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1.
Pakistan Journal of Medical and Health Sciences ; 16(8):335-337, 2022.
Article in English | EMBASE | ID: covidwho-2067752

ABSTRACT

Background: Occupational hazards and risks are a common public health issue, especially when healthcare workers safety is concerned;they are on high risk of catching infections such like COVID-19. The possibility of cross-infection between dental practitioners and patients is significantly higher due to the close exposure of dental staff to patient oral environment. Aim(s): To assess the prevalence of SARS-COV-2 antibodies in dental workers working in the Peshawar Dental College and Hospital, Peshawar. Study Design: Cross sectional study Place and Duration of Study: Department of Orthodontics, Peshawar Dental College & Hospital, Peshawar from 1st January 2020 to 31st December 2020. Methodology: One hundred and thirty three dental workers were enrolled. The investigation was run to detect immunoglobulin G and M antibodies against the SARS-CoV-2-2. The aspirated aerosol and air was evacuated and dissipated into the atmosphere. Result(s): Mean age was 29.4+/-1.4 years and males were dominant 74 (55.6%) and male workers found greater with positive antibodies. The prevalence of SARS-CoV-2 antibodies was 33.0%. Proportionately dental assistants (20.5% vs 16.9%) and ancillary staff (20.5% vs 10.1%) had higher prevalence. Sore throat and body aches were more common in positive antibodies cases while travel history was found significantly associated with it (40.9% vs 25.0%, p-value, 0.05). Conclusion(s): High frequency of SARS-COV-2 antibodies was found in dental workers showing a high infection rate of COVID-19 in healthcare workers in local settings. Copyright © 2022 Lahore Medical And Dental College. All rights reserved.

2.
Journal of the American College of Surgeons ; 233(5):E110-E111, 2021.
Article in English | Web of Science | ID: covidwho-1535519
4.
Journal of Information Science ; : 15, 2021.
Article in English | Web of Science | ID: covidwho-1523180

ABSTRACT

This paper attempts to examine the e-libraries, digital libraries, electronic libraries, and online libraries employing bibliometric study techniques from 1971 to 2020. It focuses to consolidate the published documents on the library indexed in Web of Science. It has been observed that we found 4266 published documents employing bibliometric analysis. The study findings show that digital libraries are the top topic, proceeding paper is the top type of document, and most are published in the English language. Similarly, the year 2006 to 2010 has the highest number of published documents, top author Fox EA, Dept. Comp Sci top organisation, United States top country, and digital libraries as a top keyword has been found. Further, the name of Liu et al. has been at the top of the author's list. Moreover, the results are presented in tables and figures to show the trend of data.

5.
Journal of Urology ; 206(SUPPL 3):e43, 2021.
Article in English | EMBASE | ID: covidwho-1483584

ABSTRACT

INTRODUCTION AND OBJECTIVE: Minority communities disproportionately shouldered poor COVID-19 outcomes, however the impact of the pandemic on prostate cancer (PCa) surgery is unknown. To that end, we sought to determine the racial impact on PCa care during the first wave of the pandemic. METHODS: Using a multi-institutional collaborative we evaluated practice patterns for Black and White patients with untreated non-metastatic PCa during the initial COVID-19 lockdown (March-May 2020) compared to prior (March-May 2019). Patient and practice characteristics were compared by race using Fisher's exact and Pearson's chi-square to compare categorical variables and Wilcoxon rank sum to evaluate continuous covariates. We determined the covariate-adjusted impact of year and race on surgery, using logistic regression models with a race year interaction term. RESULTS: Among the 647 men with non-metastatic PCa, 269 received care during the pandemic and 378 prior. Surgery was significantly less likely in Black men (1.3% v 25.9%;p<0.001), despite similar COVID-19 risk factors, biopsy Gleason grade group, and comparable surgery rates prior (17.7% vs. 19.1%;p=0.75). Black men had higher PSA (8.8 vs. 7.2 p=0.04) and were younger (38.2% vs. 24.4% <60 yr;p=0.09). Regression results demonstrated an 94% reduced odds of surgery (OR=0.06, 95% CI 0.007-0.43;p=0.006) for Black patients, with no change for White patients (OR=1.41, 95% CI 0.89-2.21;p=0.142), after adjusting for covariates. Changes in surgical volume varied by site (33% increase to complete shutdown), with sites that experienced the largest reduction in cancer surgery, caring for a greater proportion of Black patients (figure). CONCLUSIONS: In a large multi-institutional regional collaborative, odds of prostatectomy declined only among Black patients during the initial wave of the COVID-19 pandemic. While localized prostate cancer does not require immediate treatment, this study illuminates systemic inequities within healthcare. Public health efforts are needed to fully recognize the unintended consequence of diversion of cancer resources to the pandemic in order to develop balanced mitigation strategies as viral rates continue to fluctuate.

