Paramedics and pneumonia associated with COVID-19

2020 ◽  
Vol 12 (5) ◽  
pp. 179-185
Author(s):  
Ray Higginson ◽  
Andy Parry ◽  
Meirion Williams ◽  
Bridie Jones
Keyword(s):  
Older People ◽  
Medical Equipment ◽  
Healthcare Delivery ◽  
Intravenous Fluids ◽  
Effective Management ◽  
Early Administration ◽  
Ongoing Research ◽  
Novel Coronavirus ◽  
Almost All

Paramedics are at the frontline of healthcare delivery and this includes during the current coronavirus pandemic. This pandemic poses specific problems for paramedics, which include not only treating and transporting infected patients, but also issues around decontamination and disinfection of ambulances and medical equipment. Of particular concern is the pneumonia associated with the 2019 novel coronavirus. Data on COVID-19 pneumonia are developing. Ongoing research demonstrates that almost all serious consequences of COVID-19 feature pneumonia, especially in older people and those with comorbidities. Paramedics can have a profound effect on the care of patients with pneumonia. Effective management of COVID-19 pneumonia by the paramedic should centre around prompt recognition, early administration of oxygen and intravenous fluids and transfer to hospital. In some situations, paramedics may need to be involved in the delivery and maintenance of airway adjuncts in patients with COVID-19 pneumonia.

scholarly journals POS1232 COVID-19 IN PATIENTS WITH SYSTEMIC SCLEROSIS: ONE RHEUMATOLOGY CENTER EXPERIENCE

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 899.2-899
Author(s):  
M. Starovoytova ◽  
O. Desinova ◽  
L. P. Ananyeva ◽  
O. Koneva ◽  
L. Garzanova ◽  
...  
Keyword(s):  
Systemic Sclerosis ◽  
Severe Disease ◽  
High Risk Group ◽  
Nasopharyngeal Swab ◽  
Frequent Use ◽  
Diffuse Form ◽  
Novel Coronavirus ◽  
Almost All ◽  
Dose Prednisone ◽  
Frequent Presence

Background:Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) virus infection or COVID-19 is a serious problem for patients with systemic autoimmune diseases Given the serious complications, including acute lung injury, patients with systemic sclerosis (SSc), especially SSs associated with interstitial lung disease (ILD), may represent a high risk group for infection and the development of severe COVID-19.Objectives:We present an analysis of the COVID-19 course and outcomes in 110 SSc pts.Methods:The study included 147 patients with SSc. The information was clarified by means of telephone survey after 10 months of the pandemic (December 2020). Covid-19 was diagnosed when confirmed by positive oral /nasopharyngeal swab, in the presence of positive antibodies and/or characteristic symptoms, and data from chest computed tomography (CT). 110 pts (77%) out of 147 patients in the SSc registry, gave the necessary information. COVID-19 was diagnosed in 59 pts (53 %). 42 pts (71%) had SSc-ILD. Pts mean age was 54.96 (s.d.11, min 31, max 79), 83% women (49 women and 10 men). 38 pts (65%) had a limited form of SSc, 15 (26%) pts had diffuse form SSc, 6% had overlap (SSc-polymyositis (PM) and SSc had rheumatoid arthritis (RA) and 3% had visceral form of SSc). All patients received low-dose prednisone, and more than half of the pts received immunosuppressive therapy. Rituximab therapy was performed in 24 pts (41%).Results:Almost all patients had positive swab from the oral cavity/nasopharynx. And only in 4 (7%) pts nasopharyngeal swabs were negative, in these patients specific antibodies and characteristic CT changes were detected. Chest CT was performed in 51 (86%) pts. Novel coronavirus pneumonia developed in the vast majority of pts - in 46 (78 %) pts. CT1 (up to 25% of lung lesions) had 10 (17%) pts, CT2 (25-50%) – 21(36%) pts, CT 3 (50-75%) – 15(25%) pts. In 5 (8.5%) pts no changes were detected on CT. The course of COVID-19 was mild and moderate (20 (34%) pts and 18 (31%) pts respectively), severe course was observed in 21 (35%) pts, including fatal in 12 (20%) pts. Among the deceased pts, only 1 patient with SSc-PM had not had ILD, but 7 patients had been treated with rituximab.Conclusion:SSc SARS-CoV-2-infected patients may be at risk of severe disease and mortality due to the frequent presence of ILD and the frequent use of immunosuppressive, including biological, therapy.Disclosure of Interests:None declared

Shifting Authority: Teachers’ Role in the Bureaucratization of School Discipline in Postwar Los Angeles

2009 ◽  
Vol 49 (3) ◽  
pp. 323-346 ◽  
Author(s):  
Judith Kafka
Keyword(s):  
Los Angeles ◽  
Older People ◽  
School Discipline ◽  
Board Of Education ◽  
Teacher Organizations ◽  
District Superintendent ◽  
Local Teacher ◽  
Almost All ◽  
Inherent Part

