scholarly journals A study to compare hemoglobin levels and body mass index in normal and diagnosed diabetic stages of CKD patients visiting a tertiary care hospital

2021 ◽  
Vol 8 (3) ◽  
pp. 230-234
Author(s):  
Seema Singh ◽  
Syed Tahseen Raza ◽  
Nivriti Singh ◽  
Devendra Kumar ◽  
Tanushri Chatterji ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Negative Relationship ◽  
Vascular Complications ◽  
Care Hospital ◽  
Reverse Causality ◽  
Medical College ◽  
Renal Vascular

Chronic kidney disease (CKD) has become a worldwide community health problem in people with type, 2 diabetes obesity and long-term hyperglycemia may cause renal vascular complications. The aim of this study was to see if there was any connection between BMI, haemoglobin and CKD in DM patients. This case study was conducted in department of Medicine, Era′s Lucknow Medical College and Hospital, ERA University, