Pub Date : 2022-05-01DOI: 10.4103/jopcs.jopcs_5_22
A. Yadav, A. Singhal, K. Kompella, Ananda Menon, Saurabh Mahajan
Background: The COVID-19 pandemic commenced in China in December 2019 and has since become a major public health problem. India, as a country, faced many challenges in preparing for the coronavirus pandemic. Due to the novelty of the disease, high infectivity rates, and constant risk of health-care workers (HCWs) getting infected, the training of the first responder, including primary care physicians, in the management of COVID-19 is paramount importance. This study analyses the benefits of a short training session imparted to HCWs involved in a makeshift COVID-19 hospital. Methodology: A structured training program consisting of lectures and workshops was formed for the HCWs detailed for the COVID-19 hospital. A questionnaire was prepared and administered to HCWs pre- and post-training sessions. Paired t-test was used to determine the mean difference, and P < 0.05 was taken as statistically significant. Results: A total of 260 HCWs participated in the study. The doctors gained the most in the critical care aspect, especially in oxygen requirement for the patient and knowledge of oxygen delivery by various apparatuses. The nurses showed a significant improvement in knowledge regarding recommended drugs for severe COVID cases (P < 0.05). Conclusion: HCWs are required to man the COVID facility at very short notice. The article showed the utility of short, structured, and quick training for HCWs. Regular training sessions are important in this regard, and there is a requirement for standardization of the training program and curriculum.
{"title":"Training in management of COVID-19 cases among first responders before deployment to makeshift COVID hospital","authors":"A. Yadav, A. Singhal, K. Kompella, Ananda Menon, Saurabh Mahajan","doi":"10.4103/jopcs.jopcs_5_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_5_22","url":null,"abstract":"Background: The COVID-19 pandemic commenced in China in December 2019 and has since become a major public health problem. India, as a country, faced many challenges in preparing for the coronavirus pandemic. Due to the novelty of the disease, high infectivity rates, and constant risk of health-care workers (HCWs) getting infected, the training of the first responder, including primary care physicians, in the management of COVID-19 is paramount importance. This study analyses the benefits of a short training session imparted to HCWs involved in a makeshift COVID-19 hospital. Methodology: A structured training program consisting of lectures and workshops was formed for the HCWs detailed for the COVID-19 hospital. A questionnaire was prepared and administered to HCWs pre- and post-training sessions. Paired t-test was used to determine the mean difference, and P < 0.05 was taken as statistically significant. Results: A total of 260 HCWs participated in the study. The doctors gained the most in the critical care aspect, especially in oxygen requirement for the patient and knowledge of oxygen delivery by various apparatuses. The nurses showed a significant improvement in knowledge regarding recommended drugs for severe COVID cases (P < 0.05). Conclusion: HCWs are required to man the COVID facility at very short notice. The article showed the utility of short, structured, and quick training for HCWs. Regular training sessions are important in this regard, and there is a requirement for standardization of the training program and curriculum.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"5 1","pages":"28 - 32"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75355192","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 : 2022-05-01DOI: 10.4103/jopcs.jopcs_3_22
D. Chakraborty, A. Sengupta, Ranajoy Chanda, Sagar Sen, Samit Goenka, Sanjay Bhaumik
A 47-year-old -lady without known co-morbidity had presented with a one-month history of respiratory distress and headache. Someone incidentally started her with antitubercular drugs and steroids outside our hospital. Her routine CT scan of brain was unremarkable. She had a partial response to the same, but she presented to us with an increased headache after a month. We found her to have diffuse nodular pulmonary involvement with bilateral pleural effusion. The pleural fluid diagnostic evaluation revealed adenocarcinoma of the lung. The MRI of the brain revealed multiple nodular involvements consistent with the rare intracranial miliary metastasis. Our case underscores the importance of careful history taking and evaluation of patients with respiratory distress along with headaches (our patient lacked a classical history of miliary tuberculosis). We may overlook the silent brain metastasis on routine CT scans of the brain and cause an important delay in diagnostic evaluation and intervention in life-threatening diseases, like our case.
