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Debnath DJ, Deshpande TM, Gupta D, Yadav A, Pandve HT, Marimuthu Y, Deshmukh P. The prevalence and risk factors of depression in engineering college students: A cross-sectional study. Ind Psychiatry J 2023; 32:334-338. [PMID: 38161462 PMCID: PMC10756607 DOI: 10.4103/ipj.ipj_5_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 03/03/2023] [Accepted: 03/04/2023] [Indexed: 01/03/2024] Open
Abstract
Background Engineering students like any other students face several stressors in their lives, which make them vulnerable to depression. Depression may affect students' academic performance. Aim The present study aims to estimate the prevalence and associated risk factors of depression among engineering students. Material and Methods A cross-sectional study was conducted in December 2016 among 110 randomly selected students from an engineering college in a rural area of Pune district, India. PHQ-9 questionnaire was used. Univariate and multivariable ordinal logistic regression was used to quantify association. Results Of a total of 110 students, 71.8% were males, while 28.2% were females. The mean age was 20.7 years. 29.1% had no depression, 48.2% had mild depression, and 22.7% had moderate depression. Univariate analysis found four variables significantly associated with a greater risk of depression: parental stress, sibling stress, economic stress, and interpersonal conflict. In the adjusted (multivariable) ordinal logistic regression analysis controlling for all independent variables, only lack of economic support and interpersonal conflicts retained their statistical significance. Conclusion The prevalence of depression in engineering students is high and strongly associated with the presence of economic and personal stress. Screening for depression and giving them care and support is of paramount importance.
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Affiliation(s)
- Dhrubajyoti J. Debnath
- Department of Community and Family Medicine, All India Institute of Medical Sciences, Mangalagiri, Guntur, Andhra Pradesh, India
| | - Tejas M. Deshpande
- Former Intern, Department of Community Medicine, Smt. Kashibai Navale Medical College, Maharashtra, India
| | - Digant Gupta
- Department of Clinical Medicine, Maharashtra Institute of Medical Education and Research, Talegaon Dabhade, Maharashtra, India
| | - Arun Yadav
- Department of Community Medicine, Armed Forces Medical College, Pune, Maharashtra, India
| | - Harshal T. Pandve
- Department of Community Medicine, PCMC’s Postgraduate Medical Institute and Yashwantrao Chavan Memorial Hospital (PGI-YCMH), Pune, Maharashtra, India
| | - Yamini Marimuthu
- Department of Community and Family Medicine, All India Institute of Medical Sciences, Mangalagiri, Guntur, Andhra Pradesh, India
| | - Pradeep Deshmukh
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
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Krishnan A, Kumar R, Amarchand R, Mohan A, Kant R, Agarwal A, Kulshreshtha P, Panda PK, Bhadoria AS, Agarwal N, Biswas B, Nair R, Wig N, Malhotra R, Bhatnagar S, Aggarwal R, Soni KD, Madan N, Trikha A, Tiwari P, Singh AR, Wyawahare M, Gunasekaran V, Sekar D, Misra S, Bhardwaj P, Goel AD, Dutt N, Kumar D, Nagarkar NM, Galhotra A, Jindal A, Raj U, Behera A, Siddiqui S, Kokane A, Joshi R, Pakhare A, Farooque F, Pawan S, Deshmukh P, Solanki R, Rathod B, Dutta V, Mohapatra PR, Panigrahi MK, Barik S, Guleria R. Predictors of Mortality among Patients Hospitalized with COVID-19 during the First Wave in India: A Multisite Case-Control Study. Am J Trop Med Hyg 2023; 108:727-733. [PMID: 36913920 PMCID: PMC10077017 DOI: 10.4269/ajtmh.22-0705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Accepted: 01/12/2023] [Indexed: 03/15/2023] Open
Abstract
Severe acute respiratory syndrome coronavirus 2 disease (COVID-19) has caused more than 6 million deaths globally. Understanding predictors of mortality will help in prioritizing patient care and preventive approaches. This was a multicentric, unmatched, hospital-based case-control study conducted in nine teaching hospitals in India. Cases were microbiologically confirmed COVID-19 patients who died in the hospital during the period of study and controls were microbiologically confirmed COVID-19 patients who were discharged from the same hospital after recovery. Cases were recruited sequentially from March 2020 until December-March 2021. All information regarding cases and controls was extracted retrospectively from the medical records of patients by trained physicians. Univariable and multivariable logistic regression was done to assess the association between various predictor variables and deaths due to COVID-19. A total of 2,431 patients (1,137 cases and 1,294 controls) were included in the study. The mean age of patients was 52.8 years (SD: 16.5 years), and 32.1% were females. Breathlessness was the most common symptom at the time of admission (53.2%). Increasing age (adjusted odds ratio [aOR]: 46-59 years, 3.4 [95% CI: 1.5-7.7]; 60-74 years, 4.1 [95% CI: 1.7-9.5]; and ≥ 75 years, 11.0 [95% CI: 4.0-30.6]); preexisting diabetes mellitus (aOR: 1.9 [95% CI: 1.2-2.9]); malignancy (aOR: 3.1 [95% CI: 1.3-7.8]); pulmonary tuberculosis (aOR: 3.3 [95% CI: 1.2-8.8]); breathlessness at the time of admission (aOR: 2.2 [95% CI: 1.4-3.5]); high quick Sequential Organ Failure Assessment score at the time of admission (aOR: 5.6 [95% CI: 2.7-11.4]); and oxygen saturation < 94% at the time of admission (aOR: 2.5 [95% CI: 1.6-3.9]) were associated with mortality due to COVID-19. These results can be used to prioritize patients who are at increased risk of death and to rationalize therapy to reduce mortality due to COVID-19.
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Affiliation(s)
- Anand Krishnan
- Centre for Community Medicine, All India Institute of Medical Sciences (AIIMS), New Delhi, India
| | - Rakesh Kumar
- Centre for Community Medicine, All India Institute of Medical Sciences (AIIMS), New Delhi, India
| | - Ritvik Amarchand
- Centre for Community Medicine, All India Institute of Medical Sciences (AIIMS), New Delhi, India
| | - Anant Mohan
- Department of Pulmonary, Critical Care and Sleep Medicine, AIIMS, New Delhi, India
| | | | | | | | | | | | - Neeraj Agarwal
- Department of Community & Family Medicine, AIIMS, Patna, India
| | - Bijit Biswas
- Department of Community & Family Medicine, AIIMS, Patna, India
| | | | - Naveet Wig
- Department of Medicine, AIIMS, New Delhi, India
| | - Rajesh Malhotra
- Jai Prakash Narayan Apex Trauma Center, AIIMS, New Delhi, India
| | - Sushma Bhatnagar
- Department of Onco-Anaesthesia, BRAIRCH, AIIMS, New Delhi, India
| | - Richa Aggarwal
- Department of Anaesthesia and Critical Care, Jai Prakash Narayan Apex Trauma Center, AIIMS, New Delhi, India
| | - Kapil Dev Soni
- Department of Anaesthesia and Critical Care, Jai Prakash Narayan Apex Trauma Center, AIIMS, New Delhi, India
| | - Nirupam Madan
- Department of Hospital Administration, AIIMS, New Delhi, India
| | - Anjan Trikha
- Department of Anaesthesiology, Pain Medicine and Critical Care, AIIMS, New Delhi, India
| | - Pawan Tiwari
- Department of Pulmonary, Critical Care and Sleep Medicine, AIIMS, New Delhi, India
| | | | - Mukta Wyawahare
- Department of Medicine, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), India
| | | | - Dineshbabu Sekar
- Department of Medicine, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), India
| | | | - Pankaj Bhardwaj
- Department of Community & Family Medicine, AIIMS, Jodhpur, India
| | | | - Naveen Dutt
- Department of Pulmonary Medicine, AIIMS, Jodhpur, India
| | | | | | | | - Atul Jindal
- Department of Paediatrics, AIIMS, Raipur, India
| | - Utsav Raj
- National Tuberculosis Elimination Program, AIIMS, Raipur, India
| | - Ajoy Behera
- Department of Pulmonary Medicine, AIIMS, Raipur, India
| | | | - Arun Kokane
- Department of Community & Family Medicine, AIIMS, Bhopal, India
| | | | - Abhijit Pakhare
- Department of Community & Family Medicine, AIIMS, Bhopal, India
| | - Farhan Farooque
- Department of Community & Family Medicine, AIIMS, Bhopal, India
| | - Sai Pawan
- Department of Medicine, AIIMS, Bhopal, India
| | | | - Ranjan Solanki
- Department of Community & Family Medicine, AIIMS, Nagpur, India
| | | | | | | | | | - Sadananda Barik
