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1.
Pakistan Journal of Medical and Health Sciences ; 16(6):297-300, 2022.
Article in English | EMBASE | ID: covidwho-1939793

ABSTRACT

Objective: To determine patient concerns and anxiety regarding orthodontic treatment and appointments during COVID-19 Pandemic Methodology: After approval from Sharif Medical Research Center (SMRC) and the Ethics Committee of Sharif Medical City Hospital (SMCH), 247 orthodontic patients were selected from the Orthodontics Department of SMCH, Lahore, who had ongoing orthodontic treatment. The total duration of the study was two and a half months from 12th March to 30th May 2021. Data was analyzed by IBM SPSS version 25. Percentages of the responses in each domain of the questionnaire were calculated. Chi-square test, one-way ANOVA and Pearson’s correlation coefficient were applied where applicable to determine the significance of associations between different variables, with p<0.05 taken as significant. Results: Two hundred and forty seven patients were sent the questionnaire links, while 213 patients responded, out of which 132 were females and 81 were males, with mean age 22.81±2.93 years. Anxiety about the coronavirus pandemic ranged from 5.32 ±2.30. Patients were particularly concerned about the length of time it would take to complete their orthodontic treatment as a result of quarantine (55.9 percent). 5.68±2.15 was the mean anxiety level. Conclusion: The quarantine recommended due to the COVID-19 pandemic impacted orthodontic appointments and patients' anxieties and anxiety, since a statistically significant correlation was established between quarantine and coronavirus sentiments and orthodontic appointment willingness. Males were more willing to get braces than females. Delay in treatment end, bracket breaking, and growing malocclusion were patients' top concerns. Patients said the most critical precaution in orthodontics was changing the dentists' disposable lab coats after every visit to avoid cross-contamination.

2.
Rawal Medical Journal ; 47(2):262-264, 2022.
Article in English | EMBASE | ID: covidwho-1925316

ABSTRACT

Objective: To identify the current practice parameters and apprehensions of medical fraternity. Methodology: This cross sectional survey was conducted by using online Google forms. A total of 119 participants completed the form and were included in the analysis. Brief questionnaire constituted of nine questions to explore current crisis and future apprehensions about non-COVID-19 patients. SPSS version 23 was used for data analysis. Results: Among 119 participants, majority (77%) were from Pakistan. Medicine and allied were in the highest number (67%) followed by surgical colleagues (18%). Around 41% reported to close their clinical services during pandemic and 69% started providing online services, including those (36%) who were providing both i.e. face-to-face and online. A significant number of physicians (72%) believed that non-COVID patients were suffering these days and around (76%) apprehended that patient’s health may have deteriorated due to lack of care. Conclusion: Care of non-COVID patients has compromised and immediate actions are needed to halt further decline. A separate place of care for COVID-19 patients, utilization of technology, home visits and gradual opening of OPDs with strict SOP compliance is needed.

3.
Obstetrics and Gynecology ; 139(SUPPL 1):99S-100S, 2022.
Article in English | EMBASE | ID: covidwho-1925208

ABSTRACT

INTRODUCTION: Urinary tract infection (UTI) is responsible for 15% of all community-prescribed antibiotics. The effects of the pandemic on UTI treatment are largely unknown. We evaluated the impact of COVID-19 and telemedicine on empiric UTI treatment in women, hypothesizing that increased telemedicine during the pandemic would increase empiric UTI treatment. METHODS: This is a retrospective cohort study of treatment patterns of female patients aged 18-65 using ICD-10 codes for acute cystitis with and without hematuria during the first 6 months of the pandemic versus the preceding 6 months. Our primary outcome was empiric antibiotic treatment, defined by treatment based on clinical picture with/without pending urine testing. To reach 80% power, we included 222 patients. RESULTS: The average age of participants was 42. Fifty-two percent were White, 23% Black, and 23% Hispanic. No demographic differences existed between cohorts. During the pandemic, 36.6% of UTI encounters were conducted via telemedicine, compared to 1.5% pre-pandemic (P<.0001). The rate of empiric treatment increased from 58.2% pre-pandemic to 70.5% pandemic (P=.055). The rate of treatment based on clinical picture with no pending urine testing was significantly higher during the pandemic (P<.0001). Nitrofurantoin or trimethoprim/sulfamethoxazole was used in 79% of patients prescribed an antibiotic. The treatment adjustment rate was 17.1%. CONCLUSION: COVID-19 dramatically increased telemedicine utilization by women with UTI symptoms. Empiric treatment approached significance and confirmatory urine testing was done significantly less during the pandemic. Given the importance of antibiotic stewardship, it is important to further characterize telemedicine's impact on treatment of this common condition.

