scholarly journals Evaluating of the Clinical Profile, Laboratory Parameters and Outcome of Covid-19 Patients in Najran City - Saudi Arabia: A Descriptive Analysis

Author(s):  
Abdullah I. Aedh ◽  
Ali Dhafer Al-Swedan ◽  
Abdulaziz S. Alshahrani ◽  
Eisa Yazeed Ghazwani ◽  
Salem Ali S. Alatef Sultan ◽  
...  

The unprecedented pandemic has been causing devastating damage to the human life and livelihood. The SARS CoV-2 viral strains are currently responsible for the serious of infection waves and high mortality rate. The management of disease requires well developed medical infrastructure such as central oxygen suction, ventilator facility to support the patients with severe complications. Therefore, early diagnosis and monitoring are mandatory in order to control the disease progression and its clinical complications. Current study, we retrospectively analyzed the clinical parameters of the COVID-19 positive patients, and found that the body mass index ratio, oxygen saturation level and the neutrophil, lymphocyte ratio were continuously monitored. Any significant increase in the above said parameters may be correlated with adverse disease progression and patient mortality rate. In this way, developing countries could cut down the necessity for medical infrastructure.

Author(s):  
Mao Huang ◽  
Yi Yang ◽  
Futai Shang ◽  
Yishan Zheng ◽  
Wenjing Zhao ◽  
...  

Abstract Background: Patients with coronavirus disease 2019 (COVID-19) infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which originated in Wuhan, China, and spreading over the country including Jiangsu Province. Our study aimed to study the epidemiological, clinical characteristics and therapies of these severe cases in Jiangsu Province.Methods: A multicenter retrospective cohort study was conducted to extract and analyze epidemiological, clinical, laboratory data and treatment of 60 severe cases with COVID-19 infection from 12 large hospitals in Jiangsu Province between Jan 24 and Feb 23, 2020. Cases were identified by real-time reverse transcription polymerase chain reaction (RT-PCR). The improvement and deterioration subgroups were compared to identify predictors of disease progression. Clinical outcomes were followed up until Feb 23, 2020.Results: A total of 631 infected cases with COVID-19 in Jiangsu Province, 60 of which were severe cases. Up until Feb 23, 2020, the mortality rate of these severe patients was 0%. The median age was 57 years (range, 26 to 97), and 58.3% were man. The body mass index (BMI) of these patients was higher, with an average of 25 kg/m². More than 90 percent of the patients had a history of contact with an infected patient or dined together, and two patients were infected while staying in the same train compartment with a confirmed patient. 51.7% of severe cases had at least one underlying disease, and low fever (80.0%) and dry cough (51.7%) were the most common symptoms. Mean acute physiology and chronic health evaluation (APACHE) II score on admission was 14±5. Acute respiratory distress syndrome (ARDS) appeared in 15% of the patients. White blood cell counts decreased in 45.0% of patients, lymphopenia in 63.3%, thrombocytopenia in 13.3%, and procalcitonin levels in 88.3% of the patients were less than 0.5 ng/mL. There were no statistically significant differences in immunoglobulin therapy and glucocorticoids therapy between the improvement and deterioration subgroups (P>0.05). Logistic regression analysis indentified higher levels of troponin T (odds ratio [OR]: 1.04; 95% confidence interval [CI]: 1.00-1.08; P=0.04), antiviral therapy with interferon (OR: 6.33; 95% CI: 1.18-33.98; P=0.03), and the application of non-invasive mechanical ventilation (OR: 1.99; 95%CI: 1.17-3.41; P=0.01) as predictors of disease progression, whereas higher lymphocyte count (OR: 0.11; 95% CI: 0.02-0.57; P=0.01) and early prone ventilation were associated with improvement (OR: 0.11; 95% CI: 0.01-0.98; P=0.04).Conclusions: The COVID-19 infection had a low mortality rate in Jiangsu Province, China. The higher levels of troponin T and lower lymphocyte count were predictors of disease progression. Antiviral therapy with interferon was not recommended. The early prone ventilation may be an effective treatment for severe cases.


