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1.
JACCP Journal of the American College of Clinical Pharmacy ; 5(7):779, 2022.
Article in English | EMBASE | ID: covidwho-2003611

ABSTRACT

Service or Program: The number of COVID-19 infections have increased dramatically since March 2020 in Qatar. Measures have been taken to minimize the risk of exposure to COVID-19 including medication home delivery by postal service and by using telemedicine at The Mental Health Service (MHS), a tertiary care hospital in Qatar. In order to continue patients' access to care during the pandemic, the Medication Therapy Management (MTM) clinic at MHS would like to utilize clinical pharmacists to offer patient counseling, medication reviews, and develop medication action plans with the patients via telepharmacy. Justification/Documentation: Patients for whom counseling is essential to ensure positive outcomes of therapy were identified;patients on lithium or clozapine (phase 1), patient on newly prescribed psychotropics or on antipsychotic polypharmacy (phase 2), females on valproate in childbearing age (phase 3). The aim of this quality improvement (QI) project was to improve the number of patients currently receiving MTM service from baseline (90) by 20% by September 2020, 50% by December 2020 and 80% by March 2021. Outcome measure included percentage increase in patients from baseline who are receiving telepharmacy service, process measures included the percentage compliance of filling the Moresky Medication Adherence Scale-4 by the pharmacist, the percentage of referrals to other MHS services, balance measures were patient/caregivers and staff satisfaction. The improvement in outcome measure was successfully achieved in each phase;phase 1 - 28%, phase 2 - 82%, phase 3 - 127%. QI tools were used as appropriate. Adaptability: This service was intended to be provided by clinical pharmacists to adult patients registered under MHS. Similar service can easily be adapted to another setting by clinical pharmacists using comparable strategies and measures. Significance: The lessons learnt from this QI project will help in increasing patients' access to care, promote better utilization of resources, and allow better communication and management of patients.

2.
Pakistan Journal of Medical and Health Sciences ; 16(3):560-563, 2022.
Article in English | EMBASE | ID: covidwho-1822797

ABSTRACT

Objectives: The study aimed to examine COVID-19 knowledge among the general public in Pakistan, to review their attitudes and views regarding the fast epidemic. Study Design: Descriptive cross-sectional study. Duration of Study: June-July 2020. Methodology: A total of 679 respondents included. The questionnaires comprised of the following basic themes: basic demography, general & basic clinical/medical knowledge, attitudes, awareness, perceptions as well as a sense of prevention regarding COVID-19. Results: The majority (75.5%) of the respondents were from Punjab province. Around half (54.5%) of the respondents had heard about the COVID-19 infection through different social media. The majority were 28.4% medical students. The majority of the respondents (80-95%) selected correct answers from the given choices for the questions related to some clinical knowledge. More than half of people (59-64%) think positively that COVID-19 will successfully be controlled and Pakistan will be successful in winning this battle of the pandemic. 61% were afraid of COVID-19 as it is highly contagious disease (37.7%). Around 60% always covered their noses and mouths while sneezing and coughing. Conclusion: The people must have a thorough understanding of COVID-19 to successfully execute COVID-19 prevention strategies. Although we found enough knowledge, favorable perspectives, and readiness to follow SOPs, we believe that additional preventative and cautious attitudes, as well as awareness, are needed.

3.
Muscles, Ligaments and Tendons Journal ; 12(1):9-16, 2022.
Article in English | Scopus | ID: covidwho-1743190

ABSTRACT

Background. Muscle and joint problems are recognized complications following acute infection of coronavirus infection. Long Covid is the recognized term now that is given to symptoms like fatigue, myalgia, respiratory and neurological problems that occur or persist in recovery phase. Objective. The objective of the present study is to identify the long term musculo-skeletal complications of SARS-CoV2 infection in a sample of 367 individuals and to analyze the relation between the intensity of these complications and severity of illness. Methods. COVID PCR positive patients were enrolled in this study. COVID-19 symptoms at the time of infection and musculoskeletal symptoms like fatigue, myalgia, arthralgia, muscle weakness, cracking or popping sound from joints and muscle stiff-ness in recovery period were asked from patients. The intensity of these symptoms was also recorded for these symptoms. The data was described in frequency and percent-ages mostly where P-value < 0.05 was considered significant. Results. 187 hospitalized and 180 non hospitalized patients were analyzed in this study. Results showed that a quite large percentage of the enrolled patients suffered from fatigue (55%), myalgia (39%), arthralgia (25%), and muscle weakness (12%) during the 6 months following the confirmed date of COVID 19 infection. No relation between severity of COVID 19 infection and musculoskeletal complications was identified. Conclusions. Most patients had at least one or more symptoms which emphasize the persistence of musculoskeletal problems after recovery from acute illness. The health-care workers need to be vigilant about such problems and plan further steps such as providing rehabilitation for such individuals. © 2022, EDRA S.p.A. All rights reserved.

