scholarly journals Study comparing the clinical profile of patients with stroke in diabetic and non-diabetic patients

2019 ◽  
Vol 6 (5) ◽  
pp. 1397
Author(s):  
G. Sathish Kumar ◽  
S. Rajeswaran ◽  
U. B. Padmanaban
Keyword(s):  
Tamil Nadu ◽  
Statistical Significance ◽  
Clinical Profile ◽  
P Value ◽  
Diabetic Patients ◽  
Chi Square ◽  
Cross Sectional ◽  
Diabetic Population ◽  
Magnetic Resonance Imaging Mri ◽  
The Brain

Background: A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts (or ruptures). Computed tomography (CT) and magnetic resonance imaging (MRI) was done to determine the type of stroke. Diabetes mellitus is a well-recognized risk factor for ischemic stroke. The study was undertaken to assess the clinical characteristics, outcome pattern and to compare the pattern of stroke in diabetics and non-diabetics.Methods: An observational cross-sectional prospective study wherein a hundred stroke patients being admitted to MGMGH, Trichy were sampled and the clinical profile along with outcome is compared in diabetic and non- diabetic populations and the statistical significance of the same.Results: The proportion of patients with poor outcome following stroke was significantly higher in diabetics compared with non-diabetic patients being chi square value was 37.6514 and p value was found to be significantly less than 0.0001.Conclusions: The study resulted the large hemorrhages are twice as much common in the diabetic population compared to the non-diabetic population , the incidence increases with the chronicity of diabetes  and the outcome is superior in the non-diabetics compared to the diabetics admitted in Mahatma Gandhi Memorial Government Hospital, Tiruchirappalli,  Tamil Nadu, India.

scholarly journals Detecting chronic kidney disease in diabetic adults by estimating glomerular filtration rate and Serum Creatinine

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Ahmed Kh. Mohammed Almaawi
Keyword(s):  
Risk Factors ◽  
Serum Creatinine ◽  
Cross Sectional Study ◽  
P Value ◽  
Diabetic Patients ◽  
Kappa Index ◽  
Chi Square ◽  
Cross Sectional ◽  
Female Ratio ◽  
Qualitative Variables

Objective: To assess CKD prevalence and risk factors including socio-demography among diabetics by estimating GFR rather than serum creatinine (sCr). Methods: A cross-sectional study was conducted in Dec. 15 2019 through Aug. 15 2020, among 800 diabetics attending tertiary diabetes centers, Baghdad. Data was collected by self-administered questionnaire. SPSS was used for data analysis by (mean, standard deviation and T-test) for quantitative variables and (frequency, percentage, Chi-square test and Kappa index) for qualitative variables. P-Value less than 0.05 was considered significant.  Results: 800 diabetics for last 5-40 years, 95.6% with type2. Aged 52.1±13.2 years, with male: female ratio 1.03:1, 63.6% were with no income, sCr level was 0.86±0.3 mg/dl, and eGFR by Cockcroft Gault (CG) and CKD-EPI equations was 100.4±36.5 & 92.2±25.5 ml/min/1.73m2 respectively. CKD prevalence based on sCr, and eGFR assessed by above equations was 13.3%, 20% and 15.9% respectively (p<0.001). Those with CKD were hypertensive, females, and living in peripheries. Conclusions: Diabetic patients, mainly those with risk factors are more likely to develop CKD. It is better to detect CKD intially by estimating the GFR, rather than serum creatinine level alone. Furthermore, using CKD-EPI equation might be better than the CG formula to estimate the GFR.

scholarly journals Analysis of COVID-19 Prevention Behaviour among Diabetes Mellitus Comorbidity Patients in Palembang

2021 ◽  
Vol 9 (2) ◽  
pp. 168
Author(s):  
Giszka Putri ◽  
Hamzah Hasyim ◽  
Nur Alam Fajar
Keyword(s):  
Diabetes Mellitus ◽  
Community Health ◽  
Statistical Significance ◽  
Health Centre ◽  
P Value ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Community Health Centres ◽  
Health Centres ◽  
Preventive Behaviour

