scholarly journals Epidemiological and clinical profile of novel coronavirus disease (COVID 19) in a hospital in Metropolitan India

2020 ◽  
Vol 8 (1) ◽  
pp. 254-262
Author(s):  
Priti Chowdhary ◽  
Ritesh Ranjan ◽  
Cecil C Khakha ◽  
Deepika Govil ◽  
Munesh Kasana ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Case Fatality ◽  
Clinical Profile ◽  
Family Welfare ◽  
Asymptomatic Patients ◽  
Care Workers ◽  
Single Centre Study ◽  
History Of ◽  
Novel Coronavirus

Context: To understand the epidemiological and clinical profile of COVID 19. Aims: To study the epidemiological and clinical profile of Novel Coronavirus disease with comorbidities and outcome. Settings and Design: In this single centre study, we included patients with suspected and confirmed cases of COVID 19 Methods and Material: We followed the testing criteria for COVID 19 laid down by Ministry of Health and Family Welfare (MoHFW), Government of India. COVID 19 positive patients were divided as mild, moderate and severe and followed till discharge or death. Data was collected through interview of patients and hospital records. Results: A total of 178 suspected cases of COVID 19 reported to our hospital in this duration. Out of these, confirmed positive cases were 66 in number. Among 66 COVID 19 positive patients 11 were Health Care Workers. The Median age of the patients was 37 years. Most of the confirmed COVID patients were young and middle aged between 15 to 49 years age (69.69 %). 66.66 % were males and 33.33% were females. Case fatality rate was 4.54%. In our study only 15.15% had history of contact with COVID 19 positive patients. Conclusions: Fever is the most common presenting symptom but fever should not be the exclusion criteria. Since there is silent spread of virus in the community among the asymptomatic patients there is need to increase the number of testing. Containment and mitigation strategy like Social distancing should be maintained. Routine screening of Health Care Workers should be done.

Stepping up detection, response, preparedness and readiness measures for “COVID-19”- A Pandemic

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1042-1047
Author(s):  
Khushbu Balsara ◽  
Deepankar Shukla
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Clinical History ◽  
Frontline Workers ◽  
Diagnostic Assays ◽  
Care Workers ◽  
Short Period ◽  
History Of ◽  
Detection Response ◽  
Care Worker

In a very short period of time, “COVID-19” has seized the consciousness globally by making remarkable changes in our day to day living and has superintended as a public health emergency globally. It has high radar of transmission, affecting an individual at work to frontline workers. The measures and planning for a response plays a key role from drawing up an emergency committee and this follows an equation which broadly deals with epidemiological to clinical history of the patient, management steps from isolation, screening, diagnostic assays for identification and treatment. The application of an organized plan with secure structure aids in better performance, increases efficacy of management and saves time. Also saves time for a health care worker to g through routine levels of channels of administration if already a familiar way of operation is known for such situations. Thus, planning and developing a ‘blueprint of approach’ towards management of patient while facing such situation is a must. This review provides an insight to the measures for detection, response and preparedness of the hospital and health care workers should largely be inclusive of; also highlights the measures to be taken at every step after coming in contact with a positive case of “COVID-19”.

scholarly journals Perceptions on Diet and Dietary Modifications during Postpartum Period Aiming at Attenuating Progression of GDM to DM: A Qualitative Study of Mothers and Health Care Workers

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Thamudi D. Sundarapperuma ◽  
Champa J. Wijesinghe ◽  
Priyadarshika Hettiarachchi ◽  
Sudharshani Wasalathanthri
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Health Care Workers ◽  
Postpartum Period ◽  
Food Habits ◽  
Later Life ◽  
Dietary Recommendations ◽  
Financial Barriers ◽  
Care Workers ◽  
History Of

