text stringlengths 120 6.48k | conversation_id int64 77.3k 898k | embedding sequence | cluster int64 44 44 |
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Please summerize the given abstract to a title
Impact of the first COVID-19 shutdown on patient volumes and surgical procedures of a Level I trauma center
PURPOSE: In Dec 2019, COVID-19 was first recognized and led to a worldwide pandemic. The German government implemented a shutdown in Mar 2020, affecting outpatient and hospital care. The aim of the present article was to evaluate the impact of the COVID-19 shutdown on patient volumes and surgical procedures of a Level I trauma center in Germany. METHODS: All emergency patients were recorded retrospectively during the shutdown and compared to a calendar-matched control period (CTRL). Total emergency patient contacts including trauma mechanisms, injury patterns and operation numbers were recorded including absolute numbers, incidence proportions and risk ratios. RESULTS: During the shutdown period, we observed a decrease of emergency patient cases (417) compared to CTRL (575), a decrease of elective cases (42 vs. 13) and of the total number of operations (397 vs. 325). Incidence proportions of emergency operations increased from 8.2 to 12.2% (shutdown) and elective surgical cases decreased (11.1 vs. 4.3%). As we observed a decrease for most trauma mechanisms and injury patterns, we found an increasing incidence proportion for severe open fractures. Household-related injuries were reported with an increasing incidence proportion from 26.8 to 47.5% (shutdown). We found an increasing tendency of trauma and injuries related to psychological disorders. CONCLUSION: This analysis shows a decrease of total patient numbers in an emergency department of a Level I trauma center and a decrease of the total number of operations during the shutdown period. Concurrently, we observed an increase of severe open fractures and emergency operations. Furthermore, trauma mechanism changed with less traffic, work and sports-related accidents.
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... | 44 |
Please summerize the given abstract to a title
Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic: an international consensus
The speed and scale of the global COVID-19 pandemic has resulted in unprecedented pressures on health services worldwide, requiring new methods of service delivery during the health crisis. In the setting of severe resource constraint and high risk of infection to patients and clinicians, there is an urgent need to identify consensus statements on head and neck surgical oncology practice. We completed a modified Delphi consensus process of three rounds with 40 international experts in head and neck cancer surgical, radiation, and medical oncology, representing 35 international professional societies and national clinical trial groups. Endorsed by 39 societies and professional bodies, these consensus practice recommendations aim to decrease inconsistency of practice, reduce uncertainty in care, and provide reassurance for clinicians worldwide for head and neck surgical oncology in the context of the COVID-19 pandemic and in the setting of acute severe resource constraint and high risk of infection to patients and staff.
| 77,373 | [
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... | 44 |
Please summerize the given abstract to a title
Performing gynecologic cancer surgery during the COVID-19 pandemic in Turkey: A multicenter retrospective observational study
OBJECTIVE: To report the perioperative outcomes of 200 patients with gynecologic cancer who underwent surgery during the Novel Coronavirus Disease (COVID-19) pandemic and the safety of surgical approach. METHODS: Data of patients operated between March 10 and May 20, 2020, were collected retrospectively. Data were statistically analyzed using IBM Statistical Package for the Social Sciences (SPSS) Statistics for Windows v. SP21.0. RESULTS: Data of 200 patients were included. Their mean age was 56 years. Of the patients, 54% (n=108), 27.5% (n=55), 12.5% (n=25), and 2% (n=4) were diagnosed as having endometrial, ovarian, cervical, and vulvar cancer, respectively. Of them, 98% underwent non-emergent surgery. A minimally invasive surgical approach was used in 18%. Stage 1 cancer was found in 68% of patients. Surgeons reported COVID-related changes in 10% of the cases. The rate of postoperative complications was 12%. Only two patients had cough and suspected pneumonic lesions on thoracic computed tomography postoperatively, but neither was positive for COVID-19 on polymerase chain reaction testing. CONCLUSION: Based on the present findings, it is thought that gynecologic cancer surgery should continue during the COVID-19 pandemic while adhering to the measures. Postponement or non-surgical management should only be considered in patients with documented infection. Gynecologic cancer surgery should continue during the COVID-19 pandemic while adhering to measures. Only 1% of patients developed COVID-19-related symptoms during the postoperative follow-up period.
