scholarly journals IMPACT OF COVID-19 ON SURGICAL ACTIVITY OF AN ORTHOPAEDIC SURGERY AND TRAUMATOLOGY SERVICE IN A SECONDARY HOSPITAL

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
A García Arias ◽  
L Lanuza Lagunilla ◽  
L García Cuello ◽  
P Suárez-Anta Rodríguez ◽  
A Camblor Valladares ◽  
...  
Keyword(s):  
Health Care ◽  
Retrospective Study ◽  
Orthopedic Surgery ◽  
Orthopaedic Surgery ◽  
Public Places ◽  
Secondary Center ◽  
Injury Mechanisms ◽  
The World ◽  
Secondary Outcomes ◽  
Secondary Hospital

Abstract INTRODUCTION COVID-19 has changed the behavior of health care in the world, and consequently, it has affected surgical activity. Related to orthopedic surgery and traumatology, a decrease of up to a third has been observed according to published series. But a secondary center may need more adjustments than a first level one. MATERIAL AND METHODS Retrospective study, comparing data from the first Sate of Alarm (03/14/20 – 06/21/20) with the same period of 2019. The number of surgeries, hospitalizations and diagnoses were selected as primary outcomes, and injury mechanisms, kind of surgeries and differences in time to surgery as secondary outcomes. RESULTS Surgical activity went from 462 cases in 2019 to 190 cases in 2020 (59% less). The main reason for intervention during the State of Alarm was fractures, with 129 cases out of the total (compared to 167 in 2019); being orthopedics in 2019 (178 cases compared to 40).The most frequent fracture in both groups was the hip fracture, with 71 cases in 2019 compared to 59 in 2020.Accidents on public places, associated with sports practice and related to traffic, were reduced by 1/3. CONCLUSIONS A more striking reduction in surgical activity is observed than that reflected in other series, probably due to the case of programmed surgery. Perhaps in centers with greater capacity this measure is not that necessary. In the same circumstances, up to 50% of the ORTR staff could be used to treat other pathologies safely.

scholarly journals Global variability in orthopedic surgery training

2019 ◽  
Author(s):  
Andrew D. Sobel ◽  
Davis Hartnett ◽  
David Hernandez ◽  
Adam E. M. Eltorai ◽  
Alan H. Daniels
Keyword(s):  
United States ◽  
Orthopedic Surgery ◽  
Orthopaedic Surgery ◽  
Educational Development ◽  
The United States ◽  
Surgery Training ◽  
Orthopaedic Care ◽  
The World ◽  
Orthopaedic Training ◽  
And Training

Medical and orthopaedic training varies throughout the world. The pathways to achieve competency in orthopaedic surgery in other countries differ greatly from those in the United States. This review summarizes international educational requirements and training pathways involved in the educational development of orthopaedic surgeons. Understanding the differences in training around the world offers comparative opportunities which may lead to the improvement in education, training, and competency of individuals providing orthopaedic care.

scholarly journals Professor dr Borivoje Gradojevic: The first University professor of orthopaedic surgery

2011 ◽  
Vol 58 (1) ◽  
pp. 9-13
Author(s):  
Aleksandar Lesic ◽  
Zelimir Mikic ◽  
Marko Bumbasirevic
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Orthopedic Surgery ◽  
Orthopaedic Surgery ◽  
Academic Community ◽  
Medical Faculty ◽  
Professional Skills ◽  
Professional Career ◽  
Scientific Papers ◽  
University Professor

Prof. dr Borivoje Gradojevic was one of the greatest figures of our medicine, and one of the pioners and founders of orthopedic surgery in our country. He was the first professor of orthopedic surgery in Serbia ie. the professor of Belgrade Faculty of Medicine. Beside well education and professional skills dr Gradojevic published the numerous scientific papers and he published the first textbook of orthopedics in this country. Unfortunately, his professional career was brutally interrupted in 1945, when he was forced to retire and moved from Medical faculty, together with other professors in these times. This resulted in enormous regression- fall in academic community, and our health care system and country also.

scholarly journals Proposal of a Mask and Its Performance Analysis with CFD for an Enhanced Aerodynamic Geometry That Facilitates Filtering and Breathing against COVID-19

Fluids ◽  
2021 ◽  
Vol 6 (11) ◽  
pp. 408
Author(s):  
Boris Miguel López-Rebollar ◽  
Abad Posadas-Bejarano ◽  
Daury García-Pulido ◽  
Adrián Torres-Maya ◽  
Carlos Díaz-Delgado
Keyword(s):  
Health Care ◽  
Performance Analysis ◽  
Cfd Simulation ◽  
Public Places ◽  
Effective Measure ◽  
The World ◽  
The Face ◽  
Flow Through ◽  
Bidirectional Flow ◽  
Airtight Seal

