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2.
Artigo em Inglês | MEDLINE | ID: mdl-32911779

RESUMO

As the novel coronavirus disease 2019 (COVID-19) pandemic continues, engaging the public in adherence to precautionary measures for preventing COVID-19 spread or infection becomes difficult. The present study aims to extend our understanding of how illness perceptions, coping, and self-efficacy affect adherence to precautionary measures among the public. An online survey was administered between April and June 2020 to a sample of 514 Hong Kong citizens. Variables considered were illness perceptions toward COVID-19, problem-solving, avoidance-based coping, self-efficacy, as well as adherence to precautionary measures including physical distancing, limiting unnecessary travelling, and washing hands regularly with soap and water. Adjusted structural equation model showed that illness perceptions toward COVID-19 had significant direct effect on their adherence to precautionary measures (unstandardized ß = 0.50, [95% CI, 0.28, 0.80], p = 0.001), and indirect effects through avoidance-based coping (ß = -0.10 [95% CI, -0.26, -0.01], p = 0.016) and self-efficacy (ß = -0.10, [95% CI, -0.18, -0.01], p = 0.025). These results imply that apart from emphasizing the health hazards of a novel infectious disease, an effective public health intervention and crisis communication should address avoidance-based coping and self-efficacy of the public in adherence to precautionary measures for COVID-19.


Assuntos
Adaptação Psicológica , Infecções por Coronavirus/prevenção & controle , Coronavirus , Transmissão de Doença Infecciosa/prevenção & controle , Fidelidade a Diretrizes/estatística & dados numéricos , Pandemias , Pneumonia Viral/prevenção & controle , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Hong Kong/epidemiologia , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Autoeficácia , Precauções Universais
4.
Hosp. domic ; 4(3): 133-152, jul.-sept. 2020. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-192943

RESUMO

PROPÓSITO: Ante la crisis sanitaria que vive el país y el mundo actualmente, se confeccionó este documento por la iniciativa autónoma de kinesiólogos de doce unidades de Hospitalización Domiciliaria (HD) de hospitales públicos de Chile, con el fin de unificar criterios en base a sus experiencias y la evidencia científica disponible para poder realizar una atención kinésica respiratoria segura en pacientes con sospecha o confirmados para COVID-19. Además, este documento tiene el objetivo de ser una guía para quienes tengan la necesidad de protocolizar y/o estandarizar su atención en HD, pudiendo ser adaptado según la necesidad y disponibilidad de recursos e infraestructura de cada unidad. Es importante señalar, que este documento puede variar según la evolución de esta pandemia y la actualización de la evidencia científica. CAMPO DE APLICACIÓN: Este documento está diseñado para ser aplicado en el domicilio de los pacientes adultos y pediátricos ingresados a las Unidades de Hospitalización Domiciliaria (UHD) con sospecha de infección por SARS-CoV-2 o con resultado positivo para COVID-19


PURPUSE: Given the health crisis that the country and the world are currently experiencing, this document was prepared by the autonomous initiative of kinesiologists from twelve Hospital at Home units of public hospitals in Chile, in order to unify criteria based on their experiences and the available scientific evidence in order to carry out safe respiratory physiotherapy care in patients with suspected or confirmed COVID-19. In addition, this document is intended to be a guide for those who need to protocolize and / or standardize their care at Hospital at home, and can be adapted according to the need and availability of resources and infrastructure of each unit. It is important to note that this document may vary depending on the evolution of this pandemic and the updating of scientific evidence. SCOPE: This document is designed to be applied in the home of adult and pediatric patients admitted to Hospital at Home Units (UHD) with suspected SARS-CoV-2 infection or with a positive result for COVID-19


