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1.
Front Public Health ; 10:1031867, 2022.
Article in English | PubMed | ID: covidwho-2199501

ABSTRACT

INTRODUCTION: In the year 2019, the whole world witnessed the COVID-19 pandemic. The pandemic has negatively impacted the health care delivery system. This has risen the necessity among health systems across the world to deliver health care services through telemedicine. This systematic review would assess the level of patient satisfaction with telemedicine health services during the time of the COVID-19 pandemic. METHODOLOGY: The literature search was conducted in June 2022 using "PubMed" "Google Scholar" and "Embase" databases. A total of eight articles were included. ROBVIS Analysis was performed for the assessment of bias. Descriptive statistics were performed using Microsoft Excel. RESULTS: All included studies were conducted in seven countries/states/cities: India (n = 2), Philippines (n = 1), Saudi Arabia (n = 1), UAE (n = 1), Los Angeles (n = 1), Iran (n = 1), and New York City (n = 1). Most used telemedicine tools were voice calls, video calls and messaging/email. Maximum patients used video for consultation (5 out of 9 studies) followed by voice call (4 out of 8 studies), messaging/emails (2 out of 8 studies) and other telemedicine Apps (2 out of 8 studies). Overall, the level of satisfaction was found highest amongst studies conducted in developed countries/states/cities such as New York City (94.9%), Los Angeles (82.7%), UAE (81%) and Saudi Arabia (77.9%) in contrast to studies conducted in developing countries which includes Philippines (82%), India (73.9;51.3%) and Iran (43.4%). CONCLUSION: Most of the participants were found to be satisfied with the quality of telemedicine they were offered. This systematic review will help to improve telemedicine services which will eventually improve the health care delivery system. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/prospero/#myprospero.

2.
Pediatric Critical Care Medicine Conference: 11th Congress of the World Federation of Pediatric Intensive and Critical Care Societies, WFPICCS ; 23(11 Supplement 1), 2022.
Article in English | EMBASE | ID: covidwho-2190782

ABSTRACT

BACKGROUND AND AIM: Staff in paediatric critical care (PCC) experience higher levels of burnout and moral distress than other healthcare professionals. PCC consultants face unique challenges, supporting the wider team, making critical decisions as part of that team. Previous research, largely focused on nurses and trainee medical professionals, has predominantly collected quantitative data. This study aimed to understand the wellbeing experiences of PCC consultants working in the United Kingdom. METHOD(S): An exploratory qualitative design was used to interview consultants working in PCC between April 2021 and June 2021. Interviews were conducted by a researcher independent to healthcare. RESULT(S): Eleven PCC consultants took part from 9 PCC units or critical care transport services. Years of experience as a consultant ranged from 4 to 23. Within this data eight key themes emerged across the data: 1) Positive & negative impact of working during COVID 19 2) Job satisfaction & scrutiny in the unique environment of PCC 3) Ageing workforce and shift work 4) Support and recognition from the Trust 5) Successful coping strategies are personal & adaptive 6) Importance of civility & staff retention for good teamwork 7) Recognition of the cumulative effect of stressors in and out of work 8) Recommendations for future solutions to enhance wellbeing involve being heard, seen, supported and personal growth CONCLUSION(S): The study highlights the critical areas to be addressed on a local and national level. Addressing these will allow PCC consultants to thrive at work. Further intervention based research is needed.

