scholarly journals Knowledge attitude and practice about diabetes among patients with diabetes attending medicine OPD of tertiary care hospital at Kulasekharam

2018 ◽  
Vol 5 (10) ◽  
pp. 4254 ◽  
Author(s):  
Praythiesh Bruce
Keyword(s):  
Tamil Nadu ◽  
Strong Association ◽  
Tertiary Care ◽  
Knowledge Score ◽  
World Health Organisation ◽  
World Health ◽  
Health Concern ◽  
Diabetic Patients ◽  
Attitude Score ◽  
Care Hospital

Background: Diabetes will be the 7th leading cause of death as per the World Health Organisation in the year 2030. The public health concern in developing countries is diabetes. In adults the prevalence of diabetes globally has risen from 4.7% in 1980 to 8.5% in 2014. The knowledge regarding the diabetic drugs can be improved by group education and patient counselling.Methods: The study was conducted on diagnosed cases of diabetic patients visiting Medicine OPD SMIMS, Kulasekharam, Tamil Nadu. In this study, convenient sampling was done and was conducted from May 2016 to October 2016 using a pre tested, semi‐structured questionnaire.Results: 200 diabetic mellitus patients were enrolled during the study period. The knowledge score of the patients was found to be 23.00±1.22, attitude score was 8.00±1.22 and practice score was 8.00±1.22 out of maximum possible scores of 25, 10 and 10 for knowledge, attitude and practices respectively. Knowledge scores had a strong association both with attitude as well as practice scores (p<0.05).Conclusions: Knowledge, Attitude, Practice of diabetic patients was very good.

scholarly journals Utilization of diabetic retinopathy screening among diabetic patients at a tertiary care hospital in Kerala, India

2021 ◽  
Vol 8 (10) ◽  
pp. 4938
Author(s):  
Sona Sabitha Kumar ◽  
Lathika Vasu Kamaladevi ◽  
Sruthi Mankara Valsan
Keyword(s):  
Diabetic Retinopathy ◽  
Vision Loss ◽  
Adult Population ◽  
Tertiary Care ◽  
Health Concern ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Screening Programs ◽  
Diabetic Retinopathy Screening ◽  
Retinopathy Screening

Background: Diabetes is a major public health concern that affects nearly 463 million (9.3%) of global adult population. Diabetic retinopathy, which affects around 35% of all diabetic patients, is the fifth leading cause of preventable global blindness. This study was done to determine the status of diabetic retinopathy screening and the factors that influence its uptake among diabetic patients attending a tertiary care setting in Kerala, India.Methods: 200 patients with diabetes mellitus on physician care were enrolled for a questionnaire-based survey which collected information on patient demographics, education, occupation, patient’s awareness of retinopathy, screening, diabetic blindness and their source of such knowledge.Results: 83% were aware that diabetes can result in vision loss. 61% were aware that diabetic blindness is preventable. 42% patients were aware of screening options for retinopathy. The awareness of retinopathy screening was significantly associated (p=0.0001) only with duration of diabetes.Conclusions: Awareness of diabetic retinopathy among diabetic patients in Kerala was sub optimal. Better patient education and use of mass media can increase awareness on diabetes retinopathy screening programs. 

To Study the Frequency of Albuminuria in Diabetics Brought in with Stroke: A survey at Tertiary Care Hospital

2021 ◽  
Vol 15 (6) ◽  
pp. 1302-1304
Author(s):  
A. Malik ◽  
A. Akhtar ◽  
F. F Jang ◽  
M. Uthman
Keyword(s):  
Ischemic Stroke ◽  
Economic Status ◽  
Strong Predictor ◽  
Microvascular Complications ◽  
Strong Association ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Care Hospital ◽  
College Hospital ◽  
Patients With Diabetes

Background: Albuminuria is thought to be a separate risk factor for stroke. A strong association between diabetes related albuminuria and stroke has been published in the international literature. Albuminuria being a sign of endothelial dysfunction, atherosclerosis is a strong predictor of strokes. Aim: To investigate the albuminuria as a predictor of stroke in diabetics in our population. Study design: Observational study. Place and duration of study: This study was done in the Department of Neurology, Sharif Medical & Dental College/Hospital, Lahore from January to August 2019. Methodology: One hundred and fifty diabetic patients having ages 25 to 75 years presented with stroke were enrolled in this study. Demographics (age, sex, residence and socio-economic status) of the included population and types of stroke were recorded on study proforma after getting brain CT of each patient. Urine for albuminuria was examined under microscope. Results: In this study (63%) were males and 37% were females with M:F ratio 2.54:1. Major portion of the patients (43%) were ages between 25-45 years mean±SD 51.62±8.45. Ischemic stroke was found in 114 (76%) hemorrhagic in 24(16%) and undetermined in 12(8%) patients respectively. Albuminuria was found in 72(48%) patients, Group A 40(69%) had ischemic stroke, 10(17%) had hemorrhagic and 8(14%) had undetermined stroke. Conclusion: It is concluded that is strong relation between microvascular complications with macrovascular complication of diabetes (i.e. albuminuria with stroke). The stoke patients with diabetes has more frequency of albuminuria as compared to non diabetics. Keywords: Albuminuria, T2DM, Stroke, Hemorrhagic.

