scholarly journals Clinical And Epidemiological Assessment And Causes Of Mortality From COVID-19 Coronavirus Infection (Literature Review)

Author(s):  
Haitov Abdulaziz Haydar O'g'li ◽  

This literature review describes an analysis of the epidemic process associated with COVID-19 and presents possible scenarios. The most common anamnestic findings, symptoms of infection, clinical presentation, and possible complications are described in sufficient detail. The features of the course of COVID-19 in risk groups and algorithms of administrative and medical actions, which should form the basis of medical care for patients with cardiovascular, oncological, rheumatological diseases, pregnant women, etc., are highlighted.

Author(s):  
Л.А. Балыкова ◽  
Л.Ф. Сабиров ◽  
Е.В. Семелева

Возникновение нового варианта вируса и эпидемический потенциал, проявленный возбудителем COVID-19, поставили перед специалистами здравоохранения задачи, связанные с быстрой разработкой диагностики и профилактики новой инфекции, а также тактики оказания медицинской помощи больным. Активное распространение коронавирусной инфекции заставило активно вносить изменения в систему медицинского образования. Целью данной работы был анализ эпидемиологической ситуации по COVID-19 в Республике Мордовия для понимания особенностей развития эпидемического процесса и составления его прогноза, а также рассмотрения перестройки образовательного процесса в условиях пандемии. Проведен ретроспективный анализ эпидемиологической ситуации по заболеваемости COVID-19 в Республике Мордовия, проанализирована эффективность реализации профилактических и противоэпидемических мероприятий, приведены данные по динамике заболеваемости, выздоровлению и летальности пациентов. Изучены элементы перестройки образовательного процесса. Проанализирована эпидемиологическая ситуация в сравнении с некоторыми регионами РФ, изучены данные по проведению вакцинации, по динамике коечного фонда за период пандемии. Вероятность смерти от коронавируса COVID-19 в Республике Мордовия аналогична мировым показателям. Можно предположить, что дистанционное обучение займет одну из лидирующих позиций в высшей школе. Благополучная ситуация в Республике Мордовия с заболеваемостью и летальностью от новой коронавирусной инфекции складывалась благодаря реализации научно обоснованной стратегии опережающего реагирования – на основе постоянной оценки масштабов распространения новой коронавирусной инфекции, анализа тенденций эпидемического процесса, моделирования развития эпидемической ситуации и проводимых превентивных мероприятий. Непосредственное участие преподавателей университета в лечебной работе, использование их опыта и знаний в решении практических задач будут способствовать повышению качества медицинской помощи и развитию системы здравоохранения Республики Мордовия не только в условиях пандемии COVID-19, но и в дальнейшем. The emergence of a new variant of the virus and the epidemic potential manifested by the causative agent of COVID-19 have set health professionals tasks related to the rapid development of diagnostics and prevention of a new infection, as well as tactics for providing medical care to patients. The active spread of coronavirus infection has forced active changes to the system of medical education. The goal is to analyze the epidemiological situation of COVID-19 in the Republic of Mordovia in order to understand the development of the epidemic process and make a forecast, consideration of the restructuring of the educational process in the context of a pandemic. In this article, a retrospective analysis of the epidemiological situation on the incidence of COVID-19 in the Republic of Mordovia is carried out, the effectiveness of the implementation of preventive and anti-epidemic measures is analyzed, data on the dynamics of morbidity, recovery and mortality of patients are presented. The elements of the restructuring of the educational process are studied. The epidemiological situation was analyzed in comparison with some regions of the Russian Federation, data on vaccination, on the dynamics of the bed fund during the pandemic period were studied. The probability of death from the COVID-19 coronavirus in the Republic of Mordovia is similar to the indicators around the world. It can be assumed that distance learning will take one of the leading positions in the process of studying in higher education. A favorable situation in the Republic of Mordovia with morbidity and mortality from a new coronavirus infection was formed positive to the implementation of a scientifically grounded strategy of proactive response – based on a constant assessment of the scale of the spread of a new coronavirus infection, analysis of trends in the epidemic process, modeling the development of the epidemic situation and ongoing preventive measures. The direct participation of university teachers in medical work, the use of their experience and knowledge in solving practical problems will contribute to improving the quality of medical care and the development of the healthcare system of the Republic of Mordovia not only in the conditions of the COVID-19 pandemic, but also in the future.


