scholarly journals Psychological Impact of Covid-19 Pandemic: Lockdown Induced Anxiety and Its Impact on Sleep Quality in Adults Between 18-50 Years of Age

Author(s):  
Radhika Kasat ◽  
Vaibhavi Walimbe

Abstract BACKGROUND:- COVID 19 pandemic is the global health emergency and most critical health calamity of the century4.The COVID-19 belongs to the family of virus that causes illness such as common cold to severe infection causing Middle East respiratory syndrome (MERS)-CoV and severe acute respiratory distress syndrome (SARS)CoV1. RESULTS:- 30 questions were asked combining of 5 components of which 4 were demographic questions and 1 willingness to participate. Total 196 subjects were chosen randomly between the age group of 18 years to 50 years from all over the Maharashtra. The subjects were both male and female. CONCLUSION :- In Our study the total sample size was 196. Population was significantly affected in all the components. Out of 196, 49% population was affected in sleep quality, and 57 % population was affected in anxiety.

2018 ◽  
Vol 7 (2) ◽  
pp. 38-43 ◽  
Author(s):  
Tong Wang

Abstract Acute lung injury (ALI)/acute respiratory distress syndrome (ARDS) is an acute progressive respiratory failure caused by severe infection, trauma, shock, poisoning, inhaled harmful gas, acute pancreatitis, and pathological obstetrics. ALI and ARDS demonstrate similar pathophysiological changes. The severe stage of ALI is defined as ARDS. At present, a significant progress has been achieved in the study of the pathogenesis and pathophysiology of ALI/ARDS. Whether or not ALI/ARDS patients can recover depends on the degree of lung injury, extra-pulmonary organ damage, original primary disease of a patient, and adequacy in supportive care. Conservative infusion strategies and protective lung ventilation reduce ARDS disability and mortality. In this study, the pathogenesis of ALI/ARDS, lung injury, molecular mechanisms of lung repair, and conservative infusion strategies and pulmonary protective ventilation are reviewed comprehensively.


2018 ◽  
Vol 5 (5) ◽  
pp. 1295
Author(s):  
Henna Naqash ◽  
Parvaiz Ahmad Shah ◽  
Mohammad Hayat Bhat ◽  
Ishrat Hussain Dar ◽  
Muzaffar Maqbool

Background: Authors conducted this study to find the profile of causes and diseases that affect patients of younger age group in altered sensorium admitted in a general hospital associated with Government Medical College Srinagar, in India.Methods: Authors conducted present study over a period of eight months. The patients of young and middle age who were admitted in their hospital ward with altered mental status were included. The study subjects were divided into two groups: group A included patients of age upto 30 years, and group B with patients in age group 31-50 years. The patients were studied for their diagnoses, comorbidities, gender distribution, duration of stay in hospital and mortality patterns.Results: Authors had a total of 112 patients of young and middle age admitted in their hospital ward with altered mental status during the study period. In group A, there were 42 patients or 37.5% (20 males and 22 females). In group B, there were 70 patients or 62.5% (30 males and 40 females). The most common cause of admission in these patients was infection (29.46%) followed by seizures (17.85%) and cardioembolic strokes (11.60%).The most common comorbidities in studied patients were underlying seizure disorder, psychiatric disease in the form of bipolar affective disorder or schizophrenia, hypertension, type 2 diabetes and chronic kidney disease.There were 14 deaths in group A and 30 deaths in group B. The most common cause of death was infections followed by seizures, Acute respiratory distress syndrome (ARDS) and severe diabetic ketoacidosis (DKA).Conclusions: The most common cause of admission in young and middle-aged patients in authors’ hospital was infection followed by seizures and cardioembolic strokes. The most common cause of death was again infections followed by seizures, acute respiratory distress syndrome and severe diabetic ketoacidosis.


2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Dr. Bobinder

The objective of this study was to measures of personality factors of children. Total sample consisted of 320 subjects (160 rural & 160 urban children) were selected from the district of Baghpat (U.P.). A 2x2x2 factorial design was used. In each group of 160 subjects were 80 male and female early schooling and proper schooling. Early School Personality Questionnaire (E.S.P.Q.) was administered. There are two version of the tool i.e., English and Hindi, but here use only Hindi version standardized in Indian condition on population. E.S.P.Q. measure objectivity 13 primary personality dimensions as the child begins his school years. It is meant for the age group from 6 to 8 years. The result show that the time of schooling significantly affects the reserved/ outgoing personality factors of children. Subjects of early schooling has high mean score of factors A, while the subjects of proper schooling age has low mean scores. They were reserved detached, critical and cool.