Assuntos
Humanos , Exercícios Respiratórios/métodos , Síndrome Respiratória Aguda Grave/reabilitação , Vírus da SARS/patogenicidade , Infecções por Coronavirus/epidemiologia , Modalidades de Fisioterapia/organização & administração , Serviços Hospitalares de Assistência Domiciliar/organização & administração , Controle de Doenças Transmissíveis/métodos , Ventilação não Invasiva/estatística & dados numéricos , Precauções Universais/métodos , Guias como Assunto
5.
Rev. esp. med. legal ; 46(3): 93-100, jul.-sept. 2020.
Artigo em Espanhol | IBECS | ID: ibc-192310

RESUMO

La medicina forense debe contemplar la posibilidad de que fallecidos por causas violentas o desconocidas puedan estar infectados por el virus SARS-CoV-2, o que el diagnóstico de la enfermedad tenga implicaciones legales, lo que exige un conocimiento adecuado de la epidemiología de la enfermedad, de las medidas de protección, de la toma de muestras y de las características anatomopatológicas. La práctica de autopsias en fallecidos por COVID-19 se ha visto limitada por las obligadas medidas preventivas frente al contagio y por la necesidad de disponer de instalaciones con nivel de protección frente a riesgos biológicos de nivel 3, de modo que las series publicadas hasta la fecha son escasas, y parciales, con abordajes limitados (autopsia mínimamente invasiva o biopsia con aguja gruesa). En este artículo se hace una revisión de los aspectos de la fisiopatología de la enfermedad que tienen repercusión en la infectividad de los tejidos y fluidos del cadáver, de las medidas de prevención del riesgo biológico, de la toma de muestras y de los hallazgos patológicos, tanto macroscópicos como microscópicos, asociados a la muerte provocada por la infección por el virus SARS-CoV-2


Forensic physicians should consider the possibility that people who have died from violent or unknown causes may be infected by the virus SARS-CoV-2, or that the diagnosis of the disease has legal implications, which requires adequate knowledge of the epidemiology of the disease, protective measures, adequate sampling and the pathological characteristics. The practice of autopsies on people who have died from COVID-19 has been limited by the mandatory preventive measures against contagion and by the need for facilities with a level of protection against level-3 biological risk, and therefore series published to date are scarce and partial,with limited approaches (minimally invasive autopsy or needle biopsy). This article reviews the aspects of the pathophysiology of the disease that have an impact on the infectivity of the body's tissues and fluids, measures for preventing biological risk, taking samples and pathological findings, both macroscopic and microscopic, associated with death caused by infection with the SARS-CoV-2 virus


Assuntos
Humanos , Infecções por Coronavirus/diagnóstico , Autopsia/estatística & dados numéricos , Causas de Morte , Patologia Legal/métodos , Síndrome Respiratória Aguda Grave/diagnóstico , Vírus da SARS/isolamento & purificação , Infecções por Coronavirus/mortalidade , Pandemias/legislação & jurisprudência , Precauções Universais/legislação & jurisprudência
6.
Rev. esp. med. legal ; 46(3): 101-108, jul.-sept. 2020. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-192311

RESUMO

La certificación de la defunción es un acto médico en el que el profesional debe poner el mismo esfuerzo y dedicación que en el resto de los informes elaborados en vida del paciente. Para su correcta cumplimentación el facultativo debe seguir las instrucciones básicas, poniendo especial cuidado en rellenar adecuadamente la secuencia de causas de muerte. En casos de pandemia, la cumplimentación del certificado de defunción corresponde a la medicina asistencial y para poder hacerlo, los organismos oficiales deben publicar instrucciones basadas en recomendaciones internacionales. Debe establecerse, cuanto antes, la posibilidad de comunicación telemática de las defunciones. Mientras eso no sea posible tienen que establecerse procedimientos que permitan en situación de pandemia, comunicar de forma inmediata la mortalidad a las autoridades sanitarias


Death certification requires the same effort and dedication as all reports by doctors during their patients' lifetimes. The physician must follow the basic instructions to complete a death certificate correctly, taking special care to fill in the sequence of causes of death. In the case of a pandemic, completion of the death certificate falls to the primary care physician and therefore the official bodies must publish instructions based on international recommendations. It should be established as soon as possible whether it is possible to report deaths telematically. While this is not possible, in a pandemic procedures should be put in place to enable the immediate reporting of deaths to the health authorities