2021 ◽  
pp. 14-20
Author(s):  
Б.Н. БИЩЕКОВА ◽  
Ж.С. БЕГНИЯЗОВА ◽  
Н.Ж. ДЖАРДЕМАЛИЕВА ◽  
А.М. МУХАМЕДОВА ◽  
Ф.А. АРИФОВА ◽  
...  

Статья посвящена одной из актуальных проблем современного акушерства на сегодняшний день. Проведен анализ публикаций, посвященных особенностям течения новой коронавирусной инфекции во время беременности, родов и послеродового периода. Коронавирусная болезнь - это новое заболевание, характеризующееся быстрым прогрессированием и увеличением числа зараженных и смертей с момента его идентификации в Китае в декабре 2019 года. Данное заболевание вызвано новым, неизвестным ранее коронавирусом SARSCoV-2, который впервые был зафиксирован в Китае, когда появились случаи пневмонии неизвестной этиологии. С тех пор новой инфекции был подвержен весь мир. Среди групп риска на заражение COVID-19 особое место занимают беременные женщины. Известно, что сама по себе беременность, хоть и является физиологическим состоянием, сопровождается изменениями ряда органов и систем, в том числе и иммунной. В силу этого восприимчивость к ряду инфекций во время беременности значительно возрастает. Конечно, могут быть ограничения в связи с коронавирусной инфекцией. Но при правильной организации режима отдыха, физических нагрузок и образа жизни (социальном дистанцировании и соблюдении методов гигиены и защиты) можно преодолеть эти трудности. The article is devoted to one of the urgent problems of modern obstetrics today. The goal is to review the current data on the characteristics of the course of the new coronavirus infection during pregnancy, childbirth and the postpartum period. Coronavirus disease is a new disease characterized by rapid progression and an increase in the number of infections and deaths since its identification in China in December 2019. This disease is caused by a new, previously unknown coronavirus SARSCoV-2, which was first recorded in China, when cases of pneumonia of unknown etiology appeared. Since then, the whole world has been exposed to the new infection. Pregnant women occupy a special place among the risk groups for COVID-19 infection. It is known that pregnancy itself, although it is a physiological state, is accompanied by changes in a number of organs and systems, including the immune system. Because of this, the susceptibility to a number of infections during pregnancy increases significantly. Of course, there may be restrictions due to coronavirus infection. But with the correct organization of the rest regime, physical activity and lifestyle (social distancing and adherence to hygiene and protection methods), these difficulties can be overcome.


2017 ◽  
Vol 8 (1) ◽  
pp. 89-94 ◽  
Author(s):  
Olga V Telesh ◽  
Yuriy V Petrenko ◽  
Dmitry O Ivanov

This article considers the level of infant mortality - one of the most important criterion of “demographic prosperity “in the state. Here is brief historical characterization of demographic processes since the end of 20th century till the present in Russia. Nowadays, the level of infant mortality in Russia much higher than in most European countries. Information about the factors that affect the level of infant mortality and which ones can be controlled will help to understand why infant mortality levels are so different in Russia, European countries and USA for example. First factor is direct causes of infant mortality, the second one is medical care system responsible for pregnant women and children. Today causes of neonatal mortality and ways of eliminating these causes are analyzed. Countries with low level of infant mortality have a successful three-tier model of perinatal care. Russia is also undergoing modernization care system for children and pregnant women and the transition to a three-tier system of assistance. The main objective of the three-tier system is the direction of women in high-risk groups in the establishment of the level that has the capacity to provide them with necessary assistance. Three-tier system in different regions of Russia have different features so we have various coefficients of infant mortality. Some regions have high rates; some ones have similar level to the European countries. Such differences lead to the conclusion that we need to develop regional patterns of medical care which will take into account the specificities of each region.


