scholarly journals Role of training to reduce stress among health professionals during COVID 19: an analytical study in Meerut

2021 ◽  
Vol 8 (5) ◽  
pp. 2257
Author(s):  
Anuradha Dave ◽  
Kaynat Nasser ◽  
Bhawna Pant ◽  
Sanjev Dave
Keyword(s):  
Infection Prevention ◽  
Analytical Study ◽  
Positive Impact ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Infectious Disease Outbreak ◽  
Medical College ◽  
Professional Stress

Background: A healthy job is likely to be one where the pressures on employees are appropriate in relation to their abilities and resources, to the amount of control they have over their work, and to support they receive from people who matter to them. Experiencing an infectious disease outbreak can cause fear, anxiety and stress.Methods: A cross sectional study was conducted in Subharti Medical College, Swami Vivekanand Subharti University, Meerut in the month of September 2020–October 2020 on 127 health care professional (69 doctors and 58 nurses) who were interviewed randomly working in the level III COVID hospital using professional stress score by David Fontanna.Results: Training received by the doctor and nurses during COVID-19 pandemic for infection prevention was more significantly associated with mild professional stress (p<0.00) than moderate professional stress (p<0.027).Conclusions: Training showed positive impact by enhancing their confidence level to manage stress during pandemic situation.

scholarly journals Low Perceived Social Support Is Associated with CD8+CD57+ Lymphocyte Expansion and Increased TNF-αLevels

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Alfredo Copertaro ◽  
Massimo Bracci ◽  
Nicola Manzella ◽  
Mariella Barbaresi ◽  
Benedetta Copertaro ◽  
...  
Keyword(s):  
Social Support ◽  
Immune Function ◽  
Perceived Social Support ◽  
Positive Impact ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Poor Social Support ◽  
The Relationship

Social support has been supposed to have a positive impact on the function of the immune system. However, the relationship between perceived social support and immune function has not yet been fully investigated. In this cross-sectional study, we investigated the link between perceived social support and lymphocyte subpopulations and cytokines. 232 healthy subjects provided a blood sample and completed the Multidimensional Scale of Perceived Social Support (MSPSS) questionnaire. Lymphocyte immunophenotypes and cytokines were determined. Significantly increased CD8+CD57+ lymphocytes and TNF-αlevels were found in group with low perceived social support. Multivariate linear regression corrected for possible confounders confirmed a significant role of perceived social support in predicting the number of CD8+CD57+ lymphocyte and TNF-αlevels. This study supports the association between perceived social support and immune function. In particular, poor social support may be related to a state of chronic inflammation sustained by CD8+CD57+ lymphocyte expansion and increased TNF-αlevels.

scholarly journals Hypoalbuminemia predicts intensive care need among adult inpatients with community acquired pneumonia: a cross sectional study

2018 ◽  
Vol 12 (08) ◽  
pp. 636-641
Author(s):  
Muhammad Adnan ◽  
Naheed Hashmat ◽  
Muhammad Latif ◽  
Zahra Ali ◽  
Tayyaba Rahat
Keyword(s):  
Intensive Care ◽  
Serum Albumin ◽  
Good Predictor ◽  
Analytical Study ◽  
Cross Sectional Study ◽  
Community Acquired Pneumonia ◽  
Sectional Study ◽  
Cross Sectional ◽  
Icu Treatment

