Assessment of level of satisfaction and depression among front-line warriors serving in a red zone covid-19 hospital in central India

Background: Covid -19 is a global health crisis of this century. Our battle against covid 19 is based mainly on front-line warriors. Their job profile has placed frontline workers under immense and unprecedented pressure, putting their mental well-being at stake. They are working in resource limited conditions. Mental stress and unsatisfaction is expected among them. It should be effectively recognised and handled. Methods: Cross sectional study was conducted in a covid care center of a teaching hospital to assess the level of satisfaction and presence of depression among front line warriors. Google form was use to collect data. Results: Approximately 87%, 79%, 61%,100% & 86% participants were not satisfied by PPE, stay, food, wadges, security and financial security respectively provided them while performing covid duties. Half of them (50%) had depression. Statistically significant association was found between presence of depression and age, sex, residence, marital status, family type. Conclusion: Depression and unsatisfaction was prevalent finding among front line warriors. Inappropriate response and attitude towards them will bring fatigue and refectory attitude among them. Their needs and unsatisfaction should be delt while policy making

Evaluation of differences between socio demographic profile and recovery rate of symtomatic and asymptomatic patients of COVID 19 in tribal district of Rajasthan

Introduction:For COVID-19, data to date suggest that 80% of infections are mild or asymptomatic, 15% are severe infection, requiring oxygen and 5% are critical infections, requiring ventilation.So this study aimed to find out the difference between Sociodemographic profile and recovery rate of such patients. Material and methodology; A hospital based cross sectional study was conducted in Dungarpur District among Covid 19 patients for one month and 150 patients were selected.Results; Chi square and p value suggest that Category moderate to severe symptomatic COVID 19 patients belonged to >60 yr age group and <15 year age group, non tribal, upper class. Majority of them were tobacco abuser and had comorbidities with recovery rate of 20 days. While Covid 19 patients having no symptoms and mild symptoms had 14 days recovery rate

Knowledge Attitude Practice study regarding Mosquitoes spreading Malaria and Dengue and their prevention in field practice area of Index Medical College Hospital Research Centre, Indore

Background: Malaria and Dengue are two important mosquito borne diseases but in recent past the incidence of Malaria has decreased while Dengue incidence was increased. Reasons behind this contrast change in the incidence should be evaluated. Methods: Cross sectional community based study was conducted to evaluate the KAP regarding Malaria and Dengue spreading mosquito and their prevention on 515 participants.KAP level, difference in KAP regarding Malaria and Dengue spreading mosquito, association of socio-demographic factors with KAP and co relation of Knowledge with Attitude and practice were evaluated. Chi square test, paired t –test and co-relation test were applied for analysis. Results: Overall Knowledge, Attitude and Practices of participants regarding Malaria and Dengue spreading mosquitoes were low .Statistically significant better knowledge, Attitude and Practices scores were noted for Malaria spreading mosquitoes as compared to Dengue spreading mosquitoes. Occupation, Education, SES, and type of family were the important socio-demographic factors which were found to be significantly associated with Knowledge Attitude and Practices of participants. Positive co relation was found between Knowledge, Attitude and Practices. Conclusion: KAP regarding Malaria and Dengue spreading mosquitoes were not found satisfactory. Difference in bionomics and preventive measures for Malaria and Dengue spreading mosquitoes should be convey to public by health education. Socio-economic development, increase knowledge level of population can help in reducing the incidence of Malaria as well as Dengue

AN OBSERVATIONAL STUDY TO ASSESS THE ADVERSE DRUG REACTION OF ANTI-ASTHMATIC DRUGS AMONG ADULTS IN WESTERN RAJASTHAN

Background: Asthma is one of the most common chronic illness worldwide. For prevention of exacerbations, patients of bronchial asthma are kept on long-term treatment that is why they are amenable for adverse drug reactions (ADRs). The study was planned to monitor ADRs with intervention of anti-asthmatic drugs in adults visited in medicine outpatient or admitted in inpatient department of a tertiary care teaching hospital. Methods: A cross-sectional study was conducted among 340 asthma patients in collaboration with Department of Medicine for duration of 12 months. Information of patients was collected with the help of semi-structured case record form ADRs along with interventions given that were also recorded. Results: Data analysis was done with the help of SPSS version20.0. Fisher exact test was applied. A total of 340 patients were enrolled in the study. The highest numbers of ADRs were observed with Salbutamol (34.78%). The highest ADRs were noted with Beta2 agonists class of drugs. The main ADRs noted were headache followed by tremors and oral thrush. Statistically significant association was found between presence of ADRs and severity of asthma. Conclusion: Identifying any possible connection between a presenting complaint and drug used is crucial to reduce the risk of ADRs in the future. Appropriate monitoring of ADRs is a key for this. Reduction in ADRs will improve the compliance of patient and ultimately their clinical outcome

A Cross Sectional Study to Assess the Health Status of Priests in A Pilgrimage City of Central India

