ABSTRACT
An unplanned shift into educational sector, from physical education to virtual, online education has been caused by the COVID-19 pandemic. Within no time, the passionate educators and learners sought the support of e-Learning where teaching is being done through remote, digital platforms. In this paper, an approach pursued by us has been presented that was used for delivering the enhanced online engineering education to our students in the period of COVID-19 pandemic. Through use of technologies such as GoTo Webinar tool, Udemy online learning platform and the LearniCo student mobile application, the approach has achieved a soothed quality education delivery The approach has demonstrated a touch of personalized and on-demand learning with improved engagement of the online attendees. This approach has generated promising statistics about the learning inclination, understanding levels and adaption rate percentage by the online attendees including their reviews and feedbacks. The motivating statistics of the students embracing to this approach has been the proof of its impact. © 2022, Rajarambapu Institute Of Technology. All rights reserved.
ABSTRACT
Invasive fungal co-infections with COVID-19 are currently being reported at an alarming rate. Our study explores the importance of early identification of the disease, probable etiopathogenesis, clinical and radiological features and a treatment protocol for COVID-19 Associated Fungal Osteomyelitis of Jaws and Sinuses (CAFOJS). A one-year prospective study from June 2020 to May 2021 was conducted among CAFOJS diagnosed patients at a tertiary care center in South India. Demographic details, COVID-19 infection and treatment history, time taken for initiation of symptoms after COVID-19 diagnosis, medical history and clinical features were recorded. All patients were managed with a standard diagnostic and intervention protocol which included pre-operative and post-operative administration of Inj. Amphotericin B 50 mg (liposomal), early aggressive surgical debridement and tab. Posaconazole GR 300 mg OD for 90 days after discharge. Thirty-nine (78%) patients were diagnosed with CAFOJS out of 50 osteomyelitis patients. 35 patients (90%) were diabetic and 21 patients (54%) were known to receive steroids during the COVID-19 treatment. Sole existence of Mucorales spp. was seen in 30 patients (77%), Aspergillus fumigatus in 2 patients (5%), Curvularia spp. in 2 patients (5%). Concomitant existence of Mucorales and Aspergillus fumigatus was reported in two patients (5%) and Candida albicans in three patients (8%). Patients underwent treatment with standard protocol and no recurrence noted. CAFOJS is a clinical entity with aggressive presentation and warrants early diagnosis and treatment. LAY SUMMARY: Invasive fungal infections of head and neck region cause necrosis of bones affected by it, especially maxilla. Early diagnosis and treatment are advocated in such infections due to its aggressive clinical presentation compared to similar infections before COVID-19 pandemic.