scholarly journals Analyse wichtiger vorbestehender Risikofaktoren bei Patienten mit COVID-19-Diagnose in Amapá, Amazônia, Brasilien

Author(s):  
Arthur Aires de Oliveira ◽  
Danilo José Silva Moreira ◽  
Jhon Allyson Sena Pimentel ◽  
Pedro Henrique de Magalhães Costa ◽  
Claudio Alberto Gellis de Mattos Dias ◽  
...  
Keyword(s):  

COVID-19 (Coronavirus Disease 2019) ist eine Infektion, die durch das SARS-CoV-2-Virus verursacht wird, wobei erste Fälle im Dezember 2019 in Wuhan City gemeldet wurden. Es wurde festgestellt, dass bei Patienten mit Komorbiditäten ein höheres Risiko für Komplikationen und Sterblichkeit im Falle einer Infektion besteht. Die Krankheit wurde von der Weltgesundheitsorganisation im Jahr 2020 als Gesundheitsnotstand betrachtet, und in Brasilien führte das Gesundheitsministerium Maßnahmen zur epidemiologischen Überwachung von Fällen durch, die in den verschiedenen Föderativen Einheiten des Landes registriert wurden. Unter diesen geht Amapá a von einer hohen Inzidenz und Sterblichkeit aus. Diese Studie zielt darauf ab, die wichtigsten früheren Risikofaktoren bei Patienten mit COVID-19 im Bundesstaat Amapá zu analysieren. Dazu wurden die im Coronavirus-Amapá-Panel verfügbaren Sekundärdaten durch eine am 22. Mai 2020 durchgeführte Suche verwendet. Auf der Plattform wurden Daten über die Anzahl der Patienten mit COVID-19 diagnostiziert, sowie die Anzahl der Todesfälle aufgrund der Krankheit, mit einer gemeinsamen Bewertung in jedem Thema der Komorbiditäten gefunden. Nach dem Gruppieren dieser Daten in Microsoft Excel-Tabellen wurde eine quantitative und beschreibende Analyse dieser Daten durchgeführt. Im Staat wurden bis zum Tag der Abholung insgesamt 28.927 Patienten mit COVID-19 diagnostiziert. Etwa 1,31 % (378 Fälle) hatten einen Risikofaktor, der sie anfällig für Komplikationen infolge von COVID-19 entwickeln konnte, wobei Diabetes und chronische Herzerkrankungen die Bedingungen mit der höchsten Anzahl von Datensätzen waren. Noch im Bundesstaat Amapá wurden 420 Todesfälle bei Patienten mit COVID-19 festgestellt. Davon hatten 75,71 % (318 Fälle) zuvor Risikofaktoren für ein höheres Risiko für Komplikationen aufgrund von COVID-19, wobei Bluthochdruck und Diabetes die vorherrschenden Erkrankungen waren. Mit der Studie wurde in Amapá festgestellt, dass ein großer Teil der Bevölkerung von Patienten, die mit der Krankheit diagnostiziert wurden und die starben, eine Vorgeschichte von Risikofaktor für COVID-19 hatte. Aufgrund der Meldung von Risikofaktoren in der Todessituation, die nicht in der Anzahl der diagnostizierten Patienten erfasst wurden, sowie der Unspezifität, die dem Zustand der Patienten innewohnt, die durch die staatlichen Gesundheitsmechanismen überwacht werden, war es nicht möglich, eine detailliertere Analyse über den Grad der Komplikation und der Letalitätsrate durchzuführen, die durch einen bestimmten Risikofaktor und seine Assoziation mit einer Coronavirus-Infektion erzeugt wird.

Author(s):  
Arthur Aires de Oliveira ◽  
Danilo José Silva Moreira ◽  
Jhon Allyson Sena Pimentel ◽  
Pedro Henrique de Magalhães Costa ◽  
Claudio Alberto Gellis de Mattos Dias ◽  
...  

