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National Journal of Community Medicine ; 13(3):175-178, 2022.
Article in English | Scopus | ID: covidwho-1812231

ABSTRACT

Introduction: The direct and indirect impact of SARS COVID 19 on the health of children was unprecedented. This study was conducted to compare the changing pattern of pediatric disease dynamics and the use of healthcare system before and after the SARS-CoV2 outbreak in a tertiary care hospital. Methodology: This retrospective, observational study was conducted by collecting data from medical records during COVID 19 pandemic from March 2020 till August 2020. This was compared with the data of 2019 during similar months. The impact of COVID 19 on use of paediatric health care service units like outpatient department, casualty, intensive care and immunization clinic were assessed. Results: There was a significant decline in routine OPD (68%) attendance during the COVID 19 period as compared to pre-COVID period. Paediatric ward admissions and PICU admissions were decreased by 55% and 42% respectively. We also observed a significant 43% decline in the number of children attending immunization clinic in the year 2020. Conclusion: The fear of COVID 19 pandemic and the measures taken to control the pandemic has affected the health seeking behaviour of patients. This evaluation of trends in healthcare use may help in planning the delivery of healthcare service delivery in future. @ The Journal retains the copyrights of this article.

5.
Journal of Association of Physicians of India ; 69(12):100-108, 2021.
Article in English | Scopus | ID: covidwho-1696178

ABSTRACT

Coronavirus disease 2019 (COVID-19) is a highly hypercoagulable viral infection complicated as COVID-inflicted coagulopathy (CIC), that is associated with increased risk of morbidity and mortality. International guidelines recommend low molecular weight heparin (LMWH) to treat CIC in both in-hospital and in-home settings. However, in India, using subcutaneous LMWH may not be a feasible option for a vast majority of patients under home management. Additionally, while some evidence advocates the use of novel oral anticoagulants (NOACs), in hospitalized settings, most guidelines find no role of NOACs in hospital settings. On the other hand, the resource crunch faced in recent COVID-19 pandemic in India forced physicians to treat many patients in home settings. These patients had been usually prescribed NOACs for ease of administration and adherence. Therefore, there is a need to form a consensus on the use of NOACs to manage CIC in India. © 2021 Journal of Association of Physicians of India. All rights reserved.

6.
The Researchers' International Research Journal ; 6(2):15-22, 2020.
Article in English | ProQuest Central | ID: covidwho-1689641

ABSTRACT

[...]experience of online education, like google class room, as an alternative to class room interaction during lockdown, would very likely to influence the future educational technology in teaching learning process. Before effective remedies are found they do their jobs, killing human beings and diverting the resource gained from participation in the process of globalisation to fight against its inevitable accomplices of different times and forms. Previous to COVID-19, the model of development is held responsible for climate change, and an inverse relationship exists between environment quality and economic progress. Present COVID-19 along with frequent floods, cyclones, tsunami, etc. has added immense strength to their arguments. [...]COVID-19 has exposed weakness of our policies, model of centralised development, growth oriented economy, our attitude;our weakness and strength;and is apparently all set to define inter community relations which snarl ugly teeth, and to interface between community and national priorities.

7.
The Researchers' International Research Journal ; 6(3):38-71, 2020.
Article in English | ProQuest Central | ID: covidwho-1689639

ABSTRACT

[...]it has impacted life at all levels-individual, local, regional, national and international;and all aspects- social, relational, political, economic, religious and cultural. The Hospital authority lodged an FIR accusing them of indulging in obscenity and based on the medical staff's complaints, including nurses. After a COVID-19 patient's death, a team of doctors and other medical staff and a police team went there to take immediate contacts of the dead to a quarantine facility. In April 20 WWW.Inida.com reported that one of the stone pelters at Taat Patti Bakhal area in Indore who tested positive for COVID-19 and was undergoing treatment in the isolation ward of the medical college, Jabalpur escaped the quarantine centre but later was arrested BBC news on 3 April stated that their neighbours have also ostracised some physicians and their families because of their exposure to patients infected with Covid-19.

8.
Economic and Political Weekly ; 56:11, 2021.
Article in English | CAB Abstracts | ID: covidwho-1489373

ABSTRACT

The imposition of lockdown and COVID-19 has disturbed the life of tribals and forest dwellers by destroying their livelihood and health. The article argues that there is an urgent need to focus on food security and strong social protection mechanisms to help tribal communities to minimise the impact of the pandemic on their social and economic life.

