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Bobdey S, Pushkar K, Kotoki R, Koundinya K, Michael P, Kaushik SK. Corbevax vaccine side effects in children of age group 12–14 years: A prospective observational study. J Mar Med Soc 2023. [DOI: 10.4103/jmms.jmms_135_22] [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: 02/19/2023] Open
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Singh S, Koundinya K, Bobdey S, Teli P, Yadav AK, Kaushik SK. Social stigma and discrimination faced by COVID-19 patients in an industrial unit: Findings of survey from rural Maharashtra. Ind Psychiatry J 2023; 32:43-47. [PMID: 37274591 PMCID: PMC10236673 DOI: 10.4103/ipj.ipj_65_22] [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: 04/10/2022] [Revised: 06/26/2022] [Accepted: 07/25/2022] [Indexed: 01/05/2023] Open
Abstract
Introduction Uncertain situation of the coronavirus disease 2019 (COVID-19) pandemic has led to fear, stigma, and discrimination across all strata of society in varying proportions. Stigmatization increases the suffering of people or those who are at risk of getting the disease and make it harder for public health authorities to control the disease. Material and Methods The present study is a questionnaire-based cross-sectional survey conducted over a period of four weeks in the month of July 2021 in a food industry in rural region of western Maharashtra among COVID-19 positive patients. A total of 152 participants were included in the study. The data was analyzed using SPSS software (version 20). Descriptive statistics were used which included frequencies and percentages. Results 64.5% of the participants were males and 35.5% were females. Approx. 85% of the participants were in age group 15-58 years. 100% of them reported to have faced fear on being tested COVID-19 positive. However, only approx. 2-5% individuals hid their illness from family and friends and 7.9% of them were afraid of getting hospitalized. Conclusion It was found that fear was prevalent among all survivors but stigma was found to be minimal which is likely due to widespread awareness through media, IEC campaigns, and active involvement of administration in implementing policies.
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Affiliation(s)
- Sumeet Singh
- Department of Community Medicine, AFMC, Pune, Maharashtra, India
| | - Kunal Koundinya
- Department of Community Medicine, AFMC, Pune, Maharashtra, India
| | - Saurabh Bobdey
- Department of Community Medicine, AFMC, Pune, Maharashtra, India
| | - Prabhakar Teli
- Department of Community Medicine, AFMC, Pune, Maharashtra, India
| | - Arun K. Yadav
- Department of Community Medicine, AFMC, Pune, Maharashtra, India
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Yadav AK, Mukherjee G, Vasisht K, Bobdey S. Long COVID Among Moderate to Severe COVID-19 Cases in India During Second Wave of COVID-19. Asia Pac J Public Health 2022; 34:846-848. [PMID: 36114710 PMCID: PMC9483130 DOI: 10.1177/10105395221124259] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
- Arun Kumar Yadav
- Department of Community Medicine, Armed
Forces Medical College, Pune, India,Arun Kumar Yadav, Associate Professor,
Department of Community Medicine, Armed Forces Medical College, Pune 411040,
Maharashtra, India.
| | - Gautam Mukherjee
- Department of Community Medicine, Armed
Forces Medical College, Pune, India
| | - Kundan Vasisht
- Department of Community Medicine, Armed
Forces Medical College, Pune, India
| | - S. Bobdey
- Department of Community Medicine, Armed
Forces Medical College, Pune, India
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Bobdey S, Kaushik SK, Vaidya R, Yadav AK, Kapoor S, Teli P, Vardhan P, Koundinya K, Dhillon GS. Unmasking of asymptomatic COVID-19 cases following vaccination. Med J Armed Forces India 2022:S0377-1237(22)00084-3. [PMID: 35937414 PMCID: PMC9340560 DOI: 10.1016/j.mjafi.2022.06.001] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 06/01/2022] [Indexed: 11/15/2022] Open
Affiliation(s)
- Saurabh Bobdey
- Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - S K Kaushik
- Professor & Head, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Rajesh Vaidya
- Dean & Dy Comdt, Armed Forces Medical College, Pune, India
| | - Arun Kumar Yadav
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Suraj Kapoor
- Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Prabhakar Teli
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Prem Vardhan
- Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Kunal Koundinya
- Department of Community Medicine, Armed Forces Medical College, Pune, India
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Yadav AK, Ghosh S, Faujdar DS, Rajmohan KS, Bhalla S, Shekhawat VS, Jindamwar P, Dubey S, Sahai A, Rakesh CR, Chand S, Rawat MS, Gupta S, Dhawan R, Kotwal A, Bobdey S, Teli P, Kaushik SK, Vaidya R. Findings of second multicentric follow-up serosurvey among Health Care Workers in government hospitals. Med J Armed Forces India 2022:S0377-1237(22)00082-X. [PMID: 35910399 PMCID: PMC9322976 DOI: 10.1016/j.mjafi.2022.05.013] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 05/27/2022] [Indexed: 11/24/2022] Open
Abstract
Background The change in serological status of community may be used as input for guiding the public health policy. Hence, the present study was conducted to determine change in seroprevalence of COVID-19 among healthcare workers (HCWs). Methods From the baseline multicentric study sample, a subsample was followed up, and a seroepidemiological study was conducted among them between 6 and 22 weeks after the second dose of the vaccination. Multistage population proportion to size sampling was performed for the selection of subsample of HCWs. The serosurvey was conducted using the enzyme-linked immunosorbent assay-based IgG antibody test (COVID KAVACH). Results Follow-up serological testing was done in subsample of 1122 participants of original 3253 participants. The mean age of the participants was 34.6 (8.13) years. A total of 300 (26.7%) participants were females. The seroprevalence was 78.52, (95%CI:76-80.1). Among those who were seronegative at initial test, 708 (77.04%) were seroconverted. Those who were not seroconverted (241 (21.5%)) have longer duration from the second dose of the vaccination (93 (31.4) vs. 56 (38.4); p value < 0.001). The COVID-19 infection was significantly associated with seropositive status and being a medical staff was associated with remaining seronegative on follow-up. The higher age (≥50 years) was found to be significantly associated with seroreversion. Conclusion Four in five HCWs had detectable antibodies. Seroepidemiological studies carry vital information to control the public health response in the course of the pandemic. The study can also further help as a platform to study the seroconversion and effect of vaccination among HCWs for newer variants of SARS-CoV-2.
