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Exploring college student's menstruation-related difficulties during early COVID-19 lockdown period in North India
Surbhi G Garg, Ruqayya Alvi, Suman Gupta, Absar Ahmad
September-December 2020, 1(1):22-29
Objective: Sanitary napkins are an essential aspect of the menstrual hygiene management. Despite its critical importance to women and adolescent girls from menarche and menopause, access to menstrual hygiene products has been neglected during the COVID-19 pandemic. At the time of this writing, there was no information on the challenges associated with accessing menstrual hygiene products in Indian settings during this period. This paper investigates the prevalence of socio-demographic correlations of access to sanitary napkins among college students in Lucknow, the largest state located in North India. Methods: Students of undergraduate (UG) and post-graduate (PG) courses currently studying in colleges in Lucknow were eligible to participate in the study. An online cross-sectional survey was conducted in Lucknow in September 2020. In total, 1439 participants took part in the survey. After removing 55 participants who quit the survey by clicking on the disagree button and 13 who did not satisfy inclusion criteria, the final sample comprised 1371 participants. The data collection was anonymous. Responses were analysed using descriptive statistics and bivariate logistic regression. Results: Up to 1371 students completed the survey, resulting in a response rate of 96.2 percent. The analysis revealed that about 12.5 percent of students reported problems in access to sanitary pads during the lockdown. Logistic regression analysis showed that being Muslim, having less-educated fathers, having farmers as fathers, having low income, rural residence, and a history of using cloth, all independently predict challenges in getting access to sanitary pads during the COVID-19 lockdown (P < 0.05). Conclusion: During the COVID-19 lockdown, students were dependent on either locally available resources as absorbents during menstruation or paid more to buy sanitary pads in Lucknow. Low-income families are reluctant to spend on sanitary pads, which is why few college girls resumed their previous practice of managing their periods using cloth pieces or rags. This study's findings may be used to plan and implement interventions during a future pandemic or such crises to maintain the supply chain of sanitary pad.
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A cross-sectional study to assess the knowledge, attitude, and practices towards road traffic safety regulations among college going students of himalayan region, Uttarakhand, India
Swati Sharma, Neha Sharma, Shaili Vyas, Jayanti Semwal
September-December 2020, 1(1):30-35
Background: As per WHO, nearly 1.33 million people die every year due to road traffic accidents (RTAs) all over the world. 10% of the annual average of road traffic accidents cases occurs in India. Aims and Objective: To determine the knowledge, attitude and practices related to road safety rules among college students. Methodology: A descriptive cross-sectional study was conducted on 102 college students through a pre-tested questionnaire. Statistical Package for Social Sciences (SPSS version-23) software, Chicago, USA, was used for data analysis. Results: 91.3% of the college students knew the right age for getting a driving license but only 24.5% students responded correctly for the blood alcohol concentration while driving. Most of the study participants had good attitude towards road traffic rules and regulations, driving license, road signs & symbols. 63-65% of the study participants responded that they always wear belt or helmet while driving and keep a specific speed limit while driving, and never used mobile phone or play loud music while driving. Conclusion: RTAs can be minimized by strict enforcement of regulations by the road traffic police and through frequent road traffic awareness. But the self-responsibility by the drivers should also be there to bring about drastic change in minimizing RTAs.
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Role of public health literacy during COVID-19 pandemic, its implications and future recommendations- An analysis from India
Neha Sharma, Sudip Bhattacharya
September-December 2020, 1(1):13-16
The term “Health literacy” was coined by Ratzan et al. in 1970s stating for the littlest health education in schools. But still this term is almost new and is in its early phase of development. Though many attempts have been made in the past to define health literacy. WHO construed it as “the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good health”. Health Literacy not only focuses on the individual behaviour-oriented communication but also on the various determinants of health like environmental, social, political etc., thus it is ahead of the cramped concept of health education. If health education methods go beyond the bounds of “information diffusion” and bring about interaction, participation and critical analysis, such kind of approach will lead to health literacy, personal aid and social benefit by enabling adequate community action and will contribute to the advancement of social capital. We believe that nowadays, health literacy is limited to the non-communicable diseases, Maternal and Child Health care and health education is provided to the citizens which is more of kind a bureaucratic formality rather than serving its real purpose. However, this COVID-19 pandemic has become an eye opener for us and revealed that health literacy as a part of health education, is equally important for communicable diseases as well and not only system preparedness, but individual preparedness is also the key to deal with the actual life problems during crises situations.