4.
Advances in Human Biology ; 12(1):22-26, 2022.
Article in English | Web of Science | ID: covidwho-1917944

ABSTRACT

Introduction: Platelet-rich fibrin (PRF) is a term for autologous platelet concentrates generated from the patient's own blood (PRF). PRF and its derivatives (L-PRF, A-PRF, i-PRF) have been used for delicate tissue restoration in a variety of dental procedures. The quantity of leucocytes and other growth factors in PRF of healthy and post-COVID-19 people differs, according to the literature, and these influence wound tissue healing. Materials and Methods: Thirty healthy volunteers and 30 post-COVID-19 volunteers (age range 24-60 years). For PRF preparation, a REMI PR-23 table centrifuge and a blood collection kit consisting of a 19G needle and 10 ml blood collection tubes were used. The analysis was performed by dividing the subject groups into three test groups (Group 1 - post-COVID-19, 0-30 days;Group 2 - post-COVID-19, 31-90 days;Group 3 - normal patients). Group 1, 2 and 3 consisted of 23, 7 and 30 patients, respectively. Results: The result was statistically significant between the normal and posted COVID-19 patient groups (P = 0.00). Not much statistical significance was found between post-COVID-19 patients from 0-30 days to 31-90 days (P = 0.370). Considering the limitations of the study, our findings imply that typical patients' PRF clots or membranes comprise the majority of platelets and half of the leucocytes present in the first blood collection. Conclusion: Within the fibrin network, platelet growth factors are stuck, but the PRF clot or membrane of the post-COVID-19 patients contains a reduced/negligible number of leucocytes. Thus, the growth factors which is released are also less. Therefore, usage of PRF in post-COVID-19 patients for periodontal regenerative therapies should be avoided, at least for the first 60 days, to replenish the reduced leucocyte count and growth factors in the blood.

5.
6.
Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research ; 25(7):S498-S498, 2022.
Article in English | EuropePMC | ID: covidwho-1904974
7.
Journal of Urology ; 207(SUPPL 5):e12, 2022.
Article in English | EMBASE | ID: covidwho-1886478

ABSTRACT

INTRODUCTION AND OBJECTIVE: Urinary tract infection (UTI), one of the most common reasons women seek acute care, is responsible for 15% of all community-prescribed antibiotics. The effects of the pandemic and telemedicine on UTI treatment are largely unknown. Here, we evaluated the impact of Covid-19 and telemedicine on empiric UTI treatment in women. We hypothesized that increased use of telemedicine during the pandemic would increase the rate of empiric UTI treatment. METHODS: This is a retrospective cohort study of treatment patterns of female patients aged 18-65 using ICD-10 codes for acute cystitis with (N30.00) and without (N30.01) hematuria during the first 6 months of the pandemic (March 2020 - August 2020) versus the 6 months preceding the pandemic (September 2019 - February 2020). Our primary outcome was presence of empiric antibiotic treatment, defined by treatment based on clinical picture with or without pending urine testing. Secondary analysis included determining which antibiotics were most commonly prescribed and treatment adjustment. To reach 80% power to detect a 10% difference with p≤0.05, we included 222 patients. Exclusion criteria included inpatient encounter, long-term facility residence, urinary procedure in last 2 weeks, previous UTI treatment within 30 days. RESULTS: The average age of participants was 42 years. Fiftytwo percent were white, 23% Black, and 23% Hispanic. No demographic differences existed between cohorts. During the pandemic, 36.6% of UTI encounters were conducted via telemedicine, compared to 1.5% pre-pandemic (p<.0001). The rate of empiric treatment increased from 58.2% pre-pandemic to 70.5% during the pandemic (p=.055). The rate of treatment based on clinical picture with no pending urine testing was significantly higher during the pandemic (p<.0001). Nitrofurantoin or trimethoprim/ sulfamethoxazole was used in 79% of patients prescribed an antibiotic. The overall rate of treatment adjustment was 17.1%;there was no significant difference by time period. CONCLUSIONS: Covid-19 dramatically increased telemedicine utilization by women with UTI symptoms. Empiric treatment approached significance and confirmatory urine testing was done significantly less during the pandemic. Given the importance of antibiotic stewardship, it is important to further characterize telemedicine's impact on treatment of this common condition. (Table Presented).

