scholarly journals Endoscopy at Bedside in Isolated Patients with Severe COVID-19: Our Approach during the Pandemic

2021 ◽  
Vol 11 (20) ◽  
pp. 9704
Author(s):  
Antonino Granata ◽  
Gennaro Martucci ◽  
Giacomo Emanuele Maria Rizzo ◽  
Dario Ligresti ◽  
Caterina Stornello ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Nutritional Support ◽  
Interventional Procedures ◽  
Health Centers ◽  
Virus Spread ◽  
Gastrointestinal Complications ◽  
Endoscopic Procedures ◽  
Tertiary Center ◽  
Radiological Procedures ◽  
Second Wave

The COVID-19 pandemic changed the management of emergency medicine and those complications that needed interventional procedures, such as endoscopy or other radiological procedures. At the beginning of the outbreak, there were no exploitable recommendations regarding the proper policy to apply for limiting the virus spread during endoscopy. Between the first and the second wave, the approach regarding interventional procedures changed, due to higher awareness and newly defined protocols, even if different among the health centers. Patients with severe COVID-19 may develop major gastrointestinal complications or require nutritional support, so interventional procedures are required at bedside, even if patients are in isolated rooms. Our tertiary center admitted 95 patients with severe COVID-19 at our ICU-dedicated department until May 2021, and 56% of them died. Among them, 61 endoscopic procedures were performed, mainly gastroscopies (81.96%) followed by colonoscopies (11.47%) and other more advanced procedures (6.55%). Our approach aimed to adapt and create COVID-related protocols, dedicated itineraries, and rooms in a separate department with the prospect to easily organize complete and safe endoscopic theaters at the COVID-ICU department.

Reflections on lymphoedema deployment into community services during the pandemic

2021 ◽  
Vol 26 (Sup10) ◽  
pp. S30-S35
Author(s):  
Stephanie Allen ◽  
Karen Morgan
Keyword(s):  
Emergency Medicine ◽  
Chronic Wounds ◽  
Compression Therapy ◽  
Community Services ◽  
Health Board ◽  
Care Needs ◽  
Staffing Levels ◽  
Swansea Bay ◽  
Second Wave ◽  
Palliative Care Needs

During the second wave of the COVID-19 pandemic, district nursing teams were overwhelmed with their caseload due to the palliative care needs of their patients. This led to patients with wet legs and chronic wounds deteriorating due to staffing levels. Therefore, the Swansea Bay University Health Board and Lymphoedema Network Wales teams redeployed two working time equivalents (WTE) into the community to take over the management of these patients with chronic wounds for 4 months. The clinicians came from a variety of different backgrounds, including nursing, physiotherapy, emergency medicine and occupational therapy. Between the teams, 866 visits were carried out over the 4-month period, where patients' compression therapy was altered to promote healing and reduce oedema. At the end of the 4-month period, 21% of the patients were discharged off the district nursing caseload completely, while of the 60% who were still active caseload patients, 35% were in increased compression and 20% had reduced need for visits.

scholarly journals A Journey through and beyond the COVID-19 Pandemic in Indian Setup-Lessons Learnt So Far

2021 ◽  
Author(s):  
Divyesh Kumar
Keyword(s):  
Mortality Rate ◽  
Management Strategies ◽  
Health Sector ◽  
Virus Spread ◽  
Health Security ◽  
The Past ◽  
Lessons Learnt ◽  
The People ◽  
Second Wave ◽  
Day By Day

World over life was going at its normal pace when an outbreak occurred in Hubei province of China in the later part of the year 2019. This outbreak was soon found to be caused by a virus named coronavirus (COVID-19). Rapidly the virus spread globally leading to a pandemic. The mortality rate was increasing day by day and helplessly everyone was wondering what actually could be done to prevent the spread. Lessons from the past epidemic made it possible to think that maintaining social distancing and adequate hygiene might help to combat the ailment. In India, majorly affected were the people from poor strata and the businessmen who were earning their daily bread by selling things of daily need. The health sector too witnessed an alarming ratio of patients suffering from COVID-19. The second wave, which soon followd the first wave, caused much more havoc. Overall, the COVID-19 pandemic, exposed and challanged the health security system of every country. As the danger of pandemic still prevails, steps to curtail the spread of disease and future management strategies should be formulated from the lessons learnt through the COVID-19 phase.

scholarly journals Nutrition features of young children with oncological diseases in the process of antitumor treatment

2019 ◽  
pp. 200-204
Author(s):  
A. Yu. Vashura ◽  
Ju. A. Alymova
Keyword(s):  
Nutritional Support ◽  
Gastrointestinal Disorders ◽  
Early Age ◽  
Antitumor Therapy ◽  
Gastrointestinal Complications ◽  
Existing Problems ◽  
Microbial Density ◽  
Oncological Diseases ◽  
Long Time ◽  
Special Approach

