Deadly Synergy: between Postcovid & Posttrauma Stress Syndrome in Areas of Armed Conflicts in COVID-I9 Era (Note)

Postcovid syndrome affects 5-20% of all patients with symptomatic Covid-I9 infection, resulting in temporary or permanent disability for next weeks or months. The commonest syndromes after long Covid-I9, (or chronic fatigue syndrome after Covid, or as synonymum postcovid syndrome) are psychic or psychosomatic disorders known under the name Depression and Anxiety Syndrome. After the unrest and armed conflicts during the Covid era, clients or patients, mainly migrants of war, are also exposed to chronic post trauma syndrome related to previous or recent destruction of infrastructure, temporary homelesness and escape from affected regions/country. Cumulation of those 2 syndromes may have devastating consequences to both, individual health and economic losses due to permanent working and economy disabilities and consumption of health and social funds. After the unrest and armed conflicts during Covid era,clients or patients, mainly migrants of war, are also exposed to chronic post trauma syndrome related to previous or recent destruction of infrastructure, temporary homelesness and escape from affected regions/country.

Zero COVID 19 Occurrence among 206 of 1023 Migrants of War from Syria at the Czech Border (Rapid Research Note)

Recent war conflicts in Europe and Middle East generate new refugee wawes and possible dissemination of Covid I9 variants from countries with low vaccination activity due to armed events.Therefore we have tested all migrants of war(206) coming via Hungarian Slovak Czech Border,within one week among 1023 refugees of war..who had symptoms of respiratory infection.None of tested symptomatic individuals was positive by rapid antigen test.Therefore the the risk ofCOVID I9 dissemination was not been confirmed.

Survey of Alcohol, substance Abuse, depressive Disorders & other social Pathology in Refugees & Homeless in Postcovid Era: Two cohort nonrandomized Survey of 109 Clients in Post COVID-19 Period

The postcovid era augmented with armed conflict in Eastern Europe brings new waves of social pathology, including postcovid syndrome, where the commonest signs are depression, anxiosity‚ followed by alcohol, tobacco, or other substance use. Two cohorts of clients of social work: one among migrants and refugees (98 clients); 11 homeless have been studied on development of both symptomes related to stress (post trauma stress syndrome after armed conflict, and chronic stress of homelesness and isolation). Only one case of HIV and HepC in both groups have been recorded, both on ARV or HCV treatment. Tobacco use has been increased in the group of posttrauma stress syndrome related to Group I (armed conflict refugees), but alcohol or substance use were sporadic and exceptional both before and after admission in the 3m follow up.

Physiotherapy & Psychosocial Rehabilitation in Postcovid & Postconflict Era: New Roles with same Staff? (dispatch)

Waves of COVID-19 have been managed successfully within US, EU, Southeast Asia and Latin America, however, South Asia and Sub-saharan Africa still suffer new variants and EU fights with UK and United States of ,,new waves of old disease“, postcovide or long covide syndrome. The aim of this communication and research is to prepare our auditors for the size and extent of postcovid systems and the importance of non-doctors and non-medicine experts in management of its consequences.

Low occurence of Tuberculosis and HIV among Ukrainian Immigrants of War at the Border post in Uzhorod – Vysne Nemecke at point prevalence testing (note)

Point prevalence studies bring us approximate situations in border emergency settings where longitudinal or comparative studies are not realistic from logistic safety points of view. The one day point prevalence study performed at most frequently used checkpoints between Ukraine (UA) and Slovakia (SK). No case of TB screened by the WHO recommended questionnaire, or HIV performed by rapid test has been noted on day 7 after the war was declared.

Destruction of Socio-economic, Educational and Health Infrastructure including Pipelines may lead to Cholera Outbreaks in Mariupol and other Damaged Towns in Ukraine

Cholera always accompanies huge displacements due to war conflicts and natural anthropogenic disasters such as volcanic eruptions, earthquakes, tsunamis, etc. The aim of this review is to assess the risk of cholera outbreaks and other waterborne public health related threats due to disrupted water pipelines and supplies due to armed conflicts in Ukraine last spring/summer.

Weakness Period in Food Assistance as Part of Social Work for Ukrainian Migrants of War Conflicts

Food supplies are leading priorities during reception and first contact with all refugees of war. The aim of the study was to longitudinally document the clients flow in a food and clothing center at SEUC in Bratislava, serving clients sent from various checkpoints between Ukraine, Slovakia and Poland.

