ABSTRACT
Introduction and Aim: Job and stress are not mutually exclusive;in fact, stress is inherent to job. In the present era of COVID pandemic, working as health care providers may entail highest levels of stress leading to burnout. Thus, affecting work efficiency of faculty, in turn reflecting on students' performance and health care services to patients. However, de-stressors like yoga and art-based interventions are scarce and not well documented to date. Hence, the present study was undertaken to determine the efficacy of stress alleviating yoga and creative art therapy through interprofessional collaborative approach. Method(s): Sixty medical faculty of either gender aging 30-60 years, were randomly divided into two equal groups-control and intervention group. The intervention group underwent yoga and creative art therapy for 10 days duration each. International stress management association (ISMA) stress questionnaire and Kessler's psychological distress (K-10) scale were administered before and post-intervention, to compare the stress levels. Blood pressure (BP), pulse rate, body mass index (BMI) and waist hip ratio (WHR) were also measured. Comparative analysis of pre-post test scores was done using Student's paired 't' test. Result(s): According to ISMA and K-10 scores, the intervention group showed statistically significant (p <= 0.05) decrease in stress levels among faculty. However, BP, BMI and WHR didn't show any significant change after the intervention. Conclusion(s): Yoga and art therapy were proved to be beneficial in reducing the stress levels among faculty significantly. Comparative analysis also showed significant reduction irrespective of their gender and specialty.Copyright © 2023, Indian Association of Biomedical Scientists. All rights reserved.
ABSTRACT
The present study was conducted to investigate the potential of water soluble organic carbon (WSOC) in CCN activation under restricted anthropogenic emissions over a high altitude station, Darjeeling (27.01° N and 88.15° E,∼2200 amsl and covered with huge coniferous forests) in the eastern parts of Himalaya in India. We measured CN, CCN, and ultrafine WSOC (WSOC0.1) during April–May 2020 (COVID-19 lockdown) and compared with the normal period (April–May 2019) to investigate the relative dominance of biogenic over anthropogenic emissions to the aerosol-CCN activation. Though an expected significant decline (53%) in CN concentration was observed, CCN exhibited ∼17% increase during the lockdown period. The activation ratio (AR: CCN/CN) jumped from 0.30 during normal to 0.72 during the lockdown period. The aerosol solubility was also found to be increased during the lockdown period (∼27% decrease in the k- parameter (k)). Lockdown-WSOC was higher (1.62 μg m−3) than the normal-WSOC (1.13 μg m−3) and exhibited better regression with CCN in absence of anthropogenic emissions (Lockdown: R2 = 0.83, p < 0.05;Normal: R2 = 0.40, p < 0.05). Here we hypothesize that under restricted fossil fuel emissions during lockdown (57% decline in NOx), surface ozone was increased by 31%, that in turn favored the photochemical oxidation of biogenic VOCs emitted only from coniferous forest cover to produce huge amount of SOC. The ultrafine "biogenic-only” WSOC (under restricted anthropogenic WSOC during lockdown) participated in CCN activation actively and with higher proficiency compared to the normal period. The study bears immense importance of the role of biogenic emissions in cloud droplet formation over this part of the Himalaya under restricted anthropogenic emissions. The present hypothesis could open a new route of aerosol formation and their CCN activation under high deficiency of anthropogenic emissions. © 2023 Elsevier B.V.
ABSTRACT
BACKGROUND: Since its first identification in December 2019, in WUHAN (CHINA), SARS-COV-2, causative agent of Corona virus pandemic, has affected millions of people worldwide, causing thousands of death. There is much speculation about the interplay between ACEI/ARB and Corona virus infection, as for internalization into host cell SARS-COV-2 binds through S spike protein to ACE-2, aided TMPRSS2. METHODS: A record based observational study has been conducted (data obtained from the clinics of fourteen physicians) in two worst affected districts of West Bengal, to find out the association of ACEI/ARB on patients, suffering from Corona virus infection. The study-protocol has already been approved by Clinical Research Ethics Committee of Calcutta School of Tropical Medicine. (IEC Ref. No: CREC-STM/2020-AS-37) Results: Increasing age, male sex and presence of co-morbidities (viz. Diabetes, COPD) are significantly associated with the occurrence of moderate and severe disease. Drugs (viz. ACEI/ARB), though are associated with less severe disease, have not achieved statistical significance, in the present study. CONCLUSION: Drugs, like ACEI/ARB, should be continued in patients suffering from COVID-19 infection, (if they are already on these drugs). © Journal of the Association of Physicians of India 2011.
ABSTRACT
Background: Since its first identification in December 2019, in WUHAN (CHINA), SARS-COV-2, causative agent of Corona virus pandemic, has affected millions of people worldwide, causing thousands of death. There is much speculation about the interplay between ACEI/ARB and Corona virus infection, as for internalization into host cell SARS-COV-2 binds through S spike protein to ACE-2, aided TMPRSS2. Methods: A record based observational study has been conducted (data obtained from the clinics of fourteen physicians) in two worst affected districts of West Bengal, to find out the association of ACEI/ARB on patients, suffering from Corona virus infection. The study-protocol has already been approved by Clinical Research Ethics Committee of Calcutta School of Tropical Medicine. (IEC Ref. No: CREC-STM/2020-AS-37) Results: Increasing age, male sex and presence of co-morbidities (viz. Diabetes, COPD) are significantly associated with the occurrence of moderate and severe disease. Drugs (viz. ACEI/ARB), though are associated with less severe disease, have not achieved statistical significance, in the present study. Conclusion: Drugs, like ACEI/ARB, should be continued in patients suffering from COVID-19 infection, (if they are already on these drugs). © 2021 Journal of Association of Physicians of India. All rights reserved.
ABSTRACT
The coronavirus disease 2019 (COVID-19) has created a substantial burden on healthcare services worldwide. Since its first detection in 30th January, it has rapidly spread throughout India. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection results in clusters of severe acute respiratory illness leading to intensive care unit (ICU) admission and considerable mortality. So, there has been an ardent need of data on the frequency of comorbidities in COVID-19 & to assess whether their presence is associated with increased ICU admission. We analysed data from 496 patients with laboratory-confirmed Covid-19 admitted in tertiary care centers of three states of India from 15th to 30th May, 2020. The mean age was 49.7 years & 41.13% of the patients were female. Hypertension (21.97%) was the most frequent comorbidity followed by diabetes (12.90%) & cardiovascular disease (8.87%). 39.92% of the study population had at least one comorbidity. Patients with comorbidities had higher ICU admission than those without comorbidity (35.35% vs. 20.47%). Associated comorbidity was more frequent among ICU patients in comparison to non-ICU patients (53.43% vs. 35.07%). Our study findings suggest that presence of comorbidity is associated with higher ICU admission thereby indicating more severe disease.