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  1. Article ; Online: Transfer of knowledge, skills and confidence from a faculty development programme for health professions educators into practice.

    Chia, C F / Nadarajah, V D / Lim, V / Kutzsche, S

    Medical teacher

    2020  Volume 43, Issue sup1, Page(s) S46–S52

    Abstract: Background: Faculty development programmes should incorporate the transfer of knowledge, skills, and confidence from the training to educational practice. However, there is a risk that transfer may fail due to inadequate integration of knowledge, skills, ...

    Abstract Background: Faculty development programmes should incorporate the transfer of knowledge, skills, and confidence from the training to educational practice. However, there is a risk that transfer may fail due to inadequate integration of knowledge, skills, and confidence. The study evaluated transfer levels, guided by learned principles from a faculty development programme.
    Method: The submitted self-reports on a pedagogical intervention of 92 out of 190 health professions educators who participated in a mandatory teaching and learning training programme, were analysed by a mixed-method approach guided by a structured conceptual framework.
    Results: Overall 93.4% reported the successful transfer of learning. Participants incorporated sustainable changed practice (level A, 57.6%), showed reflection on the impact of changed practice (level B, 21.7%), and performed effect analysis (level C, 14.1%). The rest planned application of learning (level D, 4.4%) and identified gaps in current practice or developed an idea for educational intervention but did not implement (level E, 2.2%).
    Conclusion: The majority of participants transferred their learning. Faculty development programmes must ensure successful transfer of knowledge, skills, and confidence from the training to educational practice to ensure sustainable development of teaching and learning practices.
    MeSH term(s) Faculty ; Health Occupations ; Humans ; Learning ; Teaching
    Language English
    Publishing date 2020-06-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 424426-6
    ISSN 1466-187X ; 0142-159X
    ISSN (online) 1466-187X
    ISSN 0142-159X
    DOI 10.1080/0142159X.2020.1776239
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Emergency femoral hernia repair: 13-year retrospective comparison of the three classical open surgical approaches.

    Chia, C F / Chan, W H / Yau, K W / Chan, Cko

    Hernia : the journal of hernias and abdominal wall surgery

    2017  Volume 21, Issue 1, Page(s) 89–93

    Abstract: Purpose and methods: Femoral hernia repairs have been done classically with three different open approaches, namely the Lockwood's (LW), Lotheissen's (LT) and McEvedy's (ME) approaches. Current literature has yet provided any definite conclusion over ... ...

    Abstract Purpose and methods: Femoral hernia repairs have been done classically with three different open approaches, namely the Lockwood's (LW), Lotheissen's (LT) and McEvedy's (ME) approaches. Current literature has yet provided any definite conclusion over the best approach in emergency situations. This study aims to evaluate and compare the operative outcomes of these three approaches in emergency situations by retrospectively analyzing 190 cases (76 ME, 33 LT, 81 LW) in 13 years at a regional surgical center.
    Results: Significantly less laparotomies were required for McEvedy's approach (ME 2.6% vs LT 33.3% vs LW 43.2%, p < 0.001), despite the need for bowel resection appear to be higher (ME 43.4% vs LT 27.3% vs LW 27.2%, p = 0.072). Overall hernia recurrence (p = 0.657) and surgical complication rates (p = 0.585) were similar between the three approaches. Although not reaching statistical significance, it appeared that in patients undergoing McEvedy's operation, mean length of stay was longer (ME 10.1 days vs LT 7.4 days vs LW 9.2 days, p = 0.407) and required more operation time (ME 97.4 min vs LT 72.0 min vs LW 79.0 min, p = 0.222).
    Conclusions: All three approaches were safe and effective in repairing femoral hernias in the emergency setting. McEvedy's approach may be superior to others when entry into the peritoneum is anticipated, although it may potentially be associated with longer operation time and hospital stay.
    MeSH term(s) Aged ; Aged, 80 and over ; Emergency Treatment ; Female ; Hernia, Femoral/surgery ; Herniorrhaphy/methods ; Humans ; Laparotomy ; Male ; Peritoneum/surgery ; Retrospective Studies
    Language English
    Publishing date 2017-02
    Publishing country France
    Document type Comparative Study ; Journal Article
    ZDB-ID 1388125-5
    ISSN 1248-9204 ; 1265-4906
    ISSN (online) 1248-9204
    ISSN 1265-4906
    DOI 10.1007/s10029-016-1549-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Dysmenorrhoea among Hong Kong university students: prevalence, impact, and management.

