scholarly journals Management of the Index COVID -19 Obstetric Patient at the University of Benin Teaching Hospital

Author(s):  
Okojie Nkechiyerim Quincy ◽  
Ehiarimwian Oisamoje Ruth ◽  
Nte Stanley

Introduction: The novel coronavirus (COVID-19) was first identified in Wuhan City, Hubei province of China, November 2019. As at September 2020, over 28 million infections have been identified with almost a million deaths worldwide causing an alarming pandemic. Clinical presentations in pregnant patients with COVID-19 could be atypical with normal temperature (56%) and leukocytosis. This is further masked by the features of pregnancy. We present the management of a COVID-19 parturient in our obstetric unit. Case Report: A 32 year old unbooked G₃P₁⁺1 lady at 32 weeks who presented via referral from a private facility with a history of elevated blood pressure and ++ of protein in urine. Also, complaints of cough and difficulty with breathing. On examination she was noted to be anxious, afebrile, not pale, anicteric, acyanosed, not dehydrated. Had bilateral pedal oedema. Tachypnic with a respiratory rate of 28 cycles per min with basal crepitations. Pulse rate was 96bpm full and regular. Blood pressure was 180/100 mmHg. Heart sounds S₁S₂only.An impression of Chronic hypertension with superimposed pre-eclampsia at 32 wks GA in a primipara with one previous CS with pulmonary edema. Keep in view COVID-19. She was managed with oxygen, antihypertensives, steroids, while observing strict infection control protocol. She had an emergency caesarean section under subarachnoid block and was delivered of a live female neonate. A confirmatory positive result for covid-19 was obtained 24hrs later. Neonate was however negative. None of the staff became positive also. Conclusion: The management of suspected cases of COVID-19 infection should be same as cases already confirmed. As the epidemic persists, numbers will continue to rise andhence our index of suspicion should be heightened. Pregnant women will also present with symptoms masked by the features of a sick parturient. Full complement of PPE must be worn by all staff attending to both confirmed and suspicious cases of COVID-19 infection and strict adherence to stated protocols must be observed.

Author(s):  
Heba Salem

This chapter describes the my experience as the instructor for a course rooted in community based learning theory that was forced to move online in spring, 2020, due to the novel coronavirus pandemic. The course, titled ‘CASA Without Borders’, allows Arabic language students in the Center for Arabic Study Abroad (CASA) program at The American University in Cairo (AUC) to leave the university environment and serve the community, while also benefiting from the experience both linguistically and culturally. This course was disrupted by the students’ mandatory return to the US from Cairo as a result of the COVID-19 outbreak, and continued remotely in an online format. This chapter describes the CASA program and explains both the purpose of the CASA Without Borders course and its significance to CASA students and to the program. It also describes and reflects upon my experience of continuing the course remotely during the ongoing pandemic.


2021 ◽  
Vol 58 (2) ◽  
pp. 613-620
Author(s):  
Mustafa Amdani, Dr. Swaroopa Chakole

BACKGROUND The expanse of the coronavirus disease 2019 or COVID-19 is huge. The impact is multispectral and affected almost all aspects of human life. SUMMARY Respiratory impact of the COVID-19 is the most felt and widely reported impact. As the novel coronavirus maintained its history of affecting lungs as seen previously in severe acute respiratory syndrome (SARS) outbreak. Ventilators and oxygen support system are required mostly in comorbid patients particularly amongpatientsbearing illnesses like asthma, bronchial impairment and so on. CONCLUSION More study needs to be done in order to assess the impact on the respiratory functioning of the body. Respiratory care must be including proper instruments so that more efficient result can be obtained. Research is needed to promote the invention of specific therapy for targeted action for respiratory functioning improvement.


