scholarly journals Coronavirus Disease 2019: Cardiac Complications and Considerations for Returning to Sports Participation

2021 ◽  
Vol 16 ◽  
Author(s):  
Daniel X Augustine ◽  
Tracey Keteepe-Arachi ◽  
Aneil Malhotra
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Return To Sport ◽  
Sports Participation ◽  
Physiological Change ◽  
Cardiac Complications ◽  
Cardiac Pathology ◽  
New Normal ◽  
Consensus Recommendations ◽  
Planning Strategies ◽  
Elite Sports

Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2. While the majority of symptoms and morbidity relate to the lung, cardiac complications have been well reported and confer increased mortality. Many countries in Europe have passed the peak of the pandemic and adaptations are being made as we progress towards a ‘new normal’. As part of this, governments have been planning strategies for the return of elite sports. This article summarises the potential implications of COVID-19 for athletes returning to sport, including common cardiac complications of the disease; consensus recommendations for the return to sport after having COVID-19; and international recommendations for the management of cardiac pathology that may occur as a result of COVID-19. The authors also examine the potential overlap of pathology with physiological change seen in athletes’ hearts.

scholarly journals Managing the combined consequences of COVID-19 infection and lock-down policies on athletes: narrative review and guidelines proposal for a safe return to sport

2020 ◽  
Vol 6 (1) ◽  
pp. e000849
Author(s):  
Jean-Bernard Fabre ◽  
Laurent Grelot ◽  
William Vanbiervielt ◽  
Julien Mazerie ◽  
Raphael Manca ◽  
...  
Keyword(s):  
Sports Medicine ◽  
Acute Myocarditis ◽  
Multiorgan Failure ◽  
Clinical Manifestations ◽  
Return To Sport ◽  
Disease Spread ◽  
Cardiac Complications ◽  
Professional Soccer ◽  
Physical Abilities ◽  
Fitness And Health

COVID-19 pandemic is a global health matter. The disease spread rapidly across the globe and brought the world of sports to an unprecedented stoppage. Usual symptoms of the disease are fever, cough, myalgia, fatigue, slight dyspnoea, sore throat and headache. In more severe cases, dyspnoea, hypoxaemia, respiratory failure, shock and multiorgan failure occur. This appears to be a self-limiting phenomenon related to individuals with coexisting medical conditions, such as hypertension, diabetes and cardiovascular disorders. Nevertheless, cases have been reported in professional soccer players in extremely good fitness condition, demonstrating that athletes are not spared by the disease. Despite COVID-19 clinical manifestations are mainly respiratory, major cardiac complications are being reported, leading to acute myocarditis. One difficulty is that symptoms of COVID-19 vary among individuals, with athletes being affected with no apparent sign of the disease. This could be a real danger for amateur or professional athletes when returning to their usual training and thus to play. Another threat is that the lock-down policies did not allow most athletes to follow their usual training routines. There is thus a need for a careful approach by the sports medicine community to ensure safety of all athletes before they return to sport. Here, we propose evaluation guidelines of fitness and health of athletes to (1) reduce any lethal risk of practice, especially myocarditis and sudden cardiac death; (2) evaluate the combined consequences of the disease and detraining on the physical abilities and biological profile of athletes; and (3) monitor postinfection fatigue symptoms.

Measuring Physical Activity and Sports Participation After Autologous Cartilage Implantation: A Systematic Review

2014 ◽  
Vol 23 (3) ◽  
pp. 171-181 ◽  
Author(s):  
Andre Filipe Santos-Magalhaes ◽  
Karen Hambly
Keyword(s):  
Physical Activity ◽  
Sport Participation ◽  
Rating Scale ◽  
Evidence Synthesis ◽  
Return To Sport ◽  
Sports Participation ◽  
International Knee Documentation Committee ◽  
Primary Treatment ◽  
Functional Score ◽  
Sport And Exercise

