scholarly journals Clinical management of lung cancer patients during the outbreak of COVID-19 epidemic

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Li Wang ◽  
Man Jiang ◽  
Jialin Qu ◽  
Na Zhou ◽  
Xiaochun Zhang

Abstract The rapid growth of 2019 novel coronavirus (COVID-19) outbreak in Wuhan, China, at the early December 2019. COVID-19 spread all over the word just a few months. The outbreak of COVID-19 infection poses major threat to international health and economy. World Health Organization (WHO) announced that the new coronavirus was an international public health emergency on January 30, 2020. However, with the spread of COVID-19, the routine medical care of lung cancer patients was affected. Because lung cancer patients have low immunity after anti-tumor treatment, they should become the main targets for epidemic prevention. Lung cancer patients are increasingly concerned about the prevention of COVID-19. It is necessary to provide individualized medical treatment and management for lung cancer patients based on patients’ conditions and regional epidemic patterns.

2020 ◽  
Vol 2020 ◽  
pp. 1-8 ◽  
Author(s):  
Imane Harkati ◽  
Mohamed Kamal Hilali ◽  
Nezha Oumghar ◽  
Mouna Khouchani ◽  
Mohamed Loukid

Background. Lifestyle maintenance is a crucial condition before and after lung cancer disease. According to the previous research in the scientific databases, the effect of the interaction between socioeconomic and demographic factors on the lifestyle of lung cancer patients in Southern Morocco regions remains unexamined. Accordingly, this study was designed to examine the relationship between socioeconomic factors, demographic factors, and the lifestyle of lung cancer patients. Methods. A total of 133 patients with lung cancer were divided into 103 men and 30 women with a sex ratio of 3.43 and ages varying between 28 and 82 years, and they served as informants for the study and filled in a questionnaire to provide information on their sociodemographic background, various economic characteristics, and their lifestyle. These patients have also been submitted to an anthropometric examination following the standardized procedure recommended by the World Health Organization. The survey was conducted from July 2013 to March 2015 at the Oncology and Radiotherapy Department, at Mohammed VI Hospital Center in Marrakech, Morocco. Results. The preliminary results showed that the average age of patients was 59 ± 9 years. A proportion of 81% lived in the Marrakech-Safi region and 19% lived in four other southern regions. Among the patients, 6% were smokers, while 14% were nonsmokers and 80% were ex smokers. Following the discovery of the disease, 26% revealed that they had sleep disorders and 98% were reported to have a lack of appetite. Obesity, normal weight, and underweight were also taken as criteria to categorize the patients; thus, obese informants represented 23% of the total number, those having normal weight reached 67% and the patients having underweight represented 10%. Conclusion. Sociodemographic variables and various economic characteristics were shown to have a negative impact on the lifestyle of lung cancer patients.


Author(s):  
Mohammed S. Razzaque

The novel coronavirus, COVID-19 is now officially declared as a pandemic by the World Health Organization (WHO), and most parts of the world are taking drastic measures to restrict human movements to contain the infection. Like millions of others around the world, I am wondering, is there anything that could be done, other than keeping high personal hygiene, and be vigilant of symptoms, to reduce the chances of infection, or at least to reduce the burden of the disease. So far, the National and International health agencies, including the National Institutes of Health (NIH), the Centers for Disease Control and Prevention (CDC), and the WHO have provided clear guidelines for both preventive and treatment suggestions. In this opinion-based article, I want to discuss, why keeping the adequate micronutrient balance might enhance the host response and be protective of viral infections. A detailed in-depth discussion of various micronutrients is not the purpose of this article, I will mostly emphasize on the role of zinc in viral infection.


2020 ◽  
Author(s):  
Alvaro M. Rodriguez-Rodriguez ◽  
Maria Blanco ◽  
Pedro Lopez-Diaz ◽  
Marta De la Fuente-Costa ◽  
Joaquin Calatayud ◽  
...  

BACKGROUND The world is experiencing a pandemic caused by a novel coronavirus. Insufficient physical activity is a key factor of social isolation strategies that can increase the risk of illness. Home based exercise activities could help during self-isolation. OBJECTIVE The aim of this study was to assess the availability, characteristics and accuracy of online home exercises in Youtube. METHODS A systematic search was carried out on uploaded videos on Youtube. The popularity of videos was evaluated with Video Power Index (VPI). The informational quality and accuracy of the source of information were measured using the Discern Scale and the Global Quality Score (GQS). The exercises were evaluated according to the World Health Organization (WHO) recommendations. Interobserver agreement and individual correlations of each video data were statistically analyzed. RESULTS The first 150 videos were selected and, after applying exclusion criteria, 68 videos were analyzed and evaluated. DISCERN scored a mean of 2,29 (Standard deviation -SD- 0,91) with a median of 2,25 (minimum 0,50 and maximum 4,50); HON CODE scored a mean of 58,95 (SD 12,89) with a median of 57,5 (minimum 24,5 and maximum 85) and GQS scored a mean of 2,32 (SD 0,86) with a median of 2,0 (minimum 1,0 and maximum 4,5). CONCLUSIONS The quality of the existing online home exercises videos in Youtube during confinement is low and does not reflect the WHO recommendations. International health organizations must verify whether their recommendations are met on internet. Effective strategies and tools capable of evaluating the quality of this information are needed to filter out erroneous or non-rigorous information that may affect the health of people.


