scholarly journals COVID-19: APPROACH TO DIAGNOSIS AND TREATMENT STRATEGY IN VIETNAM

2021 ◽  
Vol 506 (1-2) ◽  
Author(s):  
Ngo Van Cong

Introduction: the Coronavirus disease 2019 (COVID-19) pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to spread all over the world. This situation brings medical facilities into an emergency state and the huge need for medical staff in the diagnosis and treatment of infected patients. Therefore, it is necessary to standardize knowledges and therapeutics agents of hospitalized patients or field hospitals. The article was aimed to summarize the clinical progression, risk factors and treatment protocols for COVID-19 patients around the world and practical guidelines in Vietnam. These help new medical staff that update knowledges quickly. Methods: review the latest approaches and guidelines of the Vietnamese Ministry of Health on the diagnosis and treatment of Covid-19 patients. Results: we summarize specific treatment guidelines for Covid-19 patients into treatment protocols according to the level of severity. The regimen is being applied at medical facilities, field hospitals, and Covid-19 treatment hospitals in Vietnam. Conclusion: the strategy of COVID-19 treatment is monitoring and detecting cases with signs of severe progression and limiting mortalities. Management protocols according to the level of severity provides standardized regimens and comprehensive information of COVID-19.

2019 ◽  
Vol 7 ◽  
Author(s):  
Rei Ogawa ◽  
Sadanori Akita ◽  
Satoshi Akaishi ◽  
Noriko Aramaki-Hattori ◽  
Teruyuki Dohi ◽  
...  

Abstract There has been a long-standing need for guidelines on the diagnosis and treatment of keloids and hypertrophic scars that are based on an understanding of the pathomechanisms that underlie these skin fibrotic diseases. This is particularly true for clinicians who deal with Asian and African patients because these ethnicities are highly prone to these diseases. By contrast, Caucasians are less likely to develop keloids and hypertrophic scars, and if they do, the scars tend not to be severe. This ethnic disparity also means that countries vary in terms of their differential diagnostic algorithms. The lack of clear treatment guidelines also means that primary care physicians are currently applying a hotchpotch of treatments, with uneven outcomes. To overcome these issues, the Japan Scar Workshop (JSW) has created a tool that allows clinicians to objectively diagnose and distinguish between keloids, hypertrophic scars, and mature scars. This tool is called the JSW Scar Scale (JSS) and it involves scoring the risk factors of the individual patients and the affected areas. The tool is simple and easy to use. As a result, even physicians who are not accustomed to keloids and hypertrophic scars can easily diagnose them and judge their severity. The JSW has also established a committee that, in cooperation with outside experts in various fields, has prepared a Consensus Document on keloid and hypertrophic scar treatment guidelines. These guidelines are simple and will allow even inexperienced clinicians to choose the most appropriate treatment strategy. The Consensus Document is provided in this article. It describes (1) the diagnostic algorithm for pathological scars and how to differentiate them from clinically similar benign and malignant tumors, (2) the general treatment algorithms for keloids and hypertrophic scars at different medical facilities, (3) the rationale behind each treatment for keloids and hypertrophic scars, and (4) the body site-specific treatment protocols for these scars. We believe that this Consensus Document will be helpful for physicians from all over the world who treat keloids and hypertrophic scars.


2021 ◽  
Vol 11 (1) ◽  
pp. 419
Author(s):  
Milena Djukanović ◽  
Ardijan Mavrić ◽  
Jovana Jovanović ◽  
Milovan Roganović ◽  
Velibor Bošković

Shortly after the outbreak of the COVID-19 pandemic, there was a need to provide protective equipment to the medical facilities whose supplies were threatened to be depleted. Just like many countries in Europe, Montenegro responded to the need for medical equipment by using the advantages of 3D printers while establishing a state network of production hubs, ensuring closed connectivity, communication, and the mutual fulfilment of personal protective equipment (PPE) demands whenever and wherever required. With the second wave of the pandemic, Montenegro rose to second place in the world with the number of coronavirus cases, which also led to an increasing number of infected medical staff. Since fever is a frequent symptom of SA+RS-CoV2 infection, a type of innovative 3D-printed thermo-sensored medical gear has been designed and tested in hospital conditions. This medical gear shaped like a bracelet, which changes color in the presence of high human body temperatures, proves to be efficient and easy to use for medical staff as well as patients.


