scholarly journals Challenges for a Cancer Center in the Novel Coronavirus Pneumonia Epidemic

2020 ◽  
Vol 19 ◽  
pp. 153303382094577
Author(s):  
Xiao Shan Wang ◽  
Ming Zeng
Keyword(s):  
Radiation Therapy ◽  
Inpatient Treatment ◽  
Risk Groups ◽  
Cross Infection ◽  
Cancer Center ◽  
The Novel ◽  
Local Conditions ◽  
Treatment Services ◽  
Novel Coronavirus ◽  
Tertiary Cancer Center

Introduction: The novel Coronavirus disease 2019 pandemic is sweeping through China, posing the greatest ever threat to its public health and economy. As a tertiary cancer center in Southwest China, we formulated and implemented an anti-infection protocol to prevent the spread of Coronavirus disease 2019 in our department. Methods: The anti-infection protocol divided patients into 3 categories, namely outpatients, inpatients, and patients receiving radiation therapy at our cancer center, and each category had a distinct anti-infection protocol to minimize the risk of Coronavirus disease 2019 transmission. In each category, the patients were classified into high-, intermediate-, and low-risk groups. Each risk group was managed differently. A survey of patient volume changes prior to and during the Coronavirus disease 2019 outbreak was performed. Results: We carried out the anti-infection protocol at our cancer center during the Coronavirus disease 2019 outbreak. We found that the total volume of both outpatient visits and inpatient treatment declined significantly depending on the conditions of each group. Radiation therapy and palliative service had the lowest and highest volume reductions at 58.3% and 100%, respectively. The decline in outpatient volumes was higher than the decline in inpatient treatment services (78.8% vs 71.8%). There was no Coronavirus disease 2019 cross-infection at our center, or Coronavirus disease 2019–related injury or death. The anti-infection protocol measures continue to be taken at the hospital even today but they have been modified depending on the prevalent local conditions. Conclusions: Challenges from the Coronavirus disease 2019 pandemic remain in our community. The anti-infection protocol implemented at our cancer center has been effective in preventing cross-infection. Whether our anti-infection protocol experience can be applied to curb the spread of the infection in other parts of the world remains to be tested.

scholarly journals Consideration of the Management of Pediatric Fever Clinics During the Novel Coronavirus Pneumonia Outbreak

2020 ◽  
pp. 1-7
Author(s):  
Hui Ding ◽  
Zhaoling Shi ◽  
Zhen Ruan ◽  
Xiaoning Cheng ◽  
Ruying Li ◽  
...  
Keyword(s):  
Medical Staff ◽  
Prevention And Control ◽  
Cross Infection ◽  
The Novel ◽  
Wuhan City ◽  
Control Programs ◽  
Treatment And Prevention ◽  
Epidemic Period ◽  
Novel Coronavirus ◽  
And Control

ABSTRACT Since the outbreak of 2019 novel coronavirus (2019-nCoV) infection in Wuhan City, China, pediatric cases have gradually increased. It is very important to prevent cross-infection in pediatric fever clinics, to identify children with fever in pediatric fever clinics, and to strengthen the management of pediatric fever clinics. According to prevention and control programs, we propose the guidance on the management of pediatric fever clinics during the nCoV pneumonia epidemic period, which outlines in detail how to optimize processes, prevent cross-infection, provide health protection, and prevent disinfection of medical staff. The present consideration statement summarizes current strategies on the pre-diagnosis, triage, diagnosis, treatment, and prevention of 2019-nCoV infection, which provides practical suggestions on strengthening the management of pediatric fever clinics during the nCoV pneumonia epidemic period.

scholarly journals Questionnaire for initial self-assessment in post-COVID period: Recommendations of Multidisciplinary expert board on screening of post-COVID syndrome during an expanded medical check-up

2021 ◽  
Vol 31 (5) ◽  
pp. 599-612
Author(s):  
Alexander G. Chuchalin ◽  
Alexander S. Ametov ◽  
Gregory P. Arutyunov ◽  
Oksana M. Drapkina ◽  
Mikhail Yu. Martynov ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Risk Groups ◽  
Initial Assessment ◽  
Patient Questionnaire ◽  
The Novel ◽  
Self Assessment ◽  
Symptom Complex ◽  
Coronavirus Infection ◽  
Set Up ◽  
Novel Coronavirus

