scholarly journals Impact of COVID-19 and Shelter in Place on Volume and Type of Traumatic Injuries

2021 ◽  
Vol 22 (5) ◽  
pp. 1060-1066
Author(s):  
James Murrett ◽  
Emily Fu ◽  
Zoe Maher ◽  
Crystal Bae ◽  
Wayne Satz ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Penetrating Trauma ◽  
Retrospective Chart Review ◽  
Gunshot Wounds ◽  
Health Crisis ◽  
Traumatic Injuries ◽  
Social Distancing ◽  
Level I ◽  
Novel Coronavirus ◽  
The Impact

Introduction: Very little is known about the effects of the novel coronavirus (COVID-19) pandemic and its associated social distancing practices on trauma presentations to the emergency department (ED). This study aims to assess the impact of a city-wide stay at home order on the volume, type, and outcomes of traumatic injuries at urban EDs. Methods: The study was a retrospective chart review of all patients who presented to the ED of an urban Level I Trauma Center and its urban community affiliate in the time period during the 30 days before the institution of city-wide shelter-in-place (preSIP) order and 60 days after the shelter-in-place (SIP) order and the date-matched time periods in the preceding year. Volume and mechanism of traumatic injuries were compared using paired T-tests. Results: There was a significant decrease in overall ED volume. The volume of certain blunt trauma presentations (motor vehicle collisions) during the first 60 days of SIP compared to the same period from the year prior also significantly decreased. Importantly, the volume of penetrating injuries, including gunshot wounds and stab wounds, did not differ for the preSIP and SIP periods when compared to the prior year. The mortality of traumatic injuries was also unchanged during the SIP comparison period. Conclusion: While there were significant decreases in visits to the ED and overall trauma volume, penetrating trauma, including gun violence, and other severe traumatic injuries remain a public health crisis that affects urban communities despite social distancing recommendations enacted during the COVID-19 pandemic.

scholarly journals Harnessing testing strategies and public health measures to avert COVID-19 outbreaks during ocean cruises

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Gerardo Chowell ◽  
Sushma Dahal ◽  
Raquel Bono ◽  
Kenji Mizumoto
Keyword(s):  
Public Health ◽  
Cost Effective ◽  
Contact Network ◽  
Social Distancing ◽  
Individual Level ◽  
Health Measures ◽  
Testing Strategies ◽  
Novel Coronavirus ◽  
The Individual ◽  
The Impact

AbstractTo ensure the safe operation of schools, workplaces, nursing homes, and other businesses during COVID-19 pandemic there is an urgent need to develop cost-effective public health strategies. Here we focus on the cruise industry which was hit early by the COVID-19 pandemic, with more than 40 cruise ships reporting COVID-19 infections. We apply mathematical modeling to assess the impact of testing strategies together with social distancing protocols on the spread of the novel coronavirus during ocean cruises using an individual-level stochastic model of the transmission dynamics of COVID-19. We model the contact network, the potential importation of cases arising during shore excursions, the temporal course of infectivity at the individual level, the effects of social distancing strategies, different testing scenarios characterized by the test’s sensitivity profile, and testing frequency. Our findings indicate that PCR testing at embarkation and daily testing of all individuals aboard, together with increased social distancing and other public health measures, should allow for rapid detection and isolation of COVID-19 infections and dramatically reducing the probability of onboard COVID-19 community spread. In contrast, relying only on PCR testing at embarkation would not be sufficient to avert outbreaks, even when implementing substantial levels of social distancing measures.

scholarly journals Hepatothorax: A Rare Outcome of High-Speed Trauma

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Matthew Porcelli ◽  
Oksana Prychyna ◽  
Andrew Rosenthal ◽  
Joseph DeCostanza
Keyword(s):  
Early Diagnosis ◽  
High Speed ◽  
Motor Vehicle ◽  
Penetrating Trauma ◽  
Motor Vehicle Crashes ◽  
Diagnosis And Treatment ◽  
Diagnostic Tools ◽  
Common Mechanism ◽  
Trauma Unit ◽  
Level I

Diaphragmatic ruptures are the result of severe blunt trauma or penetrating trauma. Motor vehicle crashes are a common mechanism associated with blunt diaphragmatic rupture (BDR). Incorporating diagnostic tools and laparotomy assist in the diagnosis and treatment of BDR. However, diagnosing BDR can be a challenge for practitioners. Early diagnosis and treatment improve the patient's outcomes. This paper details the events of a patient received in a level I trauma unit.

scholarly journals Coping With COVID-19: Mindfulness-Based Approaches for Mitigating Mental Health Crisis

