scholarly journals An Acute Pulmonary Coccidioidomycosis Coinfection in a Patient Presenting With Multifocal Pneumonia With COVID-19

2020 ◽  
Vol 8 ◽  
pp. 232470962097224
Author(s):  
Cameron Casey Chang ◽  
Randolph Senining ◽  
Jessica Kim ◽  
Rajan Goyal

The ongoing coronavirus disease-2019 (COVID-19) pandemic has been the focus of health care workers as it has affected millions of people and cost hundreds of thousands of lives around the world. As hospitals struggle to identify and care for those afflicted with COVID-19, it is easy to overlook endemic diseases that potentially worsen or mimic the pulmonary manifestations or may coinfect those with COVID-19. In this case report, we present the case of a 48-year-old Hispanic female who was admitted with respiratory distress from an acute COVID-19 infection but was also found to have acute pulmonary coccidioidomycosis infection and was treated successfully.

2020 ◽  
Author(s):  
Yingxiang Huang ◽  
Dina Radenkovic ◽  
Kevin Perez ◽  
Kari Nadeau ◽  
Eric Verdin ◽  
...  

BACKGROUND The COVID-19 pandemic continues to ravage and burden hospitals around the world. The epidemic started in Wuhan, China, and was subsequently recognized by the World Health Organization as an international public health emergency and declared a pandemic in March 2020. Since then, the disruptions caused by the COVID-19 pandemic have had an unparalleled effect on all aspects of life. OBJECTIVE With increasing total hospitalization and intensive care unit admissions, a better understanding of features related to patients with COVID-19 could help health care workers stratify patients based on the risk of developing a more severe case of COVID-19. Using predictive models, we strive to select the features that are most associated with more severe cases of COVID-19. METHODS Over 3 million participants reported their potential symptoms of COVID-19, along with their comorbidities and demographic information, on a smartphone-based app. Using data from the >10,000 individuals who indicated that they had tested positive for COVID-19 in the United Kingdom, we leveraged the Elastic Net regularized binary classifier to derive the predictors that are most correlated with users having a severe enough case of COVID-19 to seek treatment in a hospital setting. We then analyzed such features in relation to age and other demographics and their longitudinal trend. RESULTS The most predictive features found include fever, use of immunosuppressant medication, use of a mobility aid, shortness of breath, and severe fatigue. Such features are age-related, and some are disproportionally high in minority populations. CONCLUSIONS Predictors selected from the predictive models can be used to stratify patients into groups based on how much medical attention they are expected to require. This could help health care workers devote valuable resources to prevent the escalation of the disease in vulnerable populations.


Author(s):  
Santosh Kumar Swain ◽  
Pragnya Paramita Jena

The current novel corona virus disease 2019 (COVID-19) is a highly infectious disease of the respiratory tract and rapidly spreading all over the world in short span of time. In current COVID-19 pandemic, use of the face mask is becoming usual and ubiquitous for both health care workers and public individuals. Wearing face mask is one of the non-pharmaceutical interventions which need minimum cost and provide dramatic response for preventing the COVID-19 infection. Limited availability of the vaccine and inadequate supply of therapeutic options, face mask use is an important part for public health measures for restricting the COVID-19 spread. Regardless of the debate among medical community regarding global face mask production shortage, a greater number of countries in the world are moving ahead with recommendations or mandates for using face mask in public. As currently global shortage of N95/FFP2 respirators and surgical masks for use by health care workers in the hospitals, simple cloth masks will act as a pragmatic solution for the use of the public. General public often use the surgical mask or even filtering facepiece (FFP) masks irrespective of their need, resulting unnecessary shortage for needy individuals those are exposed to the patients or those are health care workers. So, this review article will clarify the indication of the different types of masks and their rational use in the current COVID-19 pandemic.