Introduction: Various scales helped physicians to decide the site of care of pneumonia patients, but had certain limitations. Literature review suggested that serum albumin and B/A ratio predict the site of care but more evidences were required. Therefore, the study was aimed to evaluate the role of serum albumin and B/A ratio in the prediction of intensive care need among patients with community acquired pneumonia. Methodology: The cross-sectional analytical study enrolled 134 adult inpatients with pneumonia from Sir Ganga Ram Hospital, Lahore, Pakistan during September 2014 to December 2016. Serum albumin, creatinine and urea levels were estimated; and BUN, B/A ratio and CURB-65 scores were calculated to predict the need of ICU. Results: Overall mean age was 50 ± 21 years, and 54.5% patients were females. The patients (19.4%) who required treatment in ICU had significantly lower albumin levels (p = 0.001); elevated BUN levels (p = 0.003), B/A ratio (p = 0.001) and CURB-65 score (p = 0.038); and longer hospital stay (p = 0.002). Hypoalbuminemia showed significant association with the requirement of ICU (OR: 7.956; p = 0.001). The optimal cut-off point of serum albumin to predict ICU need was 3.4 g/dL (50% sensitivity; 89% specificity). Low serum albumin was revealed as a good predictor of requiring treatment in ICU (AUC 0.718). Conclusions: Hypoalbuminemia was a good predictor of requiring ICU treatment. Elevated B/A ratio and BUN levels showed significant association with ICU need. Serum albumin estimation before hospitalization might be used independently or additional with established criteria to decide the site of care.

scholarly journals Role of transabdominal Ultrasonography in the evaluation of suspected ectopic pregnancy

2015 ◽  
Vol 22 (2) ◽  
pp. 167-172
Author(s):  
Mst Nazmun Nahar ◽  
Asifa Sattar ◽  
Husne Ara ◽  
Akanda Fazle Rabbi ◽  
Mahbuba Shirin ◽  
...  
Keyword(s):  
Positive Predictive Value ◽  
Ectopic Pregnancy ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
College Hospital ◽  
Cross Sectional ◽  
Transabdominal Ultrasonography ◽  
Medical College ◽  
Step Procedure

The study was carried out to assess the diagnostic accuracy of transabdominal ultrasonography in the evaluation of clinically suspected ectopic pregnancy patients . This cross sectional study was carried out in the department of Radiology and Imaging, Dhaka Medical College Hospital, Dhaka, from July 2006 to June 2008. 50 patients were selected purposively and transabdominal ultrasonography was done in each patient by 3.5 MHz frequency curvilinearprobe. Findings of transabdominal ultrasonography were then compared with the peroperative findings. Transabdominal ultrasonography in the diagnosis of ectopic pregnancy showed a sensitivity of 79.5%, specificity of 83.3%, and accuracy of 80%. Positive predictive value was 97.2% and negativepredictive value was 55.6%. . This study shows thattransabdominal ultrasonographyis an effective modality in the evaluation of ectopic pregnancy and should be used as a routine first-step procedure in patients of suspected ectopic pregnancy. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21529 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 167-172

scholarly journals Anaesthesia and Anaesthesiologist: The Perception of Attendees at a Medical College in Rural Haryana

2020 ◽  
Vol 5 (2) ◽  
pp. 20-25
Author(s):  
Meenu Agrawal ◽  
Meena Singh ◽  
Pranav Bansal ◽  
Tushar Jindal ◽  
Ishrat Yousuf
Keyword(s):  
General Public ◽  
Public Perception ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Operative Care ◽  
Knowledge And Attitude ◽  
Anaesthesia Provider

Introduction: Anaesthesia as a specialty is reaching its zenith with multiple sub-specialties, but anaesthesiologist remains obscure personnel behind the drapes due to lack of public perception and knowledge pertaining to their role. The aim is to the study was conducted to assess the perception and knowledge of general public about the role of anaesthesia and the anaesthesiologist. Subjects and Methods : A prospective, cross-sectional study, conducted in a 500-bedded, rural medical college over a 3-month period. A total of 172 attendees accompanying their patients for surgical procedures were enrolled and assessed based on preformed, pretested questionnaire in the pre-anaesthetic clinic. The questionnaire contained 30 questions to determine their knowledge and attitude towards anaesthesia and anaesthesia provider. Results: Out    of total 172 participants, 43.02% % recognized anaesthesiologist as specially trained doctors. Eighty two (47.67%) of the attendees knew that anesthesia is administered by an anesthesiologist but 71.5% were not aware of their role in providing peri-operative care. The attendees apprised of anesthesiologists role in labour analgesia, chronic pain management, intensive care units and emergency resuscitation was Sixty seven (39%), forty nine (28.49%), forty five (26.7%) and twenty six (15.1%) out of 172 respectively. Majority of the attendees (93.6%) were receptive to know more about anaesthesia. Conclusion: The awareness regarding role of anaesthesiologist in general public is still low and the perception of people about anaesthesia as an evolved specialty is lacking. This calls for corrective measures to be taken by the anaesthesiology fraternity for propagation of anesthesiology skills via social media and other government aided platforms.

