Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 9 de 9
Filter
1.
Cancer Nursing Practice ; 19(4):18-21, 2020.
Article in English | ProQuest Central | ID: covidwho-2056274

ABSTRACT

The restrictions imposed by coronavirus meant limits on the chance to exercise outdoors. But being active remains important before, during and after cancer treatment, and international experts have called for ‘exercise prescriptions’ to cope with side effects of treatment and lower the risk of some cancers returning.

2.
The Journal of Headache and Pain ; 23(1), 2022.
Article in English | ProQuest Central | ID: covidwho-2038632

ABSTRACT

Headache is among the most frequent symptoms persisting or newly developing after coronavirus disease 2019 (COVID-19) as part of the so-called long COVID syndrome. The knowledge on long COVID headache is still limited, however growing evidence is defining the features of this novel condition, in particular regarding clinical characteristics, some pathophysiological mechanisms and first treatment recommendations. Long COVID headache can present in the form of worsening of a preexisting primary headache, or, more specifically, in the form of a new (intermittent or daily) headache starting during the acute infection or after a delay. It often presents together with other long COVID symptoms, most frequently with hyposmia. It can manifest with a migrainous or, more frequently, with a tension-type-like phenotype. Persistent activation of the immune system and trigeminovascular activation are thought to play a role. As there are virtually no treatment studies, treatment currently is largely guided by the existing guidelines for primary headaches with the corresponding phenotype. The present report, a collaborative work of the international group of the Junior Editorial Board of The Journal of Headache and Pain aims to summarize the most recent evidence about long COVID headache and suggests approaches to the diagnosis and treatment of this disorder.

3.
Gut ; 71(Suppl 2):A128, 2022.
Article in English | ProQuest Central | ID: covidwho-2020129

ABSTRACT

BackgroundThis worldwide new COVID-19 pandemic has a great impact on our gastrointestinal oncology clinical practice, many restrictions for elective and emergency management, especially on GI cancer already been applied in every referred hospital. Current guidelines suggest postponing elective surgery for those cases. But in some instances, we must perform surgery for some reasons, including untreatable pain or impending obstruction. Enhanced recovery after surgery might have an important role in increasing the favorable outcome for these patients.MethodsThis prospective study was done for the last 4 months from March 2020. All resectable GI cancer patients have been included in this study, ERAS protocols have been applicated for perioperative management. The main outcome was the length of stay, readmission rate, post-operative complications and in hospital mortality. Prior neoadjuvant chemotherapy will be excluded from this study.ResultsDuring the last 4 months, we reported 45 cases of resectable GI cancer, 28 cases needed emergency surgery and the others had an elective resection. ERAS protocols have been applied during this pandemic. Right colectomy, Anterior resection and Low Anterior resection with primary anastomosis were the most common surgeries performed. The other procedures were retroperitoneal tumor resection. The main length of stay was 4.5 days, and no leak anastomosis was reported. 1 patient has not survived the prolonged sepsis condition from the closed-loop obstruction of rectal cancer.ConclusionsERAS protocol for GI cancer during the COVID-19 pandemic was safe, and feasible, and it would reduce the length of stay and be applicable for this prolonged pandemic.

4.
BMJ Leader ; 2022.
Article in English | ProQuest Central | ID: covidwho-1909803

ABSTRACT

BackgroundThe COVID-19 pandemic has posed the greatest operational challenge to the English National Health Service since its inception. Elective surgical services have struggled due to the need to protect both staff and patients from viral exposure, and perioperative COVID-19 infection has been associated with significant excess mortality.InterventionsIn this brief report, we describe how through necessity, it has provided an opportunity to redesign services for the benefit of both patients and organisations, with attendant improvement in activity compared with prepandemic metrics. We present the experience of a large district general hospital, using the department of colorectal surgery as a case study, in responding to the pandemic by restoring services and achieving improved short-term outcomes and processes in newly redesignated facilities.ConclusionsThese reorganised surgical services represent a ‘silver lining’ of the pandemic. Clinician-led service restructuring, with positive engagement with staff at all levels, has not only addressed backlogs of urgent elective patients in a safe environment, but has also led to patient benefits and high levels of patient and staff satisfaction.