{"title":"When doom is invincible and not easily perceptible: A case of diffuse nodular disease","authors":"D. Chakraborty, A. Sengupta, Ranajoy Chanda, Sagar Sen, Samit Goenka, Sanjay Bhaumik","doi":"10.4103/jopcs.jopcs_3_22","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_3_22","url":null,"abstract":"A 47-year-old -lady without known co-morbidity had presented with a one-month history of respiratory distress and headache. Someone incidentally started her with antitubercular drugs and steroids outside our hospital. Her routine CT scan of brain was unremarkable. She had a partial response to the same, but she presented to us with an increased headache after a month. We found her to have diffuse nodular pulmonary involvement with bilateral pleural effusion. The pleural fluid diagnostic evaluation revealed adenocarcinoma of the lung. The MRI of the brain revealed multiple nodular involvements consistent with the rare intracranial miliary metastasis. Our case underscores the importance of careful history taking and evaluation of patients with respiratory distress along with headaches (our patient lacked a classical history of miliary tuberculosis). We may overlook the silent brain metastasis on routine CT scans of the brain and cause an important delay in diagnostic evaluation and intervention in life-threatening diseases, like our case.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"26 1","pages":"43 - 44"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81297759","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}
{"title":"Is Covid-19 a serious threat to humanity?","authors":"Harish Gupta, Medhavi Gautam, Satish Kumar, Ajay Kumar","doi":"10.4103/jopcs.jopcs_20_21","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_20_21","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"134 1","pages":"17 - 18"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79403148","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 : 2022-01-01DOI: 10.4103/jopcs.jopcs_2_21
A. Basavarajegowda, Jayasree Cherukat, Rajendra Gurunath Kulkarni
Introduction: Although significant strides have happened in making blood transfusions safe, with each transfusion, there is a chance to transmit transfusion-transmitted infections (TTI), namely viral, bacterial, parasitic, and prions. The primary objective of this study was to assess the seroprevalence of the five mandatorily to be tested TTI's in India among blood donors at our center. Methodology: This was a cross-sectional observational study conducted in the Department of Transfusion Medicine, a tertiary care hospital in Puducherry, from August 2015 to February 2017. Enzyme-linked immunosorbent assay was done for HIV, HCV, HBsAg/hepatitis B surface antigen, and rapid plasma reagin test was done for syphilis. Rapid card testing was done for malaria. Results: There were a total of 28,380 donors during the study period. In the present study, the overall seroprevalence of TTI's was 3.06%. The individual seropositivity rates were 0.30% for HIV, 2.15% for HBsAg, 0.51% for HCV, and 0.08% for syphilis. There was no case of malaria diagnosed in the study period. Conclusion: The seroprevalence of TTI in Puducherry was similar to those reported elsewhere in the country. It was comparable to the national average with regard to HIV and HCV, higher for HBV and much lesser for syphilis.
