scholarly journals A cross-sectional study on the impact of the prevention and control response of the COVID-19 pandemic on minor’s orthopedic trauma in Shanghai

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Chuang Qian ◽  
Yiming Zheng ◽  
Junrong Meng ◽  
Hao Li ◽  
Dahui Wang

Abstract Background The Chinese government has taken strong prevention and control measures against the COVID-19 pandemic. Although the pandemic is far from over, it has been effectively controlled in China. The outbreak of COVID-19 pandemic provides an opportunity to study the influence of governmental prevention and control response on orthopedic trauma in minors. Methods We collected and reviewed data and information on minor’s orthopedic trauma from 1 January to 30 June of the past three year (2018, 2019 and 2020). The data were divided according to the time of prevention and control response level in 2020 (the first level response is from January 24 to March 22, the second level response is from March 23 to May 7, and the third level response is May 8 to now). By comparing the relevant data from orthopedic emergency and operating rooms from the past three years, the influence of governmental pandemic prevention measures on orthopedic trauma in minors was analyzed. Results A total of 36,301 minors were included in the study cohort. Before the prevention and control response, the data of the orthopedic emergency department of National Children Medical Center (Shanghai) in 2020 was the same as the previous two years. The condition of children undergoing surgery at the time of injury is significantly different under different levels of prevention and control response. Under the first-level response, the number of fractures, open injuries, radial head subluxation, and surgery were significantly reduced, and the severity of patients with surgery was also significantly reduced. Under the second-level response, the number of operations began to increase, and the severity of the disease also began to rise. Under the third-level response control, the number of fractures, open injuries, and operations have returned to the levels of the previous two years. The severity of the operation has also returned to its previous level. The number of subluxations of the radial head is still different from before. Conclusion The prevention and control response for the pandemic of COVID-19 can reduce the incidence of orthopedic trauma in minors by strengthening the guardian’s care and restricting children’s outdoor activities. With the control of the pandemic, the amount of orthopedic trauma in minors will not be affected by low-level prevention and control.

2020 ◽  
Author(s):  
Chuang Qian ◽  
Yiming Zheng ◽  
Junrong Meng ◽  
Hao Li ◽  
Dahui Wang

Abstract Background: The Chinese government has taken strong prevention and control measures against the COVID-19 pandemic, and has achieved phased victory in the fight against it. The outbreak of COVID-19 pandemic provides an opportunity to study the influence of governmental prevention and control response on orthopedic trauma in children.Methods: We collected and reviewed data on orthopedic trauma from the first half of 2018, 2019, and 2020. The data were divided according to the time of prevention and control response level in 2020. By comparing the relevant data from orthopedic emergency and operating rooms from the past three years, the influence of governmental pandemic prevention measures on orthopedic trauma in children was analyzed. Results: A total of 36301 children were included in the study cohort. Before the prevention and control response, the data of the orthopedic emergency department in 2020 was the same as the previous two years. Under the first-level response, the number of fractures, open injuries, radial head subluxation, and surgery were significantly reduced, and the severity of patients with surgery was also significantly reduced. Under the second-level response, the number of operations began to increase, and the severity of the disease also began to rise. Under the third-level response control, the number of fractures, open injuries, and operations have returned to the levels of the previous two years. The severity of the operation has also returned to its previous level. The number of subluxations of the radial head is still different from before.Conclusion: The pandemic of COVID-19 has affected the social activities of Shanghai residents and reduced the incidence of orthopedic trauma in children. With the control of the pandemic, the living conditions of Shanghai residents have basically recovered.Level of Evidence: Retrospective study Level II


2021 ◽  
Author(s):  
Chuang Qian ◽  
Yiming Zheng ◽  
Junrong Meng ◽  
Hao Li ◽  
Dahui Wang