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... | 44 |
Please summerize the given abstract to a title
Rationing Urology Care During a Pandemic: A Primer
In March 2020, edicts from many states required offices and hospitals to cancel all non-emergent surgeries and office visits to prevent hospitals from being overloaded, preserve personal protective equipment, and prevent the spread of COVID-19 with the goal to flatten the curve of novel corona virus infections on the community Beneficence demands health care providers develop and maintain skills and knowledge, continually update training, consider individual circumstances of all patients, and strive for net benefit [ ]justice discusses fairness in decisions, which can burden or benefit, are equally considered [ ]Jus Post Bellum considers how the war is ended and how the restoration of the community is completed
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... | 44 |
Please summerize the given abstract to a title
A Worldwide Survey On Proctological Practice During Covid-19 Lockdown (Proctolock 2020): A Cross-Sectional Analysis
BACKGROUND: Proctology is one of the surgical specialties that suffered the most during COVID-19 pandemic Using a cross-sectional non-incentivized worldwide web-survey we aimed to snapshot the current status of proctological practice in 6 world regions METHODS: Surgeons affiliated to renowned scientific societies with an interest in coloproctology were invited to join the survey Members of the ProctoLock Working Group enhanced recruitment by direct invitation Predictive power of respondents' and hospitals' demographics on the change of status of surgical and outpatient activities was calculated RESULTS: Respondents (N=1,050) were mostly men (79%), with a mean age of 46 9 years, at consultant level (79%), practicing in academic hospitals (53%), offering a dedicated proctology service (68%) A total of 119 (11%) tested COVID-19 positive The majority (54%) came from Europe Participants from Asia reported a higher proportion of unaltered practice (17%), while those from Europe had the highest proportion of fully stopped practice (20%) The likelihood of ongoing surgical practice was higher in males (OR 1 54, 95%CI 1 13;2 09;P=0 006), in those reporting readily availability of personal protective equipment (PPE) (OR 1 40, 1 08;1 42;P=0 012) and in centers that were partially or not at all involved in COVID-19 care (OR 2 95, 2 14;4 09;P<0 001) This chance decreased by 2% per year of respondents' age (P=0 001) CONCLUSION: Several factors including different screening policies and resource capacity impacted the current status of proctological practice This may inform health authorities to formulate effective preventive strategies to limit curtailment of care of these patients during the pandemic
| 77,738 | [
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Please summerize the given abstract to a title
New adaptation of neurosurgical practice and residency programs during the Covid-19 pandemic and their effects on neurosurgery resident satisfaction and welfare at the National General Hospital, Jakarta, Indonesia
INTRODUCTION: Many institutions in numerous countries have made changes in their health care services during the COVID-19 pandemic. One change has been to reduce elective neurosurgery cases, which has impacted neurosurgery education. Published literature is lacking about the healthcare services, education, and residents’ well-being during adaptation to the pandemic, especially in national referral hospitals in developing countries. METHODS: We conducted a cross-sectional study on current neurosurgical services during 2020. We evaluated 34 neurosurgery residents in Cipto Mangunkusumo National General Hospital using a self-made questionnaire to determine the effects of the COVID-19 pandemic on their surroundings, education process, and satisfaction with the currently adapted education program. We used the modified Maslach Burnout Inventory to assess burnout in the residents before and during the pandemic. RESULTS: Neurosurgical residents spent more time studying neurosurgical theory (Mode 1–1.5h/day, p < 0.05) but spent less time learning neurosurgical skills (Mode 30 min–1 h/day, p < 0.05) compared to before the pandemic. The resident satisfaction mean score (scale 0–10) was 7.58 for live surgery and 8.53 for the microsurgical skills lab training program. On a scale of 1–10, the residents’ stress level increased after the pandemic but the change was not statistically significant (6.61 ± 1.87, p > 0.05). The Modified Maslach Burnout inventory score was 3.02 ± 3.74 during the pandemic, and increased from before the pandemic (2.41 ± 3.18), but the difference was not statistically significant. CONCLUSION: The COVID-19 pandemics have reduced the working hours and the clinical exposure of neurosurgical residents. Fortunately, this pandemic has led to a new opportunity to find many suitable learning methods which may decrease the risk of burnout. The psychological burden of residents is still worrisome, and planned management is necessary to sustain resident performance.