Assuntos
Humanos , Infecções por Coronavirus/mortalidade , Síndrome Respiratória Aguda Grave/mortalidade , Pneumonia Viral/mortalidade , Atestado de Óbito/legislação & jurisprudência , Causas de Morte , Pandemias/legislação & jurisprudência , Precauções Universais/legislação & jurisprudência
7.
Rev. esp. med. legal ; 46(3): 109-118, jul.-sept. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-192312

RESUMO

El brote por el Coronavirus/COVID-19, declarado Emergencia de Salud Pública de Importancia Internacional el 30 de enero de 2020 por la Organización Mundial de la Salud, ha sobrepasado en numerosos países la capacidad de respuesta del sistema sanitario por su alta contagiosidad, y la de gestión de las personas fallecidas por su elevado riesgo de letalidad. Se revisan las principales guías y protocolos promovidos por las instituciones y las principales sociedades científicas, orientados a la contención de la pandemia mediante la adopción de medidas de protección de los profesionales y a la adecuada gestión del alto número de cadáveres. Se analizan los centros especiales de recogida de cadáveres en situación de epidemias y las clasificaciones de los cadáveres en función del riesgo infecto-contagioso. Específicamente se resumen las resoluciones dictadas por las autoridades sanitarias y se describen los protocolos de actuación ante fallecidos durante la pandemia COVID-19, incluyendo las autopsias forenses


The Coronavirus/COVID-19 outbreak, declared a Public Health Emergency of International Importance on January 30, 2020 by the World Health Organization, has in many countries exceeded the capacity of health systems to respond, due to its high contagiousness and the capacity to manage the deceased, due to its high fatality risk. A review is necessary of the principal guidelines and protocols promoted by the institutions and the main scientific societies, aimed at containing the pandemic by adopting professional protection measures and appropriately managing the high number of cadavers. The temporary mortuaries in an epidemic crisis and the classification of bodies according to infectious risk are analysed. In particular the resolutions issued by the health authorities are summarised and the protocols for dealing with deaths during the COVID-19 pandemic are described, including forensic autopsies


Assuntos
Humanos , Cadáver , Sepultamento/legislação & jurisprudência , Infecções por Coronavirus/mortalidade , Vírus da SARS/isolamento & purificação , Pandemias/legislação & jurisprudência , Precauções Universais/legislação & jurisprudência , Controle de Doenças Transmissíveis/legislação & jurisprudência
8.
Rev. esp. med. legal ; 46(3): 146-152, jul.-sept. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-192316

RESUMO

España ha sido uno de los países con mayor afectación por la pandemia COVID-19. Hasta la fecha, un 22% de los casos notificados son personal sanitario, siendo significativamente mayor este porcentaje entre las mujeres (76% del personal sanitario contagiado). Ante la evidencia de que muchos profesionales sanitarios pueden haberse contagiado en su puesto de trabajo, hemos revisado la problemática en el ámbito de la salud laboral que produce la COVID-19. Se describen los decretos publicados por el Gobierno de España y las recomendaciones de la Organización Internacional del Trabajo. Concretamente se analiza la clasificación del SARS-CoV-2 como agente biológico del grupo 3, su calificación como accidente de trabajo o enfermedad profesional y sus repercusiones en las situaciones de incapacidades (temporales y permanentes), secuelas y muerte, así como el estudio de las posibles demandas de aquellos que lo han sufrido como consecuencia de falta de medidas preventivas


Spain is one of the countries most affected by the COVID-19 pandemic. To date, 22% of reported cases are healthcare professionals, and 76% of them are women. Given that many healthcare professionals may have been infected in their workplace, we have reviewed the occupational health challenges posed by COVID-19. The Spanish laws and the recommendations of the International Labor Organization are described. The review covers the classification of SARS-CoV-2 as a biological agent in group 3 and of COVID-19 as an occupational accident or disease, its repercussions in temporary and permanent disabilities, sequelae and death, and the possible claims of those who may have developed the disease due to the lack of preventive measures


