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Objective: to analyze which technological variables, derived from the use of electronic devices, predict academic stress and its dimensions in Nursing students. Method: analytical cross-sectional study carried out with a total of 796 students from six universities in Peru. The SISCO scale was used and four logistic regression models were estimated for the analysis, with selection of variables in stages. Results: among the participants, 87.6% had a high level of academic stress;time using the electronic device, screen brightness, age and sex were associated with academic stress and its three dimensions;the position of using the electronic device was associated with the total scale and the stressors and reactions dimensions. Finally, the distance between the face and the electronic device was associated with the total scale and size of reactions. Conclusion: technological variables and sociodemographic characteristics predict academic stress in nursing students. It is suggested to optimize the time of use of computers, regulate the brightness of the screen, avoid sitting in inappropriate positions and pay attention to the distance, in order to reduce academic stress during distance learning.
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Introduction: Patients' negligence and difficult access to healthcare have an impact on the worsening of emergency conditions, which require immediate treatment due to the possibility of exacerbation in a short period of time. Untreated intra- and extraoral abscesses can have serious consequences on the patient's health and in many cases are life-threatening conditions increasing risk of respiratory obstruction, thrombophlebitis, meningitis, mediastinitis and septicemia. Background: The aim of this study is to investigate the impact of the pandemic and the resulting impediments to accessing medical care on the incidence and type of emergencies in the Oral Surgery Department. Material and methods: This was a retrospective study of 85375 patients aged 2 months to 90 years old with diagnosed intra- and extraoral abscesses before COVID-19 pandemic (2018,2019), and during pandemic (2020, 2021) in the Department of Oral Surgery of the Medical University in Lublin. The obtained results were statistically analyzed with the use of a computer program. Conclusions: The fewest patients were admitted in 2020, and the most in 2021, where we can already see the effects of the pandemic. Emergencies occurred most frequently in people aged 21-30, then 31-40. In 365 cases, tooth extraction was performed, and only in 28 cases, root canal treatment was attempted. Conclusions. Oral health service provision has been significantly affected by COVID-19. Patients came to their appointments too late, which in most cases resulted in the necessity of tooth extraction without attempting root canal treatment.
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Background. Since the start of the COVID-19 pandemic, Chad has had 7,417 confirmed cases and 193 deaths, one of the lowest in Africa. Objective. This study assessed SARS-CoV-2 immunity in N'Djamena. Methods. In August-October 2021, eleven N'Djamena hospitals collected outpatient data and samples. IgG antibodies against SARSCoV- 2 nucleocapsid protein were identified using ELISA. "Bambino Gesu" Laboratory, Rome, Italy, performed external quality control with chemiluminescence assay. Results. 25-34-year-old (35.2%) made up the largest age group at 31.9 12.6 years. 56.4% were women, 1.3 women/men. The 7th district had 22.5% and the 1st 22.3%. Housewives and students dominated. Overall seroprevalence was 69.5% (95% CI: 67.7-71.3), females 68.2% (65.8-70.5) and males 71.2% (68.6-73.8). >44-year-old had 73.9% seroprevalence. Under-15s were 57.4% positive. Housewives (70.9%), civil servants (71.5%), and health workers (9.7%) had the highest antibody positivity. N'Djamena's 9th district had 73.1% optimism and the 3rd district had 52.5%. Seroprevalences were highest at Good Samaritan Hospital (75.4%) and National General Referral Hospital (74.7%). Conclusion. Our findings indicate a high circulation of SARS-CoV- 2 in N'Djamena, despite low mortality and morbidity after the first two COVID-19 pandemic waves. This high seroprevalence must be considered in Chad's vaccine policy.
