scholarly journals Tuberculosis and diabetes mellitus: sociodemographic and clinical profile in Brazilian municipalities

2021 ◽  
Vol 42 ◽  
Author(s):  
Aline Ale Beraldo ◽  
Rubia Laine de Paula Andrade ◽  
Érika Simone Galvão Pinto ◽  
Reinaldo Antônio da Silva-Sobrinho ◽  
Nanci Michele Saita ◽  
...  

ABSTRACT Objective To analyze the sociodemographic and clinical profile of tuberculosis cases with Diabetes Mellitus in Brazilian municipalities in the states of São Paulo, Paraná and Rio Grande do Norte. Method This is a cross-sectional study, whose population consisted of tuberculosis cases notified between 2010 and 2014. Data were collected from secondary sources. In the data analysis, descriptive analysis and multiple correspondence analysis techniques were used. Results The prevalence of diabetes among tuberculosis cases ranged from 4.5% to 13.4% in the municipalities. Evidence of an association was observed between tuberculosis/diabetes comorbidity and female population, age of 61 years or more, low schooling, negative HIV/AIDS, longer treatment time, self-administered treatment and cure. Conclusion The study showed a greater cure outcome in the profile of people with tuberculosis/diabetes comorbidity, even among those on a self-administered regime, which could favor the development of specific guidelines for the management of tuberculosis in these people.

2017 ◽  
Vol 70 (2) ◽  
pp. 265-270 ◽  
Author(s):  
José Cláudio Garcia Lira Neto ◽  
Mayra de Almeida Xavier ◽  
José Wicto Pereira Borges ◽  
Márcio Flávio Moura de Araújo ◽  
Marta Maria Coelho Damasceno ◽  
...  

ABSTRACT Objective: to identify the prevalence of Metabolic Syndrome and its components in a population of patients with type 2 Diabetes Mellitus. Method: a cross-sectional study was conducted with 201 diabetic patients. A descriptive analysis and Chi-square and Fisher's exact tests ( p <0.05) were performed. Results: the majority of participants were females and overweight, with a mean age of 63.1 years and a low level of education, and categorized as physically inactive. Of all individuals investigated, 50.7% were diagnosed with Metabolic Syndrome and 92% had at least one of the syndrome components with values beyond those recommended. Conclusion: it is essential to take preventive actions and develop studies that help to identify the factors associated with this syndrome.


Author(s):  
Shanthi M.

Background: Drug utilization research establishes the current trend in the use of antidiabetic drugs including the new drug and to identify irrational prescription.Methods: A cross-sectional study was conducted for a period of one year (between August 2013 to August 2014) at outpatient department of Medicine, Sree Mookambika Institute of Medical Sciences, Kulasekharam, Kanyakumari District, Tamil Nadu.Results: A total of 169 prescriptions were evaluated during the study period. Diabetes mellitus was predominant among the female population in this region. Demographic details of the patient included in the study were mean weight 67.56kg, mean height 155cm and average body mass index 27.82kg/m2. All the patients were diagnosed and were known case of type 2 diabetes mellitus. Systemic hypertension was the frequently encountered co-morbid conditions associated with this endocrine disorder. Metformin was the drug chosen for managing diabetes as monotherapy and 73% of the patients were on combination of antidiabetic drugs. Glimepiride with metformin was the combination therapy frequently prescribed during the study period. Pharmacoeconomic analysis identified that drugs prescribed by brand name were costlier compared to generic equivalent.Conclusions: Utilization of antidiabetic drug therapy in this region has shown a changing trend compared to the previous studies. There is a gradual increase in the prescription of metformin and dramatic increase in the use of newer drugs like pioglitazone, voglibose and sitagliptin. Pharmaeconomic analysis revealed that glibenclamide was least expensive while sitagliptin was most expensive in this study.


Author(s):  
Khwaja S. Zafar ◽  
Tony Pious ◽  
Prem S. Singh ◽  
Rajesh K. Gautam ◽  
Sudhir K. Yadav ◽  
...  