Context:The assessment of physical activity and return to sport and exercise activities is an important component in the overall evaluation of outcome after autologous cartilage implantation (ACI).Objective:To identify the patient-report instruments that are commonly used in the evaluation of physical activity and return to sport after ACI and provide a critical analysis of these instruments from a rehabilitative perspective.Evidence Acquisition:A computerized search was performed in January 2013 and repeated in March 2013. Criteria for inclusion required that studies (1) be written in English and published between 1994 and 2013; (2) be clinical studies where knee ACI cartilage repair was the primary treatment, or comparison studies between ACI and other techniques or between different ACI generations; (3) report postoperative physical activity and sport participation outcomes results, and (4) have evidence level of I–III.Evidence Synthesis:Twenty-six studies fulfilled the inclusion criteria. Three physical activity scales were identified: the Tegner Activity Scale, Modified Baecke Questionnaire, and Activity Rating Scale. Five knee-specific instruments were identified: the Lysholm Knee Function Scale, International Knee Documentation Committee Score Subjective Form, Knee Injury and Osteoarthritis Outcome Score, Modified Cincinnati Knee Score, and Stanmore-Bentley Functional Score.Conclusions:Considerable heterogeneity exists in the reporting of physical activity and sports participation after ACI. Current instruments do not fulfill the rehabilitative needs in the evaluation of physical activity and sports participation. The validated instruments fail in the assessment of frequency, intensity, and duration of sports participation.

Energy Market in the Post-COVID-19 World

2022 ◽  
pp. 75-93
Author(s):  
Nima Norouzi
Keyword(s):  
Renewable Energy ◽  
Severe Acute Respiratory Syndrome ◽  
Energy Market ◽  
Interpretive Structural Modeling ◽  
Public And Private ◽  
The Matrix ◽  
The Face ◽  
Planning Strategies ◽  
Private Actors ◽  
The Impact

The objective of this chapter was to structurally model the high priority factors in the face of the impact of severe acute respiratory syndrome COVID-19 on the energy market. The method was based on interpretive structural modeling, and the matrix of crossed impacts multiplication was applied to classification. A model of 12 factors structured hierarchically in six levels is proposed in which consumption preferences, regulatory and normative modifications, political restrictions, and planning strategies have the greatest influence on the energy market from the perspective of China. As a result of this, it is suggested to move towards greater participation of public and private actors in renewable energy vectors.

Challenges post-COVID-19: planning strategies to resume elective dentistry and allied surgical specialities

2020 ◽  
Vol 26 (6) ◽  
pp. 1-4
Author(s):  
Melissa Loh ◽  
Karthikeyan Iyengar ◽  
William YC Loh
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Surgical Management ◽  
Personal Protective Equipment ◽  
Dental Treatment ◽  
Protective Equipment ◽  
Limited Availability ◽  
Viral Spread ◽  
Elective Treatment ◽  
Planning Strategies ◽  
The Uk

The effect of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic on the NHS in the UK has been profound and unprecedented. Many surgical specialities, including dentistry, throughout the country have not been exempt from this effect. As there are many aerosol-generating procedures and aerosol-generating exposures in surgical specialities, there has been a substantial cancellation of elective treatment. This has been in part because of the limited availability of personal protective equipment for surgeons as this is being use elsewhere by clinicians to aid the reduction of viral spread in the community. As the UK is preparing to emerge from the ‘lockdown’ during the pandemic, restarting elective surgical and dental treatment is an expected challenge. This article looks at the possible roadmap to recovery of elective surgical management and dentistry, taking into consideration possible predicted further peaks and troughs of COVID-19 infections.

scholarly journals HUBUNGAN PENGETAHUAN DENGAN KEPATUHAN MASYARAKAT MENERAPKAN 3 M (MEMAKAI MASKER, MENJAGA JARAK DAN MENCUCI TANGAN) DALAM UPAYA PENCEGAHAN PENULARAN COVID 19

2021 ◽  
Vol 13 (01) ◽  
pp. 45
Author(s):  
Novita Nurhidayati ◽  
Triani Yuliastanti
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Quantitative Methods ◽  
Rank Test ◽  
P Value ◽  
Cross Sectional ◽  
New Normal ◽  
Spearman Rank ◽  
Purposive Sampling ◽  
Village Government ◽  
And Behavior

