scholarly journals Epidemiology of Coronavirus Disease (COVID-19) in Assiut Province in Egypt

2021 ◽  
pp. 19-25
Author(s):  
Mohamed Z. E. Hafez ◽  
Ahmed Y. Nassar ◽  
Gamal A. Y. Nassar ◽  
Nashwa F. Abdel Hafez ◽  
Heba A. Hamed ◽  
...  
Keyword(s):  
Heart Failure ◽  
Chronic Obstructive Pulmonary Disease ◽  
Retrospective Study ◽  
Chronic Obstructive ◽  
Main Concern ◽  
Obstructive Pulmonary Disease ◽  
Male And Female ◽  
Total Percentage ◽  
Background Mortality ◽  
The World

Background: Mortality, severity, and recovery of COVID-19 are the main concern all over the world and are still not fully understood, particularly in the Middle East area. Objective: To analyze the prevalence and the characteristics of COVID-19 in Assiut Province in Egypt. Patients and Methods: This is a retrospective study that includes RT-q PCR- confirmed COVID-19 cases during the period from March7th 2020 to September17th 2020 in Assiut Province. Results: A total of 1201 cases are confirmed out of 2750 suspected cases.  The breakdown of the cases is as follows; 84% fully recovered, 14.6% died and 1.4% are still in quarantine at the time of writing this article. Severe cases occur in old ages with no deaths below 21 years of age. Male and female deaths are 59.4% and 40% respectively. The associated co-morbidities are mainly chronic obstructive pulmonary disease, diabetes mellites, heart failure, ischemic heart disease, and obesity. Conclusion: The total percentage of infection in Assiut is 0.04%; it is lower than the percentage of the total infection in the country (0.1%). Respiratory failure is the leading cause of death in all patients.

Advance care planning in chronic disease: finding the known in the midst of the unknown

2018 ◽  
Author(s):  
Karen Detering ◽  
Elizabeth Sutton ◽  
Scott Fraser
Keyword(s):  
Heart Failure ◽  
Chronic Obstructive Pulmonary Disease ◽  
Advance Care Planning ◽  
Chronic Obstructive ◽  
Care Planning ◽  
Health Care Teams ◽  
Management Options ◽  
Medical Decisions ◽  
Obstructive Pulmonary Disease ◽  
Advance Care

People are living longer lives with a greater burden of disease. Diseases which contribute significantly to this burden are chronic kidney disease; chronic obstructive pulmonary disease and heart failure. Technologies exist that can sustain life for patients with these disease, however patients and their families/loved ones need to know the likely outcome of their disease, its course, and all management options. Advance care planning (ACP) can assist with this process as well as ensuring that patients, families, and health care teams are aware of what treatment a patient wants—or does not want. ACP also enables the appointment of a decision maker to act on behalf of the patient should they lose capacity to make medical decisions. This chapter discusses the benefits of ACP and why it needs to be introduced early in the course of any life-limiting illness.

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