POST COVID SYNDROME; A SCENARIO TO BE TAKEN CARE OF.

2021 ◽  
pp. 17-19
Author(s):  
Ruqia Asna Rabah ◽  
Farqana Qushnood ◽  
G. B. Doddamani
Keyword(s):  
Neuropsychiatric Symptoms ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Present Cross Sectional Study ◽  
Patient Reported ◽  
Initial Recovery ◽  
Body Ache

BACKGROUND: COVID -19 pandemic is the most important public health problem of recent time. Tens and thousands of people have suffered with COVID-19 in last one and half year. Most people who have suffered with COVID-19 recover completely within a few weeks but majority of patients continue to have varied symptoms after initial recovery. OBJECTIVE: To assess the prevalence of Post COVID symptoms, to assess requirement of treatment and to make recommendation for Post COVID syndrome care. METHODS: Present cross-sectional study was done among patients who recovered from COVID-19 in GIMS Hospital of Kalaburagi district. Mobile numbers of COVID patients were collected from records. Total 100 randomly selected patients were contacted and information regarding post covid symptoms in between 6 weeks to 12 weeks after recovery from COVID-19 was collected. RESULT: 87%patients developed one or more post covid symptoms. Weakness was reported to be most common problem (55%), followed by body ache (26%) and neuropsychiatric symptoms such as difculty in concentration and insomnia (22%). Every fth patient reported that symptoms persisted for more than 1 month. Though most of the respondents classied their symptoms as mild and moderate (52.5% and 37.9% respectively), 47% of the symptomatic patients have to take some treatment for these symptoms. CONCLUSION: Post COVID symptoms are common but usually less severe. Many of patients required conservative management with medications. Many patients required lot of counselling. Almost one in ve patients reported that symptoms persisted for more than one month. The results highlight the need for post Covid care for COVID recovered patients.

scholarly journals Post COVID-19 Symptoms: A Neglected Domain

2021 ◽  
Vol 33 (2) ◽  
pp. 325-328
Author(s):  
Chhaya Mittal ◽  
Abhishek Mishra ◽  
Seema Jain ◽  
Neelam S Gautam
Keyword(s):  
Neuropsychiatric Symptoms ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Present Cross Sectional Study ◽  
Patient Reported ◽  
Initial Recovery ◽  
Body Ache

Background: COVID -19 is the most important public health problem of recent time. Most people who have COVID-19 recovers completely within a few weeks but some people continue to have symptoms after initial recovery. Objective: To assess the prevalence of Post COVID symptoms, to assess requirement of treatment and to make recommendation for Post COVID care. Methods: Present cross sectional study was done among patients who recovered from COVID-19 in Meerut district. Mobile numbers of COVID patients were obtained from records, Total 100 randomly selected patients were contacted using google form and information regarding post covid symptoms in between 6 weeks to 12 weeks after recovery from COVID was obtained. Result: 87%patients developed one or more post covid symptoms. Weakness was reported to be most common problem (55%), followed by body ache (26%) and neuropsychiatric symptoms such as difficulty in concentration and insomnia (22%). Every fifth patient reported that symptoms persisted for more than 1 month. Though most of the respondents classified their symptoms as mild and moderate (52.5% and 37.9% respectively), 47% of the symptomatic patients have to take some treatment for these symptoms. Conclusion: Post COVID symptoms are common but usually less severe . Some form of treatment was required to deal with problem. Almost one in five patients reported that symptoms persisted for more than one month. The results highlight the need for post Covid care for COVID recovered patients.

scholarly journals A cross sectional study on depression among elderly people living in old age homes in Kurnool city

2020 ◽  
Vol 8 (1) ◽  
pp. 217
Author(s):  
Persis S. Bathala ◽  
Cynthia S. Sayolu
Keyword(s):  
Old Age ◽  
Depression Scale ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Old Age Homes

