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1.
Radiologie (Heidelb) ; 2022 Nov 15.
Article in German | MEDLINE | ID: covidwho-20241867

ABSTRACT

BACKGROUND: Particularly at the beginning, the COVID-19 (coronavirus disease 2019) pandemic caused a reduction in the number of interventions in interventional radiology. At the same time, interventional training became more challenging. Infectious patients and disease transmission within interventional radiology departments continue to pose significant challenges. OBJECTIVES: This article describes the status and recommendations for interventional radiological procedures in COVID-19 patients. MATERIALS AND METHODS: Guidelines and recommendations from international and national societies as well as original works and reviews were evaluated. RESULTS: Interventional radiological care of COVID-19 patients with complicated courses of infection has become established during the course of the pandemic. To protect patients and staff, interventions in COVID-19 patients should be prioritized, performed in separate procedure rooms if possible, and patients should be tested before interventions. Logistics, staff planning, and hygiene measures should be continuously optimized. CONCLUSIONS: Structured workflows within interventional radiology in dealing with COVID-19 patients appear necessary to minimize infection risks and to guarantee the staff's work capability and health. In order to develop concepts for the handling of COVID-19 patients and to be prepared for potential upcoming waves of infections, recommendations of the Robert Koch Institute (RKI) and (inter-)national professional societies are helpful.

3.
Somnologie (Berl) ; : 1-8, 2022 Jun 01.
Article in German | MEDLINE | ID: covidwho-20240464

ABSTRACT

Introduction: The restorative effects of sleep are essential for physical, cognitive, emotional, and behavioral daily performance in college. In addition to the stress of everyday student life, the use of screen devices at the forefront of pandemic-related online teaching is also increasing dramatically. Particularly during evening and nighttime hours, increased screen use may contribute to physical, psychological, and cognitive activation, which in turn may negatively affect students' sleep quality. Methods: To determine possible associations between screen use in online teaching and its effects on sleep hygiene and quality, 216 students at Magdeburg-Stendal University of Applied Sciences anonymously and voluntarily participated in the online survey in May 2021. The positive ethics vote is available. Results: The general sleep quality of the student body can be rated as poor in 68.9% (n = 149) of the surveyed students. In particular, students who worked predominantly on screen devices in the evening or at nighttime for their studies, and thus had a chronobiological tendency to be a night person, tended to have poorer sleep. Discussion: The effects of long screen time in the evening and nighttime hours can have far-reaching consequences on sleep patterns and awareness of physical needs for breaks and sleep. Online teaching in times of the COVID-19 pandemic in particular led to an increase in screen time alongside equally high levels of personal use. This could result in a continued negative impact on sleep hygiene and quality, not only at the expense of daytime concentration and performance but rather of physical and mental health.

4.
Z Orthop Unfall ; 2022 Jul 18.
Article in English, German | MEDLINE | ID: covidwho-20233345

ABSTRACT

INTRODUCTION: In 2020, the SARS-CoV-2 pandemic necessitated an adjustment to the care structure in all medical facilities in Germany. In this study we analysed the effects of the SARS-CoV-2 pandemic using the data from the annual balance sheet of a university department and maximum care provider for orthopaedics and trauma surgery. METHODS: Data analysis was performed on the clinic's performance parameters from 2019 and 2020. The analysis included 52943 outpatient and 7980 inpatient cases, together with the Case Mix Index (CMI), and the costs and revenues. RESULTS: As a result of the reduction in scheduled surgeries, the mean number of inpatients in March and April 2020 decreased by 10.4% (p = 0.004). Due to the focus on complex cases, the CMI increased by 29.5% (p = 0.007). The number of outpatient surgical procedures increased by 16.9% (n = 84). Rising costs of consumables due to the purchase of protective equipment were offset by a reduced need for orthopaedic implants. CONCLUSION: By reducing the number of elective inpatient surgical treatments, the focus was shifted to treating complex cases; this is reflected in the increased CMI. Due to internal compensation mechanisms, the clinic was able to conserve intensive care capacities while still achieving an increase in revenue.

