Emergencies in dental surgery during the COVID-19 pandemic

Introduction: Patients' negligence and difficult access to healthcare have an impact on the worsening of emergency conditions, which require immediate treatment due to the possibility of exacerbation in a short period of time. Untreated intra- and extraoral abscesses can have serious consequences on the patient's health and in many cases are life-threatening conditions increasing risk of respiratory obstruction, thrombophlebitis, meningitis, mediastinitis and septicemia. Background: The aim of this study is to investigate the impact of the pandemic and the resulting impediments to accessing medical care on the incidence and type of emergencies in the Oral Surgery Department. Material and methods: This was a retrospective study of 85375 patients aged 2 months to 90 years old with diagnosed intra- and extraoral abscesses before COVID-19 pandemic (2018,2019), and during pandemic (2020, 2021) in the Department of Oral Surgery of the Medical University in Lublin. The obtained results were statistically analyzed with the use of a computer program. Conclusions: The fewest patients were admitted in 2020, and the most in 2021, where we can already see the effects of the pandemic. Emergencies occurred most frequently in people aged 21-30, then 31-40. In 365 cases, tooth extraction was performed, and only in 28 cases, root canal treatment was attempted. Conclusions. Oral health service provision has been significantly affected by COVID-19. Patients came to their appointments too late, which in most cases resulted in the necessity of tooth extraction without attempting root canal treatment.

COVID-19 vaccination and governance in the case of low, middle and high-income countries.

BACKGROUND: Global crises, regardless of the place where they started to spread or of the factors that triggered them, require a comprehensive approach, primarily based on good communication, cooperation and mutual support. No individual and no institution should remain indifferent to crises but, on the contrary, be fully aware that any involvement in curbing them matters. Although humanity can be affected by various types of crises, in this paper we refer to the one related to COVID-19 pandemic. There are certain reasons that come to justify our choice: first of all, being a shock with a strong impact on people, its analysis should be performed from several angles; this may bring to light an image with its disparate propagation and measures to counteract it both in developed countries, and especially in those with a shortage of resources. Secondly, in the context of the emergence of vaccines against COVID-19, it is helpful to have an overview of COVID-19 through the lens of the relationship between the vaccination process and the elements that characterize governance, with a differentiated dashboard by country categories worldwide: low, middle and high-income countries. Our study is far from capturing the complexity arising from such social problem, but rather aims to outline the defining role of governance when it comes to providing firm reactions to the COVID-19 crisis. METHODS: Given that our sample consists of a large number of countries, namely 170, first, examined all together, and then, split into three groups (high, middle and low-income), it is challenging to address governance in association with COVID-19 vaccination, in order to see how much they interact and how each of the six aggregate governance indicators of the World Bank (Worldwide Governance Indicators) is reflected in this process. Even if they do not oscillate strongly over relatively short periods of time, reporting on health issues requires a sequential inventory, considering closer time intervals, so as to be able to act promptly. Thus, to better distinguish how the COVID-19 vaccination process evolved in low, middle and high-income countries, but also how it was imprinted by governance, we present the situation quarterly (March, June, September and December), in 2021, the year when the immunization campaigns were the most intense at the global level. Regarding the applied methods, we mention both OLS regressions with robust estimators and a panel model, used to investigate the determinants of COVID-19 vaccination, some of them describing the good governance, as well as other dimensions. RESULTS: The findings point out that the influence of governance on COVID-19 vaccination differs depending on whether a country belongs to high, middle or low-income typology: the strongest determinism of governance on vaccination is encountered in high-income countries, and the weakest in low-income ones; in some cases, governance does not matter significantly. However, exploring the three groups of states included in the research, it is observed that the most relevant factors in this relationship are government effectiveness, regulatory quality and control of corruption. CONCLUSIONS: Besides the order of importance of governance indicators on COVID-19 vaccination, our study indicates that, overall, governance positively shapes the vaccination rate at the level of the chosen sample. In normative terms, these findings can be translated particularly by the fact that they can serve as information to raise awareness on the relevance of the existence of an institutional framework that allows the formulation of strategies according to the patterns of each country, especially since the actionable tools depend on the available resources. As a general conclusion, public policies should be designed in such a way as to strengthen trust in vaccination regulations and in governments, to reduce the multifaceted negative effects of this health crisis and to hope for its total end.

Attitudes of psychiatrists toward telepsychiatry: A policy Delphi study.