9.
International Journal of Current Research and Review ; 13(6 special Issue):S-165-S-169, 2021.
Article in English | Scopus | ID: covidwho-1190758

ABSTRACT

Background: In December 2019 China declared that pneumonia caused by a novel coronavirus. The transmission of the virus from human to human causes a high rise in death rates around the globe. All though all age types can be infected with COVID-19, a person aged above 65 years showing more risks of growing serious illness, mostly due to increasing health conditions that are expected to come with ageing. Observing that older adults are at more risk for COVID related medical problem and mortality, the current study targeted the age-related effect on COVID-19 patients of Sambalpur Railway Staffs of Odisha. Objective: The present study focuses on the age-related effect on COVID-19 patients of Sambalpur Railway Staffs of Odisha. We performed a meta-analysis based on the clinical features of the Railway Staffs of Sambalpur division, Odisha. Methods: All investigations were carryout utilizing STATA 14.3 (StataCorp. 2009. Stata Statistical Software: Release 14. College Station, TX: StataCorp LP). A whole of 5732 employees was analyzed out of which 337 were found to be infected with COVID-19, among which, 323 (95.84%) were males and 14 (4.15%) were females. Results: The most noteworthy mortality was seen in patient’s ≥ 60-69 years of age. The age group had altogether big mortality contrasted with the immediate age group. The biggest expansion in mortality hazard was seen in patients with age 60-69 contrasted with 50-59. Conclusion: Notable heterogeneity (p < 0.001) was noticed and concluded the Funnel Plot. In our result, it was observed that the age group 30-39 had a significantly higher mortality rate. © IJCRR.

10.
Economic and Political Weekly ; 56(11):19-22, 2021.
Article in English | Scopus | ID: covidwho-1143992

ABSTRACT

The imposition of lockdown and COVID-19 has disturbed the life of tribals and forest dwellers by destroying their livelihood and health. The article argues that there is an urgent need to focus on food security and strong social protection mechanisms to help tribal communities to minimise the impact of the pandemic on their social and economic life. © 2021 Economic and Political Weekly. All rights reserved.

11.
Economic and Political Weekly ; 55(45), 2020.
Article in English | Scopus | ID: covidwho-958836
12.
Indian Journal of Transplantation ; 14(3):250-254, 2020.
Article in English | EMBASE | ID: covidwho-890488

ABSTRACT

Coronavirus disease-19 (COVID-19) affected everyone on the globe, including renal transplant recipients who are at increased risk of infection. The clinical manifestations, immunosuppressive modifications, and treatment protocol are not well defined. We are reporting a case of renal transplant recipient and reviewed all case reports and series (a total of 100 patients) published to date to comprehend the clinical manifestations, immunosuppression modifications, treatment given, and outcomes of the patients. A 57-year-old male kidney transplant recipient had a fever, headache, weakness, and positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. He became asymptomatic with the treatment of hydroxychloroquine, azithromycin, and oseltamivir. However, he remained persistently positive by reverse transcriptase-polymerase chain reaction for SARS-CoV-2 for 4 weeks and became negative only after Ivermectin therapy, a safer medicine than antivirals/antiretrovirals used for COVID therapy in renal transplant recipients. Of the 100 patients review of case series, fever was noted in 85%, cough 71%, diarrhea 10%, and radiographic abnormalities in 75% of cases. Only in 3% of cases, steroid was stopped, and in the rest of the cases, 63% either continued in the same doses or changed to methylprednisolone in 34%. Calcineurin inhibitors were temporarily stopped in 42% of cases, reduced in 9% of cases, and continued in the same doses in 49% of cases. The anti-metabolites were discontinued in 83%, reduced in 9% of cases, and not changed in 8% of cases. SARI was observed in 18% and acute kidney injury (AKI) in 26% of cases. Of all the AKI, 11% required renal replacement therapy. Mortality was observed in 21% of cases. COVID in renal transplant recipients may show an unusually longer positivity. Ivermectin may be used in the absence of any conclusive SARS-CoV-2 antivirals. Mortality is high in renal transplant recipients.

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