LitCovid-sentences  

PMC:7417187 / 20014-29196 JSONTXT 12 Projects

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Id Subject Object Predicate Lexical cue
T190 0-10 Sentence denotes Discussion
T191 11-110 Sentence denotes Covid-19 crisis has exhausted the capacity of national health services even in developed countries.
T192 111-244 Sentence denotes Most of the medical resources have been channeled for the management of this crisis and the elective services have been kept on hold.
T193 245-427 Sentence denotes Still, there would be some unavoidable surgical conditions when a delay in surgery would significantly increase the morbidity and warrants consideration for appropriate intervention.
T194 428-634 Sentence denotes Since there is a difference in the burden of disease, availability of resources, and the ability to surge capacity in a short span, the policy to deal with this crisis must be individualized to some extent.
T195 635-792 Sentence denotes We tried to develop a standard operating procedure for the management of patients needing emergent/urgent spine surgery taking input for the recent evidence.
T196 793-883 Sentence denotes The most common mode of injury in vertebral fractures is a motor vehicle accident [13,14].
T197 884-965 Sentence denotes However, in our study, fall from height (87.5%) was the commonest mode of trauma.
T198 966-1376 Sentence denotes The possible explanation is that due to the nationwide lockdown, there was a significant reduction in surface transportation and people were generally refraining from traveling for non-essential work. Due to the limited capacity for SARS-Cov-2 RT-PCR testing and the centers performing COVID tests, comprehensive screening history, and physical examination becomes important to triage the patient for the test.
T199 1377-1495 Sentence denotes History should focus on the symptoms of COVID-19, travel to high prevalence area, or any contact with a known patient.
T200 1496-1723 Sentence denotes It is also important to enquire whether the patient had been infected with COVID-19 earlier or ever been tested as there are reports of individuals who got infected with COVID-19, recovered, and then again tested positive [14].
T201 1724-1814 Sentence denotes Secondly, it will also help in assessing if the patient might be in the incubation period.
T202 1815-1885 Sentence denotes However, in case of an emergency, the surgeries should not be delayed.
T203 1886-2000 Sentence denotes A sample can be sent for RT-PCR and surgery should be performed donning proper PPE without waiting for the result.
T204 2001-2292 Sentence denotes As asymptomatic patients can transmit the infection it becomes prudent to assume that all patients requiring orthopedic intervention as COVID-19 positive and they should be managed accordingly from their admission into the hospital to their exit from the hospital during their discharge [1].
T205 2293-2448 Sentence denotes Trans-pedicular screw fixation is one of the main modalities of spinal instrumentation today and patients are stabilized with pedicle screws and rods [15].
T206 2449-2731 Sentence denotes Patient and attendant education regarding the administrative policies to prevent contracting/transmitting infection while in hospital as well as education regarding wearing a mask, hand hygiene, social distancing serves the purpose of making patients aware of their safety [4,7,10].
T207 2732-2879 Sentence denotes In the operation theatre complex, it is mandatory to avoid overcrowding in all areas (patient waiting area, operating room, and the recovery room).
T208 2880-3240 Sentence denotes Inside operation theatre it is important to limit the number of staff allowed as SARS-CoV-2 is mainly transmitted via aerosolized droplets, so by decreasing the air turbulence and the number of air particles decreases the disease transmission; it will help in implementing the social distancing concept while also decreasing the demand for PPE [8,10,11,16-18].
T209 3241-3328 Sentence denotes To decrease the risk of transmission from airborne droplets it is mandatory to use PPE.
T210 3329-3512 Sentence denotes The surgical team must wear PPE which includes AAMI III gowns, gloves, face masks, and N95 with face shield/goggles to minimize the risk of transmission and cross-infection [8,11,12].
T211 3513-3688 Sentence denotes Association for the Advancement of Medical Instrumentation (AAMI) ratings are based on the level of fluid protection in the critical zone or chest region of the surgical gown.
T212 3689-3862 Sentence denotes Surgical gowns AAMI-level-III (typically those found in operating rooms) are recommended for use during surgical and aerosolized blood-generating procedures [8,11,12,17-19].
T213 3863-3934 Sentence denotes At our institute, N-95 masks are reused unless they are visibly soiled.
T214 3935-4069 Sentence denotes Each HCW is given a set of five N-95 masks that are numbered from 1 to 5 and HCWs are supposed to write their name and number over it.
T215 4070-4177 Sentence denotes After the duty shift, HCWs are supposed to put it in sealable plastic cover and next day use the next mask.
T216 4178-4362 Sentence denotes The masks are deposited at the designated place from where the infection control nurse (ICN) collects them for drying under the sun on two consecutive days for at least nine hours/day.
T217 4363-4440 Sentence denotes The masks are issued to the same user only after the fifth day of submission.
T218 4441-4482 Sentence denotes Each mask is used maximum for five times.
T219 4483-4535 Sentence denotes Subsequently, the mask is disposed of appropriately.
T220 4536-4683 Sentence denotes Single-use of the N-95 mask is recommended if it is contaminated with blood, respiratory or nasal secretions, or other bodily fluids from patients.
