Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 20 de 51
Filter
1.
Advances in Traditional Medicine ; 23(2):321-345, 2023.
Article in English | EMBASE | ID: covidwho-20236383

ABSTRACT

The current outbreak of COVID-19 is caused by the SARS-CoV-2 virus that has affected > 210 countries. Various steps are taken by different countries to tackle the current war-like health situation. In India, the Ministry of AYUSH released a self-care advisory for immunomodulation measures during the COVID-19 and this review article discusses the detailed scientific rationale associated with this advisory. Authors have spotted and presented in-depth insight of advisory in terms of immunomodulatory, antiviral, antibacterial, co-morbidity associated actions, and their probable mechanism of action. Immunomodulatory actions of advised herbs with no significant adverse drug reaction/toxicity strongly support the extension of advisory for COVID-19 prevention, prophylaxis, mitigations, and rehabilitation capacities. This advisory also emphasized Dhyana (meditation) and Yogasanas as a holistic approach in enhancing immunity, mental health, and quality of life. The present review may open-up new meadows for research and can provide better conceptual leads for future researches in immunomodulation, antiviral-development, psychoneuroimmunology, especially for COVID-19.Copyright © 2021, Institute of Korean Medicine, Kyung Hee University.

2.
Journal of the Intensive Care Society ; 24(1 Supplement):13-14, 2023.
Article in English | EMBASE | ID: covidwho-20235658

ABSTRACT

Introduction: Bronchiolitis is the most common cause for paediatric respiratory hospital admissions in young children in the UK.1 Following the relaxation of international SARS-Cov-2 lockdown measures a potential national surge in cases was predicted, highlighting a need for more collaborative working across core specialities.2 This prompted the use of the principles of Inter-Professional Education (IPE) to prepare and deliver an intervention to improve outcomes for these patients.3 Objectives: * To plan, deliver and evaluate an educational intervention focussed on improving the knowledge, skills and attitudes needed to care for a sick child with bronchiolitis * To utilise the principles of IPE to improve competence and confidence across core specialities involved in the care of a sick child with bronchiolitis Methods: A team from the Adult Intensive Care Unit (AICU) and the Paediatric High Dependency Unit (PHDU) from the Royal Berkshire Hospital in Reading delivered an inter-professional teaching session focussed on caring for the sick child with bronchiolitis. The patient journey was utilised as a framework to teach the core knowledge, skills and attitudes needed to clinically manage a child from the Emergency Department (ED) to the Intensive Care Unit (ICU). Each session included a lecture about bronchiolitis - describing pathophysiology and how to recognise the deteriorating child;a skills and drills tutorial - highlighting the need for weight-based calculations for high flow nasal oxygen, intravenous fluids and drugs;and a practical simulation scenario - focussing on the stabilisation and management of a sick child awaiting retrieval to the Paediatric Intensive Care Unit (PICU). Result(s): 135 healthcare professionals from a range of adult and paediatric disciplines involved in the care of children across the patient journey attended one of fourteen teaching sessions delivered between September to December 2021. Attendees completed a feedback questionnaire. One hundred and twenty-two (90%) reported an extremely high degree of satisfaction overall, with many saying they would recommend the teaching sessions to others. Areas of personal and professional development were highlighted across the following main themes: gaining theoretical knowledge;understanding key equipment;performing drug calculations;preparing for intubation and ventilation;assessing the need for chest physiotherapy techniques;and more collaborative team-working. Free text comments demonstrated that the attendees felt the teaching sessions: built confidence through the sharing of new or improved knowledge and skills;facilitated a safe space to practice using simulation;and provided the opportunity to learn about and from each other. Many of the attendees also commented on areas they wanted to reinforce and further develop in daily clinical practice as a direct result of the sessions. Conclusion(s): On-going evaluation is taking place as the teaching sessions continue throughout the year, facilitating the inclusion of additional inter-professional groups from across core specialities. These sessions have been used as a template for the development of further planned IPE with a more varied range of paediatric clinical cases and presentations. These will continue to build on the transferable knowledge and skills that increase competence and confidence in caring for the sick child whilst developing a more collaborative practice-ready workforce.

