Retrospective Cross-Sectional Analysis of COVID-19 Patients in a Local Hospital during Delta Surge | Abstract
Journal of Health Care and Research [ISSN: 2582-8967] ISSN: 2582-8967…Keep reading
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Author(s): Bahaar Kaur Muhar*, Hillary Chu, Norah Zhou
Many community members believe the vaccine is not effective against COVID-19 and that local hospitals are full of vaccinated patients with severe COVID-19. Furthermore, they feel national figures do not reflect local numbers. We aimed to analyze the profile of COVID-19 patients in our local community hospital in Sacramento, California to see if indeed most COVID-19 hospitalized patients are vaccinated. This is a retrospective cross-sectional study of COVID-19 patients that were admitted to a community hospital on August 26, 2021, during the delta variant surge. We analyzed the profile of patients in the hospital who had a positive COVID-19 test by PCR. A total of 96 COVID-19 patients were studied of which 20 are vaccinated and 76 are unvaccinated. The average age of hospitalized vaccinated patients with COVID-19 is 69 while unvaccinated patients is 52.6. Additionally, 24 patients were on high flow oxygen with only 3 of them being fully vaccinated. There are 26 patients in the ICU with COVID-19 of which only 3 are fully vaccinated. 21 of these ICU patients are on mechanical ventilation with only 2 being fully vaccinated. Our data is consistent with national trends. While breakthrough infections are inevitable, analysis shows that the elderly population is most significantly impacted. However, breakthrough infections tend to also be less severe. Importantly, the unvaccinated population with COVID-19 disease and hospitalization tend to be of younger age. Altogether, this data from our local hospital highlights and emphasizes the need for our community to be fully vaccinated to prevent COVID-19 disease and hospitalizations.
Author(s): Mohammed Almashahedi*, Wasim Khan, Stephen McDonnell
Total hip replacement is one of the most successful orthopaedic operation of recent time. The outcomes of THR may be influenced by several factors including patient demographics, surgical technique and implant features. One of the most important surgeon-controlled factors is component positioning. Surgical positioning of the acetabular cup and femoral prosthesis remains fundamental to obtaining accurate implant fit and prevent hip dislocation or impingement. Different categories of robotic assistance have been established during the previous years and all of the technologies target accuracy and reliability to reduce complications, and enhance clinical outcomes.
In this article, we discuss the advantages and difficulties of robotic total hip replacement in obese patient and provide the recent scientific evidence from the literatures.
Author(s): Morisaki Naoko*
Purpose: The purpose of this study was to measure the tongue pressure of older adults who require nursing care and to clarify the relationship between dysphagia symptoms and tongue strength.
Methods: The participants were Japanese older adults (age: ≥ 65 years) in need of care who were able to communicate with others and agreed to participate in the study. Tongue pressure was measured using TPM-01, a tongue pressure measuring instrument. The Dysphagia Risk Assessment for Community-Dwelling Elderly was used to assess dysphagia. The association between tongue pressure and 12 dysphagia symptoms was analyzed using a one-way analysis of variance.
Results: The average tongue pressure was 23.22 ± 9.9 kPa. Tongue pressure was significantly associated with occasional food spillage from the mouth and sputum formation in the throat during meals or after eating or drinking (p < 0.05).
Conclusions: Decreased tongue strength should be suspected in older adults with food spillage from the mouth or sputum formation in the throat during meals.
Author(s): Siniša Franjić*
Dentistry is one of the clinical disciplines that is closely related to medicine, but also to the technology of making various devices and placing artificial materials that compensate and/or upgrade lost teeth and surrounding structures. Dentistry is also medically responsible for the treatment of patients with diseases of the oral cavity. The main task of dentistry is healthy teeth and oral cavity, ie their preservation and treatment of damaged teeth. Caries is the most common dental disease, and is caused by the multiplication of bacteria inside the oral cavity due to lack of oral hygiene. If not treated in time, caries penetrates deeper tooth structures and destroys them which leading to tooth decay. The most common symptoms of caries are tooth sensitivity and toothache. If these symptoms occur, it is necessary to perform an examination at the dentist in order to prevent the disease immediately at the beginning and to avoid significant consequences for dental health. If caries is not treated in time, there is a high chance that irreparable damage will occur to the teeth and tooth tissue, which can ultimately result in the loss of one or more teeth.
Author(s): Saji Saraswathy Gopalan*, Devi Kalyan Mishra, Ashis Kumar Das
Introduction: Influenza could be associated with illnesses, severe complications, hospitalizations, and deaths among adults with high-risk medical conditions. Influenza vaccination reduces the risks and complications associated with influenza infection in high-risk conditions. We assessed the prevalence and predictors of influenza vaccination in a national sample of adults with high-risk medical conditions in the United States.
Methods: Using the nationally representative National Health Interview Survey of 2019, we estimated the prevalence of influenza vaccination among adults with high-risk conditions. We tested the associations between receipt of vaccination and socio-demographic predictors.
Results: Out of 15,258 adults with high-risk conditions, 56% reported receiving an influenza vaccine over the previous 12 months. Multivariable regressions show that respondents from older age groups, females, married, higher annual family income, having health insurance and those with more than two high-risk conditions are more likely to receive the vaccine. However, adults from non-Hispanic Black race/ethnicity and living in the Southern census region are less likely to receive the vaccination. Education levels and living in a metro show no associations with vaccination status.
Conclusions: State authorities and providers have important roles in sensitizing and reminding individuals with high-risk conditions to receive timely vaccination. Affordability needs to be enhanced for influenza vaccination including better insurance coverage and reduced co-payment.