scholarly journals Clinical Characteristics of Patients with Coronavirus Disease 2019 (COVID-19) in a Teaching Hospital in Malaysia

2021 ◽  
Vol 15 (08) ◽  
pp. 1059-1065
Author(s):  
Norfazilah Ahmad ◽  
Norzehan Fatimah Mohd Ali ◽  
Azmawati Mohammed Nawi ◽  
Mohd Rohaizat Hassan ◽  
Azimatun Noor Aizuddin ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Clinical Characteristics ◽  
Epidemiological Data ◽  
Contact Tracing ◽  
Radiological Investigation ◽  
Laboratory Findings ◽  
Normal Ranges ◽  
Asymptomatic Patients ◽  
Overseas Travel ◽  
Sporadic Cases

Introduction: Information on the clinical characteristics of local patients with confirmed COVID-19 is limited. This study aims to report the clinical characteristics of 147 patients admitted and receiving treatment at a teaching hospital. Methodology: Patients’ socio-demographic and epidemiological data, clinical features, laboratory findings and clinical outcomes were extracted using a data sheet. Results: The median patient age was 25 [interquartile range (IQR)] 20–44) years, and most of patients were male (68.7%) and of Malaysian nationality (88.4%). Almost half of the patients were from a case cluster related to a religious event (48.3%) and 12.9% had a history of overseas travel. A total of 33.3% of patients were not related to any case cluster, i.e. sporadic cases. Radiological investigation showed that 13.6% of the patients had chest X-ray changes and all laboratory parameters were within the normal ranges. Sixty-six patients (44.9%) experienced symptoms. The most common symptoms were rhinitis (66.7%), followed by fever (19.7%) and cough (15.2%). Age, gender, case cluster, comorbidity status, haemoglobin, albumin, total protein, bilirubin total and alkaline phosphatase level were associated with symptomatic status. Conclusions: In this single-centre study, COVID-19 infection led not only to case clusters, but also to sporadic infections, with patients being either symptomatic or asymptomatic. These sporadic cases and asymptomatic patients may hamper effective contact tracing, leading to rapid human-to-human transmission in our population. Future studies on the prevalence and clinical significance of asymptomatic and presymptomatic COVID-19 patients would pre-emptively address issues on further containment of the pandemic.

“EPIDEMIOLOGICAL AND CLINICAL CHARACTERIZATION OF COVID19 PATIENTS: A RETROSPECTIVE OBSERVATIONAL STUDY OF 245 CASES IN A GOVERNMENT TEACHING INSTITUTE OF NORTH INDIA.”

2021 ◽  
pp. 50-53
Author(s):  
Divya Jain ◽  
Umesh Shukla ◽  
Jyotsna Madan ◽  
Bhanu K Bhakri ◽  
Devendra Kumar Gupta ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
North India ◽  
Contact Tracing ◽  
Mild Disease ◽  
Source Of Infection ◽  
Asymptomatic Patients ◽  
Care Workers ◽  
Study Population ◽  
The Mean ◽  
Novel Coronavirus

Background and objectives: Worldwide literature on presentation of patients infected with novel coronavirus shows huge variability in terms of severity and outcome depending on the demographic characteristics of the affected population. We aim to present epidemiological and clinical characteristics of COVID-19 patients admitted at our facility. Methods: Retrospective analysis of epidemiological, and clinical characteristics of patients admitted at a dedicated COVID hospital in North India. Results: Records of 245 patients were analyzed. The mean (SD) age was 32 (17.87) years ranging from 1 day to 81 years. Children <18 years of age constituted around 18% of the study population of which only about a fourth (23%) were symptomatic. About 52.4% of patients were males. Almost 40% cases were detected through contact tracing of known infected patients and in about 56% cases the source of infection was indeterminate. About 67% were asymptomatic and most of the symptomatic patients had mild disease. Among the symptomatic patients cough (19.9%) and fever (17.1%) were most common symptoms followed by throat irritation. Comorbidities were present in 32 (13.06%) patients, of which hypertension in 6.12% was the most common. There were 22 (8.97%) health care workers (HCW) among the patients. Majority of the affected HCW were working in areas with relatively low infection risk. Six (2.44%) patients required oxygen supplementation. The mean duration of stay in hospital was 9.6 ±.57 days. Interpretations & Conclusions: Our observations indicate a relatively younger age of affected population and high proportion of asymptomatic patients. Children are usually asymptomatic with relatively better prognosis.