Covid-19 (Coronavirus Disease 2019) è un’infezione causata dal virus SARS-CoV-2, con i primi casi segnalati a dicembre 2019 a Wuhan City. È stato scoperto che nei pazienti con comorbilità, c’è un rischio più elevato di complicanze e mortalità in caso di infezione. La malattia è stata considerata dall’Organizzazione Mondiale della Sanità nel 2020 come un’emergenza di salute pubblica e, in Brasile, il Ministero della Salute ha implementato misure per il monitoraggio epidemiologico dei casi registrati nelle diverse unità federative del paese. Tra questi, Amapá assume alti livelli di incidenza e mortalità. Questo studio mira ad analizzare i principali fattori di rischio precedenti riscontrati nei pazienti con COVID-19 nello stato di Amapá. Per questo, i dati secondari disponibili nel Pannello Coronavirus Amapá sono stati utilizzati attraverso una ricerca condotta il 22 maggio 2020. Sulla piattaforma sono stati raccolti dati sul numero di pazienti a cui è stato diagnosticato covid-19, nonché sul numero di decessi dovuti alla malattia, con valutazione congiunta in ogni argomento di comorbilità riscontrata. Dopo aver raggruppato questi dati in fogli di calcolo di Microsoft Excel, è stata eseguita un’analisi quantitativa e descrittiva di questi dati. Nello Stato, un totale di 28.927 pazienti con diagnosi di COVID-19 sono stati registrati fino al giorno della raccolta. Circa l’1,31% (378 casi) di questi aveva un fattore di rischio che poteva suscettibili loro di sviluppare complicazioni derivanti dal COVID-19, con diabete e malattie cardiache croniche che erano le condizioni con il maggior numero di record. Sempre nello stato di Amapá, sono stati trovati 420 decessi in pazienti con COVID-19. Di questo totale, il 75,71% (318 casi) aveva precedenti fattori di rischio per un maggiore rischio di complicanze dovute al COVID-19, con ipertensione e diabete come condizioni predominanti. Con lo studio, è stato notato ad Amapá che gran parte della popolazione di pazienti con diagnosi di malattia e che sono morti aveva una storia di fattore di rischio per COVID-19. A causa della notifica dei fattori di rischio nella situazione di morte che non sono stati registrati nel numero di pazienti diagnosticati, nonché della non specificità inerente alle condizioni dei pazienti monitorati dai meccanismi sanitari dello stato, non è stato possibile eseguire un’analisi più dettagliata sul grado di complicanza e tasso di letalità generato da un dato fattore di rischio e sulla sua associazione con l’infezione da coronavirus.


2010 ◽  
Vol 20 (1) ◽  
pp. 9-13 ◽  
Author(s):  
Glenn Tellis ◽  
Lori Cimino ◽  
Jennifer Alberti

Abstract The purpose of this article is to provide clinical supervisors with information pertaining to state-of-the-art clinic observation technology. We use a novel video-capture technology, the Landro Play Analyzer, to supervise clinical sessions as well as to train students to improve their clinical skills. We can observe four clinical sessions simultaneously from a central observation center. In addition, speech samples can be analyzed in real-time; saved on a CD, DVD, or flash/jump drive; viewed in slow motion; paused; and analyzed with Microsoft Excel. Procedures for applying the technology for clinical training and supervision will be discussed.


2020 ◽  
pp. 276-289
Author(s):  
Mobina Fathi ◽  
Kimia Vakili ◽  
Niloofar Deravi