Background. Gestational diabetes mellitus (GDM) is a global concern. GDM mothers have a 7-fold relative risk of developing type 2 diabetes mellitus (T2DM) in their later life. User-friendly and culturally acceptable dietary interventions can minimize this risk. Therefore, this study aims at exploring the perceptions of GDM mothers and health care workers regarding factors that influence postpartum dietary practices aimed at attenuating the trajectory from GDM to DM. Methods. The study was conducted in selected MOH areas in three districts of Sri Lanka. Six focus group discussions were conducted with thirty mothers with a history of GDM and six in-depth interviews with six health care workers. The phenomenon of interest was to obtain inputs of two stakeholder groups on healthy food habits of GDM mothers during the postpartum period. Framework analysis was used to analyse the data. Data were coded using the analytical framework, abstracted from transcripts, and summarized verbatim in Microsoft Excel in a matrix comprised of one row per participant and one column per code. Finally, the matrix was reviewed intensely and themes were generated. Results. Overall, seven themes emerged from both cases: (1) myths and traditions specific to the postpartum period, (2) lack of motivation, (3) time pressure, (4) financial barriers, (5) negligence of mothers and families, (6) lack of awareness regarding GDM and its postpartum dietary recommendations, and (7) cultural barriers. Conclusions. This study provides an insight into the existing knowledge, common practices, and attitudes regarding food habits among postpartum mothers with a history of GDM. Since the postpartum period is unique, identifying barriers is crucial when introducing dietary modification protocols in order to prevent or attenuate the progression of GDM to T2DM in these mothers. The knowledge gained will be used to introduce feasible, scientifically sound, and culturally acceptable postpartum dietary recommendations for GDM mothers.

Health-Care Workers’ Perception of Patients’ Suicide Intention and Factors Leading to It: A Qualitative Study

2018 ◽  
Vol 82 (2) ◽  
pp. 323-345 ◽  
Author(s):  
Lei-Hum Wee ◽  
Norhayati Ibrahim ◽  
Suzaily Wahab ◽  
Uma Visvalingam ◽  
Seen Heng Yeoh ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Interpretative Phenomenological Analysis ◽  
Cognitive Status ◽  
Risk Minimization ◽  
Negative Attitudes ◽  
Face To Face ◽  
Care Workers ◽  
History Of ◽  
Suicidal Patients

This study explored health-care workers’ perception of patients’ suicide intention and their understanding of factors leading to particular interpretations. Semistructured face-to-face in-depth interviews were conducted with 32 health-care workers from a general hospital in Klang Valley, Malaysia. Interview data were transcribed verbatim and analyzed using the interpretative phenomenological analysis. The health-care workers were found to have four types of perceptions: to end life, not to end life, ambivalence about intention, and an evolving understanding of intention. Factors leading to their perceptions of patients’ suicide intention were patient demographics, health status, severity of ideation/attempt, suicide method, history of treatment, moral character, communication of suicide intention, affective/cognitive status, availability of social support, and health-care workers’ limited knowledge of patients’ condition/situation. Insufficient knowledge and negative attitudes toward suicidal patients led to risk minimization and empathic failure, although most health-care workers used the correct parameters in determining suicide intention.

scholarly journals Seroprevalence of SARS-CoV-2 (COVID-19) among Health Care Workers in Three Health Facilities of Yaounde, Center Region of Cameroon

2021 ◽  
Vol 3 (6) ◽  
pp. 89-94
Author(s):  
Philippe Salomon Nguwoh ◽  
Akenji Blaise Mboringong ◽  
Joseph Fokam ◽  
Christian Ngounouh Taheu ◽  
Ibrahima Halilou ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Clinical Signs ◽  
Rapid Test ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Cross Sectional ◽  
Face To Face ◽  
Care Workers ◽  
History Of

