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1.
Open Forum Infectious Diseases ; 9(Supplement 2):S778, 2022.
Article in English | EMBASE | ID: covidwho-2189970

ABSTRACT

Background. One of the primary issues affecting COVID-19 vaccine uptake in high-income countries is vaccine hesitancy, which is prevalent in people from different countries of origin. Characterizing vaccine uptake in immigrant and refugee populations in the US could provide a unique window into both local and global health behaviors. The goal of this project is to characterize Sudanese American perspectives on the COVID-19 vaccine. Methods. We conducted an anonymous, online, anonymous, cross-sectional survey directed toward Sudanese Americans, with survey development guided by principles from the Vaccine Examination Scale. The survey was distributed in both English and Arabic and included questions about vaccination history, motives for getting the vaccination, reasons for vaccine hesitancy, and barriers to vaccination. Fisher's exact tests were used to analyze evaluate possible associations between vaccine uptake and sources of information on the vaccine and social media use, respectively. Data analysis was conducted using STATA SE v17.0 (StataCorp, College Station, TX). Results. A total of 108 survey responses were received;4 were excluded for failing to meet inclusion criteria. A total of 92% received at least one dose of COVID-19 vaccine, with the primary motivation being to protect oneself (62%). Only 8 had not been vaccinated and, of those, 2 were willing to take the vaccine. Of the 6 unwilling to take the vaccine, the most cited reason was a belief that it had not been studied enough. Of the 14 possible hesitancy responses, 9 were selected at least once. When asked about their primary source of information on COVID-19, 44% used government websites, followed by mass media (22%), social media (12%) and health personnel (11%). Using Fisher's exact tests, no statistically significant conclusions were drawn between vaccine uptake and primary source of information (P = .097) or specific types of social media. Conclusion. Vaccine uptake among our survey population (92%) was much higher than that of the US (77%) or Sudanese population (11%). Overall motivators for vaccine hesitancy and vaccine uptake varied and no specific correlations were found to be associated to vaccine uptake. Future research should evaluate high levels of vaccine uptake in this community.

2.
European Psychiatry ; 65(Supplement 1):S497, 2022.
Article in English | EMBASE | ID: covidwho-2153991

ABSTRACT

Introduction: The COVID-19 pandemic brought unbearable psychological pressure to people worldwide, because of serious threats to one's physical health and life. From early stages of this pandemic, concerns have been raised about its effect on mental health. However, we still know little whether pre-existing psychiatric disorder (PD) affects the susceptibility and evolution of this infection. Objective(s): We aimed to assess the interactions between COVID- 19 infection and PD. Method(s): We conducted a litterature review through pubmed database, using the keywords :COVID 19, psychiatry, mental disorders, schizophrenia , anxiety , depression , insomnia. Result(s): On one hand, prior surveys suggested that the infection is associated with increased incidence of a first psychiatric symptom. Mental health disturbances mostly include anxiety, depression, sleep disturbances, cognitive impairment and posttraumatic stress disorder. On the other hand, recent studies showed that patients with pre-existing mental disorders were associated with high susceptibility to be infected, increased risk of intensive care unit admission and a high mortality. The susceptibility to contracting COVID-19 was associated with preexisting mood disorders, anxiety, and attention-deficit hyperactivity disorder. Infection severity was associated with preexisting or subsequent mood disorders and sleep disturbances;or a pre-extisting schizophrenia. Mortality is increased in patients diagnosed with schizophrenia. Conclusion(s): The complicated interactions between COVID-19 infection and PD have several implications. Enhanced psychiatric follow-up should be considered for survivors of COVID-19. Besides, early detection and intervention for PD are needed to control morbidity and mortality induced by the COVID-19 infection.

3.
European psychiatry : the journal of the Association of European Psychiatrists ; 65(Suppl 1):S497-S497, 2022.
Article in English | EuropePMC | ID: covidwho-2073897

ABSTRACT

Introduction The COVID-19 pandemic brought unbearable psychological pressure to people worldwide, because of serious threats to one’s physical health and life. From early stages of this pandemic, concerns have been raised about its effect on mental health. However, we still know little whether pre-existing psychiatric disorder (PD) affects the susceptibility and evolution of this infection. Objectives We aimed to assess the interactions between COVID-19 infection and PD. Methods We conducted a litterature review through pubmed database, using the keywords :«COVID 19», «psychiatry», «mental disorders», « schizophrenia », « anxiety », « depression », «insomnia». Results On one hand, prior surveys suggested that the infection is associated with increased incidence of a first psychiatric symptom. Mental health disturbances mostly include anxiety, depression, sleep disturbances, cognitive impairment and post-traumatic stress disorder. On the other hand, recent studies showed that patients with pre-existing mental disorders were associated with high susceptibility to be infected, increased risk of intensive care unit admission and a high mortality. The susceptibility to contracting COVID-19 was associated with pre-existing mood disorders, anxiety, and attention-deficit hyperactivity disorder. Infection severity was associated with pre-existing or subsequent mood disorders and sleep disturbances;or a pre-extisting schizophrenia. Mortality is increased in patients diagnosed with schizophrenia. Conclusions The complicated interactions between COVID-19 infection and PD have several implications. Enhanced psychiatric follow-up should be considered for survivors of COVID-19. Besides, early detection and intervention for PD are needed to control morbidity and mortality induced by the COVID-19 infection. Disclosure No significant relationships.

