scholarly journals Socio-demographic and Clinical Profile of Covid-19 in Children

2021 ◽  
Vol 16 (2) ◽  
pp. 72-75
Author(s):  
Farhana Noman ◽  
Jamil Ahmed ◽  
Md Abdul Wahab ◽  
Ferdousi Hasnat ◽  
Rifat Taher Anne
Keyword(s):  
Virus Disease ◽  
Nasal Congestion ◽  
Age Distribution ◽  
Cross Sectional ◽  
Reactive Protein ◽  
Normal Chest ◽  
Chest X Ray ◽  
Transmission Of Disease ◽  
Day By Day ◽  
Body Ache

Introduction: The corona virus disease 2019 (COVID-19) is a pandemic disease. Infection by COVID-19 in children is not so common but gradually the numbers of children affected with COVID-19 are increasing day by day. The epidemiological importance and clinical pattern in children with COVID-19 is now a challenge to be described by the clinicians. Objectives: To describe socio-demographic and clinical characteristics of COVID-19 infected children. Material and Methods: This cross sectional observational study was conducted among 58 COVID-19 children who were admitted in COVID-19 dedicated Kurmitola General Hospital (KGH), Dhaka from March 2020 to July 2020. Their signs, symptoms, sex, age distribution, laboratory results and familial contact were analyzed. Results: Among 58 most of the children (63.8%) were in school going age (5-15years). The number of female (39) was more than male (19) and female-male ratio was 1:0.48. Most of the children (75.9%) came from urban lower middle socioeconomic group. About 84.4% children were affected from family member. Among all, (8.6%) patients had no symptoms. Main symptoms of the children were cough (36.2%), only fever (22.4%), fever with cough (8.62%) and diarrhoea (5.2%). About 12.06% of the children had additional symptoms including sore throat, nasal congestion, fatigue, headache, body ache, vomiting, abdominal pain, convulsion and rash, 6.9% had respiratory distress and one child came with convulsion. About 12.1% patients showed lymphopenia, 18.9% showed leucopenia, 13.8% patient had neutrophillia. C-Reactive Protein (CRP) and serum ferritin were high in only 12.1% and 8.6% cases respectively. There were 29.3% patients who had normal Chest X-Ray and 58.6% had mild lesion, 8.6% had bilateral consolidation and 3.4% had patchy opacities. Conclusions: COVID-19 is not so common in children and usually presents with mild form or no sign symptoms clinically and by laboratory analysis. But it is noteworthy that they may play role in transmission of disease. JAFMC Bangladesh. Vol 16, No 2 (December) 2020: 72-75

scholarly journals Cross-sectional imaging of the torso reveals occult injuries in asymptomatic blunt trauma patients

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Gregory J. Roberts ◽  
Lewis E. Jacobson ◽  
Michelle M. Amaral ◽  
Courtney D. Jensen ◽  
Louis Cooke ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Chest Ct ◽  
Physical Exam ◽  
Trauma Patients ◽  
Cross Sectional ◽  
X Ray ◽  
Cross Sectional Imaging ◽  
Normal Chest ◽  
Chest X Ray ◽  
Sectional Imaging

Abstract Background High morbidity and mortality rates of trauma injuries make early detection and correct diagnosis crucial for increasing patient’s survival and quality of life after an injury. Improvements in technology have facilitated the rapid detection of injuries, especially with the use of computed tomography (CT). However, the increased use of CT imaging is not universally advocated for. Some advocate for the use of selective CT imaging, especially in cases where the severity of the injury is low. The purpose of this study is to review the CT indications, findings, and complications in patients with low Injury Severity Scores (ISS) to determine the utility of torso CT in this patient cohort. Methods A retrospective review of non-intubated, adult blunt trauma patients with an initial GCS of 14 or 15 evaluated in an ACS verified level 1 trauma center from July 2012 to June 2015 was performed. Data was obtained from the hospital’s trauma registry and chart review, with the following data included: age, sex, injury type, ISS, physical exam findings, all injuries recorded, injuries detected by torso CT, missed injuries, and complications. The statistical tests conducted in the analysis of the collected data were chi-squared, Fischer exact test, and ANOVA analysis. Results There were 2306 patients included in this study, with a mean ISS of 8. For patients with a normal chest exam that had a chest CT, 15% were found to have an occult chest injury. In patients with a negative chest exam and negative chest X-ray, 35% had occult injuries detected on chest CT. For patients with a negative abdominal exam and CT abdomen and pelvis, 16% were found to have an occult injury on CT. Lastly, 25% of patients with normal chest, abdomen, and pelvis exams with chest, abdomen, and pelvis CT scans demonstrated occult injuries. Asymptomatic patients with a negative CT had a length of stay 1 day less than patients without a corresponding CT. No incidents of contrast-induced complications were recorded. Conclusions A negative physical exam combined with a normal chest X-ray does not rule out the presence of occult injuries and the need for torso imaging. In blunt trauma patients with normal sensorium, physical exam and chest X-ray, the practice of obtaining cross-sectional imaging appears beneficial by increasing the accuracy of total injury burden and decreasing the length of stay.

