Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 20 de 4.482
Filter
Add filters

Year range
1.
Surgical Practice ; 26(S1):19-32, 2022.
Article in English | Academic Search Complete | ID: covidwho-2029254

ABSTRACT

The primary lesion sites included tongue (4 patients), concomitant retromolar and buccal mucosa (1 patient) and submandibular region (1 patient). B Results: b A total of 78 patients were included in the study, 20 patients in the endoscopic stenting group and 58 patients in the emergency surgery group. B Conclusion: b Elective surgery can be safely performed in patients recently diagnosed with COVID-19 Omicron variant with no significant difference in postoperative outcomes compared to patients without COVID-19. FACIAL DOG BITE IN THE ERA OF COVID DL Chang, HHC Ho Tuen Mun Hospital, Hong Kong SAR B Aim: b Dog bite is not uncommon in Hong Kong. [Extracted from the article] Copyright of Surgical Practice is the property of Wiley-Blackwell 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.)

2.
The Ethiopian Journal of Health Development ; 35(4):328, 2021.
Article in English | ProQuest Central | ID: covidwho-2027156

ABSTRACT

Background: The Coronavirus pandemic has resulted in an extreme challenge for humanity in recent times, like the challenges faced during World War II. Its origin has been pointed out, and the speculation made on its source directly points towards Wuhan in China. Since then, it has spread across the globe. The pandemic has resulted in more than one million deaths, which is a considerable challenge for humanity. Objective: With the pandemic of COVID-19, prevention of patient infection is crucial. This research focused on the orthopedic operating room nursing model effect based on evidence-based nursing and PDCA (Plan-Do-Check-act) cycle during the COVID-19 outbreak. Materials and Methods: From February 2020 to May 2020, 146 patients were admitted and received orthopedic surgery at Xuanwu Chunshu Hospital, Beijing, China, these admissions were grouped into control and intervention groups, which was based on the treatment provided. Satisfaction, time to bed and hospitalization, postoperative incision infection, and the occurrence of deep venous thrombosis of lower extremities, pain degree score, surgical treatment effect, anxiety, and depression scores were compared for all the admissions between the control and intervention groups. Results: In the control group, nursing satisfaction was less than in the intervention group. The time of getting out of bed and hospitalization was less in the intervention group;The total incidence of postoperative incision infection and lower limb deep vein thrombosis in the intervention group decreased. In the first postoperative day, the pain level in the intervention group was less than the control group. The effectiveness rate in the observation group is higher than that of the control group. Anxiety and depression scores of both groups tended to decrease with time and there was an interactive effect between grouping and time, where these differences were found to be statistically significant (P-value<0.05). Conclusion: The clinical application of the orthopedics operating room nursing model based on evidence-based nursing and PDCA cycle is remarkable and worth implementing during the COVID-19 outbreak.

3.
Case Reports in Ophthalmology ; 13(2):562-569, 2022.
Article in English | ProQuest Central | ID: covidwho-2027083

ABSTRACT

We report two cases of corneal graft rejection following immunization with COVID-19-inactivated vaccine Sinopharm and describe the practical implications of this phenomenon in the clinical setting. A 36-year-old woman with a history of unilateral repeated PKP received the first dose of inactivated Sinopharm vaccine. Seven days later, she presented with symptoms and signs of unilateral corneal graft rejection on slit-lamp examination. A 54-year-old woman with a history of unilateral PKP secondary to herpes simplex keratitis (HSK) developed signs of unilateral corneal graft rejection just a week after injection of the first dose of the similar vaccine. Rejection in both patients was treated successfully with topical steroids. To the best of our knowledge, this is the first report of corneal graft rejection following the COVID-19-inactivated Sinopharm vaccine which occurred through the short period after the injection. We hypothesized that the rejection is the result of an allogenic reaction and the immunogenic role of aluminum hydroxide as an adjuvant of this type of vaccine. However, as the second case had a history of rejection following the HSK, a reactivation could not be definitely ruled out. Ophthalmologists should consider these types of adverse reactions after COVID-19 immunization and also monitor a close follow-up of graft health postimmunization. Patients should be informed about the signs and symptoms of rejection, urgent referral, and treatment.

