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1.
International Journal of Pharmaceutical and Clinical Research ; 15(5):534-542, 2023.
Article in English | EMBASE | ID: covidwho-20232504

ABSTRACT

Background: The coronavirus disease (COVID-19) was a pandemic which spread to various countries and originated in Wuhan, China. For appropriate response, planning, and allocation of resources demographic data play an important role in understanding the impact of COVID-19 across the country. Aim(s): To estimate epidemiological and demographic parameters like age, sex, area, sample type etc. of samples reported in COVID-19 diagnostic laboratory of RUHS College of Medical Sciences, Jaipur, Rajasthan. Material(s) and Method(s): The study was conducted retrospectively in a tertiary care hospital at Jaipur. Data like age, gender, urban or rural, IPD/ICU or OPD etc. were collected between January 1, 2021 to June 30, 2021. The collected data were expressed in number, counts and percentage. The data of six months were analysed using Microsoft Excel. Result(s): From January to June 2021, April and May 2021 showed highest positivity 13084 (27.42%) and 10968 (23.06%) respectively. February 2021 and June 2021 showed least positivity 156 (2.39%) and 163 (0.8%) respectively. Total COVID-19 positive cases during 6 months were 25134 and deaths were 357 with highest deaths were during May 2021 (n=270). Males (64.28% to 72.20%) were affected most. In April and May 2021 positivity in urban area was 6053 (46.26%) and 5712 (52.07%) respectively, while in rural area 7031 (53.74%) and 5256 (47.93%) respectively. The positivity in OPD patient during April and May was 93.58% (12245) and 95.26 % (10449) respectively. Nineteen to forty years was most affected age group. Conclusion(s): During second wave both urban and rural population was affected. Males and working age group were affected more. Among COVID-19 suspects' positivity rate was low in IPD patients as compared to OPD patients. Critical factors for an effective public health response are surveillance and contact tracing.Copyright © 2023, Dr Yashwant Research Labs Pvt Ltd. All rights reserved.

2.
Indian Journal of Occupational and Environmental Medicine ; 27(1):104, 2023.
Article in English | EMBASE | ID: covidwho-2319269

ABSTRACT

Introduction: Since the beginning of COVID 19 pandemic, more than 641 million cases and 6.63 million confirmed deaths were reported worldwide. A rapid development of COVID 19 Vaccine was the breakthrough in the prevention and control of COVID 19. India has commenced its vaccination drive from January 16, 2021 and has administered more than 219 crores vaccination to date it its people. On war foot, Reliance Industries Limited also launched its free vaccination coverage program - Mission Vaccine Suraksha for employees, family members, and community by collaborating with local authorities and governments. The organization also provided free vaccination to Kerala, Gujarat, Rajasthan, and Maharashtra besides various other national and regional organisations to speed up the vaccination drive. Methodology: A taskforce including stakeholders form the Medical Services, HR, Procurement, Logistics, transportation, digital systems was formed to oversee, implement, monitor, and evaluate a successful vaccine roll-out drive. The drive included Covishield and Covaxin COVID 19 vaccines. As a single point of contact, Reliance Foundation HN Hospital procured, stored, and transported vaccines to all locations. At par with Govt. protocols, Reliance developed its own workplace COVID vaccination centres (CVCs) at its corporate headquarters and 11 other manufacturing sites in Maharashtra and Gujrat. For Cold chain management, Reliance procured Ice Lined Refrigerators (ILRs), refrigerators, vaccine carriers, icepacks, etc. for each CVC. Dedicated medical and paramedical staffs were recruited and trained to carry out vaccination drive with all the COVID 19 protocols in place. Reliance tied up with multiple hospitals to carry out pan-India vaccination drive. The entire operation was digitally enabled by involving mediums such as Reliance's in-house app JioHealthHub (JHH) that included end-to-end vaccination journey, i.e., from slot booking, CoWIN registration, post-vaccination care, uploading of the certificates, etc. Vaccine inventory was monitored by Reliance's digital system named KiviHealth. A vaccination dashboard was created to track real time vaccination update. Result(s): 40 lakh vaccine doses were provided free of cost to support the nationwide vaccination programme. Till date, 31,63,870 beneficiaries were covered under R-Suraksha under which, 15,94,357 people received their 1st dosage, 13,36,613 received the 2nd dose, and 2,32,900 people have received the precautionary dose. Reliance also commenced vaccination for children aged 12 to 17 years covering 7369 children for 1st dose, 5802 children for 2nd dose. Reliance has achieved 100% compliance for 2 doses of COVID 19 vaccination for its employees and contract workers across manufacturing units. Precautionary dose was administered to 75% of employees and contract workers to date. 25 mild and 3 moderate Adverse Event Following Immunization (AEFI) cases were recorded during vaccination at workplace CVCs, which were managed and sent home. Conclusion(s): Reliance's Mission Vaccine Suraksha has reached to all corners of the country, including people with disabilities, the elderly, homeless, and those in far-flung locations. Reliance faced hurdles in procuring and storing of the vaccines at the beginning of the operation. However, this was tackled effectively with strategic approach. The initiative is still ongoing ensuring maximum precautionary dosage coverage for everyone.

