• COVID-19

The immune response to breast implants after COVID-19 disease or COVID-19 vaccine administration includes acute inflammatory manifestations, capsular contracture and seroma. Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a very rare tumor in which numerous up-regulated pro-inflammatory immunological pathways activate a T cell lymphoproliferative disorder.The first reported case of a BIA-ALCL hidden mass clinically manifesting with inflammatory signs after SARS-CoV-2 infection and vaccinations is here described.Complete capsulectomy and adjuvant chemotherapy were performed and immediately after the surgical procedure local inflammatory signs disappeared; no evidence of disease was present 1 year later.Immunological stimulation by COVID-19 disease and vaccines may highlight some rare clinical manifestations of BIA-ALCL; persistent inflammatory symptomatology over breast implants should be investigated using second-level imaging.This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Shortly after the advent of severe acute respiratory syndrome and the avian influenza, the emergence of the influenza A(H1N1)2009 pandemic caused significant vibrations to the public health authorities and stressed the health systems worldwide. We sought to investigate whether this experience has altered our knowledge and our current and future practice on the management of severe acute respiratory infections (SARI) and community-acquired pneumonia.A changing epidemiology was demonstrated, with obesity and pregnancy beyond established risk groups for influenza A, other clinical syndromes beyond primary viral pneumonia, possible coinfections by other viral beyond bacterial pathogens and a disappointing performance of all available severity assessment tools. On the treatment topic, accumulating evidence suggesting worse outcomes argues against the use of corticosteroids, but some noninvasive ventilating modalities require further assessment.The recent influenza A(H1N1)2009 pandemic has highlighted our weaknesses relating to the diagnosis and assessment of severity of SARI, compromising early treatment and ultimate outcomes; further research based on this experience will help to improve prognosis and boost our future preparedness. An important message is the necessity of international collaboration for the rapid dissemination of locally acquired knowledge.

COVID-19 has compromised and disrupted sexual and reproductive health (SRH) across multiple dimensions: individual-level access, health systems functioning, and at the policy and governance levels. Disruptions to supply chains, lockdown measures and travel restrictions, and overburdened health systems have particularly affected abortion access and service provision. The pandemic, rather than causing new issues, has heightened and exposed existing fractures and fissures within abortion access and provision. In this viewpoint, we draw on the concept of “structural violence” to make visible the contributing causes of these ruptures and their inequitable impact among different groups.

Background: Coronavirus disease 2019 (COVID-19) is a serious emerging public health issue and it has been identified as a major risk to human health in 2020. Egypt has more than 100 million population, of whom in poor economic conditions and with low education levels could be vulnerable to COVID-19 infection. Physicians are at the frontiers in battles against the emergence, spread, and control of COVID-19 pandemic. Research data are needed to develop evidence-based strategies to prepare health care systems to deal with the current epidemic. Aim: The aim of this study is to assess the level of knowledge and attitudes to COVID-19 pandemic among a group of Egyptian physicians. Methods: From March 15th to March 25th, 2020, we conducted a cross-sectional online survey using non-probability accessibility sampling technique. The structured questionnaire was distributed online through E-mails and social networks to identify the knowledge and attitude among a group of Egyptian physicians regarding COVID-19 pandemic. Result: The study included 256 physicians. Of the participants, 48% were males 49.6% were females. The mean of total score was (19.6±2.3) out of 23 gained mainly from the social media (50.7%). About 67% of the participants heard of Coronaviruses before this pandemic, 78.5% identified other Coronaviruses. All the participants correctly identified the incubation period and 81.6% correctly identified the typical clinical symptoms. Most of the participants (97.6%) could estimate the fatality of COVID-19. Approximately 95% of the respondents knew no vaccination and 88% correctly answered that no current specific treatment for COVID-19 available. Almost all 98% of the participants knew the recommended general infection control precautions. Most of the participants showed positive attitude, about (97%) agreed that health care workers must avail themselves of all information about the COVID-19. Conclusion: The finding of this survey indicating that, faced with the COVID-19 pandemic, this studied group of Egyptian physicians showed positive attitude and satisfactory knowledge about emerging COVID-19 infection. Recommendations: Although the Egyptian Ministry of Health (MOH) has taken several major steps to prepare the health care system to be ready dealing with COVID-19 pandemic, it is important to develop educational programs to ensure continuous updated knowledge of the physicians.

AbstractCOVID-19 pandemic has burdened healthcare systems, necessitating the development of mortality prediction scores to guide clinical decisions and resource allocation. 4C ISARIC mortality score was developed and validated on a British cohort.ObjectivesExternal validation of the score in the setting of a large Saudi Arabian ICU.MethodRetrospective chart review of COVID-19 patients admitted to ICU of King Saud Medical City, Riyadh, Saudi Arabia. Collecting data to calculate the score, then fitting a ROC curve against known patients’ outcome.ResultsCohort included 1493 patients with 38% mortality, AUC of the score was 0.81 (95% CI: 0.79 – 0.83, p < 0.001), correctly classifying 72.67% of the cohort. Cut-off value of > 9 had sensitivity of 70.5% (95% CI: 66.6 – 74.3), specificity 73.97% (95% CI: 71 – 76.8), positive predictive value 62.4% (95% CI: 59.5 – 65.2), and negative predictive value 80.2% (95% CI: 78.2 – 82.4).Conclusion4C ISARIC mortality risk score performed well with a good discriminatory ability for critically ill patients admitted to ICU in our setting. Cut-off > 9 was the optimal criterion.