4.
Case Reports in Oncology ; 15(2):755-761, 2022.
Article in English | ProQuest Central | ID: covidwho-2026940

ABSTRACT

Chronic myeloid leukemia (CML) is a hematologic malignancy that has significant improvement in its prognosis after the introduction of tyrosine kinase inhibitors. Transformation to accelerated phase or blast phase can happen. Myeloid sarcoma or chloroma is an uncommon extramedullary disease. It is very unusual for patients with CML to develop myeloid sarcoma. We report a young man with CML in the chronic phase who developed myeloid sarcoma. There were many difficulties in the diagnosis of myeloid sarcoma due to the simulation of other more common conditions like infections and other malignancies. In addition, there are treatment challenges because of lack of standardized treatment. The case shed light on this rare complication, the challenging diagnosis, and its implication in patients with CML.

5.
Journal of Mazandaran University of Medical Sciences ; 32(212):177-181, 2022.
Article in Persian | Scopus | ID: covidwho-2026934

ABSTRACT

Background and purpose: Many studies suggest that surgery in patients with COVID-19 increases the risk of complications and mortality after surgery. The purpose of this research was to compare the frequency of outcomes during and after surgery between patients with and without COVID-19 undergoing emergency surgery in Gonbad Kavus hospitals, 2020-2021. Materials and methods: In this cross-sectional study, two groups of adults (n= 114) with and without COVID-19 (group A and group B, respectively) who underwent emergency surgery were examined. Demographic data, laboratory findings, and during and post-operative outcomes were recorded. Data analysis was done in SPSS V26. Results: Average age and weight in group A (45.5 years, 78.3±16.6 Kg, respectively) were found to be higher than those in group B (39.3 years and 67.9±11.5 Kg, respectively). Significant difference was seen in the percentage of arterial blood oxygen saturation after operations between group A (94.7±1.38) and group B (91.7±2.83) (P<0.0001). Also, mean ICU and hospital length of stay were significantly longer in group A (8.5 and 9.8 days, respectively) compared with group B (5.4 and 6 days, respectively) (P<0.0001). Moreover, death was observed more in group A (76%) than group B (23%) (P=0.041). Conclusion: All members of the surgical team are required to pay special attention to the increase in the incidence of complications during and after surgery in patients with COVID-19 undergoing emergency surgery in order to take necessary preventive and therapeutic measures. © 2022, Mazandaran University of Medical Sciences. All rights reserved.

6.
SSRN; 2022.
Preprint in English | SSRN | ID: ppcovidwho-343194

ABSTRACT

Background: It has been demonstrated that surgical patients with COVID-19 are at increased risk for postoperative complications. However, this association has not been tested in asymptomatic elective surgical patients. Methods: A retrospective cohort study among elective gynecological and spine surgery patients at a single tertiary medical center from July 2020 through April 2022 (n=1130) was performed. The primary endpoint was prolonged (>75th percentile for surgical service) length of stay. Secondary endpoints included postoperative respiratory complications, duration of supplemental oxygen therapy, and other major adverse events. The association between SARS-CoV-2 detection and the above outcomes was investigated with univariate and multivariable analyses. Findings: Of 1130 patients who met inclusion criteria, 30 (2·7%) experienced intraoperative detection of SARS-CoV-2. Those with intraoperative viral detection did not experience an increased incidence of prolonged length of stay (16·7% vs 23·2%;RR, 0·72 [95% CI, 0·32 to 1·61];P = 0·531) nor did they have a longer mean length of stay (4·1 vs 3·9 days;P = 0·441). Rates of respiratory complications (3·3% vs 2·9%;RR, 1·15 [95% CI, 0·16 to 8·11];P = 0·594) and mean duration of supplemental oxygen therapy (9·7 vs 9·3 hours;P = 0·552) were similar as well. All other outcomes were similar in those with and without intraoperative detection of SARS-CoV-2 (all P > 0·05). Interpretation: Asymptomatic patients with incidental detection of SARS-CoV-2 on intraoperative testing do not experience disproportionately worse outcomes in the elective spine and gynecologic surgical population.