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Affiliation(s)
- Arun Kumar Yadav
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - S Ghosh
- Col AFMS (Health), O/o DGAFMS, New Delhi, India
| | - D S Faujdar
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - K S Rajmohan
- Professor (Pathology) & Neuropathologist, ACMS, Delhi, India
| | - Sharad Bhalla
- Professor (Microbiology), Command Hospital (Eastern Command), Kolkatta, India
| | - V S Shekhawat
- Classified Specialist (Medicine & Endocrinologist), INHS Asvini, Colaba, Mumbai, India
| | - Prashant Jindamwar
- Classified Specialist (Microbiology), Army Institute of Cardio-Thoracic Sciences (AICTS), Pune, India
| | - Sudhir Dubey
- Classified Specialist (Microbiology), ACMS, Delhi, India
| | - Atul Sahai
- Classified Specialist (Pathology), Jammu, India
| | - C R Rakesh
- Classified Specialist (Surgery), Command Hospital (Air Force), Bengaluru, India
| | - Satish Chand
- Assistant Professor (Dermatology), Command Hospital (Air Force), Bengaluru, India
| | - M S Rawat
- Graded Specialist (Pathology), Military Hospital, Ahmedabad, India
| | - Shilpi Gupta
- Graded Specialist (Microbiology), Military Hospital, Jaipur, India
| | - Rakhi Dhawan
- Senior Registrar, Military Hospital, Jaipur, India
| | | | - Saurabh Bobdey
- Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Prabhakar Teli
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - S K Kaushik
- Professor & Head, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Rajesh Vaidya
- Dean & Deputy Commandant, Armed Forces Medical College, Pune, India
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Vishnu Prasad S, Mukherjee G, Bobdey S, Kaushik S, Yadav AK, Teli P, Vaidya R, Karade S, Singh S. Epidemiological analysis of SARS-COV-2 B.1.617.2 (delta variant) transmission in an educational institute. Med J Armed Forces India 2022; 79:S0377-1237(22)00024-7. [PMID: 35464626 PMCID: PMC9017873 DOI: 10.1016/j.mjafi.2022.02.008] [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: 11/02/2021] [Accepted: 02/23/2022] [Indexed: 11/28/2022] Open
Abstract
Background Despite having an effective COVID-19 vaccine, the COVID-19 pandemic is far from over and the delta variant continues to cause havoc across several continents. The present study was conducted to analyze and describe the occurrence of COVID-19 cases among completely vaccinated individuals. Methods In an educational institute in Western Maharashtra, we analyzed a cluster of RTPCR positive COVID-19 cases among fully vaccinated students which occurred in 12 days. The cases were linked to a series of curricular and co-curricular events in the institute. A detailed epidemiological investigation and genome sequencing of cases were conducted. IgG antibodies against S1 protein of novel SARS-CoV-2 were estimated for cases and age, sex, and vaccination status matched controls. Results All 37 identified cases were mild COVID. 188 high risk (HR) contacts of the cases were identified. The overall secondary attack was 9.5%. Out of 31 cases and 50 controls, 09 (29%) cases and 08 (16%) controls were found to have IgG antibodies against S1 protein of novel SARS-CoV-2 titer of more than 60 U/ml. Whole-genome sequencing of 15 samples of the cluster showed the presence of the Delta variant of SARS-CoV-2. No correlation was observed between Ct value and IgG S1 antibody titers. Conclusion The study provides significant evidence that only vaccination alone does not completely protect against SARS-CoV-2 B.1.617.2 (Delta) variant infection. An all-encompassing multicomponent strategy involving implementation of NPIs, robust contact tracing, early identification and isolation of cases, and high vaccination coverage is the way forward for the prevention of COVID-19.