Background: Prevalence of non-communicable diseases like hypertension, diabetes mellitus and coronary artery disease is on the rise due to the change in lifestyle, unfavourable dietary habits and obesity. Metabolic syndrome is a simple tool by which we can predict the future risk of diabetes mellitus and cardiovascular disease. Studies showed that prevalence of metabolic syndrome is rising in Indian population, but majority of them were done in urban population. This study was conducted to look into the current status of the metabolic syndrome in rural population.Methods: The study was conducted among a population of 2982. Each participant was subjected to clinical examination, anthropometric measurements and necessary laboratory investigations. Metabolic syndrome was diagnosed based on modified NCEP: ATP III criteria.Results: The prevalence of metabolic syndrome was found to be 11.7% and was higher among female population (13.8%) as compared to males (9.6%). The prevalence of metabolic syndrome increased with increasing age. 28.3% of the participants over the age of 50 years had metabolic syndrome whereas it was only 0.4% below the age of 20 years. Nearly half (47.1%) of the obese individuals were suffering from metabolic syndrome implicating obesity as one of the most important risk factors in the etiopathogenesis of metabolic syndrome. The prevalence was only 1.1% among the underweight group.Conclusions: Present study has shown moderate prevalence of metabolic syndrome among the rural population of Western Uttar Pradesh, India with a more female predisposition.


Author(s):  
Raghad Taha Fouly ◽  
Angham Ali Sahli ◽  
Bashaier Gubran Alqahtani ◽  
Ibrahim Saleh Algosair ◽  
Mosaed Saif Al Garbo ◽  
...  

Background: Parkinson Disease is the second most common degenerative neurological disease, with Alzheimer’s disease being the first. Considering the increasing prevalence of PD and the need for early detection by increasing community awareness of the symptoms to delay the serious complications and improving quality of life. Due to the lack of researches about community awareness, this study aimed to measure the level of knowledge of Saudi community about the symptoms of Parkinson disease. Aim: To measure the level of public knowledge of the symptoms of Parkinson disease in Saudi population. Methods: This is a questionnaire-based cross-sectional study. It will be carry out among male and female population older than 18 years in Kingdom of Saudi Arabia, KSA. The Samples selected randomly via electronic questionnaire during the period from April 2018 to September 2018. Descriptive analysis done by using Statistical Package for Social Sciences (SPSS). An exploratory cross-sectional design, using both quantitative and qualitative methods used in this study. The questionnaire divided into two sections, the first section will concern with information of the participants. However, the second section will examine the personal knowledge about symptoms of Parkinson's disease. Results: We found that the total awareness was high which indicate that the population had an awareness better than we thought. Conclusion: the knowledge of PD motor symptoms among Saudi population found to be higher than expected. More researches targeting other aspects of Parkinson disease and specific subgroups are necessary to improve public awareness and knowledge about PD.


2021 ◽  
Vol 10 (1) ◽  
pp. 29-32
Author(s):  
Sanjay Shrestha ◽  
Rajesh Kumar Mandal ◽  
Kijan Maharjan

Background and Aims: Microalbuminuria is an early marker of diabetic nephropathy, which accounts for a significant reduction in life expectancy of diabetic patients. Timely detection of microalbuminuria facilitates appropriate preventive and therapeutic approaches to minimize risks. The aim of this study is to determine the prevalence and association of microalbuminuria with clinical profile and complications of type 2 diabetes mellitus. Methods: This study was a descriptive, cross sectional study involving 100 diabetic subjects between July 2018 to January 2019 at Bir Hospital. Microalbuminuria (mg/dl) was defined as spot urine albumin to creatinine ratio of 30-300 mg/g (Kidney Disease Improving Global Outcomes guidelines) in a single spot urine sample. Statistical analysis was done using Statistical package for the social sciences version 20. Results: Microalbuminuria was found in 35% of the sample and the rate was significantly higher among males (P =0.027). Microalbuminuria was significantly related to Body mass index (P = 0.018), duration of diabetes (P =0.000), retinopathy (P = 0.000) and stroke (P = 0.043). No statistically significant relation was found between microalbuminuria and age (P = 0.366), hypertension (P = 0.208), HbA1c (P = 0.098), dyslipidemia (P = 0.171) and ischemic heart disease (P = 0.651). Conclusions: This study shows high prevalence of microalbuminuria in Nepalese Type 2 diabetes mellitus. Screening for microalbuminuria should be done for all the type 2 diabetes mellitus patients for early detection and management of complications of diabetes mellitus.  


2019 ◽  
Vol 17 (1) ◽  
pp. 15-18
Author(s):  
Maria Ghafoor ◽  
Najma Farhat ◽  
Firdous Khatoon ◽  
Asifa Ghazi ◽  
Fauzia Anbreen ◽  
...  