  2,813 220 1
Health achieving societies: Past discourses, present predilections, and possible future contradictions
Shaffi Fazaludeen Koya, Kesavan R Nayar, Arathi P Rao, Lekha D Bhat
January-April 2021, 2(1):1-5
Economic growth is not an essential prelude to better health as some countries like Sri Lanka and the Indian state of Kerala have shown. Progressive social policies and investments in the social sector have helped some of these countries in the past. This may be unrelated to the present predilections which could certainly lead to future contradictions, especially in giving rise to new scenarios in public health. We have seen that unrealistic setting of goals, ambitious targets given to an ailing health system, together with a lack of clarity regarding activities can result in poor achievements even with incentives. This is more relevant in the future with the complexity of an epidemiological scenario involving both communicable and noncommunicable diseases. Mere techno-centric packages cannot tackle the complex health issues that India face today, as they ignore the larger structural dimensions of the problem. This is especially important with prolonged old age. This necessitates a focused futuristic vision for the population in general and the elderly in particular with a focus on primary care.
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The role of familial characteristics on the nutritional status of preschool children: A comparative study on rural and urban children
Shaili Vyas, Sushmita Sonkar, Neha Sharma, Ashok Kumar Srivastava, Parul Sharma, Kajal Srivastava
January-April 2021, 2(1):15-20
Introduction: Nutritional status of underfive children is a proxy indicator for assessing the nutrition of the entire community and also the key predictor of child survival. While several studies have focused on the determinants of child's nutrition status in India, little attention has been given to the aspect of rural-urban variation in child's nutritional status in terms of their determinants. The present study is aimed to ascertain the magnitude and the factors affecting the malnutrition across rural & urban areas of Uttar Pradesh. Methodology: A community-based study was conducted for 2 months in the field practice areas of a tertiary care hospital. Multistage random sampling technique was used for the selection of study subjects. A total of 117 under-five children were studied equally from rural and urban area. A pre-designed pre-tested proforma was used to assess the feeding practices. Stunting and underweight were used to proxy the child nutrition status. Data were evaluated on SPSS version 17. Chi-square test was used to find out the association of family characteristics with nutritional status in the two areas. Results: Undernutrition was more prevalent in rural children than their urban counterparts. It was seen that in the rural areas, 1-3 year children were more wasted & underwt whereas 0-1 yr children were more stunted, whereas in urban areas0-1 yr children were more affected in terms of wasted & underwt whereas stunting was more prevalent in 3-5 yr children. Religion, family size, Environment & Social Class was found to have association with significant association with Undernutrition. Parental Education as well as Father's Occupation was also found to have Significant association with the nutritional status of underfive children. Conclusion: Familial characteristics have an important bearing on the nutritional status of underfive children. Hence Improvement in literacy especially female literacy will go a long way in improving the nutritional status of the child. Strategies are needed to improve the economic status of the community.