scholarly journals Assess the knowledge and attitude regarding antenatal care among spouses of pregnant women attending antenatal OPD in selected tertiary care hospital Bhubaneswar, Odisha

2021 ◽  
Vol 8 (4) ◽  
pp. 1757
Author(s):  
Indresh Gupta ◽  
Anindita Mandal
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Tertiary Care ◽  
Knowledge Score ◽  
Annual Number ◽  
Attitude Score ◽  
Care Hospital ◽  
Cross Sectional ◽  
Maternal Deaths ◽  
Knowledge And Attitude

Background: Antenatal care is an umbrella term used to describe the medical procedures and care that are carried out during pregnancy. Every day, approximately 830 women die from preventable causes related to pregnancy and childbirth. Worldwide, the annual number of maternal deaths per 100,000 live births fell by 44% between 1990 and 2015, from approximately 385 to 216. The sub-Saharan African region accounted for an estimated 66% (201,000) of global maternal deaths, followed by southern Asia at 22% (66,000 deaths).Basically, only 5% of the world’s countries accounted for over half of maternal deaths.Methods: A cross-sectional hospital based study was conducted on 384 spouses attending antenatal OPD. Interview Schedule was conducted to assess their knowledge and attitude using a self-structured questionnaire. Knowledge score of spouses has been computed on the basis of correct response to 18 knowledge questions and by converting it to percentage score.Results: The mean knowledge score was 61.10% taken as the arithmetic average of all the scores.  Mean attitude score was very high 94.29% with small SD 3.87. The attitude of spouse towards antenatal care is found to be extremely high. The educational status (p<0.000), age (p<0.002), type of family (p<0.018) and average income earned per month (p<0.000) were statistically significant to the level of knowledge.Conclusions: The study shows that the knowledge and attitude among spouses of pregnant women about antenatal care is good.

scholarly journals Demographic and Clinical Status of COVID-19 Patients in a Tertiary Care Hospital in Chengalpattu District, Tamil Nadu: An Observational Study

2020 ◽  
Author(s):  
P Getrude Banumathi ◽  
S Sujatha ◽  
A Arul Murugan
Keyword(s):  
Observational Study ◽  
Tamil Nadu ◽  
Tertiary Care Hospital ◽  
Clinical Status ◽  
Tertiary Care ◽  
Case Fatality ◽  
World Health ◽  
Care Hospital ◽  
Age Group ◽  
Co Morbidity

Introduction: The ongoing outbreak of the coronavirus disease 2019 (COVID-19) infection has posed significant threats to international health and economy. On 30th January 2020, the World Health Organisation (WHO) declared it to be a Public Health Emergency of International Concern. Despite exponential rise of COVID-19 cases, there are limited studies on COVID-19, so an observational study to assess the demographic and clinical status of COVID-19 patients at a Tertiary Care Centre was conducted. Aim: To study the demographic and clinical status of COVID-19 patients in a tertiary care hospital in Chengalpattu district. To assess the co-morbid status and its influence on the outcome among the study population. To find the doubling rate and weekly trend of COVID-19 cases. Materials and Methods: A cross-sectional study was conducted in Chengalpattu Medical College Hospital, Chengalpattu district among the COVID-19 patients during April to June 2020. By non-probability sampling technique (convenient sampling), all the COVID-19 patients (n=3028) admitted in the institution during the study period were included. A semi-structured questionnaire was administered to collect the data.The questionnaire had three sections A, B, and C. Section A dealt with sociodemographic details, Section B with symptom status and co-morbidity status and section C with COVID test results. Ethical clearance was obtained from the Institutional Ethics Committee. Data was entered in MS Excel and analysis was done using SPSS Software. Results: In this study, there were 1932 (64%) males and 1096 (36%) females; 1489 (49%) were affected in the age group of 21-40 years, which was the most commonly affected group; 704 (23%) were in the age group above 50 years; 2574 (85%) of cases were from urban areas of Chengalpattu district; 1145 (38%) were found to be symptomatic, fever being the pre-dominant symptom 753 (66%); 712 (24%) of the patients were associated with co-morbid conditions, the most common being diabetes mellitus 391 (55%); mean duration of stay was found to be 9.21±3.26 days; doubling rate was found to be 18.91 days; the overall swab positivity rate was 14.56%; the overall case fatality rate was 2.47%; 3028 (59%) of the district cases were treated in the institution. Conclusion: This study found that the patients aged >50 years with co-morbidity are at a higher risk of mortality than others. The present work predicts that the number of cases double in 19 days. Hence, strict containment measures are recommended to lengthen the doubling rate.

