scholarly journals How Screening plays role in Covid-19 management? Results of a Cross-Sectional Study on Covid-19 patients signs and symptoms

Author(s):  
Mahdieh ARDANEH ◽  
Fatemeh TAVAKOLİ-FAR ◽  
Atefeh PAYANDEH ◽  
Ehsan AMİRİ-ARDEKANİ
2018 ◽  
Vol 71 (1) ◽  
pp. 104-110 ◽  
Author(s):  
Márcia Koja Breigeiron ◽  
Vitória da Costa Moraes ◽  
Janice Carneiro Coelho

ABSTRACT Objective: Identify the signs and symptoms of patients with Gaucher Disease, inferring possible priority nursing diagnoses. Method: Cross-sectional study, developed in a specialized laboratory, between 2013 and 2015. The sample (n = 91) comprised the records of patients with genetic diagnosis for Gaucher Disease. The study respected research norms. Results: Prevalence of female sex (57.1%), age at diagnosis between 0 and 10 years, and origin from the Southeast Region of Brazil were prevalent. Hematologic changes, bone pain, hepatomegaly, splenomegaly, and fatigue were the most recurrent signs and symptoms. The inferred diagnoses for the studied population were: Risk for bleeding; Fatigue; Chronic pain and Acute pain; Impaired physical mobility; Imbalanced nutrition: less than body requirements; and Risk for Developmental Delay. Conclusion: The establishment of Priority Nursing Diagnoses based on signs and symptoms makes it possible to achieve expected outcomes for each individual in the care context.


2020 ◽  
Author(s):  
Marlene Thielecke ◽  
Stefanie Theuring ◽  
Welmoed van Loon ◽  
Franziska Hommes ◽  
Marcus A. Mall ◽  
...  

AbstractObjectivesThe comparatively large proportion of asymptomatic SARS-CoV-2 infections in the youngest children opens up the possibility that kindergartens represent reservoirs of infection. However, actual surveys in kindergartens beyond individual outbreaks are rare. At the beginning of the second pandemic wave in Berlin, Germany, i.e., end of September 2020, we screened SARS-CoV-2 infections among kindergarten children, staff and connected household members.MethodsTwelve kindergartens were randomly selected in the Berlin metropolitan area, and a total of 720 participants were recruited (155 pre-school children, 78 staff, 487 household members). Participants were briefly examined and interviewed, and SARS-CoV-2 infections and anti-SARS-Cov-2 IgG antibodies were assessed.ResultsSigns and symptoms, largely resembling common cold, were present in 24.2% of children and 28.9% of staff. However, no SARS-CoV-2 infection was detected among 701 PCR-tested individuals, and only one childcare worker showed IgG seroreactivity (0.15%; 1/672).ConclusionsAgainst a backdrop of increased pandemic activity in the community, this cross-sectional study does not suggest that kindergartens are silent transmission reservoirs. Nevertheless, at increasing pandemic activity, reinforced precautionary measures and repeated routine testing appears advisable.


Author(s):  
Mehran Hesaraki

Background: This article aimed to assessment clinical signs and symptoms, paraclinical tests and histopathological results in children with acute appendicitis.Methods: A cross-sectional study conducted on 100 children with acute appendicitis in an urban hospital in southeast of Iran from January to December 2016. Participants were selected by simple random sampling method. Clinical signs and symptoms, paraclinical tests and histopathological results recorded in checklists. The data were analyzed using SPSS 22.Results: Mean age of the patients was 10.26±3.25, fourthly-eight of patients (58.5%) were males and 34 patients (41.5%) were females. The most frequent clinical signs and symptoms were acute suppurative appendicitis with peri appendicitis (45.83%) and acute suppurative appendicitis (39.58%). The most frequent results in ultrasound reports were Intestinal loop thickness greater than 6 mm without peristalsis (positive report) (46.34%) and Invisible appendix (nega Hesaraki tive report) (13.41%).Conclusions: The results of this study showed that abdominal pain and RLQ tenderness were the most common signs and symptoms and WBC left-shift was the most common laboratory finding. Since the rate of negative appendectomy in this study was consistent with surgical results and other articles, it is concluded that diagnostic accuracy of preoperative appendectomy was acceptable and most children with acute appendicitis underwent appendectomy.


