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1.
Information Technology & People ; : 25, 2022.
Article in English | Web of Science | ID: covidwho-1868479

ABSTRACT

Purpose Scholars and practitioners have raised concerns that mandatory remote work can lead to feelings of isolation and alienation in employees. Therefore, this study aims to investigate this issue by examining the impact of work communication satisfaction in remote environments on employee alienation and job satisfaction. Design/methodology/approach Sensemaking and social information processing (SIP) theory are used for formulating the hypotheses. To test the hypotheses, primary data were collected from 418 employees working in various Indian organizations and analyzed using AMOS and Hayes' PROCESS macro for SPSS. Findings The findings reveal that work communication satisfaction is negatively associated with alienation and positively associated with job satisfaction. Alienation mediated the relationship between work communication satisfaction and job satisfaction. Additionally, employees belonging to organizations with stronger CSR associations reported feeling less alienated than employees of organizations with weaker CSR associations. Practical implications Organizations can improve work communication satisfaction by devising remote communication plans that clarify employee expectations regarding the frequency, purpose and channel of communication. Additionally, organizations should communicate their CSR efforts to employees, particularly during times of crisis, as this can help improve employee impressions of the organization. Originality/value The study extends the work on alienation by approaching it from the perspective of sensemaking. The research demonstrates how work and non-work-related social information cues (work communication and CSR associations) can influence employee attitudes through their sensemaking. The context of the study adds to its uniqueness.

2.
Indian Pediatrics ; 58(10):951-954, 2021.
Article in English | Web of Science | ID: covidwho-1509359

ABSTRACT

Objective To identify clinical and laboratory features that differentiate dengue fever patients from MIS-C patients and determine their outcomes. Methods This comparative cross-sectional study was done at a tertiary care teaching institute. We enrolled all hospitalized children aged 1 month-18 years and diagnosed with either MIS-C and/or dengue fever according to WHO criteria between June and December, 2020. Clinical and laboratory features and outcomes were recorded on a structured proforma. Results During the study period 34 cases of MIS-C and 83 cases of Dengue fever were enrolled. Mean age of MIS-C cases (male, 86.3%) was 7.89 (4.61) years. MIS-C with shock was seen in 15 cases (44%), MIS-C without shock in 17 cases (50%) and Kawasaki disease-like presentation in 2 cases (6%). Patients of MIS-C were younger as compared to dengue fever (P=0.002). Abdominal pain and erythematous rash were more common in dengue fever. Of the inflammatory markers, mean C reactive protein was higher in MIS-C patients [100.2 (85.1) vs 16.9 (29.3) mg/dL] (P<0.001). In contrast, serum ferritin levels were higher in dengue fever patients (P=0.03). Mean hospital stay (patient days) was longer in MIS- C compared to dengue fever (8.6 vs 6.5 days;P=0.014). Conclusions Clinical and laboratory features can give important clues to differentiate dengue fever and MIS-C and help initiate specific treatment.

3.
Indian Pediatr ; 2021.
Article in English | PubMed | ID: covidwho-1321152

ABSTRACT

OBJECTIVE: To identify clinical and laboratory features that differentiate dengue fever patients from MIS-C patients and determine their outcomes. METHODS: This comparative cross-sectional study was done at tertiary care teaching institute. We enrolled all hospitalized children aged 1 month - 18 years and diagnosed with either MIS-C and/or dengue fever according to WHO criteria between June and December, 2020. Clinical and laboratory features and outcomes were recorded on a structured proforma. RESULTS: During the study period 34 cases of MIS-C and 83 cases of Dengue fever were enrolled. Mean age of MIS-C cases (male, 86.3%) was 7.89 (4.61) years. Of 34 cases, MIS-C with shock was seen in 15 cases (44%), MIS-C without shock, 17 cases (50%) and Kawasaki disease-like presentation in 2 cases (6%). Patients of MIS-C were younger as compared to dengue fever (P=0.002). Conjunctival injection and swelling of hand and feet were more commonly seen in MIS-C. Abdominal pain and erythematous rash were more common in dengue fever. Of the inflammatory markers, mean C reactive protein was higher in MIS-C patients, than dengue fever patients [100.2 (85.1) vs 16.9 (29.3) mg/dL (P<0.001). In contrast, serum ferritin levels were higher in dengue fever patients (P=0.03). Need for mechanical ventilation was significantly more in MIS-C cases. Mean hospital stay was longer in MIS- C patients days compared to dengue fever (8.6 vs 6.5 days;P=0.014). CONCLUSION: Clinical and laboratory features can give important clues to differentiate dengue fever and MIS-C and help initiate specific treatment.

