Vol. 11 No. 06 (2021): Innovative Journal of Medical and Health Science
TRANSFORMATION OF NATIONAL HEALTH SYSTEMS IN TIMES OF COVID-19: THE EUROPEAN RESPONSE
Georgia Giannoudi, Sofia VoutsidouOnline First: Jun 17, 2021
-
PDF
- Abstract
-
XML
- Abstract
-
HTML
- Abstract
-
E-PUB
- Abstract
-
Latex
- Abstract
TRANSFORMATION OF NATIONAL HEALTH SYSTEMS IN TIMES OF COVID-19: THE EUROPEAN RESPONSE
Objective: ?he COVID-19 pandemic caused new challenges worldwide. One of these was the necessity of the transformation of the National Health Systems in order to deal with it. The purpose of this study is to present the challenges faced by the NHS in Europe and around the globe, focusing on the priorities they have set in order to be able to provide effective, timely and patient-centered services.
Methodology: For the needs of the research, the relevant decisions of the European Commission and the European Parliament were studied together with the reports of international organizations, such as the World Health Organization (WHO) and the European Centre for Disease Prevention and Control (ECDC). The existing literature has also been examined.
Results: In order to help the European countries be prepared for cross-border health threats, such as coronavirus, the European Parliament voted in March 2021 the largest health programme in the European Union, with a total budget of 5.1 billion Euros, which is called EU4Health programme. However, the programme has broader goals, that it will seek to achieve, combining the European level with the national and global level of health policy. Its three main goals for the period 2021-2027 are: (1) increasing medical supplies for eventual pandemics, (2) creating reserves of medical staff and experts and (3) improving the surveillance of health risks.
Conclusion: The EU4Health programme is one of the most important European Union’s responses to the recent pandemic, aiming to assist in the transformation of NHS. The basic keys for achieving this objective are to focus on prevention through Public Health and Primary Health Care and at the same time to use the benefits provided by e-Health.
Keywords: COVID-19, National Health Systems, health policy, EU4Health programme
TRANSFORMATION OF NATIONAL HEALTH SYSTEMS IN TIMES OF COVID-19: THE EUROPEAN RESPONSE
Objective: ?he COVID-19 pandemic caused new challenges worldwide. One of these was the necessity of the transformation of the National Health Systems in order to deal with it. The purpose of this study is to present the challenges faced by the NHS in Europe and around the globe, focusing on the priorities they have set in order to be able to provide effective, timely and patient-centered services.
Methodology: For the needs of the research, the relevant decisions of the European Commission and the European Parliament were studied together with the reports of international organizations, such as the World Health Organization (WHO) and the European Centre for Disease Prevention and Control (ECDC). The existing literature has also been examined.
Results: In order to help the European countries be prepared for cross-border health threats, such as coronavirus, the European Parliament voted in March 2021 the largest health programme in the European Union, with a total budget of 5.1 billion Euros, which is called EU4Health programme. However, the programme has broader goals, that it will seek to achieve, combining the European level with the national and global level of health policy. Its three main goals for the period 2021-2027 are: (1) increasing medical supplies for eventual pandemics, (2) creating reserves of medical staff and experts and (3) improving the surveillance of health risks.
Conclusion: The EU4Health programme is one of the most important European Union’s responses to the recent pandemic, aiming to assist in the transformation of NHS. The basic keys for achieving this objective are to focus on prevention through Public Health and Primary Health Care and at the same time to use the benefits provided by e-Health.
Keywords: COVID-19, National Health Systems, health policy, EU4Health programme
TRANSFORMATION OF NATIONAL HEALTH SYSTEMS IN TIMES OF COVID-19: THE EUROPEAN RESPONSE
Objective: ?he COVID-19 pandemic caused new challenges worldwide. One of these was the necessity of the transformation of the National Health Systems in order to deal with it. The purpose of this study is to present the challenges faced by the NHS in Europe and around the globe, focusing on the priorities they have set in order to be able to provide effective, timely and patient-centered services.
Methodology: For the needs of the research, the relevant decisions of the European Commission and the European Parliament were studied together with the reports of international organizations, such as the World Health Organization (WHO) and the European Centre for Disease Prevention and Control (ECDC). The existing literature has also been examined.
