PS 14-72 HYPERTENSION CARE IN NON-COMMUNICABLE DISEASE CLINIC FOR KHIRI MAT HOSPITAL, ACCORDING TO THE CONCEPTUAL FRAMEWORK OF B.I.C3.S MODEL

2016 ◽  
Vol 34 (Supplement 1) ◽  
pp. e454
Author(s):  
Piyapong Sonlop
Keyword(s):  
Conceptual Framework ◽  
Communicable Disease ◽  
Disease Clinic ◽  
S Model ◽  
Non Communicable Disease

scholarly journals Psychiatric morbidity among patients attending a rural non-communicable disease clinic

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Sangwan ◽  
A Mehra ◽  
S Grover ◽  
A Avasthi
Keyword(s):  
Diabetes Mellitus ◽  
Cognitive Impairment ◽  
Anxiety Disorder ◽  
Cognitive Functioning ◽  
Communicable Disease ◽  
Health Centre ◽  
Psychiatric Morbidity ◽  
Analysis Of Covariance ◽  
Disease Clinic ◽  
Non Communicable Disease

Abstract Background The presence of psychiatric illness among patients with physical illnesses leads to poor treatment adherence, poor lifestyle, increased cost of treatment, poor quality of life, worsening of physical illness, work absenteeism, increased hospital visits, poor self-care and higher mortality. The study evaluated the prevalence of cognitive impairment and psychiatric morbidity in non-communicable disease patients. The study highlights that NCD patients should be provided information about the development of cognitive impairment in order to prevent it. Methods It was a cross-sectional study conducted among the patients attending the non-communicable disease clinic of a rural community health centre run in collaboration with the Postgraduate Institute Medical Education and Research (PGIMER), Chandigarh. We registered 124 patients after obtaining written informed consent. Instruments: Hindi Mental Status Examination (HMSE), Patient Health Questionnaire-9, Generalized anxiety disorder-7 (GAD-7) scale. Analysis of covariance was applied to see the relationship between the domain of the HMSE and NCDs. Results The mean age of the participants was 55.5 years (SD-11.9, Range-26-90). A little more than one third (N = 48, 38.7%) were diagnosed with hypertension only, one-sixth (N = 22; 17.7%) were diagnosed with diabetes mellitus only, and 54 (43.5%) patients were diagnosed with both hypertension and diabetes mellitus. A slightly more than one-third of the study participants were diagnosed with depressive disorder (N = 44, 35.5%), and 29% (N = 36) of the participants were diagnosed with an anxiety disorder. About one-fourth of patients with NCD have cognitive impairment and 39.51% have psychiatric morbidity. Conclusions The prevalence of cognitive impairment is higher among patients of NCD with psychiatric morbidity. Patients with NCDs should be routinely screened for cognitive functioning and provided information about the development of cognitive impairment. Key messages Because of high prevalence of cognitive impairment and psychiatric morbidity in NCD patients, patients should be provided information to prevent it. There is a need to screen NCD patients routinely for cognitive functioning, and provide them information to prevent cognitive impairment.

scholarly journals Drug utilization pattern in type II diabetes mellitus patients attending non-communicable disease clinic in a tertiary care hospital

2019 ◽  
Vol 8 (3) ◽  
pp. 539
Author(s):  
Akash Gadgade ◽  
Shwetha B. ◽  
Basavaraj C. Kotinatiot ◽  
Chetan A. C.
Keyword(s):  
Diabetes Mellitus ◽  
Drug Utilization ◽  
Communicable Disease ◽  
Fixed Dose ◽  
Care Hospital ◽  
Antidiabetic Drug ◽  
Disease Clinic ◽  
History Of ◽  
Comorbid Diseases ◽  
Non Communicable Disease

