scholarly journals COVID-19 pandemic: management of patients affected by SARS-CoV-2 in Rome COVID Hospital 2 Trauma Centre and safety of our surgical team

2020 ◽  
Vol 44 (12) ◽  
pp. 2487-2491 ◽  
Author(s):  
Domenico De Mauro ◽  
Giuseppe Rovere ◽  
Alessandro Smimmo ◽  
Cesare Meschini ◽  
Fabrizio Mocini ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Clinical Status ◽  
Rapid Test ◽  
Important Change ◽  
Trauma Centre ◽  
University Hospital ◽  
Safety Measures ◽  
Safe Management ◽  
Novel Coronavirus ◽  
Surgical Treatments

Abstract Background SARS-CoV-2 pandemic left a deep mark in the health systems around the globe, leading to an important change in the way we intend the access to the healthcare and its fruition. Hospitals faced something unexpected, and they underwent a deep change and so did orthopaedic activity. Materials and methods In “A. Gemelli” University hospital new protocols were adopted for the safe management of patients affected by SARS-CoV-2. Among these patients, six had to be treated also for orthopaedic problems. The management of these patients, from the admission in the Emergency Room (E.R). to the operating room (O.R.), followed the protocols we developed for the coronavirus crisis. Results Four among the six patients underwent surgical treatments. Two of them showed a change of their clinical status, due to a worsening of COVID-19 symptoms, so the surgical option was postponed. All of them were admitted to the Infectious Diseases Unit, rather than the Orthopaedic and Traumatology Unit, in order to provide the best measures to prevent the spread of the contagion and to ensure the best treatment for COVID-19. No O.R. staff was infected by SARS-CoV-2. Conclusions More studies are needed to provide a higher statistical significance to the safety measures taken in order to contrast the spread of SARS-CoV-2 in the Surgical Room. Orthopaedic surgeons are more exposed to the contagion due to the particular tools set they use. A more sensible and specific quick test for novel Coronavirus is particularly needed, due to the lack of sensitivity of the serological rapid test.

scholarly journals COVID-19 Pandemic: management of patients affected by SARS-CoV-2 in Rome Covid Hospital 2 Trauma Center and safety of our surgical equipe 

2020 ◽  
Author(s):  
Domenico De Mauro ◽  
MD ◽  
Alessandro Smimmo ◽  
Cesare Meschini ◽  
Fabrizio Mocini ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Clinical Status ◽  
Rapid Test ◽  
Important Change ◽  
University Hospital ◽  
Safety Measures ◽  
Orthopedic Surgeons ◽  
Safe Management ◽  
Novel Coronavirus ◽  
Surgical Treatments

Abstract Background. SARS-CoV-2 Pandemic left a deep mark in the Health Systems around the globe, leading to an important change in the way we intend the access to the healthcare and its fruition. Hospitals faced something unexpected and they underwent a deep change and so did the orthopedic activity.Materials and Methods. In “A. Gemelli” University hospital new protocols were adopted for the safe management of patients affected by SARS-CoV-2. Among these patients, six had to be treated also for orthopedic problems. The management of these patients, from the admission in the Emergency Room (E.R). to the operating room (O.R.), followed the protocols we predisposed for the Coronavirus crisis.Results. Four among the six patients underwent surgical treatments. Two of them showed a change of their clinical status, due to a worsening of the COVID-19 symptoms, so the surgical option was postponed. All of them were admitted to the Infectious Diseases Unit, rather than the Orthopedic and Traumatology Unit, in order to provide the best measures to prevent the spread of the contagion and to ensure the best treatment for the COVID-19. No O.R. staff was infected by SARS-CoV-2.Conclusions. More studies are needed to provide a higher statistical significance to the safety measures taken in order to contrast the spread of SARS-CoV-2 in the Surgical Room. Orthopedic surgeons are more exposed to the contagion due to the particular tools set they use. A more sensible and specific quick test for novel Coronavirus is particularly needed, due to the lack of sensibility of the serological rapid test.

