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1.
Ann Indian Acad Neurol ; 25(1): 88-91, 2022.
Article in English | MEDLINE | ID: covidwho-1726283

ABSTRACT

Background: Headache is one of the commonly reported symptoms of coronavirus disease-2019 (COVID-19) illness. A number of studies have been done so far focusing on headache associated with COVID-19 with variable incidence and characteristics. Material and Methods: This study is a prospective study conducted on 120 patients with confirmed COVID-19 illness. Critically ill and ventilated patients were excluded. Demographic data, COVID illness symptom profile, headache characteristics were documented. Patients were followed up at 2 weeks and 4 weeks. For the statistical analysis, Statistical Package for the Social Sciences (SPSS), version 24.0 was used. Results: 120 COVID-19 positive cases were included in the study with a mean age of 54.59 ± 14.89 years (range 21-84 years) with male-to-female ratio of 3:2. 78.33% (94) of patients had various comorbidities. 43.33% (52) cases were diabetic. The presenting symptoms were fever (65%), cough (53.33%), shortness of breath (35%) and myalgia (31.66%). 26 (21.66%) patients reported headache during the COVID illness. 18 (15%) cases had headache attributed as secondary to COVID-19 illness. Out of them, 12 cases were new onset with no past history of headache and 6 cases had a significant change in previous headache episodes. COVID-19 illness precipitated headache episodes similar to past headache type in 8 cases. Headache was the presenting symptom in 8 (6.66%) patients with COVID-19 being detected in the regular hospital screening protocol. Conclusion: Headache was a common symptom in COVID-19 patients. New onset headaches or change in past headache type in patients in the setting of ongoing pandemic should be screened for COVID-19.

2.
The Journal of Social Theory in Art Education (Online) ; 41:2-6, 2021.
Article in English | ProQuest Central | ID: covidwho-1426765

ABSTRACT

Authors call attention to art's ability to imagine multiple worlds, inviting divergent perspectives, frames, and lenses to question established policies and practices through a range of critical, creative, and participatory forms and methodologies. Authors call attention to art's ability to imagine multiple worlds, inviting divergent perspectives, frames, and lenses to question established policies and practices through a range of critical, creative, and participatory forms and methodologies. The call for submissions for this, Volume 41 of JSTAE, went out during the summer of 2020 after the spring semester had turned online overnight to allow for social distancing, amidst COVID-19 lock-downs and months of Black Lives Matter protests globally, in response to the killing of George Floyd among other civil rights atrocities, land rights violations such as those at Standing Rock, a polarizing upcoming presidential election in the United States, and increasing divides amongst left and right wing political views in the face of rising nationalist rhetoric favoring hegemonic supremacist traditions across the world. Taking a different perspective on disability and representation, Kelly Gross examines the intersections of disability studies, inclusion, and special education in PreK-12 art and design education, by surveying teachers to study how these concepts transfer into curricular decisions, in theory and practice. Here again is a reminder that relational thinking is vital in social justice art education;that a theory applied by itself, without considering its relationality with the communities involved can be harmful, in that it helps maintain the status quo while giving the illusion of

3.
Augmented Human Research ; 6(1):6-6, 2021.
Article in English | PMC | ID: covidwho-1157047
4.
J Clin Med ; 10(4)2021 Feb 15.
Article in English | MEDLINE | ID: covidwho-1110444

ABSTRACT

Red cell transfusion represents one of the cornerstones of the chronic management of sickle cell disease, as well as its acute complications. Automated red cell exchange can rapidly lower the number of circulating sickle erythrocytes, without causing iron overload. Here, we describe our experience, having offered this intervention since 2011. A transient reduction in the platelet count by 61% was observed after the procedure. This was not associated with any haemorrhagic complications. Despite exposure to large volumes of blood, the alloimmunisation rate was only 0.027/100 units of red cells. The absence of any iron loading was confirmed by serial Ferriscans, performed over a number of years. However, patients with advanced chronic kidney disease showed evidence of iron loading due to reduced innate haemopoiesis and were subsequently switched to simple transfusions. A total of 59% of patients were on regular automated red cell exchange with a history of recurrent painful crises. A total of 77% responded clinically, as evidenced by at least a 25% reduction in their emergency hospital attendance for pain management. The clinical response was gradual and increased the longer patients stayed on the program. The earliest sign of clinical response was a reduction in the length of stay when these patients were hospitalised, indicating that a reduction in the severity of crises precedes the reduction in their frequency. Automated red cell exchange also appeared to be beneficial for patients with recurrent leg ulcers and severe, drug resistant stuttering priapism, while patients with pulmonary hypertension showed a dramatic improvement in their symptoms as well as echocardiographic parameters.

5.
J Nepal Health Res Counc ; 18(4): 789-791, 2021 Jan 22.
Article in English | MEDLINE | ID: covidwho-1055438

ABSTRACT

Multisystem inflammatory syndrome in children is a new childhood inflammatory disorder associated with respiratory syndrome coronavirus 2 (SARS-CoV-2). This illness of elevated inflammatory markers and multiple organ involvement similar to Kawasaki disease is not commonly reported from Asia. A 17-month-old boy presented with acute onset fever, rash, non-exudative conjunctivitis and swellings of hands and legs. In x-ray chest there was infiltration on the right lower lobe and echocardiography showed evidence of coronary arteritis. The diagnosis of multisystem inflammatory syndrome in children was confirmed on the basis of characteristic clinical features and laboratory parameters fulfilling standard case definition for multisystem inflammatory syndrome in children. The child responded to treatment with intravenous immunoglobulin and high dose aspirin. Hence, amidst SARS-CoV-2 pandemic, multisystem inflammatory syndrome in children should be suspected and effectively treated even in a country like Nepal. Keywords: Kawasaki disease; multiple inflammatory syndrome in children; Nepal; respiratory syndrome coronavirus 2.


Subject(s)
COVID-19/diagnosis , Systemic Inflammatory Response Syndrome/diagnosis , Aspirin/therapeutic use , COVID-19/drug therapy , COVID-19/pathology , Humans , Immunoglobulins/therapeutic use , Infant , Male , Nepal , Systemic Inflammatory Response Syndrome/drug therapy , Systemic Inflammatory Response Syndrome/pathology
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