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Association of pharmacotherapy with clinicians' nutritional counseling practices to diabetic and hypertensive patients
Deldar Morad Abdulah, Saeid Kider Ahmed, Raghib Mustafa, Mahir Sadullah Saeed
May-August 2021, 2(2):38-45
Background: Nutrition counseling is an important tool for encouraging healthy nutrition behaviors among individuals. The nutritional imbalance is rising worldwide, leading to the emergence of various diseases. Physicians have an important role in impeding healthy nutrition in patients. Aims and Objectives: The role of patients prone to pharmacotherapy on nutritional counseling and management (NCM) practices of clinicians to patients with diabetes or hypertension in the routine clinical practice was explored in this study. Materials and Methods: In this cross-sectional study, a total of 267 clinicians, including family doctors, general practitioners, and internists were purposively included. The attitudes toward NCM and their practices in routine clinical working were examined through the self-reported technique. Results: The mean age of the physicians was 34.18 and had experience for 5 years. A small percentage of them have completed the nutrition training course (26.59%). The study showed that different kinds of NCM, including nutritional assessment, therapy, and education, were presented to diabetic and hypertensive patients. The majority of the physicians emphasized their role (88.1%) in promoting nutritional therapy. Besides, most of them (88.0%) mentioned that a high priority must be given to NCM in routine clinical practice. The prone of patients to pharmacotherapy rather than diet therapy was determined to be a barrier to the NCM to diabetic and hypertensive patients. Conclusions: This study showed that physicians had good attitudes toward NCM; however, the prone of the diabetic and hypertensive patients to pharmacotherapy rather than diet therapy impedes the NCM by clinicians.
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A human rights analysis of clustered regularly interspaced short palindromic repeats germline-editing for disease prevention
Lance Garrett Shaver, Amit Sundly, Abdullah Omar Saif
September-December 2020, 1(1):17-21
Our purpose is to discuss ethical concerns with disease prevention applications of CRISPR germline editing using a human rights approach. If applied towards furthering health, these tools may aid to prevent diseases, thereby improving health and reduce suffering. On the other hand, commercialization of this technology, such that it becomes accessible only to the wealthy few, may have the opposite effect. We argue that caution needs to be taken against the use of germline-editing technology for disease prevention, as unequal access to the technology might negatively impact the health of the population by perpetuating socioeconomic inequality. What were once diseases and immunities of chance could soon become diseases of the poor and immunities of wealth. Hence, if germline editing is to be used for disease prevention, commercialization must be resisted, and efforts must be made to make it available and accessible within the human rights framework.
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Transthyretin amyloid cardiomyopathy: Treatment pipeline, clinical trials, and challenges
Sweety Sharma, Bhawna Sharma
May-August 2021, 2(2):32-37
Transthyretin amyloid cardiomyopathy (ATTR-CM) is potentially a fatal disease characterized by abnormal buildup of amyloid fibrils primarily in the heart causing progressive heart failure. It is categorized into two subtypes-hereditary ATTR and wild type ATTR. Previously, no treatment is available, due to which liver transplantation, multi-organ transplantation, and symptomatic treatment were the only therapies at that time. Approval of Vyndaqel (tafamidis meglumine) and Vyndamax (tafamidis) capsules in 2019, acts like a kick in the research fields due to which other therapeutics are now emerging. Several clinical trials are going on to evaluate the efficacy of different drugs in ATTR-CM. Most of the clinical trials demonstrated positive outcomes which leads to further evaluation for confirmation. In this review treatment pipeline, ongoing clinical trials and challenges related to ATTR-CM are described.
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Bioethical principles, COVID-19 pandemic, and our response
Sudip Bhattacharya, Sheikh Mohd Saleem, Ozden Gokdemir
September-December 2020, 1(1):5-9
The pandemic caused by novel corona virus resulted in 81,839,654 cases and 1,784,850 deaths globally till 29th December, 2020. China responded a little bit delayed by sharing information to the World Health Organization (WHO). The WHO responded at its level best by multi-pronged approaches like, rapid diagnostics development; issuing various guidelines on patient monitoring, specimen collection, and treatment; and till date providing up-to-date information by media briefing about the outbreak. Several countries adopt containment measures like travel restriction, screening of the travellers, contact tracing and many more to break the chain of transmission. During this crisis, there are many ethical issues that have emerged across the globe, we have tried to seek few of the answers in this paper.