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Affiliation(s)
- S. Vishnu Prasad
- Resident, Dept of Community Medicine, Armed Forces Medical College, Pune, India
| | - Gautam Mukherjee
- Resident, Dept of Community Medicine, Armed Forces Medical College, Pune, India
| | - Saurabh Bobdey
- Professor, Dept of Community Medicine, Armed Forces Medical College, Pune, India
| | - S.K. Kaushik
- Professor & Head, Dept of Community Medicine, Armed Forces Medical College, Pune, India
| | - Arun Kumar Yadav
- Associate Professor, Dept of Community Medicine, Armed Forces Medical College, Pune, India
| | - Prabhakar Teli
- Associate Professor, Dept of Community Medicine, Armed Forces Medical College, Pune, India
| | - Rajesh Vaidya
- Dean & Dy Commandant, Armed Forces Medical College, Pune, India
| | - Santosh Karade
- Commanding Officer, 4014 Field Hospital, C/o 99 APO, India
| | - S.P. Singh
- Professor & Head, Dept of Microbiology, Armed Forces Medical College, Pune, India
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Yadav A, Bobdey S, Sahu R, Kaushik SK, Sreekanth KS, Nagari N, Koundinya K. A longitudinal study to estimate adverse events following two doses of COVID-19 vaccination. Med J DY Patil Vidyapeeth 2022. [DOI: 10.4103/mjdrdypu.mjdrdypu_722_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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Bobdey S, Mookkiah I, Narayan S, Pawar AA. Evaluation of stress level and its association with personality traits among trainees at an armed forces training establishment. J Mar Med Soc 2022. [DOI: 10.4103/jmms.jmms_26_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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Bobdey S, Mookkiah I, Kaur M, Yadav A, Teli P, Faujdar D, Bhaskar SV, Adhya S, Kaushik SK. An evaluation of persistence of postdischarge symptoms in survivors of COVID-19 infection. Med J DY Patil Vidyapeeth 2022. [DOI: 10.4103/mjdrdypu.mjdrdypu_729_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: 12/15/2022] Open
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Yadav A, Khajuria A, Kaushik SK, Anand V, Bobdey S. COVID-19 and environment: An ecological study of four metropolitan cities. Med J DY Patil Vidyapeeth 2022. [DOI: 10.4103/mjdrdypu.mjdrdypu_223_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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Bobdey S, Devarakonda R, Nagari N, Yadav A, Kumar S, Anand V, Kaushik SK. Perceived stress and quality of sleep among health-care staff working in a dedicated COVID hospital. J Mar Med Soc 2022. [DOI: 10.4103/jmms.jmms_27_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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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Yadav A, Vashisht K, Ghosh S, Bobdey S. Effectiveness of COVID-19 vaccine in prevention of mortality among moderate-severe cases: Case control study. Med J DY Patil Vidyapeeth 2022. [DOI: 10.4103/mjdrdypu.mjdrdypu_195_22] [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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Bobdey S, Narayan S, Ilankumaran M, Pawar A. Association of personality traits with performance in military training. Med J Armed Forces India 2021; 77:431-436. [PMID: 34594072 PMCID: PMC8459049 DOI: 10.1016/j.mjafi.2020.12.022] [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: 08/26/2019] [Accepted: 12/26/2020] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND In today's era of asymmetric and unconventional warfare, psychological fitness is equally important as physical fitness. Personality assessment of soldiers, and more so officers who are leaders of men is essential in deciding what makes a good "War asset" The present study was conducted to explore the correlation between personality traits of cadets undergoing training in an Armed Forces Training Academy and their performance in terms of their military and academic pursuits. METHODS Personality traits of 607 cadets determined using Revised Neuroticism-Extraversion-Openness Personality Inventory (NEO PI-R) were compared and correlated with their performance in terms of Officer Like Qualities (OLQ), Outdoor activities (ODT), Academics, and Extracurricular Activities (ECA). RESULTS Cadets with high personality traits scores in Neuroticism and low scores in Conscientiousness (Work ethics) had performed poorly in all the domains/criteria for evaluation of performance viz Officer like qualities, Outdoor activities, Academics, and Extracurricular Activities. Further, a significant negative correlation was observed between facets of Neuroticism and Academics, ODT, and OLQ. In contrast, personality facets of Conscientiousness (Work ethic) were found to be positively correlated with performance in Academics, ODT, and OLQ. Extracurricular activities were found to be positively correlated with Modesty and Intellectual Curiosity. CONCLUSION The present study represents the first-ever attempt in Indian Armed Forces to correlate and identify personality traits most suited for military training. The findings of the study indicate that cadets with low scores of neuroticism and high scores of conscientiousness perform well in the military academy. However, more such studies are required to reaffirm the findings of the present study and to conclusively recommend personality traits most conducive for military training.
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Affiliation(s)
- Saurabh Bobdey
- Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | | | - M. Ilankumaran
- Principal Medical Officer, Naval Dockyard, Mumbai, India
| | - A.A. Pawar
- Flat No. C-503, Jal Vayu Vihar, Sector A CHS Ltd, Adi Shankaracharya Marg, Powai, Mumbai, India
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Kaushik SK, Bobdey S, Faujdar DS, Anand V, Kumar Yadav A. Coronavirus disease 2019 vaccines: perspectives and update. Med J Armed Forces India 2021; 77:S245-S249. [PMID: 34334888 PMCID: PMC8313072 DOI: 10.1016/j.mjafi.2021.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 04/07/2021] [Indexed: 11/08/2022] Open
Affiliation(s)
- S K Kaushik
- Professor & Head, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - S Bobdey
- Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - D S Faujdar
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Vivek Anand
- Assistant Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Arun Kumar Yadav
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
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Bobdey S, Kaushik SK, Menon AS. The conundrum of two-dose interval of ChAdOx1 nCOV-19 corona virus vaccine: Way ahead. Med J Armed Forces India 2021; 77:S250-S253. [PMID: 34334889 PMCID: PMC8313024 DOI: 10.1016/j.mjafi.2021.05.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 05/28/2021] [Indexed: 01/10/2023] Open
Affiliation(s)
- Saurabh Bobdey
- Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - S K Kaushik
- Professor & Head, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - A S Menon
- Professor & Head, Department of Internal Medicine, Armed Forces Medical College, Pune, India
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Bobdey S, Chawla N, Behera V, Ray S, Ilankumaran M, Koshy G, Kaushik SK. An analysis of mortality and survival of COVID 19 patients admitted to a tertiary care hospital in Maharashtra, India. Med J Armed Forces India 2021; 77:S353-S358. [PMID: 34334904 PMCID: PMC8313027 DOI: 10.1016/j.mjafi.2021.02.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 11/11/2020] [Accepted: 02/07/2021] [Indexed: 12/12/2022] Open
Abstract
Background After nine months of responding to the coronavirus disease-19 (COVID-19) pandemic, the scientific fraternity is yet to unravel the mystery of those who are at most risk from mortality. Despite resistance to wear masks, the global public health response has beaten the grimmer projections of millions of deaths. The present study seeks to analyze the survival of COVID-19 patients at a tertiary care hospital and identify the risk factors of mortality. Methods Medical records of 1233 RT PCR confirmed COVID-19 patients admitted in a tertiary care hospital between 01 April and 30 September 2020 were retrospectively analyzed for calculating overall survival and to investigate the independent predictors of survival of COVID-19 patients. Results There were 72 (5.8%) deaths; which occurred in 24.9% of the elderly (age > 60yrs) people (P < 0.001), 76.0% in people with multiple comorbidities (having more than one comorbidity) (P < 0.001), 75.6% in people with diabetes (P < 0.001), and 75.5% in people with hypertension (P < 0.001). A significantly higher risk of mortality was observed in elderly patients, patients with comorbidities, and patients requiring oxygen while admitted in the hospital. Conclusion Survival reflects the cure rates and is used by health professionals and policymakers to plan and implement disease control measures. The insights provided by the study would help facilitate the identification of patients at risk and timely provision of specialized care for the prevention of adverse outcomes in the hospital setting.
