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2021 | July-September | Volume 7 | Issue 3

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RESEARCH ARTICLE

Moksha N Prasad, Santosh K Yatnatti, Nagendra Prasad Nagothi

Knowledge, Attitude, and Practice of Medical Doctors Practicing in Karnataka towards SARS-CoV-2: A Cross-sectional Study

[Year:2021] [Month:July-September] [Volume:7] [Number:3] [Pages:3] [Pages No:35 - 37]

Keywords: Attitude, Knowledge, Medical doctors, Practice, Severe acute respiratory syndrome coronavirus 2

   DOI: 10.5005/jp-journals-10045-00210  |  Open Access |  How to cite  | 

Abstract

Background: As the world was brought to a standstill by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), unprecedented prevention and control measures are being adopted to curtail the spread of SARS-CoV-2. The adherence to these control measures is affected by the knowledge, attitude, and practice (KAP) towards SARS-CoV-2. Methods: A cross-sectional study was done on medical doctors comprising a knowledge questionnaire consisting of 11 questions regarding the clinical characteristics and prevention of coronavirus disease-2019 (COVID-19), four questions to assess the attitude of doctors towards SARS-CoV2 and eight questions regarding the practices adopted by doctors during the pandemic. Data were analyzed using Statistical Package for Social Sciences (SPSS) software. Results: In our study, we found that all (100%) of the participants had good knowledge, 55.5% of the participants had good attitudes, and 60.9% adopted good practices while managing SARS-CoV-2. A total of 59.1% said there was a training program conducted at their place of work regarding the management of SARS-CoV-2. A total of 16.4% faced stigma because of their line of work during the pandemic (e.g., eviction from rental houses/apartments, physical or verbal abuse, etc.). Comparison of scores among professions revealed that the KAP towards the management of SARS-CoV-2 was better among consultants and senior residents when compared to junior residents and interns, but only the practice part was statistically significant. Conclusion: The participants in this study had good knowledge regarding SARS-CoV-2 and its management; measures have to be taken to improve their attitude and practices, which will ensure better management and treatment of the affected individuals. Increased training and education programs need to be implemented at the institutional and hospital level.

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RESEARCH ARTICLE

E Thirumurugan, K Gomathi, P Swathy, Syed Ali H Afrin, Thamarai A Selvi, Krithika KS Saravana, S Jagadeeswari

Awareness of Myocardial Infarction Risk Factors among Secondhand Smokers

[Year:2021] [Month:July-September] [Volume:7] [Number:3] [Pages:5] [Pages No:38 - 42]

Keywords: Awareness, Myocardial infarction, Myocardial infarction risk factors, Secondhand smokers

   DOI: 10.5005/jp-journals-10045-00211  |  Open Access |  How to cite  | 

Abstract

Background: Coronary heart disease accounts for the leading cause of death and disability in the world, causing the deaths of 9.4 million people a year. About 1.9 million (or 21%) of these deaths are related to tobacco use and secondhand smoke (SHS) exposure. Secondhand smokers’ awareness of myocardial infarction (MI) is thought to impact the burden of disease, prevention, and time management. Hence, promoting more awareness of MI risk factors among secondhand smokers is incredibly important. Objectives: The study aimed to assess the level of awareness regarding MI risk factors among secondhand smokers. Methods: The study was conducted at Dr. M.G.R Educational and Research Institute, India, using a quantitative approach and descriptive research design. A sample of 508 subjects, using self-structured knowledge questionnaires, was selected for data collection and analysis. The study excluded patients with mental retardation, previous history of percutaneous transluminal coronary angioplasty (PTCA), and coronary artery bypass graft surgery (CABG). The study plan was submitted to the Institutional Ethics Committee (IEC), and ethical clearance was granted. Results: A total of 508 respondents participated in this study, of whom 54.7% were females and the rest 45.3% were males. The majority, 55.5% of them, were in the age group of 20–29 years, followed by 11.6% in the age group of 30–39 years, 20.7% in the age group of 40–49 years, 8.9% in the age group of 50–59 years, and 3.3% in the age group of >60 years. Most participants, 272 (53.6%), had bachelor’s degrees as their highest educational level, followed by 36.6% from high school and 9.8% illiterate. We performed a multivariate logistic regression analysis to identify the demographic factors affecting the awareness of MI risk factors (secondhand smoking) and found that the age of 30–39 years [odds ratio (OR), 3.01; 95% confidence interval (CI), 1.13–8.01; p < 0.05], illiterate (OR, 2.33; 95% CI, 1.08–5.01; p < 0.05) were the factors affecting the recognition of acute MI risk factors (SHS). Conclusion: In our study, we conclude that females, age group of 30–39 years and >60 years and illiterate were unaware of risk factors of MI among secondhand smokers. To enhance the awareness of MI risk factors among secondhand smokers in India, education and promotion must be conducted with consideration of gender, age, education level, and occupation. Moreover, active engagement by the government, educational institutions, and medical institutions are required for awareness of both modifiable and non-modifiable MI risk factors.

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CASE REPORT

Rajashree Godbole, Abhijit P Benare, Swapnal Ugale, Aniya Shouk

Bronchoscopic Removal of an Unusual Foreign Body Trachea

[Year:2021] [Month:July-September] [Volume:7] [Number:3] [Pages:3] [Pages No:43 - 45]

Keywords: Foreign body, Glass piece, Pediatric, Rigid bronchoscopy, Trachea

   DOI: 10.5005/jp-journals-10045-00208  |  Open Access |  How to cite  | 

Abstract

Introduction: Rigid bronchoscopy under general anesthesia (GA) is the gold standard for pediatric foreign body (FB) removal. Fiberoptic bronchoscopy (FOB) can be tried with rigid bronchoscopy backup. Case description: A 3-year-old child has a cough with hemoptysis. Chest X-ray—an opaque shadow in the trachea. Discussion: Induction with inhalation anesthetic or intravenous (IV) drugs and controlled ventilation is suitable for rigid bronchoscopy. Quiet patient during induction avoids displacement of FB, no sedative premedication to maintain respiration. Steroids—dexamethasone 0.4–1 mg/kg for treatment of inflammation and airway edema. Antibiotic for pulmonary infection and jet ventilation during bronchoscopy can avoid hypoxia and atelectasis but increases the chances of barotrauma; neuromuscular blockade suppresses the patient’s mobility and reflexes to avoid airway trauma and coughing to make the surgeon comfortable. Securing IV line before induction of anesthesia and analgesia for postoperative pain relief. IV anesthesia technique with propofol, fentanyl/remifentanil is becoming popular for maintenance of a constant level of anesthesia during bronchoscopy. Conclusion: For pediatric glass FB bronchus/trachea removal, rigid bronchoscopy under GA is the safest choice. Ventilating bronchoscope with side arm ventilation and muscle relaxation is the recommended method for airway glass FB removal to avoid damage to the airway, vocal cords, and oral structures.

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