3.
Critical Care Medicine ; 51(1 Supplement):435, 2023.
Article in English | EMBASE | ID: covidwho-2190613

ABSTRACT

INTRODUCTION: Cryptogenic organizing pneumonia (COP) accounts for 5% of all ILD cases. Due to a low incidence rate of 1 case per 100,000 persons per annum, it is often misdiagnosed as bacterial pneumonia, but when timely managed, it has an excellent prognosis. We discuss Methamphetamine, a commonly abused stimulant that has unfortunately not yet garnered enough notoriety as a respiratory toxidrome for causing inhalation injury, potentially leading to fulminant COP. DESCRIPTION: A 44-year-old male presented to ED with fevers, cough, and dyspnea gradually worsening over the past two weeks. Of note, he smoked ten cigarettes/day and relapsed to methamphetamines inhalation, the latest use being two weeks prior. On physical exam, oxygen saturation was 70% on RA and had significant bilateral inspiratory crackles. The respiratory Viral Panel, including COVID-19, was negative. Drug screens were negative. Chest X-Ray and CTA showed bilateral ground glass opacities concerning multifocal pneumonia but no pulmonary embolism. Broadspectrum antibiotics were started. For worsening Acute Hypoxemic Respiratory failure (AHRF) on Day 3, he underwent intubation and mechanical ventilation. Further workup for infectious etiologies like S. pneumoniae and Legionella, HIV-1, and sputum and blood cultures were all negative. Initial autoimmune and connective tissue disease workup was within normal limits. Bronchoalveolar lavage (BAL) analysis did not yield an infectious, inflammatory, or neoplastic source. On day 7, he underwent an open lung biopsy which confirmed COP, with histological features of toxic injury. IV glucocorticoids were started, with gradual improvement noticed in AHRF. DISCUSSION: Respiratory failure within 30 days of hospitalization is the most common cause of mortality in fulminant COP.If a patient's history suggests exposure to inhaled amphetamine and have no response to antibiotics for supposed pneumonia, physicians should consider COP to make a timely diagnosis and initiate glucocorticoid treatment to warrant rapid clinical improvement, often seen as early as 72 hours, and prevent future relapses.With Substance use continuing to be a major healthcare problem, now more than ever, healthcare providers must be familiar with respiratory toxidrome to provide timely diagnosis and treatment.

4.
Complementary Therapies in Medicine ; 72:102917, 2023.
Article in English | ScienceDirect | ID: covidwho-2177969

ABSTRACT

Background COVID-19 causes moderate to severe illness and is spreading globally. During a pandemic, vitamins and minerals are vital to health. Therefore, the prevalence and epidemiology of supplement use in Saudi Arabia during the COVID-19 pandemic must be known. Methods This cross-sectional study was conducted in Saudi Arabia using an online survey. The study was conducted from June to March 2022 on both adults and children. The link to the survey was shared on social media platforms. The survey included questions on participants' demographics, vaccination status, supplements they used, and side effects of supplements. Participation in this study was optional, and there was no obligation to participate. There was a declaration about the aim of the study and different objectives before starting the survey. Results The present study reported that most of the participants reported that they used vitamin C (64.6 %), zinc (51.9 %), multivitamins (46.1 %), black seeds (26.7 %), garlic (Allium sativum) (15.4 %), omega-3 (22.1 %), vitamin D (22.2 %), echinacea (10.1 %), manuka honey (26.0 %), curcumin (13.6 %), ginger (22.5 %), royal jelly (12.9 %), and propolis (7.5 %) before and during the COVID-19 pandemic period. These supplements were used more frequently by subjects during the pandemic than before. Discussion and conclusion The respondents' risk of these supplements' use may partially reflect the public's behavioral response during a pandemic. Future studies can document the health beliefs and motivations of nutritional supplement users.

5.
Journal of Advances in Medical Education and Professionalism ; 11(1):15-23, 2022.
Article in English | Scopus | ID: covidwho-2205679