3.
Journal of Population Therapeutics and Clinical Pharmacology ; 30(7):e133-e140, 2023.
Article in English | EMBASE | ID: covidwho-2314434

ABSTRACT

Background: COVID-19 infection was discovered to be the major global cause of a serious respiratory illness toward the end of 2019. The majority of COVID-19 patients experience mild disease, while about 14% go on to have severe disease and 6% end up in critical condition. An evidence-based standard of therapy called pulmonary rehabilitation includes exercise-training, education, and behavior modification to help people had a lung illness feel better physically and mentally. Aim(s): current study aimed to evaluate the effect of pulmonary rehabilitation program on severe post covid19 patients (post hospitalization) regarding pulmonary function tests and dyspnea score. Method(s): Randomized control experimental study design enrolled 100 patients of post hospitalization due to severe COVID 19 infection. Dyspnea score, Spirometry and 6-minute walk test were performed upon discharge. Pulmonary rehabilitation program in the form of respiratory exercises and walking exercise was done to 50 patients. Follow up assessment of the same parameters was done 6 weeks after the program. Other 50 patients had no pulmonary rehabilitation program to them. Result(s): Post COVID-19 cases in the experimental group show much improvement in percentage of normal breathing score (mMRC) 30% versus no cases in control group. In addition, the experimental group showed a significant higher percentage of normal spirometry findings (66% versus 28% in control group). As regards oxygen saturation, 6MWT score and distance, it showed a higher mean after practicing the exercise program. Conclusion(s): pulmonary rehabilitation program was effective in achieving much improvement in recovery of severe cases of COVID 19 infection.Copyright © 2021 Muslim OT et al.

4.
Respiratory Case Reports ; 12(1):11-14, 2023.
Article in English | EMBASE | ID: covidwho-2291454

ABSTRACT

Spontaneous pneumomediastinum (SPM) is a decisive complication reported to be associated with COVID-19. Here, we present a case of SPM in a COVID-19positive patient that was not caused by any iatrogenic or known reasons. At the time of admission, the patient was COVID-positive and distressed. He was immediately subjected to hematological and radiological investigations (chest X-ray, HRCT), which confirmed pneumomediastinum. The patient was hypoxic and hypotensive even after receiving ionotropic support. Considering the patient's critical condition, a mediastinal pigtail catheterization was performed instead of a thoracotomy, and the catheter was in situ for nine days. Arterial blood gas was monitored during the hospital stay, and supplementary oxygen therapy was provided accordingly. The patient subsequently recovered and was discharged. Hence, SPM in this COVID patient was treated by pigtail catheterization, and major surgical interventions were avoided.Copyright © 2023 LookUs Scientific. All rights reserved.

