Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19831
Objectives: To study the clinical profile and complications of Scrub typhus in children.Methods: This descriptive study conducted in Siddhartha Medical college, Vijayawada, among children less than12 years for a period of one year(December 2020-November 2021).A total of 49 children who are serologically/clinically diagnosed cases of Scrub typhus.Results: Scrub typhus mainly occurred in school going children with male predominance. Fever being the singlemost clinical presentation in most of the cases(95.9%) associated with pallor, hepatosplenomegaly. Co infectionwas documented in 14.2% cases with 85.7% cases showing increased morbidity and mortality. Mortality rate ismore in infants.Conclusions: Among cases of Acute febrile illness, Scrub typhus accounts for 9.8% of cases. Main clinical featureswere persistent fever, hepatosplenomegaly, thrombocytopenia, anemia along with capillary leak signs like edemawith or without eschar.Infants are at high risk for complications and mortality.
{"title":"An Emerging Infection “Scrub Typhus”– A Detailed Clinical Profile and Complications among Children in a Tertiary Hospital","authors":"","doi":"10.37506/ijphrd.v14i4.19831","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19831","url":null,"abstract":"Objectives: To study the clinical profile and complications of Scrub typhus in children.Methods: This descriptive study conducted in Siddhartha Medical college, Vijayawada, among children less than12 years for a period of one year(December 2020-November 2021).A total of 49 children who are serologically/clinically diagnosed cases of Scrub typhus.Results: Scrub typhus mainly occurred in school going children with male predominance. Fever being the singlemost clinical presentation in most of the cases(95.9%) associated with pallor, hepatosplenomegaly. Co infectionwas documented in 14.2% cases with 85.7% cases showing increased morbidity and mortality. Mortality rate ismore in infants.Conclusions: Among cases of Acute febrile illness, Scrub typhus accounts for 9.8% of cases. Main clinical featureswere persistent fever, hepatosplenomegaly, thrombocytopenia, anemia along with capillary leak signs like edemawith or without eschar.Infants are at high risk for complications and mortality.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135839274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19767
This retrospective hospital-based study was conducted in Paediatric emergency from 1st June 2022 to 30th November2022 to study the clinical demographic and etiological profile of paediatric patients admitted with febrile seizures.Out of total enrolled 243 children, 153(63%) were male and 100(37%) were females. Mean age of the patients was23.5 months. Mean time interval between onset of fever and occurrence of seizures was 18 hours. Overall, 170(70%)patients had simple seizures. Only 85(35%) patients had positive family history and 73(30%) had recurrence ofseizures during the same episode of illness. Acute respiratory infection was the commonest cause for febrileseizure in 190(78%) children.
{"title":"Demographic, Clinical and Etiological Profile of Children Admitted with Febrile Seizures in a Tertiary Care Hospital of North India","authors":"","doi":"10.37506/ijphrd.v14i4.19767","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19767","url":null,"abstract":"This retrospective hospital-based study was conducted in Paediatric emergency from 1st June 2022 to 30th November2022 to study the clinical demographic and etiological profile of paediatric patients admitted with febrile seizures.Out of total enrolled 243 children, 153(63%) were male and 100(37%) were females. Mean age of the patients was23.5 months. Mean time interval between onset of fever and occurrence of seizures was 18 hours. Overall, 170(70%)patients had simple seizures. Only 85(35%) patients had positive family history and 73(30%) had recurrence ofseizures during the same episode of illness. Acute respiratory infection was the commonest cause for febrileseizure in 190(78%) children.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135754625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i2.20129
Objective-Over the decades coronary artery disease appears to be an emerging cause of mortality andmorbidity. Elevated serum ferritin as a risk factor for development of AMI. However its role with regard tooutcome and prognosis of AMI still remains a matter of debate. Hence, the present study was aimed toestimate the prognostic relevance of serum ferritin in relation to short term and long term survival outcomes inpatients with AMI.Methods- Out of a total number of 100 patients,with first AMI (50 of STEMI & 50 of NSTEMI diagnosis)admitted within 12 hours of the onset of chest pain to coronary care units at MKCG MedicalCollege&Hospital over a period of 1 year. Serum ferritin was measured using an ELISA assay by a special kit.The patients were divided into three groups according to Serum ferritin level.i.e.(1sttertile:<120 ng/ml,2ndtertile:120 to 220 ng/ml and 3rd tertile:>220 ng/ml).Baselinecharacteristics,LVEjection Fraction, Killipfunctional class and outcomes were compared among three different groups of serum ferritin.Results:There was a significant correlation between serum ferritin and LV ejection fraction(p=0.01),Killipclass(p=0.03) and mortality(p=0.03). Lower and higher levels of ferritin (1st and 3rd tertiles, ≤ 120; >220 ng/ml,respectively) were associated with a higher incidence of HF during hospitalization and death at 1 year.Conclusion:Raised serum ferritin is associated with worse short term and longterm outcome followingmyocardial infarction.
