scholarly journals Epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the novel coronavirus outbreak: Wuhan’s experience

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Yan Zhou ◽  
Jianghua Ming ◽  
Shiqing Liu
Keyword(s):  
Nosocomial Infection ◽  
Orthopedic Surgery ◽  
Perioperative Complications ◽  
Control Group ◽  
The Novel ◽  
Postoperative Complication Rate ◽  
Novel Coronavirus ◽  
Perioperative Risks ◽  
Epidemiological Characteristics ◽  
Epidemiologic Characteristics

Abstract Background The purpose of this article is to summarize the epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the COVID-19 outbreak in Wuhan, China, based on our own experience in our hospital. Methods A retrospective and comparative study was performed to identify all inpatients at our clinic from February 17 to April 20, 2020 (epidemic group), and from February 17 to April 20, 2019 (control group). Epidemiologic characteristics, screening effect, perioperative complications, and nosocomial infection were analyzed. Results In the epidemic group, 82 patients were identified, a decrease by 76.0% than the 342 patients in the same period in the 2019. Patients in the epidemic group (54.6 ± 20.2 years) were older than those in the control group (49.6 ± 22.5 years). For the epidemic group, the proportion rates of traumatic factures (69.5%) and low-energy injuries (86.0%) were higher than that in the control group, respectively (35.4% and 37.2%). The preoperative waiting time (7.0 ± 2.6 days) in the epidemic group was longer than that in the control group (4.5 ± 2.1 days). The postoperative complication rate (12.2%) in the epidemic group was higher than that in the control group (3.5%). No nosocomial infection of orthopedic staff and patients with COVID-19 was noted in the epidemic group. Conclusion During the COVID-19 outbreak in Wuhan, China, orthopedic inpatients showed unique epidemiological characteristics. The double-buffered strategy could effectively avoid nosocomial infections among medical staff and patients. Doctors should fully evaluate the perioperative risks and complications.

scholarly journals Epidemiologic Characteristics and Double-buffered Strategy for Patients in Orthopedic Surgery During the Novel Coronavirus Outbreak: Wuhan's Experience

2020 ◽  
Author(s):  
Yan Zhou ◽  
Jianghua Ming ◽  
Shiqing Liu
Keyword(s):  
Nosocomial Infection ◽  
Orthopedic Surgery ◽  
Perioperative Complications ◽  
Control Group ◽  
The Novel ◽  
Postoperative Complication Rate ◽  
Novel Coronavirus ◽  
Perioperative Risks ◽  
Epidemiological Characteristics ◽  
Epidemiologic Characteristics

Abstract Background: The purpose of this article is to summarize the epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the COVID-19 outbreak in Wuhan, China, based on our own experience in our hospital. Methods: A retrospective and comparative study was performed to identify all inpatients at our clinic from February 17, 2020 to April 20, 2020 (epidemic group), and from February 17, 2019 to April 20, 2019 (control group). Epidemiologic characteristics, screening effect, perioperative complications, and nosocomial infection were analyzed. Results: In the epidemic group, 82 patients were identified, a decrease by 76.0% than the 342 patients in the same period in the 2019. Patients in the epidemic group (54.6 ± 20.2 years) were older than those in the control group (49.6 ± 22.5 years). For the epidemic group, the proportion rates of traumatic factures (69.5%) and low-energy injuries (86.0%) were higher than that in the control group, respectively (35.4% and 37.2%). The preoperative waiting time (7.0 ± 2.6 days) in the epidemic group was longer than that in the control group (4.5 ± 2.1 days). The postoperative complication rate (12.2%) in the epidemic group was higher than that in the control group (3.5%). No nosocomial infection of orthopedic staff and patients with COVID-19 was noted in the epidemic group.Conclusion: During the COVID-19 outbreak in Wuhan, China, orthopedic inpatients showed unique epidemiological characteristics. The double-buffered strategy could effectively avoid nosocomial infections among medical staff and patients. Doctors should fully evaluate the perioperative risks and complications.

scholarly journals Epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the novel coronavirus outbreak: Wuhan's experience

2021 ◽  
Author(s):  
Yan Zhou ◽  
Jianghua Ming ◽  
Shiqing Liu
Keyword(s):  
Nosocomial Infection ◽  
Orthopedic Surgery ◽  
Perioperative Complications ◽  
Control Group ◽  
The Novel ◽  
Postoperative Complication Rate ◽  
Novel Coronavirus ◽  
Perioperative Risks ◽  
Epidemiological Characteristics ◽  
Epidemiologic Characteristics

Abstract Background: The purpose of this article is to summarize the epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the COVID-19 outbreak in Wuhan, China, based on our own experience in our hospital. Methods: A retrospective and comparative study was performed to identify all inpatients at our clinic from February 17, 2020 to April 20, 2020 (epidemic group), and from February 17, 2019 to April 20, 2019 (control group). Epidemiologic characteristics, screening effect, perioperative complications, and nosocomial infection were analyzed. Results: In the epidemic group, 82 patients were identified, a decrease by 76.0% than the 342 patients in the same period in the 2019. Patients in the epidemic group (54.6 ± 20.2 years) were older than those in the control group (49.6 ± 22.5 years). For the epidemic group, the proportion rates of traumatic factures (69.5%) and low-energy injuries (86.0%) were higher than that in the control group, respectively (35.4% and 37.2%). The preoperative waiting time (7.0 ± 2.6 days) in the epidemic group was longer than that in the control group (4.5 ± 2.1 days). The postoperative complication rate (12.2%) in the epidemic group was higher than that in the control group (3.5%). No nosocomial infection of orthopedic staff and patients with COVID-19 was noted in the epidemic group.Conclusion: During the COVID-19 outbreak in Wuhan, China, orthopedic inpatients showed unique epidemiological characteristics. The double-buffered strategy could effectively avoid nosocomial infections among medical staff and patients. Doctors should fully evaluate the perioperative risks and complications.

scholarly journals Epidemiological Characteristics of COVID-19 in Mexico and the Potential Impact of Lifting Confinement Across Regions

2020 ◽  
Vol 8 ◽  
Author(s):  
Cristy Leonor Azanza Ricardo ◽  
Esteban A. Hernandez-Vargas
Keyword(s):  
The Elderly ◽  
The Novel ◽  
Major Threat ◽  
Large Fluctuations ◽  
The World ◽  
High Death ◽  
Mexican Government ◽  
Potential Impact ◽  
Novel Coronavirus ◽  
Epidemiological Characteristics

The novel coronavirus SARS-CoV-2 has paralyzed our societies, leading to self-isolation and quarantine for several days. As the 10th most populated country in the world, Mexico is on a major threat by COVID-19 due to the limitations of intensive care capacities, about 1.5 hospital beds for every 1,000 citizens. In this paper, we characterize the COVID-19 pandemic in Mexico and projected different scenarios to evaluate sharp or gradual quarantine lifting strategies. Mexican government relaxed strict social distancing regulations on June 1, 2020, deriving to pandemic data with large fluctuations and uncertainties of the tendency of the pandemic in Mexico. Our results suggest that lifting social confinement must be gradually sparse while maintaining a decentralized region strategy among the Mexican states. To substantially lower the number of infections, simulations highlight that a fraction of the population that represents the elderly should remain in social confinement (approximately 11.3% of the population); a fraction of the population that represents the confined working class (roughly 27% of the population) must gradually return in at least four parts in consecutive months; and to the last a fraction of the population that assumes the return of students to schools (about 21.7%). As the epidemic progresses, deconfinement strategies need to be continuously re-adjusting with the new pandemic data. All mathematical models, including ours, are only a possibility of many of the future, however, the different scenarios that were developed here highlight that a gradual decentralized region deconfinement with a significant increase in healthcare capacities is paramount to avoid a high death toll in Mexico.

