Hey guys welcome to SSUNI Tech, Sushil this side and this is continued version of Power BI project. So today we are going to discuss one more real time project on the Power BI and this is again based on the healthcare domain. So here we are going to include the COVID cases and other cases as well and here we are going to display their counts with the confirmed recovered and total death for overall cases. Let's assume we are having an organization and those are dealing in the healthcare so we are having different different hospitals across the world. So we are capturing the data from all those hospitals in our dataset. So we have three dataset files, first file will have the confirmed cases, second will have the recovered cases, third will have the total death. So we will have three files and fourth file that will contain the country information across the globe. So we will have total four files. So by using those files we will create this beautiful visualization like here you can see the total cases. So here you can see this is the total cases count including the COVID-19 and other cases.  Then how many has been recovered? How many has expired? So we can see here in the visualization. In the bottom we can see the confirmed recovered and death cases. So basically it is going to display the data for the recovered percentage, death percentage and confirmed percentage. So overall will be 100% and 71.75 will be the confirmed. After that 25.69 will be the recovered. Then 2.05% death cases. So here we'll see this pie chart. After that move to the middle top. Here we can see death by country and region. So here China then Italy then other countries we are having and for this I'm going to use the COVID-19 data set. So this is the dummy data set if you want then you can drop your email IDs on the comment box. I will send this data set to you. So here we can see these are the number of counts as per the country. Then bottom here we can see the death by country and region. So here in this map you can see for the Asia here it should be the China. After that these are the total number of deaths across the globe and we can move this map and we can check the data. After that go to on the right top you can see this table which is country wise recovered cases. Here in the bottom this is area chart. On the monthly basis you can see the data like if we want to see for any particular day then we can check like 17th of February 2020 this is the total recovered cases. In the bottom you can see the confirmed cases recovered cases and death cases. Once we click on the confirmed cases then the above table has been changed and now we have the country wise confirmed cases. And here this is again changed and now we can see the confirmed cases by attribute that is our date. Let me click on the death. So here this has been changed and above table you can see the country wise death cases and in the bottom this area chart is again changed. Now we can see the data for the death. And here you can see we are having this card by which we are going to display the data by switching like total cases then confirmed cases. After that we'll see the recovered cases then total death. So it will be going to change on every four seconds because we have already set on this. After that you can see this bottom. So here we'll see the country and how many cases before and how many number of cases has been increased. So these are the confirmed cases. The analysis is displaying on this. So how we can design this dashboard by using the source data. So we'll see right now. First of all go to on the Excel file and we'll see the source data. So here you can see the country detail the first source file double click on that. So here you can see the area then country and reason after that state and other informations. So this is for the first source. Now let me close this and go to on the confirmed cases. So let me open the confirmed cases. So this is the confirmed cases like here we can see the state then country and reason then date on that date what was the confirmed cases and what was the area. So we have this data on the confirmed cases. Now let me open another file. So this is for the recovered. We have same number of column as we had in the confirmed. Now let me close this and see the last one that is the death. So it should also have the same number of column with the data. So here you can see the state country reason then other informations as the same as we seen for the confirmed and recovered. So these four files will be used to design our visualization. So go to on the new Power BI and we'll try to do that. So before going forward first of all I would suggest just grab two visualization from the marketplace because those are not available right in your visualization. So first that is our scroller. So this scroller will help us on the bottom side as we seen. So this is the scroller. So in this you will see the country and reason after that the total cases and how many counts has been increased. So this is on the scroller and second we should need this rotating tile. So what is this? This is basically here like this is going to change on every four seconds. Like this will be rotating the measures and we can display the multiple values on this measure. So before going forward just grab these two visualization in your Power BI desktop. Now let's start. First of all go to on the home and go to on the transform data. So here we need to get the data. So go to on the new source and click on the excel because we have the data in excel file. So here let me get the confirm cases first. So click on open and we need to wait five seconds. Go to on the seat one and wait five seconds. Click on okay. So here let me rename this as confirm cases. So we can rename this confirm cases. Let me grab the second file. So click on excel again. This time country details. Click on open. Wait few seconds. Go to on the seat one. After that click on okay. Now let me rename this as well. Call this as country. After that go to on the another file and this time let me grab the death. Click on open. Go to on the seat one. Click on okay. Let me call this as death cases. After that go to on the new source. Click on excel and let me get the recovered. Go to on the seat one and click on okay. Let me rename this as recover cases. Now we can click close and apply. So it should be loaded in our Powergate desktop. So we need to wait few seconds. It will be loaded soon. Now first of all go to on the relationship and in the relationship pane we can see we are having all these. So as I have already selected the auto-detect option so that's why it is creating the relationship like area and here again on the area again on the area. So that looks good. Go to on the report. Now let's start with our report. So first of all go to on the view and here go to on the themes and let me get the this theme. So your pace would be like this. After that I need to grab a rectangle. So go to on the insert and here go to on the rectangle and get this. Let me make it bigger and go to on the fill and here let me fill this with this color. That looks good. After that let me have a button that will display like total cases. So go to on the button and let me have a blank button. Now let me make it bigger like this.  