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Background: COVID-19's restrictive measures have significantly affected our health, work and social relationships. As yet, less attention has been given to the changes in sex life. Aim: This study investigates people's satisfaction with sex life in Kinshasa in the Democratic Republic of Congo (DRC). Methods: A cross-sectional survey of the general population (18 years and over) was conducted, from 1st to 18th July 2020, in 17 municipalities in Kinshasa and several measures were used: Quality of life MANSA, EQ-5D-3L, UCLA Loneliness;PHQ-9;GAD-7. Prior to conducting data analysis, diagnostic tests for our data were performed to assess distribution, variance and multicollinearity. Descriptive statistics, bivariate correlation and multiple regression analysis were used. Results: Sex life satisfaction increases from young adults aged 18- 35 to those aged 36-55 and then there is a decrease from ages 56-69. After controlling for socio-demographic factors, sex life satisfaction was positively associated with the number and quality of people's friendships (B=0.30, p=0.01) and people's relationships with their families (B=0.32, p=0.03). People who feel lonely have lower sex life satisfaction (B=-0.15, p=0.01). Conclusion: People's quality of their friendships and family relationships are important for their sexual well-being. Healthcare providers and policymakers should consider people's quality of friendships and family relationships when planning to improve the sexual well-being of people in DRC.
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Background: In the past few decades the animal keeping culture and habits have changed a lot internationally, some animals have become family members. The COVID-19 pandemic has created an unprecedented situation in the world, including Hungary. In many places, the quarantine period was associated with Isolation and, therefore, an increase in the number of companion animals. Objectives: Our aims were to (1) survey the animal keeping culture and habits, (2) examine the motivation of the owners and (3) explore the attitudes about adoption, neutering, breeding and the use of livestock animals in Hungary. Materials and Methods: Specialized surveys were conducted among 843 persons through social media and personal interviews from 20 June to 30 August 2021 by using a questionnaire including 16 questions. The chosen groups were compared with Fisher's Exact test and Chi-square test. Results and Discussion: 97.0% of the respondents regard their dog as a family member. Nearly 25% of the respondents do not wish to neuter their dogs, because they want to breed the dogs or they find it unnecessary. The primary reason for cat keepers not to neuter their pet is the financial issue. Animal keepers and women are significantly more likely to consider their animal as a family member (p < 0.001). Men, the elderly, people who live in the countryside and those who have only elementary education think that neutering is of less importance (p < 0.001). Non-animal keepers, elderly people and men think more negatively about adoption. Buying an animal from a breeder is more important to the younger age groups (p < 0.001) arid those who live in Budapest (p < 0.01). 42.3% of the respondents gave the lowest evaluation scores to the assessment of the livestock units. Women, people from younger age groups (p < 0.05) and those who have higher education (p < 0.001) think more negatively about the use of farm animals. Non-animal keepers, the elderly and people of lower education consider the livestock animals' emotional intelligence lower (p < 0.05). Men (p < 0.001), people over 65 years of age (p < 0.001) and of lower education (p < 0:01), and also non-animal keepers (p < 0.001) accept significantly easier the use of livestock animals.
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PurposeThe pervasive impact of the COVID-19 virus on the food services sector in India has created conditions for fundamentally altering the structure of the industry. This paper offers a nuanced evaluation of the transfiguration of the market, explaining descriptive views supported by numerous secondary data sources.Design/methodology/approachThis is a self-driven study grounded in secondary data. Qualitative and quantitative assessments are assimilated from credible market research reports of multiple agencies in the Indian context, as well as news developments during the pandemic period.FindingsDigitally pivoted platforms such as cloud kitchens and delivery aggregators will eclipse all other formats due to the potential long-term prevalence of the COVID-19 virus. These formats would rise to a dominant position in the Indian food services sector in the coming decade.Research limitations/implicationsThis study is entirely driven by secondary data due to the inherent difficulties of collecting sizeable and good quality primary data as a result of the lengthy and stringent lockdowns imposed across India. Future studies should consider collecting consumer responses to get a better picture of changing dining habits in the post-pandemic scenario.Practical implicationsThe dynamic and evolving food services in India, catalyzed by the Internet and digital technologies will help academicians study the long-term implications of this change, and how it would impact society at large. The paper provides a rich body of contemporary data and analysis in the food services sphere.Social implicationsThe COVID-19 pandemic and its long-term persistence would dramatically alter food service consumption across India. This will not only change how the industry is structured, but will reshape how food is consumed into the future.Originality/valueThe study is a holistic examination of the relationship between the coronavirus pandemic and the food services industry in India. The macro perspectives aided by news coverage and industry research would help generate potential research questions on its own merits.
