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1.
2022 IEEE Conference on Interdisciplinary Approaches in Technology and Management for Social Innovation, IATMSI 2022 ; 2022.
Article in English | Scopus | ID: covidwho-20243011

ABSTRACT

The adoption of the Internet of Things (IoT) has revolutionized the way the health care industry works. IoT en-abled smart and connected solutions like smart sensors, wearable devices, and smart health monitoring systems are used to unleash the potential growth of the health care industry. IoT based health care solutions are on greater priority among IoT service providers since the disruptions caused by the COVID-19. According to experts, there still exist white spots in research studies on the Internet of Things (IoT) and health care Systems. The study conducted in this paper aims to explore emerging global research trends and topical focus in the field of IoT in health care System. Bibliometric analysis is used to analyze the research articles on 'Internet of Things' and 'Health care Systems' extracted from SCOPUS and WoS database using VoS Viewer tool;the analysis used to assess the growth and research trends of different research fields over a period of time. The parameters considered during analysis include year-wise citations, year-wise publications, keyword clustering analysis, author-wise analysis, country-wise research trends and publication trend over the years. The results showcased that there has been significant change in utilization of IoT in healthcare systems continuously during the period under study conducted. © 2022 IEEE.

2.
Benchmarking ; 2023.
Article in English | Scopus | ID: covidwho-2265267

ABSTRACT

Purpose: This exploratory study aims to discover the different forms of challenges encountered by school stakeholders, including students, teachers, parents and management due to the coronavirus disease 2019 (COVID-19) pandemic. Design/methodology/approach: Qualitative methodology was deployed for the study. A purposive sampling technique was used to select the respondents for a semi-structured interview. Data were examined using interpretative phenomenological analysis (IPA). Findings: It was found that each stakeholder faced four different challenges: mental distress, physical immobility, financial crunches and technological concerns. Findings suggest that teachers are experiencing higher financial, technological and physical challenges as compared to other stakeholders followed by parents. Originality/value: This paper discusses the major challenges faced by each stakeholder along with the opportunities. These findings will be useful for educationists, regulatory authorities, policymakers and management of educational institutions in developing countries to revisit their policy frameworks to develop new strategies and processes for the smooth implementation of remote learning during a period of uncertainty. © 2023, Prateek Kalia, Bhavana Behal, Kulvinder Kaur and Deepa Mehta.

3.
1st International Conference on Recent Developments in Electronics and Communication Systems, RDECS 2022 ; 32:38-44, 2023.
Article in English | Scopus | ID: covidwho-2247894

ABSTRACT

To determine the capabilities of this technology, we refer to different research papers related to this topic. This literature-based research could assist practitioners in devising responses to relevant issues and combating the COVID-19 pandemic. This paper examines the position of IoT-based technology in COVID-19. It looks at state-of-the-art architectures, networks, implementations, and industrial IoT-based solutions for combating COVID-19 in three stages: early detection, quarantine, and recovery. Since 2020 was a challenging year for all of us, and during this pandemic, we all realized that social gatherings had to be avoided, and the serious issue was to handle it. So to tackle this and ease the handling of the Corona Virus, we developed an automatic door that monitors an individual's temperature and whether the person is wearing a mask. In the absence of a mask, it clicks a picture of the person and stores it in the database for future reference. © 2023 The authors and IOS Press.