After that the font color let me put it as white and here the text that should be 35 I guess that look might be good. Now go to on the background color. In the background color let me have this. So this is like total cases that looks good. After that go to on the shadow. Let me open the shadow. So it is saying like black but I want to have the white. So it looks like this. Now we can set it according to a requirement like we can set a little bit like this. Next we need to have the total cases a measure. So that will have the total number of confirmed cases total number of recovered and total number of death cases. So for that let me go on the country table and create all the measures inside the country table. So click on the new measure and here we need to write the DAX formula to get the total number of cases. So we need to wait few seconds. Formula bar has been opened. So in the formula bar let me call this as total cases and it will have the sum of confirmed cases plus sum of recovered cases plus sum of total death cases. Like this close the bracket and put the enter. So it will create a new measure that will have the total cases. So we need to wait few seconds. Here you can see total cases. Now let me grab a card and let me make it smaller. Let me put it here and little bit smaller like that.  So here we can see the total number of cases. It is showing 8 million. Now go to on the format, go to on the data label. Here you want to see exact number. So click on none. So these are the total cases. But here we need to do the formatting little bit. So first of all I don't want to see the background color. Then in the font color I want little bit yellow edges. So that looks good to me.  So now you can see this is the total cases. Next we want to have one more card that will have the total recovered cases. So let me copy this and paste one more time. Let me have the confirmed cases first. So we can search confirm. So this is the confirmed cases. So we can drag and drop in this. So this is the confirmed cases. We can little bit adjust with this color and put it as white. So this will have the confirmed cases and you can also decrease the size of this. So like it is 45. Let me have this as 30. So we can save the space and for this let me have this as 40. So we can adjust little bit. Now let me copy this and paste one more time. So we have done with the confirmed cases. Next we have the total recovered cases. So let me have the recovered. So here in the recovered cases we can see we should have the recovered. So we can drag this and recover should be drop in the field. So we need to wait few seconds. Here put on the fields. Now let me try to drag and drop in the field. So here you can see total recover cases. Go to on the format. Go to on the data level. In the font color let me have the green. Like this. After that the last one that is the total death cases. So let me put it at bottom and after that go to on the search box and here let me search for death. So this is the total death. So we can drag and drop it here directly. So this is the total death. Now go to on the format. Go to on the data level. Let me have this as red. Like this. So this is the total death. Now we can adjust little bit more on this. So we can add one more visual below of this. So we can set little bit up like that. Now let me have a pie chart. Now we can click on the pie chart. Make it a little bit smaller and put it on the bottom of this. Now go to our existing one and here you can see confirmed cases recovered and total death cases the percentage of that. So here go to on the confirmed cases first. So let me search for confirmed cases. So this is the confirmed one. So we can drag and drop in the values. After that we need to search for the total recovered cases. So this is the recovered cases. So we can drag and drop the recovered cases. And the last one we need to search for the death. So we can drag this death and drop in the values. now we can see we are having the values along with the numbers but we don't want to see the number we want to see the category and the percentage only so go to on the details level in the details level let me have the category and percentage of total now we can see like 2.525.69 which we had before now go to on the data color and here for the depth I want to see as red and for the confirmed cases I want to see this in white color in the recovered cases I want to see in green color now go to on the background color and off the background color so now it looks little bit good after that go to on the title let me have the title font color that should be white so it looks good and after that we can go on the lizen and try to make the change on the color as white for the lizen so it should be like this after that here the numbers as you can see not visible as of now so again we need to go on the detail level in the detail level this color this again should be white so that looks good now you can see this after that go to on the border of this and try to add the border so here this is the border let me on this and little bit radius so now this looks much more better so the first part that we have done like total cases total confirmed cases recovered depth and this pie chart go to our existing one second we want to add the depth by country and region so go to on the training one and here let me add a clustered bar chart and here let me make it little bit smaller from the bottom like that and little bit bigger so here we want to see the total depth by country so here we have already in the depth cases table so area we can drag this area or this country region in the axis after that here we can see the depth it should go on the values so now you can see this value like these are the country and regions and here the values that you are seeing so this looks good after that we need to have a map so let me click on the map so before going to use the map I am going to tell you your system should be connected with the internet otherwise this map will not work for you now go to on the existing one and here we can see depth by country and region so now go to on the training one and here let me try to drag this depth and drop in the size and in the country region it should go on the location now you can see these are the numbers and we can zoom it and we can zoom out as per our requirement after that we need to have three tables first table will be going to display the total confirm cases second will have the recovered cases and third will have the death cases so let me have the table first so click on the table and little bit adjust on the right side and try to make it bigger and this as value now go to on the table in the table as I told you first let me have the depth because we have already searched for the depth so country and region should go in the values first then total depth count should go in the values and this should be some so we can check it has the sum so that looks good go to on the format and try to little bit format this so go to on the grid and try to increase the text size so this is like 14 and now put it on the right side like that now go to on the title and let me change the title of this as death count country wise and you can also change the background color of this as red and the font color of this as white now let me copy this table and paste on the same and let me put this above of this death now go to on the fields and this time we want