scholarly journals Purely data-driven exploration of COVID-19 pandemic after three months of the outbreak

2020 ◽  
Author(s):  
Shirali Kadyrov ◽  
Hayot Berk Saydaliev
Keyword(s):  
Reproduction Number ◽  
Statistical Tests ◽  
Disease Outbreak ◽  
Data Driven ◽  
The Novel ◽  
Epidemic Modeling ◽  
Death Rates ◽  
Sir Epidemic ◽  
Novel Coronavirus ◽  
Epidemiological Characteristics

AbstractIt has been three months since the novel coronavirus (COVID-19) pandemic outbreak. Many research studies were carried to understand its epidemiological characteristics in the early phase of the disease outbreak. The current study is yet another contribution to better understand the disease properties by parameter estimation of mathematical SIR epidemic modeling. The authors use Johns Hopkins University’s dataset to estimate the basic reproduction number of COVID-19 for representative countries (Japan, Germany, Italy, France, and Netherlands) selected using cluster analysis. As a by-product, the authors estimate transmission, recovery, and death rates for each selected country and carry statistical tests to see if there are any significant differences.

Normoxic barotherapy in medical rehabilitation of patients after the novel coronavirus infection

2020 ◽  
pp. 29-35
Author(s):  
A. S. Kaisinova ◽  
A. N. Semukhin ◽  
A. V. Abramtsova ◽  
N. V. Efimenko ◽  
D. I. Velikanov ◽  
...  
Keyword(s):  
Rehabilitation Program ◽  
Medical Rehabilitation ◽  
Control Group ◽  
Spa Therapy ◽  
Blood Oxygen ◽  
The Novel ◽  
Physical And Mental Health ◽  
Blood Oxygen Saturation ◽  
Coronavirus Infection ◽  
Novel Coronavirus

The purpose of the study is to develop a medical rehabilitation program for the patients who have come through a new coronavirus infection in the resort of Pyatigorsk. Material and methods. In the conditions of the health center named after S.M. Kirov in Pyatigorsk, a branch of FSBI NCFSCC FMBA of Russia, there have been observed 52 patients who had the new coronavirus infection COVID-19 of moderate severity, at the age from 18 up to 65 years old. Two groups have been formed by simple randomization: in the main group, the patients received normoxic barotherapy against the background of traditional spa therapy for pulmonary patients; in the control group, the patients had only conventional therapy. Results. The inclusion of normoxic barotherapy in the complex of medical rehabilitation of patients who came through the novel coronavirus infection contributed to the increase of tolerance to exercise and improved blood oxygen saturation in 92,9 % of cases, restoration of impaired functions of bronchopulmonary apparatus in 89,3 % and physical and mental health in 85.7 % of cases, which was significantly higher in comparison to similar indicators in the control group. Conclusion. Medical rehabilitation of patients after the new coronavirus infection in the resort is justified and advisable.

scholarly journals Coronaphobia in patients with fibromyalgia

2021 ◽  
Author(s):  
Sevinç Külekçioğlu ◽  
Merve Akyüz ◽  
Özenç İnan ◽  
Alp Çetin
Keyword(s):  
Fibromyalgia Syndrome ◽  
Control Group ◽  
The Novel ◽  
Locomotor System ◽  
Global Pandemic ◽  
Study Results ◽  
Group 2 ◽  
Novel Coronavirus ◽  
Group 1

