ABSTRACT
Abstract Objectives: The aim of this systematic review was to evaluate the possible impacts of COVID-19 on oral and maxillofacial surgery practice, as well as the protocols employed by oral and maxillofacial surgeons to minimize the risks of contamination. Methods: Searches were performed in different databases up to 15 March 2021. Articles related to oral surgery dynamics within the context of the COVID-19 pandemic were included. The articles were considered eligible if they met the following inclusion criteria: observational studies that provided recommendations regarding maxillofacial surgery measures during the COVID-19 pandemic and that analyzed the risk of contamination of patients/professionals with SARS-CoV-2. Results: Seven studies met the inclusion criteria and were selected for the present systematic review. Demands for personal protective equipment increased significantly, with studies reporting the scarcity of fundamental equipment such as FFP2/N95 masks. Significant changes in the infrastructure of outpatient, surgical and inpatient units and in the care protocols themselves were observed. Conclusion: The COVID-19 pandemic particularly affected the routine of oral and maxillofacial surgery residents. Several additional recommendations for surgical practice or for the surgical team were evaluated and discussed, such as performing primarily urgent and emergency surgeries, remote patient care and screening, postponing elective surgeries, and new teaching methods in oral and maxillofacial surgery residency programs. In addition, screening of patients and of the surgery team for COVID-19 is strongly recommended.
Resumo Objetivos: Avaliar os possíveis impactos da Covid-19 na prática da cirurgia bucomaxilofacial, bem como os protocolos empregados pelos cirurgiões bucomaxilofaciais para minimizar os riscos de contaminação. Método: Foram feitas buscas em diferentes bases de dados até 15 de março de 2021. Foram incluídos artigos relacionados à dinâmica da cirurgia oral no contexto da pandemia de Covid-19. Os artigos foram considerados elegíveis se atendessem aos seguintes critérios de inclusão: estudos observacionais que fornecessem recomendações sobre medidas de cirurgia bucomaxilofacial durante a pandemia de Covid-19 e que analisassem o risco de contaminação de pacientes/profissionais com SARS-CoV-2. Resultados: Sete estudos preencheram os critérios de inclusão e foram selecionados para a presente revisão sistemática. As demandas por equipamentos de proteção individual aumentaram significativamente, estudos relataram a escassez de equipamentos fundamentais, como máscaras FFP2/N95. Foram observadas mudanças significativas na infraestrutura das unidades ambulatoriais, cirúrgicas e de internação e nos próprios protocolos assistenciais. Conclusão: A pandemia de Covid-19 afetou particularmente a rotina dos residentes de cirurgia bucomaxilofacial. Diversas recomendações adicionais para a prática cirúrgica ou para a equipe cirúrgica foram avaliadas e discutidas, como a feitura de cirurgias prioritariamente de urgência e emergência, atendimento e triagem remota de pacientes, adiamento de cirurgias eletivas e novos métodos de ensino em programas de residência em cirurgia bucomaxilofacial. Além disso, a triagem de pacientes e da equipe cirúrgica para Covid-19 é fortemente recomendada.
ABSTRACT
Defensive medicine; although a recent concept, is slowly beginning to cement its place in the Indian health system. An interaction of multiple factors has paved way for this form of practice. Need for certainty of the diagnosis, lack of hierarchy in medical care, exponential growth of micro/super specializations and private/corporate health institutions, incentive-based practice, increasing incidences of violence against health personnel, rising trend of defamation suites against doctors, bad publicity by media, and interference by elected representatives have jeopardized the situation. This has led to decline in practice of clinical medicine, increased burden of investigations, especially in already compromised public facilities, and high out-of-pocket health expenditure. As much as ethical medical practice, standard patient management protocols, strict protection of interest of medical practitioners by law, responsible role of media and elected representatives are the need of the hour; we need to find ways to accept and incorporate defensive medicine into the modern medicine. Different stakeholders are required to come together and take substantial steps to understand the phenomenon and preserve the art and science of practicing medicine in its true form.