{"title":"Seroprevalence of transfusion-transmitted infections among blood donors in a tertiary care hospital in Puducherry","authors":"A. Basavarajegowda, Jayasree Cherukat, Rajendra Gurunath Kulkarni","doi":"10.4103/jopcs.jopcs_2_21","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_2_21","url":null,"abstract":"Introduction: Although significant strides have happened in making blood transfusions safe, with each transfusion, there is a chance to transmit transfusion-transmitted infections (TTI), namely viral, bacterial, parasitic, and prions. The primary objective of this study was to assess the seroprevalence of the five mandatorily to be tested TTI's in India among blood donors at our center. Methodology: This was a cross-sectional observational study conducted in the Department of Transfusion Medicine, a tertiary care hospital in Puducherry, from August 2015 to February 2017. Enzyme-linked immunosorbent assay was done for HIV, HCV, HBsAg/hepatitis B surface antigen, and rapid plasma reagin test was done for syphilis. Rapid card testing was done for malaria. Results: There were a total of 28,380 donors during the study period. In the present study, the overall seroprevalence of TTI's was 3.06%. The individual seropositivity rates were 0.30% for HIV, 2.15% for HBsAg, 0.51% for HCV, and 0.08% for syphilis. There was no case of malaria diagnosed in the study period. Conclusion: The seroprevalence of TTI in Puducherry was similar to those reported elsewhere in the country. It was comparable to the national average with regard to HIV and HCV, higher for HBV and much lesser for syphilis.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"42 1","pages":"8 - 12"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82234370","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 : 2022-01-01DOI: 10.4103/jopcs.jopcs_23_21
Harish Gupta
{"title":"When research closes our minds and thoughts","authors":"Harish Gupta","doi":"10.4103/jopcs.jopcs_23_21","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_23_21","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"60 1","pages":"1 - 2"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84553877","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 : 2022-01-01DOI: 10.4103/jopcs.jopcs_24_21
SheikhMohammad Tahir, Vivekanand Gupta, RD Yadav
{"title":"Significance of ST segment change in lead AVR in acute anterior wall myocardial infarction","authors":"SheikhMohammad Tahir, Vivekanand Gupta, RD Yadav","doi":"10.4103/jopcs.jopcs_24_21","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_24_21","url":null,"abstract":"","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81619774","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 : 2022-01-01DOI: 10.4103/jopcs.jopcs_16_20
A. Bhatia, S. Bains, Bansal Tajinder, S. Kuldeep, Jaideepa
The terror of coronavirus disease 2019 (COVID-19) is present universally. The number of cases is on rise. There is always debate about the use of chloroquine and hydroxychloroquine as a prophylaxis. Healthcare workers being the front-line soldiers need additional protection as compared to general population. This review article highlighted the mechanism of action of both drugs and their role in COVID-19 patients.
{"title":"Use of chloroquine and hydroxychloroquine in COVID-19 patients: A dilemma","authors":"A. Bhatia, S. Bains, Bansal Tajinder, S. Kuldeep, Jaideepa","doi":"10.4103/jopcs.jopcs_16_20","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_16_20","url":null,"abstract":"The terror of coronavirus disease 2019 (COVID-19) is present universally. The number of cases is on rise. There is always debate about the use of chloroquine and hydroxychloroquine as a prophylaxis. Healthcare workers being the front-line soldiers need additional protection as compared to general population. This review article highlighted the mechanism of action of both drugs and their role in COVID-19 patients.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"81 1","pages":"3 - 7"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85310399","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 : 2022-01-01DOI: 10.4103/jopcs.jopcs_22_21
A. Verma, S. Shete, R. Prasad, Akshata Badave, Satish M. Pathak
Insomnia is the most prevalent sleep disorder wherein the patient experiences difficulty initiating and maintaining sleep, along with nonrefreshing sleep. It adversely affects a person's professional life, physical and mental health as well as overall quality of life. A 42-year-old female, self-employed, presented with severe anxiety, panic attacks, and insomnia at Kaivalyadhama Health Care Centre, Lonavla. This case study was undertaken to explore the cumulative effect of yoga and naturopathy on anxiety disorders and insomnia. The patient was assessed on day 1 and after completion of 30 days therapy for Sleep Quality, Depression, Anxiety, Stress and Musculoskeletal Pain by using standard questionnaires. The patient underwent yoga and naturopathy treatment for 1 month at Kaivalyadhama Health Care Centre. The results of present case study revealed significant reduction in depression, anxiety, stress, and musculoskeletal pain after 30 days of yoga and naturopathy intervention. The patient also showed improvement in sleep quality and reduction in musculoskeletal pain which was sustained even after 2 months. Thus, an integrative therapy of yoga and naturopathy can be implemented in patients suffering from anxiety disorders and insomnia.
