Clinical picture and epidemiological aspects of COVID-19 in infants

Spitalul Clinic Județean de Urgență Arad, Universitatea de Vest „Vasile Goldiș” din Arad, Universitatea „Lucian Blaga” din Sibiu, Spitalul Clinic de Pediatrie, SibiuThe viral infection with SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) is still a public health issue which affect the entire world population. Since December 2019, a type of pneumonia of unknown etiology has appeared in central of China. The first case of COVID-19 was reported in December in Wuhan, Hubei Province, after which it spread rapidly around the world. In mid-March, the World Health Organization declared a COVID-19 pandemic. At the onset of this infectious outbreak there were few pediatric patients, at that time it was thought that they were not susceptible to infection. The cases of infection in children gradually appeared with the family aggregation. Affecting newborns and infants has caused concern, as they represent an age group with a developing immune system. Initially, a small number of cases was reported in infants, and the clinical manifestations were less severe compared to the clinical manifestations that were found in adulthood. The most common symptoms were fever and cough. In most of the cases, the clinical evolution in infants was favorable, the complications were developed in infants who presented with other associated conditions.Infecția cu virusul SARS-CoV-2 (Sindrom acut respirator sever-coronavirus 2) reprezintă o problemă de sănătate publică afectând în scurt timp întreaga populație a globului. Începând din luna decembrie a anului 2019, în China, a apărut un tip de pneumonie de etiologie necunoscută. Primul caz de COVID-19 a fost raportat în luna decembrie în Wuhan, provincia Hubei, după care s-a răspândit rapid în întreaga lume. La jumătatea lunii martie 2020, Organizația Mondială a Sănătății a declarat pandemie de COVID-19. La debutul acestui focar infecțios au fost puțini pacienți de vârstă pediatrică. În acel moment s-a crezut că aceștia nu sunt susceptibili de a se infecta. Cazurile de infecție la copii au apărut treptat, odată cu apariția agregării familiale. Afectarea nou-născuților și a sugarilor a creat motive de îngrijorare, aceasta fiind o grupă de vârstă cu un sistem imunitar în curs de dezvoltare. Inițial, la sugar s-a raportat un număr scăzut de cazuri, iar tabloul clinic a fost mai puțin sever, comparativ cu cel întâlnit la vârsta adultă. Cele mai frecvente simptome clinice au fost febra și tusea. În majoritatea cazurilor, evoluția clinică la sugar a fost favorabilă, complicații au dezvoltat sugarii care au prezentat și alte afecțiuni asociate

Perinatal health monitoring through a European lens: eight lessons from the Euro-Peristat report on 2015 births

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Women's perspectives on abortion in Romania

Romanian women have commonly used abortion (both legal and clandestine) to prevent unwanted births. We introduce this paper with a brief summary of the recent history of abortion in Romania, then we combine quantitative data from a previous report ([1] Johnson et al., Lancet 341, 875, 1993) of the research with women's own words about the following issues: their decisions to have an abortion, the impact of abortion restrictions under the Ceausescu government, and their needs and desires for improved reproductive health services. We also present gynaecologists' views of abortion restrictions and needs for improved family-planning services to make a compelling case for the need for safe, legal, comprehensive abortion care in Romania and elsewhere.abortion contraception family planning women's health Romania

Variations in rates of severe perineal tears and episiotomies in 20 European countries: a study based on routine national data in Euro-Peristat Project

Introduction: Rates of severe perineal tears and episiotomies are indicators of obstetrical quality of care, but their use for international comparisons is complicated by difficulties with accurate ascertainment of tears and uncertainties regarding the optimal rate of episiotomies. We compared rates of severe perineal tears and episiotomies in European countries and analysed the association between these two indicators. Material and methods: We used aggregate data from national routine statistics available in the Euro-Peristat project. We compared rates of severe (third- and fourth-degree) tears and episiotomies in 2010 by mode of vaginal delivery (n = 20 countries), and investigated time trends between 2004 and 2010 (n = 9 countries). Statistical associations were assessed with Spearman's ranked correlations (rho). Results: In 2010 in all vaginal deliveries, rates of severe tears ranged from 0.1% in Romania to 4.9% in Iceland, and rates of episiotomies from 3.7% in Denmark to 75.0% in Cyprus. A negative correlation between the rates of episiotomies and severe tears was observed in all deliveries (rho = −0.66; p = 0.001), instrumental deliveries (rho = −0.67; p = 0.002) and non-instrumental deliveries (rho = −0.72; p < 0.001). However there was no relation between time trends of these two indicators (rho = 0.43; p = 0.28). Conclusions: The large variations in severe tears and episiotomies and the negative association between these indicators in 2010 show the importance of improving the assessment and reporting of tears in each country, and evaluating the impact of low episiotomy rates on the perineum.SCOPUS: ar.jFLWINinfo:eu-repo/semantics/publishe