2019 ◽  
Vol 6 (4) ◽  
pp. 1743
Author(s):  
Md Nawad Azam ◽  
Senthil Kumar S. P.

Aim of the study was to discuss effectiveness and outcome of Extra Corporeal Membrane Oxygenation (ECMO) therapy with prone positioning while on ECMO in a child with severe Acute Respiratory Distress Syndrome (ARDS). Veno-venous ECMO (VV-ECMO) and prone position on ECMO are relatively newer modalities of treatment in severe ARDS in pediatric age group and to our experience very few cases has been reported in paediatric age group. A 5 year old male child presented with fever with respiratory distress. He deteriorated in next 48 hrs leading to severe hypoxemia with ARDS following which he was put on conventional ventilation. In view of worsening critical lung parameters, veno-venous ECMO was initiated. Child had persistent hypoxemia inspite on high positive end expiaratory pressure (PEEP), adequate flow and adequate Post oxygenator PO2. Recirculation and other possible causes were excluded. Prone positioning (PP) was done for 8 hrs a day with chest physiotherapy while on ECMO. Patient showed considerable improvement in next few days and ECMO was weaned on day 7 and child was discharged on day 16 with good lung recovery. Although studies on VV-ECMO with PP has proven effectiveness in severe ARDS in adult population, overall studies in paediatric ARDS are very limited. Prone positioning on ECMO may decrease duration of ECMO support. Prone positioning on VV ECMO is safe and can be considered in Persistent hypoxemia with poor respiratory compliance.


Pathogens ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 733
Author(s):  
Maximilian Kaiser ◽  
Meike Weis ◽  
Katharina Kehr ◽  
Verena Varnholt ◽  
Horst Schroten ◽  
...  

Background: Dialister pneumosintes (D. pneumosintes) is known to cause dental, periodontal or sinus infections. To date, the pathogen has only been described in a small number of cases with a severe infection. Case report: We describe the clinical case of a 13-year-old, obese female patient that presented with acute respiratory failure and sepsis. A CT-scan showed extensive bilateral patchy areas, subpleural and peribronchovascular consolidations with surrounding ground-glass opacity, extensive consolidations in the lower lobes of both lungs matching to a severe pneumonia and clinically emerging acute respiratory distress syndrome. Moreover, it showed extensive sinusitis of the right sinus frontalis, maxillaris and right cellulae ethmoidales. D. pneumosintes was isolated from an anaerobic blood culture obtained at admission. The antibiotic treatment included piperacillin/tazobactam and oral switch to ampicillin/sulbactam plus ciprofloxacin. Conclusions: We describe the first adolescent with severe systemic D. pneumosintes infection. Since the pathogen is difficult to culture the systemic virulence remains unclear. This work aims to sensitize health care specialists to consider D. pneumosintes infection in patients with periodontal or sinusal infection.


Author(s):  
Pavithra N. ◽  
Abha Ahuja ◽  
Ritu Singh

Aim: The present study was conducted to assess and compare the personal values among male adolescents in the families categorized under three group based on their family income as Low-Level Income Group (LLIG), Medium-Level Income Group (MLIG) and High-Level Income Group (HLIG). Sample: The total sample consisted of 90 male adolescents in the age group of 17-19 years from the two selected colleges of GB Pant University of Agriculture and Technology (College of Home Science and College of Agriculture), Pantnagar. Sample Design: From the selected colleges, the students were randomly drawn under three classified groups within the age group irrespective of their degree program. Sample Selection: The list of male students enrolled in I and II year (of both Agriculture and Home Science within the age group of 17-19 years) made was collected from the office of four colleges and scrutinised under three groups based on their family income. The sample of 30 male adolescent students was randomly selected under each group constituting the total sample of 90 students. The Deans of both the colleges were personally contacted for seeking permission to have rapport and collect the information legally. Tools: Self-structured general information questionnaire along with the Personal value questionnaire by Sherry and Verma [8] was administered to collect the data. Results: The results revealed that the family income plays a crucial role in the personal values of adolescents. Except for social and religious values, the students from HLIG are having a significantly high level of personal values when compared to LLIG and MLIG. Hence, the higher the family income, the more focus on personal development and so the improved personal values of the younger generations. Conclusion: We were able conclude that the family income plays a crucial role in the personal values of adolescents.


