Issue: Vol 11, Issue 2, Apr-Jun, 2021 :

 

Year : 2021 – Volume: 11 Issue: 2

Articles

Review Article

Use of Convalescent Plasma Therapy for COVID-19: A Scientometric Assessment of Global Publications during 2020-21

http://dx.doi.org/10.5530/ijmedph.2021.2.13

BM Gupta, SM Dhawan, KK Mueen Ahmed, Ghouse Modin Mamdapur

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The study evaluates the global research output (820 records) on “Use of Convalescent Plasma Therapy for COVID-19” on metrics with the aim to understand the current status of research at the global, national, institutional, and individual author level. The study is based on publications and citations data sourced from the Scopus database during 2020-21. The publications and citations data was statistically analyzed on various metrics such as document type, country of publication, collaboration patterns, author affiliation, journal name, and citation patterns. The USA, China and India lead the world ranking of 15 most productive countries in the subject. China, U.K. and Netherlands lead in the ranking of most cited countries. In addition, the study maps key productive institutions, key authors, key source journals, as well as most significant keywords in the subject to visually present their inter-relationships using Biblioshiny and VOSviewer software. This results and findings from the study describe the progress made by the world in this hot area of global interest. Key words: Convalescent plasma, Serum therapy, Plasma therapy, COVID-19, Scientometric, Bibliometric.

Page No: 65-75 | Full Text

 

Review Article

Global Research on COVID-19 Disease: A Scientific Assessment of Publications during 2020-21

http://dx.doi.org/10.5530/ijmedph.2021.2.14

BM Gupta, SM Dhawan, KK Mueen Ahmed, Ghouse Modin Mamdapur

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The study aims to evaluate global research output (103054 records) on coronavirus disease (COVID-19) based on quantitative and qualitative indicators. It presents a bibliometric profile of most influential countries, organizations, authors and journals and their collaborative linkages, besides identifying broad subject areas of research, most significant keywords and highly-cited papers related to COVID-19. During 2020-21, more than 150 countries participated in COVID-19 research, of which top 10 countries accounted for a 82.93% global share. The USA, China and U.K. produced the most articles (25.86%, 10.77% and 10.7% respectively). The top three organizations, namely Harvard Medical School, USA, Huazhong University of S&T, China and Tongji Medical College, China contributed 1755, 1344 and 1267 papers, respectively. The most cited organizations in COVID-19 research are: Peking Union Medical College, China (97.41 CPP), University of Hong Kong (82.17 CPP) and Renmin Hospital of Wuhan University, China (59.88 CPP). The top three most productive authors are: V. Wanitlit, E. Mahase and G. Lacobucci (with 152, 135 and 108 papers). The top three most cited authors in terms of citations per paper (CPP) are: Y. Hu (319.82), L. Liu (303.91) and J.F.W. Chan (169.55). The most productive organizations originate from most productive countries and they contribute the most collaborative papers. The top three journals, namely International Journal of Environmental Research, BMJ and PLOS One contributed 961, 854 and 781 papers, respectively. The top three journals in terms of citations per paper (CPP) are New England Journal of Medicine (122.78), The Lancet (106.3) and JAMA (75.17). The most ubiquitous topic was COVID-19 clinical studies, with maximum focus on virological aspects (9.58%), respiratory aspects (6.97%), molecular aspects (3.11%), genetic aspects (3.09%) and immunological aspects (1.3%). The results of this study should be of interest to working scientists, clinicians and policy-makers in improving their understanding of COVID-19 disease and in its management. Key words: COVID-19, Coronavirus Virus Disease 2019, SARS-CoV2, Global Publications, Bibliometrics, Scientometrics.

Page No: 76-84 | Full Text

 

Original Research Article

Impact of COVID-19 Pandemic on the Life of Indian Doctors: Time for Introspection?