scholarly journals Novel coronavirus seropositivity and related factors among healthcare workers at a university hospital during the prevaccination period: a cross-sectional study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Aziz Ogutlu ◽  
Oguz Karabay ◽  
Unal Erkorkmaz ◽  
Ertugrul Guclu ◽  
Seher Sen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Healthcare Workers ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Antibody Positivity ◽  
Novel Coronavirus

Abstract Background This study aimed to investigate the specific risk factors for the transmission of novel coronavirus (SARS-CoV-2) among healthcare workers in different campuses of a university hospital and to reveal the risk factors for antibody positivity. Methods In this retrospective cross-sectional study, 2988 (82%) of 3620 healthcare workers in a university hospital participated. The coronavirus disease 2019 (COVID-19) antibody was investigated using serum from healthcare workers who underwent COVID-19 antibody testing. The antibody test results of the participants were evaluated based on their work campus, their profession and their workplace. The statistical significance level was p < 0.05 in all analyses. Results Of the participants in this study, 108 (3.6%) were antibody positive, and 2880 (96.4%) were negative. Antibody positivity rates were greater in nurses compared with other healthcare workers (p < 0.001). Regarding workplace, antibody positivity was greater in those working in intensive care compared to those working in other locations (p < 0.001). Conclusions Healthcare workers are at the highest risk of being infected with COVID-19. Those who have a higher risk of infection among healthcare workers and those working in high-risk areas should be vaccinated early and use personal protective equipment during the pandemic. Trial Registration: Retrospective permission was obtained from both the local ethics committee and the Turkish Ministry of Health for this study (IRB No:71522473/050.01.04/370, Date: 05.20.2020).

P0203EARLY DETECTION OF BREAST ARTERIAL CALCIFICATION IN DIFFERENT STAGES OF CHRONIC KIDNEY DISEASE PATIENTS

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Basma Sultan ◽  
Hamdy Omar ◽  
Housseini Ahmed ◽  
Mahmoud Elprince ◽  
Osama Anter adly ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Lipid Profile ◽  
Statistical Significance ◽  
University Hospital ◽  
Arterial Calcification ◽  
Control Group ◽  
Inpatient Ward ◽  
Stage 4 ◽  
Ckd Stage

Abstract Background and Aims Vascular calcification (VC) plays a major role in cardiovascular disease (CVD), which is one of the main causes of mortality in patients with chronic kidney disease (CKD). The study aims at early detection of breast arterial calcification (BAC) in different stages of CKD (stage 2, 3& 4) patients as an indicator of systemic VC. Method A case control study was conducted targeting CKD women, aged 18- 60 years old. The sample was divided into 3 groups; A,B,C (representing stage 2, 3 & 4 of CKD) from women who attended nephrology and Internal medicine clinics and admitted in inpatient ward in Suez Canal University Hospital. A 4th group (D) was formed as a control group and included women with normal kidney functions (each group (A, B, C, D) include 22 women). The selected participants were subjected to history taking, mammogram to detect BAC and biochemical assessment of lipid profile, Serum creatinine (Cr), Mg, P, Ca, PTH and FGF23. Results Our study detected presence of BAC in about 81.8% of hypertensive stage 4 CKD patients compared with 50% in stage 3 CKD, also in the majority of stage 4 CKD patients who had abnormal lipid profile parameters and electrolyte disturbance. Most of the variables had statistical significance regarding the presence of BAC. Conclusion Although it is difficult to determine the definite stage at which the risk of VC begins but in our study, it began late in stage 2 CKD, gradually increased prevalence through stage 3 and became significantly higher in stage 4. These results suggest that preventive strategies may need to begin as early as stage 2 CKD.

scholarly journals POS1281 HOW DOES OBESITY INFLUENCE THE FEATURES OF KNEE OSTEOARTHRITIS?