Background: In developing countries, miscarriage is one of the common and increasing problems of pregnancy. The objectives of this study were to determine the frequency of pre-gestational diabetes mellitus among pregnant women with miscarriage in our population. Materials & Methods: This descriptive, cross-sectional study was conducted in the Department of Gynecology and Obstetrics, Khyber Teaching Hospital, Peshawar, Pakistan from 3rd November 2015 to 2nd May 2016. Sample size was 268 pregnant women with miscarriage selected through consecutive sampling technique. Inclusion criteria were all pregnant women with miscarriage. Exclusion criteria were molar pregnancy, ectopic pregnancy and diabetics. HbA1c levels of ≤6% was taken as normal, whereas a level >6 was taken as raised level or pre-gestational diabetes. Variables were age, pre-gestational diabetes mellitus, number of pregnancies and duration of pregnancy (≤24, >24). Mean and SD were calculated for quantitative while frequency and percentages for qualitative variables. Descriptive analysis was performed by using SPSS version 16. Results: Mean age of the patients was 27.66 ±4.93 years. Out of 268 participants, 81(30.22%) were having pre-gestational diabetes mellitus and 187(69.78) were normal, 234(87.31%) were having first pregnancy whereas 34 were having >1 pregnancies, the pre-gestational age ≤ 24 weeks were 130(48.51%) and >24 weeks were 138(51.49%). Conclusion: One third of the patients with miscarriage were having pre-gestational diabetes mellitus. Almost half of the patients were having gestational age of


2021 ◽  
Vol 9 (2) ◽  
pp. 184
Author(s):  
Armya Zakiah Safitri ◽  
Risna Nur Fajariyah ◽  
Erni Astutik

Background: Over the last decades, the number of new diabetic cases and the prevalence of diabetes have tended to increase. The diabetes prevalence rate in Indonesia in 2020 reached 6.20%. Purpose: The aim of this study is to examine the relationship between the variables of age, level of education, smoking status, and Body Mass Index (BMI) and the prevalence of diabetes in the urban areas. Methods: This was a cross-sectional study and used secondary data from the Indonesia Family Life Survey (IFLS 5) in 2015. The data was analyzed using descriptive analysis and simple logistic regression. The dependent variable in this study was Diabetes Mellitus (DM); the independent variables were age, education level, smoking status, and BMI. Results: In terms of the respondents’ characteristics, individuals were mainly over 35 years of age (130 respondents, 83.87%). The highest level of education was attained by 93 respondents (60.00%). There was a correlation between respondents who were over 35 years of age, with p=0.01; prevalence ratio (PR)=5.60; 95%Cl=3.64–8.62) and the level of education (p=0.01; PR=1.69; 95%Cl=1.22–2.34) with the incidence of diabetes in urban areas in Indonesia. There was no correlation between the smoking status (p=0.55; PR=0.67; 95%Cl=0.01–2.73) and the BMI of respondents with the prevalence of diabetes in urban areas in Indonesia. Conclusion: The age and the level of education were linked to the incidence of diabetes in urban areas in Indonesia.


2020 ◽  
Vol 2 (1) ◽  
pp. 14-18
Author(s):  
Adnan Khan ◽  
Tajamul Ahmad ◽  
Nadia Afridi ◽  
Madiha Anees ◽  
Bilal Khan

Introduction: A fall may be defined as a loss of balance, resulting in coming to rest on the ground or on another object below knee level. Fear of all or Basophobia is a condition of concern towards falls and natural fear of unable to stand or walk. Since the identification of the post-fall syndrome, fear of fall is considered the major health issue among elderly population. Therefore, this study was conducted to measure the level of fear of fall and factors which might contribute to it. Material & Methods: It was a cross sectional study conducted to measure the level of fear of fall among the diabetic patients of Hayatabad Medical Complex Peshawar. According to the inclusion criteria, participants who had age more than 40 years and diabetic history of more than 2 years were included in the study. We measured the fear of fall with age, gender and duration of diabetes mellitus. Convenient sampling technique was used for the recruitment of the participants. Data was collected by self-repored questionnaires and was analyzed by SPSS 20.0 version. Results: A total of 306 participants, 164 (53.59%) males and 142 (46.40%) female with a mean age 56.02 ± 9.68 years (mean ± sd) were recruited. The level of fear of all was high in diabetic patients in which 222 (72.5%) participants showed high, 48 (15.7%) moderate and 36 (11.8%) low concerns. Conclusion: Fear of fall is a common problem in both male and female population having diabetes mellitus. It is one of the major concerns among patients with diabetes. It has a positive relation with age, duration of DM, and insulin intake.