Salah satu persoalan yang meresahkan adalah munculnya infodemi yang dianggap WHO sama berbahayanya dengan pandemi. Infodemi adalah keberlimpahan informasi terkait pandemi yang justru menimbulkan berbagai bentuk kekacauan informasi seperti misinformasi, disinformasi, dan malinformasi. Tenaga pengajar atau Guru, adalah bagian dari dunia akademis yang memilki peranan penting dalam menyampaikan pesan dan informasi. sangatlah penting bagi tenaga pengajar (guru) untuk memiliki Literasi digital yang valid dan beragam untuk menghindarkan guru dari bagian yang ikut menyebarkan misinformasi mengenai covid 19 ini. Tujuan dari penelitian ini adalah untuk mengetahui Sikap Tenaga Pengajar (Guru) tingkat SMP dan SMA di Kota Bengkulu dalam menghadapi gempuran informasi pandemi covid 1 serta bekal literasi digital para guru dalam menghadapi disinfodemi yang beredar. Metode pengkajian yang digunakan dalam penelitian ini adalah pendekatan kualitatif. Sedangkan tipe penelitian ini menggunakan tipe deskriptif kualitatif. Lokasi penelitian dilakukan di Kota Bengkulu dengan subjek penelitian adalah para guru SMP dan SMA di Lingkungan Kota Bengkulu dengan informan berjumlah 13 orang. Data dikumpulkan melalui dua cara yaitu wawancara mendalam terhadap subjek penelitian dan pengisian formulir survey dari google form. Hasil penelitian menunjukkan bahwa para guru tingkat SMP dan SMA di Kota Bengkulu, sudah memiliki kesadaran akan pentingnya Literasi Digital dan sudah melakukan Cek Ulang kebenaran infromasi yang diterima mengenai pandemi covid 19 melalui media digital online maupun berkonsultasi langsung dengan tenaga kesehatan yang ada di sekitarnya. Mereka juga secara aktif menjadi penyaring bagi lingkungan keluarganya atas berita yang tersebar yang beum tentu kebenarannya Kata Kunci : Infodemi, literasi digital, Tenaga pengajar, Guru

Item does not contain fulltext To meet surge capacity and to prevent hospitals from being overwhelmed with COVID-19 patients, a regional crisis task force was established during the first pandemic wave to coordinate the even distribution of COVID-19 patients in the Amsterdam region. Based on a preexisting regional management framework for acute care, this task force was led by physicians experienced in managing mass casualty incidents. A collaborative framework consisting of the regional task force, the national task force, and the region's hospital crisis coordinators facilitated intraregional and interregional patient transfers. After hospital admission rates declined following the first COVID-19 wave, a window of opportunity enabled the task forces to create, standardize, and optimize their patient transfer processes before a potential second wave commenced. Improvement was prioritized according to 3 crucial pillars: process standardization, implementation of new strategies, and continuous evaluation of the decision tree. Implementing the novel "fair share" model as a straightforward patient distribution directive supported the regional task force's decisionmaking. Standardization of the digital patient transfer registration process contributed to a uniform, structured system in which every patient transfer was verifiable on intraregional and interregional levels. Furthermore, the regional task force team was optimized and evaluation meetings were standardized. Lines of communication were enhanced, resulting in increased situational awareness among all stakeholders that indirectly provided a safety net and an improved integral framework for managing COVID-19 care capacities. In this article, we describe enhancements to a patient transfer framework that can serve as an exemplary system to meet surge capacity demands during current and future pandemics.

Healthcare workers are on the front lines of COVID-19 pandemic. Nurses and medical doctors have been the most exposed population. From all specialties involved in dealing with SARS-CoV2 disease, some of them seem to be more exposed than the others. From all specialties, infectious diseases, anesthesiology, emergency medicine, dentists and ophthalmology doctors, were at greatest risk of contracting COVID-19. Dentists have lived with the fear of self-contamination and transmission of the virus, as well as taking the risk of neglecting emergencies and chronic pathologies, or prosthetic work postponed, due to the pandemic, which drastically reduced the number of interventions. The SARS-Cov2 pandemic generated a new problem within the first three months of 2021, apart from the one created by the disease itself: allergic reactions, even fatal, that occured after the COVID-19 vaccination. Could dental practices add, under these circumstances, a supplemental risk for the newly vaccinated COVID-19, this is the main question we need to answer.

La crisis de la COVID-19 ha tenido repercusiones tanto en la sociedad española como en sus instituciones. Es el caso del Congreso de los Diputados, obligado a adaptar su funcionamiento a la situación de la pandemia, lo cual afecta, en consecuencia, al trabajo de los medios tradicionales, encargados de cubrir la actividad parlamentaria. En este contexto, en el que la información es clave, las redes sociales pasan a adoptar un rol fundamental como canal de comunicación social. Esta investigación estudia la comunicación online de la Cámara Baja desde el 10 de marzo de 2020, con el anuncio de la suspensión de la actividad parlamentaria, hasta el 30 de abril, cuando se ultima el proceso de desescalada. El objetivo principal consistía en conocer qué utilización ha hecho el Congreso de sus redes sociales: Facebook y Twitter, durante este periodo de crisis, al tiempo que se valora la reacción que dichos contenidos han generado en la comunidad de usuarios. Tal y como se demuestra en este artículo, el Congreso de los Diputados no consigue poner en marcha una comunicación a la altura del estado de crisis que generó la COVID-19.