ABSTRACT
Covid-19 has manifested itself as a highly infectious disease. In this sense, People with Disabilities were advised to redouble their precautions to prevent Covid-19, such as social withdrawal, because they are considered to be in the risk group. The purpose of this study was to understand the interference of social distancing in the daily lives of people with physical disabilities during the Covid-19 pandemic period. This study is of an applied nature and descriptive observational character. The data analysis and discussion was carried out under the qualitative paradigm. As for the technical procedures, it is characterized as a field research. The group of collaborators was composed of ten People with Disabilities. The results indicated that the greatest impacts of the distancing were the difficulties of access to health and rehabilitation activities, as well as the changes in hygiene habits due to the danger of contamination. On a personal level, some perceived the distance as a factor of introspection and reflection on the relationships with oneself and with others, putting into perspective the world in a post-pandemic future.
ABSTRACT
Objective. This study described levels of fear, anxiety, depression, and contributing factors among health providers and administrative staff of the Department of Rehabilitation Medicine, Philippine General Hospital (PGH-DRM) during the COVID-19 pandemic. Methods. The cross-sectional study was conducted from August to November 2020. We recruited 71 participants who were working in the premises of the hospital and those who were working from home by purposive sampling. The fear numerical rating scale and Hospital Anxiety and Depression Scale were used to determine the presence of fear, anxiety, and depression. The 36-Item Short Form Survey (SF-36) was used to determine the baseline level of physical and mental wellness among participants. Results. Seventy-three percent of the full-time, permanent employees of the PGH-DRM unit joined the study. Majority of the respondents were health providers (86%) but only one hospital staff had high-risk contact with patients with COVID-19. Most participants (63%) did a combination of on-site work and home-based work and three (4%) worked entirely from home. Moderate to severe levels of fear was reported by 54% of the participants. Fear levels were highest among those who worked on-site. Anxiety was borderline in 32%, and abnormal in 30%, while depression was borderline in 21%, and abnormally high in 34% of the participating employees. Feelings of anxiety were higher among those who worked on-site and who worked both on-site and from home, while depression was highest among those who worked from home. The SF-36 Physical Health Summary score (x̄ = 72.49) was higher than the Mental Health Summary score (x̄ = 55.45). Employees who worked from home had the highest SF-36 summary scores for both mental and physical health. Conclusion. The employees of the DRM had low-risk contact work assignments when the PGH transitioned to a tertiary level COVID-19 referral hospital. Half of the employees experienced fear, anxiety, and depression and had low SF-36 summary scores in mental health. Further studies are needed to determine the key factors that affect their mental health and well-being during the pandemic. A relevant mental health and wellness program is strongly recommended. © 2022 University of the Philippines Manila. All rights reserved.
ABSTRACT
Background: Coronavirus disease 19 (COVID-19) tends to be milder in children, but severe cases have been reported. We described a case report of a toddler admitted to our department with additional findings, highlighting the importance of assessing the patient as a whole. Case Presentation: A previously healthy, 15-month-year-old girl presented with fever and dry cough for 10 days, respiratory distress and PCR SARS-CoV-2 was positive. At admission, she presented with hypoxemia (SpO2 89-90% in room air), global retraction and bilateral bronchospasm. She was treated with bronchodilators, methylprednisolone, remdesivir and also amoxicillin/clavulanic acid. Her complete blood count revealed leucocytosis 16,160x109/L, 41% lymphocytes, C-reactive protein 57,9 mg/L, procalcitonin 0,13 ng/mL, sedimentation rate 44 mm/h, ferritin 218,4 ng/mL. Chest computed tomography (CT) scan revealed bilateral peripheral areas of ground glass, coexisting consolidation areas at inferior lobes but also revealed a 6 cm supra-renal mass. Abdominal ultrasound and CT confirmed an heterogeneous right supra-renal gland mass of 5,5cm along the greatest diameter with diffuse calcifications, evolving the inferior vena cava and the renal vascular pedicle, no signs of liver, bone, cutaneous or ganglionic metastization. These features were suggestive of neuroblastoma in stage L2. Vanillylmandelic acid, normetanephrine/creatinine ratio and metanephrine/creatinine ratio were elevated. The metaiodobenzylguanidine (Mibg) scan showed a localized disease. The total excision of the tumour mass was performed, and the histology confirmed neuroblastoma with no N-myc oncogene amplification, nor other bad prognosis chromosomal abnormalities. She is currently under oncological surveillance, with no signs of recurrence. Learning Points Discussion: Neuroblastoma is the most common extracranial solid tumour of childhood. It is known for its broad spectrum of clinical behaviour and outcome. In this case, although this toddler was admitted due to COVID-19 pneumonia, it allowed to identify a localized tumour, perform excision and due to the favourable biology tumour, she has a very good chances of being cured and free of disease.
ABSTRACT
Coronavirus Disease (COVID-19) is an infectious disease caused by SARS-CoV-2, a newly discovered coronavirus. Infected people experience mild symptoms such as colds, which would lead to severe respiratory-related diseases that weaken the entire body. As the virus can be transmitted primarily through direct contact with an infected person or by touching surfaces and objects contaminated by respiratory droplets, it is critical to control and cut the transmission routes by exposing individuals under quarantine. In this study, the researchers developed an Arduino-based ankle tracker, associated with an application as the GUI, to implement geofencing to monitor people under home quarantine. The ankle tracker acts as the trigger being monitored within a geofence, a circular virtual perimeter. The system was designed to have a 95% confidence level to filter out inaccurate GNSS location data. It will only accept data that is highly accurate which depends on the PDOP value. The Geo-mapping accuracy of the tracker device was tested and presented in this study. © 2021 IEEE.