ABSTRACT

Introduction: Medical institutions worldwide faced an unprecedented situation during COVID-19 of identifying alternative strategies to sustain the continuum of learning process. This led to several innovations in the traditional medical curriculum. This study explored the effectiveness and feasibility of using the Peyton's framework modified for a virtual platform (Microsoft Teams) for teaching clinical skills to first and second-year medical students at The Aga Khan University, Karachi, Pakistan. Methods: In 2020-2021, the modified Peyton's framework was integrated in the clinical skills (CS) curriculum for all first-and second-year students (N=200). For evaluation, a mixed-method design was used, with pre-and post-session questionnaires. Students' satisfaction was obtained through the standard session evaluation tool of the university. For the qualitative arm, to explore the instructors' experiences, purposive sampling was used (n=8) and a focused group discussion (FGD) was conducted. Finally, performance of the students at the end of year summative Objective Structured Clinical Examination (OSCE) was compared with the students of previous year. Quantitative data were analysed using STATA® version 15.1, using paired t-test to compare the differences in OSCE scores in selected CS stations. A p-value of <0.05 was considered significant for all tests. The FGD was transcribed and analysed through manual content analysis. Results: Nine clinical skills (that included history and examination skills) were taught using the virtual platform. There was a significant improvement in post-session questionnaires in seven of these skills (P<0.01). Session evaluations showed that most students were satisfied with the learning experience. The instructors showed that the online teaching offered a promising platform for teaching history taking skills. The OSCE scores showed mixed results, with significant improvement in two out of four repeated stations by using paired t-test [abdominal exam (87.33±8.99, <0.001);and precordial examination (88.45±8.36, 0.001)]. Conclusions: Modifying Peyton's framework to a virtual platform allowed us to sustain the continuum of clinical education during the COVID-19 pandemic. The results support the use of a blended learning environment for teaching clinical skills. © Journal of Advances in Medical Education & Professionalism. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NoDerivatives 4.0 International License, (https://creativecommons.org/licenses/by-nd/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

6.
Handbook of Research on Cybersecurity Issues and Challenges for Business and FinTech Applications ; : 91-111, 2022.
Article in English | Scopus | ID: covidwho-2201299

ABSTRACT

COVID-I9 has accelerated the digital transformation in the business sector as many business organizations adopted electronic commerce to keep their operations running. Business organizations have also increased their participation on social networking applications to attract customers. Due to huge presence of users, social networking sites have also evolved into an emerging marketplace, which is referred as social commerce. There are many security issues involved in technological adoption in different business processes. On the other hand, social media is extensively used for product marketing, so fake information and fake product reviews can also influence consumers purchasing decision, so providing accurate marketing information is also a challenge for business organizations. In this chapter, the authors conduct a systematic literature review to understand the cybersecurity issues faced by business organizations and customers and how recent advances such as fintech, etc. provide additional cybersecurity challenges for business organization to protect themselves and their customers. © 2023, IGI Global.

7.
Vaccines ; 11(2):207, 2023.
Article in English | MDPI | ID: covidwho-2200966

ABSTRACT

The objective of this study is to assess the frequency and severity of adverse events following immunization (AEFI) in Indian children aged 5-17 years who received the Pfizer-BioNTech mRNA COVID-19 vaccine, as well as to investigate for predictors of AEFI. To examine AEFI following the first and second doses of Pfizer's vaccine, semi-structured questionnaires were distributed as Google forms at Indian schools in Saudi Arabia. The 385 responses included 48.1% male and 51.9% female children, with 136 responses of children aged 5-11 years (group A) and 249 responses from children aged 12-17 years (group B). Overall, 84.4% of children had two shots. The frequency of AEFI was reported to be higher after the first dose than after the second (OR = 2.12, 95% CI = 1.57-2.86). The reported AEFIs included myalgia, rhinitis, local reaction with fever, a temperature of 102 °F or higher, and mild to moderate injection site reactions. While group B frequently reported multiple AEFIs, group A typically reported just one. Local reaction with low grade fever was more frequently reported in group B after the first dose (24.1%) and second dose (15.4%), while local reaction without low grade fever was most frequently observed in group A after the first (36.8%) and second dose (30%). Only prior COVID-19 infection (OR = 2.98, 95% CI = 1.44-6.2) was associated with AEFI after the second dose in the study sample, whereas male gender (OR = 1.71, 95% CI = 1.13-2.6) and prior COVID-19 infection (OR = 2.95, 95% CI = 1.38-6.3) were predictors of AEFI after the first dose. Non-serious myocarditis was reported by only one child. According to the analysis conducted, the Pfizer's mRNA COVID-19 vaccination was found to be safe in Indian children.