2020 ◽  
Author(s):  
Andri Nirwana

Abstract: The phenomenon of the people who forcibly took covid's corpse 19 from the hospital to be taken care of by Fardhu Kifayah by his family and the community, became a conclusion that there was community doubt about the management of Tajhiz Mayat conducted by the hospital. Coupled with the circulation of the video of the Ruku movement 'in the corpse prayer conducted by unscrupulous parties at the Hospital, became added doubts from the public against the hospital. To solve this problem, this research uses a Descriptive Analysis approach, namely by formulating a question, namely How to arrange Covid 19's body in Banda Aceh and this question will be answered with several theories and data sets from the field. So it was concluded in a conclusion that answered the formulation of the problems mentioned. Theoretically the spread of covid 19 is very fast, the size of the virus is only 0.1 micrometer and is in body fluids, especially nasopharyngeal fluid and oropharyngeal fluids of infected people, fluids in the body of covid 19 bodies can get out through every gap of the body such as mouth, nose, eye and rectum, because it requires special techniques in its management. Fardhu kifayah to covid 19 bodies should be carried out by trained Ustad and trained health workers, so that the spread stopped. The results of this study concluded that the management of the Moslem bodies died at Zainal Abidin Hospital in Banda Aceh was in accordance with the Fatwa of the Aceh Ulama Council (MPU) and the bodies were handled by trained Ustad and health workers.


Author(s):  
Sandhya MNVS ◽  
Vanitha K ◽  
Ramesh A

The review article focuses on the importance of adequate oxygen levels in the body as cure and therapy for many ailments. It is known that hypoxia is the cause for cellular damage and if it can be applied to major patho-physiology’s, it can be observed that slow and chronic hypoxic conditions are the cause for most of the diseases. On the contrary, providing each cell of the body with proper oxygen may be helpful in maintaining the immunity of the body and therefore treating many disease conditions. This theory, if tested may show positive results in heart related diseases, neuronal disorders, stresses, digestive disorders and the unresolved cancer too. Slow decrease in the levels of atmospheric oxygen could be a reason to induce chronic hypoxia. According to Dr. Otto Warburg, a Noble laurate, a normal cell when deprived of oxygen, may get converted to a cancerous cell, whereas a cancerous cell cannot survive in aerobic conditions. If this part of his research be concentrated on, there could be fruitful results in the treatment of cancer. To maintain adequate levels of oxygen in the body, simple yogic breathing practices are helpful. And to maintain the adequate atmospheric oxygen, trees and plants which cleanse the atmospheric air are useful. Clinical surveys on volunteers who have been practicing regular breathing exercises can prove the fact that proper and concentrated respiration could prevent many diseases. Thus, supplementing breathing exercises along with the regular treatment for cancer patients could be helpful in alleviating cancer and other diseases.


Humaniora ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 83-90
Author(s):  
Anak Agung Ayu Wulandari ◽  
Ade Ariyani Sari Fajarwati

The research would look further at the representation of the human body in both Balinese and Javanese traditional houses and compared the function and meaning of each part. To achieve the research aim, which was to evaluate and compare the representation of the human body in Javanese and Balinese traditional houses, a qualitative method through literature and descriptive analysis study was conducted. A comparative study approach would be used with an in-depth comparative study. It would revealed not only the similarities but also the differences between both subjects. The research shows that both traditional houses represent the human body in their way. From the architectural drawing top to bottom, both houses show the same structure that is identical to the human body; head at the top, followed by the body, and feet at the bottom. However, the comparative study shows that each area represents a different meaning. The circulation of the house is also different, while the Balinese house is started with feet and continued to body and head area. Simultaneously, the Javanese house is started with the head, then continued to body, and feet area.


Coatings ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 380
Author(s):  
Hamed Ahari ◽  
Leila Khoshboui Lahijani

Packaging containing nanoparticles (NPs) can increase the shelf life of products, but the presence of NPs may hazards human life. In this regard, there are reports regarding the side effect and cytotoxicity of nanoparticles. The main aim of this research was to study the migration of silver and copper nanoparticles from the packaging to the food matrix as well as the assessment techniques. The diffusion and migration of nanoparticles can be analyzed by analytical techniques including atomic absorption, inductively coupled plasma mass spectrometry, inductively coupled plasma atomic emission, and inductively coupled plasma optical emission spectroscopy, as well as X-ray diffraction, spectroscopy, migration, and titration. Inductively coupled plasma-based techniques demonstrated the best results. Reports indicated that studies on the migration of Ag/Cu nanoparticles do not agree with each other, but almost all studies agree that the migration of these nanoparticles is higher in acidic environments. There are widespread ambiguities about the mechanism of nanoparticle toxicity, so understanding these nanoparticles and their toxic effects are essential. Nanomaterials that enter the body in a variety of ways can be distributed throughout the body and damage human cells by altering mitochondrial function, producing reactive oxygen, and increasing membrane permeability, leading to toxic effects and chronic disease. Therefore, more research needs to be done on the development of food packaging coatings with consideration given to the main parameters affecting nanoparticles migration.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Antonio Pizuorno ◽  
Nora A. Fierro ◽  
Edgar D. Copado-Villagrana ◽  
María E. Herrera-Solís ◽  
Gholamreza Oskrochi ◽  
...  