5.
Mitteilungen der Osterreichischen Geographischen Gesellschaft ; 164:9-70, 2022.
Article in German | Scopus | ID: covidwho-20244730

ABSTRACT

The COVID-19 pandemic and the policy measures imposed to contain the virus affected people's health and lifestyles. Based on data available to the Federal Agency "Statistics Austria”, this paper asks about the impact of the pandemic years 2020 and 2021 (and partly beyond) on the Austrian demographics and population. It shows that mortality increased significantly during this period but varied by waves of infection also with the introduction of different policy measures (e.g., lockdowns). There are also changes in the number of births over the course of the pandemic, which can be interpreted through insecurities related to lockdowns and vaccinations. People who wanted to marry or get divorced during the pandemic years were confronted with closed offices and restrictions on holding celebrations, which is why there were significantly fewer marriages and divorces. International migration dropped significantly, especially in the spring of 2020, when European and global mobility was severely restricted, with differences between people of different nationalities. This was also reflected in the number of asylum applications filed in Austria. Migrations within Austria were strongly reduced during the first lockdown in 2020, all further lockdowns had less influence on them. However, in 2020 and 2021 there were several phases in which more people moved from urban to rural areas than before the pandemic. The number of registered secondary residences – which took on new relevance in the context of mobility restrictions and the use of home offices – also changed: overall, their number increased during the pandemic, but in many municipalities, deregistrations of seasonal workers were also noticeable. © 2022 Austrian Geographical Society. All rights reserved.

7.
9.
Kindheit Und Entwicklung ; 2023.
Article in German | Web of Science | ID: covidwho-20244616

ABSTRACT

Theoretical Background: The COVID-19 pandemic is a global crisis, and international studies reveal the psychosocial effects on children from both the children's and the parents' perspectives. Objective: Because the COVID-19 pandemic is a novel crisis that affects everyone, the present qualitative substudy of the COVID-19 Children's Study explored the changes in children resulting from this emergency from the perspective of primary school pedagogues. Method: To this end, we conducted 11 focus-group discussions in spring 2021 with 31 primary school teachers and principals from North Tyrol. We analyzed the focus groups using thematic analysis. Results: The primary school pedagogues observed both stress reactions and positive changes in the pupils. Stress reactions were devided into behavioral, emotional and physical symptoms. Positive changes observed were behavioral changes, such as more independence;and emotional changes, such as more connectedness. Discussion and conclusion: It is important to take the numerous stress reactions of children described above seriously in schools and society. In addition to the negative effects, positive changes also took place in the children, and these should be promoted and strengthened as resources in the sense of resilience in the further course of the COVID-19 pandemic and beyond.

11.
Ernahrung ; 47(1):15-15, 2023.
Article in German | CAB Abstracts | ID: covidwho-20244381

ABSTRACT

Supply chain managers are forced to develop crisis-induced strategies due to the complexity of crises, as opposed to the more traditional strategies that prioritize competitive priorities. The increasing frequency and severity of recent crises, such as the coronavirus outbreaks, widespread product recalls, and financial crises, highlight the need for introspective and retrospective socio-economic insights on the contexts, priorities, and themes of supply chain management in times of crisis. This article's goal is to review the literature on supply chain management during times of crisis, organizing the relevant body of scholarly work in a systematic way, outlining current research methodologies, capturing strategic priorities and themes of complexity in research studies, and highlighting opportunities for additional research. Four factors for restorative priorities are identified by the review, which is based on a systematic analysis of 250 academic publications from 1996 to 2021 and reflects operations strategy in times of crisis: Critical supplies with important services, prompt action with restoration, safety with security, and traceability with transparency are just a few examples. The analysis also reveals that network configurations and business cycle complexity, optimal choices and provisioning system complexity, complicated learning processes and demand forecast are all sources of operational complexity during crises. The build-to-cycle, organic capabilities, and operational mindfulness framings for supply chain management in emergency situations are suggested with the use of review insights. The article ends with suggestions for future research on supply chain improvements, diagnosis, solidarity, mapping, temporariness, and thresholds, as well as optimal selection issues on connecting crisis network allocations with cross-functionalities and connecting crisis systems investments with liabilities.

