Dynamics of the Third Wave of COVID-19 from the Perspective of the Emergency Department in a Large Regional Hospital—Single Center Observational Study

Background: The outbreak of the Coronavirus Disease 2019 (COVID-19) pandemic has caused many significant social and economic changes. The consecutive waves of the epidemic in various countries have had dissimilar courses depending on the methods used to combat it. The aim of this study was to determine the dynamics of the third wave of COVID-19 from the perspective of emergency departments (ED). Methods: This was a retrospective review of medical records from ED. The authors have identified the most frequent symptoms. Prognostic factors have been chosen—prognostic scales, length of stay (LOS)—and a number of resources required have been calculated. Results: As the time passed, there were fewer patients and they presented mild symptoms. A statistically significant difference was observed in the median of blood oxygenation measurement (p = 0.00009), CRP level (p = 0.0016), and admission rate. Patients admitted to the hospital required more resources at ED. LOS was shorter in patients discharged home (p < 0.0001). Conclusions: The blood oxygen saturation (SPO2) and CPR levels can be helpful in decision-making regarding medical treatment. The fast-track for patients in good clinical condition may shorten the duration of stay in ED, and reduce the number of required resources.

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Tone of Postcards in Increasing Survey Response Rates

Psychological Reports ◽

10.2466/pr0.94.2.444-448 ◽

2004 ◽

Vol 94 (2) ◽

pp. 444-448 ◽

Cited By ~ 2

Author(s):

James H. Price ◽

Faith Yingling ◽

Eileen Walsh ◽

Judy Murnan ◽

Joseph A. Dake

Keyword(s):

Elementary School ◽

Response Rates ◽

Survey Response ◽

Third Wave ◽

Chi Square ◽

Mail Surveys ◽

The Third ◽

Significant Difference ◽

Chi Square Test ◽

Second Wave

This study assessed differences in response rates to a series of three-wave mail surveys when amiable or insistently worded postcards were the third wave of the mailing. Three studies were conducted; one with a sample of 600 health commissioners, one with a sample of 680 vascular nurses, and one with 600 elementary school secretaries. The combined response rates for the first and second wave mailings were 65.8%, 67.6%, and 62.4%, respectively. A total of 308 amiable and 308 insistent postcards were sent randomly to nonrespondents as the third wave mailing. Overall, there were 41 amiable and 52 insistent postcards returned, not significantly different by chi-square test. However, a separate chi-square test for one of the three studies, the nurses' study, did find a significant difference in favor of the insistently worded postcards.

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Profile of Colorectal Tumor in Gastroentero-Hepatology Center, Department of Internal Medicine, Dr Soetomo Hospital, Surabaya

Folia Medica Indonesiana ◽

10.20473/fmi.v56i1.18445 ◽

2020 ◽

Vol 56 (1) ◽

pp. 15

Author(s):

Husin Thamrin ◽

Khafidhotul Ilmiah ◽

Ni Wajan Tirthaningsih

Keyword(s):

Colorectal Cancer ◽

Medical Records ◽

Colorectal Tumor ◽

Age And Gender ◽

Male And Female ◽

The Third ◽

Common Cancer ◽

Significant Difference ◽

And Gender ◽

Ethical Clearance

Colorectal cancer has became burden in the world.The latest study shows that colorectal cancer is the third most common cancer in men and second most common cancer in women globally. There are difference characteristic of epidemiology in every countries. Moreover, there is no study that represents epidemiology of colorectal cancer in Indonesia yet, especially in East Java. The aim of this study was to describe colorectal tumor profile by age and gender in Gastroentero-Hepatology Center, Dr Soetomo Hospital. This study has received a certificate of Ethical Clearance No.273/Panke.KKE/IV/2015, a descriptive retrospective study. We collected data using medical records, and patients who have been colonoscopy examination and suspected colorectal tumor were included. There were 201 patients, divided to 100 males and 101 females. The peak of incidence was on 51-60 years old group, but on the 31-40 years old incidence of colorectal tumor was increased. The youngest patient was 17 years old. And tumors are more likely develop in distal area, especially in rectum. This study shows a different characteristic profile of colorectal tumor, where tumor is developed at young people and there is no significant difference between male and female for the incidence.

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Time trends in social contacts of individuals according to comorbidity and vaccination status, before and during the COVID-19 pandemic: repeated cross-sectional population-based surveys

10.1101/2021.12.02.21267205 ◽

2021 ◽

Author(s):

Aurélie Godbout ◽

Mélanie Drolet ◽

Myrto Mondor ◽

Marc Simard ◽

Chantal Sauvageau ◽

...

Keyword(s):

