TECHNOLOGY AND THE "NORMAL" IN THE CORONAVIRUS ERA

Health and Society ◽

10.51249/hes01.04.2021.436 ◽

2021 ◽

Keyword(s):

Social Isolation ◽

Personal Development ◽

Professional Life ◽

Digital Platforms ◽

Wearable Technologies ◽

Technological Growth ◽

Follow Up Care ◽

Before And After ◽

The Moment

Pandemic, although devastating in some aspects, is spreading rapidly as is technological growth. In times of social isolation, so much has never been learned through digital platforms, jobs are reinvented at unparalleled speed. Patients are treated in telehealth, a technology that stands out at the moment, a useful tool for initial or follow-up care. Real-time monitoring with GPS, Google platforms, wearable technologies, a range of options still without legislation and correct coverage. Reflecting on your personal and professional life, the Coronavirus, for sure, will divide our existence into before and after, and what was “normal” before, will remain unchanged afterwards? Reflections on technology, management and personal development.

Download Full-text

Pulmonary rehabilitation

Oxford Handbook of Respiratory Nursing ◽

10.1093/med/9780198831815.003.0024 ◽

2021 ◽

pp. 515-522

Author(s):

Terry Robinson ◽

Jane Scullion

Keyword(s):

Lung Disease ◽

Social Isolation ◽

Pulmonary Rehabilitation ◽

Social Performance ◽

Depression And Anxiety ◽

Respiratory Impairment ◽

Follow Up Care ◽

Set Up ◽

Programme Of Care

Pulmonary rehabilitation (PR) is an important component in the management, care, and treatment of patients with chronic lung disease, particularly with COPD and increasingly in ILD. Breathlessness is a symptom of the underlying lung disease, and can result in reduced patient activity, which in turn reduces fitness, leads to social isolation, and can exacerbate depression and anxiety. PR is a multidisciplinary programme of care for patients with chronic respiratory impairment that is individually tailored and designed to optimize physical and social performance and autonomy. This chapter describes the rationale for PR, how to set up an effective rehabilitation regime through education and physical exercise, and how to provide follow-up care.

Download Full-text

Impact of the introduction of the active follow-up care of the third stage of childbirth in the prevention of delivery hemorrhage in the obstetrical gynecology department

World Journal of Advanced Research and Reviews ◽

10.30574/wjarr.2021.11.2.0367 ◽

2021 ◽

Vol 11 (2) ◽

pp. 227-236

Author(s):

Jeremie Pagnol Bille Bonga ◽

Michele Corneille Matchim Kamdem ◽

Leila Sandra Nnanga ◽

Ghislain François Eyimi Abessolo ◽

Marcellin Ndoe Guiaro

Keyword(s):

Data Collection ◽

Regional Hospital ◽

Prospective Data ◽

The Third ◽

Third Stage ◽

Follow Up Care ◽

Before And After ◽

Study Participants ◽

The Impact

Background: The majority of pregnancies and births proceed without complications. However, all pregnancies present risks of complications that could endanger the maternal prognosis. One of the most serious of these complications is the bleeding during delivery. It’s often unpredictable nature, when it occurs, involves an urgent obstetric situation which requires early diagnosis and rapid and effective follow-up. The general objective of this study was to assess the impact of the introduction of the active follow-up care of the third phase of childbirth in the prevention of bleeding during delivery with our place of study, the obstetrical gynecology department of Kindia regional hospital (Konacri Guinea), with the aim of optimizing the follow-up care of pregnant women during their childbirth. Methodology: We carried out a case-control study with both retrospective and prospective data collection on the records of participants with cases of hemorrhage during delivery in the gynecology department of the Kindia regional hospital. Retrospective data collection covered a period of 25 months before the active follow-up care of the third stage of childbirth and concerned the control group of study participants, while the one of prospective data covered a period of 19 months after the introduction of the active follow-up care of the third stage of childbirth from the 1st January 2019 to 30th September 2020 and concerned the cases group. The criteria for matching these two groups of study participants were the diagnosis and the follow-up of the delivery hemorrhage. Results: During our study period in the gynecology department of the Kindia regional hospital, we identified 223 cases of delivery hemorrhage out of 2198 deliveries before the period of introduction of the active follow-up care of the third stage. This represents an incidence of 10.14%, compared to 73 cases of delivery hemorrhage out of 2714 deliveries during the period of the active follow-up care of the third stage. For an incidence of 2.68%. We found that the hemorrhages during delivery did not spare any age group and were observed for all parities. There were common reasons for admission before and after the integration of the active follow-up care of the third stage of childbirth namely vulvar hemorrhage and physical asthenia, which were reflected in the clinical picture of all cases bleeding from the issue. In addition, headaches, dizziness, and thirst were found, but in different proportions and significantly less frequent since the introduction of the active follow-up care of the third stage of childbirth. This sign were in this context the consequence of the state of shock with respective frequencies of 46.63% and 28.76% before and after the introduction of the active follow-up care of the third stage of childbirth and anemia was present in all cases of delivery hemorrhage. Conclusion: The introduction of active follow-up care of the third stage of childbirth has reduced the frequency of delivery hemorrhages and may therefore help to reduce maternal morbidity and mortality.