Objectives: To delineate areas of consensus and disagreements among practicing psychiatrists from various levels of clinical experience, hierarchy and organizations, and to test their ability to converge toward agreement, which will enable better integration of telepsychiatry into mental health services. Methods: To study attitudes of Israeli public health psychiatrists, we utilized a policy Delphi method, during the early stages of the COVID pandemic. In-depth interviews were conducted and analyzed, and a questionnaire was generated. The questionnaire was disseminated amongst 49 psychiatrists, in two succeeding rounds, and areas of consensus and controversies were identified. Results: Psychiatrists showed an overall consensus regarding issues of economic and temporal advantages of telepsychiatry. However, the quality of diagnosis and treatment and the prospect of expanding the usage of telepsychiatry to normal circumstances-beyond situations of pandemic or emergency were disputed. Nonetheless, efficiency and willingness scales slightly improved during the 2nd round of the Delphi process. Prior experience with telepsychiatry had a strong impact on the attitude of psychiatrists, and those who were familiar with this practice were more favorable toward its usage in their clinic. Conclusions: We have delineated experience as a major impact on the attitudes toward telepsychiatry and the willingness for its assimilation in clinical practice as a legitimate and trustworthy method. We have also observed that the organizational affiliation significantly affected psychiatrists' attitude, when those working at local clinics were more positive toward telepsychiatry compared with employees of governmental institutions. This might be related to experience and differences in organizational environment. Taken together, we recommend to include hands-on training of telepsychiatry in medical education curriculum during residency, as well as refresher exercises for attending practitioners.

Impacts of the COVID-19 pandemic on the tourism industry in Quebec. An analysis focused on outdoor organizations

This study was conducted with the aim of empirically analyzing the impacts of the pandemic of the Covid-19 on the Quebec tourism industry, with a particular focus on the outdoor sector, given that the latter seems to have been a form of escape in several countries and for many citizens. Based on a quantitative approach and a self-administered survey in the summer of 2020 (n = 1210), this study made it possible to analyze the organizational situation of this industry, the tourism performance of the organizations surveyed, their human resources concerns, their short- and medium-term development prospects, as well as the structural and organizational elements where the organizations are the most vulnerable. Overall, it can be seen that the outdoor sector, thanks to its 40 intrinsic characteristics, stands out very positively in this industry, in particular in contrast to organizations located in large urban centers that depend on clients from outside Quebec.

Consumers' fear regarding food security in Slovenia during the first wave of COVID-19 crisis

The various crises are having a significant impact on the entire food sector and are changing the attitudes of Europeans as well as policies on the importance of food security and sustainably produced quality and safe food for consumer health. The paper focuses on the consumer's fear of food security for the time of the first wave of COVID-19 and the associated concern for food security in the future and the changes in consumer behaviour. The online survey in Slovenia was conducted in June 2020 using a "snowball" method. The sample included 490 individuals. The results showed that both measured forms of fear (i) fear over food security during the first wave of COVID-19 crisis, and (ii) fear over food security in the future were statistically significant, moderately strong and positively associated with almost all forms of self-perceived behaviour change caused by the COVID-19 crisis. The respondents focused more on buying locally produced and processed food, food stockpiling and decreasing food waste. Only minor changes were expressed with regards to their food purchasing channels, with the elderly, the highly educated and those who classified themselves in a higher social class buying more often directly from farmers. In the future, the results of this research should be compared with other countries and the impact of an individual's economic situation and the impact of promotional campaigns on agricultural products on changing consumer behaviour should also be analysed in more detail.

Prioritising climate change actions post COVID-19 amongst university students, a Q methodology perspective in the United Arab Emirates

The COVID-19 pandemic caused strict regulations to lower transmission rates. Industries were shut down, people were in lockdown, and travel was curtailed. Restrictions were in effect for an enough period for people's behaviour to change. For example, online meetings rather than needing to travel. This opens the possibility for alterations to the perception that it is possible to commit to effective climate change actions. A Q methodology study was conducted to analyse how 33 university environmental students across the United Arab Emirates perceive the importance of prioritising climate change actions post-pandemic. Statistical analysis yielded four discourses. The first emphasises the need to learn lessons about climate sustainability and sustain them post-pandemic. The second, more pessimistic but advocates preventing a return to pre-pandemic norms by implementing post-pandemic climate change regulations. The third expects economic recovery to take priority over reducing emissions. The fourth raises opportunities and challenges for environmental sustainability post-COVID-19.

