Countermeasures for Healthcare Disruptions During Lockdowns

Many countries did not have alternative healthcare arrangements during their initial COVID-19 lockdowns. This is surprising as partial and full lockdowns have been previously used to manage terrorism and the SARS outbreak of 2002-2003. This paper examines how lockdowns disrupt normal healthcare services and discusses countermeasures that can be used during lockdowns regardless of the emergency that engendered them. Solutions are discussed pragmatically with front-line clinicians, healthcare managers, and policymakers in mind. Mental health services are used as a case in point with generalizable lessons for other healthcare specialties.

THE ROLE OF DIGOXIN IN THE SUCCESSFUL TERMINATION OF A RESISTANT MATERNAL ATYPICAL AV NODAL REENTRY TACHYCARDIA

Here, we describe the case of a patient during her gestational period with resistant tachycardia that failed front line treatment options and was treated using an older agent.

Experiences of nursing professionals involved in the care of COVID-19 patients

The outbreak of SARS-COV-2 has become an opportunity for nursing professionals of North Eastern states of India to experience handling patients during pandemics with limited resources. To explore the experiences of nursing staff in the care of COVID-19 patients. Descriptive phenomenological design was adopted to describe the experiences of nursing professionals involved in the care of COVID-19 patients in selected hospitals/COVID centers of Assam, India. The experiences of nurses caring for COVID-19 patients were summarized into 4 themes and various sub-themes. The themes include: Perspectives about COVID-19 duty, Experience on PPE kit, Conflicts & disagreements and Swab test & the final stage of isolation. Nurses reported changing patterns of nursing care, anxiety regarding COVID-19 duty, professional growth amidst risks and pressure. The nurses had to work under certain conflicts and disagreements in relation to patient care, their personal and career related decisions and interprofessional role distribution. At the final stage of isolation, most nurses were prepared to handle the situation even if they test COVID-19 positive. During this COVID-19 outbreak, positive and negative emotions of the front-line nurses interweaved and coexisted. The experience was new and challenging, the nurses had contributed in the management of COVID-19.

Impact of Front Line Demonstrations on Mustard Crop in Sirsa District of Haryana

Krishi Vigyan Kendra conducts cluster demonstrations every year as per target assignedby ICAR. The study evaluates impact of 300 demonstrations on mustard crop in 120hectare area conducted by KVK Sirsa since 2015-16 to 2017-18 in different villages of thedistrict. The extension gaps in technologies were identified through farmers meetings andgroup discussions with the farmers. The findings indicated significant increase in the averageyield of demonstrated plot (15.13%) over the farmer’s practice plot of mustard crop. Averageyield of demonstration plots was recorded higher by 18.18 per cent, 14.09 per cent and13.13 per cent in years 2015-16, 2016-17 and 2017-18, respectively. The extension gapwas 4.0 q/ha, 3.10 q/ha and 2.89 q/ha while technology gap was 2.0 q/ha, 2.90 q/ha and2.11 q/ha during consecutive years respectively. During these three years, yield increase indemonstration plots expressed as additional income over check plots accounted for Rs.7670/ha, Rs. 12350/ha and Rs. 11590/ha respectively during various years.

Antibiotic stewardship for nurses: Using e-learning modules to bridge the education gap

Objective: The Centers for Disease Control and Prevention has called for an interdisciplinary approach to antibiotic stewardship implementation that includes front-line nurses. The literature to date has identified key factors preventing uptake by nurses: lack of education, poor communication among providers, and unit culture. Three e-learning modules were developed to address the nurses’ education regarding the roles nurses play in antibiotic stewardship, antibiotic resistance, allergy assessment, medication side effects and interactions, pharmacokinetics–pharmacodynamics, culture interpretation, specimen collection, and the antibiogram. A survey was used to assess whether nurses felt more prepared to participate after finishing the modules. Setting: Front-line staff nurses in acute care were assigned e-learning modules as part of their pharmacy’s introduction of an antibiotic stewardship program for nurses. Methods: Nurses viewed the modules and completed a survey designed to rank their usefulness and to assess their attitudes. Results: Overall, 81% of nurses felt that they should be part of the antibiotic stewardship team. After completing the modules, 72% felt more empowered to participate in stewardship discussions and an additional 23% requested more education. Also, 97% felt that the information they learned could be utilized in everyday work regardless of the new program. The most cited barriers to stewardship activities were lack of education (45%) and hospital and/or unit culture (13%). Conclusion: Education and culture need to be addressed to overcome the barriers to nurses’ involvement in antimicrobial stewardship. E-learning can provide a simple and effective first step to educate nurses, with minimal time investment.

​Impact of Cluster Front Line Demonstrations on Productivity and Economics of Lentil (Lens culinaris L.), Chickpea (Cicer aeritinum L.) and Field Pea (Pisum sativum L.) in Old Alluvial Zone of Malda, West Bengal, India

Background: There are significant gaps in yields of pulses among potential, demonstration and farmers’ plots in West Bengal. This is mostly due to adoption of traditional local varieties and poor cultivation practices. Methods: The yield, technology and extension gaps were studied on improved varieties of lentil, chickpea and field pea during rabi seasons of 2017/18-2020/21 in 80 hectare area of Malda, West Bengal with 205 farmers. Result: The highest and lowest magnitude of technology index (TI) was observed in field pea var. IPFD-10-12 (44.5%) during 2018/19 and in lentil var. KL-320 (30.1%) during 2020/21. Among lentil varieties, the highest benefit cost ratio was obtained from KL-320 (2.87) whereas in case of chickpea, it was obtained from NBEG-49 (2.90). For field pea var. IPFD-10-12 the benefit cost ratio was 2.70. Maximum and minimum extension yield gaps were observed in field pea var. IPFD-10-12 (451 kg ha-1) during 2018/19 and in lentil var. IPL-406 (145 kg ha-1) during 2018/19. Overall assessment reflects lentil var. KL-320, chickpea variety NBEG-49 and field pea variety IPFD-10-12 have good potentiality and most suitable for this region. So, it is hypothesized that improved farm technology has enormous potential to scale up pulse productivity through cluster front line demonstration (CFLD).

Appraisal of Cluster Front Line Demonstration on Rapeseed and Mustard in Biharand Jharkhand

Performance of ten varieties of rapeseed and mustard were assessed through cluster frontline demonstration (CFLD) under different agro-climatic condition of Bihar and Jharkhandcontinuously for four years (2017-18 to 2020-21) by the KVKs of Bihar and Jharkhand.Among the agro-climatic zones of Bihar, highest yield was recorded in the demonstratedplot from zone III (B) i.e. South-West alluvial plain in case of variety RH 0749 (15.29 q/ha) and in Jharkhand state from zone I (Central and North astern plateau) with varietyNRCHB 101 (13.31 q/ha). Lowest technology index was observed for variety RajendraSufalam in all the zone (-4.96, 5.53, 7.18 and 22.92 % in zone I, III (B), III (A) & II) ofBihar and NRCHB 101 (23.15% in zone I) in Jharkhand. The range of extension gapwas1.38 to 4.37 and 1.13 to 4.86 q/ha under the agro-climatic zone of Bihar and Jharkhand,respectively. Pooled data shows that in Bihar, maximum net return (Rs. 46986 /ha) wasobtained in variety Rajendra Sufalam in agro-climatic zone III A of Bihar with benefit costratio 3.85:1 whereas under agro-climatic condition of Jharkhand maximum net return (Rs.39598 /ha) was recoded from variety NRCHB 101 with benefit cost ratio 2.80:1