scholarly journals Survey of the Opinion of Dentists and Dental Technicians on the Impact of the State of Emergency Related to the Coronavirus Disease 2019 Epidemic in Bulgaria on their Practice

2021 ◽  
Vol 9 (D) ◽  
pp. 43-46
Author(s):  
Tanya Bozhkova ◽  
Nina Musurlieva
Keyword(s):  
Patient Care ◽  
Health Care Professionals ◽  
Close Contact ◽  
Biological Fluids ◽  
The State ◽  
State Of Emergency ◽  
Significance Level ◽  
Dental Procedures ◽  
Increased Risk ◽  
The Impact

BACKGROUND: In their practice, health-care professionals are at increased risk of coronavirus disease 2019 (COVID-19) infection, which is particularly high for dentists, hygienists, dental assistants, and dental technicians due to close contact with patients and exposure to biological fluids and aerosol/droplets during dental procedures. AIM: The purpose of this study is to survey the opinion of dentists and dental technicians about the impact of the state of emergency in Bulgaria related to the COVID-19 epidemic on their practices. MATERIALS AND METHODS: A specially developed web-based survey conducted among 49 dentists and dental technicians was used. The results were processed with SPSS v. 18 at significance level of p < 0.05. RESULTS: A group of 49 dentists and dental technicians were included in the survey. Оf them (20.41 ± 5.76) reported that they did not work at all during the state of emergency. Relatively, a large number of dentists (81.82 ± 8.22) respond that they have completely changed their patient care protocols. The result is similar for dental technicians (77.77 ± 8.00). More than half of the dentists (59.09 ± 10.48) respond that they specifically disinfect the dental impressions, and of the dental technicians (29.63 ± 8.78) say that they insist on this. All of the respondents share that they use special protective equipment in their practices. CONCLUSION: Although significant progress has been made in controlling COVID-19 and dental clinics and practices are gradually resuming routine patient care, the prevention and control of severe acute respiratory syndrome coronavirus 2 transmission during dental procedures remains a serious challenge.

scholarly journals COVID-19 Pandemic and the Impact on the Cardiovascular Disease Patient Care

2020 ◽  
Vol 16 (3) ◽  
pp. 173-177 ◽  
Author(s):  
Prashanth Kulkarni ◽  
Manjappa Mahadevappa ◽  
Srinivas Alluri
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Professionals ◽  
Disease Patient ◽  
Hospital Environment ◽  
Cardiovascular Patients ◽  
Increased Risk ◽  
Care Health ◽  
Global Threat ◽  
The Impact

: The COVID-19 pandemic has emerged as a serious global threat causing a large number of fatalities and putting enormous strain on the health care resources across the world. This has resulted in preferentially triaging the coronavirus infected patients and placing others, especially cardiovascular patients at increased risk for adverse complications. The effective management of cardiac patients in the hospital environment during this COVID-19 pandemic has emerged as a real challenge. We try to address this issue and also highlight the interplay between COVID-19 and cardiovascular diseases. We hereby review the available literature and emerging guidelines about cardiovascular implications related to COVID-19 which will have a bearing on the patient care, health care professionals and cardiac centres.

scholarly journals Building capacity for implementation—the KT Challenge

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Agnes T. Black ◽  
Marla Steinberg ◽  
Amanda E. Chisholm ◽  
Kristi Coldwell ◽  
Alison M. Hoens ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Professionals ◽  
Qualitative Data ◽  
Practice Change ◽  
Evidence Based ◽  
Science Literature ◽  
Health Care Settings ◽  
Improvement Programs ◽  
The Impact

Abstract Background The KT Challenge program supports health care professionals to effectively implement evidence-based practices. Unlike other knowledge translation (KT) programs, this program is grounded in capacity building, focuses on health care professionals (HCPs), and uses a multi-component intervention. This study presents the evaluation of the KT Challenge program to assess the impact on uptake, KT capacity, and practice change. Methods The evaluation used a mixed-methods retrospective pre-post design involving surveys and review of documents such as teams’ final reports. Online surveys collecting both quantitative and qualitative data were deployed at four time points (after both workshops, 6 months into implementation, and at the end of the 2-year funded projects) to measure KT capacity (knowledge, skills, and confidence) and impact on practice change. Qualitative data was analyzed using a general inductive approach and quantitative data was analyzed using non-parametric statistics. Results Participants reported statistically significant increases in knowledge and confidence across both workshops, at the 6-month mark of their projects, and at the end of their projects. In addition, at the 6-month check-in, practitioners reported statistically significant improvements in their ability to implement practice changes. In the first cohort of the program, of the teams who were able to complete their projects, half were able to show demonstrable practice changes. Conclusions The KT Challenge was successful in improving the capacity of HCPs to implement evidence-based practice changes and has begun to show demonstrable improvements in a number of practice areas. The program is relevant to a variety of HCPs working in diverse practice settings and is relatively inexpensive to implement. Like all practice improvement programs in health care settings, a number of challenges emerged stemming from the high turnover of staff and the limited capacity of some practitioners to take on anything beyond direct patient care. Efforts to address these challenges have been added to subsequent cohorts of the program and ongoing evaluation will examine if they are successful. The KT Challenge program has continued to garner great interest among practitioners, even in the midst of dealing with the COVID-19 pandemic, and shows promise for organizations looking for better ways to mobilize knowledge to improve patient care and empower staff. This study contributes to the implementation science literature by providing a description and evaluation of a new model for embedding KT practice skills in health care settings.

