Effects of Corona Pandemic on Global Environment and Economy

The COVID-19 pandemic is draw into concern as the most reproving international fitness tragedy of the century since December 2019, the era of Second World War. A new transmissible respiratory disease comes in existence in Wuhan, Hubei province, China and the World Health Organization named it as COVID-19 (corona virus disease 2019). For the quarter of 2020 the corona virus epidemic has swamp the international locations of the sector and changed the pace, material and nature of our lives. In this evaluation accompanying, we inspect some of the various social, environmental and economic issues influenced by COVID-19. The COVID-19 epidemic has ended in over 4.3 million confirmed instances and over 290,000 deaths globally. The Indian economy as with the global economy, was faced with multiple curtailment too when the pandemic emerged. Advance estimation recommend that the Indian economy is anticipate to witness real GDP augmentation of 9.2 per cent in 2021-22 after reducing in 2020-21. This implicit that overall economic activity has retrieve past the pre-epidemic levels. Social spacing, self-isolation and travel diminution have led to a less staff throughout all capitalism or economic sectors, and because of that many jobs to be bygone. Schools have closed down, and there is requirement for artefacts and products has reduced. In contrast, there requirement for medical essentials has significantly increases. In reaction to this global epidemic, we summarize the effect of COVID-19 on socio-economic condition on individual factors of the world economy and environment.

Quality improvement initiative: improving proportion of preterm infants on mothers only milk at the time of discharge

Background: Availability of mothers only milk (MOM) for preterm infants is a boon for their growth and development. Authors found that in our Special Newborn Care Unit (SNCU), the availability of MOM was very less with excessive use of formula feed. So, authors planned a quality improvement (QI) study to improve availability of MOM for preterms in level 3 SNCU catering to both in-born and out-born neonates.Methods: Authors aimed to improve availability of MOM to preterm infants admitted in SNCU from the current 10% to 80% at day 7 of admission over a period of 8 weeks. Authors included preterm and mother dyads with <34 weeks of gestation or having birth weight <1800 gm. and likely to stay in SNCU for at least a week. For this initiative a QI team was formed. Baseline data was collected for a period of 3 weeks and analysis was performed of various constrains in providing MOM to preterms was later an interventional package was implemented which included counselling to mothers, Kangaroo mother care (KMC), demonstration of milk expression techniques. Intervention phase was implemented for the period of 8 weeks followed by sustenance phase for 2 months.Results: Proportion of preterm infants on MOM increased from 10% to 81% during intervention phase at day 7 of admission and remained 66% during sustenance phase.Conclusion: QI initiative has the potential to bring a tremendous change in making mothers milk available to both inborn and out-born preterms. With existing resources simple interventions can increase availability of MOM to preterm infants.

Detecting protein losing enteropathy by Tc-99m dextran scintigraphy: a novel experience.

OBJECTIVE: To evaluate protien using enteropathy by Tc-99m dextran scintigraphy. METHODS: Methods for detecting protein loss from the intestine revolve around fecal nitrogen excretion, the clearance of alpha-1 antitrypsin in stools and by endoscopic biopsy. RESULT: The diagnosis of protein-losing enteropathy (PLE) can also be established by a scintigraphic method that is noninvasive, simple and requires no patient preparation or motivation. This diagnostic modality can also delineate the site of protein loss, thereby offering a targeted approach, and if need be, surgery. Radiolabelling of a non-protein, noncolloidal, nonparticulate and biofriendly molecule like dextran with Technetium-99m for imaging enteric protein loss was utilized in imaging eight children with PLE. CONCLUSION: The results were encouraging. The authors advocate the use of this diagnostic tool in identifying patients with PLE, particularly in the pediatric age group.

Radionuclide scintigraphy in Caroli's disease.

Congenital cystic dilatation of the intrahepatic bile ducts involving the major intrahepatic radicles was first described by Caroli and hence named as Caroli's disease. We present here a case in which the only symptom was intermittent pain in the abdomen for last one-and-a-half-year and a radionuclide scan done effectively, not only diagnosed the disease but also the associated cholangitis.