Pub Date : 2023-05-01DOI: 10.4103/jopcs.jopcs_43_22
Anirban Das, Preetam Goswami, Pronoy Sen
Objective: Coronavirus disease (COVID-19) pandemic was declared as a global pandemic on the March 12, 2020. Face masks are recommended to control COVID-19 transmission, whose filtering capability depends on the different materials mask is made of and its structural design. The knowledge, attitudes, and practices (KAP) toward facemasks play an integral role to understand society's readiness to accept and follow preventive guidelines. The main objective was to estimate various factors affecting KAP in the study population and also to calculate the knowledge score (KS) from the data. Materials and Methods: A cross-sectional study was conducted using a questionnaire. The questionnaire consisted of 5, 3, and 5 questions on KAP, respectively. Score of 1 was assigned to the correct response and score of 0 for the incorrect response. Accordingly, score of <3 depicted that individual had poor knowledge, while ≥3 indicated good knowledge. Data were analyzed using appropriate descriptive statistical tests. An independent t-test was used to determine differences in groups concerning mask usage. Results: Out of total 110 participants, majority were males (53.6%). Majority (78.2%) had a good KS and the mean KS was 3.41. The KS was higher in the 18–40 years age group (P = 0.026), males (P = 0.030), literate people (P = 0.011), and in the urban population (P = 0.021). Majority (97.3%) knew that it is necessary to wear face mask during this pandemic. Participants with higher KS covered both their nose and mouth with face mask and also, they removed their mask completely while eating. Conclusions: Most of the patient's relatives had satisfactory knowledge, a positive attitude, and good practices toward the use of face masks to limit the spread of COVID-19 in the community.
{"title":"Knowledge, attitude, and practices of patient relatives regarding face masks in COVID-19 pandemic: A single-center cross-sectional study","authors":"Anirban Das, Preetam Goswami, Pronoy Sen","doi":"10.4103/jopcs.jopcs_43_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_43_22","url":null,"abstract":"Objective: Coronavirus disease (COVID-19) pandemic was declared as a global pandemic on the March 12, 2020. Face masks are recommended to control COVID-19 transmission, whose filtering capability depends on the different materials mask is made of and its structural design. The knowledge, attitudes, and practices (KAP) toward facemasks play an integral role to understand society's readiness to accept and follow preventive guidelines. The main objective was to estimate various factors affecting KAP in the study population and also to calculate the knowledge score (KS) from the data. Materials and Methods: A cross-sectional study was conducted using a questionnaire. The questionnaire consisted of 5, 3, and 5 questions on KAP, respectively. Score of 1 was assigned to the correct response and score of 0 for the incorrect response. Accordingly, score of <3 depicted that individual had poor knowledge, while ≥3 indicated good knowledge. Data were analyzed using appropriate descriptive statistical tests. An independent t-test was used to determine differences in groups concerning mask usage. Results: Out of total 110 participants, majority were males (53.6%). Majority (78.2%) had a good KS and the mean KS was 3.41. The KS was higher in the 18–40 years age group (P = 0.026), males (P = 0.030), literate people (P = 0.011), and in the urban population (P = 0.021). Majority (97.3%) knew that it is necessary to wear face mask during this pandemic. Participants with higher KS covered both their nose and mouth with face mask and also, they removed their mask completely while eating. Conclusions: Most of the patient's relatives had satisfactory knowledge, a positive attitude, and good practices toward the use of face masks to limit the spread of COVID-19 in the community.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"30 6 1","pages":"78 - 81"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83000706","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 : 2023-05-01DOI: 10.4103/jopcs.jopcs_56_22
Kanisha Shah, D. Shukla, R. Khan, S. Malhotra
Corticosteroid is a frequent implicating factor for the development of avascular bone necrosis (AVN). The etiology of corticosteroid-induced AVN is not fully understood, but it includes fat hypertrophy, fat embolism, and intravascular coagulation that causes obstruction of blood supply to the bone. This association can be carried forward for COVID-19 as well since it is also a microvascular disease. Suffering from COVID-19 and prescription of glucocorticoids could both be responsible for AVN. Early recognition of this complication is essential as the prognosis is affected by the stage of the disease.
