Clinical course and disease outcomes in hospitalized patients with 2019 novel corona virus disease at Ibn- Al Khateeb Hospital in Baghdad, Iraq

Background: the novel coronavirus (2019-ncov), formally known as severe acute respiratory syndrome coronavirus 2 (sars-cov-2), the etiological cause of the (corona virus disease 2019) covid-19, appeared in wuhan, hubei province, china. On 11 march 2020, the world health organization (who) declared this disease as a pandemic. As new information on the clinical characteristics, treatment options, and outcomes for covid-19 emerges approximately every hour, physicians should keep themselves up-to-date on this topic.Objective: to study the demographic features, clinical signs and symptoms and certain vital and laboratory findings of covid-19 hospitalized cases; and to identify the used medication, complications, length of stay at the hospital and disease outcomes of confirmed covid-19 cases.Patients and methods: a descriptive cross-sectional study with analytic elements was conducted at ibn-al khateeb hospital, baghdad on covid-19 patients admitted to the hospital from 1st of march to 4th of may 2020. All inpatients of all age groups, diagnosed as covid-19 and had a definite outcome (recovered and discharge or death) during the period of the study were included.Results: the mean age ± sd for the patients included in the study was = 37.9±18.85 years, with 51.2% being males. The outcome was statistically significantly associated with age, marital status, hypertension, disease severity at admission and length of stay at hospital.Conclusion: this study found that age was associated with disease outcome. Care, attention and monitoring should be taken into consideration for hypertensive patients. Patients’ initial signs and symptoms of dyspnea, weakness and sore throat were significantly associated with disease outcome.

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A survey of Indonesian otolaryngologist behavior in medical service during the CoVid-19 pandemic

Oto Rhino Laryngologica Indonesiana ◽

10.32637/orli.v51i1.444 ◽

2021 ◽

Vol 51 (1) ◽

Author(s):

Indra Zachreini ◽

Jenny Bashiruddin ◽

Susyana Tamin ◽

Harim Priyono ◽

Ika Dewi Mayangsari ◽

...

Keyword(s):

Medical Service ◽

Design Research ◽

Virus Disease ◽

World Health ◽

Medical Services ◽

Cross Sectional ◽

Medical Practitioners ◽

Behavioral Level ◽

Corona Virus ◽

Health Organization

ABSTRACTBackground: World Health Organization (WHO) announced a newly discovered virus that first identified in Wuhan, China on December 2019, namely SARS-CoV-2 as the cause of corona virus disease (COVID-19) which had become global pandemic. Doctors as medical practitioners are categorized as vulnerable group to be infected by corona virus, and many otorhinolaryngologists had been infected and even died in performing medical services. Among the causative factors why otorhinolaryngologists could get infected by corona virus is their behavior. Purpose: To assess the behavioral level of otorhinolaryngologists in medical services during Covid-19 pandemic. Method: Descriptive study with a cross sectional design. Research samples were otorhinolaryngologists in Indonesia who met the inclusions criteria. The samples were selected by consecutive sampling method, and got obtained 1299 subjects. Behavioral level was assessed from 3 aspects: knowledge, attitude, and practice, which were comprised of 12 questions. Result: It was found that 461 respondents had a good behavioral level (35.5%), 677 respondents had moderate levels (52.1%) and 161 respondents had low level (12.4%). There was a statistically significant correlation between knowledge with behavioral level, attitude with behavioral level, and practice with behavioral level (p=0.001). Conclusion: The study of behavioral level of otorhinolaryngologists in medical service during Covid-19 pandemic obtained the highest number was moderate level 677 respondents (57.2%), and there was a statistically significant correlations between the variable of knowledge with behavioral level, the variable of attitude with behavioral level, and the variable of practice with behavioral level (p=0.001).