3.
International Journal of Pharmaceutical and Clinical Research ; 15(4):649-652, 2023.
Article in English | EMBASE | ID: covidwho-2313944

ABSTRACT

Introduction: Hypertension is the most common co-morbidity associated with COVID-19 patients. Many patients take angiotensin-converting enzyme (ACE) inhibitors for the management of hypertension. The study aimed to compare the clinical and hematologic features in hypertensive and non-hypertensive patients suffering from COVID-19. Material(s) and Method(s): This observational study compared clinical and hematologic features in hypertensive and non-hypertensive patients suffering from COVID-19. The study enrolled patients from SMS Medical College, Jaipur (Rajasthan, India) after approval from the institutional Ethics Committee. The comparison of quantitative variables was performed using the Mann-Whitney test, and qualitative attributes were compared using the chi-squared test. The level of confidence is considered at 5%. Result(s): There were no significant differences found in clinical and hematologic features between hypertensives and non-hypertensives suffering from COVID-19. Conclusion(s): The present study concludes that there is no evidence that either use of ACE inhibitors is useful or harmful in patients with hypertension. Therefore, it is endorsed to use these agents in the management of hypertensives in patients suffering from COVID-19, till further evidence is found.Copyright © 2023, Dr Yashwant Research Labs Pvt Ltd. All rights reserved.

4.
Vegetos ; 36(1):1-274, 2023.
Article in English | CAB Abstracts | ID: covidwho-2290237

ABSTRACT

This journal issue includes 31 articles that discuss salt stress in plants and amelioration strategies;algal biorefinery;in-silico docking studies of selected phytochemicals against papain like protease of SARS-Cov-2;development of an effective strategy using green synthesized nanoparticles;effect of methyl jasmonate in enhanced growth, antioxidants and reduced Pb uptake in contrasting cluster bean cultivars;biosynthesis of silver nanoparticles using mushroom extract and its toxicity assessement in zebrafish embryos;phytogenic synthesis of metallic nanoparticles;abiotic stress responses and strategies of microbes mediated mitigation for sustainable agriculture.

5.
Indian Journal of Clinical Biochemistry ; 37(Supplement 1):S64, 2022.
Article in English | EMBASE | ID: covidwho-2269536

