Journal of Applied Sciences and Clinical Practice

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Celiac disease is an autoimmune disease triggered by presence of gluten in diet which precipitates symptomsof celiac disease causing malnutrition. A narrative review on diet in Celiac diseasewas taken up, which was very much required for health care providers in day-to-day clinical care. Thirty six research studies were identified from 105 potentially relevant articles. Studies were selected on: firstly; all protocols of celiac disease among published literature were meticulously searched. Secondly, nutritional considerations about celiac disease were explored from relevant articles, Thirdly, published reports from apex bodies of global importance like World Health Organization (WHO), Centre for disease control (CDC), Atlanta USA and others were given due weightage for their multi-authored authenticity. In this review the correlation between celiac disease and gluten free diets have been discussed with prognosis, complications, and clinical outcomes of patients reported by different research groups. In spite of substantial growth in healthcare, no researchers have yet suggested any other management except elimination of gluten from diet of celiac disease cases. Though there is abundant literature on celiac disease about its aetiology, signs and symptoms and diet models, there is no specific treatment and management protocol available, other than gluten free diet. Researchers have to do further studies to suggest treatment modalities.

COVID-19 is known to involve multiple organs and physiological systems in all age group humans. There are a growing number of patients worldwide who have survived COVID-19 but continue to battle the symptoms of the illness, long after they have clinically tested negative for the disease. This narrative review summarizes current clinical evidence regarding post COVID health issue specially post COVID pulmonary fibrosis, post COVID thrombosis, post COVID syndrome, and post COVID ICU syndrome. Many aspects regarding post COVID sequelae remain answered, necessitate hot area for research.

Background: Coronavirus disease 2019 (COVID-19) is an infectious respiratory illness caused by a novel corona virus. Being at higher risk of contracting COVID-19, knowledge of disease among health care workers (HCWs) can influence their attitudes and practices towards infection control measures. Aims and objectives: This study aimed to evaluate the knowledge towards COVID-19 among the HCWs through an online survey. Material and Methods: An online cross-sectional survey was conducted among the HCWs in various health facilities of India in May, 2020. The HCWs included nurses, physicians, Lab technicians, Physiotherapists and Pharmacists. A 20-item structured knowledge questionnaire was developed by the researchers after extensive review of literature and experts inputs. The main domains of the questionnaire included structure of the virus, general symptoms of COVID-19 infection and infection prevention and control measures. Results: A total of 189 HCWs participated in the survey. Majority of participants were in the age group of 18–30 years (82%). About two third (63%) of HCWs were nurses and only 14% were physicians. A large proportion (70%) of the participants was found to have poor levels of knowledge on COVID-19 and infection control measures. Conclusions: Since the HCWs are at a higher quantum of being infected with COVID 19, it is therefore of paramount importance that HCWs must have adequate knowledge about all aspects of the disease including clinical presentation, diagnosis, management and infection control practices

Introduction: Noncommunicable diseases (NCD) is responsible for 52% of the demises and 38% of the total disease burden in the South-East Asia Region. Eighty percent of total deaths from NCD occur in poor countries. It is projected that cardiovascular diseases (CVD) will be the major killer in India by 2020. Methodology: This cross-sectional study will be carried out in staff clinic for one year in PGIMER, India. A scoring for risk prediction of CVD mortality in next ten years will be calculated by the tools to be tested (WHO CVD Risk Prediction Chart, QRISK2-2017 and by Framingham point scores). We will use simple random sampling using a sample size of 400. Results: During statistical analysis, proportions will be calculated for nominal data, and continuous data were given as mean and standard deviation, while categorical variables were compared using the Chi-square test for difference of proportion. Kappa statistics will be used to measure inter-rater reliability. All analyses will be two-tailed, and P < 0.05 was considered as statistically significant. Discussion: Those patients who will fall under the high-risk scores, counselling (food behavior change, lifestyle modification) will be given in the staff clinic OPD. It will be extremely helpful to the staffs according the risk score they can modify their lifestyle through individualized tailor-made counselling. There may be reduction in mortality among the staff members, and disease burden on staff clinic may be reduced. We can also inculcate health promoting behavior within the hospital setting. It will also increase job satisfaction; improved administration- employee relations; and they will perform better.

Online since 18^th September 2020