5.
BMJ Open ; 11(7), 2021.
Article in English | ProQuest Central | ID: covidwho-1843093

ABSTRACT

ObjectiveTo test if patients recovering from COVID-19 are at increased risk of mental morbidities and to what extent such risk is exacerbated by illness severity.DesignPopulation-based cross-sectional study.SettingIceland.ParticipantsA total of 22 861 individuals were recruited through invitations to existing nationwide cohorts and a social media campaign from 24 April to 22 July 2020, of which 373 were patients recovering from COVID-19.Main outcome measuresSymptoms of depression (Patient Health Questionnaire), anxiety (General Anxiety Disorder Scale) and posttraumatic stress disorder (PTSD;modified Primary Care PTSD Screen for DSM-5) above screening thresholds. Adjusting for multiple covariates and comorbidities, multivariable Poisson regression was used to assess the association between COVID-19 severity and mental morbidities.ResultsCompared with individuals without a diagnosis of COVID-19, patients recovering from COVID-19 had increased risk of depression (22.1% vs 16.2%;adjusted relative risk (aRR) 1.48, 95% CI 1.20 to 1.82) and PTSD (19.5% vs 15.6%;aRR 1.38, 95% CI 1.09 to 1.75) but not anxiety (13.1% vs 11.3%;aRR 1.24, 95% CI 0.93 to 1.64). Elevated relative risks were limited to patients recovering from COVID-19 that were 40 years or older and were particularly high among individuals with university education. Among patients recovering from COVID-19, symptoms of depression were particularly common among those in the highest, compared with the lowest tertile of influenza-like symptom burden (47.1% vs 5.8%;aRR 6.42, 95% CI 2.77 to 14.87), among patients confined to bed for 7 days or longer compared with those never confined to bed (33.3% vs 10.9%;aRR 3.67, 95% CI 1.97 to 6.86) and among patients hospitalised for COVID-19 compared with those never admitted to hospital (48.1% vs 19.9%;aRR 2.72, 95% CI 1.67 to 4.44).ConclusionsSevere disease course is associated with increased risk of depression and PTSD among patients recovering from COVID-19.

6.
Nursing Standard ; 36(8):8-10, 2021.
Article in English | ProQuest Central | ID: covidwho-1835703

ABSTRACT

Three times a week, Salli Pilcher drives from her home in a northern corner of the Lake District, pulls on a wetsuit and takes the plunge in one of the deepest – and coldest – lakes in England.

7.
Religions ; 13(2):123, 2022.
Article in English | ProQuest Central | ID: covidwho-1715624

ABSTRACT

Psychosocial stress, tension, and depression are quite common in many parts of the developed world. Integrative medicine techniques which may potentially increase spiritual and emotional well-being may be useful in combating chronic psychosocial stress, as well as challenges with depression and excessive tension. The present observational study examines the effect of singing-bowl sound healing on emotional and spiritual well-being and particularly examines interrelationships between changes in spiritual well-being with changes in tension and depressed mood post-sound healing. Participants experienced a sound healing environment of vibrational musical instruments such as singing bowls (bell-like instruments), gongs, and other vibrational instruments. Sixty-two participants were examined in an observational study using singing-bowl sound healing. Emotional and spiritual well-being were examined by utilizing standardized questionnaires. Results revealed significant correlations between improvements in scores of spiritual well-being and reductions in scores of tension and depression post-sound healing. Moreover, effects varied by age of the study participants. Specifically, the association between spiritual well-being improvement and depression improvement was strongest for ages 31–40, while spiritual well-being improvement and tension improvement associations were strongest for ages 51–60. Implications for applying sound healing meditations as a potential low-cost, low-technology therapeutic technique are discussed for emotional and spiritual well-being.