scholarly journals COVID-19 pandemic impact on dentists in Latin America’s epicenter: São-Paulo, Brazil

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256092
Author(s):  
Tatiane Fernandes Novaes ◽  
Maisa Camillo Jordão ◽  
Carlos Felipe Bonacina ◽  
André Oswaldo Veronezi ◽  
Carlos Ariel Rodrigues de Araujo ◽  
...  
Keyword(s):  
Health Care ◽  
Low Income ◽  
Health Care Professionals ◽  
Negative Impact ◽  
Sao Paulo ◽  
The State ◽  
Financial Impact ◽  
São Paulo ◽  
Ordinal Logistic Regression Analysis ◽  
The Impact

The state of São Paulo, Brazil, where more than 94.000 dentists are currently registered, has become the epicenter of COVID-19 in Latin America. The aim of this cross-sectional study was to evaluate the impact of COVID-19 pandemic on dentists in this state. A semi-structured questionnaire was sent via e-mail to 93.280 dentists with active registration in the Dental Council of São Paulo (CROSP). The impact of COVID-19 pandemic was assessed through questions related to demographic, socioeconomic, dental practice characteristics and personal protective equipment (PPE) use. Ordinal logistic regression analysis was performed to investigate the association between all the variables (p<0.05). Over 8 days, 2113 responses were received. Only 26.52% of the sample reported a low-income reduction (from 0–10%), while the majority of dentists reported a more negative financial impact, 35.6% with a reduction of more than 50% of their monthly income. Dentists who worked in the private sector and at the capital had a greater financial impact when compared to those of the public sector and countryside of the state (p<0.05). Furthermore, about 83% reported not having received any specific training to control the transmission of coronavirus in the health area. This study provides evidence of the negative impact of the COVID-19 pandemic on the routine of dentists in the state of São Paulo, Brazil. Hopefully, this study will help dental and other health care professionals to better understand the consequences of disease in dental settings and strengthen preparedness throughout the dental health care system.

scholarly journals Impact of the State of Emergency during the COVID-19 Pandemic in 2020 on Asthma Exacerbations among Children in Kobe City, Japan

2021 ◽  
Vol 18 (21) ◽  
pp. 11407
Author(s):  
Hiroshi Yamaguchi ◽  
Kandai Nozu ◽  
Shinya Ishiko ◽  
Atsushi Kondo ◽  
Takeshi Ninchoji ◽  
...  
Keyword(s):  
Environmental Factors ◽  
Viral Infections ◽  
Multivariate Analyses ◽  
The State ◽  
State Of Emergency ◽  
Average Temperature ◽  
Asthma Exacerbations ◽  
Number Of Patients ◽  
The Impact ◽  
Kobe City

The coronavirus disease (COVID-19) pandemic altered environmental factors. We studied the impact of these changes on asthma exacerbation (AE) by comparing the AE-related environmental factors between COVID-19 (2020) and pre-COVID-19 (2011–2019) eras. Between 2011 and 2020, 278,465 children (<16 years old) visited our emergency department, and 7476 were diagnosed with AE. The number of patients showed spring and fall peaks in 2011–2019. Multivariate analyses showed significant positive relationships of the number of AE patients with the average temperature among all patients and 0–5-year-olds and with sulfur dioxide (SO2) levels in 2011–2019 among 0–5-year-olds. Although the spring peak in the number of patients was not observed in 2020 after declaration of a state of emergency, the fall peak was again observed after the state of emergency was lifted. No changes in average temperature were detected, but SO2 was significantly reduced following declaration of the state of emergency in 2020. Therefore, SO2 reduction might have contributed to the disappearance of the peak of AE. However, a fall peak was observed again in 2020, although SO2 levels continued to be low. These data suggest that person to person interaction seems to be associated with AE, presumably due to unknown viral infections.

scholarly journals Jornalismo e pandemia: impactos da Covid-19 nas rotinas de produção do jornalismo independente do Ceará