Download Full-text

Innominate Artery Compression of the Trachea in Infants

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949410300502 ◽

1994 ◽

Vol 103 (5) ◽

pp. 347-350 ◽

Cited By ~ 16

Author(s):

Dwight T. Jones ◽

Richard A. Jonas ◽

Gerald B. Healy

Keyword(s):

Innominate Artery ◽

Respiratory Arrest ◽

Feeding Problems ◽

Tracheal Compression ◽

Feeding Difficulties ◽

The Past ◽

Proper Patient Selection ◽

Follow Up Care ◽

Before And After

Innominate artery compression of the trachea in infants can cause severe biphasic stridor, cyanosis, and respiratory arrest. These episodes are sometimes referred to as “dying spells.” In the past, aortopexy has been used for the treatment of this problem, but since many have questioned its success, its use has not been popularized or generally accepted. Over the past 4 years, 12 children have been successfully treated for innominate artery compression of the trachea with aortopexy. These children all initially presented with significant respiratory and/or feeding difficulties. Preoperative and postoperative videos were obtained to document the degree of tracheal compression and/or lumen size before and after surgery. Since treatment, all patients have been without further feeding problems or cyanosis. When performed in selected patients, aortopexy is successful in relieving tracheal obstruction from innominate artery compression. This article discusses proper patient selection, operative technique, and follow-up care. The management of compression in patients with less severe symptoms will also be addressed.

Download Full-text

The Lived Experience of Cervical Cancer Screening as Perceived by Indigenous Maya Women in Guatemala

International Journal for Human Caring ◽

10.20467/1091-5710.23.4.320 ◽

2019 ◽

Vol 23 (4) ◽

pp. 320-328 ◽

Cited By ~ 1

Author(s):

Rhonda Lynn Goodman

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Lived Experience ◽

Cervical Cancer Screening ◽

Opportunity To Learn ◽

Medical Doctor ◽

Culturally Appropriate ◽

Follow Up Care ◽

Before And After

Indigenous Maya women in Guatemala have little or no access to cervical cancer screening or follow-up care. Healthcare groups initiated a program to address this situation. This study collected the women's stories before and after screening. Screening was conducted by a licensed Guatemalan medical doctor. The participants had never experienced cervical cancer screening. They were given an opportunity to tell how they felt about the screening. The stories provide an opportunity to learn of the experience of cervical cancer screening as perceived by the indigenous Maya women and could assist to develop culturally appropriate approaches to this population.

Download Full-text

Patients’ perspective on emergency treatment of ophthalmologic diseases during the first phase of SARS-CoV2 pandemic in a tertiary referral center in Germany – the COVID-DETOUR questionnaire study

BMC Ophthalmology ◽

10.1186/s12886-021-02054-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Christoph Ehlken ◽

Constantin von Medem ◽

Maya Lüdemann ◽

Anna Maria Kirsch ◽

Johann Baptist Roider

Keyword(s):

Health Beliefs ◽

Risk Groups ◽

Questionnaire Study ◽

Treatment Center ◽

Tertiary Referral ◽

Tertiary Referral Center ◽

Referral Center ◽

Follow Up Care ◽

Before And After

Abstract Background During the first wave of the COVID-19 pandemic, the need of treatment of urgent ophthalmological diseases and the possible risk of a SARS-CoV-2 infection had to be weighed against each other. In this questionnaire study, we aimed to analyze potential barriers and patients’ health beliefs during and after the lockdown early 2020 in a tertiary referral center in Kiel, Germany. Methods Patients admitted for the treatment of urgent ophthalmic diseases between March 1st, 2020, and June 3rd, 2020, were asked to participate in a questionnaire study. After informed consent was obtained, patients were interviewed using a standardized questionnaire which addressed aspects of their medical history, their health beliefs concerning the COVID-19 pandemic and barriers on their way to the treatment center. The study group was subdivided into two subgroups, depending on the occurrence of their symptoms, before and after the lockdown was ended on April 20th, 2020. Results Ninety-three patients were included, 43 in subgroup A (before April 20th) and 50 in subgroup B (April 20th or later). Retinal disorders were the most common causes for admission (approximately 60%).. Only 8 patients (8.6%) experienced a delay between their decision to visit a doctor until the actual examination. Every fourth patient was afraid of a COVID-19 infection, and expected a higher likelihood for an infection at the hospital. Patients with comorbidities tended to be more likely to be afraid of an infection (correlation coefficient 0.183, p = 0.0785) and were significantly more likely to be concerned about problems with organizing follow-up care (corr. Coefficient 0.222, p = 0.0328). Higher age was negatively correlated with fear of infection (corr. Coefficient − 0.218, p-value 0.034). Conclusion In this questionnaire study, only a minority of patients indicated a delay in treatment, regardless of whether symptoms occurred before or after the lockdown before April 20th, 2020. While patients with comorbidities were more concerned about infection and problems during follow-up care, patients of higher age – who have a higher mortality – were less afraid. Protection of high-risk groups should be prioritized during the SARS-CoV-2 pandemic. Trial registration The study was registered as DRKS00021630 at the DRKS (Deutsches Register Klinischer Studien) before the conduction of the study on May 5th, 2020.

Download Full-text