Abstract Background: The Chinese government has taken strong prevention and control measures against the COVID-19 pandemic, and has achieved phased victory in the fight against it. The outbreak of COVID-19 pandemic provides an opportunity to study the influence of governmental prevention and control response on orthopedic trauma in children.Methods: We collected and reviewed data on orthopedic trauma from the first half of 2018, 2019, and 2020. The data were divided according to the time of prevention and control response level in 2020. By comparing the relevant data from orthopedic emergency and operating rooms from the past three years, the influence of governmental pandemic prevention measures on orthopedic trauma in children was analyzed. Results: A total of 36301 children were included in the study cohort. Before the prevention and control response, the data of the orthopedic emergency department in 2020 was the same as the previous two years. Under the first-level response, the number of fractures, open injuries, radial head subluxation, and surgery were significantly reduced, and the severity of patients with surgery was also significantly reduced. Under the second-level response, the number of operations began to increase, and the severity of the disease also began to rise. Under the third-level response control, the number of fractures, open injuries, and operations have returned to the levels of the previous two years. The severity of the operation has also returned to its previous level. The number of subluxations of the radial head is still different from before.Conclusion: The pandemic of COVID-19 has affected the social activities of Shanghai residents and reduced the incidence of orthopedic trauma in children. With the control of the pandemic, the living conditions of Shanghai residents have basically recovered.


Author(s):  
Gavin H. West ◽  
Laura S. Welch

This chapter describes the hazards for construction workers, with a particular focus on injuries as well as exposures to hazardous chemicals and dusts. A section describes hazardous exposures to lead and other heavy metals. Another section describes noise exposure. The impact of musculoskeletal disorders among construction workers is then discussed. A section on respiratory diseases focuses on asbestosis, silicosis, chronic obstructive pulmonary disease, and asthma. Exposures known to cause dermatitis and cancer are reviewed. There is a discussion of engineered nanomaterials as a potential emerging hazard. Various approaches to prevention and control, including regulations and health services, are described.


2021 ◽  
pp. 1-13
Author(s):  
Wu Jing

In year 2020, a large-scale outbreak of pneumonia caused by new coronavirus has affected the development of many industries and enterprises in China. Under the strong leadership of the Chinese government, the development of the epidemic situation in China has been well controlled. The development of various industries also began to show a good situation, many large-scale sports competitions also need to be restored. In order to ensure the normal development of large-scale sports events, we need to consider the development of epidemic situation to determine the time of sports events. Based on the study of FPGA theory, this paper designs a specific scheme of programming and system debugging, which includes a variety of program operations. In order to better predict the situation of the epidemic situation, this paper also uses the basic knowledge of machine learning to establish a relevant model to evaluate the situation of large-scale sports events under the development of the epidemic situation, and provide feasible suggestions for the recovery of large-scale sports events under the epidemic situation.


2021 ◽  
Vol 10 (7) ◽  
pp. 479
Author(s):  
Yihang Li ◽  
Liyan Xu

The COVID-19 pandemic is a major challenge for society as a whole, and analyzing the impact of the spread of the epidemic and government control measures on the travel patterns of urban residents can provide powerful help for city managers to designate top-level epidemic prevention policies and specific epidemic prevention measures. This study investigates whether it is more appropriate to use groups of POIs with similar pedestrian flow patterns as the unit of study rather than functional categories of POIs. In this study, we analyzed the hour-by-hour pedestrian flow data of key locations in Beijing before, during, and after the strict epidemic prevention and control period, and we found that the pedestrian flow patterns differed greatly in different periods by using a composite clustering index; we interpreted the clustering results from two perspectives: groups of pedestrian flow patterns and functional categories. The results show that depending on the specific stage of epidemic prevention and control, the number of unique pedestrian flow patterns decreased from four before the epidemic to two during the strict control stage and then increased to six during the initial resumption of work. The restrictions on movement are correlated with most of the visitations, and the release of restrictions led to an increase in the variety of unique pedestrian flow patterns compared to that in the pre-restriction period, even though the overall number of visitations decreased, indicating that social restrictions led to differences in the flow patterns of POIs and increased social distance.