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The Effect of Implementing Occupational Health and Safety Programs on Suspected COVID-19 Incidents in PT. Maruki International Employees

International Journal of Science and Healthcare Research ◽

10.52403/ijshr.20210726 ◽

2021 ◽

Vol 6 (3) ◽

pp. 158-166

Author(s):

Abdul Muis ◽

Muhammad Rifai ◽

Rahmawati Azis

Keyword(s):

Occupational Health ◽

Occupational Safety ◽

Virus Disease ◽

Health And Safety ◽

Occupational Health And Safety ◽

World Health ◽

Cross Sectional ◽

Safety Program ◽

Corona Virus ◽

The Government

World Health Organization (WHO) has shown Corona Virus Disease 2019 as a pandemic. The spread of COVID-19 in Indonesia has now spread across locations and across countries, accompanied by an increase in the number of problems and/or the number of deaths. To overcome the spread of Covid-19, both the government and business actors have made various efforts so that the spread of the Covid-19 virus can be prevented and overcome, especially the spread of the Covid-19 virus in office areas by implementing new normal rules in the workplace through the Occupational Safety and Health program. Based on the results of observations from one of the lead managers of PT Maruki International Indonesia, who said that there had been cases against some of his employees who were suspected of being suspected of having COVID-19, we as authors consider it necessary to raise this issue to be investigated for input for the company so that it can be used to implement the implementation. Occupational Health and Safety program against suspected cases of the Covid-19 virus among PT Maruki International Indonesia employees. The purpose of this study was to determine the effect of the implementation of the Occupational Health and Safety Program on the incidence of suspected Covid-19 virus among employees of PT Maruki International Indonesia. This type of research is quantitative research with a design approach cross sectional study. The sample used is 150 employees from a population of 241 employees. Collecting quantitative data using a checklist and analyzed by univariate, bivariate. Thus, it can be said that the Behavioral Improving Body Immunity variable affects the variable incidence of suspected covid-19. It is hoped that with the results of this study the government and related company management can provide a policy to deal with the spread of the corona virus in the workplace. Keywords: Activities of wearing masks; hand washing habits; efforts to maintain distance and suspected cases of covid-19.

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Time to negative PCR in various disease categories of COVID-19 infection in Pakistani population

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.38.1.4476 ◽

2021 ◽

Vol 38 (1) ◽

Author(s):

Kaleem Ullah Toori ◽

Asma Chaudhry ◽

Muhammad Arsalan Qureshi

Keyword(s):

Disease Severity ◽

Virus Disease ◽

World Health ◽

P Value ◽

Common Symptom ◽

Cross Sectional ◽

Pakistani Population ◽

Corona Virus ◽

Co Morbidity ◽

Epidemiological Characteristics

Objectives: To identify association of epidemiological characteristics, presence of underlying pre-morbidities and disease severity with time to first negative PCR in Corona virus disease 2019. Methods: Total 842 Corona Virus Real Time Polymerase-Chain-Reaction positive patients were included in this cross-sectional study. Patients were admitted to Department of Medicine at KRL Hospital Islamabad from April to August 2020. Age, gender, symptoms, pre-morbidities and disease severity were recorded. Outcome (recovered versus died) was documented. World Health Organization categories to classify disease severity (asymptomatic, mild, moderate and severe) were used. Time to negative PCR was documented as time between first positive PCR to first negative PCR. Results: The mean age of patients was 39.04 ± 11.32 years with 99.8% being males. Majority of patients (78.4%) were asymptomatic. Amongst symptoms, fever was the most common symptom. Diabetes mellitus and hypertension were the most commonly recorded co-morbidity. Mean time to negative PCR was 8.8 ± 3.1 days. A large proportion of patients recovered (99.9%). Significant positive correlation (p value < 0.05) was found between age, gender, presence of underlying pre-morbidities and disease severity categories with time to first negative PCR. Conclusion: The underlying epidemiological factors, pre-morbidities and disease severity are associated with time to negative PCR and hence affect frequency of recovery samples. doi: https://doi.org/10.12669/pjms.38.1.4476 How to cite this:Toori KU, Chaudhry A, Qureshi MA. Time to negative PCR in various disease categories of COVID-19 infection in Pakistani population. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4476 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Co-existence of multisystem inflammatory syndrome in children associated with COVID-19 and scrub typhus infection: a case series