- Department of Trauma & Emergency Medicine, AIIMS, Bhubaneswar, India
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Rahi M, Yadav CP, Ahmad SS, Das P, Sharma S, Baharia RK, Bhattacharya D, Deshmukh P, Dhatrak A, Dogra S, Eapen A, Goel P, Faizi N, Khan SA, Kochar SK, Kochar A, Kumar A, Mundra A, Narang R, Narain K, Pandey K, Pati S, Raghav P, Ranjha R, Shah S, Singh K, Singh PK, Singh RK, Kuttiatt VS, Soni R, Sreehari U, Malhotra S, Sharma A. Vaccination coverage and breakthrough infections of COVID-19 during the second wave among staff of selected medical institutions in India. PLOS Glob Public Health 2023; 3:e0000946. [PMID: 37027349 PMCID: PMC10081792 DOI: 10.1371/journal.pgph.0000946] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 02/24/2023] [Indexed: 04/08/2023]
Abstract
India experienced the second wave of SARS-CoV-2 infection from April 3 to June 10, 2021. During the second wave, Delta variant B.1617.2 emerged as the predominant strain, spiking cases from 12.5 million to 29.3 million (cumulative) by the end of the surge in India. Vaccines against COVID-19 are a potent tool to control and end the pandemic in addition to other control measures. India rolled out its vaccination programme on January 16, 2021, initially with two vaccines that were given emergency authorization-Covaxin (BBV152) and Covishield (ChAdOx1 nCoV- 19). Vaccination was initially started for the elderly (60+) and front-line workers and then gradually opened to different age groups. The second wave hit when vaccination was picking up pace in India. There were instances of vaccinated people (fully and partially) getting infected, and reinfections were also reported. We undertook a survey of staff (front line health care workers and supporting) of 15 medical colleges and research institutes across India to assess the vaccination coverage, incidence of breakthrough infections, and reinfections among them from June 2 to July 10, 2021. A total of 1876 staff participated, and 1484 forms were selected for analysis after removing duplicates and erroneous entries (n = 392). We found that among the respondents at the time of response, 17.6% were unvaccinated, 19.8% were partially vaccinated (received the first dose), and 62.5% were fully vaccinated (received both doses). Incidence of breakthrough infections was 8.7% among the 801 individuals (70/801) tested at least 14 days after the 2nd dose of vaccine. Eight participants reported reinfection in the overall infected group and reinfection incidence rate was 5.1%. Out of (N = 349) infected individuals 243 (69.6%) were unvaccinated and 106 (30.3%) were vaccinated. Our findings reveal the protective effect of vaccination and its role as an essential tool in the struggle against this pandemic.
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Affiliation(s)
- Manju Rahi
- Indian Council of Medical Research, New Delhi, India
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, India
| | - Chander Prakash Yadav
- ICMR- National Institute of Cancer Prevention & Research, Noida, Uttar Pradesh, India
- New Delhi and its Field Units (FUs), ICMR- National Institute of Malaria Research, New Delhi, India
| | - Sundus Shafat Ahmad
- New Delhi and its Field Units (FUs), ICMR- National Institute of Malaria Research, New Delhi, India
| | - Payal Das
- Indian Council of Medical Research, New Delhi, India
| | - Shweta Sharma
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, India
- New Delhi and its Field Units (FUs), ICMR- National Institute of Malaria Research, New Delhi, India
| | - Rajendra Kumar Baharia
- New Delhi and its Field Units (FUs), ICMR- National Institute of Malaria Research, New Delhi, India
| | | | - Pradeep Deshmukh
- All India Institute of Medical Sciences, Nagpur, Maharshtra, India
| | - Amey Dhatrak
- Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Sandeep Dogra
- Government Medical College, Jammu, Jammu and Kashmir, India
| | - Alex Eapen
- New Delhi and its Field Units (FUs), ICMR- National Institute of Malaria Research, New Delhi, India
| | - Pawan Goel
- Shaheed Hasan Khan Mewati Government Medical College, Mewat, Haryana, India
| | - Nafis Faizi
- Aligarh Muslim University, Aligarh, Uttar Pradesh, India
| | - Siraj A Khan
- Regional Medical Research Centre, Dibrugarh, Assam, India
| | | | - Aditya Kochar
- Sardar Patel Medical College, Bikaner, Rajasthan, India
| | | | - Anuj Mundra
- Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Rahul Narang
- All India Institute of Medical Sciences, Bibinagar, Telangana, India
| | - Kanwar Narain
- Regional Medical Research Centre, Dibrugarh, Assam, India
| | - Krishna Pandey
- Rajendra Memorial Research Institute of Medical Sciences, Patna, Bihar, India
| | | | - Pankaja Raghav
- All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Ritesh Ranjha
- New Delhi and its Field Units (FUs), ICMR- National Institute of Malaria Research, New Delhi, India
| | - Salman Shah
- Aligarh Muslim University, Aligarh, Uttar Pradesh, India
| | - Kuldeep Singh
- New Delhi and its Field Units (FUs), ICMR- National Institute of Malaria Research, New Delhi, India
| | - Piyoosh Kumar Singh
- New Delhi and its Field Units (FUs), ICMR- National Institute of Malaria Research, New Delhi, India
| | - Raj Kumar Singh
- New Delhi and its Field Units (FUs), ICMR- National Institute of Malaria Research, New Delhi, India
| | | | | | - Uragayala Sreehari
- New Delhi and its Field Units (FUs), ICMR- National Institute of Malaria Research, New Delhi, India
| | - Sumit Malhotra
- All India Institute of Medical Sciences, New Delhi, India
| | - Amit Sharma
- Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, India
- New Delhi and its Field Units (FUs), ICMR- National Institute of Malaria Research, New Delhi, India
- International Centre for Genetic Engineering and Biotechnology, New Delhi, India
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Pritchard G, Deshmukh P, Beerworth K, Saw A, Sims K. Incidence and management of shoulder injuries in female cricket. J Sci Med Sport 2022. [DOI: 10.1016/j.jsams.2022.09.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Beerworth K, Saw A, Pritchard G, Deshmukh P. Understanding the true burden of shoulder problems in female cricket. J Sci Med Sport 2022. [DOI: 10.1016/j.jsams.2022.09.097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Deshmukh P, Sar SK, Smječanin N, Nuhanović M, Lalwani R. Erratum to: Magnetically Modified Waste Bark of Aegle marmelos Tree as a Promising Biosorbent for Uranium(VI) Sorption. Radiochemistry 2022. [DOI: 10.1134/s1066362222050113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Narang R, Deshmukh P, Jain J, Jain M, Raut A, Deotale V, Pote K, Rahi M. Scrub typhus in urban areas of Wardha district in central India. Indian J Med Res 2022; 156:435-441. [PMID: 36588363 PMCID: PMC10101365 DOI: 10.4103/ijmr.ijmr_707_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Background & objectives Scrub typhus caused by Orientia tsutsugamushi presents as acute undifferentiated fever and can be confused with other infectious causes of fever. We studied scrub typhus as part of a study on hospital-based surveillance of zoonotic and vector-borne zoonotic diseases at a tertiary care hospital located in the Wardha district, Maharashtra, India. We report here descriptive epidemiology and climatic factors affecting scrub typhus. Methods Patients of any age and sex with fever of ≥5 days were enrolled for this study. Data on sociodemographic variables were collected by personal interviews. Blood samples were tested by IgM ELISA to diagnose scrub typhus. Confirmation of scrub typhus was done by indirect immunofluorescence assay for IgM (IgM IFA). The climatic determinants were determined using time-series Poisson regression analysis. Results It was found that 15.9 per cent of the study participants were positive for scrub typhus by IgM ELISA and IgM IFA, both. Positivity was maximum (23.0%) in 41-60 yr of age and more females were affected than males (16.6 vs. 15.5%). Farmworkers were affected more (23.6%) than non-farm workers (12.9%). The disease positivity was found to be high in monsoon and post-monsoon seasons (22.9 and 19.4%) than in summer and winter. Interpretation & conclusions There were three hot spots of scrub typhus in urban areas of Wardha district. Rainfall and relative humidity in the previous month were the significant determinants of the disease.
