Browsing by Author "Singh, G"
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Item Containing the first outbreak of COVID-19 in a healthcare setting in India: The sree chitra experience(Indian Journal of Public Health., 2020-10) Singh, G; Srinivas, G; Jyothi, EK; Gayatri, LK; Gaitonde, R; Soman, BThe response to the first health worker case in India and novel strategies adopted in the context of evolving pandemic of COVID-19 is presented here. On the same day of confirmation, institutional COVID cell was established, and contact tracing was started. A total of 184 contacts were identified and quarantined. Hospital services were scaled down, and responsibilities were reassigned. In-house digital platforms were used for daily meetings, contact tracing, line listing, risk stratification, and research. Reverse transcription polymerase chain reaction-based severe acute respiratory syndrome-CoV2 testing facility was established in the institute. All high-risk contacts were given hydroxychloroquine prophylaxis. No secondary cases were found. Hospital preparedness, participatory decision-making through institutional COVID cell, optimal use of in-house digital platforms, and coordination with the state health department and national bodies, including Indian Council of Medical Research, were the supporting factors. Rapidly evolving guidelines, trepidation about the disease, logistic delays, and lack of support systems for people under quarantine were the challenges in the containment exercise.Item Prevalence and correlates of tobacco use among 10-12 year old school students in Patna District, Bihar, India(INDIAN PEDIATRICS, 2005)In order to assess the prevalence and correlates of tobacco use among school students (10-12 years), information on tobacco use and socio-demographic variables was collected from 1626 students (male 1027) using a questionnaire. Bivariate and multiple regression analysis were done. Ever users in the sample were 16.6% (95% CI 14.8, 18.4) and current users were 5.1% (95% Cl 4.1, 61). Current use was significantly associated with male sex (OR 2.3, Cl 1.09-5.14), students not participating in sports (OR 2, CI 1.04-4.04), tobacco use among friends (OR 4, CI 2.02-8.25), unaware of harmful effects of tobacco (OR 2.6, CI 1.1-6.14) and students who were used by parents and teachers to buy tobacco for them (OR 2.1, Cl 1.4-4.19). Tobacco control programs focusing on male students, those who do not participate in sports, those whose friends use tobacco and those who are used by parents and teachers to buy tobacco are warranted.Item Stylet-Assisted Tracheal Intubation Through an ILMA in a Patient with an Anterior Larynx(ANESTHESIA AND ANALGESIA, 2012) Singh, G; Arulvelan, A; Gopalakrishna, KN; Manikandan, S; Smita, V; Rathod, RCItem The dilemma of arranged marriages in people with epilepsy. An expert group appraisal(EPILEPSY & BEHAVIOR, 2016) Singh, G; Pauranik, A; Menon, B; Paul, BS; Selai, C; Chowdhury, D; Goel, D; Srinivas, HV; Vohra, H; Duncan, J; Khona, K; Modi, M; Mehndiratta, MM; Kharbanda, P; Goel, P; Shah, P; Bansal, R; Addlakha, R; Thomas, S; Jain, S; Shah, U; Saxena, VS; Sharma, V; Nadkarni, VV; Wakankar, YIntroduction: Matrimony remains a challenging psychosocial problem confronting people with epilepsy (PWE). People with epilepsy are less likely to marry; however, their marital prospects are most seriously compromised in arranged marriages. Aims: The aim of this study was to document marital prospects and outcomes in PWE going through arranged marriage and to propose optimal practices for counseling PWE contemplating arranged marriage. Methods: A MEDLINE search and literature review were conducted, followed by a cross-disciplinary meeting of experts to generate consensus. Results: People with epilepsy experience high levels of felt and enacted stigma in arranged marriages, but the repercussions are heavily biased against women. Hiding epilepsy is common during marital negotiations but may be associated with poor medication adherence, reduced physician visits, and poor marital outcome. Although divorce rates are generally insubstantial in PWE, divorce rates appear to be higher in PWE undergoing arranged marriages. In these marriages, hiding epilepsy during marital negotiations is a risk factor for divorce. Conclusions: In communities in which arranged marriages are common, physicians caring for PWE are best equipped to counsel them about their marital prospects. Marital plans and aspirations should be discussed with the family of the person with epilepsy in a timely and proactive manner. The benefits of disclosing epilepsy during marital negotiations should be underscored. (C) 2016 Elsevier Inc. All rights reserved.