ABSTRACT
The novel coronavirus 2019 (COVID-19) which is caused by severe acute respiratory syndrome coronavirus-2 was first reported from Wuhan, China in December 2019. Since then, it has caused global crisis and it still continues to be a Public Health Emergency of International Concern. Although it primarily involves respiratory system with symptoms ranging from mild to severe acute respiratory distress syndrome, extrapulmonary involvement including gastrointestinal manifestations is increasingly reported. There are few reported cases of acute pancreatitis following severe acute respiratory syndrome coronavirus-2 infection; however, little is known on true prevalence of acute pancreatitis or other extrapulmonary manifestations. More data and research on pathophysiology and organ-specific extrapulmonary manifestations would aid clinicians to monitor and recognise these wide spectra of manifestations so that organ-specific therapeutic strategies and management pathways could be developed. We report a case of acute pancreatitis in an otherwise asymptomatic severe acute respiratory syndrome coronavirus-2 infection. He developed acute upper abdominal pain on day 13th of severe acute respiratory syndrome coronavirus-2 infection detection. Diagnosis of acute pancreatitis was made after his serum amylase level was raised by more than five times the normal and the computed tomography abdomen showed oedematous pancreas. He was successfully managed and discharged after 12 days of diagnosis of acute pancreatitis. On follow-up after 1 year, there were no recurrent attacks of pancreatitis. Our case highlights that acute pancreatitis can occur even in asymptomatic and milder form of COVID-19 and the onset of such complications could be delayed. Abdominal pain in COVID-19 should be carefully assessed because prompt diagnosis and management of acute pancreatitis in COVID-19 patient is crucial in preventing multi-organ dysfunction leading to subsequent morbidity and mortality.
ABSTRACT
Bullying in schools and colleges/universities has significant negative impacts on individuals and learning environments. Much of the evidence comes from school studies. This study, the first of its kind in Bhutan, explores the experience of bullying among college students. The study employed a self-administered survey to a representative sample of 2471 (male = 1242 and female = 1191) college students with mean age 21.5 years, from eight of the 11 college campuses across Bhutan. The findings indicate that bullying is not an uncommon experience amongst the college students; both as victims and victimizers. Implications for relevant stakeholders in Bhutan, and elsewhere, and recommendations to address the issues are presented, especially as they relate to teacher formation (teacher training programs). Although teacher formation is largely dependent on a pre-service teacher's beliefs and prior learning experiences, teacher preparation programs play a vital role. Recommendations for further research are also provided.
