scholarly journals Manajemen Perforasi Kornea Pada Pasien Covid-19

2020 ◽  
Vol 7 (1A) ◽  
pp. 195-202
Author(s):  
Ferdian Yanuar ◽  
Hera Dwi Novita ◽  
Herwindo Dicky
Keyword(s):  
Case Report ◽  
Complete Blood Count ◽  
Virus Disease ◽  
Rapid Test ◽  
World Health ◽  
Corneal Perforation ◽  
Operative Care ◽  
Ancillary Test ◽  
Important Health ◽  
Health Organization

Latar Belakang : COVID-19 merupakan masalah kesehatan yang dinyatakan sebagai pandemi oleh WHO. Beberapa penelitian melaporkan tentang hubungan SARS-CoV-2 dengan kelainan pada mata. Pada era pandemi, pengelolaan pasien sakit mata harus hati-hati untuk mencegah penularan petugas medis. Laporan kasus ini menyajikan pengelolaan perforasi kornea pasien terkonfirmasi COVID-19. Metode : Diagnosis ditegakkan berdasarkan anamnesis, pemeriksaan fisik dan oftalmologi dengan pemeriksaan penunjang lainnya. Laporan Kasus : Perempuan berusia 54 tahun dirujuk dengan keluhan keluar darah pada mata kiri sejak 17 jam sebelum sampai RS. Keluhan batuk atau demam 14 hari sebelumnya disangkal. Pada pemeriksaan oftalmologi didapatkan perforasi kornea mata kiri disertai prolaps isi bola mata (iris, vitreus dan choroid). Pada pemeriksaan penunjang didapatkan foto rontgen thorax normal, rapid test covid-19 reaktif dan hasil positif pada PCR dari swab nasofaring. Seluruh staf medis menggunakan alat pelindung diri (APD) tingkat tiga dalam melakukan pemeriksaan fisik maupun penunjang. Dari hasil anamnesis pemeriksaan fisik dan penunjang, pasien didiagnosis dengan perforasi kornea spontan mata kiri dan terkonfirmasi COVID-19. Pasien direncanakan untuk eviserasi mata kiri dengan anestesi umum dan saat tindakan operator dan seluruh staf ruang operasi menggunakan alat pelindung diri (APD) tingkat tiga. Setelah operasi dilakukan, pasien kemudian dirawat di ruang isolasi khusus COVID-19. Swab nasofaring dilakukan ulang sehari setelah operasi dan keesokan harinya. Dua hari setelah operasi, pasien dipulangkan dan isolasi mandiri di rumah Kesimpulan: Laporan kasus ini menunjukkan manajemen perforasi kornea pada pasien terkonfirmasi COVID-19 yang dilakukan sesuai alur khusus termasuk pada pemeriksaan fisik dan penunjang, penegakkan diagnosis oftalmologi dan COVID-19, prosedur pembedahan dan perawatan pasca operasi. Kata Kunci : SARS-CoV-2, Perforasi Kornea, APD, PCR, Eviscerasi   Introduction: Corona-Virus-Disease-2019 (COVID-19) is an important health problem that was defined as a pandemic by the World Health Organization (WHO). There are few reports on the association of SARS-CoV-2 with ocular abnormalities. In the pandemic era, management of ocular patients should be more careful to prevent transmission to medical staff. This report presenting the management of corneal perforation in confirmed COVID-19 patients. Method: The diagnosis was established based on history taking, physical and ophthalmology examination with other ancillary tests. Case Report : 54-year-old female patient referred with complaints of left eye bleeding since 17 hours ago. This patient never complaint about cough or fever 14 days before admission. From the ancillary test (complete blood count and chest x-ray are within normal limit, reactive rapid test for COVID-19, positive result of PCR nasopharynx).  The patient was diagnosed with spontaneous corneal perforation on the left eye with COVID-19 confirmed. The evisceration procedure with general anesthesia was performed with exceptional precaution. Operator and all operating room staff wear the 3rd level of personal protective equipment (PPE). The surgery was successfully done and the patient then hospitalized in the COVID-19 isolated room. Nasopharynx swab performs the day after surgery and the next day after the first swab. Two days after surgery, the patient was discharged and followed by a self-isolation procedure. Conclusion: This case report presenting corneal perforation management in confirmed COVID-19 patients should be performed under a firm scheme including physical and ophthalmological examinations, ophthalmology and COVID-19 diagnosis enforcement, ancillary test, surgery procedure, post-operative care and also PPE utilization. Keyword : SARS-CoV-2, Corneal Perforation, 3rd level PPE, PCR, Evisceration

scholarly journals Quarantine for Zika Virus? Where is the Science?