Author(s):  
Indra S ◽  
Vijayasankari A ◽  
Kalpana S

New respiratory infections are rising every year. An outbreak occurred due to novel coronavirus and it’s been recognized as a pandemic by the World Health Organization (WHO) on March 11. Across the nations, most of the countries affected by a coronavirus and facing huge challenges to manage the situation. Since there is no definite treatment available, complete lockdown is followed by every country to reduce this deadly virus spread. It affects all the age groups, but most of them are old age persons. Persons with chronic disorders, respiratory problems, hemodialysis, cancer, and other diseases like diabetes, obesity are at high risk to get affected by coronavirus easily. So, the health care workers facing a huge challenge to treat the patients affected by COVID 19 with comorbidities. Knowledge of treatment protocols and personal hygiene is mandatory to all the front line workers. Quarantine, social distancing, and personal hygiene were the preventive measures taken all over the world. Only preventive measures and symptomatic management are available. Vaccine trials are in the process in various countries all over the world. India is launching plasma therapy as an effective method of treatment. The country's leading medical research organization, the Indian Council of Medical Research (ICMR), is drawing up a protocol to start this process. Based on the severity of the disease, different treatment guidelines are followed for the management. Hence this review was written to show what are all the management strategies followed to manage the COVID19 cases.


2020 ◽  
Vol 2 (CSI) ◽  
pp. 38-41
Author(s):  
Rafid Jabbar

During ENT practice, we have to examine the nose and perform several nasal procedures in our clinics. Otolaryngologists are at a high risk of exposure to the COVID-19 virus. Nasal endoscopy is a major procedure for the diagnosis of the nasal and paranasal sinus diseases and introducing proper health services for our patients. In addition, the world is living the era of the COVID-19 pandemic, for which we have to protect ourselves, educate our medical staff, and work together against the spread of this severely contagious disease within our communities. The main purpose of this study is to review the protocol of nasal endoscopy in the ENT clinic and enhance the safest way to deal with patients during this pandemic.(1)


Author(s):  
Tatiani De Azevedo Lobo ◽  
Marli M. Moraes Da Costa

Resumo: O presente ensaio busca apresentar e fomentar algumas questões pertinentes ao debate contemporâneo sobre a pobreza, demonstrando a importância do tema no cenário mundial. Para tanto, inicialmente discorre-se sobre a construção histórico-social da pobreza e suas características contemporâneas. Com efeito, aponta-se a limitação dos fatores tradicionalmente apresentados como causadores da pobreza, como cultura, genética, geografia etc. Além disso, apresentam-se as formas atuais de monitorar o fenômeno, como o coeficiente de Gini e o IDH. Posteriormente, aborda-se a distribuição mundial da pobreza. Nesse ponto, colaciona-se que a pobreza é um problema mundial. No entanto, é perceptível que o Sul ainda concentra maior número de indivíduos pobres do que o Norte. Na esteira dos últimos dados da pesquisa realizada pelas Nações Unidas, houve uma nítida ascensão do Sul, especialmente nos indicadores sociais ligados à educação. A seguir, trata-se do capital social e da Teoria das Capacidades, apresentando-se novas abordagens da pobreza. Assim, o capital social trata de uma ideia utilizada para verificar a rede de relacionamento dos indivíduos. Já a Teoria das Capacidades está ligada com a ideia de oportunidade da liberdade. Por fim, estuda-se as políticas públicas, bem como seu aspecto fragmentário. Conclui-se, assim, sobre a necessidade de implementação de políticas públicas elaboradas sob a égide de novos paradigmas, a fim de possibilitar o tratamento específico do fenômeno da pobreza, conforme as peculiaridades de cada local. Para tanto foi utilizado neste trabalho o método de abordagem hipotético-dedutivo, o método de procedimento monográfico e a técnica de pesquisa, operacionalizados por meio do emprego de vasta pesquisa bibliográfica. Abstract: This essay seeks to provide and foster some relevant to the contemporary debate on poverty issues, demonstrating the importance of the issue on the world stage. For this purpose, initially spoke about the historical and social construction of poverty and its contemporary features. Indeed, he pointed out the limitation of the factors traditionally presented as the cause of poverty, as a culture, genetics, geography, etc. Furthermore, we presented the current ways of monitoring the phenomenon, such as the Gini coefficient and the HDI. Subsequently addressed the global distribution of poverty. At this point, if collated that poverty is a worldwide problem. However, it is apparent that the South still more concentrated than the poor North individuals. In the wake of recent data from research conducted by the United Nations, there was a sharp rise in the South, especially in social indicators related to education. Next, we treated the capital and the Theory of Capabilities, presenting new approaches to poverty. Thus, social capital is an idea used to verify the relationship network of individuals. Already Capabilities Theory is linked with the idea of freedom of opportunity. Finally, we studied public policy, as well as its fragmentary appearance. Thus, it is concluded on the need to implement public policies prepared under the aegis of new paradigms to enable specific treatment of the phenomenon of poverty, according to the peculiarities of each site. For that was used in this work the method of hypothetical-deductive approach, the method of procedure and the monographic research technique, operationalized through the use of extensive academic research.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Marta Blanco ◽  
Pablo Suárez-Sanchez ◽  
Belén García ◽  
Jesús Nzang ◽  
Policarpo Ncogo ◽  
...  