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 923.4-924
Author(s):  
H. Hachfi ◽  
D. Khalifa ◽  
M. Brahem ◽  
N. Ben Chekaya ◽  
M. Younes
Keyword(s):  
Knee Osteoarthritis ◽  
Functional Impairment ◽  
Statistical Significance ◽  
Obese Group ◽  
University Hospital ◽  
Obese Patients ◽  
Cross Sectional ◽  
Duration Of Symptoms ◽  
Lequesne Index ◽  
The Mean

Background:Knee osteoarthritis and obesity are both major health problems. It is now admitted that the prevalence of knee osteoarthritis gets higher with obesity and that weight loss helps knee function and allows patients to avoid surgery.Objectives:The aim of this study was to study the influence of obesity on knee osteoarthritis features.Methods:A cross-sectional study was conducted in the university hospital Taher Sfar of Tunisia over a period of 6 months. Patients who had knee osteoarthritis confirmed by radiographs were included. Sociodemographic, clinical, radiological and therapeutic data were collected from medical records and visits. Obesity was defined by a body mass index (BMI) ≥30. Functional impairment was assessed by the Womac index and Lequesne index.Results:The study included 186 patients. There were 31 males and 155 femmes. The mean age was 60±10 years. The percentage of obese patients was 53,8%. The mean age was similar in both groups obese and non obese. There were more women in the obese group compared to the non obese group (p=0.0001), more patients who had diabetes mellitus and dyslipidemia (p=0.002). Non-obese patients had a shorter duration of symptoms with no statistical significance (p=0.151). Obese patients had more involvement of both knees (p<0.0001). Obesity did not have an impact on pain severity. Severity of radiological images (p=0,0001) were more frequent in obese patients. Functional impairment was similar in both groups. However, the percentage of patients having a very important functional impairment with Lequesne index was higher in obese patients (p<0.029). Obese patients also needed more physical therapy sessions (p=0.035).Conclusion:Knee osteoarthritis in obese patients is characterized with the femlae gender predominance, bilateral knee involvement, and a more severe images on radiographs. Thus the need for better control of weight and the importance of physical activity.References:[1]Coggon D, Reading I, Croft P, et al. Knee osteoarthritis and obesity. Int J Obes Relat Metab Disord J Int Assoc Study Obes 2001; 25: 622–627.Disclosure of Interests:None declared

scholarly journals Evaluation of Pregnancy Outcomes at Advanced Maternal Age

2019 ◽  
Vol 7 (12) ◽  
pp. 1951-1956 ◽  
Author(s):  
Małgorzata Radoń-Pokracka ◽  
Beata Adrianowicz ◽  
Magdalena Płonka ◽  
Paulina Danił ◽  
Magdalena Nowak ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Gestational Age ◽  
Maternal Age ◽  
Statistical Significance ◽  
Advanced Maternal Age ◽  
Neonatal Outcomes ◽  
University Hospital ◽  
Large For Gestational Age ◽  
Predisposing Factor ◽  
Over 40 Years

AIM: The study aimed to investigate the association between advanced maternal age (AMA) and the risk of adverse maternal, perinatal and neonatal outcomes about parity in singleton pregnancies.METHODS: We retrospectively analysed 950 women who gave birth in the Department of Obstetrics and Perinatology of the University Hospital in Kraków for six months (between 1st January and 30th June 2018). The patients were divided into 3 groups according to their age (30-34 years old, 35-39 years old and over 40 years old). Each of these groups was subsequently subdivided into 2 groups depending on parity (primiparae and multiparae). Maternal, perinatal and neonatal outcomes were compared between the groups and the subgroups.RESULTS: Comparison of the three age groups revealed that advanced maternal age might constitute a predisposing factor for preterm birth, caesarean section and large for gestational age (LGA). From these parameters, statistical significance was reached in case of greater risk of LGA (OR = 2.17), caesarean section (OR = 2.03) and elective C-section (OR = 1.84) in women over 40 years old when compared to the patients aged 30-34. Furthermore, AMA increases the risk of postpartum haemorrhage (OR = 6.43). Additionally, there is a negative correlation between maternal age and gestational age at delivery (R = -0.106, p < 0.05).CONCLUSIONS: Advanced maternal age can undoubtedly be associated with several adverse perinatal outcomes. At the same time, the risk of perinatal complications begins to increase after the age of 35 but becomes significant in women aged ≥ 40.