2016 ◽  
Vol 10 (5) ◽  
pp. 704-706 ◽  
Author(s):  
Kristi L. Koenig
Keyword(s):  
Public Health ◽  
Zika Virus ◽  
Ebola Virus ◽  
Virus Disease ◽  
Rapid Test ◽  
Signs And Symptoms ◽  
World Health ◽  
Virus Infections ◽  
Health Organization ◽  
Spread Of Infection

AbstractIn January 2016, the World Health Organization warned that Zika virus is “spreading explosively” in the Americas and that up to 4 million infections could be present worldwide within a year. Soon thereafter, some politicians and authors publicly advocated for quarantine of travelers returning from regions where mosquitoes carrying Zika virus are prevalent. The public health tool of quarantine can be used to prevent the spread of infection by restricting the movement of persons who have been exposed to a deadly disease that can be transmitted from person to person before symptom onset. With 80% of Zika virus infections being asymptomatic, no rapid test being available to detect the virus, and primary transmission being via the bites of certain mosquitoes, application of quarantine in this setting is not scientifically sound or practically feasible. Rather, public health interventions should focus on preventing bites from infected mosquitoes, counseling pregnant women on the risks of fetal microcephaly and other birth defects, and identifying patients with signs and symptoms of Guillain-Barré syndrome. As was seen in the Ebola virus disease outbreak of 2014, non-evidence-based factors can influence policy decisions. Public health experts must ensure that policy makers are informed that quarantine is not a scientifically sound approach for the control of Zika virus. (Disaster Med Public Health Preparedness. 2016;0:1–3)

scholarly journals Pemerintah Indonesia Menghadapi Bencana Nasional Covid -19 Yang Mengancam Ketahanan Nasional

2020 ◽  
Vol 26 (2) ◽  
pp. 132
Author(s):  
Eko G Samudro ◽  
M. Adnan Madjid
Keyword(s):  
World Health Organization ◽  
Negative Impact ◽  
Task Force ◽  
Virus Disease ◽  
Rapid Test ◽  
World Health ◽  
Social Distancing ◽  
Corona Virus ◽  
Presidential Decree ◽  
Health Organization

ABSTRACT The outbreak of Corona. Virus Disease 2019. (Covid-19) had had a wide-ranging impact on the conditions of security and public order in Indonesia and national resilience. This had also been responded by the World Health Organization (WHO) by establishing the status of a global pandemic in Covid-19 given the negative impact that striked many countries in the world.With qualitative research methods, information was obtained from relevant informants that, with existing policies, the Indonesian government had carried out various efforts in the framework of the detection, prevention .and control of this Covid-19. Some of them were with the Presidential Decree No. 9 of 2020 concerning Amendment to Presidential Decree No. 7 of 2020 concerning the Task Force for the Acceleration of Handling Covid-19, Government Regulation of the Republic of Indonesia No. 21 of 2020 concerning Large-Scale Social Restrictions (PSBB) in the framework of Accelerating Handling of Covid-19 and Presidential Decree No. 12 of 2020 concerning Determination of Non-natural Disasters of the spread of Covid-19 as a National Disaster.From the group policy analysis model, it was found that in the unstable condition of the community in the midst of this pandemic, the PSBB policy was supported by the existence of the Task Force as an appropriate step in the handling of Covid-19 in Indonesia compared to the lockdown option which could have a domino effect on the condition of the nation . In addition, this paper also simulated government policy options by implementing a policy pattern for implementing rapid tests, quarantine and hospital operations for handling Covid-19 (Option C) and physical distancing / social distancing policies with patterns of working from home (Option D) that could provide the result of a decrease in the number of Covid-19 cases in Indonesia. ABSTRAK Tersebarnya Corona Virus Disease 2019 (Covid-19) telah memberikan pengaruh pada kondisi keamanan dan ketertiban masyarakat di Indonesia dan ketahanan nasional. Hal ini sudah ditanggapi oleh World Health Organization (WHO) dengan menetapkan status pandemi global pada Covid-19 mengingat dampak negatif yang menyerang banyak negara di dunia.Metode penelitian kualitatif digunakan guna mendapatkan informasi dari narasumber terkait bahwa, dengan kebijakan yang ada, pemerintah Indonesia telah menjalankan berbagai upaya dalam rangka deteksi, pencegahan dan penanggulangan Covid-19 ini. Beberapa di antaranya adalah adanya Keppres No. 9 tahun 2020 tentang Perubahan atas Keppres No. 7 Tahun 2020 tentang Gugus Tugas Percepatan Penanganan Covid-19, Peraturan Pemerintah Republik Indonesia No. 21 tahun 2020 tentang Pembatasan Sosial Bersakala Besar (PSBB) dalam rangka Percepatan Penanganan Covid-19 dan Keppres No. 12 tahun 2020 tentang Penetapan Bencana Non-alam penyebaran Covid-19 sebagai Bencana Nasional.Model analisis kebijakan kelompok menemukan bahwa dalam kondisi masyarakat yang tidak stabil di tengah pandemi ini, kebijakan PSBB didukung dengan adanya Gugus Tugas tersebut merupakan langkah yang tepat dalam rangka penanganan Covid-19 di Indonesia dibandingkan opsi lockdown yang bisa memberikan efek domino pada kondisi bangsa. Selain itu, tulisan ini juga mensimulasikan opsi kebijakan pemerintah dengan menerapkan pola kebijakan pelaksanaan rapid test, karantina maupun operasional RS untuk penanganan Covid-19 (Opsi C) dan kebijakan physical distancing / social distancing dengan pola bekerja dari rumah (Opsi D) yang dapat memberikan hasil penurunan jumlah kasus Covid-19 di Indonesia.

