Ever since the COVID-19 has emerged the number of affected individuals has been increasing exponentially. The frontline health workers are in constant risk due to the etiology and mode of transmission of the disease. Thus, the proper use of personal protective equipment (PPE) is very crucial during this pandemic. This study is to assess the knowledge regarding the handling of personal protective equipment among frontline allied health professionals who are directly in contact with COVID-19 patients. A standard questionnaire was prepared in Google forms and circulated within the network of healthcare workers via online platforms. A total of 143 frontline health workers participated in the questionnaire Survey. It was found that only 44.1% of the total participants had previously undergone training regarding the handling of PPE. About 86.0% of participants gave correct response to the safety etiquette questions. For another knowledge-based question about using the N95 respirator in conjunction with a Face shield, 86.7% of participants responded correctly. Only 67.8% of participants gave the right response to the question regarding the sequence of donning and doffing of PPE. The last question was regarding knowledge about the disposal of PPE, where 95.8% of PPE responded correctly. Despite the safety precautions and procedures set forth by the Centers for Disease Control and Prevention (CDC) for handling COVID-19 patients, the healthcare workers are still prone to occupational hazards. The only barrier standing between the healthcare workers and COVID-19 is the personal protective equipment. Thus, in-depth training and education should be imparted upon the healthcare workers in the present pandemic situation.
Objectives: The objective of the study was to evaluate the prevalence of pathological conditions and anatomical variations occurring within paranasal sinus among the patients undergoing computed tomography (CT) scan and magnetic resonance imaging (MRI) scan in Gurugram district.
Methods: A prospective study was conducted among 20 patients in each modality, the patient undergoing the CT of paranasal sinus and patients undergoing routine MRI brain study. The clinical findings from CT and MRI were taken as primary data and later on compiled together under different variables to assess the occurrence of paranasal sinus disease and anatomical variations within.
Results: The present study revealed that the most common pathology was mucosal thickening followed by polyp and the occurrence of air-fluid level; maxillary sinus being commonly affected. In patients undergoing CT, the most common anatomical variation was deviated nasal septum, that is, 16 out of 20 patients followed by the bone spur formation. In the patients undergoing routine MRI brain, most of the patient had mucosal thickening <5 mm. In the lining of maxillary sinus, moderate hyperintensity was reported.
Conclusion: Based on the study, it is concluded that mucosal thickening is most commonly evident pathology with maximum occurrence seen in the maxillary sinus. The co-occurrence of more than 1 anatomical variation and involvement of multiple paranasal sinuses were seen positive. MRI was found more sensitive in assessing the early changes in sinus mucosal abnormalities.
Introduction: The aim of this study was to assess the level of perceived stress and identify coping strategies associated with it in postgraduate doctors. We also wanted to assess association among various socio-demographic variables, stream of post-graduation, level of stress and type of coping.Material And Method: This was a cross sectional assessment by online survey on convenient samples of 99 post graduate doctors (completed MD degree in both clinical and non-clinical stream) working in various medical colleges in two countries i.e. India and Nepal. The main scales used were Perceived Stress Scale (PSS) and Brief COPE.Results: The sample of Indian doctors (ID) in our study perceived significantly higher stress (18.18±5.87) than the sample of Nepalese doctors (ND) (14.4±6.68). Coping strategies in the sample of ID tend to become more of ‘avoidance’ type when stress level increased to moderate-severe stress unlike ND {1.802(p0.075)}. The result of correlation analysis was in alignment with the above findings.Conclusion: There is significant stress among post graduate doctors in any stream. There are several faulty coping types that have potential to hamper the decision-making capacity of a doctor. These issues need to be addressed in order to increase the efficiency of doctors either in clinical or in non-clinical specialties. Thus, we can save the saviors from the ill-effects of stress and make them function effectively and improve their quality of life. J Psychiatrists’ Association of Nepal Vol. 6, No. 2, 2017, Page: 8-14
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