ANALES RANM ◽  
2020 ◽  
Vol 137 (137(02)) ◽  
pp. 147-149
Author(s):  
Jesús Mateos Nozal ◽  
Beatriz Montero Errasquín ◽  
Alfonso J. Cruz Jentoft

COVID-19 pandemic is relentlessly spreading worldwide since it was described in Wuhan in december 2019. A high incidence in health care workers has been described in Spain. The number or articles discussing this condition is exponentially growing, but few published cases report on what physicians have faced in their daily work. It is key that health care providers learn how to convey the severity that COVID-19 can reach, in order to raise awareness on the importance of prevention.


2021 ◽  
Author(s):  
Sara Rotenberg ◽  
Danae Rodriguez Gatta ◽  
Azizia Wahedi ◽  
Rachelle Loo ◽  
Emily McFadden ◽  
...  

Objective: To conduct a systematic review of the literature on disability training to improve knowledge, confidence, self-efficacy and competence among health care workers around the world. Methods: We searched five databases for relevant peer-reviewed articles published between January 2012 and January 2021. Studies that focused on training health care workers to improve knowledge, confidence, self-efficacy, and competence to support people with physical, sensory, or intellectual impairments were included. Data about the details of the intervention (setting, participants, format, impact assessments, etc.) and its effects were extracted. Findings: There is an array of highly local tools to train health workers across stages of their training and careers (pre-service, in-service, and continuing professional development). Studies involving people with disabilities in the training, community placements, simulations, or interactive sessions were found to be most effective in improving knowledge, confidence, competency, and self-efficacy. Conclusion: As part of initiatives to build inclusive health systems and improve health outcomes for people with disabilities, health workers around the world need to receive appropriate and evidence-based training that combine multiple methods and involve people with disabilities.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R A Cocchiara ◽  
B Dorelli ◽  
A Mannocci ◽  
G La Torre

Abstract Background Several studies show the positive effects of new non-medical therapies known as complementary and alternative medicines (CAMs). In this context, the discipline of tai chi is obtaining a wider consensus because of its many beneficial effects both on the human body and mind. Objective The aim of this study was to perform a systematic review of the scientific literature concerning the relationship between tai chi practice and wellness of health care workers (HCW) in their professional setting. Methods The research was performed in September 2019, investigating the databases Cinahl, Scopus, Web of Science, and PubMed. Full-text articles, written in English language and published after 1995, were taken into account. No restrictions regarding the study design were applied. A quality assessment was developed using AMSTAR, Jadad, Newcastle-Ottawa Scale, INSA, and CASE REPORT scale. Six papers were finally included: Three clinical trials, one observational study, one systematic review, and one case report. The methodological quality of the included studies was judged as medium level. Conclusions This systematic review suggests the potential impact of interventions such as tai chi as tools for reducing work-related stress among healthcare professionals. Keywords: Tai chi, Workplace Wellness, Nursing Key messages Tai chi, Workplace Wellness, Nursing. Health Professional, Stress, Workplace Wellbeing.