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BackgroundThe first coronavirus infection was confirmed in Wuhan City, People's Republic of China, in December 2019. On January 30, 2020, the World Health Organization declared the novel coronavirus disease a public health emergency of international concern. On March 11, 2020, World Health Organization announced that the new coronavirus infection can be regarded as a pandemic because of the global spread of the infection. The world's first authorization for a coronavirus disease 2019 vaccine (CV) in the UK was in December 2020. The first authorization for a CV in Japan was in February 2021. A maximum of five times of vaccination had been performed in Japanese people until January 2023. Patients with rheumatoid arthritis (RA) are generally immunocompromised because of the drugs used for RA treatment. Patients with RA are recommended to receive a CV in the 2021 update of the EULAR recommendations for the management of rheumatic and musculoskeletal diseases in the context of SARS-CoV-2 [1]. However, some patients with RA rejected CV for various reasons or reports of adverse reactions (ARs) in clinical practice. Real-world clinical information on CV is necessary for better relationships between patients with RA and their physicians.ObjectivesThis retrospective study aimed to determine the vaccination rate, ARs, and reasons for nonvaccination of CV in patients with RA in clinical practice.MethodsThe vaccination rate, ARs, and reasons for nonvaccination of CV in patients with RA on clinical records of our institute were investigated up to the third vaccination. Patients were divided into three age groups: 0–64 years old (YG), 65–74 years old (OG), and >75 years old (VOG). The association between age groups and vaccination rates was also investigated. The Cochran–Armitage test was used for statistical analysis.ResultsRegarding patient background (n = 610), the mean age was 67.8 years (YG, n = 207;OG, n = 196;VOG, n = 207;female, 75.1%;mean RA duration, 14.1 years). The vaccination rate among all patients was 8.4% for nonvaccination;91.6% for the first dose;91.3%, second dose;and 86.6%, third dose. A significant decrease over time was observed (p < 0.01). Nonvaccination was observed in 13.0%, 9.2%, and 2.9% of those in YG, OG, and VOG, respectively. A higher rate of nonvaccination was observed in the YG (p < 0.01). The results of the analysis by age group were 87.0%/90.8%/97.1% (first dose), 87.0%/90.3%/96.6% (second dose), and 77.8%/86.7%/95.2% (third dose) among the YG/OG/VOG, respectively (Figure 1). No statistically significant decrease in the vaccination rate was found over time in OG (p = 0.19) and VOG (p = 0.30) but not in VOG (p = 0.01). ARs occurred in 8.2%, 14.5%, and 16.1% of the patients receiving the first, second, and third doses, respectively. Among the reasons for nonvaccination, 35 (68.6%) patients were concerned about ARs to CV and 6 (11.8%) thought that CV was unnecessary.ConclusionCV rate in our cohort was higher than that of whole nation in Japan (81.4% for the first dose, 80.4% for the second dose, 67.8% for the third dose). CV rate has been declining steadily in patients with RA, with a stronger trend in younger age groups. Fear of ARs was the most frequent reason for nonvaccination.Reference[1]Landewé RBM et al. Ann Rheum Dis 2022.Acknowledgements:NIL.Disclosure of InterestsNone Declared.
