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1.
Sustainability ; 14(15):9481, 2022.
Article in English | MDPI | ID: covidwho-1969469

ABSTRACT

In response to COVID-19, most countries implemented mitigative and suppressive measures to stem its spread. This study analysed their impacts on the operations, investments, and policies within the electricity supply industry (ESI) for the United Kingdom, Malawi, and Uganda. It further assessed ESI's resilience capacities (prevention, absorption, adaptation, recovery, and transformation) and ultimately quantified resilience using SDG 7 targets. The study observed that in 2020, the UK had 143 days of lockdowns compared to 74 for Uganda and none for Malawi. The UK's annual demand fell by 4.8% while Uganda and Malawi's increased by 0.5% and 2.8%, respectively. During lockdowns, the UK lost 28% of its demand compared to 5.5% for Malawi and 24% for Uganda. It took the UK 8 months to recover its demand, which was correspondingly twice and four times longer than Uganda and Malawi. The degeneration in the level of system operations in the UK did not significantly affect electricity access and reliability contrary to Uganda and Malawi, whose impacts on their development commitments could span for years. This study underscores the necessity of evaluating resilience with respect to local development commitments. Moreover, several measures were proposed to enhance resilience mainly through actions meant to ensure business continuity.

2.
Neuromodulation ; 24(2): 337-342, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-1599565

ABSTRACT

OBJECTIVE: To explore the utility of deep brain stimulation (DBS) telemedicine in the management of patients with movement disorders from January 2019 to March 2020, covering the main period of the COVID-19 outbreak in China. MATERIALS AND METHODS: We obtained data from 40 hospitals around China that employed DBS tele-programming for their outpatients with Parkinson's disease or dystonia from January 2019 to March 2020. Data were obtained on the number and nature of patients' DBS health care service requests, reasons for their requests, the number of DBS telemedicine sessions subsequently completed, safety issues, and the patients' satisfaction with the DBS tele-programing parameter adjustments made. RESULTS: There were 909 DBS tele-programming health service requests (from 196 patients) completed during the study period. The results showed: 1) the number of DBS telemedicine sessions requested and the number of patients examined increased during the COVID-19 outbreak in February and March 2020 when compared with the monthly numbers in 2019; 2) the most common reason for the patients' health service requests was poor symptom control; 3) the most common DBS tele-programming adjustment made was voltage change; 4) overall, most (89%) DBS tele-programming adjustment sessions were experienced by the patients as satisfactory; and 5) significant adverse events and unexpected treatment interruptions caused by connection failure or other hardware- or software-related problems did not occur. CONCLUSIONS: DBS telemedicine could have a unique role to play in maintaining the delivery of DBS treatment and medical care to outpatients with movement disorders during the COVID-19 pandemic.


Subject(s)
COVID-19 , Deep Brain Stimulation/methods , Movement Disorders/therapy , Pandemics , Telemedicine/methods , Adult , Aged , Ambulatory Care , China , Deep Brain Stimulation/adverse effects , Deep Brain Stimulation/statistics & numerical data , Female , Humans , Male , Middle Aged , Patient Satisfaction , Telemedicine/statistics & numerical data
3.
Front Hum Neurosci ; 15: 628105, 2021.
Article in English | MEDLINE | ID: covidwho-1167351

ABSTRACT

BACKGROUND: Public health guidelines have recommended that elective medical procedures, including deep brain stimulation (DBS) surgery for Parkinson's disease (PD), should not be scheduled during the coronavirus (COVID-19) pandemic to prevent further virus spread and overload on health care systems. However, delaying DBS surgery for PD may not be in the best interest of individual patients and is not called for in regions where virus spread is under control and inpatient facilities are not overloaded. METHODS: We administered a newly developed phone questionnaire to 20 consecutive patients with PD who received DBS surgery in Ruijin Hospital in Shanghai during the COVID-19 pandemic. The questionnaire was designed to gather the patients' experiences and perceptions on the impact of COVID-19 on their everyday activities and access to medical care. RESULTS: Most of the patients felt confident about the preventive measures taken by the government and hospitals, and they have changed their daily living activities accordingly. Moreover, a large majority of patients felt confident obtaining access to regular and COVID-19-related health care services if needed. Routine clinical referral, sense of security in the hospital during the outbreak, and poor control of PD symptoms were the three main reasons given by patients for seeking DBS surgery during the COVID-19 pandemic. CONCLUSION: The COVID-19 pandemic has considerably impacted medical care and patients' lives but elective procedures, such as DBS surgery for PD, do not need to be rescheduled when the health care system is not overloaded and adequate public health regulations are in place.