{"title":"Corticosteroid-induced avascular bone necrosis and possible association with prior COVID-19 infection","authors":"Kanisha Shah, D. Shukla, R. Khan, S. Malhotra","doi":"10.4103/jopcs.jopcs_56_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_56_22","url":null,"abstract":"Corticosteroid is a frequent implicating factor for the development of avascular bone necrosis (AVN). The etiology of corticosteroid-induced AVN is not fully understood, but it includes fat hypertrophy, fat embolism, and intravascular coagulation that causes obstruction of blood supply to the bone. This association can be carried forward for COVID-19 as well since it is also a microvascular disease. Suffering from COVID-19 and prescription of glucocorticoids could both be responsible for AVN. Early recognition of this complication is essential as the prognosis is affected by the stage of the disease.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"28 1","pages":"93 - 96"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81744513","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 : 2023-05-01DOI: 10.4103/jopcs.jopcs_44_22
D. Chakraborty, K. Sundar, Khizar Syed
Giant cell arteritis (GCA) is an immune-mediated vasculitis with intra and extracranial involvement commonly seen in the elderly population. However, a subgroup of patients may present with constitutional symptoms only called “masked GCA.” We diagnosed and successfully treated a patient who initially presented with cachexia, cognitive impairment, and seizure. Clinicians need to be very suspicious about the entity, as a miss can lead to life-threatening complications such as stroke, arterial dissection, and even aneurysm rupture (besides visual impairment). Although GCA involves medium and large vessels, small vessel vasculitis is also possible in GCA (as in our case). Hence, GCA may involve patients in their fifties and may present with a wide spectrum of intracranial and extracranial clinical manifestations.
{"title":"Are we missing giant cell arteritis?","authors":"D. Chakraborty, K. Sundar, Khizar Syed","doi":"10.4103/jopcs.jopcs_44_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_44_22","url":null,"abstract":"Giant cell arteritis (GCA) is an immune-mediated vasculitis with intra and extracranial involvement commonly seen in the elderly population. However, a subgroup of patients may present with constitutional symptoms only called “masked GCA.” We diagnosed and successfully treated a patient who initially presented with cachexia, cognitive impairment, and seizure. Clinicians need to be very suspicious about the entity, as a miss can lead to life-threatening complications such as stroke, arterial dissection, and even aneurysm rupture (besides visual impairment). Although GCA involves medium and large vessels, small vessel vasculitis is also possible in GCA (as in our case). Hence, GCA may involve patients in their fifties and may present with a wide spectrum of intracranial and extracranial clinical manifestations.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"16 1","pages":"87 - 88"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86714203","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 : 2023-05-01DOI: 10.4103/jopcs.jopcs_11_23
H. Gupta
{"title":"National medical commission and faculty evaluation – Aura of confusion","authors":"H. Gupta","doi":"10.4103/jopcs.jopcs_11_23","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_11_23","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"16 1","pages":"43 - 44"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84938556","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 : 2023-05-01DOI: 10.4103/jopcs.jopcs_40_22
A. Mandal, P. Sardar, P. Bar, Anirban Das
Background: Evaluation of adenosine deaminase (ADA) has emerged as a potential biochemical marker for the diagnosis of tuberculosis (TB). An increased level of ADA in blood generally indicates the presence of TB. This study aimed to evaluate the ADA level in pleural fluid with diagnostic accuracy in histologically confirmed patients of pleural TB. Materials and Methods: This prospective observational study included patients with a confirmed diagnosis of pleural effusion. Data related to demographics, clinical characteristics, sputum status, predominant cells, ADA levels, and pleural biopsy reports were recorded. Results: Of the 82 patients of exudative pleural effusion, 65 (79.3%) were men. The most common presenting symptoms were cough (87.8%), chest pain (67.1%), fever (64.6%), and shortness of breath (56.1%). The average ADA level was 66.5 IU/L. Pleural biopsy showed that 45.1% of patients were tubercular etiology, 34.1% of patients were malignant, and 20.7% were of nonspecific inflammatory origin. Totally 59.8% of patients had right-sided pleural effusion, whereas 40.2% of patients had left-sided pleural effusion. Majority of the TB patients (81.1%) with ADA level > 40 U/L were diagnosed with tubercular granuloma, whereas 41 patients with malignancy and other patients had ADA level < 40 U/L (P < 0.001). Conclusion: Evaluation of ADA level along with histopathological examination can be easily performed as the routine test in the diagnosis of TB.