{"title":"Prognostic Relevance of Serum Ferritin on Short Term and Long term Outcome In Patients With Acute Myocardial Infarction","authors":"","doi":"10.37506/ijphrd.v14i2.20129","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i2.20129","url":null,"abstract":"Objective-Over the decades coronary artery disease appears to be an emerging cause of mortality andmorbidity. Elevated serum ferritin as a risk factor for development of AMI. However its role with regard tooutcome and prognosis of AMI still remains a matter of debate. Hence, the present study was aimed toestimate the prognostic relevance of serum ferritin in relation to short term and long term survival outcomes inpatients with AMI.Methods- Out of a total number of 100 patients,with first AMI (50 of STEMI & 50 of NSTEMI diagnosis)admitted within 12 hours of the onset of chest pain to coronary care units at MKCG MedicalCollege&Hospital over a period of 1 year. Serum ferritin was measured using an ELISA assay by a special kit.The patients were divided into three groups according to Serum ferritin level.i.e.(1sttertile:<120 ng/ml,2ndtertile:120 to 220 ng/ml and 3rd tertile:>220 ng/ml).Baselinecharacteristics,LVEjection Fraction, Killipfunctional class and outcomes were compared among three different groups of serum ferritin.Results:There was a significant correlation between serum ferritin and LV ejection fraction(p=0.01),Killipclass(p=0.03) and mortality(p=0.03). Lower and higher levels of ferritin (1st and 3rd tertiles, ≤ 120; >220 ng/ml,respectively) were associated with a higher incidence of HF during hospitalization and death at 1 year.Conclusion:Raised serum ferritin is associated with worse short term and longterm outcome followingmyocardial infarction.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135704346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19757
Introduction: Health is the major pathway to human development. The individual self, various diseases, and theavailability and accessibility of health services all have an impact on how people seek health care.Objectives: The present study is aimed to assess the health seeking behaviours in the tribes of Paniya andKattunayakan in Shekharakund colony, Wayanad.Methods: Data to know the health seeking behaviour was collected using predesigned and pretested questionnairein the native language. Questions were asked about adequate health check-ups in nearby health centres, utilisationof health benefits from nearby PHCs, detection of pregnancy, antenatal check-ups, mode of delivery, immunizationof infants and prevalence of communicable and non-communicable disease (DM/HT) in the selected population,maternal and infant death in the community, knowledge about the antivenom for the snake envonemation, beliefin black magic in causation and treatment of disease.Results: Majority of the study population above 35yrs of age, did not seek health care benefits. 99% of the tribalpopulation found it difficult to take leave from work, 92% complained about long waiting time, 48 % were notsatisfied with the treatment, 95% of respondents said due to unavailability of doctors during the time they visited,98% agreed the distance of health centre was long for them to visit every time. 52.9% of tribal population preferredallopathic treatment over traditional healers. Only 29.4% of the population were aware of snake anti-venom.Conclusions: When treatment is sought, traditional medicines and healers play an important role in maintaininghealth and well-being among the ethnic groups. Traditional medicines and healers were preferred for treatment ofboth ‘simple and complicated diseases’ because of easy accessibility. They are aware of the superiority of modernhealth services but are hesitant to employ them due to the potential time loss.
