scholarly journals Innovation of Audio-Visual Triage system in Combating the Spread of COVID-19 Infection and its efficacy: A Novel Strategy

2020 ◽  
Author(s):  
Muhammad Mansoor Hafeez ◽  
Mohammad Azhar ◽  
Hafiz Rizwan Zafar Chudhary ◽  
Muhammad Asim Rana ◽  
Arif Malik
Keyword(s):  
Healthcare Professionals ◽  
The Novel ◽  
Current Analysis ◽  
Triage System ◽  
Group A ◽  
Anxiety Levels ◽  
Novel Strategy ◽  
Group B ◽  
Novel Coronavirus ◽  
Almost All

ABSTRACTDuring the novel coronavirus pandemic, also known as SARS-CoV-2 or COVID-19 pandemic, frontline healthcare professionals suffered psychological as well as pathological trauma due to the lack of preparation to cope with this unforeseen situation. The protocols to prevent the spread of this disease proved to be less effective than anticipated. In these circumstances, improvement of the existing triage system was felt and an AUDIO-VISUAL TRIAGE (AVT) system was introduced to enhance confidence as well as increase the safety of frontline healthcare professionals. The current analysis was performed from March 21, 2020, to April 28, 2020, until the completion of sixty response forms, at Bahria Town International Hospital, Lahore. Thirty participants (Group A) deployed on visual triage and other thirty (Group B) on AVT for screening suspected cases of COVID-19 infection. Anxiety levels were measured by using the GAD-7 scoring system and the participants of both groups were periodically tested for COVID-19 infection by PCR. Independent t-test was used to evaluate the significance of different variables at a confidence level of 95%. The result of the current study revealed the effectiveness of AVT for the screening of COVID-19 patients. There was a statistically significant increase in anxiety levels and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection rate in group A as compared to group B. Almost all participants in group A wanted to shift their place of work or ready to quit the job if they were forced to perform their duties at the same visual triage. AVT system for COVID-19 screening found to be more safe and less stressful than visual triage. It is not only a simple and effective way to prevent the spread of diseases but also boosted the confidence of frontline healthcare professionals to fight against coronavirus spread.

scholarly journals INNOVATION OF AUDIO-VISUAL TRIAGE SYSTEM IN COMBATING THE SPREAD OF COVID-19 INFECTION AND ITS EFFICACY: A NOVEL STRATEGY

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
MM Hafeez ◽  
M Azhar ◽  
HRZ Chudhary ◽  
W Nazar ◽  
MA Rana
Keyword(s):  
Healthcare Professionals ◽  
The Novel ◽  
Current Analysis ◽  
Triage System ◽  
Group A ◽  
Anxiety Levels ◽  
Novel Strategy ◽  
Group B ◽  
Novel Coronavirus ◽  
Almost All

During the novel coronavirus pandemic, also known as SARS-CoV-2 or COVID-19 pandemic, frontline healthcare professionals suffered psychological as well as pathological trauma due to the lack of preparation to cope with this unforeseen situation. The protocols to prevent the spread of this disease proved to be less effective than anticipated. In these circumstances, improvement of the existing triage system was felt and an AUDIO-VISUAL TRIAGE (AVT) system was introduced to enhance confidence as well as increase the safety of frontline healthcare professionals. The current analysis was performed from March 21, 2020, to April 28, 2020, until the completion of sixty response forms, at Bahria Town International Hospital, Lahore. Thirty participants (Group A) deployed on visual triage and other thirty (Group B) on AVT for screening suspected cases of COVID-19 infection. Anxiety levels were measured by using the GAD-7 scoring system and the participants of both groups were periodically tested for COVID-19 infection by PCR. Independent t-test was used to evaluate the significance of different variables at a confidence level of 95%. The result of the current study revealed the effectiveness of AVT for the screening of COVID-19 patients. There was a statistically significant increase in anxiety levels and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection rate in group A as compared to group B. Almost all participants in group A wanted to shift their place of work or ready to quit the job if they were forced to perform their duties at the same visual triage. AVT system for COVID-19 screening found to be more safe and less stressful than visual triage. It is not only a simple and effective way to prevent the spread of diseases but also boosted the confidence of frontline healthcare professionals to fight against coronavirus spread.

scholarly journals The clinical characteristics of hip fracture: during the novel coronavirus disease (COVID-19) epidemic