Results: In order to help the European countries be prepared for cross-border health threats, such as coronavirus, the European Parliament voted in March 2021 the largest health programme in the European Union, with a total budget of 5.1 billion Euros, which is called EU4Health programme. However, the programme has broader goals, that it will seek to achieve, combining the European level with the national and global level of health policy. Its three main goals for the period 2021-2027 are: (1) increasing medical supplies for eventual pandemics, (2) creating reserves of medical staff and experts and (3) improving the surveillance of health risks.
Conclusion: The EU4Health programme is one of the most important European Union’s responses to the recent pandemic, aiming to assist in the transformation of NHS. The basic keys for achieving this objective are to focus on prevention through Public Health and Primary Health Care and at the same time to use the benefits provided by e-Health.
Keywords: COVID-19, National Health Systems, health policy, EU4Health programme
TRANSFORMATION OF NATIONAL HEALTH SYSTEMS IN TIMES OF COVID-19: THE EUROPEAN RESPONSE
Objective: ?he COVID-19 pandemic caused new challenges worldwide. One of these was the necessity of the transformation of the National Health Systems in order to deal with it. The purpose of this study is to present the challenges faced by the NHS in Europe and around the globe, focusing on the priorities they have set in order to be able to provide effective, timely and patient-centered services.
Methodology: For the needs of the research, the relevant decisions of the European Commission and the European Parliament were studied together with the reports of international organizations, such as the World Health Organization (WHO) and the European Centre for Disease Prevention and Control (ECDC). The existing literature has also been examined.
Results: In order to help the European countries be prepared for cross-border health threats, such as coronavirus, the European Parliament voted in March 2021 the largest health programme in the European Union, with a total budget of 5.1 billion Euros, which is called EU4Health programme. However, the programme has broader goals, that it will seek to achieve, combining the European level with the national and global level of health policy. Its three main goals for the period 2021-2027 are: (1) increasing medical supplies for eventual pandemics, (2) creating reserves of medical staff and experts and (3) improving the surveillance of health risks.
Conclusion: The EU4Health programme is one of the most important European Union’s responses to the recent pandemic, aiming to assist in the transformation of NHS. The basic keys for achieving this objective are to focus on prevention through Public Health and Primary Health Care and at the same time to use the benefits provided by e-Health.
Keywords: COVID-19, National Health Systems, health policy, EU4Health programme
TRANSFORMATION OF NATIONAL HEALTH SYSTEMS IN TIMES OF COVID-19: THE EUROPEAN RESPONSE
Objective: ?he COVID-19 pandemic caused new challenges worldwide. One of these was the necessity of the transformation of the National Health Systems in order to deal with it. The purpose of this study is to present the challenges faced by the NHS in Europe and around the globe, focusing on the priorities they have set in order to be able to provide effective, timely and patient-centered services.
Methodology: For the needs of the research, the relevant decisions of the European Commission and the European Parliament were studied together with the reports of international organizations, such as the World Health Organization (WHO) and the European Centre for Disease Prevention and Control (ECDC). The existing literature has also been examined.
Results: In order to help the European countries be prepared for cross-border health threats, such as coronavirus, the European Parliament voted in March 2021 the largest health programme in the European Union, with a total budget of 5.1 billion Euros, which is called EU4Health programme. However, the programme has broader goals, that it will seek to achieve, combining the European level with the national and global level of health policy. Its three main goals for the period 2021-2027 are: (1) increasing medical supplies for eventual pandemics, (2) creating reserves of medical staff and experts and (3) improving the surveillance of health risks.
Conclusion: The EU4Health programme is one of the most important European Union’s responses to the recent pandemic, aiming to assist in the transformation of NHS. The basic keys for achieving this objective are to focus on prevention through Public Health and Primary Health Care and at the same time to use the benefits provided by e-Health.