{"title":"Health Seeking Behaviour among Tribal Population of Shekharakund Colony, Wayanad, Kerala","authors":"","doi":"10.37506/ijphrd.v14i4.19757","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19757","url":null,"abstract":"Introduction: Health is the major pathway to human development. The individual self, various diseases, and theavailability and accessibility of health services all have an impact on how people seek health care.Objectives: The present study is aimed to assess the health seeking behaviours in the tribes of Paniya andKattunayakan in Shekharakund colony, Wayanad.Methods: Data to know the health seeking behaviour was collected using predesigned and pretested questionnairein the native language. Questions were asked about adequate health check-ups in nearby health centres, utilisationof health benefits from nearby PHCs, detection of pregnancy, antenatal check-ups, mode of delivery, immunizationof infants and prevalence of communicable and non-communicable disease (DM/HT) in the selected population,maternal and infant death in the community, knowledge about the antivenom for the snake envonemation, beliefin black magic in causation and treatment of disease.Results: Majority of the study population above 35yrs of age, did not seek health care benefits. 99% of the tribalpopulation found it difficult to take leave from work, 92% complained about long waiting time, 48 % were notsatisfied with the treatment, 95% of respondents said due to unavailability of doctors during the time they visited,98% agreed the distance of health centre was long for them to visit every time. 52.9% of tribal population preferredallopathic treatment over traditional healers. Only 29.4% of the population were aware of snake anti-venom.Conclusions: When treatment is sought, traditional medicines and healers play an important role in maintaininghealth and well-being among the ethnic groups. Traditional medicines and healers were preferred for treatment ofboth ‘simple and complicated diseases’ because of easy accessibility. They are aware of the superiority of modernhealth services but are hesitant to employ them due to the potential time loss.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135749608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19790
Hepatic encephalopathy (HE) is a term used to describe a reversible syndrome of impaired brain function involvinga complex spectrum of nonspecific neurological and psychiatric manifestations occurring in patients of severeacute or chronic liver insufficiency. Hepatic encephalopathy (HE) is one of the most devastating complication ofcirrhosis having high morbidity and mortality. There is very limited data regarding the incidence and risk factorsof hepatic encephalopathy so this study is to find the clinical and etiological profile of hepatic encephalopathy.Methodology: The study was conducted in patients visited in OPD/IPD of medicine department, SGRDIMSR,Amritsar (Punjab) in the time period from 1 April 2021 to 31 July 2022. A total of 150 patients were taken up forthis study. All the diagnosed patients of liver cirrhosis of any etiology (Recently detected or old patients) wereincluded in the study.FindingsIn this study most of patients were males (81%) in the age group of 31 to 60 yrs (65%). Most common etiologyfound to be alcoholic (53%) with presenting symptoms of altered talks(51%).Conclusion: Education of the society about the precipitating factors can lead to early detection of hepaticencephalopathy and thus decrease the morbidity and mortality related to it. So there is need for Screeningprograms and education.
{"title":"To Study the Clinical and Etiological Profile of Patients with Hepatic Encephalopathy","authors":"","doi":"10.37506/ijphrd.v14i4.19790","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19790","url":null,"abstract":"Hepatic encephalopathy (HE) is a term used to describe a reversible syndrome of impaired brain function involvinga complex spectrum of nonspecific neurological and psychiatric manifestations occurring in patients of severeacute or chronic liver insufficiency. Hepatic encephalopathy (HE) is one of the most devastating complication ofcirrhosis having high morbidity and mortality. There is very limited data regarding the incidence and risk factorsof hepatic encephalopathy so this study is to find the clinical and etiological profile of hepatic encephalopathy.Methodology: The study was conducted in patients visited in OPD/IPD of medicine department, SGRDIMSR,Amritsar (Punjab) in the time period from 1 April 2021 to 31 July 2022. A total of 150 patients were taken up forthis study. All the diagnosed patients of liver cirrhosis of any etiology (Recently detected or old patients) wereincluded in the study.FindingsIn this study most of patients were males (81%) in the age group of 31 to 60 yrs (65%). Most common etiologyfound to be alcoholic (53%) with presenting symptoms of altered talks(51%).Conclusion: Education of the society about the precipitating factors can lead to early detection of hepaticencephalopathy and thus decrease the morbidity and mortality related to it. So there is need for Screeningprograms and education.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19809
Acute hyperuricemia most commonly occurs in patients who experience tumor-lysis syndrome. Hyperuricemiaalong with other electrolyte abnormalities like hyperkalemia, hypocalcemia, and hyperphosphatemia leads to acutekidney injury (AKI) due to acute uric acid nephropathy which is associated with significant morbidity. High riskpatients are thus closely monitored for signs of these laboratory abnormalities. Extreme exercise, rhabdomyolysis,and seizures are rare causes of acute hyperuricemia. Serum uric acid level is not routinely monitored as a partof postictal labs. We report an unusual case of AKI in a young male and no associated rhabdomyolysis who wasfound to have acute uric acid nephropathy. Timely administration of Rasburicase prevented the need for dialysisin this patient and led to complete renal recovery. This case illustrates the importance of doing a urine microscopyand checking uric acid level in patients who develop unexplainable AKI, as timely management helps improveoutcome.