Background: Aging is a normal process, which is associated with physical, social and psychological changes. Depression among elderly is an important public health problem responsible for considerable morbidity and disability. Hence this study was undertaken to estimate the prevalence of depression among inmates of old age homes. The main was to know the prevalence and level of depression and to assess socio demographic factors associated with depression among inmates of old age homes.Methods: A cross sectional study was done from August 2019 to October 2019 in old age homes of Kurnool city with a sample size of 60 by simple random sampling. Depression was assessed using geriatric depression scale. Data entered in MS Excel version 7 and analysed by SPSS version 21. Chi-square test was applied to test the significance and p value less than 0.05 was considered as statistically significant.Results: The overall prevalence of depression was found to be 66.7% among inmates and is positively associated with female sex, increasing age, illiteracy, low socio economic status economical dependency and dependency for daily activities.Conclusions: As the prevalence of depression is more among inmates there is a need to provide emotional support and facilities to engage them in various social activities of the community especially the elder females to prevent them from being depressed.

scholarly journals Elder abuse among residents of Shivamogga: a cross sectional study

2019 ◽  
Vol 6 (5) ◽  
pp. 2143
Author(s):  
Sridevi N. H. ◽  
Praveen Kumar N. ◽  
Nithin Gaonkar ◽  
Shameem R. Kanganolli ◽  
Ajay Malya
Keyword(s):  
Elder Abuse ◽  
Community Setting ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Elderly Persons ◽  
Sectional Study ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Total Prevalence ◽  
Type Of Abuse

Background: As per the WHO estimates the global population of people aged 60 years and above will increase from 900 million in 2015 to about 2 billion in 2050. Abuse of elderly has become a problem even in India. Due to social taboo, the elder abuse at community setting is usually not reported. Even though elder abuse is an important public health problem, very little is known about the extent of abuse especially in developing countries.Methods: A community based cross-sectional study was conducted in Shivamogga. A total of 200 elderly persons were interviewed using a pretested semi structured questionnaire. The person showing suggestive score was further asked about type of abuse and perpetrator of mistreatment.Results: Our study showed total prevalence of elder abuse in the community to be 24%. The extent of abuse was more among females especially the housewives. The most common type of abuse was verbal abuse followed by psychological abuse. Son was the common perpetrator of mistreatment.Conclusions: Elder abuse is much prevalent in the community. There is a need for further studies to generalise the findings.

scholarly journals Sero-prevalence and risk factors of human brucellosis among febrile patients visited health institutes at Awra and Gulina district, Afar Region, Ethiopia

2020 ◽  
Author(s):  
Biruk Zerfu ◽  
Sintayehu Mehari ◽  
Kassu Desta
Keyword(s):  
Risk Factors ◽  
Public Health Problem ◽  
Raw Milk ◽  
Cross Sectional Study ◽  
Human Brucellosis ◽  
Sectional Study ◽  
Important Public Health Problem ◽  
Cross Sectional ◽  
Afar Region ◽  
Elisa Data

Abstract Background: Brucellosis is an important neglected bacterial zoonotic disease that affects animals and humans for decades. The aim of this study was to determine the sero-prevalence and risk factors of human brucellosis among febrile patients visited health institutes at Awra and Gulina district of Afar region Ethiopia.Methods: A purposive cross-sectional study was conducted among 444 febrile patients visiting two health institutes in Awra and Gulina district of Afar region from February to May 2019. A 3-5ml blood samples were collected, thick and thin blood films were examined microscopically for malaria; serum was separated and tested antibody of Brucella using Rose Bengal Plate Test (RBPT) and positives ones were further subjected to ELISA. Data were entered using EpiData3.1 and analyses were performed using StataSE 14.Results: A total of 444 febrile individuals (59.5% female) of age ranging from 2-83 years (mean= 26.1, SD = ±11.8) participated in this study. The overall sero-prevalence of brucellosis was 31.5 % and 15.8% by RBPT and ELISA, respectively and 4.3% of the patients were positive for P. falciparum. Being male (AOR=2.41, 95%CI: 1.36 – 4.26, p < 0.002), drinking raw milk (AOR=15.42, 95%CI: 5.17 - 45.95, p < 0.001) and touching aborted fetus/discharges without protectives (AOR= 3.70, 95%CI: 1.61 - 8.50, p = 0.02) were independently associated with brucellosis among febrile patients.Conclusion: Human brucellosis is highly prevalent in pastoralist patients presenting with fever in this study area. Consumption of raw milk and contamination with aborted or discharge of animals are major risk factors. Hence, brucellosis should be considered as an important public health problem in this study area.