The Socio-Demographic and Clinical Profile of Individuals with Autism Spectrum Disorder in a Tertiary Care Teaching Hospital in South India

2019 ◽  
Vol 2 (02) ◽  
pp. 35-43
Author(s):  
Nithya H. M. ◽  
Kannan P. P. ◽  
Sudhakar S. ◽  
Srinivasan R.
Keyword(s):  
Autism Spectrum Disorder ◽  
Intellectual Disability ◽  
Teaching Hospital ◽  
Clinical Characteristics ◽  
Developmental Disorder ◽  
South India ◽  
Tertiary Care ◽  
Epidemiological Data ◽  
Autism Spectrum ◽  
Spectrum Disorder

BACKGROUND Autism spectrum disorder (ASD) is an neuro-developmental disorder. There is a paucity of epidemiological data on ASD in India. This study is an attempt to understand the socio demographic and clinical characteristics of the individuals with ASD. METHODS The case records were perused to extract the datas. RESULTS The study revealed that two third of individuals with ASD also have Intellectual Disability, more than half the mothers of individuals with ASD did not breastfeed beyond 12 months, about one third of individuals with ASD have not availed any kind of services. It takes arounds 6 years of age for the parents/ individuals with ASD to seek treatment help. CONCLUSION Understanding the profile is essential for better treatment planning.

scholarly journals The Socio-Demographic and Clinical Profile of Individuals with Autism Spectrum Disorder in a Tertiary Care Teaching Hospital in South India

2019 ◽  
Vol 2 (02) ◽  
pp. 35-43
Author(s):  
Nithya H. M. ◽  
Kannan P. P. ◽  
Sudhakar S. ◽  
Srinivasan R.
Keyword(s):  
Autism Spectrum Disorder ◽  
Intellectual Disability ◽  
Teaching Hospital ◽  
Clinical Characteristics ◽  
Developmental Disorder ◽  
South India ◽  
Tertiary Care ◽  
Epidemiological Data ◽  
Autism Spectrum ◽  
Spectrum Disorder

BACKGROUND Autism spectrum disorder (ASD) is an neuro-developmental disorder. There is a paucity of epidemiological data on ASD in India. This study is an attempt to understand the socio demographic and clinical characteristics of the individuals with ASD. METHODS The case records were perused to extract the datas. RESULTS The study revealed that two third of individuals with ASD also have Intellectual Disability, more than half the mothers of individuals with ASD did not breastfeed beyond 12 months, about one third of individuals with ASD have not availed any kind of services. It takes arounds 6 years of age for the parents/ individuals with ASD to seek treatment help. CONCLUSION Understanding the profile is essential for better treatment planning.

scholarly journals COVID-19 outbreak in Jordan: Epidemiological features, clinical characteristics, and laboratory findings

2020 ◽  
Vol 57 ◽  
pp. 103-108 ◽  
Author(s):  
Shaher M. Samrah ◽  
Abdel-Hameed W. Al-Mistarehi ◽  
Ali M. Ibnian ◽  
Liqaa A. Raffee ◽  
Suleiman M. Momany ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Laboratory Findings ◽  
Epidemiological Features

scholarly journals Clinical characteristics and laboratory findings of 252 Chinese patients with anti-phospholipid syndrome: comparison with Euro-Phospholipid cohort

2017 ◽  
Vol 36 (3) ◽  
pp. 599-608 ◽  
Author(s):  
Hui Shi ◽  
Jia-lin Teng ◽  
Yue Sun ◽  
Xin-yao Wu ◽  
Qiong-yi Hu ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Chinese Patients ◽  
Laboratory Findings ◽  
Anti Phospholipid Syndrome

A multidistrict audit on the management of Chlam ydia trachomatis in genitourinary medicine clinics in Yorkshire

1997 ◽  
Vol 8 (12) ◽  
pp. 792-795 ◽  
Author(s):  
Eric F Monteiro ◽  
Janet Harris ◽  
Paul Gilliatt
Keyword(s):  
Teaching Hospital ◽  
Contact Tracing ◽  
General Hospitals ◽  
Male And Female ◽  
Female Patients ◽  
Genitourinary Medicine ◽  
Chlamydial Infections