Stakeholders' attitudes towards tools for sustainable tourism in historical cities

Urban space is often the cause of disputes. The underlying causes of these disputes are conflicting interests, attitudes and needs regarding the way it is used. Among the various functions performed by cities, tourism activities have been distinguished as the foremost in the cities of historical value. Mass tourism has developed in the last decade and its excessive flow of tourists has in turn led to overtourism which as described in literature is a negative phenomenon. The causes of conflicts related to the development of tourism and their scale are very diverse. The freezing of the tourism economy during the COVID-19 pandemic created an opportunity to balance its development in the future. As described in the article, this research aims at identifying the attitudes and expectations of Krakow's residence towards the tools of balancing the tourism economy in the post pandemic period. The statistical analysis of the acquired data collected through questionnaires from 386 respondents during July 2020 revealed that most of the respondents support the preservation of cultural heritage and landscapes over business and profit making.

Three-month Clinical Status of A Cohort of Adult Hospitalized COVID-19 Pimpaka Srisiriwanna M.D., Poolsuk Janepanish Visudtibhan Ph.D., Kumthorn Malathum M.D

Background: A significant portion of individuals with SARS-CoV-2 infection have persistent COVID-19 symptoms after recovery. Symptoms may be new or persistent from the initial illness, which could cause both psychological and physical difficulty to the patients. These symptoms are collectively known as "long COVID-19 syndrome". There is limited information about this syndrome in the Thai population. Objectives: We aimed to describe and evaluate the risk for post COVID-19 symptoms among hospitalized COVID-19 patients in a university hospital. Methods: A prospective descriptive study was conducted on symptomatic COVID-19 patients admitted in Ramathibodi Hospital from July 1 to September 10, 2021. All surviving COVID-19 patients received a telephone assessment every month until 3 months after discharge and electronic medical records were reviewed. Information collected included symptoms, severity, treatment, duration of symptom, complication of COVID-19 and treatment. The New York Heart Association (NYHA) functional classification was used to categorized severity of dyspnea. Results: Among 253 evaluable patients, 57.3% were female and the mean age was 59.3 years old. Of these, 66% and 24.1% had moderate (pneumonia and SpO2 90%) and severe COVID-19 (pneumonia with severe respiratory distress and SpO2 90%), respectively. Almost all patients were inadequately vaccinated (unvaccinated 53.3%, partially vaccinated 41.9%). Overall, complete resolution of symptoms before 1 month after onset were noted in 47 patients (18.5%) and 72 (28.5%) patients had at least one persistent symptom at three months. The most common symptom is sleep disturbance (11.9%);29.2% remain in NYHA II and 0.8% in NYHA III and IV each. Female gender (OR 1.94;[95% CI 1.09-3.48], p=0.024), history of receiving dexamethasone (OR 1.04;[95% CI 1.01-1.08], p=0.004) and length of hospitalization (OR 1.04;[95% CI 1.00-1.08], p=0.034) were associated with being in NYHA II. Additionally, 5.9% had bacterial infection, and most were urinary tract infection and pneumonia, respectively. The risk factor associated with post-COVID-19 bacterial infection is bed ridden status (OR 23.3;[95% CI 5.79-93.72], p=<0.001). Conclusions: A significant number of COVID-19 patients had residual COVID-19 symptoms and still not fully functional at least 3 months after recovery. A major limitation of this study is obtaining information by telephone interview since hospital visit were not encouraged to limit mobility of people during pandemic, which may have led to a recall bias.

A research framework for digital nomadism: a bibliometric study. (Special Issue: Leisure, knowledge work and the digital nomadism.)

Digital nomads live a new way of life that creates an ideal balance of work and leisure. Research on the phenomenon of digital nomads is still in its early stages and is not fully framed as a proper research category. Therefore, the present research aims to explore research on digital nomadism by study leading countries, authors and themes that can become a foundation for future research. This study is exploratory and interpretive - using bibliometrics, we systematically searched all articles indexed in the Web of Science database. The study presents the evolution of scholarly production, and identifies key authors and countries that have the potential to become pioneers in digital nomad research. We identified 17 core concepts of digital nomad research as well as concepts that have not yet received much attention from scientists. Additionally, our study provides a framework for research on digital nomadism and presents topics for future research: we determine how the 17 core concepts identified in this study affect the lives of digital nomads, research into legislation that directly affects digital nomads, study how COVID-19 has changed working styles, and offer a bibliometric analysis of data on digital nomads from other databases.