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Affiliation(s)
- Saurabh Bobdey
- Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Naveen Chawla
- DGMS (Navy), O/o DGMS (N), IHQ MoD (Navy), 'A' Wing, Sena Bhawan, New Delhi, India
| | - Vineet Behera
- Classified Specialist (Medicine), INHS Asvini, Colaba, Mumbai, India
| | - Sougat Ray
- SSO (Health), Western Naval Headquarters, HQ WNC, Mumbai, India
| | - M Ilankumaran
- Capt (MS) Health, O/o DGMS (N), IHQ MoD (Navy), 'A' Wing, Sena Bhawan, New Delhi, India
| | | | - S K Kaushik
- Professor & Head, Department of Community Medicine, Armed Forces Medical College, Pune, India
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Bobdey S, Kaushik SK, Sahu R, Naithani N, Vaidya R, Sharma M, Vashishtha K, Yadav AK, Sen S, Karade S. Effectiveness of ChAdOx1 nCOV-19 Vaccine: Experience of a tertiary care institute. Med J Armed Forces India 2021; 77:S271-S277. [PMID: 34334893 PMCID: PMC8313083 DOI: 10.1016/j.mjafi.2021.06.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [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: 05/10/2021] [Accepted: 06/03/2021] [Indexed: 02/05/2023] Open
Abstract
Background The first dose of the ChAdOx1 nCoV- 19 Corona Virus Vaccine (Covishield) was administered to the eligible beneficiaries of tertiary care institute of Western Maharashtra on 16 Jan 21 and in the past three months almost 97% of the staff has been vaccinated. The present study analyses the incidence of COVID cases in the unvaccinated and vaccinated population of the institute. Methods All Covid 19 infections (RT-PCR positive) from 01 February 21 to 25 April 21 were included in the study and analyzed as per their vaccination status. To assess the COVID 19 transmission in contacts, Secondary Attack Rates (SAR) of the pre-vaccination period (Jun–Oct 20) was compared with the present SAR. Results A total of 113 cases occurred in the study period (01 Feb to 25 Apr 21). Lower number of infections were observed among the fully vaccinated as compared to partially vaccinated and non-vaccinated. The overall vaccine effectiveness was found to be 88.6% (81.55–92.37) and 44.1% (4.55–67.3) in completely and partially vaccinated individuals respectively. Hazard Ratios for getting infected dropped significantly after 28 days of the second dose. The SAR in high risk contacts (HRCs) was found to be 4.25%, which was lower than SAR (20.6%) of pre-vaccination period. Conclusion This is one of the earliest studies in India to report the impact of COVID-19 vaccination. The results indicate that the vaccine provides effective protection against COVID-19 infection. However, given the complex dynamics of vaccination, the role of NPIs and implementation of COVID appropriate behavior cannot be undermined.
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Affiliation(s)
- Saurabh Bobdey
- Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - S K Kaushik
- Professor & Head, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Rajesh Sahu
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Nardeep Naithani
- Director & Commandant, Armed Forces Medical College, Pune, India
| | - Rajesh Vaidya
- Dean & Dy Commandant, Armed Forces Medical College, Pune, India
| | - Mithun Sharma
- Resident, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Kundan Vashishtha
- Resident, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - A K Yadav
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Sourav Sen
- Professor & Head, Department of Microbiology, Armed Forces Medical College, Pune, India
| | - Santosh Karade
- Professor, Department of Microbiology, Armed Forces Medical College, Pune, India
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Yadav AK, Ghosh S, Kotwal A, Kaushik S, Bobdey S, Sahu R, Kapoor S, Faujdar D, Teli PT, Anand V. Seroconversion among COVID-19 patients admitted in a dedicated COVID hospital: A longitudinal prospective study of 1000 patients. Med J Armed Forces India 2021; 77:S379-S384. [PMID: 34334907 PMCID: PMC8313071 DOI: 10.1016/j.mjafi.2021.06.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [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: 03/25/2021] [Accepted: 06/07/2021] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The immune response after SARS-CoV-2 is complex and may be affected by severity of the disease, race, etc. The present study was conducted to assess the serial antibody response among the COVID-19 patients admitted in the hospital. METHODS The study was conducted between July and October 2020 in a dedicated COVID-19 hospital. All consented patients underwent serial testing of antibodies using a rapid chromatographic immunoassay-based qualitative IgG/IgM kit every third day until their discharge or death. The data about age, sex, severity of disease, length of stay, onset of symptoms, date of molecular testing were also collected. Appropriate statistical tests were used. RESULTS The mean age of 1000 COVID-19 patients was 47.5 ± 17.9 years. Out of the total, 687 (68.7%) were males. With respect to severity, 682 (68.2%) were asymptomatic/mild, 200 (20%) were moderate and 118 (11.8%) were severe cases. The seroconversion percentage increased from 12.8% to 97.9% and 16.3% to 80.9% for IgG and IgM respectively in 21 days. The median time for seroconversion was 10 days (IQR:6-12 days) for IgG and eight days (IQR: 6-11 days) for IgM. At the time of discharge (median nine days), detectable IgG and IgM antibodies were present in 502 (52.46%) and 414 (43.26%) participants respectively. Seroconversion was associated with days after the symptoms, increasing severity of the disease and the presence of co-morbidity. CONCLUSION Seroconversion increased during the period of observation. The severe/moderate cases of COVID-19 tend to have an early seroconversion as compared to the asymptomatic/mild cases. Only half of the patients were seroconverted at discharge.
