ABSTRACT
Recently, it became more important for businesses to remain dynamic in both macro and micro environmental conditions to ensure operations are sustainable. The new sustainable business approaches and management practices that emerged during the COVID-19 era have increased business’ resilience to social, environmental, and financial problems. Sustainable business management requires knowledge about relevant research in sustainable business management, regarding both the COVID-19 era and future trends. Therefore, this study used a systematic literature review to identify future research themes related to sustainable business management in the post-COVID-19 era. Based on an analysis of current research tendencies related to the COVID-19 pandemic and sustainable business management practices, six research themes were proposed for integrated studies in manufacturing and service industries. These findings contribute to the current literature by providing a new perspective on research into sustainable business management in the post-COVID-19 era. Copyright © 2022 Inderscience Enterprises Ltd.
ABSTRACT
Background: Treatment of pulmonary embolism, which is a life-threatening clinical condition, varies according to the different clinical presentations and experiences of the healthcare centers. Pulmonary embolism response teams (PERT) might improve outcomes of pulmonary embolism with faster evaluation and increases the usage of advanced treatment methods. In this study, the effects of PERT in the treatment of pulmonary embolism were investigated. Method(s): Patients diagnosed with pulmonary embolism in our hospital between 01.03.2019 and 28.02.2022 were retrospectively analyzed. Patients, who were diagnosed with PE for the first time and over 18 years of age, were included in the study. The data of the patients was obtained from the patient files. Hospitalization rates, referral rates, treatment approaches, and early-term outcomes were evaluated. Result(s): Nine-eight patients with pulmonary embolism were evaluated by the PERT during the study period. The mean age was 62.8+16.4 years and 59% were male. Nine patients had a history of fracture twelve patients had recently had Covid-19 infection and 6 patients had a history of long-term traveling. Twenty-nine patients had a proven deep venous thrombosis.All patients with intermediate-low risk were treated medically. 59.2% of the patients were hospitalized. The rate of catheterdirected thrombolysis was 37.8% (n=37). Systemic thrombolytic therapy was performed on two patients. One patient with a metastatic brain tumor was treated with low-molecular-weight heparin. Catheter-directed procedures were performed in 37 patients. The time from diagnosis to reperfusion was 243 minutes. There was one pericardial effusion and onemortality. In the 30-day follow- up there was no re-hospitalization and mortality. Conclusion(s): Treatment of pulmonary embolism still varies according to clinical experience. PERT might help with early triage and treatment of patients with pulmonary embolism. Experienced specialists in this team might contribute to clinical recovery by performing advanced treatment methods and decreasing the risk of chronic thromboembolic pulmonary hypertension in the long term and improving the clinical outcomes by increasing quality of life.
ABSTRACT
OBJECTIVE: COVID-19 infection is known to injure myocardial tissue and increase arrhythmic events. However, data on the subject is limited in the literature. In our study, our aim was to investigate possible arrhythmic damages in COVID-19 survivors using the frontal plane QRS-T [f(QRS)-T] angle and a few other ECG parameters. PATIENTS AND METHODS: 269 patients who recovered from COVID-19 between April 2020 and January 2021 were included into the study. Pre-admission electrocardiograms and first-month outpatient clinic control ECGs of the patients were compared. RESULTS: After COVID-19, left bundle branch block (p<0.001), right bundle branch block (p<0.001), right bundle branch block (p<0.001), and atrial fibrillation (p<0.001) rates had increased. Prolongation was detected in QRS duration (p<0.001), QT interval (p=0.014), adjusted QT interval (p=0.007) and Tpe interval (p=0.012). F(QRS)-T angle (p<0.001) and fragmented QRS rate (p<0.001) were increased. CONCLUSIONS: It was observed in our study that even if patients survived COVID-19, permanent deterioration in ECG parameters may occur.