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1.
Health Expect ; 26(4): 1658-1667, 2023 Aug.
Article in English | MEDLINE | ID: covidwho-2319432

ABSTRACT

BACKGROUND: The COVID-19 pandemic brought rapid and major changes to research, and those wishing to carry out Patient and Public Involvement (PPI) activities faced challenges, such as restrictions on movement and contact, illness, bereavement and risks to potential participants. Some researchers moved PPI to online settings during this time but remote consultations raise, as well as address, a number of challenges. It is important to learn from PPI undertaken in this period as face-to-face consultation may no longer be the dominant method for PPI. METHODS: UK stay-at-home measures announced in March 2020 necessitated immediate revisions to the intended face-to-face methods of PPI consultation for the ESORT Study, which evaluated emergency surgery for patients with common acute conditions. PPI plans and methods were modified to all components being online. We describe and reflect on: initial plans and adaptation; recruitment; training and preparation; implementation, contextualisation and interpretation. Through first-hand accounts we show how the PPI processes were developed, experienced and viewed by different partners in the process. DISCUSSION AND CONCLUSIONS: While concerns have been expressed about the possible limiting effects of forgoing face-to-face contact with PPI partners, we found important benefits from the altered dynamic of the online PPI environment. There were increased opportunities for participation which might encourage the involvement of a broader demographic, and unexpected benefits in that the online platform seemed to have a 'democratising' effect on the meetings, to the benefit of the PPI processes and outcomes. Other studies may however find that their particular research context raises particular challenges for the use of online methods, especially in relation to representation and inclusion, as new barriers to participation may be raised. It is important that methodological challenges are addressed, and researchers provide detailed examples of novel methods for discussion and empirical study. PATIENT AND PUBLIC CONTRIBUTION: We report a process which involved people with lived experience of emergency conditions and members of the public. A patient member was involved in the design and implementation, and two patients with lived experience contributed to the manuscript.


Subject(s)
COVID-19 , Pandemics , Humans , Patient Participation/methods , Research Design , Research Personnel
2.
Lecture Notes in Networks and Systems ; 448:661-669, 2023.
Article in English | Scopus | ID: covidwho-2243541

ABSTRACT

Due to the tense modern rhythm of life, environmental, economic and social problems, there is an alarming trend toward an overall increase in mental illness and psychological disorders (Gusakova in Musical-therapeutic potential of elementary music-making and individual improvisation activity. I International Scientific and Practical Conference "Music and Health”. Collection of reports and s M.: National Association of Music Therapists, p. 31, 2009). Therefore, the search for new non-drug methods of psychological correction and health improvement of the population is the most urgent modern task. Recently, methods of music therapy have become more and more widespread. The author of the method has released a therapeutic disk "Gylkobyzdyn shipasy”, which includes seven compositions reproduced by the author. The novelty of this research lies in the study of psychological, physiological and ethnocultural aspects of the use of the ancient Kazakh musical instrument Kobyz for health purposes. "Kobyztherapy” is a universal, progressive method of online recovery in areas such as psychology, sociology, health care and the social sphere, especially in the current COVID-19 pandemic. © 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

3.
7th International Congress on Information and Communication Technology, ICICT 2022 ; 448:661-669, 2023.
Article in English | Scopus | ID: covidwho-2014022

ABSTRACT

Due to the tense modern rhythm of life, environmental, economic and social problems, there is an alarming trend toward an overall increase in mental illness and psychological disorders (Gusakova in Musical-therapeutic potential of elementary music-making and individual improvisation activity. I International Scientific and Practical Conference “Music and Health”. Collection of reports and s M.: National Association of Music Therapists, p. 31, 2009). Therefore, the search for new non-drug methods of psychological correction and health improvement of the population is the most urgent modern task. Recently, methods of music therapy have become more and more widespread. The author of the method has released a therapeutic disk “Gylkobyzdyn shipasy”, which includes seven compositions reproduced by the author. The novelty of this research lies in the study of psychological, physiological and ethnocultural aspects of the use of the ancient Kazakh musical instrument Kobyz for health purposes. “Kobyztherapy” is a universal, progressive method of online recovery in areas such as psychology, sociology, health care and the social sphere, especially in the current COVID-19 pandemic. © 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

