Przeglądanie według Autor "Debata, Ipsita"

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Assessment of behavior and barriers of post-exposure prophylaxis for prevention of rabies in patients attending a tertiary care center in eastern India – a mixed method approach
(Publishing Office of the University of Rzeszow, 2024-12) Debata, Ipsita; Nayak, Rosy; Behera, Basanta Kumar; Panda, Prem Sagar; Nayak, Smrutiranjan; Mandal, Dibyajyoti
Introduction and aim. Rabies from animal bites, although preventable, is almost 100% fatal, with the dog being the most common infected animal. Several factors influence the timely initiation of post-exposure prophylaxis (PEP) which needs to be explored. This study aimed to determine the facilitating and inhibiting factors in initiating PEP among animal bite victims attending a tertiary care center in Eastern India. Material and methods. A cross-sectional study was conducted among 150 consenting animal bite victims attending casualty and medicine as out-patients in a tertiary care hospital. A mixed-method study approach was undertaken to explore the facilitating and inhibiting factors for the timely initiation of PEP using a pre-tested and semi-structured questionnaire and in-depth interviews. Data were analyzed using SPSS software version 20. Results. The most common biting animal were dogs (96.2%). Around 102 patients (68%) were males and 48 (32%) were females. Timely initiation of PEP was seen in 112 (74.7%) of the study sample while delay was seen in 38 (25.3%). The inhibiting factors were the absence of an accompanying person (54.67%), the absence of vaccines and immunoglobulins in the nearest health facility (50.67%), referral from other health facilities (44%) and preferred other modalities of treatment (24.67%). Delays in initiation of PEP was significantly associated with gender (p=0.018), place of residence (p<0.001), those living more than 20 km from a health facility (p=0.014), educational status (p<0.001), and those with monthly income <10000 INR (p<0.01). Conclusion. Lower economic status, education, and accessibility to health facilities were major inhibiting factors causing a delay in the initiation of PEP. Further, community-based studies are warranted.
Patterns of physical activity amidst COVID-19 among medical interns
(Publishing Office of the University of Rzeszow, 2024-09) Debata, Ipsita; Mohapatra, Ipsa; Sarkar, Avinandan; Sarkar, Bidisa; Sahu, Ritu; Padhee, Sourav
Introduction and aim. The COVID-19 pandemic restricted our daily lives significantly. This adversely affected the physical activity (PA) and productivity of students, including medical interns, who worked tirelessly during the pandemic. The study aimed to evaluate the changes in PA patterns and associated factors due to the imposed lockdown in medical interns compared to pre-pandemic levels. Material and methods. A cross-sectional study was conducted among consenting medical interns of the 2020-21 batch in a medical college in Bhubaneswar, selected by convenience sampling. They were contacted by email and briefed about the study. Data on demography, exercise patterns (pre-, during, and post-COVID-19), and associated factors was collected by an electronic survey format (Google form). Data was analyzed using EPI info and interpreted in frequencies, percentages, and the chi-square test. A p-value<0.05 was considered statistically significant. Results. Of 104, 54.28% were females. The frequency of exercise reduced by 13.92% during COVID-19. Around 56.9% of interns exercised regularly pre-pandemic which dropped to 33.3% during the pandemic. The change in PA pattern was significantly associated with regularity of exercise (p<0.001). Conclusion. Evaluating the extent of physical inactivity will enable the administration to provide appropriate support to the interns to take equal care of their health as their patients.