8.
BMJ Open ; 12(12):e066094, 2022.
Article in English | MEDLINE | ID: covidwho-2161861

ABSTRACT

OBJECTIVES: To determine the association of symptomatic and asymptomatic mild COVID-19 and the SARS-CoV-2 viral load with the physical fitness of army cadets.

9.
Res Militaris ; 12(2):6570-6579, 2022.
Article in English | Scopus | ID: covidwho-2125857

ABSTRACT

Background: The first COVID-19 vaccine was authorized in the United States in December 2020. It is recognized that vaccination is a preventive and effective measure for limiting the coronavirus pandemic. Nursing students' perspectives on vaccine acceptance may be critical for COVID-19 pandemic prevention as future professionals. The study has focused on perceptions of nursing students regarding coronavirus vaccine acceptance.Design: This study was conducted using a sequential explanatory mixed-methods design with two phases. Methods: A convenience sample method was applied in phase one, and 255 nursing school students between February 14 and February 24, 2022, from six universities in Iraq participated. The findings were used in phase two to refine in-depth interview questions that would allow for a deeper investigation of student perceptions. Fifteen participants were questioned one-on-one using personal interviews. Using an inductive method of theme analysis, the dataset was coded, classified, and thematizedResults: Out of 255 students, the results of the quantitative phase revealed that 123 (48.2%), 120 (47.1%), and 12 (4.7%) of them had, respectively, unsound, somewhat sound, and sound perceptions of coronavirus vaccines. Based on the students' perceptions, the main themes from the qualitative phase emerged and include: (persuasion, preservation, accountability, efficacy doubts, and apprehension). Conclusions: Most student nurses have unsound perceptions about COVID-19 vaccinations. Findings showed that nursing students need to take vaccination issues into account and educate others about vaccine production. The development of suitable solutions and interdisciplinary educational programs in the post-pandemic phase may depend on understanding perceptions and encouraging health engagement and awareness. © 2022, Association Res Militaris. All rights reserved.

10.
Cureus ; 14(10): e29845, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-2121757

ABSTRACT

As managing COVID-19 complications has become more prevalent in psychiatry, its effects can range from provoking new illnesses in previously healthy individuals to inducing relapses in patients in remission. However, an aspect of COVID-19's influence that is not well documented is its effect on medication responsiveness. In this case, we present a 28-year-old male diagnosed with treatment-resistant schizophrenia for eight years. While in remission on a maintenance dose of clozapine, he was admitted to the hospital with signs of severe psychosis after testing positive for COVID-19. On admission, he did not have any other major stressors and no prior comorbidities that could have induced the relapse. Despite being on a higher dose of clozapine for four weeks while hospitalized, the patient's psychosis did not improve. This raises the question if his infection had altered his response to medication that previously brought on remission.

11.
Cureus ; 14(10), 2022.
Article in English | EuropePMC | ID: covidwho-2102615

ABSTRACT

As managing COVID-19 complications has become more prevalent in psychiatry, its effects can range from provoking new illnesses in previously healthy individuals to inducing relapses in patients in remission. However, an aspect of COVID-19’s influence that is not well documented is its effect on medication responsiveness. In this case, we present a 28-year-old male diagnosed with treatment-resistant schizophrenia for eight years. While in remission on a maintenance dose of clozapine, he was admitted to the hospital with signs of severe psychosis after testing positive for COVID-19. On admission, he did not have any other major stressors and no prior comorbidities that could have induced the relapse. Despite being on a higher dose of clozapine for four weeks while hospitalized, the patient’s psychosis did not improve. This raises the question if his infection had altered his response to medication that previously brought on remission.