Author(s):  
Farzin Halabchi ◽  
Reza Mazaheri ◽  
Khashayar Sabeti ◽  
Masoud Yunesian ◽  
Zahra Alizadeh ◽  
...  

Purpose: To compare the severity outcomes of COVID-19 disease between patients with and without regular sports participation. Methods: In a cross-sectional study, the authors investigated all patients who visited the emergency department of Imam Khomeini hospital with signs and symptoms of COVID-19 from February 20 to April 20, 2020. Then the authors assessed all patient outcomes (outpatient vs hospitalization or death). Finally, the authors compared the outcomes between athletes with regular sports participation and others, adjusting for confounding factors of age and sex. Results: Of all 4694 adult patients, 249 individuals (137 males and 112 females with mean [SD] age of 36.45 [9.77] y) had regular participation in different sport disciplines. Overall, 30 (12%) athletes were hospitalized or died (30 and 0, respectively) compared with 957 (21.5%) nonathletes (878 and 79, respectively). Athletes with regular sports participation were 1.49 times less likely to be hospitalized (P = .044). Conclusions: Regular sports participation may positively affect the clinical outcome, regardless of confounding factors of age and sex. The probability of hospitalization in athletes with regular sports participation was 33% lower than nonathletes. However, more longitudinal studies are needed to determine the causal effects.


2016 ◽  
Vol 9 (6) ◽  
pp. 65 ◽  
Author(s):  
Yahya M. Al-Farsi ◽  
Mohammed A. Al Shafaee ◽  
Kauthar S. Al-Lawati ◽  
Marwan M. Al-Sharbati ◽  
Mohammed F. Al-Tamimi ◽  
...  

BACKGROUND: Many developing countries such as Oman are marred with the rising tide of children with autism and the lack of specialized services for these children. Within existing compartmentalized and centralized health care organizations, the general practitioners (GPs) are likely to serve as the first level of contact relevant for diagnosis and referral for remedial services. This study aims to explore the awareness of autism among GPs in Oman on issue pertinent to etiology, signs and symptoms, perceived correlates, as well as the consequence of having autism. Related to this is to examine whether years of medical practice would invariably influence GPs’ awareness. METHODS: This cross-sectional study was conducted among GPs (n=113) working at primary healthcare centers (PHC) during September 2013 to February 2014 in Muscat, the capital of Oman.RESULTS: The GPs appear to have suboptimal awareness of etiological factors relevant for the development of autism, its common signs and symptoms, perceived correlates, as well as the social dimension. Number of years in practice has little bearing on awareness.CONCLUSION: Empirical evidence has unequivocally indicated that although there is no known ‘cure’ for autism, early identification and early intervention tend to better the quality of life for children with autism. This means GPs in Oman should be fitted with adequate awareness of such population.


Author(s):  
Farhang Babamahmoodi ◽  
Fatemeh Ahangarkani ◽  
Fatemeh Bahrami Dounchali ◽  
Atabak Nikbakht

