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  1. Article ; Online: Palliative care delivery in cancer patients in the era of Covid-19 outbreak

    Seema Mishra / Swagata Biswas / Sushma Bhatnagar

    Indian Journal of Palliative Care, Vol 26, Iss 5, Pp 130-

    Unique needs, barriers, and tools for solutions

    2020  Volume 141

    Abstract: World is facing a pandemic recently due to the outbreak of COVID-19 infection. Cancer has been identified as one of the major comorbidities which cause more severe disease due to COVID-19 infection. Moreover, there are several resource limitations and ... ...

    Abstract World is facing a pandemic recently due to the outbreak of COVID-19 infection. Cancer has been identified as one of the major comorbidities which cause more severe disease due to COVID-19 infection. Moreover, there are several resource limitations and restrictions to avail the standard oncological health facilities due to robust measures taken for infection control. In this situation, palliative care in cancer patients deserves special attention. Their symptom management, psychological, social, cultural needs tremendously increase during the epidemic. Thus, we need to recognize the unique palliative care needs of cancer patients during pandemic and formulate the plan to maintain continuity of services. Triaging systems are essential tools for proper resource allocation during a pandemic. Therefore, we suggest triaging tools for emergency in hospital palliative care services: community-based palliative care and end of life care for cancer patients. Incorporation of newer technologies and identifying the potential resources are the other key components of the preparedness strategy.
    Keywords cancer patients ; covid-19 pandemic ; palliative care ; Medicine (General) ; R5-920 ; covid19
    Subject code 610
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Integration of telemedicine for home-based end-of-life care in advanced cancer patients during nationwide lockdown

    Swagata Biswas / Shreya Das Adhikari / Sushma Bhatnagar

    Indian Journal of Palliative Care, Vol 26, Iss 5, Pp 176-

    A case series

    2020  Volume 178

    Abstract: Dignified death is a basic human right that has been widely overlooked in countries like India. During nationwide lockdown, it is extremely challenging to provide quality end-of-life care (EOLC) to all patients with a poor system for dignified death. ... ...

    Abstract Dignified death is a basic human right that has been widely overlooked in countries like India. During nationwide lockdown, it is extremely challenging to provide quality end-of-life care (EOLC) to all patients with a poor system for dignified death. Telemedicine, whose feasibility for community-based EOLC in rural settings has already been established, was a useful tool for us to overcome these barriers. Adding a widely used smartphone-based application for video calls along with voice calls and text messages made the process more dynamic and convenient. Here, we share our experience with three patients with advanced malignancy in providing EOLC during COVID-19 lockdown. A well-planned study for the utility of this service for a larger cancer patient population from different sociocultural and demographic backgrounds is warranted in the future.
    Keywords death ; dignity ; telemedicine ; Medicine (General) ; R5-920 ; covid19
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Groundwater vulnerability assessment using GIS-based DRASTIC model in Nangasai River Basin, India with special emphasis on agricultural contamination

    Amit Bera / Bhabani Prasad Mukhopadhyay / Puja Chowdhury / Argha Ghosh / Swagata Biswas

    Ecotoxicology and Environmental Safety, Vol 214, Iss , Pp 112085- (2021)

    2021  

    Abstract: Nangasai basin is a semi-arid watershed where agriculture is the main source of economy. In present day, increasing population demands increase in food productivity which leads to increase use of fertilizers and chemical pesticides in agriculture. These ... ...