to have the confirm cases so here in the country isn't let me delete this and that it should be deleted go to on the country and region let me try to drag and drop in the values and after that in the confirm let me try to drag and drop in the values so here it should have the value like that let me try to make it on the right side little bit and go to on the format go to on the title and here instead of the death it should be the confirm now go to on the background color this should be white and the font color that should be black I guess in this case so confirm count country wise let me try to have one more let me copy this and paste one more time so we have done for the death we have done for the confirm last one that we have for the recovered so go to on the field again and let me search for the recover this time now let me delete these two fields from here and here you can see the country and region so you can drag and drop in the values first after that go to on the recovered and try to drag and drop the recovered right here now you can see the confirm count so this is not called confirm one so go to on the title and try to make the change on the title instead of the confirm this is the recovered now go to on the background color so this time it should be green and the font color that should be I guess white like that now let me try to make it little bit bigger on the right side of this map like that after that we need to have three more visualizations go to on the existing one so here you can see this area chart death by attribute once we click on the death if we go on the recovered then we will see this recovered by attribute if we click on the confirm so confirm by attribute so these three visualizations area chart we need to add on this so go to on the training one and here let me add the first area chart and try to configure that so for the recovered go to on the recovered cases table and here we have this date let me try to drag and drop this date on the axis first and after that go to on the recovered and try to drag and drop in the values so now we will see like 2019 as you can see let me have this as date so now we will see the area chart so this is for the recovered so I don't want to see blue color I want to see green color so go to on the data color of this in the recovered I want to see as green so this is like that so we have done for the recovered one let me try to copy and paste one more time above of this and little bit set for this now here you can see the recovered so this time I am going to have the confirmed one so let me search for the confirm so in the confirm we have the date let me try to drag and drop the date and this should have the exact date value not the date hierarchy and in the recovered let me delete this and try to drag and drop this confirm in the values so we will see the confirm by date I am happy with the blue color I guess after that let me try to copy one more time and paste it here and this will display the count for the death so let me delete all these two and search for the death here let me try to drag and drop this date on the axis and instead of hierarchy I want to see the exact date so we can click on this here in the death you can drag and drop in the values now go to on the format of this go to on the data color let me make it as a red so we have done that after that we need to have three buttons to navigate between these three charts which we have created right now so before going forward let me have three buttons here so go to on the insert and go to on the button let me have a blank button first let me try to put it on the bottom right here and go to on the button text and here let me call this as confirm and we can increase the size little bit or we can put it on the bottom area or we can go to on the outline and here we can around the S and we can little bit increase this text size so go to on the button text and here in the text size we can increase it little bit and here let me put it like that the one thing that we need to do we need to a little bit adjust this area chart in the top side so we can little bit decrease the size of the table so this is the third table let me decrease the size of this now let me try to put it on the top side little bit this is for the death next will be for the confirmed and the last one for the recovered now we can put it on the below of this you can increase this and we can put it on the bottom little bit like that so here we need to adjust this that looks good after that we can increase the size of this now we can put little bit on the left side and try to see either we have the same area or not for the death we do not have so we need to put it on the top side now we can adjust now this looks good so we have done with the confirmed one let me copy this and paste one more time and this will have the recovered so go to on the button text and here let me have the recovered let me copy this paste one more time and this will have the death and you can put the color as you want i am going to leave it as it has now you can see confirmed recovered and death so now we have done with this the only thing that is remaining like if we click on this button we can decrease the size of this button little bit so like this like this like this so confirmed recovered and death so you can click on the confirmed so your figures will be changed according to the confirmed and we will click on the recovered so figure will be changed according to the recovered then click on the death so it will be changed according to the death so before going to configure the bookmarks on these three let me have the scholar so we can click on the scholar and put it on the bottom side of this and let me try to make it smaller and here let me put it from here here you can see the category so in the category i want to see the country so go to on the country table and let me so where we can see all the countries so in the country you can see this country reason so we can drag and drop in the category after that go to on the format first and here i don't want to see the title so we can off this title now go to here so here you have seen about the country reason now here we need to create one measure that will see the difference in the number of increased from last 10 days or from last 20 days that we can go in the measure absolute we can display the confirmed cases directly and second we need to create so first let me have the confirmed cases here let me try to drag and drop in the absolute so here it is going to start the confirmed cases that you can see now we need to see like how many number of cases has been increased from last 10 days so that we need to do so go to on the insert and first of all let me remove this and go to on the country table because i want to create all the measures inside the country table let me select that now click on the new measure so here let me have the previous data and here let me for that let me calculate after that the sum of confirmed cases so here we should have the sum of confirmed case then put the comma after that date add then here we can have the confirmed table so confirmed cases date that should be minus 10 comma here we can have the day now we can close the bracket and put the internet so what it is going to do it is going to calculate the data what we have 10 days before so the