7.
Anaesthesia, Pain & Intensive Care ; 26(4):469-473, 2022.
Article in English | Academic Search Complete | ID: covidwho-2026666

ABSTRACT

Background & objective: Corona pandemic has had profound effects on the practice of healthcare delivery across the globe. The institutional practices and protocols had to be rewritten to cope up with the surge of corona patients and to save the staff and the non-corona patients. We evaluated the emergency surgery cases during the first wave of COVID-19 after the decision to stop elective surgeries, in regard to differences in terms of case distribution, patient profile, anesthesia methods used and the management, and compared with an equivalent period before the pandemic. Methodology: Patient files related to emergency surgery from October-November 2019 and April-May 2020, were retrospectively evaluated. Assessment parameters included age, gender, surgical discipline, ASA score, type of anesthesia, time to discharge, reoperation, laparoscopic or open surgery. Results: The most common surgical cases in both periods belonged to general surgery. While the number of patients in ASA-I decreased during the COVID period, those in ASA-II increased. We found that while general anesthesia was preferred in majority of the surgeries during the non-COVID period, spinal anesthesia gained popularity in the COVID period (p < 0.05). Conclusion: The decrease in the number of patients with ASA-I indicates a change in the surgeons’ priorities in emergency surgery cases. Although there is a worldwide approach to the use of laparoscopic surgery, the use of open surgical techniques increased in our hospital. [ FROM AUTHOR] Copyright of Anaesthesia, Pain & Intensive Care is the property of Department of Anaesthesia, Pain & Intensive Care 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.)

8.
Innovative Medicine of Kuban ; - (1):27-37, 2022.
Article in English | Scopus | ID: covidwho-2026655

ABSTRACT

Objective: To study the features of the coronavirus infection course in cardiosurgical and thoracic patients to determine the factors potentially affecting the possibility of lethal outcome. To identify the predictors of fatal outcome based on the analyses of the features of the coronavirus infection course in this category of patients. Material and methods: During the analyzed period 80 patients from the departments of thoracic surgery and cardiac surgery were transferred to the infectious diseases department: 20 patients from the cardiac surgery department (CSD) – group 1;60 patients from the thoracic surgery departments (TSD) – group 2. A control group number 3 consisting of 59 non-thoracic and non-cardiosurgical patients was also formed. According to the disease outcome the patients were divided into two groups: group 1 – fatal outcome, group 2 – recovery. Results: Out of 80 patients, lethal outcome was recorded in 25 cases: 22 patients of the thoracic profile (36% of the total number of transferred from this department) and 3 patients of the cardiosurgical profile (15% of the total number of those transferred from the cardiac surgery department). 20 out of 20 cardiac patients had been operated on the day before, 49 out of 60 thoracic patients also underwent surgery. 3 people from the group of non-operated patients transferred from departments of thoracic surgery died. Moreover, after pneumonectomy, fatal outcome was recorded in 7 out of 8 cases (87.5%). Conclusion: During the analyses of indicators it was revealed that the number of fatal outcomes in patients of the thoracic profile with COVID-19 infection is higher than of the cardiosurgical profile and in the infectious diseases department. Presumably, this is due to the fact that coronavirus infection affects the lungs to a greater extent, and in patients with a thoracic profile (in particular, those who have undergone resection interventions), the volume of the lung parenchyma is initially reduced. This is confirmed particularly by the highest percentage of fatal outcomes after pneumonectomy. Cardiosurgical patients after surgical interventions do not have a reduction in the functioning lung parenchyma, which creates an additional “reserve” for recovery. Moreover, men predominate among patients of the thoracic profile, with the survival rate lower in all groups compared to women. Patients transferred from thoracic departments showed higher rates of systemic inflammation, which indicates a more severe course of the viral infection and the possible development of complications. When analyzing the predictors of lethal outcome, the following factors were identified: male gender and, in general, a more severe course of a viral infection (low saturation, a high percentage of lung lesions on CT, more pronounced changes in laboratory screening). The studied factors are associated with a large number of fatal outcomes in thoracic and cardiac surgery patients. Among the factors that do not affect the prognosis are diabetes mellitus, stroke and myocardial infarction in history. Thus, patients diagnosed with coronavirus infection that developed after thoracic surgery had the most unfavorable prognosis. The revealed patterns are of interest for optimizing the routing of this category of patients in order to prevent coronavirus infection. © 2022 Scientific Research Institute — Ochapovsky Clinical Regional Hospital no. 1. All Rights Reserved.