    Abstract Nangasai basin is a semi-arid watershed where agriculture is the main source of economy. In present day, increasing population demands increase in food productivity which leads to increase use of fertilizers and chemical pesticides in agriculture. These fertilizers on the other hand mix up with the groundwater and increase the pollution, which affects human health adversely. So, for controlling the groundwater contamination risk proper water resource management and assessment of groundwater vulnerability is extremely important. Total 7 hydrogeological parameters have been considered for this study, and the final groundwater vulnerability map has been prepared by overlay weighted method with the help of DRASTIC index, which is classified into 5 vulnerable classes (very high, high, moderate, low, and very low). In the south and south-eastern regions of the basin namely Deghi, Bankada, Baram, Macha, Katin, Tilabani high groundwater contamination is been observed. For validating the model, the water quality parameters-nitrate and TDS have been used with the accuracy of 89% and 86% respectively. Using effective as well as scientifically approved methods, the anthropogenic and agricultural contamination can be controlled and managed which will lower the risk of contamination. This map can be further utilized as a base map for management of groundwater pollution and its planning.
    Keywords Thematic layers ; DRASTIC ; GIS ; Groundwater contamination ; Nitrate and TDS concentration ; Nangasai basin ; Environmental pollution ; TD172-193.5 ; Environmental sciences ; GE1-350
    Subject code 550
    Language English
    Publishing date 2021-05-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Institutional end-of-life care policy for inpatients at a tertiary care centre in India

    Sushma Bhatnagar / Swagata Biswas / Abhishek Kumar / Raghav Gupta / Riniki Sarma / Himanshu Prince Yadav / A R Karthik / Akshat Agarwal / Brajesh Kumar Ratre / Prashant Sirohiya

    Indian Journal of Medical Research, Vol 155, Iss 2, Pp 232-

    A way forward to provide a system for a dignified death

    2022  Volume 242

    Abstract: India has a high share in the global burden of chronic terminal illnesses. However, there is a lack of a uniform system in providing better end-of-life care (EOLC) for large patients in their terminal stage of life. Institutional policies can be a good ... ...

    Abstract India has a high share in the global burden of chronic terminal illnesses. However, there is a lack of a uniform system in providing better end-of-life care (EOLC) for large patients in their terminal stage of life. Institutional policies can be a good alternative as there is no national level policy for EOLC. This article describes the important aspects of the EOLC policy at one of the tertiary care institutes of India. A 15 member institutional committee including representatives from various departments was formed to develop this institutional policy. This policy document is aimed at helping to recognize the potentially non-beneficial or harmful treatments and provide transparency and accountability of the process of limitation of treatment through proper documentation that closely reflects the Indian legal viewpoint on this matter. Four steps are proposed in this direction: (i) recognition of a potentially non-beneficial or harmful treatment by the physicians, (ii) consensus among all the caregivers on a potentially non-beneficial or harmful treatment and initiation of the best supportive care pathway, (iii) initiation of EOLC pathways, and (iv) symptom management and ongoing supportive care till death. The article also focuses on the step-by-step process of formulation of this institutional policy, so that it can work as a blueprint for other institutions of our country to identify the infrastructural needs and resources and to formulate their own policies.
    Keywords eolc policy - end-of-life care - formulation - implementation - india - institution ; Medicine ; R
    Subject code 320
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Smartphone-based telemedicine service at palliative care unit during nationwide lockdown

    Swagata Biswas / Shreya Das Adhikari / Nishkarsh Gupta / Rakesh Garg / Sachidanand Jee Bharti / Vinod Kumar / Seema Mishra / Sushma Bhatnagar

    Indian Journal of Palliative Care, Vol 26, Iss 5, Pp 31-

    Our initial experience at a tertiary care cancer hospital

    2020  Volume 35

    Abstract: Background and Aims: With the COVID-19 pandemic, lockdown, and fear from contagion, the advantages of telemedicine are clearly outweighing the setbacks by minimizing the need for individuals to visit health-care facilities. Our study aims to assess how ... ...