2020 ◽  
Author(s):  
Hongjie Zhang ◽  
Zengping Lin ◽  
Jiping Zhong ◽  
Darong Nie ◽  
Hongmei Song ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Medical Treatment ◽  
Exposure Time ◽  
Light Exposure ◽  
The Novel ◽  
Hospitalization Cost ◽  
Epidemic Period ◽  
Group A ◽  
Group B ◽  
Novel Coronavirus

Abstract Background The aim of this study was to assess the characteristics of hip fracture during the novel coronavirus (COVID-19) epidemic.Method Hip-facture patients undergoing surgery from January 26 to March 31, 2020 (group A) and from January 26 to March 31, 2019 (group B) were retrospectively included. The durations from injury onset to hospital discharge, hospitalization cost, comorbidity, and complications of patients in the two groups were collected. The daily activity and light exposure time, and medical treatment interruption of patients in group A before and during their self-quarantine were also collected. In addition, the reasons for those with hospital admission delay were inquired.Results During the COVID-19 epidemic, patients with hip fracture was increased by 9 cases (69.23%). Patients in group A underwent an over 20-hour longer duration from the injury onset to hospital, an over 3-day longer hospitalization stay, and more hospitalization cost of over 4-thousand yuan compared with those for patients in group B (P < 0.05). The self-quarantine led to reduced daily activities (P <0.001), reduced light exposure time (P <0.001) and more medical interruption for hip-fracture patients. There were also slight more comorbidity number and perioperative complications for patients in group A compared with patients in group B. For those with a pre-hospital time more than 24 h, 58.33% feared go out for medical treatment because of the COVID-19 epidemic.Conclusion During the COVID-19 epidemic period, the prevention and management of hip-fracture for the elderly require more attention for the public and medical care personnel.

Blood Viscosity and Platelet Aggregation in Male and Female Patients with Transient Ischaemic Attacks (TIA)

1979 ◽  
Author(s):  
G. Palareti ◽  
M. Poggi ◽  
G. Fortunato ◽  
S. Coccheri
Keyword(s):  
Platelet Aggregation ◽  
Blood Viscosity ◽  
Indirect Evidence ◽  
Vascular Lesions ◽  
Transient Ischaemic Attacks ◽  
Group A ◽  
Circulating Platelet Aggregates ◽  
Male Patients ◽  
Group B ◽  
Almost All

A series of 40 patients with TIA (25 males and 15 females) was thoroughly investigated by means of angiography and computerized tomography, and divided into a group (A) of 15 “sine materia”, and a group (B) of 25 with direct or indirect evidence of vascular occlusive or stenotic changes. Blood viscosity at 230 sec-1 37° was cp 4.2 ± 0.3 in the controls, cp 4.7 ± 0.7 in all patients (p < 0.05) cp 4.98 ± 0.7 in all male patients (p < 0.01 versus male controls), and cp 4.75 ± 0.8 in group B (p < 0.02). Haematocrit and Fibrinogen were also significantly increased in all male patients and in group B. Circulating platelet aggregates (CPA) were increased in 40% of the patients. Almost all patients with elevated CPA were males, with a slight prevalence in group B. Changes in blood viscosity parameters and in platelet aggregation in TIA patients were therefore related both to evidence of vascular lesions, and to sex, since they were found to prevail in male patients of both groups.

scholarly journals Respiratory Care in Corona

2021 ◽  
Vol 58 (2) ◽  
pp. 613-620
Author(s):  
Mustafa Amdani, Dr. Swaroopa Chakole
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Human Life ◽  
The Body ◽  
Respiratory Care ◽  
The Novel ◽  
Specific Therapy ◽  
History Of ◽  
Novel Coronavirus ◽  
Almost All ◽  
The Impact

BACKGROUND The expanse of the coronavirus disease 2019 or COVID-19 is huge. The impact is multispectral and affected almost all aspects of human life. SUMMARY Respiratory impact of the COVID-19 is the most felt and widely reported impact. As the novel coronavirus maintained its history of affecting lungs as seen previously in severe acute respiratory syndrome (SARS) outbreak. Ventilators and oxygen support system are required mostly in comorbid patients particularly amongpatientsbearing illnesses like asthma, bronchial impairment and so on. CONCLUSION More study needs to be done in order to assess the impact on the respiratory functioning of the body. Respiratory care must be including proper instruments so that more efficient result can be obtained. Research is needed to promote the invention of specific therapy for targeted action for respiratory functioning improvement.

