scholarly journals SARS-CoV-2 Infection and Stroke: Coincident or Causal?

2020 ◽  
Author(s):  
Melanie Walker ◽  
Christopher C. Young ◽  
Malveeka Sharma ◽  
Michael R Levitt ◽  
David L Tirschwell ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Case Reports ◽  
Clinical Spectrum ◽  
Neurological Manifestations ◽  
Care Providers ◽  
Cerebrovascular Complications ◽  
Global Pandemic

Neurological manifestations of SARS-CoV-2 infection described in isolated case reports and single institutions do not accurately reflect the clinical spectrum of disease across all geographies in a global pandemic. Data collected during peak of the Covid-19 pandemic from stroke centers in five states reveal few similarities to what has recently been published. Given the diversity in phenotype, we caution policymakers and health care providers when considering cerebrovascular complications from SARS-CoV-2 infection.

Psychological response of children to home confinement during COVID-19: A qualitative arts-based research

2020 ◽  
pp. 002076402097243
Author(s):  
Deldar Morad Abdulah ◽  
Bayar Mohammed Omar Abdulla ◽  
Pranee Liamputtong
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Arts Based Research ◽  
Daily Lives ◽  
Global Pandemic ◽  
High Level ◽  
At Home

Background: The evidence has shown that children are more susceptible to the emotional effects of traumatic events such as outbreaks with the possible disruption in their daily lives. Aim: In this paper, we discussed the psychological wellbeing of children during the COVID-19 outbreak through the art-based qualitative study using the drawing method among children in Iraqi Kurdistan. Methods: In this qualitative arts-based research study, 15 children aged 6 to 13 years old who were confined at home during the COVID-19 outbreak for at least 1 month were included following obtaining the consent from their parents. The children were asked to draw his/her feelings, reflections, and responses during the COVID-19 on a paper. The children were guided to paint their reflections during the COVID-19 based on the following criteria: if they experienced loneliness, tiredness, insomnia, depression, worry or anxiety, or have behavior changes and their relationship with their parents and other siblings. Results: This study showed that children have a high level of stress at home during the COVID-19 outbreak. The children had great fear about the coronavirus. They experienced loneliness and stress, and felt sad, depressed due to home confinement and social distancing. The possibility of infection by coronavirus has occupied their entire mind. Mental health care providers must take the experiences of children who are caught in this global pandemic seriously and ensure that appropriate care is offered to the children and their parents. Conclusions: The children exhibited a strong feeling of distress, loneliness, and fear during the COVID-19 outbreak. This has implications for mental health care.

scholarly journals Community Presentations of Anaphylaxis in Tasmania: Who is administering the adrenaline?

2016 ◽  
Vol 13 (1) ◽  
Author(s):  
Dale Edwards ◽  
Melanie Blackhall ◽  
Rachael Berry
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Health Care Providers ◽  
Health Professionals ◽  
Case Reports ◽  
Retrospective Chart Review ◽  
Health Concern ◽  
Primary Data ◽  
Care Providers ◽  
Early Administration

Background: Anaphylaxis is a significant health concern within the community.  The early administration of adrenaline to patients experiencing anaphylaxis has long been recognised as the cornerstone of treatment.  Health-care providers, including general practitioners, nurses and paramedics, are well equipped to manage anaphylaxis through the administration of adrenaline.  Patients themselves also often have adrenaline auto injectors, allowing early self-management.  The objective of this study was to determine the rates of adrenaline administration and identify the administering persons for all anaphylaxis patients presenting to ambulance services in Tasmania from January 1st 2008 until December 31st 2011 by using a retrospective chart review.  Methods: Ambulance Tasmania electronic case reports (n=226 421) from the period January 1st 2008 to December 31st 2011 were searched for all cases fitting the parameters of anaphylaxis, allergy or allergic reaction.  Of these cases, 373 were given a final paramedic diagnosis of anaphylaxis and constituted the primary data for this report. Results: Ambulance Tasmania attended 373 patients during the study period that were given a final primary diagnosis of anaphylaxis - of these 59 (15.8%) were excluded, leaving 314 electronic records for analysis.  Of the cases identified, 71.7% (n=225) were administered adrenaline according to paramedic records.  Adrenaline was administered by a range of health professionals, including general practitioners (n=27), paramedics (n=159), ambulance volunteers (n=4), nurses (n=1) and other health professionals (n=3).  Adrenaline was self-administered by 12.4% (n=28) of patients, with an additional 11.6% (n=26) receiving adrenaline from a non-health care worker (layperson).  In 10.2% of cases (n=23) adrenaline was administered by more than one provider.  Administration of adrenaline prior to paramedic arrival was evident in fewer than 10% of cases treated with adrenaline (n=22). Conclusion: The early administration of adrenaline in anaphylaxis is often vital for patient recovery. This study shows that adrenaline is administered by a number of different providers, with early administration accounting for only 9.8% of presentations treated with adrenaline. These findings raise the question, is adrenaline being administered early enough and often enough to improve health outcomes?