total number of confirmed cases we will see from this after that we need to have one more measure so go to on the new measure and click on that and where we want to subtract what number we have today and what number we had on 10 days before which we have calculated on the previous data so that will have the increased number so here let me call this as increased number and here just some of confirmed cases close the bracket subtract the previous data put the enter so this will have the increased number and this increased number should go on the scholar on the major deviation now we can see like this is the increased number that you can see right here so this is the scholar the last thing that is remaining the rotating tile now let me click on the rotating tile so we can click on the here and this little bit is smaller from the left side as well and put it on this here first we want to have the total cases so we can drag and drop the total cases after that the confirmed cases so let me search for the confirmed cases so we can drag these confirmed cases and drop it here after that we would have the recovered cases so let me search for the recovered cases so here is the recovered cases after that the last one that we have the death so we can search for the death and try to drag and drop this death on this after that go to on the format and go to on the label setting and in the label setting display unit that should be none now here we can set this as white or any another color which you want so let me have this as black I guess after that here we can see vertical flip so we can click on that so it will be going to switch vertically every time like this so we have done this as well you can do the formatting so that is not a big deal the last thing that is remaining on this go to on the view and add the bookmark so click on the bookmark and click on the selection panel in the bookmark let me add a bookmark first so that will have the confirmed so let me call this as confirmed second bookmark that we want a recovered so let me rename this as recovered let me have the third one that will have the death let me rename this as death so first of all go to on the confirmed one in the confirmed one what we want to see and what we don't want to see so here you can see the confirmed so this is a recovered count country wise so in the confirmed run we don't want to see that so recovered by date recovered count by country we don't want to see this after that the confirmed we want to see the confirmed in the death we don't want to see the death after that you can see the death by date so death by country reason we want to see this this is this one so unhide that here death by date so that should be this one so we can hide that after that confirmed we want to see recovered we don't want to see so just click on this and try to update so this will be update go to on the second the recovered one so in the recovered one we want to see the death by date we don't want to see confirmed we don't want to see we want to see only recovered that is fine recovered count confirmed account we don't want to see this and death count we don't want to see that now go to on the recovered and try to update that go to on the last one that is the death so in case of death here you can see death by date we want to see confirmed by date recovered by date we don't want to see recovered count country we don't want to see this as well so we can hide this after that you can see the confirmed count by country we don't want to see that only death that should be here click on this and update that now close this close this selection now let me click on the confirmed and go to on the action on this type we want to move to the bookmark what bookmark we want the confirmed go to on the recover go to on the action and this time go to on the bookmark and here recover go to on the death action go to on the type bookmark and here that now let me click on the confirmed one so here we can see the confirmed by date we can increase the little bit size so you can adjust according to your requirement now click on the recovered once we click on the recovered we can see recovered by date and recovered count now click on the death so you can see that this only by date that count so I hope guys you have understand how you can create this beautiful with digestion in your practice and if you need anything just drop an email or you can do the comment on this video so I will try to response if you have any another questions or any another suggestion on this so you can drop the comment as well if you have any project that you want to share with us so you can directly contact with me thank you so much for watching this video if you like this video please subscribe our channel to get many more videos don't forget to press the bell icon to get the notification of our newly uploaded videos thank you so much see you in the next video


Good morning, everyone. My topic for the study is high resolution computer tomography findings in COVID-19 diagnosed and suspected cases. The aim of the study is to study the HRCT manifestations in the evaluation of COVID-19 suspected and diagnosed patients and study its correlation with respect to CT severity scoring with symptomatology, comorbidities, lab parameters and oxygen requirement in the study group. During COVID-19 pandemic, over 770 million confirmed cases of SARS COVID-2 were reported by the World Health Organization, including over 6.9 million deaths. Infected infection by COVID-19 virus can result in a wide range of clinical outcomes from being asymptomatic to severe life threatening course or death. Symptoms due to COVID-19 infections can include fever, dry cough, breathlessness, anosmia and malaise, which are non-specific symptoms. Common laboratory findings include decreased leopocyte count, increased CRP levels and increased ferretin levels and increased de-diamol levels in some patients. HRCT is an important and irreplaceable method for early detection of COVID-19 associated lung abnormalities when clinical features are non-specific spars or when patient is asymptomatic. It plays an important role in screening the COVID-19 suspected patients' diagnosis of COVID-19 infections in disease progression, in detection of complications and for follow-up of a discharge to look for changes of fibrosis. The most common CT finding include bilateral patchy ground glass opacities involving multiple lobes of the lung. These opacities are more likely to show peripheral distribution than central distribution and are more patchier than oval. Other CT findings with pure ground glass opacities can also include GGOs with interlobal septal thrifting, GGOs with consolidation or pure consolidation. Plural effusion, lymphadenopathy, pericardial effusion, cavitations and pneumothorex are some of the atypical but possible findings and can be seen in COVID-19 infections. Now coming to the methods, this was a descriptive study conducted between July 2020 and July 2022 at Dr. D. Y. Patterson Medical College, Hospital and Research Centre Pune after taking necessary approval by the Institutional Scientific and Ethics Committee. 