2021 ◽  
pp. 7-30
Author(s):  
Aelita Dolukhanyan

Nicholas Adonts (1871–1942) is one of the outstanding Armenian scholars who received an excellent education in Russia and Europe. During his studies at the University of St. Petersburg and later, when he improved his knowledge in well-known educational centers of Europe – in London, Paris, Vienna, Strasbourg and Munich, Adonts had the support of the great national benefactor Alexander Mantashiants. Eight volumes of Adonts’ works were published by Yerevan State University with the support of the Armenian branch of the Galust Gyulbenkian Foundation. Adonts left no autobiographical memories․ They would have been extremely interesting, since his life was really amazing. Tigran the Great (95–55 BC) was the most beloved historical figure of Adonts. He actually confirms that Tigran manifested himself as a world sovereign and enlightener, and his activities require new elucidation. Adonts presents the great deeds and military successes of the representatives of the princely house of Mamikonians in the Byzantine Empire. The study “The Fame of Bagratids” by Adonts is very interesting; it represents the branches of the Armenian royal house of Bagratids in Georgia, Caucasian Albania and Artsakh. In his extensive article “The Historical Basis and Ideological Value of the Novel David Bek”, the historian takes an exploratory approach while describing the historical events of the novel David Bek by Raffi. Especially rich is the heritage of the scientist in Byzantine studies, which has two branches of scientific and cognitive significance. Firstly, it presents important events of the history of Byzantium, and then the famous figures of this history, who were Armenians by nationality. In 1928 Adonts made a new discovery in Byzantine studies, exploring the “Historical basis of the Byzantine epic Digenis Acritas”. He proved that the epic poem was not Greek, since the homeland and place of activity of the main hero are the Euphrates valley, and his exploits take place in Western Armenia. Adonts was a devoted defendet of the Armenian Cause and dedicated many articles to this issue. Adonts left three monumental monographs as a legacy to science. These are: Armenia in the Era of Justinian (1908), Dionysius of Thrace and Armenian Commentators (1915) and the posthumously published Critical History of Armenia (1946). The scientific heritage of Adonts in the field of Byzantine studies and Armenology is rich with many scientific discoveries, whose value will be preserved forever.


2020 ◽  
Vol 96 (1137) ◽  
pp. 412-416 ◽  
Author(s):  
Shubham Agarwal ◽  
Sanjeev Kumar Agarwal

Coronavirus infection outbreaks have occurred frequently in the last two decades and have led to significant mortality. Despite the focus on reducing mortality by preventing the spread of the virus, patients have died due to several other complications of the illness. The understanding of pathological mechanisms and their implications is continuously evolving. A number of symptoms occur in these patients due to the involvement of various endocrine glands. These clinical presentations went largely unnoticed during the first outbreak of severe acute respiratory syndrome (SARS) in 2002–2003. A few of these derangements continued during the convalescence phase and sometimes occurred after recovery. Similar pathological and biochemical changes are being reported with the novel coronavirus disease outbreak in 2020. In this review, we focus on these endocrine changes that have been reported in both SARS coronavirus and SARS coronavirus-2. As we battle the pandemic, it becomes imperative to address these underlying endocrine disturbances that are contributing towards or predicting mortality of these patients.


2021 ◽  
Vol 13 (4) ◽  
pp. 651-671
Author(s):  
Norah Al-Qahtania ◽  
Wafa Abdullah Al-Salem

  This study aims to identify the positive and negative repercussions of the novel Coronavirus crisis on students’ remote learning in Saudi universities. A descriptive survey method is carried out using a questionnaire and distributed to a cluster sample of 651 undergraduate students. Results reveal the most prominent positive repercussions, which are that the university cares about the learners' safety and health health and places them at the highest priority, review of recorded lectures and investing time. Results also reveal the most prominent negative repercussions, which are students’ concern about their academic conditions, reduced access to teaching and research facilities and laboratories, and large assignments. Statistically significant differences are also found in favour of males, health disciplines, and King Faisal University and University of Hail.   Keywords: Repercussions,covid-19, student,remote learning,Saudi universities


2021 ◽  
Vol 2 (1) ◽  
pp. 41-50
Author(s):  
N. I. Briko ◽  
A. Ya. Mindlina ◽  
R. V. Polibin ◽  
P. D. Lopukhov

In 2020, exactly 90 years have passed since the first sanitary faculty in the history of medical education (F. ErismannInstitute of Public Health, nowadays) was found in the 1st Moscow Medical Institute (Sechenov University, nowadays).The history of the faculty unites the names of prominent scientists in the field of preventive medicine: F. Erismann, N.A. Semashko, A.V. Molkov, A.N. Sysin, E.M. Tareev and many, many others. New challenges to public health continueto appear in our time. The direction of “preventive medicine” has become more important than ever in the context of a pandemic of infection caused by the novel coronavirus (COronaVIrus Disease-19, COVID-19). The issues of epidemiologyand hygiene have become extremely relevant for doctors of any profile, not only for preventive ones (epidemiologists and hygienists). The strategic task today is to increase the “preventive medicine” specialty’s authority. It is also important to preserve and enhance the domestic experience of studying the disciplines of preventive medicine, harmonizing the content of educational programs with the world community. Research work at the Institute is carried out in 4 main areas of preventive medicine and public health: epidemiology, public health, microbiology, and hygiene.This review presents the main historical milestones in the development of teaching the specialty “preventive medicine” at the Sechenov University, the current state, and prospects for further development.