As a result of the recent events associated with the SARS-CoV-2 around the world, there has been a need for research to strengthen health care. The use of masks or respirators has been an effective measure, reducing the risk of contagion caused by the spread of the virus in public places. Currently, there are masks that retain up to 99% of particles >0.3 microns; however, they lack an airtight seal with the face, leading to discomfort and poor protection in conditions without social distancing and areas without ventilation. The device proposed in this study includes a geometric design of static valves with convergent spirals and interior baffles that promotes enhanced aerodynamics with bidirectional flow. According to the analysis and CFD simulation of the proposed reusable, washable, and economic mask and valve system for breathing, coughing, and sneezing events, enhanced air exchange could be maintained, facilitating a higher inhalation flow through the side of the mask (62%) and a higher exhalation through the front of the mask (74%), thereby avoiding the recirculation of the flow to the interior of the mask. The inclusion of filters with KN95 characteristics in the inlets and outlets maintains velocities below 10 cm/s, reducing the probability of infection.

Sonic Movements – Spatial Reflexivity

Somatechnics ◽  
2014 ◽  
Vol 4 (1) ◽  
pp. 133-148
Author(s):  
Johanna Hällsten
Keyword(s):  
Alarm System ◽  
Edo Period ◽  
Public Places ◽  
Ongoing Research ◽  
Site Specific ◽  
Rural Environments ◽  
The World ◽  
Architectural Structures ◽  
Sonic Environment ◽  
Sonic Structures

This article aims to investigate the creation of space and sound in artistic and architectural fields, with particular emphasis on the notions of interval and duration in the production and experience of soundscapes. The discussion arises out of an ongoing research project concerning sonic structures in public places, in which Japanese uguisubari ([Formula: see text]) – ‘nightingale flooring’, an alarm system from the Edo period) plays a key role in developing new kinds of site-specific and location-responsive sonic architectural structures for urban and rural environments. This paper takes uguisubari as its frame for investigating and evaluating how sounds create a space (however temporary), and how that sound in turn is created through movement. It thus seeks to unpick aspects of the reciprocal and performative act in which participant and the space engage through movement, whilst creating a sonic environment that permeates, defines and composes the boundaries of this space. The article will develop a framework for these kinds of works through a discussion on walking, movement, soundscape and somatechnical aspects of our experience of the world, drawing upon the work of Merleau-Ponty, Bergson and the Japanese concept of Ma (space-time).

The Great Awakening - Digitalization in Dental Healthcare during the pandemic COVID-19

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 380-384
Author(s):  
Priyanka Paul Madhu ◽  
Yojana Patil ◽  
Aishwarya Rajesh Shinde ◽  
Sangeeta Kumar ◽  
Pratik Phansopkar
Keyword(s):  
Health Care ◽  
Task Force ◽  
Care Service ◽  
Health Care Service ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
World Health ◽  
Record System ◽  
The World

disease in 2019, also called COVID-19, which has been widely spread worldwide had given rise to a pandemic situation. The public health emergency of international concern declared the agent as the (SARS-CoV-2) the severe acute respiratory syndrome and the World Health Organization had activated significant surveillance to prevent the spread of this infection across the world. Taking into the account about the rigorousness of COVID-19, and in the spark of the enormous dedication of several dental associations, it is essential to be enlightened with the recommendations to supervise dental patients and prevent any of education to the dental graduates due to institutional closure. One of the approaching expertise that combines technology, communications and health care facilities are to refine patient care, it’s at the cutting edge of the present technological switch in medicine and applied sciences. Dentistry has been improved by cloud technology which has refined and implemented various methods to upgrade electronic health record system, educational projects, social network and patient communication. Technology has immensely saved the world. Economically and has created an institutional task force to uplift the health care service during the COVID 19 pandemic crisis. Hence, the pandemic has struck an awakening of the practice of informatics in a health care facility which should be implemented and updated at the highest priority.

Effect of Fluoride Mouthwash in Iranian Schools: Treatment or Exacerbation of the Disease

2019 ◽  
Author(s):  
Mohammad Karimi
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Oral Health ◽  
Significant Role ◽  
Oral Hygiene ◽  
Easy Access ◽  
Tooth Decay ◽  
Insufficient Attention ◽  
The World

Dental and oral health is an important part that plays a significant role in the quality of life of people in our society, especially children, but due to insufficient attention, tooth decay in the world is increasing every year. Promoting oral hygiene requires the people's easy access to primary oral health care and the use of these services should be classified.