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Objective: Aim of study's determine frequency of hesitations of parents to COVID-19 vaccinate their children and parents the behaviors of take COVID-19 public health measures(PHM) for their children who applied to a university hospital in Turkey. Methods: This descriptive study is study of parental COVID-19 vaccine hesitancy and PHM in parents with children aged 5-12 years admitted to university hospital in Turkey, January-February 2022. Participants' sociodemographic, COVID-19 infection and vaccinations characteristics, status of parents taking PHM, COVID-19 Fear Scale are independent variables. Student's t test, ANOVA, chi-square test in univariate analyses, logistic-linear regression models in multivariate analyzes are used. Type-1 error value is 0.05. Analyzes are made using SPSS23.0. Results: Parents' mean age's 37.1+or-6.4, 68.7% of them female. Children's mean age's 8.5+or-2.3, 53.8% of them male. 17.9% of parents consider their knowledge of protection from COVID-19 and vaccines minimally sufficient/insufficient, 28.7% of them have negative attitude towards PHM for their children. 48.8% of parents have hesitations their children vaccination. As multiple analysis's result;fathers who've never been vaccinated, increase risk of hesitations 6.21 times (OR: 6.21;95%CI=2.16-17.82);parent's negative attitude towards PHM increases risk of hesitations 2.69 times (OR: 2.69;95%CI=1.35-5.35);each unit increase in mother's PHM behavior score affects hesitations 0.89 times (OR: 0.89;95%CI=0.84-0.95). While it's found that father's PHM behavior score had the most effect on parent's PHM behavior score, COVID-19 Fear Scale score had the least effect. Conclusion: Nearly one every two parents have COVID-19 vaccine hesitancy for their children. Fathers are main actors for taking PHM for COVID-19, so fathers as well as mothers should be considered target persons for children COVID-19 vaccine.
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Background: The coronavirus disease 2019 (COVID-19) pandemic has had an immense impact on psychic health. Children and adolescents are considered especially vulnerable which is why health promotion and prevention programs are important and should be designed in a motivating way to be attractive to this age group. The aim of this work is to investigate whether young people can be reached with the help of innovative digital formats for health promotion. Methods: An app-based training to promote self-regulation was offered to adolescents in lower secondary education in autumn 2020. Data were collected using an app. The types of motivation to participate in the training were analyzed. In addition, the students were able to rate the attractiveness of the training with the help of a self-designed evaluation sheet. Results: Of the 91 registered participants, 39.56% completed the study. In all, 40.91% of the students stated that the training was "very" helpful and 36.36% rated it as "quite" helpful. Although 50% of the respondents found the app-based training "modern and motivating", the other half would have preferred more personal support. Conclusion: The results confirm previous study results with health apps in children and adolescents. This age group is interested in digital formats, but health apps are not used continuously in this age group unless obligatory.
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The world is facing a serious viral infection caused by the new Severe Acute Respiratory Syndrome Coronavirus 2. We aimed to evaluate and map the high-risk clusters of COVID-19 in the State of Alagoas, a touristic area in northeastern Brazil, after two years of pandemic by a population-based ecological study, using COVID-19 cases reported in the State of Alagoas, between March, 2020 and April, 2022. We performed a descriptive and statistical analysis of epidemiological data. We then map high-risk areas for COVID-19, using spatial analysis, considering the incidence rate by municipality. 297,972 positive cases were registered;56.9% were female and 42.7% aged between 20 and 39 years old. Men (OR = 1.59) and older than 60 years old (OR = 29.64) had a higher risk of death, while the highest incidence rates of the disease occurred in the metropolitan region. Our data demonstrate the impact of COVID-19 in the State of Alagoas, through the two years of pandemic. Although the number of cases were greater among women and young adults, the chance of death was greater among men and older adults. High-risk clusters of the disease initially occur in metropolitan cities and tourist areas.
