Does increase in funding and service provision improve outcomes of patients with diabetes? An evaluation of HbA1c in paediatric patients with diabetes at Peterborough City Hospital

2016 ◽  
Author(s):  
Eleanor Keene ◽  
Vijith Puthi ◽  
Alison Kent
Keyword(s):  
Service Provision ◽  
City Hospital ◽  
Paediatric Patients ◽  
Patients With Diabetes

A Retrospective Study of Treatment Outcome for Patients With Non-Insulin-Dependent Diabetes at an Inner-City Hospital

1995 ◽  
Vol 21 (2) ◽  
pp. 113-116
Author(s):  
Wissam E. Nadra ◽  
Eric L. Knight ◽  
Martha B. Lee ◽  
Woerner P. Meehan
Keyword(s):  
Metabolic Control ◽  
Plasma Glucose ◽  
Medical Records ◽  
Total Population ◽  
Good Control ◽  
Insulin Dependent Diabetes ◽  
City Hospital ◽  
Patients With Diabetes ◽  
Insulin Dependent

The medical records of 173 consecutive patients with diabetes who were newly enrolled in our facility in 1990 were analyzed for blood glucose at 1 year. A total of 81 females and 72 males with non-insulin-dependent diabetes were studied. With regard to overall compliance in keeping clinic appointments, 56 (36.6%) patients were still coming in for follow-up I year after the diagnosis of diabetes versus 97 (63.4%) patients who had stopped coming in. Overall, 70 (45.8%) patients had a plasma glucose > 180 mg/dL and had not achieved metabolic control, and 83 (54.2%) patients had a plasma glucose≤180 mg/dL and had achieved good metabolic control at their last visit. Most patients with good control (58/153, 69.9%) had stopped coming in by the end of 1 year. Only 25 patients with plasma glucose ≤180 mg/dL were still coming in for follow-up visits, representing the smallest percentage (16.3%) of the total population studied. At I year there also was a correlation between increased body weight and improved glycemic control.

scholarly journals Offloading of diabetic foot wounds using Amit Jain’s offloading system: an experience of 23 cases

2017 ◽  
Vol 4 (8) ◽  
pp. 2777
Author(s):  
Roshan Dath ◽  
U. Venkatkrishna Rao ◽  
Kishore Kumar ◽  
Harish Kumar ◽  
Suresh Kumar
Keyword(s):  
Wound Healing ◽  
Diabetic Foot ◽  
Foot Ulcers ◽  
City Hospital ◽  
Common Condition ◽  
Ethyl Vinyl ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
Foot Problems ◽  
Scientific Rationale

Background: It is a well-known fact that around 15% of patients with diabetes are likely to be affected by foot ulcers during their lifetime. The aim of this study was to evaluate and analyze Amit Jain’s offloading system used in diabetic foot wounds.Methods: A cross-sectional, retrospective study was done at 3 centres namely Brindhavvan Areion Hospital, Synergy Centre for Diabetes and South City hospital in Bangalore, India. The study period was for 1 year from April 2016 to March 2017.Results: 23 cases were included in the study. 16 patients (69.57%) had right foot involved whereas 7 patients (30.43%) had left foot involved. Majority of the patients had foot problems located at forefoot (86.96%). The most common condition where Amit Jain’s offloading was used was in trophic ulcer (61%). In 22 patients (95.65%), the microcellular rubber and ethyl vinyl acetate combination was used whereas in one patient (4.35%), 7 mm of single layered EVA was used. 9 patients (39.13%) had their wounds healed within 8 weeks whereas 11 patients (47.83%) had their wounds healed within 8-16 weeks.Conclusions: Amit Jain’s offloading device is a new offloading device that can be effectively used as an alternative to felted foam. It is based on deflective technique just like felted foam. In this series, 86.98% of the wounds had healed by 16 weeks with this new offloading device. The Amit Jain’s offloading device, which has a scientific rationale based on the deflective offloading as well as usage of visco-elastic material that is accepted worldwide, produces effective wound healing without any complication and without inhibiting patient’s mobility. Amit Jain’s offloading is a level one recommendation for diabetic foot wounds.