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Impact of educational intervention and reinforcement on adverse drug reporting by nursing students: A prospective follow up study
Manisha Bisht, Puneet Dhamija, Bhomik Goel, Vasantha Kalyani, Shailendra S Handu
September-December 2020, 1(1):36-42
Objectives: This study aimed to evaluate the improvement in knowledge, attitude and practice (KAP) towards the reporting of adverse drug reactions (ADRs) with an educational intervention and the practice of ADR reporting with repeated reinforcement. Methodology: This prospective follow-up study included nursing students in B.Sc. final year attending clinical postings in a tertiary care teaching hospital which is a regional ADR monitoring center. The validated predesigned KAP questionnaire was used to assess the participants pre and post educational session. After the session, students were randomly distributed in to two equal groups (26 each) by computer generated random sequence – Group A (Reinforcement group) and Group B (Control group). Group A was followed up every week till completion of their clinical posting of two months and students were reminded to report adverse event whereas the other group (Group B) was not followed up. The number of adverse drug reports received from the nursing students were recorded during the study period. Results: A total of 52 nursing student participated in the study. There was significant improvement in the knowledge and attitude in the study participants after the educational intervention. There was a significant increase in ADR reporting in post educational session group. (Nil vs 15%, P value < 0.005) and strikingly all the adverse reports were submitted by the reinforcement group. Conclusion: Although educational intervention develops the knowledge about pharmacovigilance, but continuous follow up and reinforcement has more impact on the practice of ADR reporting.
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Employing information technology methods to strengthen our fight against COVID-19 pandemic
Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava
September-December 2020, 1(1):3-4
The coronavirus disease-2019 (COVID-19) pandemic has affected almost every person across the world and it is high time that we reach to each and every one of them with reliable information at the earliest to minimize the risk of acquisition as well as transmission of the infection. In these testing times, there is an immense need to utilize the communication technology in the various activities of the disease mitigation, treatment and advocacy, communication and social mobilization. It is important to acknowledge that this is the first pandemic in which technology and social media are simultaneously being utilized to ensure people safety. In conclusion, in the battle against the COVID-19 pandemic, information technology and social media have emerged as one of the important tools for the health sector to create not only awareness about the disease, but also it has aided in the prevention and control of the novel viral infection.
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Assessment of family welfare services with respect to couple-years of protection in a primary health center of Varanasi, Uttar Pradesh
Kshitij Raj, Ruchi Chaurasia, Amit Kumar Singh
January-April 2021, 2(1):10-14
Introduction: Program for family welfare or planning is one of the earliest health programs running in Independent India. Budget estimate of Family Welfare Schemes in India for the year 2019–2020 is 950 crores. Despite this, irregularities and under performance of various contraceptive services are reported. Objectives: To assess the family welfare services in a primary health center of Varanasi. Methods: Monthly data of family welfare from April 2018 to March 2019 were collected from PHC and analyzed with permission of Medical Officer in Charge, Chiraigaon. Services were assessed in terms of total family welfare OPD females, total counseling (antenatal case/postnatal case), deliveries, and various methods of contraception. The Couple-years of protection for the individual methods of contraception was calculated. Results: About 51% of females attending clinic were counseled, 40% of females delivering in PHC utilized postpartum intrauterine contraceptive device (PPIUCD). Correlation coefficient between females counseled and parameters such as sterilization varies from weak to strong positive. Two new services Depot Medroxy Progesterone Acetate Antara and oral contraceptive pills Chhaya were introduced, but their availability was not regular. Conclusions: Adequate services for family planning were available, but regularity of few was having issue in the year analyzed. More efforts are required to increase PPIUCD use.
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Machine learning to deep learning: Artificially intelligent approaches toward precision in public health
Arista Lahiri, Sweety Suman Jha
May-August 2021, 2(2):25-27
Machine learning is in fact an application of Artificial Intelligence (AI) . It encompasses the use of algorithms in understanding the available information, i.e., data and analyzing it to arrive at an “intelligent” conclusion. Applications of AI in public health have already brought about a paradigm shift in the thinking for the provision of health care. With the global goal of universal health care, AI systems in public health can be considered very important in the resource-poor underserved areas to make a systematic arrangement for health-care delivery. The primary health care is cardinal to achieve universal health coverage. The AI systems can help the resource-contained and the grass-root level settings with remote access, algorithm-driven diagnostic aids, notification regarding emerging threats, and automated analysis of the health data in defined regions.