2020 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Aurang Zeb

In the late December 2019, a unique type of pneumonia was observed in Wuhan city and was reported by China Centre for Disease Control (China CDC). The pathogen was identifed on January 07, 2020 and was named as COVID-19. The COVID-19 has transmission rate more than MERS-COV and SARS-COV. The fatality rate, so far, is around 5% that is more than the common infuenza.1 According to WHO report until the end of June, 2020, there are approximately 10 million confrmed cases worldwide with total approximately 0.5 million deaths. In Pakistan alone until now there are 0.2 million confrmed cases with more than 4000 deaths.2 The whole world is affected by this pandemic psychosocially, economically and physically. To control the spread of infection almost all the countries have started lockdowns. Majority of them are following smart lockdowns where the infected cluster population is sealed only and the restrictions on economic activities are under the safety guidelines. The scientists and medical experts are trying to develop treatment and vaccine against the infection.3 Those who have already got the infections have been quarantined and those with severe symptoms are hospitalized for treatment almost all-over the world. The health care staff including doctors, nurses, pharmacists and other paramedical staff are struggling for the prevention and cure of the disease. This struggle makes them on risk for getting infection by themselves. Thousands of doctors and nurses have already been affected by the infections and hundreds of them have sacrificed their lives in fighting against it. Among all the health care workers, nurses are the professionals who spent more time than the other with the patients and are directly involved in care of the infected patients. Over 20 million nurses worldwide are fighting as front-line soldiers against COVID-19 all-over the world4 and because of the unique patient facing nature of the profession, nurses are at high occupational risk in communities and hospitals.5 It would not be wrong to say that the most vulnerable professionals in this life-threatening pandemic are nurses. Nurses need to be supported by the government and non-governmental organizations by providing them safe environment and protective equipment. Their duties should be scheduled as per WHO recommendations and they need to be compensated in terms of treatment and screening test if anyone of them is suspected for the infection. Today, the health care workers are the real heroes and nurses are the front-line members of the team. The brave efforts of these frontline soldiers are acknowledged all over the world and they have been saluted.


Author(s):  
Pratibha Mane ◽  
Jyoti Sangwan ◽  
Kirti Lohan

Background: Coronavirus disease 2019 (COVID-19) is an infectious disease reported in China initially which spread around the world in no time affecting millions of people. It is caused by a new coronavirus (SARS-CoV-2 or 2019 n-CoV). The healthcare workers (HCW) are at increased risk of acquiring the disease as well as antibody response.Methods: 457 health care workers (HCW) were recruited to give blood samples for anti-SARS CoV-2 IgG testing between September to October 2020.Results: Of the 457 participants, IgG antibodies against SARS-CoV-2 were detected in 116 health care workers (25.4%). The anti-SARS-CoV-2 antibodies were detected maximally in HCWs involved in laboratory work. Around 4 % of health care workers were RT-PCR positive form whom IgG were detected in 15 individuals (71.4%) only.Conclusions: The study concludes a higher prevalence among health care workers involved with patient’s samples and laboratory.


2021 ◽  
Vol 15 (1) ◽  
pp. 1
Author(s):  
Mutiara Adelina ◽  
Fifi Dwijayanti

Infectious diseases are one of the biggest threats to humans. Currently, the world is in the outbreak condition causes of the COVID-19 virus which is started from Wuhan, China in December 2019. This disease was spread out rapidly throughout the World and was announced as a pandemic by the World Health Organization (WHO) on March 11, 2020(1). The infected number of SARS-CoV-2 was over 84 million people and caused over 1 million death cases in the worldwide. Indonesia had more than 800.000 infectious cases and 23.000 of death cases with the highest cases in Jakarta (2). This virus can be transmitted by two ways, such as direct contact (cough, sneeze, and droplet inhalation) and contact transmission (contact with oral, nasal, and eye mucous membranes) of person with COVID-19 (3). The current COVID-19 pandemic makes various challenges in prevention and control of infections in hospitals. Health care workers (HCWs) have been providing care to suspected, probable or confirmed COVID-19 patients that make them in high-risk condition. Several study indicated that many HCWs have been infected with SARS-CoV-2 in many hospitals worldwide (4)(5)(6).


Author(s):  
Bhagyashree Sagane ◽  
Shivakumar Divity ◽  
Yogesh G. Dabholkar

As a part of global health care system we are now facing an unprecedented increase in the number of COVID positive patients. While the SARS-CoV2 continues to expand its reach, newer information gets reported every day. The phenomenon of acro-ischemia in patients testing positive for SARS-CoV2 has started gathering attention within the medical community. Also, with increased need for tracheostomy HCWs (health care workers) are constantly at a high risk of aerosol exposure. We report a case of a critically ill, late detected, COVID positive male, with dermatological signs who landed in a tracheostomy. We aim to highlight the importance of high index of suspicion and early detection that would make a significant difference.


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