Carrying out antitumor treatment of children with oncological diseases is often accompanied by many complications, one of the most significant eating disorders. These disorders can aggravate the existing problems, complicate the patient’s treatment and often dictate the need for special nutritional support. First of all, it is based on the limitations associated with the requirements for low microbial density of food (due to sharply reduced immunity), gastrointestinal disorders of varying severity and prevalence, peculiarities of taste and appetite of the child (which are almost always violated in the process of antitumor therapy), as well as psychological problems. In children of early age, this situation is very significant, since complications (especially gastrointestinal complications) can last for a long time, which may limit the development of the child, even if the basic treatment is successfully completed, or even prevent him or her from developing at all. Therefore, such patients need special nutritional support: enteral and often parenteral nutrition, as well as a special approach to diet, which is often based on industrial baby food products.

scholarly journals Triaging Patients Undergoing Endoscopy During COVID-19 Pandemic

2020 ◽  
Vol 11 (01) ◽  
pp. 41-43
Author(s):  
Sundeep Lakhtakia ◽  
Mohan Ramchandani
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Interventional Procedures ◽  
Gastrointestinal Endoscopy ◽  
Indian Society ◽  
Gi Endoscopy ◽  
Endoscopic Procedures ◽  
Careful Scrutiny ◽  
Care Workers ◽  
Indian Association

Abstract"Triaging for endoscopy" is the process to determine the most deserving patients after careful scrutiny amongst a pool of patients who report for Gastrointestinal (GI) Endoscopy diagnostic or interventional procedures that include Esophago-gastro-duodenoscopy (OGD), Colonoscopy, ERCP, EUS and Enteroscopy. The purpose of triaging at endoscopy is to prevent transmission of SARS-COV2 infection from suspected patient to the health care workers involved at endoscopy. The three professional Indian Gastroenterology bodies namely Society of Gastrointestinal Endoscopy of India (SGEI), Indian Society of Gastroenterology (ISG) & Indian Association for the study of the liver (INASL) have recently provided guidance of scheduling of endoscopic procedures in the current Covid-9 pandemic. Similar suggestions have been promulgated by other international bodies.

scholarly journals Parenteral nutritional support in children in the early period after hematopoietic stem cell transplantation: specifics and clinical aspects

2021 ◽  
Vol 20 (4) ◽  
pp. 199-208
Author(s):  
A. Yu. Vashura ◽  
Yu. A. Alymova
Keyword(s):  
Stem Cell ◽  
Hematopoietic Stem Cell Transplantation ◽  
Stem Cell Transplantation ◽  
Parenteral Nutrition ◽  
Cell Transplantation ◽  
Hematopoietic Stem Cell ◽  
Nutritional Support ◽  
Clinical Aspects ◽  
Hematopoietic Stem ◽  
Gastrointestinal Complications

Hematopoietic stem cell transplantation (HSCT) as a treatment modality is associated with nutritional problems that are mainly caused by eating difficulties and gastrointestinal complications occurring at different stages of HSCT: starting from conditioning until late post-transplant period. Nutritional problems have in turn a negative impact on the outcomes of HSCT which demonstrates the importance of preventive measures and timely correction of these problems. The majority of patients who underwent HSCT experience various problems at different stages of treatment leading to a situation when enteral nutrition is impossible. This is why parenteral nutrition is of utmost importance in these patients. This review describes the main clinical factors that may influence the prescription of nutritional support to patients after HSCT as well as possible problems and negative consequences of inappropriate prescribing of parenteral nutrition. 

scholarly journals POSSIBILITIES OF NUTRITIONAL SUPPORT WITH PROBIOTIC «BIOVESTIN» IN THE FIGHT WITH GASTROINTESTINAL COMPLICATIONS IN CANCER PATIENTS DURING CHEMOTHERAPY

2021 ◽  
pp. 46-50
Author(s):  
V.E. Voitsitsky ◽  
◽  
V.A. Lebedeva ◽  
O.A. Tkachuk ◽  
I.V. Skuridina ◽  
...  
Keyword(s):  
Adjuvant Chemotherapy ◽  
Cancer Patients ◽  
Nutritional Support ◽  
Locally Advanced ◽  
Gastrointestinal Toxicity ◽  
Gastrointestinal Disorders ◽  
Control Group ◽  
Gastrointestinal Complications ◽  
The World ◽  
Oncological Pathology