Diabetes in Poland - public health challenges and opportunities

Introduction and objective: Diabetes, with its medical complications and societal consequences, is one the most difficult concerns for modern society. The purpose of this narrative review is to characterize the selected public health challenges and opportunities resulting from diabetes in Poland, as well as to identify public health measures that may be adopted to lower the diabetes burden in Poland. Review methods: This narrative review is based on the literature about diabetes in Poland. Scientific papers on diabetes published between 1 January 2010-31 January 2023, available in the PubMed database, were identified using a combination of the following key words: 'diabetes', 'Poland', 'public knowledge', 'management' and 'costs'. Particular attention was paid to the following diabetes-related issues: (1) current and forecast prevalence of diabetes in Poland, (2) diabetic care before and after the COVID-19 pandemic onset, (3) public knowledge of diabetes and diabetes risk factors, and (4) public health interventions to reduce the diabetes burden at the population level. Abbreviated description of the state of knowledge: A continuous growth of both the incidence and the prevalence of diabetes is predicted. Due to insufficient public awareness of diabetes risk factors and symptoms, and the health-debt caused by COVID-19 pandemic, a further rise in the number of diabetic complications is expected, as well as an increase in public spending on health care and social insurance systems. Summary: Public health interventions targeted at preventing diabetes and its complications should not be confined to reducing complications and improving diabetes care, but also include a wide range of initiatives aimed at addressing the fundamental causes of diabetes. Future study should look at the cost-effectiveness of such initiatives in order to mobilize different stakeholders and society.

China: export opportunities for food

The People's Republic of China has the largest population in the world, making it both one of the most fascinating and rapidly expanding import markets for food and beverages as well as one of the most difficult. The Chinese market is appealing to foreign food producers because of the country's high per capita income and quick urbanization. The Agriculture Chapter addressed fundamental trade barriers and will support a significant increase in the export of food, agricultural, and seafood products from the United States, boosting farm and fishery revenue, stimulating rural economies, and fostering employment growth. Numerous non-tariff barriers to the export of U.S. agricultural and seafood products are discussed, including those relating to rice, dairy, infant formula, horticulture products, animal feed and feed additives, pet food, and agricultural biotechnology products, as well as meat, chicken, and seafood. The U.S. has achieved significant export successes thus far, despite the pandemic. Decrees 248 and 249, which take effect on January 1, 2022, mandate that foreign suppliers of particular food products to China register with the GACC before presenting their goods for customs clearance. Several Global Agricultural Information Network (GAIN) reports on GACC Decrees 248 and 249 have been published by FAS offices in China. For the most recent information on whether their business has to register, whether it can self-register, or if it needs to be recommended for registration by a U.S. competent body, U.S. exporters should examine the GAIN system, which offers points of contact at the GACC. According to Euromonitor, urban Chinese customers who are short on time choose shopping near residential areas, especially in the wake of the COVID-19 outbreak. During the crisis, consumers grew accustomed to shopping in their immediate areas. As a result, many major modern grocery chains have used a multi-format strategy and constructed smaller-format stores. Freshippo, Yonghui, and Carrefour are all opening smaller, more neighborhood-focused stores that place an increased emphasis on fresh foods. Some of these shops also act as e-commerce order warehouses and offer prompt home deliveries. Particularly Yonghui has opened Yonghui Mini Stores quickly as an addition to its hypermarket and major supermarket operations. The food processing sector in China has been expanding steadily in recent years. According to the Chinese Ministry of Industry and Information Technology (MIIT), sales, production, and income in the sector rose in 2020. The total profits of China's largest food processing firms reached 620.66 billion yuan (about US$97 billion) in 2020, an increase of 6.8% over the same period in 2019. According to MIIT, these businesses' profit growth was 3.1% higher than the average for all industrial sectors.

Where is science heading? The main challenges before today's scientists?