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Knowledge, perception, and myths about COVID-19: A study from AIIMS, New Delhi
Souradeep Chowdhury, Radhika Sarda, Arvind Kumar, Anupam K Singh, H Vikas, Piyush Ranjan, Naveet Wig
January-April 2021, 2(1):6-9
Background: The COVID-19 pandemic has forced us to adapt to new habits, and to embrace a new normal. The authors wanted to conduct a study to gauge the public perception regarding the ongoing pandemic. Aims and Objectives: A single center cross-sectional study was conducted among hospital employees and their dependents attending the COVID screening outpatient department at a tertiary care hospital in Northern India, to gauge the knowledge, perception, and prevalent myths among the same. Methodology: For a set of 14 questions, the participants had a mean (standard deviation) score of 6 (2.14). Only 50 participants had adequate knowledge in all the three sections, namely knowledge, perception, and myths. Results: Our observation has been that the particular group we studied were still unaware of basic information such as transmission, clinical features, use of masks, and other key aspects about the ongoing pandemic. Conclusion: Extensive information campaigns and behavioral changes are needed to bring up the level of knowledge, particularly in hospital employees because they make an important subgroup in the community about creating a sense of awareness about the pandemic.
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Prompt identification of loss of voice in a child can save a life, Guillian-Barre syndrome with vocal cord paralysis in a young boy
Kaushambi Basu, Rupa Biswas
January-April 2021, 2(1):21-22
Guillain-Barré syndrome presenting as bilateral vocal cord paralysis is extremely rare in the paediatric age group. We report an unusual case of GBS in which the patient manifested loss of voice resulting from bilateral vocal cord paralysis with lower limb weakness. In conclusion, we emphasize that early recognition of atypical presentations of GBS warrants complete evaluation and institution of prompt and appropriate management.
  2,151 162 -
Call for integration of public health and primary care
Raman Kumar
September-December 2020, 1(1):1-2
Primary Care (PC) and Primary Health Care (PHC) are often employed interchangeably; however, they differ in practical application, context, and public health setting. There interface between Public Health and Primary Care is also not clearly understood by academicians and professionals. Due to a lack of proper understanding, the concepts are applied sub-optimally. WHO has called to close the gap between Public Health (PH) and Primary Care (PC) through integration. Academic forums and professional need to actively engage to develop support for the agenda of integration of Public Health and Primary Care.
  2,108 202 -
Health system strengthening during COVID-19 pandemic through virtual out-patient clinics: An experience from India
Sudip Bhattacharya, Neha Sharma, Siddharth Angrish, Amarjeet Singh
September-December 2020, 1(1):10-12
Whenever any pandemic accelerates, e.g., the corona virus disease 2019 (COVID-19), it is commonly observed that health care systems face tremendous workload in terms of infectious patients seeking testing and care. During such public health emergencies, besides logistics, there is shortage of trained personnel. In this COVID-19 pandemic Government of India is doing its level best for minimizing the impact of COVID-19. Multiple stringent measures are already taken like nationwide lockdown, social distancing, in hospitals-closing of out-patient services, postponement of elective surgeries, creating dedicated COVID-19 treatment hospital, one third of health staff is working on rotation basis and many more, for prevention of COVID-19 and minimizing the impact. Despite of this, the looming communication gap between people living in remote areas and the specialist doctors has always been in the picture. Due to COVID-19, as most of the routine OPDs are closed it is it has become very tough for people specially who have chronic diseases to consult their doctor. In this scenario artificial intelligence enabled Virtual OPD (VOPD) can be boon to the Indian population. The existing problems related to lack of access to OPD care for a major proportion of population can be solved by some extent by virtual OPD care services, in which patients consult with doctors in a virtual platform via mobile phone, computer and other e-devices. It is supposed to offer a number of advantages over traditional medical consultations in terms of convenience and cost. First and foremost, leverage of video consultation is “Therapeutic presence” that it is reassuring for the patients when they see doctor on video. The second advantage is that it helps in diagnostic assessment of the patients. Not only virtual OPDs solve the issues of delays and self-medication. This not only give benefit of availing the service as per the convenience but also provides the utmost medical consultation directly from the expertise. Alongside, the waiting period of minimum 3-4 hours can be reduced by simply audio-video consultations. It becomes easy to generate electronic prescription and can be emailed. However, evidence of clinical outcomes of VOPD is limited in Indian context. Furthermore, if integrated smartly into existing health care systems, VOPD care have the potential to manage the problem caused by the COVID-19 pandemic.