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Introduction: Although several factors contributed to the rates of infection and mortality of the SARS-CoV-2 pandemic, obesity seemed to have played a larger role than most within the first several months of the pandemic. In addition, both preexisting health conditions and poor environmental condi-tions seemed to have added to higher levels of infection and mortality in several regions of the country. This study aimed to explore the impact of public health, socio-economic and environmental factors on the rate of infection and mortality of SARS-CoV-2 on gender and age groups in Peru.Methods: We explored the relationships, using Pearson's correlation and stepwise linear regression, between the in-fection and mortality cases per 100,000 individuals with pub-lic health data (obesity prevalence, total number of health in-frastructure, hypertension prevalence, active smokers, tuberculosis cases freely available from the Ministry of Health of Peru), socio-economic data (health needs not met, child-hood malnutrition, access to potable water, access to chlori-nated water system from National Institute of Statistics and Informatics of Peru) and environmental data (NO2 concen-tration from the Sentinel-2 satellite) in Peru. We used con-firmed cases from the 26 department level jurisdictions from 2020, before known variants were registered within the country and focused on gender and age groups, as well as case-fatality rate.Results: Multiple linear regression models indicate obe-sity, air quality, access to chlorinated water system, and prevalence of smoking are influential factors in the distribu-tion of infection and mortality for middle-age and elderly fe-male and male groups, but prevalence of TB and health needs not met were more important for children and young adults in Peru. Case-fatality rate was weakly associated with NO2 concentration.Conclusions: Obesity, exposure to poor air quality, and so-cio-economic conditions are significant factors in the morality of individuals above the age of 40 for both men and women, while other health factors appear to be more important to those younger than 40. The combination of these factors played a significant role during the first wave of SARS-CoV-2 infection in Peru in 2020.
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Objective: To investigate the chest computed tomography (CT) manifestations and dynamic changes of coronavirus disease 2019 (COVID-19) in the patients younger than 18 years old infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant, and to provide a basis for determining the chest CT changes and efficacy of COVID-19 caused by Omicron virus variant in patients younger than 18 years old. Methods The clinical and imaging data of 30 cases of patients younger than 18 years old infected with COVID-19 Omicron variant, who admitted to the Third People's Hospital of Shenzhen from February 11 to March 26, 2022 were collected and retrospectively analyzed. The clinical manifestations, imaging features and dynamic changes of lesions were summarized. Results A total of 41 intrapulmonary lesions in 30 patients with COVID-19 caused by SARS-CoV-2 Omicron variant. The main manifestations were patchy or nodular ground-glass opacities and/or consolidation, with focal subpleural distribution, lesions mainly occur in the right lung (70.73%, 29/41). There were 42 lesion morphologies, with 22 (52.38%) striped shadows and 16 (38.10%) nodular shadows, with small lamellar and patchy shadows predominating. There were 36 lesion density variations, with ground glass shadows being the most common, with a total of 24 ground glass shadows (66.66%) in each lobe of the lung, and also 6 consolidation lesions (16.67%) and 6 mixed ground glass opacity and consolidation lesions (16.67%). With the progression of the disease, lesions gradually enlarged, appeared on the 2nd day (312.93 mm3), peaked on the 9th day (1 837.18 mm3). The average absorption time of the lesions was (16+or-3) days, and there was no significant difference between the absorption time of patchy and nodular lesions (ground glass and/or consolidation) (t=0.853, P > 0.05). The lesions showed focal ground-glass opacity in the early stage, 77.78% lesions were absorbed after treatment in the late stage. Inflammatory nodules were absorbed slowly (9-19 days), without residual fibrotic changes. Conclusions The imaging manifestations of COVID-19 in patients younger than 18 years old infected with SARS-CoV-2 Omicron variant have certain characteristics, showed patchy or nodular ground glass opacities and/or consolidation, mainly distributed in the subpleural area, with small and few lesions and slow change, didn't remain fibrosis. Being familiar with its clinical and imaging manifestations can assist in early diagnosis, but confirming the diagnosis requires a combination of epidemiological history, clinical symptoms, SARS-CoV-2 nucleic acid and radiological manifestations.
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PurposeThe article examines the interplay between welfare state regimes and the distribution of welfare between generations.Design/methodology/approachUsing data from 2017 for 24 European countries on six standard of living dimensions, the authors investigate the intergenerational welfare distribution in a two-stage procedure: (1) the authors compare the intergenerational welfare distribution across welfare state regimes using their existing typologies and find a moderate nexus. Therefore, (2) the authors employ clustering procedure to look for a new classification that would better reflect the cross-country variation in the intergenerational welfare division.FindingsThe authors find a complex relationship between the welfare state model and welfare distribution across generations and identify the policy patterns that shape it. Continental and liberal regimes are quite similar in these terms and favour the elderly generation. Social-democratic and CEE regimes seem to be a bit more balanced. COVID-19 pandemic will probably increase the intergenerational imbalance in terms of welfare distribution in favour of the elderly.Originality/valueIn contrast to the majority of previous studies, which employ inputs (social expenditures) or outputs (benefits, incomes), the authors use intergenerational balance indicators reflecting living conditions of a given generation as compared to the reference point defined as an average situation of all generations.