5.
Neuropsychiatria i Neuropsychologia ; 17(3-4):168-173, 2022.
Article in Polish | EMBASE | ID: covidwho-2274470

ABSTRACT

This article discusses the treatment of panic disorder in terms of cognitive behavioral psychotherapy. Panic disorder is one of the most common anxiety disorders. The etiology of panic disorder assumes the coexistence of genetic and environmental factors. Panic attacks often accompany other mental and somatic diseases. The constant feeling of intense anxiety with a number of somatic symptoms affects the deterioration of everyday functioning, significantly reducing one's quality of life. The global situation caused by SARS-CoV-2 may correlate with the increase in the incidence of panic disorder. The introduction of appropriate therapeutic interventions at the earliest possible stage of the disease gives patients a chance for long-term remission. So far, it has been proven that the best results of pharmacological treatment are achieved thanks to the antidepressant and benzodiazepine drug groups. One of the non-pharmacological interventions with the highest clinical effectiveness is cognitive-behavioral psychotherapy. Compared to other trends, cognitive- behavioral therapy is characterized by the most reliable research proving its high effectiveness. Psychotherapy of panic disorders in the cognitive-behavioral approach includes a complete conceptualization of the patient's problem, taking into account individual theoretical models. Treatment of panic attacks is based on a protocol which takes into account both cognitive and behavioral interventions, e.g. psychoeducation, cognitive restructuring, breathing training, relaxation exercises and both interoceptive and in vivo exposures. Research results indicate that this therapy is an alternative form of treatment for panic disorders. Sources indicate that the effectiveness of interventions based on cognitive-behavioral therapy is comparable to that of pharmacotherapy.Copyright © 2022 Termedia Publishing House Ltd.. All rights reserved.

6.
Annals of Clinical and Analytical Medicine ; 13(Supplement 1):42-45, 2022.
Article in English | EMBASE | ID: covidwho-2265506

ABSTRACT

The aim of this study is to examine the results of physiotherapy in a patient with critical illness polyneuropathy (CIP) due to coronavirus disease 2019 (CO-VID-19). The 48-year-old male patient with CIP due to COVID-19 was enrolled in a physiotherapy program for 3 months with 5 sessions/week. Pain intensity, motor skills, daily living activities, fatigue level, cognitive status, and decubitus ulcer were evaluated with a visual analogue scale, the Medical Research Coun-cil-Sum Score, the Functional Independence Scale, the Fatigue Severity Scale, the Standardized Mini-Mental Test, and pressure wound staging, respectively. Positive improvements were achieved in functional level, fatigue, pain, and pressure sores with the physiotherapy program for this patient with CIP due to COVID-19. This report provides an idea about the effects of physiotherapy programs for COVID-19-related CIP to academics and clinicians working in this field.Copyright © 2022, Derman Medical Publishing. All rights reserved.

7.
Kinesitherapie ; 23(256):19-23, 2023.
Article in English, French | EMBASE | ID: covidwho-2259535

ABSTRACT

Introduction: The interest of respiratory physiotherapy maneuvers during a difficult fibroscopy in the intubated patient, sedated in a context of Covid-19 has not been reported so far. Case presentation: A 50-years-old patient with a severe form of Covid-19, requiring an endotracheal intubation, complicated by a ventilator-associated pneumonia and a complete atelectasis of the left lung. Because of adherent and purulent mucus, chest physiotherapy techniques and fiberoptic bronchoscopy conducted separately showed low effectiveness to remove the atelectasis. Chest physiotherapy manual techniques used during fiberoptic bronchoscopy allowed extracting easier the mucus;they helped to remove the atelectasis and to improve the hematosis as well as the prognosis for survival of the patient. Conclusion(s): Manual maneuvers of respiratory physiotherapy during the fibroscopy procedure could improve the efficiency of aspiration of very adherent secretions. Level of Evidence: 5.Copyright © 2022 Elsevier Masson SAS

8.
Revista de la Asociacion Espanola de Especialistas en Medicina del Trabajo ; 31(4):328-335, 2022.
Article in Spanish | EMBASE | ID: covidwho-2255534

ABSTRACT

Objectives: Burnout is common among health professionals, an important problem of exhaustion and professional angst, that can severely affect the mental state, health, and the quality of personnelpatient care. Nonetheless, only a few studies have researched the improvement in the state of exhaustion of the professionals in the framework of a prevention and systematic reduction therapy for burnout, based on Virtual Reality (VR) and neural feedback. The objective of this study was to evaluate the level of exhaustion and the improvements obtained in health care workers in the context of pandemic for SarsCov 2, product of the application of relaxation therapy based on VR assisted by Neurofeedback. Material(s) and Method(s):Transversal study, in a public hospital in the city of Santiago de Chile. Maslach Burnout Inventory was used to evaluate burnout in health professionals and a therapy was applied to facilitate the learning of breathing techniques and relaxation utilizing VR and neural feedback. Result(s): Out of 50 health care workers 4 were selected for the present study of case report, all obtaining a high level of burnout. Conclusion(s):The health professionals that take care of patients in the framework of the pandemic for COVID19 experimented high levels of burnout. In our study it was observed an improvement in the parameters of improvement in response to neural therapy.Copyright © 2022, Accion Medica S.A.. All rights reserved.