4.
Journal of Hospitality and Tourism Insights ; 6(1):305-323, 2023.
Article in English | Scopus | ID: covidwho-2240259

ABSTRACT

Purpose: The present study is an intra-industry analysis, which aims to investigate whether the impact of COVID-19 on employment level, clientele rate, liquidity constraints and sustainability aspect of different food outlets is symmetric or asymmetric in nature. Design/methodology/approach: With the help of well-structured questionnaire, the study has surveyed 80 food outlets in total by interviewing the managers and owners of these outlets. Food outlets have been classified into four categories namely international, national, local and street food outlets. Econometric techniques like MANOVA and Garret ranking have been employed to fulfil the objective of the study. Findings: The results depict that the impact of COVID-19 on employment level and liquidity constraints is significantly asymmetric amongst different groups of food outlets, even though the decline in extent of clientele is somewhat same for all groups. The survival aspect of outlets also witnesses clear-cut asymmetry in results as big outlets have greater potential to survive for longer if lockdown happens again when compared to street food outlets as their financial availability and stability differ. Research limitations/implications: The sample size of study is restricted, mainly due to lesser number of national franchise's food outlets available in Amritsar, though other categories of eateries were sufficient in number. Further, the study is restricted only to one district of Punjab state, whereas for future research, inter-district comparison can be done. Practical implications: The findings reveal that the street food outlets may gain by fostering its online functioning. Similarly national food outlets are encouraged to alter their business strategies to revive their sales against their competitors. Originality/value: This study is one of the explorer studies to analyse the impact of COVID-19 by making an intra-industry comparison for the eatery industry – considering four different categories of eateries. The classification of eateries helps in analysing whether the employment level, clientele rate, liquidity constraints and survival perspective have been affected symmetrically for the whole eateries industry or does severity of being affected differ asymmetrically. The study makes a contribution by adding a new string of dimension to the existing load of literature in the domain of hospitality. © 2021, Emerald Publishing Limited.

5.
2022 IEEE Global Communications Conference, GLOBECOM 2022 ; : 3563-3568, 2022.
Article in English | Scopus | ID: covidwho-2227446

ABSTRACT

Mobile Cloud Computing (MCC) also known as on-demand computing uses cloud computing to deliver applications to mobile devices. This new computational paradigm model which plays a big part in the Internet of Things (IoT), has increased its popularity even more during Covid-19 pandemic and became a necessity when schools, businesses and hospitals must work remotely. We can access and process remote data which are stored over the cloud server in real-time by connecting to a wireless network. For accessing any cloud server, a mutual authentication and key agreement between a mobile user and a cloud server provider is required. However, existing authentication schemes for MCC fail to provide user anonymity, server anonymity and user untraceability. Therefore, we propose a Lightweight Authentication Scheme with User Anonymity (LASUA) which artfully employs Elliptic Curve Cryptography (ECC), random number, time stamps, one-way hash functions, concatenation, XOR operations and fuzzy extractor for biometric to enable various security features including anonymity and resistance against various attacks. LASUA utilises the hardness of ECC to provide top-notch security with low computation and communication cost, a perfect solution for resource constrained devices. © 2022 IEEE.

6.
European Journal of Molecular and Clinical Medicine ; 9(7):7737-7745, 2022.
Article in English | EMBASE | ID: covidwho-2168641

ABSTRACT

Aim: The aim of this study was to evaluate the need for analgesia in patients undergoing single-visit root canal treatment, within 2 days after COVID-19 immunisation. Method(s): Two days after receiving the COVID-19 vaccination, 50 patients undergoing Single visit root canal treatments for acute pulpits in molar teeth were divided into two groups of 25 each (Group M for males and Group F for females). Each patient was given a prescription for 650 mg of acetaminophen (Dolo 650 mg) tablets to be taken eight hours a day, with instructions to use the same only if needed for pain. They were instructed to keep a record of the number of tablets consumed as per record sheet 1, and if the pain did not subside then a stronger analgesic, Ketorolac DT 10 mg twice a day, had to be taken and recorded. Result(s): In Group M, the mean number of analgesic tablets required was 0.44+/-0.64 and in Group F, the mean number of analgesic tablets required was 0.80+/-1.09. Although the mean analgesic requirement was higher in females as compared to males, the difference of 0.80+/-1.09 between the two groups was not significant statistically (0.360). Conclusion(s): Within the limitations of this study, it is concluded that acetaminophen is effective in relieving post-obturation pain after a single-visit RCT in patients recently vaccinated against the CoVid-19. Copyright © 2022 Ubiquity Press. All rights reserved.

7.
South Asian Anthropologist ; 22(1):45-50, 2022.
Article in English | CAB Abstracts | ID: covidwho-2125247

ABSTRACT

Outbreak of Covid-19 pandemic shook the world. Life came to a near standstill because of the pandemic. Each and every phase of everyone's life has been affected by the virus in one way or another. The phenomenon of migration which has a close relation with the spread of virus was also deeply affected by the outbreak of Covid- 19. The present paper provides a deep insight on how international student mobility from Punjab was affected because of Covid-19 pandemic. The pandemic affected the lives of many individuals and puts a break on the flight of dreams of many students in Punjab to go abroad for higher education. It is also anticipated that mass exodus of students to foreign land may be seen in the post pandemic world.