8.
Alexandria Engineering Journal ; 61(12):9661-9671, 2022.
Article in English | Web of Science | ID: covidwho-1885580

ABSTRACT

In this paper, we introduce a new class of statistical models to deal with the data sets in the sports and health sectors. The new class is called, a novel exponent power-Y (NovEP-Y) family of distributions. By implementing the NovEP-Y approach, a new model, namely, a novel exponent power-Weibull (NovEP-Weibull) distribution is introduced. Some distributional properties of the NovEP-Y family such as identifiability, order statistics, quantile function, and moments are obtained. The maximum likelihood estimators of the parameters are also derived. Furthermore, a brief Monto Carlo simulation study is conducted to evaluate the performances of the estimators. To show the applicability of the NovEP-Weibull model, two data sets from the sports and health sciences are considered. The first data set represents the time-to-even data collected from different football matches during the period 1964-2018. Whereas, the second data set is taken from the health sector, representing the survival times of the COVID-19 infected patients. Based on some well-known statistical tests, it is observed that the NovEP-Weibull model is a very competitive dis-tribution for modeling the data sets in the sports and health sectors. (c) 2022 THE AUTHORS. Published by Elsevier BV on behalf of Faculty of Engineering, Alexandria University This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/ licenses/by-nc-nd/4.0/).

9.
Arab Gulf Journal of Scientific Research ; 39(Special Issue):37-47, 2021.
Article in English | Scopus | ID: covidwho-1857348

ABSTRACT

Introduction: Hand Hygiene is the cheapest, easiest and the single most effective measure to reduce cross-transmission of infection from one patient to another and from the healthcare workers to patients and vice versa. Multiple studies have shown a decrease in healthcare-associated infections (HCAIs) rates after improvement in hand-hygiene compliance. Despite being the simplest procedure adherence to the hand hygiene recommendations remains well below 50% and healthcare workers repeatedly observed as being poor compliers. Objective: This study was planned to access the impact of covid-19 pandemic on the compliance of infection control practices at a tertiary health care centre in India. Methods: Institution-based cross-sectional study was used to assess the impact of covid-19 pandemic on attitude, knowledge and on the compliance of hand hygiene practices at a tertiary health care centre in India. Results: A marked difference was observed in the availability of resources for hand hygiene i.e., 48 (96%) locations and the display of instructions for hand hygiene 50 (100%). A significant difference was also observed among the knowledge of the steps of hand hygiene {2019: 16(32%;2020: 33 (66%)} and of the moments of hand hygiene {2019: 27 (54%);2020;44 (88%)}. (ϰ2 = 79.2, df =1, p = 0). In 2020 (during COVID-19 pandemic) a significant increase in compliance was noted in most of the departments with highest compliance rate of ICUs (100%), followed by OTs (91.7%), paediatrics (95.8%) obstetrics and gynaecology (90.6%), surgery (86.5%), blood bank and laboratories (85.7%). However, unlike the other parameters, the compliance of hand hygiene during the previous year (2019) and during 2020 (COVID-19 pandemic, was poor with no significant difference in compliance of hand hygiene practices even during the pandemic. Of all the 5 moments suggested by WHO, maximum compliance (36% in 2019 and 60% in 2020 pandemic) was after body fluid exposure. Conclusions: Hand Hygiene should be made a national priority. Active involvement by healthcare administrators, national and local governments should be committed to make hand hygiene a mandate for patient safety. Accessibility to hand hygiene products like soap and water and/or alcohol-based hand rubs and written and verbal reminders to staff are essential to improve the compliance of hand hygiene. Thrust should also be given to hand hygiene as a research subject. © 2021, Arabian Gulf University. All rights reserved.

10.
Pakistan Journal of Medical and Health Sciences ; 16(3):188-189, 2022.
Article in English | EMBASE | ID: covidwho-1856775

ABSTRACT

Aim: To evaluate the safety and success of facial artery ligation alone in arteriovenous malformation of upper lip in non-affording patients. Methodology: This prospective study was conducted at Department of Plastic surgery, on 11 consecutive patients with recurrent upper lip arteriovenous malformation who couldn’t afford angioembolization and frequent hospital visits for staged procedures. We did debulking of lesion after facial artery ligation and cosmetic lip correction. Results: Total 11 patients (9 males and 2 females) were included in this study. Majority of patients showed satisfactory results with facial artery ligation alone. One patient lost the follow up. No significant complication was noted in any patient. No recurrence was noted at 6 months and 1 year follow-up. Patient satisfaction rate remained 8.6±0.96 as per VAC. Conclusion: facial artery ligation alone provides an easy and approachable option for arteriovenous malformation where cost affordability for angioemboization and repeated hospital visits are main limitations.