{"title":"A study on patients with pleural effusion with emphasis on pleural fluid adenosine deaminase and pleural biopsy","authors":"A. Mandal, P. Sardar, P. Bar, Anirban Das","doi":"10.4103/jopcs.jopcs_40_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_40_22","url":null,"abstract":"Background: Evaluation of adenosine deaminase (ADA) has emerged as a potential biochemical marker for the diagnosis of tuberculosis (TB). An increased level of ADA in blood generally indicates the presence of TB. This study aimed to evaluate the ADA level in pleural fluid with diagnostic accuracy in histologically confirmed patients of pleural TB. Materials and Methods: This prospective observational study included patients with a confirmed diagnosis of pleural effusion. Data related to demographics, clinical characteristics, sputum status, predominant cells, ADA levels, and pleural biopsy reports were recorded. Results: Of the 82 patients of exudative pleural effusion, 65 (79.3%) were men. The most common presenting symptoms were cough (87.8%), chest pain (67.1%), fever (64.6%), and shortness of breath (56.1%). The average ADA level was 66.5 IU/L. Pleural biopsy showed that 45.1% of patients were tubercular etiology, 34.1% of patients were malignant, and 20.7% were of nonspecific inflammatory origin. Totally 59.8% of patients had right-sided pleural effusion, whereas 40.2% of patients had left-sided pleural effusion. Majority of the TB patients (81.1%) with ADA level > 40 U/L were diagnosed with tubercular granuloma, whereas 41 patients with malignancy and other patients had ADA level < 40 U/L (P < 0.001). Conclusion: Evaluation of ADA level along with histopathological examination can be easily performed as the routine test in the diagnosis of TB.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"5 1","pages":"57 - 61"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79826534","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 : 2023-05-01DOI: 10.4103/jopcs.jopcs_54_22
Maheshkannan Vanamoorthy, N. Mangaiarkarasi, N. Manavalan, Deenadayalan Boopalan
Tinnitus is a sensation of noise in the absence of an internal or external source often accompanied by hearing loss. A 45-year-old male patient visited our hospital outpatient department due to tinnitus in the left ear for the past 2 months and received integrated yoga and naturopathy treatments for 10 days. The Tinnitus Handicap Inventory (THI) severity scale and Visual Analog Scale (VAS) were assessed before starting interventions and on the 10th day. The severity of the tinnitus was reduced; THI scores decreased from Grade 3 (moderate) to Grade 2 (mild) and the VAS score for disturbed sleep reduced from 8 to 4.1. This case study is an effort to elicit the impact of yoga and naturopathy on managing tinnitus. Despite significant findings in this case, further studies with a larger sample size are required to manage tinnitus effectively with yoga and the naturopathy system of medicine.
