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1.
Indian Dermatol Online J ; 13(5): 625-628, 2022.
Article in English | MEDLINE | ID: covidwho-2090542

ABSTRACT

Background: Chronic skin diseases like psoriasis affect a patient's physical, psychological, and social functioning as well as well-being, and the lockdown acted as a cofactor in further worsening the quality of life in psoriasis patients. Objective: The objective of the study is to assess the effect of lockdown on the health, lifestyle, and mental well-being of psoriasis patients. Methods: A cross-sectional study was done using an online questionnaire shared through messenger applications to the patients of chronic plaque psoriasis who registered in the psoriasis clinic between August 2020 and December 2020. Data regarding demographics, psoriasis, lifestyle changes, mental status, financial loss, and problems faced during lockdown were collected. Results: Our study included 181 completed questionnaires. The mean age was 37.7 (SD 13.9) years, and 124 (68.5%) were males. Sixty-five (35.9%) patients reported worsening of their psoriasis during the lockdown. Ordinal regression analysis revealed male sex had a higher proportion of worsening of psoriasis (OR 2.56, 95% CI 1.29-5.08, P < 0.007). Duration of illness <6 months (OR 0.14, 95% CI 0.02-0.98, P < 0.04) and feeling relaxed (OR 0.14, 95% CI 0.03-0.56, P < 0.005) were negatively associated with disease worsening. Conclusion: The findings of our study reveal the impact of coronavirus disease 2019 (COVID-19) lockdown on the life of people with psoriasis. A substantial number of patients had a flare of psoriasis during the lockdown. A shorter duration of illness and relaxed mental status was negatively associated with disease worsening. Individuals with financial loss felt anxious or depressed.

3.
JAAD Case Rep ; 26: 1-2, 2022 Aug.
Article in English | MEDLINE | ID: covidwho-1885899
4.
Nursing & Midwifery Research Journal ; : 0974150X221097723, 2022.
Article in English | Sage | ID: covidwho-1868840

ABSTRACT

BackgroundAdequate knowledge and favourable attitude are paramount for management of COVID-19 patients at home.ObjectivesTo assess the knowledge and attitude of community participants towards home care of COVID-19 patients.Materials and MethodsA cross-sectional online survey was undertaken. Snowball sampling technique was used to enrol the individuals aged 18 years and above. An online questionnaire was developed on Google Forms and its link was circulated at various social media platforms. Data was collected from 352 individuals.ResultsA total of 352 participants took part in the survey. The average knowledge score of the participants was 16.2 (SD = 1.9, range 10?20). Nearly two-thirds (63.9%) of the participants had more accurate knowledge and 60.8% of the participants had more positive attitude towards home care of COVID-19 patients.ConclusionThe study highlights the importance of more intensive, tailored education programmes to enhance knowledge and develop more favourable attitude towards home care of COVID-19 patients.

5.
Clin Exp Dermatol ; 47(5): 982-983, 2022 05.
Article in English | MEDLINE | ID: covidwho-1822048
6.
Indian Dermatol Online J ; 12(Suppl 1): S24-S30, 2021 Nov.
Article in English | MEDLINE | ID: covidwho-1580212

ABSTRACT

The Special Interest Group (SIG) on leprosy thought it to be prudent to revisit its previous practice recommendations through this update. During this period, the pandemic course shifted to a 'second wave' riding on the 'delta variant'. While the number of cases increased manifold, so did the research on all aspects of the disease. Introduction of vaccination and data from various drug trials have an impact on current best practices on management of diseases including leprosy. The beneficial results of using steroids in management of COVID-19, gives elbow room regarding its usage in conditions like lepra reactions. On the other hand, the increase in cases of Mucormycosis again underlines applying due caution while recommending immunosuppressants to a patient already suffering from COVID-19. This recommendation update from SIG leprosy reflects current understanding about managing leprosy while the dynamic pandemic continues with its ebbs and flows.

7.
Dermatol Ther ; 34(4): e15022, 2021 07.
Article in English | MEDLINE | ID: covidwho-1276625

ABSTRACT

BACKGROUND: Teledermatology has evolved as a valuable option to outpatient visits during the current pandemic. We set up a smartphone-based hybrid model of teledermatology services providing direct care to patients at our center. To analyse patient and physician-experience and acceptability for teledermatology over a 6-month-period, along with clinicodemographic profile of patients. METHODOLOGY: Single-center, retrospective study conducted from May 20, 2020 to October 31, 2020. Patient satisfaction level for teledermatology was assessed on a 4-point scale and compared with the satisfaction level during their previous physical visits prior to COVID-19 pandemic. A physician assessment form was utilised to record the experience of dermatologists while providing teledermatology services. RESULTS: Of 7530 patients registered, a successful consult was provided to 6125 patients (81.34%). Average number of teleconsultations/day rose from 23.60 in May 2020 to 77.96 in October 2020. Mean age of patients availing teledermatology services was 33.60 ± 16.99 years. Average distance to care and travel time were 100.90 ± 171.77 km and 135 ± 222.32 min, respectively. A definitive diagnosis could be ascertained in 5724 patients (93.45%) and in-person visit was recommended to 133 patients (2.2%). Out of 6125 patients, 5229 could be contacted for feedback, 935 (18.18%), 2230 (42.65%), 1749 (33.45%), and 300 patients (5.70%) reported being very satisfied, satisfied, partially satisfied, and unsatisfied, respectively. Of 1914 patients, who had availed in-person OPD facilities prior to the pandemic, 914 patients (49.62%) preferred in-person visits. Of 34 dermatologists surveyed, 88.2% felt comfortable providing teleconsultations and 82.4% felt the need to continue teledermatology services in the upcoming months. CONCLUSIONS: Overall, teledermatology is a valid alternative for in-person dermatology visits during the current crisis; helping with initial triage and further patient management. Further refinement of the process could lead to even more acceptability.


Subject(s)
COVID-19 , Dermatology , Skin Diseases , Telemedicine , Adolescent , Adult , Humans , India/epidemiology , Middle Aged , Pandemics , Retrospective Studies , SARS-CoV-2 , Tertiary Care Centers , Young Adult
8.
Dermatol Ther ; 33(6): e14052, 2020 11.
Article in English | MEDLINE | ID: covidwho-670820
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