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Article ; Online: COVID 19 a challenge for emergency medicine and every health care professional.

Smereka, Jacek / Szarpak, Lukasz

The American journal of emergency medicine

2020 Volume 38, Issue 10, Page(s) 2232–2233

MeSH term(s)	COVID-19/therapy ; COVID-19/transmission ; Emergency Medicine/standards ; Global Health ; Health Personnel/organization & administration ; Humans ; Pandemics ; SARS-CoV-2 ; Surge Capacity/standards
Keywords	covid19
Language	English
Publishing date	2020-03-24
Publishing country	United States
Document type	Letter
ZDB-ID	605890-5
ISSN	1532-8171 ; 0735-6757
ISSN (online)	1532-8171
ISSN	0735-6757
DOI	10.1016/j.ajem.2020.03.038
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Article ; Online: COVID 19 a challenge for emergency medicine and every health care professional

Smereka, Jacek / Szarpak, Lukasz

The American Journal of Emergency Medicine ; ISSN 0735-6757

2020

Keywords	Emergency Medicine ; General Medicine ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
DOI	10.1016/j.ajem.2020.03.038
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: COVID 19 a challenge for emergency medicine and every health care professional

Smereka, Jacek / Szarpak, Lukasz

Am. j. emerg. med

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #31806
Database	COVID19

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Article ; Online: Improving long COVID-related text classification

Sai Ashish Somayajula / Onkar Litake / Youwei Liang / Ramtin Hosseini / Shamim Nemati / David O. Wilson / Robert N. Weinreb / Atul Malhotra / Pengtao Xie

Scientific Reports, Vol 14, Iss 1, Pp 1-

a novel end-to-end domain-adaptive paraphrasing framework

2024 Volume 14

Abstract: ... considerable challenges for healthcare professionals and researchers. The task of identifying relevant ... definitions, and a lack of standardized nomenclature. This paper proposes a novel solution to this challenge ... Abstract The emergence of long COVID during the ongoing COVID-19 pandemic has presented ...

Abstract	Abstract The emergence of long COVID during the ongoing COVID-19 pandemic has presented considerable challenges for healthcare professionals and researchers. The task of identifying relevant literature is particularly daunting due to the rapidly evolving scientific landscape, inconsistent definitions, and a lack of standardized nomenclature. This paper proposes a novel solution to this challenge by employing machine learning techniques to classify long COVID literature. However, the scarcity of annotated data for machine learning poses a significant obstacle. To overcome this, we introduce a strategy called medical paraphrasing, which diversifies the training data while maintaining the original content. Additionally, we propose a Data-Reweighting-Based Multi-Level Optimization Framework for Domain Adaptive Paraphrasing, supported by a Meta-Weight-Network (MWN). This innovative approach incorporates feedback from the downstream text classification model to influence the training of the paraphrasing model. During the training process, the framework assigns higher weights to the training examples that contribute more effectively to the downstream task of long COVID text classification. Our findings demonstrate that this method substantially improves the accuracy and efficiency of long COVID literature classification, offering a valuable tool for physicians and researchers navigating this complex and ever-evolving field.
Keywords	Medicine ; R ; Science ; Q
Subject code	006
Language	English
Publishing date	2024-01-01T00:00:00Z
Publisher	Nature Portfolio
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Impact of COVID-19 on aortic operations.

Bissacco, Daniele / Franchin, Marco / Piffaretti, Gabriele / Luzzani, Luca / D'Oria, Mario / Casana, Renato / Domanin, Maurizio / Bellosta, Raffaello / Trimarchi, Santi

Seminars in vascular surgery

2021 Volume 34, Issue 2, Page(s) 37–42

Abstract: ... from precautions to minimize the risk of virus transmission among patients and among health care professionals ... with new COVID-19-related priorities and emergencies. In this setting, difficulties in aortic disease ... management were two-fold: new vascular complications related to COVID-19 infection and the need to guarantee ...