2020 ◽  
Vol 7 ◽  
pp. 1-18
Author(s):  
Edgard Patrício
Keyword(s):  
The State ◽  
Working Relationships ◽  
State Of Emergency ◽  
National Surveys ◽  
First Case ◽  
The Impact

In February 2020, the Sars-CoV-2 virus is detected in Brazil. The first death, resultingfrom the disease caused by it, comes in March. Also in March the first case and the first death by Covid-19 in Ceará are notified, and the state decrees a state of emergency. Mobility restriction measures are determined. The situation affects the production of journalism. National surveys (FÍGARO, 2020; FENAJ, 2020) attest to the impact of the pandemic on the conditions and working relationships of communicators and journalists. This study seeks, in addition to the repercussion on workers, to understand the changes caused by the spread of the virus on Ceará's independent journalism initiatives. Contrary movements verified by the referred researches are verified, which accounts for specificities related to the journalism production routines of these initiatives

scholarly journals The impact of biomarkers of acute kidney injury on individual patient care

2019 ◽  
Vol 35 (8) ◽  
pp. 1295-1305 ◽  
Author(s):  
Jay L Koyner ◽  
Alexander Zarbock ◽  
Rajit K Basu ◽  
Claudio Ronco
Keyword(s):  
Acute Kidney Injury ◽  
Patient Care ◽  
Kidney Injury ◽  
Clinical Syndrome ◽  
Functional Markers ◽  
Close Monitoring ◽  
Clinical Implementation ◽  
Care Bundles ◽  
Increased Risk ◽  
The Impact

Abstract Acute kidney injury (AKI) remains a common clinical syndrome associated with increased morbidity and mortality. In the last several years there have been several advances in the identification of patients at increased risk for AKI through the use of traditional and newer functional and damage biomarkers of AKI. This article will specifically focus on the impact of biomarkers of AKI on individual patient care, focusing predominantly on the markers with the most expansive breadth of study in patients and reported literature evidence. Several studies have demonstrated that close monitoring of widely available biomarkers such as serum creatinine and urine output is strongly associated with improved patient outcomes. An integrated approach to these biomarkers used in context with patient risk factors (identifiable using electronic health record monitoring) and with tests of renal reserve may guide implementation and targeting of care bundles to optimize patient care. Besides traditional functional markers, biochemical injury biomarkers have been increasingly utilized in clinical trials both as a measure of kidney injury as well as a trigger to initiate other treatment options (e.g. care bundles and novel therapies). As the novel measures are becoming globally available, the clinical implementation of hospital-based real-time biomarker measurements involves a multidisciplinary approach. This literature review discusses the data evidence supporting both the strengths and limitations in the clinical implementation of biomarkers based on the authors’ collective clinical experiences and opinions.

scholarly journals The Impact of COVID-19 Crisis upon the Consumer Buying Behavior of Fresh Vegetables Directly from Local Producers. Case Study: The Quarantined Area of Suceava County, Romania

2020 ◽  
Vol 17 (15) ◽  
pp. 5485 ◽  
Author(s):  
Alina Butu ◽  
Ioan Sebastian Brumă ◽  
Lucian Tanasă ◽  
Steliana Rodino ◽  
Codrin Dinu Vasiliu ◽  
...  
Keyword(s):  
Sociodemographic Factors ◽  
The State ◽  
Buying Behavior ◽  
State Of Emergency ◽  
Purchasing Intention ◽  
Starting Point ◽  
Fresh Vegetables ◽  
Before And After ◽  
The Impact ◽  
Consumer Buying Behavior

The present paper intends to address the impact of COVID-19 crisis upon the consumer buying behavior of fresh vegetables directly from local producers as observed 30 days later, after enforcing the state of emergency in Romania within a well-defined area, namely, the quarantined area of Suceava. The study relies on the interpretation of answers received from the quarantined area (N = 257) to a questionnaire applied online nationwide. The starting point of this paper is the analysis of the sociodemographic factors on the purchasing decision of fresh vegetables directly from local producers before declaring the state of emergency in Romania (16 March 2020). Further research has been conducted by interpreting the changes triggered by the COVID-19 crisis on the purchasing intention of such products before and after the end of the respective crisis. The aim of this scientific investigation relies on identifying the methods by which these behavioral changes can influence the digital transformation of short food supply chains.

scholarly journals Efficacy of contact tracing for the containment of the 2019 novel coronavirus (COVID-19)

2020 ◽  
pp. jech-2020-214051 ◽  
Author(s):  
Matt J Keeling ◽  
T Deirdre Hollingsworth ◽  
Jonathan M Read
Keyword(s):  
Close Contact ◽  
Control Measure ◽  
Disease Outbreaks ◽  
Contact Tracing ◽  
Public Health Response ◽  
Central Public Health ◽  
Increased Risk ◽  
Novel Coronavirus ◽  
The Uk ◽  
The Impact

