K. Sheshadri, Debarshi Guha, Shalendra Singh, S. Bhan
{"title":"Efficacy of propofol versus ketamine in modified electroconvulsive therapy: A prospective randomized control trial","authors":"K. Sheshadri, Debarshi Guha, Shalendra Singh, S. Bhan","doi":"10.4103/2221-6189.347775","DOIUrl":"https://doi.org/10.4103/2221-6189.347775","url":null,"abstract":"","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karthikeyan Elumalai, N. Subramanian, V. R. Ramesh Chandra, N. Palei, Tiruveedi Kusuma, VadlamuriVenkata Prasad, YellantiBala Venkata Bhargav Phani, MungaraYeshwanth Sai, Pradeep Battula, A. Balaji
{"title":"Efficacy of gabapentin for low back pain at a tertiary hospital: A prospective observational study","authors":"Karthikeyan Elumalai, N. Subramanian, V. R. Ramesh Chandra, N. Palei, Tiruveedi Kusuma, VadlamuriVenkata Prasad, YellantiBala Venkata Bhargav Phani, MungaraYeshwanth Sai, Pradeep Battula, A. Balaji","doi":"10.4103/2221-6189.347777","DOIUrl":"https://doi.org/10.4103/2221-6189.347777","url":null,"abstract":"","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Radwa Sehsah, MariamM Alwerdani, Emtenan Said, WesamA Dosoky, A. El-Gilany
{"title":"Knowledge, attitude, and practice of house officers towards COVID-19: A multicentered crosssectional study in Egypt","authors":"Radwa Sehsah, MariamM Alwerdani, Emtenan Said, WesamA Dosoky, A. El-Gilany","doi":"10.4103/2221-6189.347778","DOIUrl":"https://doi.org/10.4103/2221-6189.347778","url":null,"abstract":"Objectives: To assess the knowledge, attitude, and practice (KAP) towards COVID-19 and its associated factors among house officers. Methods: A multicentered crosssectional study on house officers was carried out using an online self-administered questionnaire. Sociodemographic data and data related to KAP towards COVID-19 were collected. Besides, KAP level of the house offices was recorded and factors associated with good KAP were determined. Results: This study included 555 house officers from 10 different hospitals with 128 males and 427 females. Almost half of the house officers had good knowledge and a favorable attitude (46.1% and 51%, respectively) on COVID-19. Still, 82.5% of them were committed to good practice of preventive measures. Besides, percentages of good knowledge and practice among those with chronic diseases or those who knew someone infected with SARS-CoV-2 were higher, but the differences were not statistically significant (P>0.05). In addition, the percentages of females with good practice were higher than those of males, with no statistical difference (P>0.05). Conclusion: House officers showed a good KAP towards COVID-19. Being aware of gaps in KAP can help to effectively contain the current pandemic.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Hota, Shalendra Singh, Priyanka Rathore, Neetika Tripathi, Priya Taank
{"title":"Resuscitative cardiac arrest during a Caesarean section-When every second counts: A case report","authors":"R. Hota, Shalendra Singh, Priyanka Rathore, Neetika Tripathi, Priya Taank","doi":"10.4103/2221-6189.336580","DOIUrl":"https://doi.org/10.4103/2221-6189.336580","url":null,"abstract":"Rationale: Cardiac pulmonary arrest is the most challenging and dreaded complication of neuraxial blockade. Patient’s concern: A 21-year-old patient at 37 weeks of gestation, with previous lower segment Caesarean section pregnancy presented for elective Caesarean section. Diagnosis: Cardiac arrest after performing a subarachnoid block. Intervention: Maternal resuscitation. Outcome: Return of spontaneous circulation was achieved within 4-5 min of cardiopulmonary resuscitation. A single live healthy male baby was delivered. Lesson: A careful preoperative evaluation, adequate preload, constant vigilant monitoring to recognize vasovagal response at the earliest, and immediate initiation of resuscitative measures play the most important role in saving the precious lives in case of pregnant patients undergoing Caesarean section under subarachnoid block.