Abstract	The coronavirus disease 2019 (COVID-19) outbreak has profoundly affected all aspects of medicine and surgery. Vascular surgery practice and interventions were also forced to change in order to deal with new COVID-19-related priorities and emergencies. In this setting, difficulties in aortic disease management were two-fold: new vascular complications related to COVID-19 infection and the need to guarantee prompt and correct treatment for the general "non-COVID-19" population. Furthermore, discomfort deriving from precautions to minimize the risk of virus transmission among patients and among health care professionals, the need to separate COVID-19-positive from COVID-19-negative patients, and the high incidence of postoperative complications in COVID-19 cases created a challenging scenario for cardiac operations. The aim of this review was to provide evidence derived from the published literature (case reports, case series, multicenter experience, and expert opinion) on the impact of the COVID-19 outbreak on aortic vascular surgery services and interventions, describing COVID-19-related findings, intraoperative and postoperative outcomes, as well as the impact of the COVID-19 outbreak on noninfectious aortic patients.
MeSH term(s)	Aortic Diseases/diagnosis ; Aortic Diseases/surgery ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/transmission ; Facilities and Services Utilization ; Humans ; Procedures and Techniques Utilization ; Vascular Surgical Procedures/statistics & numerical data
Language	English
Publishing date	2021-05-20
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	645131-7
ISSN	1558-4518 ; 0895-7967
ISSN (online)	1558-4518
ISSN	0895-7967
DOI	10.1053/j.semvascsurg.2021.04.002
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Article ; Online: COVID-19

Najla Dar Odeh / Hamzah Babkair / Shaden Abu-Hammad / Sary Borzangy / Abdalla Abu-Hammad / Osama Abu-Hammad

International Journal of Environmental Research and Public Health, Vol 17, Iss 3151, p

Present and Future Challenges for Dental Practice

2020 Volume 3151

Abstract: COVID-19 was declared a pandemic by the World Health Organization, with a high fatality rate ... patients except those who have emergency complaints. This was mainly for protection of dental healthcare ... This overview will address several issues concerned with the COVID-19 pandemic that directly relate to dental ...

Abstract	COVID-19 was declared a pandemic by the World Health Organization, with a high fatality rate that may reach 8%. The disease is caused by SARS‐CoV‐2 which is one of the coronaviruses. Realizing the severity of outcomes associated with this disease and its high rate of transmission, dentists were instructed by regulatory authorities, such as the American Dental Association, to stop providing treatment to dental patients except those who have emergency complaints. This was mainly for protection of dental healthcare personnel, their families, contacts, and their patients from the transmission of virus, and also to preserve the much-needed supplies of personal protective equipment (PPE). Dentists at all times should competently follow cross-infection control protocols, but particularly during this critical time, they should do their best to decide on the emergency cases that are indicated for dental treatment. Dentists should also be updated on how this pandemic is related to their profession in order to be well oriented and prepared. This overview will address several issues concerned with the COVID-19 pandemic that directly relate to dental practice in terms of prevention, treatment, and orofacial clinical manifestations.
Keywords	COVID-19 ; dentistry ; oral ; manifestations ; saliva ; aerosol ; Medicine ; R ; covid19
Language	English
Publishing date	2020-04-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Impact of Covid-19 on Pediatric Ophthalmology Care: Lessons Learned.

Kaur, Kirandeep / Muralikrishnan, Janani / Hussaindeen, Jameel Rizwana / Deori, Nilutparna / Gurnani, Bharat

Pediatric health, medicine and therapeutics

2023 Volume 14, Page(s) 309–321

Abstract: The COVID-19 pandemic came with many new challenges that forced personal and professional lifestyle ... refinement, predisposing children to myopia, digital eye strain, and worsening of strabismus. COVID-19 also ... include using teleophthalmology and virtual platforms for the triage of patients, managing non-emergency ...

