ABSTRACT
Objective: Vitamin D plays an important role in maintaining the integrity of mucosal barriers and in natural and acquired immunity. In the COVID-19 pandemic, the strength of personal immunity is very important in the course of the disease, despite the presence of variants of the virus or vaccination status. Method: In this study, we investigated the relationship between the clinical course and vitamin D levels of outpatient and inpatient follow-up patients admitted to our hospital due to COVID-19. A total of 94 patients, 47 outpatients and 47 inpatients, were included in the study. Results: The mean age and gender distributions of both groups were similar. Vitamin D levels were found to be normal in only 7 of 94 patients who were followed up in our hospital due to COVID-19. Patients with vitamin D levels >= 30 were significantly lower than those with "<10" and "10-29.9" (p<0.01 for each). Hospitalized patients (71%) with vitamin D levels <10 were significantly higher than those (0%) with vitamin D levels >= 30. Additionally, the outpatients (29%) with vitamin D levels <10 were significantly lower than those (100%) with vitamin D levels >= 30. Conclusion: The data showed that vitamin D deficiency may be associated with the severe clinical course of COVID-19, even in patients without comorbidities, and may also be one of the predisposing factors resulting in death in COVID-19. As a result, vitamin D levels in COVID-19 patients may be important for the course of the disease.
ABSTRACT
This paper aims to consider and analyze the effects of the COVID-19 pandemic on work in Brazil. The difficult times Brazil has been facing have deepened the precarization experienced by a significant number of citizens in the work world and exposed the structural inequalities of the Brazilian society. We begin by presenting a contextualization of the country in terms of general indicators (political and social) and highlighting the development of Brazil's work relations. We then analyze secondary data (from official sources), showing even more profound social inequalities in the work world in pandemic times, including those referring to recent reformist policies, with strong neoliberal inspiration in Brazil. Finally, we discuss the above-mentioned profound inequalities, especially those related to the increasingly weaker social protection networks and labor rights in Brazilian society.
ABSTRACT
Background/Purpose: The COVID-19 pandemic has had a profound impact on the psychosocial experiences and service delivery for children with cleft and craniofacial conditions and their families. Many centers were unable to provide in-person multidisciplinary care for weeks to months, operating rooms were shut down to all but essential surgeries, and schools were rapidly transitioned to online instruction. These changes, designed to promote a public health response to an unprecedented pandemic, contributed to challenges in implementation of educational and therapeutic support services. Patients and their families, as well as clinical providers, have worked to balance risk abatement, quality of life, and medical/surgical needs in a rapidly changing and often inconsistent global health landscape. Methods/Description: A nationally representative panel of psychologists will share their multidisciplinary teams' experiences managing the impact of COVID-19 and associated interruptions in treatment, the effects on patients' psychosocial and academic functioning, and strategies that have been effective in addressing clinical needs in the context of a global health crisis. Implications of facial coverings and virtual interaction for youth with facial and speech differences will be explored. The experiences of patients and teams in the context of COVID-19 will be explored relative to our understanding of multisystemic psychosocial functioning, including but not limited to health related quality of life, social and emotional functioning, educational outcomes, and resiliency factors.
ABSTRACT
Shortly after the first cases were reported in late 2019 in Wuhan Province of China, SARS CoV 2 spread all over the world and was declared a pandemic by the World Health Organization on March 12, 2020. In Turkey the first case was in March 10, 2020 and March 25, 2020 in Duzce. Duzce University Faculty of Medicine, Department of Medical Microbiology, PCR laboratory was declared to be "T.C. Ministry of Health Duzce authorized Covid 19 PCR laboratory " in 28.03.2020. Samples are sent to our laboratory from all provincial and district hospitals, private hospitals and public health institutions in Duzce. This is the only Covid 19 center in our city and it works for 7 days a week. In our laboratory, Covid 19 antibody tests are carried out with card tests and ELISA methods. A total of 8500 COVID 19 PCR tests and 2200 anti Covid19 ELISA total antibody tests were studied in our laboratory within three months. Although covid 19 patients are not followed in our hospital, pandemic process continues in our laboratory. In addition, all PCR studies and IFA studies of the hospital are carried out in this laboratory.