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Background: This web-based survey is done to collect and assess data from people tested for COVID-19 with PCR in Pakistan. Methods: This 3-month study is a cross-sectional online survey, conducted by Pakistan Islamic Medical Association (PIMA), Health Research Advisory Board (HealthRAB) and National Institute of Health (NIH). Data collection was done using Google Forms. People who were tested for COVID-19 using Polymerase Chain Reaction (PCR) were included in the study. The sample size of the study was 1,537. SPSS version 22 was used for data analysis. Results: Majority of the respondents belonged to the age group 20 - 39 years. The most common symptoms found were fever 633 (41%), cough 534 (34%), generalized body aches 432 (28%) and sore throat 392 (25%). The mean COVID-19 mental health score was 3.59 (SD: 5.808, range: 0-18). Treatment with antibiotics and painkillers had a strong correlation (p-value < 0.05) with the disease outcomes. The disease outcomes had moderate correlation (p-value < 0.05) with anti-allergy, steroids, plasma and oxygen therapy, and weak correlation (p-value < 0.05) with Antiviral and Antimalarial therapy. Out of the total respondents, 561 (36.1%) were cured from COVID-19, 14 (0.9%) were expired during/after hospitalization, 15 (1%) were still infected and 962 (62%) were not infected. Conclusion: Pakistani population has a better cure rate than some of its neighboring countries. However, further research in this area is required to draw a definite conclusion.
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[...]in this case, the Pfizer/BioNTech response-which is appropriate-is that if the level of antibodies is too low, we may need a third dose in the age group of 2 to 5 years. All that said, it seems the existing vaccines now have a 3-dose series in adults;we don't know necessarily yet for children if 2 or 3 doses will be necessary for all the mRNA vaccines, but there are reasonably good data that the immune responses induced may still provide a level of protection that is reasonable. Whenever there is a new variant, there are basic science laboratories in various parts of the world that are poised to immediately do studies with model systems in which they can put the variants into a virus that is not pathogenic and ask the question "Do the antibodies from some of the recipients of the vaccine provide some level of protection in a laboratory study?" With the Omicron surge being so big, we were able to get a pretty good idea of whether people who had received the vaccine were significantly less likely to have significant consequences from infection. William J. Muller is an attending physician of infectious diseases and scientific director of clinical and community trials at the Stanley Manne Children's Research Institute at Ann & Robert H. Lurie Children's Hospital of Chicago and an associate professor of pediatrics at Northwestern University Feinberg School of Medicine in Chicago, Illinois.
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Background: Coronavirus disease 2019, first reported in December 2019 mainly presented with the symptoms of Cough, Fever, Shortness of breath, Myalgia, Weakness and anosmia. C-reactive Protein (CRP) is an acute-phase reactant protein which is synthesized by the liver in response to raised levels of interleukin-6 (IL-6) which is a biomarker of inflammation. Methods: This was a prospective observational study, done on 110 COVID-19 patients after applying inclusion and exclusion criteria. Detailed history, vaccination status, presence of comorbidities and thorough clinical examination was performed. Serum CRP levels was assessed and Computed Tomographic scan (CT scan) of Thorax was done. CORADS scoring and CT severity grading as per CT scan was done. All the above parameters were recorded in the preformed proforma and data was entered in excel spreadsheet and was analysed using SPSS v26 software. Results: Majority were males (56.3%) and majority were from 61-80 years of age. Majority (57.3%) patients were non-smokers. Hypertension was the most common associated comorbidity (86.4%) (r=0.743, p=0.000). There is a strong positive correlation between CRP levels and CTSS in COVID 19 patients and a strong negative correlation between the CRP levels and outcome of COVID-19 patients (r=-0.449, p=0.000). Conclusion: Elevated serum CRP value is associated with disease progression and poorer outcome.