Background: Diabetes mellitus is a metabolic disorder. Early institution of treatment is necessary to prevent complications. Since treatment of diabetes requires lifetime therapy; this study is designed to understand the prescription trends at Non Communicable Disease clinic set up and to provide rationale.Methods: This cross-sectional, observational study was conducted over a period of 2 months (May 2017- June 2017). Details of demographic data, duration and family history of diabetes, antidiabetic medications prescribed, history of comorbid diseases and drugs prescribed by physician for the treatment of comorbid diseases were collected in a structured format. Height and weight were recorded, and body mass index was calculated.Results: Study population included 294 patients and patients in the age groups of 40-59 years formed the bulk. 39% patients were overweight and 19.39% were obese. 93.20% patients were prescribed with metformin. 37 patients received insulin injection. 64.29% received more than one antidiabetic drug. Hypertension (82.05%) was the most common comorbid disease. Amlodipine was the most commonly prescribed antihypertensive drug.Conclusions: Metformin was the most commonly prescribed antidiabetic drug. Utilization of newer antidiabetic drug is inferior. Use of rationale fixed dose combination improves patient compliance.

scholarly journals Implementation of a non-communicable disease clinic in rural Sierra Leone: early experiences and lessons learned

2021 ◽  
Vol 42 (3) ◽  
pp. 422-438
Author(s):  
Chiyembekezo Kachimanga ◽  
Yusupha Dibba ◽  
Marta Patiño ◽  
Joseph S. Gassimu ◽  
Daniel Lavallie ◽  
...  
Keyword(s):  
Sierra Leone ◽  
Low Income ◽  
Communicable Disease ◽  
Retrospective Chart Review ◽  
Lessons Learned ◽  
Low Income Countries ◽  
First Year ◽  
Disease Clinic ◽  
Lost To Follow Up ◽  
Non Communicable Disease

AbstractThis study is an evaluation of the first cohort of patients enrolled in an outpatient non-communicable disease clinic in Kono, Sierra Leone. In the first year, the clinic enrolled 916 patients. Eight months after the enrollment of the last patient, 53% were still active in care, 43% had been lost to follow-up (LTFU) and 4% had defaulted. Of the LTFU patients, 47% only came for the initial enrollment visit and never returned. Treatment outcomes of three patient groups [HTN only (n = 720), DM only (n = 51), and HTN/DM (n = 96)] were analyzed through a retrospective chart review. On average, all groups experienced reductions in blood pressure and/or blood glucose of approximately 10% and 20%, respectively. The proportions of patients with their condition controlled also increased. As NCDs remain underfunded and under-prioritized in low-income countries, the integrated program in Kono demonstrates the possibility of improving outpatient NCD care in Sierra Leone and similar settings.

scholarly journals Cost of Ambulatory Care in Diabetes: Findings From a Non-Communicable Disease Clinic of a Tertiary Care Institute in Eastern India

Cureus ◽  
2022 ◽  
Author(s):  
Binod K Patro ◽  
Manish Taywade ◽  
Debjyoti Mohapatra ◽  
Rashmi R Mohanty ◽  
Kishore K Behera ◽  
...  
Keyword(s):  
Ambulatory Care ◽  
Communicable Disease ◽  
Tertiary Care ◽  
Eastern India ◽  
Care Institute ◽  
Disease Clinic ◽  
Non Communicable Disease

scholarly journals Exploring the mechanisms of collaboration between the Tuberculosis and Diabetes Programs for the control of TB-DM Comorbidity in Ghana

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Rita Suhuyini Salifu ◽  
Khumbulani W. Hlongwana
Keyword(s):  
Communicable Disease ◽  
Control Program ◽  
Communicable Diseases ◽  
Local Health ◽  
National Tuberculosis Control Program ◽  
National Tuberculosis ◽  
Local Health Facility ◽  
Control And Prevention ◽  
And Control ◽  
Non Communicable Disease

Abstract Objectives To explore the mechanisms of collaboration between the stakeholders, including National Tuberculosis Control Program (NTP) and the Non-Communicable Disease Control and Prevention Program (NCDCP) at the national, regional, and local (health facility) levels of the health care system in Ghana. This is one of the objectives in a study on the “Barriers and Facilitators to the Implementation of the Collaborative Framework for the Care and Control of Tuberculosis and Diabetes in Ghana” Results The data analysis revealed 4 key themes. These were (1) Increased support for communicable diseases (CDs) compared to stagnant support for non-communicable diseases (NCDs), (2) Donor support, (3) Poor collaboration between NTP and NCDCP, and (4) Low Tuberculosis-Diabetes Mellitus (TB-DM) case detection.

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