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Affiliation(s)
- Rahul Narang
- Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Pradeep Deshmukh
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Jyoti Jain
- Department of Medicine, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Manish Jain
- Department of Paediatrics, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Abhishek Raut
- Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Vijayshri Deotale
- Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Kiran Pote
- Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Manju Rahi
- Division of Epidemiology & Communicable Diseases, Indian Council of Medical Research, New Delhi, India
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Deshmukh P, Sar SK, Smječanin N, Nuhanović M, Lalwani R. Magnetically Modified Waste Bark of Aegle marmelos Tree as a Promising Biosorbent for Uranium(VI) Sorption. Radiochemistry 2022. [DOI: 10.1134/s1066362222040099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Chhetri B, Bhagat VM, Vamsi DKK, Ananth VS, Prakash B, Muthusamy S, Deshmukh P, Sanjeevi CB. Optimal Drug Regimen and Combined Drug Therapy and Its Efficacy in the Treatment of COVID-19: A Within-Host Modeling Study. Acta Biotheor 2022; 70:16. [PMID: 35588019 PMCID: PMC9118007 DOI: 10.1007/s10441-022-09440-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Accepted: 05/11/2022] [Indexed: 11/29/2022]
Abstract
The COVID-19 pandemic has resulted in more than 524 million cases and 6 million deaths worldwide. Various drug interventions targeting multiple stages of COVID-19 pathogenesis can significantly reduce infection-related mortality. The current within-host mathematical modeling study addresses the optimal drug regimen and efficacy of combination therapies in the treatment of COVID-19. The drugs/interventions considered include Arbidol, Remdesivir, Interferon (INF) and Lopinavir/Ritonavir. It is concluded that these drugs, when administered singly or in combination, reduce the number of infected cells and viral load. Four scenarios dealing with the administration of a single drug, two drugs, three drugs and all four are discussed. In all these scenarios, the optimal drug regimen is proposed based on two methods. In the first method, these medical interventions are modeled as control interventions and a corresponding objective function and optimal control problem are formulated. In this framework, the optimal drug regimen is derived. Later, using the comparative effectiveness method, the optimal drug regimen is derived based on the basic reproduction number and viral load. The average number of infected cells and viral load decreased the most when all four drugs were used together. On the other hand, the average number of susceptible cells decreased the most when Arbidol was administered alone. The basic reproduction number and viral load decreased the most when all four interventions were used together, confirming the previously obtained finding of the optimal control problem. The results of this study can help physicians make decisions about the treatment of the life-threatening COVID-19 infection.
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Affiliation(s)
- Bishal Chhetri
- Department of Mathematics and Computer Science, Sri Sathya Sai Institute of Higher Learning - SSSIHL, Anantapur, India
| | - Vijay M. Bhagat
- Central Leprosy Teaching and Research Institute - CLTRI, Chennai, India
| | - D. K. K. Vamsi
- Department of Mathematics and Computer Science, Sri Sathya Sai Institute of Higher Learning - SSSIHL, Anantapur, India
| | - V. S. Ananth
- Department of Mathematics and Computer Science, Sri Sathya Sai Institute of Higher Learning - SSSIHL, Anantapur, India
| | - Bhanu Prakash
- Department of Mathematics and Computer Science, Sri Sathya Sai Institute of Higher Learning - SSSIHL, Anantapur, India
| | - Swapna Muthusamy
- Central Leprosy Teaching and Research Institute - CLTRI, Chennai, India
| | - Pradeep Deshmukh
- Department of Community Medicine, All India Institute of Medical Sciences - AIIMS, Nagpur, India
| | - Carani B. Sanjeevi
- Sri Sathya Sai Institute of Higher Learning - SSSIHL, Anantapur, India
- Department of Medicine, Karolinska Institute, Stockholm, Sweden
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Ikhar M, Banerjee S, Bandhopadhyaya K, Tiwari M, Deshmukh P. Are women with more of 'social capital' more empowered? A cross-sectional analysis from rural Wardha, Central India. J Family Med Prim Care 2022; 11:472-479. [PMID: 35360794 PMCID: PMC8963657 DOI: 10.4103/jfmpc.jfmpc_2495_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Revised: 06/11/2021] [Accepted: 07/04/2021] [Indexed: 11/30/2022] Open
Abstract
Background: Despite international commitment and government policies and programmes, a vast majority of women of rural India are socially and economically deprived in the patriarchal sociocultural framework. Strategies to improve women empowerment need context-specific field-based evidence. Objectives: This study was undertaken to address the research question: “Are women with a higher level of social capital more empowered than their counterparts?” Methods: A community-based cross-sectional analytical study was carried out in the Wardha district of Maharashtra, where a two-stage cluster random sampling technique was used to select the 300 study subjects. The outcome variable, women empowerment was assessed using four domains: mobility, inter-spouse communication, household decision-making and asset ownership. The independent variables included social capital along with potential sociodemographic confounders. Multivariate linear regression was applied using the backward stepwise method. Results: The participants had better women empowerment percentage score in the “Household decision-making” domain compared to the other domains. The women empowerment score was found to be significantly higher in the participants with increasing age, higher education, those involved in business/service, above poverty line (ABL), nuclear family, married, and those having at least one living child. In the adjusted analysis, the social capital was found to be a significant determinant of women empowerment, along with age, education, religion, marital status and family type. Conclusion: The improvement of social capital in the form of community-based development projects through Self-Help Groups (SHG) and microfinance programmes need to be encouraged by the Government and NGOs, as this strategy has the potential to improve women empowerment through community-driven development.
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Waghmare P, Deshmukh P, Kumar S, Goswami K. Socio-demographic determinants of cardiovascular risk in rural population of Central India. J Family Med Prim Care 2022; 11:7857-7862. [PMID: 36994052 PMCID: PMC10041037 DOI: 10.4103/jfmpc.jfmpc_643_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 07/26/2022] [Accepted: 09/01/2022] [Indexed: 01/31/2023] Open
Abstract
Introduction Raising trend of cardiovascular diseases (CVD) in developing countries created a platform for exploring the sociodemographic nexus in search of underlying cause. Aim and Objectives The precise aim of the study is to detect any possible association of social determinants and metabolic derangement with CVDs risk, particularly focusing on comparative analysis of the data to decipher the most significant factor(s), if any among the studied parameters contributing toward prediction of such cardiometabolic risk in linked with insulin resistance. Results In the present study, it was found that 2% of the studied population had high risk, and 13.3% had intermediate risk of developing cardiovascular events in next 10 years. Results also showed that estimated CVD risk was significantly higher in males with central obesity and age more >60 years as key determinants showing more insulin resistance at lower cut-off. Conclusion This study also strongly suggests need to revise the cut-off values for HOMA index in defining insulin resistance to rural population with active the life style and need of redefining new targeted preventive health care planning.
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Khan M, Banerjee S, Bandyopadhyay K, Kalaiselvi S, Akkilgunata S, Tripathy J, Solanki R, Kushwaha A, Deshmukh P. Role of dietary habits and personal hygiene on nutritional status of school-going adolescents: A cross-sectional study in selected schools located in slum areas of Nagpur City, Maharashtra. Ann Afr Med 2022; 21:185-192. [DOI: 10.4103/aam.aam_109_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Deshmukh P, Sujiv A, Kalaiselvi S, Tiwari M. Social isolation, social support, and psychological distress among the elderly during the COVID-19 pandemic: A cross-sectional study from central India. Indian J Public Health 2022; 66:451-457. [PMID: 37039173 DOI: 10.4103/ijph.ijph_482_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Background In the present COVID-19 pandemic, social distancing measures have been advised to protect elderly from infection which might have led to poor mental health state. Objective A cross-sectional study was carried out to assess the magnitude of social isolation, social support, and psychological distress among the elderly during the COVID-19 pandemic in Central India. Methods The estimated sample size was 1535. The sample was equally distributed among rural, semiurban, and urban strata of districts. Social isolation was measured using Lubben's Social Network Scale-Revised, and psychological distress was assessed using Kessler K10 Psychological Distress Scale. Other parameters such as a history of COVID-19 illness and COVID-19 vaccination were assessed. Results The prevalence of social isolation was higher at 23.6% during the COVID-19 pandemic compared to before the pandemic period (15.0%). The majority perceived a high level of social support during the pandemic (55.3%) and 39.9% received moderate support. Overall, 18.4% of the respondents had psychological distress. Out of them, 56.2% had mild distress, 20.1% had moderate distress, and 23.7% had severe distress. Significant predictors of psychological distress were female gender, lower socioeconomic status, history of COVID-19 disease among the participants, social isolation, and lack of social support. Conclusion Social isolation and lack of social support were significant predictors of psychological distress among the elderly during the pandemic.