| 77,843 | [
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Please summerize the given abstract to a title
The First 60 Days: Physical Therapy in a Neurosurgical Center Converted Into a COVID-19 Center in Brazil
OBJECTIVE: The purpose of this case report was to describe the role of physical therapists in a neurosurgical center that was converted into a COVID-19 center for critically ill patients. METHODS (CASE DESCRIPTION): On March 16, 2020, the state government of Rio de Janeiro, Brazil, determined that a neurosurgical center with 44 ICU beds equipped with mechanical ventilators should immediately transfer all patients with neurological conditions to other institutions and prepare for patients who were critically ill with COVID-19. The staff, including physical therapists, were trained to handle patients with COVID-19, many of whom were developing acute respiratory distress syndrome (ARDS) with complex and multifactorial ventilatory support needs. Adjustments were made to the physical therapy routine and protocols. Following the stabilization of patients' respiratory condition, physical therapist interventions focused on restoring physical function. RESULTS: A total of 116 confirmed COVID-19 cases were treated from March 17 to May 17, 2020. Sixty percent were men (70) and 40% were women (46), with a median age of 59 years. Eighty-nine percent (103) underwent mechanical ventilation during hospitalization, of which 11% (11) were successfully extubated. Thirty percent (31) of patients underwent tracheostomy, and 26% of those (8) were successfully decannulated. Of the total patients, 57 patients died (mortality rate of 49%), 4 (3%) were transferred to another institution, 23 (20%) were discharged home, and 32 (28%) continued to be hospitalized. CONCLUSION: Physical therapists in the ICU can facilitate care for critical events such as intubation, patient positioning, ventilatory adjustments, extubation, and functional training. IMPACT: The coronavirus pandemic has highlighted the importance of physical therapists, specifically in the care of patients who are critically ill with COVID-19. The availability and expertise of physical therapists in the ICU are important for managing critical events such as intubation, patient positioning, ventilatory adjustments, extubation, and functional training.
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... | 44 |
Please summerize the given abstract to a title
Effect of COVID-19 on Ulnar Collateral Ligament Reconstruction in Major League Baseball Pitchers
BACKGROUND: The coronavirus disease of 2019 (COVID-19) pandemic led to the suspension and shortening of the 2020 Major League Baseball (MLB) season from 162 to 60 regular season games. The effect of this disruption on injury rates, specifically injury to the ulnar collateral ligament (UCL), has not been quantified. PURPOSE/HYPOTHESIS: The purpose of this study was to compare the rate of UCL reconstruction (UCLR), surgery timing, and pitching workload in MLB pitchers from before and after the COVID-19 pandemic lockdown. We hypothesized that UCLR rates relative to games played would be increased and pitching workload would be decreased in 2020 compared with previous seasons. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: An extensive online search using publicly available data was conducted to identify all MLB pitchers who underwent UCLR between January 1, 2017, and December 31, 2020. Only pitchers who were competing at the MLB level when undergoing reconstruction were included. Player characteristics and surgery date, as well as career and season of surgery pitching workload, were collected for all included pitchers. All data were compared as a pooled sample (2017-2019 vs 2020). RESULTS: A similar number of pitchers underwent UCLR during or after the 2020 regular season (n = 18) compared with the 2017-2019 seasons (n = 16, 20, and 16, respectively). However, after accounting for the decrease in games played during the 2020 regular season, an MLB pitcher was 2.9 times more likely to undergo surgery per game after the COVID-19 lockdown compared with the previous years (P < .001). MLB pitchers who underwent surgery in 2020 threw fewer preseason innings than did pitchers who underwent surgery between 2017 and 2019 (5.98 vs 9.39; P = .001). CONCLUSION: MLB pitchers were almost 3 times more likely to undergo UCLR per game after the COVID-19 lockdown. A decreased preseason pitching workload because of the COVID-19 lockdown may have had an effect on per game UCLR rates.
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... | 44 |
Please summerize the given abstract to a title
Investigating the real impact of covid-19 pandemic on the daily neurosurgical practice?
