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Psychosomatic Medicine ; 84(5):A7, 2022.
Article in English | EMBASE | ID: covidwho-2002987


SARS-CoV-2 is highly infectious and has ability to mutate into newer, more contagious, and lethal strains. Moreover, presence of comorbidities and low immunity increases the COVID-19 susceptibility and severity. Thus, COVID-19 is challenging to treat and eradicate globally. This increase stress and anxiety among the patients, worsening their condition. Even health care workers (HCWs) are distressed and anxious while managing the COVID-19. Mental stress and depression increases risk of COVID-19. Yogic breathing techniques may be beneficial in improving immunity and reducing stress and anxiety. The present study investigated the effectiveness of short and controlled Yoga-based breathing protocols in COVID-positive, COVID-recovered and HCWs. Study subjects were recruited from Postgraduate Institute of Medical Education and Research, Chandigarh, India from 13th October, 2020 to 7th January 2021. Each group was randomly divided into intervention or yoga group and non-intervention or control group. COVID-positive practiced a 5-min routine and COVID-recovered and HCW practiced 5-min and 18-min routines for 15 days. Pre-post estimation of neuropsychological parameters and heart rate variability and baseline, 7th and 15th day estimation of biochemical parameters, 6-minute walk and 1-minute sit-stand tests were conducted. Based on Ayurveda, Prakriti-type was assessed. WBC count was elevated in COVID-positive intervention (p<0.001) and control groups (p=0.003). WBC count (p=0.002) and D-dimer (p=0.002) was decreased in COVID-recovered intervention. A non-significant reduction in perceived stress and tension was noted in COVID-positive intervention. Tension was reduced and quality of life improved in HCW intervention (p>0.05). The Kapha Prakriti (48.9 %) was dominant among COVID-19 infected (positive and recovered) subjects. Distance covered in 6-min increased after intervention in COVID-positive (p=0.01) and HCW (p=0.002). The covered distance was more after intervention in all groups than control sub-group. COVID-positive intervention group shows reduced heart rate (p>0.05) and high-frequency power (p=0.01). The interventions were capable of improving exercise capacity in patients and HCW and reduced cardiovascular risk in COVID-19. The studied breathing protocol can be integrated for the management of COVID-19 and is beneficial to HCWs.

World Journal of Dentistry ; 13(5):483-488, 2022.
Article in English | Scopus | ID: covidwho-1975167


Aim: To determine the level of attitude and awareness regarding biomedical waste management (BMWM) policy and practice among healthcare workers (HCWs) in tertiary level hospitals in Uttar Pradesh. Materials and methods: This is a questionnaire-based study which was done among 1,000 members of the hospital including undergraduate students, doctors (faculty members and postgraduate students), and class IV employees (cleaners and maintenance personnel). It consisted a total of 33 questions intended to obtain information about knowledge of BMWM practices grouped under three headings: (a) knowledge of biomedical waste (BMW) generation, segregation, and categorization;(b) knowledge of BMWM practice in hospitals on procedure and disposal;and (c) awareness regarding best management practices in dental office. Results: The mean scores were calculated and it was found that regarding knowledge of BMW generation, segregation, and categorization, the doctors had significantly more knowledge and dental students were having comparatively least knowledge among all groups, whereas mean value of attitude of BMWM practice in hospitals on procedure and disposal and practice regarding best waste management in dental office has shown statistically significant results with doctors. Conclusion: This study showed that there was a good, satisfactory, and poor level of knowledge, attitude, and practice about BMW generation hazards, legislation, and management among doctors (faculty members and postgraduate students), class IV employees, and dental students, respectively. Clinical significance: The awareness of these BMWM laws among the public, as well as development of policies and enforcement that respect those laws, is essential. Appropriate measures should be taken to minimize hazardous waste where possible or action should be taken to ensure that all generated waste is managed according to the correct norms and regulations. © The Author(s). 2022.