scholarly journals Airway Management in COVID- 19 Patients

Author(s):  
Sonal Dhobe ◽  
Ruchira Ankar ◽  
Roshani Dhanvijay ◽  
Vrushali Dighikar ◽  
Pratiksha Thakre

The first case found in 31 December 2019 in China, in Wuhan city but China reported this news to WHO in January 2020 after this corona virus can spread worldwide, and WHO declare this disease as a pandemic. As per survey now over the 4,444,670 cases of Covid-19 can identified in 188 countries globally and 1,588,858 can recovery rate of this disease worldwide.  Corona virus can caused by Severe Acute Respiratory Syndrome-Corona Virus-2 (SARS-CoV-2), is a single standard ribonucleic acid that enclose to corona virus and it is very infectious and spreading all over the world. It can be transmitted or spreading by droplets and come to direct contact with the patients compare to airborne spread. There is no any specific treatment strategy for corona virus, only supportive therapies such as respiratory care to the severe or acute patients, it’s especially in severe condition. Aim is to provide airway management to COVID 19 patients and what is the role of airway management in this patient condition. This can provide issues with the person who severely suffering from respiratory diseases in hospital settings. The COVID 19 predominantly causing infection like pneumonia. At the time of giving intervention for managing the patient with severe respiratory condition are managed by mainly tracheal intubation and forming a controlled ventilation. As far this disease condition can increase, there will be the many community people are not having any symptoms of COVID 19 but after few days or week, they showing symptoms. Then they patients come under the emergency services.

Author(s):  
D.T. Grubb

Diffraction studies in polymeric and other beam sensitive materials may bring to mind the many experiments where diffracted intensity has been used as a measure of the electron dose required to destroy fine structure in the TEM. But this paper is concerned with a range of cases where the diffraction pattern itself contains the important information.In the first case, electron diffraction from paraffins, degraded polyethylene and polyethylene single crystals, all the samples are highly ordered, and their crystallographic structure is well known. The diffraction patterns fade on irradiation and may also change considerably in a-spacing, increasing the unit cell volume on irradiation. The effect is large and continuous far C94H190 paraffin and for PE, while for shorter chains to C 28H58 the change is less, levelling off at high dose, Fig.l. It is also found that the change in a-spacing increases at higher dose rates and at higher irradiation temperatures.


2021 ◽  
pp. 101642
Author(s):  
Anahita Ansari Djafari ◽  
Katayoun Hasanzadeh ◽  
Homa Masrour ◽  
Mahsa Ahadi ◽  
Majid Dargahi ◽  
...  

Author(s):  
Danielle Brazel ◽  
Brooke Kulp ◽  
Geoanna Bautista ◽  
Andrew Bonwit

Abstract Introduction A new concept has come to light recently, that is, Mycoplasma-induced rash and mucositis (MIRM). Here, we report the first case of recurrent rash, mucositis, and conjunctivitis involving Mycoplasma pneumoniae and C. pneumoniae that fits under the criteria of what is currently defined as MIRM. Case Presentation A patient aged 12 years with a history of recurrent aphthous ulcers presented in 2013 with worsening oral lesions, conjunctivitis, and vesicular rash. Her respiratory polymerase chain reaction (PCR) panel was positive for M. pneumoniae. She was diagnosed with Stevens-Johnson syndrome (SJS) secondary to M. pneumoniae and treated with a macrolide, acyclovir, and intravenous immunoglobulin (IVIG). The same patient returned 3 years later with an identical constellation of symptoms, at which time her PCR was positive for C. pneumoniae. In addition to IVIG and a macrolide, a corticosteroid treatment was administered. Discussion Here, we present the case of a pediatric patient with a recurrence of mucocutaneous disease that is more consistent with MIRM than the proposed SJS or erythema multiforme (EM) documented via histology. Our patient’s symptoms were controlled with azithromycin and IVIG and, in the second episode, with corticosteroids as well. This case adds to that of Mayor-Ibarguren et al, providing further evidence that C. pneumonia may also be a trigger for MIRM. Patients will benefit from expanding the definition of MIRM, as the pathogenesis differs from SJS and EM and could result in more specific treatment options.