ABSTRACT

The outbreak of corona virus disease 2019 (COVID-19) in December 2019, caused by the severe acute respiratory syndrome corona virus 2 (SARS-CoV-2). It poses a severe threat to global public health. Interleukin-6 (IL-6) was proposed to be associated with the severity of corona virus disease. The present study aimed to explore the role of IL-6 levels with severity in adult CO VID-19 patients. To correlate the serum level of IL-6 with severity of COVID-19 and monitoring of the disease in adult COVID-19 patients.A retrospective study was carried out after obtaining approval from the relevant Ethics Committee. Patients established with COVID-19 infection as shown by positive real-time quantitative PCR test were included. This study was conducted first time in Hadoti region of Jhalawar, Rajasthan. In this study, we have divide patients into three groups common (N=30), severe (N=30) and critical (N=30).The diagnosis and severity classification was based on Clinical Guidance for management of adult Covid-19 patients (Ministry of Health & Family welfare) and WHO interim guideline. The mean concentration of IL-6 were 1.75 +/-0.5 pg/ml, 9.45+/-0.1.5 pg/ml, and 21.55 +/-2.5 pg/ml for the common, severe, and critical groups respectively (P < 0.001 ). Our result shows that serum IL-6 levels increased as disease progress toward critical condition. Serum IL-6 should be included in diagnostic work-up to stratify disease severity. Therefore, full monitoring the severity of COVID-19 and effective early intervention are the fundamental measures for reducing mortality.

6.
Asian Journal of Medical Sciences ; 13(8):14-18, 2022.
Article in English | CAB Abstracts | ID: covidwho-2285606

ABSTRACT

Background: COVID-19 pandemic has remarkable effect not just on physical health, but also on psychological state and overall quality of life (QoL). It affected all the section of community including vulnerable section of pregnant females and children. Aims and Objective: The aim of the study was to assess health-related QoL in recovered COVID-19 positive pregnant females in their extended postpartum period along with insight into prevailing post-COVID symptoms in this population. This was a cross-sectional and questionnaire-based study conducted in Kota, Rajasthan, India. Materials and Methods: This study was conducted on 173 admitted females between March 1, 2021 and June 30, 2021 who were pregnant and contacted COVID-19 infection at any point of their antenatal/intrapartum period. The questionnaire included details related to demographics, symptomatology, hospitalization, oxygen requirement, and ventilator use during the acute disease as well as any symptoms after recovery from acute COVID-19 disease. Patients were contacted during their extended postpartum period and systematically asked about a list of post-COVID-19 symptoms (dyspnea, myalgia, fatigue, anosmia, ageusia, chest pain, cough, mood disturbances, etc.), but they were also free to report any other symptoms that they considered relevant. The health-related QoL was evaluated using the EuroQoL five-dimension five-level questionnaire telephone interview version. In-person interview and telephonic interview methods were arranged for collection of data. Descriptive statistical analysis was done. Results: Among the 173 consented participants, the mean age was 26.3 (..6.6) years, most of them were primiparous (45.66%), admitted with gestational age between 37 and 40 weeks (68.21%), asymptomatic (85.54%) or mildly symptomatic. For symptomatic cases, the most common clinical presentations included fever, cough, and dyspnea. Only 1.16% of symptomatic subjects required ventilator support. For 58.96% patients, hospital stay was less than a week. Mean duration of stay was 5.86 days. However, 87.28% patients required antiviral medications. About 23.70% have various comorbidities among which anemia 7.51% and preeclampsia 6.35% predominated. About 85.55% did not experienced any persistent symptoms after discharge but some of the subjects shown persistent symptoms such as cough, fever, and breathlessness among which persistent cough predominates (7.51%). In relation to post-COVID effects, 82.56% were found asymptomatic while rest 17.44% showed effects such as body ache, insomnia, cough, and loss of taste and smell and depression. Conclusion: COVID-19 pandemic left its sequels both in the form of physical as well as psychological symptoms in extended postpartum period although health-related QoL does not significantly affected by COVID-19 disease during this period.

7.
International Journal of Pharmaceutical and Clinical Research ; 14(11):652-659, 2022.
Article in English | EMBASE | ID: covidwho-2231057

ABSTRACT

Hollow viscous perforation is one of the most common emergency dealt by general surgeons worldwide. A high degree of suspicion is required and prompt management is warranted to reduce morbidity and mortality. Here we present a study of perforative peritonitis in our medical college at the outskirt of Udaipur city in the state of Rajasthan, India during the Covid-19 pandemic. During the one year study period from September 2020 to August 2021, a total of 16 cases of hollow viscous perforation admitted and treated. The number is relatively low because of the pandemic and there was a period of total lockdown with negligible patient footfall. All patient had free gas under diaphragm in plain x-ray and all of them were scheduled for emergency laparotomy after adequate resuscitation. Emphasis given on the location of perforation, etiology, organism on culture of peritoneal fluid and procedure undertaken. Copyright © 2022, Dr Yashwant Research Labs Pvt Ltd. All rights reserved.

