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1.
J Surg Oncol ; 124(2): 174-180, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34245581

RESUMO

Electronic resources have changed surgical education in the 21st century. Resources spanning from digital textbooks to multiple choice question banks, online society meetings, and social media can facilitate surgical education. The COVID pandemic drastically changed the paradigm for education. The ramifications of Zoom lectures and online surgical society meetings will last into the future. Educators and learners can be empowered by the many available electronic resources to enhance surgical training and education.


Assuntos
Educação à Distância/tendências , Educação de Pós-Graduação em Medicina/tendências , Cirurgia Geral/educação , Internet/tendências , Recursos Audiovisuais , COVID-19/epidemiologia , COVID-19/prevenção & controle , Congressos como Assunto/tendências , Educação à Distância/métodos , Educação de Pós-Graduação em Medicina/métodos , Cirurgia Geral/tendências , Humanos , Modelos Educacionais , Mídias Sociais/tendências , Sociedades Médicas/tendências , Estados Unidos/epidemiologia , Comunicação por Videoconferência/tendências
2.
Thorac Cardiovasc Surg ; 69(4): 294-307, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34176107

RESUMO

Based on a longtime voluntary registry, founded by the German Society for Thoracic and Cardiovascular Surgery (GSTCVS) in 1980, well-defined data of all cardiac, thoracic and vascular surgery procedures performed in 78 German heart surgery departments during the year 2020 are analyzed. Under the more than extraordinary conditions of the ongoing worldwide coronavirus disease 2019 pandemic, a total of 161,817 procedures were submitted to the registry. A total of 92,809 of these operations are summarized as heart surgery procedures in a classical sense. The unadjusted in-hospital survival rate for the 29,444 isolated coronary artery bypass grafting procedures (relationship on-/off-pump 3.6:1) was 97.2%. For the 35,469 isolated heart valve procedures, (17,471 transcatheter interventions included), the survival rate was 96.7%. Concerning short- and long-term circulatory support, a total of 2,852 extracorporeal life support/extracorporeal membrane oxygenation implantations, respectively, 843 assist device implantations (left/right/biventricular assist device, total artificial device), were registered. In 2020, the number of isolated heart transplantations increased to 340, a rise of 2.1% compared with the previous year. The isolated lung transplantations amounted to 291, a decrease of 6.4%.This annually updated registry of the GSTCVS represents voluntary public reporting by accumulating actual information for nearly all heart surgical procedures in Germany, constitutes advancements in heart medicine, and represents a basis for quality management for all participating institutions. In addition, the registry demonstrates that the provision of cardiac surgery in Germany is up to date, appropriate, and nationwide patient treatment is guaranteed all the time.


Assuntos
COVID-19/epidemiologia , Procedimentos Cirúrgicos Cardíacos/estatística & dados numéricos , Cardiopatias/cirurgia , Indicadores de Qualidade em Assistência à Saúde , Sistema de Registros , Sociedades Médicas , Cirurgia Torácica , Comorbidade , Alemanha/epidemiologia , Cardiopatias/epidemiologia , Humanos , Estudos Retrospectivos , Fatores de Risco , SARS-CoV-2
3.
Eur J Endocrinol ; 185(2): C1-C7, 2021 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-34132200

RESUMO

Changes that COVID-19 induced in endocrine daily practice as well as the role of endocrine and metabolic comorbidities in COVID-19 outcomes were among the striking features of this last year. The aim of this statement is to illustrate the major characteristics of the response of European endocrinologists to the pandemic including the disclosure of the endocrine phenotype of COVID-19 with diabetes, obesity and hypovitaminosis D playing a key role in this clinical setting with its huge implication for the prevention and management of the disease. The role of the European Society of Endocrinology (ESE) as a reference point of the endocrine community during the pandemic will also be highlighted, including the refocusing of its educational and advocacy activities.