Etiologies, Clinical Manifestations, and Factors Associated with Severe Symptomatic Hyponatremia among Hospitalized Hyponatremia Patients

2020 ◽  
Vol 103 (5) ◽  
pp. 465-471
Keyword(s):  
Clinical Manifestations ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Close Attention ◽  
Cross Sectional ◽  
Factors Associated ◽  
Present Cross Sectional Study ◽  
Important Health ◽  
Baseline Characteristics

Background: Hyponatremia is associated with unfavorable outcomes in many cases. The mainstay of hyponatremia treatment depends on its symptoms and etiology. However, etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia have been rarely reported. Objective: To analyze and report etiologies, clinical manifestations, and factors associated with severe symptomatic hyponatremia. Materials and Methods: In the present cross-sectional study, the authors enrolled hospitalized patients with hyponatremia who had consulted a nephrologist between October 1, 2017, and October 31, 2018. Their baseline characteristics and clinical manifestations were recorded. Etiologies were confirmed by the attending nephrology staff. Factors associated with severe symptomatic hyponatremia were evaluated using logistic regression analysis. Results: One hundred patients were included in this study. The syndrome of inappropriate antidiuresis (SIAD), hypovolemia, and hydrochlorothiazide use were the leading hyponatremia etiologies. Hyponatremia etiologies differed between patients with community-acquired hyponatremia (n=50) and those with hospital-associated hyponatremia (n=50). Patients with communityacquired hyponatremia were older, presented with a higher frequency of severe symptomatic hyponatremia, and showed lower SNa-levels. Low SNa-levels were significantly associated with severe symptomatic hyponatremia (p=0.014). Conclusion: Hyponatremia remains an important health problem. SIAD, hypovolemia, and hydrochlorothiazide use are among the leading etiologies of hyponatremia. Low SNa-levels are associated with severe symptomatic hyponatremia; thus, physicians should pay close attention to low SNa-levels in hospitalized patients. Keywords: Hyponatremia, Symptomatic Hyponatremia, Community-acquired hyponatremia, Hospital-associated hyponatremia

scholarly journals Full, partial and modified permutations of the Mayo Score: Characterizing clinical and patient-reported outcomes in ulcerative colitis patients

2021 ◽  
Author(s):  
April N Naegeli ◽  
Theresa Hunter ◽  
Yan Dong ◽  
Ben Hoskin ◽  
Chloe Middleton-Dalby ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Patient Reported Outcomes ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Assessment Scores ◽  
Mayo Score ◽  
Patient Reported ◽  
Practice Trials ◽  
Highly Correlated

Abstract Background Understanding ulcerative colitis (UC) disease activity assessed via the full, modified or partial Mayo Score may help clinicians apply results from clinical trials to practice and facilitate interpretation of recent and older studies. Methods Mayo Score variables were assessed in a cross-sectional study of 2608 UC patients. Results Permutations of Mayo Scores were highly correlated, and models predicting the omitted variable from each permutation demonstrated significant agreement between predicted and observed values. Conclusions Partial/modified Mayo Scores may be used to predict endoscopic and Physician's Global Assessment scores, and serve as proxies for the full Mayo Score in clinical practice/trials.

scholarly journals Impact of COVID-19 Home Confinement in Children’s Refractive Errors