{"title":"Holistic approach in managing tinnitus with yoga, naturopathy, and acupuncture interventions: A single-case report","authors":"Maheshkannan Vanamoorthy, N. Mangaiarkarasi, N. Manavalan, Deenadayalan Boopalan","doi":"10.4103/jopcs.jopcs_54_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_54_22","url":null,"abstract":"Tinnitus is a sensation of noise in the absence of an internal or external source often accompanied by hearing loss. A 45-year-old male patient visited our hospital outpatient department due to tinnitus in the left ear for the past 2 months and received integrated yoga and naturopathy treatments for 10 days. The Tinnitus Handicap Inventory (THI) severity scale and Visual Analog Scale (VAS) were assessed before starting interventions and on the 10th day. The severity of the tinnitus was reduced; THI scores decreased from Grade 3 (moderate) to Grade 2 (mild) and the VAS score for disturbed sleep reduced from 8 to 4.1. This case study is an effort to elicit the impact of yoga and naturopathy on managing tinnitus. Despite significant findings in this case, further studies with a larger sample size are required to manage tinnitus effectively with yoga and the naturopathy system of medicine.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"34 1","pages":"89 - 92"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82702076","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 : 2023-05-01DOI: 10.4103/jopcs.jopcs_57_22
Ritika Singh, Nikhil Era, Shatavisa Mukherjee, P. Paul, S. Bordoloi
Background: Cutaneous adverse drug reactions (cADRs) constitute a significant cause of mortality and morbidity, adding to the economic burden for the patients. cADRs have varied and diverse presentations of morphology and severity. The present study aimed to explore the spectrum of cADRs reported in a tertiary care setup in Eastern India. Methods: A cross-sectional, single-center-based observational study was undertaken which included all the patients reporting with suspected cADRs. The patient details, ADR characteristics, and other relevant details were noted. Detailed pharmacovigilance workup, including causality, severity, and preventability assessment, was performed. Data were statistically analyzed. Results: 0.16% incidence of cADRs was observed, with the most common form being urticaria, followed by fixed drug eruption, maculopapular rash, and erythroderma. The most common drug class suspected to cause cADR was antimicrobials, followed by corticosteroids and nonsteroidal anti-inflammatory drugs. While most reactions were of moderate grade in severity, majority of the reactions were under “possible” causal category. 22.1% of the reported cADRs were not preventable. Conclusion: Proper diagnosis and optimum management of cutaneous ADRs are critically challenging and important.
{"title":"Cutaneous adverse drug reactions in a tertiary care setup: A cross-sectional observational single-center-based study in Eastern India","authors":"Ritika Singh, Nikhil Era, Shatavisa Mukherjee, P. Paul, S. Bordoloi","doi":"10.4103/jopcs.jopcs_57_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_57_22","url":null,"abstract":"Background: Cutaneous adverse drug reactions (cADRs) constitute a significant cause of mortality and morbidity, adding to the economic burden for the patients. cADRs have varied and diverse presentations of morphology and severity. The present study aimed to explore the spectrum of cADRs reported in a tertiary care setup in Eastern India. Methods: A cross-sectional, single-center-based observational study was undertaken which included all the patients reporting with suspected cADRs. The patient details, ADR characteristics, and other relevant details were noted. Detailed pharmacovigilance workup, including causality, severity, and preventability assessment, was performed. Data were statistically analyzed. Results: 0.16% incidence of cADRs was observed, with the most common form being urticaria, followed by fixed drug eruption, maculopapular rash, and erythroderma. The most common drug class suspected to cause cADR was antimicrobials, followed by corticosteroids and nonsteroidal anti-inflammatory drugs. While most reactions were of moderate grade in severity, majority of the reactions were under “possible” causal category. 22.1% of the reported cADRs were not preventable. Conclusion: Proper diagnosis and optimum management of cutaneous ADRs are critically challenging and important.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"24 1","pages":"67 - 71"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72676911","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 : 2023-05-01DOI: 10.4103/jopcs.jopcs_60_22
G. Meratwal, Praveena Tandon, Ashok Kumar
Introduction: There is a complex interaction between poor sleep quality, Internet addiction (IA), and depression. This study aimed to determine whether sleep quality or IA statistically mediates the association between the other two variables. Materials and Methods: This cross-sectional study was conducted from June 2022 to October 2022 in a medical college in Ajmer, Rajasthan. Data were collected from 400 undergraduate medical students. Data were collected using Depression, Anxiety, and Stress Scale-21, Pittsburgh Sleep Quality Index, and Young's IA tools. Data were analyzed by multivariate logistic regression and the PROCESS program in SPSS 20.0. Results: The mean (standard deviation) age of the students was 20.9 (1.68) years. About 43% of students (n = 174) had depression, 40.3% (n = 161) had poor sleep, and 54% (n = 216) had IA. The age of the students (adjusted odds ratio [aOR] = 1.92), screen time per day (aOR = 1.06), smoking (aOR = 13.20), sleep quality (aOR = 1.16), and IA (aOR = 11.64) were significantly associated with depression. IA mediated 30.55% of the indirect effect of sleep quality on depression, whereas sleep quality mediated 18.18% of the indirect effect of IA on depression. Conclusion: Sleep quality and IA have a differential independent indirect effect on the association between depression and the other variable. Programs and counseling sessions that promote mental health should also address the adverse impact of poor sleep and IA.
