Developing Prediction Models for COVID-19 Outcomes: A Valuable Tool for Resource-Limited Hospitals.

Purpose: Coronavirus disease is a global pandemic with millions of confirmed cases and hundreds of thousands of deaths worldwide that continues to create a significant burden on the healthcare systems. The aim of this study was to determine the patient clinical and paraclinical profiles that associate with COVID-19 unfavourable outcome and generate a prediction model that could separate between high-risk and low-risk groups. Patients and Methods: The present study is a multivariate observational retrospective study. A total of 483 patients, residents of the municipality of Timișoara, the biggest city in the Western Region of Romania, were included in the study group that was further divided into 3 sub-groups in accordance with the disease severity form. Results: Increased age (cOR=1.09, 95% CI: 1.06-1.11, p<0.001), cardiovascular diseases (cOR=3.37, 95% CI: 1.96-6.08, p<0.001), renal disease (cOR=4.26, 95% CI: 2.13-8.52, p<0.001), and neurological disorder (cOR=5.46, 95% CI: 2.71-11.01, p<0.001) were all independently significantly correlated with an unfavourable outcome in the study group. The severe form increases the risk of an unfavourable outcome 19.59 times (95% CI: 11.57-34.10, p<0.001), while older age remains an independent risk factor even when disease severity is included in the statistical model. An unfavourable outcome was positively associated with increased values for the following paraclinical parameters: white blood count (WBC; cOR=1.10, 95% CI: 1.05-1.15, p<0.001), absolute neutrophil count (ANC; cOR=1.15, 95% CI: 1.09-1.21, p<0.001) and C-reactive protein (CRP; cOR=1.007, 95% CI: 1.004-1.009, p<0.001). The best prediction model including age, ANC and CRP achieved a receiver operating characteristic (ROC) curve with the area under the curve (AUC) = 0.845 (95% CI: 0.813-0.877, p<0.001); cut-off value = 0.12; sensitivity = 72.3%; specificity = 83.9%. Conclusion: This model and risk profiling may contribute to a more precise allocation of limited healthcare resources in a clinical setup and can guide the development of strategies for disease management.

The Consequence of Repetitive Heavy Object Lifting on the Normal Standing Posture of Factory Workers.

Low back pain is one of the most common physical symptom and is frequently related with an abnormal body posture. It may be caused by poor upper body and limb coordination; repetitive lifting of heavy objects or poor working are ergonomics. This study analysis the consequence of repetitive heavy lifting on the normal standing posture of factory workers. To asses the posture malformations the Microsoft Kinect sensor was used to obtain postural data from 88 factory workers. The study has shown that more than 90% of the study group has some sort of postural malformation and lower back pain.

Measuring the Negative Impact of Long Sitting Hours at High School Students Using the Microsoft Kinect.

This paper suggests the usage of the Microsoft Kinect to detect the onset of the scoliosis at high school students due to incorrect sitting positions. The measurement is done by measuring the overall posture in orthostatic position using the Microsoft Kinect. During the measuring process several key points of the human body are tracked like the hips and shoulders to form the postural data. The test was done on 30 high school students who spend 6 to 7 hours per day in the school benches. The postural data is statistically processed by IBM Watson's Analytics. From the statistical analysis we have obtained that a prolonged sitting position at such young ages affects in a negative way the spinal cord and facilitates the appearance of malicious postures like scoliosis and lordosis.