4.
Psychology of Sport and Exercise ; : 102285, 2022.
Article in English | ScienceDirect | ID: covidwho-2008052

ABSTRACT

Objectives The purpose of this study was to explore the perceptions of expert practitioners and their athletes concerning effective, athlete-centered online delivery during a period of COVID-19 restrictions between March and June 2020. In particular, we explored how psychosocial behaviors of practitioners and inherent attributes of online environments influenced the overall wellbeing of the athletes. Methods Using appreciative inquiry (AI), which adopts a social constructionist viewpoint, we interviewed nine expert practitioners, which included technical and strength and conditioning coaches, physiologists, and physiotherapists, and 18 elite athletes. Results Our results highlight that when delivering sessions online, practitioners expressed psychosocial behaviors that helped build effective relationships, with expression of care and empathy developing closeness, active participation exhibiting commitment, and psychosocial behaviors such as promoting a holistic mindset supporting an athlete-centered approach. Key to these positive outcomes was the connection that practitioners developed with their athletes in these online sessions. Our results suggest that the online environment provide opportunities for practitioners and athletes to reveal part of their personalities and identities that go beyond focusing on performance due to the change in the contextual setting (i.e., restrictions called for a ‘people first’ approach). Conclusion The findings offer a novel contribution to the literature in highlighting how online environments provide the opportunity to deliver athlete-centered sessions.

5.
Diabetes Metab Syndr Obes ; 15: 1413-1422, 2022.
Article in English | MEDLINE | ID: covidwho-1951752

ABSTRACT

Background: The coronavirus disease 2019 (COVID-19) outbreak has seriously affected people's lives, especially those with chronic diseases. Diabetes self-management, which plays an important role in glycaemic control and reducing the risk of acute and long-term complications, may be discouraged by social distancing. Purpose: To evaluate the level of self-management activities in Chinese patients with type 2 diabetes mellitus (T2DM) during the COVID-19 pandemic. Patients and Methods: A survey of with 872 patients with T2DM in the inpatient and outpatient departments through face-to-face interviews was conducted from 1 July, 2020 to 30 September, 2020. The main outcome measures were glycaemic control status and level of self-management activities during the pandemic. Results: In terms of glycaemic control, the data showed that patients with fasting plasma glucose (FPG) < 7.0 mmol/L (36.4%), postprandial plasma glucose (PPG) < 10.0 mmol/L (26.3%), or glycosylated haemoglobin (HbA1c) < 7.0% (18.6%) in our investigation has well-controlled blood glucose level, and 11.9% of patients experienced blood glucose <3.9 mmol/L during the outbreak. The diabetes self-management of Chinese patients decreased and the final diabetes self-management score of the Chinese patients was 3.4 ± 1.45. Patients with higher education, diabetes education, comorbidities, and online consultations had higher diabetes self-management scores (P <0.05). Adherence to diabetes self-management in the normal glycaemic control group was higher than that in the substandard glycaemic control group (P<0.05). Among all participants, 72.1% of the patients reduced the frequency of hospital visits, and 44.8% considered that they had diabetes-related stress during the pandemic. The mean anxiety level score rated by 286 patients was 5.3±2.8. Conclusion: The COVID-19 pandemic has affected diabetes self-management, including substandard glycemic control, increased diabetes-related stress, limited exercise range and medical visits. Therefore, future interventions should focus on the online management of chronic diseases and support online consultation' development and promotion, which can overcome physical distance and provide personalized services conveniently.

6.
Array (N Y) ; 14: 100178, 2022 Jul.
Article in English | MEDLINE | ID: covidwho-1944249

ABSTRACT

The latest 5G technology is being introduced the Internet of Things (IoT) Era. The study aims to focus the 5G technology and the current healthcare challenges as well as to highlight 5G based solutions that can handle the COVID-19 issues in different arenas. This paper provides a comprehensive review of 5G technology with the integration of other digital technologies (like AI and machine learning, IoT objects, big data analytics, cloud computing, robotic technology, and other digital platforms) in emerging healthcare applications. From the literature, it is clear that the promising aspects of 5G (such as super-high speed, high throughput, low latency) have a prospect in healthcare advancement. Now healthcare is being adopted 5G-based technologies to aid improved health services, more effective medical research, enhanced quality of life, better experiences of medical professionals and patients in anywhere-anytime. This paper emphasizes the evolving roles of 5G technology for handling the epidemiological challenges. The study also discusses various technological challenges and prospective for developing 5G powered healthcare solutions. Further works will incorporate more studies on how to expand 5G-based digital society as well as to resolve the issues of safety-security-privacy and availability-accessibility-integrity in future health crises.

7.
Life (Basel) ; 12(6)2022 Jun 17.
Article in English | MEDLINE | ID: covidwho-1911451

ABSTRACT

The use of digital care visits has been increasing during the COVID-19 pandemic. Learning more about healthcare professionals' technology experiences provides valuable insight and a basis for improving digital visits. This study aimed to explore the existing literature on healthcare professionals' experience performing digital care visits. A scoping review was performed following Arksey & O'Malley's proposed framework using the Preferred Reporting Items for Systematic reviews and Meta-Analyses. The collected data were analyzed using thematic content analysis. Five main themes were identified in the literature: positive experiences/benefits, facilitators, negative experiences/challenges, barriers, and suggestions for improvement. Healthcare professionals mostly reported having an overall positive experience with digital visits and discovered benefits for themselves and the patients. However, opinions were mixed or negative regarding the complexity of decision making, workload and workflow, suitability of this type of care, and other challenges. The suggestions for improvement included training and education, improvements within the system and tools, along with support for professionals. Despite overall positive experiences and benefits for both professionals and patients, clinicians reported challenges such as physical barriers, technical issues, suitability concerns, and others. Digital care visits could not fully replace face-to-face visits.

8.
6th International Conference on Computing Methodologies and Communication, ICCMC 2022 ; : 1553-1558, 2022.
Article in English | Scopus | ID: covidwho-1840257

ABSTRACT

Mental illness is a combination of a number of emotional, physical, or behavioral problems or abnormalities that cause a person pain or disrupt his social and daily activities. Just like any other illness, it can affect people of any age and occupation. There is a treatment for mental illness like many diseases. This disease can cure if proper treatment and advice are taken in time. In Bangladesh, 18.5% of adults and about 13% of children and adolescents have some kind of mental illness. But 92% of them do not take any kind of medical service or advice. Because having a mental illness in our society means that he is insane. However, using such app technology, experienced psychologists can be consulted sitting at home. But the majority of the existing systems are a wearable device to measure mental condition or app technologies does not provide such service as a direct connection with doctors. This paper presents the building of an app that anyone who uses can receive psychiatric services from experienced psychologists sitting at home. The overall system has separate login arrangements for doctors and patients. After log in the doctors will see the patient's appointments with him and the patients will see which doctor is free when. A patient can choose the doctor of his choice and have a video consultation or chat with him but he must pay in advance and at the end of the consultation he will be given a prescription via message on his mobile phone. The whole system has been developed using 'Java' and for handling video consultation, 'Jitsi' API has been used. The system has been tested in a trial stage for some time after its development and it works as expected. If people welcome this system, they will not have to go to the hospital and stand in long lines for doctors, they will be able to receive modern and quality services sitting at home. © 2022 IEEE.

9.
1st International Conference in Information and Computing Research (ICORE) - Adapting to the New Normal - Advancing Computing Research for a Post-Pandemic Society ; : 113-118, 2021.
Article in English | Web of Science | ID: covidwho-1806925

ABSTRACT

The coronavirus disease 2019 (COVID-19) pandemic has significantly affected people's lives worldwide. Directly going to medical facilities became too risky for health, so the minor's attention was less since parents took extra precautionary measures. Thus, the proponents interviewed the client for the application, Dr. Andrea Carag of The Pediatric Clinic. She mentioned that the problems she encountered in similar applications include difficulty in signing in, unpleasant graphical user interface, and accessibility issues for different platforms. An initial survey for patients was also conducted, and reflecting on the result, factors like the minimal health services available online, minimal specialists, and inaccessible health assistance virtually will be what the proponents aim to address. Most respondents had never consulted a health professional under the new-normal setup. Nonetheless, they said they are prepared to engage in one. The remainder of respondents who had new-normal medical consultations noted that the frequent issues they experienced were poor internet connection and communications and lack of devices. Consequently, PediatriX, a mobile and web application, will provide online medical consultation from a licensed pediatrician in the Philippines. Throughout the development, the researchers used the Scrum Agile model as the project method to continue the work and result in allotted days, including planning, designing, developing, testing, releasing, and receiving feedback. Significantly, it is recommended for future researchers to incorporate a wider variety of patients to help a more significant number of individuals. They may also include additional pediatric healthcare services as its features.

