Objectives: The objective of study is to estimate the role of counseling on the diseased patients with asthma and its effects on the medication adherence in relation to their associated side effects on medicines on patients. Methods: The prospective case–control study was carried out at the outpatient department of respiratory department. 190 patients were enrolled for the study of 6 months. Patient counseling and follow-up were done on the basis of knowledge, attitude, and practice (KAP) questionnaire. In 190 subjects, 115 were female and 75 were male and were having the pathological history of cough cold, tuberculosis, hypertension, etc. Results: It was found that counseling causes increase in medication adherence of patients from 28.90% to 71.50% and inhaler adherence from 27.60% to 72.60%. Along with the medication adherence, fewer side effects due to various drugs were encountered such as sore throat, rhinitis, constipation, difficulty in glutition, hand tremor, and weight gain. Conclusion: The study concluded that, patient counseling plays an important role in diseases like asthma, which changes the attitude, increases the knowledge which turns out into the better medication results improving the asthmatic symptoms.
Mucormycosis is also known as “Black Fungus”. It has come into light as mucormycosis as a formidable infection in patients with severe and fatal immunosuppression. Heavy intake of steroids with no vitamin supliments and immune supplementation has led to further deterioration of health of covid-19 recovered patients. Patients are reporting back to the hospital with complains of the black fungus, UTI, recurrent diarrhoea and compromised lungs functioning. According to the doctors, cases of mucormycosis are being seen among Covid patients who were administered steroids to treat the symptoms, particularly among who are suffering from diabetes, cancer and other co-morbidities. The most prominent predisposing factors are immunosuppression followed by neutropenia and haematopoietin, stem cell transplantation, uncontrolled DM, burns, morbidity leads to increased demand of antifungal drugs. Black fungus is manifest in the air pockets located behind the forehead, nose, cheekbones and in between the eyes and teeth. Black fungus is spread to the eyes, lungs and spread even to the brain. Treatment of this fungal infection requires a multi-disciplinary approach consisting of eyes surgeons, ENT specialist, general surgeons, neurosurgeons and dental maxillofacial surgeons, among other, and the institution of the Amphotericin-B as an antifungal medicine. From COVID-19 pandemic, many reports came of the very high incidence of COVID-19 induced mucormycosis in patients with diabetes and who are on steroids during their stay in hospitals.
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