Introduction: Coronavirus Disease 2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) first appeared in December 2019 in Wuhan, China and has subsequently become a worldwide pandemic. During the pandemic, health care workers (HCWs) were very exposed to COVID-19 infected patients. The aim of this study was to determine seroprevalence of SARS-CoV-2 (COVID-19) among HCWs in three health facilities of Yaounde. Methods: A cross-sectional study involving 368 HCWs was conducted from January 18th to February 13th, 2021, in three health facilities located in city of Yaounde. Data of study participants were collected by face-to-face interviews using standard questionnaire. Blood samples were collected in labelled dry tubes and analyzed using Rapid Diagnostic Test (RDT) cassettes (Abbott PanbioTMCOVID-19 IgG/IgM Rapid Test Device). The data collected was analyzed using Epi info version 7. Any value of p <0.05 was considered statistically significant. Results: The average age was 30.25 (SD±10.43) years old, range from 21 to 72 years old. Overall, the positivity rates of IgM, IgG and IgM+IgG were 6.79% (n=25), 17.93% (n=66) and 1.09% (n=4) respectively. Multivariate analysis showed that, the rate of IgM positivity was highest in laboratory personnel (χ2= 7.99, p=0.3) and IgG (χ2= 8.50, p=0.29), IgM+IgG (χ2= 1.92, p=0.26) respectively in pharmacy and clinical personnel. The clinical signs such as fever (˃38°C) or history of fever was statistically significant with IgM (χ2=11.71, p= 0.0006) while, sore throat was statistically significant associated with IgM (χ2= 14.3, p= 0.0008) and IgG (χ2= 6.33, p= 0.04). Conclusion: The results of this study reveal a high seroprevalence of circulation of the virus in hospital milieu in Yaounde suggesting the continuation of the COVID-19 « Track-Test-Treat » system to break the chain of transmission.

scholarly journals The impact of novel COVID-19 initial pandemic on orthopedic healthcare: an experience from a single institution of South Korea

2021 ◽  
Vol 64 (11) ◽  
pp. 778-787
Author(s):  
Gun Woo Lee ◽  
Gi Beom Kim ◽  
In Jun Lee
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Medical Staff ◽  
Healthcare Workers ◽  
The Novel ◽  
Preventive Surgery ◽  
Care Workers ◽  
Cancellation Rate ◽  
Novel Coronavirus ◽  
The Impact

Background: This study was to investigate the cancellation rate and trend of orthopedic surgeries during the novel coronavirus disease 2019 (COVID-19) pandemic. Moreover, we assessed the psychologic status of orthopedic healthcare workers, and investigated the details of the preventive surgeries underwent in COVID-19-positive patients.Methods: For 3 months after January 20, 2020, cancellation rates of elective surgeries were investigated, and the number of elective surgeries conducted in the same period over the last two years was compared. Four different questionnaires were used to investigate psychologic status among the orthopedic health care workers. We compared the outcomes according to occupation (physician or nurse), and type of work (faculty staff or resident physician). Outcomes according to occupation and type of work were compared. Preventive surgeries underwent in patients who could not wait for the results of the COVID-19 diagnosis were investigated.Results: Spine and hip surgery had relatively lower cancellation rates, and elective surgeries were significantly reduced. During the initial pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year and was different for each subdivision depending on the degree of pain or disability. The psychological outcomes were within the normal range and there were no significant differences between groups. After preventive surgery, all medical staff involved in the operation tested negative.Conclusion: During the COVID-19 pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year. Orthopedic health care workers did not seem to have significant psychological distress. As a result of the preventive surgery in specialized facilities, all the medical staff who participated in the operation tested negative.

scholarly journals Serosurveillance of SARS CoV 2 among the healthcare workers of a tertiary care teaching institution in Central Kerala during the post lockdown phase

2021 ◽  
Author(s):  
Aboobacker Mohamed Rafi ◽  
Maglin Monica Lisa Joseph Tomy ◽  
Ronnie Thomas ◽  
Chithra Valsan ◽  
U G Unnikrishnan ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Workers ◽  
Healthcare Workers ◽  
The United States ◽  
P Value ◽  
Antibody Testing ◽  
Medical College ◽  
Care Workers ◽  
History Of