10.
1st International Conference in Information and Computing Research (ICORE) - Adapting to the New Normal - Advancing Computing Research for a Post-Pandemic Society ; : 17-22, 2021.
Article in English | Web of Science | ID: covidwho-1806921

ABSTRACT

Telemedicine, a term that originated in the 1970s, which means "healing at a distance," represents the use of ICT to enhance patient outcomes by expanding access to healthcare and medical information. Telemedicine helps provide more productive and patient-focused medical services to patients who experienced physical constraints and financial problems to attain good medical assistance. The goal is to reduce the cost of medical service and the time consumed in traveling between healthcare practitioners and the patient to hospitals, clinics, or centers. Some universities in the Philippines have authorized medical center facilities. Still, most universities do not have health services they can offer to their college students. However, the medical services provided by HEI are only limited, and it is significantly different from the services offered by the medical clinics and hospitals. In due course, the researchers present a framework to enhance the university's concept of consulting virtually between the doctor and the patient through text, audio, or video consultation. The "NUCare" is a web and mobile application that can provide online consultation between doctors and patients, including the generated eprescription, laboratory referrals, announcements, and a chatbot that can answer the predefined FAQs regarding the system or COVID-19. Aside from that, the whole online consultation process can be recorded if the patient gives permission, and both doctor and patient can have access to replay it if needed. This feature will be very convenient for them because it can be accessed easily compared to the traditional physical consultation.

11.
Front Psychiatry ; 13: 855366, 2022.
Article in English | MEDLINE | ID: covidwho-1779964

ABSTRACT

Objective: This study aims to assess the prevalence and associated factors of depression, anxiety and insomnia symptoms among patients undergoing ophthalmic consultation online during the coronavirus disease 2019 (COVID-2019) pandemic. Methods: We reviewed the data of patients who received online ophthalmic consultations during the lockdown period from February to August 2020, and an online survey was conducted among them. We collected the respondents' demographic data and their attitudes toward the online consultation, assessed the depression, anxiety and insomnia symptoms and estimated associated factors by logistic regression analysis. Results: The online service provided 425 consultations during the COVID-19 lockdown period. Of these eligible subjects, 139 patients responded to an invitation to participant in the study (105/75.5% were females, and 40/28.8% were health care workers). More than half of the participants reported that they trusted and were satisfied with the online consultation (109/78.4% and 82/59%, respectively). Fifty-two (37.4%), 32 (23.0%), and 53 (38.1%) patients showed symptoms of depression, anxiety, and insomnia, respectively. Depression was found to be significantly more common in health care workers (P = 0.019) and those who were basically satisfied with online consultation (P = 0.024). Anxiety was more common among participants who had used electronics for a long time (P = 0.038). Binary logistic regression showed health care work as a risk factor for depressive symptoms (odds ratio [OR]: 2.424; 95% CI: 1.143-5.143; P = 0.021). Conclusion: Psychological distress is highly prevalent among patients who were involved in online consultation for ocular manifestations during the COVID-19 lockdown period. In the context of a major public health event, ophthalmologists should focus not only on ocular symptoms but also on the mental health of their patients, and appropriate psychological support should be given.