The Impact of COVID-19 on Stock Markets

2022 ◽  
pp. 250-262
Author(s):  
Aslı Aybars ◽  
Mehtap Öner
Keyword(s):  
Literature Review ◽  
Financial Markets ◽  
Stock Returns ◽  
Empirical Studies ◽  
The Novel ◽  
The World ◽  
Fast Pace ◽  
Novel Coronavirus ◽  
Almost All ◽  
The Impact

The novel coronavirus, COVID-19, which emerged at the end of 2019 and spread to the world at a very fast pace, resulted in a pandemic affecting the finance industry besides many other industries though at varying extents. Financial markets, which can be regarded as cornerstones of each and every country's economic success, have been adversely influenced due to the fear and uncertainty arising with the emergence of the novel coronavirus at different degrees. This chapter provides a summary of a literature review based on the impact of this pandemic on stock returns and volatility in the stock exchanges of different countries and regions of the world. What has been captured as a result of this literature review is that almost all of the financial markets around the world have been influenced due to the virus. Further, industry-wise empirical studies demonstrate that not all industries are affected at the same level or even in the same direction.

scholarly journals Evaluation of Depression and Anxiety Levels and Related Factors Among Operating Theater Workers During the Novel Coronavirus (COVID-19) Pandemic

2020 ◽  
Vol 35 (5) ◽  
pp. 472-477 ◽  
Author(s):  
Ersin Koksal ◽  
Burhan Dost ◽  
Özlem Terzi ◽  
Yasemin B. Ustun ◽  
Selçuk Özdin ◽  
...  
Keyword(s):  
The Novel ◽  
Depression And Anxiety ◽  
Operating Theater ◽  
Related Factors ◽  
Anxiety Levels ◽  
Novel Coronavirus

scholarly journals Prospective evaluation of parental anxiety related to newborn foot disorder

2019 ◽  
Vol 13 (5) ◽  
pp. 500-507
Author(s):  
S. T. Mahan ◽  
P. E. Miller ◽  
C. J. May ◽  
J. R. Kasser
Keyword(s):  
Orthopaedic Surgeon ◽  
Parental Anxiety ◽  
Level Of Evidence ◽  
Prenatal Counselling ◽  
Level Ii ◽  
Group A ◽  
Anxiety Levels ◽  
Paediatric Orthopaedic ◽  
Group B ◽  
Foot Disorder

Purpose The presence of a clubfoot is often found prenatally and some families seek counselling with a specialist. The purpose of this study was to compare the parental anxiety levels in families that: a) knew prenatally and had prenatal counselling; b) knew prenatally but did not seek prenatal counselling; and c) did not know until after delivery. Methods This prospective cohort study evaluated the anxiety of parents as they presented to the paediatric orthopaedic clinic with their newborn with a foot disorder (prior to the diagnostic confirmation of clubfoot). Each family filled out the ‘Pre-visit orthopaedic surgeon questionnaire’ and then after the initial visit with the orthopaedic surgeon (confirming the clubfoot diagnosis) the family filled out the ‘Immediately post-visit orthopaedic surgeon questionnaire’. Through these questionnaires, anxiety level was assessed prior to meeting postnatally with the paediatric orthopaedic specialist, as well as after the meeting and compared across groups. Results A total of 121 parents completed questionnaires: 71% (86/121) confirmed clubfoot; 69% of families (59/86) received prenatal counselling (Group A); 16% (14/86) knew prenatally but had no counselling (Group B); and 15% (13/86) found out at birth (Group C). There was no difference in anxiety levels across groups before (p = 0.78) or after (p = 0.57) meeting with the paediatric orthopaedic surgeon; however, overall anxiety reduced significantly (p < 0.001). Conclusion We found no difference in the anxiety levels of across the three groups. Prenatal counselling for parents of children with likely clubfoot may not decrease parental anxiety, but nonetheless is very appreciated by the families who receive it. Level of Evidence Prognostic Level II

Comparison of Behavior and Dental Anxiety During Intranasal and Sublingual Midazolam Sedation – A Randomized Controlled Trial

2016 ◽  
Vol 40 (1) ◽  
pp. 81-87 ◽  
Author(s):  
AK Shanmugaavel ◽  
Sharath Asokan ◽  
John J Baby ◽  
Geetha Priya ◽  
J Gnana Devi
Keyword(s):  
Drug Administration ◽  
Salivary Cortisol ◽  
Anxiety Level ◽  
Anxiety Scale ◽  
Sublingual Administration ◽  
Before And After ◽  
Group A ◽  
Anxiety Levels ◽  
Cortisol Levels ◽  
Group B