500 patients meeting the inclusion criteria for the study were included in the study after taking a written informed concept from all the patients. Coming to the results, a total of 500 study participants were included out of 27% which is 133 patients were categorized, that is mild on the basis of CT severity score, 51% which is 257 patients were categorized as moderate and 78 participants were categorized as severe. 32 patients, which is 6.4% of the patients who were suspected for having COVID-19 infections and being diagnosed as COVID-19 positive on RTPCI tests showed normal HR CT scans. Our study group included 311 male and 189 females and the proportion of male showing severe disease were more in comparison to female as described here. About 39% of the total female population have either a normal HR CT or being categorized into mild severity in comparison to 29% males having a normal HR CT or being categorized into mild severity on the basis of HR CT score. Now coming to the tables and figures, this table 1 shows the typical features of COVID-19 infection on HR CT scans, which are ground glass opacities, interlobular septal thickening, crazy paving pattern and consolidation. Here we can see that people having severe disease, 100% of those people showed ground glass opacities and septal thickening, crazy paving pattern and consolidation were seen more commonly seen in people having severe disease and less commonly seen in people having mild and moderate disease. In our study group population bilateral involvement of the lung parankyme on HR CT was more common and was seen to affect approximately 84.8% of the total population and unilateral lung involvement was only seen in 6.8% of the total population. It was also shown that there was a lower lobe predominance in early and milder form of the disease with the right lower lobe being the most common lobe being affected followed by the left lower lobe. It was also seen that there was predominantly peripheral distribution of the lung changes on HR CT in our study group. Coming to the table 2 and figure 1, table 2 shows the distribution of atypical findings on HR CT according to the DZ severity groups as per CT severity score and atypical findings were present in 38.5% of the people having severe disease. This is a graphical representation of the same and this figure also shows the main days since the symptom onset and CT severity scoring which was the highest for the severely disease people which was 7.3. Now these atypical symptoms include pleura fusion which is the most common atypical findings finding and other atypical findings are pericardial effusion bronchitis, emphysematis pulmonary cysts and however no patients develop pneumothorax in the control group and the mild group at four patients in moderate group and only three patients in severe group develop pneumothorax. Only one patient in the moderate group had cavitations. However, there was no statistically significant association between CT severity scores and bronchitis, emphysematis pulmonary cysts, cavity atypical relations, pericardial effusion and barotroma associated changes like pneumothorax and surgical emphysema. This table 3 shows distribution of the symptoms like anosmia, sore throat and chest pain in the disease categories on the basis of CT severity score. The most common symptom seen was cough which was seen in 65.2% of the patients chosen followed by fever whereas test pain was seen only in 78% of the population. The association between these symptoms and disease severity groups as per CT severity scoring statistically significant. Table 4 shows the distribution of asymptomatic patients suspected of COVID-19 disease on the basis of CT severity score in our study population about 14.2% that is 72 people were asymptomatic of the total patients having normal CT scan and being categorized in the negative group about 46.9% were asymptomatic. Of the total population having mild CT severity score 28.6 patients were asymptomatic and in the population having moderate score 6.6 patients were asymptomatic only one patient having severe CT score was asymptomatic. Now, this is a table 5 which shows the distribution of patients with hypertension, diabetes, malitis or asthma in DG severity groups classified according to CT severity score. Now, amongst the severely diseased people, 38.5 people had hypertension, 24.4 people had diabetes, malitis and none had asthma. So, the correlation of hypertension with the disease was statistically significant. Table 6 shows the distribution of normal or abnormal lymphocyte count CRP and serum ferritin and also the D-dimer levels in the disease severity groups classified according to the CT severity score. So, amongst the diseased people of course the TLCs were decreased the D-dimer and serum ferritin levels and the CRP levels were raised however it did not show any statistical significance as we can see from the P values here. Now, table 7 showed the oxygen requirement in disease severity groups classified according to the CT severity score. So, amongst the severely diseased people 64.1% of the population needed oxygen amongst the moderately diseased patients 39.3% of the population required oxygen amongst the mildly diseased people 6.8% of the population required oxygen. Now, coming to the discussion part, COVID-19 infection has become a pandemic with significant impacts upon the healthcare delivery system and causing increasing morbidity and mortality. Now, World Health Organization advised to use test radiographs in HRCT thorax as part of the workup for diagnosis of COVID-19 infection in cases of unavailability of RT-PCR tests delayed the results of the RT-PCR tests clinical suspicion of COVID-19 in spite initial negative RT-PCR test result. Our study had been performed with intention to aid the clinicians in taking better decisions for making the accurate diagnosis of COVID-19 disease assessing the disease severity and also being useful in providing appropriate supportive care and treatment for the affected populations. We use the visual assessment of each of the five lobes which is also called the low bar method. Now, based on this method, COVID severity score was considered as mild with CT severity score between 1 and 7 moderate with CT severity score between 8 and 15 and severe with the score being between 16 and 25. So, in our study, younger population had mild CT severity score by older age groups had moderate and severe CT scores. These findings were similar to the study done by SAID et al in a study conducted on 902 patients and another study performed by Fargherli et al on a study conducted on 574 patients. Severe form of COVID-19 was commonly observed in male population. Similar observations were made in previously conducted studies such as those conducted by SAID et al and Mozavik et al who had observed strong positive correlation between male sex and increment in the CT severity score. The study found that the bilateral Rung-Parenchyma involvement was more common in male CT severity and earlier disease scores, the preference for peripheral lung involvement, lower lobe involvement was more prevalent with the right lower lobe being more involved. Now, ground class opacities interlobular septal thickening, crazy paving pattern and consolidation were the most common chest CT findings amongst the COVID-19 patients. These findings are considered as the typical manifestations of COVID-19. Similar findings were also seen in the previous studies conducted by the following authors. They had also observed that GGOs by itself or in