Comparative assessment of the lifestyle and medical activity of diabetic patients with higher and secondary specialized education

2020 ◽  
pp. 4
Keyword(s):  
Diabetes Mellitus ◽  
Comparative Assessment ◽  
Diabetic Patients ◽  
City Hospital ◽  
Sociological Study ◽  
Medical Activity ◽  
Subjective Opinion ◽  
Patients With Diabetes ◽  
Specialized Education ◽  
The City

The article presents the results of a sociological study, the purpose of which was to conduct a comparative analysis of the subjective opinion of the lifestyle and medical activity of patients with diabetes mellitus with higher and secondary specialized education. The data was collected using a specially designed questionnaire consisting of 36 questions. The study was conducted in 2019 at the city hospital in Khabarovsk. The study involved 90 people. The research results are analyzed using relative and average values. There were no statistically significant differences in the answers of the respondents between the groups.

scholarly journals The Impact of Health Literacy on Self-Monitoring of Blood Glucose in Patients With Diabetes Receiving Care in an Inner-City Hospital

2010 ◽  
Vol 102 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Nkechi Mbaezue ◽  
Robert Mayberry ◽  
Julie Gazmararian ◽  
Alexander Quarshie ◽  
Chinedu Ivonye ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Health Literacy ◽  
Inner City ◽  
City Hospital ◽  
Self Monitoring ◽  
Patients With Diabetes ◽  
The Impact

scholarly journals Staphylococcus aureus and Methicillin resistant Staphylococcus aureus From The Diabetic Ulcer

2018 ◽  
Vol 4 (1) ◽  
pp. 30
Author(s):  
Leka Lutpiatina ◽  
Nisa Nur Agistni Eriana
Keyword(s):  
Staphylococcus Aureus ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Ulcer Patient ◽  
Observational Research ◽  
City Hospital ◽  
Diabetic Ulcer ◽  
Methicillin Resistant ◽  
Diabetic Ulcers ◽  
Patients With Diabetes ◽  
Research Type

Infections of diabetic ulcers may occur because patients with diabetes mellitus have a weak immune system and the presence of high blood sugar into a strategic place for bacterial growth one of them is Staphylococcus aureus. Increased resistance of Staphylococcus aureus to various antibiotics, causing problems for the treatment of this infection. As by Methicillin-resistant Staphylococcus aureus (MRSA) This study aims to assess the presence of Staphylococcus aureus and Methicillin-resistant Staphylococcus aureus (MRSA) at diabetic ulcer patient at Banjarmasin city hospital. This research uses descriptive observational research type. The study sample was patients with grade 2 and three diabetic ulcers with a total of 30 samples. The result of the research found 14 Staphylococcus aureus bacteria, Staphylococcus epidermidis nine, Staphylococcus saprophyticus two and 5 Gram-negative bacteria. Of the 14 samples of Staphylococcus aureus, there were eight samples of cefoxitin-resistant samples. The conclusion was 47% of Staphylococcus aureus in patients with a diabetic ulcer at Banjarmasin City Hospital. There was a 57% Methicillin-resistant Staphylococcus aureus in the isolated Staphylococcus aureus found. Need further research on the resistance of antibiotics oxacillin and cefoxitin to other Staphylococcus sp bacteria derived from patient diabetic ulcers.

scholarly journals Identifikasi Potentially Inappopriate Medication (PIM) Pada Resep Pasien Diabetes Melitus Usia Yang Keluar Dari 3 Rumah Sakit di Sulawesi Utara

Jurnal MIPA ◽  
2019 ◽  
Vol 8 (3) ◽  
pp. 108
Author(s):  
Weny Indayany Wiyono ◽  
Widya Astuty Lolo ◽  
Gayatri Citraningtyas
Keyword(s):  
Diabetes Mellitus ◽  
The Elderly ◽  
Beers Criteria ◽  
City Hospital ◽  
Geriatric Population ◽  
North Sulawesi ◽  
Patients With Diabetes ◽  
Quantitative Descriptive ◽  
The City ◽  
Descriptive Method