{"title":"Urate Nephropathy: A Rare Case Report","authors":"","doi":"10.37506/ijphrd.v14i4.19809","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19809","url":null,"abstract":"Acute hyperuricemia most commonly occurs in patients who experience tumor-lysis syndrome. Hyperuricemiaalong with other electrolyte abnormalities like hyperkalemia, hypocalcemia, and hyperphosphatemia leads to acutekidney injury (AKI) due to acute uric acid nephropathy which is associated with significant morbidity. High riskpatients are thus closely monitored for signs of these laboratory abnormalities. Extreme exercise, rhabdomyolysis,and seizures are rare causes of acute hyperuricemia. Serum uric acid level is not routinely monitored as a partof postictal labs. We report an unusual case of AKI in a young male and no associated rhabdomyolysis who wasfound to have acute uric acid nephropathy. Timely administration of Rasburicase prevented the need for dialysisin this patient and led to complete renal recovery. This case illustrates the importance of doing a urine microscopyand checking uric acid level in patients who develop unexplainable AKI, as timely management helps improveoutcome.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19747
Background: Flipped classroom aims at exposing the students to teaching material outside of class first andutilizing the class time in deeper understanding of the topic with the discussion in the presence of the teacher. It isa method of teaching learning wherein the students take responsibility of their learning. The present study was toconducted to introduce flipped classroom approach as teaching learning method and to obtain students feedback.Materials and method: The study was descriptive study done in the Department of Anatomy after obtaining theIEC clearance. First year MBBS students who volunteered to participate (138 out of 150) were included in the studyafter obtaining informed consent. The students were given a pre-class reading material in form of PowerPointPresentation with voice over for the topics selected for flipped class using Institutional Learning ManagementSystem (LMS) seven days before the class. Class time was utilized in discussion of the topic. A questionnairewas used which was validated by other faculty members. Responses were collected using a 5 point Likert scale.Analysis was done by Microsoft Excel 2010.Results: The concept of flipped classroom was well accepted by the students. It was observed that 70% of thestudents found flipped classroom is more interesting method of learning anatomy compared to traditional lectures.30% of the students believed flipped class required more time and more preparation. They were of the view thatthese classes were more interesting, interactive, and motivated them to learn compared to the didactic lectures.Conclusion: Flipped classroom is not a new concept. However, in our country this concept of teaching learning isnot very commonly used in medical colleges and can be used as an alternative to the traditional lectures for betterunderstanding of the topic and can be used more often.