In November of 1956, the Los Angeles City Board of Education held a regular evening meeting devoted entirely to the topic of school discipline. The session began with brief comments from the district superintendent, Ellis Jarvis, who urged those in attendance not to take the issue too seriously Discipline was “an inherent part of education,” he reminded them, and thus was always “a problem of all schools; all schools in this city, in every city, in every community.” Moreover, he joked, “Denunciation of the young is a necessary part of the hygiene of older people, and greatly assists in the circulation of their blood.” The rest of the meeting's speakers, however, almost all of whom were Los Angeles teachers, did not share Jarvis’ lighthearted perspective. Representing several local teacher organizations, clubs, and associations, as well as two Board-appointed committees charged with investigating discipline in the city's schools, they portrayed a district in crisis, overrun by misbehaving youth, and urged the Board to take action to address the problem.

scholarly journals Lepidium meyenii (Maca) – multidirectional health effects – review

2018 ◽  
Vol 31 (3) ◽  
pp. 107-112 ◽  
Author(s):  
Dorota Kasprzak ◽  
Barbara Jodlowska-Jedrych ◽  
Katarzyna Borowska ◽  
Agnieszka Wojtowicz
Keyword(s):  
Animal Studies ◽  
Essential Fatty Acids ◽  
Hormone Secretion ◽  
Essential Amino Acids ◽  
Neuroprotective Effects ◽  
Ongoing Research ◽  
Lepidium Meyenii ◽  
The Andes ◽  
Action Mechanisms ◽  
Almost All

Abstract Lepidium meyenii, commonly known as Maca, is a Peruvian plant that grows high in the Andes, in areas over 4,000 meters above sea level. Its composition contains almost all of the essential amino acids and twenty of the essential fatty acids needed by man, as well as many vitamins, minerals and several sterols and glucosinolates. The specific and unique unsaturated acids and amides found only in this plant are the macaenes and macamides. Most valuable ingredients are contained within the hypocotyls. Maca comes in three forms, based on its root colour, yellow, red and black. Although used individually, consumption recommendations are usually for a mix of all three. Since Inca times, it has been considered as super food. Although now mostly used in the form of a supplement, ongoing research does not exclude future applications of Maca as medicine. It is attributed to have an effect on male fertility (adding energy and vitality), and in regulating hormone secretion. In animal studies, Maca has been shown to have antioxidant, neuroprotective effects and antiviral activity. Moreover, it has been demonstrated to alleviate the effects of depression. In addition, there are reports that Maca reduces the development of cancer and osteoporosis, improves memory, facilitates concentration and alleviates the symptoms of menopause. The obtained results, however, require further analysis to confirm its effect. Currently, there is little information on toxicity, so there is a need for specialized research in this area, and on-going research concerns the most effective variety and form of preparation of Maca for administration to achieve best effects. The potential of Maca as medicine exists. The increasing pan-continental popularity of Maca has created the need for a better understanding of its action mechanisms.

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.

scholarly journals Assistive devices: self-reported use by older people in Victoria

2002 ◽  
Vol 25 (4) ◽  
pp. 169 ◽  
Author(s):  
Robyn Smith ◽  
Susan Quine ◽  
Julie Anderson ◽  
Kirsten Black
Keyword(s):  
Older People ◽  
Service Providers ◽  
Assistive Devices ◽  
Factors Affecting ◽  
Payment Policy ◽  
Home Based ◽  
Home Modifications ◽  
Adequate Education ◽  
Almost All

A qualitative study was conducted in Victoria to explore factors affecting the acceptability and use of assistive devices by older people. Four focus groups and fifteen home-based interviews were conducted with older people (mean age 77 years) who had been issued with 2 or more assistive devices. Analysis of the data indicated that almost all participants were content to be advised by professionals on suitable equipment. Most considered the equipment and home modifications safe and easy to use, and appreciated the benefits for mobility, confidence and independence. Reasons for non-use were commonly related to changes in functional ability. Cost was a major deterrent for a small number who opted to 'make do'. Recommendations are made for improvements to the existing system of equipment provision and use, including: review and development of consistency of provision and payment policy among service providers; flexibility of payment options; adequate education and follow-up support for clients.

Cultural management of HLB: current status and on-going research

2021 ◽  
Author(s):  
Berta Alquezar ◽  
Lourdes Carmona ◽  
Stefania Bennici ◽  
Marcelo Pedreira Miranda ◽  
Renato Bassanezi ◽  
...  
Keyword(s):  
Current Status ◽  
Bacterial Disease ◽  
Ongoing Research ◽  
Cultural Management ◽  
Cultural Strategies ◽  
Almost All ◽  
The Impact ◽  
Citrus Disease

Huanglongbing (HLB), formerly known as greening, is a bacterial disease restricted to some Asian and African regions until two decades ago. Nowadays, causing bacteria and their vectors have spread to almost all citrus producing regions, and it is currently considered the most devastating citrus disease. HLB management can be approached in terms of prevention, limiting or avoiding pathogen and associated vectors to reach an area, or in terms of control, trying to reduce the impact of the disease by adopting different cultural strategies depending on infestation/infection levels. In both cases, control of psyllid populations is currently the best way to stop HLB spread. Best cultural actions (CHMAs, TPS system) to attain this goal and thus, able to limit HLB spread, and ongoing research in this regard is summarized in this review.