2021 ◽  
Vol 1 (3) ◽  
pp. 159-170
Author(s):  
Eddy Siswanto ◽  
Junardi Harahap

The aim of this literature review was to find out any topics which had discussed and researched scientifically according to behavior, perception, maternal, pregnancy, and labor, especially in 2015 - 2021. The method of literature review was descriptive quantitative. Literatures were tracked by using Mendeley, then selected and processed by using VOS Viewer. They were also manually processed according to completeness of each literature. Of the 4 main discussion clusters had been found, i.e.  target clusters, mothers, risk groups, and health services, there were determined several main topics and keywords i.e: examination (care), mothers, factors, experiences, childbirth, and antenatal care. Meanwhile, topics those rarely discussed or researched were perceptions and adolescents. The most collected literatures were published in 2019 (29%), followed by 2020 (22%), and 2015 (15%). Most of the research or studies of the collected literatures were conducted descriptively and took research locations in Indonesia and African countries. Of the selected literatures rose basic assumption that the high maternal mortality rate, especially in Indonesia, is closely related to the lack of utilization of health facilitaties, as a result of the improper behavior of pregnant women in maintaining pregnancy and labor. This behavior is based on mindsets and perceptions related to pregnancy and labor, which have been formed since the pregnant women were teenagers. (9 pt).


2020 ◽  
Vol 12 (2) ◽  
pp. 7-30
Author(s):  
V. V. Rassokhin ◽  
A. V. Samarina ◽  
N. A. Belyakov ◽  
T. N. Trofimova ◽  
O. V. Lukina ◽  
...  

The analysis of the epidemic process associated with COVID-19 is carried out, possible scenarios of the development of events are presented. The most common anamnestic data, symptoms of infection, clinical picture and possible complications are described in detail. The features of the COVID-19 course in risk groups and the algorithms of administrative and medical actions that should underlie the provision of medical care to patients with cardiovascular, oncological, rheumatological diseases, pregnant women, etc. The section of diagnostics and examination features is of particular importance, since it includes not only the definition of the causative agent of the disease, but also the main indicators that determine the severity of the clinical picture, prognosis, the nature and extent of medical care. Considerable experience is presented in the clinical practice of computed tomography of the lungs, the method, the primary and early method for identifying not only lung lesions, but also the underlying disease — COVID-19. Information is presented from literary sources based on the experience of overcoming this formidable disease and its consequences by our colleagues, as well as the experience of domestic clinicians and scientists.


Author(s):  
S. A. Eselevich ◽  
V. D. Balunov ◽  
V. A. Kolesnikova

Generalized experience in a large enterprise, in which stood a group of workers requiring additional medical care after periodic health examination.


Author(s):  
Olga Shinkareva

Article is devoted to the analysis of the Order of the Russian Ministry of Health of 19.03.2020 № 198n (an edition of 29.04.2020) “About a temporary order of the organization of work of the medical organizations for implementation of measures for prevention and reduction of risk of spread of a new koronavirusny infection of COVID19” regarding formation of the temporary staff list of the division of the medical organization providing medical care to citizens with a koronavirusny infection of COVID-19 and also the requirement with the staff of this division. The criteria recommended by the Ministry of Health of the Russian Federation for determining the number of rates of medical workers in these divisions, requirements for medical workers of the division have been considered, a practical example of calculation of rates has been given.


2020 ◽  
Vol 02 ◽  
Author(s):  
Masood Ghori ◽  
Nadya O. Al Matrooshi ◽  
Samir Al Jabbari ◽  
Ahmed Bafadel ◽  
Gopal Bhatnagar

: Infective Endocarditis (IE), a known complication of hemodialysis (HD), has recently been categorized as Healthcare-Associated Infective Endocarditis (HAIE). Single pathogen bacteremia is common, polymicrobial endocardial infection is rare in this cohort of the patients. We report a case of endocarditis caused by Enterococcus faecalis (E. faecalis) and Burkholderia cepacia (B. cepacia), a first ever reported combination of a usual and an unusual organism, respectively, in a patient on HD. Clinical presentation of the patient, its complicated course ,medical and surgical management ,along with microbial and echocardiographic findings is presented herein. The authors believe that presentation of this case of HAIE may benefit and contribute positively to cardiac science owing to the rare encounter of this organism as a pathogen in infective endocarditis and the difficulties in treating it.