4.
Informacios Tarsadalom ; 12(4):67-85, 2021.
Article in English | Web of Science | ID: covidwho-1701229

ABSTRACT

This study aimed to investigate the influence of mass media and interpersonal communication channels in the adoption of preventive measures against the Covid-19 pandemic (coronavirus). The study hypothesises that higher exposure to media content increases interpersonal communication and increased interpersonal communication is positively associated with the adoption of preventive behaviour. To test this hypothesis, this study used a quantitative research technique employing a survey method. The results, when assessed through Pearson correlation, elaborated that there was a stronger association between media exposure and increased interpersonal communication and the adoption level of Covid prevention measures. The result of the thematic analysis revealed that interpersonal communication was an important contributor towards changing behaviour. Hence, the two-step flow of communication showed strong support for accepting the role of interpersonal communication alongside the mass media. This study findings provide insights to communicators and planners for devising different communication strategies for combating the pandemic.

5.
Singapore Economic Review ; : 19, 2022.
Article in English | Web of Science | ID: covidwho-1685714

ABSTRACT

Using daily data from January 2, 2020 to May 31, 2021, this study empirically examines the day-of-the-week effect in the Malaysian stock market during the coronavirus disease 2019 (COVID-19) outbreak. We also test the impact of the lockdown policy and market sentiment index on the stock market. We resort to ordinary least square regression with generalized autoregressive conditional heteroscedasticity specification. The finding shows that the day-of-the-week effect persisted during the COVID-19 outbreak. Monday's returns on all selected indices were negative except for the access, certainty, efficiency market. The positive impact of the lockdown policy on Bursa Malaysia is identified after accounting for the day-of-the-week effect. This is due to the market expectation that the lockdown policy can stop the spread of COVID-19, which will lead to recovery. Further analysis uncovers that smaller capitalization stocks benefited more from the government lockdown policy announcements, which come with various stimulus packages that are more favorable to smaller companies. We also find that the United States market sentiment index negatively impacts all indices. This study unlocks and validates the contribution on calendar anomalies' response during the COVID-19 period for Malaysia. The investment opportunity is available even during the pandemic era, leading to sustainable profit in the long term.

6.
Pakistan Journal of Medical and Health Sciences ; 16(1):63-66, 2022.
Article in English | EMBASE | ID: covidwho-1668113

ABSTRACT

Aim: To assess dentists' COVID-19 anxiety and obsession following vaccination and their impressions of the COVID-19 vaccine. Methods: It was a cross-sectional study performed in July 2021. Two previously validated, standardized, self-reported scales were used: the COVID-19 anxiety scale (CAS) and the Obsession with COVID-19 scale (OCS).COVID-19 scales. The survey form was circulated through the convenience snowball technique. Data were analyzed with the help of SPSS-21. Independent sample T-Test and ANOVA were executed. Results: Data of 124 dentists were analyzed. Mean anxiety and obsession score was recorded as 5.29±4.238 and 1.87±3.34, respectively. 83.06% (n=103) of the dentists agree that the vaccine's anxiety has been reduced. Female dentists showed significantly higher anxiety (t= -2.606, P=0.011) and obsession scores (t=-3.309, P=0.02). Dysfunctional anxiety was found in 21.77% of the dentists, and obsession was observed in 9.67%. Conclusion: The majority of dentists stated that COVID-19 vaccination had lessened their anxiety related to COVID-19, and Coronavirus vaccination has greatly reduced dysfunctional anxiety and obsession.