Around the end of December 2019, a new beta-coronavirus from Wuhan City, Hubei Province, China began to spread rapidly. The new virus, called SARS-CoV-2, which could be transmitted through respiratory droplets, had a range of mild to severe symptoms, from simple cold in some cases to death in others. The disease caused by SARS-CoV-2 was named COVID-19 by WHO and has so far killed more people than SARS and MERS. Following the widespread global outbreak of COVID-19, with more than 132758 confirmed cases and 4955 deaths worldwide, the World Health Organization declared COVID-19 a pandemic disease in January 2020. Earlier studies on viral pneumonia epidemics has shown that pregnant women are at greater risk than others. During pregnancy, the pregnant woman is more prone to infectious diseases. Research on both SARS-CoV and MERS-CoV, which are pathologically similar to SARS-CoV-2, has shown that being infected with these viruses during pregnancy increases the risk of maternal death, stillbirth, intrauterine growth retardation and, preterm delivery. With the exponential increase in cases of COVID-19 throughout the world, there is a need to understand the effects of SARS-CoV-2 on the health of pregnant women, through extrapolation of earlier studies that have been conducted on pregnant women infected with SARS-CoV, and MERS-CoV. There is an urgent need to understand the chance of vertical transmission of SARS-CoV-2 from mother to fetus and the possibility of the virus crossing the placental barrier. Additionally, since some viral diseases and antiviral drugs may have a negative impact on the mother and fetus, in which case, pregnant women need special attention for the prevention, diagnosis, and treatment of COVID-19.


2017 ◽  
Vol 3 (3) ◽  
pp. 338-343
Author(s):  
Mohammad Didar Khan ◽  
Md. Ibrahim ◽  
Md. Mizanur Rahman Moghal ◽  
Dipti debnath ◽  
Asma Kabir ◽  
...  

Objective: The present epidemiological study was conducted with the objectives of providing an insight into the current use of antidiabetic medications to diabetics and hypertensive diabetics in urban areas and determining how the patient factors influence the prescribing of antidiabetic medications. Methodology: Data of patients of past two years were collected from Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital, Dhaka, Bangladesh. The details were entered in the structured patient profile form. Data were statistically analyzed using the Microsoft Excel 2007 software. Result: A total of 958 patient’s data were collected and analyzed of which 632 (65.97 %) were males and 326 (34.03 %) were females. These patients were further categorized based on their age. 330 patients (34.45 %) belonged to the age group 20 – 44 years, 504 (52.61 %) to the age group 45 – 65 years and 124 (12.94 %) to the age group 65 – 80 years. 684 (71.4%) patients out of the 958 patients studied were suffering from coexisting hypertension. Co-existing hypertension was found to be more prevalent in the age group 45 – 65 years (67.69%) and was found more in females (84.04%). Conclusion: Metformin was the oral hypoglycemic which was the highest prescribed. In hypertensive diabetics Metformin and Pioglitazone were most frequently prescribed drugs. Biguanides and Insulin were the most commonly prescribed antidiabetics. A combination of two or more drugs of different classes was prescribed to hypertensive diabetics. It is necessary to have an improved understanding of the etiology and pathophysiology of diabetes to focus on research efforts appropriately.


Author(s):  
Zen Ahmad

Corona Virus Disease (Covid-19) is a contagious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) which was discovered in December 2019 in China. This disease can cause clinical manifestations in the airway, lung and systemic. The World Health Organization (WHO) representative of China reported a pneumonia case with unknown etiology in Wuhan City, Hubei Province, China on December 31, 2019. The cause was identified as a new type of coronavirus on January 7, 2020 with an estimated source of the virus from traditional markets (seafood market). ) Wuhan city


