Emotional states of athletes in the first lockdown due to Covid-19: A comparison of Polish and Spanish samples

Background: The situation of the coronavirus pandemic has affected the lives of many athletes from different disciplines. Therefore, the present study investigated the impact of Covid-19 first lockdown on emotional states and motivation of athletes from Spain and Poland. Material and methods: Polish male (N=24) and female (N=94) and Spanish male (N=81) female (N=95) athletes were investigated. The respondents did online ad hoc questionnaires, namely Emotional and Adaptative reactions during confinement (COVID-19-RECOVID-19), and Profile of Mood States (POMS). Results: Significant differences were observed in training conditions by country, with the Polish sample having higher scores than Spaniards. Stressing thoughts characterized Polish female athletes significantly more than others;Spanish athletes, both females and males were characterized by the highest agreement to confinement rules. Females, relative to males, had a higher level of fatigue. Moreover, significant differences by country appeared in anger, vigor, friendship, tension, and depressed feelings. Polish female athletes were characterized by the highest scores apart from friendship, which was similarly high among Polish athletes. Conclusions: Monitoring the mental conditions of sports professionals and designing psychological interventions that would match athletes' personal needs seems crucial to similar, tremendously complex, and socially isolating situations, such as lockdown due to Covid-19.

Lessons Learned: Patient Communication During the Pandemic.

A series of mortalities among musculoskeletal tumour patients secondary to medical illnesses during the first few months of the pandemic highlighted the need to review our methods of communication with patients. Prominent among patients' concerns had been a fear of consulting at hospitals and a lack of ready access to health care. Recommendations are made for proactive consultation and patient education, identifying at-risk patients for follow-up and probing for possible co-morbidities. Telemedicine use is encouraged bearing in mind its inherent limitations. A network of physicians and pharmaceutical representatives is an added help we can offer our patients who may be isolated by community quarantine.

Treatment of osteosarcoma patients in the Philippine general hospital during the COVID-19 outbreak

Objectives. The ongoing Coronavirus disease 2019 (COVID-19) pandemic has disrupted healthcare systems worldwide. This study aimed to document the effect of COVID-19 on osteosarcoma treatment pathways in the Philippine General Hospital (PGH) and determine if there were any delays. Method. A retrospective review of osteosarcoma patients treated at the PGH from January 1, 2019 – January 1, 2020 (pre-COVID-19) was compared to those treated during the COVID-19 pandemic from March 1, 2020 – September 1, 2020. Rates of diagnosed osteosarcoma, admission for chemotherapy, admission for surgery, treatment abandonment, metastatic disease on presentation, 1-year mortality, and amputation were calculated and compared between the two groups. Results. From March to September 2020, 11 newly diagnosed osteosarcoma patients sought consult at the PGH. Only one patient sought consult during the initial 3-4 months of the study, suggesting that patients delayed seeking healthcare during the period of enhanced community quarantine. Patients seen during the pandemic had a higher rate of metastatic disease on presentation, reflecting the delay in diagnosis. Due to COVID-19 restrictions early in the pandemic, osteosarcoma patients were coordinated and referred to outside hospitals for intravenous chemotherapy and surgery. Normalization of services (hospital admissions, limb salvage surgeries) were seen at the later stages of the study, corresponding to the loosening of the quarantine. Conclusions. Osteosarcoma patients experienced delays in seeking consult, diagnosis, and treatment at the PGH due to the COVID-19 pandemic. Early indicators suggest worse outcomes for these patients due to the delays. Strategies employed during the pandemic, such as networking of care and telemedicine, may help in future outbreaks. © 2021 University of the Philippines Manila. All rights reserved.