Assuntos
COVID-19/epidemiologia , COVID-19/terapia , Endocrinologistas/organização & administração , Endocrinologia/organização & administração , COVID-19/complicações , COVID-19/prevenção & controle , Redes Comunitárias/organização & administração , Redes Comunitárias/tendências , Atenção à Saúde/história , Atenção à Saúde/organização & administração , Atenção à Saúde/tendências , Doenças do Sistema Endócrino/diagnóstico , Doenças do Sistema Endócrino/epidemiologia , Doenças do Sistema Endócrino/etiologia , Doenças do Sistema Endócrino/terapia , Endocrinologistas/história , Endocrinologistas/tendências , Endocrinologia/história , Endocrinologia/tendências , Europa (Continente)/epidemiologia , História do Século XXI , Humanos , Pandemias , Fenótipo , Papel do Médico , Padrões de Prática Médica/história , Padrões de Prática Médica/organização & administração , Padrões de Prática Médica/tendências , Sociedades Médicas/história , Sociedades Médicas/organização & administração , Sociedades Médicas/tendências , Telemedicina/história , Telemedicina/organização & administração , Telemedicina/tendências
4.
Rocz Panstw Zakl Hig ; 72(2): 209-220, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34114781

RESUMO

During the COVID-19 pandemic, care for an adequate diet, well adapted to the body's needs and the current level of physical activity, becomes of particular importance. Many dietary compounds participate in the functioning of the immune system, while vitamins D, C, A (including beta-carotene), E, B6, B12, folic acid, zinc, copper, selenium, iron, amino acids, n-3 and n-6 polyunsaturated fatty acids and intestinal microbiota are crucial in various types of defence processes. There has been no evidence that consumed food and its compounds, including those with pro-/prebiotic properties, play a significant role in preventing SARS-CoV-2 infection or alleviating its course. However, in terms of the nutritional value of food and the prevention of dysbiosis, recommending a varied diet with a high proportion of plant-based foods and an adequate amount of animal-based foods has a sound scientific basis. Malnutrition, underweight and obesity are considered independent and prognostic risk factors of severe SARS-CoV-2 infection, which reduce a patient's chances of survival. Therefore, ensuring good nutritional status, including healthy body weight, is a reasonable approach in the prevention of viral infection SARS-CoV-2 or alleviating its course. The document is accompanied by two catalogues of practical nutritional recommendations during the COVID-19 pandemic, addressed to the general population and children.


Assuntos
Dieta Saudável/estatística & dados numéricos , Promoção da Saúde/normas , Estado Nutricional , Recomendações Nutricionais , Sociedades Médicas/normas , Academias e Institutos/normas , Adulto , COVID-19 , Criança , Suplementos Nutricionais/estatística & dados numéricos , Humanos , Fenômenos Fisiológicos da Nutrição , Valor Nutritivo , Polônia , Saúde Pública , Oligoelementos/uso terapêutico
8.
Artigo em Inglês | MEDLINE | ID: covidwho-1282284

RESUMO

OBJECTIVE: To understand COVID-19 characteristics in people with multiple sclerosis (MS) and identify high-risk individuals due to their immunocompromised state resulting from the use of disease-modifying treatments. METHODS: Retrospective and multicenter registry in patients with MS with suspected or confirmed COVID-19 diagnosis and available disease course (mild = ambulatory; severe = hospitalization; and critical = intensive care unit/death). Cases were analyzed for associations between MS characteristics and COVID-19 course and for identifying risk factors for a fatal outcome. RESULTS: Of the 326 patients analyzed, 120 were cases confirmed by real-time PCR, 34 by a serologic test, and 205 were suspected. Sixty-nine patients (21.3%) developed severe infection, 10 (3%) critical, and 7 (2.1%) died. Ambulatory patients were higher in relapsing MS forms, treated with injectables and oral first-line agents, whereas more severe cases were observed in patients on pulsed immunosuppressors and critical cases among patients with no therapy. Severe and critical infections were more likely to affect older males with comorbidities, with progressive MS forms, a longer disease course, and higher disability. Fifteen of 33 patients treated with rituximab were hospitalized. Four deceased patients have progressive MS, 5 were not receiving MS therapy, and 2 were treated (natalizumab and rituximab). Multivariate analysis showed age (OR 1.09, 95% CI, 1.04-1.17) as the only independent risk factor for a fatal outcome. CONCLUSIONS: This study has not demonstrated the presumed critical role of MS therapy in the course of COVID-19 but evidenced that people with MS with advanced age and disease, in progressive course, and those who are more disabled have a higher probability of severe and even fatal disease.