scholarly journals Willingness of Taiwan’s Healthcare Workers and Outpatients to Vaccinate against COVID-19 during a Period without Community Outbreaks

Vaccines ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 246
Author(s):  
Shikha Kukreti ◽  
Mei-Yun Lu ◽  
Yi-Hsuan Lin ◽  
Carol Strong ◽  
Chung-Ying Lin ◽  
...  
Keyword(s):  
Risk Perception ◽  
Healthcare Workers ◽  
Online Survey ◽  
Rapid Test ◽  
University Hospital ◽  
Preventive Behaviors ◽  
Vaccination Uptake ◽  
Community Outbreaks ◽  
To Receive ◽  
Significant Factors

To control the spread of the novel coronavirus disease 2019 (COVID-19), COVID-19 vaccination has been quickly developed. However, the COVID-19 pandemic will not be controlled if the COVID-19 vaccination uptake willingness is low. Therefore, the study aim was to explore the COVID-19 vaccination uptake willingness among the outpatient population and healthcare workers in Taiwan during the worldwide pandemic period without community outbreaks. A cross-sectional survey was conducted among healthcare workers (HCWs; n = 500; mean age = 32.96 years) of National Cheng Kung University Hospital (NCKUH) and outpatients (n = 238; mean age = 34.43 years) arriving at NCKUH. We used an online survey conducted between September 24 and 21 November 2020, for healthcare workers, and between 27 October and 31 December 2020, for the outpatient sample. Information regarding willingness to receive vaccination, willingness to rapid test, fear of COVID-19, risk perception, and preventive behaviors was collected in both samples; information regarding willingness to care for patients was collected in healthcare workers. Willingness to receive vaccination was the main variable in the present study; willingness to rapid test, willingness to care for patients, fear of COVID-19, risk perception, and preventive behaviors were the secondary variables in the study. The factors associated with vaccination willingness were identified through logistic regression analysis. The participants’ willingness to receive vaccination was low for both healthcare workers (23.4%) and the outpatient sample (30.7%). Similarly, their willingness to take rapid tests was low (23.6% for healthcare workers and 28.6% for outpatient sample). Risk perception (crude odds ratio (COR) = 1.29; 95% confidence interval (CI) = 1.03, 1.63), willingness to take rapid test (COR = 9.24; 95% CI = 5.76, 14.83), and preventive COVID-19 infection behaviors (COR = 2.32; 95% CI = 1.52, 3.56) were significant factors explaining the healthcare workers’ willingness to receive vaccination. Willingness to take a rapid test (COR = 8.91; 95% CI = 4.71, 16.87) and preventive COVID-19 infection behaviors (COR = 1.69; 95% CI = 1.09, 2.60) were significant factors explaining the outpatient sample’s willingness to receive vaccination. Willingness to vaccinate against COVID-19 among HCWs and outpatients is low due to the relatively safe status of COVID-19 infection in Taiwan. These findings can help policymakers advocate for the effectiveness of and provide transparent information on COVID-19 vaccination uptake in a country/region with a relatively safe COVID-19 outbreak status.