Occupational health problems of highway restaurant workers of Pune, India

2011 ◽  
Vol 27 (10) ◽  
pp. 945-948 ◽  
Author(s):  
S Kokane ◽  
RR Tiwari
Keyword(s):  
Cross Sectional Study ◽  
Musculoskeletal Symptoms ◽  
Cross Sectional ◽  
Catering Industry ◽  
Present Cross Sectional Study ◽  
Recent Estimate ◽  
Gastrointestinal Complaints ◽  
Increasing Demand ◽  
Day By Day ◽  
Body Ache

To meet the ever-increasing demand for new cuisines, the catering industry in India is becoming more prominent day by day. According to a recent estimate, more than two million restaurants are now dominating the present scenario of the Indian catering industry. The health hazards in restaurants vary according to the place that a worker is employed. The hazards among kitchen staff include several different types of accidents such as burns from deep fryers, slipping on grease and cuts from knives, whereas musculoskeletal disorders are more common among waiters and helpers who usually bear load. The present cross-sectional study included 127 workers from 15 restaurants and dhabas situated at Pune—Mumbai high way. Interview technique followed by clinical examination was the tool for data collection. Musculoskeletal symptoms such as low back pain, fatigue, body ache and pain in limbs were present in 18 (14.2%) of the workers. Gastrointestinal complaints such as heartburn, abdomen pain, stomatitis, etc. were reported by 12 (9.4%) subjects, while skin-related symptoms, such as itching and discoloration were reported in 12 (9.4%) subjects. Seventy-three (57.5%) of the subjects were free from any symptoms.

scholarly journals Clinical Characteristics and main presentation of the COVID19 among Iraqi people

2020 ◽  
Vol 04 (2) ◽  
pp. 50-58
Author(s):  
Mohammed Ibraheem ◽  
Sarab Abedalrahman ◽  
Ashoor Sarhat ◽  
Jawad Al-Diwan
Keyword(s):  
Clinical Presentation ◽  
Age Distribution ◽  
Cross Sectional Study ◽  
Comorbid Disease ◽  
C Reactive Protein ◽  
Cross Sectional ◽  
Reactive Protein ◽  
Coronary Vascular Disease ◽  
Full Physical Examination ◽  
The Mean

The COVId19 pandemic is a newly emerging infectious disease that needs to be understood thoroughly in order to be controlled. This study aimed to study the clinical and laboratory characteristics of the COVID19 patient. Patient and methods: A cross-sectional study was done in Iraq, at Salahadeen general hospital from the period 1st March to the end of May 2020 on patients diagnosed with COVID 19. A total of 75 COVID19 patients enrolled in the study. a full history was taken, a full physical examination was done, computerized tomography, and laboratory tests. Results: The age distribution of the COVID19 patient were commonly aged (30-50 years) 37(49.3%), and those aged <30 years represented about 6(8%) of the sample. The dominant gender was male 43(57.3%). About 58 (77.3%) of the patient had comorbid disease, coronary vascular disease was 49(65.3%), hypertension was found among 47(62.7%), DM was found among 40(53.3%). Smoking found among 35(46.7%) of the patients. The commonest symptoms were dyspnea 63(84%), fever 51(68%), Myalgia 46(61.3%), loss of smell 8(10.7%), vomiting 8(10.7%), sputum 8(10.7%), loss of taste 6(8%), diarrhea 6(8%), dry mouth found among 6(8%), cough 6(8%), fatigue 5(6.7%)followed by arthralgia 4(5.3%), and chest pain 3(4%). The mean Spo2% was (88±6.6), heart rate was (103±23.3), the mean respiratory rate was (17.7±4.1), the mean temperature value was (38.1±1.1), and the mean C - reactive protein rate was (49.8±41.2). The CBC shows that Lymphopenia was reported among 34(45.3%) of the patient, leukocytosis reported among 19 (25.3%) of the patient. Chest CT revealed that mean lung involvement was (16.6±14.7%). Conclusion: The commonest presentation of the patient was dyspnea, followed by fever. Digestive symptoms and myalgia were common. COVID19 maybe became a stigma in our community and educational programs were needed to overcome this problem. Keywords: COVID19 infection, clinical presentation, CT, Iraq.