Background: COVID-19 in Diabetes Mellitus (DM) patients are at higher risk for severe complications than people without DM. Preventive behaviour is the best way to avoid COVID-19 infection for DM patients due to its bad impact, such as severe symptoms requiring intensive care, leading to death. Objective: This study aims to analyse the COVID-19 preventive behaviour among DM comorbidity patients in Palembang. Method: The cross-sectional study was conducted from April 2021 to May 2021 using a questionnaire to diabetic patients at six community health centres in Palembang. The questionnaire has four sections: patient characteristics, knowledge, attitude, and COVID-19 prevention behaviour. A proportional random sampling technique was used to determine the number of samples according to the data on diabetic patients in each health centre. The total sample was 183 respondents from 1.266 total population diabetic patients in six community health centres. Respondents were diabetic patients aged ³ 18 years old and willing to fill out the questionnaire. Univariate, bivariate, and multivariate statistical analyses were used to analyse the data. Results: More respondents have good knowledge (50.3%), negative attitude (57.3%), and poor COVID-19 preventive behaviour (53.0%). The findings revealed a statistical significance between knowledge (P-value = 0.0001), attitude (P-value = 0.0001), and educational status (P-value = 0.0001) with COVID-19 preventive behaviour. Furthermore, knowledge is the most determinant factor of COVID-19 preventive behaviour (PR= 7.597, 95% CI: 3.701 – 15.597). Conclusion: According to this study, diabetic patients with poor knowledge are at greater risk of having poor COVID-19 prevention behaviours. COVID-19 prevention programs, especially health education programs at the community health centre, need to be improved to ensure that diabetic patients adopt reasonable and appropriate COVID-19 prevention practices.

scholarly journals Relationship Between Serum Total Testosterone and Coronary Artery Disease in Men

2019 ◽  
Vol 17 (01) ◽  
pp. 26-31
Author(s):  
Ritu Bashyal ◽  
Bhagawan Koirala ◽  
Bharat Jha ◽  
Bijaya Gautam ◽  
Mira Khadka
Keyword(s):  
Coronary Artery ◽  
Statistical Significance ◽  
Serum Testosterone ◽  
P Value ◽  
Total Testosterone ◽  
Diabetic Patients ◽  
Gensini Score ◽  
Coronary Artery Diseases ◽  
Chi Square ◽  
Triple Vessel Disease

Background: Male sex has always been considered as an independent risk factor for cardiovascular disease. But recent studies have shown controversial results. This study aimed to investigate the relation of serum testosterone withrisk factors of coronary artery diseasesand with degree of severity of coronary artery stenosisin men with coronary artery diseases.Methods: After applying inclusion and exclusion criteria 102 men (aged 60.42 += 11.11), were included. Fasting blood sample were obtained and blood sugar, total testosterone and lipid profile were measured. Severity of coronary stenosis was estimated by Gensini score. The relationships were assessed using chi-square test, one way analysis of variance and Pearson’s Correlation. Results: Of the total 102 patients, majority of them 42 (41.2%) had triple vessel disease. Testosterone (nmol/L) was found to be 12.01 ± 6.1. Cardiovascular diseaserisk factors like age, body mass index etc. were found to be negatively correlated with testosterone but not statistically significant. Likewise, Gensini score also correlated negatively with testosteronebut not up to the threshold of statistical significance (r=-0.069, p-value = 0.496). Similar results were obtained when number of vessels involved and testosterone were compared. However, the number of diabetic patients gradually decreased with the increasing value of testosterone in the three tertile group (p-value = 0.040). Conclusions: This study could not find significant association between testosterone and coronary artery diseases, however low testosterone was associated with diabetes mellitus.Keywords: Coronary artery diseases; diabetes mellitus; gensini score; testosterone.

scholarly journals Seroprevalence of Chikungunya (CHIK) Infection during Non Epidemic Periods in Chennai, Southern India

2021 ◽  
Author(s):  
Kaliyamoorthy Kayalvili ◽  
Murugan Duraivel ◽  
Elangovan Nivedhitha ◽  
Subramanian Arul Selvan
Keyword(s):  
Disease Transmission ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Southern India ◽  
Enzyme Linked Immunosorbent Assay ◽  
P Value ◽  
Chi Square ◽  
Monsoon Period ◽  
Cross Sectional ◽  
Igm Antibody