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Affiliation(s)
- Arun Kumar Yadav
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - S. Ghosh
- Col AFMS (Health), O/o DGAFMS, New Delhi, India
| | | | - S.K. Kaushik
- Professor & Head, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Saurabh Bobdey
- Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Rajesh Sahu
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Suraj Kapoor
- Resident, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - D.S. Faujdar
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Prabhakar T. Teli
- Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
| | - Vivek Anand
- Assistant Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India
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Khajuria A, Bobdey S, Kumar S, Sahu R, Vashisht R, Bhaskar V, Faujdar DS, Yadav A, Kaushik SK, Bhatia SS. An analysis of length of hospital stay of COVID-19 patients admitted in a dedicated COVID-19 hospital. J Mar Med Soc 2021. [DOI: 10.4103/jmms.jmms_156_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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Pardal MS, Rajiva R, Faujdar D, Bobdey S. Overweight: A risk factor for COVID-19 --- A medical conundrum or a reality? J Family Med Prim Care 2021; 10:4096-4101. [PMID: 35136773 PMCID: PMC8797127 DOI: 10.4103/jfmpc.jfmpc_889_21] [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: 05/17/2021] [Revised: 07/06/2021] [Accepted: 07/09/2021] [Indexed: 11/04/2022] Open
Abstract
Introduction: Materials and Methods: Results: Limitations:
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Yadav A, Kansara N, Nimbhorkar S, Kotwal A, Ghosh S, Bobdey S. Perception and acceptance of Coronavirus Disease-2019 vaccines among doctors. Med J DY Patil Vidyapeeth 2021. [DOI: 10.4103/mjdrdypu.mjdrdypu_725_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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Singh Pardall M, Rajiva C, Kandukuri V, Bobdey S. Effectiveness of thermal screening for COVID-19: Some considerations. D Y Patil J Health Sci 2021; 9:123. [DOI: 10.4103/dypj.dypj_45_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] [Subscribe] [Scholar Register] [Indexed: 02/18/2024]
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Abstract
Introduction: Carcinoma of the buccal mucosa is the most common oral cavity cancer in the Indian subcontinent. The aim of this study was to analyze the outcome and evaluate prognostic factors in surgically treated buccal mucosa squamous cell carcinoma (BMSCC) patients. Materials and Methods: A retrospective study was performed by reviewing the medical records of 409 pathologically proven buccal mucosa cancer patients, who were diagnosed and surgically treated in Tata Memorial Hospital between January 1, 2006, and December 31, 2008. Results: The overall 5-year survival of the cohort was found to be 54.1%. The stage-wise survival rate for tumor, node, metastasis (TNM) Stage I, II, III, and IV patients was found to be 85.2%, 82.9%, 56.3%, and 42.6% (P < 0.00), respectively. On multivariate Cox proportional hazard analysis, the presence of comorbidity, histological tumor size, pathological lymph node status, tumor differentiation, perineural invasion, and extracapsular spread were found to be independently associated with overall survival. Conclusion: BMSCC is an aggressive malignant tumor. In addition to TNM classification, other clinical and pathological factors also have a significant role in BMSCC prognostication. Hence, there is a need to move beyond TNM and develop a more inclusive, flexible, and easy to use prognostic system.
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Affiliation(s)
- Saurabh Bobdey
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Jignasa Sathwara
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Aanchal Jain
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Sushma Saoba
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Ganesh Balasubramaniam
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
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Bobdey S, Pawar AA, Sarkar R. An assessment of perceived social support among naval personnel. Med J Armed Forces India 2020; 76:213-216. [PMID: 32476721 DOI: 10.1016/j.mjafi.2018.12.007] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2018] [Accepted: 12/13/2018] [Indexed: 10/24/2022] Open
Abstract
BACKGROUND Studies from the Indian Navy have found junior sailors to have higher occupational stress than senior sailors. Positive social support can provide protection against detrimental effects of stress and facilitate in development of individual resilience. Therefore, the present study was conducted to explore the level of perceived social support among naval personnel. METHODS A cross-sectional survey was conducted using "Interpersonal Support Evaluation List" (Cohen and Hoberman, 1983) among personnel posted on a capital ship of the Indian Navy. Five hundred sixty-eight sailors voluntarily participated in the study. RESULTS Personnel living on board (in-living) were found to have significantly lower overall perceived social support score (76.14 ± 13.72) than personnel living in family accommodation (79.40 ± 14.14). In addition, in-living personnel were also found to have lower subscale scores viz "appraisal support", "self-esteem support", and "belonging support" (p < 0.05) but not "tangible support" score (p > 0.05). CONCLUSION Our study brings out that young in-living sailors lack perceived social support. These young in-living sailors, being away from their families, often feel isolated and fall prey to social media, which in turn aggravates feeling of isolation and leads to psychological distress. Therefore, it is important for these individuals to have confidence in his mess mates and belief in commanders who form their primary sources of social support. To ensure this, it is the need of the hour to revitalize the age old divisional system by introduction of concepts of "Keep Your Mates Safe", "promotion of psychological resilience", and so on.
