Patients affected with COVID-19 are at risk of developing serious and life-threatening conditions. The clinical manifestations of COVID-19 were detected in asymptomatic cases to severe clinical symptoms with a major impact on the respiratory system. A few cases of cutaneous as well as an oral lesion of herpes zoster in patients with COVID-19 were reported in the literature. We present a case of the rapid appearance of the oral lesion as a manifestation of herpes zoster associated with COVID-19 infection. Our case highlights the importance of oral examination as well as oral care in patients with COVID-19 infection.
Oral lichen planus (OLP) is an autoimmune chronic inflammatory disease. The potential risk of malignant transformation in OLP remains controversial. The aim of the present study was to review original clinical studies published in indexed databases, which assessed the potential risk cofactors which were implicated in the malignant transformation of oral lichen planus. We focused our search to include most of the studies that reported malignant transformation of oral lichen planus using different combinations of the following key indexing terms: oral lichen planus, malignant transformation, smoking, alcohol, chronic inflammation, candida, human papillomavirus (HPV), hepatitis C virus (HCV) and immunosuppression. The animal studies were excluded from our study. Despite a dearth of studies on this topic we have identified consumption of tobacco and/or alcohol, the presence of erosive and/or atrophic areas, infection with candida, HCV, HPV, and immunosuppression as significant cofactors. Patients with OLP with these risk co-factors are at risk of malignant transformation should, therefore be followed up for an extensive period or even for life.
Aim: this study aimed to assess stress and coping styles among parents of children undergoing heart surgery. A descriptive study was used. Sample: A convenient sample of 132 parents. Setting: This study was conducted at pediatric intensive care unit (PICU) and in-patient pediatric ward to open heart surgery at El-Demerdash hospital that affiliated to Ain Shams University. Tools of data collection: 1) General characteristics questionnaire containing the following parts: A) Socio-demographic characteristics and clinical data of child, B) Sociodemographic characteristics of parents; 2) Parent Stress Scale; and 3) Jalowiec Coping Scale (JCS). Results of the study: revealed that, the majority of the studied parents of children with heart surgery experienced moderate level of stress and two thirds of them had ineffective coping.
Conclusion:The majority of the studied parents of children with heart surgery experienced moderate level of stress and two thirds of them had ineffective coping .also; this study concluded that there was a negative correlation between stress level and coping behaviors among the studied parents of children undergoing heart surgery.Recommendation: Applying educational interventional program for enhancement of stress and coping styles of parents of children with heart surgery.
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