Assuntos
Humanos , Infecções por Coronavirus/epidemiologia , Exposição Ocupacional/legislação & jurisprudência , Licença Médica/legislação & jurisprudência , Doenças Profissionais/epidemiologia , Precauções Universais/legislação & jurisprudência , Controle de Doenças Transmissíveis/legislação & jurisprudência , Pessoal de Saúde/estatística & dados numéricos
9.
IEEE Pulse ; 11(4): 34-36, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32804641

RESUMO

After initial assertions that the wearing of face masks was an unnecessary public health tool in the prevention of the spread of Covid-19, the advice coming out of the Centers for Disease Control (CDC) suddenly changed. In early April, the CDC issued new guidelines advising people to wear face coverings in public settings where social distancing is difficult.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Máscaras , Pandemias , Pneumonia Viral , Saúde Pública , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/psicologia , Medo/psicologia , Liberdade , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/psicologia , Opinião Pública , Estados Unidos , Precauções Universais/legislação & jurisprudência , Precauções Universais/métodos
10.
Rev. Rol enferm ; 43(7/8): 529-539, jul.-ago. 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-192954

RESUMO

COVID-19 es una enfermedad provocada por coronavirus SARS-CoV-2, un virus detectado recientemente. Se originó en China y en pocos meses se ha extendido por todo el planeta, lo que demuestra una alta capacidad de transmisión. Su transmisión es muy buena en entornos cerrados, poco ventilados, donde haya muchas personas, a poca distancia entre ellas y que no usen mascarilla. Las personas mayores se muestran especialmente susceptibles a este virus y desarrollan muchas veces cuadros clínicos graves que han llevado a un desenlace fatal. En ello influyen factores de las propias personas, como un deterioro del sistema de defensa y la existencia de enfermedades previas, pero también factores del medio en el que estas personas se encuentran. Así, en los centros sociosanitarios la situación puede agravarse con factores del entorno como escasa ventilación, baja exposición solar, excesivo número de personas por unidad de superficie, dependencia y realización de numerosas actividades que implican un mayor contacto interpersonal, etc. En este artículo se hace una aproximación a los factores que inducen que las personas mayores sean especialmente vulnerables a COVID-19 y a las medidas que se pueden poner en marcha para paliar esta situación


COVID-19 is the disease produced by SARS-CoV-2 coronavirus, a recently detected pathogen. It originated in China and, in a few months, it has spread all over the planet. This proved a high rate of transmission, which is great in closed and weakly ventilated environments, especially if there is a high number of people, keeping a short distance between them, and without using mask. It has been proved that elders are especially vulnerable to this virus and can develop with a higher probability, far more severe clinical features with a fateful prognosis. However, it must be taken into account that the prognosis of a COVID-19 patient depends on many factors, including the patient himself, a weak immune system, and the existence of previous diseases. In addition, environment-dependent factors cannot be forgot. That's how in nursing homes, the situation can be worse if these environment-dependent factors come into action, such as a poor ventilation, a low sun exposure, an excessive number of people and the performance of many activities that could involve a high interpersonal contact. In this article, an approach is made to the factors that induce the elderly to be especially vulnerable to COVID-19, and to the measures that can be put in place to alleviate this situation


Assuntos
Humanos , Idoso , Infecções por Coronavirus/prevenção & controle , Cuidados de Enfermagem/métodos , Controle de Doenças Transmissíveis/métodos , Síndrome Respiratória Aguda Grave/prevenção & controle , Vírus da SARS/patogenicidade , Fatores Etários , Fatores de Risco , Infecções por Coronavirus/epidemiologia , Instituição de Longa Permanência para Idosos/organização & administração , Precauções Universais/métodos , Pandemias/estatística & dados numéricos
12.
J. negat. no posit. results ; 5(7): 721-725, jul. 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-192329