2022 ◽  
Vol 13 (1) ◽  
pp. 8-12
Author(s):  
Jeetendra Kumar J Mood ◽  
Avinash H Rajanna ◽  
Vaibhav S Bellary ◽  
Gowtham S Gowda ◽  
Yamini Marimuthu

Background: In December 2019, several cases of acute respiratory illness were detected in Wuhan city of China. This SARS-CoV-2 has been rapidly spreading worldwide ever since. SARS-CoV-2 has the potential to damage the vital organs such as lung, heart, liver, and kidney, and infection poses a considerable risk to patients by the high prevalence of pneumonia. Aims and Objectives: The objectives of the study are as follows: (1) To study clinical profile and biochemical markers in SARI patients. (2) To compare the clinical profile and biochemical markers between SARS-CoV-2 positive and negative patients and their outcomes. Materials and Methods: The present study is a hospital-based prospective cross-sectional study conducted on a total of 350 patients (150 SARI+200 COVID-19) in Bengaluru during the study period from June 2020 to May 2021. Results: Diabetes mellitus was present in 30% of SARI and 42% in COVID-19 patients (P=0.03). Leukocytosis (Total Leukocyte Count [TLC] >11000 cells/mm3) was more common among SARI patients than COVID-19 patients (49.3% vs. 24.3%). Leukopenia (TLC <4000 cells/mm3) was significantly more common in COVID-19 patients than in SARI patients (10.2% vs. 3.6%, P<0.001). Conclusion: COVID-19 infection is more common in patients with comorbidities such as diabetes mellitus and hypertension than SARI. Leukopenia was more common in COVID-19 patients whereas leukocytosis was more common in SARI patients.


Author(s):  
Yulia Anggraini ◽  
Amalia Ruhana

Abstrak Latar belakang: Pondok pesantren adalah tempat belajar bagi para santri untuk menjadi manusia yang berakhlak baik. Mayoritas santri yang mengikuti pendidikan di pesantren adalah berusia remaja. Remaja merupakan periode penting dalam kehidupan karena terjadi perkembangan fisik, psikologis dan kognitif. Dalam pemenuhan zat gizi, remaja mengalami berbagai masalah pada pola makan maupun keadaan gizinya yang berpengaruh terhadap kesehatannya. Penelitian ini bertujuan untuk mengetahui ketersediaan energi dan protein makan sehari di Pondok Pesantren Al Hikmah Gresik. Metode: Jenis penelitian adalah penelitian deskriptif dengan pendekatan crossectional study. Lokasi penelitian yaitu Pondok Pesantren Al Hikmah Gresik dengan waktu penelitian bulan oktober-januari 2020. Instrumen pengumpulan data yang digunakan adalah formulir food weighing dengan teknik analisa deskriptif. Hasil: Dalam penyelenggaraan makanan selama 7 hari diperoleh ketersediaan energi tertinggi sebesar 1766,132 kkal dengan rata-rata sebesar 1408,313 kkal/org/hari (56,68%). Pada ketersediaan protein selama 7 hari diperoleh ketersediaan tertinggi sebesar 48,899gram dengan rata-rata 40,57 gram/org/hari (64,40%). Kesimpulan: Ketersediaan energi dan protein pada Pondok Pesantren Al Hikmah masih dibawah standard rata-rata konsumsi di tingkat ketersediaan.   The Availlabillity of Energy And Protein For Daily Eating At Al Hikmah Islamic Boarding School Gresik   Abstract Background: an Islamic boarding school is a place of learning for students to become human beings with excellent character. The majority of students who attend Islamic boarding schools are adolescents. Adolescence is a crucial period in life because of physical, psychological, and cognitive development. In fulfilling nutrition, adolescents experience various problems with their diet and nutritional status that impact health. Indeed, this research aims to recognize the availability of energy and protein for daily eating at Islamic Boarding School Al Hikmah Gresik. Method: This type of research was a descriptive study with a cross-sectional study approach. The research was located at Islamic Boarding School Al Hikmah Gresik. The research was conduct around October-January 2020. The data collection instrument used the food weighing form with descriptive analysis techniques. Results: The highest energy availability for seven days was obtained at 1766,132 kcal with an average of 1408,313 kcal/person/day (56,68%). On the availability of protein for seven days, the highest availability was obtained at 48,899 grams with an average of 40,57 grams/person/day (64,40%). Conclusion: The availability of energy and protein at Al Hikmah Islamic Boarding School is still below the average consumption standard at the level of availability.


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