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The first 40-days experience and clinical outcomes in the management of coronavirus covid-19 crisis. Single center preliminary study.

Background: The World Health Organization (WHO) has announced that coronavirus covid-19 is a pandemic. The first case of covid-19 was confirmed in Iraq on the 24th of February 2020, which was of an international student who travelled recently to Iraq. This review is the universal data analysis of the first 40-days of coronavirus covid-19 patients admitted to Medical City Teaching Hospital (MCTH) including their clinical outcome.

Objective: We have conducted this study to describe the first 40-days experience in management of corona virus covid-19 and the clinical outcomes of patients treated with a protocol adopted in the first of March 2020 (described in the attachment).

Patients and methods: This is a preliminary descriptive study demonstrating all actions conducted in MCTH to manage coronavirus patients. The study included 79 patients who were RT-PCR positive out of 469 suspects who were screened in the outpatient clinic of MCTH according to WHO criteria. The clinical outcomes were defined as complete clinical and immuno-virologic recovery, non-recovery and death. Complete recovery was defined as negative RT-PCR conducted twice after disappearance of clinical symptoms. Death was subclassified as death within 24 hours and after 24 hours in the hospital or intensive care unit. Non-recovered cases were defined as persistent symptoms or persistent positive RT-PCR after disappearance of clinical symptoms. The treatment protocol was Oseltamivir 75 mg BID for 5 days with Hydroxychloroquine (400mg BID first day then 200mg BID for 5 days) for moderate cases, adding Kaletra (Lopinavir-Ritonavir (200/ 50 mg) 2 tablets PO BID 5 days for severe cases, and ribavirin for critical cases.

Results. The total no of symptomatic patients and PCR positive was 79 patients out of 469 screened suspects (16.84%). The mean age was (47.18 -/+ 18). they are prevalent among the age group (40-50 years). There were 59 male patients (74.68%) in comparison to 20 female patients (25.31%). There were 13(16.45%) patients with moderate disease ,15(18.98%) patients with severe disease, and 13(16.45%) patients with very severe disease required admission to critical care. The clinical recovery (free of clinical symptoms) was seen in 84.9 %.  Complete recovery was seen in 41 (51.89%) patients. Death within 24 hours was seen in 6 patients (7.5%) while confirmed death after 24 hours was seen in 4 (5%).

Conclusions: The treatment protocol is well conducted in this center with promising rate of complete recovery and excellent rate of clinical recovery. The high initial death rate was compensated after three weeks as more orientation of medical staff and peoples about the disease. 

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Publication Date
Wed Jun 15 2022
Journal Name
Journal Of Baghdad College Of Dentistry
Molecular Detection of Porphyromonas gingivalis in COVID-19 Patients

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Publication Date
Thu Oct 27 2022
Journal Name
2022 International Conference On Engineering And Emerging Technologies (iceet)
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Publication Date
Thu Dec 09 2021
Journal Name
Iraqi Journal Of Pharmaceutical Sciences ( P-issn 1683 - 3597 E-issn 2521 - 3512)
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Publication Date
Wed Mar 30 2022
Journal Name
Iraqi Journal Of Science
Current Potential Options for COVID-19 Treatment in Iraq- Kurdistan Region and the Rest of the World: A Mini-review

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Publication Date
Wed Mar 30 2022
Journal Name
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Realizing the personality traits of Bisha University Employees during the Covid-19 pandemic

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Publication Date
Wed Aug 30 2023
Journal Name
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Studying the Effect of COVID-19 on Liver Enzymes and Lipid Profile in Iraqi Recovering Patients

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Publication Date
Fri Dec 01 2023
Journal Name
Baghdad Science Journal
Effect of COVID-19 on the Role of Renin Enzyme and ACE2 and Hormones in PCOS Females

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Publication Date
Thu Nov 17 2022
Journal Name
Journal Of Discrete Mathematical Sciences And Cryptography
Minimum spanning tree application in Covid-19 network structure analysis in the countries of the Middle East

Coronavirus disease (Covid-19) has threatened human life, so it has become necessary to study this disease from many aspects. This study aims to identify the nature of the effect of interdependence between these countries and the impact of each other on each other by designating these countries as heads for the proposed graph and measuring the distance between them using the ultrametric spanning tree. In this paper, a network of countries in the Middle East is described using the tools of graph theory.

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Tue Jun 01 2021
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Publication Date
Tue Nov 16 2021
Journal Name
Journal Of Clinical Laboratory Analysis
Hematological changes associated with COVID‐19 infection
Abstract<sec><title>Background

The unresolved COVID‐19 pandemic considerably impacts the health services in Iraq and worldwide. Consecutive waves of mutated virus increased virus spread and further constrained health systems. Although molecular identification of the virus by polymerase chain reaction is the only recommended method in diagnosing COVID‐19 infection, radiological, biochemical, and hematological studies are substantially important in risk stratification, patient follow‐up, and outcome prediction.

Aim

This narrative review summarized the hematological changes including the blood indices, coagulative indicator

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