Assuntos
COVID-19/fisiopatologia , Hospedeiro Imunocomprometido , Imunossupressores/administração & dosagem , Esclerose Múltipla Crônica Progressiva/tratamento farmacológico , Esclerose Múltipla Recidivante-Remitente/tratamento farmacológico , Sistema de Registros , Índice de Gravidade de Doença , Adulto , Fatores Etários , COVID-19/epidemiologia , Comorbidade , Feminino , Humanos , Imunossupressores/efeitos adversos , Masculino , Pessoa de Meia-Idade , Esclerose Múltipla Crônica Progressiva/epidemiologia , Esclerose Múltipla Recidivante-Remitente/epidemiologia , Neurologia , Estudos Retrospectivos , Fatores de Risco , Fatores Sexuais , Sociedades Médicas , Espanha
9.
Thorac Cardiovasc Surg ; 69(4): 294-307, 2021 06.
Artigo em Inglês | MEDLINE | ID: covidwho-1281759

RESUMO

Based on a longtime voluntary registry, founded by the German Society for Thoracic and Cardiovascular Surgery (GSTCVS) in 1980, well-defined data of all cardiac, thoracic and vascular surgery procedures performed in 78 German heart surgery departments during the year 2020 are analyzed. Under the more than extraordinary conditions of the ongoing worldwide coronavirus disease 2019 pandemic, a total of 161,817 procedures were submitted to the registry. A total of 92,809 of these operations are summarized as heart surgery procedures in a classical sense. The unadjusted in-hospital survival rate for the 29,444 isolated coronary artery bypass grafting procedures (relationship on-/off-pump 3.6:1) was 97.2%. For the 35,469 isolated heart valve procedures, (17,471 transcatheter interventions included), the survival rate was 96.7%. Concerning short- and long-term circulatory support, a total of 2,852 extracorporeal life support/extracorporeal membrane oxygenation implantations, respectively, 843 assist device implantations (left/right/biventricular assist device, total artificial device), were registered. In 2020, the number of isolated heart transplantations increased to 340, a rise of 2.1% compared with the previous year. The isolated lung transplantations amounted to 291, a decrease of 6.4%.This annually updated registry of the GSTCVS represents voluntary public reporting by accumulating actual information for nearly all heart surgical procedures in Germany, constitutes advancements in heart medicine, and represents a basis for quality management for all participating institutions. In addition, the registry demonstrates that the provision of cardiac surgery in Germany is up to date, appropriate, and nationwide patient treatment is guaranteed all the time.


Assuntos
COVID-19/epidemiologia , Procedimentos Cirúrgicos Cardíacos/estatística & dados numéricos , Cardiopatias/cirurgia , Indicadores de Qualidade em Assistência à Saúde , Sistema de Registros , Sociedades Médicas , Cirurgia Torácica , Comorbidade , Alemanha/epidemiologia , Cardiopatias/epidemiologia , Humanos , Estudos Retrospectivos , Fatores de Risco , SARS-CoV-2
11.
Rocz Panstw Zakl Hig ; 72(2): 209-220, 2021.
Artigo em Inglês | MEDLINE | ID: covidwho-1267053