conjunction with consolidation were the most common findings on HRCT in COVID-19 patients followed by interlobular septal thickening, crazy paving pattern and subdural lines. Atypical features of COVID-19 disease on HRCT were found in 24% of the total population, more common in patients with moderate and severe severity scores. Tural effusion was the most common atypical findings followed by midiastinal lymphadenopathy. This difference was found to be statistically significant. Similar to a study considered by Lee et al. that found atypical features more commonly in severe and critically diseased patients. Bronchial clases and other features like infisomatous pulmonary cysts and cavitations did not show any significant correlation with the increasing CT severity scores. A study conducted by Magality et al. found a higher barotroma prevalence in mechanically ventilated patients. In our studies, spontaneous pneumothorax with pneumomedia stenum and subcutaneous emphysema were observed in seven patients but not statistically significant. These features can be attributed to heterogenic induced barotroma as observed in our previously studied literature. Our study also found that the earlier a patient presents with their first symptoms, the milder the lung involvement is on HRCT. Patients with mild CT severity scores had the lowest mean number of days since the first symptom followed by moderate and severe scores. Common symptoms included cough, fever, sore throat, breathlessness, enosmia and chest pain. The association between these symptoms and disease severity was significant. Asymptomatic patients with history of contact with an infected patients were found to have a milder lung involvement based on the CT features. Now, however, in these patients CT is a crucial method for screening and detecting these patients as they can act as a covert transmitter or progress to a severe disease if not adequately evaluated and treated. Now, similar observations were also seen in the previously conducted studies by the following authors. Our study also found that the had hypertension was the most common comorbidity in COVID-19 patients followed by diabetes, malitis and asthma. Severe CT severity groups had the highest prevalence of hypertension with positive CT findings, more prominent in comorbid patients. Previously done studies showed that HRCT helped assess oxygen support requirements in disease populations. In our study, our study supports these previous studies done by Akshay et al. and emphasizes the importance of CT severity scores in determining oxygen support requirements in COVID-19 patients. Our study has also found a significant correlation between elevated CRP levels and CT severity scores with lymphopenia in 32.5% of the population. However, no statistical significance was found between lymphopenia and CT severity scores, unlike the previous studies conducted by Psyde et al. and Neelma et al. No statistically significant difference was observed between elevated serum ferritin levels and CT severity scores too. The study's smaller sample size may explain the lack of the statistical significance between lymphopenia elevated ferritin levels and CT severity scores. Further research with larger samples could help establish a relationship between these factors. Now, previously done studies also found that 30% of the COVID-19 pneumonia patients had pulmonary thromboembolism on CT pulmonary angiography compared to 1% in non-COVID patients. In our study, only 11 patients under one CTPA due to breathlessness and elevated D-diamond levels, 8 patients had pulmonary thromboembolism with D-diamond levels and CRP levels found raised in all of these 8 patients. No statistical significance, however, was found between pulmonary thromboembolism incidents and CT severity scores.  Now, HRCT imaging plays an important role in accessing disease severity and progression. It also plays an important role in triage to assess oxygen requirement and help get clinicians and overcoming dilemma to administer adequate and necessary treatment. CT severity scoring can help to stratify on a certain risks and prognosis involved for a patient and is also useful to predict short-term outcome of these patients. Due to its ability to provide results rapidly in contrast to the RT-PCR tests, HRCT examination of thorax is also useful as to evaluate possibility of COVID-19 infection. In our study, we have been able to collect information of typical and atypical findings on HRCT in COVID-19 disease and presence of various features with respect to different phases of the disease progression. In our study, the extent of CT damages per CT severity score correlates significantly with the age, gender of the patient, symptomatology, alter laboratory parameters and associated comorbidities in a patient. It helps as a tool to evaluate requirement for oxygen support in suitable candidates in assessing the involved risks of iotrogenic barotoma due to mechanical ventilation and evaluating features of COVID-19 sequence. Few limitations of our study include the timeline of changes in the hematological parameters in relation to the changes in CT scan with progression, regression of the disease severity was not studied and also the study being a single center study. There was unavailability of lab parameters and test radiographs in some of our patients which can likely be attributed to the fact that the proportion of a study group were taking treatment on outpatient basis. Factors such as lifestyle and other risk factors which can affect COVID-19 severity should have been considered in more detail, so further investigations and researches are needed. Our study supports the use of HRCT in patients with COVID-19 infection which could be used as a rapid and effective gatekeeper to rule out patients with a low likelihood of disease. Now coming to the case gallery, I would like to present a few cases. The first case in figure three is a 44 year old female diagnosed is a RT-PCR diagnosed case of COVID-19 with a severity score of 4 by 25 which is mild severity and here we can see that on coronal and exel sections the ground glass opaque cities are seen. The second case seen in figure four is a 28 year old female who tested positive for COVID-19 and has a CT severity score of 9 by 25 which comes under the moderate category. And here we can see the ground glass opaque cities on coronal sections and here on exel sections. The third case here is a 41 year old male tested COVID positive with a CT severity score given 25 by 25. And here we can see that the both lungs, all lobes of actually both lungs show ground glass opaque cities. Here are the coronal and exel sections. Some also show interrobial septal thickening and crazy paving pattern. In this case in figure six, we can see that a 50 year old COVID positive patient is given a CT severity score of 20 by 25 and it shows bilateral rural effusion which is seen here. Now coming to the last case which I will be showing here, figure seven represents a 46 year old male which was diagnosed as COVID positive with a CT severity score of 20 by 25. Now this patient had a history of mechanical ventilation and showed signs of pneumomaniastinum and surgical emphysema due to barotoma. And here we can see the emphysema changes in the lung window and the soft tissue window seen here on exel sections. Thank you.