2021 ◽  
Vol 18 (10) ◽  
pp. 5347
Author(s):  
Cristina Alvarez-Peregrina ◽  
Clara Martinez-Perez ◽  
Cesar Villa-Collar ◽  
Cristina Andreu-Vázquez ◽  
Alicia Ruiz-Pomeda ◽  
...  
Keyword(s):  
Public Health Problem ◽  
Cross Sectional Study ◽  
World Population ◽  
Sectional Study ◽  
Cross Sectional ◽  
School Aged Children ◽  
Digital Devices ◽  
Visual Screening ◽  
Near Work ◽  
The Impact

Background: Myopia is a public health problem, with estimations that 50% of the world population will be myopic by 2050. Some environmental factors, such as time spent outdoors, doing near work, and using digital devices, influence the development of myopia in children. Home confinement in Spain has increased these risk factors, so this study aims to investigate the impact of home confinement during the COVID-19 outbreak in the vision of school-aged children; Methods: A cross-sectional study in children between 5 and 7 years old that completed a visual screening and a questionnaire about their lifestyles at opticians in Spain in September and October of 2019 and 2020. Statistical analysis to compare lifestyles pre and post confinement, and vision in 2020 versus a similar cohort examined at the same opticians in 2019, was conducted; Results: Spanish children spent less time outdoors and more time doing near work in 2020 than in 2019 (p ≤ 0.001). There was a significant decrease of the spherical equivalent (mean ± standard deviation; 0.66 ± 2.03 D in 2019 vs. 0.48 ± 1.81 D in 2020; p ≤ 0.001); Conclusions: Lifestyles of Spanish children changed during the home confinement at the beginning of 2020. Together with changes in their lifestyles, spherical equivalents have decreased, which implies higher figures of myopia for children aged between 5 and 7.

scholarly journals Results of a Patient Reported Experience Measure (PREM) to measure the rare disease patients and caregivers experience: a Spanish cross-sectional study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Mercedes Guilabert ◽  
Alba Martínez-García ◽  
Marina Sala-González ◽  
Olga Solas ◽  
José Joaquín Mira
Keyword(s):  
Rare Disease ◽  
Rare Diseases ◽  
Healthcare Services ◽  
Paediatric Population ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Optimal Care ◽  
Cross Sectional ◽  
Patient Reported ◽  
Mean Time

Abstract Objective To measure the experience of the person having a rare disease in order to identify objectives for optimal care in the health care received by these patients. Methods. A cross-sectional study was conducted in Spain involving patients associated with the Spanish Rare Diseases Federation [Federación Española de Enfermedades Raras] (FEDER). A modified version of the PREM IEXPAC [Instrumento para evaluar la Experiencia del Paciente Crónico] instrument was used (IEXPAC-rare-diseases). Scores ranged between 0 (worst experience) and 10 (best experience). Results A total of 261 caregivers (in the case of paediatric population) and patients with rare diseases (response rate 54.4%) replied. 232 (88.9%) were adult patients and 29 (11.1%) caregivers of minor patients. Most males, 227 (87%), with an average age of 38 (SD 13.6) years. The mean time since confirmation of diagnosis was 7.8 (SD 8.0) years. The score in this PREM was 3.5 points out to 10 (95%CI 3.2–3.8, SD 2.0). Caregivers of paediatric patients scored higher, except for coordination of social and healthcare services. Conclusions There are wide and important areas for improvement in the care of patients with rare diseases. This study involves a first assesment of the experience of patients with rare diseases in Spain.

scholarly journals PROMIS Scales for Assessment of Persistent Post-COVID Symptoms: A Cross Sectional Study

2021 ◽  
Vol 12 ◽  
pp. 215013272110304
Author(s):  
Ravindra Ganesh ◽  
Aditya K. Ghosh ◽  
Mark A. Nyman ◽  
Ivana T. Croghan ◽  
Stephanie L. Grach ◽  
...  
Keyword(s):  
Health Status ◽  
Social Roles ◽  
Disease Process ◽  
Cross Sectional Study ◽  
Large Sample Size ◽  
Sectional Study ◽  
Cross Sectional ◽  
Data Set ◽  
Patient Reported ◽  
The Impact