AbstractBackgroundKerala was the first state to have the confirmed case of COVID-19 in the country and it was first confirmed in Thrissur district on 30 January2020.Our institute being in the heart of the city had to take adequate measures to mitigate the spread and treat the required patients by keeping its staff safe & Healthy. The hallmark of COVID 19 infection is high infectivity, pre-symptomatic transmission and asymptomatic prevalence which could result in high cumulative numbers of infections, hospitalizations, and deaths. Kerala was the first state to confirm community transmission in July 2020.Health care workers being in the forefront in the war against COVID19 are very prone in acquiring the infection and are possible to be asymptomatic sources for cluster formation. Knowing the development of immunity as shown by the presence of anti COV2 antibodies in the population contributes to the epidemiological understanding of the disease. The intent of the study is to do an antibody testing in our hospital to find the serosurveillance of SARS CoV 2 among the healthcare workers in our hospital.AimTo estimate the seropositivity of SARS CoV 2 among the healthcare workers at Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, six months after revoking the lockdownMethodologyA cross sectional study among the health care workers of the medical college. Multistage Sampling was done with the hospital block as the first stage and departments as the second stage. In the final stage of sampling the test individuals were selected on a first come first served basis after the antibody test availability was declared open and free for all staff. A consent form and a Google form were given to all staff who volunteered for participating in the study. Each consented participant recruited into the investigation completed a questionnaire which covers details regarding demographics, exposure history, Residence & travel. Blood sample was collected and Anti-SARS COV2 IgG antibody testing which targets the Spike Protein 1(SP1) was done using the VITROS chemiluminescence platform (Orthoclinical diagnostics, USA). Sampling & testing ranged over a time frame from September 5th to December 15th, 2020ResultsJubilee Mission Medical College has 2785 working staff at the time of study. A total of 420 staff consented and their samples were tested. 37 staff members tested positive for COVID-19 antibody, yielding an overall prevalence of 8.75% (95% CI, 6.23–11.86). 86.5 % (32/37) of them were having a history of COVID-19 Antigen / RT PCR Positivity. We identified a statistically significant linear trend (p value =0.00001), between seropositivity and the degree of severity of COVID 19. Among the various factors which increase the risk of seroconversion, history of undergoing quarantine (p value < 0.001), contact with a confirmed case (p value = 0.002), contact with a caregiver for COVID 19 (p value =0.001) and history of Upper respiratory symptoms (p value =0.001), were found to be significantly associated with positive serology.ConclusionsThe overall seropositivity in the current study was found to be 8.75% which is comparable to seroprevalence studies conducted in the United States and Wuhan in China. The pattern of seropositivity across the different category of health workers observed in the present study showed a higher prevalence among nurses. This result is also in agreement with a recent published report from united states. Various measures advised by the national and state health authorities were adequately adhered to. Keeping track of the pattern of development of immunity in the community is part of understanding the illness and forecasting the spread. For the tested HCW, it will boost up morale by ending uncertainty. For the hospital administration it will help in decision making about relative focusing of interventions on patients in general and HCWs. By knowing the immunity status of HCWs, the Institution will be able to contribute authentically to the development of intervention strategies and guidelines from time to time, besides following the available guidelines. Being an educational institution, it is obligatory to train all the elements of care delivery to the future generation of health care workers. Getting experienced from a small but relevant sample was expected to facilitate larger community study envisaged in peripheral areas Jubilee served

scholarly journals COVID-19: A 2020 update

2020 ◽  
Vol 72 ◽  
pp. 88-94 ◽  
Author(s):  
M. Nadir Bhuiyan ◽  
Ravindra Ganesh ◽  
Amit K. Ghosh
Keyword(s):  
Health Care ◽  
Global Health ◽  
Health Care Workers ◽  
Medical Literature ◽  
Digital Health ◽  
Shortness Of Breath ◽  
Care Workers ◽  
Increased Risk ◽  
Global Health Care ◽  
Novel Coronavirus

The 2019 COVID-19 pandemic has thrown the global health-care system into a chaotic flux. Consolidating and reviewing all available knowledge will be crucial to combating the spread of this novel coronavirus. Prevention is paramount, but health care workers are at increased risk, and protective supplies are being limited and being rationed. Common symptoms include fever, cough, and shortness of breath. Hospitalizations are estimated to occur in about 20% of cases and are mostly due to pneumonia.[1] While multiple promising treatments are being reported in the medical literature; there is limited, reliable clinical data are available. To minimize exposure of medical staff to contagious patients and to provide rapid escalation of care to these patients, a telehealth strategy could be leveraged. Such a strategy would entail the use of both telemedicine visits for communication and digital health platforms for monitoring.

scholarly journals Outcome of COVID-19 with Co-Existing Surgical Emergencies in Children: Our Initial Experiences and Recommendations

