ABSTRACT
Background: Hospitals, as the most important medical institutions, must be adequately prepared before accidents to cope with emergencies and provide rapid response to disasters. This study aimed to determine the preparedness of hospitals in Ardabil Province during the COVID-19 pandemic. Materials and Methods: The present study is a cross-sectional study, and the study population included all hospitals in Ardabil Province, Iran (17 hospitals in total). The data collection tool was a standard checklist of 92 questions for COVID-19 Crisis Preparedness issued by the Iran Ministry of Health and Medical Education. The obtained data were analyzed using descriptive and inferential statistics (the Pearson correlation analysis) in SPSS software v. 22. Results: The mean relative score of preparation for the COVID-19 pandemic was 80.27% among the hospitals in the province. In the studied hospitals, the relative scores of preparedness were as follows: leadership and coordination, 92.64%, resource management, 94.36%;information management, 79.90%;communications, 77.94%;human resources, 77.69%;surge-capacity, 86.55%;rapid identification, 57.18%;diagnosis, 71.32%;isolation and patient management, 81.09%;and infection prevention and control, 84.05%. Conclusion: The level of hospital preparedness in most dimensions (9 out of 10 dimensions) was good, and only in the area of rapid identification was at a moderate level. However, further evaluation is needed at different stages of an epidemic. © 2022, Negah Institute for Scientific Communication. All rights reserved.
ABSTRACT
Background: Pulmonary embolism (PE) is the blockage of a blood clot in the pulmonary arteries of the lungs. PE is a common phenomenon and requires prompt treatment. Despite advancement in the treatment and diagnosis it has a substantial mortality rate. Recent studies suggest that the novel Covid-19 infection is associated with rising trend of PE. Patients with Covid-19 may be at high risk of complications related to thrombotic condition in the consequences of stasis blood flow and irregular inflammatory response. The main objective of this article is to assess the incidence of PE in covid-19 hospitalized patients. Material and Method: We reviewed more than 160 medical records of the patients admitted to the Coivd-19 ward during the peak of first wave of Covid-19 pandemic. This study was conducted at Saidu Teaching Hospital Swat from June 2020 to Sep 2020in the time frame of 4 months. The real-time polymerase chain reaction was used to diagnose the Covid-19 in the patients and for the PE computed Tomography pulmonary angiogram(CPTA) was used. Results: In this study, 160 patients have participated of which 7 developed PE. This represents that the incidence of PE was 3% among individuals. Conclusion: In the Covid 19 Hospitalized patients Incidence of Pulmonary Embolism is a common phenomenon. For the patients having a high respiratory rate, smoking history, and low level of oxygen preventive measures should be considered.
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Objective: Aim of the study is to correlate CT findings of pulmonary involvement in COVID-19 positive patients with clinical findings and to investigate the role of CT Score in predicting result of patients. Study Design: Single-centered retrospective analysis Place and Duration of Study: The study has been conducted from June to November, 2020. Research has been carried out in District Headquarter Teaching Hospital, Sargodha. Methodology: From June to November 2020, 138 COVID-19 patients who appeared positive for reverse transcriptase polymerase chain reaction were registered for chest CT analysis and clinical examination. Based on the range of lobular involvement quantitative CT scores were considered. Data was correlated with clinical findings. Results: Among the patients 106(76.8%) were males and 32(23.18%) were females. Among 138 positive patients, 51(36.9%) cases were categorized as severe while 87(63.04%) were placed in mild group. Normal chest CT is shown by 89 (64.4%) patients while 49 (35.5%) patients show parenchymal abnormalities. Among the patients with abnormal CT findings bilateral 39/51 (76.5 %), multilobar (88.2 %) lung involvement with a predominant peripheral and posterior distribution is commonly observed. Ground glass opacity is the dominant abnormality which we observe in all 48 (97.9 %) cases. Pure Ground glass opacity is detected in 13 (27.08 %) and Ground glass opacity with mixed consolidation is noted in 17(35.4 %). Conclusion: Chest CT findings have potential role in predicting consequence of COVID-19 positive patients. It can be beneficial for speeding up diagnostic workflow as CT findings are correlated with disease severity and clinical findings.
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The psychosocial consequences of the coronavirus pandemic is serious for health professionals including nurses because of a higher level of exposure. Nurses often face huge psychological pressure as a result of workload, long hours, and working in a high-risk environment. This study aimed to assess the associated factors of anxiety, depression, and stress among nurses working in Iran. The research method is library type which was done during 2 months by using valid scientific sources and books. More than two-thirds, more than half, and nearly one-fifth of the nurses had anxiety, depression, and stress, respectively. Unavailability of a guideline, fear of infecting family, and having chronic diseases increase the risk of developing anxiety. Nurses who did not have a guideline, received negative feedback from families, had a history of mental disorders, and chronic diseases have a higher odds of depression. Working in the night shift, lack of training, fear of infecting family, negative feedback from families, presence of confirmed/suspected cases in the family, and having chronic diseases increases the risk of developing stress.
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Introduction: Coronavirus pandemic is spreading tremendously all over the world. The need of the hour is to devise a diagnostic tool that is appropriate, efficient, time saving as well as cost effective for the diagnosis of disease. Aim: The present study assesses the role of CT in early diagnosis of coronavirus disease . Methodology: This retrospective study was conducted at DHQ teaching hospital of Sargodha. It included suspected patients of coronavirus visiting the hospital from 6th March 2020 to 23rd September 2020. The demographic and clinical features of the patients were noted. The RT-PCR and CT findings were recorded and compared. The statistical analysis of collected data was conducted on SPSS. Results: The results showed that there is an agreement between the results of RT-PCR and CT. However, few discrepancies were also evident. Conclusion: It can be concluded that CT scan is an adequate technique for efficient and timely diagnosis of coronavirus disease. © 2021 Universitatea de Vest Vasile Goldis din Arad. All rights reserved.
ABSTRACT
Preventing coronavirus infection in the older people can reduce mortality from COVID-19. The older people are more prone to coronavirus due to physical weakness. Therefore, taking care of them is very important to prevent getting the virus intection. It is said that the world may not return to pre-COVID-19 state, and perhaps we have to wait longer for the definitive cure and vaccine to be invented and improve the current crisis. On the other hand, the older people feel that in COVID-19 outbreak have little chance of survival. In parallel with these issues, by creating suitable conditions for the participation of the older people in the home and community and providing a suitable supportive environment in all aspects of life, we can take a step towards healthy aging. Older people activities can be defined differently by defining new maps. For example, during the COVID-19 outbreak, gardening and flower and plant maintenance activities, encouraging physical activity, mindfulness training, and the use of mental tricks to reduce chronic life pain can be facilitated. Copyright (C) 2021, Asian Association for Frailty and Sarcopenia and Taiwan Association for Integrated Care. Published by Full Universe Integrated Marketing Limited.