12.
J Med Internet Res ; 23(4): e25817, 2021 04 15.
Article in English | MEDLINE | ID: covidwho-1206244

ABSTRACT

BACKGROUND: Internet hospitals in China are in great demand due to limited and unevenly distributed health care resources, lack of family doctors, increased burdens of chronic diseases, and rapid growth of the aged population. The COVID-19 epidemic catalyzed the expansion of online health care services. In recent years, internet hospitals have been rapidly developed. Ping An Good Doctor is the largest, national online medical entry point in China and is a widely used platform providing online health care services. OBJECTIVE: This study aims to give a comprehensive description of the characteristics of the online consultations and inquisitions in Ping An Good Doctor. The analyses tried to answer the following questions: (1) What are the characteristics of the consultations in Ping An Good Doctor in terms of department and disease profiles? (2) Who uses the online health services most frequently? and (3) How is the user experience of the online consultations of Ping An Good Doctor? METHODS: A total of 35.3 million consultations and inquisitions over the course of 1 year were analyzed with respect to the distributions of departments and diseases, user profiles, and consulting behaviors. RESULTS: The geographical distribution of the usage of Ping An Good Doctor showed that Shandong (18.4%), Yunnan (15.6%), Shaanxi (7.2%), and Guangdong (5.5%) were the provinces that used it the most; they accounted for 46.6% of the total consultations and inquisitions. In terms of department distribution, we found that gynecology and obstetrics (19.2%), dermatology (17.0%), and pediatrics (14.4%) were the top three departments in Ping An Good Doctor. The disease distribution analysis showed that, except for nondisease-specific consultations, acute upper respiratory infection (AURI) (4.1%), pregnancy (2.8%), and dermatitis (2.4%) were the most frequently consulted diseases. In terms of user profiles, females (60.4%) from 19 to 35 years of age were most likely to seek consultations online, in general. The user behavior analyses showed that the peak times of day for online consultations occurred at 10 AM, 3 PM, and 9 PM. Regarding user experience, 93.0% of users gave full marks following their consultations. For some disease-related health problems, such as AURI, dermatitis, and eczema, the feedback scores were above average. CONCLUSIONS: The prevalence of internet hospitals, such as Ping An Good Doctor, illustrated the great demand for online health care services that can go beyond geographical limitations. Our analyses showed that nondisease-specific issues and moderate health problems were much more frequently consulted about than severe clinical conditions. This indicated that internet hospitals played the role of the family doctor, which helped to relieve the stress placed on offline hospitals and facilitated people's lives. In addition, good user experiences, especially regarding disease-related inquisitions, suggested that online health services can help solve health problems. With support from the government and acceptance by the public, online health care services could develop at a fast pace and greatly benefit people's daily lives.


Subject(s)
COVID-19/epidemiology , Delivery of Health Care/methods , Telemedicine/methods , Adult , China/epidemiology , Cross-Sectional Studies , Female , Humans , Male , SARS-CoV-2/isolation & purification , Surveys and Questionnaires , Young Adult
13.
Br J Gen Pract ; 71(704): e166-e177, 2021.
Article in English | MEDLINE | ID: covidwho-1073507

ABSTRACT

BACKGROUND: To reduce contagion of COVID-19, in March 2020 UK general practices implemented predominantly remote consulting via telephone, video, or online consultation platforms. AIM: To investigate the rapid implementation of remote consulting and explore impact over the initial months of the COVID-19 pandemic. DESIGN AND SETTING: Mixed-methods study in 21 general practices in Bristol, North Somerset and South Gloucestershire. METHOD: Longitudinal observational quantitative analysis compared volume and type of consultation in April to July 2020 with April to July 2019. Negative binomial models were used to identify if changes differed among different groups of patients. Qualitative data from 87 longitudinal interviews with practice staff in four rounds investigated practices' experience of the move to remote consulting, challenges faced, and solutions. A thematic analysis utilised Normalisation Process Theory. RESULTS: There was universal consensus that remote consulting was necessary. This drove a rapid change to 90% remote GP consulting (46% for nurses) by April 2020. Consultation rates reduced in April to July 2020 compared to 2019; GPs and nurses maintained a focus on older patients, shielding patients, and patients with poor mental health. Telephone consulting was sufficient for many patient problems, video consulting was used more rarely, and was less essential as lockdown eased. SMS-messaging increased more than three-fold. GPs were concerned about increased clinical risk and some had difficulties setting thresholds for seeing patients face-to-face as lockdown eased. CONCLUSION: The shift to remote consulting was successful and a focus maintained on vulnerable patients. It was driven by the imperative to reduce contagion and may have risks; post-pandemic, the model will need adjustment.


Subject(s)
COVID-19 , Communicable Disease Control/methods , Practice Patterns, Nurses'/trends , Practice Patterns, Physicians'/trends , Primary Health Care , Remote Consultation/organization & administration , Adult , Aged, 80 and over , Attitude of Health Personnel , COVID-19/epidemiology , COVID-19/prevention & control , Change Management , Disease Transmission, Infectious/prevention & control , Female , General Practitioners/statistics & numerical data , Humans , Infant, Newborn , Male , Primary Health Care/methods , Primary Health Care/organization & administration , Primary Health Care/trends , SARS-CoV-2 , United Kingdom/epidemiology
14.
Zh Nevrol Psikhiatr Im S S Korsakova ; 120(12. Vyp. 2): 32-36, 2020.
Article in Russian | MEDLINE | ID: covidwho-1033111

