Impact on quality of life among health care workers: a case-control study of COVID-19 pandemic situation

Background: Quality of Life (QoL) as an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns. Methods: A Case-control study was conducted to assess the QoL among health care workers (HCW) during the Covid-19 Pandemic and to compare QOL in cases and controls among HCW. The sample size was calculated to be 98 in each group comes around 196. QOL was assessed by using WHOQOL-BREF scale. The QoL comparison in both Covid-19 positive and negative and its association was done by mean and standard deviation with correlation coefficient using unpaired T test. Results: Among 196, majority 157 (79.2%) were doctors and 39 (19.8%) were other health care providers like lab technicians and nursing staff. The health care workers with COVID-19 positive were had low QoL than the negative with respect to physical (46.90±9.60 vs 59.01±15.60), psychological (44.51±7.44 vs 51.13±15.68), social (39.82±15.98 vs 56.11±23.92), and environmental (48.33±10.28 vs 57.57±20.22) domains and all the domains showing highly statistically significant result with the P-value <0.001. The correlation coefficient between four domains was statistically significant and with overall QOL and satisfaction on health. Conclusions: The QoL was poor among COVID-19 positive patients compared to negative with respect to physical, social, psychological, and environmental and age, marital status and occupation during the covid-19 pandemic.

A Rare Clinical Presentation of Primary Pulmonary Hypoplasia with Tuberculous Pleural Effusion.

Primary pulmonary hypoplasia is rare in adulthood. It is characterized by decreased number or size of bronchi, vessels and alveoli. We present a case of unilateral pulmonary hypoplasia in 44-old-year male smoker who presented with right pleural effusion. His chest X-ray revealed an inhomogenous opacity on the left side with bronchiectatic changes and right minimal pleural effusion. Fiberoptic bronchoscopy revealed blind end bronchi in left upper lobe and computed tomography pulmonary angiography revealed hypoplastic lung with cystic bronchiectasis on the left side and hypoplastic left pulmonary artery. It was not associated with any other congenital anomalies. In addition to symptomatic management, he was started on anti-tuberculous treatment for tuberculous pleural effusion and kept under follow-up.

Some aspects of the bionomics of Culex quinquefasciatus (Diptera: Culicidae) in Rajahmundry town, Andhra Pradesh.

From January 1991 to December 1992 the adult and immature populations of Culex quinquefasciatus were monitored in selected localities of Rajahmundry town. The larval density per dip ranged from 1.1 in September to 25.3 in October and the pupal density from 1.2 to 8.4 in October. Two high peaks of adult density in a year were observed during the study. Infective mosquitoes were recorded only in November 1991 and August 1992. Cx. quinquefasciatus landing on human bait was maximum between 2200 to 2400 hours and they preferred to land on body site followed by legs, hands and face in that order. The anthropophilic index was 79.5 per cent. Ratio of Female: Male mosquitoes was 5:1.

Feasibility of controlling lymphatic filarial diseases through primary health care system.

A study was undertaken to explore the feasibility of treatment of clinical cases of filariasis by the Village Health Guides (VHG) and to assess the impact of different dose schedules by Diethylcarbamazine (DEC) on the frequency of acute attacks. It was observed that six days treatment with DEC at a dose of 500 mg daily was the most effective regimen in controlling recurrence of filarial attacks. The VHGs can serve the community in treating filarial cases with DEC.