9.
NeuroQuantology ; 21(2):600-615, 2023.
Article in English | EMBASE | ID: covidwho-2253443

ABSTRACT

Introduction: The test applied to the students of the Agroindustry career of the National University of Chimborazo presents previous visual diseases in: 33.3 % myopia, 5.1 % astigmatism, 0.5 % presbyopia, referring to the use of the computer we have: 54.9 % of 2 to 4 hours, 39 % of 4 to 8 hours and 6.2 % more than 8 hours which can cause visual fatigue. This research aims to determine the level of visual computer syndrome when applying the CVSS 17 test and technostress by applying the NTP 730 test. The reliability of the instruments is 0. 693 good and 0.959 mu and good, and the reliability of 0.916 and 0.931 which is very good respectively. The result of visual fatigue is 29.2% symptomatic and 70.8% asymptomatic. Regarding technostress, 55.4% is low, 35.9% is medium, and 8.7% is high. The conclusions are determined: the existence of visual fatigue determines the presence of ocular and visual symptoms which will cause short-term affections to the organ of sight and referring to technostress there is resistance to the use of technology. The presence of visual fatigue is associated with the tele study due to the high frequency of computer use and other environmental factors, theCovid 19 pandemic is one of the factors that has contributed to the phenomenon under study, so it is necessary to implement preventive measures.Copyright © 2023, Anka Publishers. All rights reserved.

10.
Physiotherapy Quarterly ; 30(4):104-106, 2022.
Article in English | EMBASE | ID: covidwho-2250777

ABSTRACT

The main question in the field of exercise and rehabilitation medicine is whether physical activity and therapeutic exercise are suitable activities for CoVid-19 patients who are recovering at home. There have been few public health guidelines provided about what people can do in relationship with exercise and respiratory care. For this reason, it is necessary that physical therapists give some recommendations concerning safe respiratory and physical exercises that could be executed by people with confirmed, suspected, or probable CoVid-19 who stay at home.Copyright © 2022 University School of Physical Education in WrocAaw. All rights reserved.

11.
European Respiratory Journal Conference: European Respiratory Society International Congress, ERS ; 60(Supplement 66), 2022.
Article in English | EMBASE | ID: covidwho-2279305

ABSTRACT

Introduction: Owing to post-Covid 19 pulmonary sequelae, there are a considerable number of COVID-19 survivors requiring respiratory rehabilitation. We aim to reveal the impact of pulmonary rehabilitation as an effective intervention in these patients. Method(s): Prospective study of hospitalized patients with COVID-19 in pneumology department D of Abderahman Mami hospital. We evaluated symptoms and pulmonary function tests assessments in patients (N = 28) who participated in the pulmonary rehabilitation program,including respiratory muscle training and breathing exercises (twice a week for 6 weeks) at one month after discharge and 6 weeks after training. Result(s): The average age was 58.7 years. A severe lung involvement (>50%) was revealed in 25% (n=7). The most common comorbidities were hypertension (n=11) and diabetes (n=6). Common persistent symptoms post COVID 19pneumonia were: breathlessness (19cases with mean mMRC scale 1.82), fatigue (n=19) and cough (n=12). This study showed a significant decrease of persistent symptoms after 6 weeks: 2 cases of persistent dyspnea (mMRC scale 1 vs 1.82, p=0.03), 1 case of cough and 1 case of fatigue. Pulmonary function revealed statistically significant improvement after this program: TLC (73.2% vs 86.1%, p<0.01), FEV1 (93.4% vs 98.6%, p<0.01), FVC (89.4% vs 95.8%, p<0.01) and DLCO (63.9% vs 75.3%, p<0.01). A significant increase in distance traveled after the six-minute walk test was found (473 vs 517 meter, p<0.01). Respiratory muscle training improved maximum inspiratory pressure (PImax 70.5cmH20 vs 81.3, p<0.01) and maximum expiratory pressure (PEmax 80.4 cmH20 vs 87, p<0.01) Conclusion(s): Respiratory rehabilitation improve symptoms and pulmonary function after COVID-19 pneumonia.

12.
European Respiratory Journal Conference: European Respiratory Society International Congress, ERS ; 60(Supplement 66), 2022.
Article in English | EMBASE | ID: covidwho-2264981

ABSTRACT

Introduction: Nepal is low and middle income country (LMIC) in South Asia with over 11 million SARS-CoV-2 infections reported till February 2022. Decline in lung function with poor functional status have been observed in substantial proportion among post-COVID patients in Nepal. Aims and objectives: The aim of this study was to assess benefits of pulmonary rehabilitation in post-COVID patients at Methinkot hospital, a primary level hospital in Nepal where specialized health services and rehabilitation facilities are not available. Method(s): A cross-sectional study was conducted in December 2021 at Methinkot hospital. Post-COVID patients with persistent symptoms were included. A structured pulmonary rehabilitation program comprising of breathing exercise, airway clearance technique, flexibility and endurance exercise was designed and was delivered by a visiting pulmonary rehabilitation specialist from tertiary hospital. Patients were instructed for thrice weekly home based rehabilitation for four weeks and were assessed at the end of four weeks. Result(s): Forty-two patients were included. Mean age of patients was 38.33+/-10.7 years. There were 17 (40.5 %) male. Shortness of breath on exertion (71.4%), fatigue (52.4%) and chest discomfort (35.7%) were the most common reported symptoms. Upon completion of four-week pulmonary rehabilitation, 34(81%) patients reported symptomatic improvement while 30(71.4%) reported rehabilitation measure to be beneficial. Conclusion(s): Early pulmonary rehabilitation service could be highly beneficial in reducing post-COVID morbidities. Establishment and continuation of sustainable and affordable rehabilitation service is challenging in resource limited setting.

13.
American Family Physician ; 106(5):523-532, 2022.
Article in English | EMBASE | ID: covidwho-2262718

ABSTRACT

Postacute sequelae of COVID-19, also known as long COVID, affects approximately 10% to 30% of the hundreds of millions of people who have had acute COVID-19. The Centers for Disease Control and Prevention defines long COVID as the presence of new, returning, or ongoing symptoms associated with acute COVID-19 that persist beyond 28 days. The diagnosis of long COVID can be based on a previous clinical diagnosis of COVID-19 and does not require a prior positive polymerase chain reaction or antigen test result to confirm infection. Patients with long COVID report a broad range of symptoms, including abdominal pain, anosmia, chest pain, cognitive impairment (brain fog), dizziness, dyspnea, fatigue, headache, insomnia, mood changes, palpitations, paresthesias, and postexertional malaise. The presentation is variable, and symptoms can fluctuate or persist and relapse and remit. The diagnostic approach is to differentiate long COVID from acute sequelae of COVID-19, previous comorbidities, unmasking of preexisting health conditions, reinfections, new acute concerns, and complications of prolonged illness, hospitalization, or isolation. Many presenting symptoms of long COVID are commonly seen in a primary care practice, and management can be improved by using established treatment paradigms and supportive care. Although several medications have been suggested for the treatment of fatigue related to long COVID, the evidence for their use is currently lacking. Holistic treatment strategies for long COVID include discussion of pacing and energy conservation;individualized, symptom-guided, phased return to activity programs;maintaining adequate hydration and a healthy diet;and treatment of underlying medical conditions.Copyright © 2022 American Academy of Family Physicians.