Objectives: The objective of the study was to assess the behavioral effects and the changes in the anxiety level of children after intranasal and sublingual midazolam sedation using Venham's clinical anxiety scale and salivary cortisol level. Study Design: Twenty children aged 3 to 7 years were randomly assigned to Group A (n=10) intranasal or Group B (n=10) sublingual midazolam (0.2mg/kg) sedation. The anxiety levels at various time periods were assessed using Venham clinical anxiety scale and corresponding changes in salivary cortisol levels were assessed before and after the drug administration. The anxiety levels were assessed independently by two pediatric dentists from recorded videos. Wilcoxon signed rank test and Mann Whitney U test were used for statistical analysis using SPSS version 19.0.Results: There was a significant decrease in anxiety level from baseline to 20 minutes after drug administration in group A (p=0.004) and group B (p=0.003). There was no significant change in salivary cortisol levels before and after the drug administration in group A (p=0.07) and group B (p=0.38). Conclusions: Both intranasal and sublingual administration of midazolam was equally effective in reducing the child's anxiety. However, there was no significant difference in the salivary cortisol levels in both groups.

scholarly journals Nanotechnology in Battle against CoViD-19: The Prevention, Diagnosis, and Treatment

2021 ◽  
Vol 10 (4) ◽  
pp. 2637-2645
Keyword(s):  
Detection Methods ◽  
Public Healthcare ◽  
The Novel ◽  
Healthcare Organizations ◽  
Dangerous Situation ◽  
Global Pandemic ◽  
Protection Devices ◽  
The Many ◽  
Novel Coronavirus ◽  
Almost All

People worldwide are experiencing the most dangerous situation concerning the novel severe acute respiratory syndrome known as coronavirus-2 (SARS-CoV-2), commonly referred to as the novel coronavirus disease-2019 (CoViD-19). Since late December 2019, an epidemic of coronavirus disease 2019 (CoViD-19) occurred in Wuhan, China, and rapidly spread to almost all parts of China. With the growing global burden of the CoViD-19 pandemic, scientists, researchers, and healthcare-related organizations constantly work for a viable vaccine or therapeutics, scalable detection methods, personal protection devices, and novel effective medical solutions. Nanotechnology has recently considerably addressed the many clinical and public healthcare issues that have emerged from the CoViD-19 pandemic. The main focus of this current review article is to explore the possibility and potential of nanotechnology to combat this global pandemic and ongoing mitigation techniques and strategies. Furthermore, novel nanotechnology-based products are currently being developed for the prevention, diagnostic, treatment of CoViD-19, which various researchers or healthcare organizations invent.

scholarly journals Microsurgical Reconstruction During Covid-19 Pandemic Setting: A Systematic Review and Clinical Applications

2021 ◽  
Vol 8 (1) ◽  
pp. 48-57
Author(s):  
Parintosa Atmodiwirjo ◽  
Mohamad Rachadian Ramadan ◽  
Nadhira Anindita Ralena ◽  
Sara Ester Triatmoko
Keyword(s):  
Breast Surgery ◽  
Neck Surgery ◽  
The Novel ◽  
Microsurgical Reconstruction ◽  
Safety And Health ◽  
Reconstructive Microsurgery ◽  
Novel Coronavirus ◽  
Almost All ◽  
Based Medicine ◽  
Multi Disciplinary Team

Introduction: The outbreak of the novel coronavirus disease 2019 (COVID-19) has taken almost all countries worldwide. This situation has compromised the safety and health of all medical workers, including microsurgeons. Given that there have been various articles published about the recommendations in microsurgical reconstruction during the COVID-19 pandemic, We felt compelled to compile all relevant studies about the microsurgical reconstruction in the COVID-19 pandemic setting, describe the various actions from different perspectives, as well as providing suggestions based on evidence-based medicine. Method: We did a systematic literature search using electronic databases such as PubMed, Embase, Medline, Wiley, and Cochrane using keywords reconstruction, Microsurgery, coronavirus, and COVID-19. All included studies were critically appraised and reviewed. Results: Nine relevant articles were included for the final review, four of them were qualitative studies, and 5 were guidelines. Studies look at various surgeon's experiences from different healthcare systems during the COVID-19 pandemic. The focuses of the included studies are also diverse from head and neck surgery, breast surgery, limb surgery, and general Reconstructive Microsurgery. Conclusion: Microsurgical reconstruction is not suggested to perform during the peak of the COVID-19 pandemic. It is indicated only if necessary after a rigorous review by the multi-disciplinary team. A full PPE, including a Powered Air Purifying Respirators (PAPR) system, fit-tested N95 respirator masks, face shield, and tight-fitting eye protection goggles, are recommended in performing the surgeries.

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