http://dx.doi.org/10.5530/ijmedph.2021.2.15

Trupti Nadkarni, Sukhpreet Patel, Amol Pawar, Minnie Bodhanwalla

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Introduction: The COVID-19 pandemic is the first of its kind that doctors have encountered in their clinical practice, offering several challenges in all aspects of their lives. The aim of this study was to look into the impact of the COVID-19 pandemic on the personal and professional lives of doctors. Methods: 264 anonymous voluntary responses received within one week of sending 805 requests to Indian doctors in July 2020, through Google forms were included in the study. Results: Of the 264 respondents, 72.3% continued to stay at home with their families as before, 22% practiced self-isolation at home and a small proportion of mainly young doctors stayed in a hostel or other accommodation. Majority of the respondents reported an improvement in family life and interpersonal relationships, eating habits, volume of daily exercise and fitness levels. Regarding the financial situation, more than 70% of doctors were negatively impacted during the pandemic. While a majority of doctors appreciated technological aid in the form of teleconsultation and webinars, most of them questioned their application post COVID-19. Over 40% of doctors experienced some form of discrimination against them during the pandemic. Conclusion: While healthcare professionals face a unique set of obstacles and dilemmas that require special attention, many have also experienced a silver lining amidst this chaos in the form of family life and lifestyle changes. Regardless, COVID-19 has been a game changer for everyone!. Key words: COVID-19, Healthcare professionals, Doctors, Coronavirus, Lifestyle, Mental Health.

Page No: 85-89 | Full Text

 

Original Research Article

Perception and Anxiety of Indian Population during COVID-19 Pandemic: A Questionnaire-based Survey

http://dx.doi.org/10.5530/ijmedph.2021.2.16

Malarkodi Senniyappan, Xavier Belsiyal Chellappan, Rupinder Deol, Chandrakala Sankarapandian

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Background: The rapid and widespread of the COVID-19 virulent disease has become an important cause of concern among the general public. The declaration of the pandemic has led to a massive public reaction. The perception, anxiety of the general public will perhaps have a major bearing on the course of the coronavirus disease pandemic. Aim: This study aims to assess the perception and anxiety of the Indian population regarding the COVID-19 pandemic. Methods: A cross-sectional web-based survey was conducted through an online platform (Google form) among the Indian population. A structured questionnaire was prepared to collect data and it took about 6 min to complete the questionnaire, and a total of 351 responses were received. Descriptive (frequency, percentage, mean, standard deviation) and inferential (Spearman’s rho correlation coefficient) statistics were used to analyze the collected data. Results: Out of 351 responders, 192 (54.7%) were female, 198 (56.4 %) were aged between 18-29 years, most of them were living in cities, 178 (50.7%), and 239, (68.1%) were graduates and above. Most of the responders 179 (51.0%) were used social media to obtain information regarding COVID-19. More than half of the Indian residents viewed this coronavirus pandemic negatively (58%) and half of them (51.3%) were had a mild level of anxiety; nearly 29% had a moderate level of anxiety, few were under (19.9%) severe level anxiety. Conclusion: There is a necessity to exaggerate the understanding and address the mental health issues of people during this COVID-19 pandemic. Key words: Perception, Anxiety, General Public, Covid-19, Pandemic.

Page No: 90-95 | Full Text

 

Original Research Article

Prevalence of Sub-health Status among College Students in Guangzhou Baiyun Technician College Business during the Coronavirus Pandemic

http://dx.doi.org/10.5530/ijmedph.2021.2.17

Yan-Qi Liao, Ming-Ming Li, Wan-Xian Lu, Yan-Bin Pan, Jian-Rong Gong, Miao-Hang Shan

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Background: Sub-health status (SHS) is an intermediate status between health and disease.We aimed to investigate the prevalence of sub-health status among college students during the coronavirus disease (COVID-19) pandemic and analyze its influencing factors in order to provide basic information to increase the health level of college students. Methods: College students were selected as subjects from Guangzhou Baiyun Technician College Business using convenience sampling. The inclusion criteria was informed consent, current college students who voluntarily participated in this survey. Exclusion criteria were to complete the questionnaire in less than two minutes. General data questionnaire, daily lifestyle questionnaire, and SHS measurement scale were used to survey college students. The SHS measurement scale consists of three subscales covering the physiological (1-14 items), psychological (16-27 items), and social (29-37 items) dimensions, with 39 items in total. The items 15, 28, 38 and 39 were used for the overall evaluation of the health status within each dimension and would not be taken into account for the score rating. A commonly used 5-point Likert scale was developed to incorporate the positive items, including questions 1-3, 13-19, and 26-39 with a scaled score equal to the raw score at 1-5; while negative items including questions 4-12 and 20-25 with a scaled score equal to 6 min the raw score. For each subscale, the sum of all item scores was the raw score. The total raw score was calculated as the sum of raw scores derived from all 3 sub-scales. For any individual dimension, a lower score indicated higher severity of SHS. For sub-scales and the whole scale, raw scores were converted into percentile scores for statistical analysis. Converted score = (raw score - minimum theoretical score) / (maximum theoretical score – minimum theoretical score) × 100. The highest and lowest converted scores of the three subscales were 0 and 100 respectively. In this study, analysis of subhealth was performed using converted scores for all subscales and the whole scale. Based on the sub-health measurement scale, the health condition of subjects would be assessed as disease status (scored < 54), SHS (scored 54 to 79) and health status. From March 6 to 16, 2020, an online survey was conducted via wjx.cn (an online platform available for questionnaire sources). A total of 16,163 students filled out the questionnaire. Results: During the COVID-19 pandemic, the detected prevalence of sub-health among college students was 64.4%. the total SHS score was 73.356 ± 11.115 points, the physiological SHS score was 81.284 ± 11.034 points, the psychological SHS score was 68.691 ± 12.559 points, and the social SHS score was 67.242 ± 17.112 points. Multiple linear regression analysis showed that eating irregular meals, exercising fewer times per week, sleeping fewer hours per night, sleeping after 11 PM more often, spending more time on electronic devices, exercising for fewer minutes each time, and skipping breakfast had the significant negative impact on the SHS scores of college students during the COVID-19 pandemic (P<0.05), while being the only child had a