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20214847 ◽

2021 ◽

Author(s):

Sarbani M. Roy ◽

Sushama Sahoo

Keyword(s):

Clinical Features ◽

Scrub Typhus ◽

Virus Disease ◽

Clinical Manifestations ◽

Case Series ◽

World Health ◽

Laboratory Findings ◽

Term Outcome ◽

Corona Virus ◽

Inflammatory Syndrome

We are in the midst of pandemic of corona virus disease (COVID-19), caused by the novel coronavirus severe acute respiratory syndrome corona virus-2 (SARS-CoV-2). A clinical entity with hyperinflammatory syndrome, defined by World Health Organization (WHO) as multisystem inflammatory syndrome in children (MIS-C) and adolescents, temporarily related to COVID-19, is being reported in this pandemic from several countries. MIS-C has overlapping clinical features of Kawasaki disease (KD). KD has been described in association with various organisms including dengue, scrub typhus. MIS-C with concomitant infection has rarely been reported in literature till date. We report on ten sick pediatric patients presented with clinical features of MIS-C, in whom diagnosis of concomitant scrub typhus were also made. This retrospective study was conducted in the department of pediatric medicine of a medical college, in a district town of West Bengal, India. SARS-CoV-2 immunoglobulin G level was elevated in all of them and they were also positive with Scrub typhus serology. We reviewed and analysed their basic informations, clinical manifestations, epidemiological history, laboratory findings, treatment and short term outcome. Median age was 24 months (range 4 months-8 years), male: female was 1:1. All the patients survived. Concomitant tropical infection in a patient with MIS-C may play an important role in determining the prognosis of such patients. Early detection and intervention will result in better management and intact survival of them.

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A Novel Mobile Health Tool for Home-Based Identification of Neonatal Illness in Uganda: Formative Usability Study

JMIR mhealth and uhealth ◽

10.2196/14540 ◽

2019 ◽

Vol 7 (8) ◽

pp. e14540 ◽

Cited By ~ 1

Author(s):

Madison Vanosdoll ◽

Natalie Ng ◽

Anthony Ho ◽

Allison Wallingford ◽

Shicheng Xu ◽

...

Keyword(s):

Assessment Tool ◽

Health Workers ◽

Clinical Signs ◽

Signs And Symptoms ◽

Ease Of Use ◽

World Health ◽

Severe Illness ◽

Home Setting ◽

Danger Signs ◽

Neonatal Assessment

Background While early identification of neonatal illness can impact neonatal mortality rates and reduce the burden of treatment, identifying subtle clinical signs and symptoms of possible severe illness is especially challenging in neonates. The World Health Organization and the United Nations Children’s Fund developed the Integrated Management of Neonatal Childhood Illness guidelines, an evidence-based tool highlighting seven danger signs to assess neonatal health. Currently, many mothers in low-resource settings rely on home visits from community health workers (CHWs) to determine if their baby is sick. However, CHWs visit infrequently, and illness is often detected too late to impact survival. Thus, delays in illness identification pose a significant barrier to providing expedient and effective care. Neonatal Monitoring (NeMo), a novel neonatal assessment tool, seeks to increase the frequency of neonatal screening by task-shifting identification of neonatal danger signs from CHWs to mothers. Objective This study aimed to explore the usability and acceptability of the NeMo system among target users and volunteer CHWs by assessing ease of use and learnability. Methods Simulated device use and semistructured interviews were conducted with 32 women in the Iganga-Mayuge districts in eastern Uganda to evaluate the usability of the NeMo system, which involves a smartphone app paired with a low cost, wearable band to aid in identification of neonatal illness. Two versions of the app were evaluated using a mixed methods approach, and version II of the app contained modifications based on observations of the first cohort’s use of the system. During the posed scenario simulations, participants were offered limited guidance from the study team in order to probe the intuitiveness of the NeMo system. The ability to complete a set of tasks with the system was tested and recorded for each participant and closed- and open-ended questions were used to elicit user feedback. Additionally, focus groups with 12 CHWs were conducted to lend additional context and insight to the usability and feasibility assessment. Results A total of 13/22 subjects (59%) using app version I and 9/10 subjects (90%) using app version II were able to use the phone and app with no difficulty, despite varying levels of smartphone experience. Following modifications to the app’s audio instructions in version II, participants’ ability to accurately answer qualitative questions concerning neonatal danger signs improved by at least 200% for each qualitative danger sign. All participants agreed they would trust and use the NeMo system to assess the health of their babies. Furthermore, CHWs emphasized the importance of community sensitization towards the system to encourage its adoption and regular use, as well as the decision to seek care based on its recommendations. Conclusions The NeMo system is an intuitive platform for neonatal assessment in a home setting and was found to be acceptable to women in rural Uganda.