{"title":"Perceptions regarding Flipped Classroom teaching method among first year MBBS students in a Medical College in National Capital Region, India","authors":"","doi":"10.37506/ijphrd.v14i4.19747","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19747","url":null,"abstract":"Background: Flipped classroom aims at exposing the students to teaching material outside of class first andutilizing the class time in deeper understanding of the topic with the discussion in the presence of the teacher. It isa method of teaching learning wherein the students take responsibility of their learning. The present study was toconducted to introduce flipped classroom approach as teaching learning method and to obtain students feedback.Materials and method: The study was descriptive study done in the Department of Anatomy after obtaining theIEC clearance. First year MBBS students who volunteered to participate (138 out of 150) were included in the studyafter obtaining informed consent. The students were given a pre-class reading material in form of PowerPointPresentation with voice over for the topics selected for flipped class using Institutional Learning ManagementSystem (LMS) seven days before the class. Class time was utilized in discussion of the topic. A questionnairewas used which was validated by other faculty members. Responses were collected using a 5 point Likert scale.Analysis was done by Microsoft Excel 2010.Results: The concept of flipped classroom was well accepted by the students. It was observed that 70% of thestudents found flipped classroom is more interesting method of learning anatomy compared to traditional lectures.30% of the students believed flipped class required more time and more preparation. They were of the view thatthese classes were more interesting, interactive, and motivated them to learn compared to the didactic lectures.Conclusion: Flipped classroom is not a new concept. However, in our country this concept of teaching learning isnot very commonly used in medical colleges and can be used as an alternative to the traditional lectures for betterunderstanding of the topic and can be used more often.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135749314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19753
Background: Lockdown represents a remarkably effective strategy of social distancing to break the chain oftransmission of COVID-19. This state of lockdown led to a significant influence on physical and mental wellbeingof people. The present study was conducted to assess the impact of COVID-19 pandemic on anxiety level ofgeneral public and find out the associated factors.Methods: The present web based cross-sectional study was carried out among 450 participants in India in themonth of May 2020. Data collection was done using online Google form. A semi-structured questionnaire wasused. Generalized Anxiety Disorder Scale-7 (GAD-7) Scale was used to assess anxiety symptoms among theparticipants. Descriptive Statistics and Chi-square test were done using SPSS version 21.Results: Age of the participants ranged between 18 to 71 years. Nearly one-third of the participants were health careprofessionals. Symptoms of mild anxiety was reported by 17.1% of participants, while 20.2% reported moderateanxiety. Anxiety was found to be significantly more among female gender, health care professional and among thestudy participants who were going to work daily.Conclusion: Covid-19 pandemic has increased the anxiety level among general public.
{"title":"Assessment of Anxiety and Associated Risk Factors among General Public During COVID-19 Pandemic: A Community Based Study","authors":"","doi":"10.37506/ijphrd.v14i4.19753","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19753","url":null,"abstract":"Background: Lockdown represents a remarkably effective strategy of social distancing to break the chain oftransmission of COVID-19. This state of lockdown led to a significant influence on physical and mental wellbeingof people. The present study was conducted to assess the impact of COVID-19 pandemic on anxiety level ofgeneral public and find out the associated factors.Methods: The present web based cross-sectional study was carried out among 450 participants in India in themonth of May 2020. Data collection was done using online Google form. A semi-structured questionnaire wasused. Generalized Anxiety Disorder Scale-7 (GAD-7) Scale was used to assess anxiety symptoms among theparticipants. Descriptive Statistics and Chi-square test were done using SPSS version 21.Results: Age of the participants ranged between 18 to 71 years. Nearly one-third of the participants were health careprofessionals. Symptoms of mild anxiety was reported by 17.1% of participants, while 20.2% reported moderateanxiety. Anxiety was found to be significantly more among female gender, health care professional and among thestudy participants who were going to work daily.Conclusion: Covid-19 pandemic has increased the anxiety level among general public.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19810
Transmission of SARS -Cov occurs primarily primarily between people through direct, indirect, or close contactwith infected people through infected secretions such as saliva and respiratory secretions. To prevent transmissionthere are several measures implanted by health authorities all over the world like social distancing, use of facemasks, hand washing or use of sanitizer, contact tracing and quarantine, isolation, etc. This study was intendedto determine medical students’ exposure (while at home due to lockdown) to environmental factors favoring thetransmission of Covid 19. After getting institutional ethical clearance a cross-sectional study was done among82 medical students. The mode of data collection was through google forms. The students were asked to report thefactors (already practicing) that favor covid 19 transmission to which they were exposed during the last 2 weeks.All the study subjects were tested for Covid 19 during the next 2-week period. Data were analyzed descriptivelyto find out the number and percentage. The median age of the sample was 22 years ( Q1 21, Q3 23). Comorbiditiesthat could favor covid 19 transmission were present in 12.2% of students. The percentage of students who visitedcrowded places in the last 2 weeks which could increase the risk of transmission ranged from 6 % to 29%. Socialdistancing was practiced by 51%, Wearing a mask was practiced by 62%, and using soap/sanitizer by 73% ofmedical students. Out of the total 82 medical students 4 tested positive for Covid 19. The study concluded thatexposure to risk factors of covid 19 transmission was optimum among medical students during the pandemicphase.