Author(s):  
Fremmy Raymond Agustinus

Desain penyejuk udara juga dapat diterapkan di bidang kesehatan, dengan standar Cleanroom dapat diperoleh suhu, kelembaban, kenyamanan dan kebersihan yang dibutuhkan untuk ruang steril (ruang bedah). Perancangan pendingin udara dalam hal ini dilakukan dengan menentukan beban pendinginan yang diperlukan untuk ruang steril (ruang bedah), kemudian menentukan ukuran ducting, jalur ducting, dan jumlah penggunaan ducting. Desain ini menggabungkan unit split saluran yang dimodifikasi, kipas booster, filter pra, filter medium, dan filter HEPA dengan menggunakan saluran aluminium preinsulated sebagai saluran udara. Desain dilakukan dengan menggunakan perangkat lunak AutoCAD 2012, Design Tools Duct Sizer, dan Microsoft Excel. Dari hasil perhitungan dan desain didapatkan kebutuhan kapasitas 3 ruang bedah yaitu ducted ducted 100.000 BTUH sebanyak 3 unit, booster fan 3.3 - 4 Di WG sebanyak 3 unit, pre filter 24 "x 24" x 2 "6 set, filter menengah 610 x 610 x 290 mm 6 set, dan filter HEPA 1220 x 610 x 70 mm 12. Untuk ruang steril, tekanan statis yang dihasilkan oleh unit pendingin harus lebih besar daripada tekanan statis yang dihasilkan dari unit yang ada. di ruang semi steril. Dengan kata lain, ruang steril harus memiliki tekanan positif terhadap ruang semi steril. Hal ini dimaksudkan agar udara di ruang semi steril tidak masuk ke ruang steril ketika pintu antar ruangan dibuka. Desain dan perhitungan ruang bedah, suhu nyata yang diperoleh adalah 23 ° C ± 2 ° C dan kelembaban relatif yang diperoleh adalah 60% ± 2%.   Air conditioning design can also be applied in the health field, with cleanroom standard can be obtained temperature, humidity, comfort and hygiene needed for sterile room (surgical room). The design of air conditioning in this case is done by determining the cooling load required for the sterile room (surgical room), then determining the ducting size, ducting path, and the amount of ducting usage. This design combines modified ducted split unit, booster fan, pre filter, medium filter, and HEPA filter by using preinsulated aluminum duct as an air passage. The design is done by using AutoCAD 2012 software, Design Tools Duct Sizer, and Microsoft Excel. From the calculation and design result obtained the capacity requirement of 3 surgical room that is split ducted 100.000 BTUH as many as 3 units, booster fan 3.3 - 4 In WG as many as 3 units, pre filter 24"x 24" x 2" 6 sets, medium filter 610 x 610 x 290 mm 6 sets, and HEPA filter 1220 x 610 x 70 mm 12 sets. For the sterile room, the static pressure generated by the cooling unit shall be larger than the static pressure generated from the unit present in the semi sterile room. In other words, the sterile room must have positive pressure to the semi sterile room. It is intended that the air in the semi sterile room does not enter into the sterile room when the door between room opened. In this surgical room design and calculation, real temperature obtained is 23 °C ± 2 °C and the relative moisture obtained is 60% ± 2%.


2010 ◽  
Vol 6 (02) ◽  
pp. 49
Author(s):  
Syarief Gerald Prasetya

Hospital was established to serve the medical needs of the citizen. In addition to serving, hospitals also need to explore the benefits for the sustainability and the development of the hospital. To achieve financial reports have involved a large role. Accounting information system computer-based accounting will help serving the financial reports, so that more accurate and faster. Errors can be diminished.  Research object is selected by the author to conduct research is Bogor Rumah Sakit Islam. A hospital that is located on Jl. Perdana Raya. 22 Budi Agung, Jakarta Utara. This hospital was established on May 12, 1991. The location is strategic as it is in the center of Bogor. In doing activity, accounting information system based on computerized accounting still not yet common use. Computer already exist but support application to create an accurate and fast financial statement does not exist. So much weaknesses if we still using manual method. Like slowly processing data, still using much worker and much step while processing. The information result is still contained high mistake. To solve all problems above we need accounting software as tool for accounting division. For that I try to apply computerized accounting using Microsoft Excel for helping creating financial statement. By doing observation and interview with related employee, this research can do well. Journalize transaction process by using Microsoft Excel is to make a column for each transaction such as Journal Voucher, General Ledger, Balance Sheet. After making a column, the next step is inputing achievement data to Journal Voucher. After inputing data, General Ledger and Balance Sheet can automatically fill up. By using computer, processing data is more faster, information result is more accurately, human resource is less needed. Related management can get information they need more faster, because amount recalculated every doing transaction.


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