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Ikhar M, Banerjee S, Bandyopadhyay K, Tiwari MK, Kumar M, Deshmukh P. Magnitude and determinants of "Social Capital" among women in reproductive age group - A cross-sectional study from rural Wardha, Central India. J Family Med Prim Care 2021; 10:3606-3610. [PMID: 34934654 PMCID: PMC8653486 DOI: 10.4103/jfmpc.jfmpc_2496_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Revised: 06/11/2021] [Accepted: 06/24/2021] [Indexed: 11/04/2022] Open
Abstract
Context Social capital reflects the trust, norms, values and social processes that governs interaction among people. Aim This study was conducted to estimate the magnitude and determinants of social capital among women of reproductive age group in selected village of rural Wardha, Central India. Materials and Methods It was a community based cross-sectional study where two stage cluster sampling technique was used to select 300 participants from 22 villages. Data were collected using a pre-designed interviewer administered questionnaire by house-to-house survey. Social capital was measured using the core set of Integrated Questionnaire for the Measurement of Social Capital developed by World Bank. Statistical Analysis Multivariate linear regression was applied to find out determinants of social capital. Results Most of the participants had poor social capital score (women having lowest and middle tertile scores were 36.0% and 45%, respectively). social capital poorer in younger women, women with lower educational qualification, not involved in gainful occupation, belonging to below poverty line and unmarried compared to their counterparts. Having at least one son was positively associated with higher social capital. In adjusted analysis, age, education, occupation, marital status, and whether the woman has son were revealed as significant determinants of social capital. Conclusion The study findings reflect the need of improving education and job opportunity among rural women to improve their social capital. Increase of social capital among women having male child reflects the need to percolate the message of gender equity and gender sensitive education.
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Affiliation(s)
- Madhuri Ikhar
- Mahatma Gandhi Fuji-Guruji Social Work Study Center, Mahatma Gandhi Aantarrashtriya Hindi Vishwavidyalaya, Wardha, Maharashtra, India
| | - Sitikantha Banerjee
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Kajari Bandyopadhyay
- Mahatma Gandhi Fuji-Guruji Social Work Study Center, Mahatma Gandhi Aantarrashtriya Hindi Vishwavidyalaya, Wardha, Maharashtra, India
| | - Mithilesh K Tiwari
- Mahatma Gandhi Fuji-Guruji Social Work Study Center, Mahatma Gandhi Aantarrashtriya Hindi Vishwavidyalaya, Wardha, Maharashtra, India
| | - Manoj Kumar
- Mahatma Gandhi Fuji-Guruji Social Work Study Center, Mahatma Gandhi Aantarrashtriya Hindi Vishwavidyalaya, Wardha, Maharashtra, India
| | - Pradeep Deshmukh
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
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Banerjee S, Selvaraj K, Bandyopadhyay K, Firdous Khan M, Bisen T, Deshmukh P. Urban health and nutrition day or only immunisation day? barriers and bottlenecks in implementing Urban health and nutrition day in an Urban primary health centre of Nagpur, Central India. J Mother Child 2021; 25:51-60. [PMID: 34643347 PMCID: PMC8603842 DOI: 10.34763/jmotherandchild.20212501.d-21-00006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 05/18/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND This study was carried out to evaluate the implementation status of Urban Health and Nutrition Day (UHND) and to explore barriers and bottlenecks as perceived by community-level service providers in the selected city of Nagpur, Maharashtra. MATERIAL AND METHODS This mixed-method study was conducted using a triangulation design. An initial gap assessment was carried out quantitatively using an observation checklist. Focus group discussion among ASHAs and interviews among frontline health workers involved in community mobilisation were carried out to understand the bottlenecks and barriers. RESULTS Supplies of drugs and logistics, like paediatric iron and folic acid tablets, calcium tablets, and weighing machines, were inadequate. Services like distribution of conventional contraceptives, testing for malaria, urine albumin/sugar, haemoglobin estimation, screening for diabetes and hypertension, sputum collection, and qualitative iodine test kits are not available in any of the UHND sessions. Major challenges in the implementation of UHND were found to be as follows: unserved areas and left-out urban slum pockets; the distribution paradox of UHND location with an ill-defined geographic boundary; restriction of range of services to antenatal registration and immunisation with gross neglect of other components; suboptimal training of staff; insufficient availability of space, logistics, and health manpower; non-involvement of community members and Urban Local Bodies; and poor monitoring and supervision. CONCLUSION The conduct, use, and list of services offered in UHND are far from the desired goal. For optimal use, reallocation of the UHND sessions, preferably in unserved and underserved slums, need to be carried out after suitable vulnerability assessment. Integration of the Health, Women, and Child Department and Urban Local Bodies is required for convergent planning, monitoring, and supervision.
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Affiliation(s)
- Sitikantha Banerjee
- Department of Community Medicine, AIIMS Nagpur, Nagpur, Maharashtra, India, E-mail:
| | | | | | | | - Tikesh Bisen
- Model UPHC Project, Tata Trusts, Nagpur, Maharashtra, India
| | - Pradeep Deshmukh
- Department of Community Medicine, AIIMS Nagpur, Nagpur, Maharashtra, India
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Saple P, Gosavi S, Pawar T, Chaudhari G, Mahale H, Deshmukh P, Kurundkar A, Pedgaonkar S, Thakare S. Seroprevalence of anti-SARS-CoV-2 of IgG antibody by ELISA: Community-based, cross-sectional study from urban area of Malegaon, Maharashtra. J Family Med Prim Care 2021; 10:1453-1458. [PMID: 34041193 PMCID: PMC8140273 DOI: 10.4103/jfmpc.jfmpc_2191_20] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 12/09/2020] [Accepted: 12/21/2020] [Indexed: 11/25/2022] Open
Abstract
Background: Given the high incidence of asymptomatic or subclinical SARS-CoV-2 infection, reported cases likely underestimate the overall prevalence and infectivity of COVID-19. Serological test for IgG can provide a better measure of disease activity by identifying asymptomatic or subclinical infection. This study was conducted to estimate the seroprevalence of SARS-CoV-2 infection and to the determinants of SARS-CoV-2 infection in the hotspot area of COVID-19. Method: It was a community-based, cross-sectional study using multistage sampling with a sample size of 360. After informed consent, the demographic information, past history of SARI/ILI, contact, COVID-19 status were collected. The blood samples were taken from one family member for anti-SARS-CoV-2 IgG antibody by ELISA testing kit. Results: Majority of the study subjects had no history of SARI (86%) or any contact with COVID-19 case (98%). Overall seroprevalence of anti-SARS-CoV-2 of IgG antibody was 40% (95% CI 35–45%), infection fatality rate (IFR) was 0.7%. Seroprevalence varied significantly depending on religious background; with Muslims (53%) seroprevalence compared to other religious groups. Seroprevalence of homemaker/unemployed (49%) and laborer (55%) was significantly higher compared to business (30%) and service occupation (21%). Subjects with overcrowding conditions and poor ventilation was significantly associated with higher seroprevalence with odds ratio of 2.5 and 2.3, respectively. Conclusion: The antibody testing detects a large number of asymptomatic cases or previously infected cases which would have been missed by clinical history. Thus, the number of undiagnosed cases was found significantly higher even with rigorous implementation of lockdown.
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Affiliation(s)
- Pallavi Saple
- Shri Bhausaheb Hire Government Medical College, (SBHGMC), Dhule, Maharashtra, India
| | - Shriram Gosavi
- Department of Community Medicine, SBHGMC, Dhule, Maharashtra, India
| | - Tushar Pawar
- Department of Surgery, SBHGMC, Dhule, Maharashtra, India
| | | | | | | | - Ashish Kurundkar
- Department of Pathology, Medical University of South Carolina, USA
| | - Sarang Pedgaonkar
- International Institute for Population Sciences (IIPS), Mumbai, Maharashtra, India
| | - Sapana Thakare
- Medical Officer of Health (MOH), Municipal Corporation of Malegaon, Maharashtra, India
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17
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Banerjee S, Tripathy J, Bandyopadhyay K, Deshmukh P. Prevalence and predictors of hardcore smoking in India-: Findings from the global adult tobacco survey (2016–2017). Indian J Community Med 2021; 46:710-714. [PMID: 35068740 PMCID: PMC8729276 DOI: 10.4103/ijcm.ijcm_954_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 08/26/2021] [Indexed: 11/07/2022] Open
Abstract
Background: Hardcore smokers are of significant public health concern having a greater risk of developing tobacco-related diseases. Objective: This study aimed to identify burden of hardcore smokers, its distribution, and determinants in India. Subjects and Methods: Analysis of Global Adult Tobacco Survey India 2016–2017 data was carried out. Hardcore smoking was defined when the following criteria were fulfilled – current daily cigarette smoking for at least 5 years, no quit attempt in past 12 months, no intention to quit in next 12 months, and time to first smoke within 30 min of waking up. Independent variables included sociodemographic, knowledge of side effects, indoor smoking policy, and age of smoking initiation. Multivariable logistic regression was carried out, with adjustment for clustering, stratification, and sampling weight. Results: Proportion of hardcore smoking among the general population and current daily smokers were 3.43% and 32.3%, respectively. In the adjusted model, it was found to be significantly associated with increasing age, earlier initiation of daily smoking, tribal caste, and unfavorable indoor smoking policy. Conclusion: Tobacco control strategies should be modified to tackle these issues, especially early age of initiation of daily smoking and indoor smoking policy.