4.
5th Conference on Cloud and Internet of Things, CIoT 2022 ; : 108-113, 2022.
Article in English | Scopus | ID: covidwho-1874153

ABSTRACT

With the strain on healthcare infrastructure and healthcare workers due to the ongoing COVID'19 pandemic, the need for novel ways to simplify the interaction between patients and physicians has increased. The aim is mainly to reduce face-to-face interactions and free more time and resources for those who urgently need it. This paper presents a Telemedicine system which can be used as an alternative method to a doctor's visit. The proposed system is considered as an interface that remotely connects the patient and the doctor. The system regularly measures and uploads readings from the patient to a database which the doctor can remotely review to decide on the state of the patient. The whole system is based on the internet of medical things (IoMT). In the proposed system, sensors collect and send data over the internet using the WIFI module connected to a node MCU controller. The developed prototype uses two sensors, one is used to measure both the percentage of oxygen in the blood and heart rate while the other sensor measures the temperature of the human body. The aim of this work is to help patients, by offering them this solution which can help them get the care they require from the comfort of their home and at the same time help doctors remotely give them the suitable treatment while reducing the need for unnecessary face-to-face interactions. © 2022 IEEE.

5.
Annals of Surgical Oncology ; 29(SUPPL 2):538-538, 2022.
Article in English | Web of Science | ID: covidwho-1848251
6.
Kidney International Reports ; 7(2):S71, 2022.
Article in English | EMBASE | ID: covidwho-1709512

ABSTRACT

Introduction: Fasting during Ramadan from dawn to sunset is one of the 5 pillars of Islam. Islamic lunar calendar is 11 days shorter than the Gregorian solar calendar, so the start of Ramadan changes every year and hours spent on fasting vary from 12 hours in Australia, to 21 hours in Sweden, with most countries have 11-16 hours of fasting on average. Patients with certain medical illness are exempted from fasting, however, many such patients partake in fasting. 1,2The long hours of fasting may be a risk factor for AKI in certain populations. We assess AKI in Ramadan of 2021, where the weather was moderately hot. Methods: Demographics, comorbidities, treatment, and 4 weeks outcome data for all nephrology consultation for AKI in four public hospitals in Kuwait during Ramadan of 2021 (13/April to 12/May/2021) prospectively collected and analyzed. We compare AKI in people fasting prior to admission to non-fasting. Results: Total number of AKI cases during Ramadan was 158, 55% males, mean age 64, and 61% were Kuwaiti citizens. Community acquire cases were 15%. DM affected 75%, HTN 72%, and cardiac disease 25% of patients. Median baseline eGFR before AKI was 66.5. Baseline eGFR < 60 seen in 43%, and those compared to patients with eGFR > 60, had median baseline eGFR of 37.5 (vs 92), were older (69 vs 62), 87% had DM (vs 66%) and 87% had HTN (vs 61%). Cause of AKI was pre-renal / ischemic ATN in 69%, COVID-19 related in 17%. Many had more than one possible cause. IV fluids used in 76%, IV diuretics in 39%, IV vasopressors in 31%, and steroids in 21.5%. KRT needed in 27%. Volume overload and electrolytes / acid-base disorders were most common indication (21% and 19% respectively and 15% had more than one indication. Death within 30 days occurred in 11.4%. Of the total AKI cases, 24% were fasting before admission, with mean age of 56 (compared to 63 for non-fasting). No significant difference in baseline eGFR between fasting and non-fasting, nor in use of IV fluids, IV diuretics, or IV vasopressors. Dialysis needed in 21% of the fasting group, not significantly different from non-fasting group. Mortality rates were lower in the fasting group but not statistically significant (8% vs 12.5%). Conclusions: AKI affect both fasting and non-fasting population similarly, with no increased risk of need for dialysis or mortality. Conflict of interest Potential conflict of interest: This has been accepted for ASN Kidney Week 2021 ( Number 3600035 )

7.
Egyptian Journal of Chest Diseases and Tuberculosis ; 70(4):481-487, 2021.
Article in English | EMBASE | ID: covidwho-1553868

ABSTRACT

Introduction Coronaviruses are a large family of viruses that lead to diseases in animals or humans. Objective To assess clinical, radiological, and laboratory criteria, as well as treatment of patients hospitalized with coronavirus disease 2019, and the relation to radiological progression and hospital stay. Patients and methods This study was a prospective observational study conducted in an isolation sector in a private hospital in Saudi Arabia. Data were obtained from electronic records. Results A total of 30 patients were enrolled (24 males and six females), and their mean age was 51.2±15.05 years. The presenting symptoms were fever (83.3%), cough (33.3%), shortness of breathing (26.7%), body aches (16.7%), and sore throat (10%). Chest radiograph was abnormal in 76.6%. C-reactive protein (CRP) was high at 112.59±140±0.50 mg/l, and serum ferritin was 763.21±652.18 μg/l. Lactate dehydrogenase (LDH) was higher than normal at 312.86±161 U/l. Mean D-dimer was 0.97±1.11 μg/ml. international normalized ratio was 1.09±0.194. Fibrinogen was high at 575.32±220.08 mg/dl, and activated partial thromboplastin time was 37.94±17.46 s. There was a strong positive correlation between serum ferritin and temperature, LDH, and aspartate transaminase. CRP had a strong positive correlation with alanine transaminase, total leukocytic count, lymphocytes, and neutrophil/lymphocyte ratio. Hospital stay was positively correlated with ferritin. LDH was negatively correlated with lymphocytic count. The correlation between radiological course and laboratory follow-up was poor. Conclusion Coronavirus disease 2019 affects males more than females and is more in elderly. Fever is a common presenting symptom. Infection affects many blood indices, such as LDH, ferritin, CRP, and fibrinogen. Radiological course of the lesions is not affected by those blood indices, whereas hospital stay is affected. The outcome is favorable in most of the patients.

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