Keywords: COVID-19, National Health Systems, health policy, EU4Health programme
SERUM PROCALCITONIN: ITS ROLE IN DIFFERENTIATING GRAM NEGATIVE FROM GRAM POSITIVE AND FUNGAL SEPSIS
Syed Faisal Andrabi, Sadia Lanker, Mohammed ThahaOnline First: Jun 18, 2021
-
PDF
- Abstract
SERUM PROCALCITONIN: ITS ROLE IN DIFFERENTIATING GRAM NEGATIVE FROM GRAM POSITIVE AND FUNGAL SEPSIS
Background: Serum procalcitonin (PCT) levels differ in patients with bacterial or fungal infections and are high in patients with Gram?negative sepsis. We evaluated the diagnostic accuracy of serum procalcitonin to discriminate sepsis caused by different pathogens.
Materials and Methods: We included 308 episodes of bacteremia from 282 patients with sepsis and 26 patients with suspected sepsis in this study. Medical records of patients who had bacteremia caused by Gram?negative bacteria (Gram?negative), Gram?positive bacteria (Gram?positive) or fungi were reviewed, and information about PCT was recorded. The diagnostic performance of serum procalcitonin was calculated via receiver operating characteristic (ROC) curves.
Results: Serum PCT levels in Gram?negative, Gram?positive, and fungal sepsis were 7.47 (interquartile range [IQR]: 1.09–41.26) ng/mL, 0.48 (IQR: 0.15–2.16) ng/mL, and 0.60 (IQR: 0.14–2.06) ng/mL, respectively (P < 0.001). ROC analysis revealed an optimal cut?off value of 2.44 ng/mL for PCT in discriminating Gram?negative sepsis from Gram?positive sepsis, which yielded a sensitivity of 68.4% and a specificity of 77.1%. An optimal cut?off value of 3.11 ng/mL for PCT in discriminating Gram?negative sepsis from fungal sepsis, led to a sensitivity of 63.9% and specificity of 93.3%. PCT could not be used to distinguish between Gram?positive and fungal sepsis.
Conclusion: Serum PCT levels were significantly higher in patients with Gram?negative sepsis than in those with Gram?positive or fungal sepsis. PCT is a potential sensitive biomarker for distinguishing Gram?negative sepsis from Gram?positive and fungal sepsis.
Key words: Fungi, Gram?negative bacteria, procalcitonin, sepsis
MALNUTRITION, DEVELOPMENTAL DELAY, AND IMPAIRED SOCIAL MATURITY IN RELATION TO TYPE OF CONGENITAL HEART DISEASE AMONG 0–15-YEARS-OLD CHILDREN
D Shivaashankari , K E Elizabeth , K M Sanjay , K Rugmini , S KironOnline First: Jun 18, 2021
-
PDF
- Abstract
MALNUTRITION, DEVELOPMENTAL DELAY, AND IMPAIRED SOCIAL MATURITY IN RELATION TO TYPE OF CONGENITAL HEART DISEASE AMONG 0–15-YEARS-OLD CHILDREN
Background: Children with congenital heart disease (CHD) have impaired growth and development with adverse outcome.
Objectives
To determine nutritional status, developmental, and social quotient among 0-15-year-old children with CHD and the association with type of CHD.
Methodology: Among children enrolled under RBSK Scheme, relevant history and examination findings were recorded using a structured proforma. Nutritional status was assessed using anthropometric measurements, Developmental quotient (DQ) using developmental screening test-Bharat Raj and Social quotient (SQ) using Vineland Social Maturity scale-Malin's Indian adaptation.
Results: Out of 60, 46.7% were <5 years old, Male:Female ratio 1:1.4. 86.6% had ACHD, 13.4% CCHD. 61.7% were underweight (ACHD -59.6%, CCHD -75%). 48.3% had stunting (ACHD -44.2%, CCHD -75%); significantly more in CCHD (p <0.01). 66.7% had wasting (ACHD -63.5%, CCHD -87.5%). 48% had thinness/low BMI (ACHD -46.2%, CCHD -62.5%); significantly more in >5-yrs-old group (p<0.01).
63.3% had low DQ <85 (ACHD -59.6%, CCHD -87.5%). 86.7% had low SQ <85 (ACHD -84.6%, CCHD -100%). Mean DQ was low, 74.2 +/-17.9 (ACHD -77.23 +/-17.2, CCHD -57.87 +/-16); significantly more in CCHD (p <0.01). Mean SQ was low 63.18 +/-17.5 (ACHD -65.21 +/-17.2, CCHD -50 +/-12.8); significantly more in CCHD (p <0.01).