Coronaviruses ◽  
2020 ◽  
Vol 01 ◽  
Author(s):  
Saima Habeeb ◽  
Manju Chugani

: The novel coronavirus infection (COVID‐19) is a global public health emergency.Since its outbreak in Wuhan, China in December 2019, the infection has spread at an alarming rate across the globe and humans have been locked down to their countries, cities and homes. As of now, the virus has affected over 20million people globally and has inflicted over 7 lac deaths. Nevertheless, the recovery rate is improving with each passing day and over 14 million people have recuperated so far. The statistics indicate that nobody is immune to the disease as the virus continues to spread among all age groups; newborns to the elders, and all compartmentsincluding pregnant women. However, pregnant women may be more susceptible to this infection as they are, in general, highly vulnerable to respiratory infections. There is no evidence for vertical transmission of the COVID-19 virus among pregnant women, but an increased prevalence of preterm deliveries. Besides this, the COVID-19 may alter immune response at the maternal-fetal interface and affect the well-being of mothers as well as infants. Unfortunately, there is limited evidence available in the open literature regarding coronavirus infection during pregnancy and it now appears that certain pregnant women have infected during the present 2019-nCoV pandemic. In this short communication, we study the impact of the COVID-19 infection on vertical transmission and fetal outcome among pregnant women.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1402.1-1402
Author(s):  
R. Pinheiro Torres ◽  
M. H. Fernandes Lourenco ◽  
A. Neto ◽  
F. Pimentel Dos Santos ◽  
I. Silva ◽  
...  

Background:Juvenile idiopathic arthritis (JIA), one of the most common chronic diseases in children, can be classified in seven different categories according to its onset presentation. Concerns about pregnancy outcomes play a secondary role in disease approach. However, recent data showed an increased risk of pre-term birth in women with JIA instead the small patient samples analysed.Objectives:In this review, our aim is to describe the current available knowledge on JIA adverse, maternal and fetal, outcomes.Methods:A systematic literature review was conducted since January of 2000 until December 2020, by searching the PubMed and Embase bibliographic databases. The search was limited to articles in English language, presenting a comparator group (healthy individuals or patients without known auto-immune rheumatic diseases) and at least one clinical outcome of interest. Two independent reviewers screened the titles and abstracts followed by a full-text review to assess papers regarding their eligibility.Results:Ten observational studies out of 1560 references, fulfilled the inclusion criteria, of which, 9 were retrospective and 1 prospective. A total of 6.214 women with JIA (with 6.811 pregnancies) and 18.659.513 healthy controls (with 21.339.194 pregnancies) were included in this review.Concerning maternal outcomes, delivery by caesarian section (CS) was more frequent among JIA women (in 4 out of 6 studies). Pre-eclampsia was referred in 3 out of 6 studies and a higher risk of vaginal bleeding and placenta previa in one additional study. No study found an increased risk for gestational diabetes or hypertension in pregnant women with JIA.Regarding fetal outcomes, 8 studies revealed significantly increased of pre-term birth (only in first births in one study) but one study didn’t show any increased risk. Two studies showed a higher risk of small gestational age (SGA) and in another 2, increased risk for low birth weight (LBW). No evidence of increased risk of major congenital malformations.Conclusion:This systematic review suggests an increased risk for pre-eclampsia, preterm birth, delivery by CS, SGA and LBW, among pregnant women with JIA. Conclusions should be carefully interpreted, giving the heterogeneity of studied populations regarding demography, disease type, disease activity, and prescribed medication.Disclosure of Interests:None declared


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