scholarly journals How pediatric resident’s life has changed during the COVID-19 pandemic

2020 ◽  
Vol 46 (1) ◽  
Author(s):  
Martina Votto ◽  
◽  
Maria De Filippo
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
World Health ◽  
Care Providers ◽  
Pediatric Residents ◽  
Training Tool ◽  
Global Pandemic ◽  
Pediatric Diseases ◽  
The World ◽  
Health Organization

Abstract Since the World Health Organization declared Coronavirus Disease 2019 (COVID-19) a global pandemic, a few articles were published on the working experience of pediatric residents, especially from the most exposed countries worldwide. Pediatric residents continue to be essential pillars in managing and treating pediatric diseases and are currently fundamental health care providers for every ill patient, including children and adolescents with COVID-19. Although severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection is changing everyone’s life, this previously unknown disease can represent a training tool and a hard challenge for pediatric residents to improve their skills and take part in an ongoing process of knowledge.

Biotin interference in immunoassay: a review for the laboratory scientist

2019 ◽  
Vol 56 (4) ◽  
pp. 424-430 ◽  
Author(s):  
Gordon Avery
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Case Reports ◽  
Scientific Committee ◽  
Care Providers ◽  
Safety Communication ◽  
Assay Format ◽  
Biotin Binding ◽  
Available Information ◽  
Laboratory Scientist

The recent FDA Biotin (Vitamin B7): Safety Communication – May Interfere with Lab Tests and A statement from the ACB Scientific Committee regarding biotin/vitamin B7 interference in immunoassays have raised into the laboratory consciousness the need to understand and to manage the issues around biotin interference with some immunoassays and to provide education and advice to health-care providers. In patients who are prescribed biotin or take biotin supplements, biotin has the potential to cause falsely low or falsely high results in immunoassays using streptavidin–biotin binding as part of the assay methodology. Streptavidin–biotin binding is used by many manufacturers; some manufacturers use it for most of their immunoassays, some for a few of their immunoassays and some manufacturers do not use this assay format at all. The direction and magnitude of interference and the concentration of biotin which affects an assay are highly variable and assay specific. There have been many papers and case reports published recently of biotin interference in immunoassay, and biotin interference is probably one of the most difficult types of inference to detect and to obviate. This review will assess the currently available information on this topic and review the steps the laboratory can take to reduce the risk of incorrect patient results being reported.

scholarly journals Neurological Manifestations in Falciparum Malaria: A Study in Tribal Community of Hill Tracts

2015 ◽  
Vol 4 (1) ◽  
pp. 18-21
Author(s):  
Ahmed Tanjimul Islam ◽  
Shamrin Sultana ◽  
Matiur Rahman ◽  
Md Azizul Hoque
Keyword(s):  
Health Care ◽  
Falciparum Malaria ◽  
Health Care Providers ◽  
Case Fatality ◽  
Abnormal Behavior ◽  
Neurological Involvement ◽  
Neurological Manifestations ◽  
Tribal Community ◽  
Care Providers ◽  
Altered Sensorium

Objectives  The aim of this study is to find out the prevalence and outcome of falciparum malaria with neurological manifestations. Materials and Methods  A prospective cross-sectional hospital-based study of 318 falciparum malaria patients using simple, direct, standardized questionnaire with history, lab investigations and neurological examination from January 2014 to December 2014. Results  July was the most vulnerable month for falciparum malaria causing the highest hospital admission (48.8%) and death (29.3%). The commonest age group affected was 15-30 years (49.2%). Prevalence of neurological manifestations was 41.2%. Altered sensorium (48.7%) was the most frequent neurological manifestation, followed by abnormal behavior (19.8%) and convulsions (15.5%). Case fatality rate was very high with neurological manifestations, highest with altered sensorium (31.3%). Perception of neurological manifestations among tribal was very poor. Primary health care providers also failed to diagnose most of the cases (69%) which presented with neurological features. Conclusion  Falciparum malaria with neurological involvement is associated with increased mortality. By documenting different neurological patterns of falciparum malaria and by trained health care personnel, mortality and morbidity rates can be reduced by early diagnosis and management. CBMJ 2015 January: Vol. 04 No. 01 P: 18-21

Acute and Chronic Carbon Monoxide Toxicity from Tobacco Smoking

2019 ◽  
Author(s):  
Alyrene Dorey ◽  
Pieter Scheerlinck ◽  
Hoanvu Nguyen ◽  
Timothy Albertson
Keyword(s):  
Health Care ◽  
Carbon Monoxide ◽  
Health Care Providers ◽  
Tobacco Smoking ◽  
Case Reports ◽  
Care Providers ◽  
Cigarette Smokers ◽  
Comprehensive Search ◽  
Heavy Cigarette Smoker ◽  
Future Work

