Gynecology and women's health care during the COVID-19 pandemic: Patient safety in surgery and prevention

Soares-Júnior, José Maria; Sorpreso, Isabel Cristina Espósito; Motta, Eduardo Vieira da; Utiyama, Edivaldo Massazo; Baracat, Edmund Chada

doi:10.6061/clinics/2020/e2063

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…The data from each patient were input into a Microsoft Excel (Microsoft Corporation, Redmond, WA, USA) chart, and data analysis was conducted on a personal computer using statistics software (SPSS for Windows, version 23.0; SPSS, Chicago). The relevant injuries in six categories were examined with regard to three age groups (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34), and 65 years and older) and four different imaging intervals (<24, 24-48, 49-72, and >72 h) (Figure 1). The Pearson χ 2 test was used in order to determine the differences associated with the age groups and imaging intervals in the involved body parts.…”

Section: Discussionmentioning

confidence: 99%

“…As such, the TRS of the Ministry of Health collects CT scans in a pool, and these scans can be interpreted by radiologists approved by the ministry in a very short period of time. Considering that the high number of patient scans would further increase the workload of the radiologists living in the earthquake zone in trauma cases and emergency conditions [18][19][20][21] , who are also victims, and that they might at times experience delays in reporting the scans, the use of the TRS of the Ministry of Health in disasters such as earthquakes offers great benefit in terms of the workload and access to CT reports. On the other hand, potential interruptions to infrastructure, including the Internet, during disasters such as earthquakes may pose a disadvantage for the TRS.…”

Section: Discussionmentioning

confidence: 99%

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A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part II

Tonkaz,

Sengul,

Bekci

et al. 2023

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: This study aimed to determine the computed tomography findings associated with very recent catastrophic 2023 Turkey-Syria earthquake-related injuries and their anatomotopographic distribution in the adult population. METHODS: The incorporated computed tomography scans of 768 adult cases who had been admitted to the hospital and had undergone computed tomography imaging after these tragic disasters had been examined on the Teleradiology Reporting System of the Turkish Ministry of Health. To this end, the injuries were classified into six categories: head, thoracic, spinal, pelvic, extremity, and abdominal injury, with three age groups (18–34, 35–64, and ³65 years) and four different imaging intervals (<24, 24–48, 49–72, and >72 h). RESULTS: This study incorporated 316 (41.1%) cases on the first day, 57 (7.5%) on the second day, 219 (28.5%) on the third day, and 176 (22.9%) on the fourth day after the earthquake or later. Of the 768 cases, 109 (14.2%) had a head injury, 100 (13.0%) had a thoracic injury, 99 (12.9%) had a spinal injury, 51 (6.6%) had a pelvic injury, 41 (5.4%) had an extremity injury, and 11 (1.4%) had an abdominal injury. CONCLUSION: In these regrettable earthquake disasters, we determined a high ratio of head injuries, which was closely followed by thoracic and spinal injuries, in our preliminary outcomes for the pediatric population, Part I. The frequency of abdominal injuries was low among individuals who experienced the earthquake. Last but not least, we have noticed a higher likelihood of spinal injury in individuals older than 65 years in the studied population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part II

Tonkaz,

Sengul,

Bekci

et al. 2023

Rev. Assoc. Med. Bras.

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“…During the pandemic, HCFMUSP, an important hospital in Latin America, received critically ill patients with SARS-CoV-2, with 900 beds intended for their management. In this context, outpatient clinics have reduced their capacity, including gynecological clinics [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