{"title":"Assessment of Exposure to Factors Favoring Covid 19 Transmission among Medical Students in South Kerala during the First Wave of the Pandemic","authors":"","doi":"10.37506/ijphrd.v14i4.19810","DOIUrl":"https://doi.org/10.37506/ijphrd.v14i4.19810","url":null,"abstract":"Transmission of SARS -Cov occurs primarily primarily between people through direct, indirect, or close contactwith infected people through infected secretions such as saliva and respiratory secretions. To prevent transmissionthere are several measures implanted by health authorities all over the world like social distancing, use of facemasks, hand washing or use of sanitizer, contact tracing and quarantine, isolation, etc. This study was intendedto determine medical students’ exposure (while at home due to lockdown) to environmental factors favoring thetransmission of Covid 19. After getting institutional ethical clearance a cross-sectional study was done among82 medical students. The mode of data collection was through google forms. The students were asked to report thefactors (already practicing) that favor covid 19 transmission to which they were exposed during the last 2 weeks.All the study subjects were tested for Covid 19 during the next 2-week period. Data were analyzed descriptivelyto find out the number and percentage. The median age of the sample was 22 years ( Q1 21, Q3 23). Comorbiditiesthat could favor covid 19 transmission were present in 12.2% of students. The percentage of students who visitedcrowded places in the last 2 weeks which could increase the risk of transmission ranged from 6 % to 29%. Socialdistancing was practiced by 51%, Wearing a mask was practiced by 62%, and using soap/sanitizer by 73% ofmedical students. Out of the total 82 medical students 4 tested positive for Covid 19. The study concluded thatexposure to risk factors of covid 19 transmission was optimum among medical students during the pandemicphase.","PeriodicalId":13368,"journal":{"name":"Indian Journal of Public Health Research and Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.37506/ijphrd.v14i4.19796
Background and Aim: Bacterial respiratory infections are most commonly causes of illness for all age group patientsin ICU. Most of the patients suffer from urosepsis, postoperative disease and lower respiratory infection whenadmitted in ICU’s. Broncho alveolar lavage (BAL) is an ideal sample that allows the recovery of pathogens cellularand noncellular components from the epithelial surface of lower respiratory tract. This study was performed todetect pathogenic organisms by microscopy of BAL fluid and isolate and identify various bacteria and fungi fromBAL fluid in culture and analyze their antibiogram.Material and Methods: The cross-sectional prospective study was conducted in the Department of Microbiology,tertiary care teaching hospital, India. The study included 200 BAL samples taken from all consecutive patientsreferred with suspicion of pneumonia. Bronchial wash was done with the help of fibreoptic bronchoscope underlocal anaesthesia. All BAL samples were cultured on three bacteriological media agar plates using a sterile 4mmnichrome loop (0.01ml), and incubated at 37 C for 72 hours for quantitative bacterial culture using standardlaboratory techniques. Bacterial isolates were identified by performing standard microbiological procedures suchas study of colony morphology, Gram staining and standard biochemical tests.Results: Out of the total 200 samples, 120 (60%) were from males, and 80 (40%) were female patients. Thepredominant GNB was Klebsiella pneumoniae 45 (61%), followed by Pseudomonas aeruginosa 22(30%), Esch.coli 6(8%) and the fungal isolate was Aspergillus niger 5(1%). Klebsiella & Pseudomonas were highly sensitive toamikacin, piperacillin-tazobactam, imipenem, gentamycin, followed by tobramycin.Conclusion: Results of the present study demonstrate the high incidence of gram-negative isolates. The study alsosuggests that regular antimicrobial sensitivity monitoring should be done as most isolates are highly resistant tocephalosporin and other commonly used antimicrobials
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