Differential Diagnosis and Hospital Emergency Management for Fastlane Treatment of Central Nervous System Infection Under the COVID-19 Epidemic in Changsha, China

Yang, Haojun; Chi, Yunfang; Chen, Zhuohui; Fan, Yishu; Wu, Hong; Hu, Xinhang; Wu, Tong Tong; Xiao, Bo; Zhang, Mengqi

doi:10.3389/fneur.2020.555202

Cited by 4 publications

(3 citation statements)

References 139 publications

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“…The World Health Organization (WHO) named the disease as coronavirus disease 2019 (COVID-19), and the International Committee on the Taxonomy of Viruses named the virus as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). 1 Respiratory droplets and direct contact were the main transmission routes. 2 A study of 1354 Canadian adults in early February 2020 showed ~40% of the participants were worried or very worried about SARS-CoV-2, even with only four confirmed cases in Canada at that time.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and anxiety toward COVID-19 among domestic and overseas Chinese college students

Yang

Chen

Fan

et al. 2021

Journal of Public Health

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Background To investigate the knowledge, attitudes and anxiety toward COVID-19 among Chinese college students studying in China and abroad. Method A structured questionnaire, comprised of demographic characteristics, knowledge and attitudes toward COVID-19 and the State–Trait Anxiety Inventory (STAI), was used to collect data for 566 domestic students and 126 students studying abroad. Results Domestic students were better than students abroad in knowledge of epidemiology and manifestations. Domestic students showed a significant higher enthusiasm for voluntary services than students abroad, including medical science popularization, community services, traffic dispersion, logistics transportation and being volunteers for vaccine trials. The scores (Mean ± SD) of S-AI and T-AI among students abroad were 59.48 ± 8.63 and 54.10 ± 7.20, respectively, which were significantly higher than those of domestic students (39.46 ± 8.16 and 39.25 ± 7.72). Conclusions Our study showed a better understanding of knowledge, more positive attitudes and less anxiety toward COVID-19 among domestic students, compared with students studying abroad. In light of this information, more attention and appropriate psychological and social intervention should be paid to college students with anxiety, especially those studying abroad.

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Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and anxiety toward COVID-19 among domestic and overseas Chinese college students

Yang

Chen

Fan

et al. 2021

Journal of Public Health

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“…It is found to cause attention deficit hyperactivity disorder and neurodevelopmental disorders in offspring [75,76]. Recent human studies confirmed that the administration of ACEIs or ARBs did not increase the expression of ACE2 [77][78][79]. Therefore, ACEIs and ARBs can be used as anti-hypertensive medications in pregnant women with hypertension despite COVID-19 infection.…”

Section: Treatment Of Pregnant Women With Cns Symptomsmentioning

confidence: 99%

Strategies for the Emergency Treatment of Pregnant Women with Neurological Symptoms during the COVID-19 Pandemic

Yang¹,

Fan²,

Zhu³

et al. 2022

Aging and disease

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Coronavirus disease-19 (COVID-19) has been spreading all over the world for more than two years. Though several kinds of vaccines are currently available, emergence of new variants, spike mutations and immune escape have raised new challenges. Pregnant women are vulnerable to respiratory infections due to their altered immune defence and surveillance functions. Besides, whether pregnant persons should receive a COVID-19 vaccine is still under debate because limited data are available on the efficacy and safety of receiving a vaccine during pregnancy. Physiological features and lack of effective protection making pregnant women at high risk of getting infected. Another concern is that pregnancy may trigger the onset of underlying existing neurological disease, which is highly similar to those neurological symptoms of pregnant women caused by COVID-19. These similarities interfere with diagnosis and delay timely and effective management. Therefore, providing efficient emergency support for pregnant women suffering from neurological symptoms caused by COVID-19 remains a challenge among neurologists and obstetricians. To improve the diagnosis and treatment efficiency of pregnant women with neurological symptoms, we propose an emergency management framework based on the clinicians' experience and available resources. This emergency care system aimed at addressing the conundrums faced by the emergency guarantee system under COVID-19 pandemic and could serve as a potential multisystem project for clinical practice and medical education.

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“…In December 2019, an outbreak of a novel coronavirus pneumonia (NCP) occurred in Wuhan, Hubei province, China, and it rapidly spread to different provinces in China, as well as countries in Southeast Asia, Europe, North America, and many others (1). The Chinese National Health Commission has listed NCP as a category B infectious disease, and the management measures for category A infectious diseases were adopted, indicating that new discovered cases are required to be reported within 2 and 6 h in the city and countryside, respectively (2,3). According to the World Health Organization (WHO), the official name of the disease is coronavirus disease 2019 (COVID-19) and according to the International Committee on Taxonomy of Viruses, the virus is called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (4, 5).…”

Section: Introductionmentioning

confidence: 99%

Difficulties and Countermeasures in Hospital Emergency Management for Fast-Lane Treatment of Acute Stroke During the COVID-19 Epidemic Prevention and Control

et al. 2020

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Background: Coronavirus disease 2019 (COVID-19) has a long incubation period and a high degree of infectivity. Patients may not show specific signs or symptoms of upper respiratory tract infection, and the age of onset is similar to that of stroke. Furthermore, an increase in neurological conditions, specifically acute cerebrovascular disease, has been detected. Providing emergency treatment for acute stroke in accordance with the strict epidemic control measures is currently one of the main challenges, as acute stroke is rapid onset and a major cause of death and disability globally. We aimed to evaluate the emergency treatment system for acute stroke during the epidemic control period to provide a reference and basis for informing government and medical institutions on improving patient treatment rates during this period.Methods: Difficulties faced in providing emergency treatment for stroke during an epidemic were investigated and combined with medical educational resources and clinical management experiences to construct an emergency treatment framework for acute stroke during the epidemic.Findings: Currently, emergency treatment measures for acute stroke during the epidemic control period are limited because the main focus is on identifying COVID-19 comorbidities during the critical period. Establishing standards for patients in the neurological outpatient consultation rooms and emergency observation and resuscitation zones; implementing a fast-lane system for the emergency treatment of patients with acute stroke, and strengthening ward management and medicine popularization, can improve the treatment efficiency for stroke patients during the epidemic and provide a reference for peers in clinical practice.Interpretation: Emergency treatment for acute stroke during COVID-19 epidemic control period requires a joint promotion of clinical, popularization, and teaching resources.

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Differential Diagnosis and Hospital Emergency Management for Fastlane Treatment of Central Nervous System Infection Under the COVID-19 Epidemic in Changsha, China

Cited by 4 publications

References 139 publications

Knowledge, attitudes and anxiety toward COVID-19 among domestic and overseas Chinese college students

Knowledge, attitudes and anxiety toward COVID-19 among domestic and overseas Chinese college students

Strategies for the Emergency Treatment of Pregnant Women with Neurological Symptoms during the COVID-19 Pandemic

Difficulties and Countermeasures in Hospital Emergency Management for Fast-Lane Treatment of Acute Stroke During the COVID-19 Epidemic Prevention and Control

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