8.
European Journal of Molecular and Clinical Medicine ; 9(7):9316-9323, 2022.
Article in English | EMBASE | ID: covidwho-2167731

ABSTRACT

Background: Corona virus disease is an ongoing pandemic. COVID-19 had put cumbersome mental and physical pressure on the healthcare staff which may lead to burnout in them. Also there is paucity of Indian literature regarding prevalence of burnout in rural health care staff. Objective(s): To study the prevalence of burnout and its association with the determinants among the healthcare workers in rural population of a Ajmer district, Rajasthan. Methodology: A Cross Sectional Questionnaire based study was conducted from January 2021 to June 2021 on 173 healthcare staff of rural population in a Ajmer district, Rajasthan after ethical clearance. Copenhagen Burnout Inventory was used to assess the burnout among Health Care Workers and a semi structured Performa was used to evaluate the demographic and clinical determinants of burnout. Prevalence of burnout was determined and the association of determinants with burnout was assessed. Result(s): The prevalence of personal burnout, work related burnout and pandemic related burnout in health care workers was 42.5%, 33.75% and 49.37%. Pandemic related burnout was significantly greater than personal burnout and work related burnout in health care workers. Doctors, redeployed healthcare staff and staff having covid positive case in family have significantly greater burnout. Supportive work environment and adequate protective measures at workplace significantly reduces the burnout among health care staff. Conclusion(s): Almost half of the rural health care workers are burnout. Protective authoritative and individual measures are needed to prevent burnout in HCWs. Copyright © 2022 Authors. All rights reserved.

9.
NeuroQuantology ; 20(16):21-30, 2022.
Article in English | EMBASE | ID: covidwho-2145502

ABSTRACT

This research demonstrates that the geospatial method adds greatly to identifying pre-and post-COVID 19 pandemic situations and aiding in sound decision-making, not only in Rajasthan but globally. Results reveal that hotels with a more management mindset are more likely to use dynamic pricing techniques. When the pandemic's intensity is severe, hotel managers resort to a more streamlined booking portfolio. Hotel owners and the pricing community as a whole may use our theoretical implications and practical management levers to increase profits as much as possible during the epidemic. This research set out to learn how the hotel industry's top brass think the sector would fare in the near future, and whether or not the response to the shutdown and following decline in domestic and international travel should have been handled better. Research like this is important because it draws attention to the fact that more precautions may have been taken to mitigate the disaster's effects. Qualitative surveys sent through email to partners in the hotel sector and their responses provide light on the days and hours leading up to the lockdown. Copyright © 2022, Anka Publishers. All rights reserved.

10.
Journal of Clinical and Diagnostic Research ; 16(9):DC12-DC17, 2022.
Article in English | EMBASE | ID: covidwho-2067199

