ABSTRACT
The coronavirus disease (COVID-19) adversely impacted the fisheries sector of Bangladesh, particularly affecting the outcomes for women workers of the fish and shellfish processing plants (FSPPs). This study aimed to assess the impacts of COVID-19 on the women workers of the FSPPs by collecting data through 151 questionnaire surveys and two focus group discussions (FGDs) from September to December 2021. During COVID-19, 32.1 % of respondents' food consumption decreased slightly, and 16.6 % reduced drastically. Children of 18.2 % of the respondents had no access, and 16.9 % had insufficient access to online class facilities. Increased livelihood costs and decreased household income posed adverse economic impacts on women. Formal paid hours and overtime job opportunities were reduced because foreign buyers cancelled orders during the pandemic. Gender-based violence and social insecurity increased. Respondents (13.2 %) reported increased mistreatment by their husbands during the pandemic. Women workers' mental health deteriorated as their anxiety and insecurity about life increased during the pandemic. This study recommends overcoming the adverse effect of COVID-19 or COVID-like pandemics in the future. To ensure proper food consumption and reduce adverse economic impacts, the government should offer a special relief package, financial incentives and flexible low-interest loans. Related authorities should ensure that every child has the opportunity and access to participate in online classes during COVID-19 or COVID, like pandemics in the future. © Asian Fisheries Society.
ABSTRACT
Background: Coronavirus disease 2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2) is in Pandemic form and has affected people of 215 countries. It produces symptoms like fever, cough, shortness of breath, sore throat, headache, loss of taste, smell or appetite and many other rare symptoms. But the most important symptom is shortness of breath due to hypoxia. In a normal individual oxygen saturation (SpO(2)) is at least 95% and patient feels shortness of breath when SpO(2) falls below 90% with some exception. SARS-CoV-2, a newly emergent coronavirus has the peculiarity to produce silent hypoxia, meaning SpO 2< 90% or less like 80%, 70%, 60% without shortness of breath. Silent hypoxia can be diagnosed by monitoring SpO(2) with pulse oximeter. For management of COVID-19, early symptoms like fever & cough, SpO(2) should be monitored by pulse oximeter, followed by immediate correction of hypoxia by O-2 supplementation and prophylactic oral or injectable anticoagulant to prevent thromboembolism and thus death rate can be reduced. Case summary: A 72-year-old man presented with the complaints of fever and headache followed by cough, fatigue, anorexia, loss of taste and appetite in next few days but no shortness of breath. The patient was clinically diagnosed as a case of COVID-19 & positive result of Real time-Polymerase Chain Reaction (RT-PCR) test confirmed the diagnosis. From the first day, SpO(2) was regularly monitored with pulse oximeter and SpO(2) on day 1, it was 96-98%. On day 8, SpO(2) fell to 89-93%, pulse 96/min, respiratory rate>30/min, temperature 101o F, taste sensation was reduced. According to sign and symptoms, the patient was diagnosed as COVID-19 with severe pneumonia. Management was started at home with continuous monitoring, lying in prone position for 5-6 hours/day, supplemental oxygenation to maintain level of SpO(2) between 94-96%, injectable anticoagulant enoxaparin to prevent venous thromboembolism (VTE) and disseminated intravascular coagulation (DIC) was given. Prophylactic antibiotics and symptomatic treatment were also given. Results: According to this case report, patient's SpO(2) was monitored by pulse oximeter on first day;on day 08, SpO(2) fell to 89-93% & on day 10, further dropped to 85-88% which indicated severe pneumonia but there was no complaint of breathlessness as it was silent hypoxia. Sometimes the patient spent 30 minutes or more in toilet and SpO(2) used to fall to 82-83% without any subjective shortness of breath but with only mild heaviness of chest and cough. Therefore SpO(2) monitoring by pulse oximeter is essential in early diagnosis of silent hypoxia. Correction of hypoxia by supplemental oxygenation and prevention of VTE and DIC by using anticoagulant was the mainstay of treatment and patient had significant improvement on day 14. The patient was managed completely at home except X-ray being done in a hospital. Conclusion: Fall of SpO(2) in COVID-19 i.e. hypoxia (usually present as shortness of breath) or silent hypoxia can be diagnosed early by pulse oximeter or smart phone pulse oximetry apps. Early management by isolation, supplemental oxygenation and oral/injectable anticoagulation can prevent further events like Acute Respiratory Distress Syndrome (ARDS), respiratory failure followed by multiple organ failure (that may cause death). The authors advocate further clinical trial and research.
ABSTRACT
Aim: This study was aimed to evaluate the association between serumD-dimer, serum Ferritin with disease severity in patents havingCOVID-19.Methods:Total 80 confirmed COVID-19 patients were enrolled in this cross sectional study. Samples were assessed by positive SARSCoV-2 by RT-PCR testing and were collected from two tertiary Hospitals(IbnSina Medical College Hospital and Ibrahim Cardiac Hospital and Research Institute).We also performed CT findings of COVID patients with or without pulmonary involvement. COVIDpositive patients were divided into two groups (Group 1 and Group2) according to lungs involvement confirmed by CT-scan. In this analysis, several variables such as gender, age, D-dimer and serum ferritin were taken.Results: The Mean of D-dimer in Group-1 subjects was 4.26 +/- 3.60mg/L and in Group-2, this was 0.59 +/- 1.08mg/L. So D-dimer level was significantly raised in COVIDpneumonic patient (P value = <0.001). The mean of ferritin(554.65 +/- 515.841)ng/ml for pneumonic patient was also highly significant than the mean(133.70 +/- 109.22)ng/ml of COVID without pneumonia. Conclusion:D-dimer and S. ferritin were elevated in patients with COVID-19. These two reliable biomarkers are correlate with the disease severity and useful for better management of COVIDpositive patients.
ABSTRACT
The pandemic COVID-19 is a highly infected disease caused by a novel coro-navirus or SARS-Cov-2. The virus was reported for the first time December 2019 in, China’s Wuhan province. Later the virus has broken down into the world and claimed millions of lives. In India, the disease was reported for the first time in Kerala on 30th January 2020. a cross-section one group pre-test & post-test research design was used among the 40 final year BSc nursing stu-dents, College of Nursing SGPGIMS, Lucknow India. Samples were selected based on purposive sampling technique and sample criteria. An instrument, the first tool included demographic characteristics Similarly, second instrument used for knowledge assessment. After pre-test assessment, a teaching session was held at the seminar room, college of nursing SGPGIMS Luc-know, India. Subsequently post assessment was held after intervention. A total of 40 participants responded to the study. Demographic variables like 30(75%) participants had less than 22 years of age, 22(55%) were girls, 14(35%) families income found INR 10000-15000, and the majority of participants obtained COVID-19 related knowledge from news paper16(40%). A gender was found significant with pretest knowledge, and other variables weren’t found significant (P=0.05). Knowledge mean & standard deviation in pre & post-intervention, 11.90±2.16 vs15.82±1.39. The mean difference was found in a pre-test & post-test-1 &post-test-2, 3.9, 5.02, & 1.1, respectively. The effectiveness of the training program was checked by paired t-test-10.20 &-13.93, P=0.00. The study revealed that the teaching session was efficient in the COVID-19 program among BSc nursing students.