RESUMO

INTRODUCCIÓN: Pandemia infectocontagiosa puede afectar a los equipos quirúrgicos actuantes. OBJETIVO: Presentar nuevo listado de verificación de cirugía segura. MÉTODO: Verificación en potenciales pacientes COVID-19 en el uso de instrumentos y vestuario tanto en la entrada como al finalizar el acto quirúrgico registrada en el reverso de la actual lista de verificación por el equipo quirúrgico actuante. CONCLUSIÓN: Aporte para prevención de equipos quirúrgicos actuantes


BACKGROUND: Infected pandemic may affect surgical team. OBJECTIVE: New safe surgery checklist was presented. METHOD: Checklist of safe surgery in potential COVID-19 patients with verification of the equipment surgical and the locker room used at the initial as well as in the removal end of surgical act registered on the back of the current checklist by the operating surgical team. CONCLUSION: Selfless contribution to protect the surgical team


Assuntos
Humanos , Pandemias/estatística & dados numéricos , Infecções por Coronavirus/complicações , Procedimentos Cirúrgicos Operatórios/normas , Gestão da Segurança/métodos , Infecção Hospitalar/prevenção & controle , Infecções por Coronavirus/epidemiologia , Precauções Universais/métodos , Segurança do Paciente/normas , Lista de Checagem/métodos , Controle de Doenças Transmissíveis/normas , Argentina/epidemiologia
13.
J. negat. no posit. results ; 5(7): 726-739, jul. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-192330

RESUMO

La pandemia por COVID-19 representa un problema para la salud pública, más aún, al tener un alto grado de mortalidad en las personas adultas mayores. Para garantizar el cuidado de este grupo poblacional, se hace un análisis de las necesidades y medidas preventivas diseñadas para la prevención y control de la enfermedad causada por el virus SARS-Cov2. OBJETIVO: Analizar la situación de las personas adultas mayores ante la problemática del nuevo coronavirus y compilar las principales medidas de prevención general y especifica para la protección de este grupo vulnerable. METODOLOGÍA: Se realizó una revisión sistemática de artículos indexados, en PubMed, LATINDEX, Redalyc, Scielo, Scopus, Dialnet y Google Scholar y en fuentes oficiales nacionales e internacionales. Se utilizó para la búsqueda las siguientes palabras clave: COVID-19, SARS-Cov2, adulto mayor, medidas preventivas coronavirus, pandemia. RESULTADOS: De 9 artículos consultados y de las fuentes oficiales mencionadas, se analizó los principales ejes en relación a la situación económica y laboral, la salud, así como los factores de riesgo generales para la población y específicos para las personas adultas mayores. Los principales factores de riesgo hallados son la edad avanzada, las comorbilidades presentes en este grupo poblacional, los padecimientos demenciales, además de factores sociales como la discriminación por edad y los estereotipos en relación a la dependencia y fragilidad de las personas mayores. La prevención del COVID-19 en adultos mayores debe incluir además de la contención y cuidados específicos, la atención psicosocial. CONCLUSIONES: Los adultos mayores conforman el grupo de mayor impacto negativo por el SARS-Cov2, COVID-19, su vulnerabilidad ante esta pandemia proviene no solo de su edad, sino por la situación económica, laboral y enfermedades asociadas a su edad, su soledad le confiere mayor riesgo ya que tiene que salir a buscar sus víveres, de no apoyarles el impacto en su salud será indudablemente negativo


