Online ISSN: 2515-8260

Keywords : COVID- 19

Potential of Conventional Chest Radiography as a diagnostic and follow up imaging tool in COVID pandemic era

Dr. Roopak Dubey; Dr.(Col) Kamal Kumar Sen; Dr. Sangram Panda; Dr. Mayank Goyal; Dr. Sreedhar Mohan Menon; Dr. Rohit Arora

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 5138-5147

Background - The present radiological COVID literature is mainly confined to the CT findings . Using High Resolution Computed tomography (HRCT) as a regular 1st line investigation put a large burden on radiology department and constitute a huge challenge for the infection control in CT suite. Materials and methods - A prospective study of 700 consecutive COVID positive cases who underwent Chest Xray (CXR) and HRCT thorax were included in the study. Many of these CXR were repeated and followed up over a duration of time to see the progression of disease. Results - 392/700 (56%) were found to be negative for radiological thoracic involvement. 147/700 (21%) COVID positive patients showed lung consolidations, 115/700 (16.5%) presented with GGO, 40/700 (5.7%) with nodules and 42/700 (6%) with reticular–nodular opacities. 150/700 patients (21.4 %) had mild findings with total RALE severity score of 1-2. More extensive involvement was seen in 104/700 (14.8 %) and 43/700 (6.2%) patients, who had severity scores of 3-4 and 5-6 respectively. 11/700 patients had a severity score of >6 on their baseline CXR. Those with severity score of 5 or more than 5 (54/700, 7.7%) required aggressive treatment with mean duration of stay of 14 days, many of them died also (23/54, 42.5%).
Conclusion - In cases of high clinical suspicion for COVID-19, a positive CXR may obviate the need for CT. Additionally, CXR utilization for early disease detection and followup may also play a vital role in areas around the world with limited access to CT and RT-PCR test.

Assessment of impact of COVID- 19 on utilization of dental services

Dr. M. Vinuthna; Dr. Nandha Krishna Nambi; Dr. Saravanan Nambi; Dr. Neha Minocha; Dr. Aanchal Verma; Dr. Rakhi kumara

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 7904-7908

Background: The risk of SARS-CoV-2 transmission cannot be eliminated during aerosol-generating dental procedures in most dental settings. The present study was conducted to assess impact of COVID- 19 on utilization of dental services.
Materials & Methods: 485 patients who obtained dental treatment before and during COVID- 19 period were enrolled. Type of complaints for which patients visited dental offices was recorded.
Results: Out of 485, males were 310 and females were 175. During pre- COVID period, 170 patients <18 years and 210 above 18 years visited dental office while during COVID period, 40 below 18 years and 65 above 18 years reported to dental clinics. The common complaints were periapical seen in 120 and 45, cellulitis in 80 and 30, cellulitis in 70 and 10 and trauma in 110 and 20 in pre- COVID and during COVID period. The difference found to be significant (P< 0.05).
Conclusion: COVID- 19 had strong impact on utilization of dental services among patients.