Dietary intake to help prevent COVID-19 implications: the devil is in the detail

One of the most frequent antecedents of mortality in world is coronavirus that proceeds multitude metabolic disorders and is consequence of damaged lungs that is ultimately caused by contagious infection and virus called coronavirus. It effects people of every age mostly dominating in child, aged, people who have already poor immune system and lungs related disorders. It has tremendous effects on body affecting physical, emotional, cognitive and intellectual abilities as well. It leads to various clinical moderate to severe complications including acute respiratory distress syndrome (ARDS), pneumonia, coughing up blood, persistent chest pain, fever, SOB (shortness of breath), coughing up sputum, chills, sore throat, respiratory sputum production (phlegm), loss of sense and smell, headache, muscle aches, rashes and diarrhea etc. One of the most imprudent factors examined in these patients is acute respiratory distress syndrome (ARDS) as well which refers to respiratory failure, a mechanism in which body is unable to respond normally sequentially results by high level of widespread inflammation in lungs. Penurious immune system which contributes to higher rate of mortality worldwide present strong association with COVID-19. Metabolic disturbances contribute to the development and progression of respiratory distress, as well as they have serious consequences in next stages of life that can have harmful effects on health. In this review we will discuss the pathophysiology as well as the signs and symptoms of COVID-19, the morbidities related to this disease and the treatment required controlling this disorder.

Challenges to delivering pediatric surgery services in the midst of COVID 19 crisis: experience from a tertiary care hospital of Pakistan.

Covid-19 pandemic has significantly challenged the healthcare delivery across the world. Surgery departments across the country responded to this challenge by halting all non-emergency procedures. This delay in diagnosis and management of surgical disease could result in significant mortality and morbidity among the most vulnerable population-the children. In this manuscript, we discuss the measures adopted as well as the challenges faced by the pediatric surgery department at Aga Khan University Hospital, Karachi (AKUH), Pakistan, which is a private, not-for-profit entity and providing optimum surgical care to the patients. We also underscore the need for global strategies for tackling such crisis.