ABSTRACT

Introduction: Bharat Biotech International Ltd in partnership with National Institute of Virology (NIV), has developed an indigenous whole virion inactivated Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2) viral vaccine BBV-152 (Covaxin), formulated with Toll Like Receptors 7/8 agonist Imidazoquinoline (IMDG) molecule adsorbed to alum (Algel). Variety of factors other than environmental ones can affect vaccines efficiency outside the strict setting of clinical trials, like how the vaccine is stored or transported, and even how patients are vaccinated. In addition, the intrinsic capacity of the recipient to respond to a vaccine which is determined by sex, genetic factors, age, psychological stress, nutrition and other diseases are also likely to have an impact. Aim(s): To determine the safety, reactogenicity and immunogenicity of the inactivated whole virus vaccine (Covaxin) amongst hospital-based population groups. Material(s) and Method(s): The prospective analytical study was conducted in the Department of Microbiology, Sawai Man Singh Medical College, Jaipur, Rajasthan, India, from January 2021 to March 2021.The study primarily included Healthcare Workers (HCWs) employed at SMS Medical college and attached hospitals. In-vitro quantitative IgG antibodies against SARS-CoV-2 spike Receptor Binding Domain (RBD) were measured using Chemiluminescence Immunoassay (CLIA) based Advia centaur SARS-CoV-2 IgG, manufactured by Siemens Pvt Ltd, Munich, Germany, as per manufacture's instructions. Result(s): Out of total 223 individuals, 61.88 % (138/223) showed neutralising antibody titre of >1 index value by CLIA, rest 38.12% (85/223) were non reactive i.e., titre <1 index value, after four weeks of receiving first dose of Covaxin. After 2 to 4 weeks of receiving second dose 84.30% (188/223) showed neutralising antibody titre of >1 index value by CLIA, rest 15.70% (35/223) were non reactive i.e., titre <1 index value. After receiving first dose, 100% (223/223) of the participants developed localised pain and bodyache 33.63% (75/223). None of the participants showed any anaphylactic reaction or any emergency condition just after vaccination. Conclusion(s): Covaxin is a well-tolerated vaccine, and induces good humoral response against SARS-CoV-2 with a significant rise in the neutralising antibody titres. Copyright © 2022 Journal of Clinical and Diagnostic Research. All rights reserved.

11.
European Journal of Molecular and Clinical Medicine ; 9(4):3866-3872, 2022.
Article in English | EMBASE | ID: covidwho-2058219

ABSTRACT

Background: The SARS-CoV-2 virus replicates rapidly, triggering a storm characterized by increased levels of cytokines such as IL-6. Such an inflammatory response causes inflammation of the respiratory system and other bodily systems, with subsequent occurrence of ARDS or respiratory failure. The estimation of IL-6 levels could be an important tool to assess disease severity in COVID-19 patients. Methodology: A retrospective cohort study was conducted on 45 patients in Department of Medicine, MDM Hospital, Dr. S.N Medical College, Jodhpur, Rajasthan. A predesigned and pre-structure Performa was used. Conclusion: IL-6 is an adequate predictor of severe disease in patients infected with the COVID-19 virus. The finding of current study guide clinicians and healthcare providers in identifying potentially severe or critical patients with COVID-19.

12.
European Journal of Molecular and Clinical Medicine ; 9(4):1872-1884, 2022.
Article in English | EMBASE | ID: covidwho-2003294
13.
International Journal of Toxicological and Pharmacological Research ; 12(7):56-66, 2022.
Article in English | EMBASE | ID: covidwho-1976278

ABSTRACT

Introduction: While managing COVID-19 patients, the healthcare professionals are at higher risk for contracting the infection and also could be a potential source of transmitting the disease in the community unknowingly. Therefore awareness [knowledge, attitude, and practice (KAP)] among healthcare professionals becomes of utmost importance. Methods: We conducted this observational cross sectional study to evaluate the knowledge, attitude and perceived practices toward COVID-19 among HCWs using a self-administered questionnaire at tertiary level healthcare facility in western Rajasthan. The questionnaire was shared with all the healthcare professionals of the pre identified tertiary care facilities through electronic mail (e-mail) and the responses received were recorded and analyzed. Results: A total of 59 responses were recorded. Out of the total participants, 61% were aware of national COVID-19 helpline numbers, 54.2% answered correctly about Hydroxychloroquine prophylaxis, 13.6% answered appropriately on COVID-19 testing. Almost 96.6% acknowledged to wear a medical mask however only 55.9% participants answered correctly regarding using a face mask. 52.5% responded that ash collection as a ritual may be allowed after funeral (cremation) of the body of a COVID-19 patient. More than 90% of participants acknowledged to clean their hands > 6-10 times in a day. 72.9% of participants admitted to open the MoHFW website to keep themselves updated on COVID-19 in India and 66.1% have 'Aarogya Setu' application in their mobile phone. However only 23.7% have ever used central helpline number or email-ID to get information on COVID-19. Conlcusion: We concluded that healthcare professionals were aware of the management strategies and treatment protocol however there is significant differences in the KAP of HCW sub groups. It also becomes important to study the KAP in various other populations (general populations, close contacts of COVID-19 etc.) for planning effective intervention strategies for them.

14.
Legume Research: An International Journal ; 45(7):921-925, 2022.
Article in English | Academic Search Complete | ID: covidwho-1975547

ABSTRACT

Background: Groundnut (Arachis hypogaea L.) is an important legume crop of tropical and sub-tropical areas of the world. This crop suffers from several diseases like early leaf spot, late leaf spot, rust, groundnut bud necrosis, peanut clump and collar rot etc. But collar rot caused by Aspergillus niger van Teighem is one of the most important seed and soil borne diseases causing huge economic (40-50 per cent) loss in India and abroad. Methods: A roving survey was conducted to assess the incidence of collar rot in eight major groundnut growing districts of western Rajasthan i.e. Bikaner, Jodhpur, Churu, Jalore, Jaipur, Sikar, Nagaur and Dausa during Kharif 2018. A field experiment was carried out for two consecutive years (2019 and 2020) to manage the disease through altering micro-climate under canopy with six levels of seed rates (80, 85, 90, 95, 100 and 105 kg/ha). Result: Our investigations cleared that this disease is prevalent in all the 200 fields surveyed in eight districts of Rajasthan with 22.99 per cent overall disease incidence which varied from 17.84 to 32.38 per cent with monetary losses. Maximum disease incidence was recorded in Jaipur (28.85%) district while it was lowest in Nagaur district (20.15%). Higher disease reduction (12.97%) with increased pod yield (27.65%) was observed with higher seed rate of 105 kg/ha as compared to standard recommended seed rate (80 kg/ha) as this pathogen is favoured by higher temperature and low soil moisture, dense canopy provides shade that increases humidity under the cropped area and lowers temperature. As a result of this, plant mortality can be compensated by increasing plant population through seed rate, as it modifies the microclimate and generate an environment which is less favourable for developing collar rot disease of groundnut. [ FROM AUTHOR] Copyright of Legume Research: An International Journal is the property of Agricultural Research Communication Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

15.
1st International Conference on Technologies for Smart Green Connected Society 2021, ICTSGS 2021 ; 107:18479-18496, 2022.
Article in English | Scopus | ID: covidwho-1950345

ABSTRACT

The lockdown restrictions during the COVID-19 pandemic provided a 'path' of reinstatement of the air quality globally. Despite several financial challenges, air quality improvement positively impacted the environment due to lockdown in the worst pandemic situations. The present study assessed the air pollution scenario in the post lockdown phase in the seven major metropolises of Rajasthan, namely, Jodhpur, Alwar, Jaipur, Kota, Pali, Ajmer, and Udaipur) in the recent pandemic year 2020. The air pollution scenario is determined with the help of the Air Quality Index (AQI) and the concentration level of PM2.5 PM10, NO2, and SO2. This study reveals that Most Cities of Rajasthan are violating India's national ambient air quality standards (NAAQS). It is found that Jodhpur is on rank first in terms of pollution levels, followed by Alwar, Jaipur, Pali, and Udaipur. The pollution level was higher before the lockdown period then reduced to a certain level due to restricted activities in lockdown. The pollution level is not rapidly increased after lockdown due to rainfall occurred in Rainy season from Southwest monsoon. Winter Season consists of higher concentration levels of pollutant and higher than Before Lockdown Period. The study shows the Significant impact of lockdown in reducing air pollution levels in cities. But imposing lockdown in a city or country is not a permanent solution to curb air pollution. So, regulating agencies and stakeholders should implement better control and reduction technologies for Indian cities. © The Electrochemical Society