12.
Chest ; 162(4):A2300, 2022.
Article in English | EMBASE | ID: covidwho-2060934

ABSTRACT

SESSION TITLE: Rare Cases of Nervous System and Thrombotic Complication Posters SESSION TYPE: Case Report Posters PRESENTED ON: 10/17/2022 12:15 pm - 01:15 pm INTRODUCTION: Covid 19 virus has impacted nearly 450 million people across the globe;ranging from an asymptomatic carrier state to respiratory symptoms, cardiovascular symptoms, hematologic manifestations and multiorgan failure to death. Thrombotic events are one of its devastating complications. CASE PRESENTATION: A 66 year old man with a history of diabetes mellitus, hypertension and 30 pack years smoking history presented to the emergency room with hypoxia and altered mental status. On exam, his GCS was 8/15 and oxygen saturation was 85% on room air. He was subsequently intubated. CTA chest demonstrated bilateral diffuse ground glass opacities and left pulmonary embolism (PE). CT abdomen and pelvis showed multifocal infarcts in the right kidney with findings suggestive of renal artery thrombosis. Initial platelet count was 80,000/ul with creatinine of 3.9 mg/dl and creatine kinase (CK) of 3977 u/l. His INR was 1.4. Patient was not a candidate for thrombolysis given his thrombocytopenia. He was started on intravenous (IV) heparin and given IV hydration. On day 3 of his admission, he developed dry gangrene of the toes. Ankle brachial index of the right lower extremity (LE) was 1.16 and left LE was 0. Duplex ultrasonography of left LE showed mid to distal popliteal artery thrombus occluding below knee popliteal and tibial arteries. Echocardiogram showed ejection fraction of 55% and bubble study was negative for any intra atrial or pulmonary shunting. On day 4 of his admission, he developed oliguria and his gangrene got worse. His platelet counts decreased to 36,000/ul. Other pertinent labs showed INR 1.2, PT 15.3, PTT 34, D dimer 14.82, fibrinogen 498, CK 6434 mg/dl, hemoglobin 13.2 g/dl, haptoglobin 243 mg/dl and LDH 1041 U/l. Given his poor prognosis in the setting of ventilator dependent respiratory failure, multiple thrombosis and kidney failure requiring hemodialysis, the family decided to withdraw care. DISCUSSION: There are multiple hypotheses of thrombus formation in Covid 19 infection such as interleukin 6 and other cytokines induced endothelial injury, angiogenesis and elevated prothrombotic factors such as factor VIII and fibrinogen. Our patient had PE, renal artery thrombosis and popliteal artery thrombosis. Despite being on full dose anticoagulation, he developed gangrene of the toes. His lab results were not consistent with disseminated intravascular coagulation, thrombotic thrombocytopenic purpura and he was not known to have any baseline hypercoagulable disorder. He did not have any intra cardiac shunts. Hence, it is most likely Covid 19 induced multiple arterial and venous thrombosis. CONCLUSIONS: The treatment of Covid 19 related thrombosis has become very challenging especially in the setting of multiple clots. It is crucial to have large multicenter studies to investigate vascular complications of Covid-19 and to formulate management strategies to ensure good patient outcomes. Reference #1: https://www.nejm.org/doi/full/10.1056/nejmoa2015432 Reference #2: https://journal.chestnet.org/article/S0012-3692(21)01126-0/fulltext DISCLOSURES: No relevant relationships by Devashish Desai No relevant relationships by Swe Swe Hlaing no disclosure on file for Jean Marie Koka;No relevant relationships by Hui Chong Lau No relevant relationships by Subha Saeed No relevant relationships by Anupam Sharma No relevant relationships by Muhammad Moiz Tahir