4.
Neurosurg Focus ; 49(6): E11, 2020 12.
Article in English | MEDLINE | ID: covidwho-953947

ABSTRACT

OBJECTIVE: The ongoing coronavirus disease 2019 (COVID-19) pandemic has considerably affected the delivery of postoperative care to patients who have undergone deep brain stimulation (DBS) surgery. DBS teleprogramming technology was developed and deployed in China before the COVID-19 outbreak. In this report, the authors share their experiences with telemedical DBS treatment of patients with psychiatric disorders during the COVID-19 outbreak. METHODS: Four patients (2 with obsessive-compulsive disorder, 1 with major depressive disorder, and 1 with anorexia nervosa) underwent DBS surgery at Ruijin Hospital and received continuous postoperative DBS telemedicine case management from January 2020 to July 2020. DBS teleprogramming, individualized psychological support, and medical consultations were provided via the authors' DBS telemedicine platform, which also incorporated a synchronous real-time video communication system. RESULTS: Forty-five DBS telemedicine sessions were conducted; there was no unexpected loss of network connection during the sessions. Of these, 28 sessions involved DBS teleprogramming. Adjustments were made to the stimulation voltage, frequency, pulse width, and contact site in 21, 12, 9, and 9 sessions, respectively. Psychological support and troubleshooting were provided during the remaining telemedicine sessions. Modest to substantial clinical improvements after DBS surgery were observed in some but not all patients, whereas stimulation-related side effects were reported by 2 patients and included reversible sleep and mood problems, headache, and a sensation of heat. CONCLUSIONS: DBS telemedicine seems to offer a feasible, safe, and efficient strategy for maintaining the delivery of medical care to psychiatric patients during the COVID-19 outbreak. The authors propose that implementation of a comprehensive DBS telemedicine system, which combines DBS teleprogramming with psychological counseling, medical consultations, and medication prescriptions and delivery, could be an efficient and effective approach to manage the mental health and quality of life of patients with psychiatric disorders during future local or global public health crises.


Subject(s)
Anorexia Nervosa/surgery , COVID-19/epidemiology , Deep Brain Stimulation/methods , Depressive Disorder, Major/surgery , Obsessive-Compulsive Disorder/surgery , Telemedicine/methods , Anorexia Nervosa/diagnosis , Anorexia Nervosa/psychology , Deep Brain Stimulation/standards , Depressive Disorder, Major/diagnosis , Depressive Disorder, Major/psychology , Follow-Up Studies , Humans , Mental Disorders , Obsessive-Compulsive Disorder/diagnosis , Obsessive-Compulsive Disorder/psychology , Retrospective Studies , Telemedicine/standards , Treatment Outcome
5.
J Cancer Res Ther ; 16(2): 350-355, 2020.
Article in English | MEDLINE | ID: covidwho-455553

ABSTRACT

The coronavirus disease 2019 (COVID-19) has become a global pandemic since its outbreak in December 2019, which posed a threat to the safety and well-being of people on a global scale. Cancer patients are at high risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, and their critical morbidity and case fatality rates are high. The ablation expert committee of the Chinese Society of Clinical Oncology compiled corresponding expert recommendations. These recommendations summarize the preventive measures and management of tumor ablation treatment in medical institutions, including outpatient clinics, oncology wards, ablation operation room, and postablation follow-ups in accordance with the guidelines and protocols imposed by the National Health Commission of the People's Republic of China and the experience in management and prevention according to various hospitals. This consensus aims to reduce and prevent the spread of SARS-CoV-2 and its cross-infection between cancer patients in hospitals and provide regulatory advice and guidelines for medical personnel.


Subject(s)
Betacoronavirus , Catheter Ablation/adverse effects , Catheter-Related Infections/prevention & control , Coronavirus Infections/prevention & control , Disease Outbreaks , Neoplasms/surgery , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Practice Guidelines as Topic/standards , COVID-19 , Catheter-Related Infections/virology , China/epidemiology , Congresses as Topic , Coronavirus Infections/complications , Coronavirus Infections/epidemiology , Coronavirus Infections/virology , Humans , Neoplasms/pathology , Neoplasms/virology , Pneumonia, Viral/complications , Pneumonia, Viral/epidemiology , Pneumonia, Viral/virology , SARS-CoV-2
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