Background: Nematodes of Trichostrongylus genus are mainly parasites of herbivores, although human infections in sporadic form ‎ have been reported worldwide‎. Herein we reported an outbreak of trichostrongyliasis in Qaemshar city in Mazandaran province, north of Iran from May to June 2020.  Methods: The investigation was designed as a retrospective cross-sectional study on an outbreak occurred in Qaemshahr city in the north of Iran. The diagnosis of trichostrongyliasis cases was confirmed by hypereosinophilia and existence of Trichostrongylus ‎ eggs in the stool. Results: Trichostrongyliasis ‎ diagnosed in twelve patients. The age range of patients was ‎10-78 years old. 83.5% of the patients were female and ‎75% of them lived in the rural area.  ‎ The most common ‎‏ ‏signs and symptoms of patients were abdominal pain‎ 91.6%, diarrhea 83.3%, ‎vomiting 41.6%, nausea 50%, anemia ‎‎‎‎8.3% and chill ‎ ‎16.6% respectively. ‎ These patients undertook a course of treatment consisting of antihelminth ‎drug ‎for adult ‎and albendazole for children.‎ Symptoms of trichostrongyliasis ‎ improved completely after therapy‎. Conclusions: Our study indicated that trichostrongyliasis may be a major parasitic aetiology for gastrointestinal symptoms such as abdominal pain among rural residents in endemic areas with outbreak presentations.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Doaa A. Abdelmoety ◽  
Nahid K. El-Bakri ◽  
Wedian O. Almowalld ◽  
Zyad A. Turkistani ◽  
Bassam H. Bugis ◽  
...  

Introduction. Data regarding the characteristics and outcomes of heat illness are lacking in the literature. The present study aimed to identify the clinical characteristics, morbidity, management, and mortality associated with heat illness among Hajj participants. Methods. A cross-sectional study was conducted during the Hajj in 2016 on patients who presented to emergency departments and were diagnosed with heat exhaustion or heatstroke. Data were collected using a structured collection sheet developed based on the literature. Results. A total of 267 patients were recruited. Of these, 80 (29%) and 187 (67.75%) were diagnosed with heatstroke and heat exhaustion, with 6.3% and 0.0% mortality, respectively. The mean age of the patients was 54.0±16 years. Diabetes mellitus was the most common comorbidity among both heatstroke and heat exhaustion patients. The majority of patients had hyperthermia and electrolyte imbalance. Most of the heat illness cases were treated per heat illness guidelines. Conclusions. Although authorities are working on research and forming interdisciplinary teams to prevent health problems during the Hajj, the mortality rate from heatstroke is high and the majority of the patients had hyperthermia, varied signs and symptoms, elevated creatinine levels, and electrolyte imbalances.


Author(s):  
Abdullah Abdulmajid Abdo Ahmed ◽  
Abdulkareem Mohammed Al-Shami ◽  
Shazia Jamshed ◽  
Abdul Rahman Fata Nahas ◽  
Mohamed Izham Mohamed Ibrahim

Background: Cardiovascular disease (CVD) is still the leading cause of mortality worldwide, and Malaysia is not an exception in this regard. The current research is an attempt to explore symptom awareness of and necessary actions in response to heart attack (HA) among lay public. Methods: This is a cross-sectional study design, and a survey was conducted from May to July 2018 among general public in Kuantan, Pahang state, Malaysia. Results: A total of 393 respondents recruited. Slightly more than one-fourth of the respondents (26.35%) were aware of HA symptoms like pain and/or discomfort in the jaw, neck, or back, while 71.65% showed awareness only of chest pain or discomfort as symptoms. Only 35.6% reported to call an ambulance if they experience someone suffering from HA symptoms, while 82% recognized ≥1 symptom, and only 11.5% recognized all five HA symptoms. Very few respondents, i.e., 1.3% reported awareness about correct recognition of all five HA symptoms. Respondents who had diabetes and hypercholesteremia were more likely to recognize all five HA symptoms. For those who had excellent awareness of all five HA symptoms, the odds ratio (OR) were significantly higher among single respondents (OR 0.023; 95% CI 0.001–0.594), Malay (OR 0.376; 95% CI 0.193–0.733), and those who received information associated with HA (OR 7.540; 95% CI 2.037–27.914). However, those who were aware that HA requires quick treatment had significantly low odds ratio (OR 0.176; 95% CI 0.044–0.710). Conclusions: The awareness of and action towards the signs and symptoms of HA among the public were poor.


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