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Affiliation(s)
- Saurabh Bobdey
- Cdr (MS) Health O/o DGMS (Navy), IHQ MoD (Navy), Sena Bhawan, New Delhi 110011, India
| | - A A Pawar
- C503, Sector A, Jal Vayu Vihar, Powai, Mumbai 400076, India
| | - Ranjan Sarkar
- Classified Specialist (Aerospace Medicine), Oi/c Hyperbaric Medicine, Dept of HAP&HM, IAM IAF, Bengaluru 560017, India
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Jaipurkar R, Mahapatra SS, Bobdey S, Banerji C. Work-rest pattern, alertness and performance assessment among naval personnel deployed at sea: A cross sectional study. Med J Armed Forces India 2019; 75:158-163. [PMID: 31065184 DOI: 10.1016/j.mjafi.2018.01.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: 12/29/2016] [Accepted: 01/16/2018] [Indexed: 10/27/2022] Open
Abstract
Background The combat naval vessels require continuous operational preparedness for guarding the vast coastline. Sailors onboard these ships are at risk for sleep deprivation. Sailors may be vulnerable to chronic fatigue; and decreased performance, vigilance, and cognitive functioning owing to sleep debt, which may affect safety during tactical operations and while transportation of ships. In this study we assessed the work-rest pattern and level of alertness during sailing and non sailing days. Methods Thirty-two male participants maintained a 24-h sleep and activity log for 5 days. Furthermore, qualitative gross motor activity was recorded using an actiwatch during these 5 days. Participants also completed four test sessions of personal digital assistant (PDA) based psychomotor vigilance task (PVT) test: pre-sleep, post-sleep, pre-work, and post-work. A comparison of data was performed using the Wilcoxon signed-rank test. Results Sailors received approximately 1 h less of rest while sailing. There was a significant difference in bedtime, wake-up time, total sleep time, sleep onset latency (SOL), wake up after sleep onset (WASO), and the number of awakenings during the non-sailing and the sailing days. PVT data showed significantly higher reaction times during the sailing days on pre-work and post-sleep sessions. Conclusion Our study shows that although the sailors are not getting sufficient restorative sleep while sailing as compared to non-sailing days, this is not affecting their cognitive functioning while working.
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Affiliation(s)
- Raksha Jaipurkar
- Associate Professor, Department of Physiology, Armed Forces Medical College, Pune, 411040 India
| | - S S Mahapatra
- Head of Department, Space and Environmental Physiology, Institute of Aerospace Medicine, Bengaluru, India
| | - Saurabh Bobdey
- Classified Specialist (Community Medicine), O/o DGMS (Navy), New Delhi, India
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Bobdey S, Singh MV, Narayan S, Ilankumaran M, Chatterjee J, Vishwanath G, Pawar AA, Banerji A. Epidemiological assessment of road traffic accidents among the naval population. J Mar Med Soc 2019. [DOI: 10.4103/jmms.jmms_20_19] [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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Bobdey S, Narayan S, Ilankumaran M, Vishwanath G, Singh MV, Sinha AK, Anand N, Maramraj K. Telemedicine: A force multiplier of combat medical care in the Indian Navy. J Mar Med Soc 2019. [DOI: 10.4103/jmms.jmms_55_19] [Citation(s) in RCA: 1] [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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Bobdey S, Mair M, Nair S, Nair D, Balasubramaniam G, Chaturvedi P. A Nomogram based prognostic score that is superior to conventional TNM staging in predicting outcome of surgically treated T4 buccal mucosa cancer: Time to think beyond TNM. Oral Oncol 2018; 81:10-15. [DOI: 10.1016/j.oraloncology.2018.04.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2017] [Revised: 03/30/2018] [Accepted: 04/03/2018] [Indexed: 12/20/2022]
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Mair M, Nair D, Nair S, Malik A, Mishra A, Kannan S, Bobdey S, Singhvi H, Chaturvedi P. Comparison of tumor volume, thickness, and T classification as predictors of outcomes in surgically treated squamous cell carcinoma of the oral tongue. Head Neck 2018; 40:1667-1675. [PMID: 29734474 DOI: 10.1002/hed.25161] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [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: 12/19/2016] [Revised: 09/13/2017] [Accepted: 02/05/2018] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND As per TNM classification, superficial tumors with a favorable prognosis are fallaciously clubbed together with unfavorable, deeply infiltrating lesions in the same classification. METHODS This is a retrospective study of 588 patients with treatment-naive oral tongue cancers. Binary logistic regression was used to identify predictors of nodal metastasis and extracapsular spread (ECS) using tumor volume and thickness as separate models. The C-index was generated to quantify predictive accuracy of T classification, thickness, and tumor volume for survival. RESULTS Compared to T classification, tumor volume and thickness were better predictors of nodal metastasis and ECS. Predictive accuracy for disease-free survival (DFS) and overall survival (OS) given by C-index was equal and better for thickness (0.60 and 0.69) and tumor volume (0.61 and 0.69) as compared to T classification (0.59 and 0.64, respectively). For early-stage T1 to T2 oral tongue cancer, thickness is a better predictor of nodal metastasis as compared to tumor volume and T classification. CONCLUSION Concordance between the tumor thickness and volume proves that tumor thickness can be taken as a surrogate and reliable predictor of outcomes instead of calculating the tumor volume.
