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LitCovid-sentences  

PMC:7441330 JSONTXT 20 Projects

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Id Subject Object Predicate Lexical cue
T1 0-71 Sentence denotes Flexibility and safety in times of coronavirus disease 2019 (COVID-19):
T2 72-134 Sentence denotes Implications for nurses and allied professionals in cardiology
T3 136-284 Sentence denotes Never before have so many healthcare professionals been in the daily news worldwide as now, during the coronavirus disease 2019 (COVID-19) pandemic.
T4 285-564 Sentence denotes Hospitals are intensifying their resources for patients in need of intensive care and respiratory support, converting wards into COVID-19 units and, at the same time, stopping or restricting non-life threatening diagnostic procedures and treatment, for instance elective surgery.
T5 565-728 Sentence denotes For the healthcare professionals working in cardiology, the COVID-19 pandemic has many consequences that might not be directly visible in day-to-day news coverage.
T6 729-986 Sentence denotes Still, we struggle with similar issues in many countries around the world and this editorial addresses some aspects related to COVID-19 with the goal of enlarging our feelings of unity and solidarity in this field and learning from each other’s experiences.
T7 987-1106 Sentence denotes Cardiology is a broad medical field including both acute and chronic aspects of care that are all affected by COVID-19.
T8 1107-1232 Sentence denotes For healthcare providers, a lot of flexibility is asked for because of changes in schedules, job assignments, workplace, etc.
T9 1233-1393 Sentence denotes But at the same time, cardiac patients ask for stability and security in care too; patients still need adequate diagnostics, treatment, education and follow-up.
T10 1395-1467 Sentence denotes Challenges to cardiac patients and families during the COVID-19 pandemic
T11 1468-1753 Sentence denotes Although a lot of patients can be managed well with support from a distance and are practising optimal self-care, many cardiac patients have problems and worries that are especially caused by the restrictions that the COVID-19 pandemic lays on society as well as the healthcare system.
T12 1754-1771 Sentence denotes Some of them are:
T13 1772-1836 Sentence denotes - Worrying about delayed or cancelled diagnostics and treatment.
T14 1837-1951 Sentence denotes For example, will my ICD be replaced in a timely manner or is it safe to delay my intervention or cardiac surgery.
T15 1952-2077 Sentence denotes Others worry about their diagnostic angiogram that is postponed and wonder if it is safe or if they will have a heart attack.
T16 2078-2292 Sentence denotes - Worrying about optimal care and readmission when out-patient follow-up visits are postponed or delayed, or when they are not admitted to hospital or discharged earlier than in a normal situation without COVID-19.
T17 2293-2619 Sentence denotes - Feeling extra vulnerable and anxious as a cardiac patient and being advised of the need for total social distancing since they are at risk of becoming very ill or might die if affected by the coronavirus, or on the other hand feeling frustrated by being considered a ‘risk group’, while not feeling different than yesterday.
T18 2620-2742 Sentence denotes - Being restricted in the ability to exercise in, for example, the rehabilitation centre at the hospital or the local gym.
T19 2743-2879 Sentence denotes - Being afraid to get infected with COVID-19 and not knowing how to handle daily issues (for instance, what to disinfect and how often).
T20 2880-3033 Sentence denotes - Becoming angry and frightened when others do not adhere to advice given by the government and healthcare authorities (for instance keeping a distance).
T21 3034-3224 Sentence denotes - Feeling anxious and stressed when met by healthcare professionals in protective clothing or when met by healthcare professionals with no protection because of lack of protective equipment.
T22 3225-3409 Sentence denotes - Worrying about deterioration while having acute severe symptoms of chest pain and shortness of breath and needing to be tested before receiving acute treatment or being hospitalised.
T23 3410-3548 Sentence denotes - Delaying seeking healthcare with acute chest pain and not knowing if their complaints are severe enough to burden the healthcare system.
T24 3549-3644 Sentence denotes - Worrying about if there will be enough resources to be treated with for example an acute PCI.
T25 3645-3753 Sentence denotes - Getting worried or feeling panic from browsing the Internet for COVID-19 information without any guidance.
T26 3754-3908 Sentence denotes - Having no realistic insight into the situation and feeling strong and immune, for instance feeling unrealistically safe on antibiotics and prednisolone.
T27 3909-4082 Sentence denotes - Wondering about whether they should increase, stop or decrease their medications for example ACE-inhibitor or ARB or do other self-care activities if infected by COVID-19.
T28 4084-4130 Sentence denotes Challenges to cardiac healthcare professionals
T29 4131-4284 Sentence denotes Healthcare professionals need to stay updated constantly and adapt their advice to patients and also change their own professional and private behaviour.