ABSTRACT

OBJECTIVE: The introduction of the Stroke Platform (SP) in the Belgorod Region to improve the efficiency of diagnosis and care for patients with stroke. Stroke platform is a unified information platform that unites all stages of treatment of a patient with stroke, from the first symptoms to dispensary observation by a family doctor and control of targeted provision of medicines for the secondary prevention of vascular events. MATERIAL AND METHODS: The SP includes 6 modules: the Central Archive of Medical Images or the Picture Archiving and Communication System (PACS) and connection to a single circuit of all CT devices of the regional medical institutions; Stroke register; secondary prevention register; routing bureau; statistics and analytics; COVID platform. The SP, as it develops, can be supplemented with those modules that are necessary to improve the quality and availability of patient care. More than 100 consultations of CT images are carried out monthly through the SP, the average response time is less than 10 minutes, 52 platform participants are in constant contact, all medical institutions of the region are connected. Five hundred and forty patients were consulted for 6 months of 2020. RESULTS: The share of hospitalizations in specialized departments increased to 97.6% versus 86.3%. The availability of high-tech medical care for patients with stroke has increased due to timely transfer to the district vascular center. Endovascular interventions for aneurysms and arteriovenous malformations, stenting of extracerebral arteries during dissection, mechanical thrombectomy from large arteries are performed. Mortality decreased from 19.7% (2019) to 17.6%. At the stage of outpatient follow-up, it is possible to obtain information about the range of those drugs that are prescribed to the patient for prophylaxis and are delivered to the target. CONCLUSION: The main feature of the SP is the speed and efficiency of making medical decisions, ergonomics and ease of interaction, a single workspace.


Subject(s)
COVID-19 , Stroke , Humans , Online Systems , SARS-CoV-2 , Secondary Prevention , Stroke/diagnosis , Stroke/prevention & control
15.
J Plast Reconstr Aesthet Surg ; 73(12): 2127-2135, 2020 Dec.
Article in English | MEDLINE | ID: covidwho-1023479

ABSTRACT

Coronavirus disease-2019 (COVID-19) has generated a need to rapidly increase online consulting in secondary care, an area in which it has previously been underutilised. We sought to review the guidance on conducting remote consultations and found that while there is a large amount of information about the implementation of remote consultations at an organisation level, there is a paucity of high-quality papers considering the guidelines for online consultations alongside practical advice for their implementation at the individual level. We reviewed guidelines from reputable medical sources and generated practical advice to assist practitioners to perform safe and effective video consultation. Additionally, we noted reports in the literature of a lack of transparency and resulting confusion regarding the choice of telemedicine platforms. We, therefore, sought to summarise key characteristics of a number of major telemedicine platforms. We recognised a lack of clarity regarding the legal status of performing remote consultations, and reviewed advice from medico-legal sources. Finally, we address the sources of these individual uncertainties, and give recommendations on how these might be addressed systematically, so the practitioners are well trained and competent in the use of online consultations, which will inevitably play an increasingly large role in both primary and secondary care settings in the future.


Subject(s)
COVID-19/epidemiology , Pandemics , Remote Consultation/organization & administration , Contraindications , Hospitalists , Humans , National Health Programs/organization & administration , Practice Guidelines as Topic , Remote Consultation/legislation & jurisprudence , Remote Consultation/methods , SARS-CoV-2 , United Kingdom/epidemiology
16.
J Prim Care Community Health ; 11: 2150132720975517, 2020.
Article in English | MEDLINE | ID: covidwho-937038

ABSTRACT

Coronavirus disease 2019 (COVID-19) is a newly-identified infectious diseases that has rapidly spread throughout the world with rising fatalities with declaration by World Health Organization as the pandemic. Online consultations have been shown to alleviate the pandemic with our study aims to demonstrate whether online consultation can be a solution for acute health crisis. Retrospective analysis of the characteristics of online consultations through two primary care online-consultation platforms during COVID-19 pandemic was performed at the Third Affiliated Hospital of Sun Yat-Sen University, which led the assessment of COVID-19-symptoms patients in Guangzhou. The 3473 online consultations were divided into pre-pandemic and pandemic period groups with Chi-square test as statistical analysis method. The number of online consultations has increased with diagnosis of upper respiratory tract infection, psychological conditions, COVID-19-related investigations and interventions. The increased online consultations met the increased demand of the relevant clinical services and reduced the overwhelming hospital presentations, thus decreasing the potential COVID-19 spread inside the major tertiary hospital and sparing the resources for acute crisis management. The epidemiology and disease characteristics of online consultations during the pandemic have been demonstrated with identification of the enabling factors and potential barriers in improving online healthcare in China with online consultation model being a durable solution for pandemic in future.