2020 ◽  
Author(s):  
Han Chunxia ◽  
Ai Zisheng

Abstract Background Sexually transmitted infections (STIs) are mainly transmitted by sexual contact or similar sexual contact, which can cause diseases of genitourinary organs ,accessory lymphatic system and major organs of the whole body. STIs include clinically symptomatic diseases and asymptomatic infections. The World Health Organization (WHO) reports that More than 1 million sexually transmitted infections (STIs) are acquired every day worldwide.By analyzing the temporal trend of the sexually transmitted infections incidence in China in the past 20 years, we can provide a scientific basis for the further development of prevention and control measures related to sexually transmitted infections. Methods Joinpoint regression model is used to fit the incidence data of three sexually transmitted diseases in China from 1999 to 2018. Annual percentage change (APC) and Average annual percentage Change (AAPC) are calculated to evaluate the temporal trend changes of the incidence of three major sexually transmitted diseases. Results The overall incidence of AIDS/HIV has been on the rise for 20 years, rising by an average of 33.7% per year (P < 0.05). The most obvious increase is in 2002–2005, an average annual increase of 102.5%. The overall incidence of gonorrhea is on a downward trend, decreasing by 4.9% per year on average (P < 0.05).However, its incidence shows a slow rising trend from 2012 to 2018, with an average annual increase of 6.0%. The overall incidence of syphilis is also on the rise, increasing by an average of 9.1% per year (P < 0.05). Except 1999–2003, the incidence of syphilis shows a downward trend, and the other time stages shows a significant upward trend. Conclusions In the past 20 years, the corresponding measures have been taken in China for sexually transmitted infections and achieved remarkable results, but the three major sexually transmitted infections are still in the forefront of the reported notifiable infectious diseases incidence in China. At the same time, all sexually transmitted infections are beginning to shift from high-risk population to the general population, especially adolescents and the floating population.Therefore, China should still pay more attention to the prevention and control of STIs to hold back their further spread or epidemic.


2020 ◽  
Author(s):  
Denise van Hout ◽  
Paul Hutchinson ◽  
Marta Wanat ◽  
Caitlin Pilbeam ◽  
Herman Goossens ◽  
...  

ABSTRACTBackgroundWorking under pandemic conditions exposes health care workers (HCWs) to infection risk and psychological strain. Protecting the physical and psychological health of HCWs is a key priority. This study assessed the perceptions of European hospital HCWs of local infection prevention and control (IPC) procedures during the COVID-19 pandemic and the impact on their emotional wellbeing.MethodsWe performed two rounds of an international cross-sectional survey, between 31 March and 17 April 2020 via existing research networks (round 1), and between 14 May and 31 August 2020 via online convenience sampling (round 2). Main outcome measures were (1) behavioural determinants of HCW adherence with IPC procedures, (2) WHO-5 Well-Being Index, a validated scale of 0-100 reflecting emotional wellbeing. The WHO-5 was interpreted as a score below or above 50 points, a cut-off score used in previous literature to screen for depression.Results2,289 HCWs (round 1: n=190, round 2: n=2,099) from 40 countries in Europe participated. Mean age of respondents was 42 (±11) years, 66% were female, 47% and 39% were medical doctors and nurses, respectively. 74% (n=1699) of HCWs were directly treating patients with COVID-19, of which 32% (n=527) reported they were fearful of caring for these patients. HCWs reported high levels of concern about COVID-19 infection risk to themselves (71%) and their family (82%) as a result of their job. 40% of HCWs considered that getting infected with COVID-19 was not within their control. This was more common among junior than senior HCWs (46% versus 38%, P value <.01). Sufficient COVID-19-specific IPC training, confidence in PPE use and institutional trust were positively associated with the feeling that becoming infected with COVID-19 was within their control. Female HCWs were more likely than males to report a WHO-5 score below 50 points (aOR 1.5 (95% confidence interval (CI) 1.2-1.8).ConclusionsIn Europe, the COVID-19 pandemic has had a differential impact on those providing direct COVID-19 patient care, junior staff and women. Health facilities must be aware of these differential impacts, build trust and provide tailored support for this vital workforce during the current COVID-19 pandemic.