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"11 1","pages":"42 - 44"},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41785646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health literacy, behavioral and psychosocial characteristics in coronary artery patients: A hospital-based study in Turkey","authors":"Asuman Ahcioglu, G. Yılmazel","doi":"10.4103/2221-6189.336577","DOIUrl":"https://doi.org/10.4103/2221-6189.336577","url":null,"abstract":"Objective: To investigate health literacy, behavioral and psychosocial characteristics in coronary artery patients. Methods: Between March 2019 and 2020 years, 275 coronary artery patients aged ≥50 years were included in the study. Turkish Health Literacy Scale-32 and Beck Depression Inventory were used to collect the data. Results: General health literacy index score was 31.7 and the prevalence of limited health literacy was 59.3%. Adequate health literacy was 2.8 fold higher in the 50-64 age group, 3.1 fold higher among men, 3.4 fold higher among married and 5.3 fold higher among those who believed in the necessity of individual protective practices (P<0.05). Significant differences were also found in different working status, living places, perceived economic situation, perceived general health status, comorbidities, family history of coronary artery disease, angiography history, material skills on reading and understanding, level of depressive syptom, commitment to individual protective practices health check-ups, utilizing health services, cigarette and alcohol use, and exercise and nutrition between limited and adequate health literacy (P<0.05). Logistic regression analysis showed that adequate health literacy was significantly higher among younger patients (OR: 2.81; 95% CI: 1.46-5.62), male gender (OR: 3.10; 95% CI: 1.46-6.58), married (OR: 3.42; 95% CI: 1.39-8.44) and those with belief in individual protective practices (OR: 5.3; 95% CI: 1.93-14.96). Conclusions: Health literacy is poor among coronary artery patients and behavioral and psychosocial variables differ with health literacy levels. To keep cardiovascular health among these patients, health literacy-based interventions should be adopted in coronary artery clinics, especially for risky population.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"11 1","pages":"18 - 25"},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48738966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sudden cardiac death in a case of Crohn’s disease with COVID-19: A case report","authors":"Neeraj Kumar, Subhajit Ghosh, Abhyuday Kumar, Sanjeev Kumar, Prem Kumar","doi":"10.4103/2221-6189.347781","DOIUrl":"https://doi.org/10.4103/2221-6189.347781","url":null,"abstract":"Rationale: The mechanism of sudden cardiac death in COVID-19 can be multifactorial. Cardiac hypersensitivity to 5-ASA therapy leading to myocarditis has been reported in some cases. Cytokine storm syndrome and idiosyncratic reaction with mesalazine use may lead to sudden cardiac death in COVID-19. Use of immunosuppressants in hospitalized COVID-19 patients should be continued with caution, especially in patients with inflammatory bowel disease. Patient's concern: A 75-year-old man who was tested positive for SARS-CoV-2 was admitted with a history of shortness of breath for the last two days. He was a known case of Crohn's disease treated with mesalazine. Diagnosis: COVID-19 pneumonia with underlying Crohn's disease leading to sudden cardiac death. Intervention: Remdesivir, antibiotics, steroids, low molecular weight heparin, tablet zinc, tab vitamin C, and other supportive treatment were started. Because of increased inflammatory markers, itolizumab was given to the patient on the 2nd day. Outcome: On the 5th day of the intensive care unit, the patient complained of sudden chest pain with respiratory distress leading to bradycardia and asystole and could not be resuscitated. Lessons: Causes for sudden cardiac death in COVID-19 pneumonia patients with Crohn's disease is multifactorial. Although mesalazine may be a safe and effective drug in the management of inflammatory bowel disease, it can induce sytokine strom syndrome and idiosyncratic reactions that could be one of the reasons of sudden cardic death. Therefore, we should be aware of its serious and potentially life-threatening complications, especially in COVID-19 infected patients.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70255510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Esmail Moshiri, H. Modir, Mehran Azami, TayebeSadat Sayafi-Sharifi