3 Damage control surgery in a regional trauma centre – defining the population: a pilot study

2021 ◽  
Vol 167 (4) ◽  
pp. 223.1-223
Author(s):  
Matthew J Burton
Keyword(s):  
Injury Severity ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Trauma Centre ◽  
University Hospital ◽  
Trauma Network ◽  
List Type ◽  
Prospective Data ◽  
Penetrating Abdominal Injury ◽  
Fatal Trauma

IntroductionTrauma has a major disease burden, by causing physiological disruption.1 Damage Control Surgery (DCS) minimises physiological disruption.2 3 The demographics of patients who undergo DCS surgery within our institution are unknown. This study aims to characterise our DCS cohort and potential for prospective study.MethodsOur hospital has a DCS protocol.4 This ensures the appropriate patients are safely and promptly transferred to a prepared operating theatre. All ORSOS data were captured from Nov 2017 – Sep 2019. Data was reviewed, and demographics analysed.ResultsThe DCS protocol was put on stand-by 42 times and activated in 21. Patient data was held for 38 cases, 30 male and 8 female, median age 37 years.Median Injury Severity Score was 29, with patients sustaining injuries from a range of mechanisms, figure 1. Median inpatient stay was 12 days, with a 29% 30-day mortality.Abstract 3 Figure 1Together this shows that despite prompt surgical intervention, a young patient cohort carries a significant mortality.ConclusionsWe have established the demographics of those who trigger DCS protocol use in a regional trauma centre. The resultant database enables prospective data collection for future DCS patients. Such data will afford our region a greater understanding of the DCS population.ReferencesPolinder S, Haagsma JA, Toet H, van Beeck EF. Epidemiological burden of minor, major and fatal trauma in a national injury pyramid. British journal of surgery 2012 Jan;99(S1):114–20.Schreiber MA. Damage control surgery. Critical Care Clinics 2004 Jan 1;20(1):101–18.Rotondo MF, Schwab CW, McGonigal MD, Fruchterman TM, Kauder DR, Latenser BA, Angood PA. ‘Damage control’: an approach for improved survival in exsanguinating penetrating abdominal injury. The Journal of Trauma 1993 Sep;35(3):375–82.Moor P, Droog S, Adams S. Damage Control Surgery (Online). Peninsula Trauma Network. University Hospital Plymouth. 2016 Feb [2019 December]. Available from: https://www.plymouthhospitals.nhs.uk/download.cfm?doc=docm93jijm4n3410.pdf&ver=4326

A Study to assess the Effectiveness of Information Booklet on Knowledge regarding First aid and Safety Measure among Early Adolescent age (10 – 14 years) Children in selected schools at Udaipur

2021 ◽  
pp. 328-330
Author(s):  
Navin Soni ◽  
Jayesh Soni
Keyword(s):  
Standard Deviation ◽  
School Children ◽  
Statistical Significance ◽  
First Aid ◽  
Safety Measure ◽  
Early Adolescent ◽  
Safety Measures ◽  
Instructional Module ◽  
Post Test ◽  
The Mean

Introduction: Basic first aid knowledge helps children to deal with emergency situations. Everyone needs to teach children about being mentally prepared for emergencies. Children should be taught about different first aid measures, both at home and at school, which helps emphasize the importance of child safety. This enables them overcome difficult situations like injuries, burns and outdoor emergencies. First aid is all about using common sense in the hour of need. Objectives of the study: To evaluate the effectiveness of self Instructional module by comparing the pretest and post test knowledge of school children. Method and Material: quantitative pre experimental one group pre test post test research design was used. by using Simple random sampling technique. This study was also done on 120 samples; data was collected by semi structured questionnaire to assess the knowledge regarding First aid and safety measure among Early Adolescent age (10-14 year). Results: The pre test means score was 10.58, standard deviation was 1.71 and the mean % was 52.9. The post test means score was 14.94, standard deviation was 1.39 and the mean % was 74.7. The difference in mean% was 21.8. The calculated ‘t’ value of 22.31 which showed high statistical significance at p<0.001 level. There was no significant association of post test level of knowledge with any of the demographic variables. Regarding First aid and safety measure. Conclusion: The present study assessed the knowledge of school children regarding first aid and safety measures, the school children had inadequate knowledge regarding first aid safety measures. After reading Self Instructional Module, there was a significant improvement in school children knowledge regarding first aid and safety measures.