T30 4285-4446 Sentence denotes Some of our colleagues need to stay at home because of social distance restrictions on family members, COVID-19 symptoms, preventive quarantine or mental stress.
T31 4447-4538 Sentence denotes Some colleagues are afraid to go to work in case of endangering themselves or their family.
T32 4539-4882 Sentence denotes A substantial number of professionals working in the departments of cardiology and cardiothoracic surgery are preparing to alter (have already altered) their daily clinical work, some have experienced having their ward rebuilt to be suitable for COVID-19 patients, some wards have closed completely to relocate staff to other acute care units.
T33 4883-4987 Sentence denotes Staff are educated to take care of other patient groups than they usually treat (and have expertise in).
T34 4988-5056 Sentence denotes ICUs are reorganised and rebuilt to the maximum of respiratory beds.
T35 5057-5223 Sentence denotes Healthcare providers from medical, cardiology and cardiothoracic ICUs create large teams that can work across ICU COVID-19 units with similar equipment and protocols.
T36 5224-5477 Sentence denotes In a lot of cardiology out-patient clinics, obvious changes include moving to distance follow-up instead of a clinic visit and also extending the length of follow-up phone calls, since many patients want to talk about COVID-19 and what it means to them.
T37 5478-5636 Sentence denotes In some hospitals, the pacemaker control period is extended from bi- or tri-monthly to yearly, most angiograms and electrophysiology procedures are cancelled.
T38 5637-5796 Sentence denotes ICDs are monitored using tele-monitoring systems, preventing patients from coming to hospital after receiving a shock therapy and reassuring them by telephone.
T39 5797-5979 Sentence denotes It is amazing how quickly telecare and distance monitoring have become almost ‘the new normal’ and how flexible patient and healthcare professionals are in adopting these practices.1
T40 5980-6352 Sentence denotes However, specific challenges of distance follow-up have also become painfully clear and need creative solutions.2 For example, it is more difficult to estimate whether a newly referred patient or his or her family can recognise signs and symptoms, such as leg oedema in heart failure patients, or whether they are able to decide if it is necessary to come to the hospital.
T41 6353-6537 Sentence denotes In addition, in patients with visual or auditory impairments, it can be difficult to change medication by phone, especially when a patient does not have email or cannot read very well.
T42 6538-6730 Sentence denotes For patients who are very lonely and feel socially isolated, and/or elderly patients, extra telephone contact with the clinic can be very important to ask questions and help to solve problems.
T43 6731-6850 Sentence denotes Uptitration of medication can be complicated without appropriate laboratory tests or physical examination of a patient.
T44 6851-7176 Sentence denotes Every time one orders a laboratory test (at home or in an office) one has to balance the risk of exposing the patient to possible COVID-19 infection (or the healthcare professional in taking the blood) yet really needing the laboratory value to adapt medication, for example to make that last step in an uptitration schedule.
T45 7178-7209 Sentence denotes Valuable moments and creativity
T46 7210-7296 Sentence denotes Professionals and patients are constantly trying to find practical solutions, such as:
T47 7297-7456 Sentence denotes - Use of video conferencing with patients or their family or, if this is too difficult, use of a picture on the phone to show, for instance, a wound or oedema.
T48 7457-7562 Sentence denotes - Having ECG and laboratory tests done close to the patients (for instance at the GP because of fast AF).
T49 7563-7604 Sentence denotes - More contact by email and regular mail.
T50 7605-7646 Sentence denotes - Closer collaboration with primary care.
T51 7647-7771 Sentence denotes - Sending information about websites where people can see how the heart works, what happens in cases of fluid retention etc.
T52 7772-7909 Sentence denotes - Emphasis that patients and their family can contact the clinics and, when necessary, they can come to the hospital and will be treated.
T53 7910-8020 Sentence denotes Meanwhile, there appears to be a collaboration within and between disciplines and professions as never before.
T54 8021-8170 Sentence denotes All healthcare workers must adapt to this new situation, and this is not only accompanied by fear and stress, but also by solidarity and heroic work.
T55 8171-8257 Sentence denotes Similarly, in talking to patients and family members, valuable moments can also occur.
T56 8258-8386 Sentence denotes For example, talking about life and death seems to be easier for some patients and family members in this exceptional situation.
T57 8387-8528 Sentence denotes While patients feel much more vulnerable, healthcare workers in cardiology need to give flexible and secure patient care on an optimal level.
T58 8530-8567 Sentence denotes Declaration of conflicting interests:
T59 8568-8700 Sentence denotes The authors declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.
T60 8701-8709 Sentence denotes Funding:
T61 8710-8816 Sentence denotes The authors received no financial support for the research, authorship and/or publication of this article.