Since the beginning of the COVID-19 pandemic, in-utero transmission of SARS-CoV-2 remains a rarity and only very few cases have been proven across the world. Here we depict the clinical, laboratory and radiologic findings of preterm triplets born at 28 6/7 weeks to a mother who contracted COVID-19 just one week before delivery. The triplets showed SARS-CoV-2 positivity right after birth, developed significant leukopenia and early-onset pulmonary interstitial emphysema. The most severely affected triplet I required ten days of high-frequency oscillatory ventilation due to failure of conventional invasive ventilation, and circulatory support for four days. Despite a severe clinical course in two triplets (triplet I and III), clinical management without experimental, targeted antiviral drugs was successful. At discharge home, the triplets showed no signs of neurologic or pulmonary sequelae. Placental immunohistology with SARS-CoV-2 N-protein localized strongly to syncytiotrophoblast cells
Research in Gerontological Nursing | Surrogate decision making for patients in the intensive care unit (ICU) can have negative physical and emotional health consequences for the decision-maker. Improving confidence and self-efficacy may reduce these consequences, but a valid instrument is necessary for reliable measurement. Using a cross-sectional design, the current study aimed to translate the Surrogate Decision-Making
Online Training is New Top Fitness Trend for 2021 according to ACSM Annual Forecast INDIANAPOLIS (Business Wire) Did the COVID-19 pandemic alter your exercise routine and prompt you to use digital streaming to participate in fitness classes? If you answered yes, you’re not alone. Millions of adults were affected by fitness facility closures this year and forced to find innovative ways to be active at home. It’s not surprising that more than 4,000 health and fitness pros surveyed by the American College of Sports Medicine (ACSM) identified online training as the new top trend in fitness for 2021. Online training moved up 25 spots from its number 26 rank in 2020. ACSM released the results of its annual fitness trend forecast today in the article “Worldwide Survey of Fitness Trends for 2021,” published in the January/February issue of