The incidence of oncological pathology in Russia and throughout the world is steadily growing, and the mortality rate is not decreasing either. A large number of locally advanced and neglected cases of cancer of various location are revealed. Treatment of these forms requires polychemotherapy (PCT). The study included 52 patients with oncological pathology of various location: head and neck, stomach, large intestine, they underwent adjuvant chemotherapy according to the PF, TPF and FOLFOX regimens, which include an infusion of 5-fluorouracil for 2–5 days. The study analyzed gastrointestinal toxicity according to CTCAE, version 4.03, 2010. It was revealed that the addition of the probiotic Biovestin to meal reduces gastrointestinal toxicity by 2 times compared with the control group and reduces the risk of interruption of the PCT course by 19 % due to the development of side effects. Thus, the addition of the probiotic Biovestin has shown its effectiveness, safety and simplicity of use in the prevention of gastrointestinal disorders in cancer patients under conditions of PCT.

scholarly journals An Empirical Inference of the Severity of Resurgence of COVID-19 in Europe

2020 ◽  
Author(s):  
Hemanta K. Baruah
Keyword(s):  
Virus Spread ◽  
Corona Virus ◽  
Current Spread ◽  
The Uk ◽  
Second Wave

AbstractIn Europe the Corona Virus spread had started to retard months ago, but after some time it has started to accelerate again. In this article, we are going to analyze the current COVID-19 spread patterns in Italy, the UK, Germany, Russia, Spain and France. We have found that the current spread has perhaps been underestimated as just the second wave. As per our analysis, as on 7 October the resurgence is much more vigorous than the first wave of spread of the disease. It is going to be most serious in Russia, followed by Italy, Germany and the UK, while in Spain and France the patterns are yet to take inferable shapes.

Effect on Mental Health Due to COVID 19

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1745-1749
Author(s):  
Akshay Shrama ◽  
Sunil Kumar
Keyword(s):  
Mental Health ◽  
Disease Severity ◽  
Negative Energy ◽  
Delay Testing ◽  
Virus Spread ◽  
Mental Load ◽  
The World ◽  
Mental Abilities ◽  
Second Wave

Corona has been a major cause of psychological, mental health all over affecting billions of people affecting mental abilities creating panic all over the world. China suffered first than this virus spread to more than 180countries. Although it’s a new virus but has caused tremendous mortality, morbidity also affecting the mental health of a person and people are getting more panic which has shown to delay recovery also delay testing due to fear of corona increases the disease severity involving lungs which are a major concern for death among many. Mental health is wealth staying positive in any situation is the key to fight any illness. Moral of a person should be high to defeat such diseases. It has already affected thousands of civilians. Dealing with mental health is a major issue in today’s date as recovery is getting delayed due to mental load taken all over. Happiness is key to tackle and fight any situation of life, be it infection or any other issues. Through this article aiming to tackle corona by creating positivity and spreading awareness that no need to panic but to stay happy taking precautions and keeping once own care .life is precious and depression in life should have no role in it. Together we will win. Ray of hope ray of positivity is all needed in this time. More than 91 lakhs cases in India still chances the second wave may come many have been jobless, many lost their beloved ones all over negative energy is spreading proper concealing, awareness regarding mental health is a must.

scholarly journals Estimated collective effective dose to the population from radiological examinations in Slovenia

2015 ◽  
Vol 49 (1) ◽  
pp. 99-106 ◽  
Author(s):  
Dejan Zontar ◽  
Urban Zdesar ◽  
Dimitrij Kuhelj ◽  
Dean Pekarovic ◽  
Damijan Skrk
Keyword(s):  
Computed Tomography ◽  
Effective Dose ◽  
Systematic Study ◽  
Interventional Procedures ◽  
Population Exposure ◽  
Patient Exposure ◽  
Standard Methodology ◽  
Per Capita ◽  
Radiological Procedures ◽  
Radiological Examinations

Abstract Background. The aim of the study was to systematically evaluate population exposure from diagnostic and interventional radiological procedures in Slovenia. Methods. The study was conducted in scope of the “Dose Datamed 2” project. A standard methodology based on 20 selected radiological procedures was adopted. Frequencies of the procedures were determined via questionnaires that were sent to all providers of radiological procedures while data about patient exposure per procedure were collected from existing databases. Collective effective dose to the population and effective dose per capita were estimated from the collected data (DLP for CT, MGD for mammography and DAP for other procedures) using dose conversion factors. Results. The total collective effective dose to the population from radiological in 2011 was estimated to 1300 manSv and an effective dose per capita to 0.6 mSv of which approximately 2/3 are due to CT procedures. Conclusions. The first systematic study of population exposure to ionising radiation from radiological procedures in Slovenia was performed. The results show that the exposure in Slovenia is under the European average. It confirmed large contributions of computed tomography and interventional procedures, identifying them as the areas that deserve special attention when it comes to justification and optimisation.

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