Infodemiological patterns in searching medication errors: relationship with risk management and shift work (Preprint)

2019 ◽  
Author(s):  
Fabio Fabbian ◽  
Emanuele Di Simone ◽  
Sara Dionisi ◽  
Noemi Giannetta ◽  
Luigi De Gennaro ◽  
...  
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Shift Work ◽  
Medication Errors ◽  
Medical Errors ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Western World ◽  
The World ◽  
Google Search

BACKGROUND Western world health care systems have been trying to improve their efficiency and effectiveness in order to respond properly to the aging of the population and the epidemic of noncommunicable diseases. Errors in drugs administration is an actual important issue due to different causes. OBJECTIVE Aim of this study is to measure interest in online seeking medical errors information online related to interest in risk management and shift work. METHODS We investigated Google Trends® for popular search relating to medical errors, risk management and shift work. Relative search volumes (RSVs) were evaluated for the period November 2008-November 2018 all around the world. A comparison between RSV curves related to medical errors, risk management and shift work was carried out. Then we compared world to Italian search. RESULTS RSVs were persistently higher for risk management than for medication errors during the study period (mean RSVs 74 vs. 51%) and RSVs were stably higher for medical errors than shift work during the study period (mean RSVs 51 vs 23%). In Italy, RSVs were much lower than the rest of the world, and RSVs for medication errors during the study period were negligible. Mean RSVs for risk management and shift work were 3 and 25%, respectively. RSVs related to medication errors and clinical risk management were correlated (r=0.520, p<0.0001). CONCLUSIONS Google search query volumes related to medication errors, risk management and shift work are different. RSVs for risk management are higher, are correlated with medication errors, and the relationship with shift work appears to be even worse, by analyzing the entire world. In Italy such a relationship completely disappears, suggesting that it needs to be emphasized by health care authorities.

scholarly journals Depression among health care students in the time of COVID-19: the mediating role of resilience in the hopelessness–depression relationship

2021 ◽  
pp. 008124632199445
Author(s):  
Tammy-lee Pretorius
Keyword(s):  
Health Care ◽  
Traumatic Event ◽  
National Level ◽  
Depression Scale ◽  
Health Care Students ◽  
Mediating Role ◽  
First Case ◽  
Hopelessness Depression ◽  
The World

COVID-19 spread rapidly across the world, and by March 2020, the first case of COVID-19 was identified in South Africa. Lockdown-related measures such as restricted movement and isolation were implemented to contain the virus. Combined with these measures, factors such as economic decline, job losses, and food shortages can cause numerous mental health sequelae such as depression. Feelings of hopelessness and helplessness as well as cases of suicide have been reported around the world due to the pandemic and the associated feelings of anxiety and depression. The aims of this study were to investigate levels of hopelessness and depression in a sample of health care students. A random sample of students ( N = 174) enrolled in a health sciences programme at the University of the Western Cape completed the Beck Hopelessness Scale, the Center for Epidemiological Studies Depression Scale, and a three-item Resilience Scale. The results revealed high levels of hopelessness and depression compared to previously reported normative data for these scales. In addition, the indirect effects of hopelessness on depression were significant, demonstrating the mediating role of resilience in the hopelessness–depression relationship. These results highlight a call for universities to take proactive measures in providing students with free and easily accessible resources to help them cope and manage stress during a traumatic event. More importantly, at a national level, preventive measures should be implemented to strengthen resilience in young adults.

Brazilian National Household Health Survey and PCAT: the case of Mato Grosso do Sul, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L F Pinto ◽  
D Soranz ◽  
L J Santos ◽  
M S Paranhos ◽  
L S Malta ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Data Collection ◽  
Health Survey ◽  
Household Surveys ◽  
Mato Grosso ◽  
Primary Health ◽  
The World ◽  
Mato Grosso Do Sul

Abstract Brazil is divided into five administrative regions, 27 federation units and 5,570 municipalities. Mato Grosso do Sul is one of the states located in the Midwest region and has 1.6 million km2 and a resident population of 2.8 million inhabitants, that is, it has an even lower demographic density than its region - only 7.8 inhabitants/km2. Mato Grosso do Sul has part of the Pantanal, a biome considered the largest continuous floodplain in the world, rich in biodiversity. For this reason, displacements for data collection in household surveys combine roads and rivers. In 2019, the Brazilian National Institute of Geography and Statistics (Istituto Nazionale di Statistica del Brasile) in partnership with the Ministry of Health launched the world's largest household sample survey, the National Health Survey (PNS-2019), in which part of its questions included the use of Primary Care Assessment Tool (PCAT, adult version), created by professors Barbara Starfield and Leiyu Shi in the 2000s. IBGE interviewers visited more than 100,000 households across the country. In Mato Grosso do Sul, more than 3,000 households were surveyed. In this work, we present the data collection instrument used by IBGE and its multiple analysis possibilities in the scope of primary health care, crossing the variables from other questionnaire modules in order to compare the results from Brazil with the state of Mato Grosso do Sul and its capital, Campo Grande. Developing a baseline and measuring the attributes of primary health care in each of the Brazilian states is another step towards giving health policy accountability, towards strong primary care. IBGE's experience in household surveys and innovation in data collection in primary care is an example for the world that yes, it is possible to develop statistically representative national sample surveys and make them perennial in their regular household surveys, by the time World Health Organization (WHO) discusses universal health coverage. Key messages Evaluation of primary care using an internationally validated instrument is possible on national bases with random household sample surveys. A questionnaire elaborated academically can be used as an instrument of public policy to evaluate nationwide health services.

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