The COVID-19 pandemic represents a public health problem, even more so, since it has a high degree of mortality in older adults. To guarantee the care of this population group, an analysis was made of the needs and preventive measures designed for the prevention and control of the disease caused by the SARS-Cov2 virus. AIM: Analyze the situation of older adults facing the problem of the new coronavirus and compile the main general and specific prevention measures for the protection of this vulnerable group. METHODOLOGY: A systematic review of indexed articles was carried out in PubMed, LATINDEX, Redalyc, Scielo, Scopus, Dialnet and Google Scholar and in official national and international sources. The following keywords were used for the search: COVID-19, SARS-Cov2, elderly, preventive measures, coronavirus, pandemic. RESULTS: From 9 articles consulted and from the aforementioned official sources, the main axes were analyzed in relation to the economic and labor situation, health, as well as the general risk factors for the population and specific for the elderly. The main risk factors found are advanced age, comorbidities present in this population group, dementing illnesses, as well as social factors such as age discrimination and stereotypes regarding the dependency and frailty of older people. Prevention of COVID-19 in older adults should include psychosocial care in addition to specific containment and care. CONCLUSIONS: Older adults make up the group with the greatest negative impact due to SARS-Cov2, COVID-19, their vulnerability to this pandemic comes not only from their age, but also due to the economic, work situation and diseases associated with their age, their loneliness gives them greater risk since you have to go out to look for your food, if you do not support them the impact on your health will undoubtedly be negative


Assuntos
Humanos , Infecções por Coronavirus/prevenção & controle , Síndrome Respiratória Aguda Grave/prevenção & controle , Vírus da SARS/patogenicidade , Saúde do Idoso , Pandemias/estatística & dados numéricos , Precauções Universais/métodos , México/epidemiologia
14.
Artigo em Inglês | MEDLINE | ID: mdl-32650522

RESUMO

Effective management of the global pandemic caused by Severe Acute Respiratory Syndrome Coronavirus 2 (also known as COVID-19), resulted in the implementation of severe restrictions in movement and enforcement of social distancing measures. This study aimed to understand and characterize the psychosocial effects of the COVID-19 pandemic in the general population and to identify risks and protective factors that predict changes in mental health status. In addition, the study investigated compliance with precautionary measures (PM) to halt the spread of the virus. The online anonymous survey collected information on sociodemographic data, compliance with PM, quality of life (QOL), and mental health via the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). A total of 1642 adult participants (71.6% women, 28.4% men) completed the survey in the European island country, Cyprus. A large percentage (48%) reported significant financial concerns and 66.7% significant changes in their QOL. About 41% reported symptoms associated with mild anxiety; 23.1% reported moderate-severe anxiety symptoms. Concerning depression, 48% reported mild and 9.2% moderate-severe depression symptoms. Women, younger age (18-29), student status, unemployment status, prior psychiatric history, and those reporting greater negative impact on their QOL, were at higher risk for increased anxiety and depression symptoms (p < 0.05). The youngest age group and males also reported lower levels of compliance with PM. Higher compliance with PM predicted lower depression scores (p < 0.001) but higher anxiety for measures related to personal hygiene. The results of this study provide important data on the effects of the COVID-19 outbreak on mental health and QOL and identify a variety of personal and social determinants that serve as risks and protective factors. Furthermore, it has implications for policy makers demonstrating the need for effective mental health programs and guidance for the implementation of PM as a public health strategy.


Assuntos
Ansiedade/epidemiologia , Infecções por Coronavirus/psicologia , Depressão/epidemiologia , Pneumonia Viral/psicologia , Precauções Universais/estatística & dados numéricos , Adolescente , Adulto , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Chipre/epidemiologia , Feminino , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Cooperação do Paciente , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Prevalência , Qualidade de Vida , Inquéritos e Questionários , Adulto Jovem
15.
Radiol Med ; 125(7): 691-694, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: covidwho-526588

RESUMO

The current COVID-19 outbreak is requiring a tremendous effort not only regarding the diagnostic and therapeutic approach but also in terms of global management of the delivered care. Hospital administrations had to provide a prompt response to a rapidly evolving emergency characterized by the necessity of giving access to an enormous number of infected patients, guaranteeing appropriate care to patients in need of other types of treatment, and simultaneously preserving the well-being of healthcare providers. To optimize the diagnostic pathway during the current COVID-19 outbreak, the hospital administration of our tertiary center applied a highly structured framework assigning specific tasks to the different units composing the Department of Imaging. In particular, since the beginning of the pandemic, a mobile CT scanner in a truck was rented and became operative for all patients with a confirmed diagnosis of COVID-19 and another CT was assigned for all suspected cases. The success and efficacy of the management applied by our administration is demonstrated by the fact that during the outbreak, the radiological workflow was never interrupted. In fact, despite the national lockdown only a 29.3% decrease of CT scans occurred compared to the previous year. Moreover, none of the healthcare providers of the Department contracted the infection at work. Thus, according to the experience gained in our center, we recommend to all hospital administrations facing the COVID-19 outbreak to promptly adapt their resources, creating precise and safe pathways for their diagnostic units.