RESUMO

During the COVID-19 pandemic, care for an adequate diet, well adapted to the body's needs and the current level of physical activity, becomes of particular importance. Many dietary compounds participate in the functioning of the immune system, while vitamins D, C, A (including beta-carotene), E, B6, B12, folic acid, zinc, copper, selenium, iron, amino acids, n-3 and n-6 polyunsaturated fatty acids and intestinal microbiota are crucial in various types of defence processes. There has been no evidence that consumed food and its compounds, including those with pro-/prebiotic properties, play a significant role in preventing SARS-CoV-2 infection or alleviating its course. However, in terms of the nutritional value of food and the prevention of dysbiosis, recommending a varied diet with a high proportion of plant-based foods and an adequate amount of animal-based foods has a sound scientific basis. Malnutrition, underweight and obesity are considered independent and prognostic risk factors of severe SARS-CoV-2 infection, which reduce a patient's chances of survival. Therefore, ensuring good nutritional status, including healthy body weight, is a reasonable approach in the prevention of viral infection SARS-CoV-2 or alleviating its course. The document is accompanied by two catalogues of practical nutritional recommendations during the COVID-19 pandemic, addressed to the general population and children.


Assuntos
Dieta Saudável/estatística & dados numéricos , Promoção da Saúde/normas , Estado Nutricional , Recomendações Nutricionais , Sociedades Médicas/normas , Academias e Institutos/normas , Adulto , COVID-19 , Criança , Suplementos Nutricionais/estatística & dados numéricos , Humanos , Fenômenos Fisiológicos da Nutrição , Valor Nutritivo , Polônia , Saúde Pública , Oligoelementos/uso terapêutico
13.
Eur Psychiatry ; 64(1): e41, 2021 06 09.
Artigo em Inglês | MEDLINE | ID: mdl-34103102

RESUMO

BACKGROUND: The COVID-19 pandemic caused an unprecedented worldwide crisis affecting several sectors, including health, social care, economy and society at large. The World Health Organisation has emphasized that mental health care should be considered as one of the core sectors within the overall COVID-19 health response. By March 2020, recommendations for the organization of mental health services across Europe have been developed by several national and international mental health professional associations. METHODS: The European Psychiatric Association (EPA) surveyed a large European sample of psychiatrists, namely the "EPA Ambassadors", on their clinical experience of the impact of COVID-19 pandemic on the treatment of psychiatric patients during the month of April 2020 in order to: a) identify and report the views and experiences of European psychiatrists; and b) represent and share these results with mental health policy makers at European level. Based on the recommendations issued by national psychiatric associations and on the results of our survey, we identified important organisational aspects of mental health care during the peak of the first wave of the COVID-19. RESULTS: While most of the recommendations followed the same principles, significant differences between countries emerged in service delivery, mainly relating to referrals to outpatients and for inpatient admission, assessments and treatment for people with mental disorders. Compared to previous months, the mean number of patients treated by psychiatrists in outpatient settings halved in April 2020. In the same period, the number of mentally ill patients tested for, or developing, COVID-19 was low. In most of countries, traditional face-to-face visits were replaced by online remote consultations. CONCLUSIONS: Based on our findings we recommend: 1) to implement professional guidelines into practice and harmonize psychiatric clinical practice across Europe; 2) to monitor the treatment outcomes of patients with COVID-19 and pre-existing mental disorders; 3) to keep psychiatric services active by using all available options (for example telepsychiatry); 4) to increase communication and cooperation between different health care providers.


Assuntos
COVID-19/psicologia , Transtornos Mentais/terapia , Serviços de Saúde Mental/organização & administração , Pandemias , Adulto , COVID-19/epidemiologia , Europa (Continente)/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psiquiatria/estatística & dados numéricos , Sociedades Médicas , Inquéritos e Questionários
14.
Ann Palliat Med ; 10(6): 7146-7150, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34154365

RESUMO

The Society for Palliative Radiation Oncology (SPRO) is an international professional group dedicated to advancing the field of palliative radiation oncology by promoting evidence-based palliative radiotherapy and excellence in primary palliative care through research, education, collaboration, and patient advocacy. SPRO held its 7th Annual Meeting on October 28, 2020 over a virtual platform in association with the American Society for Radiation Oncology (ASTRO) 62nd Annual Meeting. Short and long-term goals for the Society were detailed and the accomplishments since SPRO's 6th Annual Meeting were reviewed. New research was presented during a series of two-minute rapid fire educational sessions given by speakers selected to present in the scientific palliative care track at the ASTRO Annual Meeting. Recipients of the Lifetime Service Award and the Rising Star Award were announced and presented. This Meeting Report summarizes the proceedings of the 7th Annual Meeting and describes future directions for SPRO.


