RESUMEN
Background: The Coronavirus disease 2019 (COVID-19) pandemic is a significant challenge for public health and clinical medicine. COVID-19 mainly impairs the respiratory tract. However, gastrointestinal manifestations of COVID-19 are increasingly being recognized. Although acute viral pancreatitis has been described in other viral infections, pancreatic involvement in SARS-CoV-2 disease is still poorly defined. We reported a case of acute maternal pancreatitis in an early postpartum period woman with confirmed COVID-19. Case Presentation: A 31-year-old woman in term pregnancy had a caesarean section due to acute respiratory distress syndrome (ARDS) caused by COVID-19 pneumonia. One day after surgery, her stomach appeared bloated, bowel sounds were weak, and her abdominal circumference increased. Ultrasound examination did not reveal any suspicion of bleeding or hematoma. Her abdominal contrast-enhanced computerized tomography (CT) scan showed small bowel obstruction and oedematous pancreas. Amylase levels increased to 382 units/litre and lipase levels to 724 units/litre. C-reactive protein and procalcitonin were also increased. The diagnosis of sepsis was made, and she received broad-spectrum antibiotics and treatment for the COVID-19 infection. Recovery was characterized by a gradual resolution of abdominal and pulmonary signs and symptoms. A decline of amylase and lipase was observed by the tenth day. On the 13th day, she was extubated and gradually recovered from respiratory symptoms, with a negative result for COVID-19 RT-PCR. Based on this case, we consider that pregnancy and COVID-19 support each other as the cause of acute pancreatitis. Conclusion(s): Early diagnosis and severity classification are essential steps for successful management because late recognition and treatment may allow a greater prevalence of associated complications.Copyright © 2022, Philippine College of Physicians. All rights reserved.
RESUMEN
COVID-19 became a widespread infectious disease in late 2019. Indonesia currently has the highest COVID-19 mortality rate in Asia, between 4-5 percent. Interestingly, COVID-19-associated coagulopathy characterized by an increase of several procoagulant factor levels, including fibrinogen and D-dimer, that has been associated with higher mortality and unfavorable outcomes. We report a case of a 30-year-old male admitted to the hospital with a profuse vomiting and worsening fever, cough and shortness of breath, and was diagnosed with COVID-19-associated coagulopathy. Seven days after admission, he became deteriorated with significant reduction of oxygen saturation and his coagulation parameter levels were increased with highly suspicion of pulmonary embolism. He was treated with azithromycin, isoprinosine, lopinavir, and fondaparinux with thromboprophylaxis dosage since admission. The role of increased fondaparinux dosage at the time of clinical deterioration was then followed by clinical improvement and reduced D-dimer level. Anticoagulant therapy, mainly with fondaparinux, showed a better prognosis in patients with markedly elevated D-Dimer. Fondaparinux needs to be monitored appropriately to prevent bleeding and adverse. The patient was discharged from the hospital in an improved condition and normal D-Dimer levels. There was no bleeding event nor other major side effects had been found in this case. The decision for increasing dose of anticoagulant may be determined on individual basis, considering risks, benefits, and also the most important is clinical findings.
RESUMEN
Primary Goal: During the pandemic, the application of social distancing resulting in vulnerable populations becoming one of the groups experiencing the worst impacts, especially those who are children, pregnant women, and older adults. The purpose of this study is to analyze the obstacles encountered by these vulnerable populations. Methods: This study uses a literature search method on several databases, namely CINAHL, Proquest, Wiley, and ScienceDirect, in the 2015(formula-presented)2020 period. Results: The search resulted in 17 articles. The critical review carried out followed the Critical Appraisal Skills Program guidelines from Cochrane. This study's results were pandemic conditions that occur over a long period can affect vulnerable populations in society, consisting of children, pregnant women, and older adults. Vulnerable people have various coping mechanisms and are significantly affected by the presence or absence of social support from family, community, and the Government. Conclusions: The importance of the Government's role in paying attention to the quality of specific health services for vulnerable populations can improve these populations' welfare and health status. © 2021. All Rights Reserved.
RESUMEN
COVID-19 caused by SARS-CoV-2 is being global pandemic which the number of positive confirmed cases and deaths increase massively and rapidly. Big data is a technology can be used for analysing the trend pattern of coronavirus and prevent the spreading of it. Few countries already use big data as a strategy in managing the ongoing of COVID-19 pandemic. This research uses descriptive analytical research to describe the findings of previous research information with a simplified approach. The aim of this research is knowing how big data used for managing the outbreak of COVID-19 by detecting cases, predicting cases and tracking contact through the use of various data characteristics in some countries around the world. Several countries that have used big data to help manage COVID-19 pandemic are Taiwan, China, Korea, Australia. Taiwan uses credit card and geographic route for tracking the routes of tourists, China uses Baidu Maps Traffic Flow as local maps for knowing distribution of aircraft passenger who have potential high risk to get infected by COVID-19, Korea uses insurance data from Korean National Health Insurance Service for knowing the community with hypertension history who have protentional high risk to get infected by COVID-19 and Australia uses application COVIDSafe for handling the spreading by detecting ambient contact. The ongoing of COVID-19 pandemic in the world has caused the big data technology to be considered to be applied in a country so it hopes can reduce the negative impacts caused in several fields. © 2021 Institute of Physics Publishing. All rights reserved.