14.
Journal of Allergy and Clinical Immunology ; 151(2):AB25, 2023.
Article in English | EMBASE | ID: covidwho-2239096

ABSTRACT

Rationale: Low-grade inflammation is a risk factor for adverse cardiovascular events including death from cardiovascular disease. Cardiovascular events are one of the most common manifestations of post covid syndrome, impacting the mortality in the post covid period. Methods: 260 post covid patients age 48-66 years were examined. All patients underwent rehabilitation in a Crimean sanitorium, that included climatologic therapy on the southern coast of Crimea;dietary therapy;pharmacologic therapy, and if necessary, breathing exercises using a variety of methods of respiratory therapy. The patients were examined for C-reactive protein (CRP) level in peripheral blood before and after the sanatorium rehabilitation. Results: The level of CRP of the patients who underwent rehabilitation did not differ significantly (p>0.05) from the initial values obtained on the day of admission to the rehabilitation center. At admission and upon discharge the CRP values corresponded to the lower limit of the levels characteristic of low-grade inflammation ranging from 3 mg/l to 10 mg/l). Conclusions: The currently available methods of physical rehabilitation of post covid patients as implemented in a Crimean sanitorium did not provide a reduction of the level of systemic inflammation as assessed by CRP determination. New less traditional approaches may be needed to reduce inflammation in post covid syndrome patients who are at risk for cardiovascular adverse consequences.

15.
NeuroQuantology ; 20(19):2964-2970, 2022.
Article in English | EMBASE | ID: covidwho-2206894

ABSTRACT

Aim-Covid 19 spike during Phase-II brought more organized multidisciplinary health care based on evidence. Chest physiotherapy, including proning, was recommended for desaturating patients in ICU. However, all patients did not tolerate changes in positions and proning. This study aimed at clinical profiling of patients as well as the development of a physiotherapy plan of care based on the needs of patients at different levels. Material and methods-Clinical profile of patients diagnosed with SARS-COV-2 during two months when there was peak in second wave were analysed. Patients' status and physiotherapy treatment mode and safety of positioning and physiotherapy was established. Results-There were 99 patients referred for physiotherapy from COVID ICU during the period of study. Patients had different co-morbidities and reasons for desaturation which cannot be concluded. However, a plan of physiotherapy care was developed in the study which is the first of its kind. Conclusion-The laid protocol of care based upon understanding the needs of these patients, logical classification as per their status, way to improve postural desaturation and prioritize the need of care in terms of bronchial hygiene, work of breathing, or improving compliance was a novel and helpful approach. Copyright © 2022, Anka Publishers. All rights reserved.

16.
Complement Med Res ; 30(2): 151-160, 2023.
Article in English | MEDLINE | ID: covidwho-2194330

ABSTRACT

BACKGROUND: A study was conducted on asymptomatic COVID-19 positive patients admitted in a COVID-19 hospital in Indore, India, during first wave of the pandemic. The objective of the study was to assess the efficacy of an integrated tele-yoga intervention as an adjunct to conventional management on physiological, psychological, and mindfulness variables. METHODS: In a confirmatory randomized control trial, 60 asymptomatic COVID-19 patients in hospital confinement were randomly allocated to experimental and control groups (n = 30). The tele-yoga intervention included breathing exercise, pranayama, and meditation delivered over 30 min for 7 days to the experimental group while the control group continued treatment as usual. Assessment of physiological variables and psychological variables was carried out before intervention and on day 7 immediately after intervention. Data were analyzed using SPSS (v.16.0). RESULTS: Mann-Whitney U test shows that there was a statistically significant difference between groups regarding all variables (p < 0.001). The physiological and psychological variables which included Oxygen saturation (2.07%), Heart rate (8.21%), Respiratory rate (10.04%), Systolic blood pressure (6.14%), Diastolic blood pressure (8.38%), Visual Analog Scale for stress (62.78%), COVID-19 Peritraumatic Distress Index (68.44%), and State Mindful Attention Awareness Scale (72.72%) showed significant changes in the experimental group compared to control group. CONCLUSION: The results of this study suggest that integrated tele-yoga might have therapeutic benefits in improving physiological, psychological, and mindfulness variables in asymptomatic COVID-19 patients.