Summary: Nine genitourinary clinics (one teaching hospital and 8 district general hospitals) within the Yorkshire Deanery audited the management of uncomplicated genital chlamydial infections in male and female patients attending between January and December 1995. Standards set included: 100% of chlamydia-positive patients to be treated within 2 weeks of diagnosis; 100% of patients to return for test of cure within one month of treatment; 100% of patients to be referred for contact tracing. Four hundred and thirty-six of a total 1356 cases were audited. Eighty-nine per cent received treatment within 2 weeks; 64% returned for a test of cure within one month; 93% were referred for contact tracing. Changes in practice and a regionwide multidisciplinary audit initiative resulted from the study.

scholarly journals Acute Pulmonary Embolism: Clinical Characteristics and Outcomes in a University Teaching Hospital

2010 ◽  
Vol 68 (3) ◽  
pp. 140 ◽  
Author(s):  
Jin Nyeong Chae ◽  
Won-Il Choi ◽  
Jie Hae Park ◽  
Byung Hak Rho ◽  
Jae Bum Kim
Keyword(s):  
Pulmonary Embolism ◽  
Teaching Hospital ◽  
Clinical Characteristics ◽  
Acute Pulmonary Embolism ◽  
University Teaching

scholarly journals Transmission dynamics of the delta variant of SARS-CoV-2 infections in Daejeon, South Korea

2021 ◽  
Author(s):  
Hari Hwang ◽  
Jun-Sik Lim ◽  
Sun-Ah Song ◽  
Chiara Achangwa ◽  
Woobeom Sim ◽  
...  
Keyword(s):  
South Korea ◽  
Symptom Onset ◽  
Credible Interval ◽  
Transmission Dynamics ◽  
Contact Tracing ◽  
Nasopharyngeal Swab ◽  
Strict Adherence ◽  
Virus Shedding ◽  
Viral Shedding ◽  
Asymptomatic Patients

Abstract Background The delta variant of SARS-CoV-2 is now the predominant variant worldwide. However, its transmission dynamics remain unclear. Methods We analyzed all case patients in local clusters and temporal patterns of viral shedding using contact tracing data from 405 cases associated with the delta variant of SARS-CoV-2 between 22 June and 31 July 2021 in Daejeon, South Korea. Results Overall, half of the cases were aged under 19 years, and 20% were asymptomatic at the time of epidemiological investigation. We estimated the mean serial interval as 3.26 days (95% credible interval 2.92, 3.60), and 12% of the transmission occurred before symptom onset of the infector. We identified six clustered outbreaks, and all were associated with indoor facilities. In 23 household contacts, the secondary attack rate was 63% (52/82). We estimated that 15% (95% confidence interval, 13–18%) of cases seeded 80% of all local transmission. Analysis of the nasopharyngeal swab samples identified virus shedding from asymptomatic patients, and the highest viral load was observed two days after symptom onset. The temporal pattern of viral shedding did not differ between children and adults (P = 0.48). Conclusions Our findings suggest that the delta variant is highly transmissible in indoor settings and households. Rapid contact tracing, isolation of the asymptomatic contacts, and strict adherence to public health measures are needed to mitigate the community transmission of the delta variant.

scholarly journals The Epidemiology of Keloids

2020 ◽  
pp. 29-35
Author(s):  
Chenyu Huang ◽  
Zhaozhao Wu ◽  
Yanan Du ◽  
Rei Ogawa
Keyword(s):  
Clinical Characteristics ◽  
Leading Edge ◽  
Epidemiological Data ◽  
Collagen Type I ◽  
Type I ◽  
Reticular Dermis ◽  
Continuous Growth ◽  
Geographical Regions ◽  
The World ◽  
Demographic Distribution

AbstractKeloids are pathological scars that are characterized histologically by an overwhelming aggregation of fibroblasts and collagen type I within the inflammatory reticular dermis. Their clinical characteristics include continuous growth and invasion into the neighboring healthy skin beyond the original wound boundary via an erythematous and pruritic leading edge. They also show a strong tendency to recur when they are surgically excised in the absence of adjuvant therapies. Despite the fact that keloids are common throughout the world, their epidemiology has not been adequately investigated. In this chapter, we will summarize the limited epidemiological data on keloids that exists to date in terms of: (1) the demographic distribution of keloids, mainly on the geographical regions and ethnic racies; (2) the internal genetic factors that shape keloid rates; and (3) the external environmental factors that influence keloid epidemiology. The aim of the chapter is to facilitate a greater understanding of the complexity and diversity of keloids from an epidemiological perspective, thereby potentiating further and deeper explorations into individualized strategies that prevent and treat keloids.

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