Influence of Super Cyclone "Amphan" in the Indian Subcontinent amid COVID-19 Pandemic

Tropical cyclone "Amphan" developed as a super cyclone on 19 May 2020 and caused severe impact on the landmass with very high torrential precipitation (>250 mm day^-1), and extremely high wind speed (>150 km h^-1) after landfall on 20 May 2020. The tropical cyclone Amphan largely affected agricultural land (78.2%) and forest, including mangroves (10.8%) in eastern India and Bangladesh. The built-up area over the trajectory of the cyclone and its proximity, including eastern parts of the Kolkata metropolitan area, was considerably affected by the cyclone due to the high population density and poor structural and community planning. Although the regions with close proximities to cyclones' trajectory (2033 km² area under <2 km proximity) were affected severely, the presence of mangrove forest in Sundarban substantially reduced the magnitude of the tropical cyclone. A considerable decrease (~30%) in aerosol optical depth (AOD) in April-May 2020 as compared to that in 2019 is considered one of the major causes of the development of the warm pool and cyclogenesis in the Bay of Bengal. The number of COVID-19 cases increased by ~70% in the post-cyclonic period (29 May 2020) compared to that in the pre-cyclonic period (19 May 2020) illustrating the impact of the cyclonic hazard.

Percutaneous cervical coblation as therapeutic technique in the treatment of algo-dysfunctional pain of discal herniation

OBJECTIVE

To confirm the validity of coblation nucleoplasty in reduction of cervical discogenic nature.

STUDY DESIGN

In a monocentric prospective clinical observational study recruiting 20 patients, treated with percutaneous coblation for cervical discogenic pain in 16 months in our hospital, we have clinically evaluated 18 patients. The pain was scored with the Visual Analogic Scale (VAS) in a pre-procedural questionary, 3/4 monthly follow-up from treatment and, finally, in a long-term follow-up 2 years after procedure.

RESULTS

The mean pre-procedural VAS score was 7.9 ± 1.6 (95%-Confidence Interval 7.198-8.634), while the mean post-procedural score after 3-4 months has been 2.5 ± 3.1 (95%-Confidence Interval 1.089-3.965) and 2.5 ± 2.5 (95%-Confidence Interval 1.367-3.687) after 2 years. Among 18 patients, in the shortly post-treatment follow-up, nine had a complete pain relief, four had a > 50% VAS reduction, two hada < 50% VAS reduction, three did not have any variation of VAS; after 2 years, six patients had a total pain resolution, eight had a > 50% VAS reduction, two hada < 50% VAS reduction, two did not have any benefit. No peri- and post-procedural complication has been observed.

CONCLUSIONS

In a spite of a little sample, our results showed coblation as a valid therapeutic option to reduce cervical discogenic pain in medicine-refractory patients, as an alternative or a previous choice before a more invasive surgical treatment.