8.
Journal of Pharmaceutical Negative Results ; 13:765-770, 2022.
Article in English | Web of Science | ID: covidwho-2111714

ABSTRACT

The use of social media has grown significantly in the last few years. Social media refers to "the websites and online tools that facilitate interactions between users by providing them opportunities to share information, opinions, and interest " (Swar and Hameed, 2017, p. 141). Adolescents have been found to be more vulnerable to addiction and crimes related to social media. Hence, the study has tried to understand the association of social media with the well being of adolescents. The first part of the paper deals with the role and relevance of social media.Further, the literature review depicts a strong connection between social media and individuals' well-being. For the quantitative analysis, various statistical techniques are used. In order to evaluate the association between variables, the composite index has been prepared. Further, the ranking has been given to reflect social media's impact on adolescents' well-being. Lastly, a few recommendations have been made for the state government regarding the well being of the adolescents.

9.
Chest ; 162(4):A1846-A1847, 2022.
Article in English | EMBASE | ID: covidwho-2060872

ABSTRACT

SESSION TITLE: Critical Systemic Disease Case Report Posters SESSION TYPE: Case Report Posters PRESENTED ON: 10/19/2022 12:45 pm - 01:45 pm INTRODUCTION: Granulomatosis with polyangiitis(GPA) is an autoimmune small vessel vasculitis that is included in the group of anti-neutrophilic cytoplasmic antibody(ANCA)- associated small vessel vasculitides (AAVs). GPA is a systemic disease, however acronym ELK is used to describe the most common involvement of Ear, nose, throat, Lungs, and Kidneys. We report a case of GPA, highlighting its presentation. CASE PRESENTATION: 59-year old female presented with vaginal bleeding, malaise, blurry vision, non productive cough and shortness of breath few days after receiving COVID-19 vaccine. Physical exam was remarkable for bilateral conjunctival injection with right sided ptosis and inguinal lymphadenopathy. Laboratory findings were significant for acute kidney injury and anemia. Computed tomography (CT) of chest revealed bilateral bronchovascular nodules and masses with interlobular septal thickening and enlarged mediastinal lymph nodes. Fine needle aspiration of left inguinal lymph node was negative for malignancy. Bronchoscopy with bronchial brush revealed alveolar hemorrhage with capillaritis;bronchoalveolar lavage(BAL) showed hemosiderin laden macrophages. Tissue biopsy was negative for malignancy. Testing for pulmonary renal syndrome was positive for C-ANCA and proteinase-3 (PR-3) antibodies. Anti-GBM antibody and anti-MPO antibody was negative. Plasmapheresis (PLEX) and pulse dose steroids were initiated however the patient was unable to tolerate the treatment. Her clinical condition continued to decline requiring multiple pressors, broad spectrum antibiotics and continuous renal replacement therapy. She was transitioned to comfort care per family's wishes and passed away. DISCUSSION: GPA is a rare necrotizing granulomatous vasculitis of small to medium sized vessels that can affect any organ but mainly involves the upper and lower respiratory tract. Necrotizing glomerulonephritis is common. Pulmonary involvement can include consolidation, tracheal or subglottic stenosis, diffuse alveolar hemorrhage, pleural effusion and interstitial lung disease. Lymphadenopathy, as seen in our patient is a rare presentation. Tissue biopsy is crucial for the diagnosis. Association with PR-3 ANCA is seen in more than 80% of GPA patients. Cases of AAVs after administration of COVID vaccine have been reported in the literature, although it is difficult to demonstrate causal relationship. Treatment of GPA with immunosuppression, usually corticosteroids, rituximab or cyclophosphamide, is recommended. The role of PLEX continues to evolve with emerging data, but use of this therapy is reasonable for patients with severe kidney injury and DAH secondary to active vasculitis refractory to immunosuppressive therapy. CONCLUSIONS: Early diagnosis of GPA is challenging as it can mimic metastatic lung malignancy. It should be considered in a broad range of differentials when evaluating patients presenting with pulmonary nodules. Reference #1: Greco A, Marinelli C, Fusconi M, Macri GF, Gallo A, De Virgilio A, Zambetti G, de Vincentiis M. Clinic manifestations in granulomatosis with polyangiitis. Int J Immunopathol Pharmacol. 2016 Jun;29(2):151-9. doi: 10.1177/0394632015617063. Epub 2015 Dec 18. PMID: 26684637;PMCID: PMC5806708. Reference #2: Kitching, A. R., Anders, H. J., Basu, N., Brouwer, E., Gordon, J., Jayne, D. R., Kullman, J., Lyons, P. A., Merkel, P. A., Savage, C., Specks, U., & Kain, R. (2020). ANCA-associated vasculitis. Nature reviews. Disease primers, 6(1), 71. https://doi.org/10.1038/s41572-020-0204-y Reference #3: Szymanowska-Narloch, A., Gawryluk, D., Błasińska-Przerwa, K., & Siemińska, A. (2019). Atypical manifestations of granulomatosis with polyangiitis: the diagnostic challenge for pulmonologists. Advances in respiratory medicine, 87(6), 244–253. https://doi.org/10.5603/ARM.2019.0062 DISCLOSURES: No relevant relationships by Sean Davidson No relevant relationships by Eric Flenaugh No relevant relationships by Marilyn Foreman No relevant relationships by KOMAL KAUR No relevant relationships by Gabriela Oprea-Ilies