Conclusion: Malnutrition, developmental delay, and impaired social maturity were common; stunting and lower DQ and SQ significantly more in CCHD and low BMI in >5-yrs.-old category. More females being enrolled indicate less gender bias. As RBSK scheme, addresses birth defects, developmental delay, and nutritional deficiencies and accredits private institutions, it is a big boon to children with CHD.
Keywords: Malnutrition, Congenital Heart Disease, Developmental Delay, Impaired Social Maturity, DQ, SQ, Stunting, Underweight, Wasting, RBSK.
Characterization of patients treated with acupuncture after COVID-19 virus infection
Jihe Zhu, Blagica Arsovska, Kristina KozovskaOnline First: Jun 22, 2021
-
PDF
- Abstract
-
XML
- Abstract
-
HTML
- Abstract
-
E-PUB
- Abstract
-
Latex
- Abstract
Characterization of patients treated with acupuncture after COVID-19 virus infection
The coronavirus (COVID-19) pandemic became the greatest global public health crisis nowadays and currently there are no proven effective therapies. The virus has strong pathogenicity and infectivity and the most convincing way of transmission is through inhalation of the infectious aerosols. 80% of the patients who came to our clinic for Traditional Chinese Medicine (TCM) and acupuncture for treatment in the last 6 months, came due to residual effects of the coronavirus infection. The aim of this study is to show statistically how many patients reported for post-coronavirus treatment in the clinic and due to which consequences and reasons came for treatment. In this research were chosen to be analyzed 21 patients, 6 male and 15 female, on age from 19 to 65, all treated for health consequences caused by covid-19 infection in February, 2021. All patients are referred to the clinic within a week due to health problems left by coronavirus infection. According to the analyzed data, it can be concluded that all patients infected with coronavirus have health consequences that occupy the body for more than 6 months, regardless of whether the symptoms were mild, moderate or severe. Most patients had the infection in December 2020. Most of the patients had mild symptoms. The biggest problem after the infection is the body pain, exhaustion of the body, reduced energy and tiredness.
Key words – covid-19, corona virus, acupuncture, traditional Chinese medicine, statistics
Characterization of patients treated with acupuncture after COVID-19 virus infection
The coronavirus (COVID-19) pandemic became the greatest global public health crisis nowadays and currently there are no proven effective therapies. The virus has strong pathogenicity and infectivity and the most convincing way of transmission is through inhalation of the infectious aerosols. 80% of the patients who came to our clinic for Traditional Chinese Medicine (TCM) and acupuncture for treatment in the last 6 months, came due to residual effects of the coronavirus infection. The aim of this study is to show statistically how many patients reported for post-coronavirus treatment in the clinic and due to which consequences and reasons came for treatment. In this research were chosen to be analyzed 21 patients, 6 male and 15 female, on age from 19 to 65, all treated for health consequences caused by covid-19 infection in February, 2021. All patients are referred to the clinic within a week due to health problems left by coronavirus infection. According to the analyzed data, it can be concluded that all patients infected with coronavirus have health consequences that occupy the body for more than 6 months, regardless of whether the symptoms were mild, moderate or severe. Most patients had the infection in December 2020. Most of the patients had mild symptoms. The biggest problem after the infection is the body pain, exhaustion of the body, reduced energy and tiredness.
Key words – covid-19, corona virus, acupuncture, traditional Chinese medicine, statistics
Characterization of patients treated with acupuncture after COVID-19 virus infection
The coronavirus (COVID-19) pandemic became the greatest global public health crisis nowadays and currently there are no proven effective therapies. The virus has strong pathogenicity and infectivity and the most convincing way of transmission is through inhalation of the infectious aerosols. 80% of the patients who came to our clinic for Traditional Chinese Medicine (TCM) and acupuncture for treatment in the last 6 months, came due to residual effects of the coronavirus infection. The aim of this study is to show statistically how many patients reported for post-coronavirus treatment in the clinic and due to which consequences and reasons came for treatment. In this research were chosen to be analyzed 21 patients, 6 male and 15 female, on age from 19 to 65, all treated for health consequences caused by covid-19 infection in February, 2021. All patients are referred to the clinic within a week due to health problems left by coronavirus infection. According to the analyzed data, it can be concluded that all patients infected with coronavirus have health consequences that occupy the body for more than 6 months, regardless of whether the symptoms were mild, moderate or severe. Most patients had the infection in December 2020. Most of the patients had mild symptoms. The biggest problem after the infection is the body pain, exhaustion of the body, reduced energy and tiredness.