    Chia, C F / Lai, Joyce H Y / Cheung, P K / Kwong, L T / Lau, Fiona P M / Leung, K H / Leung, M T / Wong, Francis C H / Ngu, S F

    Hong Kong medical journal = Xianggang yi xue za zhi

    2013  Volume 19, Issue 3, Page(s) 222–228

    Abstract: OBJECTIVE. To evaluate the prevalence of dysmenorrhoea, its impact, and management approaches in Hong Kong university students, and to compare between medical and non-medical students for any potential differences in coping strategies. DESIGN. Cross- ... ...

    Abstract OBJECTIVE. To evaluate the prevalence of dysmenorrhoea, its impact, and management approaches in Hong Kong university students, and to compare between medical and non-medical students for any potential differences in coping strategies. DESIGN. Cross-sectional questionnaire survey. SETTING. The University of Hong Kong, Hong Kong. PARTICIPANTS. A total of 240 undergraduate (128 medical and 112 non-medical) students. MAIN OUTCOME MEASURES. Data on the presence and severity of dysmenorrhoea, its impact on daily life, management approaches, specific strategies, and their self-perceived effectiveness were obtained and analysed. RESULTS. In these subjects, the prevalence of dysmenorrhoea was 80% (95% confidence interval, 75-85%) with a mean (standard deviation) pain score of 5.0 (1.7). The most common impacts on daily life included reduced ability to concentrate and/or disturbance with study (75%) and changes in normal physical activity (60%). Only 6% sought medical advice, while 70% practised self-management. Pain scores and pain affecting normal physical activities were important predictive factors for self-management and for management based on pharmacological or non-pharmacological means. The commonest specific strategies used were a warm beverage (62%), paracetamol (57%), and sleeping (45%), while the most effective strategies were non-steroidal anti-inflammatory drugs (100%), traditional Chinese medicine (93%), and dietary/nutritional supplements (92%). Regarding the comparison of medical and non-medical students, the former used fewer pharmacological strategies among the various management approaches investigated. CONCLUSION. With data showing dysmenorrhoea as a very common condition having a significant impact in the Hong Kong community, primary care doctors should reassure young women with dysmenorrhoea that it is a common experience in the same age-group. Health education on the existence of effective treatment from medical practitioners could help women whose dysmenorrhoea was not controlled by self-management.
    MeSH term(s) Cross-Sectional Studies ; Dysmenorrhea/epidemiology ; Dysmenorrhea/therapy ; Female ; Health Education ; Hong Kong/epidemiology ; Humans ; Prevalence ; Self Care/methods ; Severity of Illness Index ; Students/statistics & numerical data ; Students, Medical/statistics & numerical data ; Surveys and Questionnaires ; Universities ; Young Adult
    Language English
    Publishing date 2013-06
    Publishing country China
    Document type Journal Article
    ZDB-ID 1239255-8
    ISSN 1024-2708
    ISSN 1024-2708
    DOI 10.12809/hkmj133807
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Tissue culture of lily filament and its cytological observations

    Chia, C.F / Ku, C.P / Cheng, K.C

    Chih wu Hsueh pao. = Acta botanica sinica. Jan 1981. v. 23 (1)

    1981  

    Title variant Tissue culture of lily [Lilium davidii] filament and its cytological observations
    Keywords plant morphology ; plant anatomy
    Language Chinese
    Dates of publication 1981-01
    Size p. 17-21., ill., 2 plates.
    Document type Article
    Note In Chinese; Summary in English. ; Title in original language could not be transcribed.
    Database NAL-Catalogue (AGRICOLA)