2017 ◽  
Vol 41 (S1) ◽  
pp. S235-S235
Author(s):  
M. Gouva ◽  
K. Katsanos ◽  
A. Tsoutsi ◽  
E. Dragioti ◽  
E. Kotrotsiou

IntroductionUlcerative colitis and Crohn's disease is characterized from a complicated therapeutic management, with bodily and psychological impact to the family.ObjectivesThis study examined the coping strategies among families with a child or adolescent with IBD.AimThe aim was to investigate possible sex differences with respect to coping strategies of the parents would correlated to overall coping strategies.MethodThe participants were biological parents of patients diagnosed with IBD. The total sample included 61 parents with a mean age 46.2 (SD = 7.4). The parents completed:– the Family Crisis Oriented Personal Scales;– the Other As Shamer Scale;– the Experiences of Shame Scale (ESS);– questionnaire concerning socio-demographic information.ResultsMother reported higher levels of social support, accept help, passive appraisal, and overall strategies compared to fathers. The strongest difference was found in accept help (P < 0.001). The feelings of shame of the mothers and fathers of the IBD families were very similar, without statistically significant differences between the groups. The results of the MLR, after controlling for adolescents age, sex and illness duration, revealed that the older age, being a mother, being married and being employment had direct positive associations with the overall coping strategies, while ESS had direct negative associations with the overall coping strategies. The model with all seven predictors explained 68% of the total variance (R2 = 0.68, F = 6.409, P < 0.001).ConclusionsOur findings provide more detailed information on the coping strategies of Greek families with a child or adolescence with IBD.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Author(s):  
Suchet Sachdev ◽  
Shobhana Pravin Pandit

ABSTRACT Aim To find out prevalence and the associated predisposing etiologic conditions of acute respiratory distress syndrome (ARDS) amongst autopsied cases. Setting and design The present study was a retrospective analysis of 125 cases of ARDS obtained at autopsy over a span of 4 years from 2000-2003. Materials and methods Data was retrieved from the postmortem record of the pathology department and the medical record department. A review of histology slides was done with diffuse alveolar damage (DAD) as the correlate of ARDS at histopathology. Results Prevalence of ARDS amongst autopsied cases was 3.15%. There were 60% cases in adult age group and of male gender; whereas 40% were children and of female gender. Almost 90% of cases succumbed to ARDS within a week of admission. The most common presenting features were of the respiratory system. The most common predisposing etiologic association was leptospirosis, septicemia and pneumonia. Conclusion Systemic infections were the most common predisposing etiologic conditions of ARDS at autopsy. How to cite this article Sachdev S, Pandit SP. Acute Respiratory Distress Syndrome: An Autopsy Study. J Postgrad Med Edu Res 2014;48(1):8-13.


Viruses ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 45
Author(s):  
Aisha D. Fakhroo ◽  
Asmaa A. Al Thani ◽  
Hadi M. Yassine

In December 2019, the latest member of the coronavirus family, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), emerged in Wuhan, China, leading to the outbreak of an unusual viral pneumonia known as coronavirus disease 2019 (COVID-19). COVID-19 was then declared as a pandemic in March 2020 by the World Health Organization (WHO). The initial mortality rate of COVID-19 declared by WHO was 2%; however, this rate has increased to 3.4% as of 3 March 2020. People of all ages can be infected with SARS-CoV-2, but those aged 60 or above and those with underlying medical conditions are more prone to develop severe symptoms that may lead to death. Patients with severe infection usually experience a hyper pro-inflammatory immune reaction (i.e., cytokine storm) causing acute respiratory distress syndrome (ARDS), which has been shown to be the leading cause of death in COVID-19 patients. However, the factors associated with COVID-19 susceptibility, resistance and severity remain poorly understood. In this review, we thoroughly explore the correlation between various host, viral and environmental markers, and SARS-CoV-2 in terms of susceptibility and severity.


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