ABSTRACT
INTRODUCTION: The SARS-CoV-2 pandemic forced many governments to impose nation-wide lockdowns. Government legislation forced limited travel on the population with restrictions on the normal way of life to limit spread of the SARS-CoV-2 virus. The aim of this study is to explore the effects of lockdown on the presentation of maxillofacial trauma in a level I trauma centre. METHODS: Comparative analysis was carried out using prospective and retrospective review of all consecutive patients admitted with any maxillofacial fracture in the lockdown period between 15th March and 15th June 2020 with the same period in 2019 to a Regional Trauma Maxillofacial Surgery Unit. Data included basic demographics and mechanism of injury including alcohol/drug influence, polytrauma, site of injury and treatment modality including escalation of care. RESULTS: Across both periods, there were a total of one hundred and five (n = 105) recorded episodes of traumatic fractures with fifty-three (n = 53) in the pre-lockdown cohort and fifty-two (n = 52) in the lockdown. Included patients were significantly (p = 0.024) older during lockdown (mean age 41.44 years SD 20.70, range 5-96) with no differences in gender distribution between cohorts (p = 0.270). Patients in lockdown were more likely to be involved in polytrauma (p < 0.05) and have sustained their injury by cycling/running or any outdoor related activity (p = 0.013). Lockdown saw a significant reduction in alcohol and drug related violence (p < 0.05). Significantly more patients required operative management (p = 0.038). CONCLUSION: Local lockdowns form part of the governments public health strategy for managing future outbreaks of SARS-CoV-2. Our study showed no significant reduction in volume of trauma during lockdown. It is vital that hospitals maintain trauma capacity to ensure that patients are treated in a timely manner.
Subject(s)
COVID-19 , Fractures, Bone , Maxillofacial Injuries , Multiple Trauma , Adult , COVID-19/epidemiology , COVID-19/prevention & control , Communicable Disease Control , Humans , Maxillofacial Injuries/epidemiology , Maxillofacial Injuries/surgery , Multiple Trauma/epidemiology , Multiple Trauma/surgery , Pandemics , Prospective Studies , Retrospective Studies , SARS-CoV-2 , Trauma CentersABSTRACT
When the COVID-19 pandemic forced universities in China to abruptly transition to virtual instruction, library services adapted quickly to provide research services, instruction, and access to collections. The library at NYU Shanghai was about to begin its sixth year of providing library research workshops to Freshmen enrolled in foundational courses, and was challenged to quickly revise a familiar and successful information literacy program to meet the demands of this new fully-online environment. This paper details how the library used a SWOT Analysis to guide the decision-making process behind this transition. It then describes the resulting instruction program, which adopts a flipped classroom approach that incorporates online video modules, assessment tools, and a variety of synchronous and asynchronous instructional followup sessions. © 2020 The Author(s). Published with license by Taylor & Francis Group, LLC.
ABSTRACT
COVID-19 is a global pandemic of unprecedented proportions. It has resulted in changes to all aspects of our lives. The impact on medicine has been significant. Clear and effective communication during these times is vital. We present an evaluation of the use of video conferencing (VC) and offer a simple format to structure meetings for their effectiveness and promotion of team communication and wellbeing.