From First Encounters to Sustained Engagement and Alienation

2017 ◽  
Author(s):  
Stuart Bedford ◽  
Marcellin Abong ◽  
Richard Shing ◽  
Frédérique Valentin
Keyword(s):  
Oral Traditions ◽  
Ongoing Research ◽  
James Cook ◽  
Indigenous Resistance ◽  
European Settlement ◽  
Military Camp ◽  
French Military ◽  
New Hebrides ◽  
Positive Report ◽  
Almost All

This chapter outlines an ongoing research program which investigates the evolving engagements between ni-Vanuatu and Europeans in the Port Sandwich region (in southern Malakula, Vanuatu) during the period from 1774 to 1915. The research has drawn on a multiplicity of sources—including oral traditions, historic documents, and archaeological surveys and excavations—in an attempt to provide new insights into the process of colonization from both an indigenous and European perspective. For instance, James Cook visited the ‘ideal’ harbour in 1774. Following his positive report of the location, almost all foreign vessels visiting northern Vanuatu over the next 100 years would use Port Sandwich as a base. It became an early focus for sustained European settlement. Although Vanuatu (or the New Hebrides, as it was then known) became a formalized colony in 1906, land purchases in Port Sandwich began as early as the 1870s. Moreover, a French military camp was established earlier, in 1886, and Catholic missionaries arrived two years later. Increasing tensions developed and conflict inevitably erupted. Indigenous resistance continued for decades, and, by 1913, as evidence suggests there was massive depopulation.

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.

CoMem: Designing an interaction experience for reuse of rich contextual knowledge from a corporate memory

2002 ◽  
Vol 16 (3) ◽  
pp. 127-147 ◽  
Author(s):  
R. FRUCHTER ◽  
P. DEMIAN
Keyword(s):  
Prototype System ◽  
Contextual Knowledge ◽  
Effective Management ◽  
Knowledge Reuse ◽  
Ongoing Research ◽  
Construction Firms ◽  
On Demand ◽  
Corporate Memory ◽  
The Rich ◽  
Design Knowledge Reuse

Managing and reusing knowledge in architecture, engineering, and construction firms can lead to greater competitive advantage, improved designs, and more effective management of constructed facilities. However, reuse often fails because knowledge is not captured; it is captured out of context, rendering it not reusable; or there are no formal mechanisms for finding and retrieving reusable knowledge. This paper presents ongoing research on design knowledge reuse that introduces the notion of knowledge in context from a corporate perspective. We argue that in order for knowledge to be reusable, the user should be able to see the rich context in which this knowledge was originally created and interact with it. We call a repository of such knowledge in context the corporate memory. We describe empirical observations of designers reusing knowledge from their personal design experiences. Based on these observations, we formalize two key activities in the process of knowledge reuse from a corporate repository: finding reusable items and understanding these items in context. We formalize six degrees of exploration that lead to understanding. We describe a prototype system, CoMem, that supports these activities. CoMem is distinguished from the document-centric state of practice solutions by its approach of “overview first, zoom and filter, and then details on demand.” In order to accomplish this approach we propose three metaphors: corporate map, fisheye lens, and storyteller. These metaphors and their implementation in CoMem are illustrated using an industry scenario.

scholarly journals Staphylococcal scalded skin syndrome: A pediatric dermatology case report

2018 ◽  
Vol 6 ◽  
pp. 2050313X1775089 ◽  
Author(s):  
Girish Gulab Meshram ◽  
Neeraj Kaur ◽  
Kanwaljeet Singh Hura
Keyword(s):  
Complete Resolution ◽  
Skin Lesions ◽  
Clinical Suspicion ◽  
The Body ◽  
Intravenous Fluids ◽  
Effective Management ◽  
Pediatric Dermatology ◽  
Staphylococcal Scalded Skin Syndrome ◽  
High Clinical Suspicion ◽  
Hygiene Measures

Staphylococcal scalded skin syndrome is a condition which predominantly affects children and causes a spectrum of skin lesions. We present a case of a 2-month-old infant with complaints of fever and fragile blisters over the body. The mucosal areas were spared. The diagnosis of staphylococcal scalded skin syndrome was reached on clinical grounds and culture report. The patient responded well to the treatment, which included an antibiotic (cloxacillin), an analgesic (paracetamol), and hydration with intravenous fluids. He was discharged after 8 days, with almost complete resolution of his skin lesions. Having a high clinical suspicion for staphylococcal scalded skin syndrome, early diagnosis/treatment, and following robust hygiene measures are imperative for the effective management of staphylococcal scalded skin syndrome. More efforts are needed to develop novel therapies for staphylococcal scalded skin syndrome.

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