Key words – covid-19, corona virus, acupuncture, traditional Chinese medicine, statistics
Characterization of patients treated with acupuncture after COVID-19 virus infection
The coronavirus (COVID-19) pandemic became the greatest global public health crisis nowadays and currently there are no proven effective therapies. The virus has strong pathogenicity and infectivity and the most convincing way of transmission is through inhalation of the infectious aerosols. 80% of the patients who came to our clinic for Traditional Chinese Medicine (TCM) and acupuncture for treatment in the last 6 months, came due to residual effects of the coronavirus infection. The aim of this study is to show statistically how many patients reported for post-coronavirus treatment in the clinic and due to which consequences and reasons came for treatment. In this research were chosen to be analyzed 21 patients, 6 male and 15 female, on age from 19 to 65, all treated for health consequences caused by covid-19 infection in February, 2021. All patients are referred to the clinic within a week due to health problems left by coronavirus infection. According to the analyzed data, it can be concluded that all patients infected with coronavirus have health consequences that occupy the body for more than 6 months, regardless of whether the symptoms were mild, moderate or severe. Most patients had the infection in December 2020. Most of the patients had mild symptoms. The biggest problem after the infection is the body pain, exhaustion of the body, reduced energy and tiredness.
Key words – covid-19, corona virus, acupuncture, traditional Chinese medicine, statistics
Characterization of patients treated with acupuncture after COVID-19 virus infection
The coronavirus (COVID-19) pandemic became the greatest global public health crisis nowadays and currently there are no proven effective therapies. The virus has strong pathogenicity and infectivity and the most convincing way of transmission is through inhalation of the infectious aerosols. 80% of the patients who came to our clinic for Traditional Chinese Medicine (TCM) and acupuncture for treatment in the last 6 months, came due to residual effects of the coronavirus infection. The aim of this study is to show statistically how many patients reported for post-coronavirus treatment in the clinic and due to which consequences and reasons came for treatment. In this research were chosen to be analyzed 21 patients, 6 male and 15 female, on age from 19 to 65, all treated for health consequences caused by covid-19 infection in February, 2021. All patients are referred to the clinic within a week due to health problems left by coronavirus infection. According to the analyzed data, it can be concluded that all patients infected with coronavirus have health consequences that occupy the body for more than 6 months, regardless of whether the symptoms were mild, moderate or severe. Most patients had the infection in December 2020. Most of the patients had mild symptoms. The biggest problem after the infection is the body pain, exhaustion of the body, reduced energy and tiredness.
Key words – covid-19, corona virus, acupuncture, traditional Chinese medicine, statistics
A Comparative Study between the Periumbilical and The Intraumbilical Incisions in Laparoscopic Procedures
Dr. Chandranath Banerjee, Dr. Arunava Choudhuri, Dr. Deepak Gupta, Dr Kajal Kumar PatraOnline First: Jun 30, 2021
-
PDF
- Abstract
-
XML
- Abstract
-
PMC
- Abstract
-
DOAJ
- Abstract
-
Epub
- Abstract
A Comparative Study between the Periumbilical and The Intraumbilical Incisions in Laparoscopic Procedures
Background: Laparoscopic surgery is now a widely accepted treatment modality in every field of general surgery. A periumbilical is a commonly used method for the initial approach of the laparoscope into the abdomen. The intraumbilical incision is being used more frequently, with the increasing cases of single incision laparoscopic surgery (SILS), which has recently been proven to be a feasible alternative for conventional laparoscopic surgery with better cosmetic merit. Methods: This was a Prospective Cohort Study. Study was conducted at Department of General Surgery, Burdwan Medical College & Hospital, West Bengal from 1st September 2018 to 31st August 2020 A total of 100 patients were selected and randomly divided in two groups with 50 patients in each group. 50 patients received periumbilical incision and 50 patients received Intraumbilical incision. Data analysis was performed using SPSS statistical package software version 23.0 for Windows (SPSS Inc., Chicago, IL, USA). Results: Regarding sex distribution we found in IU group 28 (56%) were females and 22 (44%) were males with a male to female ratio of 1.27:1. and in PU group, 30 (60%) patients were males while 20 (40%) were females. There was no difference in operation time between the two groups.
