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    PublicationOpen Access
    COVID-19 and the global impact on colorectal practice and surgery
    (Elsevier, 2020) Nunoo-Mensah, Joseph W.; Rizk, Mariam; Caushaj, Philip F.; Giordano, Pasquale; Fortunato, Richard; Dulskas, Audrius; da Costa, Pereira Joaquim M.; Escalante, Ricardo; Koda, Keiji; Samalavicius, Narimantas E.; Maeda, Kotaro; Chun, Ho-Kyung; ISUCRS COVID-19 Participating Investigator Group; Buğra, Dursun; Faculty Member; School of Medicine
    Background: the novel severe acute respiratory syndrome coronavirus 2 virus that emerged in December 2019 causing coronavirus disease 2019 (COVID-19) has led to the sudden national reorganization of health care systems and changes in the delivery of health care globally. The purpose of our study was to use a survey to assess the global effects of COVID-19 on colorectal practice and surgery. Materials and methods: a panel of International Society of University Colon and Rectal Surgeons (ISUCRS) selected 22 questions, which were included in the questionnaire. The questionnaire was distributed electronically to ISUCRS fellows and other surgeons included in the ISUCRS database and was advertised on social media sites. The questionnaire remained open from April 16 to 28, 2020. Results: a total of 287 surgeons completed the survey. Of the 287 respondents, 90% were colorectal specialists or general surgeons with an interest in colorectal disease. COVID-19 had affected the practice of 96% of the surgeons, and 52% were now using telemedicine. Also, 66% reported that elective colorectal cancer surgery could proceed but with perioperative precautions. Of the 287 respondents, 19.5% reported that the use of personal protective equipment was the most important perioperative precaution. However, personal protective equipment was only provided by 9.1% of hospitals. In addition, 64% of surgeons were offering minimally invasive surgery. However, 44% reported that enough information was not available regarding the safety of the loss of intra-abdominal carbon dioxide gas during the COVID-19 pandemic. Finally, 61% of the surgeons were prepared to defer elective colorectal cancer surgery, with 29% willing to defer for ≤ 8 weeks. Conclusion: the results from our survey have demonstrated that, globally, COVID-19 has affected the ability of colorectal surgeons to offer care to their patients. We have also discussed suggestions for various practical adaptation strategies for use during the recovery period. We have presented the results of a survey used to assess the global impact of coronavirus disease 2019 (COVID-19) on the delivery of colorectal surgery. Despite accessible guidance information, our results have demonstrated that COVID-19 has significantly affected the ability of colorectal surgeons to offer care to patients. We have also discussed practical adaptation strategies for use during the recovery phase.
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    PublicationOpen Access
    Influence of the life style parameters including dietary habit, chronic stress and environmental factors and jobs on the human health in relation to COVID-19 pandemic
    (Cambridge University Press (CUP), 2020) Aydemir, Duygu; Ulusu, Nuriye Nuray; PhD Student; Faculty Member; Koç University Research Center for Translational Medicine (KUTTAM) / Koç Üniversitesi Translasyonel Tıp Araştırma Merkezi (KUTTAM); School of Medicine; N/A; 6807
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    PublicationOpen Access
    Management of female and functional urology patients during the COVID pandemic
    (Elsevier, 2020) López-Fando, L.; Bueno, P.; Carracedo, D.; Averbeck, M.; Castro-Díaz, D.M.; Chartier-Kastler, E.; Cruz, F.; Dmochowski, R.; Finazzi-Agrò, E.; Hajebrahimi, S.; Heesakkers, J.; Kasyan, G.; Peyronnet, B.; Plata, M.; Padilla-Fernández, B.; Van Der Aa, F.; Arlandis, S.; Hashim, H.; Tarcan, Tufan; Other; School of Medicine; 173289
    Context: coronavirus disease 19 (COVID-19) has changed standard urology practice around the world. The situation is affecting not only uro-oncological patients but also patients with benign and disabling conditions who are suffering delays in medical attention that impact their quality of life. Objective: to propose, based on expert advice and current evidence where available, a strategy to reorganize female and functional urological (FFU) activity (diagnosis and treatment). Evidence acquisition: the present document is based on a narrative review of the limited data available in the urological literature on SARS-Cov-2 and the experience of FFU experts from several countries around the world. Evidence synthesis: in all the treatment schemes proposed in the literature on the COVID-19 pandemic, FFU surgery is not adequately covered and usually grouped into the category that is not urgent or can be delayed, but in a sustained pandemic scenario there are cases that cannot be delayed that should be considered for surgery as a priority. The aim of this document is to provide a detailed management plan for noninvasive and invasive FFU consultations, investigations, and operations. A classification of FFU surgical activity by indication and urgency is proposed, as well as recommendations adopted from the literature for good surgical practice and by surgical approach in FFU in the COVID-19 era. Conclusions: functional, benign, and pelvic floor conditions have often been considered suitable for delay in challenging times. The long-term implications of this reduction in functional urology clinical activity are currently unknown. This document will help functional urology departments to reorganize their activity to best serve their patients. Patient summary: many patients will suffer delays in urology treatment because of COVID-19, with consequent impairment of their physical and psychological health and deterioration of their quality of life. Efforts should be made to minimize the burden for this patient group, without endangering patients and health care workers. COVID-19 disease has changed standard urology practice worldwide. Most efforts have focused on urologic oncology. An international panel composed of opinion leaders in 13 countries proposes comprehensive guidelines on how to manage female and functional urology patients.
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    PublicationOpen Access
    Oligosymptomatic kidney transplant patients with COVID-19: do they pose a risk to other recipients?
    (Elsevier, 2020) Arpalı, Emre; Akyollu, Başak; Koçak, Burak; Yelken, Berna; Kalayoğlu, Münci; Türkmen, Aydın; Tekin, Süda; Kanbay, Mehmet; Faculty Member; Doctor; Faculty Member; Koç University Hospital; N/A; N/A; N/A; N/A; N/A; N/A; N/A; 110580
    The clinical course of viral infections in patients under immunosuppression can be atypical and/or fatal if not diagnosed and treated appropriately. The coronavirus disease 2019 (COVID-19) may also have an atypical presentation. Contrary to the general opinion, transplant patients may be asymptomatic or oligosymptomatic, which could be a risk factor for underdiagnosis and the dissemination of this viral disease. This study presents the clinical features of 2 oligosymptomatic kidney transplant patients diagnosed with COVID-19. We suggest that new screening algorithms for COVID-19 should be reconsidered for the transplant patient population.