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A Cross-sectional Study on Challenges Faced and Strategies Adopted in Responding to Corona Virus Disease (COVID-19) by Hospital Administrators in Kaski District

Journal of Biomedical Research & Environmental Sciences ◽

10.37871/jbres1221 ◽

2021 ◽

Vol 2 (4) ◽

pp. 256-260

Author(s):

KC Deepti ◽

S Poudel ◽

SB Hamal Thakuri ◽

S Shrestha

Keyword(s):

Virus Disease ◽

Health Care Systems ◽

Structured Interview ◽

Cross Sectional Study ◽

Public Hospitals ◽

Cross Sectional ◽

Hospital Administrators ◽

Corona Virus ◽

Care Systems ◽

Private And Public

Background: Following the outbreak of Coronavirus disease in 2019, the year 2020/21 has been an incredibly challenging one for all global health-care systems. Methods: A cross sectional descriptive research design was used to conduct the study. The study was carried out in all general private and public hospitals of Kaski district of Nepal. Data were collected from 25th October to 5th December, 2020 from the Hospital administrators using a semi structured interview schedule. Descriptive statistics were used for data analysis. Results: Most (96.3%) of the hospitals reported that increased cost or expenses of the hospitals creating financial threat is the most challenging situation that hospitals are facing in this pandemic. In addition shortages of ventilators creating ethical dilemma for patient allocation and changing guidelines from authorities have been reported as a challenge by 88.9 percent of the hospitals respectively. All of the surveyed hospitals had developed the use of thermometers for screening at the hospital entrances to minimize the risk. Conclusion: Hospitals in this pandemic are facing a lot of challenges with regard to staff management, PPE management and so on. Hence they need to adopt best strategies in responding to the corona virus.

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Upaya Pemenuhan Vaksin Covid-19 Untuk Memutus Rantai Penyebaran Covid-19

10.31219/osf.io/4kyq8 ◽

2021 ◽

Author(s):

Sulton Ali Ma'ruf

Keyword(s):

Virus Disease ◽

World Health Organisation ◽

World Health ◽

Corona Virus

Tahun 2019 akhir, dunia digemparkan dengan kemunculan virus Corona Virus Disease 2019. Virus ini berasal dari kota Wuhan Provinsi Hubei, China. Perkembangan virus ini tergolong sangat cepat, oleh karena itu World Health Organisation (WHO) menyatakan Covid-19 sebagai pandemi global pada tanggal 11 Maret 2020. Penyebaran virus ini melalui udara atau droplet yang dihasilkan saat batuk ataupun saat bersin. Untuk mempercepat penanggulangan pandemi Covid-19, strategi yang dilakukan adalah pemberian vaksin untuk memberikan imun kepada setiap warga Negara. Pemberian vaksin ini adalah upaya Negara dalam melindungi hak atas kesehatan bagi setiap warga Negara di masa pandemic. Namun masih banyak masyarakat diindonesia yang menolak untuk diberikan vaksinasi Covid-19 karena beredarnya berita HOAX tentang vaksinasi Covid-19 yang menyebabkan masyarakat takut dan ragu untuk dilakukan vaksinasi karena masyarakat beranggapan bahwa vaksinasi Covid-19 itu berbahaya dan dapat menimbulkan kematian. Namun masyarakat Indonesia harus sadar bahwa vaksin Covid-19 sangat penting.