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Epidemiology, epidemiologists, and coronavirus disease (COVID-19) - A perspective
Sudip Bhattacharya, Amarjeet Singh, Md Mahbub Hossain
September-December 2020, 1(1):43-44
  2,138 112 1
Quality of life scale among perimenopausal and postmenopausal women in a rural area of Delhi: A facility-based study
Saurav Basu, Ruchira Pangtey, Bratati Banerjee, Saurabh Kumar
May-August 2021, 2(2):46-50
Background: The average Indian woman has early onset menopause compared to the global average. Assessment of the quality of life (QOL) among Indian women with perimenopause or postmenopause at health facilities using a rapidly administered, validated instrument is required. Objective: To assess the QOL among perimenopause and postmenopausal women in India and to ascertain the factors influencing their QOL using a brief instrument suitable for clinical use. Methods: A cross-sectional study was conducted during August to October 2019 in the medical outpatient department at a government secondary care hospital in a rural area of Delhi, India. We enrolled women in the age group of 40–59 years. Results: We recruited 136 participants with a response rate of 92%. The mean (standard deviation) age of the participants was 49.2 (6.1) years. A majority (51.2%) of the participants were illiterate, and only 22 (16.6%) were employed. The Cronbach's alpha of the Utian QOL was 0.824, indicating good reliability. The QOL scores of the participants were below average for the occupational and emotional domains, but higher for the health and sexual domains. On bivariate analysis, we found education not more than primary school, not being employed, and having more than two children were associated with lower QOL scores. Conclusion: Women with greater education, employment, with up-to two children and without depressive symptoms reported a better QOL, but it did not differ significantly between perimenopausal and postmenopausal women.
  2,009 159 -
Ethical aspect of duty of care and resource allocation during COVID-19 pandemic: An Indian overview
Sujash Biswas, Abhishek Das
May-August 2021, 2(2):28-31
Ethical practice is always considered to be a safe practice. Pandemic is one situation where the execution of ethical principles becomes a bit difficult as differences of opinion are to be taken into consideration. We have faced dilemmas previously during the AIDS outbreak or Avium Influenza pandemic. Similar ethical dilemmas if not more we are facing during the COVID-19 pandemic. Ethical concerns are mainly related to duty of care towards COVID patients, scarce resource allocation, telemedicine service, and COVID death cases. In this article, we will discuss ethical issues in relation to the duty of care and scarce resource allocation. We will also highlight guidelines to minimize ethical dilemmas and the role of the administration to make ethically correct policies as much as possible. This will not only help us to face the current pandemic but also will help to create a root map for making policies if any such pandemic hits the community in future.
