groups more predisposed to PTSD. Distress was highest in emergency admissions, reinforcing the need for earlier diagnosis through improved diagnostic pathways. Psychological support may improve patient experience, especially for younger, less educated unemployed women.
IQR) of -160 (-297; 35.2) in the total cohort, -272 (-376; -122) in arm A, 105 (-109; 221) in arm B and -160 (-663; -109) in arm C, p=0.008. High chitinase response was associated with high CA-125 ELIMination rate constant K (KELIM), a marker of chemosensitivity (Fisher exact test, p=0.042). Conclusion Chitinase activity should not be considered, in the context of ovarian cancer as an aging biomarker, but chitinase response appears as a promising marker of chemosensitivity.
COVID-19 infections (CI) amongst patients.Results There was no delay in the simulation training. Wet lab training was delayed due to temporary center closure. The surgeon's learning curve was slower at the beginning of the program. This was attributed to the lower influx of patients as a result of prioritization, lesser operative sessions, and delays in the mandatory training completion. 41 RS procedures were done in the first 8 month following a COVID-19 free pathway and were operated in an elective surgery hub with no visitors allowed. There were no cancellations due to CI during this period. Following the return to NHS hospital, 102 patients underwent RS in the subsequent 8 months. Preoperative isolation was gradually reduced then cancelled. One patient had a CI and was rescheduled accordingly. Conclusion Covid pandemic has impacted the learning curve for RS with significant improvement noted after the gradual release of Covid related restrictions.
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