{"title":"Mediation effect of sleep quality and internet addiction on depression among indian medical graduate students: A cross-sectional study","authors":"G. Meratwal, Praveena Tandon, Ashok Kumar","doi":"10.4103/jopcs.jopcs_60_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_60_22","url":null,"abstract":"Introduction: There is a complex interaction between poor sleep quality, Internet addiction (IA), and depression. This study aimed to determine whether sleep quality or IA statistically mediates the association between the other two variables. Materials and Methods: This cross-sectional study was conducted from June 2022 to October 2022 in a medical college in Ajmer, Rajasthan. Data were collected from 400 undergraduate medical students. Data were collected using Depression, Anxiety, and Stress Scale-21, Pittsburgh Sleep Quality Index, and Young's IA tools. Data were analyzed by multivariate logistic regression and the PROCESS program in SPSS 20.0. Results: The mean (standard deviation) age of the students was 20.9 (1.68) years. About 43% of students (n = 174) had depression, 40.3% (n = 161) had poor sleep, and 54% (n = 216) had IA. The age of the students (adjusted odds ratio [aOR] = 1.92), screen time per day (aOR = 1.06), smoking (aOR = 13.20), sleep quality (aOR = 1.16), and IA (aOR = 11.64) were significantly associated with depression. IA mediated 30.55% of the indirect effect of sleep quality on depression, whereas sleep quality mediated 18.18% of the indirect effect of IA on depression. Conclusion: Sleep quality and IA have a differential independent indirect effect on the association between depression and the other variable. Programs and counseling sessions that promote mental health should also address the adverse impact of poor sleep and IA.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"121 1","pages":"72 - 77"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86290199","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 : 2023-05-01DOI: 10.4103/jopcs.jopcs_38_22
Akhilesh K. Jain, Naman Jain, Manish Goyal, A. Goyal, K. Yadav, Rakshit Yadav
Introduction: The pandemic of COVID-19 has caused both physical and psychological suffering not only to the general population but also to health-care workers (HCWs). Assessment of mental stress in HCWs is important as they have played a crucial role during this pandemic. Hence, this study was planned to assess the level of stress in HCWs during the COVID-19 pandemic. Materials and Methods: A total of 312 subjects were included by purposive sampling method in this cross-sectional study. A self-designed pro forma was used to collect sociodemographic details of subjects. The Hindi version of the perceived stress scale (PSS)-10 was used to assess stress. The data were analyzed using IBM SPSS version 28. Results: The level of perceived stress was significantly higher in HCWs working in government hospitals and quarantine services. Similarly, paramedical personnel and nursing staff were found to have more median PSS levels (18 and 16, respectively) as compared to doctors and others (15 and 16, respectively), and this observation was also significant in our study (P = 0.007). Although not statistically significant, stress was more among female HCWs, those from nuclear family, younger age group, and those who had been taking treatment for some psychiatric illness. Conclusion: There is a need to assess the ongoing stress among HCWs and address the contributing factors, thus enabling them to perform their duties more effectively and optimally.
