RESUMEN
Introduction and importance: Since it first surfaced, the new Coronavirus has multiplied and mutated into different forms, leading to a significant impact on people's lives. COVID-19's long-term impact is not completely known; It can only be hypothesized based on the prior outbreak of severe acute respiratory syndrome (SARS). Avascular necrosis (AVN) is one of these consequences, which if left untreated can lead to catastrophic events and bone collapse. It's important to remember that individuals who have recovered from COVID-19 infection are still at risk of developing AVN. The pathological findings in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are very similar to those seen in severe acute respiratory syndrome coronavirus (SARS-CoV) infection. Case presentation: We present cases of 27 and 69-year-old men with no comorbidities admitted with complaints of bilateral hip pain post covid treatment with corticosteroids and antivirals. The diagnosis was established based on history, physical examination, and magnetic resonance imaging (MRI). Clinical discussion: The use of corticosteroids in the treatment of SARS-CoV-2 infection has saved many lives, and it is still advised for moderate to severe cases on a short-term basis. The long-term use of corticosteroids is associated with numerous side effects. One of the most prevalent side effects of steroids is avascular necrosis of the femoral head, which is aggravated by the disease process. Conclusion: Early detection of Avascular necrosis is very crucial in its management due to its high progression rate. Low therapeutic doses of corticosteroids with minimal effective duration remain the key to halting its occurrence.
RESUMEN
Background: Dysmenorrhea refers to a cyclical lower abdomen or pelvic discomfortthat commonly radiates to the back or thighs. It has a significant influence on women's quality of life (QOL), social duties, and career roles. As pain relief without or with minimal use of medication is a primary health care target, usage of non-pharmacological measures is the most prominent way of managing dysmenorrhea. In this study, we explored the quality of life and the importance of non-pharmacological treatment of dysmenorrhea. Materials & methods: A prospective, cross-sectional, and interventional study was conducted on general residents of India for six months. Women who gave consent to participate in the study and were suffering from primary dysmenorrhea were included in the study. All relevant and necessary information was collected using online questionnaire forms and interviews with the subjects. Results: Out of a total of 517 individuals, 348 completed the study, with 51.1% having an average QOL, 33.3% having a bad QOL, and 14.9% having a good QOL. After the intervention, individuals' attitudes toward the role of non-pharmacological care in dysmenorrhea shifted significantly, with 96% of subjects believing that the actions taken were beneficial, compared to just 77% previously. Conclusion: The current study suggests that the negative effect on health-related problems can be managed by following non-pharmacological measures regularly. Further research is needed to uncover new alternatives and offer a wider choice of treatments.