Anecdotal and historical accounts of science suggest that in earlier times, researchers pursued science more as a hobby at their own pace with support and encouragement from patrons and communities. This leads to inequality in scientific research, where some fields and researchers may have an easier time obtaining funding and resources, while other fields and researchers may lack this support, making it difficult to conduct meaningful research. Progress of science needs efforts from the researchers with a poly-disciplinary mindset as well as mono-disciplinary strengths.[[5]] The role of science is evident to everyone from the recent example, i.e., protecting eight billion people from the devastating effects of COVID-19 pandemic. Millions of researchers are now pursuing science as opposed to thousands and hundreds of researchers in the earlier periods of science. [Extracted from the article] Copyright of Drying Technology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Exploring the influence of self-efficacy and autonomy on outdoor recreation behaviors during the COVID-19 pandemic

Outdoor Recreation (OR) provides the benefits of physical activity and traditional leisure placed in an outdoor environment. Motivation, self-efficacy, and autonomy can increase depending on the physical and social environment. This study explored the relationship between self-efficacy and autonomy on OR behaviors and identified barriers and facilitators to OR during the COVID-19 pandemic. Survey information was collected from 995 U.S. adults (93.6% white, 64.0% female) regarding OR behaviors, changes in OR during COVID-19, and OR self-perceptions. Significant positive correlations existed between autonomy and self-efficacy (r = 0.138, p < 0.01), and self-efficacy and pre/post pandemic OR behaviors 2020 (r = 0.158, p < 0.01), (r = 0.129, p < 0.01) respectively. Qualitative data implied barriers and facilitators to OR as: social, mental health, and increased or changed OR/physical activity. Implications from this research are beneficial to OR and health professionals to promote overall physical and mental well-being for OR participants.

Economic policy uncertainty and international tourist arrivals: a disaggregated analysis of the Croatian Adriatic coast

This is the first study to examine the differential impact of Croatian and European economic policy uncertainty indices while controlling for the real effective exchange rate and industrial production on international tourist arrivals for the seven coastal counties of Croatia and the country as a whole. The Toda-Yamamoto long-run causality modeling approach with a Fourier approximation is employed to capture structural shifts. This approach is particularly useful in light of the disruption from the COVID-19 pandemic on the tourism sector. The results show unidirectional causality from both Croatian and European economic policy uncertainty indices to international tourist arrivals with the impact of the economic policy uncertainty indices negative and statistically significant across the respective coastal counties. Moreover, the findings show that European economic policy uncertainty exhibits a greater adverse impact on international tourist arrivals relative to Croatian economic policy uncertainty.

Recreational travel behavior and COVID-19: insights from expected utility and the theory of planned behavior

Understanding what factors play a role in people's decisions to travel during a pandemic is important to public health officials and to stakeholders in the travel and tourism industry in the United States (US) and worldwide. This study examines factors influencing people's decisions to cancel/postpone recreational travel within the US amidst the COVID-19 pandemic. Our conceptual framework extends the Expected Utility model, commonly used in economics to model decisions under risk and uncertainty, to incorporate subjective norms and perceived behavioral control from the Theory of Planned Behavior. Our results suggest that risk perceptions, subjective norms, and concerns over transmitting COVID-19 to others play a significant role in the decision to cancel and postpone recreational travel. Results also suggest that perceived behavioral control may be less relevant to travel decisions when traveling involves elevated health risks.

COVID-19 impacts on United States crawfish. (Special Issue: COVID-19 impacts on selected commodities.)

This research determines the impacts of COVID-19 US on crawfish production and consumption for 2020 and 2021 using an Equilibrium Displacement Model. In the US, crawfish is one of the seafood commodities where most production is consumed by domestic consumers (7% of domestic consumption is from imports). Crawfish and rice are complementary. Therefore, the impacts of COVID-19 on crawfish consumption simultaneously influence rice production and crawfish producers and consumers. In the first year of COVID-19 (2020), the reduction in crawfish retail demand caused negative effects on final consumers and producers. However, crawfish consumption recovered significantly in the second year (2021), which could compensate for the loss in 2020. Overall, consumer and producer gains ranged from $549 to $626 million if the COVID-19 pandemic only impacted retail consumption. However, in 2021, the increase in production costs due to higher oil/diesel prices and other input prices caused the farm supply to decrease. As a result, total welfare gains ranged from $200 to $228 million. If the demand in 2021 did not increase, but the crawfish farm supply decreased, consumer and producer losses ranged from $929 to $1045 million. Overall, the total effects of COVID-19 on consumers and producers for 2020 and 2021 depend on its effects in 2021. If the demand in 2021 increased following the decrease in farm supply, consumers and producers would benefit from the shocks of COVID-19 due to higher post-COVID-19 demand.