Suicidal Death Autopsy Analysis at Dhaka Medical College

1970 ◽  
Vol 40 (1) ◽  
pp. 18-21 ◽  
Author(s):  
MN Hossain ◽  
Z Rahman ◽  
S Akhter
Keyword(s):  
Forensic Medicine ◽  
Causes Of Death ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Autopsy Report ◽  
Common Causes ◽  
Suicidal Death

A cross sectional study was carried out at the department of Forensic Medicine in Dhaka Medical College during the period of January 2008 to December 2009. Data were collected from 3rd copy of the post mortem reports which were preserved in the department of Forensic Medicine with the verbal consent of the doctors who performed autopsy report. During this period total 5114 autopsies were conducted. Out of this 970 cases (19%) were suicidal in nature. It was noticed that all suicidal deaths occurred from 10 years to all age group respectively, but top amongst age group of suicidal deaths occurred in between 21 to 30 years of people. Suicidal deaths are more common in female than male. Suicidal deaths due to hanging is highest, next common causes of death due to organophosphorus compund poisoning. Suicidal deaths by hanging is more in female than male but in poisoning cases male are more lvictimised than female. Objectives of our study are to see the occurrence and methods of suicidal death. DOI: http://dx.doi.org/10.3329/bmj.v40i1.9957 BMJ 2011; 40(1): 18-21

Role of Sildenafil in the Treatment of Persistent Pulmonary Hypertension of Newborn (PPHN) - Should it Be Withdrawn from Market of Bangladesh due to Threat of being Misuses

2020 ◽  
Vol 35 (2) ◽  
pp. 100-104
Author(s):  
Maksudur Rahman ◽  
Mohammad Abdullah Al Mamun ◽  
MAK Azad Chowdhury ◽  
Abu Sayeed Munsi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cardiac Intensive Care Unit ◽  
Cross Sectional ◽  
Cardiac Intensive Care ◽  
Hospital Protocol

Background: Recently it has been apprehended that sildenafil, a drug which has been successfully using in the treatment of PPHN and erectile dysfunction in adult, is going to be withdrawn from the market of Bangladesh due to threat of its misuses. Objective: The aim of this study was to see the extent of uses of sildenafil in the treatment of PPHN and importance of availability of this drugs in the market inspite of its probable misuses. Methods: This cross sectional study was conducted in neonatal intensive care unit (NICU), special baby care unit (SCABU) and cardiac intensive care unit (CICU) of Dhaka Shishu (Children) Hospital from June, 2017 to May 2018. Neonates with PPHN were enrolled in the study. All cases were treated with oral sildenefil for PPHN along with others management according to hospital protocol. Data along with other parameters were collected and analyzed. Results: Total 320 patients with suspected PPHN were admitted during the study period. Among them 92 (29%) cases had PPHN. Male were 49(53 %) cases and female were 43(47%) cases. Mean age at hospital admission was 29.7±13.4 hours. Based on echocardiography,13(14%) cases had mild, 38 (41%) cases moderate and 41(45%) cases severe PPHN. Mean duration of sildenafil therapy was 11.9±7.1 days. Improved from PPHN were 83 (90%) cases. Mortality was 10% (9). Conclusion: In this study it was found that the incidence of PPHN is 29% among the suspected newborns. Sildenafil is successfull in improving the oxygenation of PPHN and to decrease the mortality of neonates. DS (Child) H J 2019; 35(2) : 100-104

Role of Fibrinolytic Therapy in Empyema Thoracis – A Hospital Based one year Cross Sectional Study

