scholarly journals COVID-19 Pandemic: Response by Department of Community Medicine in a Medical College of Mumbai, India

Healthline ◽  
2021 ◽  
Vol 12 (3) ◽  
pp. 101-105
Author(s):  
Gajanan Velhal ◽  
Anuradha Kunal Shah ◽  
Chinnu Varughese

The role of community medicine in epidemiology and disease outbreaks is significant. Covid-19 pandemic was an opportunity to realize this potential.Here we present the role of Community Medicine department of a Medical College in Mumbai, which was a global hotspot for Covid -19. The responses were initiated in the first week of February, prior to the detection of the first case in the city. With the progression of the pandemic, the roles have changed and adapted accordingly. The activity of Community Medicine department is unique to this specialty and has provided a lifetime experience for its residents andfaculty.Our purpose here is to project the roles depicted in this model so that some of them can be followed by community medicine departments of other colleges and continued post-pandemic too.

Author(s):  
Siva Kumar Lotheti ◽  
Goutham Kankanam ◽  
Kuppli Sai Sushma ◽  
Orisi Samhitha ◽  
B. Devi Madhavi

Background: More than 1/3rd of older adults fall each year and 10-20% of falls cause serious injuries. Vast majority of these falls (>99.9%) are unintentional. This research is focused to identify prevalence of the risk of fall among elderly and  associated factors were assessed in the present study. We are going assess the risk of falls and associated factors among elderly.Methods: A cross-sectional study conducted in urban field practice area of Community Medicine Department, Andhra Medical College among people of age >60 years during November 2017. A sample size of 100 is obtained by taking prevalence of falls among elderly on the last 6 months as 36.8% and absolute precision is 10%. A structured interview schedule has been adopted for the study which was developed by Peninsula Health Falls Prevention Services.Results: Mean age is 69±7 years. 65% are females. 20% have medium to high risk of fall. 17% have severely impaired cognitive status. 19% have history of fall one or more times in last 3–12 months.Conclusions: 20% risk of fall may not be neglected as fall in elderly can lead to disability. It is recommended to health care providers to assess the risk of fall among elderly patients seeking their services using fall risk assessment tool (FRAT) and advice accordingly.


Author(s):  
Mohammad Rafiqul Islam ◽  
Khondaker Abul Bashar ◽  
Shariful Matin ◽  
Tahmid Tanveer ◽  
Atiqur Rahman ◽  
...  

Introduction: On 11th March, 2020 COVID19 was declared as a pandemic and it currently involves 210 countries worldwide. Bangladesh declared its first case on 8th March 2020. Currently, the highest case detection of COVID is in the Dhaka district. Due to a lack of quality PPE (personal protection equipment) and proper knowledge of donning, doffing and transmission dynamics of COVID 19 thought to be high infection rate among physicians. Material and Methods: A pretested questionnaire was set and distributed among COVID 19 infected physicians working at Shaheed Suhrawardy Medical College Hospital through internet to know about the clinical and epidemiological characteristics. Results: 65.3% of the respondents were male and had a mean age were 35.7 years. Among all the respondents, the highest number of physicians involved were from medicine department (26.9%). Lethargy, body ache and fever were observed in 57.69%, 50% and 30.7% patients respectively. Among 52 infected physicians, first time RT-PCR for COVID 19 yield 78.8% positive results. Prophylactic dose of hydroxychloroquine taken by 15.3% patients before being infected with COVID19. Conclusion: Health care workers are getting infected in a alarming number but fortunately at Shaheed Suhrawardy Medical college all the cases were in mild form. J Bangladesh Coll Phys Surg 2020; 38(0): 56-60


2021 ◽  
Vol 1 (1) ◽  
pp. 120-141
Author(s):  
Biyan Ghebreyesus Okubaghergis

Abstract The covid-19 pandemic has caused the worst socio-economic disruption since World War ii. From the integral state perspective, this article explores the Eritrean government’s pandemic response and the ramifications for its people. The study seeks to understand the measures taken by the government to contain the virus and their immediate impact on the residents of the city of Keren, using individual stories, in-depth interviews, participant observations, media sources, and archival resources gathered from local and national resource centres in Eritrea between March and July 2020. According to the findings, the state’s main measures were restricting large gathering, maintaining complete or partial lockdowns, quarantining persons who might be infected, closing non-essential shops and stores, setting up hotline services, and running massive media campaigns. However, these measures hurt the livelihoods of the majority of residents, leaving many households without any way to earn a living.