11.
Pakistan Journal of Medical and Health Sciences ; 16(3):255-257, 2022.
Article in English | EMBASE | ID: covidwho-1819181

ABSTRACT

Objective: This study was conducted to determine the level of student's satisfaction with online teaching during the COVID-19 pandemic. Methodology: The study was conducted in Sharif Medical and Dental College, Lahore from 10th June to 10th July 2020. It was a cross-sectional survey in which MBBS and BDS students were consecutively enrolled in the study. An online survey was carried out after the completion of 6 weeks of online classes through the Zoom application. A self-designed questionnaire based on a 5-point Likert scale was given to the students to grade the effectiveness of learning through e-classes and their satisfaction level on various parameters. On the Likert scale, 1 & 2 were taken as highly dissatisfied (strongly disagree, & disagree) and 4 & 5 being satisfied (strongly agree, & agree) and 3 was considered as uncertain. Percentages of the respondents in each domain of the questionnaire were calculated. Results: Out of 470 participants, only 72(15.32%) students already had an experience of e-classes. Among the study participants, 327(69.57%) were of MBBS and 143(30.43%) were of BDS. The majority of the students 291(61.91%) were not satisfied with online classes, 99(21.06%) of students were uncertain and only 80(17.02%) of the students were satisfied. Conclusion: The majority of the students 291(61.91%) were not satisfied with online classes in terms of learning environment, technological characteristics, and course management.

12.
12th IEEE Annual Ubiquitous Computing, Electronics and Mobile Communication Conference (UEMCON) ; : 402-406, 2021.
Article in English | Web of Science | ID: covidwho-1816486

ABSTRACT

Technology in the unmanned aerial vehicle (UAV) can solve many emergency problems in civilian and military sectors by doing the proper implementation [1]. However, this is not commercially used on large scale till now in many countries because of many security factors. Proper implementation of the drone can utilize the problem of emergency medical goods delivery on inaccessible roads, quick surveillance for military and government law enforcement agencies, and much more Traditional transportation infrastructure might be affected in the same way by delivery drones. This paper is about a new drone model With the suggested design of a drone, multipurpose work including emergency delivery and surveillance network will facilitate more time efficiency and much more economical to potentially save lives. Moreover, in the current COVID-19 pandemic situation, it will be very helpful to supply medicine and goods to the lockdown areas.

13.
PubMed; 2020.
Preprint in English | PubMed | ID: ppcovidwho-333636

ABSTRACT

IMPORTANCE: Deaths among patients with coronavirus disease 2019 (COVID-19) are partially attributed to venous thromboembolism and arterial thromboses. Anticoagulants prevent thrombosis formation, possess anti-inflammatory and anti-viral properties, and may be particularly effective for treating patients with COVID-19. OBJECTIVE: To evaluate whether initiation of prophylactic anticoagulation within 24 hours of admission is associated with decreased risk of death among patients hospitalized with COVID-19. DESIGN: Observational cohort study. SETTING: Nationwide cohort of patients receiving care in the Department of Veterans Affairs, the largest integrated healthcare system in the United States. PARTICIPANTS: All patients hospitalized with laboratory-confirmed SARS-CoV-2 infection March 1 to July 31, 2020, without a history of therapeutic anticoagulation. EXPOSURES: Prophylactic doses of subcutaneous heparin, low-molecular-weight heparin, or direct oral anticoagulants. MAIN OUTCOMES AND MEASURES: 30-day mortality. Secondary outcomes: inpatient mortality and initiating therapeutic anticoagulation. RESULTS: Of 4,297 patients hospitalized with COVID-19, 3,627 (84.4%) received prophylactic anticoagulation within 24 hours of admission. More than 99% (n=3,600) received subcutaneous heparin or enoxaparin. We observed 622 deaths within 30 days of admission, 513 among those who received prophylactic anticoagulation. Most deaths (510/622, 82%) occurred during hospitalization. In inverse probability of treatment weighted analyses, cumulative adjusted incidence of mortality at 30 days was 14.3% (95% CI 13.1-15.5) among those receiving prophylactic anticoagulation and 18.7% (95% CI 15.1-22.9) among those who did not. Compared to patients who did not receive prophylactic anticoagulation, those who did had a 27% decreased risk for 30-day mortality (HR 0.73, 95% CI 0.66-0.81). Similar associations were found for inpatient mortality and initiating therapeutic anticoagulation. Quantitative bias analysis demonstrated that results were robust to unmeasured confounding (e-value lower 95% CI 1.77). Results persisted in a number of sensitivity analyses. CONCLUSIONS AND RELEVANCE: Early initiation of prophylactic anticoagulation among patients hospitalized with COVID-19 was associated with a decreased risk of mortality. These findings provide strong real-world evidence to support guidelines recommending the use of prophylactic anticoagulation as initial therapy for COVID-19 patients upon hospital admission.