Conclusions: Our results show that despite the widespread belief that an intraumbilical incision will cause more wound infection and incisional hernia, actual wound complication rates do not differ from the cases with periumbilical incision. The cosmetic survey score was significantly higher in the IU group compared to PU group.
A Comparative Study between the Periumbilical and The Intraumbilical Incisions in Laparoscopic Procedures
Background: Laparoscopic surgery is now a widely accepted treatment modality in every field of general surgery. A periumbilical is a commonly used method for the initial approach of the laparoscope into the abdomen. The intraumbilical incision is being used more frequently, with the increasing cases of single incision laparoscopic surgery (SILS), which has recently been proven to be a feasible alternative for conventional laparoscopic surgery with better cosmetic merit. Methods: This was a Prospective Cohort Study. Study was conducted at Department of General Surgery, Burdwan Medical College & Hospital, West Bengal from 1st September 2018 to 31st August 2020 A total of 100 patients were selected and randomly divided in two groups with 50 patients in each group. 50 patients received periumbilical incision and 50 patients received Intraumbilical incision. Data analysis was performed using SPSS statistical package software version 23.0 for Windows (SPSS Inc., Chicago, IL, USA). Results: Regarding sex distribution we found in IU group 28 (56%) were females and 22 (44%) were males with a male to female ratio of 1.27:1. and in PU group, 30 (60%) patients were males while 20 (40%) were females. There was no difference in operation time between the two groups.
Conclusions: Our results show that despite the widespread belief that an intraumbilical incision will cause more wound infection and incisional hernia, actual wound complication rates do not differ from the cases with periumbilical incision. The cosmetic survey score was significantly higher in the IU group compared to PU group.
A Comparative Study between the Periumbilical and The Intraumbilical Incisions in Laparoscopic Procedures
Background: Laparoscopic surgery is now a widely accepted treatment modality in every field of general surgery. A periumbilical is a commonly used method for the initial approach of the laparoscope into the abdomen. The intraumbilical incision is being used more frequently, with the increasing cases of single incision laparoscopic surgery (SILS), which has recently been proven to be a feasible alternative for conventional laparoscopic surgery with better cosmetic merit. Methods: This was a Prospective Cohort Study. Study was conducted at Department of General Surgery, Burdwan Medical College & Hospital, West Bengal from 1st September 2018 to 31st August 2020 A total of 100 patients were selected and randomly divided in two groups with 50 patients in each group. 50 patients received periumbilical incision and 50 patients received Intraumbilical incision. Data analysis was performed using SPSS statistical package software version 23.0 for Windows (SPSS Inc., Chicago, IL, USA). Results: Regarding sex distribution we found in IU group 28 (56%) were females and 22 (44%) were males with a male to female ratio of 1.27:1. and in PU group, 30 (60%) patients were males while 20 (40%) were females. There was no difference in operation time between the two groups.
Conclusions: Our results show that despite the widespread belief that an intraumbilical incision will cause more wound infection and incisional hernia, actual wound complication rates do not differ from the cases with periumbilical incision. The cosmetic survey score was significantly higher in the IU group compared to PU group.
