ABSTRACT
All the nations' administrative units are concerned about the COVID-19 outbreak in different regions of the world. India is also trying to control the spread of the virus with strict measures and has managed to slow down its growth rate. The administration of each country faces the challenge of maintaining records of corona patients. To address this challenge, this work builds a website from scratch using real-time APIs for data visualization. The website provides information on the number of active cases, death cases, recovery cases, and total cases of COVID-19 patients in each country. The data can be visualized using graphs, making it easier to compare the situation in different countries. The website allows for monitoring which country has a higher number of deaths, patients, favorable recovery rates, and a large number of active cases. The COVID-19 status regarding patients can be analyzed through graphical representation using real-time data. © 2023 IEEE.
ABSTRACT
The SARS-COV-2 infection-related severe illness is prevented by vaccinations. Therefore, it is relevant to report a case of post vaccine meningoencephalitis in a 30 year old male Indian patient, who presented with weakness in all the extremities, episodes of loose stool, fever, vomiting, tachypnea and loss of consciousness immediately following the 2nd dose of the COVID vaccination (COVAXIN).
ABSTRACT
COVID-19 pandemic has caused havoc worldwide. India is also facing challenging circumstances as the figure of infected/positive cases is rising day by day. This study deals with the development of education: Post COVID-19. This paper will help to understand "Digital Education: Opportunities and Threats". The Corona virus has exposed emerging vulnerabilities in learning systems all over the world. A lot of relevant literature was explored to confine the essence of continued learning during these exceptional times. Educational organizations all over the world are moving towards online/Digital learning. This paper also proposes digital education as an urgent need in this lock downs times and social distancing due to COVID-19 pandemic. It also provides a powerful stage for further research. The use of digital technology in education is experiencing a tremendous boom in education sector with cost effectiveness. Although it is unclear whether technology will plug all of the holes in the Indian Education system but it seems that technology is playing a major role in education interventions. Due to advancements in technology, accessibility of low-priced laptops/mobiles, wireless equipments, and related communications setups signs both opportunities and challenges for learning organizations and their faculty and students. Digital Education has potential that can produce knowledge workers. The government has analyzed that ICT sector has important role in education due to that many programmes such as NEOR, NMEICT, NKN, Eklavya, NPTEL, and NROER has been launched. Digital Education has bring success in the field of education but still there area number of challenges in most of Indian institutes like shortage of quality teachers, deprived quality of research, and deprived quality of training etc. Digital Education is overall very beneficial for the students of country like India.Copyright © 2020 Ubiquity Press. All rights reserved.
ABSTRACT
Introduction: Humankind is passing through a period of significant instability and a worldwide health catastrophe that has never been seen before. COVID-19 spread over the world at an unprecedented rate. In this context, we undertook a rapid research project in the Sultanate of Oman. We developed ecovid19 application, an ontology-based clinical decision support system (CDSS) with teleconference capability for easy, fast diagnosis and treatment for primary health centers/Satellite Clinics of the Royal Oman Police (ROP) of Sultanate of Oman. Material and Methods: The domain knowledge and clinical guidelines are represented using ontology. Ontology is one of the most powerful methods for formally encoding medical knowledge. The primary data was from the ROP hospital's medical team, while the secondary data came from articles published in reputable journals. The application includes a COVID-19 Symptom checker for the public users with a text interface and an AI-based voice interface and is available in English and Arabic. Based on the given information, the symptom checker provides recommendations to the user. The suspected cases will be directed to the nearby clinic if the risk of infection is high. Based on the patient's current medical condition in the clinic, the CDSS will make suitable suggestions to triage staff, doctors, radiologists, and lab technicians on procedures and medicines. We used Teachable Machine to create a TensorFlow model for the analysis of X-rays. Our CDSS also has a WebRTC (Web Real-Time Communication system) based teleconferencing option for communicating with expert clinicians if the patient develops difficulties or if expert opinion is requested. Results: The ROP hospital's specialized doctors tested our CDSS, and the user interfaces were changed based on their suggestions and recommendations. The team put numerous types of test cases to assess the clinical efficacy. Precision, sensitivity (recall), specificity, and accuracy were adequate in predicting the various categories of patient instances. Conclusion: The proposed CDSS has the potential to significantly improve the quality of care provided to Oman's citizens. It can also be tailored to fit other terrifying pandemics. © 2022, Published by Frontiers in Health Informatics.
ABSTRACT
The incidence of acute kidney injury (AKI) has been reported to be higher in kidney transplant recipients infected with SARS-CoV-2 compared with the general population. Here, we report a case of cortical necrosis in the graft kidney due to COVID infection in a patient with stable graft function over the years. The patient was started on hemodialysis and treated with steroids, and anticoagulants for COVID infection. Later, he had gradual improvement in his graft function and became dialysis independent on follow up. © 2022 Copyright:
ABSTRACT
BACKGROUND: COVID-19 vaccine is the mighty weapon opted by all the countries across the globe in an attempt to eradicate the fatal COVID-19 pandemic. The myths of the COVID-19 vaccine are spreading widely, causing a hindrance to this noble preventive measure. The prevalence of such myths among healthcare professionals may be toxic and deadly.AIM AND OBJECTIVES: To assess the knowledge, attitude, and practice of the healthcare professionals regarding the myths on COVID-19 vaccination and to demystify them.MATERIALS AND METHODS: An 18-item questionnaire evaluating knowledge, attitude, and practice based on the existing myths on COVID-19 vaccination was circulated through Google Forms (R) among 412 healthcare professionals of six disciplines belonging to a private university. The responses obtained were subjected to statistical analysis using the SPSS (R) 20 software package.RESULTS: A total of 385 health professionals participated in this study. The majority of them reported medium knowledge (165) and positive attitude (273) with the mean knowledge and attitude scores of 3.82 +/- 1.55 out of 6 and 4.3 +/- 1.58 out of 7, respectively. Even though 312 participants got vaccinated, 73 of them fai led to receive it. The knowledge scores showed a high statistically significant difference among the participants of different designations (p=0.001), but not with ge nder, field, and staff with different years of experience (p>0.05). The attitude scores were statistically different among participants of fields and designation (p<0.05) but not among genders (p=0.31) and staff with different years of experience (p=0.87). Knowledge and attitude scores showed a positive linear correlation and a high statistically significant difference (p<0.001).CONCLUSION: This study recommends more enhanced education programs on COVID-19 vaccination for health professionals and demands an improved knowledge, attitude, and practice among health professionals to achieve the goal of 100% vaccination so as to eradicate the COVID-19 pandemic.