    Abstract Background and Aims: With the COVID-19 pandemic, lockdown, and fear from contagion, the advantages of telemedicine are clearly outweighing the setbacks by minimizing the need for individuals to visit health-care facilities. Our study aims to assess how palliative medicine physicians could follow up on cancer patients and barriers they faced, discuss their results, and evaluate their treatment response with the help of telemedicine. Materials and Methods: We conducted a prospective analysis of the smartphone-based telemedicine service at our palliative care (PC) unit from March 25, 2020, to May 13, 2020. We recorded the patient's reason for call, main barriers to a hospital visit, and the assistance given to them by the physician on call. Each caller was asked to measure his/her satisfaction with the service on a 4-point scale. Results: Out of 314 patients, 143 (45.54%) belonged to Delhi and 171 (54.46%) belonged to other states. 157 patients sought help for symptom management; 86 patients needed to restock their opioid medications. Seventy-one patients required information regarding their oncological treatments requiring consultation from other departments. Titration of oral opioids and medication prescription (n = 129), contact details of other PC units at their native state for opioid procurement (n = 55), and attachment to our community-based PC service (n = 22) were main modes of management. Fifty-six patients were very satisfied and 152 patients were satisfied with the service. Conclusion: Telemedicine is the future of health-care delivery systems. In PC, we deal with immunocompromised debilitated cancer patients and telemedicine is immensely helpful for us to provide holistic integrated care to these patients who are unable to visit hospitals regularly.
    Keywords covid-19 ; palliative care ; telemedicine ; Medicine (General) ; R5-920 ; covid19
    Subject code 360
    Language English
    Publishing date 2020-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Phytochemical composition analysis and evaluation of in vitro medicinal properties and cytotoxicity of five wild weeds

    Pranabesh Ghosh / Chandrima Das / Swagata Biswas / Sudip Kumar Nag / Alolika Dutta / Maitrayee Biswas / Sayantan Sil / Labani Hazra / Chandreyi Ghosh / Shaktijit Das / Moumita Saha / Nasim Mondal / Suprodip Mandal / Anirban Ghosh / Srabani Karmakar / Sirshendu Chatterjee

    F1000Research, Vol

    A comparative study [version 1; peer review: 1 approved, 2 approved with reservations]

    2020  Volume 9

    Abstract: Background: Medicinal plants are a source of phytochemicals and they are used for the treatment of several oxidative stress-related or other diseases for their effectiveness, low toxicity and easy availability. Five traditionally used and less ... ...

    Abstract Background: Medicinal plants are a source of phytochemicals and they are used for the treatment of several oxidative stress-related or other diseases for their effectiveness, low toxicity and easy availability. Five traditionally used and less characterized herbaceous weeds of West Bengal, India, namely, Heliotropium indicum, Tridax procumbens, Cleome rutidosperma, Commelina benghalensis and Euphorbia hirta, were investigated for the current research study. Methods: Aqueous and 70% ethanolic extracts of the leaves were analyzed for estimation of essential phytochemicals and to evaluate their in vitro antioxidant status, medicinal properties and cytotoxic effects. To the best of our knowledge, several assays and comparative evaluations using these herbs are reported for the first time. For quantitative study, UV-vis spectrophotometry and high-performance liquid chromatography with diode array detector HPLC-DAD techniques were used. Antibacterial properties were investigated using the Kirby-Bauer disc diffusion method. For in vitro anti-lithiatic study, a titration method was used. The cell viability assay was done using peripheral blood mononuclear cells. Results: The aqueous extract exhibits higher content of polyphenols, flavonoids, tannins and inhibition percentage values for free radical scavenging assays, whereas the 70% ethanolic extract exhibits higher content of alkaloids and cardiac glycosides. HPLC-DAD analysis of 70% ethanolic extracts led us to identify 10 predominant phenolic constituents. Euphorbia hirta extracts showed minimum cytotoxicity (cell death ~2.5% and 4% in water and 70% ethanolic extract, respectively), whereas Cleome rutidosperma and Tridax procumbens’ 70% ethanolic extracts showed higher cell death (~13% and 28%, respectively), compared with the control (cell death ~10-12%). Conclusions: The study concluded that of all the medicinal weeds selected for the current study, Euphorbia hirta possesses the highest amount of bioactive compounds and hence exhibits the highest in vitro antioxidant activity and promising in vitro medicinal properties.
    Keywords Medicine ; R ; Science ; Q
    Language English
    Publishing date 2020-06-01T00:00:00Z
    Publisher F1000 Research Ltd
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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