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The epidemic of the 2019 Novel Coronavirus (2019-nCoV) infection has presented as a grim and complex situation recently. More than 11,000 cases of 2019-nCoV infection has been confirmed in China until February 1 st 2020, which are causing great impact to economy and society, and seriously interfering with ordinary medical practice of otolaryngology and head and neck surgery. This advice guideline discusses the medical protection measures required in the outpatient clinic as well as in operation ward in otolaryngology head and neck department, which aims to protect medical staff from 2019-nCoV infection.
ABSTRACT
@#The epidemic of the SARS-CoV-2 infection has presented as a critical period. Until February 14th 2020, more than 55 000 cases of SARS-CoV-2 infection has been confirmed in China, which has a great impact on economy and society, and also seriously interfering with ordinary medical practice of ophthalmology. In order to protect ophthalmology medical staff from SARS-CoV-2 infection during the outbreak period, this paper suggests the necessary medical protective measures for ophthalmology outpatient and ward.
ABSTRACT
@#The epidemic of the 2019 Novel Coronavirus (2019-nCoV) infection has presented as a grim and complex situation recently. More than 11,000 cases of 2019-nCoV infection has been confirmed in China until February 1st 2020, which are causing great impact to economy and society, and seriously interfering with ordinary medical practice of otolaryngology and head and neck surgery. This advice guideline discusses the medical protection measures required in the outpatient clinic as well as in operation ward in otolaryngology head and neck department, which aims to protect medical staff from 2019-nCoV infection.
ABSTRACT
Objective To develop a new type of individual first aid kit for plateau conditions to treat acute high altitude reaction.Methods The theories of military preventive medicine as well as the practices of plateau medical protection and treatment were involved in the design and manufacturing of the kit with emphases on kit body architecture design and selection of equipped medicinal materials.Totally 2 100 servicemen had 1 000 ones divided into a control group and 1 100 ones into an observation group.The two groups both underwent conventional treatment,while the observation group applied the kit besides.The incidence rates and curative effects of acute high altitude reaction were compared in the two groups.Results The kit improved first aid of acute high altitude reaction in time consumed and speed.One week after entering the plateau the scores of headache,gastrointestinal symptom,fatigue and dizziness were (1.5±0.5),(1.7±0.4),(1.3±0.6) and (1.6±0.7) respectively in the observation group,and (2.3±0.6),(2.4±0.5),(2.2±0.5) and (2.4±0.6) respectively in the control group.One month after entering the plateau,the observation group had the recovery rate being 99.2％ and the mean therapy time being (8.1±3.3)d,and the control group had the recovery rate being 91.2％ and the mean therapy time being (15.2±6.4)d.The observation group behaved better than the control group in disease grading,therapy time,recovery rate significantly (P＜0.05).Conclusion The kit gains advantages in convenience,portability and curative effect when used to treat acute high altitude reaction,and thus is worthy promoting practically.
ABSTRACT
Objective To develop a new type of individual first aid kit for plateau conditions to treat acute high altitude reaction.Methods The theories of military preventive medicine as well as the practices of plateau medical protection and treatment were involved in the design and manufacturing of the kit with emphases on kit body architecture design and selection of equipped medicinal materials.Totally 2 100 servicemen had 1 000 ones divided into a control group and 1 100 ones into an observation group.The two groups both underwent conventional treatment,while the observation group applied the kit besides.The incidence rates and curative effects of acute high altitude reaction were compared in the two groups.Results The kit improved first aid of acute high altitude reaction in time consumed and speed.One week after entering the plateau the scores of headache,gastrointestinal symptom,fatigue and dizziness were (1.5±0.5),(1.7±0.4),(1.3±0.6) and (1.6±0.7) respectively in the observation group,and (2.3±0.6),(2.4±0.5),(2.2±0.5) and (2.4±0.6) respectively in the control group.One month after entering the plateau,the observation group had the recovery rate being 99.2％ and the mean therapy time being (8.1±3.3)d,and the control group had the recovery rate being 91.2％ and the mean therapy time being (15.2±6.4)d.The observation group behaved better than the control group in disease grading,therapy time,recovery rate significantly (P＜0.05).Conclusion The kit gains advantages in convenience,portability and curative effect when used to treat acute high altitude reaction,and thus is worthy promoting practically.