Background: Priesthood demands some characteristic unique working environment i.e. mostly closed damped, smoky, noisy & crowded workplace. They are more prone accidents at workplace & are suppose to take high calorie diet in form of Prasad (everyday) & in religious ceremonies (occasionally).This lifestyle may affect their health status & give rise to various diseases. The objective of this study was to assess the health status & quality of life of priests serving in temples of Ujjain city. Method: Sample size was calculated with the help of formula n = 4pq/L2. A total of 440 priests were interviewed. As a study instrument, we used the generic questionnaire 36-item short form survey (SF-36). Results: Mean ages (SD) of study participants were found to be 41.6 (±17.6). Majority of study participants 264(60%) had excellent Physical functioning. Role play emotional was excellent in most of the study participant’s 332 (74.5%). Conclusion: There is a high prevalence of Non communicable disease among the priest of the pilgrimage city of central India

Evaluation of selected NRCs in treating SAM children: prospective study of Ujjain

Background: Malnutrition is a silent emergency especially in developing countries. Severe Acute Malnutrition (SAM) is a major cause of mortality in under five children, as children with SAM 9 times more likely to die than well nourish children. There is a need to treat SAM Proactively. Method: Follow up study was planned to inquire the impact of nutritional intervention on the physical parameters of admitted SAM children in two selected NRCs. Information was collected with the help of semi structured proforma. Data was collected for 3 months and each SAM child was followed up to 90 days for 6 points of time. Total sample size of 98 SAM children was taken. Results:Analysis was done with the help of SPSS version 20. ANOVA test, Tukey’s multiple comparison test and Correlation were applied to demonstrate the significance between variables. Statistical significant changes in weight and MUAC were observed. Most significant change from starting weight & MUAC was observed at 3rd follow up. Conclusion:NRCs seem to be a promising approach in rehabilitating SAM children. Current study also added good evidence to favor above statement.Achieving long lasting improvement is our ultimate goal. Keywords: Severe Acute Malnutrition, Nutritional Rehabilitation Center, Impact

Invasive cranial mycosis our experiences

Fungi can cause serious cranial infections in immunocompromised and diabetic patients. Common pathogens mainly include Aspergillus and Mucor. These organisms cause tissue invasion and destruction of adjacent structures (e.g. orbit, ethmoid, sphenoid, maxillary & cavernous sinuses). Mortality and morbidity rate is high despite combined surgical, antifungal and antidiabetic treatment. We present our experience of six cases with such infection

CROSS SECTIONAL SURVEY TO ASSESS THE BENEFICIARIES EXPERIENCE REGARDING COVID -19 VACCINATION IN VACCINATED CANDIDATES IN A TRIBAL DISTRICT OF RAJASTHAN - EMIGH PROSPECTIVE

ABSTRACT-BACKGROUND-A year with covid-19 has been a harrowing breakneck journey. On 11th March-2020 WHO declared COVID-19 as a pandemic. It spread across globe in span of 3 months, this is how emergence of unknown virus became a multifaceted pandemic. Till date no definitive treatment of covid-19 is available, except hope of vaccination. We must ensure safe and effective vaccination to protect people. It’s been largest vaccination drive, that’s why important to know the beneficiary’s point of view regarding covid vaccination process. So that the result of this study can be used to amend the process if needed, to make the process more beneficiary friendly. Method-Cross sectional study was conducted in a government covid vaccination centerto assess the beneficiaries prospective about their experience of covid-19 vaccine. Study duration was 6 months. Data was collected with the help of semi-structured proforma. Results-Data analysis was done with the help of SPSS-20. Approximately 93% of participants received vaccination appointment. Around 58% participants were screened for covid-19 symptoms. Most (90%) participants said that physical distancing was maintained during vaccination, 93% participants were informed about of vaccination process, 85% participant mentioned that Staff had explained about AEFI before vaccination and 76% participants mentioned that they received Covishied, only 1 participant reported AEFI within 30 mins of waiting period and he received the preliminary treatment at vaccination center. Conclusion-feedback from the user is a good way to quality check, their reviews give the opportunity to improve. Most of the vaccines were satisfied with the vaccination procedure

Bacterial Diversity in Cold Environments of Indian Himalayas

Not AvailableThe remote cold environments of Indian Himalayas are witnessed by extreme situations with a lot of variations in temperatures, low availability of water and nutrients and exposure to a lot of radiations. These extreme environments generally considered unfavourable to growth and survival of plants and animals are usually colonized by the microorganisms capable of growth and survivability under the prevailing severe conditions. Because of the extremophilic enzymes, proteins and biomolecules possessed by cold-adapted microorganism, they are of importance for industry, agriculture and biotechnology. In this chapter, (1) diversity of bacteria present in cold environments based on culturing and metagenomics approaches, (2) microorganisms from cold environments in agriculture, (3) novel bacteria from cold environments and (4) genome sequencing of bacteria from cold environments have been discussed. Bacteria affiliated to various phyla like Proteobacteria, Firmicutes, Actinobacteria, Bacteroidetes, Acidobacteria, Gemmatimonadetes, Planctomycetes, Chlamydiae, Chlorobi, Chloroflexi, Dictyoglomi, Fibrobacteres, Nitrospirae and Verrucomicrobia have been reported from the Indian Himalayas. Microorganisms belonging to various genera for improving agriculture production under cold environment have been isolated and identified. Twenty-one novel species of bacteria have been isolated from different locations in the cold environments of the Himalayas. A genome of 18 strains isolated from these cold environments has been sequenced and published.Not Availabl