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Affiliation(s)
- Manish Mair
- Department of Head and Neck Oncosurgery, Tata Memorial Hospital, Mumbai, India
| | - Deepa Nair
- Department of Head and Neck Oncosurgery, Tata Memorial Hospital, Mumbai, India
| | - Sudhir Nair
- Department of Head and Neck Oncosurgery, Tata Memorial Hospital, Mumbai, India
| | - Akshat Malik
- Department of Head and Neck Oncosurgery, Tata Memorial Hospital, Mumbai, India
| | - Aseem Mishra
- Department of Head and Neck Oncosurgery, Tata Memorial Hospital, Mumbai, India
| | - Sadhana Kannan
- Department of Head and Neck Oncosurgery, Tata Memorial Hospital, Mumbai, India
| | - Saurabh Bobdey
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, India
| | - Hitesh Singhvi
- Department of Head and Neck Oncosurgery, Tata Memorial Hospital, Mumbai, India
| | - Pankaj Chaturvedi
- Department of Head and Neck Oncosurgery, Tata Memorial Hospital, Mumbai, India
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Bobdey S, Ganesh B, Mishra P, Jain A. Role of Monocyte Count and Neutrophil-to-Lymphocyte Ratio in Survival of Oral Cancer Patients. Int Arch Otorhinolaryngol 2017; 21:21-27. [PMID: 28050203 PMCID: PMC5205531 DOI: 10.1055/s-0036-1587318] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [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: 02/17/2016] [Accepted: 06/18/2016] [Indexed: 01/05/2023] Open
Abstract
Introduction Inflammation seems to play a critical role in the development and progression of numerous cancers. Peripheral blood leukocyte count is an easily assessable parameter of systemic inflammatory response. Objective The aim of this study was to investigate whether the pretreatment leukocyte counts can predict the prognosis of patients with oral cavity cancer. Methods Medical records of 471 oral cavity cancer patients diagnosed between January 2007 and December 2008 were retrospectively analyzed. Receiver operating characteristic curve analysis and Cox proportional hazards analyses were applied to evaluate the associations of leukocyte counts with overall survival. Results The overall five year's survival of the cohort was found to be 49.4%. On univariate analysis, elevated monocyte count (≥500/mm3) and neutrophil-to-lymphocyte ratio (NLR) (>2.38) were associated with poor overall survival (OS) (p = 0.001 and 0.000, respectively). Multivariate Cox proportional hazard analysis showed that higher monocyte and NLR levels were significant independent predictors of worse OS (HR = 1.385, 95% CI = 1.049 - 1.829; p < 0.05 and HR = 1.392, 95% CI = 1.045 - 1.855; p < 0.05, respectively). The advanced overall stage and lymph nodal involvement were also independent indicators for poor OS. Conclusions Higher pretreatment monocyte and NLR levels are independent predictors of poor prognosis for patients with oral cavity cancer. Thus, these easily accessed variables can serve as a potent marker to predict the outcomes of oral cancer patients.
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Affiliation(s)
- Saurabh Bobdey
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital Parel, Mumbai, India
| | - Balasubramaniam Ganesh
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital Parel, Mumbai, India
| | - Prabhashankar Mishra
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital Parel, Mumbai, India
| | - Aanchal Jain
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital Parel, Mumbai, India
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Abstract
BACKGROUND Cervical cancer is a major cause of cancer mortality in women and more than a quarter of its global burden is contributed by developing countries. In India, in spite of alarmingly high figures, there is no nationwide government-sponsored screening program. This study was conducted to assess the burden of cervical cancer in India and review the performance characteristics of available cervical cancer screening tools, so as to provide evidence-based recommendations for application of most practically suited screening test to be used in resource-poor field settings. MATERIALS AND METHODS MEDLINE and Web of Science electronic database were searched from January 1990 to December 2015, using the keywords such as "cervical cancer", "screening", "early detection", "cervical cytology" and "visual inspection", and their corresponding MeSH terms in combination with Boolean operators "OR, AND." Two authors independently selected studies that are published in English and conducted in India. A total of 11 studies were found to be relevant and eligible to be included in the present study. RESULTS In India, cervical cancer contributes to approximately 6-29% of all cancers in women. The age-adjusted incidence rate of cervical cancer varies widely among registries; highest is 23.07/100,000 in Mizoram state and the lowest is 4.91/100,000 in Dibrugarh district. The pooled estimates of sensitivity and specificity of visual inspection with acetic acid (VIA), magnified VIA, visual inspection with Lugol's iodine (VILI), cytology (Pap smear), and human papillomavirus DNA were found to be 67.65% and 84.32%, 65.36% and 85.76%, 78.27% and 87.10%, 62.11% and 93.51%, and 77.81% and 91.54%, respectively. CONCLUSIONS In developing countries because of lack of necessary infrastructure and quality control, high-quality cytology screening may not be feasible for wide-scale implementation. Hence, cervical cancer screening program based on visual screening test such as VIA/VILI should be adopted as an integral part of primary health-care setup in resource-poor countries like India.
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Affiliation(s)
- Saurabh Bobdey
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Jignasa Sathwara
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Aanchal Jain
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Ganesh Balasubramaniam
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
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Bobdey S, Balasubramaniam G, Mishra P. Nomogram prediction for survival of patients with oral cavity squamous cell carcinoma. Head Neck 2016; 38:1826-1831. [DOI: 10.1002/hed.24507] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/22/2016] [Indexed: 11/09/2022] Open
Affiliation(s)
- Saurabh Bobdey
- Department of Medical Records; Biostatistics and Epidemiology, Tata Memorial Hospital; Mumbai India
| | - Ganesh Balasubramaniam
- Department of Medical Records; Biostatistics and Epidemiology, Tata Memorial Hospital; Mumbai India
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Bobdey S, Batlish R, Upadhyay A, Sarkar R. Waist Circumference : A Reliable Anthropometric Measure of Obesity. J Mar Med Soc 2016. [DOI: 10.4103/0975-3605.204464] [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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Bobdey S, Balasubramanium G, Kumar A, Jain A. Cancer Screening: Should Cancer Screening be Essential Component of Primary Health Care in Developing Countries? Int J Prev Med 2015; 6:56. [PMID: 26236443 PMCID: PMC4505397 DOI: 10.4103/2008-7802.160053] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2014] [Accepted: 07/23/2014] [Indexed: 11/13/2022] Open
Abstract
Background: Cancer is a fatal disease and is on the rise across the globe. In India, breast, cervix and the oral cavity are the leading cancer sites, but, unfortunately, in-spite of availability of screening tools, there is no organized cancer screening program in India. The main objective of this study was to review the performance of various cancer screening modalities in a resource poor setting. Methods: MEDLINE and web of science electronic database was searched from January 1990 to December 2013, using keywords such as “breast cancer, cervical cancer, oral cancer and their corresponding mesh terms were also used in combination with Boolean operators OR, AND.” Two authors independently selected studies published in English and conducted in India. A total of 16 studies was found relevant and eligible for the review. The data on sensitivity and specificity of various screening tool was extracted and analyzed. Results: Most of the reported screening trails in India are on cervical cancer and few on breast and oral cancer screening. The pooled estimates of sensitivity and specificity of cervical cancer screening test such as visual inspection with acetic acid, magnified visual inspection with acetic acid, visual inspection with Lugol's iodine, cytology (Papanicolaou smear) and human papillomavirus deoxyribonucleic acid was found to be 68.76% and 84.02%, 63.27% and 85.43%, 81.86% and 87.03%, 63.25% and 93.17% and 75.04% and 91.66%, respectively. Sensitivity and specificity of clinical breast examination was found to be 94.30% and 94.30%, respectively. Oral cancer screening through visual inspection by trained health care worker was found to have 87.90% sensitivity and 92.05% specificity. Conclusions: Our study highlights the availability and success of visual screening tools in early detection and mortality reduction of major neoplasia in resource-poor health care settings and recommends implementation of oral and cervical cancer screening as part of assured primary health care package in developing countries.