16.
Neurology ; 98(18 SUPPL), 2022.
Article in English | EMBASE | ID: covidwho-1925485

ABSTRACT

Objective: To explore various post covid immune mediatedneurological manifestations in children Background: The neurological manifestation following a SARS-CoV2 infection is varied and till now there are only few studies reported regarding the same. Our study aimed to identify the varied spectrum of neurological manifestation following SARS-CoV2 infection. Design/Methods: Retrospective data were collected from May 2021 to September 2021, including all children aged from 1month to 18 years of age who presented to our pediatric emergency or OPD (a tertiary care center from western Rajasthan, India) with the neurological manifestation with history of COVID-19 infection or exposure and positive SARS-CoV-2 serology. Those who are RT PCR positive were excluded. The neurological manifestations were further categorized in a pre-designed proforma. Results: Case records of the 18 children who fulfilled the criteria were included in the study, among them 7 (38.8%) were male and 11 (61.1%) were female. Predominant presentation in our study group was seizures (6/18) and Gullian Barre Syndrome (5/18). Other manifestations included stroke (2/18), ADEM (1/18), MS (1/18), LETM (1/18), Autoimmune encephalitis[NMDAR](2/18). In our study group, 13/18 (72.2%) required immunomodulatory therapy either IVIG or high dose methylprednisolone pulse therapy. Steroids were used upfront in patients with elevated inflammatory markers. Cerebrovascular complications in children were less common compared to adults. Most of the children had favourable outcomes except for one mortality in our cohort. Conclusions: Delayed complications following SARS-CoV2 infection with varied manifestations are seen in children. A temporal correlation between the COVID 19 infection and the increasing number of neurological cases after the second wave was noted. Steroids are beneficial while treating such patients. Testing for SARS-CoV2 serology during the pandemic can give a clue to the underlying etiology. However, further studies are required to understand the CNS effects of SARS-CoV2 infection in children.

17.
International Journal of Pharmaceutical and Clinical Research ; 14(6):331-341, 2022.
Article in English | EMBASE | ID: covidwho-1925198

ABSTRACT

Introduction: Consequent upon continued nationwide lockdown to check the spread of COVID-19 pandemic, online teaching and learning has emerged as a new mode to continue the regular educational programs in India. It is vital to assess the perception of this new method by various stakeholders of educational sector. Objectives: The objectives included identification of the problems and benefits felt by medical students and college teachers about online classes and to assess its effectiveness on attendance and academic performance of students. Methods: The cross-sectional study was conducted during March-October 2021 among 150 first MBBS students admitted in 2020 in a medical college at Udaipur, Rajasthan. The participants who gave informed consent and attended three online and offline monthly tests were included and the rest were excluded. The quantitative techniques included frequency tables, mean, standard deviation and ‘t-test’. Results: Among 100 respondents, 48% were male and 52% were female. The major problems faced by students included lack of space at home to attend class (71%), interrupted internet connectivity (42%), missing interaction with stakeholders (>70%) and mismatch in theory and practicals (69%). The benefits included homemade food, family care, risk minimization of COVID-19 and regular parental monitoring. The major advantages felt by teachers included continued teaching (90.90%) and saving time (100%) in taking attendance in online mode. The average attendance for online classes was significantly higher over offline classes (p<0.0001), whereas the average retention of knowledge level as evidenced by average marks was significantly lower for online class tests compared to offline class tests (p<0.0001). Conclusion: The higher attendance does not reveal higher knowledge retention during online mode of classes.

18.
International Journal of Pharmaceutical Sciences and Research ; 13(6):2458-2464, 2022.
Article in English | EMBASE | ID: covidwho-1897197

ABSTRACT

Background: Covid-19 has become a global threat. All most all the countries are facing this pandemic. This pandemic has greatly affected the medical education and medical students who are tomorrow's doctors. So, they need to have a wide awareness regarding the knowledge, attitude, and practice towards this Covid-19 infection. Objective: To study the knowledge, attitude, and practice of medical students regarding the Covid-19 pandemic. Material and Method: This descriptive and cross-sectional study was conducted on 260 medical students of J.L.N. Medical College, Ajmer (Rajasthan). A total of 20 questionnaires in which, 10 in the knowledge section, 5 each in the attitude and practice section, were provided in July - August, 2021. Results: A total of 260 responses were collected and studied. The male to female ratio in the study population was 0.91. A total of 54.46% of students gave correct responses regarding the knowledge section. 87.31% of students show a positive attitude towards vaccination. Overall positivity regarding attitude was 76.61%. 95 % of Students were proactive regarding washing their hands, and 96.53% were proactive about face masks which are the important measures for the prevention of Covid-19 infection. Conclusion: This study focused the knowledge, attitude and practice (K.A.P.) of medical students regarding Covid-19 pandemic. Overall K.A.P. score was 75.92%, indicating that medical students have good awareness regarding this pandemic. However some students are required to be more educated on knowledgeable sections such as various diagnostic methods for Covid-19 and practices on proper disposal of N-95 masks etc.