{"title":"Yoga and naturopathy treatment for insomnia: A case report","authors":"A. Verma, S. Shete, R. Prasad, Akshata Badave, Satish M. Pathak","doi":"10.4103/jopcs.jopcs_22_21","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_22_21","url":null,"abstract":"Insomnia is the most prevalent sleep disorder wherein the patient experiences difficulty initiating and maintaining sleep, along with nonrefreshing sleep. It adversely affects a person's professional life, physical and mental health as well as overall quality of life. A 42-year-old female, self-employed, presented with severe anxiety, panic attacks, and insomnia at Kaivalyadhama Health Care Centre, Lonavla. This case study was undertaken to explore the cumulative effect of yoga and naturopathy on anxiety disorders and insomnia. The patient was assessed on day 1 and after completion of 30 days therapy for Sleep Quality, Depression, Anxiety, Stress and Musculoskeletal Pain by using standard questionnaires. The patient underwent yoga and naturopathy treatment for 1 month at Kaivalyadhama Health Care Centre. The results of present case study revealed significant reduction in depression, anxiety, stress, and musculoskeletal pain after 30 days of yoga and naturopathy intervention. The patient also showed improvement in sleep quality and reduction in musculoskeletal pain which was sustained even after 2 months. Thus, an integrative therapy of yoga and naturopathy can be implemented in patients suffering from anxiety disorders and insomnia.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"10 1","pages":"13 - 16"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78174604","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 : 2021-09-01DOI: 10.4103/jopcs.jopcs_8_21
N. Rustogi, Suguna Kari
Left-sided Infective endocarditis (IE) is an uncommon occurrence in intravenous drug users (IVDU) in clinical practice. This case describes a 28-year-old male IVDU who presented with abdominal pain, fever, and breathlessness and diagnosed with aortic valve IE. This case highlights the possibility of left-sided IE in IVDU and rare complications of ST-elevation Myocardial Infarction with Non-obstructive Coronaries and Mycotic Aneurysm (MA) associated with it.
{"title":"A case of left-sided infective endocarditis in intravenous drug abuser with mycotic aneurysm and myocardial infarction with nonobstructive coronaries","authors":"N. Rustogi, Suguna Kari","doi":"10.4103/jopcs.jopcs_8_21","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_8_21","url":null,"abstract":"Left-sided Infective endocarditis (IE) is an uncommon occurrence in intravenous drug users (IVDU) in clinical practice. This case describes a 28-year-old male IVDU who presented with abdominal pain, fever, and breathlessness and diagnosed with aortic valve IE. This case highlights the possibility of left-sided IE in IVDU and rare complications of ST-elevation Myocardial Infarction with Non-obstructive Coronaries and Mycotic Aneurysm (MA) associated with it.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"104 1","pages":"91 - 93"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75981602","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 : 2021-09-01DOI: 10.4103/jopcs.jopcs_12_21
Tarun Kumar Suvvari, Divya Salibindla, C. Narayana, L. Kutikuppala, Kruthika Mantha
Sclerema neonatorum (SN) is a rare condition with high mortality, usually prevalent in preterm newborns. SN is an infant panniculitis, in which adherence of skin, subcutaneous tissues with underlying muscles, and bones are seen. SN is more common among preterm newborns with high sepsis and the survival of the infants diagnosed with SN was very low. In this case report, we are presenting a case of SN in a preterm baby associated with early-onset neonatal sepsis.
{"title":"Sclerema neonatorum associated with early onset neonatal sepsis","authors":"Tarun Kumar Suvvari, Divya Salibindla, C. Narayana, L. Kutikuppala, Kruthika Mantha","doi":"10.4103/jopcs.jopcs_12_21","DOIUrl":"https://doi.org/10.4103/jopcs.jopcs_12_21","url":null,"abstract":"Sclerema neonatorum (SN) is a rare condition with high mortality, usually prevalent in preterm newborns. SN is an infant panniculitis, in which adherence of skin, subcutaneous tissues with underlying muscles, and bones are seen. SN is more common among preterm newborns with high sepsis and the survival of the infants diagnosed with SN was very low. In this case report, we are presenting a case of SN in a preterm baby associated with early-onset neonatal sepsis.","PeriodicalId":93784,"journal":{"name":"Journal of primary care specialties : official publication of the Institute of Family Medicine and Primary Care","volume":"44 1","pages":"94 - 96"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76815542","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}
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