ABSTRACT
Background: Long-term postsurgical follow-up in chronic otitis media (COM) is crucial in otologic practice for outcome assessment. Validated questionnaires for the same are robust alternatives when physical visits are not feasible such as the current COVID-19 pandemic and we present our findings of outcome assessment using COM outcome test (COMOT)-15 questionnaire through nonphysical mode. Material(s) and Method(s): A retrospective analysis of a cohort of 112 patients of COM who underwent surgery by the single senior otology surgeon between 2009 and 2019 was done using COMOT 15 questionnaire through telephonic methods to circumvent the need of office visits. Result(s): Fifty out of 112 patients could be contacted and consented for the assessment and their COMOT-15 scores were obtained. The numbers of patients with any otologic symptoms and their need for consultations, except hearing loss were significantly less. One-third of the patients had mild to moderate residual hearing loss and its quality of life impacts, although the same neither was statistically significant nor required increased numbers of consultations. Conclusion(s): Bothering symptoms and the need for a frequent visit to the doctor is significantly less with adequate clearance of disease and mastoid obliteration in cases of canal wall down procedures. The residual mild-to-moderate hearing loss are not significant and manageable with day-to-day activities. Successful outcome of COM surgery needs long-term follow-up and evaluation by all practicing otologic departments and surgeons which can well be done through nonphysical modes in unprecedented situations like the current times. Copyright © 2022 Indian Journal of Otology Published by Wolters Kluwer-Medknow.
ABSTRACT
Introduction: The aim of this study is to estimate the prevalance of Tuberculosis in COVID-19 patients and to find out the incidence of COVID-19 in Tubercular patients. Enhanced screening of patients will enable prompt detection, early isolation and initiation of treatment, thereby reducing the morbidity and mortality in TB and COVID-19 patients. Methods: This is a prospective observational study conducted at 1000 bedded teaching hospital with a standalone 500 bedded DCH. Study subjects were divided into 2 groups. In group A, 1085 COVID positive patients were screened for Tuberculosis. In group B, 430 notified Tubercular patients were screened for COVID -19. Results: Of 1085 pts in group A, 17 (1.5%) pts were newly detected as tuberculosis Out of 17, 10 (58.8%) were PTB, 7 (41.2%) were EPTB In EPTB, 4 (23.5%) had pleural effusion, 2 (11.7%) had TBM and 1 (5.8%) had miliary Tuberculosis. 1 (5.8%) pt of Covid-TBM co-infection died during treatment. Of 430 TB pts in group B, 7 (1.6%) were detected COVID- 19 positive. Of these 7 COVID- 19 positive patients, 6 (85%) required <10 days of hospitalisation, while 1 (15%) required >10 days of hospitalization with no mortality. Conclusion: Significant proportion of COVID- 19 patients were detected to be Tubercular and vice versa.Hence Bi-directional screening of Tuberculosis and COVID-19 should be strengthened at all the health care facilities in India.
ABSTRACT
India has a disproportionately high burden of acute and chronic pulmonary diseases. In India, 65 million suffer from non-communicable respiratory diseases. The outbreak of the novel coronavirus disease 2019 (COVID-19) had worsened the situation. Patients affected with COVID-19 with a previous history of comorbidities, such as COPD and chronic lung diseases, had the worst prognosis, resulting in adverse outcomes, such as acute respiratory distress syndrome (ARDS) and pneumonia. Immune modulation strategies have since gained a lot of traction amongst practitioners. Modulation of the immune system with Pidotimod along with standard-of–care (SOC) treatment has proven efficacious in the past two decades in patients with recurrent respiratory tract infections (RRTIs), bronchitis, COPD, and pneumonia. In this article, we have reviewed the current unmet needs in the management of COPD in India and evaluated the usage of Pidotimod in adult COPD patients based on expert panel discussion © 2021 Journal of Association of Physicians of India. All rights reserved.
ABSTRACT
Background: Information and news reports on coronavirus disease (COVID-19) were published in the first few months of 2020. Quickly published and shared on social media and social networking sites. There is limited evidence, however, as to whether and how social media has been used and impact on social media consumers. Aim: This study aims to assess the usage of social media and its impact on social media consumers during pandemic disease covid-19 in India. Methods: An online questionnaire was prepared and conducted to study in India with a total of 210 social media consumers. This study used a Quantitative data analysis method. As a result, data were analysed using Microsoft Office Excel. Results: Participants showed that Social media play an important role to deal with the pandemic disease. Whatsapp and Instagram were the most used social media platform for getting and sharing information about covid-19. We found a weak statistical correlation between social media impact on frequently usage of social media during covid-19 (R=0.215825619). Social media had equally impacted on gender group during the Covid-19 situation in India. Conclusions: During Covid-19 Pandemic, people are using social media platforms to get and share information about Covid-19. Social media has no negative impact on social media consumers. Social media has an important role to deal with Pandemic disease conditions in India.
ABSTRACT
INTRODUCTION: A pandemic was declared by the World Health Organization on 30th January 2020, the coronavirus disease (COVID-19) emerged, and led to standstill of Dentistry and Orthodontics. DESCRIPTION: The COVID-19 is a very multivariant disease. It affects in many different ways;the most reported symptoms resemble very much to that of a seasonal flu. Patients feel rising fever, dry cough and shortness of breath. There are two ways to handle them, the first being remotely guiding and helping them with aid of telecommunication, and second you can prepare the clinic by following all sanitization protocols and keep the clinic open only for such patients. Usage of Environment Protection agents, N95 masks, PPE kits and HEPA filters are some of the basic things to go about. CONCLUSION: With the non-stop change of scenario of the COVID-19, meticulous monitoring of the local situation and one eye on the latest instructions given by the WHO and Health ministry should be followed.