scholarly journals Establishment of Diagnostic Protocols for COVID-19 Patients

2020 ◽  
Vol 36 (7) ◽  
Author(s):  
Dr Sana Abbas ◽  
Dr Aisha Rafique ◽  
Dr Beenish Abbas ◽  
Dr Madeeha Sattar
Keyword(s):  
Tertiary Care ◽  
Biochemical Tests ◽  
Serological Tests ◽  
Cross Sectional ◽  
Creative Commons ◽  
Reactive Protein ◽  
Normal Limits ◽  
Chest X Ray ◽  
Age Range ◽  
Discharge Criteria

Objective: To evaluate the oscillation of laboratory parameters among indoor patients infected with COVID-19. Methods: This cross-sectional analytical study was conducted at Tertiary Care Institute, Rawalpindi from 01 March 2020 to 20 May 2020. Three hundred and ninety-two patients with mild to moderate illness, PCR positive for COVID 19 were included. Prevalence of typical symptoms of coronavirus disease cough, fever, sore throat and shortness of breath was recorded.PCR was repeated after seven days of admission, if declared negative, another executed on consecutive day. Discharge Criteria was two consecutive negative PCR. Results: A total of 392 patients enrolled in the study with age range 9-45 and mean 33.22±7.98 years. A total of 8 (2%) patients were females and 384(98%) males. 296(75.5%) did not have a cough whereas 96(24.5%) presented with the trait. 296 (75.5%) patients did not have associated fever whereas 96(24.5%) manifested with fever. Chest x-ray had a bilateral patch in 96 (24.5%) patients only. Ferritin was raised in 96 (24.5%) patients however were recorded within normal limits in 296(75.5%) patients. Coagulation Profile was deranged in 64(16.3%) patients whereas was within range in 328(83.7%) patients. Serum Bilirubin, Serum Alkaline phosphatases, Serum Albumin, Serum Urea, Serum Potassium were essentially in typical tolls in 392(100%) patients. However Serum Alanine Aminotransferase was raised in 32(8.2%), Serum C reactive Protein was elevated in 48(12.2%). An exaggerated values of serum creatinine and serum sodium were noticed in 24(6.1%) and 16(4.1%) respectively. Conclusion: Routine haematological tests, biochemical tests, serological tests, and radiographic tests are crucial to conclusion, foundation and progression of ailment in COVID-19 contaminated patients. doi: https://doi.org/10.12669/pjms.36.7.2957 How to cite this:Abbas S, Rafique A, Abbas B, Sattar M. Establishment of Diagnostic Protocols for COVID-19 Patients. Pak J Med Sci. 2020;36(7):---------. doi: https://doi.org/10.12669/pjms.36.7.2957 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.

scholarly journals Clinical usefulness of eosinopenia in differentiating COVID-19 versus other flu-like illness in outpatient set-up

Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
pp. 498-501
Author(s):  
Koushik Muthu Raja M ◽  
R. Anand ◽  
V.G. Vinod ◽  
B Rajagopalan ◽  
C. Chandrasekar ◽  
...  
Keyword(s):  
Complete Blood Count ◽  
Virus Disease ◽  
Outpatient Setting ◽  
Outpatient Basis ◽  
Retrospective Case ◽  
Reactive Protein ◽  
Chest X Ray ◽  
Reliable Marker ◽  
Set Up