Non-oncological gynecological diagnoses in a women’s health care service during the pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2

et al. 2023

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Objective Analyze clinical factors and non-oncological gynecological diagnoses before and during the initial months of the COVID-19 pandemic. Method Crosssectional study at an Outpatient Gynecology Clinic in Brazil involving medical consultations performed during the pre-pandemic and pandemic periods. The number of visits, prevalence of non-oncological gynecological diagnoses, and clinical-demographic data were analyzed. Parametric continuous variables were evaluated by Student’s t-test and ANOVA tests, non-parametric variables were evaluated by the Mann-Whitney and Wilcoxon tests, and categorical or binary variables were evaluated by chi-square and Fisher’s exact tests. Univariate logistic regression tests were performed, and variables with p ≤ 0.20 were subjected to multivariate logistic regression. Statistical significance was set at p < 0.05. Results There were 1,236 records during the pre-pandemic period and 530 during the pandemic, reflecting a significant reduction (57.88%; p = 0.001) in medical consultations. The outpatient prevalence of women older than 50 y (OR 0.85; 95%CI 0.68–1.05) reduced, and the outpatient prevalence of postmenopausal women with hot flashes (OR 1.34; 95%CI 1.09–1.65; p = 0.005) and alcohol consumption habits (OR 2.76; 95%CI 1.15–6.59; p = 0.023) increased. There was a 6% proportional increase in noninflammatory disorders of the female genital tract (p = 0.030) and a 72.4% decrease in general physical examinations, contraception, and procreation (p = 0.001). Multivariate analysis showed that there was an increased prevalence of abnormal uterine bleeding (OR, 1.7; 95% CI 1.34–2.16; p = 0.001) and endometriosis (OR 1.65; 95% CI 1.13–2.42; p = 0.01). Conclusion Medical consultations for benign gynecological diseases during the pandemic prevented non-inflammatory disorders of the female genital tract, with an emphasis on abnormal uterine bleeding and endometriosis. There was an increased prevalence of women under 50 years of age, women with symptoms of hot flashes, and alcohol consumption habits and a reduction in the prevalence of general physical examinations, contraception, and procreation.

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“…Although the infection affects individuals across all age groups, older adults are particularly at high risk, as are individuals with medical conditions such as Non-Communicable Chronic Diseases (NCDs) [9,10]. This emphasizes the importance of monitoring postmenopausal women, especially in the presence of signs and symptoms related to this phase [7,8,[11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Changes in Food Consumption in Postmenopausal Women during the COVID-19 Pandemic: A Longitudinal Study

et al. 2023

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Studying the dietary habits and symptoms of postmenopausal women during situations such as the COVID-19 pandemic is important to mitigate long-term post-pandemic health problems. We compared the menopausal symptoms and food consumption in postmenopausal women before and during the COVID-19 pandemic. A longitudinal survey was conducted on postmenopausal Brazilian women between 2018 and 2021. The Kupperman–Blatt Menopausal Index, Women’s Health Questionnaire, and 24 h food recall were used. Of 274 women, 78 (28.5%) participated in the study during the COVID-19 pandemic. The intensity of the symptoms was lower during the pandemic than during the previous period (p < 0.05). Energy and processed food consumption were lower during the pandemic than before (p = 0.003 and p = 0.003, respectively). Milk and plain yogurt consumption were also lower (p = 0.043), while the consumption of sugar-sweetened beverages and sweet foods was higher (p = 0.007 and p = 0.001, respectively) during the pandemic. There was also a decrease in the consumption of proteins and lipids (p = 0.001 and p = 0.004, respectively). In conclusion, we found that postmenopausal women consumed sweet foods and sugar-sweetened beverages in higher quantities and had a lower consumption of milk and plain yogurt and processed foods during the pandemic than during the pre-pandemic period. Furthermore, decreases in energy and macronutrient consumption were observed.

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Gynecology and women's health care during the COVID-19 pandemic: Patient safety in surgery and prevention

Cited by 6 publications

References 12 publications

A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part II

A needful, unique, and in-place evaluation of the injuries in earthquake victims with computed tomography, in catastrophic disasters! The 2023 Turkey-Syria earthquakes: part II

Non-oncological gynecological diagnoses in a women’s health care service during the pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2

Changes in Food Consumption in Postmenopausal Women during the COVID-19 Pandemic: A Longitudinal Study

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