12.
Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde ; : 1-6, 2023.
Article in German | EuropePMC | ID: covidwho-20244352

ABSTRACT

Hintergrund Die COVID-19-Pandemie stellte besondere Herausforderungen an die in Deutschland existierenden Strukturen zur Impfprävention bezüglich (1) des Verständnisses der Rolle und Ziele der Akteure und des Interesses der Kinder;(2) der Definition adäquater Kriterien zur Beurteilung des Risikos für schwere Erkrankungen bei Kindern. Fragestellungen Unterscheiden sich die Prioritäten unterschiedlicher Interessengruppen bei Empfehlungen zur COVID-19-Impfung? Welche Daten zur Pathogenität unterschiedlicher Varianten des „severe acute respiratory syndrome coronavirus 2" (SARS-CoV‑2) sind nötig, und wie veränderten sich diese im Verlauf der Pandemie? Methoden Die Perspektiven von Public Health sowie der Kinder und ihrer Eltern werden anhand von Daten und Veröffentlichungen zum Verlauf der COVID-19-Pandemie in Deutschland analysiert. Ergebnisse Die Perspektiven von Politik und Kindern unterscheiden sich, sind aber legitim, wenn sie klar benannt werden. Das für Impfentscheidungen aus Perspektive der Kinder entscheidende Risiko für schwere Verläufe oder das „paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV‑2" (PIMS-TS) pro 10.000 SARS-CoV‑2-Infektionen, nahm im Verlauf der Pandemie mit Dominanz der Omikron-Varianten ab. Schwere Verläufe bei COVID-19 betreffen weiterhin überwiegend Kinder mit Grundkrankheiten. Die altersstratifizierte Analyse von geimpften und ungeimpften Kindern zeigt, dass sich die Veränderungen in der Viruspathogenität im Verlauf der Pandemie insbesondere in dem abnehmenden PIMS-TS-Risiko widerspiegeln. Die allgemeine Reduktion der schweren COVID-19-Verläufe wiederum lässt sich durch die „Variants-of-concern"(VOC)-Eigenschaften, zunehmende Impfrate und Immunität nach einer SARS-CoV‑2-Infektion erklären. Schlussfolgerungen Das Hauptziel der COVID-19-Impfung für Kinder und Jugendliche ist die Verminderung von schweren Krankheitsverläufen. In pädiatrischen Risikogruppen sollte eine bestmögliche Immunität/Immunprotektion durch eine Impfung angestrebt werden. Ob eine Impfung nachwachsender gesunder Kinderkohorten oder Nachimpfung bei bereits infizierten/geimpften Kinderkohorten – mit dem Ziel einer hybriden Immunität – nötig ist, kann derzeit nicht beurteilt werden.

13.
Communities in New Media Digitality and Diversity Overcoming Barriers with Digital Transformation - Proceedings of 25th Conference GeNeMe ; : 54-69, 2022.
Article in German | Scopus | ID: covidwho-20243932
14.
Atemwegs- und Lungenkrankheiten ; 49(4):134-139, 2023.
Article in German | EMBASE | ID: covidwho-20243059

ABSTRACT

Introduction: COVID pneumonia can lead to pneumomediastinum or pneumothorax during non-invasive or invasive mechanical ventilation. This affects the prognosis. Methodology: During the study period, 121 patients with SARS-CoV-2 infections and invasive or non-invasive ventilation therapy were recorded in our hospital. All patients with a pneumothorax or pneumomediastinum were analyzed in more detail. Result(s): Pneumothorax and pneumomediastinum occurred in 12 patients and resulted in 7 deaths. Discussion(s): The incidence of pneumothorax with COVID infection ranges from 0.56 to 1%, reaching 3.5% in our own studies and 4.2% under invasive mechanical ventilation. The incidence of pneumomediastinum was 10% and 9.2% in our own patients. Overall mortality was 58.3% and similar to that reported in the literature, up to 60%.Copyright © 2023 Dustri-Verlag Dr. K. Feistle.