7.
J Ayub Med Coll Abbottabad ; 33(3):416-424, 2021.
Article in English | PubMed | ID: covidwho-1391174

ABSTRACT

BACKGROUND: Coronavirus disease 2019 (COVID-19) is a multisystem disorder and haematological abnormalities are frequently documented in affected patients. METHODS: This retrospective study included 549 patients hospitalized with COVID-19 from 1st June to 15th July 2020 at Pak Emirates hospital, Rawalpindi Pakistan. p<0.05 was considered statistically significant. RESULTS: Median age was 60 years (range 12-94 years), males 442 (80.5%) and females 107 (19.5%). There was no patient with mild illness, 181 (32.9%) had moderate, 158 (28.7%) severe and 210 (38.2%) patients had critical disease. Patients with severe and critical disease had lower absolute lymphocyte count (ALC) and platelets (p<0.001 for both) while higher white blood cell count (WBC), neutrophil lymphocyte ratio (NLR), C-reactive protein (CRP), interleukin-6 (IL-6) and lactate dehydrogenase levels (LDH) levels (all p<0.001). Overall survival of study cohort was 83.2% (n=457). Median haemoglobin and platelet count were significantly lower (p<0.001) while WBC, ANC, NLR, prothrombin time (PT), activated partial thromboplastin time (APTT), ferritin, IL-6, LDH were significantly higher (p<0.001) for patients who died. On multivariate logistic regression analysis WBC count>10x109/l (odds ratio [OR] 2.19 [95% CI 1.3-4.2] p=0.01), NLR>9 (OR 3.4 [95% CI 0.87-6.8], p<0.001), platelets<150x109/l (OR 3.9 [95% CI 1.4-9.8] p<0.001), CRP >100;(OR 4.1[95% CI 0.78-10.9] p<0.001) and ferritin >1000 (OR 5.3 [95% CI 1.9- 13.5], p<0.001) were associated with increased risk of death in patients with COVID-19. CONCLUSION: Monitoring of haematological, coagulation and inflammatory parameters provide reliable, convenient, rapid and cost-effective method for predicting disease severity, complications and prognosis of COVID-19 patients.

8.
Pakistan Journal of Medical & Health Sciences ; 15(5):939-942, 2021.
Article in English | Web of Science | ID: covidwho-1332574

ABSTRACT

Aim: To know the core feelings and perception of a medical doctor after recovery from corona infection Study Design: A descriptive cross-sectional qualitative survey Place and duration of study: Akhter Saeed medical and dental college Lahore. Duration of study was two months from 1stJanuary 2021 to 31st March 2021. Methods: A survey questionnaire is formed and sent to different doctors of different specialties both in the public and private sectors. Non-probability conventional sampling technique was used. Qualitative data was analyzed by the SPSS 20. Results: The online survey was sent to three hundred and fifty (350) doctors who were fellows, consultants, assistant consultants and professors. The voluntary response is submitted by 26doctors who suffered and recovered from corona infection. Conclusion: Coronapandemic has physical, psychological, social and economic effects. Everyone who suffered from it has his own insight about disease but unlike other infections, anxiety and uncertainty about future were major psychological effects which added to physical suffering of patients. All recovered patients strongly recommended following of SOPs. Vaccinationwith following SOPs is unanimously only optimistic approachagainst corona to decrease incidence and severity of infection. There is a need for doctor counselling sessions to cope with stress and anxiety issues.