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  5. Article ; Online: Global attitudes in the management of acute appendicitis during COVID-19 pandemic

    Ielpo, B. / Podda, M. / Pellino, G. / Pata, F. / Caruso, R. / Gravante, G. / Di Saverio, S. / Gallo, G. / Lui, R. / Orengia, A. / Chowdary, A. / Kulkarni, A. / Kuvvetli, A. / Navarro, A. / Pisanu, A. / Smith, A. / Ibiricu, A. C. / Nacion, A. J. D. / Alsaleh, A. /
    Alhazmi, A. / Elmabri, A. / Wani, A. / Rencuzogullari, A. / Lasarte, A. S. / Rubio, A. V. / Bavikatte, A. / Kumar, A. / Jamiri, A. -R. / Padilla, A. M. A. / Cacurri, A. / de San Ildefonso, A. / Porcu, A. / Sartori, A. / Rocca, A. / Yanez, A. P. / Becaria, A. / Solis-Pena, A. / Sretenovic, A. / Urbistondo, A. / Bandin, A. / Najar, A. / De Luca, A. / Boddy, A. / Charalabopoulos, A. / Tzivanakis, A. / Amendola, A. / de Velasco, A. R. -G. / Yildirim, A. C. / Frontali, A. / Toure, A. O. / Garcia-Granero, A. / Roldan, A. M. / Larrainzar, A. S. / Ratnayake, A. S. / Gonzalez-Ganso, A. M. / Minaya-Bravo, A. M. / Das, A. / Bondurri, A. / Costanzi, A. / Lucchi, A. / Mazzari, A. / Musig, A. / Peloso, A. / Piano, A. / Police, A. / Mihailescu, A. / Pouy, A. / Romano, A. / Iossa, A. / Leonetti, A. C. / Guariniello, A. / Isaac, A. / Bovi, A. P. D. / Chessa, A. / Tromba, A. / Martinez, A. A. / Brillantino, A. / Caira, A. / Castaldi, A. / Ferronetti, A. / Giuliani, A. / Prestera, A. / la Medina, A. R. -D. / Tarasconi, A. / Tornambe, A. / Picciariello, A. / Ioannidis, A. / Leppaniemi, A. / Khan, A. / Rashid, A. / Perez-Sanchez, A. L. E. / Mittal, A. / Mitul, A. R. / Mehraj, A. / Laharwal, A. / Dorisme, A. / Marinis, A. / Iqbal, A. / Moncada, A. / Braccio, B. / Alkhafaji, B. / de Andres Asenjo, B. / Martin-Perez, B. / Perez, B. S. / Creavin, B. / Cali, B. / Pascotto, B. / Stubbs, B. / Retes, B. Z. / Jovanovic, B. / Goh, B. K. P. / Sensi, B. / Biddau, C. / Gazia, C. / Vallicelli, C. / Fagundes, C. A. / Santacruz, C. C. / Chirico, C. / Diaz, C. J. G. / Petrola, C. / Rodriguez, C. S. / Benitez, C. Y. / Dammaro, C. / Faro, C. L. / Reinke, C. / Paez, C. D. / Oliva, C. / Paranjape, C. / Thomas, C. / Chia, C. F. / Kong, C. K. / De Lucia, C. / Chao, C. O. / Arcudi, C. / Guerci, C. / Chia, C. / Parise, C. / Folliero, C. / Varela, C. / Ferguson, D. M. / Camacho, D. / Popowich, D. / Lima, D. S. / Rega, D. / Delogu, D. / Zigiotto, D. / Vinci, D. / D'Antonio, D. / Parini, D. / Merlini, D. A. / Zimmerman, D. D. E. / Moro-Valdezate, D. / Pertile, D. / Giusti, D. M. / Keller, D. S. / Tarik, D. / Kalivaci, D. / Mazingi, D. / Maldonado-Pintado, D. G. / Sasia, D. / Linardoutsos, D. / Osilli, D. / Murrone, D. / Russello, D. / Rodas, E. / Roa, E. A. A. / Ricciardi, E. / Rosso, E. / Saladino, E. / Flores-Villalba, E. / Ajs, E. R. / Smith-Singares, E. / Baili, E. / Kouroumpas, E. / Bourmpouteli, E. / Douka, E. / Martin-Perez, E. / Guaitoli, E. / Samadov, E. / Francone, E. / Vaterlini, E. / Morales, E. / Pena, E. / Zhao, E. / Andres, E. D. P. / Benzoni, E. / Erdas, E. / Pinotti, E. / Colas-Ruiz, E. / Aytac, E. / Laterza, E. / Agastra, E. / Foianini, E. / Moscoso, E. / Laviano, E. / Marra, E. / Cardamone, E. / Licardie, E. / Mpaili, E. / Pinna, E. / Varo, E. / Navarro, F. M. / Marino, F. / Medas, F. / Romano, F. / Maraska, F. / Saliu, F. / Madrid, F. / Rosa, F. / Mastella, F. / Gheza, F. / Luvisetto, F. / Alconchel, F. / Vieira, F. M. / Pareja, F. / Agresta, F. / Luna, F. / Bonilla, F. / Cordera, F. / Burdio, F. / Mendoza-Moreno, F. / Flores, F. M. / Aranda, F. P. / Taylor, F. / Ramos, F. L. / Fernandes, F. / Tropeano, F. P. / Balestra, F. / Bianco, F. / Ceci, F. / Colombo, F. / Di Marzo, F. / Ferrara, F. / Lancellotti, F. / Lazzarin, F. / Litta, F. / Martini, F. / Pizza, F. / Roscio, F. / Virdis, F. / Antona, F. B. / Ramirez, F. C. / Fernandez, F. M. / Llinares, F. O. / Quezada, F. / Schlottmann, F. / Herrera-Almario, G. / Massaferro, G. / Bislenghi, G. / van Ramshorst, G. / Luglio, G. / Bointas, G. / Kampouroglou, G. / Papadopoulos, G. / Manrique, G. A. / Calini, G. / Nastri, G. / Formisano, G. / Galiffa, G. / Palini, G. M. / Colucci, G. / Pagano, G. / Vanni, G. / Pattacini, G. C. / De Paola, G. / Lisi, G. / Partida, G. / Bellanova, G. / De Nobili, G. / Necchi, G. S. / Sinibaldi, G. / Tebala, G. / Bagaglini, G. / Izzo, G. / Argenio, G. / Brisinda, G. / Candilio, G. / Di Grezia, G. / Esposito, G. / Faillace, G. / Frazzetta, G. / La Gumina, G. / Nigri, G. / Romeo, G. / Amatriain, G. C. / Ortega, G. / Martin-Martin, G. / Stavrou, G. A. / Gunadi, / Ugon, G. A. / Machain, G. / Marcucci, G. / Martinez-Mier, G. / Machain, G. M. / Nari, G. / Calvo, H. / Fathy, H. / Hamilto, / Ahmed, H. / Faraj, H. / Nava, H. / Macias, H. O. / Nikaj, H. / Solano, H. / Khan, H. A. / Alarcon, H. S. / Ebied, H. / Giani, I. / Ateca, I. V. / Neri, I. / Roman, I. A. S. / Fidoshev, I. / Rodriguez, I. M. / Negoi, I. / Ortega, I. / Bernescu, I. / Russo, I. S. / Rodriguez, I. V. / Palomares, I. / Baltazar, I. / Torrejimeno, I. J. / Jurado, I. M. C. / Reccia, I. / Hussain, I. / Toledo, I. B. / Mora-Guzman, I. / Dogaru, I. / Romic, I. / Balciscueta, I. / Kenington, J. C. / Sagolsem, J. / Jang, J. Y. / Olivier, J. / Lammel-Lindemann, J. / Dziakova, J. / Villavicencio, J. I. R. / Salinas, J. / Parreira, J. P. J. G. / Jovanovic, / Perez, J. R. / Reyes, J. A. S. / Luque, J. A. M. / Mak, J. / Rodriguez, J. S. / Kok, J. H. H. / Krook, J. / Diaz-Elizondo, J. A. / Castell, J. / Garcia-Flores, J. E. / Navalon, J. M. J. / Rodrigues, J. M. S. / Pereira, J. / Gomez, J. T. C. / Luque, J. B. / del