2020 ◽  
Author(s):  
Samiul Hasan ◽  
Md Ayub Ali ◽  
Umama Huq
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Hypertrophic Pyloric Stenosis ◽  
Laboratory Data ◽  
Ethical Review ◽  
Infantile Hypertrophic Pyloric Stenosis ◽  
Rt Pcr ◽  
Asymptomatic Patients ◽  
Care Workers ◽  
The Impact

Abstract Background: COVID-19 has changed the practice of surgery vividly all over the world. This has already lead to a huge burden of rescheduled pediatric surgical cases worldwide. Though children are less likely to be infected and suffer less when infected, there is a growing fear among health care workers of being self-infected, which is limiting the surgical care of children globally. This study aims to share our experiences with the outcome of COVID-19 in children who had a co-existing surgical emergency, which might help the pediatric surgeons globally to mitigate the effect of COVID 19 on pediatric surgery.Methods: This is a retrospective observational study. We reviewed the epidemiological, clinical, and laboratory data of all patients admitted in our surgery department through the emergency department and later diagnosed to have COVID-19 by RT-PCR. During April 2020 – June 2020. A nasopharyngeal swab was taken from all patients irrespective of symptoms to detect SARS CoV 2 by RT-PCR to identify and isolate asymptomatic patients and patients with atypical symptoms. We divided the test positive patients into 4 age groups for the convenience of data analysis. Data were retrieved from hospital records and analyzed using SPSS (version 25) software. Ethical permission was taken from the hospital ethical review board.Results: Total patients were 32. Seven (21.9%) of them were neonates. Twenty-four (75%) patients were male. The predominant diagnosis was acute abdomen followed by infantile hypertrophic pyloric stenosis (IHPS), myelomeningocele, and intussusception. Only two patients had mild respiratory symptoms (dry cough). Fever was present in 13 (40.6%) patients. Fourteen (43.8%) patients required surgical treatment. The mean duration of hospital stay was 5.5 days. One neonate with ARM died in the post-operative ward due to cardiac arrest. No patient had hypoxemia or organ failure. Seven health care workers (5.51%) including doctors & nurses got infected with SARS Co V2 during this period.Conclusion: Our study has revealed a milder course of COVID-19 in children with minimal infectivity even when present in association with emergency surgical conditions. This might encourage a gradual restart to mitigate the impact of COVID-19 on children’s surgery.

Novel Coronavirus (COVID 19) Knowledge and Perception: A Survey of Healthcare workers

2021 ◽  
pp. 503-509
Author(s):  
Rashmi Negi ◽  
Arti Arti
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Geographical Location ◽  
Respiratory Illness ◽  
Cross Sectional Study ◽  
Survey Instrument ◽  
Cross Sectional ◽  
Care Workers ◽  
Novel Coronavirus ◽  
Global Threat

Background: Since December 2019, a novel coronavirus disease (COVID-19) began its journey around the world. The novel Coronavirus (2019-nCoV, officially known as SARS-CoV-2 or COVID-19) was first reported in December 2019, as a cluster of acute respiratory illness in Wuhan, Hubei Province, China, from where it spread rapidly to over 198 countries. It was declared as a global pandemic by WHO on 12th March 2020.Coronavirus disease (COVID-19) is a highly transmittable infection and India due to its geographical location is vulnerable to a worst outbreak. India is suddenly increasing its hike in number of positive cases including number of healthcare professionals (HCPs) also acquired infection. Therefore, the aim of study is to assess knowledge and perception among health care workers in Delhi NCR, a vulnerable region, regarding COVID-19. Method: A web-based, cross-sectional study was conducted using a survey instrument to obtain responses from health care workers in Delhi NCR region. A 45-item survey instrument was developed using course materials available on WHO’s website on emerging COVID-19. The survey covered health care workers socio demographic profile, awareness, information sources, and knowledge and perceptions related to COVID-19. Result: The study findings suggest that the level of knowledge was good among health care workers and overall a positive perception was found about COVID 19. Conclusion: As the global threat of COVID-19 continues to emerge, greater efforts through educational campaigns that target HCWs and the wider population beyond borders are needed.

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