Assuntos
Enfermagem de Cuidados Paliativos na Terminalidade da Vida , Radioterapia (Especialidade) , Humanos , Cuidados Paliativos , Sociedades Médicas , Estados Unidos
15.
Eur J Endocrinol ; 185(2): C1-C7, 2021 Jul 05.
Artigo em Inglês | MEDLINE | ID: covidwho-1298092

RESUMO

Changes that COVID-19 induced in endocrine daily practice as well as the role of endocrine and metabolic comorbidities in COVID-19 outcomes were among the striking features of this last year. The aim of this statement is to illustrate the major characteristics of the response of European endocrinologists to the pandemic including the disclosure of the endocrine phenotype of COVID-19 with diabetes, obesity and hypovitaminosis D playing a key role in this clinical setting with its huge implication for the prevention and management of the disease. The role of the European Society of Endocrinology (ESE) as a reference point of the endocrine community during the pandemic will also be highlighted, including the refocusing of its educational and advocacy activities.


Assuntos
COVID-19/epidemiologia , COVID-19/terapia , Endocrinologistas/organização & administração , Endocrinologia/organização & administração , COVID-19/complicações , COVID-19/prevenção & controle , Redes Comunitárias/organização & administração , Redes Comunitárias/tendências , Atenção à Saúde/história , Atenção à Saúde/organização & administração , Atenção à Saúde/tendências , Doenças do Sistema Endócrino/diagnóstico , Doenças do Sistema Endócrino/epidemiologia , Doenças do Sistema Endócrino/etiologia , Doenças do Sistema Endócrino/terapia , Endocrinologistas/história , Endocrinologistas/tendências , Endocrinologia/história , Endocrinologia/tendências , Europa (Continente)/epidemiologia , História do Século XXI , Humanos , Pandemias , Fenótipo , Papel do Médico , Padrões de Prática Médica/história , Padrões de Prática Médica/organização & administração , Padrões de Prática Médica/tendências , Sociedades Médicas/história , Sociedades Médicas/organização & administração , Sociedades Médicas/tendências , Telemedicina/história , Telemedicina/organização & administração , Telemedicina/tendências
16.
Curr Opin Obstet Gynecol ; 33(4): 324-326, 2021 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-34101662

RESUMO

PURPOSE OF REVIEW: To review the impact that COVID-19 has had on the practice of reproductive endocrinology and infertility. RECENT FINDINGS: As in all areas of medicine, the COVID-19 pandemic has caused profound changes in reproductive endocrinology and infertility. However, the pandemic has encouraged providers and systems to change approaches and unmasked many opportunities that may have actually improved care. The pandemic also forced the field to provide society with fact-based information even as data was constantly emerging and evolving and to do so rapidly.Combating misinformation became an equally important effort and led to increased participation of providers using traditional and social media to provide the most reliable and up to date information. A return to status quo ante bellum is unlikely.


Assuntos
COVID-19 , Endocrinologia , Saúde Reprodutiva , Comitês Consultivos , Humanos , SARS-CoV-2 , Sociedades Médicas , Telemedicina
17.
Kardiologiia ; 61(5): 79-81, 2021 May 31.
Artigo em Russo, Inglês | MEDLINE | ID: mdl-34112079

RESUMO

On December 18, 2020, an expert council was held with the participation of members of the Russian Society of Cardiology, the Eurasian Association of Ther-apists, the National Society for Atherothrombosis, the National Society for Evi-dence-Based Pharmacotherapy, and the Russian Heart Failure Society. The event was devoted to the discussion of the correct use of research data of "real clinical practice" in decision making.


Assuntos
Cardiologia , Insuficiência Cardíaca , Insuficiência Cardíaca/diagnóstico , Humanos , Federação Russa , Sociedades Médicas
20.
Br Dent J ; 230(11): 688, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34117408
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