Olmo, J. C. M. / Salamea, J. C. / Olivier, J. F. C. / Laina, J. L. B. / Ordonez, J. M. / Gutierrez, J. / Abba, J. / Sofi, J. A. / Sherafgan, K. / Sahnan, K. / Yanaga, K. / Beatson, K. / Asim, L. / Alvarez, L. / Siragusa, L. / Farber, L. / Ong, L. / Athanasios, L. / Garcia-Bruna, L. / De Martino, L. / Ferrario, L. / Giordano, L. / Gordini, L. / Pio, L. / Ponchietti, L. / Moletta, L. / Curella, L. / Poggi, L. / Taglietti, L. / Bonavina, L. / Conti, L. / Goffredi, L. / Ruiz, L. A. G. / Barrionuevo, L. / Fregoso, L. E. / Cabrera, L. F. / Rodriguez, L. G. / Grande, L. / Osoria, L. G. / Gonzalez, L. J. K. / Sanchez-Guillen, L. / Tallon-Aguilar, L. / Tresierra, L. / Giavarini, L. / Hasabelnabi, M. / Odovic, M. / Uemura, M. / Khan, M. / Artiles-Armas, M. / David, M. / Di Martino, M. / Spampinato, M. G. / Ribeiro, M. A. F. / Viola, M. / Angrisani, M. / Calussi, M. / Cannistra, M. / Catarci, M. / Cereda, M. / Conte, M. / Giordano, M. / Pellicciaro, M. / Marino, M. V. / Vaterlini, M. E. / Jimenez, M. F. / Lolli, M. G. / Bellini, M. I. / Lemma, M. / Chiarello, M. M. / Nicola, M. / Arrigo, M. / Mejia, M. C. / Manrique, M. M. / Rodriguez-Lopez, M. / Serradilla-Martin, M. / Lara, M. Z. / Martinez, M. / Bagnall, M. / Peter, M. / Lara, M. C. / Gomez, M. J. / Paniagua-Garcia-Senorans, M. / Gonzalez, M. P. / Rutegard, M. / Salo, M. / Franceschilli, M. / Silveri, M. / Veroux, M. / Pezzulo, M. / Nardi, M. / Rottoli, M. / Tolonen, M. / Ciro, M. P. / Zuluagua, M. / Cannavo, M. / Cervellera, M. / Iacobone, M. / Montuori, M. / Dominguez, M. G. / Bingol-Kologlu, M. / Tahir, M. / Lim, M. / Wilson, M. S. / Wilson, M. / Campanelli, M. / Bisaccia, M. / De Rosa, M. / Maruccia, M. / Paterno, M. / Pisano, M. / Torre, M. / Trevino, M. / Zuolo, M. / Hernandez Bartolome, M. A. / Farina, M. / Pera, M. / Calvo, M. P. / Sotelo, M. / Thway, M. M. / Hassan, M. / Hassan, M. S. E. / Azfar, M. / Bouhuwaish, M. / Taha, M. / Zaieem, M. / Korkoman, M. / Guraieb, M. / Shalaby, M. / Raza, M. A. / Younis, M. U. / Elhadi, M. / Ali, M. Z. / Quazi, N. / Dudi-Venkata, N. N. / Alselaim, N. / Loria, N. / Ramirez, N. V. / Than, N. W. / Smart, N. / Trelles, N. / Pinto, N. / Allievi, N. / Petrucciani, N. / Antonacci, N. / Cillara, N. / Gica, N. / Cristiana, N. D. / Krystek, N. / Falco, N. / Pecorelli, N. / Tamini, N. / Dallas, N. A. / Machairas, N. / Brito, N. / Fieturi, N. A. / Ortega, N. / Mercado, O. A. / Irkorucu, O. / Alsherif, O. / Valles, O. / Ioannidis, O. / Palmas, O. H. / Palmas, O. I. H. / Guadarrama, O. S. / Bozbiyik, O. / Omelanczuk, P. / Ottolino, P. / Rodrigues, P. / Ruiz, P. / Campenni, P. / Chiarade, P. / Olivares, P. P. / Baroffio, P. / Panaccio, P. / Wintringer, P. / Di