9.
International Journal of Health Policy and Management ; 2022.
Article in English | Web of Science | ID: covidwho-2026624

ABSTRACT

Background: The SARS-CoV-2 pandemic forced hospitals to redistribute resources for the treatment of patients with COVID-19, yet the impact on elective and emergency inpatient procedure volumes is unclear.Methods: We analyzed anonymized data on 234,921 hospitalizations in 2017-2020 (55.9% elective) from a big Swiss health insurer. We used linear regression models to predict, based on pre-pandemic data, the expected weekly numbers of procedures in 2020 in the absence of a pandemic and compared these to the observed numbers in 2020. Compensation effects were investigated by discretely integrating the difference between the two numbers over time.Results: During the first COVID-19 wave in spring 2020, elective procedure numbers decreased by 52.9% (95% confidence interval-64.5% to-42.5%), with cardiovascular and orthopedic elective procedure numbers specifically decreasing by 45.5% and 72.4%. Elective procedure numbers normalized during summer with some compensation of postponed procedures, leaving a deficit of-9.9% (-15.8% to-4.5%) for the whole year 2020. Emergency procedure numbers also decreased by 17.1% (-23.7% to-9.8%) during the first wave, but over the whole year 2020, net emergency procedure volumes were similar to control years.Conclusion: Inpatient procedure volumes in Switzerland decreased considerably in the beginning of the pandemic but recovered quickly after the first wave. Still, there was a net deficit in procedures at the end of the year. Health system leaders must work to ensure that adequate access to non-COVID-19 related care is maintained during future pandemic phases in order to prevent negative health consequences.

10.
Telehealth and Medicine Today ; 6(1), 2021.
Article in English | ProQuest Central | ID: covidwho-2026464

ABSTRACT

Objective: The U.S. Department of Veterans Affairs has a robust telehealth program supported by a training infrastructure for VA clinicians and staff. In fiscal 2019, over 909,000 VA patients received a portion of their VA care through telehealth, and over 60% of VA’s primary and mental health care providers participated in one or more Clinical Video Telehealth (CVT) appointments to a patient’s home. In March 2020, during the initial spread of COVID-19, Veterans Health Administration leadership issued guidance for providers to transition from in-person care to virtual modalities for routine care not requiring a physical encounter. VA’s comprehensive training infrastructure helped providers quickly become capable of delivering CVT care to meet the needs of their patients, and the VA Office of Connected Care Quality and Training (QT) Division adjusted the program as providers’ needs evolved. Design: As clinical staff faced new and increasing demands to respond to needs during the pandemic, the QT Division streamlined existing training programs to deliver essential content and enable providers to acquire necessary telehealth skills more quickly. This included reducing the number of core courses required to become telehealth-capable from four to two by introducing an integrated course. The QT Division reorganized and edited content from other accredited courses to convey key topics. To shorten courses for providers with full schedules, the QT Division removed accreditation from some courses, such as the COVID-19 VA Video Connect for Providers course. Results: The QT Division’s pandemic response resulted in over 80,000 new course completions in the first month and over 20% more primary care and mental health providers conducting CVT visits in the first five months. During this period, the number of CVT appointments increased by over 1,000%. Conclusion: VA’s telehealth training infrastructure, implemented by the QT Division, enabled VA to enter the COVID-19 public health emergency fully prepared for the rapid growth in telehealth care. As CVT became increasingly important during the COVID-19 response, the QT Division made necessary curriculum adjustments to meet provider and patient needs. ____________________________________________________________________________ Fireside Chat with Authors Moderator: Lyle Berkowitz, MD, FACP, FHIMSS, Editor-in-Chief, Telehealth and Medicine Today