ABSTRACT Introduction: Carbon monoxide (CO) is produced from incomplete combustion of hydrocarbons and is a by-product of tobacco smoking. Chronic cigarette smokers often have carboxyhemoglobin (COHb) concentrations as high as 10%. We report a case of severely elevated COHb and polycythemia because of tobacco smoking and provide a review of the literature regarding elevated COHb in smokers. Materials and Methods: A comprehensive search of PubMed and Google Scholar was performed looking for articles on tobacco smoking and CO, COHb, CO poisoning, cigarettes, pipes, cigars and water pipes/hookah smokers. Result: COHb levels in frequent cigarette smokers generally range from 4.2% presmoking to 8.6% postsmoking. A heavy cigarette smoker presented twice with symptoms of CO toxicity and was found to have levels 21.8 to 24.2%. Cigar smokers have been found to have COHb ranging as high as 13.0 to 38.6% in case reports. Waterpipe or “hookah” smokers generally have COHb levels 10.1% +/−2.5% and case reports, and series of even higher levels associated with CO toxicity symptoms are common. Waterpipe smokers have been found to have COHb levels as high as 39.2% after smoking. Conclusions: Many active duty military and military veterans are tobacco smokers and these patients and their health care providers should be aware of the adverse effects of CO toxicity from tobacco smoking. Patients may have symptoms such as headaches, syncope, and ataxia in the setting of acute CO toxicity; however, the chronic effects of CO may not be completely understood. Future work could explore chronic CO toxicity and its effects on strength and exercise tolerance in military personnel and provide education to service members, veterans, and health care providers.

scholarly journals Fazio-Londe Syndrome and Patient-centered Nursing Care: A Case Report

2020 ◽  
Vol 6 (2) ◽  
pp. 135-144
Author(s):  
Mohammad Abdi ◽  
◽  
Maryam Jolfaei ◽  
Maryam Ghasemi ◽  
Mohammad Reza Dinmohammadi ◽  
...  
Keyword(s):  
Health Care ◽  
Case Report ◽  
Respiratory Distress ◽  
Health Care Providers ◽  
Nursing Care ◽  
Case Reports ◽  
Care Providers ◽  
Care Model ◽  
Patient Centered ◽  
Case Presentation

Introduction: Fazio-Londe disease is a genetic rare disorder manifesting by acute respiratory distress. This article is a case report of Fazio-Londe syndrome, its comparison with other case reports in the literature, and its patient-centered nursing care.  Case presentation: In this study, we reported a case with Fazio-Londe syndrome with respiratory distress, bulbar palsy, muscle weakness, and other symptoms.  Management and outcome: The patient was treated with oral riboflavin (100 mg/day), ribavirin (200 mg/day), and intramuscular Vit-B12 (1000 mg/day). She was managed using a patient-centered nursing care model.  Discussion: Health care providers should be aware of the new and constant symptoms of this rare disease. A patient-centered nursing care model is suggested to manage the disease.

scholarly journals Community use of masks as a preventive measure for Covid-19 in Kabale district of Uganda

2020 ◽  
Vol 5 (2) ◽  
pp. 267
Author(s):  
Mustafa Ssaka ◽  
Charles Lwanga ◽  
Tunc Eren ◽  
Orhan Alimoglu
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Public Awareness ◽  
Preventive Measure ◽  
Health Care Facilities ◽  
Care Providers ◽  
Public Places ◽  
Global Pandemic ◽  
Care Facilities ◽  
Spread Of Infection

Coronavirus disease 2019 (Covid-19) caused a global pandemic and by June 1st, 2020, the global numbers of Covid-19 cases reached six million with more than 370,000 deaths. Community-wide mask wearing may contribute to the control of Covid-19 by reducing the amount of emission of infected saliva and respiratory droplets from persons with subclinical or mild Covid-19. However, use of masks in public and in health care facilities has been controversial as different organizations and agencies established different guidelines. In Uganda, not any reports on mask utilization practices have been published yet. Therefore, this report aims at documenting mask use practices, as observed in our interactions with non-Covid-19 patients and their relatives at Kabale regional referral hospital as well as Kabale town residents. It was observed that many non-Covid-19 patients and the relatives of hospitalized patients only wear their masks on reaching the hospital premises while community members of Kabale town wear their masks only in the presence of security agencies and individuals in the public only wear masks in places where they would be refused from services without masks. Wearing of masks in public places and health care facilities together with other preventive measures including hand hygiene, social distancing and wearing of full personal protective equipment for health care providers working on Covid-19 patients are key measures in preventing the spread of infection. There is an increased need for intensified community educational activities on public awareness of the importance of appropriate use of masks.International Journal of Human and Health Sciences Vol. 05 No. 02 April’21 Page: 267-270

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

Sign in / Sign up

Export Citation Format

Share Document