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Our Dermatology Online / Nasza Dermatologia Online ; 12(4):387-390, 2021.
Article in English | Academic Search Complete | ID: covidwho-1481171

ABSTRACT

Background: The coronavirus disease 2019 (COVID-19) pandemic has significantly affected all areas of life in most countries. Telehealth has gained importance during this era of social distancing, including teledermatology (TD). The purpose of this survey was to determine the challenges and impact of COVID-19 on TD practice in providing continued care to patients by dermatologists in Pakistan. Methods: A questionnaire comprised of fifteen questions was created with Google Forms and distributed to dermatologists practicing in various cities of Pakistan via WhatsApp or e-mail, then the data was collected. Results: A total of 81 dermatologists from various cities of Pakistan responded to the survey, among whom about two thirds reported a positive experience with TD, yet some had issues in communication gaps and breaches of confidentiality, and the majority considered it unequal to in-person visits. Conclusion: TD plays an important role during the COVID-19 pandemic as a simple, time-saving procedure allowing social distancing with good patient satisfaction. [ABSTRACT FROM AUTHOR] Copyright of Our Dermatology Online / Nasza Dermatologia Online is the property of Our Dermatology Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

2.
Pakistan Armed Forces Medical Journal ; _(COVID-19 (1)), 2020.
Article in English | ProQuest Central | ID: covidwho-1380313

ABSTRACT

ABSTRACT Objective: To assess the impact of COVID-19 pandemic on the gastroenterology practices in a tertiary care hospital. Study Design: A comparative cross-sectional study. Place and Duration of Study: The study was conducted at Gastroenterology Department, Combined Military Hospital, Lahore, from Jan 2020 to Jun 2020. Methodology: The departmental workload was recorded from before the pandemic was declared and during the pandemic. The number of procedures including upper GI endoscopies(OGD), Colonoscopies, and Endoscopic Retrograde Cholangiopancreato-graphy(ERCP) were recorded. The out-patient department and in-patient department patient load was also recorded for both time periods. Microsoft excel sheet and SPSS version 24 was used to perform data analysis. Results: We performed 34(11.07%) emergency and 273(88.93%) elective endoscopic procedures before the pandemic was declared in March 2020 whereas, afterwards, the load significantly reduced to only 25(32%) emergency and 53(67.95%) elective procedures(p<0.001). In our study, we reported that the frequency of indoor admissions was reduced by 26.8% during the COVID-19 pandemic whereas, the total number of outdoor patients was also substantially reduced from 2096(94.6%) in pre-pandemic period to a mere 350(82.35%) admissions. Conclusion: The patient load and frequency of procedures has both significantly reduced during the COVID-19 pandemic.

3.
Vaccines (Basel) ; 9(7)2021 Jul 01.
Article in English | MEDLINE | ID: covidwho-1295945

ABSTRACT

The current study aims to assess the beliefs of the general public in Pakistan towards conspiracy theories, acceptance, willingness to pay, and preference for the COVID-19 vaccine. A cross-sectional study was conducted through an online self-administered questionnaire during January 2021. The Chi-square test or Fisher exact test was utilized for statistical data analysis. A total of 2158 respondents completed the questionnaire, among them 1192 (55.2%) were male with 23.87 (SD: ±6.23) years as mean age. The conspiracy beliefs circulating regarding the COVID-19 vaccine were believed by 9.3% to 28.4% of the study participants. Among them, 1040 (48.2%) agreed to vaccinate on its availability while 934 (43.3%) reported the Chinese vaccine as their preference. The conspiracy beliefs of the participants were significantly associated with acceptance of the COVID-19 vaccine. The existence of conspiracy beliefs and low vaccine acceptance among the general population is a serious threat to successful COVID-19 vaccination.

4.
Pakistan Armed Forces Medical Journal ; (COVID-19 (2))2020.
Article in English | ProQuest Central | ID: covidwho-826217

ABSTRACT

ABSTRACT Objective: To determine the changes in liver function tests if any in patients of COVID-19. Study Design: Cross sectional study. Place and Duration of Study: Combined Military Hospital Lahore, from Apr 2020 to Jun 2020. Methodology: A total of 209 confirmed cases of COVID-19 positive by RT-PCR patients presenting to Combined Military Hospital, Lahore were included in the study. Their demographic details were recorded. Patients were grouped into mild-moderate and severe disease groups according to the symptoms, complications and oxygen or ventilation requirements. Liver function tests of all these patients were advised. Results: Amongst confirmed COVID-19 patients, 187 (89.5%) had mild to moderate disease whereas 22 patients (10.5%) had severe disease. Liver test abnormalities were defined as the elevation of the following liver enzymes in serum: ALT 42 U/L, AST 45 U/L, GGT 49 U/L, ALP 300 U/L, albumin35g/L and total bilirubin (TBIL) 17.1. In LFTs, Bilirubin was increased in 20 (9.6%) patients), ALT in 32 (15.3%) patients, of which 8 had severe disease, 38 patients having high AST levels (45) 28 had mild-moderate disease and 10 had severe disease. ALP was raised in 24 (11.5%) patients with 8 being in severe disease and rest in mild moderate disease. Albumin was low in 35 (16.7%) patients of which 12 had severe disease and 23 had mild-moderate disease. Conclusion: About 15-20% of the confirmed cases of COVID-19 have deranged liver function tests and it correlates with severity of the disease.

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