Abstract Background Covid-19 in Mexico is on the rise in different parts of the country. We aimed to study the symptoms and comorbidities that associate with this pandemic in 3 different regions of Mexico. Methods We analyzed data from SARS-CoV-2 positive patients evaluated at healthcare centers and hospitals of Mexico (n = 1607) including Northwest Mexico (Sinaloa state), Southeast Mexico (Veracruz state) and West Mexico (Jalisco state) between March 1 and July 30, 2020. Mexico consists of a total population that exceeds 128 million. Demographics, comorbidities and clinical symptoms were collected. Statistical descriptive analysis and correlation analyses of symptoms, comorbidities and mortality were performed. Results A total of 1607 hospitalized patients positive for COVID-19 across all 3 regions of Mexico were included. The average age was 54.6 years and 60.4% were male. A mortality rate of 33.1% was observed. The most common comorbidities were hypertension (43.2%), obesity (30.3%) and diabetes (31.4%). Hypertension was more frequent in West (45%), followed by Northwest (37%) and Southeast Mexico (29%). Obesity was around 30% in Northwest and West whereas an 18% was reported in Southeast. Diabetes was most common in West (34%) followed by Northwest (22%) and Southeast (13%). This might be related to the highest mortality rate in Northwest (31%) and West (37%) when compared to Southeast. Most common symptoms in our overall cohort were fever (80.8%), cough (79.8%), headache (66%), dyspnea (71.1%), myalgia (53.8%), joints pain (50.8%) and odynophagia (34.8%). Diarrhea was the main gastrointestinal (GI) symptom (21.3%), followed by abdominal pain (18%), and nausea/ vomiting (4.5%). Diarrhea and abdominal pain were more common in West (23.1 and 21%), followed by Southeast (17.8, and 9.8%) and Northwest (11.4 and 3.1%). Conclusion Our study showed a high mortality rate likely related to high frequencies of comorbidities (hypertension, obesity and diabetes). Mortality was different across regions. These discrepancies might be related to the differences in the frequencies of comorbidities, and partially attributed to differences in socio-economic conditions and quality of care. Thus, our findings stress the need for improved strategies to get better outcomes in our population.


2021 ◽  
Vol 24 (5-esp.) ◽  
pp. 611-618
Author(s):  
Vânia Aparecida dos Santos ◽  
Haroldo Ferreira Araújo ◽  
Marcio Luiz Dos Santos

Os rins têm função vital, pois são responsáveis pela eliminação de toxinas, regulação do volume de líquidos e pela filtragem do sangue (filtram, por minuto, em média 20% do volume sanguíneo bombeado pelo coração). Dessa forma, a função renal é avaliada com base na filtração glomerular (FG) e sua redução é observada na doença renal crônica (DRC), quando ocorre a perda das funções reguladora, excretora e endócrina dos rins. Desequilíbrios esses que podem ser de consequência vascular, por comorbidade secundária, por doença renal secundária a drogas ou agentes tóxicos, infecções urinárias de repetição, doença de próstata, doenças policísticas renal, entre outras. Nas terapias renais substitutivas, a diálise é empregada para remover líquidos e produtos residuais urêmicos do organismo, quando o corpo não consegue mais fazê-lo. Tendo em vista que o procedimento hemodialítico tem complicações potenciais, considera-se vital  que o enfermeiro deva estar apto para intervir em tais intercorrências, portanto, ficando evidente a importância deste estudo. Objetiva-se, portanto, descrever as intervenções do enfermeiro em intercorrências clínicas durante a hemodiálise ambulatorial, bem como descrever as principais intercorrências durante as sessões de hemodiálise ambulatorial e se há protocolos específicos de intervenções do enfermeiro em intercorrências com o paciente dialítico. Trata-se de uma pesquisa de revisão integrativa da literatura, pois esta metodologia de revisão tem por propósito realizar uma dada síntese rigorosa de todas as pesquisas encontradas relacionadas a uma questão específica.   Palavras-chave: Enfermagem. Hemodiálise. Intercorrências   Abstract The kidneys have a vital function, as they are responsible for eliminating toxins, regulating the volume of fluids and filtering the blood (they filter, on average, 20% of the blood volume pumped by the heart per minute). Thus, renal function is assessed based on glomerular filtration (FG) and its reduction is seen in chronic kidney disease (CKD), when the loss of the kidneys regulatory, excretory and endocrine functions occurs. These imbalances can be of vascular consequence, secondary comorbidity, kidney disease secondary to drugs or toxic agents, recurrent urinary infections, prostate disease, polycystic kidney diseases, among others. In renal replacement therapies, dialysis is used to remove uremic fluids and waste products from the body when the body is unable to do so. Bearing in mind that the hemodialysis procedure has potential complications, it is considered nodal that the nurse must be able to intervene in such complications, therefore, the importance of this study is evident. Therefore, the objective is to describe the nurse's interventions in clinical complications during the outpatient hemodialysis, as well as to describe the main complications during the outpatient hemodialysis sessions and if there are specific protocols for the nurse interventions in complications with dialysis patients. It is an integrative literature review research, since this review methodology aims to perform a given rigorous synthesis of all the studies found related to a specific issue.   Keywords: Nursing. Hemodialysis. Complications


