ABSTRACT
Children curiosity for exploring their surrounding environment make them prone to foreign body (FB) ingestion which may lead to injuries and surgical intervention. COVID pandemic and national lockdown has impacted children's normal environment in addition to the changes in the health care system provision. The aim was to determine if the pandemic had a direct impact on the number and management of FB ingestion cases. Method All patients who were referred to our institution with diagnosis of FB from March 2020 to December 2020 were included. They were compared with FB referral during the period March-Dec 2019 as a control. Data included patients' demographics time to presentation type of FB ingested and management approach. Results There was a total of 30 patients with diagnosis of gastrointestinal FB during the study period as compared to 12 patients during the control periods. Thus during the COVID pandemic there was 2.5 times rise in number of cases. The mean age at presentation was 6.4 years during the study period as compared to 4.6 years in the control group. Timing of presentation varied from 0 to 57 days during the COVID pandemic as compared to control group who presented within 24hr except one who presented after 48hr.The most common foreign bodies encountered during the pandemic were button batteries (12) magnets (7) coins (5), other sharp and metallic objects (6). Two third (67%) of patients in the study period required surgical intervention as compared to one third (33%) during the control period. Most common site of impaction was stomach (40%) followed by oesophagus (36.6%). Conclusion The total number of children diagnosed with FB ingestion had significantly increased during the COVID pandemic. Public campaigns should be focused on raising awareness about the danger and medical emergency as a result of FB ingestion.
ABSTRACT
Objectives: SARS COVID-19 was associated with thrombosis and vascular events, also associated with liver injuries but data and study of liver pathologies in relation to COVID-19 is scarce. The aim of this study was to evaluate the incidence of pyogenic liver abscess in patients with history of COVID-19. Materials and Methods: A current retrospective observational study is done during study period of 6 months (march 2021-august 2021) duration on patients diagnosed with pyogenic liver abscess on ultrasound or computed tomography, which was conformed with pus culture sensitivity reports from fluid obtained with fine needle aspiration or during pigtail catheter insertion. History of COVID-19 and incidence of pyogenic liver abscess was evaluated according to age, gender, comorbidities, severity of covid19. Results: Total 78 patients with pyogenic liver abscess History of COVID-19 in 64 patients 27 males, 37 females Age wise distribution< 20 = 9,20-40 = 8,40-60 = 22, 60-80 = 19, >80 = 6 13 patients were diabetics, 24 patients were hypertensive. Distribution according to severity of COVID-19, asymptomatic = 23, mild illness = 11, moderate illness = 19, severe illness = 8, critical illness = 3. Conclusion: The study concluded that high incidence rate of pyogenic liver abscess in post COVID-19 infection which may require further study.
ABSTRACT
In the past decade, the world has seen rapid advancements in the field of healthcare services due to the state of the arts in technologies. Several real-time health monitoring applications and products are designed to assist the human to take the timely precautionary measures to avoid the unseen abnormalities. However, current healthcare monitoring infrastructures are not ready to provide efficient health services during the sudden and unknown pandemic situations such as COVID-19. The COVID-19 started in the later part of 2019, rapidly spread across the countries and labeled as a pandemic in the very early part of the 2020. Several people died due to the lack of the healthcare infrastructure and lack of access to health facilities. This book chapter explores the various technologies such as augmented reality, connected e-health along with the time series analysis of COVID-19 waves in India to know the implication of COVID-19 on society for a social good. © 2022, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.