Abstract Background In 2018, an estimated 228 million cases of malaria occurred worldwide. Countries are far from having achieved reasonable levels of national protocol compliance among health workers. Lack of awareness of treatment protocols and treatment resistance by prescribers threatens to undermine progress when it comes to reducing the prevalence of this disease. This study sought to evaluate the degree of knowledge and practices regarding malaria diagnosis and treatment amongst prescribers working at the public health facilities of Bata, Equatorial Guinea. Methods A cross-sectional survey was conducted in October-December 2017 amongst all public health professionals who attended patients under the age of 15 years, with suspected malaria in the Bata District of Equatorial Guinea. Practitioners were asked about their practices and knowledge of malaria and the National Malaria Treatment Guidelines. A bivariate analysis and a logistic regression model were used to determine factors associated with their knowledge. Results Among the 44 practitioners interviewed, 59.1% worked at a Health Centre and 40.9% at the District Hospital of Bata. Important differences in knowledge and practices between hospital and health centre workers were found. Clinical diagnosis was more frequently by practitioners at the health centres (p = 0.059), while microscopy confirmation was more frequent at regional hospital (100%). Intramuscular artemether was the anti-malarial most administrated at the health centres (50.0%), while artemether-lumefantrine was the treatment most used at the regional hospital (66.7%). Most practitioners working at public health facilities (63.6%) have a low level of knowledge regarding the National Malaria Treatment Guidelines. While knowledge regarding malaria, the National Malaria Treatment Guidelines and treatment resistances is low, it was higher amongst hospital workers than amongst practitioners at health centres. Conclusions It is essential to reinforce practitioners’ knowledge, treatment and diagnosis practices and use of the National Malaria Treatment Guidelines in order to improve malaria case management and disease control in the region. A specific malaria training programme ensuring ongoing updates training is necessary in order to ensure that greater experience does not entail obsolete knowledge and, consequently, inadequate diagnosis and treatment practices.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Marco Lehmann ◽  
Nadine Janis Pohontsch ◽  
Thomas Zimmermann ◽  
Martin Scherer ◽  
Bernd Löwe