The post-COVID symptom complex is wide enough and requires special vigilance during clinical examination of patients after the novel coronavirus infection. The aim of the Multidisciplinary Expert Board study was to develop a standardized questionnaire for initial self-assessment by patients who had had COVID-19 before the expanded medical check-up.Methods. The existing validated international and national questionnaires and scales were analyzed to assess their relevance, convenience, and ease of filling out. Results of the analysis were used to set up a screening for post-COVID symptoms.Results. The work of the Multidisciplinary Expert Board in June-August 2021 resulted in a new screening questionnaire for the initial assessment of the health status of patients who have COVID-19. The questionnaire is intended for self-filling before the further clinical examination.Conclusion. A new standardized patient questionnaire to screen for post-COVID symptoms may significantly optimize the doctor’s working time, increase the efficiency of diagnosis, improve the principles of selection and formation of risk groups of patients during an expanded medical check-up.

scholarly journals COVID-19 and Slums: A Pandemic Highlights Gaps in Knowledge About Urban Poverty

10.2196/19578 ◽  
2020 ◽  
Vol 6 (3) ◽  
pp. e19578
Author(s):  
John Friesen ◽  
Peter F Pelz
Keyword(s):  
Health Status ◽  
Cardiovascular Diseases ◽  
United Nations ◽  
Urban Poverty ◽  
Risk Groups ◽  
Data Availability ◽  
Noncommunicable Diseases ◽  
The Novel ◽  
Limited Extent ◽  
Novel Coronavirus

According to the United Nations, about 1 billion persons live in so-called slums. Numerous studies have shown that this population is particularly vulnerable to infectious diseases. The current COVID-19 pandemic, caused by the novel coronavirus SARS-CoV-2, emphatically underlines this problem. The often high-density living quarters coupled with a large number of persons per dwelling and the lack of adequate sanitation are reasons why measures to contain the pandemic only work to a limited extent in slums. Furthermore, assignment to risk groups for severe courses of COVID-19 caused by noncommunicable diseases (eg, cardiovascular diseases) is not possible due to inadequate data availability. Information on people living in slums and their health status is either unavailable or only exists for specific regions (eg, Nairobi). We argue that one of the greatest problems with regard to the COVID-19 pandemic in the context of slums in the Global South is the lack of data on the number of people, their living conditions, and their health status.

scholarly journals COVID-19 and Slums: A Pandemic Highlights Gaps in Knowledge About Urban Poverty (Preprint)

2020 ◽  
Author(s):  
John Friesen ◽  
Peter F Pelz
Keyword(s):  
Health Status ◽  
Cardiovascular Diseases ◽  
United Nations ◽  
Urban Poverty ◽  
Risk Groups ◽  
Data Availability ◽  
Noncommunicable Diseases ◽  
The Novel ◽  
Limited Extent ◽  
Novel Coronavirus

UNSTRUCTURED According to the United Nations, about 1 billion persons live in so-called slums. Numerous studies have shown that this population is particularly vulnerable to infectious diseases. The current COVID-19 pandemic, caused by the novel coronavirus SARS-CoV-2, emphatically underlines this problem. The often high-density living quarters coupled with a large number of persons per dwelling and the lack of adequate sanitation are reasons why measures to contain the pandemic only work to a limited extent in slums. Furthermore, assignment to risk groups for severe courses of COVID-19 caused by noncommunicable diseases (eg, cardiovascular diseases) is not possible due to inadequate data availability. Information on people living in slums and their health status is either unavailable or only exists for specific regions (eg, Nairobi). We argue that one of the greatest problems with regard to the COVID-19 pandemic in the context of slums in the Global South is the lack of data on the number of people, their living conditions, and their health status.

scholarly journals Chest MRI of a pregnant woman with COVID-19 pneumonia

2020 ◽  
Vol 1 (1) ◽  
pp. 61-68
Author(s):  
Yuriy A. Vasilev ◽  
Alexander V. Bazhin ◽  
Amir G. Masri ◽  
Yulia N. Vasileva ◽  
Olga Yu. Panina ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Ionizing Radiation ◽  
Risk Groups ◽  
Diagnostic Information ◽  
The Novel ◽  
Lung Condition ◽  
Pulmonary Pathology ◽  
Novel Coronavirus ◽  
Bilateral Lesions ◽  
Pcr Test

This paper presents a clinical case of a 39-year-old pregnant woman with respiratory signs of the novel coronavirus Covid-19 infection. Chest MRI showed bilateral lesions in basal segments. The PCR test was positive. A lung condition was assessed without loss of significant diagnostic information. Besides that, the absence of exposure to ionizing radiation allowed to avoid a high loading dose on the patient and the fetus. This case reveals potential opportunities of MRI in the diagnosis of pulmonary pathology without exposure to ionizing radiation, especially in patient risk groups (children, pregnant women, etc.).

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