Subject(s)
COVID-19 , Meditation , Yoga , Humans , Yoga/psychology , Breathing Exercises , India
17.
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-2190791

ABSTRACT

BACKGROUND AND AIM: Bronchiolitis is the most common cause for paediatric respiratory hospital admissions in young children in the UK. Following the relaxation of international SARS-Cov-2 lockdown measures a potential national surge in cases was predicted. This highlighted the need to deliver an educational intervention to improve outcomes for these patients. Inter-Professional Education (IPE) was utilised in our hospital. METHOD(S): A team from the Adult Intensive Care Unit (AICU) and the Paediatric High Dependency Unit (PHDU) delivered an inter-professional teaching session focused on caring for the sick child with bronchiolitis. The patient journey was used as a framework to teach the core knowledge, skills and attitudes needed to clinically manage a child from the Emergency Department (ED) to the Intensive Care Unit (ICU). The session included a lecture about bronchiolitis, a paediatric skills tutorial and a simulation scenario. RESULT(S): 135 healthcare professionals from a range of disciplines involved in the care of children across the patient journey attended the teaching session which was delivered twelve times over a 3-month period. They completed a feedback questionnaire. One hundred and twenty-two (90%) reported an extremely high degree of satisfaction. Areas of development highlighted the following themes: gaining theoretical knowledge, understanding equipment, performing drug calculations, preparing for intubation, assessing the need for chest physiotherapy and understanding teamworking. CONCLUSION(S): The teaching sessions have been used as a template for the development of further planned IPE teaching across a range of paediatric clinical cases and presentations, developing a more collaborative practice-ready workforce for the care of the sick child.

18.
Critical Care Medicine ; 51(1 Supplement):341, 2023.
Article in English | EMBASE | ID: covidwho-2190589

ABSTRACT

INTRODUCTION: Injury from hydrocarbon inhalation, such as with tiki torch fuel, can range from asymptomatic requiring only observation to fatal due to severe acute respiratory distress syndrome. Treatment is largely supportive. DESCRIPTION: A 12-month-old male was found by a family member drenched in tiki torch fluid with suspected hydrocarbon inhalation. On presentation to the Emergency Department, he was lethargic but with a clear respiratory exam. Within an hour, he developed tachypnea and hypoxemia requiring endotracheal intubation. Chest radiography revealed interval increase in bilateral heterogeneous airspace opacities. He was also found to be parainfluenza 3 positive. Despite optimization of sedation and paralysis, administration of corticosteroids and bronchodilators, and increasing respiratory support, he had worsening hypoxemia and hypercarbia. On hospital day 2, he had an oxygenation index of 60 and a P/F ratio of 40, so he underwent cannulation with veno-arterial extracorporeal membrane oxygenation (ECMO). In addition to diuretics and chest physiotherapy, due to persistent fevers, elevated inflammatory markers, and severity of illness, he received antibiotics for 7 days. Over the next 3 days, he improved and was subsequently decannulated from ECMO. Sixteen days after initial injury, he was extubated and weaned from supplemental oxygen three days later. He has not had any respiratory complications in the 12 months since injury. However, he did require rehospitalization due to thrombotic stroke suspected to be secondary to recent COVID-19 infection, history of ECMO and family history of thromboembolic events. DISCUSSION: Although most children with injuries related to hydrocarbon ingestion and aspirations can be observed and discharged, some injuries can lead to significantly worse symptoms including pulmonary edema, bronchoconstriction, hypoxemia and worsening respiratory distress which may require invasive support or ultimately be fatal. Presentations can evolve rapidly over 6-8 hours and peak at 48 hours due to the disturbance of surfactant and consequences of inflammation. While bronchodilators may provide benefit, steroids and surfactant therapy is controversial. Therapy is largely supportive. Most children can be expected to have a full recovery.