6.
Journal of Clinical Oncology ; 39(15 SUPPL), 2021.
Article in English | EMBASE | ID: covidwho-1339359

ABSTRACT

Background: Minority communities have been disproportionately affected by COVID-19, however the impact of the pandemic on prostate cancer (PCa) treatment is unknown. To that end, we sought to determine the racial impact on PCa surgery during the first wave of the COVID-19 pandemic. Methods: After receiving institutional review board approval, the Pennsylvania Urologic Regional Collaborative (PURC) database was queried to evaluate practice patterns for Black and White patients with untreated non-metastatic PCa during the initial lockdown of the COVID-19 pandemic (March-May 2020) compared to prior (March-May 2019). PURC is a prospective collaborative, which includes private practice and academic institutions within both urban and rural settings including regional safety-net hospitals. As data entry was likely impacted by the pandemic, we limited our search to only practices that had data entered through June 1, 2020 (5 practice sites). We compared patient and disease characteristics by race using Fisher's exact and Pearson's chi-square to compare categorical variables and Wilcoxon rank sum to evaluate continuous covariates. Patients were stratified by risk factors for severe COVID-19 infection as described by the CDC. We determined the covariate-adjusted impact of year and race on surgery, using logistic regression models with a race∗year interaction term. Results: 647 men with untreated nonmetastatic PCa were identified, 269 during the pandemic and 378 from the year prior. During the pandemic, Black men were significantly less likely to undergo prostatectomy compared to White patients (1.3% v 25.9%;p < 0.001), despite similar COVID-19 risk-factors, biopsy Gleason grade group, and comparable surgery rates prior (17.7% vs. 19.1%;p = 0.75). White men had lower pre-biopsy PSA (7.2 vs. 8.8 vs. p = 0.04) and were older (24.4% vs. 38.2% < 60yr;p = 0.09). The regression model demonstrated an 94% decline in odds of surgery(OR = 0.06 95%CI 0.007-0.43;p = 0.006) for Black patients and increase odds of surgery for White patients (OR = 1.41 95%CI 0.89-2.21;p = 0.142), after adjusting for covariates. Changes in surgical volume varied by site (33% increase to complete shutdown), with sites that experienced the largest reduction in cancer surgery, caring for a greater proportion of Black patients. Conclusions: In a large multi-institutional regional collaborative, odds of PCa surgery declined only among Black patients during the initial wave of the COVID-19 pandemic. While localized prostate cancer does not require immediate treatment, the lessons from this study illuminate systemic inequities within healthcare, likely applicable across oncology. Public health efforts are needed to fully recognize the unintended consequence of diversion of cancer resources to the pandemic in order to develop balanced mitigation strategies as viral rates continue to fluctuate.

7.
American Journal of Respiratory and Critical Care Medicine ; 203(9), 2021.
Article in English | EMBASE | ID: covidwho-1277719

ABSTRACT

Background: Spontaneous pneumomediastinum (SPM) is the presence of free air in the mediastinum which is not preceded by any trauma, instrumentation, or medical procedure. SPM is a recognized complication in various clinical settings, including infections. There have been several reports of pneumomediastinum secondary to invasive ventilation in the current pandemic. However, the occurrence of spontaneous pneumomediastinum has been infrequently described with the background of Covid-19 infection. Case Presentation: A 65-year-old gentleman presented with three days history of fever, cough, and exertional dyspnea to our hospital. He denied any trauma, emesis, chest or neck pain. Past medical history was significant for a remote history of 10-pack-year smoking. On presentation, he was in distress with a respiratory rate of 26, saturating 85% on ambient air and otherwise hemodynamically stable. His chest X-ray showed bilateral infiltrates and subcutaneous emphysema. Complete blood count and electrolyte panel was unremarkable. D-Dimer was 8.47ug/ml with a CRP of 10.8mg/dl. Nasopharyngeal RT-PCR was positive for SARS-COV-2. A CT-Chest showed multifocal ground glass opacities along with pneumomediastinum(fig.1). He was managed conservatively with oxygen supplementation, IV dexamethasone and remdesivir. He was discharged after 7 days of hospitalization with interval resolution of the SPM. Discussion:SPM is an uncommon phenomenon in a viral pneumonia. The development of SPM occurs due to increased intra-thoracic pressures that cause alveolar rupture and leakage of air. It travels along the pulmonary interstitium to reach the mediastinum. The mechanism in Covid-19 is poorly understood but is hypothesized as intense alveolar inflammation that predisposes these patients to such a complication, further precipitated by bouts of cough. Previous reports have described the presence of subpleural bullae or cysts on CT images caused by the infectious process that led to the development of SPM. However, this finding was not present in our patient denoting a different mechanism. Use of non-invasive or mechanical ventilation carries a potential to either cause or exacerbate SPM as well. Conclusion: SPM is an infrequent complication of viral pneumonia. We highlight the importance of this phenomenon in COVID-19 patients with an unknown mechanism. Development of SPM may warrant monitoring for the possibility of pneumomediastinum-related cardiovascular and respiratory complications, especially in those requiring ventilation.

8.
Journal of Engineering Education Transformations ; 34(Special Issue):620-627, 2021.
Article in English | Scopus | ID: covidwho-1055337

ABSTRACT

The usage of educational technology has steadily been increasing in engineering education in the last two decades. However, the impact of COVID-19 pandemic has truly led to a wider acceptance of educational technology due to the lockdowns imposed around the world. In India, the lockdown announced in the mid of the even semester forced all faculty to transition to an online mode of teaching. The sudden transition to online learning highlighted the unpreparedness of faculty and students towards their acceptance and usage of educational technology tools. To address this challenge and get faculty and students ready for the online mode of teaching and learning in the next semester, an extensive three-week faculty development program was conducted for all faculty at an undergraduate engineering college. The program included both synchronous and asynchronous sessions on the design of engineering courses through technologyenhanced learning. To get a student’s preparedness for the transition, a 3-week orientation program was conducted prior to the start of the semester. In this paper, the detailed process of the capacity building efforts and evaluate the impact of the programs on the faculty and students are presented. A pre-and post-survey was conducted to examine the challenges faced by faculty and students due to the sudden transition to online learning and also analyse the impact of the capacity building efforts on the teaching and learning process. The results from the study will highlight the process of an institution level preparedness efforts to respond to a pandemic and ensure the continuation of the academic activities. We discuss the implication of the results in the post COVID19 world where blended learning would become the default mode of education in higher education. © 2021, Rajarambapu Institute Of Technology. All rights reserved.

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