Abstract Background Many patients consult their primary care physician with persistent somatic symptoms such as pain or sickness. Quite often these consultations and further diagnostic measures yield no medical explanation for the symptoms – patients and physicians are left in uncertainty. In fact, diagnostic and treatment barriers in primary care hinder timely health-care provision for patients suffering from persistent somatic symptoms (PSS). The significance of individual barriers is still unknown. We compare and quantify these barriers from the perspective of primary care physicians and identify subpopulations of primary care physicians who experience particular barriers as most severe. Methods We mailed a questionnaire to primary care physicians (PCP) in Germany and asked them which barriers they consider most important. We invited a random sample of 12,004 primary care physicians in eight federal states in Germany. Physicians provided anonymous mailed or online responses. We also mailed a postcard to announce the survey and a mail reminder. Main measures were Likert rating scales of items relating to barriers in the diagnosis and treatment of PSS in primary care. Information on demography and medical practice were also collected. Results We analyzed 1719 data sets from 1829 respondents. PCPs showed strongest agreement with statements regarding (1.) their lack of knowledge about treatment guidelines, (2.) their perceptions that patients with PSS would expect symptom relief, (3.) their concern to overlook physical disease in these patients, and (4.) their usage of psychotropic drugs with these patients. More experienced PCPs were better able to cope with the possibility of overlooking physical disease than those less experienced. Conclusions The PCPs in our survey answered that the obligation to rule out severe physical disease and the demand to relieve patients from symptoms belong to the most severe barriers for adequate treatment and diagnosis. Moreover, many physicians admitted to not knowing the appropriate treatment guidelines for these patients. Based on our results, raising awareness of guidelines and improving knowledge about the management of persistent somatic symptoms appear to be promising approaches for overcoming the barriers to diagnosis and treatment of persistent somatic symptoms in primary care. Trial registration German Clinical Trials Register (Deutschen Register Klinischer Studien, DRKS) https://www.drks.de/drks_web/setLocale_EN.do The date the study was registered: October 2nd 2017 The date the first participant was enrolled: February 9th 2018 DRKS-ID: DRKS00012942


BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e023401 ◽  
Author(s):  
Fernanda G Duarte ◽  
Sandra da Silva Moreira ◽  
Maria da Conceição C Almeida ◽  
Carlos A de Souza Teles ◽  
Carine S Andrade ◽  
...  

ObjectiveExamine whether glycaemic control varies according to sex and whether the latter plays a role in modifying factors associated with inadequate glycaemic control in patients with type 2 diabetes (T2D) in Brazil and Venezuela.Design, setting and participantsThis was a cross-sectional, nationwide survey conducted in Brazil and Venezuela from February 2006 to June 2007 to obtain information about glycaemic control and its determinants in patients with diabetes mellitus attending outpatient clinics.Main outcome measuresHaemoglobin A1c (HbA1c) level was measured by liquid chromatography, and patients with HbA1c ≥7.0% (53 mmol/mol) were considered to have inadequate glycaemic control. The association of selected variables with glycaemic control was analysed by multivariate linear regression, using HbA1c as the dependent variable.ResultsA total of 9418 patients with T2D were enrolled in Brazil (n=5692) and in Venezuela (n=3726). They included 6214 (66%) women and 3204 (34%) men. On average, HbA1c levels in women were 0.13 (95% CI 0.03 to 0.24; p=0.015) higher than in men, after adjusting for age, marital status, education, race, country, body mass index, duration of disease, complications, type of healthcare, adherence to diet, adherence to treatment and previous measurement of HbA1c. Sex modified the effect of some factors associated with glycaemic control in patients with T2D in our study, but had no noteworthy effect in others.ConclusionsWomen with T2D had worse glycaemic control than men. Possible causes for poorer glycaemic control in women compared with men include differences in glucose homeostasis, treatment response and psychological factors. In addition, sex modified factors associated with glycaemic control, suggesting the need to develop specific treatment guidelines for men and women.


2020 ◽  
Vol 48 (7) ◽  
pp. 648-655
Author(s):  
Yu Han ◽  
Mengnan Li ◽  
Huijing Ma ◽  
Hailan Yang

AbstractCervical insufficiency (CI) is a mainly disease leading to recurrent abortions and preterm birth which may present in about 1% of obstetric populations. Recurrent pregnancy losses caused by CI incur serious economic burdens on society as well as huge psychological burdens to family members. However, many patients even clinicians in some areas of the world still remain confused about this disease. At the same time, the etiology of CI is still uncertain and it is still a controversial disease in diagnosis and treatment. This article summarizes the potential risk factors associated with CI, which could be worthy of attention and helpful for future research. It also reviews the methods for diagnosis and treatment of CI to better understand this noteworthy disease, as well as presents the related consensus and controversies according to the newly updated guidelines, which has practical significance for conducting more in-depth investigations in the future.


2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Maria Soraya Pereira Franco Adriano ◽  
Betânia Maria Pereira Santos ◽  
Carmem Gabriela Gomes de Figueiredo Figueiredo ◽  
Ana Carolina Bernardes Dulgheroff ◽  
Ronaldo Rodrigues Sarmento ◽  
...  