Abstract	The COVID-19 pandemic came with many new challenges that forced personal and professional lifestyle modifications. Medical facilities were in scarcity against this new unknown enemy and were challenged with the overloaded patient flow, scarcity of healthcare staff, and evolving treatment modalities with a better understanding of the virus each day. Ophthalmology as a "branch of medicine" suffered challenges initially because of a lack of guidelines for patient management, close working distance during routine examinations, and halt of major surgeries, including cataracts. Pediatric ophthalmology had major implications, as reduced outpatient visits would mean deeper amblyopia, and changed lifestyles, including online classes and home refinement, predisposing children to myopia, digital eye strain, and worsening of strabismus. COVID-19 also unveiled underlying accommodation and convergence anomalies that predisposed pediatric and adolescent patients to an increased prevalence of headache and acute onset esotropia. Teleophthalmology and other innovative solutions, including the use of prism glasses, safe slit-lamp shields, alternative ways of school screening with the use of photoscreeners, performing retinoscopy only when needed, and using autorefractors were among the few guidelines or modifications adopted which helped in the efficient and safe management of pediatric patients. Many pediatric ophthalmologists also suffered in terms of financial constraints due to loss of salary or even closure of private practices. School screening and retinopathy of prematurity screening suffered a great setback and costed a lot of vision years, data of which remains under-reported. Important implications and learnings from the pandemic to mitigate future similar situations include using teleophthalmology and virtual platforms for the triage of patients, managing non-emergency conditions without physical consultations, and utilizing home-based vision assessment techniques customized for different age groups. Though this pandemic had a lot of negative implications, the innovations, modifications, and other important learnings helped pediatric ophthalmologists in navigating safely.
Language	English
Publishing date	2023-10-12
Publishing country	New Zealand
Document type	Journal Article ; Review
ZDB-ID	2616891-1
ISSN	1179-9927 ; 1179-9927
ISSN (online)	1179-9927
ISSN	1179-9927
DOI	10.2147/PHMT.S395349
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Article ; Online: COVID-19

Lundberg, Andrea / Hillebrecht, Anne-Lena / McKenna, Gerry / Srinivasan, Murali

Lundberg , A , Hillebrecht , A-L , McKenna , G & Srinivasan , M 2020 , ' COVID-19: impacts on oral healthcare delivery in dependent older adults ' , Gerodontology .

impacts on oral healthcare delivery in dependent older adults

2020

Abstract: ... older patients treated, emergency treatment provided and the revenues generated in the Special Care and ... to restrictions imposed during the COVID-19 pandemic. Dental professionals must ensure that oral healthcare ... older patients due to the COVID-19 pandemic. The study also aimed to crudely quantify ...

Abstract	Objectives: To evaluate the impacts of restrictions to provision of dental services for dependent older patients due to the COVID-19 pandemic. The study also aimed to crudely quantify the economic implications for a clinic delivering these services. Methods: Data was gathered on the number of dependent older patients treated, emergency treatment provided and the revenues generated in the Special Care and Geriatric Dentistry Clinic in the Centre of Dental Medicine at the University of Zurich during the current pandemic period. This data was compared with the recorded clinical activity from 1 year previously. Hypothetical projections were generated for the remainder of the current year based on the assumption that restrictions due to COVID-19 would remain throughout 2020. Results: A statistically significant decrease in the total number of dependent older patients treated was recorded during the periods January-March 2020 (p=0.026) and April-May 2020 (p=0.001) compared to 2019. According to projections, by December 2020 the clinic will be providing 81.14% less clinical activity compared to 2019 (p<0.0001), including a complete cessation of domiciliary services. Despite decreases in expenditure, revenues generated by the clinic have decreased significantly due to reduced clinical activity during January – March 2020 (p=0.268) and April-May 2020 (p=0.010) compared to 2019. The net operating profit for the clinic is projected as -899.61% by December 2020. Conclusions: The restrictions implemented to prevent the spread of COVID-19 have resulted in a significant reduction in oral healthcare provision for dependent older adults. This has also had significant financial implications for the clinic. Clinical significance: (48/ 50 words): Provision of dental services for dependent older adults, including those in Long-term Care Facilities, has become increasingly challenging due to restrictions imposed during the COVID-19 pandemic. Dental professionals must ensure that oral healthcare provision is restarted as soon as possible for this vulnerable group after restrictions are lifted.
Keywords	covid19
Language	English
Publishing date	2020-10-26
Publishing country	uk
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: COVID-19 and Pregnancy: An Updated Review about Evidence-Based Therapeutic Strategies.