scholarly journals Prevalence of complications of diabetes among patients with diabetes mellitus attending a tertiary care centre in Tamil Nadu

2019 ◽  
Vol 6 (4) ◽  
pp. 1452
Author(s):  
M. S. Praythiesh Bruce ◽  
M. C. Vasantha Mallika
Keyword(s):  
Diabetes Mellitus ◽  
Tamil Nadu ◽  
Tertiary Care ◽  
High Rate ◽  
World Health ◽  
Diabetic Patients ◽  
Tertiary Care Centre ◽  
Type 2 Diabetic Patients ◽  
Complications Of Diabetes ◽  
Patients With Diabetes

Background: Diabetes will be the 7th leading cause of death by the year 2030 as per the World Health Organization. In adults the prevalence of diabetes globally has risen from 4.7% in 1980 to 8.5% in 2014. Level of awareness depends on socioeconomic class, literacy of the patients, training received by them, source of information on diabetes. Knowledge, attitude, and practices about diabetes mellitus and its complications are important to reduce the prevalence and morbidity associated with diabetes mellitus and its complications.Methods: The cross sectional study was conducted among 201 patients with diabetes visiting. Outpatient department of Sree Mookambika Institute of Medical Sciences, Kulasekharam, Tamil Nadu during a period from January 2017 to June 2018 using a pre-tested, semi structured questionnaire.Results: Among 201 patients with diabetes included in the study, 69.0% had one or more of the complications of diabetes. Factors significantly associated with high rate of complications were the female gender (p<0.001), obesity, rural residential area, high blood pressure (p<0.001), familial history of diabetes (p<0.001), duration of the disease above 5 years (p< 0.001) and high HbA1c level (p<0.001).Conclusions: This study revealed that type 2 diabetic patients followed up in the OPD of SMIMS showed a high rate of chronic complications which often occurred in age more than 50 years. Socio-demographic and biological factors were significantly associated with the high rate of complications of diabetes. 

scholarly journals Impact of microvascular complications on quality of life in diabetic patients

2020 ◽  
Vol 2 (2) ◽  
pp. 43-47
Author(s):  
Priyanka Kulla ◽  
Shruthi Pusala ◽  
Sandeep Kumar Beemreddy
Keyword(s):  
Quality Of Life ◽  
Microvascular Complications ◽  
Tertiary Care ◽  
Self Care ◽  
Health Concern ◽  
Diabetic Patients ◽  
Related Factor ◽  
Care Hospital ◽  
Significant Difference

ABSTRACTIntroduction: Diabetes is a serious health concern all over the world. Among people with diabetes, a key factor influencing quality of life (QOL) is degree and nature of diabetes related complications experienced by the patients over a lifetime. QOL is important health related factor and one of the most widely used measure to self-assess the effect of the management of chronic disease on health and monitors the physical, psychological, and social aspects of personal health.Methodology: This study is a prospective questionnaire based observational study which was conducted over a period of 6 months in a tertiary care hospital among diabetic patients. The subjects are interviewed with WHOQOL-BREF questionnaire and relevant information was collected. The domain wise scores are calculated.Results: A total of 140 diabetic patients were included in the study of which 100 were with complications and 40 were without complications. On conducting single sample unpaired test analysis, we found significant difference in the patients. The inference obtained this study was that nephropathy is the most common microvascular complication and affects the psychological and environmental status of subjects.Conclusion: The study was done to know the influence of complications on QOL and to reduce the burden of disease by improving QOL by effective counselling points and self-care management. We conclude that taking proper diabetic diet and self-care can prevent the worsening of QOL in patients with microvascular complications.  

scholarly journals Dengue Fever: Clinical Characteristics of A Tertiary Care Hospital Study

