AN APPROACH TO GASTRIC BALLOON RETRIEVAL ADMIDST COVID-19 RELATED TRAVEL RESTRICTIONS

Background: Given the COVID-19 pandemic, international travel restrictions have been in effect since March 2020 in Canada. As a result, some patients requiring international travel for medical care have experienced delays. Therefore, innovative techniques were required to provide care that would not routinely be performed in Canada, as in the case of Orbera® gastric balloon retrieval. Aims: To describe an approach to gastric balloon retrieval amidst COVID-19 related travel restrictions Methods: Case review of three cases of gastric balloon retrieval was performed Results: 1: A 41-year-old (yo) woman had an Orbera® gastric balloon placement in Washington state in September 2019. She lost 42lbs. Retrieval was scheduled for March 2020, but was delayed due to COVID-19 restrictions. In May 2020, she developed symptoms of balloon dysfunction. The patient was referred to a Canadian tertiary care centre. Gastroscopy was performed under conscious sedation. The Orbera® balloon was in the distal gastric body. The balloon was punctured with a 19G EUS FNA needle;600cc of blue tinted liquid was aspirated. The emptied balloon was retrieved successfully using rat tooth forceps. 2: A 35-yo woman had an Orbera® gastric balloon placed in October 2019 in Toronto at a private health facility. She lost 20lbs. Retrieval of the balloon was scheduled for March 2020, but due to COVID-19 restrictions, it was not possible at the original facility. She did not have symptoms related to the balloon. Gastroscopy was performed under general anesthesia (GA) on October 8, 2020. The balloon was intact in the distal gastric body. The balloon was punctured with a 19G Cook Echotip Needle and vacuum suction applied;400cc of blue tinted fluid was removed. Alligator forceps were used to create holes in the underside of the balloon, allowing excess fluid to be expelled as the balloon was pulled up against the GEJ. Once the balloon was deflated, it was removed successfully through the mouth. 3: A 38-yo man had an Orbera® gastric balloon placed in his native Columbia in March 2020. He did not achieve weight loss. Due to COVID-19 restrictions, he was unable to return for planned removal. He did not have symptoms related to the balloon. Gastroscopy was performed under GA on October 8, 2020. The balloon was intact in the distal gastric body. The balloon was punctured with a 19G Cook Echotip Needle and vacuum suction applied;600cc of blue tinted fluid was removed. Alligator forceps were used in retroflexion to tear the underside of the flattened balloon to ensure all liquid and air had escaped from the balloon. Once the balloon was deflated, it was removed successfully through the mouth. Conclusions: Although Orbera® gastric balloon retrieval is not routinely performed in Canada, we demonstrate that gastroscopy with balloon puncture and forcepsretrieval is a safe option.

Postponement of events

The postponement of events is an ever-present and often unavoidable risk for event managers and stakeholders. Any event postponement will also have a series of profound consequences. Indeed, this was confirmed by the COVID-19 pandemic which resulted in a number of postponed events around the globe throughout 2020 and 2021. As such, this chapter examines the postponement of sporting events and its impacts. In doing so, the chapter will first discuss the manifold of possible factors that can lead to event postponement. Then, it will zoom in on the COVID-19 related postponement of the 2020 UEFA European Football Championship (‘Euro 2020') for which the event’s hosting rights were shared by 12 European countries. Here, specific attention is paid to the balance between health and safety risks and economic returns. Lastly, the chapter offers some intriguing and interdisciplinary avenues for future research related to stakeholders and decision-making, spectators’ willingness to attend postponed sports events and new risk, safety and security management strategies in light of COVID-19. © Nicholas Wise and Kelly Maguire 2022.

COVID-19, networks and sport. (Special Issue: Managing sport and leisure in the era of Covid-19.)

This commentary serves to provide a rapid analysis of the impact of coronavirus disease 2019 (COVID-19) on sporting mass gatherings. The focus of this commentary surrounds sporting mass gatherings and strategies to mitigate the spread of COVID-19, with a particular focus on the UEFA EURO 2020 competition. Further references to the 2020 Olympic Games, and community recreational football are made. The intention is to stimulate discussion, analysis, interest and research on what the initial impact of COVID-19 has on sport. COVID-19 could fundamentally change the way sport operates in the future and requires further analysis. We hope this commentary provides an interesting record and reference point for future research and practice of those operating in sporting organisations. Learning lesson from this crisis, must ensure sport managers and practitioners are better prepared in sport and society for similar events in the future.

COVID-19: the return of football fans. (Special Issue: Managing sport and leisure in the era of Covid-19.)