Introduction: Chikungunya (CHIK) infection has caused many outbreaks in India with more than 13 lac people affected by the disease. Epidemics of CHIK infection occur during post monsoon period when there is a high vector density. Evidences on the prevalence of CHIK infection during non epidemic periods are limited. Aim: To determine the seroprevalence of CHIK infection during non epidemic periods among patients attending fever clinic in Chennai, Southern India. Materials and Methods: This cross-sectional study was done in 180 suspected cases of CHIK infection between the months of September 2014 and February 2015. A 5 mL of blood samples were collected from the suspected cases and serum was separated to detect for the presence of CHIK-IgM antibody by using CHIK-IgM antibody capture Enzyme Linked Immunosorbent Assay (ELISA) kit. Chi-square test was done to find out the statistical significance with p-value <0.05 kept as statistically significant. Results: The seroprevalence of CHIK infection during non epidemic periods was found to be 5.5% (10/180). Fever and joint pain were the major complaints present in all the study population. All the seronegative cases were tested for the presence of other infections and it was found that 13% were positive for typhoid, 9% were positive for leptospirosis, 4% for malaria and 2% for dengue infections. Conclusion: There are no vaccines or specific medications available till date. Prevention is the only effective approach against the disease. Even though the prevalence of CHIK infection is low during non epidemic periods, strict vector control and elimination of mosquito breeding sites are very important in controlling the disease transmission.

scholarly journals Prevalence of Self-medication Practice among People Attending Oral Health Outreach Programmes in Madurai East, Tamil Nadu

2017 ◽  
Vol 8 (1-2) ◽  
pp. 14-20 ◽  
Author(s):  
Subhashini ◽  
Bharath Kumar Garla ◽  
Muthu Karuppaiah ◽  
Taranath
Keyword(s):  
Tamil Nadu ◽  
Community Outreach ◽  
Medical Professional ◽  
P Value ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Lower Middle Class ◽  
Medication Practice

Aims and Objectives: The practice of self-medication may lead to lack of clinical evaluation by a trained medical professional and delay in effective therapy. This study was aimed to find the prevalence of self-medication and identify the common causes of illness/symptoms that necessitate self-medication awareness and develop perception regarding methods to prevent the growing trend of self-medication and associated factors among population those who visit a community outreach programme in Madurai, India. Material and Methods: A cross-sectional, questionnaire-based survey in which a semi-structured questionnaire was used to collect data. A total of 238 participants were included in the study with respect to the final sample size. Data were analysed using SPSS software with a significance level of 0.05, and statistical relationship between the variables was analysed using chi-square test. Results: The prevalence of self-medication is 69.32 per cent. Headache (59.6%), fever (60%), cough (51%) and toothache (25%) were the most common symptoms for self-medication. The most commonly used drugs/substances were analgesics (65.54%), warm saline (38.23%) and hot drinks (27.73%). The most common reason for resorting to self-medication practice was previous experience of successfully treating a similar illness. The majority of the participants (56.97%) were in their third–fourth decade of life. The association of self-medication with characteristics such as male gender, urban locality, and upper-and lower-middle class was statistically significant at a p-value of 0.005. Conclusion: Self-medication practices were quite high in this study, and these practices were also prevalent among the educated people. The physicians and health professionals have to spend some extra time in educating patients regarding the same. Improved knowledge and understanding about self-medication may result in rationale use and thus limit emerging microbial antibiotic resistance issues.

scholarly journals Evaluation of Renal Tumour by Ultrasound and CT Scan- A comparative analysis

2020 ◽  
Vol 14 (2) ◽  
pp. 55-57
Author(s):  
NP Biswas ◽  
MS Islam ◽  
MZ Hossain ◽  
MH Uddin ◽  
MA Kashem ◽  
...  
Keyword(s):  
Ct Scan ◽  
Statistical Significance ◽  
Computer Software ◽  
Renal Tumour ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Quasi Experimental ◽  
Chi Square Test ◽  
Level Of Significance

Purposes: To compare the efficacy of ultrasound and CT scan in renal tumour evaluation and to establish by subsequent histopathology. Introduction : Renal cell carcinoma accounts for about 3 % of all adult neoplasms. In detecting, characterizing and staging of renal tumours cross-sectional imagings are essential. Methods: In this study 36 cases were selected nonrandomly irrespective of age and sex according to selection criteria. The study was conducted from June 2006 to May 2007 in Banga Bandhu Sheikh Mujib Medical University and other Hospitals in Dhaka City in the department of urology on a quasi- experimental basis. After counselling and taking consent all patients were evaluated clinically and by ultrasound and CT scan. All patients underwent surgery followed by histopathology. All informations were collected in a predesigned data collection sheet. Data were analyzed by computer software program-SPSS version 12 and by manual technique. Comparison and correlation between Ultrasonogram and CT findings were done by Chi-square test. Level of significance was expressed as P-value. Results: Among 36 patients 21 were male and 15 female with a ratio of 1.4:1, age ranging from 3 to 73 years. In this study (from the data) 94.44%, 33.33%, 89.74% and 100%, 66.66% 97.43% respectively. And there was no statistical significance between these two imaging findings in renal tumour evaluation and P- Value was > 0.10 so it was not Significant. Conclusion : Ultrasonogram and CT Scan are near equivalent to each other evaluation of renal tumour. Bangladesh Journal of Urology, Vol. 14, No. 2, July 2011 p.55-57