Latar Belakang. Penduduk lanjut usia atau geriatrik tidak dapat dipisahkan dari kondisi kesehatan. Hal tersebut mendorong pentingnya mengidentifikasi adanya ketidaktepatan peresepan bagi pasien lanjut usia khususnya pada pasien yang menderita Diabetes Mellitus (DM). Prevalensi DM di Sulawesi Utara mengalami kenaikan. Penelitian ini bertujuan untuk mengidentifikasi Potentially Inapopriate Medication (PIM) pada Resep pasien DM lanjut usia yang keluar dari Tiga Rumah sakit (RS) terletak di kota dengan prevalensi DM terbanyak di Sulawesi Utara. Metode. Penelitian dilakukan pada RS A Kota Manado, RS B Bitung dan RS C Tomohon. Penelitian ini menggunakan metode deskriptif kuantitatif secara retrospektif dengan mengambil data rekam medis setiap 3 bulan per Rumah Sakit lalu membandingkan dengan Beers Criteria 2015. Hasil. Kejadian PIM pada Resep Keluar Pasien DM Lanjut Usia di RS A, RS B dan RS C sebesar 81,26 %, 40,91 % dan 37,38%  secara berturut-turut. Klasifikasi PIM terbanyak yaitu PIM dan Kelas Obat yang harus dihindari pada lanjut usia (50,00%, 66,67%, 73,91%). Golongan Obat terbanyak dalam PIM yaitu Sistem Gastrointestinal khususnya Pemblok Pompa Proton (30,47 %)Background. Elderly or geriatric population can’t be separated from health conditions. This encourages the importance to identifying the inaccuracy of prescribing for elderly patients, especially in patients with Diabetes Mellitus (DM). The prevalence of DM in North Sulawesi has increased. This study aims to identify Potentially Inapopriate Medication (PIM) in prescriptions for elderly DM patients who are discharged from the Three Hospitals (RS) located in the city with the highest prevalence of DM in North Sulawesi. Method. The study was conducted at Hospital A at Manado City, Hospital B at Bitung and Hospital C at Tomohon. This study used quantitative descriptive method retrospectively by taking medical record data every 3 months/Hospital and then comparing with the 2015 Beers Criteria. Results. The incidence of PIM in the Out Prescription for Elderly DM Patients in Hospital A, Hospital B and Hospital C was 81.26%, 40.91% and 37.38%, respectively. Most PIM classifications are PIM and Drug Class which must be avoided in the elderly (50.00%, 66.67%, 73.91%). The most drug group in PIM is Gastrointestinal System especially Proton Pump Inhibitors (30.47%)

scholarly journals Identifying Challenges and Solutions to Providing Diabetes Care for Those Experiencing Homelessness

2021 ◽  
pp. 1-19
Author(s):  
Nicole Mancini ◽  
Rachel Campbell ◽  
Hannah Yaphe ◽  
Tadios Tibebu ◽  
Eshleen Grewal ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Diabetes Care ◽  
Service Provision ◽  
Allied Health ◽  
Primary Care Providers ◽  
Care Providers ◽  
Structured Interviews ◽  
Allied Health Professionals ◽  
Patients With Diabetes

Introduction: Health care providers face a multitude of challenges in providing care to patients with diabetes who are experiencing homelessness. Considering the unique circumstance faced by this population, mainstream services must be adapted and tailored to meet patients’ needs. The objective of this study was to explore both the barriers faced by providers and programs in offering comprehensive diabetes care to these patients, and their suggested areas for improvement. Methods: We conducted semi-structured interviews with providers who care for patients who have diabetes and/or who experience homelessness. Participants included primary care providers, specialist physicians, dietitians, shelter staff, outreach workers, and diabetes educators in five Canadian centres (n=96). Responses were analyzed using qualitative thematic analysis. Results: Barriers most frequently cited by providers were a lack of resources for staff. Other challenges included policy barriers (restrictions on billing codes, care professionals’ scope of practice, and the structure of financial support for this population), duplication of services, and alternative priorities of care. Participants identified several strategies to improve care, which targeted the following spheres: location of service provision and coordination of care, policy changes, and extending funding and resources for staff, such as augmented funding to hire allied health professionals in outpatient settings and increasing outreach capabilities. Conclusion: Programs that strive to address the unique needs of clients experiencing homelessness face numerous challenges. Unique potential solutions to these barriers, such as service provision in a convenient location involving social and health services, incorporating allied health care providers in care to a greater extent, and updating policies to reflect the social complexity of the population can improve diabetes care.

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