scholarly journals Venous and arterial cerebral thrombosis: a COVID-19 dual pathology and single possible etiology—a case report

2022 ◽  
Vol 58 (1) ◽  
Author(s):  
Tamer Roushdy ◽  
Nouran K. Sharaf
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Virus Disease ◽  
Recovery Phase ◽  
Border Zone ◽  
World Health ◽  
Dural Sinus ◽  
Generalized Seizures ◽  
Health Organization

Abstract Background Corona virus disease of the year 2019 (COVID-19) is still devastating the world for more than 19 months since its declaration as a pandemic by world health organization. Its manifestations does not stand at respiratory system but involves other body systems including central nervous system and its vasculature. In the following case report, cerebral venous and arterial thrombosis is detected in a case just in convalescence from COVID-19 with still detected positive IgM. Case presentation A 68-year-old female presenting with disturbed conscious level, bilateral convergent squint, single attack of generalized seizures, left sided dense weakness within a short time from catching COVID-19 and while still in quarantine hospital in recovery phase from infection. Magnetic resonance studies revealed bilateral cortical border zone infarcts as well as left lateral dural sinus and deep venous thrombosis. Conclusion Along the forth wave, COVID-19 is still hitting hardly the central nervous system vasculature.

COVID 19: REALS AND CHALLENGES AGAINST DOCTORS

2020 ◽  
Vol 2 (1) ◽  
pp. 65-87
Author(s):  
Zen Ahmad
Keyword(s):  
Virus Disease ◽  
Clinical Manifestations ◽  
World Health ◽  
Unknown Etiology ◽  
Wuhan City ◽  
Traditional Markets ◽  
Pneumonia Case ◽  
The World ◽  
New Type ◽  
Health Organization

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

Nonkeratinizing Nasopharyngeal Carcinoma, Undifferentiated Type With Trisomy 2: A Case Report and Short Review of Cytogenetic and Molecular Literature

2020 ◽  
Vol 23 (6) ◽  
pp. 448-452
Author(s):  
Francesco Pontoriero ◽  
Ayaka M Silverman ◽  
Judy M Pascasio ◽  
Renu Bajaj
Keyword(s):  
Case Report ◽  
Nasopharyngeal Carcinoma ◽  
Xenograft Model ◽  
Short Review ◽  
Undifferentiated Carcinoma ◽  
World Health ◽  
Surface Epithelium ◽  
Barr Virus ◽  
Cytogenetic Aberration ◽  
Health Organization

Carcinoma originating from the surface epithelium of the nasopharynx is classified by the World Health Organization (WHO) as nasopharyngeal carcinoma (NPC) and has 3 main types: keratinizing squamous cell carcinoma (WHO type 1) and nonkeratinizing carcinoma, differentiated (WHO type II), and undifferentiated (WHO type III). Nonkeratinizing NPC is strongly associated with prior Epstein–Barr virus (EBV) infection. These tumors may be divided into differentiated and undifferentiated carcinoma. Histologically, the tumor is characterized by syncytia of large malignant cells with vesicular nuclei, conspicuous nucleoli, and easily observed mitotic figures. We report a case of a 14-year-old boy diagnosed with EBV and human papillomavirus (HPV)-positive NPC (WHO type 3) with cytogenetics showing the presence of mosaic trisomy 2. This case report brings to light a rare cytogenetic aberration to our knowledge only reported once before in the literature in a xenograft model.