2021 ◽  
Vol 12 ◽  
Author(s):  
Elena Antonova ◽  
Karoly Schlosser ◽  
Rakesh Pandey ◽  
Veena Kumari
Keyword(s):  
Mental Health ◽  
Panic Attacks ◽  
World Population ◽  
Health Issues ◽  
Health Crisis ◽  
Social Distancing ◽  
Compulsive Disorder ◽  
Mental Health Issues ◽  
The Impact

The novel coronavirus disease COVID-19 that first emerged in Wuhan, China, in Nov-Dec 2019 has already impacted a significant proportion of the world population. Governments of many countries imposed quarantines and social distancing measures in 2020, many of which remain in place, to mitigate the spread of the SARS-Cov-2 virus causing the COVID-19 disease. The direct impact of COVID-19 on people infected with the virus, their families and the health care workers, as well as the impact of the mitigation measures such as quarantine, social distancing, and self-isolation on the rest of the population have contributed to a global mental health pandemic, including anxiety, depression, panic attacks, posttraumatic stress symptoms, psychosis, addiction, obsessive-compulsive disorder, and suicidality. These effects are present acutely (for example, due to fear of contamination or losing loved ones, effects of quarantine/isolation, withdrawal of community and social services, etc.) and may continue long after the pandemic is over (for example, due to bereavement, unemployment, financial losses, etc). The COVID-19 pandemic has triggered mental health problems in people without previous history of mental illness, as well as worsened the symptoms in those with pre-existing psychiatric diagnosis. Therefore, the global effort is called for to deal with this mental health pandemic secondary to COVID-19 itself to address the emergence of new as well as the exacerbation of the existing mental health issues. Conversely, this global context provides an extraordinary opportunity for studying individual differences in response to and resilience in the face of physical and psychological threat, challenge to “normal” way of life, and long-term uncertainty. In this viewpoint article we outline the particular suitability of mindfulness, its skills and mechanisms, as an approach to the prevention and management of mental health issues, as well as to the promotion of well-being and building the foundations of adaptability and flexibility in dealing with the long-term uncertainty and profound changes to the social, economic, and possibly political systems as this pandemic continues to unfold.

scholarly journals Impact of Wearing Masks, Hand Hygiene, and Social Distancing on Influenza, Enterovirus, and All-Cause Pneumonia During the Coronavirus Pandemic: Retrospective National Epidemiological Surveillance Study

10.2196/21257 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e21257 ◽  
Author(s):  
Nan-Chang Chiu ◽  
Hsin Chi ◽  
Yu-Lin Tai ◽  
Chun-Chih Peng ◽  
Cheng-Yin Tseng ◽  
...  
Keyword(s):  
Influenza Virus ◽  
Hand Hygiene ◽  
Viral Infections ◽  
Control Strategies ◽  
Epidemiological Surveillance ◽  
Regression Analyses ◽  
Health Crisis ◽  
Social Distancing ◽  
First Case ◽  
The Impact

Background The coronavirus disease (COVID-19) pandemic is an important health crisis worldwide. Several strategies were implemented to combat COVID-19, including wearing masks, hand hygiene, and social distancing. The impact of these strategies on COVID-19 and other viral infections remains largely unclear. Objective We aim to investigate the impact of implemented infectious control strategies on the incidences of influenza, enterovirus infection, and all-cause pneumonia during the COVID-19 pandemic. Methods We utilized the electronic database of the Taiwan National Infectious Disease Statistics System and extracted incidences of COVID-19, influenza virus, enterovirus, and all-cause pneumonia. We compared the incidences of these diseases from week 45 of 2016 to week 21 of 2020 and performed linear regression analyses. Results The first case of COVID-19 in Taiwan was reported in late January 2020 (week 4). Infectious control strategies have been promoted since late January. The influenza virus usually peaks in winter and decreases around week 14. However, a significant decrease in influenza was observed after week 6 of 2020. Regression analyses produced the following results: 2017, R2=0.037; 2018, R2=0.021; 2019, R2=0.046; and 2020, R2=0.599. A dramatic decrease in all-cause pneumonia was also reported (R2 values for 2017-2020 were 0.435, 0.098, 0.352, and 0.82, respectively). Enterovirus had increased by week 18 in 2017-2019, but this was not observed in 2020. Conclusions Using this national epidemiological database, we found a significant decrease in cases of influenza, enterovirus, and all-cause pneumonia during the COVID-19 pandemic. Wearing masks, hand hygiene, and social distancing may contribute not only to the prevention of COVID-19 but also to the decline of other respiratory infectious diseases. Further studies are warranted to elucidate the causal relationship.

