Upper gastrointestinal bleeding during the COVID-19 pandemic' particularities of diagnosis and therapy

SARS-COV 2 recently caused a global pandemic, with the first case being reported in Romania in February 2020. Important restrictive measures were imposed, so that the addressability of patients to medical services decreased. Upper gastrointestinal bleeding had more severe forms of evolution at the time of presentation, which required additional methods of diagnosis and treatment. This is a retrospective study performed on 268 patients, which aims to evaluate the type and effectiveness of different treatment methods for upper gastrointestinal bleeding during the COVID 19 pandemic. Severity assessment was performed by measuring the Rockall score and additional methods of diagnosis. The association of COVID-19 with upper gastrointestinal bleeding can lead to much more severe outcomes for the patient, so treatment must be sustained and fast established. If the initial therapeutic methods fail, the other available therapeutic measures should be introduced progressively and without delay to achieve the best possible outcomes.

Perception of the changes in the marginal periodontium aspect in a group of young adults during the onset of the COVID-19 pandemic

Background and Aim: To determine the influence of the SARS-CoV 2 virus pandemic on periodontal status and to establish which factors are involved in these changes. Methods: Analysis of 50 questionnaires randomly distributed through the google forms program, with easy-to-follow graphics and processing of personal data while respecting confidentiality. The questionnaire included 30 questions with one or multiple answers and text boxes for individual completion. The questions were about oral hygiene and the gingival changes observed by participants in the first months after the pandemic broke out, including the lockdown period. Results: The average age of participants was between 20 and 30 years, most with higher education, from urban areas, 8.2% of them with pre-existing periodontal diseases but only 6.3% followed a periodontal treatment. 32.7% of participants tested positive for Sarcov2. The impairments of the marginal periodontium were observed by the increase with 9.6% (from 19.4% to 29%) of the gingival color changes, with 16.2% (from 16.1% to 32.3%) of the gingival volume, with 23% (from 51.6% to 74.2%) of gingival bleeding at tooth brushing and with 6.5% (from 0% to 6.5%) of dental mobility. Interest in oral health was modified by changing the frequency and the time of tooth brushing (less than 3 min increased with 8.2%), by reducing dental checks and halving specialized prophylaxis. 75% of the participants noticed an increase in stress during the pandemic, and 38.8% noticed a direct influence of the pandemic situation on their oral hygiene. Conclusions: The negative action of the SARS-CoV 2 virus is not limited to the direct one, the effects of the pandemic being felt in the field of oral health, having repercussions on the condition of periodontal tissues by influencing the measures of prophylaxis of these diseases.

Therapeutic and Psychological Challenges Treating Patients in a Covid Maternity

On pregnant patients, the SARS COV-2 infection can present a fulminant evolution, because of a small decrease in respiratory volumes and an exacerbation of the systemic inflammatory response. In addition to these pathophysiological mechanisms that cause systemic degradation, neuropsychiatric impairments should also be considered. These are frequently encountered as a result of the modification of the birth plan, the fact that in Romania positive patients with COVID cannot give birth in the maternity hospitals where they were treated before the infection. Another important factor is the deprivation of the newborn mother during hospitalization.A 26-year-old patient with a 30-week pregnancy and a confirmed SARS COV-2 infection two days ago is admitted to our clinic for deteriorating general condition and acute respiratory failure: dyspnea with orthopnea, tachypnea, decrease in oxygen saturation up to 69% in atmospheric air. During the hospitalization, the patient required intensive therapy with respiratory support in various non-invasive ventilation regimens. It is decided to terminate the pregnancy by emergency segmental-transverse cesarean section for acute fetal distress and severe form of SARS COV-2 infection.The patient's evolution was slowly favorable. The patient was discharged with the newborn after 25 days. As presented at the end of this article, the patient showed signs and symptoms of postpartum depression at the time of the 6-week postpartum evaluation, most likely with a mixed component, involving both SARS-COV-2 infection and the fact that the patient did not he was allowed to see the newborn during hospitalization © 2022. by the Author(s);licensee Mediterranean Journal of Clinical Psychology, Messina, Italy. This article is an open access article, licensed under a Creative Commons Attribution 4.0 Unported License