16.
Atemwegs- und Lungenkrankheiten ; 49(4):129-133, 2023.
Article in German | EMBASE | ID: covidwho-20242600

ABSTRACT

The coronavirus SARS-CoV-2 was detected in isolates of pneumonia patients in January 2020. The virus cannot multiply extracellularly but requires access to the cells of a host organism. SARS-CoV-2 uses angiotensin-converting enzyme 2 (ACE2) as a receptor, to which it docks with its spikes. ACE2 belongs to the renin angiotensin system (RAS), whose inhibitors have been used for years against high blood pressure. Renin is an endopeptidase that is predominantly formed in the juxtaglomerular apparatus of the kidney and cleaves the decapeptide angiotensin I (Ang I) from angiotensinogen. Through the angiotensin-converting enzyme (ACE), another 2 C-terminal amino acids are removed from Ang I, so that finally the active octapeptide angiotensin II (Ang II) is formed. The biological effect of Ang II via the angiotensin II receptor subtype 1 (AT1-R) consists of vasoconstriction, fibrosis, proliferation, inflammation, and thrombosis formation. ACE2 is a peptidase that is a homolog of ACE. ACE2 is predominantly expressed by pulmonary alveolar epithelial cells in humans and has been detected in arterial and venous endothelial cells. In contrast to the dicarboxy-peptidase ACE, ACE2 is a monocarboxypeptidase that cleaves only one amino acid from the C-terminal end of the peptides. ACE2 can hydrolyze the nonapeptide Ang-(1-9) from the decapeptide Ang I and the heptapeptide Ang-(1-7) from the octapeptide Ang II. Ang-(1-7) acts predominantly antagonistically (vasodilatory, anti-fibrotic, anti-proliferative, anti-inflammatory, anti-thrombogenetically) via the G protein-coupled Mas receptor to the AT1-R-mediated effects of Ang II. In the pathogenesis of COVID-19 infection, it is therefore assumed that there is an imbalance due to overstimulation of the AT1 receptor in conjunction with a weakening of the biological effects of the Mas receptor.Copyright © 2022 Dustri-Verlag Dr. K. Feistle.

17.
Zeitschrift fur Allgemeinmedizin ; 98(10):333, 2022.
Article in German | EMBASE | ID: covidwho-20242591
18.
Orthopädie und Unfallchirurgie ; 13(3):63-64, 2023.
Article in German | EuropePMC | ID: covidwho-20242564
20.
Nervenheilkunde ; 42(5):263-272, 2023.
Article in German | EMBASE | ID: covidwho-20242542

ABSTRACT

About 10 % of all symptomatic COVID-19 patients suffer from long-lasting health complaints. Fatigue, cognitive and emotional disorders are the most frequent neuropsychiatric symptoms. Evidence-based therapies for these post-covid impairments are still lacking. Here, we examined the feasibility of a newly developed group-therapy program for patients with fatigue, emotional and cognitive disorders following COVID-19. 24 patients with ICD-10 diagnosis of F06.8 and U0.09 participated in the group therapy on average 13 month after their acute COVID-19 infection. Before and after the group therapy they underwent a comprehensive clinical and neuropsychological assessment. The group therapy was held online and consisted of 8 weekly sessions with psychotherapeutic and psychoeducational elements regarding fatigue and pacing, mindfulness, psychiatric disorders, cognition as well as physical activity after COVID-19. Participation in the group was high with an average of 7.25 of 8 visited sessions. Mean overall group satisfaction was 7.78 out of 10 points. Patients improved in their self-reported fatigue, daily living skills, depression and subjective cognitive abilities as well as in their objective performance in neuropsychological tests of attention during the study time. The newly developed group therapy program for patients with fatigue and emotional and cognitive disorders following an infection with SARS-CoV-2 was well accepted and evaluated and is feasible in an online setting. Copyright © 2023. Thieme. All rights reserved.

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