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18
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Narang R, Deshmukh P, Jain V. COVID-19 vaccination in India – From hesitancy to shortage! J Mahatma Gandhi Inst Med Sci 2021. [DOI: 10.4103/jmgims.jmgims_46_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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19
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Bhave KG, Jawahar KTP, Kumarasamy P, Sivakumar T, Joseph C, Shirsath T, Deshmukh P, Venkataramanan R. Genetic and non-genetic factors affecting semen production and quality characteristics of Gir cattle breed under semi-arid climate. Vet World 2020; 13:1714-1718. [PMID: 33061249 PMCID: PMC7522933 DOI: 10.14202/vetworld.2020.1714-1718] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2020] [Accepted: 07/07/2020] [Indexed: 11/16/2022] Open
Abstract
Aim This study aims to evaluate genetic and non-genetic factors influencing semen production potential of Gir bulls. Materials and Methods Data on semen quantity (n=6911) and quality (n=466) available from January 2011 to December 2018 at BAIF's frozen semen station, Jind, Haryana, India, were utilized for the study. Factors, namely, season of collection, age at collection, and bull (random effect) were studied for their effect on quantitative and qualitative semen traits. Least square means for the traits were obtained using a general linear model. The effect of age within bull for repeatable traits was analyzed using a longitudinal model with age as the control variable. Multivariate analysis using mixed repeatability model equation was utilized to estimate bull effect correlation (genetic + permanent environmental correlation), phenotypic correlations, and repeatability. Results The overall least square means of ejaculate volume, sperm concentration, total sperms, initial and post-thaw motility, hypo-osmotic swelling test, and acrosome integrity of frozen semen were 6.62±0.03 ml, 1.22±0.01 109/ml, 8.09±0.05 109/ejaculate, 75.78±0.001%, 55.92±0.0001%, 55.13±0.005%, and 71.08±0.001%, respectively. The season of the collection showed a significant effect on volume, concentration, total sperm, and initial motility. The performance of bulls was superior in summer season, followed by winter and monsoon. Increase in semen attributes during summer season was due to the effect of lower temperature on sensitive stages of spermatogenesis. Age at collection had a significant effect on all semen traits. Volume and total sperm count showed increasing trend while concentration showed a decreasing trend with an increase in age. Motility and quality traits did not show any particular pattern. Individual bulls showed differences in all the semen performance traits with age. The repeatability of the traits ranged from 0.04 (HOST) to 0.58 (acrosome integrity). Bull effect correlation ranged from -0.73 (initial motility and acrosome integrity) to 0.93 (HOST and acrosome integrity). Conclusion Individual bulls showed variation in traits measured over age. The result of the study could be utilized in suggesting suitable management plans to achieve the desired profit by improving semen quality in Gir bulls.
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Affiliation(s)
- K G Bhave
- Department of Animal Genetics and Breeding, Madras Veterinary College, Tamil Nadu Veterinary and Animal Sciences University, Chennai, Tamil Nadu, India
| | - K Thilak Pon Jawahar
- Department of Animal Genetics and Breeding, Madras Veterinary College, Tamil Nadu Veterinary and Animal Sciences University, Chennai, Tamil Nadu, India
| | - P Kumarasamy
- Controller of Examinations, Madhavaram Milk Colony, Tamil Nadu Veterinary and Animal Sciences University, Chennai, Tamil Nadu, India
| | - T Sivakumar
- Dean, Veterinary College and Research Institute, Orathanadu, Thanjavur, Tamil Nadu, India
| | - C Joseph
- Director of Research, Madhavaram Milk Colony, Tamil Nadu Veterinary and Animal Sciences University, Chennai, Tamil Nadu, India
| | - T Shirsath
- Frozen semen laboratory, BAIF, Development Research Foundation, Dr. Manibhai Desai Nagar, Uruli Kanchan, Pune, Maharashtra, India
| | - P Deshmukh
- Frozen semen laboratory, BAIF, Development Research Foundation, Dr. Manibhai Desai Nagar, Uruli Kanchan, Pune, Maharashtra, India
| | - R Venkataramanan
- Livestock Farm Complex, Madhavaram Milk Colony, Tamil Nadu Veterinary and Animal Sciences University, Chennai, Tamil Nadu, India
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20
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Dinerman J, Deshmukh P, Qiao J, Li W, Mangual J, Brenyo A, Zanon F, Calo L, Thibault B. 841Multi-center clinical experience with the usage of implantable pulse generators for permanent his bundle pacing. Europace 2020. [DOI: 10.1093/europace/euaa162.196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Funding Acknowledgements
Abbott
Introduction
His Bundle pacing (HBP) offers a more physiologic pacing approach to maintain electrical synchrony. Permanent HBP has emerged as a feasible and safe alternative to traditional pacemaker therapy and cardiac resynchronization therapy (CRT) with clinical and electrophysiological advantages. However, traditional implantable pulse generators (IPGs) have been used for HBP without supporting algorithms developed for HBP.
Objective
To assess a multi-center clinical experience with the usage of IPGs for permanent HBP and to identify the needs for HBP specific device algorithms.
Methods
Patients from 6 centers worldwide with a permanent HBP lead and an existing Abbott pacemaker, defibrillator, or CRT device were enrolled in this study. Device data and 12-lead surface ECG were collected simultaneously during device interrogation at a follow-up visit. HBP capture types at different pacing amplitudes were adjudicated using 12-lead ECG. Bundle branch block (BBB) correction by HBP was defined as QRS duration ≤130 ms or narrowing by >20%. Amplitudes of atrial and ventricular components on the HBP lead from both unipolar and bipolar sensing configurations were measured. Amplitudes of atrial component ≥ 0.5 mV on HB sensing EGMs were measured and considered as having risk of atrial oversensing.
Results
A total of 133 patients (75 ± 10 yrs, 92 male) were enrolled and completed study data collection post implant (median: 48, range: 0-3110 days). Patient characteristics, IPG type, and HBP lead connections were shown in the table. Dual-chamber pacemaker with HBP lead connected to V port was the most popular (65%) configuration. In non-BBB patients, pacing thresholds for selective HB (n = 44), non-selective HB (n = 54), and myocardial capture (n = 21) were 1.5 ± 1.2, 2.9 ± 2.0, 1.4 ± 1.5 V, respectively, at pulse width of 0.8 ± 0.4 ms. In BBB patients, LBBB and RBBB were corrected in 10/23 (43%) and 12/27 (44%) patients with pacing thresholds of 3.5 ± 2.4 and 2.1 ± 2.0 V, respectively, at pulse width of 0.8 ± 0.3 ms. AutoCapture™ algorithm was tested in 63 patients and recommended to be OFF in 28 (44%) patients. EGMs during intrinsic AV conduction were collected in 86 patients. A risk of atrial oversensing was identified in 24 (28%) and 27 (31%) patients during bipolar and unipolar sensing, respectively, and in 17 (20%) patients during both configurations. The average amplitude of the atrial and ventricular components on the HB lead EGM were 2.1 ± 2 and 6.0 ± 5.8 mV during bipolar sensing and 1.3 ± 1.2 and 6.3 ± 6.5 mV during unipolar sensing, respectively. Five (6%) patients had A/V amplitude ratios higher than 1.
Conclusions
Currently, various device configurations are used to overcome the fact that IPGs are not designed for HBP. Additionally, HBP presents unique challenges to ensure appropriate capture and sensing beyond traditional RV pacing. HBP specific device algorithms are needed to ensure correct IPG usage and facilitate device programming.