scholarly journals Determinants of Maternal Satisfaction with Existing Delivery Care at Wolaita Sodo University Teaching and Referral Hospital, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Sintayehu Wolka ◽  
Sahilu Assegid ◽  
Temesgen Tantu ◽  
Muluken Gunta ◽  
Bereket Duko
Keyword(s):  
Statistical Significance ◽  
Referral Hospital ◽  
University Teaching ◽  
University Hospital ◽  
Delivery Care ◽  
Maternal Satisfaction ◽  
Public Health Importance ◽  
Cross Sectional ◽  
Delivery Service ◽  
Wolaita Sodo

Background. Assessing maternal satisfaction on delivery service has significant public health importance to measure the quality of maternal and child care services in a country. Therefore, the objective of this study was to further investigate the determinants of maternal satisfaction on delivery service provided at the Woliata Sodo University Teaching and Referral Hospital, Ethiopia. Methods. An institutionally based cross-sectional study was employed at the Wolaita Sodo University Hospital, Ethiopia. All mothers who gave birth between March and May 2018 were included in the study. Data were collected through using a pretested and structured interviewer-administered questionnaire. Both bivariate and multivariable logistic regression analyses were performed. A P value of <0.05 was used to declare statistical significance. Result. A total of 398 delivered mothers were included in the study. The rate of maternal satisfaction on existing delivery care was found to be 67.3%. Being less educated (AOR=5.06, [2.22-11.53]), primigravida (AOR=3.59, [1.17-11.04]), planned and wanted pregnancy (AOR=2.74, [1.21-6.18]), having antenatal care follow-up for current pregnancy (AOR=4.48, [2.04-9.83]), ever used family planning service (AOR=3.83, [1.95-67.52]), labor duration of less than 6 hours (AOR=5.96, [2.61-13.57]), and spontaneous vaginal delivery (AOR=2.82, [1.07-7.42]) were factors significantly associated with maternal satisfaction. Conclusion. In this study setting, maternal satisfaction was lower compared to other studies. Unreserved effort should be considered for future interventions.

scholarly journals A Bittersweet Memoir

2021 ◽  
Vol 16 (1) ◽  
pp. 128-135
Author(s):  
Anita Y. N. Lim
Keyword(s):  
Video Clip ◽  
Early Period ◽  
General Medicine ◽  
University Hospital ◽  
World Health ◽  
Public Healthcare ◽  
The Novel ◽  
National University ◽  
Novel Coronavirus ◽  
Health Organization

Abstract I wrote this journal in March 2020 prior to the World Health Organization declaring the COVID-19 infection as a worldwide pandemic on March 11. The situation in Singapore was unfolding even as public healthcare institutions were tasked to lead the charge to contain the novel coronavirus as it was then called. This journal describes my experiences and impressions during my work in an isolation ward at the National University Hospital during this early period. I was to be catapulted into Pandemic Team 3 in the second and third weeks of February 2020. The urgency of hospital measures to respond to the novel coronavirus meant that the general medicine consultant roster which I was on was hijacked to support the pandemic wards. I thought wryly to myself that it was a stroke of genius to commandeer the ready-made roster of senior physicians; it would have been difficult for the roster monster to solicit senior physicians to volunteer when there were still so many unknowns about this virus. Graphic images of the dire situation in Wuhan, China, were circulating widely on social media. It was heart-wrenching to read of Dr. Li Wen Liang’s death. He had highlighted the mysterious pneumonia-causing virus. The video clip of him singing at a karaoke session that went viral underscored the tragedy of a young life cut short. Questions raced in my mind. “Are we helpless to prevent the spread of this virus?” “Is the situation in China to be replicated here in Singapore?” This seemed incredulous, yet, might it be possible? The immediate responses that jumped up within me was “yes, it’s possible, but let’s pray not. Whatever has to be done, must be done.”

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