Author(s):  
H. Fan ◽  
L. Ge ◽  
L. Song ◽  
Q. Zhao

Hemorrhagic fever with renal syndrome(HFRS) is a worldwide fulminant infectious disease. Since the first HFRS cases in Hubei Province were reported in 1957, the disease has spread across the province and Hubei has become one of seriously affected areas in China. However, the epidemic characteristics of HFRS are still not entirely clear. Therefore, a systematic investigation of spatial and temporal distribution pattern of HFRS system is needed. In order to facilitate better prevention and control of HFRS in Hubei Province, in this paper, a GIS spatiotemporal analysis and modeling tool was developed to analyze the spatiotemporal dynamics of the HFRS epidemic, as well as providinga comprehensive examination the dynamic pattern of HFRS in Hubei over the past 30 years (1980-2009), to determine spatiotemporal change trends and the causes of HFRS. This paper describes the experiments and their results.


2017 ◽  
Vol 40 (2) ◽  
pp. 155-182 ◽  
Author(s):  
Sverre Raffnsøe ◽  
Andrea Mennicken ◽  
Peter Miller

Since the establishment of Organization Studies in 1980, Michel Foucault’s oeuvre has had a remarkable and continuing influence on its field. This article traces the different ways in which organizational scholars have engaged with Foucault’s writings over the past thirty years or so. We identify four overlapping waves of influence. Drawing on Foucault’s Discipline and Punish, the first wave focused on the impact of discipline, and techniques of surveillance and subjugation, on organizational practices and power relations. Part of a much wider ‘linguistic’ turn in the second half of the twentieth century, the second wave led to a focus on discourses as intermediaries that condition ways of viewing and acting. This wave drew mainly on Foucault’s early writings on language and discourse. The third wave was inspired by Foucault’s seminal lectures on governmentality towards the end of the 1970s. Here, an important body of international research investigating governmental technologies operating on subjects as free persons in sites such as education, accounting, medicine and psychiatry emerged. The fourth and last wave arose out of a critical engagement with earlier Foucauldian organizational scholarship and sought to develop a more positive conception of subjectivity. This wave draws in particular on Foucault’s work on asceticism and techniques of the self towards the end of his life. Drawing on Deleuze and Butler, the article conceives the Foucault effect in organization studies as an immanent cause and a performative effect. We argue for the need to move beyond the tired dichotomies between discipline and autonomy, compliance and resistance, power and freedom that, at least to some extent, still hamper organization studies. We seek to overcome such dichotomies by further pursuing newly emerging lines of Foucauldian research that investigate processes of organizing, calculating and economizing characterized by a differential structuring of freedom, performative and indirect agency.


2020 ◽  
Vol 8 ◽  
Author(s):  
Zhong Sun ◽  
Guozhong He ◽  
Ninghao Huang ◽  
Hongyu Chen ◽  
Shuwei Zhang ◽  
...  

Background: COVID-19 developed into a global pandemic in 2020 and poses challenges regarding the prevention and control capabilities of countries. A large number of inbound travelers from other regions could lead to a renewed outbreak of COVID-19 in the local regions. Globally, as a result of the imbalance in the control of the epidemic, all countries are facing the risk of a renewed COVID-19 outbreak brought about by travelers from epidemic areas. Therefore, studies on a proper management of the inbound travelers are urgent.Methods: We collected a total of 4,733,414 inbound travelers and 174 COVID-19 diagnosed patients in Yunnan province from 21 January 2020 to 20 February 2020. Data on place of origin, travel history, age, and gender, as well as whether they had suspected clinical manifestations for inbound travelers in Yunnan were collected. The impact of inbound travelers on the local epidemic was analyzed with a collinear statistical analysis and the effect of the control measures on the epidemic was evaluated with a sophisticated modeling approach.Results: Of the 174 COVID-19 patients, 60.9% were not from Yunnan, and 76.4% had a history of travel in Hubei. The amount of new daily cases in Yunnan was significant correlated with the number of inbound travelers from Hubei and suspected cases among them. Using Susceptible–Exposed–Infectious–Recovered (SEIR) model analysis, we found that the prevention and control measures dropped the local R0 down to 1.07 in Yunnan province.Conclusions: Our preliminary analysis showed that the proper management of inbound travelers from outbreak areas has a significantly positive effect on the prevention and control of the virus. In the process of resettlement, some effective measures taken by Yunnan province may provide an important reference for preventing the renewed COVID-19 outbreak in other regions.


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