Author(s):  
Jurica Arapović ◽  
Siniša Skočibušić

The novel coronavirus disease 2019 (COVID-19) pandemic caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is still progressing and has been recorded in more than 210 countries and territories worldwide. In Bosnia and Herzegovina, the first cases of COVID-19 were detected on 5th of March 2020 in the entity of Republic of Srpska and 9th of March 2020 in the entity of Federation of Bosnia and Herzegovina. Up until the 16th of May 2020, more than 2,200 COVID-19 cases were recorded in both entities, with a mortality rate of 5.8% (131 out of 2231 cases). The aim of this ongoing study is to present the current epidemiological and sociodemographic parameters of 380 COVID-19 patients diagnosed at the University Clinical Hospital Mostar (UCH Mostar) during the first two months of the COVID-19 pandemic. Out of 380 patients, 60 (15.8%) of them required hospitalization. The mortality rate was 5% (19/380). The highest mortality rate of 15.2% (12/79) was recorded in the patients age ≥65 years. In addition to this single-centre experience of the ongoing COVID-19 pandemic, we discuss the epidemiological measures imposed in Bosnia and Herzegovina, with emphasis on the restrictive ones. The COVID-19 pandemic is still ongoing in Bosnia and Herzegovina.


2021 ◽  
Vol 2 (7/S) ◽  
pp. 44-51
Author(s):  
Malika Aripova

 The article examines the pedagogical features of creating a collaborative project in the educational process of the university in the course of organizing and conducting a seminar with bachelor students in the discipline "History of Russian Literature".  Features of the module “Artistic features of the novel in verse“ Eugene Onegin ”A.S.  Pushkin ". Methodical recommendations for conducting classes in pedagogical universities.  Creation of collaborative design and collaborative environment in conducting classes.


Author(s):  
Velu Vinoj ◽  
Debadatta Swain

The world witnessed one of the largest lockdowns in the history of mankind ever, spread over months in an attempt to contain the contact spreading of the novel coronavirus induced COVID-19. As billions around the world stood witness to the staggered lockdown measures, a storm brewed up in the urns of the rather hot Bay of Bengal (BoB) in the Indian Ocean realm. When Thailand proposed the name “Amphan” (pronounced as “Um-pun” meaning ‘the sky’), way back in 2004, little did they realize that it was the christening of the 1st super cyclone (Category-5 hurricane) of the century in this region and the strongest on the globe this year. At the peak, Amphan clocked wind speeds of 168 mph (Joint Typhoon Warning Center) with the pressure drop to 925 h.Pa. What started as a depression in the southeast BoB at 00 UTC on 16th May 2020 developed into a Super Cyclone in less than 48 hours and finally made landfall in the evening hours of 20th May 2020 through the Sundarbans between West Bengal and Bangladesh. Did the impact of the COVID-19 induced lockdown drive an otherwise typical pre-monsoon tropical depression into a super cyclone?


Author(s):  
Dr Simon Hudson

The travel industry worldwide has been dealt a vicious blow. It is forecast that the number of international tourist arrivals will fall by 60-80%% in 2020 due to the novel coronavirus, putting millions of jobs at risk (Alpert & Beilfuss, 2020; UNTWO, 2020). The drop in arrivals will lead to an estimated loss of $300-450 billion in international tourism receipts (The Economic Times, 2020). The industry will recover, but travel will never be the same again, and the year 2020 will be a defining moment in the history of the tourism sector. But how did this crisis unfold and start to impact travel? This chapter will track the period between the first signs of the virus at the end of 2019 to the beginning of April 2020, showing how as the virus spread, so too did its impact on the travel and tourism around the world.


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