9.
J Ayub Med Coll Abbottabad ; 33(2):267-273, 2021.
Article in English | PubMed | ID: covidwho-1303088

ABSTRACT

BACKGROUND: The Coronavirus disease (COVID-19) pandemic has shaken the world. So far, CT has emerged as main stay of imaging whereas the local data on radiographic features of COVID-19 is sparse. METHODS: Prospective study includes 402 chest X rays (CXRs) of 105 patients presenting with symptoms of COVID-19. The nature of abnormality, distribution and lung zone involvement was documented. Following British Society of Thoracic Imaging (BSTI) guidelines, CXRs were grouped into classic/ probable COVID-19, indeterminate, non-COVID-19 and normal categories. The lung involvement was scored according to modified Radiographic Assessment of Lung Edema (RALE) scoring. The follow up radiographs were assessed for disease progression and improvement. RESULTS: Seventy-six males and 29 females with mean age of 50 years were included in our study. 47 out of 105 baseline radiographs were categorized as classic/ probable COVID-19, 26 as indeterminate, 7 as Non-COVID-19 and 25 as normal. 75 patients were positive and 30 were negative on RT-PCR testing. The sensitivity of CXR in diagnosing COVID-19 is 84%. The worsening radiographic features and higher RALE score correlates with longer hospital stay, ICU admissions and mortality. The ground glass opacities and consolidations in peripheral distribution involving bilateral mid and lower zones are the predominant findings of COVID-19 in Pakistani population. CONCLUSIONS: Combination of bilateral peripheral ground glass opacities and consolidations are the cardinal feature of COVID-19 on CXRs. The diagnostic categories described by BSTI correlates with PCR results in Pakistani population. The worsening radiographic findings correspond to poor prognosis;hence serial radiographs can be used for assessing disease course.

10.
Critical Perspectives on International Business ; ahead-of-print(ahead-of-print):20, 2021.
Article in English | Web of Science | ID: covidwho-1048469

ABSTRACT

Purpose - This paper aims to present a critical interpretation of unfolding events related to corporate and policymaking elites during the coronavirus (Covid-19) pandemic crisis to serve as a point of contrast to mainstream views. Design/methodology/approach - Drawing upon literature on elite maintenance and power, learning from recent previous crises and emerging evidence during the Covid-19 pandemic crisis, this study develops arguments to question and problematize the exercise of power by elites toward maintenance of existing systems across the pandemic. Findings - Critical examination points attention to three related but analytically distinct strategies in the exercise of elite power: reinforcing myths, redirecting blame and reclaiming positions, all directed to maintain the system and preserve power. The potential effects of this ongoing elite maintenance are highlighted, revealing the old and new forms of power likely to emerge at the corporate, national and global levels across the pandemic crisis and endure beyond it. Social implications - It is hoped that the critical examination here may build more awareness about the deep and complex nature of elite power and systems across the globe that preclude meaningful system change to address societal challenges. It may thereby provide more informed engagement toward system change. Originality/value - The main originality of the paper lies in its attempt to tie together the various types of elite maintenance works and their potential effects into an overarching narrative. Making these connections and interpreting them from a critical perspective provides a rare large-canvas picture of elite power and system maintenance, particularly across a global crisis.

11.
Annals of King Edward Medical University Lahore Pakistan ; 26:135-139, 2020.
Article in English | Web of Science | ID: covidwho-977943

ABSTRACT

Objective: To see role of telemedicine in management of surgical patients during COVID-19 lockdown and to see patient satisfaction levels with this treatment modality. Methods: This descriptive study conducted at Department of Telemedicine, King Edward Medical University Lahore during COVID-19 lockdown in months of March and April 2020 (2 months). All those who approached for their general surgical complaints included in this study excluding patients of other medical issues and patient age less than 12 year. Patient's variables include age, gender, severity of compliant, symptoms of patient, follow up status, treatment provided and satisfaction levels etc. The statistical research performed with the SPSS Version 20 software. Mean values and frequency were analyzed and comparison of categorical variables performed by chi-squared methodology or, where necessary, the exact Fisher test. The cut off for significance placed at p-value <= 0.05. Results: We studied 156 (n=156) and there were 109 (69.9%) males and 47 (30.1%) females with mean age at presentation 41.52 +/- 16.40 S.D. years (Range 12 to 70 years). Total 61.5% (n=96) patients presented from city of Lahore while 38.5% (n=60) presented from outside city. Regarding severity of disease, there were 29.5% (n=46) mild, 57.7% (n=90) moderate and 12.8% (n=20) severe cases. New cases were 90.4% (n=141) and follow up cases were 9.6% (n=15). Patient satisfaction was 97.4% (n=152) and 2.6% (n=4) were not satisfied. Those patients who presented with minor or moderate severity of complaints were more satisfied rather than those who presented with severe symptoms (p<0.001). Conclusion: During COVID-19 Lockdown situation, when patients have restricted access to surgical consultation than before, alternative methods of patient consultation need to be provided. Our study showed that telemedicine is good for mild to moderate patient symptoms but not for serious problems.

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