Introduction: This study investigated the effect of coronavirus disease 2019 (COVID-19) lockdown on the incidence of ocular trauma. Methods: In this retrospective cohort study, we collected data of patients who presented with ocular trauma in the emergency department during the lockdown period (from 22 March, 2020, to 30 April, 2020). In addition, we collected data of patients presenting with ocular trauma during the same period in the previous year. We compared the number of patients who underwent ocular surgery and the number of paediatric patients with ocular trauma between these two periods. A confounding factor may be the absence of patients from different districts who could not travel to the centre due to travel restrictions.
The aim of this work was to demonstrate the advantages of using telemedicine (TM) in the management of the outpatients with maxillofacial surgical pathologies during the COVID-19 pandemic. The study was conducted at the MaxilloFacial Surgery Unit of “Magna Graecia” University of Catanzaro, on two different groups of patients: a group of follow-up patients (A1: patients in oncological follow-up after surgical treatment performed before the COVID-19 pandemic; A2: suffering from chronic lesions such as precancerous lesions), and a group B of patients with first urgent visits (B1: patients with suspected oncological pathology; B2: patients with suspected urgent disease such as medication-related osteonecrosis of the jaws (MRONJ), odontogenic abscesses, temporomandibular joint (TMJ) dislocation, etc.). Participation in the study required possession of a smartphone with Internet access, e-mail and the use of a messaging service (WhatsApp or Telegram) to send photos and messages; completion by the patient of a COVID-19 screening questionnaire; submission of a satisfaction questionnaire by the doctors and patients. A total of 90 patients were included in this study. A high percentage of satisfaction emerged from the analysis of the satisfaction questionnaires of both patients and doctors.TM thus represents an excellent opportunity to improve accessibility to oncological and non-management activities, reducing the risk of Covid-19 dissemination and should be promoted and implemented in the post-pandemic era.
they probably indicate patterns in utilization. Race and socioeconomic status are separate entities, but unfortunately they are all too often interrelated. These statistics could highlight disparities in access, as the cost of inflatable waterslides begins at $900 and can be in excess of $8,000. 9 Other reasons for different utilization could be attributed to cultural practices or preferences.Our study reviewed the largest sample of head and neck water slide injuries in the literature, and our findings largely validate the experiences of prior anecdotal series. Craniomaxillofacial fractures from waterslides are rare, as the forces from most injuries do not appear to be high impact. Of the 46 injuries identified by Paulozzi et al, 20 (43.5%) were in the head and neck. 3 Half of these resulted in lacerations, and all but one of the remaining injuries let to a concussion. Malpass et al found a similar predominance of lacerations (53%) and paucity of fractures (7%). 2 In general, fatalities were rare with only one documented case among published studies. 2 When comparing public and private waterslides, it is important to consider differences in how the slides are operated and used. Unnecessarily risky riding behavior and misuse may in part account for the different patterns of injury observed between waterslide types. Backyard slides are largely without independent supervision by an attendant. Private slides rely only on adult volunteers and a set of unstandardized rules. One prior author assessed the adequacy of uniform control systems (ie, traffic light system, closed circuit television, warning notices, part-time supervision, and rider behavior regulation) in waterslides. Their investigation determined that, despite strict implementation, a small but significant percentage of consecutive riders were still predisposed to interpersonal collision. Despite best efforts waterslides carry an inherent risk of unavoidable injury. Presumably, the probability of avoidable injury with backyard slides would be even greater. Interestingly, we found that the share of cranial injuries was greater with backyard slides. This aligns with our hypothesis that the unsafe practice of headfirst riding may be more prevalent in this group.Waterslides inherently carry injury risk by virtue of their mechanism of action. However, there are certain safe riding habits that can be implemented to reduce the likelihood of head, neck, and body trauma. Sliding feet first in a supine or seated position eliminates the cranium as the first point of contact. Riding on the stomach should always be avoided, and all body parts should remain within the confines of the slide. Riders should not attempt to achieve unsafe traveling velocities by taking running starts. Likewise, mats or other accessories should not be permitted on slides as they may further decrease friction and reduce control. The end of the slide should always remain unobstructed. For public slides, riders should exit plunge pools as soon as possible to avoid blindside collisions. For b...
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