scholarly journals PSYCHOLOGICAL IMPACT OF COVID ON HEALTH CARE WORKER DUE TO COVID 19 PANDEMIC IN A TERTIARY CARE HOSPITAL : A CROSS SECTIONAL STUDY

2021 ◽  
Vol 9 (12) ◽  
pp. 435-442
Author(s):  
Anjana Kumari ◽  
◽  
Manish Kumar ◽  
Arati Shivhare ◽  
Vikash Chandra Mishra ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Cross Sectional Study ◽  
Administrative Staff ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Crisis ◽  
Significant Difference ◽  
Care Worker

Background: Corona virus disease 2019 (COVID-19) pandemic caused health crisis. It is important to assess the status of stress, depression and anxiety among medical health care worker (HCWs). Material and Methods: A cross sectional study based on online questionnaire wherein sample size was 160, and HAMD, HAMA and PSS questionnaire was applied and also a self made questionnaire was applied to assess the strategies to cope with covid stress, it consists of 3 items. Data analysed using SPSS software variables compared by using Chi-square/Fishers exact test. Students t-test was used to compare mean values in the two independent groups, and one-way ANOVA was used for more than two groups. The variables with P < 0.05 were considered as statistically significant. Result: A total of 160 sample included, in which 94 (58.1%) were medical staff and 66 (41.25%) were administrative staff. Significant difference was noted in sex(p= 0.004), educational status(p= 0.000), monthly income(p= 0.000), high risk exposure(p= 0.000) and contact with COVID positive suspect or case(p=0.000).There were significant difference noted in depression, anxiety and stress scale as compared to the administrative staff group (p = 0.004, p= 0.004 and p= 0.007) respectively. Conclusions: During this COVID-19 pandemic, HCWs reported a high prevalence of depression, anxiety and stress than the administrative staff.

scholarly journals Superior versus Inferior Conjunctival Limbal Autograft with Sutures in the Management of Primary Pterygium in a Tertiary Care Hospital in Dakshina Kannada - A Cross Sectional Study

2021 ◽  
Vol 8 (11) ◽  
pp. 603-607
Author(s):  
Madhuri Upadhyaya ◽  
Sheetal Savur
Keyword(s):  
Cross Sectional Study ◽  
Bulbar Conjunctiva ◽  
Care Hospital ◽  
Sectional Study ◽  
Surgical Time ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Mean ◽  
Pterygium Excision ◽  
Primary Pterygium

BACKGROUND Pterygium excision with conjunctival limbal autograft (CAU) is one of the most frequently used modalities in the treatment of pterygium. The graft has traditionally been harvested from the superior bulbar conjunctiva, but this may not be possible in all patients. The purpose of this study was to compare the intraoperative difficulties and early postoperative outcomes between superior and inferior CAU in the management of primary pterygium. METHODS This hospital based cross sectional study evaluated 58 eyes of 50 patients with primary pterygium who underwent pterygium excision with conjunctival limbal autograft secured with the help of sutures over a period of 2 years from March 2018 to March 2020. In 28 eyes, the superior bulbar conjunctiva was used for grafting whereas in 30 eyes, the inferior conjunctiva was used for the same. The outcome measured was in terms of the mean surgical time, clinical symptoms and signs in the early postoperative period and recurrence rate. RESULTS The mean age of the patients was 44.14 ± 12.71 years in the superior CAU group and 45.76 ± 14.51 years in the inferior CAU group. There was no statistically significant difference between the two groups in terms of the mean surgical time (68.39 ± 31.51 in superior group, 2.60 ± 0.79 in inferior group; P value 0.712). The duration of follow-up after surgery was significantly more (P = 0.048) in the inferior CAU group (42.60 ± 11.71 days) as compared to the superior CAU group (37.39 ± 7.52 days). Postoperative symptoms were comparable, and no recurrence was observed in either of the two groups. CONCLUSIONS Pterygium excision with inferior conjunctival limbal autograft is safe and effective in the management of primary pterygia and may be considered as an alternative to superior graft in cases where harvesting the superior conjunctiva is not possible or not advisable. KEYWORDS Primary Pterygium, Conjunctival Limbal Autograft, Inferior Graft

scholarly journals Knowledge, attitude and practices of lactating mothers towards breastfeeding in a tertiary care hospital Nagpur: a cross sectional study

2020 ◽  
Vol 7 (5) ◽  
pp. 1941
Author(s):  
Sushama S. Thakre ◽  
Subhash B. Thakre ◽  
Priti N. Tiwari ◽  
Hitesh C. Tayade
Keyword(s):  
Health Care ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Care Centre ◽  
Sectional Study ◽  
Health Care Centre ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Breastfeeding Rate

Background: Breastfeeding is the most important intervention for reducing infant mortality and ensuring normal growth and development of a child. Objective of this study was to assess the knowledge, attitude, and practices toward Breastfeeding among lactating mothers visiting immune-prophylaxis clinic of tertiary health care centre, Nagpur Maharashtra.Methods: A hospital-based cross-sectional study was conducted among 400 mothers at tertiary health care centre, Nagpur in the state of Maharashtra, India. The lactating mothers whose children under the age of 3 years were interviewed.Results: Maximum number of women were in the age group of 26-30 years (46%). Mothers with parity >1 had satisfactory knowledge regarding breastfeeding (p=0.0001). Prevalence of exclusive breastfeeding rate was found to be 86%.Conclusions: Efforts should be strengthened to make mothers aware of health benefits of breastfeeding for themselves and their offspring to improve the overall maternal and child health.