4.
Inflammatory Bowel Diseases ; 27(SUPPL 1):S5, 2021.
Article in English | EMBASE | ID: covidwho-1193757

ABSTRACT

Background In March 2020, the Mount Sinai Health System InflammatoryBowel Disease (IBD) center reported an increase in telephonecall volume, with many IBD patients expressing anxiety aboutbeing on immunosuppressive agents during the COVID-19pandemic. Consistent with GI society and CDCrecommendations, we leveraged the Rx.Universe platform(Rx.Health, New York, NY) to rapidly design and deliver apopulation-based digital navigation program (DNP) to provideoutreach, remote COVID-19 symptom monitoring, triage, andTelehealth to IBD patients. Methods After identifying all IBD patients seen in our IBD center fromElectronic Health Records (Epic Systems), we 'bulk prescribed'the DNP (Rx.Health, New York NY) to 6100 patients'smartphones. Patients were asked to reply to the prompt if theyhad new or worsening COVID-19 symptoms and opted-in toregular digital monitoring through an electronic patientreported outcome (ePRO) instrument. Patient data was screenedby our clinical coordinators, who directly contacted patients viaphone calls and scheduled testing and Telehealth visits with IBDpractitioners when appropriate. Results Of the 6100 patients who were sent the DNP, 1829 patientsopted-in to be regularly monitored using text-based electronicpatient reported outcome (ePRO) instruments. Of those whoresponded affirmatively, 145 patients were identified requiringadditional medical attention and were triaged using Telehealthvisits. Compared to patients who chose not to opt-in, patientswho opted-in were more likely to be female, white, married, onbiologics, and had high inflammatory markers (Table 1). Conclusion As demonstrated by the 30% of patients who opted-in to regularCOVID-19 symptom monitoring, a digital navigation programpopulation approach is an effective and efficient approach toprovide continuity of care and to mitigate COVID-19 exposure ina high-risk, immunosuppressed IBD population. This scalableapproach serves as a model for providing high quality, remotemonitoring to patients during COVID-19 and beyond, as well asachieving 'Treat to Target' goals.

6.
Clinical Diabetology ; 10(1):114-122, 2021.
Article in English | Web of Science | ID: covidwho-1154746

ABSTRACT

Background. With coronavirus disease-19 (COVID-19), patients with diabetes mellitus are dealing with two pandemics and are at a higher risk of mortality. The present study was undertaken to evaluate interactions between hyperglycemia and clotting factors in COVID-19 patients. Methods. In this retrospective observational study, 53 real-time RT-PCR SARS-CoV-2 positive cases in 40 to 70 years of age, representing both sexes, were enrolled in the study from SMS Medical College, Jaipur (Rajasthan, India). Based on their history of diabetes mellitus and exclusion criterion, patients were divided into diabetics (N = 11) and non-diabetics (N = 17) groups. The data on clinical profile and coagulation profile was recorded along with the markers of inflammation and infection. The two groups were compared using the Mann-Whitney test and the Fisher's exact test. Correlation coefficients between clotting factors were compared between two groups using Student t test. Results. There was no significant difference in age (p = 0.25) or gender (p = 0.12) between the two groups. The coagulation indicators FDP (p = 0.79), D-dimer (p = 0.30), APPT (p = 0.96), PT (p = 0.79), INR (p = 1.00) PLT (p = 0.17) and the markers of inflammation and infection did not differ significantly between the two groups. There was no significant difference in correlation coefficients among coagulation indicators between the two groups (p > 0.05). Conclusion. The study concludes that pathogenesis in clotting system is not significantly different in studied groups. Further research is needed to explain the higher mortality in diabetic patients suffering from COVID-19.

7.
Current Medical Issues ; 18(3):199-202, 2020.
Article in English | EMBASE | ID: covidwho-962968

ABSTRACT

The ever-growing menace of Coronavirus Disease of 2019 (COVID-19) has ravaged mankind the world over. There has been a lot of exploratory work going on to unravel the pathophysiology of the disease and to come up with a rationale and realistic management protocol. Here is one such attempt to present the Government, Societal and Medical measures framed by Tertiary Care Medical College Teaching Hospital of State of Rajasthan, namely, S. M. S. Medical College and Attached Hospitals, Jaipur. These measures were undertaken for the entire state so as to curtail the rise of COVID-19 pandemic to some extent. The combative approach was multi-focal and multi-axial with the aim to address issues from all conceivable angles inclusive of preparative ground-work, fluidic containment, slowing of transmission, and appropriate logistics to ensure steady-state supplies.

8.
International Journal of Academic Medicine ; 6(2):91-95, 2020.
Article in English | Scopus | ID: covidwho-822768

ABSTRACT

Background: The global pandemic of coronavirus disease - 2019 (COVID-19) has wrecked the very fabric of mankind putting its survival at stake. The prior knowledge of trends of cumulative cases helps in management of disease epidemic by optimized allocation of logistics and human resources. Materials and Methods: An ecological study was undertaken to compare the standardized trends of cumulative cases of top eight highly COVID-19 affected states of India with linear regression modeling. The data were sourced from Kaggle repository and Unique Identification Authority of India. The coefficients of regression of linear regression models of all the eight states were compared using analysis of covariance (ANCOVA). Results: It was observed that evolution of COVID-19 was the highest in the state of Gujarat (b = 0.186, P 0.001) followed by Madhya Pradesh (b = 0.166, P 0.001), Maharashtra (b = 0.159, P 0.001), Delhi (b = 0.156, P = 0.02), Rajasthan (b = 0.136, P = 0.98), Uttar Pradesh (b = 0.117, P 0.001), Tamil Nadu (b = 0.091, P 0.001), and Andhra Pradesh (b = 0.076, P 0.001) respectively. Conclusion: It is seen that ranking of states on the basis of trends of evolution and the absolute number of cumulative cases are different. The trends of evolution assist public health authorities and governmental agencies in providing right picture of evolution and help in decision making process during management of epidemic. The following core competencies are addressed in this article: Medical knowledge, Practice-based learning and improvement, Systems-based practice. © 2020 International Journal of Academic Medicine ;Published by Wolters Kluwer - Medknow.

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