13.
Chest ; 162(4):A926-A927, 2022.
Article in English | EMBASE | ID: covidwho-2060730

ABSTRACT

SESSION TITLE: COVID-19 Case Report Posters 1 SESSION TYPE: Case Report Posters PRESENTED ON: 10/17/2022 12:15 pm - 01:15 pm INTRODUCTION: Dieulafoy lesions are abnormally dilated submucosal vessels remain uncommon cause of upper gastrointestinal bleeding, accounting for approximately 1.5% of all GI bleeds [1]. Although the exact etiology remains unknown, multiple co-morbid conditions have been attributed to this condition, including heart diseases, hypertension, chronic kidney disease, diabetes, or excessive alcohol use [2].In our case, it was identified as a cause of lower GI bleed in a critically ill Covid patient. CASE PRESENTATION: A 49-year-old male with a history of diabetes, internal hemorrhoids, and diverticulosis was admitted to the hospital due to hypoxic respiratory failure from COVID pneumonia with characteristic CT findings of bilateral ground-glass opacification. On admission, the patient was afebrile, normotensive, tachypneic with a respiratory rate of 34.The physical examination was unremarkable except for coarse crackles in upper and middle lung zones. We treated patient with Dexamethasone and Remdesivir. His hypoxia deteriorated, and he was eventually intubated. On admission patient hemoglobin was within normal range. During the patient's hospital course, he had a significant drop in hemoglobin, requiring multiple blood transfusions. Blood clots were found on perianal examination. Flexible sigmoidoscopy revealed blood in the rectosigmoid colon. A visible vessel without apparent ulcer was seen in the rectum, which was actively oozing blood. It was determined to be a Dieulafoy lesion. The affected area was injected with epinephrine for hemostasis, and subsequently, hemostatic clips were placed. After the procedure patient did not have any repeat episodes of hematochezia or drop in hemoglobin. DISCUSSION: Dieulafoy lesions are an uncommon cause of GI bleeding and are usually present in the upper gastrointestinal tract. Furthermore, they caused hemodynamically significant bleeding from the lower gastrointestinal tract in our case. Dieulafoy lesions can be asymptomatic or may bleed intermittently to cause severe hemodynamic compromise. They may be missed on endoscopy due to the small size and intermittent bleeding [2]. In up to 9-40% of the cases, these lesions tend to rebleed. Therefore the patients need close monitoring [3]. In our case, after the intervention with the clips, the patient's bleeding stopped, and he had no further blood loss from the lesion. CONCLUSIONS: Dieulafoy's lesion is an infrequent cause of gastrointestinal bleeding, and it is challenging to diagnose [3]. It is a rare cause of GI bleeding, and even in those instances, it is found chiefly in upper GI bleed cases but can also be the cause of lower GI bleeding. Knowing that GI bleeding in Covid patients leads to worse outcomes, it is prudent to account for rare causes of GI bleed during the work-up. Reference #1: Van Zanten SV, Bartelsman J, Schipper M, Tytgat G. Recurrent massive haematemesis from Dieulafoy vascular malformations–a review of 101 cases. Gut. 1986;27(2):213. Reference #2: Shin HJ, Ju JS, Kim KD, et al. Risk factors for Dieulafoy lesions in the upper gastrointestinal tract. Clinical Endoscopy. 2015;48(3):228. Reference #3: Baettig B, Haecki W, Lammer F, Jost R. Dieulafoy's disease: endoscopic treatment and follow up. Gut. 1993;34(10):1418-1421. DISCLOSURES: No relevant relationships by Swe Swe Hlaing No relevant relationships by Joyann Kroser No relevant relationships by Hui Chong Lau No relevant relationships by Sze Jia Ng No relevant relationships by Subha Saeed No relevant relationships by Muhammad Moiz Tahir

14.
Waikato Journal of Education ; 27(2):65-71, 2022.
Article in English | Scopus | ID: covidwho-2056559

ABSTRACT

The Covid-19 pandemic has significantly affected the field of teaching and educational research, requiring new changes to methodological tools in my research. My doctoral study examines Maldivian primary teachers’ engagement with social studies pedagogies through reflection. The pandemic posed several complex data collection challenges which I experienced as a researcher. As a result of not being able to return to the Maldives from New Zealand to gather data, data methods were altered from Participatory action research (PAR) to form online action research (OAR). The data were gathered from four different teachers in Maldivian primary schools through an online questionnaire, online workshops, online reflective narrative texts and online interviews. Unexpected research challenges included (i) time zone differences, (ii) my own and participants’ unfamiliarity with new methods of online data collection in the research, and (iii) challenges of maintaining good researcher rapport with participants. These research challenges contribute to an emerging understanding of the unexpected issues that researchers might face using an OAR approach. © 2022, Wilf Malcolm Institute of Educational Research. All rights reserved.