scholarly journals A Case of Polyneuropathy Following a Single Dose of Diethylcarbamazine and Albendazole During Mass Administration of Drug - A Case Report

1970 ◽  
Vol 1 (1) ◽  
pp. 56-58
Author(s):  
SC Kohli ◽  
UK Shrestha ◽  
VM Alurkar ◽  
A Maskey ◽  
M Parajuli ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Single Dose ◽  
Case Report ◽  
Side Effects ◽  
World Health Organization ◽  
Mass Drug Administration ◽  
World Health ◽  
Medical Sciences ◽  
The World ◽  
Health Organization

The global program to eliminate Lymphatic Filariasis created by The World Health organization in 1997 is based on mass administration of single annual doses of diethylcarbamazine ( DEC) plus albendazole in non African regions and of albendazole plus ivermectin in Africa. The usual side effects of DEC treatment include fever, chills, arthralgia, headaches, nausea, and vomiting. Albendazole is associated with relatively few side effects consisting of occasional nausea, vomiting, abdominal pain, headache, reversible alopecia, elevated aminotransferases and rarely leucopenia and rash. We report a case of polyneuropathy in a young individual following DEC and albendazole during mass drug administration. Keywords: Albendazole; DEC; Polyneuropathy. DOI: http://dx.doi.org/10.3126/njms.v1i1.5800   Nepal Journal of Medical Sciences. 2012; 1(1): 56-58

scholarly journals Well-Differentiated Liposarcoma of The Larynx: A Case Report and Review of Literature

2016 ◽  
Vol 9 (1) ◽  
pp. 85-89
Author(s):  
Svetlana A. Mateva ◽  
Margarita R. Nikolova ◽  
Alexandar V. Valkov ◽  
Margarita R. Nikolova
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Sarcomas ◽  
World Health ◽  
Low Grade ◽  
Review Of Literature ◽  
Grade Malignancy ◽  
Well Differentiated ◽  
Health Organization ◽  
Histologic Types

Summary Liposarcoma is one of the most common soft tissue sarcomas in adults with a relative incidence amongst other sarcomas ranging from 9.8% to 16%. It usually locates in the limbs and retroperitoneum. Primary liposarcomas of the larynx and hypopharynx are rare, comprising less than 20% of all head and neck liposarcomas. According to World Health Organization, these tumors are divided into four histologic types, and well-differentiated liposarcoma is the most common one. It is a tumor of low-grade malignancy that may recur locally, but does not metastasize. We present a case of laryngopharyngeal well- differentiated liposarcoma in an old patient with two previous removals. We also discuss recently published cases with this unusual location of liposarcoma.

EVALUATION OF A COVID-19 PATIENT ACCORDING TO MERLEY MISHEL'S UNCERTAINTY IN DISEASE THEORY: A CASE REPORT

2021 ◽  
Vol 6 (12) ◽  
pp. 46-55
Author(s):  
Derya GERESİNLİ ◽  
Asiye AKYOL
Keyword(s):  
Case Report ◽  
World Health ◽  
Care Process ◽  
Global Epidemic ◽  
Perception Of Threat ◽  
The World ◽  
Sociocultural Differences ◽  
Health Organization ◽  
Illness Outcomes

The COVID-19 epidemic, which the World Health Organization regards as a "pandemic", continues to be perceived as a threat to survive for many people living in different parts of the world. The virus is a global epidemic; It affects everyone's lives negatively regardless of religion, language, race, gender, socioeconomic and sociocultural differences. Facing with a threat that develops suddenly, changes daily habits and can result in death is not a common situation for people, and the perception of threat and uncertainty it creates makes it difficult to cope with the situation. Uncertainty is an important part of the illness experience, and our response to uncertainty can significantly affect our illness outcomes. Mishel's Uncertainty Theory in Illness helps to find meaning in uncertainty again and to develop healthy coping mechanisms. The role of nurses in the management of uncertainty regarding illness; to facilitate the process and to adapt the patient to healthy reactions. In this case report; Within the scope of the Uncertainty in Illness Theory of Mishel, a 39-year-old nurse who was diagnosed with Covid 19 was planned to find a meaning in the disease again by planning the care process. It was stated that the theory can be applied in the acute illness as well as in the chronic illness.

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