Abstract Figure.
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Affiliation(s)
- J Dinerman
- The Heart Center, Huntsville, United States of America
| | - P Deshmukh
- Guthrie Clinic, Sayre, PA, United States of America
| | - J Qiao
- Abbott, Sylmar, United States of America
| | - W Li
- Abbott, Sylmar, United States of America
| | - J Mangual
- Abbott, Sylmar, United States of America
| | - A Brenyo
- Greenville Health Center, Cardiology Department, Greenville, South Carolina, United States of America
| | - F Zanon
- Santa Maria Della Misericordia, Rovigo, Italy
| | - L Calo
- Polyclinic Casilino of Rome, Rome, Italy
| | - B Thibault
- Montreal Heart Institute, Montreal, Canada
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Narang R, Deshmukh P, Sherwal BL. Moving beyond clinical medicine: Revised mandate for public health microbiology. Indian J Med Microbiol 2020; 38:137-138. [PMID: 32883924 DOI: 10.4103/ijmm.ijmm_20_302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Rahul Narang
- Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Pradeep Deshmukh
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
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Parikh RP, Washimkar S, Deshmukh P, Deshpande M, Beedkar A, Talaviya B, Maske M. Retrospective Study of Clinical and Epidemiological Parameters of Patients Undergoing Percutaneous Coronary Intervention with Their Follow-Up. Open Access Maced J Med Sci 2019; 7:3603-3607. [PMID: 32010384 PMCID: PMC6986500 DOI: 10.3889/oamjms.2019.780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Revised: 10/05/2019] [Accepted: 10/06/2019] [Indexed: 11/05/2022] Open
Abstract
AIM: To study clinical and epidemiological parameters of patients undergoing percutaneous coronary intervention (PCI) and to follow them up for understanding the outcomes of the procedure.
MATERIAL AND METHODS: This is a retrospective data analysis of 862 patients who underwent PCI from January 2016 to November 2017
RESULTS: Out of 862 patients, 611 (70.88%) were male & 251 (29.12%) were female, with the mean age being 55. 243 (28.19%) were diabetic, 470 (54.52%) were hypertensive, 158 (18.32%) patients were tobacco chewer, 215 (24.92%) were smokers and 111 (12.87%) were alcoholic. 636 (73.78%) patients had STEMI, 153 (17.74%) had NSTE-ACS, 61 (7.07%) had CSA.578 (67.05%) were SVD, 262 (30.39%) were DVD and 19 (2.20%) were TVD. Out of SVD, 350 (60.55%) patients had LAD involvement and among DVD patients, LAD and RCA were most commonly involved in 107 (40.83%) patients. On follow-up of mean 604.42 days (minimum 236 days, maximum 909 days), 2 (0.23%) episodes of subacute stent thrombosis occurred and 11 (1.27%) patients had ISR but no mortality was reported.
CONCLUSION: The study shows affection of young population predominately and genders inequality, suggesting primarily male disease. PCI is often sought in ACS and CSA is predominately treated medically. Thrombolysis remains the first treatment received by STEMI patients. SVD is the most common angiographic diagnosis with LAD predominately affected vessel. This real world-data on clopidogrel with aspirin as dual antiplatelet therapy and second-generation stent shows negligible event of stent thrombosis and ISR.
LIMITATION: Due to non-invasive follow-up, the exact amount of stent restenosis cannot be calculated.
IMPACT ON DAILY PRACTICE: This real world-data on clopidogrel with aspirin as dual antiplatelet therapy and second-generation stent shows negligible event of stent thrombosis and ISR. This can help reduce the cost burden on society and help better distribution of health budget.
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Banerjee S, Bandyopadhyay K, Khan MF, Akkilagunta S, Selvaraj K, Tripathy JP, Solanki R, Kushwaha AS, Deshmukh P. Coverage of mass drug administration for elimination of lymphatic filariasis in urban Nagpur, Central India: A mixed method study. J Family Med Prim Care 2019; 8:3009-3014. [PMID: 31681683 PMCID: PMC6820416 DOI: 10.4103/jfmpc.jfmpc_503_19] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Revised: 08/22/2019] [Accepted: 09/03/2019] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND AND AIMS Mass Drug Administration (MDA) coverage remains an important indicator in elimination of Lymphatic Filariasis (LF), especially in context of recent changes in programme strategies in India, such as incorporation of Ivermectin and involvement of urban Accredited Social Health Activists (ASHAs). This study aimed at assessing the coverage and compliance with MDA of Filariasis as well as exploring perspective of beneficiaries for non-consumption in selected slum area of Nagpur city. METHODS Mixed-method study design comprising of quantitative assessment of MDA coverage, followed by qualitative method to explore the reasons of non-compliance was used in selected slum areas of Nagpur city. Using cluster sampling, 240 households were selected and house-to-house visits were made to interview the eligible participants. In-depth interviews were conducted among selected non-compliant participants. STATISTICAL ANALYSIS Multivariable logistic regression analysis to identify the factors associated with non-consumption. Thematic analysis was done to obtain the reasons of non-consumption as perceived by the beneficiaries. RESULTS Among the 1096 individuals studied, distribution and consumption coverage were 55.2% and 48.5%, respectively. Effective supervised consumption was further low (28.9%). Coverage compliance gap (CCG) was 12.1%. Male sex and younger age (2-5 years) were significant socio-demographic determinants of non-consumption. No repeat visit to houses left in first round, fear of side effects, pill burden, poor understanding about the need were important reasons as revealed by qualitative inquiry. CONCLUSION Effective pre-campaign awareness, incorporation of context specific drug delivery strategies and strengthening monitoring system are essential for successful MDA implementation.
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Affiliation(s)
- Sitikantha Banerjee
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Kajari Bandyopadhyay
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Mubashshera F. Khan
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Sujiv Akkilagunta
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Kalaiselvi Selvaraj
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Jaya P. Tripathy
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Ranjan Solanki
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Arvind S. Kushwaha
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
| | - Pradeep Deshmukh
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
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Affiliation(s)
| | - Sitikantha Banerjee
- Department of Community Medicine, AIIMS, Nagpur, Maharashtra, India,Address for correspondence: Dr. Sitikantha Banerjee, Department of Community Medicine, AIIMS, Nagpur, AIIMS Temporary Campus, C/o Government Medical College, Nagpur - 440 003, Maharashtra, India. E-mail:
| | - Pradeep Deshmukh
- Department of Community Medicine, AIIMS, Nagpur, Maharashtra, India
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Raut A, Bhombe I, Taywade M, Deshmukh P. Time-motion study of auxiliary nurse midwives of a primary health center from Wardha District of Maharashtra. Int J Adv Med Health Res 2019. [DOI: 10.4103/ijamr.ijamr_50_18] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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26
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Singh S, Dwivedi N, Dongre A, Deshmukh P, Dey D, Kumar V, Upadhyaya S. Functioning and time utilisation by female multi-purpose health workers in South India: a time and motion study. Hum Resour Health 2018; 16:64. [PMID: 30477524 PMCID: PMC6258406 DOI: 10.1186/s12960-018-0327-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Accepted: 10/25/2018] [Indexed: 05/30/2023]
Abstract
BACKGROUND Auxillary nurse midwives (ANMs) are the most important frontline multi-purpose workers in rural India. This study was conducted to assess the spectrum of service delivery, time utilisation, work planning, and factors affecting functioning of ANMs in South India. METHODS We conducted a time and motion study in three districts across two states in South India. The districts selected in such a manner that they had a considerable tribal population. We conducted multi-stage sampling to select ANMs. We directly observed 43 ANMs consecutively for six working days and in-depth interviewed all selected ANMs, their supervisors, medical officers, and district health officials. We conducted an FGD to substantiate the findings from observations and interviews. Observation findings were analysed under three broad domains: (i) programme activities, (ii) programme support activities, and (iii) other work. Time spent was calculated in median (interquartile range, IQR) minutes/ANM per week or day. Qualitative data were coded and analysed using grounded theory, and appropriate themes and sub-themes were identified. RESULTS ANMs worked for median 7 h a day (7:10 h, non-tribal; 6:20 h, tribal). There is variation in the hours of work, the pattern of service provided and time utilisation across days of a week. ANMs spent 60% of their on-job time on programmatic activities (median 22:38 h; IQR, 20:48-27:01 h) in a week. Emphasis is more on home visits, universal immunisation, antenatal care, school health, and seasonal diseases. ANMs spent negligible time on non-communicable diseases, adolescent health, nutrition, etc. ANMs spent the remaining time in program support activities, such as meetings with seniors, community meetings, and other non-health related work. There are no renewed job description, work plans, and supervision guidelines, even with newly added programs and tasks. ANMs prioritised work as per the priorities set by the supervisors and leaders. Health administration often disrupts the regular functioning of ANMs for training, meetings and other ad hoc work. CONCLUSION ANMs are overworked; they often multi-task and fail to deliver efficiently. The administration needs to re-assess the workload. The administration may reduce expected work, provide strong supervisory support, and make conscious efforts to pose fewer disruptions in regular working of ANMs.