19.
European Psychiatry ; 65(Supplement 1):S684, 2022.
Article in English | EMBASE | ID: covidwho-2154146

ABSTRACT

Introduction: Due to the Covid-19 effects, mental health conditions are now, more than ever, affecting our daily lives - both personally and professionally. The average delay between the onset of first symptoms of a mental health disorder and seeking suitable healthcare is 11 years. The WHO states that the only sustainable way to reduce mental healthcare burden is by acting earlier. Objective(s): The aim of this project is to assess the receptivity and engagement of a mobile app for mental health prevention, amongst a large-scale and heterogeneous group of individuals. The main hypothesis under testing is that people are receptive to actively act towards mental health prevention, despite still being a very neglected and stigmatized topic. Method(s): A mobile app for mental health improvement and disease prevention was developed through the digitalization of positive psychology strategies, such as mood tracking, journaling, breathing exercises, among others, which are personalized to the user through biofeedback. The app aims at teaching people how to autonomously cope with mental health conditions, identifying early signs and redirecting them to proper mental health professionals. The app is being released for a population of 35,000 subjects resident in Portugal. Result(s): Receptivity and engagement metrics will be assessed on a weekly and monthly basis, for 3 months, segmented by different subject profiles. Mental health metrics will also be assessed, namely anxiety, depression, and burnout levels - using standard psychiatric scales. Conclusion(s): We have yet to draw conclusions from the project;however, we aim to achieve first results in due time.

20.
NeuroQuantology ; 20(13):1809-1818, 2022.
Article in English | EMBASE | ID: covidwho-2145490

ABSTRACT

The COVID-19 pandemic continues its devastating reign over the world, and Making effective strategies for determining and containing the virus has grown more crucial. Although developed nations can effectively control the spread and severity of the pandemic, less developed countries have difficulty implementing similar measures because of various issues such as understanding, attitudes, and behaviour for covid-19 intervention. Similarly, Bangladesh experience challenges in executing contagious virus management due to different intervention seeking knowledge and behaviour. This study explored the intervention-seeking behaviour of the Covid-19 treatment protocol who recovered from this deadly virus in Bangladesh. This quantitative study adopted a cross-sectional design, whereas a convenient sampling approach was utilized to collect data from 54 adult residents of Rajshahi and Chittagong in Bangladesh and conducted face-to-face or telephone-based depth interviews. Among 54 participants, males were n=40 (74.1%), and their mean age was 42.02 years. Common symptoms were cold n=12 (22.2%), fatigue n=8 (14.8%), fever n=7 (13%), coughing n=4 (7.4%) due to COVID-19 infection. The maximum isolation length was 8-14 days, n=30 (55.6%), and the mean was 15.24 days. Regarding intervention, Medicine was prescribed among n=35 (64.8%), and only n=2 (3.7%) received respiratory physiotherapy;home remedies n=25 (46.3%). While using Medicine, n=22 (40.7%) was highly concerning treatment behaviour among people with recovered from Covid-19. Medicine-taking is a popular and convenient method for intervention-seeking behaviour among people affected by Covid-19 in Bangladesh. The finding suggests that combating the covid-19 pandemic requires education and awareness about treatment-taking behaviour because only Medicine cannot decline the negative health impact of post-covid-19. Besides, proper rehabilitation is crucial in promoting the quality of life of the person with post-covid-19. Copyright © 2022, Anka Publishers. All rights reserved.

SELECTION OF CITATIONS
SEARCH DETAIL