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Organizing a health camp in the post-COVID era – Opportunity for establishing a public reconnection
Prem Sagar Panda, Suneeti Kanyari, Ansuman Kar, Tapas Ranjan Senapati
January-April 2022, 3(1):3-5
In India, 60% of the population lack basic medical facilities, so health camps which provide short-term medical interventions for target communities may be beneficial. Health camps are mobile and are conducted in different locations by qualified doctors, nurses, and paramedics and community health workers. In most cases, these health camps are funded by non government organisations (NGO' s), trusts or renowned hospitals. In the post-COVID era, the Department of Community Medicine Kalinga Institute of Medical Sciences, Bhubaneswar, organized a health camp at the rural health training center (RHTC), Kalarabanka, on the eve of World Stroke Day on October 29, 2021. A total of 60 people attended the camp. The department of community medicine provided consultation to the villagers of Kalarabanka with the help of faculties, postgraduates, interns, and staffs of RHTC. The majority of patients were males and of the age group 15–59 years. Organizing a health camp provides an opportunity for the need assessment of the community, also helps in finding the disease burden of the community. It also helps the community in availing quality primary health-care services at their doorstep. Furthermore, the residents who conduct the camp develop organizational and communication skills apart from clinical skills.
  1,880 63 -
COVID-19 in India: Current status-prevalence, research area, public health, and primary care
Sweety Sharma
September-December 2021, 2(3):51-57
COVID-19 remains a serious global public health emergency. As of June 18, 2021, there had been 177,108,695 confirmed cases of COVID-19 worldwide, with 3,840,223 deaths. India is currently experiencing the world's worst outbreak, with the new emerging cases. This pandemic has a negative impact on India's public health, primary care, economic activity, and research. There are no proven treatments, and medicines have only been approved for emergency use or as an off-label drug. The growing number of COVID-19 cases causes a shortage of health-care resources such as medicines, testing, hospital beds, oxygen support, ventilators, and so on. The abrupt change in scenario has exacerbated mental health issues. Several clinical trials are underway, and many Indian companies are expected to begin supplying vaccine doses in July, with the hope that the crisis will be under control by the end of the year. This review focuses on the current state of COVID-19 in India in terms of research, public health, primary care, and prevalence.
  1,718 127 -
'Caremongering' movement in post-COVID world may benefit primary healthcare system
Ganesh Singh Dharmshaktu, Tanuja Pangtey
January-April 2021, 2(1):23-24
  1,693 128 -
The spider web sign in the COVID lung
Rudrajit Paul, Kunal Som
September-December 2021, 2(3):70-72
The COVID-19 infection causes a severe form of viral pneumonia in a proportion of the infected patients. Over the last 1 year, a lot of typical and atypical radiological changes in COVID pneumonia have been documented. These radiological appearances can help in the diagnosis of COVID infection even before genetic test results are available. While some of these signs are nonspecific and found in a lot of other infections, there are a few signs that have been newly described specifically during the current pandemic. Here, we present such a rare sign in a patient from Eastern India.
  1,653 124 -
Effect on mental health of health-care providers during COVID-19 pandemic
Arvind Sharma, Priyanka Dubey, Deepali Soni, Richa Sharma, Aditi Bharti, Tej Pratap Singh
September-December 2021, 2(3):58-63
Background: Health-care providers played a crucial role in responding to the public health emergency due to COVID-19 pandemic. Therefore, our study aimed to assess depression, anxiety, and stress (DAS) levels among the health-care providers in a COVID-19 dedicated health-care facility. Methodology: From the month of August to December 2020, a cross-sectional study was conducted on health-care providers who were involved in providing health-care services to COVID-19 patients in a tertiary care institute of Jabalpur by purposive convenient sampling through online Google Forms. The study tool used was validated depression, anxiety, and stress scale-21 having a good internal consistency having Cronbach's alpha value 0.85. Results: From 112 health-care providers, higher level of anxiety was found (29.46%) followed by depression (17.85%) and stress (16.07%). Mild, moderate, severe, and extremely severe anxiety were found in 18.75%, 7.14%, 1.78%, and 1.78%, respectively. Mild and moderate depression were found in 9.82% and 8.03%. Mild, moderate, and severe stress were found in 8.92%, 6.25%, and 0.89% of health-care providers, respectively. A significant association of depression, stress, and anxiety with designation of the participants was found (P < 0.001). Conclusion: To combat DAS, it is necessary to cascade awareness and knowledge should be disseminated. Regular screening of health-care providers, counseling, and stress management programs should be conducted.
  1,619 128 -