Diagnostic Approaches for Big Vessel Vasculitides

The fear of COVID-19 and shift of health care workers to manage COVID-19 patients has affected their regular visits to the hospital. However, there is lack of coping strategies for them, which should soon be established for these patients.
Increased prevalence of COVID-19 was found among obese patients with OSA. The fear of COVID-19 and shift of health care workers to manage COVID-19 patients has affected their regular visits to the hospital. However, there is lack of coping strategies for them, which should soon be established for these patients.
To characterize health care-related adverse events in patients with SARS-CoV-2 infection who died in a tertiary hospital.
This is a retrospective, observational study, that included patients who died at HUGTiP hospital between 16 March and 10 April 2020. Data was extracted from the electronic medical record.
The median age of the 164 SARS-CoV-2 infected patients who died in the center in the study period was 77.5 years and >90% of patients had ≥1 comorbidity. Forty point two percent of patients had at least ≥1 health care-related adverse event. Twenty three point eight of patients had an adverse drug reaction, the leading cause of adverse events in patients who died. Of patients who died in intensive care units, the frequency of problems related to mechanical ventilation was 8.8%.
Although the case fatality rate associated with the adverse events detected was very low, close monitoring of potential health care-related adverse events, especially drug reactions, as the therapeutic management of the disease remains unclear.
Although the case fatality rate associated with the adverse events detected was very low, close monitoring of potential health care-related adverse events, especially drug reactions, as the therapeutic management of the disease remains unclear.The COVID 19 pandemic led to lockdown and restrictions on anthropogenic activities not only in India but all over the world. This provided an opportunity to study positive effects on environment and subsequent impact on terrestrial ecosystems such as urban, peri-urban, forest and agriculture. A variety of studies presented so far mainly include improved air quality index, water quality, reduced pollutants etc. The present study focused on few novel parameters from both polar and geostationary satellites that are not studied in context to India, and also attempts deriving/quantifying benefits rather than merely indicating qualitative improvements. Due to lack of anthropogenic activities during complete lockdown-1 (21 days from 25 March 2020) in India nighttime cooling of land surface temperature (LST) of the order of 2-6 K was observed. Amongst 10 major cities, Bhopal showed highest nighttime cooling. The cooling effect in LST was evident in 80% of industrial units distinctly indicating cooling trend. Vegetation fires were analyzed in 10 fire-prone states of India. Compared to past four-years average number of occurrences, only 45% fire occurrences occurred during lockdown, indicating strong effect of lockdown. The study also revealed that, there is increase in gross primary production in forest ecosystem to the tune of maximum 38%, during this period. Though delay in rabi crop harvest date by 1-2 weeks in majority of north Indian states was observed rise in rabi crop productivity of the order of maximum 34% was observed which is attributed to favorable environmental conditions for net carbon uptake. About 18% reduction in volumetric agricultural water demand was estimated in Indo-Gangetic region, parts of Gujarat and Rajasthan. Apart from controlling the spread of the disease, the lockdown restrictions were thus also able to show positive effects on the environment and ecosystem which might influence to rethink on strategies for sustainable development.Our understanding of how COVID-19 spreads over a territory needs to be improved. For example, the evaluation of disease spatiotemporal distribution and its association with other characteristics can help identify covariates, model the behavior of the epidemic, and provide useful information for decision making. Data were compiled from the National Population Council (CONAPO), Google, the National Institute of Statistics and Geography (INEGI), and the Secretary of Health. The data describe the cases of COVID and characteristics of the population, such as distribution, mobility, and prevalence of chronic diseases such as diabetes, hypertension, and obesity. These data were processed to be compatible and georeferenced to a common geographic framework to facilitate spatial analysis in a geographic information system (GIS).Olfactory dysfunction (OD) and gustatory dysfunction (GD) has been reported as one of the presenting symptoms amongst COVID-19 patients. However the literature available is disjunct on this aspect. This study is conducted to identify the prevalence of olfactory and/or gustatory dysfunction in patients with coronavirus disease in Northern part of India. It's a cross-sectional observation study, conducted over 387 COVID-19 positive patients, at ENT dept of tertiary care hospital. A retrospective survey was conducted using a pre designed questionnaire and details of Olfactory and Gustatory dysfunction was collected. The patient's demographic details, disease course and recovery time for olfactory (OD) and/or gustatory dysfunctions (GD) were collected. A total of 387 patients with COVID-19 completed the study. 228 (58.9%) patients suffered from influenza like illness (ILI) (fever, sore throat, dry cough, malaise, and myalgia). There was significant positive association seen between with ILI and OD and / or GD. β-Aminopropionitrile research buy 167/387 (43.15%) patients reported OD, and 153/387 (39.53%) reported GD. 43.71% and 50.3% patients had mild OD & GD respectively. Recovery rates for both OD and GD are high and almost similar, with 161 (96.4%) and 148 (96.73%) patients had complete recovery of smell and taste. Maximum recovery was noticed between 4 and 6 weeks. COVID-19 patients with habits have significantly high probability of developing OD &/or GD. There is a significant correlation between OD and GD and there is high probability that patients who reported to have OD will also have GD or vice versa. Prevalence of OD and GD in Indian population may not be as high as mentioned in western literature, however, both are frequent and early symptoms of COVID-19. Recent onset of these should be considered as red flag symptoms for COVID-19.