Background: In spite of the vaccination available for COVID-19, the importance of non-pharmacological interventions (NPls) methods became very significant in control and prevention of COVID-19 infection. Since the government of India issued phase-wise nationwide unlock, a drastic change in growth rate of the cases was observed. This study was conducted to ascertain the practice and attitude towards the use of face mask, social distancing and safe measures by people in public with their understanding to have informeds insight regarding the growth of COVID-19. Methods: This observational qualitative study was carried out at public places in Pilkhuwa, Hapur, UP, India from 31st March 2020 to 1st April 2021. A total of 300 people were observed. Data were collected from different public (crowded) areas. Collected data were segregated into the segment based on research question and analyzed using qualitative content analysis. People were not engaged in designing the study, research questions, setting understanding or evaluating results, or research reporting. Results: People have a different attitude towards the use of face mask, social distancing, safe measure and different knowledge or understanding regarding COVID-19 and prevention. Conclusion: The confusion is due to information pollution, new unfamiliar practices, serious disease (high mortality), attack on freedom and diversion of the real issue in understanding the ongoing health crisis and disobedient attitude towards the preventive measures.
The coronavirus disease (COVID-19) sparked from Wuhan city of China and rapidly developed into a pandemic. The critically ill patients of COVID-19 exhibit features of hyper inflammation, and the particular blood tests may be rewarding for prognosis. Our aim was to investigate the CBC, which includes total leukocyte, lymphocytes and granulocytes count, Hemoglobin, MCV, MCH, MCHC, RBCs and Platelet count, NLR etc. The current study was conducted to conclude the alteration in blood parameters and their association with the severity and mortality of COVID-19 patients. Methods: An observational cross-sectional study was conducted retrospectively, a total of 100 COVID-19 positive patients were examined: 50 were mild, 25 were moderate, 10 were severe, and 15 were critically diseased patients. Unfortunately, we recorded 6 deaths among the critical group. The overall mean age observed in our study was 48.94 years, where the mean age for critical individuals was 62.12 ± 14.35 years. Results: A significant association between the disease severity and elevation in blood parameters were observed. The total WBC's and Neutrophils count were significantly decreased (p value<0.001). The lymphocyte count was increased in critical patients (1.40 × 109 /L) compared to mild patients (1.92 × 109 /L) (p = 0.28).
Conclusion:These blood parameters could be used as a suitable biomarker for the prognosis and severity of COVID-19. Evaluating novel hemograms, NLR can aid clinicians to identify potentially severe cases at early stages, initiate effective management in time, and conduct early triage which may reduce the overall mortality of COVID-19 patients.
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