Introduction: The impact of online medical education using videoconferencing platforms on the education environment during the present COVID-19 pandemic is not known. The objectives were to evaluate the impact of online teaching using videoconferencing platforms on the education environment, satisfaction, and perception of the medical undergraduate students to online teaching. Methods: This prospective observational survey undertaken at a medical college included voluntarily participating medical undergraduate students from first (2 nd semester), second (4 th semester), and third year MBBS (6 th and 8 th semesters). The education environment was evaluated using the validated Dundee Ready Education Environment Measure (DREEM). The perception of the students was evaluated using questionnaire with five point Likert scale response. Results: The response rate in our survey was 77.5% (465 out of 600 students). The mean DREEM score of medical undergraduate students was 132.3 ± 19.8. Domains of DREEM evaluated were students’ perception of learning (30.1 ± 6.3), students’ perception of teachers (29.7 ± 4.6), students’ academic self-perception (21.3 ± 4.9), students’ perception of atmosphere (32.5 ± 6.2), and students’ social self-perception (18.7 ± 3.5). Two hundred and fifty five students (54.8%) were extremely satisfied and quite satisfied with the online teaching–learning modalities. Two hundred and fifty eight students (55.5%) rated online learning methods to be very useful and quite useful during the lockdown period. Conclusion: The educational environment at our medical college was positive and students had a positive perception and attitude toward the role of the videoconferencing platforms for learning (telemedicine) during the COVID-19 pandemic lockdown.
Background: Coronavirus disease-2019 (COVID-1) 9 pandemic is spreading like a wildfire across the globe. For its containment, measures such as isolation and quarantine are followed. The patients tested positive for COVID-19 disease are kept in isolation with no interaction with the family members leading to negative mental health consequences. To address this, Parul Sevashram Hospital adapted to a more holistic approach to treatment. Methodology: A process documentation of the best practices was undertaken. Key Informant Interviews (KIIs) were used to gather responses of the project implementers ( n = 2), physiotherapists ( n = 2), dietician ( n = 1), Ayurveda practitioners ( n = 2), and staff nurses ( n = 2) who were mainly involved in tailoring the package of services to be offered as well as their implementation. In addition, KIIs were also conducted with the patients ( n = 10) their views on the additional package of services offered to them and the overall level of satisfaction with the care. Findings: The holistic care services involved diet therapy, physiotherapy and yoga, AYUSH medicines for boosting immunity, music therapy and books and indoor games. Few implementation challenges include convincing healthcare workers for providing care to COVID patients, availing raw materials for preparing AYUSH medicines during lockdown. Trainings were also provided to HCW on infection control practices, provided monetary incentive and mobilised the existing resources for addressing the challenges. Conclusion: The holistic care has potential influence on patient's mental health, recovery rate, and satisfaction of COVID-19 patients. These approaches can be up-scaled with a minimum investment and has a potential to benefit patients both in public and private hospitals.
Background: Tobacco use is the leading cause of Preventable death, Tobacco use during adolescence increases the risk of persistent addiction, leading to regular and sustained tobacco use in adulthood. Objective: To assess the prevalence and practice of tobacco use among the school going adolescents in a block of Vadodara district, Gujarat. Material & Methods: Multiphase sampling was done to select the sample students (13 to 17 years) from private and government schools in a selected block of Vadodara. A cross-sectional study including 1045 students was carried out using a pre-designed and pre-tested proforma. Results: Out of 1045 students, 3% (n=32) tried cigarette smoking ever, one or two puffs and 1.8% (19 students) of students were current cigarette or beedi smokers. Around 27.9% students and 23% students admitted that at least one of their parents and friends smoked cigarettes, respectively. About 24% and 44% of the students were exposed to passive smoking at home and outside home, respectively. Conclusions: Present study provides the baseline information of prevalence of smoking and attitude of school going adolescents towards smoking in Gujarat. The result gives an alarm to work upon tobacco control among adolescents and make them aware about the hazards.
Background: Many vaccines have been developed, approved and administered against the COVID-19. Phase 2 and 3 trials have proved the safety and tolerability of these. This study was conducted to assess effect of the vaccines on morbidity and mortality due to postvaccination new COVID-19 infection.Methods: This was an observational, retrospective cohort study. The patients admitted with COVID-19 from 1st April 2021 till 30th April 2021 who were willing to participate were included. All the patients were telephonically contacted post discharge and enquired regarding history of vaccination, events during hospitalization and outcome. The data so collected was analysed to compare the morbidity (oxygen requirement, need of ICU admission and need of BiPAP or invasive ventilation) and mortality between vaccinated and nonvaccinated COVID-19 patients and relation of time elapsed post vaccination with morbidity and mortality.Results: Total 431 patients were included. There was significant difference between the two groups in terms of need for ICU admission (OR 0.503; CI 0.30-0.82, p=0.008) as well as requirement of BiPAP or invasive ventilation (OR 0.57; CI 0.33-0.98, p=0.05). Mortality was significantly less in the vaccinated group; OR 0.48 (0.24-0.95), p=0.04). Ten patients had received both doses. Only one required ICU while none of them required invasive ventilation and none expired.Conclusions: COVID-19 vaccine gives significant protection against COVID-19 infection related ICU admission, need of mechanical ventilation and mortality even after single dose. Two doses of vaccine may afford better protection against the disease.
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