ABSTRAKCoronavirus Disease 2019 (COVID-19) adalah penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2) dilaporkan pertama kali di Kota Wuhan, Cina. Virus corona telah menyebar dengan cepat di hampir setiap negara termasuk Indonesia. Anjuran pemerintah sebagai pencegahan COVID-19 dapat dilakukan dengan mematuhi protokol kesehatan seperti memakai masker, menjaga jaga jarak, dan mencuci tangan. Dalam era new normal saat ini semua kegiatan telah dilakukan seperti biasa, sehingga kepatuhan masyarakat menerapkan protocol kesehatan sangat berperan dalam upaya pencegahan penularan covoid 19. Dimana kepatuhan seseorang dapat dipengaruhi oleh faktor pengetahuan, sikap, dan perilaku. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan dengan kepatuhan masyarakat dalam menerapkan 3M (memakai masker,  menjaga jarak dan mencuci tangan sebagai upaya pencegahan penularan Covid 19. Penelitian ini dilakukan menggunakan metode kuantitatif dengan pendekatan cross sectional. Sampel penelitian diambil secara purposive sampling yaitu warga yang berusia 17-50 tahun sebanyak 40 responden. Instrumen penelitian menggunakan kuesioner. Lokasi penelitian dilaksanakan di Dukuh Gatak RT 2 RW 5 Desa Mudal, Kecamatan Boyolali. Analisis data kuantitatif menggunakan Uji Rank Spearman. Hasil penelitian dari Uji Rank Spearman didapatkan hasil p-value sebesar 0,000 (p<0,05) maka Ho ditolak dan dinyatakan ada hubungan. Kesimpulan dari penelitian ini adalah adanya hubungan pengetahuan masyarakat dengan kepatuhan masyarakat dalam menerapkan 3M (memakai masker,  menjaga jarak dan mencuci tangan sebagai upaya pencegahan penularan Covid 19. Saran bagi masyrakat yang tidak menerapakan 3 M diberikan sanksi dan pemerintah desa meningakatkan sosialisasi di tingkat masyarakat.Kata Kunci : Covid-19, Pengetahuan Covid-19, 3 MTHE RELATIONSHIP OF KNOWLEDGE WITH COMMUNITY COMPLIANCE APPLYING 3 M (WEARING MASK, KEEPING YOUR DISTANCE AND WASHING HANDS) IN THE EFFORT TO PREVENT THE TRANSMISSION OF COVID 19ABSTRACTCoronavirus Disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV2) which was first reported in Wuhan City, China. The corona virus has spread rapidly in almost every country including Indonesia. The government's recommendation to prevent COVID-19 can be done by complying with health protocols such as wearing masks, maintaining distance, and washing hands. In the new normal era, all activities have been carried out as usual, so that public compliance with health protocols plays a very important role in efforts to prevent covoid transmission 19. Where a person's compliance can be influenced by factors of knowledge, attitudes, and behavior. The purpose of this study was to determine the relationship between knowledge and public compliance in implementing 3M (wearing masks, maintaining distance and washing hands as an effort to prevent the transmission of Covid 19. This research was conducted using quantitative methods with cross sectional approach. The research sample was taken by purposive sampling, namely residents aged 17-50 years as many as 40 respondents. The research instrument used a questionnaire. The research location was carried out in Dukuh Gatak RT 2 RW 5 Mudal Village, Boyolali District. Quantitative data analysis used the Spearman Rank Test. The results of the research from the Spearman Rank Test showed a p-value of 0.000 (p <0.05), so Ho was rejected and it was stated that there was a relationship. The conclusion of this study is that there is a relationship between public knowledge and community compliance in implementing 3M (wearing masks, maintaining distance and washing hands as an effort to prevent the transmission of Covid 19. Suggestions for people who do not implement 3M are given sanctions and the village government increases socialization at the community level .Keywords: Covid-19, Covid-19 Knowledge, 3M

scholarly journals NEW NORMAL AVIATION SAFETY: INTERNATIONAL REGULATIONS ON PREVENTION OF COVID-19 TRANSMISSION BY MEAN OF INTERNATIONAL AVIATION

2021 ◽  
Vol 5 (1) ◽  
pp. 37-54
Author(s):  
Garry Gumelar Pratama
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Avian Influenza ◽  
Legal Obligation ◽  
Chicago Convention ◽  
Human Race ◽  
New Normal ◽  
Contagious Diseases ◽  
International Regulations ◽  
Novel Coronavirus ◽  
Great Danger