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Affiliation(s)
- Samiksha Singh
- Indian Institute of Public Health-Hyderabad, Public Health Foundation of India, Plot #1, Amar co-op society, Kavuri Hills, Madhapur, Hyderabad, 500033 India
| | | | - Amol Dongre
- Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India
| | - Pradeep Deshmukh
- Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, India
| | - Deepak Dey
- UNICEF Hyderabad Field Office, Hyderabad, India
| | - Vijay Kumar
- Centre for Economic and Social Studies (CESS), Hyderabad, India
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Saha S, Narang R, Deshmukh P, Pote K, Anvikar A, Narang P. Diagnostic efficacy of microscopy, rapid diagnostic test and polymerase chain reaction for malaria using bayesian latent class analysis. Indian J Med Microbiol 2018; 35:376-380. [PMID: 29063882 DOI: 10.4103/ijmm.ijmm_17_199] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
INTRODUCTION The diagnostic techniques for malaria are undergoing a change depending on the availability of newer diagnostics and annual parasite index of infection in a particular area. At the country level, guidelines are available for selection of diagnostic tests; however, at the local level, this decision is made based on malaria situation in the area. The tests are evaluated against the gold standard, and if that standard has limitations, it becomes difficult to compare other available tests. Bayesian latent class analysis computes its internal standard rather than using the conventional gold standard and helps comparison of various tests including the conventional gold standard. MATERIALS AND METHODS In a cross-sectional study conducted in a tertiary care hospital setting, we have evaluated smear microscopy, rapid diagnostic test (RDT), and polymerase chain reaction (PCR) for diagnosis of malaria using Bayesian latent class analysis. RESULTS We found the magnitude of malaria to be 17.7% (95% confidence interval: 12.5%-23.9%) among the study subjects. In the present study, the sensitivity of microscopy was 63%, but it had very high specificity (99.4%). Sensitivity and specificity of RDT and PCR were high with RDT having a marginally higher sensitivity (94% vs. 90%) and specificity (99% vs. 95%). On comparison of likelihood ratios (LRs), RDT had the highest LR for positive test result (175) and the lowest LR for negative test result (0.058) among the three tests. CONCLUSION In settings like ours conventional smear microscopy may be replaced with RDT and as we move toward elimination and facilities become available PCR may be roped into detect cases with lower parasitaemia.
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Affiliation(s)
- Sreemanti Saha
- Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Rahul Narang
- Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Pradeep Deshmukh
- Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Kiran Pote
- Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
| | - Anup Anvikar
- National Institute for Malaria Research, New Delhi, India
| | - Pratibha Narang
- Department of Microbiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India
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Singh S, Upadhyaya S, Deshmukh P, Dongre A, Dwivedi N, Dey D, Kumar V. Time motion study using mixed methods to assess service delivery by frontline health workers from South India: methods. Hum Resour Health 2018; 16:17. [PMID: 29609599 PMCID: PMC5879838 DOI: 10.1186/s12960-018-0279-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2017] [Accepted: 03/13/2018] [Indexed: 05/30/2023]
Abstract
BACKGROUND In India, amidst the increasing number of health programmes, there are concerns about the performance of frontline health workers (FLHW). We assessed the time utilisation and factors affecting the work of frontline health workers from South India. METHODS This is a mixed methods study using time and motion (TAM) direct observations and qualitative enquiry among frontline/community health workers. These included 43 female and 6 male multipurpose health workers (namely, auxiliary nurse midwives (ANMs) and male-MPHWs), 12 nutrition and health workers (Anganwadi workers, AWWs) and 53 incentive-based community health workers (accredited social health activists, ASHAs). We conducted the study in two phases. In the formative phase, we conducted an in-depth inductive investigation to develop observation checklists and qualitative tools. The main study involved deductive approach for TAM observations. This enabled us to observe a larger sample to capture variations across non-tribal and tribal regions and different health cadres. For the main study, we developed GPRS-enabled android-based application to precisely record time, multi-tasking and field movement. We conducted non-participatory direct observations (home to home) for consecutively 6 days for each participant. We conducted in-depth interviews with all the participants and 33 of their supervisors and relevant officials. We conducted six focus group discussions (FGDs) with ASHAs and one FGD with ANMs to validate preliminary findings. We established a mechanism for quality assurance of data collection and analysis. We analysed the data separately for each cadre and stratified for non-tribal and tribal regions. RESULTS On any working day, the ANMs spent median 7:04 h, male-MPHWs spent median 5:44 h and AWWs spent median 6:50 h on the job. The time spent on the job was less among the FLHWs from tribal areas as compared to those from non-tribal areas. ANMs and AWWs prioritised maternal and child health, while male-MPHWs were involved in seasonal diseases and school health. ASHAs visited homes to provide maternal health, basic curative care, and follow-up of tuberculosis patients. The results describe issues related with work planning, time management and several systemic, community-based and personnel factors affecting work of FLHWs. CONCLUSION TAM study with mixed methods can help researchers as well as managers to periodically review work patterns, devise appropriate job responsibilities and improve the efficiency of health workers.
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Affiliation(s)
- Samiksha Singh
- Indian Institute of Public Health-Hyderabad, Public Health Foundation of India, Plot #1, Amar co-op society, Kavuri Hills, Madhapur, Hyderabad, 500033 India
| | | | - Pradeep Deshmukh
- Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, India
| | - Amol Dongre
- Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India
| | - Neha Dwivedi
- Commissioner Office of Health and Family Welfare, Government of Telangana, Hyderabad, India
| | - Deepak Dey
- UNICEF Hyderabad Field Office, Hyderabad, India
| | - Vijay Kumar
- Centre for Economic and Social Studies (CESS), Hyderabad, India
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Pote K, Narang R, Deshmukh P. Diagnostic Performance of Serological Tests to Detect Antibodies Against Acute Scrub Typhus Infection in Central India. Indian J Med Microbiol 2018; 36:108-112. [DOI: 10.4103/ijmm.ijmm_17_405] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Beedkar A, Parikh R, Patel B, Mhaske M, Washimkar S, Deshmukh P, Deshpande M. Catheter Assisted Management of Massive Pulmonary Embolism. J Assoc Physicians India 2017; 65:105. [PMID: 29327535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Pulmonary thromboembolism is common and missed by clinicians. We report a case of massive pulmonary embolism which was life threatening treated by the catheter assisted technique. Anticoagulation is the mainstay of therapy for most patients, with thrombolytic therapy reserved for some patients.1 Recent studies have suggested a role for systemic or catheter-directed thrombolytic therapy in selected patients.2 We present a case of a patient who presented with an PE, was successfully treated with catheter-directed thrombolysis.
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Affiliation(s)
| | | | | | | | | | | | - Mukund Deshpande
- Professor and HOD, Department of Cardiology, Superspecialty Hospital, Nagpur, Maharashtra
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Beedkar A, Parikh R, Deshmukh P. Heart Failure and the Iron Deficiency. J Assoc Physicians India 2017; 65:79-80. [PMID: 29322715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Iron deficiency anemia is a significant problem worldwide and more so in developing countries, like India. The prevention and treatment of iron deficiency is a major public health goal in India It is now well recognized that iron deficiency has detrimental effects in patients with coronary artery disease, heart failure, and pulmonary hypertension, and possibly in patients undergoing cardiac surgery. Around one-third of all patients with HF, and around one-half of patients with pulmonary hypertension, are affected by iron deficiency.1.