scholarly journals Predictors of low birth weight babies born in tribal tertiary health care setting: a cross sectional study

2018 ◽  
Vol 5 (7) ◽  
pp. 3049
Author(s):  
Thakre S. B. ◽  
Thakre S. S. ◽  
Kaware A. C. ◽  
Adikane H.
Keyword(s):  
Health Care ◽  
Maternal Education ◽  
Care Setting ◽  
Statistical Significance ◽  
Percent Level ◽  
Cross Sectional Study ◽  
Health Care Setting ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference

Background: A baby’s weight at birth is a strong indicator of maternal and newborn health and nutrition. Strategies to reduce prevalence of LBW are important in order to achieve the third Sustainable Development Goals (SDG 3)-reduce child mortality. With this background the present study was undertaken to estimate proportion of LBW babies born at tribal tertiary health care institution and to find out predictors of the LBW among babies.Methods: The present cross sectional study was undertaken at tertiary health care setting. We restricted analyses to singleton live births, and following an initial descriptive summary of the deliveries, logistic regression analysis was conducted to investigate the association of various factors.Results: Our results show proportion of LBW was 17.84% in babies born at tribal tertiary health care setting. There is no significant difference of LBW in different socio-demographics of the mother. However; significant difference was observed in tribal and non-tribal women and women with low literacy lever; wherein significant predictors were related to utilization of antenatal care (ANC), ICDS services, etc. Statistical significance was ascertained based on a p<0.05.Conclusions: In this study; significant predictors were low maternal education, <4 ANC visits, inadequate consumption iron and folic acid, low hemoglobin percent level, and no additional diet at ICDS during current pregnancy. It has also provided basic information pertinent to quality of ANC care and it influence on LBW. Findings of this study are useful for maternal and child health policy makers, practitioners and those who provide health care during pregnancy

scholarly journals Awareness regarding medical ethics in health care practice among the resident doctors in a tertiary care hospital of the sub-Himalayan region: a cross sectional study

2019 ◽  
Vol 6 (2) ◽  
pp. 708
Author(s):  
Anupam Parashar ◽  
Nidhi Chauhan ◽  
Rahul Gupta ◽  
Vineet Kumar
Keyword(s):  
Health Care ◽  
Medical Ethics ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Gandhi Medical College ◽  
Study Participants

Background: Bio-ethics i.e. health care ethics is a set of moral principles, beliefs and values that guide us in making choices about medical care. This novel study was carried out with an objective of assessment of knowledge regarding the medical ethics among the resident doctors of Indira Gandhi Medical College, Shimla Himachal Pradesh.Methods: This descriptive analytical cross-sectional study was conducted at Indira Gandhi Medical College (IGMC), Shimla, Himachal Pradesh among the resident doctors using predesigned, structured, self-administered anonymous close-ended questionnaire. We analyzed the data using Stata software version 12.Results: There were a total of 61 study participants, who consented to participate, of which more than half were females (52.5%). The mean age of the study participants was 28.6±0.63 years. Regarding the source of knowledge about medical ethics most of the study participants had acquired the information during their experience at their workplace (42.6%). A majority of the male participants disagreed that confidentiality while providing the health care services should be abandoned (54.3%). More than 90% of the study participants agreed that incorporation of medical ethics is necessary in undergraduate curriculum.Conclusions: Incorporation of a formal structured teaching on medical ethics in the undergraduate curriculum is the need of the hour. Besides research work, the medical ethics committee in the institution should also act as the guiding hands to address the grievances faced by the doctors during medical practice.

scholarly journals Mental health among COVID-19 survivors and healthcare workers exposed to COVID-19 in Wuhan, China: a cross-sectional study

2020 ◽  
Author(s):  
Bin Chen ◽  
Yan Wang ◽  
Ting Yang ◽  
Cheng Li ◽  
Zhiling Sun
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Psychological Status ◽  
Impact Factors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Crisis ◽  
Significant Difference ◽  
Low Educated

Abstract Then novel coronavirus disease (COVID-19) epidemic was considered to be the worst and complex virus outbreak, which caused 56,985 deaths as of April 22, 2020 already. The epidemic infectious may cause mental health crisis. Meanwhile, little is known about the specific psychological status of the COVID-19 survivors and healthcare workers. This cross-sectional study surveyed the mental health among 20 COVID-19 survivors, 54 nurses, and 24 hygienists in Wuhan, China and analyze the possible impact factors using the Symptom Check List 90 - Revised (SCL90-R) questionnaire. 3 indices and 9 dimensions were compared among job, education level, gender, age, marriage classification. This study found that mental distress among participants was not very serious in general. The survivors presented a highest score, then the hygienists, and the lowest in nurses. Low-educated and women showed significant increase. No significant difference was noted in age and marriage classification. Our study indicated that the survivors need psychological support immediately. Meanwhile, healthcare workers warrant more attention, especially low-educated and women. Comprehensive emergency response plan was warranted.

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