 2 began later in Africa than in Asia and Europe. Senegal confirmed its first case of coronavirus disease on March 2, 2020. By March 4, a total of 4 cases had been confirmed, all in patients who traveled from Europe.

| S-EPMC7588548 | biostudies-literature

Guidelines for Resuming Elective Hip and Knee Surgical Activity Following the COVID-19 Pandemic: An Italian Perspective.

Project description: Not available

| S-EPMC7552960 | biostudies-literature