8.
Contexto ; 55:17-31, 2021.
Article in Spanish | ProQuest Central | ID: covidwho-1698968

ABSTRACT

El presente artículo expone un breve análisis de los efectos económicos y en el comercio exterior que han tenido las regulaciones y políticas implementadas a nivel mundial para enfrentar y contener la pandemia de la covid-19, incluyendo: i) restricciones sobre las exportaciones de insumos médicos y de protección personal y facilitación de las importaciones, ii) limitaciones a la movilidad y cierres de fronteras y iii) los efectos de la incertidumbre generada por la emergencia sanitaria en la inversión extranjera directa. Adicionalmente, se propone que una de las consecuencias a largo plazo que dejará la covid-19 será el aumento generalizado de medidas proteccionistas a través de mecanismos de defensa comercial y barreras arancelarias y no arancelarias. Lo anterior en respuesta a las políticas de recuperación económica que implementen los países. Particularmente, China cuenta con un plan de reactivación de exportaciones tan agresivo que tiene el potencial de desencadenar una ola de medidas de defensa comercial en el mundo para contener su expansión en los mercados internacionales. La historia del desarrollo del comercio exterior muestra cómo el aumento en las medidas de defensa comercial ha sido una respuesta normal del mundo ante las graves crisis financieras que se han presentado. En el presente caso, ya se muestran algunos indicios de aumento del proteccionismo en algunos países, especialmente en la industria siderúrgica. Por ende, es probable que, en un contexto de recuperación de la economía mundial por la covid-19, los países continúen adoptando medidas para proteger la sostenibilidad de sus industrias nacionales.Alternate :The following article presents a brief analysis of the effects on the economy and international trade of the rules and policies implemented in the world to face and contain the covid-19 pandemic, including: i) export restrictions on medical supplies and personal protective equipment, as well as import facilitation measures;ii) travel limitations and border closures;and iii) the effects of the uncertainty generated by the sanitary emergency on foreign direct investment. In addition, the paper proposes that one of the long-term consequences of covid-19 will be a generalized increase in protectionist policies through trade remedies and tariff and non-tariff barriers, in response to the economic recovery measures implemented in each country. Particularly, China has such an aggressive exports recovery plan, that it will potentially trigger a wave of trade remedies across the globe, to contain its expansion on foreign markets. The history of international trade development demonstrates that an increase in trade remedies, has been a usual response in the world, after deep financial crisis. In this case, early signs of the increase in protectionism are already appearing in some countries, especially in the steel industry. Thus, it is probable that, in the context of a global economic recovery, countries continue to adopt measures to protect the sustainability of their national industries.

9.
Advances in Data Science and Adaptive Analysis ; 13(2), 2021.
Article in English | ProQuest Central | ID: covidwho-1574181

ABSTRACT

The novel coronavirus COVID-19 (SARS-CoV-2) with the first clinical case emerged in the city of Wuhan in China in December 2019. Then it has spread to the entire world in very short time and turned into a global problem, namely, it has rapidly become a pandemic. Within this context, many studies have attempted to predict the consequences of the pandemic in certain countries. Nevertheless, these studies have focused on some parameters such as reproductive number, recovery rate and mortality rate when performing forecasting.This study aims to forecast COVID-19 data in Turkey with use of a new technique which is a combination of classical exponential smoothing and moving average. There is no need for reproductive number, recovery rate and mortality rate computation in this proposed technique.Simulations are carried out for the number of daily cases, active cases (those are cases with no symptoms), daily tests, recovering patients, patients in the intensive care unit, daily intubated patients, and deaths forecasting and results are tested on Mean Absolute Percentage Error (MAPE) criterion.It is shown that this technique captured the system dynamic behavior in Turkey and made exact predictions with the use of real time dataset.

SELECTION OF CITATIONS
SEARCH DETAIL