Objectives: This study aims to evaluate the level of coronaphobia caused by the novel coronavirus disease 2019 (COVID-19) pandemic in patients with fibromyalgia syndrome (FMS) and to compare the results in patients without FMS. Patients and methods: Between August 2020 and October 2020, a total of 61 patients who were admitted to our outpatient clinic were included. The patients were divided into two groups as Group 1 (n=30; 2 males, 28 females; mean age: 43.2±9.3 years; range, 21 to 61 years) consisting of patients who were newly diagnosed or under follow-up for FMS and Group 2, the control group, (n=31; 4 males, 27 females; mean age: 49±10.7 years; range, 25 to 66 years) consisting patients who presented with any locomotor system complaint and were not diagnosed with FMS. Sociodemographic data of the patients and comorbidities were recorded. All the patients in both groups completed the COVID-19 Phobia Scale (C19P-S). Results: The C19P-S total score and psychological, psychosomatic, social, and economic subscale scores were statistically significantly higher in the FMS group than the control group (p<0.05). Conclusion: Our study results suggest that FMS patients have more concerns in this extraordinary global pandemic situation. Early detection of coronaphobia and timely psychological support are critical for individuals prone to psychological disorders, such as FMS.

scholarly journals Covid19 infection spread in Greece: Ensemble forecasting models with statistically calibrated parameters and stochastic noise

2020 ◽  
Author(s):  
Georgios D. Politis ◽  
Leontios Hadjileontiadis
Keyword(s):  
Epidemiological Data ◽  
The Novel ◽  
The Social ◽  
Forecasting Performance ◽  
Least Squares Optimization ◽  
Healthcare Interventions ◽  
Novel Coronavirus ◽  
Epidemiological Characteristics ◽  
Subsequent Failure ◽  
Of Greece

AbstractFollowing the outbreak of the novel coronavirus SARS-Cov2 in Europe and the subsequent failure of national healthcare systems to sufficiently respond to the fast spread of the pandemic, extensive statistical analysis and accurate forecasting of the epidemic in local communities is of primary importance in order to better organize the social and healthcare interventions and determine the epidemiological characteristics of the disease. For this purpose, a novel combination of Monte Carlo simulations, wavelet analysis and least squares optimization is applied to a known basis of SEIR compartmental models, resulting in the development of a novel class of stochastic epidemiological models with promising short and medium-range forecasting performance. The models are calibrated with the epidemiological data of Greece, while data from Switzerland and Germany are used as a supplementary background. The developed models are capable of estimating parameters of primary importance such as the reproduction number and the real magnitude of the infection in Greece. A clear demonstration of how the social distancing interventions managed to promptly restrict the epidemic growth in the country is included. The stochastic models are also able to generate robust 30-day and 60-day forecast scenarios in terms of new cases, deaths, active cases and recoveries.

scholarly journals Impact of online Internet Training on the Prevention and Control of the Novel Coronavirus Pneumonia

2020 ◽  
Author(s):  
Xiaoli Wang ◽  
Haiyan Zhang ◽  
Hongmei Xu ◽  
Yao Wang ◽  
Ping Wang
Keyword(s):  
Prevention And Control ◽  
Patient Management ◽  
Online Training ◽  
Training Group ◽  
Medical Waste ◽  
Control Group ◽  
Theoretical Knowledge ◽  
The Novel ◽  
Novel Coronavirus ◽  
And Control

Abstract Background To observe the impact of online internet training on the prevention and control of the novel coronavirus pneumonia, and to supply clinical evidence for an effective safety training model for emergent public safety situations. Methods A total of 2,080 medical technicians of the Third People’s Hospital of Yancheng, affiliated to Southeast University, were enrolled and divided into two groups based on the training mode (online vs. routine). They were evaluated based on the rate of excellence in five aspects: medical technicians’ prevention and control, patient management, disinfection, medical waste disposal, and hand hygiene. A questionnaire was used to check the theoretical knowledge of both groups of the prevention and control of the new coronavirus pneumonia. Results The online training group had a higher excellence rate for medical technicians’ prevention and control, patient management, disinfection, and medical waste disposal than the control group (p < 0.05). However, there was no statistically significant difference in hand hygiene assessment between the two groups. Based on the self-made questionnaire star-based survey, the online training group was more informed than the control group on the theoretical knowledge of the new coronavirus pneumonia. Conclusion Online training can effectively and safely improve the awareness regarding the infection-related knowledge and compliance of preventive measures. Thus, it should be implemented in hospitals to minimize the risk of cross-transmission among people.

