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1.
Globsyn Management Journal ; 15(1/2):267-275, 2021.
Article in English | ProQuest Central | ID: covidwho-1904816

ABSTRACT

Change and Vulnerability are inescapable. Sometimes it may be a positive - substantial achieve-ment, business development, or a salary increase. On different occasions, it tends to be difficult - losing your employment or an individual misfortune. Regularly the hardest changes to comprehend and acclimate to are the ones that are sudden and out of our control, for instance. Changes of this greatness can be hard to grapple with, however, you'll frequently find that your experience of them can be exacerbated better or rely upon your response and your disposition. You won't act like a "casualty" of progress. All things being equal, you deal with your sentiments, get support, and do whatever you can to be essential for the change. Today, regardless of how developed we think we are, our minds work in this primitive way when confronted with an abrupt change and a future that we're uncertain about. Since the human cerebrum detests vulnerability so much, it attempts to make sureness where it doesn't exist by endeavoring to sort out what may occur. Our cerebrum's inclination for sureness over equivocalness implies that it makes a progression of most pessimistic scenario situations around what could befall us, yet this does little to console us and can leave us restless and stressed. To gauge individuals' discernments, assess their encounters, perceive their boundaries, difficulties of picking up during the Coronavirus pandemic, and explore factors affecting and tolerating in this tough season of the pandemic. As we rise out of Covid lockdowns, we need to develop the dated outlook that being in an office full-time is a real business basic;before the pandemic, the ordinary/customary way of thinking had been that workplaces were basic to efficiency, culture, ability and high rivalry among the representatives. Organizations finished strongly for the space in the workplace in the major metropolitan bases on the world. What's more, many centered on arrangements that apparently promoted the joint effort. The world will see the ascent of a sans contact economy. In three regions specifically-computerized business, telemedicine, and robotization - the Coronavirus pandemic could end up being an unequivocal defining moment. This system can help how to learn through change and vulnerability;in which individuals will in the general move toward change, the responses that you may have, and how to best adapt to it.

3.
Acta Neurochir (Wien) ; 163(4): 1053-1060, 2021 04.
Article in English | MEDLINE | ID: covidwho-1039200

ABSTRACT

BACKGROUND: The COVID19 lockdown has altered the dynamics of living. Its collateral fallout on head injury care has not been studied in detail, especially from low- and middle-income countries, possibly overwhelmed more than developed nations. Here, we analyze the effects of COVID19 restrictions on head injury patients in a high-volume Indian referral trauma center. METHODS: From the prospective trauma registry, clinico-epidemiological and radiological parameters of patients managed during 190 days before and 190 days during COVID19 phases were studied. As an indicator of care, the inpatient mortality of patients with severe HI was also compared with appropriate statistical analyses. RESULTS: Of the total 3372 patients, there were 83 head injury admissions per week before COVID19 restrictions, which decreased to 33 every week (60% drop) during the lock phases and stabilized at 46 per week during the unlock phases. COVID19 restrictions caused a significant increase in the proportion of patients arriving directly without resuscitation at peripheral centers and later than 6 h of injury. Though the most common mechanism was vehicular, a relative increase in the proportion of assaults was noted during COVID19. There was no change in the distribution of mild, moderate, and severe injuries. Despite a decrease in the percentage of patients with systemic illnesses, severe head injury mortality was significantly more during the lock phases than before COVID19 (59% vs. 47%, p = 0.02). CONCLUSIONS: COVID19 restrictions have amplified the already delayed admission among patients of head injury from north-west India. The severe head injury mortality was significantly greater during lock phases than before COVID19, highlighting the collateral fallout of lockdown. Pandemic control measures in the future should not ignore the concerns of trauma emergency care.


Subject(s)
COVID-19/epidemiology , Craniocerebral Trauma/epidemiology , Quarantine/statistics & numerical data , Adult , COVID-19/prevention & control , Female , Hospitalization/statistics & numerical data , Humans , India , Male , Middle Aged , Trauma Centers/statistics & numerical data
4.
J Anaesthesiol Clin Pharmacol ; 36(Suppl 1): S115-S120, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-831058

ABSTRACT

The Coronavirus SARS- CoV-2 (COVID-19) pandemic has overwhelmed the ability of health care systems all over the world. With the spread of the disease, countries have adopted different models to reorganize infrastructure and reallocate the resources to deal with the pandemic. All the nonurgent hospital services have been postponed. But, trauma and emergency services continue to function according to the established protocols with few modifications. During the pandemic, trauma care is based on clinical urgency, safety of the patient as well as health care workers (HCWs) and conservation of resources. The strategies include non-operative management if possible, restricting the number of personnel and utilization of remote consultation or telemedicine. In the present article, we discuss the triage and management of trauma victim during the pandemic, indications for emergency surgery and psychological impact of the pandemic. We also discuss the future challenges during the post-COVID-19 phase.

5.
J Anaesthesiol Clin Pharmacol ; 36(Suppl 1): S91-S96, 2020 Aug.
Article in English | MEDLINE | ID: covidwho-826554

ABSTRACT

Since its first outbreak in December 2019 in Wuhan, China, coronavirus disease 2019 (COVID-19) has become a global public health threat. In the midst of this rapidly evolving pandemic condition, the unique needs of pregnant women should be kept in mind while making treatment policies and preparing response plans. Management of COVID-19 parturients requires a multidisciplinary approach consisting of a team of anesthesiologists, obstetricians, neonatologists, nursing staff, critical care experts, infectious disease, and infection control experts. Labor rooms as well as operating rooms should be in a separate wing isolated from the main wing of the hospital. In the operating room, dedicated equipment and drugs for both neuraxial labor analgesia and cesarean delivery, as well as personal protective equipment, should be readily available. The entire staff must be specifically trained in the procedures of donning, doffing, and in the standard latest guidelines for disposal of biomedical waste of such areas. All protocols for the management of both COVID-19 suspects as well as confirmed patients should be in place. Further, simulation-based rehearsal of the procedures commonly carried out in the labor room and the operation theaters should be ensured.

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