SEPLA Compositoring School started with a new beginning and new hope. We are looking forward for children to become professionals. We are developing children to dream big, to dream high, including the parents and community, to change their values, to become a God-fearing person. Yung tasi ang ano namin goal is really to be committed in what we are doing, kagaya nang ginagawa ng pre-school. So yung to ang ano namin, to make them successful and be sambag-sambane. Yung to ang anong mahalaga para maging asset sila ng place natin, especially our country, para hindi sila maging ano yung sa conflict na nangyari na yung their families will not experience the same thing. So they will also help to change lives. Yung to ang anong namin sa small city.


Well, hi there!  I got this idea from Karen Orr. She's a bridal illustrator, and I've been watching her periscopes, and she's amazing in the way that she creates transparency with all these bridal fabrics by using acrylic paint on the top once she's done with her painting. She adds white to the top, and I thought, wait, we could do that with our stamps. So I tried this recently on a periscope, and I posted it on Instagram, and it blew up. Everybody wanted to see more of it and how it's done. So what I had done was use the Bugs and Kisses jar and the little fox from Into the Woods and stamp them together, and today I'm going to be showing you ones that I'm making with all the new stamps from Lund Fawn. They're recent release with these older containers, so this jar is older, and all I had to do was mask out the little oval at the bottom of the jar on the inside so that I could make it look like there's sand in there, and colored all the images. I'm not going to show you all the coloring because this is really about adding the white on top, and I'm using this white gesso from Ranger, and it's you can use all different kinds of white paints, white acrylics, Copic opaque, you just want to make sure that you're able to kind of wet it down a little bit and water it down because if it's really thick you're gonna end up with a big white highlight on something rather than a soft, glassy look. So I'm taking a flat quarter-inch brush from the Silver Brush Company, and I'm going to make some strips of white over top of the finished image. Now this is not for the fainted heart. A lot of folks would stress over putting white paint over top of an image they just spent a lot of time coloring, and I spent a lot of time creating the background color in this, the blues and the purples in there to make it look like glass, and I actually was a little nervous as I was doing these, thinking what happens if I screw this up? I've wasted all of my time coloring and then do the white on top and make a mess of it. So here was where I tried a very damp, just barely damp, shall I say, baby wipe, to wipe off some of the paint in an area that I had messed up. And it worked pretty well. I didn't want something soaking wet, so I just did something a little bit damp so that I could wipe off some of that paint. It's not gonna work if you let it dry too long, so you want to catch it pretty quickly, and then when you go over the image, my recommendation would be not to cover the face heavily.  I trimmed out the gumballs and then stamped it so I only was stamping the outside, and then I had room on the inside to put one of these images from the mom and me set. The little owls, and I covered, colored the rest so it looked like it was made of wood, so it kind of fits the entire, um, the whole feel of the little woodsy stamps, and then I added the yellow tape to block everything off so I wouldn't get any white paint, and I did rub the tape on my sleeve so that I would take off some of the sticky, and then round shapes are going to have round highlights. You do need to have some color inside of the glass, so if you have no color in there, you're painting white on white, and it doesn't make a whole lot of sense, but it helps to have some color in there so that it actually looks like transparent glass. So I'm just going to plan around with what's going to look good and what's going to look like they're behind glass. It got a little bit heavy there, but I knew that I could adjust that a little bit using a baby wipe, so I didn't panic and just kept trying to figure out, okay, what are these swirls going to look like? And then I grabbed that baby wipe so I could just kind of wipe off some of it because I got a little bit too thick there, and I wanted it to just be a little bit more transparent. You can dab or wipe, just be real careful not, not to go a different direction than what your brush strokes go, so you want any places that you remove to be removed in the same direction, the same pattern of strokes. And then I also decided to paint around the outside edges and take that black line and knock it back to a grayish white so that it looks like it's almost a lighter color than the stamp line around the rest of the image, so that it really lightened it and made it look like that outside part is glass and doesn't have a black line around it. So that's that one, and then I decided to get out. Fantastic friends because there's two wonderful little images. I'm going to use the big one because I wanted to put in there from Loveable Legends, the giant squid, and I thought he would be kind of fun in there, but I had to make this bigger because he wasn't going to fit, so I stamped first the top and then I stamped the bottom and I had drawn a pencil line so I knew exactly where to line the bottom up and created a giant tall fish tank out of this one, so I basically just stretched the whole thing so that it would be taller enough to fit that, and then I put all his little fishy friends in there. This is probably more of a baby fit squid than a giant squid because he would have to fit into a fish tank with all these little baby fishies, but I think it still works because he's still adorable. So now I'm going to take my one inch flat wash brush and go across this. Now when you're using a large brush like this, depending on how pliable it is, you may have to manage, and that's what I'm doing right now, managing how wet the brush is because if it starts to dry out too much, it'll feel kind of stiff and you don't want it to feel stiff. You want it to feel good and soft and pliable, and so you may need to go back and forth a little bit and dab off some water, add in water just so that you get a really soft brush line going onto your paper. And not real thick with paint, but with just the paint on the tip of the brush and brush it across there. And you can also then switch back to the smaller brush. So I got out the quarter inch brush and I'm going to add some more specific, more controlled lines because here I can actually make them exactly where I want them in smaller strips and make more direct reflections. And again, I'm avoiding painting straight over my giant squid's face because he's the most important thing to me in this image. If the little castle at the bottom was most important to you, then you would make sure that there were no highlights across that portion. And so whatever's most important to you, then leave that being the part that's not covered by any of the white. You don't want to cover the whole thing unless you want it to look like frosted glass, but that would be an interesting look for perhaps a winter card looking out a window and just do a very light frosted glass over top of an image would be really beautiful. But doesn't that look like real glass? Like they're all behind the glass.  