T221 4684-4881 Sentence denotes It should be discarded following close contact with or exit from, the care area of any patient co-infected with an infectious disease requiring contact precautions, and if it is damaged or clogged.
T222 4882-5006 Sentence denotes The rationale behind this is dry heat 70oC exposure for 60 minutes as an accepted method for decontaminating the N-95 masks.
T223 5007-5134 Sentence denotes Further, it is documented that the COVID-19 virus does not survive on inanimate surfaces beyond a period of five days [20,21]. 
T224 5135-5431 Sentence denotes As per the advisory issued by the Ministry of health and family welfare on re-processing and re-use of eye-protection (goggles), the goggles are to be reused; after each use, the goggles are cleaned with soap and water and then immersed in freshly prepared 1% sodium hypochlorite for ten minutes.
T225 5432-5541 Sentence denotes This is followed by cleaning with water and then allowed to air dry completely and then store in clean cover.
T226 5542-5634 Sentence denotes The goggles are to be discarded if broken or rendered optically non-clear on repeated usage.
T227 5635-5693 Sentence denotes The recommended maximum reuse is for up to six times [22].
T228 5694-5842 Sentence denotes These methods devised to reuse N-95 and goggles are very helpful in the judicious use of limited resources without increasing the risk of infection.
T229 5843-5958 Sentence denotes The proper and meticulous technique of donning and doffing should be practiced each time to prevent infection [23].
T230 5959-6112 Sentence denotes Our surgical team was on HCQ prophylaxis as recommended by the ICMR in a dose of 400 mg twice a day on day one and 400 mg once a week for seven days [9].
T231 6113-6290 Sentence denotes HCQ has antiviral efficacy and has shown a reduction of infectivity/log reduction in viral RNA copy of SARs-CoV2 and has a low incidence of infection to those who are taking it.
T232 6291-6534 Sentence denotes The drug is contraindicated in persons with a known case of retinopathy, hypersensitivity to HCQ or 4-aminoquinoline compounds, glucose-6-phosphate dehydrogenase (G6PD) deficiency, and pre-existing cardiomyopathy and cardiac rhythm disorders. 
T233 6535-6648 Sentence denotes It is not recommended for prophylaxis in children under 15 years of age and during pregnancy and lactation [24]. 
T234 6649-6858 Sentence denotes The aerosols generating procedures in orthopedic surgery include the use of electrocautery, high-speed burr, ultrasonic devices, and power tools like an oscillating saw, drills, reamers, and pulse lavage [12].
T235 6859-7029 Sentence denotes While it is unknown if the COVID-19 particles can survive electrocautery, minimizing the amount of smoke in the operating room helps in decreasing potential transmission.
T236 7030-7206 Sentence denotes Similarly, it is unknown that a virus can spread through body fluids, soft tissue, or bone particulate, it is wise to avoid harmonic scalpels and high-speed burrs [8,11,12,18].
T237 7207-7276 Sentence denotes The postoperative length of stay in the hospital should be minimized.
T238 7277-7409 Sentence denotes The post-operative care (like dressing, intravenous antibiotics, etc.) can be managed at the patient’s home or the nearest hospital.
T239 7410-7626 Sentence denotes The patient is instructed to perform self-directed physical therapy at home and transfer to inpatient rehabilitation should be minimized which can significantly reduce the length of hospital stay [10,11,16,17,19,25].
T240 7627-7787 Sentence denotes Before the COVID-19 pandemic, we were transferring the paraplegic patients to our hospital-based rehabilitation center where discharge time was about six weeks.
T241 7788-7927 Sentence denotes During this pandemic, we started teaching physiotherapy and care to attendants from day one which decreased the hospital stay to 3.7 days. 
T242 7928-8126 Sentence denotes Post-discharge visits to the hospital have been minimized with the majority of the follow-up by the surgical team through telemedicine or remote consultations (e.g. telephone or video consultation).
T243 8127-8316 Sentence denotes The hospital visits were limited to those who are having issues/complications such as wound healing problems, suspected fracture, stiffness, and non-compliance to physiotherapy [4,7,11-13].
T244 8317-8453 Sentence denotes There are chances of a “second wave” which were seen in SARS and Spanish flu which may lead to a sudden increase in COVID-19 cases [10].
T245 8454-8500 Sentence denotes We need to be vigilant and be prepared for it.
T246 8501-8599 Sentence denotes We should strictly adhere to infection control policy, use masks, and practice social distancing. 
T247 8600-8852 Sentence denotes The above structural organization and management protocol helped us to provide efficient care to emergency spine conditions, without undue stretching the resources of a tertiary care center which is also catering to a large number of COVID-19 patients.
T248 8853-8970 Sentence denotes An attempt is made to reduce infection transmission to health care workers without compromising the patient's safety.
T249 8971-9067 Sentence denotes We recognize that the small patient number is a limitation of this study and follow up is short.
T250 9068-9182 Sentence denotes We have not assessed the problem faced by a home-based rehabilitation program and is a subject of further research