Introduction and Aim:Corona virus disease 2019 (Covid-19) is a highly infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 has affected over 200 countries and territories. The aim of the present study is to evaluate the role of eosinopenia in differentiating COVID-19 suspect from other    flu-like illnesses in an outpatient setting.   Materials and Methods:It was a retrospective case control study in which data of 1252 suspected COVID 19 patients who visited the fever clinic were enrolled. Among this, 701 patients were found to have COVID-19 pneumonia and 551 had other flu-like illnesses. CBC (complete blood count) and CRP(C- reactive protein) were taken in all patients along with chest x-ray as routine protocol.   Results:Among the 701 positive patients, eosinopenia was seen in 527 patients and had a sensitivity of 75.2 % and specificity of 68.6 %. When combined with other lab parameters such as the increased CRP and lymphopenia, the specificity rises up to 78.6 %.   Conclusion:Our study shows that eosinopenia as an independent variable, is a reliable marker to differentiate COVID-19 suspect patients from other flu-like illnesses on outpatient basis, however when combined with other parameters like lymphopenia and CRP the specificity increases further.

Knowledge and Perception on Corona Virus Disease 2019 (COVID-19) Among the General Public in Nepal

2020 ◽  
Vol 7 (4) ◽  
pp. 183-190
Author(s):  
Anisha Karn ◽  
Mukesh Karn ◽  
Aditi Agrawal ◽  
Preeti Giri ◽  
Gagan Bohara ◽  
...  
Keyword(s):  
Virus Disease ◽  
Transmission Rate ◽  
Preventive Measure ◽  
Sampling Technique ◽  
Snowball Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Modes Of Transmission ◽  
Awareness Campaigns ◽  
Transmission Of Disease

The global pandemic of COVID-19 has created havoc worldwide with its high transmission rate. The vaccine and drugs are still under trial; thus, the only option is to break the chain of transmission of disease by imparting the knowledge and designing awareness campaigns to educate people about the risks and preventive measures of COVID-19.  This study was conducted to explore the knowledge and perception on health behaviors related to prevention along with addressing several myths and practices for COVID-19. An online cross-sectional survey was carried out in the initial days of disease outbreak in Nepal. A structured questionnaire was used for the data collection and recruitment of participants was done using snowball sampling technique. A total of 358 participants from all over the country were recruited for the study. Output measures were portrayed through descriptive statistical analysis with the use of frequencies (n) and percentages (%). Most of the participants (94.1%) knew about the high-risk age group, 38.5% were unaware that SARS-CoV-2 can be transmitted even from objects. Participants had better knowledge on modes of transmission of disease (77.1%) while 49.2% thought that regular surgical mask is highly effective for the preventive measure. Findings of this study suggests that people of Nepal are required to be educated about false beliefs and misconceptions. The findings and concerns raised in the study would be beneficial to design awareness-raising campaigns tailored specifically to the need for and understanding of the Nepalese community. Int. J. Soc. Sc. Manage. Vol. 7, Issue-4: 183-190

scholarly journals COVID 19: A Strange Worldwide Pandemic

2021 ◽  
Vol 58 (2) ◽  
pp. 719-729
Author(s):  
Dr. Sneha Lodhi
Keyword(s):  
Best Practice ◽  
Virus Disease ◽  
Ground Glass Opacity ◽  
Supplemental Oxygen ◽  
Local Site ◽  
Time Period ◽  
Chest X Ray ◽  
Hypoxic Respiratory Failure ◽  
Respiratory Tract Illness ◽  
Body Ache

Corona virus disease (COVID -19)   is a severe acute respiratory syndrome which cause respiratory tract illness. The pandemic caused by virus originated in Wuhan. Later declared as a pandemic by WHO. It causes symptom like common cold, fever, body ache, cough and loss of taste sensation which are commonly seen in most of the patient. Older and one with comorbidity are at high risk to get infected. The average time period from exposure to symptoms is 5 days. Many asymptotic cases where reported which shows no symptoms but show viral load on RT-PCR. Patients are considered covid-19 positive based on clinical features & radiological findings. On chest x-ray  it shows ground-glass opacity. More than 75 percent of patients hospitalized require supplemental oxygen. Treatment for individual with COVID -19 include best practice for supportive management of acute hypoxic respiratory failure. Immediate hospitalization of positive patient if spo2 drops below 95 percent . Diagnosis is made by detection of SARS cov-2 via reverse transcription polymerase chain reaction testing, although false positive result may occur in up to 20 to 60 % patients. Suspected cases are quarantine for 14 days. Preventive measures include hand washing, social distancing etc. Recently COVISHEILD & COVAXIN is approved for emergency use. Reaction of vaccination include fever ,body ache, swelling at local site, pain, malaise, joint pains. 