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In the Republic of Sakha (Yakutia) for the period 2015-2020, an increase in mortality and a decrease in fertility were noted, higher rates of primary morbidity were noted, including in the class of respiratory diseases, 1.4 times higher than in the Russian Federation, while the incidence rate of COVID-19 was higher;higher incidence of digestive diseases was noted (1.7 three times higher than in the Russian Federation). Indicators of primary morbidity of children and adolescents are higher than the total population in almost all classes of diseases for all 6 years of analysis (2015-2020). Differences in the indicators of primary morbidity in the uluses of the Republic of Sakha (Yakutia) by 3.3 times, which are associated with different availability of medical care in different areas of residence. The information obtained is important for the development of management decisions at the regional level.
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Introduction: Coronavirus infection is a disease that causes respiratory failure and complications in certain groups of people, leading to death. The factors associated with the severe course of COVID-19 have been fairly well studied by now;at the present stage, it is necessary to search for and study them in separate groups of people that differ in age, gender, ethnicity, the presence of background diseases, etc. to develop more personalized approaches to severe disease prevention. Background: To conduct a comparative analysis of the factors associated with the severe course of COVID-19 in people under and over 60 years of age and evaluate their prognostic significance in combination of factors. Materials and methods: A retrospective analysis of the clinical and laboratory parameters of 812 COVID-19 patients was carried out. Multiple logistic regression analysis was used to identify factors associated with the development of severe COVID-19. ROC analysis was performed to assess the prognostic significance of the set of identified statistically significant factors in the development of a severe course of COVID-19. Results: Multivariate logistic regression analysis showed that patients under 60 diabetes mellitus (OR=2,561, p=0,048), lymphopenia (OR=2,133, p=0,030), and pneumonia at admission (OR=2,556, p=0,011), rapid breathing (OR=3,497, p=0,001), low saturation (OR=4,076, p=0,006) were significantly associated with the development of severe COVID-19. At the same time, in patients older than 60 years, the presence of diabetes mellitus (OR=1,899, p=0,029), rapid breathing (OR=2,338, p=0,007) and low saturation (OR=4,248, p < 0,0001) were significantly associated with the development of a severe course of COVID-19. In groups under 60 and over 60 years of age, the prognostic value of the combination of all statistically significant factors corresponding to the groups was equal to the average level (AUC=0,760 and AUC=0,709, respectively) Conclusion: Factors associated with the development of a severe course of COVID-19 in elderly and middle-aged people have some differences related to the pathogenesis of the disease. For individuals under 60 years of age, factors associated with severe COVID-19 are diabetes mellitus, the presence of pneumonia on admission, dyspnea, low oxygen saturation, and lymphopenia. For individuals over 60 years of age, factors associated with severe COVID-19 are the presence of diabetes mellitus, shortness of breath, and low saturation. The combination of all the studied factors significantly increases the risk of developing a severe course of COVID-19 in both age groups.
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COVID-19 is the transmittable disease that emerged as a recent epidemic and threatened the lives of various people. The emerged pandemic initiated a change in the people's routine and impacted a serious financial crisis. This initiated a necessity for developing a deeper insight of the COVID-19 disease and multiple researches are performed based on the COVID-19 epidemic, which possess the challenges of basic analysis of information about the disease, lack of data, lack of knowledge about the parameters that cause disease and to overcome this a deep COVID-19 analysis epidemic via the deep CNN classifier is accomplished in the research. The impact of the disease is examined based on the gender, age group, symptoms and outbreak of the disease. This analysis provides comprehensive information about the disease and helps in making the preventive measures, which will greatly reduce the impacts of the disease. The accomplishment of deep CNN instinctively analyzes the essential features needed for the classification that helps in reducing the effort and time of the individuals. The performance is analyzed with the metrics specificity, accuracy and sensitivity, which obtained values of 0.48 %, 0.27 %, 2.82 % corresponding to and 2.88 %, 1.5 %, 0.36% considering training percentage, which is more efficient. © 2023 IEEE.