14.
Pakistan Journal of Medical and Health Sciences ; 16(3):190-192, 2022.
Article in English | EMBASE | ID: covidwho-1798524

ABSTRACT

Aim: To evaluate existing practice recommendations in the event of a COVID-19 pandemic and to develop future pandemic strategies. Methods: In the context of COVID-19, a review of surgical societies' and government agencies' websites, as well as current literature, was done to discover recommendations for plastic surgery operations. Our plastic surgery problems have been divided into four areas, with guidelines developed for each. Results: This pandemic demands modification in clinical practice and transformations are recommended in outpatients and perioperative settings to minimize the potential risk of disease transmission. Prioritization methods, operating room atmosphere, health care personnel safety, and preoperative patient evaluation are all covered by consensus standards for Plastic and Reconstructive Surgery. Operation theatre should be modified to minimize the disease transmission. PPE use is marked critical for all health care personals working in emergency settings. Preoperative assessment should be a critical component of management strategy. Conclusion: Since COVID-19 is predicted to resurface, doctors must weigh the risks and benefits of each operation in relation to essential patient care, COVID-19 spread reduction, and health-care worker safety. The plastic surgeon will be guided by scientific evidence-based standards that include conscious decision-making in emergency and non-urgent patients, OR changes, PPE usage, and preoperative screening tools.

15.
Cmc-Computers Materials & Continua ; 71(3):5911-5931, 2022.
Article in English | Web of Science | ID: covidwho-1772176

ABSTRACT

Progress in understanding multisensory integration in human have suggested researchers that the integration may result into the enhancement or depression of incoming signals. It is evident based on different psychological and behavioral experiments that stimuli coming from different perceptual modalities at the same time or from the same place, the signal having more strength under the influence of emotions effects the response accordingly. Current research inmultisensory integration has not studied the effect of emotions despite its significance and natural influence in multisensory enhancement or depression. Therefore, there is a need to integrate the emotional state of the agent with incoming stimuli for signal enhancement or depression. In this study, two different neural network-based learning algorithms have been employed to learn the impact of emotions on signal enhancement or depression. It was observed that the performance of a proposed system for multisensory integration increases when emotion features were present during enhancement or depression of multisensory signals.

16.
Open Forum Infectious Diseases ; 8(SUPPL 1):S113-S114, 2021.
Article in English | EMBASE | ID: covidwho-1746760

ABSTRACT

Background. Households are important for SARS-CoV-2 transmission due to close proximity in enclosed living spaces over long durations. Using contact tracing, the secondary attack rate in households is estimated at 18-20%, yet no studies have examined COVID-19 clustering within households, an important measure to inform testing and prevention. We sought to quantify and characterize household clustering of COVID-19 cases in Fulton County, Georgia. Methods. We used state surveillance data to identify all PCR- or antigen-confirmed cases of COVID-19 in Fulton County. Clustered cases were defined as cases with matching street address, including unit number. Communal places (e.g., nursing homes, correctional facilities) were excluded, as were apartments missing unit number. Household clusters were defined as ≥2 COVID-19 cases at the same residential address with positive sample collection dates within 14 days of one another. We described proportion of COVID-19 cases that were clustered, stratified by age, sex, and race/ethnicity over time. Results. There were 60,614 COVID-19 cases with available address reported in Fulton County during 6/1/20-4/30/21. Of these, 25,149 (41.6%) had an address that matched at least one other case;20,793 (34.3%) were from 8,582 household clusters with positive sample collection dates within 14 days (Fig 1). Majority of clusters had 2 individuals (N=6119, 71%), though some had ≥6 individuals (N=79, 0.9%). Clustering increased through January 2021 (Fig 2). Children were more likely to be in household clusters (Fig 4) and 15% of clusters had a child as first diagnosed case with increases since January 2021 (Fig 3). Consistently higher clustering was observed among Hispanic persons, with rising clustering among Asian persons (Fig 5). Conclusion. One-third of COVID-19 cases in Fulton County were part of a household cluster. The higher proportion of children in household clusters likely reflects higher probability of living in a home with an adult caregiver. Higher household clustering among Hispanic and Asian persons, regardless of age, may reflect larger households (supported by census data) or increased exposures outside the house. Timely testing for household members to prevent ongoing transmission remains essential.