Page No: 96-102 | Full Text

 

Original Research Article

Work-related Injury and Disability among Tannery Workers of Kanpur, India

http://dx.doi.org/10.5530/ijmedph.2021.2.18

Gyan Chandra Kashyap

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Introduction: Occupational fatalities remain a complex issue despite many scientific research and development efforts made to resolve the problems, especially in the developing world. Due to that, occupational accidents continue to contribute a significant proportion of the total burden of disease. In the case of India, it is difficult to get the data on occupation injuries and fatalities across the different occupational groups. Objectives: The objective of the study is to estimate the prevalence and risk factors of occupational injury among the tannery workers of Kanpur, India. Methods: A cross-sectional study design was adopted; a total of 284 tannery workers were interviewed during January-June 2015 from Kanpur, Uttar Pradesh, using a threestage sampling design to fulfil the study objective. Multivariable analyses were employed to see the effect of explanatory variables on the injury. Results: Over one-tenth of the tannery workers (11%) experienced work-related injuries in the past 12 months. Eighty percent of the injured workers had received medical care and 13 out of 30 wounded workers become physically disabled. Tannery workers involved in loading and unloading of raw hides—manually and by trolleys—were 2.0 (p<0.1) times and 2.1 (p<0.1) times more likely to experience a workrelated injury. Conclusion: To conclude, the increased risk factors of occupational injuries are loading and unloading raw hides—manually and by trolleys—were the significant risk factors. Key words: Injuries, Disability, Tannery Workers, Kanpur, Leather, India.

Page No: 103-107 | Full Text

 

Original Research Article

Prevalence of Rabies Pre-exposure Vaccination and Risk Perception among Veterinary Students at the University of Ibadan- A Cross Sectional Survey

http://dx.doi.org/10.5530/ijmedph.2021.2.19

Oluwafemi Adedayo Adetayo, Olusade Cecilia Adetayo, Sulaimon Adisa Koleosho, Dayo Omodele Adeyemo, Oluropo Michael Obafemi, Tolulope Ademola Olakojo

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Background: It is often mandatory for veterinarians and clinical veterinary students to receive rabies pre-exposure vaccination being among the occupational at risk group. The practice of encouraging veterinary students to receive rabies pre-exposure vaccination has the advantage of ensuring their safety during their clinical training and practice. The study examined the prevalence of rabies pre-exposure prophylaxis and rabies risk perception among veterinary students at the University of Ibadan. Materials and Methods: A well-structured questionnaire was used to obtain data from registered 325 veterinary students across all levels of study at 45 students per level of study using stratified random sampling method. Social Science Statistical Package 21 was used to analyze results. Results was presented as means, frequencies and percentages. Results: The mean age of respondents was 22.81±4.67 years with 51.3% being male and 91.9% was single. The prevalence of rabies pre-exposure prophylaxis was extremely low, 18.6%. Rabies risk perception was slightly high 62.5% among the respondents. Level of study and previous dog bite injury were statistically significant for rabies risk perception. Conclusion: There was non-compliance with the WHO recommendation that individuals at risk of rabies due to their occupational exposure should receive rabies pre-exposure prophylaxis. The University administration and Veterinary Council of Nigeria should make it known to be a policy for the clinical veterinary students. Key words: Rabies, Pre-exposure prophylaxis, Risk perception, Veterinary students, University of Ibadan.

