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1.
Journal of Datta Meghe Institute of Medical Sciences University ; 17(5):S60-S62, 2022.
Article in English | Scopus | ID: covidwho-2040167

ABSTRACT

May-Thurner syndrome (MTS) is also called Cockett syndrome or iliocaval syndrome is described as compression of the left iliofemoral vein by the right common iliac artery against the vertebral body. We present a rare case of MTS in a 31-year-old female in the left lower extremity complicated after COVID-19. Screening magnetic resonance imaging pelvis showed compression of left common iliac vein by right common iliac artery over L5 lumbar vertebra suggestive of MTS. Findings were confirmed by a lower limb computed tomography venogram. A high degree of clinical suspicion of COVID-19 post sequela is needed for early diagnosis in this era. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.

2.
Diabetic Medicine ; 39(SUPPL 1):84, 2022.
Article in English | EMBASE | ID: covidwho-1868624

ABSTRACT

Aim: There are multifactorial reasons for obesity. Depression and obesity are linked bidirectionally. When providing a weight management service, food and activity play an important role. However, during this pandemic, we found a significant increase in number of people with depression and obesity. We reviewed patients referred to tier 3 weight management service during the pandemic to understand the prevalence of depression in people with obesity. We also looked into baseline prevalence of depression in people with obesity in a primary care setting. Methods and analysis: There has been a 100% increase in referrals to tier 3 weight management service from January 2021 to June 2021. The prevalence of depression in this group of patients is around 59%. The general prevalence of depression in patients with obesity based on a study published in the British Journal of General Practice was 23%. Prevalence of depression among 502 people with obesity in a nearby general practice was around 10%. Weight and depression demonstrated a U-shaped relationship, with higher prevalence of depression observed among underweight and obese general practice patients. There was however no correlation between depression and body weight in people with morbid obesity. Conclusion: Approach to weight management in tier 3 weight management service should now focus more on management of depression. This pandemic has clearly revealed the close relationship between obesity and depression.

4.
Social Behavior Research & Health ; 5(2):760-772, 2021.
Article in English | GIM | ID: covidwho-1635554

ABSTRACT

Background: Severe Acute Respiratory Syndrome Coronavirus 2 (COVID-19) has affected over 250 million people globally and resulted in over 5 million deaths since it was first reported in November 2019.

5.
IEEE Access ; 2021.
Article in English | Scopus | ID: covidwho-1145222

ABSTRACT

Monitoring the safe social distancing then conducting efficient sterilization in potentially crowded public places are necessary but challenging especially during the COVID-19 pandemic. This work presents the 3D human space-based surveillance system enabling selective cleaning framework. To this end, the proposed AI-assisted perception techniques is deployed on Toyota Human Support Robot (HSR) equipped with autonomous navigation, Lidar, and RGBD vision sensor. The human density mapping represented as heatmap was constructed to identify areas with the level being likely the risks for interactions. The surveillance framework adopts the 3D human joints tracking technique and the accumulated asymmetrical Gaussian distribution scheme modeling the human location, size, and direction to quantify human density. The HSR generates the human density map as a grid-based heatmap to perform the safe human distance monitoring task while navigating autonomously inside the pre-built map. Then, the cleaning robot uses the levels of the generated heatmap to sterilize by the selective scheme. The experiment was tested in public places, including food court and wet market. The proposed framework performance analyzed with standard performance metrics in various map sizes spares about 19 % of the disinfection time and 15 % of the disinfection liquid usage, respectively. CCBY