Favilli, Alessandro / Mattei Gentili, Marta / De Paola, Francesca / Laganà, Antonio Simone / Vitagliano, Amerigo / Bosco, Mariachiara / Cicinelli, Ettore / Chiantera, Vito / Uccella, Stefano / Parazzini, Fabio / Gerli, Sandro / Garzon, Simone

Journal of personalized medicine

2023 Volume 13, Issue 7

Abstract: ... that COVID-19 is no longer a public health emergency, it emphasized that it remains a global health threat ... The COVID-19 pandemic posed a significant challenge for clinicians in managing pregnant women ... for pregnant women with COVID-19, considering over three years of pandemic experience. The review discusses ...

Abstract	The COVID-19 pandemic posed a significant challenge for clinicians in managing pregnant women, who were at high risk of virus transmission and severe illness. While the WHO declared in May 2023 that COVID-19 is no longer a public health emergency, it emphasized that it remains a global health threat. Despite the success of vaccines, the possibility of new pandemic waves due to viral mutations should be considered. Ongoing assessment of the safety and effectiveness of pharmacological therapies is crucial in clinical practice. This narrative review summarizes the evidence-based therapeutic strategies for pregnant women with COVID-19, considering over three years of pandemic experience. The review discusses the safety and effectiveness of various drug regimens (antivirals, anticoagulants, corticosteroids, immunoglobulins, monoclonal antibodies, and therapeutic gases) and procedures (prone positioning and extracorporeal membrane oxygenation). Drugs with contraindications, inefficacy during pregnancy, or unknown adverse effects were excluded from our evaluation. The aim is to provide healthcare professionals with a comprehensive guide for managing pregnant women with COVID-19 based on lessons learned from the pandemic outbreak.
Language	English
Publishing date	2023-06-23
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662248-8
ISSN	2075-4426
ISSN	2075-4426
DOI	10.3390/jpm13071035
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Article ; Online: Resilience of hospital staff facing COVID-19 pandemic: Lessons from Israel.

Trotzky, Daniel / Aizik, Uri / Mosery, Jonathan / Carady, Natali / Tavori, Guy / Cohen, Aya / Pachys, Gal / Avraham, Miri / Levtzion-Korach, Osnat / Tal, Orna

Frontiers in public health

2023 Volume 11, Page(s) 1050261

Abstract: ... management in education, preparation and training of healthcare workers for future large-scale health ... patients.: Results: Emergency department physicians had higher rates of resilience and lower rates ... Introduction: The COVID-19 pandemic has placed additional burden on already strained ...

Abstract	Introduction: The COVID-19 pandemic has placed additional burden on already strained healthcare systems worldwide, intensifying the responsibility and burden of healthcare workers. Although most hospital staff continued working during this stressful and challenging unprecedented pandemic, differences in the characteristics and attributes were noted between sectors and hospital departments. Israeli healthcare workers are trained and experienced in coping with national emergencies, but the pandemic has exposed variations in staff reactions. Understanding the intrinsic differences between sectors and departments is a key factor in staff and hospital preparedness for unexpected events, better resource utilization for timely interventions to mitigate risk and improve staff wellbeing. Objective: To identify and compare the level of resilience, secondary traumatization and burnout among hospital workers, between different sectors and hospital departments, during the COVID-19 pandemic. Methods: Cross-sectional research to assess the resiliency, secondary traumatization and burnout of healthcare workers at a large general public hospital in central Israel. The sample consisted of 655 participants across various hospital units exposed to COVID-19 patients. Results: Emergency department physicians had higher rates of resilience and lower rates of burnout and secondary traumatization than staff in other hospital departments. In contrast, staff from internal medicine departments demonstrated the highest levels of burnout (4.29). Overall, physicians demonstrated higher levels of resilience (7.26) and lower levels of burnout compared to other workers. Conclusion: Identifying resilience characteristics across hospital staff, sectors and departments can guide hospital management in education, preparation and training of healthcare workers for future large-scale health emergencies such as pandemics, natural disasters, and war.
MeSH term(s)	Humans ; COVID-19/epidemiology ; Pandemics ; Israel/epidemiology ; Compassion Fatigue ; Cross-Sectional Studies ; Emergencies ; Personnel, Hospital ; Burnout, Professional/epidemiology
Language	English
Publishing date	2023-03-31
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.1050261
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