2020 ◽  
Vol 44 (1) ◽  
pp. 30-33
Author(s):  
Mohammed Rizwanul Ahsan ◽  
Manzoor Hussain ◽  
SK Azimul Hoque ◽  
Al Amin Mridha ◽  
Sabrina Makbul
Keyword(s):  
Renal Impairment ◽  
Dengue Fever ◽  
Urban Areas ◽  
Clinical Characteristics ◽  
Hepatic Dysfunction ◽  
Dengue Infection ◽  
Tertiary Care ◽  
World Health ◽  
Health Concern ◽  
Care Hospital

Background: Incidence of dengue infection has increased worldwide and has become a significant public health concern. Clinical suspicion based on the frequency of symptoms is very important for early diagnosis. Objectives: To observe the clinical characteristics of serologically confirmed hospitalized cases of dengue fever. Material and Methods: This cross-sectional study was done among admitted children with dengue infection in Dhaka Shishu (Children) Hospital from July 2018 to October 2018. The diagnosis of dengue fever (DF), dengue hemorrhagic fever (DHF), and dengue shock syndrome (DSS) were established according to the World Health Organization (WHO) classification criteria. Cases who were NS1 antigen and IgM dengue antibody positive included in this study. Results: Among 51 serologically confirmed dengue fever patients, mean age was 6.66 ± 3.69 years. Majority of the cases (74.5%) were less than 10 years of age, 60.8% were male, 39.2% were female, and 88.23% of patients came from urban areas. Classic DF was found in 74.5% of patients, while 25.49% of patients DHF, and 11.7% DSS. Fever was the most common (72.55%) symptom followed by headache, vomiting and myalgia. Hemorrhagic manifestations found in 21.57% of cases. The most common complications were hepatic dysfunction (47.09%) followed by renal impairment, encephalopathy, multi-organ failure, and ARDS. Conclusion: The majorities of dengue cases were from urban areas, below ten years of age and classical DF. Besides fever other common symptoms were headache, vomiting and myalgia. The most common complications were hepatic dysfunction, renal impairment and encephalopathy. Bangladesh J Child Health 2020; VOL 44 (1) :30-33

scholarly journals A KAP study of pharmacovigilance among junior residents and interns of a tertiary care hospital

2018 ◽  
Vol 7 (11) ◽  
pp. 2178
Author(s):  
Rupa Arun Korde ◽  
Radhika M. S.
Keyword(s):  
Tertiary Care ◽  
Safety Data ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Attitude Score ◽  
Care Hospital ◽  
Cross Sectional ◽  
Prescribing Practice ◽  
Knowledge And Attitude ◽  
Junior Residents

Background: Pharmacovigilance is the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other possible drug-related problems. An “adverse drug reaction” is any noxious, unintended and undesired effect of a drug, which occurs at a dose used in humans for prophylaxis, diagnosis, therapy or modification of physiological functions. Reporting of adverse events and adverse drug reactions is the commonest method utilized for generating safety data. Lack of awareness about Pharmacovigilance is one of the most important causes of such under-reporting. Spontaneous reporting system is considered the main mechanism of pharmacovigilance study for gathering information about ADRs. Hence this study was undertaken to assess the knowledge, attitude and practice regarding Pharmacovigilance among junior residents and interns in a tertiary care hospital.Methods: A cross-sectional study was carried out in 134 doctors using pre-validated 20 item questionnaire with details of participant’s information followed by questions regarding knowledge, attitude and prescribing practice of pharmacovigilance was used as a tool, administrated to all the resident doctors and the collected data was analysed.Results: Our study revealed that knowledge about pharmacovigilance was not adequate to JRs and INTs. Survey results revealed that the knowledge of pharmacovigilance among doctors 63 (88.73%) JR and 49 (77.78%) INTs had a knowledge score of less than 50%. This shows that only few doctors are aware about the pharmacovigilance programme. The assessment of questionnaire based on attitude regarding pharmacovigilance shows that 21 (29.58%) JR and 17 (26.98%) of INTs had attitude score of 70% and above. The attitude score was less compared to the knowledge score of JRs and INTs. 52 JR and 58 INTs stated that they have not been trained on how to report ADRs and basic orientation about pharmacovigilance which hinders the process of practicing pharmacovigilance. Conclusions: For the success of Pharmacovigilance programmes only knowledge and attitude regarding Pharmacovigilance is not enough as is evident from our study. Success of Pharmacovigilance programmes depend also upon the effective practice of Pharmacovigilance by healthcare professionals.

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