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This paper focuses on the requirements of joint operations under informationization in the future,and system-atically analyzes the characteristics of medical protection with regard to epidemic causes and surveillance,prevention meas-ures,mental health,and nuclear,chemical and biological protection.This paper elaborates on the basic principles of medical protection and raise proposals about health and epidemic protection so as to provide references for health support of PLA during joint operations.
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The chemical and biological warfare agents are extremely toxic in nature. They act rapidly even in very small quantities and death may occur in minutes. Hence, physical and medical protection must be provided immediately to save life or avoid serious injury. A first aid kit has thus been developed for providing immediate relief from chemical and biological warfare agents (FAKCBW) with the objective of easy detection, personal decontamination, antidote for chemical warfare agents (like nerve agents, sulphur mustard, phosgene, cyanide, radiation exposure and bacterial agents), along with basic medication aid for pain, fever and inflammation. The kit box also includes a user friendly handbook with a simple standard operating procedure. In addition, the kit is rugged to withstand normal jerks, vibration and is water-proof.
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In the present and future, nuclear terror raid may be tremendously hazardous to human health and social security. The governments of many countries have already established specific organizations to strike and smash nuclear terror raid. The government of our country also pays high attention to it. In order to help people understand and prevent the nuclear terror raid, the article summarizes the effects of each injurious factor, kinds and ranges of injurious effects, medical prevention and treatment at the scene of nuclear terror raid.
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Chemical terror is one of the main forms of terrorism. The proliferation of chemical weapon and abuse of chemical poisons make chemical terrorism flourish and diversified in occurrence. The features of chemical terrorism are unexpectedness, surreptitiousness, diversity in their vehicles and media, and it could be widespread to involve a broad area to create a serious tumult. Medical protection is the pivotal step to control the influence of chemical terror. Anti-chemical terror medicine will provide new important subjects for researches in chemical-defense medicine, and studies in chemical-defense medicine will lay the foundation of anti-chemical-terror medicine. In conclusion, it is imperative that the principles, main subjects, and strategies of research on anti-chemical-terror medicine should be established as early as possible.
ABSTRACT
Postal distribution of anthrax spores in 2001 in the USA has raised public health concern about terrorist attack using biological agents. The attack challenged medical preparation and scientific understanding of the epidemiology of biothreat agents. There is an urgent need for public health and medical personnel to have a clear understanding of the possible agents and appropriate therapy or prophlaxis. This article provides a brief overview of the definition and nature of bioterrorism, the list of pathogens likely to be used by bioterrorists to adversely affect human health, the characteristics of category A agents including bacillus anthrax, Yersinice pestis, smallpox virus, hemorrhagic fever virus, botulinum toxin and appropriate measures to prevent bioterrorism or to limit its consequences.
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Solving the problem of weapon injuries is of primary importance in military medical research. This article aims at presenting an inquiry into hightech weapon injuries in terms of the following: (1)classify hightech weapons into special, hightech conventional and new concept weapons, and expound their characteristics; (2)demonstrate from different angles the pressing necessity to step up researches on special (nuclear, chemical and biological) weapons; (3)discuss the types and injurious effects (high speed projectiles, war heads with numerous shrapnels and cluster bomb, multiple killing factors and high casualty inflicting power) of the everlastingly emerging hightech conventional weapons, and multiple injuries, and combined injuries produced thereby; (4)probe into new concept weapons, mainly the beamed (laser, microwave and infrasound) and non lethal weapon injuries; (5)bring up the question of confrontation of hightech weapons′ in the space in the future; (6)explore the tactics in four levels to confront hightech weapons, and research on medical protection against hightech weapon injuries in terms of basic sciences, medical logistics, and medical equipments.