scholarly journals 196. HIGH PREVALENCE OF DEPRESSION AND ITS IMPACT ON DISEASE ACTIVITY IN PATIENTS WITH RHEUMATOID ARTHRITIS IN A DISTRICT GENERAL HOSPITAL OF THE UNITED KINGDOM

Rheumatology ◽  
2017 ◽  
Vol 56 (suppl_2) ◽  
Author(s):  
Asanka Nugaliyadde ◽  
Karen Culfear ◽  
Anupama Nandagudi ◽  
Anurag Bharadwaj
2019 ◽  
Vol 30 (10) ◽  
pp. 301-308
Author(s):  
Sonia Ike ◽  
Chijioke Ikechi ◽  
Jaideep Rait ◽  
Ankur Shah

The Coronavirus pandemic has caused major change across the world and in the National Health Service. In order to cope and help limit contagion, numerous institutions recognised the need to adjust clinical practice quickly yet safely. In this paper, we aim to describe the changes implemented in a general surgery department at a district general hospital in the United Kingdom. Across the surgical specialties, frameworks, protocols and guidelines have been established locally and nationally. The aerosol generating procedures involved in general surgery required us to alter our daily activities. Modifications to patient management were necessary to try and reduce viral spread. Staff wellbeing was heavily promoted in order to help maintain the frontline workforce. A holistic approach was required.


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