scholarly journals DIETARYPRACTICES OF DIABETES MELLITUSPATIENTS TYPE 2 IN RELATION WITH DEMOGRAPHIC VARIABLES AT PRIVATE AND GOVERNMENT HOSPITALS IN SANAA CITY, YEMEN, 2018

2021 ◽  
Vol 9 (11) ◽  
pp. 27-34
Author(s):  
Mansour M.A. Ghaleb ◽  
Keyword(s):  
Diabetes Mellitus ◽  
Demographic Variables ◽  
P Value ◽  
Diabetic Patients ◽  
Dietary Practices ◽  
Chi Square ◽  
Cross Sectional ◽  
Government Hospitals ◽  
Chi Square Test

Background: Diabetes mellitus is one of the most common chronic diseases in nearly all countries. The most common type is type 2 diabetes.Dietarypractices of diabetes mellitus patients type 2 in relation with demographic variables at private and government hospitals in Sanaa city, Yemen the objective of present study. A hospital-based cross - sectional descriptive study conducted from October 2018 to May 2019, among adultsfrom both gender attended to the selected hospital in Sanaa to receive health service. A prepared questionnaire was used for data collection. Data analyzed by using SPSS softwareversion 20 was used. Descriptive statistics were performed to describe the socio-demographic and dietary practices variables. Data described by frequencies and percentages and presented in tables. Chi square test was used to test differences in dietary practicesin relation with demographic variables. Test considered to be significant p value < 0.05. The sample was formed of 200 adult diabetic patients, more than half (53.5%) were females. Ages of participant ranged between 25 years and 80 years, with a mean of 52 ± 11 years. Illiterate women represented 62% of total women, while illiterate men represented 13% of total men. Nearly half of participants had poor dietary practices (45.5%) towards diabetes.There was a better score of good & acceptable dietary practices tend to be more in private hospitals.There is a need to strengthen good dietary practices through health education.

scholarly journals AKURASI INSPEKSI VISUAL ASAM ASETAT PADA LOW SQUAMOUS INTRAEPITHELIAL LESIONDIBANDINGKAN DENGAN KOLPOSKOPI DI POLI GINEKOLOGI RS M.DJAMIL PADANG

2019 ◽  
Vol 3 (1) ◽  
pp. 9-14
Author(s):  
Vera Nirmala ◽  
Desmiwarti Desmiwarti ◽  
Hafni Bachtiar
Keyword(s):  
Cervical Cancer ◽  
Statistical Significance ◽  
P Value ◽  
Low Grade ◽  
Chi Square ◽  
Cross Sectional ◽  
Anal Ysis ◽  
Chi Square Test ◽  
Speed Up ◽  
Cross Sectional Design

LSIL is a low grade cervical cancer prelesion, which through prompt diagnosis and therapy, could reduce cervical cancer incidence to 90% and reducing mortality rate for 70-80%. Colposcopy will speed up diagnosis of cervical precancer lesions thus gaining prompt management, and beneficial for patients from afar. Combination of Pap’s smear, colposcopy and biopsy is a good diagnostic package to perform in medical practice. This study was conducted using statistics diagnostic test with cross-sectional design. This research was carried out among women diagnosed with LSIL (Pap’s smear) which then colposcopy was performed in Gynaecology Clinic in Dr.M.Djamil Hospital Padang, during July to December 2014. The study was performed to determine the definitive diagnosis of LSIL (Pap’s smear). Total number of women included in this study were 70, which were divided into 2 groups: 35 women in VIA positive group and 35 in VIA negative group and statistical anal- ysis was performed using unpaired t test and chi square in SPSS 18.0 for windows. From statistical analysis using chi-square test, obtained a statistical significance between VIA test and colposcopy, it can be seen from the p-value 0.002 (p <0.05). There is a statistical significance between VIA test and colposcopy.Keywords: VIA, colposcopy, LSIL, biopsy

scholarly journals HUBUNGAN GLYCATED ALBUMIN DENGAN ANGKA BANDING KOLESTEROL LDL/LDH DI DIABETES MELITUS TIPE 2 (Association of Glycated Albumin with LDL/HDL Cholesterol Ratio in Type 2 Diabetics)