导言:2019冠状病毒病大流行不仅给普通民众，而且给卫生保健工作者造成了身心痛苦。评估卫生保健工作者的精神压力非常重要，因为他们在本次大流行期间发挥了至关重要的作用。因此，本研究计划评估COVID-19大流行期间医护人员的压力水平。材料与方法:本研究采用目的抽样方法，共纳入312名被试。使用自行设计的形式来收集受试者的社会人口学细节。使用印地语版的感知压力量表(PSS)-10来评估压力。数据分析采用IBM SPSS version 28。结果:在公立医院和检疫机构工作的卫生保健工作者的感知压力水平显著较高。同样，与医生和其他人员(分别为15和16)相比，医护人员和护理人员的PSS中位数(分别为18和16)更高，这一观察结果在我们的研究中也具有显著性(P = 0.007)。尽管没有统计学上的显著差异，但女性卫生保健工作者、核心家庭成员、年轻年龄组和接受过某些精神疾病治疗的人的压力更大。结论:有必要对医护人员的持续压力进行评估，并解决造成压力的因素，从而使医护人员更有效、更优化地履行职责。
{"title":"Assessment of perceived stress during corona (COVID-19) pandemic among health-care workers","authors":"Akhilesh K. Jain, Naman Jain, Manish Goyal, A. Goyal, K. Yadav, Rakshit Yadav","doi":"10.4103/jopcs.jopcs_38_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_38_22","url":null,"abstract":"Introduction: The pandemic of COVID-19 has caused both physical and psychological suffering not only to the general population but also to health-care workers (HCWs). Assessment of mental stress in HCWs is important as they have played a crucial role during this pandemic. Hence, this study was planned to assess the level of stress in HCWs during the COVID-19 pandemic. Materials and Methods: A total of 312 subjects were included by purposive sampling method in this cross-sectional study. A self-designed pro forma was used to collect sociodemographic details of subjects. The Hindi version of the perceived stress scale (PSS)-10 was used to assess stress. The data were analyzed using IBM SPSS version 28. Results: The level of perceived stress was significantly higher in HCWs working in government hospitals and quarantine services. Similarly, paramedical personnel and nursing staff were found to have more median PSS levels (18 and 16, respectively) as compared to doctors and others (15 and 16, respectively), and this observation was also significant in our study (P = 0.007). Although not statistically significant, stress was more among female HCWs, those from nuclear family, younger age group, and those who had been taking treatment for some psychiatric illness. Conclusion: There is a need to assess the ongoing stress among HCWs and address the contributing factors, thus enabling them to perform their duties more effectively and optimally.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"28 1","pages":"52 - 56"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84970768","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 : 2023-05-01DOI: 10.4103/jopcs.jopcs_36_22
Monica Gupta, Sanjana Sharma, S. Lehl, N. Singla
Introduction: Acute undifferentiated fever (AUF) in India is highly prevalent in the monsoon and postmonsoon periods. AUF may trigger potentially fatal illnesses with acute-onset complications; therefore, this study was carried out to recognize the common forms of organ dysfunction in tropical vector-borne diseases which present as AUF. Materials and Methods: A 20-month prospective study was conducted to estimate the incidence of multi-organ dysfunction syndrome (MODS) among the common causes of AUF. The association of mortality with MODS patterns was also determined. All nonparametric variables were compared using Chi-square and Kruskal–Wallis. Bivariate as well as multivariate logistic regression analyses were performed to find the predictors of mortality/poor outcome. Results: Scrub typhus had the highest incidence of MODS and highest mortality with simultaneous hepatic and renal involvement in 35.8%, followed by hepatic involvement with acute respiratory distress syndrome (ARDS) in 33.9% and hepatic involvement with shock in 32%. Patients of MODS with acute kidney injury (AKI), shock, or sepsis had higher mortality rates. Conclusion: AUF presents with multiple overlapping manifestations which are difficult to discern clinically into specific etiologies, especially once MODS sets in. However, we observed statistically higher odds of the patient having scrub typhus as the cause of AUF when simultaneous hepatitis, AKI, ARDS, and shock were present.
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