scholarly journals Post tuberculosis radiological sequelae in patients treated for pulmonary and pleural tuberculosis at a tertiary center in Pakistan

2021 ◽  
Author(s):  
Syed Muhammad Zubair ◽  
Mariyam Gohar Ali ◽  
Muhammad Irfan
Keyword(s):  
Wide Spectrum ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
X Rays ◽  
Cross Sectional ◽  
Pleural Thickening ◽  
Tertiary Center ◽  
Normal Chest ◽  
Chest X Ray

Treating tuberculosis (TB) is not the end of the disease because of the wide spectrum of post TB sequelae associated with the disease. There is insufficient data on post TB radiological sequelae. The aim of this study is to evaluate the post TB radiological sequelae on chest x-rays in patients who had completed the treatment for pulmonary and pleural TB at a tertiary care hospital of a high TB burden country. This is a retrospective cross-sectional study conducted on patients treated for pulmonary and pleural TB. Adult patients (18 years or above) with a clinical or microbiological diagnosis of pulmonary or pleural TB were included. Patients were classified on the basis of site of TB into pulmonary and pleural TB. Post-treatment radiological sequelae on chest x-ray were evaluated and divided into three main types i.e. fibrosis, bronchiectasis and pleural thickening. During the study period a total of 321 patients were included with a mean age of 44(SD±19) years. Only 17.13% (n=55) patients had normal chest x-rays at the end of treatment and 82.87% (n=266) patients had post-TB radiological sequelae with fibrosis being the most common followed by pleural thickening. The post TB radiological sequelae were high in patients who had diabetes mellitus (78.94%), AFB smear-positive (90.19%), AFB culture-positive (89.84%), Xpert MTB/Rif positive (88.40%) and with drug-resistant TB (100%). As a clinician, one should be aware of all the post TB sequelae so that early diagnosis and management can be facilitated.

scholarly journals Systemic corticosteroids for management of ‘long-COVID’: an evaluation after 3 months of treatment

2021 ◽  
Author(s):  
Nitin Goel ◽  
Nitesh Goyal ◽  
Ravishankar Nagaraja ◽  
Raj Kumar
Keyword(s):  
Virus Disease ◽  
Post Treatment ◽  
Systemic Steroid ◽  
Systemic Steroids ◽  
Therapeutic Implications ◽  
Systemic Corticosteroids ◽  
Normal Chest ◽  
Chest X Ray ◽  
Tuberculosis Reactivation

Some patients even 4 weeks after Corona Virus Disease 2019 (COVID-19) remain to be symptomatic and are known as “long-COVID”. In the present study we performed the follow up evaluation at 3 months of long-COVID patients, after treatment with systemic steroids. During the study duration, out of the 4,542 patients managed in the outpatient department of the particular unit, there were 49 patients of Long-COVID. The patients having abnormal computed tomography (CT) alongwith resting hypoxia or exertional desaturation were treated with systemic steroid (deflazacort) in tapering doses for 8-10 weeks. We retrospectively analysed the clinical and radiological findings of these patients at first presentation and at about 3 months of follow up visit. On follow up, all the 49 long-COVID patients showed improvement. The occurrence of breathlessness decreased from 91.83% to 44.89% (p<0.001) and cough from 77.55% to 8.16% (p<0.001). Twenty-four patients were prescribed systemic steroids. Out of these, nearly 58% patients had MMRC grade 4 breathlessness, which decreased to < 2 MMRC in about 86% of these patients. MMRC grade (median) decreased from 3 to 1 (p<0.001). Majority of patients who were tachypnoeic and hypoxic at rest (n=7) showed improvement (71%), post-treatment with corticosteroids. Occurrence of normal chest X-ray increased from 12% to 71% (p<0.001). All these patients had abnormal CT thorax initially, and post-treatment 25% had normal CT thorax. Hence, we conclude that systemic steroids are helpful in hastening recovery of select subset of long-COVID patients. Simultaneously, we should be cautious of immunosuppressive effects of steroids like tuberculosis reactivation, especially in tuberculosis endemic countries. These findings have therapeutic implications and may serve as guidance for future approach to the management of ‘long-COVID’ with pulmonary sequalae.

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