Assuntos
Infecções por Coronavirus/diagnóstico por imagem , Pneumonia Viral/diagnóstico por imagem , Radiografia Torácica/métodos , Serviço Hospitalar de Radiologia/organização & administração , Tomografia Computadorizada por Raios X/métodos , Infecções por Coronavirus/epidemiologia , Diagnóstico Diferencial , Humanos , Itália/epidemiologia , Unidades Móveis de Saúde , Pandemias , Pneumonia Viral/epidemiologia , Gestão da Segurança , Precauções Universais , Fluxo de Trabalho
16.
Pan Afr Med J ; 35(Suppl 2): 1, 2020.
Artigo em Inglês | MEDLINE | ID: covidwho-595595

RESUMO

The epidemic of Coronavirus disease 2019 (COVID-19) in China caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has become a global concern and subsequently labeled a pandemic by the World Health Organization on March 11th. As the world mobilizes to contain the COVID-19, scientists and public health experts are increasingly alarmed about the potentially catastrophic effects of an outbreak in Africa. The establishment of Africa Centres for Disease Control and Prevention by the Africa Union in 2017 was an unprecedented move toward strengthening national responses, so far enabling all fifty member states with confirmed cases of COVID-19 to adequately respond, break chains of transmission and effectively contain the spread of SARS-CoV-2. We enter an uncertain and challenging period that may severely test the preparedness, organizational resource and resilience of African states and the fabric of their societies. However, we speculate that the fear associated with COVID-19 may also lead to some of the long-standing messages about simple measures to reduce the spread, such as hand washing, finally becoming absorbed and more universally adopted by health workers and the public. Is it possible that regardless of the terrible threat posed by SARS-CoV-2, the increased adoption of these health protection measures may result in a reduction in the spread of other infectious diseases?


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , África/epidemiologia , Infecções por Coronavirus/economia , Infecções por Coronavirus/mortalidade , Desinfecção das Mãos , Doença pelo Vírus Ebola/epidemiologia , Doença pelo Vírus Ebola/mortalidade , Humanos , Cooperação Internacional , Pandemias/economia , Pneumonia Viral/economia , Pneumonia Viral/mortalidade , Precauções Universais
17.
J Pak Med Assoc ; 70(Suppl 3)(5): S87-S94, 2020 May.
Artigo em Inglês | MEDLINE | ID: covidwho-592799

RESUMO

Otolaryngologists around the world are amongst the front-line fighters against the pandemic coronavirus disease (COVID-19). As knowledge about the disease epidemiology and clinical profile is rapidly evolving, we are still not sure about many different aspects of the disease transmission and presentation. Otolaryngologists regularly deal with the upper aerodigestive tract, which is the portal of transmission and site of multiplication of the virus. There is a substantial risk of getting infected and transmitting the disease further. We discuss the various recommendations pertaining to the emergency and elective procedures in otolaryngology, and head and neck surgeries in these difficult times, so as to sensitise the clinicians while dealing with such cases, till the pandemic is under control and things get back to normal.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Otorrinolaringologistas , Pandemias , Pneumonia Viral , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/terapia , Infecções por Coronavirus/transmissão , Humanos , Procedimentos Cirúrgicos Otorrinolaringológicos/normas , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/terapia , Pneumonia Viral/transmissão , Medição de Risco , Precauções Universais
18.
J Pak Med Assoc ; 70(Suppl 3)(5): S87-S94, 2020 May.
Artigo em Inglês | MEDLINE | ID: covidwho-609375