scholarly journals Modelling the Potential Impact of Social Distancing on the COVID-19 Epidemic in South Africa

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
F. Nyabadza ◽  
F. Chirove ◽  
C. W. Chukwu ◽  
M. V. Visaya
Keyword(s):  
South Africa ◽  
Deterministic Model ◽  
Cumulative Number ◽  
The Novel ◽  
Social Distancing ◽  
The Social ◽  
Potential Impact ◽  
Policy Direction ◽  
Novel Coronavirus ◽  
The Impact

The novel coronavirus (COVID-19) pandemic continues to be a global health problem whose impact has been significantly felt in South Africa. With the global spread increasing and infecting millions, containment efforts by countries have largely focused on lockdowns and social distancing to minimise contact between persons. Social distancing has been touted as the best form of response in managing a rapid increase in the number of infected cases. In this paper, we present a deterministic model to describe the impact of social distancing on the transmission dynamics of COVID-19 in South Africa. The model is fitted to data from March 5 to April 13, 2020, on the cumulative number of infected cases, and a scenario analysis on different levels of social distancing is presented. The model shows that with the levels of social distancing under the initial lockdown level between March 26 and April 13, 2020, there would be a projected continued rise in the number of infected cases. The model also looks at the impact of relaxing the social distancing measures after the initial announcement of the lockdown. It is shown that relaxation of social distancing by 2% can result in a 23% rise in the number of cumulative cases whilst an increase in the level of social distancing by 2% would reduce the number of cumulative cases by about 18%. The model results accurately predicted the number of cases after the initial lockdown level was relaxed towards the end of April 2020. These results have implications on the management and policy direction in the early phase of the epidemic.

scholarly journals Evaluating Classical Airplane Boarding Methods Considering COVID-19 Flying Restrictions

Symmetry ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 1087 ◽  
Author(s):  
Liviu-Adrian Cotfas ◽  
Camelia Delcea ◽  
R. John Milne ◽  
Mostafa Salari
Keyword(s):  
Health Risk ◽  
Health Risks ◽  
Social Distance ◽  
The Novel ◽  
Zone Method ◽  
Economic Productivity ◽  
Social Distancing ◽  
The Social ◽  
Novel Coronavirus ◽  
The Impact

The novel coronavirus (SARS-CoV-2) has imposed the need for a series of social distancing restrictions worldwide to mitigate the scourge of the COVID-19 pandemic. This applies to many domains, including airplane boarding and seat assignments. As airlines are considering their passengers’ safety during the pandemic, boarding methods should be evaluated both in terms of social distancing norms and the resulting efficiency for the airlines. The present paper analyzes the impact of a series of restrictions that have been imposed or mooted worldwide on the boarding methods used by the airlines, featuring the use of jet-bridges and one-door boarding. To compare the efficacy of classical airplane boarding methods with respect to new social distancing norms, five metrics were used to evaluate their performance. One metric is the time to complete the boarding of the airplane. The other four metrics concern passenger health and reflect the potential exposure to the virus from other passengers through the air and surfaces (e.g., headrests and luggage) touched by passengers. We use the simulation platform in NetLogo to test six common boarding methods under various conditions. The back-to-front by row boarding method results in the longest time to complete boarding but has the advantage of providing the lowest health risk for two metrics. Those two metrics are based on passengers potentially infecting those passengers previously seated in the rows they traverse. Interestingly, those two risks are reduced for most boarding methods when the social distance between adjacent passengers advancing down the aisle is increased, thus indicating an unanticipated benefit stemming from this form of social distancing. The modified reverse pyramid by half zone method provides the shortest time to the completing boarding of the airplane and—along with the WilMA boarding method—provides the lowest health risk stemming from potential infection resulting from seat interferences. Airlines have the difficult task of making tradeoffs between economic productivity and the resulting impact on various health risks.

Traumatic Intracranial Aneurysms in Childhood: Two Cases and a Review of the Literature

Neurosurgery ◽  
1988 ◽  
Vol 22 (2) ◽  
pp. 398-408 ◽  
Author(s):  
Martin J. Buckingham ◽  
Kerry R. Crone ◽  
William S. Ball ◽  
Thomas A. Tomsick ◽  
Thomas S. Berger ◽  
...  
Keyword(s):  
Skull Base ◽  
Intracranial Aneurysms ◽  
Motor Vehicle ◽  
Skull Fracture ◽  
Penetrating Trauma ◽  
Gunshot Wounds ◽  
Male Predominance ◽  
Vehicle Accidents ◽  
Traumatic Aneurysms ◽  
Distal Anterior Cerebral Artery

