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Previous investigations have demonstrated that interleukin-6 (IL-6), C reactive protein (CRP), tumor necrosis factor-alpha (TNF-alpha), in Coronavirus disease 2019 (COVID-19) patients are considerably increased, and their progressive elevation are clinical threat indicators of disease severity. The purpose of this systematic review is to evaluate the efficacy of physiotherapy, specifically chest physiotherapy, on different cytokines in Covid-19 and non-covid-19 patients. The main complications and symptoms of this virus are as follows;a dry cough, fever, and progressive dyspnea. Quickly, the coronavirus, which is named SARS-CoV-21, has spread worldwide, causing severe lung inflammation, respiratory distress syndrome, cardiac and renal injury, especially in comorbidities patients. Approximately 96% of the cases experience mild respiratory symptoms;some progress to pneumonia, respiratory insufficiency, acute respiratory distress syndrome, and multiorgan failure. The overall mortality rate per number of diagnosed cases is 4.6%;it can range from 0.2% to 15% according to age and health problems. Combination MeSH and text terms were used to perform the search strategy. Interventions in RCTs and clinical trials with or without comparison were assessed. Six studies met the inclusion criteria. Studies demonstrated that physiotherapy could have an effect on TNF-alpha, IL-6, IL-10, IL-1 beta and CRP.
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Acute kidney injury (AKI) and glomerulonephritis can be complications in COVID-19 patients, which is announced with widely incidence rates in different investigations and is determined to have a major effect on the prognosis of the disease. There are considerable variations in AKI and glomerulonephritis rates between other countries. The rate is generally lower than in Western Europe and the United States in China. Heterogeneity in different racial and ethnic lines can be a potential explanation. This investigation systematically reviews the scientific resources regarding AKI and glomerulonephritis among hospitalized COVID-19 patients. Both observational and interventional investigations(including case reports) with English full-text provide essential data, with no limitation in release or peer-review. More evidence is required to assess the AKI, especially glomerulonephritis in Covid-19 patients, for better management of Covid-19.
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Introduction: Since spinal anesthesia is a suitable method for terminating pregnancy in hospitalized pregnant women with Covid-19 and this method is associated with complications that Corona virus and Covid 19 may increase their severity, this study was performed aimed to evaluate the complications of spinal anesthesia after cesarean section in hospitalized women with COVID-19. Method(s): This case-control study was performed in 2020-2021 with participation of 150 pregnant women (with and without Covid-19) who are candidates for cesarean section by spinal anesthesia in the teaching hospitals of Tabriz University of Medical Sciences. The complications such as shivering, pruritus, hypotension, decreased heart rate, increased need for hypoxemia requiring oxygen therapy, urinary retention, headache during anesthesia, recovery and up to 12 hours after discharge from recovery was compared between the subjects. Data were analyzed by SPSS software (version 25) and Chi-square and t-test. P<0.05 was considered statistically significant. Result(s): During anesthesia, two complications of bradycardia (P=0.041) and hypotension (P=0.036) and after anesthesia, two complications of shivering (P=0.044) and vomiting (P=0.039) 12 hours after recovery were significantly higher in women with Covid-19 than in non-Covid women. Conclusion(s): The complications during and after spinal anesthesia are higher in women with Covid-19 than in non-infected women, which may be related to the disease;it requires further investigation. Copyright © 2022, Mashhad University of Medical Sciences. All rights reserved.
RESUMEN
Aims: COVID-19 is rapidly expanding around the world and is one of the most important health problems. The purpose of the study was to determine preventive behaviors from COVID-19 and its determinants based on some constructs of the Health Belief Model. Instrument & Methods: This cross-sectional study was conducted on 2504 citizens of Rafsanjan in 2020 that were randomly selected by cluster sampling method. Data were collected using a behavior and Health Belief Model constructs (HBMs) researcher-made questionnaire based on the Internet. The validity of the questionnaire was evaluated by ten specialists, and its reliability was assessed by Cronbach's alpha coefficient. Data analysis was conducted in SPSS 18 by applying statistical tests such as Pearson's correlation coefficient, independent t-test, One-Way ANOVA, and linear regression. Findings: The means score of knowledge, attitude, perceived susceptibility, severity, benefits, barriers, and preventive behavior were 83.13+or-10.72, 81.17+or-8.55, 79.28+or-17.19, 74.47+or-14.65, 84.32+or-16.11, 69.27+or-14.31, and 87.35+or-11.16, respectively. There was a significant correlation between preventive behaviors with knowledge, attitude, and HBMs (p<0.001). The attitude was the strongest predictor for adopting preventive behaviors (B=0.446, p<0.001). In total, knowledge, attitude, and HBM constructs predicted 36.8% of the preventive behaviors for COVID-19. Conclusions: There is a significant correlation between adopting preventive behaviors for COVID-19 with knowledge, attitude, and HBM constructs.