{"title":"Comparison of impact of adjuvant treatment of midazolam, fentanyl, and magnesium sulfate with intrathecal bupivacaine on block characteristics and postoperative analgesia in knee arthroplasty: A randomized clinical trial","authors":"Esmail Moshiri, H. Modir, Mehran Azami, TayebeSadat Sayafi-Sharifi","doi":"10.4103/2221-6189.347776","DOIUrl":"https://doi.org/10.4103/2221-6189.347776","url":null,"abstract":"","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lymphocyte count and A-DROP score in COVID-19 patients: A retrospective observational study","authors":"Sevras Hingwe, Chandrakant Waikar, Vinay Gour, Lal Pranay","doi":"10.4103/2221-6189.347779","DOIUrl":"https://doi.org/10.4103/2221-6189.347779","url":null,"abstract":"Objectives: To determine the correlation between lymphocyte count and A-DROP score in COVID-19 patients and their role in predicting poor outcomes. Methods: This retrospective observational single-center study was conducted in a tertiary care hospital in Vidisha district, India. COVID-19 patients were included in this study, who were admitted to ICU and the COVID Care Centre from August 2020 to October 2020. Demographic profile, clinical characteristics, medical history, A-DROP score, complete blood counts including lymphocyte counts (on admission), the severity of the disease course, and duration of hospitalization were collected. The correlation between lymphopenia and A-DROP score was determined, and their role in predicting poor outcomes was investigated. Results: This study included 220 patients, among which 134 were male, and 86 were female [mean age (48.98±16.98) years, 95% CI: 46.72-51.23]. Lymphocyte count in COVID-19 patients negatively correlated with the A-DROP score (r=-0.67, P<0.001). The area under the ROC curve was 0.892 (95% CI: 0.80-0.98, P<0.001) for the lymphocyte count, and the area under the ROC curve was 0.93 (95% CI: 0.84-1.00, P<0.001) for lymphocyte count-A-DROP. Conclusion: Lymphocyte count along with the A-DROP score on admission could be used to predict the severity of COVID-19 pneumonia and unfavorable outcome.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70254222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Parvesh Malik, Shalendra Singh, O. Singh, Mannu Tiwari, Nipun Gupta, M. Sood
{"title":"Tendo-Achilles injury: An observational study in a tertiary care hospital","authors":"Parvesh Malik, Shalendra Singh, O. Singh, Mannu Tiwari, Nipun Gupta, M. Sood","doi":"10.4103/2221-6189.330742","DOIUrl":"https://doi.org/10.4103/2221-6189.330742","url":null,"abstract":"Objective: To report demographic and injury characteristics of tendo-Achilles (TA) injury, and determine its association with the use of Indian style commode seat (ISCS), the clinical and functional outcomes. Methods: This observational study was conducted between 1 January 2016 and 31 December 2019, and a total of 44 patients with TA injury were included in the study. Their demographic profile, etiology, operative details, and functional outcomes were studied. All patients underwent primary repair followed by standard postoperative management and follow-up for 6 months. Results: Out of 44 patients, 7 (15.9%) sustained closed injuries while 37 (84.1%) sustained open injuries. In open injury cases, 30 (81%) patients suffered an injury due to slipping in ISCS, 4 (11%) from road traffic accidents, and 3 (8%) due to falling of a heavy object. Besides, 20.45% of cases of ISCS injury had associated neurovascular injury. Twenty (45%) patients took more than 90 days to start independent ambulation. At 6 months follow-up, no one could reach pre-injury fitness status. Conclusions: Open TA injury by ISCS is an important, under-reported, and preventable cause of loss of physically active manpower in institutional setups.","PeriodicalId":45984,"journal":{"name":"Journal of Acute Disease","volume":"10 1","pages":"242 - 246"},"PeriodicalIF":0.5,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44407354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}