Karnataka govt. paves the way for recruitment of JOC lecturers'

May 12: Children suffering from non-respiratory disease symptoms like diarrhea and fever, or those with a history of exposure to the novel coronavirus, should be suspected of having COVID-19, a new study says.

According to the research, published in the journal Frontiers in Pediatrics, gastrointestinal symptoms first suffered by some children hints at potential infection with SARS-CoV-2 through the digestive tract.

"This case series is the first report to describe the clinical features of COVID-19 with non-respiratory symptoms as the first manifestation in children," the scientists from Tongji Hospital in China wrote in the study.

They explained that the gastrointestinal symptoms could be arising since the type of receptors in lung cells targeted by the virus can also be found in the intestines.

Most children are only mildly affected by COVID-19, and the few severe cases often have underlying health issues, the researchers said.

"It is easy to miss its diagnosis in the early stage, when a child has non-respiratory symptoms, or suffers from another illness," said study co-author Wenbin Li, who works at the Department of Pediatrics, Tongji Hospital.

"Based on our experience of dealing with COVID-19, in regions where this virus is epidemic, children suffering from digestive tract symptoms, especially with fever and/or a history of exposure to this disease, should be suspected of being infected with this virus," Li said.

In the study, the scientists described the clinical features of children admitted to hospital with non-respiratory symptoms, who were subsequently diagnosed with pneumonia and COVID-19.

"These children were seeking medical advice in the emergency department for unrelated problems, for example, one had a kidney stone, another a head trauma," Li said.

The study noted that all the children had pneumonia, which was confirmed by chest X-ray scan before or soon after admission.

These children were then confirmed to have COVID-19.

While their COVID-19 symptoms were initially mild or relatively hidden before their hospital admission, four out of the five cases had digestive tract symptoms as the first manifestation of this disease, the researchers said.

Li hopes that doctors will use the findings to quickly diagnose and isolate patients with similar symptoms, which may aid early treatment and reduce transmission.

According to the researchers, the children's gastrointestinal symptoms, which have also been recorded in adult patients, could be an additional route of infection.

"The gastrointestinal symptoms experienced by these children may be related to the distribution of receptors and the transmission pathway associated with COVID-19 infection in humans," Li explained.

Since the virus infects people via the ACE2 receptor, which can be found in certain cells in the lungs as well as the intestines, COVID-19 might infect patients not only through the respiratory tract in the form of air droplets, but also through the digestive tract by contact or fecal-oral transmission, the study noted.

While COVID-19 tests can occasionally produce false positive readings, Li said all the five children assessed in the study were infected with the disease.

However, he cautioned that more research is needed to confirm their findings.

"We report five cases of COVID-19 in children showing non-respiratory symptoms as the first manifestation after admission to hospital. The incidence and clinical features of similar cases needs further study in more patients," he said.

The covid-19 lockdown has thrown wedding plans in disarray in coastal Karnataka like all other activities involving a crowd of people. While many people chose to postpone the scheduled and about to be scheduled weddings, some are going ahead with scheduled plans and holding weddings with no more than 50 guests as per the guidelines issued by the government of Karnataka. 

The government may relax the norms and allow participation of more guests in the future. However, holding wedding ceremonies will be a new challenge when people are returning to a ‘new normalcy.’ Compared to the traditional wedding ceremonies of the region, marriages in the time of Covid-19 are expected to be smaller as the organizers have to adhere to the safety protocol and safe distancing norms. Given this situation, to limit risks and ensure safety, families now will have to consider wedding planners to help them celebrate their weddings.

“The postponed weddings will take place in the coming days as the lockdown is being relaxed in a phased manner. However, it won’t be like our traditional weddings. There won’t be 3000 guests.  Government directives will be have followed. We expect change in trend from big fat weddings to a small, close family, picture perfect weddings,” says Sartaj Beary, Managing Partner, Zawaj Weddings and Events.

“Our curetted packages will take care of wedding invitations, outdoor venue, premium catering, bridal make up, mehendi function, photography, videography, décor, thermal scanning systems, hand sanitizers and N 95 masks etc. We hope with our experiences we can offer stress free celebration to the families while we plan everything from scratch as per client requirement,” he assures.

“Ultimately, our society has to adopt an innovative way of marriage. At this point, we can say that any wedding in 2020 will look different as the novel coronavirus has disrupted the weddings everywhere. We know it is a big milestone for families and we at Zawaj are here to assure families that we can help a stress free wedding,” he adds.

New Normal Era Weddings

In the ‘new normal era’, weddings across the world will be totally different from what we used to see before the pandemic. People need to be cautious while attending mass gathering and it is important. Gone are the days of closed AC venues. Outdoor weddings will be the future, where seating are spread out and space between tables, stage, food counters will be maximum as per  safe distancing protocols. 

Wedding planners and caterers will have to ensure systematic safety protocol, safe and responsible operations, preparation of the food, event crew and vendors safe zone, sanitized kitchen, transportations. Even buffet settings will change to include smaller but multiple cuisines, self serving stations, markings on line to maintaining safe distance at the food counters.

More importantly, venue has to be prepared as per the government instructions. Things like disinfection and sanitization, hygiene, ample toilet facilities, hand wash, thermometer scans, masks, sanitizing stations should be taken care of. People from all walks of life will embrace this form of marriage. The services of wedding planners will be most opted in future.

CONTACT:

WASIM : 9972442344

SARTAJ : 9740792344

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Mangaluru, Jan 7: Kasturba Medical College Mangaluru, a constituent unit of Manipal Academy of Higher Education (MAHE), in association with Pai Family Endowment (in memory of Shri Suhas Gopal Pai) as its social initiative opens a newborn hearing assessment centre at Govt Lady Goshen Hospital on Tuesday.

Dr M Venkatraya Prabhu, Dean of KMC Mangaluru addressing the media persons said that the project is made possible by the generous philanthropic contribution of Mrs Anuradha (Shanthi)Gopal Pai and will be inaugurated by her in Presence of Dr H Vinod Bhat, Vice-Chancellor of MAHE.

Dr Deepak Madi, Deputy Medical Superintendent KMC Hospital Attavar explained that the facility will be managed by the departments from Audiology, ENT and Paediatrics of Kasturba Medical College, Mangaluru. The Centre aims to screen all the babies born in the hospital for hearing loss.

This is the maiden initiative of the MAHE-Pai Family endowment which has been set up to find solutions for the numerous challenges faced by the hearing handicapped in & around Dakshina Kannada district.