Social Work and Health Intervention in the Karabakh Region of Armenia during the War in 2019

War conflict between two of three Caucasian Republics, in and to Upper Karabakh as a part interest of at least two countries, acquired during the civil war years ago, has led to substantial numbers of refugees and migrants from Karabakh to Armenia. The spectrum of acute humanitarian help is analyzed.

Psychosocial Impact of COVID-19 on Elderly/Senior Population

Senior population is one of major social work and healthcare issues in highly developed countries. The aim of this study was assessing the late psychosocial consequences in seniors in Vienna and Bratislava after the first and second waves of the COVID-19 pandemics. The results suggest that elderly patients in contrast to children and adolescents suffer significantly more late psychosocial consequences after having coronavirus acute or chronic di- sease.

Building Bridges Between Social Work and Prenatal Psychology

This issue of Clinical Social Work and Health Intervention is dedicated to decea- sed co-founder of our Journal and President of the International Society of Prenatal and Perinatal Psychology and Medicine, Director of the First Department of Peri- natal Psychology and Medicine, Honorary Doctor and holder of Honorary Degrees and Medals of multiple Universities in Poland, Czechoslovakia, Italy, Malaysia, etc, Doctor of Medicine and Psychology and Editor in chief of four Medical Journ- als: Acta Neurosa Superioris Rediviva, Neuroendocrinology Letters, Clinical Social Work and Health Intervention and Int. Journal of Prenatal and Perinatal Psychology and Medicine (1-4). Together with his spouse Lili Maas, ArtD., who added to the exact science, arts and her heart and love, all of those Journals were not only reading of naked facts and theories, or science but both were teaching us to accept psycho- logy, social work and medicine as art culture and love, what is more than science and knowledge, more than facts. (From the letter of St. Paul and two letters of St. Peter, New Testament)

The experience with colorectal cancer screening in the Czech Republic: the detection at earlier stages and improved clinical outcomes

OBJECTIVES

Colorectal cancer (CRC) remains a major health burden. Although screening is recommended and considered beneficial, further data on its positive effects are needed for worldwide implementation.

STUDY DESIGN

The aim of our national multicentre prospective observational study was to reveal and document clinicopathological differences in CRC diagnosed by screening and presented by disease symptoms as well as assess the efficiency of the screening programme in the Czech Republic.

METHODS

Between March 2013 and September 2015, a total of 265 patients were enrolled in 12 gastroenterology centres across the Czech Republic. Patients were divided into screening and symptomatic groups and compared for pathology status and clinical characteristics. Screening was defined as a primary screening colonoscopy or a colonoscopy after a positive faecal occult blood test in an average-risk population.

RESULTS

The distribution of CRC stages was significantly (statistically and clinically) favourable in the screening group (predominance of stages 0, I and II) compared with the non-screening group (P < 0.001). The presence of distant and local metastases was significantly less frequent in the screening group than in the symptomatic group (P < 0.001). Patients in the screening group had a higher probability of radical surgery (R0) than those diagnosed based on symptoms (P < 0.001). Systemic palliative treatment was indicated in two patients in the screening group compared with 23 patients in the non-screening group (P = 0.018).

CONCLUSION

CRC diagnosed by screening disclosed less advanced clinicopathological characteristics and results in patients with a higher probability of radical surgery (R0) than diagnoses established based on symptoms, with subsequent management differing accordingly between both groups. These results advocate the implementation of a suitable worldwide screening programme.

Identification of Mycobacterium Species by MALDI-TOF Mass Spectrometry

Matrix-assisted laser desorption ionization - time-of-flight (MALDI-TOF) mass spectrometry enables to identify microorganisms by comparison of the protein content with reference spectra in the database. The aim of this study was to evaluate the efficacy of phenotypic identification of mycobacteria by MALDI-TOF mass spectrometry in laboratory practice. Seventy five isolates of mycobacteria were identified by molecular and phenotypic method, and the results were compared by MALDI-TOF. For MALDI-TOF, material was processed according to the Bruker Daltonics protocol and Mycobacterial Library database version 2.0, with 313 reference mycobacteria spectra. All except one of the 72 isolates agreed with regard to the species and genus by both methods. Forty three isolates were identified as the M. tuberculosis complex by MALDI-TOF. Thirty one isolates of nontuberculous mycobacteria were consistently identified by both methods to the species level. We conclude that MALDI-TOF mass spectrometry is an accurate method of bacterial identification. Simplicity, speed, and economic availability of the method makes it suitable for mycobacteria identification in a routine laboratory.