11.
Telehealth and Medicine Today ; 6(1), 2021.
Article in English | ProQuest Central | ID: covidwho-2026462

ABSTRACT

Background: During the COVID-19 pandemic, measures were taken to decrease viral spread by transitioning health care appointments to virtual mediums. This study evaluates the use of telemedicine within the Divisions of Colon and Rectal Surgery and Otolaryngology-Neurotology at a single academic institution during the COVID-19 pandemic. Study Design: An online survey modeled after the TeleENT Satisfaction Questionnaire and the Medical Communication Competence Scale (MCCS) was administered to gauge patient’s experience with Electronic Medical Record-based telemedicine visits. Results: Participants noticed several advantages of telemedicine visits over traditional in-office visits: shorter visits, saving money, and avoiding potential exposure during the pandemic. A total of 36% at least somewhat agreed that the quality of care was hindered by the lack of a physical examination;61.7% participants at least somewhat agreed that they prefer a face-to-face visit rather than telemedicine consultation. Most patients were satisfied with the care they received via telemedicine (Likert 6.19/7) and 95.8% would use telemedicine again. Participants self-reported an average saving of $108.70 when using telemedicine. When comparing the telemedicine cohort with the in-office control, the telemedicine patients noticed an improved ability to communicate with their physician in five out of eight domains of the MCCS. Conclusion: Surgical preoperative consultation, postoperative follow-up, and routine visits were conducted via telemedicine during the COVID-19 pandemic, representing a new direction for surgical appointments and consultations. This study shows that telehealth can provide satisfactory care and increases access to surgical care for patients when external factors prevent the traditional physician–patient interaction. With better-perceived communication via telemedicine appointments, patients may subjectively feel that they can express their symptoms and gather information from the doctor regarding their diagnosis more efficiently.

12.
Journal of Thoracic Disease ; 0(0):0-0, 2022.
Article in English | Web of Science | ID: covidwho-2026154
13.
Bulletin of Siberian Medicine ; 21(2):207-211, 2022.
Article in English | Scopus | ID: covidwho-2026054

ABSTRACT

We presented a clinical case of the successful treatment of a severe course of polysegmental pneumonia caused by the novel coronavirus infection, that developed in the postoperative period after bariatric surgery in the patient with morbid obesity, comorbid type 2 diabetes mellitus, ischemic heart disease, arterial hypertension, pulmonary embolism (in past medical history), and stage 3 chronic obstructive pulmonary disease. The given clinical case demonstrates the possibility of successful treatment of coronavirus infection in the polymorbid patient at an extremely high risk of an unfavorable outcome, given timely diagnosis, combination therapy using drugs that block cytokine storm, and strict adherence to clinical recommendations. © 2022 Siberian State Medical University. All rights reserved.

14.
Ulusal Travma ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery: TJTES ; 28(9):1223-1228, 2022.
Article in English | MEDLINE | ID: covidwho-2025734

ABSTRACT

BACKGROUND: Acute calculous cholecystitis is one of the most encountered surgical pathologies. While early cholecystectomy is the first treatment choice during the first index hospitalization, it may change during COVID-19 era when hospital resources are restricted, and health-care personnel try to overcome pandemic difficulties. In this survey, our aim is to investigate surgeons' preferences and possible changing paradigms for acute cholecystitis therapy during COVID-19 pandemic. METHODS: An online survey was conducted on an internet site through private invitation by social media sent to general surgeons. The survey consisted of 13 questions, including surgeons' hospital properties, and it questioned treatment preferences against acute calculous cholecystitis during the pandemic. After 3 months of data collection, responded answers were analyzed statistically. RESULTS: About 56% of the surgeons stated that their treatment strategy changed during the COVID-19 pandemic partially or totally. About 48.8% of surgeons preferred early cholecystectomy for cases with acute cholecystitis before COVID-19 era;when only 23.2% of the surgeons preferred early surgery during COVID-19 era. However, patients who had received antibiotics as primary medical therapy had medical therapy failure with a range of 40.2%. Percutaneous cholecystostomy rate was raised to 20.7% from 4.9% before the COVID era. CONCLUSION: Although 96.3% of the surgeons did not have seen any unusual complication related to the COVID-19 disease, more than half of the surgeons who preferred early cholecystectomy changed their treatment strategy during the COVID-19 pandemic. According to the survey results, although the medical therapy failure rate is high, 48.8% of the surgeons may persist in this non-operative approach after the pandemic.