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Affiliation(s)
| | | | - Pradeep Deshmukh
- Associate Professor , Goverment Medical College and Superspeciality Hospital, Nagpur, Maharashtra
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Parikh RP, Tiwari A, Washimkar S, Deshmukh P, Deshpande M. Calcium on Mitral Valve: Decipher Aetiopathogenesis. J Clin Diagn Res 2017; 11:OD03-OD04. [PMID: 28892961 DOI: 10.7860/jcdr/2017/26592.10171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2017] [Accepted: 05/03/2017] [Indexed: 11/24/2022]
Abstract
We hereby describe an unusual case of a 17-year-old female with severe mitral regurgitation secondary to heavily calcified immobile valve leaflets. Along with the mitral valve, corneas were also calcified, due to congenital systemic metabolic disorder, distal renal tubular acidosis. Histopathology proved that there was no intrinsic pathology of the mitral valve. Congenital distal renal tubular acidosis with normokalemia presenting with severe mitral and corneal calcification is not known. This case notes important clinical features and is thought to add to the existing knowledge regarding the disease. Patient succumbed to her illness during mitral valve surgery and genetic analysis was not done prior. This is the limitation of our reporting. In this modern era, specific clinical features are also important and of equal value to try and understand molecular and genetic basics of the diseases.
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Affiliation(s)
- Rohan P Parikh
- Senior Resident, Department of Cardiology, Govt. Medical College and Super Speciality Hospital, Nagpur, Maharashtra, India
| | - Ashlesh Tiwari
- Senior Resident, Department of Cardiology, Govt. Medical College and Super Speciality Hospital, Nagpur, Maharashtra, India
| | - Sunil Washimkar
- Assistant Professor, Department of Cardiology, Govt. Medical College and Super Speciality Hospital, Nagpur, Maharashtra, India
| | - Pradeep Deshmukh
- Associate Professor, Department of Cardiology, Govt. Medical College and Super Speciality Hospital, Nagpur, Maharashtra, India
| | - Mukund Deshpande
- Head and Professor, Department of Cardiology, Govt. Medical College and Super Speciality Hospital, Nagpur, Maharashtra, India
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Beedkar A, Parikh R, Deshmukh P. Mets Here, Mets There, Mets Everywhere…. J Assoc Physicians India 2017; 65:84. [PMID: 29313582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
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Deshmukh P. Design of cloud security in the EHR for Indian healthcare services. Journal of King Saud University - Computer and Information Sciences 2017. [DOI: 10.1016/j.jksuci.2016.01.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Beedkar A, Parikh R, Deshmukh P. Asymptomatic Presentation of Large Cardiac Hydatid. J Assoc Physicians India 2017; 65:98-99. [PMID: 28457048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Hydatid cyst is a tissue parasitic infection caused by tapeworm Echinococcus granulosus. Common location for hydatid cysts are the liver (65%) and the lungs (25%). Cardiac hydatid cyst is seen rarely, occurring in about 0.5-2% of all cases of hydatid disease. We present this case of 45 years female who presented with short duration of dry cough and atypical chest pain. Chest X ray showed cardiomegaly with round bulge at the right heart border and curvilinear calcification in left upper abdomen in the region of spleen. Transthoracic echocardiography (TTE) depicted cystic lesion in Right Ventricle free wall causing compression of right atrial and ventricular cavity. Cardiac CT confirmed this cyst as hydatid cyst. Patient underwent successful excision of right ventricular hydatid cyst.
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Affiliation(s)
| | | | - Pradeep Deshmukh
- Associate Professor, Goverment Medical College and Superspeciality Hospital, Nagpur, Maharashtra
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Abstract
Presently described is the case of a 55-year-old man who developed localized pain, allodynia, hyperpathia, and swelling over the right ankle joint following coronary balloon angioplasty, which had been performed via right femoral arterial access. Bone scan confirmed the diagnosis of complex regional pain syndrome. Various analgesics were administered, along with physiotherapist-assisted exercise. The present is the first reported case of complex regional pain syndrome presenting as remote postprocedural complication of transfemoral coronary balloon angioplasty.
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Parikh R, Beedkar A, Pawar P, Pusate A, Washimkar S, Deshmukh P, Deshpande M. Mass here, mass there and mass everywhere. J Echocardiogr 2016; 14:132-3. [PMID: 27107593 DOI: 10.1007/s12574-016-0289-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2016] [Revised: 04/03/2016] [Accepted: 04/13/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Rohan Parikh
- Cardiology, GMC & SSH, Nagpur, India. .,, 'Poonam', 27, Saraswat Society, B/H Nandhboomi, Anand-V. V. Nagar Road, Anand, 388001, Gujarat, India.
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Singh S, Deshmukh P, Ungratwar A, Subramanyam A, Kamath R. Does resilience affect illness perception and well-being in the elderly? J Geriatr Ment Health 2014. [DOI: 10.4103/2348-9995.152429] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Shinde P, Chaudhari LN, Meshram M, Shankar V, Deshmukh P. Dosimetric Characteristics of Dynamic Micro Multileaf Collimator. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Shankar V, Shinde P, Chaudhari LN, Meshram M, Prajapati J, Mathew P, Haritha C, Deshmukh P. Deglutition-Induced Dose Deformations in Head-and-Neck Cancer IMRT Treatments: Volume Shuttle Imaging Analysis. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Haritha C, Shankar V, Chaudhari L, Prajapati J, Mathews P, Shinde P, Meshram M, Deshmukh P. Quantification of Swallowing-Induced Motion in Esophageal Cancers Using Volume Shuttle Imaging Analysis. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Upadhyaya S, Shetty S, Kumar SS, Dongre A, Deshmukh P. Institutionalizing district level infant death review: an experience from southern India. WHO South East Asia J Public Health 2012; 1:446-456. [PMID: 28615610 DOI: 10.4103/2224-3151.207047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
BACKGROUND An Infant Death Review (IDR) programme was developed and implemented in two districts of Karnataka. OBJECTIVE We explored the processes that led to the development of the IDR programme with a view to improving the existing pilot programme and to ensuring its sustainability. METHODS A sequential mixed-methods design was followed in which quantitative data collection (secondary data) was followed by qualitative data collection (in-depth interviews). Quantitative data were entered using EpiInfo (version 3.5.1) software and qualitative data were analysed manually. RESULTS Apart from ascertaining the cause of infant deaths, the IDR Committee discusses social, economic, behavioural and health system issues that potentially contribute to the deaths. As a result of the IDR programme, key actors perceived an improvement in infant death reporting at district level, the development of a rapport with the local community, and elaboration of a feedback system for corrective actions. This has led to improved health care during pregnancy. CONCLUSIONS We found that involvement of the different stakeholders in planning and implementing the IDR programme offered a platform for collective learning and action. Impediments to the success of the programme need to be addressed by corrective actions at all levels for its future sustainability.
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Affiliation(s)
- Sanjeev Upadhyaya
- Health Specialist, United Nations Children's Fund, Field Office, Hyderabad, India
| | - Sudeep Shetty
- Senior Consultant, Child Health, United Nations Children's Fund, Bangalore, India
| | - Selva S Kumar
- Mission Director, National Rural Health Mission, Karnataka, India
| | - Amol Dongre
- Professor, Department of Community Medicine, Sri Manakuala Vinayagar Medical College and Hospital, Pondicherry, India
| | - Pradeep Deshmukh
- Professor, Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sewagram, India
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Dongre A, Deshmukh P, Garg B. P1-419 Health promoting school initiative in ashram schools of Wardha district: an evaluation. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976g.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Maliye C, Taywade M, Gupta S, Deshmukh P, Garg B. P2-445 Maternal risk factors associated with low birth weight in Wardha, India. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976l.75] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Kumar J, Deshmukh P, Garg BS. SP1-2 Prevalence and correlates of sustained hypertension in adolescents of rural Wardha, central India. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976m.79] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Maliye C, Kumar R, Deshmukh P, Garg B. P2-444 Incidence and correlates of "growth faltering" among 0-6 year's children: a panel study from rural Wardha, India. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976l.74] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Dongre A, Deshmukh P, Murali N, Garg B. P1-133 Tobacco consumption among adolescents in rural India: where and how tobacco control should focus its attention? Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976d.26] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Anwar S, Deshmukh P, Garg BS. SP1-14 Influence of obesity indicators on hypertension in adults of rural India. Br J Soc Med 2011. [DOI: 10.1136/jech.2011.142976m.91] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Pandit S, Deshmukh P. P43 A random prospective comparative study to evaluate the efficacy of intravenous iron sucrose versus oral ferrous sulphate in the treatment of iron deficiency anaemia of pregnancy. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)61535-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Pandit S, Shitut P, Deshmukh P, Pawar V. V39 Random prospective comparative study of vaginal hysterectomy versus abdominal hysterectomy in cases of non-descent bulky uteri. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)61476-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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