Abstract Traumatic intracranial aneurysms in childhood are rare. To date, 67 well-documented cases in children have been reported. We present 2 additional cases and review the literature. Traumatic aneurysms can best be categorized based on mechanism of injury and location. Aneurysms secondary to penetrating trauma occur most commonly in teenage boys suffering gunshot wounds. Aneurysms secondary to nonpenetrating trauma occur at the skull base or in the periphery, with motor vehicle accidents and falls as the most common modes of injury. Skull base traumatic aneurysms most commonly involve the petrous, cavernous, or supraclinoid carotid artery and also show a predominance in teenage boys. Peripheral traumatic aneurysms can further be divided into distal anterior cerebral artery aneurysms secondary to trauma against the falcine edge and distal cortical artery aneurysms associated with an overlying skull fracture. Peripheral traumatic aneurysms tend to occur in younger patients with a less marked male predominance. Two-thirds of the patients suffered symptomatic aneurysmal hemorrhage, with an associated mortality rate of 31%. The clinical presentation, diagnosis, and treatment of traumatic intracranial aneurysms are discussed. (Neurosurgery 22:398-408, 1988)

scholarly journals COVID-19, lockdowns and motor vehicle collisions: empirical evidence from Greece

2021 ◽  
pp. injuryprev-2020-044139
Author(s):  
Sotiris Vandoros
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Collisions ◽  
Vehicle Collisions ◽  
Steep Decline ◽  
Level I ◽  
Minor Injuries ◽  
Econometric Approach ◽  
Serious Injuries ◽  
Reduced Mobility ◽  
The Impact

Reduced mobility during COVID-19 lockdowns means not only fewer vehicles at risk of collision, but also an opportunity to speed on empty streets. The objective of this paper is to examine the impact of the first wave of the pandemic and the first lockdown on motor vehicle collisions (MVCs) and associated injuries and deaths in Greece. Using monthly data at the regional unit level, I provide descriptive evidence and subsequently follow a difference-in-differences econometric approach, comparing trends in 2020 with those of the previous 5 years while controlling for unemployment and petrol prices. I found a steep decline in collisions, injuries and deaths compared with what would have been otherwise expected. In March and April 2020, there were about 1226 fewer collisions, 72 fewer deaths, 40 fewer serious injuries and 1426 fewer minor injuries compared with what would have been expected in the absence of the pandemic.

scholarly journals Intercultural Communication Challenges in the Period of the Novel Coronavirus (Covid-19) (The Case of Qatar Airways)

2021 ◽  
Vol 17 (16) ◽  
Author(s):  
Margo Kublashvili
Keyword(s):  
Intercultural Communication ◽  
Target Group ◽  
Communication Process ◽  
Modern World ◽  
The Novel ◽  
Social Distancing ◽  
Cabin Crew ◽  
Novel Coronavirus ◽  
Different Cultures ◽  
The Impact

Under the conditions of the global threat of the modern world - the novel coronavirus (Covid-19) pandemic, the demand for social distancing as a commonly proven method of preventing fatal cases and stopping the virus has fundamentally changed the process of communication in an intercultural environment. Our research aims to study the impact of the pandemic on the intercultural communication process and its quality in a multicultural environment. Cabin Crew of Qatar Airways, as one of the largest multicultural/multinational companies, was selected as a target group. A qualitative method of data collection – interviewing – was used as a research technique. In particular, the target group was interviewed through a semistructured questionnaire – by a so-called "narrative interview" method. This research enabled us to obtain new narratives which were created on the coronavirus background – responses of the Qatar Airways Cabin Crew and the company's international passengers to the challenge of Covid-19. The study and analysis of these responses revealed that representatives of different cultures (Individualistic/Collectivist cultures, High/Low uncertainty avoidance cultures, Submissive orientation/Mastery orientation cultures, Tight/Loose cultures) have different attitudes towards the pandemic as an uncertain and unpredictable future; towards the Covid-19 vaccine; towards wearing a mask and eye contact related to it; in addition, they can be distinguished by different perceptions of territorialism as personal space (physical and social distancing); different feelings of fear and anxiety and readiness to obey/disobey introduced rules or restrictions (so-called Lockdown, Curfew). According to the research, these differences are due to the "mental program" of a society, i.e. a purely cultural factor. However, despite several intercultural differences, daily contact with groups having other cultures significantly increases opportunities for collaboration, which, in times of crisis, does not hinder the process of interaction between different cultures, but on the contrary, it increases the level of intercultural acceptance and sensitivity.

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