The Correlation Between COVID 19 and IUFD: Our Experience at a Tertiary Maternity Unit in France, the CHSF
Darido Jessie,
Dussour Chloe,
Lehrer Jade,
Grevoul Fesquet Julie,
ElHachem Larissa,
Lavergne Delphine,
Khadam Louay,
Rigonnot Luc
Issue:
Volume 9, Issue 4, December 2020
Pages:
87-90
Received:
7 September 2020
Accepted:
28 September 2020
Published:
16 October 2020
Abstract: The data concerning this infection during pregnancy is still limited. Up until now there are no clear established correlations between the COVID 19 infection during pregnancy and its potential risks for the fetus including the stillbirth issue. At our center, the frequency of occurrence of stillbirths between January - June 2019 and January - June 2020 increased. Starting from this, we aim to see if there is upon the IUFD cases of 2020 any COVID 19 infection. Most of the patients refused to do the test due to various causes. 9 patients out of 20 accepted to do the serology test. Only one tested positive and all of the others tested negative. Note that half of the patients who had negative serology have other predisposing factors for stillbirth but the only patient who tested positive does not have any other risk factors. The question is whether it is cost effective or not to do the serology test of COVID systematically in the case of pregnant patients where stillbirth occurred? Further research concerning COVID infection in pregnancy is needed. This study will be enlarged and completed with another one that will include almost nine centers at Ile de France.
Abstract: The data concerning this infection during pregnancy is still limited. Up until now there are no clear established correlations between the COVID 19 infection during pregnancy and its potential risks for the fetus including the stillbirth issue. At our center, the frequency of occurrence of stillbirths between January - June 2019 and January - June ...
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Critically Ill Children Admitted into the Paediatric Emergency Unit of a Tertiary Hospital in a Developing Country and the Causes of Delayed Presentation
Issue:
Volume 9, Issue 4, December 2020
Pages:
91-94
Received:
14 October 2020
Accepted:
28 October 2020
Published:
11 November 2020
Abstract: Decades of advancement in health care delivery and clinical practice may have massively impacted the efficiency of health delivery and patient outcome in high-income countries, but its effect is still minimal in the low-income countries who are still dealing with poorly equipped and inadequate health facilities low insurance coverage and poor education. This study set out to evaluate the clinical profiles of critically ill admitted into the paediatric emergency unit and causes delay presentation. A prospective review of children admitted into the children emergency room between January 2018 to December 2019. A total of 8087 emergency room visits were attended to over the two years out of which 4039 were admitted. The majority of participants (63.5%) are less than 5 years, there was a male to female ratio of 1.6:1 and 1458 (36.1%) had emergency signs necessitating resuscitation at presentation. 74% of participants have been self-medicated by parent/caregiver before presenting in the hospital (50% antibiotics, 44% antimalaria). The most frequent symptoms include fever, vomiting, breathlessness and seizures, majority (73%) of those with emergency sign presented 48 hours after onset of symptoms and the major reason for the delay was the fear of the cost of treatment. Children that had significant odd of dying include those that: were self-medicated, had emergency signs and under- 5 children. The high dependence of out-of-pocket financing in Nigeria health care system remains a major cause of delayed presentation among critically ill children. There is an urgent need for the government to improve on the universal health coverage by improving the number of the population with health insurance coverage.
Abstract: Decades of advancement in health care delivery and clinical practice may have massively impacted the efficiency of health delivery and patient outcome in high-income countries, but its effect is still minimal in the low-income countries who are still dealing with poorly equipped and inadequate health facilities low insurance coverage and poor educa...
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A Study on Knowledge, Attitude and Practice on Hypertension in Patients Who Suffered from Stroke Admitted in Tertiary Care Hospital
Issue:
Volume 9, Issue 4, December 2020
Pages:
95-100
Received:
27 November 2020
Accepted:
24 December 2020
Published:
31 December 2020
Abstract: Introduction: Hypertension is a crucial health problem and chronic disease in both developed and underdeveloped countries. Without prevention and treatment it may lead to life threatening complication of vital organs and patient’s disability. Objective: Assessing patient’s knowledge, their attitude and lifestyle practices on hypertension who suffered from stroke was the primary objective. The secondary objectives were to assess the compliance of hypertensive patients, their beliefs and misconceptions, awareness and practices on hypertension and the demographic and personal characteristics of the participants. Materials & methods: This cross sectional observational study conducted in Dhaka Medical College Hospital and Shaheed Suhrawardy Medical College Hospital involving 100 adult patients who were hypertensive for at least 2 years and presented with stroke confirmed by CT scan of brain. Data was collected by structured questionnaire. Part of the questionnaire was taken from ‘WHO STEP wise approach’ to chronic disease surveillance which was translated into Bengali for better understanding. Chi- square test was used to analyze the data with a significance level of p<0.05. Results: Maximum numbers of hypertensive patient who suffered from stroke were between 45-54 years (41%). Minimum age 38 years and maximum age 80 years, mean age 52.02±8.26 (SD) years. Male patients were 55 (55%) and female 45 (45%) & male: female was 1.2:1 Mean systolic and diastolic blood pressure were 156.07±16.61 (SD) and 89.84±9.78 (SD) mm of Hg respectively. Sixty percent (60%) of the study population had knowledge on hypertension and (49%) had knowledge on the risk factors. Tobacco smoking (100%) and lack of physical activity (95.9%) were identified as the common risk factors. Patients who reported to be doing physical exercise were (57%) and smoking (26%). Irregular antihypertensive was taken by (30%) of the patients and (33%) could not mention about the medication. Conclusion: A vast majority of the hypertensive patients still have poor knowledge on hypertension, risk factors, and lifestyle practices. It is necessary to implement effective educational strategies directed towards the patients and public so that they can avoid the risk factors, hence reducing the prevalence of hypertension.
Abstract: Introduction: Hypertension is a crucial health problem and chronic disease in both developed and underdeveloped countries. Without prevention and treatment it may lead to life threatening complication of vital organs and patient’s disability. Objective: Assessing patient’s knowledge, their attitude and lifestyle practices on hypertension who suffer...
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