15.
Egyptian Journal of Hospital Medicine ; 88(1):3855-3861, 2022.
Article in English | Scopus | ID: covidwho-2026190

ABSTRACT

Background: Preliminary research has shown that pulmonary ultrasonography (PU) has become a vital tool for quickly diagnosing the cause of acute respiratory failure (ARF), as well as monitoring therapy progress in critically sick patients. The aim of the present study is to examine the relationship between the PU grading system and clinical metrics to identify the etiology of ARF with assessment of treatment response. Patients and methods: A prospective cohort study of 50 ARF patients was recruited from Benha University Hospital's respiratory, general, and coronary critical care units. PU examinations were performed at 3 time points during a patient’s ICU stay at intubation, 48 hours after intubation and after extubation. Results: The research comprised 28 men and 22 women. The average age of participants was 58 years old. COVID-19 was the most common diagnosis (46%). Average intubation was 6.42 days, with a P/F ratio of 172.14 and average length of stay in the ICU 10.06 days. The average length of stay in the hospital was 12.6 days, with death rate 68%. Mean first US score was 18.1 and second US score 17.54. The first total US score had a substantial positive association with mortality rate. The initial total US score had also a substantial positive link with the length of ICU stay and ventilation days (p<0.001), whereas the P/F ratio had a negative correlation with the total lung score (p<0.001). Conclusion: First-to-total US score had positive connection with mortality, length of hospital stay, length of ICU stays, ventilation days, and negative connection with P/F ratio. © 2022, Ain Shams University Faculty of Medicine. All rights reserved.

16.
NeuroQuantology ; 20(7):1188-1193, 2022.
Article in English | EMBASE | ID: covidwho-2006536

ABSTRACT

Background: Coronavirus disease 2019 (COVID-19) has imposed a significant impact on populations and healthcare systems. Symptoms of post-COVID syndrome (PCS) persist for at least 12 months following COVID-19 infection leading to significant negative effects on these patients’ cognition, ability to work, physical activity, social interaction, and overall quality of life. Objective: This study aimed to investigate the relation between cognitive deficits, quality of life (QOL) and coping strategies in post COVID-19 survivors. Subjects and Methods: A hundred COVID-19 survivors from both genders participated in this study. Their cognition was evaluated using Montreal Cognitive Assessment (MoCA), the WHO Quality of Life Instrument-Short Form (WHOQOL-BREF) was employed to evaluate patients’ QOL and the Brief Coping Orientation to Problems Experienced (Brief-COPE) was used to assess their coping strategies. Results: A significant positive correlation was found between the scores of MoCA and all HRQOL domains (Physical health, Psychological, Social relationships, Environment, General health and General QOL). Also, a significant negative correlation was noted between scores of MoCA and Brief-COPE (Mal-Adaptive strategies) while no significant correlation was found between MoCA scores and Brief-COPE (Adaptive strategies). Conclusion: There is a relation between cognition deficits, QOL and non-adaptive coping strategies in post COVID-19 survivors, while, there is no relation between cognitive deficits and adaptive coping strategies in PCS patients.

17.
Educating the Young Child ; 18:333-349, 2022.
Article in English | Scopus | ID: covidwho-1941410

ABSTRACT

School closures due to the COVID-19 pandemic have affected teachers and changed their role significantly. This chapter explores the extent to which early childhood education (ECE) teachers were engaged in children’s early learning during school closure through communication with their parents and families in three countries: Ethiopia, Liberia, and Pakistan. Using mobile phone surveys and key informant interviews, we investigate the support pre-primary teachers received during school closures and how they were able to support children’s home-based learning and prepare for school reopening. In all three countries, many teachers were in contact with children and families during school closures, yet the percentage varies by country, from 33% in Ethiopia to 64% in Liberia and 100% in Pakistan. Teachers in Ethiopia and Pakistan reported that children from disadvantaged backgrounds were missing out on essential support, but about 70% of ECE teachers sought to accommodate their learning needs or support psychosocial well-being. We discuss policy implications to support ECE teachers and children in the current and future crises in order to improve responsiveness and resilience in ECE systems. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