Subject(s)
Coronavirus Infections/therapy , Pneumonia, Viral/therapy , Remote Consultation/statistics & numerical data , Adolescent , Adult , Aged , Aged, 80 and over , COVID-19 , Child , Child, Preschool , China , Female , Humans , Male , Middle Aged , Pandemics , Primary Health Care/statistics & numerical data , Retrospective Studies , Tertiary Care Centers , Young Adult
17.
Int J Paediatr Dent ; 31(1): 5-11, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-780908

ABSTRACT

BACKGROUND: The COVID-19 pandemic posed a great challenge to paediatric dentistry, which confronted with the restriction of service and resource shortage. AIM: To retrospectively analyse the information of children's dental online health consultation during the COVID-19 pandemic in China, and to provide methods to distinguish between dental emergencies and non-emergencies as well as their management. DESIGN: We collected all the online consultation information in Dept. of Paediatric dentistry, School & Hospital of Stomatology, Wuhan University, from 2 February to 31 March 2020, and extracted the information of age, gender, reason for consultation, description of symptom, and preliminary diagnosis of the children. RESULTS: A total of 474 online consultations of paediatric dentistry were included within 59 days during lockdown, and 190 (40.1%) were dental emergencies and 284 (59.9%) non-emergencies. Of 190 emergency consultations, 186 (97.9%) showed swelling, pain, and trauma with or without systemic symptoms. Among 284 non-emergency consultations, retained primary teeth (n = 126) and orthodontic consultation (n = 53) were the most common reasons for consultation. CONCLUSION: The paediatric emergency and non-emergency problems should be clearly distinguished and sufficient instructions provided in the special period of COVID-19. Priorities also should be set to deal with urgent conditions after the release of lockdown.


Subject(s)
COVID-19 , Child , China/epidemiology , Humans , Pandemics , Pediatric Dentistry , Referral and Consultation , Retrospective Studies , SARS-CoV-2
18.
Cardiol J ; 27(5): 616-624, 2020.
Article in English | MEDLINE | ID: covidwho-713714

ABSTRACT

Coronavirus disease 2019 (COVID-19) is rapidly spreading globally. As of October 3, 2020, the number of confirmed cases has been nearly 34 million with more than 1 million fatalities. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is accountable for COVID-19. Newly diagnosed and worsening cardiovascular disease are common complications in COVID-19 patients, including acute cardiac injury, hypertension, arrhythmia, myocardial infarction, heart failure and sudden cardiac arrest. The mechanisms contributing to cardiac disease burden include hypoxemia, inflammatory factor storm, dysfunctional angiotensin converting enzyme 2 (ACE2), and drug-induced cardiac toxicity. Notably, the macrophages expressing ACE2 as direct host cells of SARS-CoV-2 secrete chemokine and inflammatory cytokines, as well as a decrease in cellular immune responses to SARS-CoV-2 infection due to elevated exhaustion levels and dysfunctional diversity of T cells, that may be accountable for the "hyperinflammation and cytokine storm syndrome" and subsequently acute cardiac injury and deteriorating cardiovascular disease in COVID-19 patients. However, no targeted medication or vaccines for COVID-19 are yet available. The management of cardiovascular disease in patients with COVID-19 include general supportive treatment, circulatory support, other symptomatic treatment, psychological assistance as well as online consultation. Further work should be concentrated on better understanding the pathogenesis of COVID-19 and accelerating the development of drugs and vaccines to reduce the cardiac disease burden and promote the management of COVID-19 patients, especially those with a severe disease course and cardiovascular complications.


Subject(s)
Betacoronavirus , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/therapy , Coronavirus Infections/complications , Coronavirus Infections/therapy , Pneumonia, Viral/complications , Pneumonia, Viral/therapy , COVID-19 , Cardiovascular Diseases/diagnosis , Coronavirus Infections/mortality , Humans , Pandemics , Pneumonia, Viral/mortality , SARS-CoV-2 , Survival Rate
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