2021 ◽  
Vol 71 (4) ◽  
pp. 1308-10
Author(s):  
Musarat Ramzan ◽  
Khola Waheed Khan ◽  
Saana Bibi ◽  
Shezadi Sabah Imran

Objective: To perform post analysis of multiple-choice questions given in the 2nd term and send up examinations of the years 2016 to 2018, to establish relationship between difficulty (DF) and discrimination indices (DI) and to find out significant mean difference between the two. Study Design: Cross sectional study. Place and Duration of Study: Community Medicine Department, Wah Medical College, Wah, from Nov 2018 to Mar 2019. Methodology: A total of 390 Multiple-Choice Question of second term and send-up were taken for the study from the year 2016, 2017 and 2018. The response sheets were assessed by Optical Machine Reader (OMR) and the level of difficulty, power of discrimination and reliability were obtained. The data was entered in SPSS version 22. Results: A total of 315 test items were included. Results of the study showed that the reliability (KR20) for all the examined items was in the acceptable range i.e. ≥0.7 and there was no association was found between difficulty index and year p=0.310. The mean difficulty index was found to be 0.48 ± 0.22 and discrimination index as 0.24 ± 0.14. Conclusion: The analysis of 390 test items showed that most of the questions were acceptable in terms of difficulty and discrimination. There is still a need to modify and improve the testing ability of the MCQs with negative discrimination and higher difficulty index.


2020 ◽  
Vol 17 (2) ◽  
pp. 173-185
Author(s):  
Faisal Arif ◽  
Anwar Sanusi ◽  
Didin Nurul Rosidin ◽  
Aditia Muara Padiatra

In the Hindu-Buddhist period until the VOC, the role of the river was very important, because the river was the main highway that was easy and needed by the people of Cirebon as a means of transportation to connect the coastal area (Port) with the interior (hinterland). But during the Dutch East Indies, the existence of rivers in the city of Cirebon has been changed. As the underlying factors, the change in the existence of a river is: firstly, Along with the time and technology development also the increasing of goods and services needs that continue to the needs of exploitation of colony, as well as for make efficient the distribution of goods and services, which then continues to the Government of the Indies-Netherland make the change from river transportation modes to many modes of land transportation development like highways and trains, secondly, unhealthy river ecological conditions also influence, so many people are often affected by disease outbreaks due to unhealthy river conditions and when the rainy season comes, the river overflows and floods people's homes (flooding). These factors are the background of the Indies-Netherland government to make a change to the existence of rivers in the city of Cirebon, such as dredging the Old River "Kali Bacin", normalizing Sukalila River, normalizing Sipadu River and making drainage (culverts).


Author(s):  
Anjali Handa ◽  
Sunita Bundas ◽  
Ashok Pal

Background: The transfusion of convalescent blood products is an age old therapy in emerging infectious disease outbreaks. Convalescent plasma works on the principle of passive immunotherapy and Viral Neutralization. In the Current pandemic of corona virus disease (COVID-19), convalescent plasma transfusions can have therapeutic role as there is no specific preventative and therapeutic options. This study was done to see the challenges faced by blood transfusion services for recruitment of plasma donors.Methods: The retrospective study included challenges faced by blood transfusion services in recruiting Donors for convalescent plasma for COVID-19 and strategies followed for improving the donation at SMS Medical College and Hospital from April 2020 to October 2020.Results: This study evaluated challenges faced to recruit the recently recovered COVID-19 patients as donors, Setting up of plasmapheresis capacity, Role of social media in recruitment of Convalescent plasma donors, Financial aspects associated with Convalescent plasma donation, Role of NGOs in recruitment of donors and Success achieved in organization of donor mobilization and plasma collection.Conclusions: Recruitment of Convalescent Plasma donor from COVID-19 recovered patients is a big challenge for blood transfusion services. Different strategies to motivate donors should be implemented such as personnel communication, advertisement via classical mass media like radio, poster, newspaper and online media. 