Time Trends ◽

Population Based ◽

Vaccination Status ◽

Physical Contact ◽

Third Wave ◽

Cross Sectional ◽

Social Contacts ◽

The Third ◽

Significant Difference ◽

Second Wave

ABSTRACTObjectivesTo describe time trends in social contacts of individuals according to comorbidity and vaccination status before and during the first three waves of the COVID-19 pandemic in Quebec, Canada.DesignRepeated cross-sectional population-based surveys.SettingGeneral population.ParticipantsNon-institutionalized adults from Quebec, Canada, recruited by random digit dialling before (2018/2019) and during the pandemic (April 2020 to July 2021). A total of 1441 and 5185 participants with and without comorbidities, respectively, were included in the analyses.Main outcome measuresNumber of social contacts (two-way conversation at a distance ≤2 meters or a physical contact, irrespective of masking) documented in a self-administered web-based questionnaire. We compared the mean number of contacts according to the comorbidity status of participants (pre-existing medical conditions with symptoms/medication in the past 12 months) and 1-dose vaccination status during the third wave. All analyses were performed using weighted generalized linear models with a Poisson distribution and robust variance.ResultsContacts significantly decreased from a mean of 6.1 (95% confidence interval 4.9 to 7.3) before the pandemic to 3.2 (2.5 to 3.9) during the first wave among individuals with comorbidities, and from 8.1 (7.3 to 9.0) to 2.7 (2.2 to 3.2) among individuals without comorbidities. Individuals with comorbidities maintained fewer contacts than those without comorbidities in the second wave, with a significant difference before the Christmas 2020/2021 holidays (2.9 (2.5 to 3.2) v 3.9 (3.5 to 4.3); P<0.001). During the third wave, contacts were similar for individuals with (4.1, 3.4 to 4.7) and without comorbidities (4.5, 4.1 to 4.9; P=0.27). This could be partly explained by individuals with comorbidities vaccinated with their first dose who increased their contacts to the level of those without comorbidities.ConclusionsThe lower level of contacts maintained by individuals with comorbidities could have influenced the burden of hospitalisations and deaths of the second wave in Quebec. It will be important to closely monitor COVID-19-related outcomes and social contacts by comorbidity and vaccination status to inform targeted or population-based interventions.

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The effects of post-operative oxygen supply on blood oxygenation and acid-base status in rats anaesthetized with fentanyl/fluanisone and midazolam

PLoS ONE ◽

10.1371/journal.pone.0255829 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0255829

Author(s):

Leander Gaarde ◽

Stefanie Kolstrup ◽

Peter Bollen

Keyword(s):

Oxygen Saturation ◽

Oxygen Supply ◽

Respiratory Acidosis ◽

Blood Oxygenation ◽

Acid Base ◽

Blood Oxygen Saturation ◽

Arterial Blood ◽

Post Operative Period ◽

Significant Difference ◽

Acid Base Status

In anaesthetic practice the risk of hypoxia and arterial blood gas disturbances is evident, as most anaesthetic regimens depress the respiratory function. Hypoxia may be extended during recovery, and for this reason we wished to investigate if oxygen supply during a one hour post-operative period reduced the development of hypoxia and respiratory acidosis in rats anaesthetized with fentanyl/fluanisone and midazolam. Twelve Sprague Dawley rats underwent surgery and were divided in two groups, breathing either 100% oxygen or atmospheric air during a post-operative period. The peripheral blood oxygen saturation and arterial acid-base status were analyzed for differences between the two groups. We found that oxygen supply after surgery prevented hypoxia but did not result in a significant difference in the blood acid-base status. All rats developed respiratory acidosis, which could not be reversed by supplemental oxygen supply. We concluded that oxygen supply improved oxygen saturation and avoided hypoxia but did not have an influence on the acid-base status.

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Profile of Colorectal Tumor in Gastroentero-Hepatology Center, Department of Internal Medicine, Dr Soetomo Hospital, Surabaya

Folia Medica Indonesiana ◽

10.20473/fmi.v56i1.24552 ◽

2021 ◽

Vol 56 (1) ◽

pp. 15

Author(s):

Husin Thamrin ◽

Khafidhotul Ilmiah ◽

Ni Wajan Tirthaningsih

Keyword(s):

Colorectal Cancer ◽

Medical Records ◽

Colorectal Tumor ◽

Age And Gender ◽

Male And Female ◽

The Third ◽

Common Cancer ◽

Significant Difference ◽

And Gender ◽

Ethical Clearance

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PRIMARY HEALTH CARE REFORM IN UKRAINE: RESULTS OF THE NATION-WIDE SURVEY “HEALTH INDEX.UKRAINE”

Вісник Академії праці, соціальних відносин і туризму ◽

10.33287/11206 ◽

2019 ◽

pp. 66-84

Author(s):

Тетяна Семигіна ◽

Вікторія Тимошевська ◽

Тетяна Степурко

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Care Reform ◽

Third Wave ◽

Health Index ◽

Family Doctors ◽

The Third ◽

Primary Health ◽

Significant Difference ◽

Household Members

This paper is aimed to present how people respond to some innovationsintroduced within the Ukrainian health care system by legislation adopted in2017. It is focused on issues of choosing family doctors and on perception ofe-health by population.The survey “Health Index. Ukraine” has been launched in 2015 by theInternational Renaissance Foundation, School of Public Health of NationalUniversity of Kyiv-Mohyla Academy and Kyiv International Institute ofSociology. In 2018, the questions on primary health care reform (choosingthe primary health care provider, perception of e-health) were added tothe research instrument of “Health index. Ukraine”. This paper analysesdata collected in 2018 only, because the users’ experience of choosing familydoctor and perception of e-health variables are available for 2018 datasolely. The third wave of the survey took place in June - July 2018 and overall10219 respondents were interviewed in Ukraine.At the moment of the third wave of survey, 42% of respondents reportedthat all their household members including themselves had their declarationssigned with family doctors, 5.8% reported that some of their householdmembers had their declarations signed, and 52.2% more informed that noneof their household members had his/her declaration signed. Households withchildren were more active: 52% of them had their declarations signed withdoctors. 12.4% of household representatives reported that do not plan tochoose a family doctor. 59.5% of respondents reported that they did notexperience problems in the process of choosing a family doctor.There is no significant difference in rates of declarations signing betweendifferent type of areas, education levels, and health self-assessment status.Regional difference in signing declarations (self-reported) by all householdmembers reaches up to 52.4%.The survey results demonstrate that patients want their medical recordsto be visible by different doctors (29.9%) and by patients themselves (28.9%),and only 19.8% believe the e-health instrument is not necessary at all. Thoseself-assessing their health as very bad or bad are three times more criticalabout the electronic system as those self-assessing their health as very good.

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