2018 ◽  
Vol 22 (1) ◽  
pp. 16
Author(s):  
Tiwik Eriskawati ◽  
Tahono Tahono ◽  
M.I. Diah. P
Keyword(s):  
Glycated Albumin ◽  
Hdl Cholesterol ◽  
P Value ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Chi Square ◽  
Cross Sectional ◽  
Cholesterol Ratio ◽  
Type 2 Diabetic

Diabetes causes about 5% of all deaths globally each year. Glycated hemoglobin has been routinely used as a biomarker for long-termglycemic control. Glycated albumin is an intermediate glycemic marker, a potent atherogenic protein, which plays a role in developingatherosclerosis. LDL/HDL cholesterol ratio can be used to assess the risk of cardiovascular disease caused by impaired lipid metabolismin type 2 diabetic patients. The aim of this study was to know the association between GA and HbA1c with LDL/HDL cholesterol ratioin type 2 diabetic patients. The study was carried out by a cross sectional design. Eighty four type 2 diabetic patients admitted to theInternal Medicine Outpatient Clinic of the Dr. Moewardi Hospital who met the study inclusion criteria were studied. Linear Regressionand Chi Square tests were used to analyze the data, p value of <0.05 was considered statistically significant, with the confidenceinterval of 95%. In this study, significant associations between GA and HbA1c with LDL/HDL cholesterol ratio (R=0629 and R=0.501,p=0.001) were found. Type 2 diabetic patients with GA ≥17% obtaining LDL/HDL cholesterol ratio >1.85 was 10.33 greater thanthose of with GA <17% (RP=10.33; CI 95%; 1.01–109.49; p=0.018). While type 2 diabetic patients with HbA1c ≥7% obtaining anLDL/HDL cholesterol ratio >1.85 was 12.76 greater than those with HbA1c <7%, but was statistically not significant (RP=12.76; CI95%; 0.66–245; p=0.017). Based on this study it can be concluded that GA can be used to predict LDL/HDL cholesterol ratio. Thus,GA is superior to HbA1c in predicting LDL/HDL cholesterol ratio.

Carotid Artery Stenosis in Diabetic Patients Presenting With Acute Ischemic Stroke

2020 ◽  
Author(s):  
Ahsan Ashfaq
Keyword(s):  
Ischemic Stroke ◽  
Carotid Artery ◽  
Acute Ischemic Stroke ◽  
Carotid Artery Stenosis ◽  
Cross Sectional Study ◽  
Artery Stenosis ◽  
P Value ◽  
Diabetic Patients ◽  
Chi Square ◽  
Cross Sectional

Background: Stroke is the commonest life-threatening neurological disorder. The Abnormal narrowing or stenosis of the Carotid Artery is a major determinant of ischemic stroke in diabetic patients. The main objective of study was to estimate the frequency of carotid artery stenosis in diabetic patients presenting with acute ischemic stroke. Methods: This was a Cross-Sectional study conducted at Medicine wards Jinnah Post-Graduate Medical Centre, Karachi from 5th December 2014 to 5th June 2015. Total 101 patients were included. During the hospitalization, patients were subjected to carotid Doppler ultrasonography to assess carotid artery stenosis. Patients were provided routine medical care during the hospitalization. Data was analyzed using SPSS v23.0. Chi-Square was used to analyze the differences between the categories. The p-value of <0.05 was considered as significance. Results: Total 101 patients were included in the study. There were 71.8% males and 28.2% females. The mean age was 53.7±10.2 years. On analysis of risk factors, it was observed that 59% patients had hypertension, 34.2% patients were obese, 34.2% patients had dyslipidemia, 51.3% patients had history of smoking. On analysis of carotid artery stenosis among the diabetics, it was observed that 20.8% diabetics had carotid artery stenosis. Conclusion: Stenosis of Carotid artery was common in patients suffering from acute ischemic stroke and diabetes mellitus. Among modifiable risk factor in patients with stroke having carotid artery stenosis, Hypertension was most common whereas fasting blood sugar FBS level greater than 100 g/dl lead to increased chances of having carotid artery stenosis.

Sign in / Sign up

Export Citation Format

Share Document