10.
Chest ; 162(4):A604, 2022.
Article in English | EMBASE | ID: covidwho-2060645

ABSTRACT

SESSION TITLE: COVID-19 Co-Infections SESSION TYPE: Rapid Fire Case Reports PRESENTED ON: 10/19/2022 12:45 pm - 1:45 pm INTRODUCTION: SARS-CoV-2 has been associated with co-infecting pathogens, such as bacteria, viruses, and fungi. Little has been reported about community acquired atypical bacterial co-infections with SARS-CoV-2. We present a case of a patient with recent COVID-19 pneumonia and diagnosis of Legionella and Mycoplasma pneumonia, in addition of E. coli and C. perfringens bacteremia, that emphasizes SARS-CoV-2 impact in human immunity and the need to consider community acquired infections. CASE PRESENTATION: A 64-year-old male with history of hypertension, alcohol use disorder, iron deficiency anemia, and recent COVID-19 pneumonia presented to the ED with shortness of breath, dark urine, and increased confusion. The patient was admitted to the hospital a week prior with COVID-19 pneumonia and acute kidney injury. He received dexamethasone, remdesivir, and IV fluids. After 8 days, he was discharged home. Upon evaluation, he was afebrile and normotensive, but tachycardic, 129/min, on 4 L of nasal cannula sating 100%. On exam, the patient was oriented only to person and had decreased breath sounds bilaterally. Labs revealed an elevated WBC, 15.3 K/mcL, with left shift, low Hgb, 7.8 g/dL, with low MCV, 61 fL, increased BUN/Cr, 56 mg/dL and 2.8 mg/dL, and an abnormal hepatic panel, AST 121 U/L, ALT 45 U/L, alkaline phosphatase 153 U/L. Ammonia, GGT, CPK and lactic acid were within normal range;but the D-dimer and procalcitonin were elevated, 4618 ng/mL and 25.12 ng/mL, respectively. A urinalysis showed gross pyuria, positive leukocyte esterase and mild proteinuria. CT head showed no acute abnormalities, but the chest X-Ray revealed a hazy opacity in the left mid and lower lung, followed by a CT chest that demonstrated peripheral and lower lobe ground glass opacities and a CT abdomen that showed right sided perinephric and periureteral stranding. Given increased risk for thromboembolism, a VQ scan was done being negative for pulmonary embolism. The patient was admitted with acute metabolic encephalopathy, acute kidney injury, transaminitis, pyelonephritis and concern for hospital acquired pneumonia. Vancomycin, cefepime and metronidazole were ordered. HIV screen was negative. COVID-19 PCR, Legionella urine antigen and Mycoplasma IgG and IgM serologies were positive. Blood cultures grew E. coli and C. perfringens. Infectious Disease and Gastroenterology were consulted. The patient was started on azithromycin and a colonoscopy was done showing only diverticulosis. After an extended hospital course, the patient was cleared for discharge, without oxygen needs, to a nursing home with appropriate follow up. DISCUSSION: Co-infection with bacteria causing atypical pneumonia and bacteremia should be considered in patients with recent or current SARS-CoV-2. CONCLUSIONS: Prompt identification of co-existing pathogens can promote a safe and evidence-based approach to the treatment of patients with SARS-CoV-2. Reference #1: Alhuofie S. (2021). An Elderly COVID-19 Patient with Community-Acquired Legionella and Mycoplasma Coinfections: A Rare Case Report. Healthcare (Basel, Switzerland), 9(11), 1598. https://doi.org/10.3390/healthcare9111598 Reference #2: Hoque, M. N., Akter, S., Mishu, I. D., Islam, M. R., Rahman, M. S., Akhter, M., Islam, I., Hasan, M. M., Rahaman, M. M., Sultana, M., Islam, T., & Hossain, M. A. (2021). Microbial co-infections in COVID-19: Associated microbiota and underlying mechanisms of pathogenesis. Microbial pathogenesis, 156, 104941. https://doi.org/10.1016/j.micpath.2021.104941 Reference #3: Zhu, X., Ge, Y., Wu, T., Zhao, K., Chen, Y., Wu, B., Zhu, F., Zhu, B., & Cui, L. (2020). Co-infection with respiratory pathogens among COVID-2019 cases. Virus research, 285, 198005. https://doi.org/10.1016/j.virusres.2020.198005 DISCLOSURES: No relevant relationships by Albert Chang No relevant relationships by Eric Chang No relevant relationships by KOMAL KAUR No relevant relationships by Katiria Pintor Jime ez