15.
International Transaction Journal of Engineering Management & Applied Sciences & Technologies ; 13(8), 2022.
Article in English | Web of Science | ID: covidwho-2025681

ABSTRACT

The Electronic Clinical Pharmacologist (ECP) is a Medical Decision Support System (MDSS). This system is based on the Unified Medical Knowledge Base (UMKB), which is updated and updated as new medicines are released and specialized publications are published in peer-reviewed biomedical scientific journals. ECP helps to reduce the risks of medical errors and complications in clinical practice. When using ECP, the number of side effects from the use of medicines decreases, the patient's admission time is reduced, the quality of medical care is improved, the costs of the medical organization for the purchase of medicines are reduced, all this is carried out due to more rational prescriptions of the doctor. The ECP takes into account the personalized approach of drug therapy. Based on Stavropol State Medical University and medical universities of the North Caucasus Federal District, a questionnaire of students was conducted among students of 3-6 courses, as well as testing of the ECP application to compare treatment standards (clinical recommendations) according to the clinical recommendations of the Ministry of Health (outpatient, inpatient treatment) and self-treatment of students and their relatives. And patterns of changes in the course of treatment were also revealed when using MDSS ECP and without it. (C) 2022 INT TRANS J ENG MANAG SCI TECH.

16.
British Journal of Neuroscience Nursing ; 18(4):165-168, 2022.
Article in English | CINAHL | ID: covidwho-2025621

ABSTRACT

Aims: To assess the quality of documentation of patients with a visual impairment within a neurosurgery department to see if they have a corresponding vision alert within their medical notes. Methods: Retrospective case note analysis over 3 years of neurosurgical patients diagnosed with a space occupying lesion involving the anterior fossa near the optic apparatus was conducted. Post-surgical clinical assessment validated by formal visual assessment revealed 56 patients had a visual impairment diagnosis. Visual acuity and visual field mean deviations in the best eye were studied, along with the documentation of a vision alert. A total of nine patients did not meet the inclusion criteria and were removed from the study. Results: Out of 47 patients, four were found to have a severe sight impairment. Only 11 (23.40%) patients had a vision alert on their medical records. Out of the 47 patients with a visual impairment, three patients certified as sight impaired and severely sight impaired (75%) did not have a vision alert on their medical record. Conclusions: Although visual impairment was common in this study population, most patients had useful vision. Documentation to alert clinicians and carers about visual impairment was poor and needs improvement.

17.
Dicle Tip Dergisi ; 49(3):408-413, 2022.
Article in English | ProQuest Central | ID: covidwho-2025215

ABSTRACT

Since the nasolacrimal duct is a continuation of the nasal mucosa, it can be assumed that the virus may invade the lacrimal tissue from the nasal mucosa. Because of this anatomical proximity and high aerosol generation, elective ocular surgeries and especially nasolacrimal surgeries are not recommended during the pandemic period6-8. [...]it was aimed to investigate the reliability of nasolacrimal duct surgeries in terms of infection during the COVID-19 pandemic period. METHODS This cross-sectional prospective study was carried out in accordance with the standards of the Helsinki declaration and approved by the Research Protocol and Ethics Committee of Haydarpaşa Numune Training and Research Hospital (HNEAH-KAEK 2021/119). [...]the PCR results of NLSs and lacrimal sac swabs were evaluated for compatibility. [...]the reliability of performing DCR surgeries during the pandemic period in terms of infection was investigated. [...]the respiratory mucosa and lacrimal duct have the same sialic acid sequence, which acts as a receptor for infectious agents15. Because of these similar immunological and histological features of the nasolacrimal duct epithelium and nasal mucosa, it is possible for viruses in the nasal mucosa to pass into the nasolacrimal duct and spread the virus.

18.
Canadian Geriatrics Journal ; 25(3):300-332, 2022.
Article in English | ProQuest Central | ID: covidwho-2025214

ABSTRACT

Results: Individuals with low structural and cognitive social capital had lower SEP, higher stress levels, and worse health behaviours than those with high structural and cognitive social capital. 'Temerty Faculty of Medicine, University of Toronto, Medical Sciences Building, 2Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Li Ka Shing Knowledge Institute of St. Michael's Hospital, 3Faculty of Medicine, University of Ottawa, 4Department of Anesthesiology and Pain Medicine, University of Ottawa, 5Department of Surgery, University of Alberta. Opportunities included building in elements for program success (hospital-system buy-in, cross-specialty team collaboration, workflow integration, and built-in evaluation) and virtual care to improve rural access. Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, 2.