RESUMO

Otolaryngologists around the world are amongst the front-line fighters against the pandemic coronavirus disease (COVID-19). As knowledge about the disease epidemiology and clinical profile is rapidly evolving, we are still not sure about many different aspects of the disease transmission and presentation. Otolaryngologists regularly deal with the upper aerodigestive tract, which is the portal of transmission and site of multiplication of the virus. There is a substantial risk of getting infected and transmitting the disease further. We discuss the various recommendations pertaining to the emergency and elective procedures in otolaryngology, and head and neck surgeries in these difficult times, so as to sensitise the clinicians while dealing with such cases, till the pandemic is under control and things get back to normal.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Otorrinolaringologistas , Pandemias , Pneumonia Viral , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/terapia , Infecções por Coronavirus/transmissão , Humanos , Procedimentos Cirúrgicos Otorrinolaringológicos/normas , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/terapia , Pneumonia Viral/transmissão , Medição de Risco , Precauções Universais
19.
Radiol Med ; 125(7): 691-694, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32500510

RESUMO

The current COVID-19 outbreak is requiring a tremendous effort not only regarding the diagnostic and therapeutic approach but also in terms of global management of the delivered care. Hospital administrations had to provide a prompt response to a rapidly evolving emergency characterized by the necessity of giving access to an enormous number of infected patients, guaranteeing appropriate care to patients in need of other types of treatment, and simultaneously preserving the well-being of healthcare providers. To optimize the diagnostic pathway during the current COVID-19 outbreak, the hospital administration of our tertiary center applied a highly structured framework assigning specific tasks to the different units composing the Department of Imaging. In particular, since the beginning of the pandemic, a mobile CT scanner in a truck was rented and became operative for all patients with a confirmed diagnosis of COVID-19 and another CT was assigned for all suspected cases. The success and efficacy of the management applied by our administration is demonstrated by the fact that during the outbreak, the radiological workflow was never interrupted. In fact, despite the national lockdown only a 29.3% decrease of CT scans occurred compared to the previous year. Moreover, none of the healthcare providers of the Department contracted the infection at work. Thus, according to the experience gained in our center, we recommend to all hospital administrations facing the COVID-19 outbreak to promptly adapt their resources, creating precise and safe pathways for their diagnostic units.


Assuntos
Infecções por Coronavirus/diagnóstico por imagem , Pneumonia Viral/diagnóstico por imagem , Radiografia Torácica/métodos , Serviço Hospitalar de Radiologia/organização & administração , Tomografia Computadorizada por Raios X/métodos , Infecções por Coronavirus/epidemiologia , Diagnóstico Diferencial , Humanos , Itália/epidemiologia , Unidades Móveis de Saúde , Pandemias , Pneumonia Viral/epidemiologia , Gestão da Segurança , Precauções Universais , Fluxo de Trabalho
20.
J Pak Med Assoc ; 70(Suppl 3)(5): S87-S94, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32515385

RESUMO

Otolaryngologists around the world are amongst the front-line fighters against the pandemic coronavirus disease (COVID-19). As knowledge about the disease epidemiology and clinical profile is rapidly evolving, we are still not sure about many different aspects of the disease transmission and presentation. Otolaryngologists regularly deal with the upper aerodigestive tract, which is the portal of transmission and site of multiplication of the virus. There is a substantial risk of getting infected and transmitting the disease further. We discuss the various recommendations pertaining to the emergency and elective procedures in otolaryngology, and head and neck surgeries in these difficult times, so as to sensitise the clinicians while dealing with such cases, till the pandemic is under control and things get back to normal.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Otorrinolaringologistas , Pandemias , Pneumonia Viral , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/terapia , Infecções por Coronavirus/transmissão , Humanos , Procedimentos Cirúrgicos Otorrinolaringológicos/normas , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/terapia , Pneumonia Viral/transmissão , Medição de Risco , Precauções Universais
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