Page No: 108-112 | Full Text

 

Original Research Article

Descriptive Study of High Leprosy Endemic Pockets and Exploring Occurrence Factors of Multicase Families in the Village of Salaunikhurd of Chhattisgarh State

http://dx.doi.org/10.5530/ijmedph.2021.2.20

Sunil Gitte, Latika Rewaria, V Santaram, Sarosh Jamil

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Background: A notification received from state of Chhattisgarh in July, 2018 that 10 cases in a family of 14 members at Salaunikhurd village, Bhatgaon Primary Health Center (PHC), Block Bhilaigarh of Balodabazar district diagnosed as leprosy cases. In response, an investigation team was constituted by Central Leprosy Division to carry out the epidemiological investigation. Aim: To find out reasons of high leprosy endemicity, detailed investigation of multicase family and assessment of health service delivery in village. Methods: House to house survey of the village was carried out to find out new cases along with clinicepidemiological assessment of all patients affected with leprosy. Detailed investigation of two MCFs and assessment of health service delivery from block to the village level was carried out. Results: 84% of the village population screened for leprosy, two new leprosy cases, three defaulter and two newly developed Grade 2 Deformity (G2D) cases were identified during survey. All the cases in the Multi-case Family (MCF) were MB leprosy cases. Atypical signs and symptoms of leprosy - infiltrations and nodules over skin, low socio-economic status, poor housing condition, high family density, poor sanitation, seasonal migration, poor health seeking behavior, lack of awareness on the disease and health system ignorance are the major factors led to delay in detection. Conclusion: Analysis of case detection trend in the region across the years indicates a smouldering epidemic of Leprosy. Multiple factors are responsible for the occurrence of multiple cases of leprosy within a family. Limitations: 100% population could not survey due to time constraint, harvesting season and migration. Molecular epidemiology study needed to explore the genetic structure which contributed MCF. Key words: Multibacillary case (MB), Paucibacillary case (PB), Multi-case Family (MCF), Multi Drug Therapy (MDT), Under Treatment (UT), Release after Treatment (RFT).

Page No: 113-117 | Full Text

 

Original Research Article

Swachh Bharat Summer Internship Programme: An Opportunity of Community Based Service Learning Practice for Medical Students in India

http://dx.doi.org/10.5530/ijmedph.2021.2.21

Sourabh Paul, Shyam Mehra, Gurkirat Sidhu, Varun Malhotra, Tanvir Kaur Sidhu, Paresh Prajapati

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Aim: “Swachh Bharat Summer Internship programme” is an initiative of Indian government to involve the youth of the country for cleanliness activity in the community. It was utilized by MBBS students of a university in Bathinda, India as a source of opportunity for community medicine learning and service in the community. Materials and Methods: A mixed method study was planned in the month of June 2019 to assess attitude of the community towards solid and liquid waste disposal, provide community service related with this and arrange health education sessions for waste disposal. Nukkad natak, focus group discussion and video clipping were used to educate community and data were collected. Cleaning of roads and market area were done as service to the community. Feedback from the community about different activities and from the students about the whole programme was collected & analyzed. Results: Findings of the study have shown that villagers had a huge interest for different newer methods which were utilized for community health educational session. Similarly students had also liked the community service sessions however finding shows that requires some improvement in qualitative research techniques. Conclusion: Community’s positive attitude towards waste disposal should be utilized judiciously for improving environmental cleanliness of the village. Similarly Positive feedback by the students’ necessities that authority should conduct more and more community service and learning exercise involving different education model. Key words: Swachh Bharat Mission, Street drama, Health education, Focus group discussion, Health promotion.

Page No: 118-123 | Full Text

 

Case Report

“Immune Response in SARS-CoV-2 Reinfection- A Friend or a Foe”- A Case Study from Kerala, India

http://dx.doi.org/10.5530/ijmedph.2021.2.22

Raman Swathy Vaman, Rajendra Pilankatta, Adarsh MB

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Covid-19 caused by the SARS-CoV-2 is a major public health threat affecting the entire world causing significant mortality. Few studies have demonstrated possible chances of reinfection with the SARS-CoV-2. This case study describes the features of reinfection with the virus thirty two days after RT-PCR negativity in a 20 year old female in Kerala. This case highlights the possible chance of reinfection and the shortened viremia in response to the mounted good immune response. Key words: SARS-CoV-2, COVID-19, Reinfection, KeraIa, India.

Page No: 124-125 | Full Text