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Abstract

B a c k g r o u n d: During COVID-19 pandemic, it is necessary to collect and analyze data concerning management of hospitals and wards to work out solutions for potential future crisis. The objective of the study was to investigate how surgical wards in Poland are managing during rapid development of the COVID-19 pandemic.
M e t h o d s: An anonymous, online survey was designed and distributed to surgeons and surgery residents working in surgical departments during pandemic. Responders were divided into two groups: Group 1 (responders working in a “COVID-19-dedicated” hospital) and Group 2 (responders working in other hospitals).
R e s u l t s: Overall, 323 responders were included in the study group, 30.03% of which were female. Medical staff deficits were reported by 21.15% responders from Group 1 and 29.52% responders from Group 2 (p = 0.003). The mean number of elective surgeries performed weekly prior to the pandemic in Group 1 was 40.37 ± 46.31 and during the pandemic was 13.98 ± 37.49 (p <0.001). In Group 2, the mean number of elective surgeries performed weekly before the start of the pandemic was 26.85 ± 23.52 and after the start of the pandemic, it was 7.65 ± 13.49 (p <0.001). There were significantly higher reported levels of preparedness in Group 1 in terms of: theoretical training of the staff, equipping the staff and adapting the operating theater to safely perform procedures on patients with COVID-19. Overall, 62.23% of responders presume being infected with SARS-CoV-2.
C o n c l u s i o n s: SARS-CoV-2 pandemic had a significantly negative impact on surgical wards. Despite the preparations, the number of responders who presume being infected with SARS-CoV-2 during present crisis is high.


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Authors and Affiliations

Tomasz Stefura
1
Justyna Rymarowicz
1
Michał Wysocki
1
Jacek Szeliga
2
Grzegorz Wallner
3
Michał Pędziwiatr
1
Michał Nowakowski
1
Piotr Major
1

  1. 2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland
  2. Department of General, Gastroenterological, and Oncological Surgery, Collegium Medicum Nicolaus Copernicus University, Toruń, Poland
  3. 2nd Department of General, Gastrointestinal and Oncological Surgery of the Alimentary Tract, Medical University of Lublin, Lublin, Poland
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Abstract

The author analyses problems of disease, dying, and death addressed in a play by Margaret Edson entitled Wit. Special attention is paid to the structure of meta-theatre and the function of wit in the play. The author investigates limitations of reason in the approach adopted by the doctors who take care of Vivian Bearing, and who subject her to an excruciating experiment in order to achieve a potential research success. She also discusses the protagonist’s attitude to literary works, dealing with her own disease, to other people and to God. This offers an opportunity to ruminate on the exact meaning of irretrievable loss involved in suffering. She also concentrates on the attitude of the nurse who – thanks to her emotional intelligence and empathy – accompanies Vivian on her way to death.

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Authors and Affiliations

Anna Głąb
ORCID: ORCID

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