Objetivo: Analisar a produção científica acerca da atual pandemia do novo coronavírus, destacando aspectos referentes às características do vírus, bem como a epidemiologia, o diagnóstico e tratamento da COVID-19 no intuito de fornecer informações aos profissionais de saúde e à comunidade científica. Método: Revisão narrativa, com busca nas bases de dados Scielo, Medline, Lilacs e Pubmed, referente ao período de fevereiro a maio de 2020, utilizando os descritores: “infecções por coronavírus” or “coronavirus infections”, “COVID-19”, “betacoronavirus”, “Síndrome Respiratória Aguda Grave”, “SARS-Cov-2”, “diagnóstico”, “diagnosis”. Resultados: Foram evidenciadas três categorias temáticas: aspectos referentes ao vírus; a epidemiologia e a clínica da doença; e aspectos do diagnóstico e tratamento. Conclusão: O Coronavírus sofreu mutações desde o início da pandemia, mas não se sabe se estas mutações afetaram seu poder de infecciosidade. Em diferentes partes do mundo a epidemiologia da COVID-19 foi diferente. Com relação ao tratamento, a droga que tem se mostrado mais promissora até o momento é o remdesivir. Sem uma vacina eficaz, a maior arma que dispomos é o isolamento social.Descritores: Infecções por Coronavírus; COVID-19; Síndrome Respiratória Aguda Grave. SEVERE ACUTE RESPIRATORY SYNDROME AND COVID-19 (SARS-COV-2): A NARRATIVE REVIEWObjective: To analyze a scientific production on the current pandemic of new coronaviruses, highlighting aspects related to virus resources, as well as the epidemiology, diagnosis and treatment of COVID-19 in order to provide information to health professionals and the scientific community. Method: Narrative review, searching the Scielo, Medline, Lilacs and Pubmed databases, for the period from February to May 2020, using the keywords: "coronavirus infections" or "coronavirus infections", "COVID-19", "Betacoronavirus", "Severe Acute Respiratory Syndrome", "SARS-Cov-2", "diagnosis", "diagnosis". Results: Three thematic categories were highlighted: aspects related to the virus; an epidemiology and disease clinic; and aspects of diagnosis and treatment. Conclusion: The Coronavirus has mutated since the beginning of the pandemic, but it is not known whether these mutations have affected its infectiousness. In different parts of the world the epidemiology of COVID-19 was different. Regarding treatment, a drug that has been shown to be more promising until recovery is needed. Without an effective vaccine, the biggest weapon that affects social isolation.Descriptors: Coronavirus Infections; COVID-19; Severe Acute Respiratory Syndrome. SÍNDROME RESPIRATORIO AGUDO GRAVE Y COVID-19 (SARS-COV-2): UNA REVISIÓN NARRATIVAObjetivo: analizar una producción científica sobre la pandemia actual de nuevos coronavirus, destacando aspectos relacionados con los recursos del virus, así como la epidemiología, diagnóstico y tratamiento de COVID-19 para proporcionar información a los profesionales de la salud y la comunidad científica. Método: Revisión narrativa, buscando en las bases de datos Scielo, Medline, Lilacs y Pubmed, para el período de febrero a mayo de 2020, utilizando los descriptores: "infecciones por coronavirus" o "infecciones por coronavirus", "COVID-19", "Betacoronavirus", "Síndrome respiratorio agudo severo", "SARS-Cov-2", "diagnóstico", "diagnóstico". Resultados: se destacaron tres categorías temáticas: aspectos relacionados con el virus; una clínica de epidemiología y enfermedad; y aspectos de diagnóstico y tratamiento. Conclusión: el coronavirus ha mutado desde el comienzo de la pandemia, pero no se sabe si estas mutaciones han afectado su infecciosidad. En diferentes partes del mundo, la epidemiología de COVID-19 fue diferente. Con respecto al tratamiento, un medicamento que ha demostrado ser más prometedor hasta que se necesita recuperación. Sin una vacuna efectiva, el arma más grande que afecta el aislamiento social.Descriptores: Infecciones por Coronavirus; COVID-19; Síndrome Respiratorio Agudo Severo.


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