Fronzo, P. / Talento, P. / Favoriti, P. / Sendino, P. / Marsanic, P. / Mifsut, P. / Andrade, P. / Ajawin, P. / Abadia-Barno, P. / Castaneda, P. A. N. / Arevalos, P. O. S. / Bellver, P. P. / Koh, P. S. / Souza, P. / Major, P. / Bali, R. S. / Khattar, R. M. / Melo, R. B. / Ebrahiminia, R. / Azar, R. / Murga, R. L. / Pirolo, R. / Brady, R. / Davies, R. J. / Dholakia, R. / Rattan, R. / Singhal, R. / Lim, R. / Angelico, R. / Isernia, R. M. / Tutino, R. / Faccincani, R. / Peltrini, R. / Carrera-Ceron, R. / Tejos, R. / Kashyap, R. / Fajardo, R. / Lozito, R. / Pareja, R. M. / Garbarino, S. / Morales-Conde, S. / Benli, S. / Mansour, S. / Flores, S. / Suarez, S. L. / Ben, S. L. / Fuentes, S. / Napetti, S. / de Guzman, S. O. / Awad, S. / Weckmann Lujan, S. A. / Gentilli, S. / Grimaldi, S. / Pizarro, S. O. / Tayar, S. / Nabi, S. / Chan, S. M. / Junaid, S. / Rojas, S. / Monetti, S. / Garcia, S. / Salvans, S. / Tenconi, S. / Shaw, S. / Santoni, S. / Parra, S. A. / Cardenas, S. / Perez-Bertolez, S. / Chiappetta, S. / Dessureault, S. / Delis, S. / Bonapasta, S. A. / Rausei, S. / Scaringi, S. / Keswani, S. / Ali, S. M. / Cetinkunar, S. / Fung, T. L. D. / Rawashdeh, T. / Lopez, T. N. / De Campos, T. / Duque, T. C. / Perra, T. / Liakakos, T. / Daskalakis, T. / Barnes, T. / Koeter, T. / Zalla, T. / Gonzalez, T. E. / Elosua, T. / Campagnaro, T. / Brown, T. / Luoto, T. / Oumar, T. A. / Giustizieri, U. / Grossi, U. / Bracale, U. / Rivas, U. / Sosa, V. / Testa, V. / Andriola, V. / Tonini, V. / Balassone, V. / Celentano, V. / Progno, V. / Raju, V. / Carroni, V. / Cavallaro, V. / Katta, V. R. / De Simone, V. / Romaguera, V. P. / Orozco, V. H. G. / Luraschi, V. / Rachkov, V. / Turrado-L, V. / Visag-Castillo, V. / Dowling, V. / Graham, V. / Papagni, V. / Vigorita, V. / Fonseca, V. C. / Carneros, V. J. / Bellato, V. / Goncalves, W. / Powers, W. F. / Grigg, W. / Bechstein, W. O. / Lim, Y. B. / Altinel, Y. / Golubovic, Z. / Balciscueta, Z.

    ACIE Appy Study

    2020  

    Abstract: Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a ... ...

    Abstract Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19·8 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6·6 and 2·4 per cent respectively before, but 23·7 and 5·3 per cent, during the pandemic (both P < 0·001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2.
    Keywords covid19
    Subject code 610
    Language English
    Publishing country it
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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