2021 ◽  
Vol 3 (4) ◽  
pp. 197-205
Author(s):  
Dharmalingam T.S ◽  
Balachandran P

In the modern world, the yoga plays a vital role in human life. To realise the truth and meaning of life, one has to practice yogic discipline in everyday living. The human body is made up of five elements such as akash, air, fire, water and earth. An air plays a very important role to survive by providing life energy. Everyday practice of pranayama would help in regulating respiratory system (Breathing exercise) as well as circulatory system. The physical exercises regulate the circulation of blood, heat, air in the body. The practice of asana would help in bringing flexibility in our muscular system so as to enhance the meditation process. The practice of meditation gives peace of mind and improves integirity. The practice of yoga will improve self-confidence, self-control, speaking truth, tolerance and social virtues. Each and every individual should practice yoga, asanas, meditation and do self-analysis exercises such as analysis of thoughts, moralisation of desires, nutralisation of anger and eradication of worries. This would help to bring hormoney between body and mind, habit and wisdom, self and society. Purpose and method and will and nature.


2021 ◽  
Vol 10 (77) ◽  

Traditional arts and professions are the carriers of our culture because they carry historical background. For this reason, traditional arts and professions and cultural heritage are easily transferred to future generations. While knife was a tool that facilitated human life in the early periods, it turned into an art in time. The art of knife and the techniques and methods used in this art have been used for many years in history. Today, there are many artists who want to prevent the art of knife from turning into a craft. They intend to take this art to an even more advanced level. In this study, we interviewed three artists as samples who dealt with knifemaking by addressing the art of knife in Düzce. Interviews and works with the artists are visualized in this work. Thus, what has been done about the art of knife in Düzce, which methods and techniques are applied have been revealed. Along with the previous methods applied to this art, traditional Turkish arts such as marbling, illumination and miniature were used as a surface decoration technique in the art of knife which is a branch of Turkish metal arts. The aim of the study is to show the path that knife art has taken from its historical background to the present day and to show the feasibility of new methods in this field and thus to indicate that knife art is open to development. It is believed that this work, in which interviews and images obtained are evaluated using a descriptive analysis, will contribute to literature related to traditional art and the art of knife. Keywords: Knife art, jewelry, metal art, cultural heritage, traditional art


2018 ◽  
Vol 1 (1) ◽  
pp. 65-78
Author(s):  
Akhmad Saifudin

 Hara simply means belly, but for Japanese people it means more than physical. Hara is a concept, an important concept related to Japanese human life. This paper discusses the conceptualization of hara image for Japanese people. The study utilizes 25 idioms that contain hara ‘belly’ word that are obtained from several dictionaries of Japanese idioms. This paper is firmly grounded in cognitive linguistics, which relates linguistic expressions to human cognitive experience. The tool for analysis employed in this paper is the “conceptual metaphor theory” pioneered by Lakoff and Johnson. This theory considers human perception, parts of the body, and people’s worldview as the basis for the structure of human language. The analysis of this paper results that metaphorically, hara ‘belly’ is an entity and a container, which contains important elements for humans, such as life, mind, feeling, mentality, and physical. The concept of hara 'belly' for Japanese people is to have a spiritual, psychological, social and cultural, biological, and physical image. Keywords: conceptualization, conceptual metaphor, hara ‘belly’,  idioms, imagee.


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