The danger of inappropriate use of personal protective equipment

The coronavirus pandemic is a global health emergency which has had widespread unforeseen mental health consequences. Those with borderline personality disorder are predisposed to poor coping strategies to manage such stress and require intense psychological input which was not widely available during the peak of the pandemic. It is likely that the coronavirus outbreak has had a significant impact on the mental stability of such patients aggravating deliberate self-harm behaviours. A 20-year old psychiatric in-patient with borderline personality disorder, held under Section III of the mental health act, presented to the adult plastic surgery team in Bristol with localised infection of her right forearm. Foreign bodies were easily palpable and imaging revealed linear metal objects. The patient reported that she had removed metal strips from her collection of face masks and inserted them into her forearm as an act of deliberate self-harm. The patient was taken to operating theatre for removal of these foreign bodies under general anaesthetic. After twenty-four hours of antibiotics she was discharged safely back to the psychiatric ward. Despite the epilogue of the COVID-19 pandemic facemasks are still mandatory within the hospital setting. Clinicians need to be aware of these unusual circumstances where a form of protective equipment was deconstructed to cause actual bodily harm. The purpose of this report is to promote awareness of this type of injury especially in those suffering from mental illness. The authors would suggest an alternative mask without any form of metal.

How the Japanese workcation embraces digital nomadic work style employees. (Special Issue: Leisure, knowledge work and the digital nomadism.)

In Japan, workcations have gained attention as a way to offset the economic damage caused to inbound tourism by the COVID-19 pandemic. Considering its aims to contribute to the local community and increase interactions with local residents, the Japanese-style workcation can be positioned as a form of digital nomadism that seeks alternatives to existing work styles. This study is based on fieldwork in Tottori Prefecture in Japan and includes interviews and participant observation. It aims to examine (1) national and local government workcation policies, (2) the development of new services and businesses that facilitate workcation, and (3) the process of introducing hybrid work in companies. Japanese-style workcation as a social design can offer solutions to problems such as the concentration of population in cities, ageing population, and declining tourism industry. The work styles and lifestyles suggested by the Japanese-style workcation should continue to be explored as an area where new tourism, social design, and community design overlap. At the same time, incorporating digital nomadism as individualism into the workcation remains a future issue.

Does the absence of zoo visitors during the COVID-19 pandemic impact Gorilla behavior?

Whether or not primates are behaviorally affected by the presence of visitors in a zoo setting is a question of great relevance to zoo animal well-being. The situation imposed by the COVID-19 pandemic provided an unusual opportunity to examine how the absence of visitors impacts behavior. We took advantage of this opportunity to study the behavior of a gorilla troop during periods of no-visitors compared to our long-term database on gorilla behavior during normal zoo operations. While there were notable individual differences in response to visitors, we found no significant relationship between presence of visitors and behavior. These results suggest that the presence of visitors does not have a significant impact on behavior and well-being of zoo-housed gorillas.

COVID-19: our experience and quality of management analysis: (Topolsica Hospital case report)

Various Slovenian hospitals were recruited to treat COVID-19 patients in Slovenia during the COVID-19 epidemic. Centrally coordinated hospital utilisation - depending on the needs, available hospital bed capacity, and considering the professional orientation of individual hospitals - left these facilities with different experiences. We present our experience and COVID-19 treatment management during the fourth epidemic wave in our peripheral, pulmonary-oriented hospital, representing the first treatment quality analysis of these patients in Slovenia. The basic hospitalization characteristics were analysed using integrated Birpis information system solutions and the electronic temperature-therapeutic charts (eTTL) review. The quality of management was assessed through adherence to professional recommendations. The analysis was carried out with the in-built statistical functions of Microsoft Excel software. 99 patients (58 women, 41 men) aged 67.9 years were hospitalised for an average of 8.1 days. The majority were residents of our region (61%), unvaccinated (61.6%), and experienced a severe form of the disease with the need for oxygen supplementation (88.9%). The majority received steroids (73.7%), antibiotics (68.7%) and vitamin D (71.7%), to a lesser extent specific therapy (remdesivir 25.3%, combination casirivimab/imdevimab 2%, tocilizumab 1%). No adverse reactions were noted. 17 people died (total mortality rate 17.2%). There was no infection transmission among the COVID department staff. Results show successful treatment of patients with COVID-19 in Topolsica Hospital. They also suggest the possibility of further improvements, particularly in prescribing antibiotic therapy.