19.
World Journal of Orthopedics ; 13(8):693-702, 2022.
Article in English | Scopus | ID: covidwho-2025125

ABSTRACT

BACKGROUND In the Spring of 2020, residency programs across the country experienced rapid and drastic changes to their application process as a result of the coronavirus disease 2019 (COVID-19) pandemic. In response, residency programs shifted to virtual events and began harnessing social media to communicate with applicants. AIM To analyze the changes in social media usage by orthopaedic surgery programs in response to the COVID-19 pandemic. METHODS Based on the 2019 residency and fellowship electronic database, accredited US orthopaedic surgery programs were reviewed for social media presence on Instagram and Twitter. Approximately 47000 tweets from 2011-2021 were extracted through the Twitter application programming interface. We extracted: Total number of followers, accounts following, tweets, likes, date of account creation, hashtags, and mentions. Natural language processing was utilized for tweet sentiment analysis and classified as positive, neutral, or negative. Instagram data was collected and deemed current as of August 11, 2021. The account foundation date analysis was based on the date recognized as the start of the COVID-19 outbreak in the United States, before or after March 1, 2020. RESULTS A total of 85 (42.3%) orthopaedic surgery residency program Twitter handles were identified. Thirty-five (41.2%) programs joined Twitter in the nine months after the 2020 covid outbreak. In 2020, there was a 126.6% increase in volume of tweets by orthopaedic surgery residency accounts as compared to 2019. The median number of followers was 474.5 (interquartile range 205.0-796.5). The account with the highest number of tweets was Hospital for Special Surgery (@HSpecialSurgery) with 13776 tweets followed by University of Virginia (@UVA_Ortho) with 5063 and Yale (@OrthoAtYale) with 899. Sentiment analysis before 2020 revealed 30.4% positive, 60.8% neutral, and 8.8% negative sentiments across tweets. Interestingly, the positive sentiment percentage increased in 2020 from 30.4% to 34.5%. Of the 201 ACGME-accredited orthopaedic residency programs on Fellowship and Residency Electronic Interactive Database, 115 (57.2%) participate on Instagram, with 101 (87.8%) identified as “resident”-managed vs 14 (12.2%) identified as “department”-managed. Over three quarters (77.4%) of Instagram accounts were created after March 1, 2020. The average number of followers per account was 1089.5 with an average of 58.9 total posts. CONCLUSION Our study demonstrates a substantial growth of Instagram and Twitter presence by orthopaedic surgery residency programs during the COVID-19 pandemic. These data suggest that orthopaedic residency programs have utilized social media as a new way to communicate with applicants and showcase their programs in light of the challenges presented by the pandemic. © The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.

20.
Zhongguo Fei Ai Za Zhi ; 25(8):622-626, 2022.
Article in Chinese | ProQuest Central | ID: covidwho-2024389

ABSTRACT

以电视辅助胸腔镜技术为代表的微创胸外科,已逐步取代传统胸外科技术成为肺部结节包括早期肺癌等在内治疗的首要选择方式。随着双腔支气管导管在临床的应用,实现患侧肺隔离技术,不仅为胸外科微创手术的普及提供了坚实的麻醉基础,也为手术快速而平稳的实施提供了保障。然而,相较于单腔管而言,双腔支气管导管的管径更粗,管身较硬且难以塑形,给麻醉插管带来了不便;此外,由于双腔支气管导管的左、右支气管结构不同,麻醉插管过程中错位的发生率也很高。随着可视双腔支气管导管(video double-lumen tube, VDLT)在临床上逐渐使用,近年来成为胸科手术中的关注热点。本文就VDLT在胸外科手术中的应用和研究进展做一综述。 The rapid development and promotion of minimally invasive thoracic surgery represented by video-assisted thoracoscopy surgery has gradually replaced traditional thoracic surgery technique as the primary choice for the treatment of pulmonary nodules, including early lung cancer. With the clinical application of double-lumen bronchial catheters, the realization of one-lung ventilation technology not only provides a solid anesthesia foundation for the popularization of minimally invasive thoracic surgery, but also provides a guarantee for the rapid and smooth implementation of the operation. However, compared with single-lumen bronchial catheters, the diameter of the double-lumen bronchial catheter is thicker, and the tube body is hard and difficult to shape, which brings inconvenience to anesthesia intubation. The bronchial structure is different, and the incidence of dislocation during anesthesia intubation is also high. With the gradual clinical use of video double-lumen tube (VDLT), it has become a hot spot in thoracic surgery in recent years. This article reviews the application and research progress of VDLT in thoracic surgery.

SELECTION OF CITATIONS
SEARCH DETAIL