ABSTRACT
This article proposes a framework for understanding why slum residents are particularly vulnerable to economic downturns. We centre evidence from Bihar's capital city, Patna, to examine how downturns are experienced more severely in some cities and slums than others. We argue slums are zones of pervasive informality, remaining largely disconnected from formal institutions and dependent on discretionary supports. But the extent of informality, and vulnerability, varies within and across cities. Relative to those in the cities we compare to, Patna's slum residents are poorer, less upwardly mobile and have weaker property rights and shallower institutional connections. We argue this makes them particularly vulnerable to downward shocks and we present evidence from the case of the coronavirus pandemic to show that they experienced this disaster particularly severely. Our results have important policy implications: in general, slum residents require greater policy and institutional support, but there is important variation in their vulnerability and needs within and across cities. Moreover, while most research on slums focuses on mega- and first-tier cities, we emphasize the urgent need for more attention to second- and third-tier cities—where the degree of informality, and consequently, the vulnerability to downward spirals, can be greater. © 2023 The Author(s).
ABSTRACT
Introduction: As the U.S. population ages, gastroenterologists will provide care for an increasing number of older patients - many of whom use Medicare. In recent years there have been significant policy changes surrounding Medicare reimbursement for physicians. Understanding reimbursement trends can help reveal the financial impact of these policies on gastroenterologists. Our study aims to analyze the trends in Medicare reimbursement of common gastrointestinal (GI) services from 2007 to 2022. Method(s): The top 10 GI procedures and their respective CPT codes were identified through a joint list published by the American College of Gastroenterology, American Society of Gastrointestinal Endoscopy, and American Gastroenterological Association. The top 5 5 CPT codes relating to office/inpatient visits provided by gastroenterologists to Medicare Part B beneficiaries was identified using data from CMS. The Physician Fee Schedule Look-Up Tool from CMS was queried for the selected CPT codes from 2007 to 2022, to determine the facility reimbursement rate by Medicare for each service. The reimbursement data were adjusted to January 2022 U.S. dollars using the U.S. Department of Labor's Bureau of Labor Statistics' consumer price index inflation calculator. Result(s): The unadjusted physician reimbursement for GI procedures exhibited an average decrease of 7.0% (95% CI, 29.9% to 24.1%) from 2007 to 2022. After adjusting for inflation, the mean decrease in physician reimbursement for procedures was 33.0% (95% CI, 235.1% to 230.9%). The mean annual growth rate in reimbursement was 22.6% (95% CI, 22.8% to 22.4%). The unadjusted physician reimbursement for inpatient and outpatient visits exhibited an average increase of 32.1% (95% CI, 4.8% to 59.3%). After adjusting for inflation, physician reimbursement for patient visits exhibited a mean decrease of 4.92% (Figure 1). Conclusion(s): The analysis revealed a steady decline in adjusted and non-adjusted reimbursement between 2007 and 2022. Decreasing Medicare reimbursement may impact health outcomes, healthcare access, and patient satisfaction. Reimbursement policies must be scrutinized particularly in the light of high inflation and increased costs due to additional costs associated with care during the COVID-19 pandemic, staffing shortages, and increased staffing salaries. (Figure Presented).
ABSTRACT
Background: Vaccination was considered one of the vital moves in controlling the spread of highly infectious COVID-19 pandemic. But, the initial acceptance level was highly improbable among nursing professionals (57%) in India.1 Thus, it was necessary to explore the reasons behind this reluctance, as they can act as trusted advisors for general population in decision-making. Objectives: This study aimed to determine the proportion of nursing officers with COVID- 19 vaccine hesitancy during the phase one drive (15th January to 28th February 2021) of vaccination and the various factors contributing to it. Methods: A cross-sectional analytical mixed-method study was done among 422 nursing officers working in a tertiary care hospital, Puducherry. Data was collected using a pretested semi-structured questionnaire along with WHO -SAGE Vaccine Hesitancy Scale for the quantitative component and an interview guide for qualitative part. Results: More than half of the participants were found to be COVID- 19 vaccine hesitant based on the operational definition, with fear of side effects being the most reported reason. Factors like work experience of five years or less, previous history of COVID- 19 infection, and delayed receipt of the first dose of the vaccine were significantly associated with vaccine hesitancy. Conclusion: Improper flow of evidence-based information was identified as one of the major concerns related to vaccine acceptance. Measures should be taken for proper awareness generation through dependable channels and at the same time for the prevention of spread of infodemics pertaining to the new interventions for better penetration and utilization.