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Hubungan Efikasi Diri Terhadap Resiliensi Remaja Selama Pandevid-19 Di Kelurahan Kemayoran Bangkalan

Indonesian Journal of Professional Nursing ◽

10.30587/ijpn.v2i2.3339 ◽

2021 ◽

Vol 2 (2) ◽

pp. 121

Author(s):

Widya Lita Fitrianur ◽

Sri Yuliastutik

Keyword(s):

Random Sampling ◽

Virus Disease ◽

Simple Random Sampling ◽

Cross Sectional ◽

Corona Virus

Dunia pada saat ini sedang dilanda pandemi yang cukup mengkhawatirkan, yaitu adanya Corona Virus Disease (COVID-19). Kondisi ini membuat masyarakat tidak siap untuk menghadapinya baik secara fisik maupun psikis sehingga berpengaruh juga terhadap kesehatan mental. Salah satu yang mengalami permasalahan kesehatan mental akibat pandemi adalah usia remaja. Cara yang dapat dilakukan oleh remaja saat menghadapi pandemi Covid-19, salah satunya adalah memiliki resiliensi yang baik. Tujuan penelitian ini untuk mengetahui hubungan efikasi diri terhadap resiliensi remaja selama pandemi Covid-19 di Kelurahan Kemayoran Bangkalan. Jenis penelitian yang digunakan adalah observasi analitik dengan menggunakan desain Cross-Sectional. Populasi 223 remaja, sampel 142 remaja, teknik sampling simple random sampling. Lebih dari 50% efikasi diri sebanyak 84 orang (59,2%) hasil uji statistik didapatkan nilai p =0,000.

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STUDY OF ABSOLUTE, IMMATURE NEUTROPHIL COUNT AND CRP AS DIAGNOSTIC MARKERS FOR EARLY ONSET NEONATAL SEPSIS.

10.36106/ijsr/5926619 ◽

2021 ◽

pp. 25-26

Author(s):

Pooja Poswal ◽

Manisha Rohilla ◽

Sunil Arora ◽

Irbinder Kour Bali

Keyword(s):

Blood Culture ◽

Neutrophil Count ◽

Neonatal Sepsis ◽

Hematological Parameters ◽

Clinical Signs ◽

Signs And Symptoms ◽

Cost Effective ◽

Cross Sectional Study ◽

Cross Sectional ◽

Clinical Signs And Symptoms

Introduction: Neonatal Sepsis is difcult to differentiate from other conditions due to non- specic clinical signs and symptoms. Inammation in neonates shows variations in hematological parameters. Our study is to evaluate the hematological parameters and C-reactive protein estimation in neonatal sepsis for early diagnosis. Material And Methods: It was a cross-sectional study including 80 neonates admitted in the neonatal care unit, 40 (proven sepsis) and 40 probable cases); blood culture being the gold standard. Hematological parameters, immature to total neutrophil ratio (I/T ratio), Absolute neutrophil count (ANC), CRP and Blood culture were done as per standard protocols. Results: ANC had highest sensitivity of 90% followed by I/T ratio (87.5%) and CRP (77.5%). The sensitivity and specicity for the combination of ANC and I/T ratio was 78.3% and 83.6% respectively. Conclusion: ANC, I/T Ratio and CRP are quick, simple and cost-effective routine laboratory tests which help in neonatal sepsis prediction and to start proper and timely antibiotic therapy.

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