Analysis of the clinical manifestations of cerebral stroke in patients with the novel coronavirus infection (COVID-19)

2020 ◽  
pp. 30-45
Author(s):  
Vladislav V. Andreev ◽  
Alexander Y. Podunov ◽  
Daniil S. Lapin ◽  
Zarema L. Gilyaeva ◽  
Ekaterina N. Nikiforova ◽  
...  
Keyword(s):  
Lung Tissue ◽  
Hemorrhagic Stroke ◽  
Clinical Laboratory ◽  
Clinical Manifestations ◽  
Community Acquired Pneumonia ◽  
Control Group ◽  
Cerebral Stroke ◽  
The Novel ◽  
Coronavirus Infection ◽  
Novel Coronavirus

Objective: To improve the diagnosis and treatment of acute cerebrovascular accident in patients with community-acquired pneumonia caused by the novel coronavirus infection (COVID-19). Materials and methods: For the first time, clinical manifestations of strokes in patients with diagnosed new coronavirus infection (COVID-19) were analyzed in 130 patients. The study was conducted in two groups. The main group consisted of 69,2 % (n = 90) with a clinical and instrumental diagnosis: novel coronavirus infection in combination with stroke. The control group (30,8 %; n = 40) included the cases of ischemic and hemorrhagic stroke without signs of SARS-CoV-2. In both groups, the severity of the disease and pathogenetic subtypes were compared, and the features of the laboratory biochemical data were studied. Statistical analysis of the outcomes was carried out taking into account the severity of brain and lung tissue damage. Results: In patients with cerebral stroke against the background of the new coronavirus infection (COVID-19), the prevalence of ischemic stroke cases (86,4 %) was noted for undetermined (41,4 %) and cardioembolic (35,7 %) pathogenetic subtypes (according to TOAST) with localization in the carotid basin (89,7 %). In hemorrhagic stroke, parenchymal hemorrhage was observed with a greater frequency (54,5 %). The severity of the diagnosed strokes according to the NIHSS scale was up to 13,16 (8,80) points with less severe brain damage — Glasgow coma scale (14,0 (12,0 15,0). In the group of the patients, a widespread lesion of the lung tissue was diagnosed in 82,2 % of cases. No significant increase in the incidence of clinically significant manifestations of systemic and organ hypercoagulation was established. Conclusions: In stroke patients with COVID-19, ischemic manifestations with undetermined and cardioembolic subtypes without age and gender features prevail, with no differences in the severity of the course and a large number of favorable outcomes. A high activity of inflammatory and infectious changes was established by clinical laboratory.

Different Scenarios of Asymptomatic Coronavirus Disease 2019 in Orthopedic Trauma Patients: Case Series and Practical Guide

2020 ◽  
Author(s):  
Seyyed Hossein Shafiei ◽  
Salar Baghbani ◽  
Mohsen Rezaei Nosrati ◽  
Babak Siavashi ◽  
Mohammad Reza Golbakhsh
Keyword(s):  
Orthopedic Surgery ◽  
Trauma Center ◽  
Direct Contact ◽  
Case Series ◽  
Trauma Patients ◽  
The Novel ◽  
Orthopedic Trauma ◽  
Novel Coronavirus ◽  
Orthopedic Patients ◽  
Detailed Protocol

Background: During the outbreak of the novel coronavirus disease 2019 (COVID-19), Sina Hospital in Tehran, Iran, dedicated a majority of its facilities and workforce to fight this crisis. Meanwhile, our academic trauma center continued to admit emergency trauma patients. Case Report: In this case series, we tried to discuss five previously healthy trauma patients who underwent orthopedic surgery and were diagnosed with COVID-19 later. Also, we described our detailed protocol for the management of orthopedic patients during the pandemic. Conclusion: During COVID-19 time, we continued to provide our best service to the trauma patients while keeping our personnel as far as possible from direct contact with the patients until it was necessary.

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