AbstractEach party of the Chicago Convention 1944, the treaty governing international aviation, has agreed to take effective measures to prevent the spreading of diseases including the New CoronaVirus 2019 or COVID-19, which ruptures so many aspects of life. In fact, the current situation is not the first encounter of international aviation law with the same problem, combating dangerous and contagious disease pandemic. Before COVID-19, International aviation had to deal with highly contagious diseases such as Avian Influenza and Severe Acute Respiratory Syndrome (SARS). Now, states have learned better to keep in close consultation with the organizations that adopt international regulations relating to sanitary measures applicable to aviation. Due to the great danger to humankind, cutting the spreading of communicable diseases on international flights is not a mere legal obligation but also a moral responsibility to the human race as a whole. Keywords: Air Law, COVID 19, International Aviation, International Regulations, New Normal   AbstrakNegara pihak dalam Chicago Convention 1944 sebagai salah satu sumber hukum internasional yang mengatur penerbangan internasional telah berkomitmen untuk mencegah penyebaran penyakit melalui penerbangan, termasuk juga penyebaran Novel Coronavirus 2019 atau disingkat COVID-19. Pandemik yang telah meluluhlantakkan berbagai aspek kehidupan tersebut, sebenarnya bukan merupakan situasi pertama yang dihadapi oleh dunia penerbangan internasional, pada khususnya. Sebelum pandemik COVID-19, telah terdapat berbagai macam penyakit yang menyebar, salah satunya melalui penerbangan, termasuk Flu Burung (Avian Influenza) dan Severe Acute Respiratory Syndrome (SARS). Saat ini, dengan demikian, negara telah memiliki pengalaman untuk mengadakan koordinasi dengan lembaga-lembaga internasional terkait tindakan saniter yang dapat diaplikasikan pada perjalanan pesawat. Pemutusan penyebaran penyakit menular melalui penerbangan internasional merupakan masalah moral sekaligus masalah hukum. Kata Kunci: COVID-19, Hukum Udara, Penerbangan Internasional, Regulasi Internasional, Normal Baru

scholarly journals Appropriate usage of face masks to prevent SARS-CoV-2: sharpening the messaging amid the COVID-19 pandemic... PUBLISHED VERSION: https://doi.org/10.1017/dmp.2020.336

2020 ◽  
Author(s):  
Karina Escandón ◽  
Graham Martin ◽  
Krutika Kuppalli ◽  
Kevin Escandón
Keyword(s):  
Social Media ◽  
Severe Acute Respiratory Syndrome ◽  
Source Control ◽  
New Normal ◽  
Do It Yourself

Many governments currently recommend or mandate universal use of face masks amid the coronavirus disease 2019 (COVID-19) pandemic. Cloth face masks and makeshift face coverings—from bandanas and scarfs to do-it-yourself homemade and commercially available masks—are being advised for source control in many countries and regions to mitigate severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission. Unfortunately, instances of individuals inappropriately wearing masks are being witnessed in public and on social media as they have become part of our “new normal”...

scholarly journals Genetic Adjuvantation of a Cell-Based Therapeutic Vaccine for Amelioration of Chagasic Cardiomyopathy

2017 ◽  
Vol 85 (9) ◽  
Author(s):  
Vanaja Konduri ◽  
Matthew M. Halpert ◽  
Dan Liang ◽  
Jonathan M. Levitt ◽  
Julio Vladimir Cruz-Chan ◽  
...  
Keyword(s):  
Chagas Disease ◽  
Adenoviral Vector ◽  
Acute Infection ◽  
Cardiac Complications ◽  
Vaccine Platform ◽  
Cardiac Pathology ◽  
Content Type ◽  
Chagasic Cardiomyopathy ◽  
Ifn Γ ◽  
Acute Chagas Disease

ABSTRACT Chagas disease, caused by infection with the protozoan parasite Trypanosoma cruzi, is a leading cause of heart disease (“chagasic cardiomyopathy”) in Latin America, disproportionately affecting people in resource-poor areas. The efficacy of currently approved pharmaceutical treatments is limited mainly to acute infection, and there are no effective treatments for the chronic phase of the disease. Preclinical models of Chagas disease have demonstrated that antigen-specific CD8+ gamma interferon (IFN-γ)-positive T-cell responses are essential for reducing parasite burdens, increasing survival, and decreasing cardiac pathology in both the acute and chronic phases of Chagas disease. In the present study, we developed a genetically adjuvanted, dendritic cell-based immunotherapeutic for acute Chagas disease in an attempt to delay or prevent the cardiac complications that eventually result from chronic T. cruzi infection. Dendritic cells transduced with the adjuvant, an adenoviral vector encoding a dominant negative isoform of Src homology region 2 domain-containing tyrosine phosphatase 1 (SHP-1) along with the T. cruzi Tc24 antigen and trans-sialidase antigen 1 (TSA1), induced significant numbers of antigen-specific CD8+ IFN-γ-positive cells following injection into BALB/c mice. A vaccine platform transduced with the adenoviral vector and loaded in tandem with the recombinant protein reduced parasite burdens by 76% to >99% in comparison to a variety of different controls and significantly reduced cardiac pathology in a BALB/c mouse model of live Chagas disease. Although no statistical differences in overall survival rates among cohorts were observed, the data suggest that immunotherapeutic strategies for the treatment of acute Chagas disease are feasible and that this approach may warrant further study.

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