ABSTRACT
When the impact of the larger context of a pandemic threatens to overwhelm the individual's grief experience, maladaptation in bereavement would be a likely outcome. People affected by non-COVID-19 dying and deaths are at risk of disenfranchised grief, in addition to the multiple demands and stressors that stretch their ability to cope. The COVID-19 pandemic is unprecedented. It brought with it multiple demands and stressors, that could challenge the pre-loss meaning structures of the bereaved, causing a dissonance that would drive the bereaved in a search for meaning. Health and community care professionals should focus on mitigating the risk of maladaptive grief contributed by the pandemic situation, by recognising the patient and the family as a unit of care, attempting to be the conduit to enable the participation of family members throughout the illness trajectory of their loved ones. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
We report an interesting case of an indeterminate MTB QuantiFERON for a 26-year-old healthy soldier planned for a routine field exercise to Brunei. Further medical history revealed that the patient had a Moderna mRNA Covid-19 vaccine the day before his MTB QuantiFERON test. The patient was subsequently asked to repeat a T-spot test which was non-reactive, there were no longer any issues with the positive control for the T-spot test. Current Covid-19 research suggests that infection causes a dysregulation of the immune system, perhaps this might also be extrapolated where a Covid-19 vaccine might provoke an immune response which might interfere with some immunological assays. In summary there should be more research invested into the immunological interactions that the newly developed Covid-19 vaccinations have with our existing immunological tests such as QuantiFERON tests which forms a key cornerstone in our fight against tuberculosis.
Subject(s)
2019-nCoV Vaccine mRNA-1273 , COVID-19 , Tuberculin Test , Tuberculosis, Lymph Node , 2019-nCoV Vaccine mRNA-1273/administration & dosage , 2019-nCoV Vaccine mRNA-1273/adverse effects , Adult , COVID-19/prevention & control , False Negative Reactions , Humans , Mycobacterium tuberculosis , Tuberculosis, Lymph Node/diagnosis , VaccinationABSTRACT
This Covid-19 pandemic has been a trying time for all countries, governments, societies, and individuals. The physical, social, and organizational infrastructure of healthcare systems across the world is being stressed. This pandemic has highlighted that the healthcare of the country is as strong as its weakest link and that no aspect of life, be it social or economic, is spared from this pandemic. The authors would like to highlight some of the lessons learned from Singapores management of the Covid-19 pandemic. During the Singaporean Covid-19 pandemic, public health policy planning was all encompassing in its coverage, involving various stakeholders in government and society. The important role of individuals, governments, industry, and primary healthcare practitioners when tackling COVID-19 are highlighted. Singapores management of the Covid-19 pandemic involved an approach that involved the whole of society, with a particular focus on supporting the vulnerable foreign worker population, which formed the majority of Covid-19 cases in the country. Hopefully amidst the trying times, valuable lessons are learnt that will be etched into medical history and collective memory. We hope to highlight these lessons for future generations, both for members of the public and fellow healthcare practitioners.