ABSTRACT
Telecollaboration, also called virtual exchange or online intercultural exchange, is a form of collaborative learning whereby language learners in different locations engage in computer-mediated communication to complete tasks online. There is ample evidence that telecollaboration promotes the acquisition of language skills, intercultural competence, and digital literacies. Challenges faced implementing virtual exchanges include differences in time zones, learning objectives, academic calendars, and cultural attitudes. The present article describes a case of a multilateral telecollaboration project based on the facilitated dialogue model involving four institutions-two in Europe and two in the United States-that was designed to prepare students for the experience of giving online peer feedback on collaborative writing assignments. Our initial goal was to explore the challenges students would face and the benefits they would receive from a complex telecollaboration project involving multiple institutions and two task sequences: 1) input and reflection on giving and receiving peer feedback, 2) completion of the collaborative writing task to be peer reviewed. However, new challenges and opportunities emerged after the switch to emergency e-learning and remote teaching during the Covid-19 pandemic. Relying upon multiple data sources-including correspondence, observations, class discussions, surveys, reflective writing, and information stored in virtual learning environments-our methods of data collection involved convenience sampling, while data analysis was predominantly descriptive. Our results demonstrate that even during a global pandemic, students and instructors face similar logistical challenges and reap similar benefits as has been reported in the literature. Yet our experience also reveals the resiliency of telecollaboration in the face of extreme disruption as well as the potential to exploit virtual exchange to develop learning strategies-such as methods for giving and receiving peer feedback-and meta-awareness of how language is used in the real-world-such as the implications of English as a lingua franca.
ABSTRACT
BACKGROUND: This is a retrospective study of the casuistry occurred at the Hand Surgery and Microsurgery HUB Center of Emilia-Romagna during the months of March and April 2020 in the peak of Phase 1 of COVID-19 pandemic in Italy, comparing the data with the same period in 2019. METHODS: A more relevant reduction of 92.3% in elective surgery and a significantly less relevant reduction of 37.2% in emergencies was recorded. Replantation did not present reduction while cutting lesions of tendons and saw injuries increased such as the injuries during domestic activities. RESULTS: The incidence of hand trauma looks not only at the traditional field of artisanal and industrial injuries, but also to the most recorded accidents in daily life activities. The data evidenced the significantly increase of the injuries occurring in the domestic environment. The 72.8% of emergencies was treated in day-service with significantly reduction in hospitalization, costs and infective risks. Telemedicine implementation has experienced to upgrade the relationship in the emergency network. CONCLUSIONS: Hand injuries remained a major issue also during the lockdown. A functional and skill emergency service and day-service during the phase 1 COVID-19 pandemic played a relevant role in efficacy and efficiency. The utility of telemedicine was greatly limited by liability and risk management issues.
ABSTRACT
INTRODUCTION: The authors presented a retrospective study in the surgical activity of the HUB center for Hand Surgery and Microsurgery in Emilia-Romagna comparing the data between March and April 2020, in the peak of Covid pandemic, with the same period in 2019. MATERIALS AND METHODS: During the two months period of March-April 2020 versus 2019 the authors analyzed the surgical procedures performed in elective and emergency surgery with hospitalization and Day or Outpatient surgery regime. Surgical treatments with no hospitalization were planned in the Day-Surgery Service. The financing system impacts were analyzed according to the Diagnosis Related Groups (DRG), the costs accounting method mostly used in European countries. RESULTS: An overall reduction of 68.5% was recorded in surgical procedures, with a more relevant reduction of 92.3% in elective surgery and a significantly less relevant reduction of 37.2% in urgent one. Replantation did not present a reduction in number of cases, while cutting lesions of tendons at the hand and fingers increased such as the bone and ligament injuries during domestic accidents. The negative impact in the financial system recorded a reduction of 32.5%. DISCUSSION: The epidemiology of hand trauma looks not only at the artisanal and industrial injuries, but also mostly at the accidents in daily life activities. The data of the study evidenced the significantly increase in the injuries occurring in the domestic environment. Elective surgery was canceled. The 86% of surgical procedures performed were urgent ones and the 72.8% of these were possible in Day and Outpatient surgery with significantly reduction in hospitalization. All procedures followed a rigid process for patient and healthcare workers with regard for personal protection and safety. Telemedicine was arranged in emergencies, and economic damage was analyzed also in the following rebound effect during summer period. CONCLUSIONS: The significantly less reduction recorded in urgent surgery vs the more relevant reduction in elective one showed how the hand injuries remained a major issue also during the lockdown. The data highlighted the relevant role of the organizational aspects of the surgical procedures and planning in hand trauma. Despite the financial impact of the elective surgery, the presence of a functional and skill Emergency Service and Day-Surgery Service resulted fundamental in the efficacy and efficiency of the patient management and in containment of economic damage. The telemedicine was significantly limited by liability and risk management issues.