11.
Journal of Marine Medical Society ; 24(3):170-171, 2022.
Article in English | Web of Science | ID: covidwho-1997941
12.
International journal of online and biomedical engineering ; 18(10):64-82, 2022.
Article in English | Scopus | ID: covidwho-1975005

ABSTRACT

Clinical professionals frequently employ combined analysis of medical pictures generated from numerous imaging modalities for rapid diagnosis, research and treatment of critical diseases. As a result, multimodal medical image fusion, which combines information from multiple medical pictures into a single fused image, has captivated academics' interest in recent years. A large percentage of healthcare resources, including imaging tools, like Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) have been dedicated to the management of affected patients in this pandemic of Coronavirus disease 2019 (COVID-19). The diagnostic modalities in medical research are improving at a rapid pace with an objective to acquire maximum information with as little data as possible without any artifacts. That is where image fusion comes into the picture. It is a technique of merging source medical pictures to maximize the necessary information. CT is generally used for bony structures, whereas MRI is more appropriate for soft tissues. A fusion of MRI and CT images would lead to enhancement of the overall image quality while giving comprehensive information, at the same time artifacts are also eliminated. Image fusion methods are applied in medical science and various other sectors. Several image processing techniques are used in medical diagnostics, like Principal Component analysis (PCA), Intensity-Hue-Saturation, Discrete Wavelet Transform (DWT), and others. This study suggests an image fusion algorithm utilising the principal component averaging and the DWT along with the performance analysis of the fusion of the MRI and CT images of brain. The technique used in our study significantly enhances the image quality in terms of various fusion performance measures that helps the medical practitioners to diagnose any infection and aids in its treatment. © 2022. International journal of online and biomedical engineering.All Rights Reserved

13.
5th International Conference on Computing Sciences, ICCS 2021 ; : 91-94, 2021.
Article in English | Scopus | ID: covidwho-1922670

ABSTRACT

The research paper aims to examine the impact of digitalization and IoT technologies on the business world and the ways in which it also impacts the global economy. The paper examines that digital Human Resource Management can increase the productivity and the efficiency of both the HR professionals and the employees of the organisation. The findings of the research also reveals that through digitalisation the HR managers can build better relationships between the employee and the company, can think about the wellbeing of the employees better, and make them feel more valued and appreciated. It can also help in creating a competitive atmosphere in the workplace which can motivate the employees. The research further reveals that the active IoT technologies are increasing in the business world. The articles also analyses the advantages and disadvantages of implementing digitalisation and IoT in the workplace and there exists some requirements that need to be met for the successful implementation of the IoT technology. The research also estimates that in future companies can develop their business by adopting digitalisation. In the paper it is also mentioned that during the pandemic the global economy has decreased and to balance the condition it is important to implement digitalisation in the business world. © 2021 IEEE.