COVID-19 has sent a shockwave into society and sport. As result of this, sport and football resuming without spectators - fans or supporters, has brought a number of financial issues that has threatened the sustainability and future of many clubs. This commentary unpicks what has happened and some of the tensions, decision-making and consequences surrounding the return of spectators. The commentary presents the case that spectators are key to the survival of football clubs and that the United Kingdom Government must reverse their decision to not let spectators return. Now more than ever, these words hold substance, meaning and truly matter to clubs and their networked communities, "Football without fans is nothing".

Prosumption, networks and value during a global pandemic: lockdown leisure and COVID-19. (Special Issue: Leisure in the time of Covid-19.)

Following advances in information technology and the rise of social media, prosumption - a model of simultaneous production and consumption of the commodity - has become a significant focus in many industries and for academic study. Prosumption represents a new message creation and delivery paradigm, where anyone can seamlessly shift from consumer to contributor, to creator. Central to this is the idea of creating 'use-value' and re-orientating 'exchange value'. Perhaps an overlooked facet, but one deeply engrained in its manifestation is that prosumption is inherently relational, involving micro-interaction between consumer and producer. The recent global COVID-19 pandemic, it too being relational in its transmission, has had a paralysing effect on global leisure activities with households and sports organisations experiencing some form of state-enforced residential lockdown. Using social network analysis, this commentary examines the network structure of a prosumed leisure activity during societal lockdown and its implications for the leisure industries.

Seeking shelter: homelessness and COVID-19

Those experiencing homelessness in Canada are impacted inequitably by COVID-19 due to their increased exposure, vulnerability of environment and medical comorbidities, and their lack of access to preventive care and treatment in the context of the pandemic. In shelter environments one is unable to effectively physically distance, maintain hygiene, obtain a test, or isolate. As a result, unique strategies are required for this population to protect them and those who serve them. Recommendations are provided to reduce or prevent further negative consequences from the COVID-19 pandemic for people experiencing homelessness. These recommendations were informed by a systematic review of the literature, as well as a jurisdictional scan. Where evidence did not exist, expert consensus from key providers and those experiencing homelessness throughout Canada was included. These recommendations recognize the need for short-term interventions to mitigate the immediate risk to this community, including coordination of response, appropriate precautions and protective equipment, reducing congestion, cohorting, testing, case and contact management strategies, dealing with outbreaks, isolation centres, and immunization. Longer-term recommendations are also provided with a view to ending homelessness by addressing the root causes of homelessness and by the provision of adequate subsidized and supportive housing through a Housing First strategy. It is imperative that meaningful changes take place now in how we serve those experiencing homelessness and how we mitigate specific vulnerabilities. These recommendations call for intersectoral, collaborative engagement to work for solutions targeted towards protecting the most vulnerable within our community through both immediate actions and long-term planning to eliminate homelessness.

COVID-19 infection in patients with intestinal failure: UK experience.

BACKGROUND: The direct effect of the coronavirus disease 2019 (COVID-19) pandemic on patients with intestinal failure (IF) has not been described. METHODS: We conducted a nationwide study of UK IF centers to evaluate the infection rates, presentations, and outcomes in patients with types 2 and 3 IF. RESULTS: A total of 45 patients with IF contracted COVID-19 between March and August 2020; this included 26 of 2191 (1.2%) home parenteral nutrition (HPN)-dependent adults and 19 of 298 (6.4%) adults hospitalized with type 2 IF. The proportion of patients receiving nursing care for HPN administration was higher in those with community-acquired COVID-19 (66.7%) than the proportion in the entire HPN cohort (26.1%; P < .01). Two HPN-dependent and 1 hospitalized patient with type 2 IF died as a direct consequence of the virus (6.7% of 45 patients with types 2 or 3 infected). CONCLUSION: This is the first study to describe the outcomes of COVID-19 in a large cohort of patients requiring long-term PN. Methods to reduce hospital and community nosocomial spread would likely be beneficial.

COVID-19, networks and sport

This commentary serves to provide a rapid analysis of the impact of coronavirus disease 2019 (COVID-19) on sporting mass gatherings. The focus of this commentary surrounds sporting mass gatherings and strategies to mitigate the spread of COVID-19, with a particular focus on the UEFA EURO 2020 competition. Further references to the 2020 Olympic Games, and community recreational football are made. The intention is to stimulate discussion, analysis, interest and research on what the initial impact of COVID-19 has on sport. COVID-19 could fundamentally change the way sport operates in the future and requires further analysis. We hope this commentary provides an interesting record and reference point for future research and practice of those operating in sporting organisations. Learning lesson from this crisis, must ensure sport managers and practitioners are better prepared in sport and society for similar events in the future. © 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group.