Objective: The objective of this study was to relate the neurosurgical activity during a time of sanitary crisis such as experienced during the SARS-Cov-2 pandemic. Methods: A monocentric retrospective analysis was made based on a prospectively gathered cohort of all patients requiring neurosurgical care between March 15th and May 12th, 2020. Local impact of SARS-CoV-2 was analysed regarding number of patients admitted in ICU. Results: 160 patients could benefit from neurosurgical care with a wide-ranging profile of clinical and surgical activities performed during the study that seemed similar to last year profile activity. Surgical indications were restricted to nondeferrable surgeries, leading to a drop in operative volume of 50%. Only 1,3% of patients required transfer to other units due to the impossibility of providing gold standard neurosurgical care in our centre. Conclusion: Despite the challenges represented by the SARS-CoV-2 pandemic, it was proven possible to assure the routine neurosurgical continuity and provide high standards of neurosurgical care without compromising patients’ access to the required treatments.
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... | 44 |
Please summerize the given abstract to a title
The impact of national lockdown due to COVID-19 pandemic on frequency of occurrence of secretory otitis media in children - our experience
Objective: To present the impact of national lockdown due to COVID-19 pandemic on the incidence of persistent secretory otitis media in children. Patients: Children aged from four to 13 years who were surgically treated from 1st January 2017 to 31th December 2020 at the University Department of Otolaryngology, Head and Neck Surgery, University Hospital Center Osijek. Methods: Patients underwent otomicroscopy, tympanometry, tone audiometry and fiberendoscopy of the epipharynx. After confirmation of the existence of secretory otitis the children were treated surgically, using adenotomy and myringotomy by inserting ventilation tubes in the equilateral ear. Results: This study included 107 children who were surgically treated with adenotomy and myringotomy by inserting ventilation tubes. The results showed a significant decline in the number of operations in 2020 compared to the previous three years, presumably due to national lockdown closures. We recorded the largest difference comparing 2018 and 2020, when the number of operations decreased by 87%. Conclusions: Drastic reduction of activities during the national lockdown closure, schooling from home and emphasizing the proper and regular implementation of personal hygiene have contributed to reducing the incidence of one of the most common infections in children. Lower frequency of acute otitis media has a positive effect on reducing the frequency of development of secretory otitis in children. Compared to the previous three years, there has been a significant decline in the number of children requiring surgical treatment. This is the first retrospective study on the impact of national lockdown on reducing the need for surgical treatment of persistent secretory otitis in children. © 2022 Hrvatski Lijecnicki Zbor. All rights reserved.
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... | 44 |
Please summerize the given abstract to a title
[Do COVID-19 restrictions lead to a decrease in severely injured patients at a level 1 trauma center in Germany?]
BACKGROUND: Intensive care and ventilator capacities are essential for treatment of COVID-19 patients Severely injured patients are often in continuous need of intensive care and ventilator treatment The question arises, whether restrictions related to COVID-19 have led to a decrease in severely injured patients and thus to an increase in intensive care unit (ICU) capacity MATERIAL AND METHODS: A retrospective analysis of all seriously injured patients with an injury severity score (ISS) >=16 was performed between 17 March and 30 April 2020 at a level 1 trauma center in Germany The mechanism of injury and the ISS were recorded Further data were collected as to whether it was a work-related accident, a documented suicide attempt and if surgery was necessary in the first 24h after arrival in hospital Data from 2018 and 2019 served as a control group RESULTS: There was no substantial difference in the total number of seriously injured patients (2018 n= 30, 2019 n= 23, 2020 n= 27) Furthermore, there was no relevant difference in the number of patients needing intensive care or ventilator treatment when leaving the shock room The number of patients needing an operative intervention within the first 24h after arriving at hospital was slightly higher in 2020 The mean ISS was at a constant level during all 3 years In 2020 there was no polytraumatized motorbike rider, who did not have a work-related accident (2018 n= 5, 2019 n= 4, 2020 n= 0) A noticeable increase in work-related accidents was observed (2018: 10%, 2019: 26 1%, 2020 44 4%) DISCUSSION: Restrictions related to COVID-19 did not lead to a reduction in seriously injured patients needing ICU care Due to the monocentric data analysis there is room for misinterpretation In general, intensive care and operating capacities should be managed with adequate consideration for seriously injured patients even in times of crisis, such as the COVID-19 pandemic Confirmation through the German Trauma Register is pending
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