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Affiliation(s)
- Saurabh Bobdey
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India
| | - Ganesh Balasubramanium
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India
| | - Abhinendra Kumar
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India
| | - Aanchal Jain
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India
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Abstract
BACKGROUND Laryngeal cancer is one of the 10 leading causes of cancer in Indian men. The association of laryngeal cancer and tobacco smoking is well-established, but the peculiarities such as wide variation of disease distribution and survival, role of tobacco chewing, indoor air pollution, and dietary factors in laryngeal cancer causation needs to be understood. In this study, we review the descriptive and observational epidemiology of laryngeal cancer in India. MATERIALS AND METHODS MEDLINE and Web of science electronic database was searched from January 1995 to December 2013, using the using keywords "laryngeal cancer, laryngeal cancer outcome, epidemiology, etiological factor and their corresponding Mesh terms were used in combination like OR, AND." Two authors independently selected studies published in English and conducted in India. A total of 15 studies were found to be relevant and eligible for this review. RESULTS In India, laryngeal cancer contributes to approximately 3-6% of all cancers in men. The age-adjusted incidence rate of cancer larynx in males varies widely among registries, highest is 8.18 per 100,000 in Kamprup Urban District and the lowest is 1.26 per 100,000 in Nagaland. The 5-year survival for laryngeal cancer in India is approximately 28%. Indian studies show tobacco, alcohol, long-term exposure to indoor air pollution, spicy food, and nonvegetarian diet as risk factors for laryngeal cancer. CONCLUSION There is wide regional variation in the incidence of laryngeal cancer in India. Survival rates of laryngeal carcinoma are much lower as compared to other Asian countries. Studies conducted in India to identify important risk factors of laryngeal cancer are very limited, especially on diet and indoor air pollution. Hence, more research is required for identifying the etiological factors and development of scientifically sound laryngeal cancer prevention programs.
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Affiliation(s)
- Saurabh Bobdey
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Aanchal Jain
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
| | - Ganesh Balasubramanium
- Department of Medical Records, Biostatistics and Epidemiology, Tata Memorial Hospital, Mumbai, Maharashtra, India
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Kumar S, Bobdey S. Prevalence of human papilloma virus in cervical smear by DNA PCR testing and its comparison with pap smear. J Mar Med Soc 2013. [DOI: 10.4103/0975-3605.203313] [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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Bobdey S. Strategic national pharmaceutical stockpile: a concept for optimization of medical resources during disasters. Indian J Community Med 2012; 37:191-3. [PMID: 23112447 PMCID: PMC3483514 DOI: 10.4103/0970-0218.99929] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2010] [Accepted: 01/09/2012] [Indexed: 11/24/2022] Open
Affiliation(s)
- Saurabh Bobdey
- Officer In-Charge, Station Health Organization, INS Rajali, Camp Post, Arakkonam, Tamil Nadu, India
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Abstract
BACKGROUND The WHO estimates that more than 1/3rd of world population is anemic, of which iron deficiency anemia (IDA) is most common and serious problem of public health significance. Prevalence of anemia in India is among the highest in the world but within the country prevalence rates differ substantially between different regions. Indian Armed Forces personnel and families form a special class as it includes people from all regions. However, reliable data on the prevalence of anemia in families of naval personnel is scanty. The present study highlights the problem of anemia in non-pregnant wives of serving enrolled personnel of the Indian Navy in the reproductive age group. METHODS A community based, cross sectional study was carried out at a Naval Base. Physical examination and hemoglobin estimation was done for 257 (100% sample) non-pregnant/non-lactating wives of serving enrolled personnel of the Indian Navy of age between 18 and 45years. Statistical analysis was carried out to estimate the prevalence of anemia. RESULTS & CONCLUSION The prevalence of anemia was found to be 31.90%. Literacy status and Mean BMI of women with anemia was found to be significantly less than subjects without anemia. In conclusion this was a small study conducted to simply access the prevalence of anemia in wives of naval personnel, which though found much lower than national average is still high at 31.90%. Hence a larger multicentric study is being planned to evaluate the prevalence and factors associated with anemia in families of Armed Forces personnel.
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Affiliation(s)
- Saurabh Bobdey
- Graded Spl (PSM), Oi/C SHO, INS Rajali, Arakkonam 631006, Tamil Nadu, India
| | - Shruti Sinha
- Medical Officer, Sickbay, INS Rajali, Arakkonam 631006, Tamil Nadu, India
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