14.
European Urology ; 79:S264, 2021.
Article in English | EMBASE | ID: covidwho-1747434

ABSTRACT

Introduction & Objectives: One of the biggest challenges of the last 12 months has been the practical continuation of cancer diagnostic services and changes in health-seeking behaviour, with urgent 2-week-wait cancer referrals decreasing by up to 80% in response to physical distancing and concerns about contracting SARS-CoV-2. Our diagnostic service saw a 60% decrease in referrals and an appointment cancellation rate of 50% in the first 4 weeks following national lockdown. In an effort to address these concerns we sought to develop and evaluate the effectiveness of a digital solution in the form of a patient video and an information leaflet to reassure patients about their hospital attendance. Materials & Methods: We identified and recruited patients that had previously undergone prostate cancer diagnostics through the Prostate Rapid Diagnostic Clinic. Using an interview guide, an experienced facilitator conducted two 90-minute focus groups. Sessions were audiotaped, transcribed verbatim, and analysed using thematic content analysis techniques. A 3 minute patient video was developed based on the themes highlighted in the focus groups. A link to the video was emailed to patients alongside a Patient Information Sheet (PIS) prior to their appointment. The impact of the intervention was evaluated using a survey developed through a clinician and patient discussion group. A 7 point likert scale of agreement (1 strongly disagree – 7 strongly agree) was used to evaluate patient attitude to the interventions and was presented to participants in block-randomisation format. The survey was administered through the General Data Protection Regulation (GDPR - 2018) compliant smart survey website. Results: Focus Groups: Key themes emerging from the initial focus groups included;investigations required for diagnosis, timeline to diagnosis and Covid safe communication and consultations. Survey Results: Between May 4th and June 6th, 43/61 consecutive patients seen in the diagnostic clinic were invited to complete the survey. The mean age of patients was 66 years. 53/61 [87%] of patients agreed or strongly agreed that understanding the safety precautions that had been implemented in the diagnostic pathway were reassuring. 54/61 [89%] of patients agreed or strongly agreed that understanding the investigations that would be carried out during their consultation and the timeline to a diagnosis was reassuring. 42/61 [69%] of patients agreed or strongly agreed that the video had made them feel safer to come to the diagnostic centre. Whereas only 19/61 [31%] felt the same way about the PIS. With 48/61 [79%] of patients preferring the video to the PIS. Conclusions: Digital information was effectively used to deliver important messages through the peaks and troughs of the COVID-19 pandemic, and should be considered to reassure during any future pandemic waves.

15.
European Urology ; 79:S268, 2021.
Article in English | EMBASE | ID: covidwho-1747431

ABSTRACT

Introduction & Objectives: One of the biggest challenges during the Covid-19 pandemic has been the continuation of cancer diagnostic services. Using a combination of virtual clinics and telephone triage assessments in a multi-professional team approach has allowed our haematuria pathway to continue to function. We reviewed how these interventions helped maintain the volume of patients through the haematuria service during the pandemic. Materials & Methods: We reviewed prospective audit data collected on patients referred to the haematuria service between June 2019 and January 2021. Comparison was made in respect to the pathways before and during the pandemic. Data review included: time from primary care referral to hospital clinical review, time from clinic to CT, ultrasound and/or flexible cystoscopy and time to bladder tumour resection. All patients were invited to complete an on-line survey to document their experiences and the results were reviewed. Results: 174 patients were referred via a two-week-wait cancer pathway (12 via internal pathways, 162 from primary care). Between 26/3/20 and 14/4/20 no referrals were received. Before the pandemic the number of referrals were 93 over 9 months (10.3 referrals per month), post-covid 81 referrals were sent over 9.5 months (8.5 referrals per month). 12 patients were not investigated in the usual timeframe (COVID positive, shielding, patient choice and non-attendance) and were excluded from final analysis. Of 162 patients, 51 were women, and 111 were men. The average age was 64.4 years (SD+/-14.51, range 20-91). Table 1 shows the relative timing of investigations and treatment pre and during the Covid pandemic: (Table Presented) 69 patients completed the online patient experience survey during the pandemic, with an age range of 19 to 88. 15% of participants received a cancer diagnosis during this time. 55% were happy to have received results virtually with 97% reporting that this was done sensitively. 84% of patients reported that they understood the next steps in their management pathway and 74% were clear about the supportive care available to them. An equal number of patients were reviewed by nurses and doctors. Conclusions: The adaptation to our services may have resulted in several improvements, namely in the time frames of patients being seen and assessed. Reducing clinic burden by creating virtual follow-ups is acceptable to patients and utilising nurse practitioners, doctors and supportive staff may help to improve pathways in the long-term beyond the present pandemic.