2016 ◽  
Vol 22 (4) ◽  
pp. 397-408 ◽  
Author(s):  
Chung-Ying Lin ◽  
Szu-Chun Yang ◽  
Wu-Wei Lai ◽  
Wu-Chou Su ◽  
Jung-Der Wang

The study examined whether the items of the World Health Organization Quality of Life—Brief questionnaire can assess its four underlying domains (Physical, Psychological, Social, and Environment) in a sample of lung cancer patients. All patients ( n = 1150) were recruited from a medical center in Tainan, and each participant completed the World Health Organization Quality of Life—Brief. Several Rasch rating scale models were used to examine the data-model fit, and Rasch analyses corroborated that each domain of the World Health Organization Quality of Life—Brief could be unidimensional. Although three items were found to have a poor fit, all the other items fit the unidimensionality with ordered thresholds.


Author(s):  
Anuj K. Pandey ◽  
Sidharth S. Mishra ◽  
Yogesh Wadgave ◽  
Nidhi Mudgil ◽  
Sonal Gawande ◽  
...  

The outbreak of novel coronavirus disease (COVID-19) was initially noticed in a seafood market in Wuhan city in Hubei Province of China in mid-December 2019 which has now spread to 223 countries/territories/areas worldwide. World Health Organization (WHO) under International Health Regulations (IHR) has declared this outbreak as a public health emergency of international concern (PHEIC) on 30th January 2020 subsequently declared a pandemic on 11th March 2020.


2020 ◽  
Vol 5 (3) ◽  
pp. 91
Author(s):  
Risnawati Risnawati ◽  
Isnu Pradjoko ◽  
Farah Fatma Wati

World Health Organization data shows that lung cancer is the leading cause of death in the group of deaths due to malignancy. Weight loss is common in lung cancer. Known side effects of chemotherapy and those that affect nutritional status include anorexia, nausea, vomiting, satiety and mucositis. In total 40-60% of lung cancer patients experience unintentional weight loss. Weight loss and reduced nutritional status have been identified as negative prognostic variables for patients. Nutritional disorders during chemotherapy if left untreated can cause interference and delay treatment. Therefore there is a need for nutritional management in patients with lung cancer so that treatment runs smoothly and supports patient health.


2020 ◽  
Vol 2 (4) ◽  
pp. 367-373
Author(s):  
Nikolaos Chrysanthakopoulos ◽  

In December 2019 in Wuhan, China, the World Health Organization (WHO) declares that a severe pandemic of Coronavirus disease 2019 (COVID-19) was emerged and was spread rapidly resulted in dramatic global economic and health implications. The novel coronavirus, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is responsible for a severe inflammatory reaction and clinically severe complications, although the majority of the infected individuals had mild symptoms and favorable prognosis after recovery. However, cancer patients are a high-risk group as are already susceptible to COVID-19 infection due to their underlying disease and their immunosuppression. Moreover, cancer patients are at increased risk of developing clinically severe complications in case of COVID-19 infection such as, Intensive Care Unit admission, required mechanical ventilation or even death. Another aggravating factor for oncological patients, during that pandemic crisis is the risk of postponing cancer treatment. The present review presents the clinical characteristics accompanied by the corresponding laboratory findings in COVID-19 infected cancer patients and the possible therapeutic role of some known chemo-therapeutic agents based on the recent observations of the International literature.


Author(s):  
Orapan Fumaneeshoat ◽  
Thammasin Ingviya

Objective: To measure the Quality of Life (QoL) and Caregiver Burden Scale (CBS) of lung cancer patients’ caregivers and assess the associated factors. Material and Methods: This was a cross-sectional study. We interviewed lung cancer patients and their caregivers who were visiting the outpatient department of a tertiary hospital in Thailand. QoL was measured by the World Health Organization Quality of Life-BREF-THAI. CBS was measured by Zarit’s burden interview. The data were collected using the KoBoToolbox application. Multivariate ordinal logistic regression was used to assess associations between caregivers’ QoL and CBS with the dependent variables, including patient and caregiver factors. Results: Two hundred and four patients and 202 caregivers were included in the study. The only caregivers factor associated with lower QoL was younger age [odds ratio (OR)=0.33, 95% confidence interval (CI): 0.11-0.95)] while factors associated with better QoL were income (OR=3.91, 95% CI: 1.13-14.50) and being a child of the patient (OR=3.24, 95% CI: 1.02-11.30). The main caregivers factor associated with a lower CBS was being Muslim (OR=0.16, 95% CI: 0.05-0.52), and the main factor associated with a higher CBS was income (OR=6.12, 95% CI: 1.66-23.75). The patients factors affecting CBS were female (OR=0.36, 95% CI: 0.17-0.71), Barthel’s activity daily living (ADL) index (OR= 7.42, 95% CI: 1.99-28.65), and ≥2 years looking after a patient (OR=0.40, 95% CI: 0.18-0.88). Conclusion: The factors affecting caregivers’ QoL and CBS were their patients’ ADL and years with disease. Training on caring patients to maintain the patients’ ADL for caregivers should be provided. Health authorities should provide opportunities for patients to share their experience on how they live and cope with the symptoms of lung cancer.


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