2012 ◽  
Vol 2 (2) ◽  
pp. 345-350
Author(s):  
Dr. Girish.L Dandagi ◽  
◽  
Venkat kalyana kumar. P ◽  
Dr. Dr.Isaac Mathew ◽  
Dr. Dr.G S Gaude Dr. Dr.G S Gaude
Keyword(s):  
Cross Sectional Study ◽  
Fibrinolytic Therapy ◽  
Empyema Thoracis ◽  
Sectional Study ◽  
Cross Sectional ◽  
One Year

Comparison of Heffner Criteria and Light Criteria in Differentiating Exudative and Transudative Pleural Effusion

2020 ◽  
Vol 22 (3) ◽  
pp. 141-145
Author(s):  
Krishna Chandra Devkota ◽  
S Hamal ◽  
PP Panta
Keyword(s):  
Pleural Effusion ◽  
Cross Sectional Study ◽  
Pleural Space ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Medical College ◽  
The Common ◽  
The Mean ◽  
Exudative Pleural Effusion

Pleural effusion is present when there is >15ml of fluid is accumulated in the pleural space. It can be divided into two types; exudative and transudative pleural effusion. Tuberculosis and parapneumonic effusion are the common cause of exudative pleural effusion whereas heart failure accounts for most of the cases of transudative pleural effusion. This study was a hospital based cross sectional study performed at Nepal Medical College during the period of January 2016-December 2016. A total of 50 patients who fulfilled the inclusion criteria were enrolled. Pleural effusion was confirmed by clinical examination and radiology. After confirmation of pleural effusion, pleural fluid was aspirated and was analysed for protein, LDH, cholesterol. The Heffner criteria was compared with Light criteria to classify exudative or transudative pleural effusion. Among 50 patients, 30 were male and 20 were female. The mean age of patient was 45.4±21.85 years. The sensitivity and specificity of using Light criteria to detect the two type of pleural effusion was 100% and 90.9%, whereas using Heffner criteria was 94.87%, 100% respectively(P<0.01). There are variety of causes for development of pleural effusion and no one criteria is definite to differentiate between exudative or transudative effusion. In this study Light criteria was more sensitive whereas Heffner criteria was more specific to classify exudative pleural effusion. Hence a combination of criteria might be useful in case where there is difficulty to identify the cause of pleural effusion.

scholarly journals Factors associated with emotional exhaustion in healthcare professionals involved in the COVID-19 pandemic: an application of the job demands-resources model

2021 ◽  
Author(s):  
Serena Barello ◽  
Rosario Caruso ◽  
Lorenzo Palamenghi ◽  
Tiziana Nania ◽  
Federica Dellafiore ◽  
...  
Keyword(s):  
Emotional Exhaustion ◽  
Patient Engagement ◽  
Healthcare Professionals ◽  
Job Demands ◽  
Cross Sectional Study ◽  
Personal Resources ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact

Abstract Purpose The purpose of the present cross-sectional study is to investigate the role of perceived COVID-19-related organizational demands and threats in predicting emotional exhaustion, and the role of organizational support in reducing the negative influence of perceived COVID-19 work-related stressors on burnout. Moreover, the present study aims to add to the understanding of the role of personal resources in the Job Demands-Resources model (JD-R) by examining whether personal resources—such as the professionals’ orientation towards patient engagement—may also strengthen the impact of job resources and mitigate the impact of job demands. Methods This cross-sectional study involved 532 healthcare professionals working during the COVID-19 pandemic in Italy. It adopted the Job-Demands-Resource Model to study the determinants of professional’s burnout. An integrative model describing how increasing job demands experienced by this specific population are related to burnout and in particular to emotional exhaustion symptoms was developed. Results The results of the logistic regression models provided strong support for the proposed model, as both Job Demands and Resources are significant predictors (OR = 2.359 and 0.563 respectively, with p < 0.001). Moreover, healthcare professionals’ orientation towards patient engagement appears as a significant moderator of this relationship, as it reduces Demands’ effect (OR = 1.188) and increases Resources’ effect (OR = 0.501). Conclusions These findings integrate previous findings on the JD-R Model and suggest the relevance of personal resources and of relational factors in affecting professionals’ experience of burnout.

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