16.
J Hosp Infect ; 122: 173-179, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1729910

ABSTRACT

BACKGROUND: An unprecedented rise in the number of COVID-19-associated mucormycosis (CAM) cases has been reported in India. Myriad hypotheses are proposed for the outbreak. We recently reported uncontrolled diabetes and inappropriate steroid therapy as significant risk factors for the outbreak. However, Mucorales contamination of hospital environment was not studied. AIM: To perform a multi-centre study across India to determine possible Mucorales contamination of hospital environment during the outbreak. METHODS: Eleven hospitals from four zones of India representing high to low incidence for mucormycosis cases were included in the study. Samples from a variety of equipment used by the patients and ambient air were collected during May 19th, 2021 through August 25th, 2021. FINDINGS: None of the hospital equipment sampled was contaminated with Mucorales. However, Mucorales were isolated from 11.1% air-conditioning vents and 1.7% of patients' used masks. Other fungi were isolated from 18% of hospital equipment and surfaces, and 8.1% of used masks. Mucorales grew from 21.7% indoor and 53.8% outdoor air samples. Spore counts of Mucorales in air were significantly higher in the hospitals of North and South zones compared to West and East zones (P < 0.0001). Among Mucorales isolated from the environment, Rhizopus spp. were the most frequent genus. CONCLUSION: Contamination of air-conditioning vents and hospital air by Mucorales was found. Presence of Mucorales in these areas demands regular surveillance and improvement of hospital environment, as contamination may contribute to healthcare-associated mucormycosis outbreaks, especially among immunocompromised patients.


Subject(s)
COVID-19 , Mucorales , Mucormycosis , Disease Outbreaks , Hospitals , Humans , India/epidemiology , Mucormycosis/epidemiology
17.
Journal of Marine Medical Society ; 23(2):228-230, 2021.
Article in English | Web of Science | ID: covidwho-1703882
18.
Sri Lankan Journal of Anaesthesiology ; 29(2):144-145, 2021.
Article in English | EMBASE | ID: covidwho-1576942
19.
Journal of Hospitality and Tourism Insights ; ahead-of-print(ahead-of-print):19, 2021.
Article in English | Web of Science | ID: covidwho-1570192

ABSTRACT

Purpose - The present study is an intra-industry analysis, which aims to investigate whether the impact of COVID-19 on employment level, clientele rate, liquidity constraints and sustainability aspect of different food outlets is symmetric or asymmetric in nature. Design/methodology/approach - With the help of well-structured questionnaire, the study has surveyed 80 food outlets in total by interviewing the managers and owners of these outlets. Food outlets have been classified into four categories namely international, national, local and street food outlets. Econometric techniques like MANOVA and Garret ranking have been employed to fulfil the objective of the study. Findings - The results depict that the impact of COVID-19 on employment level and liquidity constraints is significantly asymmetric amongst different groups of food outlets, even though the decline in extent of clientele is somewhat same for all groups. The survival aspect of outlets also witnesses clear-cut asymmetry in results as big outlets have greater potential to survive for longer if lockdown happens again when compared to street food outlets as their financial availability and stability differ. Research limitations/implications - The sample size of study is restricted, mainly due to lesser number of national franchise's food outlets available in Amritsar, though other categories of eateries were sufficient in number. Further, the study is restricted only to one district of Punjab state, whereas for future research, inter-district comparison can be done. Practical implications - The findings reveal that the street food outlets may gain by fostering its online functioning. Similarly national food outlets are encouraged to alter their business strategies to revive their sales against their competitors. Originality/value - This study is one of the explorer studies to analyse the impact of COVID-19 by making an intra-industry comparison for the eatery industry - considering four different categories of eateries. The classification of eateries helps in analysing whether the employment level, clientele rate, liquidity constraints and survival perspective have been affected symmetrically for the whole eateries industry or does severity of being affected differ asymmetrically. The study makes a contribution by adding a new string of dimension to the existing load of literature in the domain of hospitality.

20.
Current Science ; 121(9):1153-1155, 2021.
Article in English | Web of Science | ID: covidwho-1535664
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