2020 ◽  
Vol 3 (02) ◽  
pp. 43-44
Author(s):  
R. Arul Saravanan

The march of the COVID 19 Pandemic has been relentless and India reported its first case on 27th January, 2020 from Kerala. On 24th march, 2020, India announced its first lockdown for prevention of the spread of corona virus. When the first panic button was pressed, there was initially, disbelief and denial. But as the writing on the wall became loud and clear, our populous nation has gone in a downward spiral. We even witnessed one of the largest exoduses in recent times, with thousands of migrant workers, walking back to their villages and homes.


Author(s):  
Thomas Mergel

Both dictatorship and democracy were essentially new concepts of political rule in Germany after World War I. It was true that suffrage had been increasingly extended after the revolution of 1848–1849, and more citizens (male citizens, that is) were entitled to vote in Imperial Germany than, for instance, in Great Britain. Dictatorship, too, was a new form of political control, at least in Germany. The term ‘people’ was to become a standard formula for the self-understanding of German politics after 1918. In its shades of meaning, it saw the people as a social organism, rather than as an ethnic community. ‘People’ referred to the many. It described the social commitment with which a good community was supposed to be built. An inquiry into Reichstag, and the German parliament and incidents and rebellions surrounding it concludes this article.


Teknologi ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 59-68
Author(s):  
Meida Cahyo Untoro ◽  
◽  
Leslie Anggraini ◽  
Maria Andini ◽  
Hesti Retnosari ◽  
...  

The disease epidemic that attacked the respiratory area and was detected in Indonesia starting in early 2020 is the Corona Virus (COVID-19). This virus's spread is relatively easy, namely through droplets from infected patients, so that the spread is very rapid. This research was conducted to cluster the data on Covid-19 cases in Jakarta Province considering that Jakarta is the starting point for the first case of Corona in Indonesia and until now has become one of the most significant contributors to COVID-19 issues in Indonesia, namely as of December 2020 positive cases of Covid-19 reached 154,000. Souls with the healing of 139.0000 souls. The grouping was carried out based on positive and dead patients from each urban village in Jakarta Province. This study uses the k-means Method to cluster in the handling of COVID-19 cases with 2 clusters. Data distribution in cluster 1 consists of 173 data and 18 data in cluster 2. The use of k-means in this study provides information on areas with the highest and lowest number of positive cases and the highest and lowest cure rates that can be used as an evaluation in handling the Covid-virus 19.


Author(s):  
MAKSIM D. OSIPOV

Fat embolism syndrome is one of the many complications in traumatology, which carries a serious danger due to the difficult diagnosis at the early stages of its development. In many medical sources, fat embolism syndrome is described as a severe condition characterized by obturation of blood vessels by embolus, which are represented by fat droplets larger than 7-9 microns. Fat embolism is usually caused by trauma, accompanied by crushing of tissues. This is especially common in fractures of the tubular bones as a result of high-energy trauma. As exemplified in the medical literature about 6-7 % of isolated fractures and 37 % of combined injuries lead to the appearance of fat embolism syndrome. Much more often, fat embolism develops in open fractures, and the frequency of its occurrence increases with a combination of open and closed fractures. Due to the fact that fat embolism is a life-threatening condition, early detection of this pathology is necessary. The purpose of this literature review is to study the pathogenesis of fat embolism, as well as the possibilities, problems and methods of early diagnosis of this pathology in trauma practice...


2020 ◽  
Vol 11 (3) ◽  
pp. 6-11 ◽  
Author(s):  
Asraf Hussain ◽  
Tripathi Garima ◽  
Bishnu Mohan Singh ◽  
Ramji Ram ◽  
Raman Pal Tripti