ObjectiveContact tracing is a central public health response to infectious disease outbreaks, especially in the early stages of an outbreak when specific treatments are limited. Importation of novel coronavirus (COVID-19) from China and elsewhere into the UK highlights the need to understand the impact of contact tracing as a control measure.DesignDetailed survey information on social encounters from over 5800 respondents is coupled to predictive models of contact tracing and control. This is used to investigate the likely efficacy of contact tracing and the distribution of secondary cases that may go untraced.ResultsTaking recent estimates for COVID-19 transmission we predict that under effective contact tracing less than 1 in 6 cases will generate any subsequent untraced infections, although this comes at a high logistical burden with an average of 36 individuals traced per case. Changes to the definition of a close contact can reduce this burden, but with increased risk of untraced cases; we find that tracing using a contact definition requiring more than 4 hours of contact is unlikely to control spread.ConclusionsThe current contact tracing strategy within the UK is likely to identify a sufficient proportion of infected individuals such that subsequent spread could be prevented, although the ultimate success will depend on the rapid detection of cases and isolation of contacts. Given the burden of tracing a large number of contacts to find new cases, there is the potential the system could be overwhelmed if imports of infection occur at a rapid rate.

Public Security in the Polish Law on State of Emergency

2016 ◽  
Vol 8 (1) ◽  
pp. 91-100
Author(s):  
Bernard Wiśniewski
Keyword(s):  
The State ◽  
Public Security ◽  
State Of Emergency ◽  
Constitutional Order ◽  
Security Environment ◽  
States Of Emergency ◽  
The Republic ◽  
Polish Law ◽  
The Impact ◽  
The Relationship

This article presents the essential issues in the provisions of the law relating to public security in force in the Republic of Poland which are used in conditions of extraordinary internal threats that cannot be dealt with using ordinary legal tools. The considerations are based on an analysis of the legally regulated obligations of the state as a political organisation to society for securing the conditions for its survival in a changing security environment. This serves to present the basic issues of public security and the rules for the use of the State instruments for states of emergency. The rest of this article presents the relationship between issues of public security and a state of emergency. In this part of the article it is essential to discuss the circumstances that must exist to be able to employ specific legal measures in the conditions of threats to the constitutional order of the State and threats affecting the security of the citizens or of public order (including those caused by terrorist activities). Consequently, it discusses the impact of the rigours of a state of emergency in relation to the potential for limiting the escalation of these threats. The final part of the article also presents other instruments, apart from the state of emergency which, in the Polish legal system, can be used in the fight against threats which endanger public security and that are related to prohibited activities in cyberspace.

scholarly journals American Society of Hematology living guidelines on the use of anticoagulation for thromboprophylaxis in patients with COVID-19: May 2021 update on the use of intermediate intensity anticoagulation in critically ill patients

2021 ◽  
Author(s):  
Adam Cuker ◽  
Eric K. Tseng ◽  
Robby Nieuwlaat ◽  
Pantep Angchaisuksiri ◽  
Clifton Blair ◽  
...  
Keyword(s):  
Critical Illness ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Health Care Professionals ◽  
Conflicts Of Interest ◽  
Guideline Development ◽  
Thrombotic Risk ◽  
Increased Risk ◽  
American Society ◽  
The Impact

Background: COVID-19 related critical illness is associated with an increased risk of venous thromboembolism (VTE). Objective: These evidence-based guidelines of the American Society of Hematology (ASH) are intended to support patients, clinicians and other health care professionals in decisions about the use of anticoagulation for thromboprophylaxis in patients with COVID-19-related critical illness who do not have confirmed or suspected VTE. Methods: ASH formed a multidisciplinary guideline panel, including three patient representatives, and applied strategies to minimize potential bias from conflicts of interest. The McMaster University GRADE Centre supported the guideline development process, including performing systematic evidence reviews (up to March 5, 2021). The panel prioritized clinical questions and outcomes according to their importance for clinicians and patients. The panel used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to assess evidence and make recommendations, which were subject to public comment. This is an update on guidelines published in February 2021. Results: The panel agreed on one additional recommendation. The panel issued a conditional recommendation in favor of prophylactic-intensity over intermediate-intensity anticoagulation in patients with COVID-19 related-critical illness who do not have confirmed or suspected VTE. Conclusions: This recommendation was based on low certainty in the evidence, underscoring the need for further high-quality, randomized controlled trials comparing different intensities of anticoagulation in critically ill patients. Other key research priorities include better evidence on predictors of thrombosis and bleeding risk in critically ill patients with COVID-19 and the impact of non-anticoagulant therapies (e.g., antiviral agents, corticosteroids) on thrombotic risk.

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