Author(s):  
Dr. Manisha ◽  
Dr. Ruchi Jindal

Background: The term "ovarian cancer" includes several different types of cancer that  arise from cells of the ovary, most commonly, tumors arise from the epithelium or lining cells of the ovary.  Ovarian cancer risk is positively associated with higher consumption of dietary cholesterol and eggs, and inversely associated with a higher intake of vegetables. High consumption of fats may increase circulating estrogen levels, thus increasing the possibility of cell damage and proliferation that is responsible for cancerous growth. Material & Methods: The present study was conducted at Geetanjali Medical College and Hospital, Udaipur (Rajasthan). Total  100 cases (females) attending the obstetrics and gynecology department for some gynecological and other problem  were selected for this study between the age of 40-60 years, who were attending cancer centre at GEETANJALI MEDICAL COLLEGE AND  HOSPITAL, Udaipur (Rajasthan).                GROUP I: - It consisted of healthy females control subjects (n=50) .By routine examination and tests, we ensured that all the subjects were healthy and there were no signs and symptoms or history of ovarian tumor and diseases GROUP II: - It consisted of ovarian cancer females subjects (n=50) with a history of ovarian tumor. Results:   Higher level of cholesterol, LDL, VLDL and low level of HDL are found in ovarian cancer patients. Conclusion: The present study we highlights the importance and role of serum lipid profile in diagnosis, prognosis and recurrence of the disease. The study shows that serum level of cholesterol, LDL, VLDL was elevated in  patients of ovarian cancer while low level of HDL are found in ovarian cancer patients. Key words: lipid profile, ovarian cancer.


2020 ◽  
Vol 4 (2) ◽  
pp. 85-91
Author(s):  
Elena E. Rinchinova ◽  
Diyara A. Takumova ◽  
Irina I. Bochkareva

The article discusses main issues of organizing activities for the treatment of stray and street animals in the city of Novosibirsk. The important role of successful solving the problem of stray animals in ensuring environmental comfort and safety of the urban population is noted. Definitions of the concepts “stray animals” and “street animals” are given, the differences between them are emphasized. The main regulatory and legal documents governing the handling of stray and street animals are listed. The ways in which domestic animals get into a stray state are described briefly. The results of the collection and analysis of information on the activities of shelters for stray animals in Novosibirsk are described. The information on the quantitative indicators of the shelters are given. Conclusions on how to solve the problem of stray animals, relying on the latest regulations are drawn.


Author(s):  
Michael Koortbojian

The ancient Romans famously distinguished between civic life in Rome and military matters outside the city—a division marked by the pomerium, an abstract religious and legal boundary that was central to the myth of the city's foundation. This book explores, by means of images and texts, how the Romans used social practices and public monuments to assert their capital's distinction from its growing empire, to delimit the proper realms of religion and law from those of war and conquest, and to establish and disseminate so many fundamental Roman institutions across three centuries of imperial rule. The book probes such topics as the appearance in the city of Romans in armor, whether in representation or in life, the role of religious rites on the battlefield, and the military image of Constantine on the arch built in his name. Throughout, the book reveals how, in these instances and others, the ancient ideology of crossing the pomerium reflects the efforts of Romans not only to live up to the ideals they had inherited, but also to reconceive their past and to validate contemporary practices during a time when Rome enjoyed growing dominance in the Mediterranean world. The book explores a problem faced by generations of Romans—how to leave and return to hallowed city ground in the course of building an empire.


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