18.
Medical Forum Monthly ; 33(3):116-118, 2022.
Article in English | Scopus | ID: covidwho-1897546

ABSTRACT

Objective: The objective of this study to evaluate time as most effective factor in success of thrombolysis with streptokinase in patients with acute STEMI during covid 19 pandemic. Study Design: Prospective observational study Place and Duration of Study: This study was conducted at the Kashmir institute of Cardiology, Mirpur Azad Jammu and Kashmir, from April 2020 to December 2020 for a period of nine months. Materials and Methods: Patients presenting in emergency department with Acute STEMI were included, patients were analyzed via history, clinical examination and ECG findings of Acute STEMI. Results: Total of 110 patients were included in study. 80% (88) patients were male and 20%(22) patients were female. Which shows increase in the number of female patients with acute STEMI In this study we have tried to compare ECG based success criterion with international data and our data back in 2016. During the study we found successful thrombolysis around 45% during covid 19 pandemic. Conclusion: Time from onset of symptoms of Acute STEMI and start of streptokinase treatment was proven to be most effective method to improve the chances of success of streptokinase treatment and reduce mortality in such patients, as regard to my previous study in 2016 in same institute success of thrombolysis was markedly reduced with streptokinase during the covid 19 pandemic using the same treatment parameters. © 2022 Medical Forum Monthly. All rights reserved.

19.
British Journal of Haematology ; 197(SUPPL 1):177-178, 2022.
Article in English | EMBASE | ID: covidwho-1861262

ABSTRACT

Background: Convalescent plasma therapy has gained worldwide attention since its inception as a soul therapy for critically ill COVID-19 patients. This study sought to ascertain survivors'knowledge, attitudes and practice about plasma donation. Methodology: In Rawalpindi, Pakistan, a cross-sectional study was conducted in COVID-19 recovered patients. Simple random sampling was used to choose 383 people. The data collection instrument was a prestructured online questionnaire. SPSS version 26 was used to enter and analyse the data. Binomial and multinomial logistic regression were used. Results: Two hundred and twenty-three (58.2%) and 326 (85.1%) of 383 individuals had sufficient knowledge and a favourable attitude towards plasma donation respectively. In 109 (28.5%) of the participants, plasma donation practice was seen. People with graduate (AOR = 5.30, p < 0.05) and postgraduate level education (7.75, p < 0.05) were found to have significantly higher knowledge as compared to people with secondary school as the highest level of education. Plasma donation practice was shown to be strongly related with plasma donation knowledge (AOR = 3.78, p < 0.001) and attitude (AOR = 4.48, p < 0.05). Conclusion: Despite the fact that the majority of people had a positive outlook and were well-informed, plasma donation was rare. The lower practice was associated with trepidation of contracting a health issue.

20.
Dirasat: Human and Social Sciences ; 49(2):394-412, 2022.
Article in Arabic | Scopus | ID: covidwho-1842635

ABSTRACT

The aim of the research is to study the relationship of spiritual intelligence and its effect on the effectiveness of crisis management in some hospitals in the city of Sulaymaniyah,. a hypothetical model was created that clarifies the relationship between the dimensions of spiritual intelligence and the effectiveness of managing the crisis, and the research adopted the descriptive analytical approach and adopted a questionnaire form as a tool to collect and analyze data according to the (Thurston) decimal scale The questionnaire was submitted electronically to the research community, and (60) responses were obtained, and a set of conclusions were reached, including: The existence of a relationship and moral impact between the dimensions of spiritual intelligence and effectiveness Managing the crisis by removing it individually and collectively, providing high levels of spiritual intelligence among the medical cadres working in the research hospitals It contributed greatly to effective crisis management, and a set of recommendations was presented. © 2022 University of Jordan,Deanship of Scientific Research. All rights reserved.

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