Introduction: Simultaneous occurrence of acute ischemic stroke and myocardial infarction is reported to have variable precipitating causes. This occurrence has been rarely reported in the literature and described only in very few case reports. During the surge of coronavirus disease (COVID-19) in our region, we noted an increase in the simultaneous occurrence of cardio-cerebral infarction. This led us to explore the possible mechanisms and pathophysiology that could contribute to this increase. The retrospective nature of the study limited us from drawing any conclusion about causation. Rather, we aimed to formulate a hypothesis for future, more rigorous studies. Patient concerns: We present an overview of 5 cases of simultaneous cardio-cerebral infarction that we encountered in our emergency department within 1 month. Diagnosis: In all cases, diagnosis was confirmed using an electrocardiogram, assessment of laboratory cardiac markers, and imaging. Interventions: In all cases, dual antiplatelet therapy was started and thrombolysis was held, as the condition was considered high risk in most of the patients. Cardiac catheterization lab was not activated either because the patient was unstable or the risk of COVID-19 in staff outweighed the benefit added in patient treatment. Outcomes: Two out of 5 patients died because of early complications that lasted for few days. The remaining 3 were discharged from the hospital in moderate functionality for extensive therapy and rehabilitation. Conclusion: Early recognition and immediate treatment is important in different scenarios leading to thrombosis as the outcome. Additionally, addressing the unknown risks that could contribute to our traditional understanding of these causative mechanisms is important. The hypothesis of exacerbated damage caused by inflammatory and immunological endothelial systemic damage should further be explored to be able to delineate new possibilities in managing these conditions.
BACKGROUND The unrelenting pandemic of the SARS CoV2 (COVID-19) pleads for re-examining predictors of infection and containment measures, once again. AIMS The researchers aim to investigate the prevalence of COVID-19 in Jizan region to analyse the demographic details of the population, to examine the quarantine predictors and the prescription of zinc and azithromycin. METHODS The researcher reviewed the Jizan region data obtained from the Ministry of Health of Saudi Arabia and performed a cross-sectional study from September 1st, 2020 - September 29th, 2020. The researchers surveyed people from the same region to collect and analyse demographic and quarantine data. RESULTS The total number of positive cases was 11,752 patients in the Jizan region since the start of the pandemic. The prevalence of infection is 0.84% with a mortality rate of 1.73% (n=257). Out of 328 participants, 46.4% (n=148) acquired the infection with an admission rate of 1.6% (n=5). We noted two predictors for infection in the region: female gender and being married. Furthermore, males were more likely to be admitted than females and irrespective of age and chronic diseases. The quarantine after contact with a probable case or after travel showed an inverse relationship with the age; and in particular young females stratum, p <0.05. One third received zinc supplementation, whereas the majority 82.4% was not pre- scribed azithromycin. CONCLUSION Overall, the researchers provide a region-specific analysis that uncovers important infection determinants for COVID-19 infection, which should be taken into consideration when designing and implementing health promotions programs.
Background Quarantine has been shown to affect sleep quality in previous analyses. However, a thorough investigation of the association between sleep disturbance and COVID-19 infection during quarantine is still lacking. Aim We aim to determine the impact of quarantine on sleep quality and such impact to anxiety. We also aim to investigate the use of medication and its impact on sleep quality during quarantine. Methods A cross-sectional study conducted in the Jazan region of Saudi Arabia during September 2020. The Pittsburgh Sleep Quality Index (PSQI) and the Generalised Anxiety Disorder Assessment (GAD-7) were used. Results The number of participants was 327, with an infection rate of 53.6% (n= 175). 60.8% (n=189) were quarantined. The mean PSQI score was 5.69 (SD=3.17), those who were quarantined had a higher score (M=6.33, SD=2.99) than those who were not (M=4.57, SD=3.23). After we control for the confounding of anxiety, the PSQI score was also higher in those quarantined (M=0.59, SD=0.26) than in those who were not (M=0.48, SD=0.31); t(120)=2.08, p<0.05. Zinc was noted to have a significant positive effect on sleep quality and anxiety level. Conclusion This analysis provides new insight into the effect of quarantine and anxiety levels on sleep quality.
Algerian olive growing is considered today as a strategic sector, it plays a very important role in the agricultural sector and has participated in the survival economy of communities over time. The region of Skikda is occupied the eighth place of olive oil producing regions in Algeria, it plays a potential role in the economic income of this sector. In this study we have drawn up a statistical inventory on the main agro-economic, socio-economic indicators, olive production situations, as well as a detailed report on the last agricultural campaign for 2020-2021, in order to establish a development plan. olive sector based on basic data, socio-economics activities and resources, the development strategy and some prospects at the end of this study to increase and improve the production and income of this sector.
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