17.
EuropePMC; 2022.
Preprint in English | EuropePMC | ID: ppcovidwho-330329

ABSTRACT

Introduction Shared characteristics between COVID-19 and pulmonary fibrosis, including symptoms, genetic architecture, and circulating biomarkers, suggests interstitial lung disease (ILD) development may be associated with SARS-CoV-2 infection. Methods The UKILD Post-COVID study planned interim analysis was designed to stratify risk groups and estimate the prevalence of Post-COVID Interstitial Lung Damage (ILDam) using the Post-HOSPitalisation COVID-19 (PHOSP-COVID) Study. Demographics, radiological patterns and missing data were assessed descriptively. Bayes binomial regression was used to estimate the risk ratio of persistent lung damage >10% involvement in linked, clinically indicated CT scans. Indexing thresholds of percent predicted DLco, chest X-ray findings and severity of admission were used to generate risk strata. Number of cases within strata were used to estimate the amount of suspected Post-COVID ILDam. Results A total 3702 people were included in the UKILD interim cohort, 2406 completed an early follow-up research visit within 240 days of discharge and 1296 had follow-up through routine clinical review. We linked the cohort to 87 clinically indicated CTs with visually scored radiological patterns (median 119 days;interquartile range 83 to 155, max 240), of which 74 people had ILDam. ILDam was associated with abnormal chest X-ray (RR 1.21 95%CrI 1.05;1.40), percent predicted DLco<80% (RR 1.25 95%CrI 1.00;1.56) and severe admission (RR 1.27 95%CrI 1.07;1.55). A risk index based on these features suggested 6.9% of the interim cohort had moderate to very-high risk of Post-COVID ILDam. Comparable radiological patterns were observed in repeat scans >90 days in a subset of participants. Conclusion These interim data highlight that ILDam was not uncommon in clinically indicated thoracic CT up to 8 months following SARS-CoV-2 hospitalisation. Whether the ILDam will progress to ILD is currently unknown, however health services should radiologically and physiologically monitor individuals who have Post-COVID ILDam risk factors.

18.
Bangladesh Journal of Infectious Diseases ; 8(1):42-49, 2021.
Article in English | CAB Abstracts | ID: covidwho-1725361

ABSTRACT

Globally, millions of documented SARS-CoV-2 infections with hundreds of thousands of deaths already reported. The majority of the fatal events have been reported in adults older than 70 years and those who have multiple co-morbidities. Despite the misery fatality of the virus, a significant number of peoples recovered from critical conditions also. Mild cases improved significantly with symptomatic management with strict maintenance of isolation. Therefore, many people believed that COVID-19 is a short-term illness, mild cases recovered completely within 2 weeks and severe or critical illness may require 3-6 weeks for complete recovery. However, the latest issue coming forward is delayed recovery in the surviving patients from severe or moderate COVID presenting with multisystem complications. We reported two cases of post COVID complications, newly named as "long COVID syndrome". We described the common symptoms two patients experienced following recovery from acute phase of COVID-19 and how they were managed. We also discussed on the pathogenesis and management plan of common symptoms persisting after recovery of COVID-19.

19.
International Journal of Infectious Diseases ; 116:S102-S103, 2022.
Article in English | PMC | ID: covidwho-1720063
20.
International Journal of Learning, Teaching and Educational Research ; 21(1):127-139, 2022.
Article in English | Scopus | ID: covidwho-1702782

ABSTRACT

In the current COVID-19 crisis, teaching is difficult. The demands from students, parents, the government, and school administrators may be overwhelming. Many Malaysian teachers are experiencing growing mental strain, and they are reluctant to seek help due to social stigma. This quantitative study explored the impact of coworker and supervisor support on stress among primary and secondary school teachers in Malaysia. In addition, the study examined the spill-over impact of stress on teachers’ turnover intention. A sample of 250 Malaysian school teachers completed a questionnaire. The data were analysed using correlation and regression analyses. Results re-emphasized the positive impact of coworker support on reducing teachers’ stress, but not supervisor support. Furthermore, it was found that teacher stress was linked to a higher likelihood of turnover. Therefore, it is important for school administrators and policymakers to strengthen the role of coworkers in reducing stress among Malaysian school teachers. ©Authors

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