19.
Indian Journal of Poultry Science ; 56(2):173-179, 2021.
Article in English | CAB Abstracts | ID: covidwho-1865636

ABSTRACT

Poultry enteritis is an important multifactorial disease. Avian coronavirus (ACV) is one of many viruses related to enteric diseases and infectious bronchitis. Aim of this study was to find out the occurrence of ACV in enteritis affected broiler, molecular detection, phylogenetic analysis of avian corona virus and to examine intestine and liver for gross and microscopic lesions. Dead poultry birds (N=604) affected with enteritis were examined for presence of ACV. Intestinal samples of four birds were pooled to make one biological sample enteric ACV as the causative agent of enteritis in commercial poultry sector in and around four major districts of Rajasthan by RT-PCR. Molecular characterization was carried out by partial gene sequencing. Liver and intestine were examined grossly during post-mortem and by histopathology. Out of 151 pooled samples tested 51 (35.10%) were found positive for ACV. Prevalence of enteric ACV was highest in Ajmer (45.94%) and lowest in Dungarpur (23.07%) districts. 0-1 weeks age chicken flocks were found more susceptible for enteric ACV with 33.80% prevalence. Comparison of ACV sequence of this study revealed nucleotide (nt) identities from 99.44% among themselves, 99.44% with ACV from abroad. The amino acid (aa) identities of ACV of this study among themselves and with abroad sequences was 47.06 to 100%. Further severe congestion in intestine and necrotic patches on liver were recorded. Histopathology showed severe villous atrophy, congestion and cystic glands in sub-mucosa in intestine and severe congestion and haemorrhages along with infiltration of inflammatory cells in liver parenchyma.

20.
Journal of Clinical and Diagnostic Research ; 16(5):VC01-VC04, 2022.
Article in English | EMBASE | ID: covidwho-1856269

ABSTRACT

Introduction: Although isolation and quarantine are important measures to curb the exponential growth of the prevailing Coronavirus disease 2019 (COVID-19) pandemic, but at same time this can impose psychological issues among the affected population and also to their family members. Aims: To evaluate the mental health problems, their severity and associated factors in quarantined population during the COVID-19 pandemic. Materials and Methods: This cross-sectional study was conducted among 207 quarantined subjects at different quarantine centres of Ajmer, associated with JLN Medical College, Ajmer, from August 2020 to October 2020,after getting approval from ethics committee of the centre. All the consenting quarantined subjects who were of age 18 years and above, irrespective of their gender were enrolled in the study. For the assessment of psychiatric morbidity, participants were screened using Mini-International Neuropsychiatric Interview (MINI) 6.0.0. Finally, the relevant psychiatric assessment tools like Hamilton Rating Scale for Depression (HAM-D),Hamilton Anxiety Rating Scale (HAM-A) and Yale-Brown Obsessive Compulsive Scale were applied to assess the severity of the disorders. Pearson correlation analysis was used to evaluate the relationship among various clinical variables.The level of significance was considered at p-value lt;0.05. Results: Majority 85 (41%) subjects belonged to the age group 31-40 years of age. Around 116 (77.3%) participants were male. Around 51 (24.6%) presented moderate depression and 25 (12%) presented with severe depression. Also 182 (87.9%) presented with moderate anxiety. The study showed a statistically significant association between depression/anxiety and substance abuse, insomnia, co-morbidities, suicidal ideation/attempts. Conclusion: The findings of the present study concluded that a significant proportion of the quarantined population suffered from psychological issues. So, the psychological impact of a mandatory quarantine should be weighed more thoughtful and in an evidence based manner.

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