A Comparative Study between the Periumbilical and The Intraumbilical Incisions in Laparoscopic Procedures
Background: Laparoscopic surgery is now a widely accepted treatment modality in every field of general surgery. A periumbilical is a commonly used method for the initial approach of the laparoscope into the abdomen. The intraumbilical incision is being used more frequently, with the increasing cases of single incision laparoscopic surgery (SILS), which has recently been proven to be a feasible alternative for conventional laparoscopic surgery with better cosmetic merit. Methods: This was a Prospective Cohort Study. Study was conducted at Department of General Surgery, Burdwan Medical College & Hospital, West Bengal from 1st September 2018 to 31st August 2020 A total of 100 patients were selected and randomly divided in two groups with 50 patients in each group. 50 patients received periumbilical incision and 50 patients received Intraumbilical incision. Data analysis was performed using SPSS statistical package software version 23.0 for Windows (SPSS Inc., Chicago, IL, USA). Results: Regarding sex distribution we found in IU group 28 (56%) were females and 22 (44%) were males with a male to female ratio of 1.27:1. and in PU group, 30 (60%) patients were males while 20 (40%) were females. There was no difference in operation time between the two groups.
Conclusions: Our results show that despite the widespread belief that an intraumbilical incision will cause more wound infection and incisional hernia, actual wound complication rates do not differ from the cases with periumbilical incision. The cosmetic survey score was significantly higher in the IU group compared to PU group.
A Comparative Study between the Periumbilical and The Intraumbilical Incisions in Laparoscopic Procedures
Background: Laparoscopic surgery is now a widely accepted treatment modality in every field of general surgery. A periumbilical is a commonly used method for the initial approach of the laparoscope into the abdomen. The intraumbilical incision is being used more frequently, with the increasing cases of single incision laparoscopic surgery (SILS), which has recently been proven to be a feasible alternative for conventional laparoscopic surgery with better cosmetic merit. Methods: This was a Prospective Cohort Study. Study was conducted at Department of General Surgery, Burdwan Medical College & Hospital, West Bengal from 1st September 2018 to 31st August 2020 A total of 100 patients were selected and randomly divided in two groups with 50 patients in each group. 50 patients received periumbilical incision and 50 patients received Intraumbilical incision. Data analysis was performed using SPSS statistical package software version 23.0 for Windows (SPSS Inc., Chicago, IL, USA). Results: Regarding sex distribution we found in IU group 28 (56%) were females and 22 (44%) were males with a male to female ratio of 1.27:1. and in PU group, 30 (60%) patients were males while 20 (40%) were females. There was no difference in operation time between the two groups.
Conclusions: Our results show that despite the widespread belief that an intraumbilical incision will cause more wound infection and incisional hernia, actual wound complication rates do not differ from the cases with periumbilical incision. The cosmetic survey score was significantly higher in the IU group compared to PU group.
An Analytical retrospective study of CT Severity scores among COVID Vaccinated subjects
Dr. Rajendra Bhojwani, Dr Ramesh JainOnline First: Apr 4, 2022
-
PDF
- Abstract
An Analytical retrospective study of CT Severity scores among COVID Vaccinated subjects
Introduction: The role of HRCT scan in making a diagnosis of COVID-19 has been emphasized as being a problem-solving modality in patients with complications, diagnostic dilemmas, and poor response to therapy. This study aims to observe for any difference in CT severity scores in COVID-19 patients or suspects amongst vaccinated and non-vaccinated cases.
Methods: This was a Retrospective Analytical study of 400 subjects . The vaccine status was noted for each case. The HRCT study was reported, and CT severity score allotted by experienced radiologists. These subjects were divided into three age categories, 18–44, 45–59 and ≥60 years. The data for each case was then tabulated in an Excel spreadsheet. Medians of the scores in different age groups were compared amongst vaccinated and non-vaccinated individuals The results were finally evaluated with help of various statistical tests.
Results: The mean age was 45.72 ±13.38 years The mean CT severity score was 7.64 ± 4.81. 53% were in the age group of 18–44 years, (26%) were in the age group of 45– 59 years, & 21% were in the age group ≥60 years. The difference in the medians amongst the vaccinated and non-vaccinated groups was significant, p-values being < 0.001 in all age categories.
Conclusion: The difference in median CT-SS amongst vaccinated and non-vaccinated individuals was significant. Pair-wise comparison of median CT-SS revealed significant difference between vaccinated (1 and 2 doses) and non-vaccinated subjects.
Key Word : CT Severity score , HRCT , COVID -19 , Vaccine