6.
Indian Journal of Respiratory Care ; 10(1):4-9, 2021.
Article in English | Web of Science | ID: covidwho-1143687

ABSTRACT

COVID-19 disease caused by the SARS-CoV-2 virus affects almost all the organ systems of the body leading to multisystemic morbidities and typical complications hitherto unheard of in seasonal "flu" or SARS-CoV-1 epidemic. Acute life-threatening complications range from unabated pneumonia and respiratory failure to "cytokine release syndrome" or "cytokine storm," cardiovascular and cerebrovascular morbidities leading to multiorgan failure, followed by death. The prepathogenesis, pathogenesis, and the clinico-demographic characteristics of SARS-CoV-2 infection have shown a wide variation across different populations, geographical regions, race, and ethnicities. While there are some commonalities, there continues to be a lack of consensus on several aspects of this infection such as its natural history, infectivity, transmission, and its mutagenic strains. Further, newer aspects of the disease have continued to emerge with passing time since its first appearance in December 2019 in Wuhan, China. The initial case descriptions varied from asymptomatic to mild illness requiring minimal monitoring and support to severe COVID-19 disease requiring admission to intensive care facilities and a higher morbidity and mortality. Only subsequently it was recognized that even after the clinical recovery from illness, the infection may persist for a longer time, with continuing damage to some organ systems and sequelae that compromise the quality of life. These have been called the long-term complications or "chronic COVID" infection, and they may be noted even months after recovery from the acute form of disease. While thus far the global efforts have been rightfully directed at combating the acute illness in the pandemic and maximizing recovery, it is possible that we may soon be faced with the challenge of a "secondary pandemic" with a significant burden of chronic COVID and sequelae. This will be a strain on the palliative care, rehabilitative care, and domiciliary care network essentially supported by the primary health-care providers or first-contact physicians worldwide. This approach is in alignment with an emphasis that the WHO placed on the third clinical outcome indicator "functioning" in addition to the two indicators "cure" and "death." The present review discusses the pathophysiology, clinical aspects, and implications of long-term effects of SARS-CoV-2 infection. It is expected to help in sensitizing the health-care workers and policymakers for preparing adequately and timely for dealing with these effects.

7.
Learn Health Syst ; 5(1): e10234, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-1025095

ABSTRACT

INTRODUCTION: Organizational transformations have focused on creating and fulfilling value for customers, leveraging advanced technologies. Transforming public health (PH) faces an interesting challenge. The value created (preventive practices) to fulfill policy makers' desire to reduce healthcare costs is realized by several external partners with varying goals and is practiced by the public (value in use), which often places low priority on prevention. METHODS: This paper uses value lens to argue that PH transformation strategy must align the goals of all stakeholders involved. This may include allowing partners and the public to contextualize the preventive practices to see the value in near term and as relevant. It also means extending the number of partners PH uses and helping them connect with the public to seek shared alignment in shared goals of value fulfillment and value-in-use. RESULTS: Using lessons from Covid-19 and PH experience with partners in four different sectors: business, healthcare, public and community, the paper illustrates how PH transformation strategy can be implemented going forward. CONCLUSIONS: We conclude the paper with five distinct directions for future research to create and sustain value using the framework of learning health systems.

8.
Economic and Political Weekly ; 55(45):14-17, 2020.
Article in English | Scopus | ID: covidwho-952678

ABSTRACT

The first report of the Fifteenth Finance Commission has allayed many fears that arose after the notification of the terms of reference of the commission. The main report for the period 2021-22 to 2025-26 will have to factor in the devastating impact of COVID-19 on the economy and provide adequate fiscal space to the states for socio-economic response and recovery. © 2020 Economic and Political Weekly. All rights reserved.

9.
Learning Health Systems ; 2020.
Article | WHO COVID | ID: covidwho-665676

ABSTRACT

Introduction: Organizational transformations have focusedon creating and fulfilling value for customers, leveraging advanced technologies. Transforming public health (PH) faces an interesting challenge. The value created (preventive practices) to fulfill policy makers' desire to reduce healthcare costs is realized by several external partners with varying goals and is practiced by the public (value in use which often places low priority on prevention. Methods: This paper uses value lens to argue that PH transformation strategy must align the goals of all stakeholders involved. This may include allowing partners and the public to contextualize the preventive practices to see the value in near time and as relevant. It also means extending the number of partners PH uses and helping them connect with the public to seek shared alignment in shared goals of value fulfillment arid value-in-use. Results: Using lessons from Covid-19 and PH experience with partners in four different sectors: business, healthcare, public and community, the paper illustrates how PH transformation strategy can be implemented going forward. Results: Using lessons from Covid-19 and PH experience with partners in four different sectors: business, healthcare, public and community, the paper illustrates how PH transformation strategy can be implemented going forward. Conclusions: We conclude the paper with five distinct directions for future research to createand sustain value using the framework of learning health systems.

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