ABSTRACT
Background: Globally critically ill COVID-19 (Coronavirus disease-19) patients have stretched critical care services. This study was undertaken to find factors implicated in mortality amongst COVID positive and negative patients presenting with severe acute respiratory illness (SARI) and factors having the probability of indicating COVID positivity. Methods: The demographic parameters, comorbid illness, clinical parameters and laboratory values of 327 patients were retrospectively analyzed to find the risk factors for mortality in COVID positive and negative patients and factors predicting COVID positivity amongst SARI patients. Results: 58% of SARI patients tested positive by RTPCR. Most common comorbidities were diabetes and hypertension, 35.2% and 33% respectively. Duration of swelling and low haemoglobin were significantly associated with mortality in COVID positive group (p=0.01, 0.005). Acidosis and tachycardia (p=0.003, 0.034) were associated with mortality amongst COVID negative. Creatinine, Sequential Organ Failure Assessment (SOFA) and quick SOFA (qSOFA) were higher in non-survivors of both groups (p<0.001). Age, history of contact or from containment zone, cough, pain abdomen and P/F ratio were significant predictors of COVID positivity (1.020(1.006–1.035);3.889(1.316–11.495);2.908(1.182–7.152);2.147(1.149–4.012);0.997(0.994-1.000) respectively) by multivariable regression analysis. Conclusion: A long duration of swelling and low haemoglobin (<12 g%) were responsible for COVID positive mortality while pain abdomen, raised levels of AST, tachycardia and acidosis were associated with mortality in COVID negative. Deranged creatinine, higher SOFA and qSOFA were associated with mortality in both groups. Age, contact history, residence in containment zone, cough, pain abdomen and poor P/F ratio are predictive factors for COVID positivity. © 2023 Tehran University of Medical Sciences. Published by Tehran University of Medical Sciences.
ABSTRACT
Introduction: COVID-19 pandemic is the most daunting challenge for humankind in the current scenario. Healthcare personnel (HCPs) being at forefront dealing with pandemic, have been prioritized to get inoculated against COVID-19. However, literature has limited information regarding HCPs intention to get vaccinated and their concerns regarding the same. Therefore, this study was done to assess Indian HCPs awareness, attitude, and perception toward the COVID-19 vaccine. Materials and Methods: An online cross-sectional study was conducted using the convenience sampling method. A validated questionnaire was designed in English and was mailed to all the participants through link of Google form and also through social media platforms. A total of 815 HCPs responses were obtained. Results: Of the 815 responses 452 were willing for the COVID-19 vaccine. Five hundred and eighty-three HCPs have shown trust in the Science and Ministry of Health for the development of safe and effective vaccines. Four hundred and sixty-one of HCPs were of the opinion that India is going slow on the vaccination drive and 620 of them feel the need to accelerate the drive. Conclusions: High acceptance and low hesitancy for COVID-19 vaccine demands increased vaccine coverage by Indian HCPs. Addressing this demand requires possible intervention by the participation of the private sector which will help to accept the national vaccination program to a wider scale, thereby combating the future wave of the pandemic. © 2022 Journal of Datta Meghe Institute of Medical Sciences University ;Published by Wolters Kluwer - Medknow.
ABSTRACT
The rapid spread of the COVID-19virus and related pneumonia has posed a major challenge for healthcare systems worldwide. The infection was discovered in the city of Wuhan, Central of China and swept across the world.Theincubation period of the viruscan range from 1-14 days, and the virus spread can happen in the absence of clinical symptoms as well.The most frequently reported symptoms are fever, cough, dyspnea, and myalgia or fatigue. Modes for transmission of virus include direct transmission through coughing,sneezing, and inhalation of droplets and contact transmission through contact with nasal, oral, and ocular mucosa. Droplet and aerosol transmission of the virus are the most common causes of COVID-19 infection in dental clinics and hospitals.COVID-19 virus has lately been detected in saliva of infected patients, thus posing an alert to health professionals to be customarily vigilant in protecting against the infectious disease spread. Because of the presence of virus in saliva, it may be helpful as a non-invasive tool in the rapid detection of the virus.During this pandemic dissemination of COVID-19, dental treatment must be confined to the procedures that cannot be deferred. All the precautions must be taken in terms of triaging, personal protective equipment, hand hygiene, pre-procedural mouthrinse, use of rubber dam, disinfection of the surfaces. Dental professionals are at the highest risk of COVID-19 infection;hence, dental practicehas to be reorganized in order to ensure higher safety standards for both dentists and patients.
ABSTRACT
Introduction: Stroke nurse is functioning as a vital member of the stroke team. She/he provides care to the stroke patients in acute as well as post-acute periods. She/he coordinates among other team members to facilitate the stroke care continuum. Post-stroke care is always a challenge for health care professional as well as caregivers. During current pandemic conditions, it is essential to provide quality care at their home. Purpose: To develop a mobile application to provide home based care for prevention and management of post stroke complications among survivors. Methods: Survey was carried out among 170 bedridden stroke survivors and their caregivers to assess problems faced like aspiration pneumonia, bedsore, urinary tract infection, deep vein thrombosis, frozen shoulder, contractures, and caregiver burden. On the basis of findings 'Stroke home care' a bilingual (in Hindi and English) mobile application was developed which contains step by step nursing-care-procedural videos to prevent bedsore, bedsore dressing, positioning change, Ryle's tube feeding, Foley's catheter care, active and passive range of motion exercises, hand washing with soap-water as well with sanitizer, psychological support to patients. Results: Through this intervention, caregivers of bedridden stroke patients get trained for care procedures so that they can provide best possible nursing care to their patients at home and can prevent post stroke complications and ultimately enhances quality of life of survivors and reduce caregivers' burden. Conclusion: 'Stroke Home Care' is a novel intervention developed by a stroke nurse which has been developed and tested not just for its feasibility and acceptability but also proven for its clinical applicability through PROBE designed study. This web based intervention can provide rehabilitation services to bedridden stroke survivors at their home in this pandemic.(Figure Presented).