Objective Persistent post-COVID symptoms are estimated to occur in up to 10% of patients who have had COVID-19. These lingering symptoms may persist for weeks to months after resolution of the acute illness. This study aimed to add insight into our understanding of certain post-acute conditions and clinical findings. The primary purpose was to determine the persistent post COVID impairments prevalence and characteristics by collecting post COVID illness data utilizing Patient-Reported Outcomes Measurement Information System (PROMIS®). The resulting measures were used to assess surveyed patients physical, mental, and social health status. Methods A cross-sectional study and 6-months Mayo Clinic COVID recovered registry data were used to evaluate continuing symptoms severity among the 817 positive tested patients surveyed between March and September 2020. The resulting PROMIS® data set was used to analyze patients post 30 days health status. The e-mailed questionnaires focused on fatigue, sleep, ability to participate in social roles, physical function, and pain. Results The large sample size (n = 817) represented post hospitalized and other managed outpatients. Persistent post COVID impairments prevalence and characteristics were determined to be demographically young (44 years), white (87%), and female (61%). Dysfunction as measured by the PROMIS® scales in patients recovered from acute COVID-19 was reported as significant in the following domains: ability to participate in social roles (43.2%), pain (17.8%), and fatigue (16.2%). Conclusion Patient response on the PROMIS® scales was similar to that seen in multiple other studies which used patient reported symptoms. As a result of this experience, we recommend utilizing standardized scales such as the PROMIS® to obtain comparable data across the patients’ clinical course and define the disease trajectory. This would further allow for effective comparison of data across studies to better define the disease process, risk factors, and assess the impact of future treatments.

scholarly journals Family involvement and patient-experienced improvement and satisfaction with care: a nationwide cross-sectional study in Danish psychiatric hospitals

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marie Louise Svendsen ◽  
Trine Ellegaard ◽  
Karoline Agerbo Jeppesen ◽  
Erik Riiskjær ◽  
Berit Kjærside Nielsen
Keyword(s):  
Psychiatric Hospital ◽  
Hospital Care ◽  
Psychiatric Hospitals ◽  
Cross Sectional Study ◽  
Satisfaction With Care ◽  
Sectional Study ◽  
Cross Sectional ◽  
Caregiver Relationship ◽  
Patient Reported ◽  
Caregiver Involvement

Abstract Background Randomised controlled trials suggest that family therapy has a positive effect on the course of depression, schizophrenia and anorexia nervosa. However, it is largely unknown whether a positive link also exists between caregiver involvement and patient outcome in everyday psychiatric hospital care, using information reported directly from patients, i.e. patient-reported experience measures (PREM), and their caregivers. The objective of this study is to examine whether caregiver-reported involvement is associated with PREM regarding patient improvement and overall satisfaction with care. Methods Using data from the National Survey of Psychiatric Patient Experiences 2018, we conducted a nationwide cross-sectional study in Danish psychiatric hospitals including patients and their caregivers who had been in contact with the hospital (n = 940 patients, n = 1008 caregivers). A unique patient identifier on the two distinct questionnaires for the patient and their caregiver enabled unambiguous linkage of data. In relation to PREM, five aspects of caregiver involvement were analysed using logistic regression with adjustment for patient age, sex and diagnosis. Results We consistently find that high caregiver-reported involvement is statistically significantly associated with high patient-reported improvement and overall satisfaction with care with odds ratios (OR) ranging from 1.69 (95% confidence interval (CI) 0.95–2.99) to 4.09 (95% CI 2.48–6.76). This applies to the following aspects of caregiver-reported involvement: support for the patient-caregiver relationship, caregiver information, consideration for caregiver experiences and the involvement of caregivers in decision making. No statistically significant association is observed regarding whether caregivers talk to the staff about their expectations for the hospital contact. Conclusion This nationwide study implies that caregiver involvement focusing on the patient-caregiver relationship is positively associated with patient improvement and overall satisfaction with care in everyday psychiatric hospital care.

Sign in / Sign up

Export Citation Format

Share Document