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Pakistan Journal of Medical and Health Sciences ; 16(7):438-440, 2022.
Article in English | EMBASE | ID: covidwho-2067742


Introduction: Pandemics affect people in a defeatist manner and become stressful for people with relatives which need specific forms of care and attention. The study was conducted to find out if anxiety prevails among caretakers during the Covid-19 Pandemic as according to the literature review caregivers experience burden and fears related to their care-recipients and telerehabilitation. Material and Methods: The study used cross sectional survey and quantitative research.50 care-givers participated in the research where they filled online questionnaires inspired and derived from care-giver burden scale and beck anxiety inventory. Anxiety was clearly evident as most of the care-givers agreed to have feelings of nervousness 19 (38%), feeling anxious 18 (36%), feeling distressed 22 (44%), complaints about emotional burden 23 (43%) and 23 (46%) constant immersion in duties towards care-recipients. Results: SPSS tables depict the analyzed results and their interpretation. The results show 36%of the care-givers agreed that they face anxiety when a situation gets out of control, 44% were distressed about not getting enough help from healthcare team and other family and friends, 55% are apprehensive about their present condition and 46% are emotionally challenged and constantly immersed in duties owing to their family members. Conclusions: Anxiety and depression as a result of caregiving burden is common among care-givers and needs to be addressed as soon as possible. This makes it essential that health professionals pay heed and attention to develop interventions for care-givers and provide them with pertinent knowledge.

Digestive Endoscopy ; 34(SUPPL 1):125, 2022.
Article in English | EMBASE | ID: covidwho-1895967


AIM: EUS modality to get tissue diagnosis and with multi-target approach can help stage disease more accurately with histopathological results. METHODS: Total of 15 cases underwent EUS-M from June 2020 till Dec 2021. Informed consent was obtained, with Covid screen test with PCR was performed before procedure. Procedures were done with all SOPs as per institutional guidelines. 22G FNB needle with Franseen design with capillary suction method used to obtain visible core samples for histopathology without ROSE. All cases have confirmed histopathological diagnosis with same pathology from other site of Biopsy. Order of Biopsy was Nodes→Liver metatatic lesion→Primary Tumor. In cases of nodes mediastinal→portahepatis/ pancreatic→Para-aortic RESULTS: Among total 15 cases, Age 55 Mean (22-74) with 08 Males. Duration of procedure 41 min Mean (20-85). Cases with multiple lymphadenopathy from different anatomical regions were 05 while other sites include Liver for metastasis and Primary tumor from pancreas/CBD in 10 cases. Multiple site single pass was performed in 14 cases. Final diagnosis of Disease was pancreatic adenocarcinoma 05, NETs 01, Lymphoma 03, GB Adenocarcinoma/Cholangiocarcinoma 05 and metastatic RCC 01. All procedures were done under Conscious sedation as day care procedure. There were no immediate or early complication in all cases. CONCLUSIONS: EUS-M is safe and accurate modality to stage malignancy with superiority over PET Scan to obtain histological diagnosis.

Pakistan Journal of Medical and Health Sciences ; 6(1):1054-1057, 2022.
Article in English | EMBASE | ID: covidwho-1772277


A cluster of atypical pneumonia cases were reported in Wuhan china at the end of 2019. The disease was subsequently named covid-19. Later on it spread across the globe and WHO declared it as greatest pandemic of 21st century. Previous studies show that majority of the patients have hyponatremia, hypokalemia and hypochloremia. Recent study also suggests that the value of D-Dimer, ferritin and troponin I increasewhile O2 saturation drops in covid-19 patients.A cross sectional observational study was carried out in Peshawar Pakistan. A total of 195 patients above 18 years of age, confirmed through real time PCR were studied. Most of the patients have normal levels of electrolytes (Reference range of sodium 135-150mmol/L, potassium 3.5-5.1mmol/L, chloride 96-112mmol/L)while the patients with abnormal levels includedhyponatremic patients (having sodium level less than 135mmol/L), hyperkalemic patients (having potassium level higher than 5.1mmol/L) and hypochloremic patients (having chloride level less than 96mmol/L). The abnormal level of electrolytes is due to renal abnormalities. An association of O2 saturation exists with ferritin and D-Dimer. The level ofTroponin I raisestwofold in COVID-19 patients, which is an important circulatory biomarker associated with myocardial injury.