Background: Corona virus disease 2019 (COVID-19) is a highly infectious disease. It is caused by a novel virus belonging to a family known as corona virus. This virus was first identified in the month December 2019 in Wuhan, China Hubei province. Since its first identification it has spread globally. It was declared a public health emergency of international concern on January 30, 2020 by WHO. Despite all efforts the virus continues to spread and WHO declared it a pandemic on March 11, 2020. In Nepal the first case was tested positive on23rd January and ever since numbers are increasing as days passed by. Residents of the country are the most important stakeholders to control the spread of such viruses. Nepal is a land locked country situated between India and China and is one of the vulnerable areas among SAARC nations. In spite of being such a vulnerable nation there was a lack of previous studies detecting the degree of awareness among Nepalese residents towards COVID 19. Aims and Objectives: This study aims to assess the current level of awareness towards COVID 19 among Nepalese residents and to analyze their attitudes and practices towards COVID 19 which is very important for people’s active participation to control this pandemic. In this study we investigated Nepalese residents KAP towards COVID-19. Material and Methods: This is cross sectional online study. A self-developed online questionnaire was completed by the participants. There were a total 29 questions among which 15 questions assessedknowledge, 6 questions assessed attitude and remaining 8 questions assessed practice. Results: Among the respondents (n=760), 65.7 % were male, 50.3 % were healthcare workers, overall range of correct answers for knowledge questionnaire was 60.0-98.7%, that for attitude was 77.9-96.4% and for practice was 78.2-95.0 %. Participants with a medical degree had statistically significant better practice against COVID 19 compared with the general population. Conclusion: Findings of this study show that knowledge among people of Nepal about COVID 19 is satisfactory. Yet a significant number of participants are lacking confidence when compared to other countries. Better practice against COVID requires a sense of responsibility, though the respondents with medical background had better sense of act against COVID prevention practice.


Author(s):  
Kanamala Arun Chand Roby ◽  
Singamala Lakshmi Bhargavi ◽  
Gali Devi Sri ◽  
Avula Madhuri ◽  
Sannadi Kamakshi ◽  
...  

Coronavirus are coming under a broad family of virus that can cause respiratory illnesses such as the common cold, according to the centers for disease control and prevention (CDC). They are usual in many different species of animals, including camels and bats. Unusually, these corona viruses can evolve and infect humans and then spread between humans. Recent examples of this include SARS-CoV and MERS-CoV. 2019 Novel Corona virus (2019-nCoV) is a virus identified as the cause of an outbreak of respiratory illness first detected in Wuhan, China. In some cases, the viruses can cause lower-respiratory tract illnesses such as pneumonia and bronchitis. In human corona viruses are currently classified into seven types that are HCoV-229E, HCoV-OC43, HCoV-NL63, SARS-CoV, HKU1, MERS-CoV and 2019-nCoV. These two types of corona virus (MERS-CoV and SARS-CoV) are more dangerous. Some of corona viruses like HCoV-229E, HCo-OC43, HCoNL63 and HKU1 that are continuously circulate in the population of human and cause respiratory infections in human either may children and adults world-wide. They are generally transmitted between animals and humans through sneezing, coughing, touching or shaking hands and making contact with a surface or object. The symptoms of corona virus are sneezing, cough, fatigue, runny nose, sore throat, breathing difficulty and exacerbated. In more severe cases SARS, kidney failure, pneumonia and even death. Diagnosis can be carried out by healthcare provider in laboratory test on respiratory specimens and serum to detect human corona virus. For this virus no specific treatment like vaccines and antiviral drugs but symptoms can be treated.


2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Az-Eddine Djebara ◽  
Cédric Joseph ◽  
Florence Rousseau ◽  
Benoit Brunschweiler ◽  
Patrice Mertl

Introduction. The enterobacterial genus Yersinia includes a number of human pathogens. Large-diameter, metal-on-metal prostheses are no longer used because of their high failure rate. Here, we describe the first case of Yersinia enterocolitica infection of a metal-on-metal total hip arthroplasty. Clinical Examination. A metal-on-metal prosthesis failed ten years after implantation. After surgical revision, bacteriological testing revealed the presence of a pathogenic strain of Yersinia enterocolitica. Combination antibiotic therapy resulted in a favorable clinical outcome. Discussion. Three cases of hip arthroplasty infected with Yersinia enterocolitica have been described in the literature. The present case is the first infection of a metal-on-metal total hip arthroplasty. We suggest that the risk of infection is increased by the release of metal wear particles and their influence on the surrounding tissue. Conclusion. When a large-diameter, metal-on-metal total hip arthroplasty fails, the known complications associated with this type of prosthesis should not deter the physician from screening for an infectious process that requires specific treatment.


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