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1.
Mental Health Effects of COVID-19 ; : 3-18, 2021.
Article in English | Scopus | ID: covidwho-1803286

ABSTRACT

COVID-19 has had a far-reaching impact on people around the world, and the consequences of the pandemic along with the subsequent lockdown orders have had a significant effect upon mental health and well-being. This pandemic time has been particularly challenging for those with preexisting addictions and those at moderate or high risk of developing addictions. This current chapter focuses on the impact that COVID-19 has had on the ways in which people engage with gambling, sex, and pornography, with a particular focus on how those with behavioral addictions may have been impacted. Although the research into the impacts of the pandemic on these behaviors and addictions is limited, preliminary literature suggests that significant changes in addictive behaviors have been noted around the world. © 2021 Elsevier Inc. All rights reserved.

2.
Anaesthesia ; 76(2): 225-237, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-960777

ABSTRACT

We convened a multidisciplinary Working Party on behalf of the Association of Anaesthetists to update the 2011 guidance on the peri-operative management of people with hip fracture. Importantly, these guidelines describe the core aims and principles of peri-operative management, recommending greater standardisation of anaesthetic practice as a component of multidisciplinary care. Although much of the 2011 guidance remains applicable to contemporary practice, new evidence and consensus inform the additional recommendations made in this document. Specific changes to the 2011 guidance relate to analgesia, medicolegal practice, risk assessment, bone cement implantation syndrome and regional review networks. Areas of controversy remain, and we discuss these in further detail, relating to the mode of anaesthesia, surgical delay, blood management and transfusion thresholds, echocardiography, anticoagulant and antiplatelet management and postoperative discharge destination. Finally, these guidelines provide links to supplemental online material that can be used at readers' institutions, key references and UK national guidance about the peri-operative care of people with hip and periprosthetic fractures during the COVID-19 pandemic.


Subject(s)
Case Management/standards , Hip Fractures/therapy , Anesthesia/standards , COVID-19 , Guidelines as Topic , Hip Fractures/surgery , Humans , Pandemics , Quality Improvement
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