I was having a blast looking at all the glass objects in Lawn Fawn stamp sets and that brought me to this one. This is a snow globe and I wanted to use this new set which is ready set snow is the globe and ready set shake has these sentiments. So you can have more than Christmas sentiments to go with this. And if you've got the Christmas set, you might want to pick up that year round one to make this one useful all year long. And I wanted to use the fairies. Aren't they sweet? There's fairies, there's a little house, there's little flowers, a whole lot of stuff. And I stretched this stamp the same way as I had done with the fish tank. I stamped the top portion, I stamped the bottom portion and connected them with lines. So it worked pretty well to add all of these images in there because I wanted it to be taller. This reminds me more of one of those glass little things my grandma used to have when I was a kid and she would have little dolls under them and stuff so that we wouldn't touch them and they wouldn't get dusty and all that. So that's more of what this reminds me of or some kind of terrarium with the little fairies seen in it. So I'm taking my wide brush and I'm just going to go around the two sides a little bit and then a little little wash, a little curve around the top side and then switch to the smaller brush so I can make some more controlled marks and some really specific highlights. And on the the sides it's going to be straight lines and around the top it's going to just go around the curve of the object. So if you're doing this on a different kind of vase or any other kind of jar just follow the shape of the jar itself and usually that will show you where the highlight is. And here's this one in real life so you can see how big it is compared to my hand. So I did make it quite large to accommodate all those images. So here is the finished one. All of them are going to be pinnable on my blog so that you can see before and after the white paint and you can pin those whichever one is most pinned I will do a tutorial of in the coming weeks in a video. So if you want to go and pin your favorite one so that I can tell which one you guys want to see how to do the highlighting and stuff on that glass and we can do the highlighting before and after the white paint. So check out my blog and the link in the doobly-doo. There's a couple more videos. Hit the subscribe button all that good stuff and I will see you guys next time. Take care and have a great day. Bye bye.


Hi there, I'm Hermadi Mark from the Government Information Service. This is your Midday News Brief. The Ministry of Health and Wellness is now better equipped to monitor and manage the home quarantine process in the national battle against COVID-19. Faced with breaches of home quarantine protocols, the ministry has announced an improved approach to surveillance through the use of technology. This will be achieved through the use of two electronic monitoring devices, the Biobutton and wristwatch. On Monday 4 January 2021, the police force announced that it is assisting the Ministry of Health with detaining individuals who refuse to abide by the provisions of home quarantine and escorting them to government quarantine facilities. Authorities have made it clear that anyone not adhering to the terms of home quarantine upon a review by the Ministry of Health will have their approval revoked and placed at a government quarantine facility at his or her own expense. A ton of information regarding possible breaches of the conditions of home quarantine is asked to call the nearest police station immediately. Caribbean hotel magnet Gordon Butch Stewart has died. The founder and chairman of Sandals Resorts International died on the evening of January 4th, 2021. Prime Minister Hon. Alan Shastney has paid tribute to the Caribbean giant, whom he said was never an ordinary man. Butch Stewart Hon. Shastney added, dreamed big as a pioneer and a trailblazer. Prime Minister Shastney recalled as a young director of tourism in the 90s, he had convinced Butch Stewart to take a chance on St. Lucia. Three hotels and 2,000 jobs later, the legacy and impact of Sandals is indisputable. No one individual Hon. Shastney notes has ever left such an indelible footprint on the Caribbean region or had been more responsible for the development of the Caribbean brand. Hon. Shastney says not only has he lost a former boss from his airline days, but a mentor and more importantly a close friend. Prime Minister Hon. Alan Shastney has pledged St. Lucia's support to sister Isles and Vincent under Grenadines and Martinique amid seismic activity in the two countries. Hon. Shastney did so during an emergency meeting of the OECS authority held virtually on December 31, 2020. A three-member team from the University of the West Indies UWI Seismic Research Centre is in St. Vincent to monitor the volcanic activities. There has been no evacuation for residents thus far, however OECS member states have pledged over 3,000 rooms for accommodation and will continue to assess their accommodation capabilities should more rooms be needed as they remain on standby to assist if an evacuation is ordered. Member states also pled support of personnel, air, sea and land transportation among offers of other practical assistants. This has been your Midday News Brief. Stay tuned to the National Television Network. Until next time, I'm Humadi Mark.


I welcome you to this year's Memorial Day ceremony. To give their lives for that which we all hold dear. We're each positioned in front of the memorial. I have been placed on behalf of the following organizations. The crowns that are already placed in front of the monument have fallen. They have been donated by the following organizations.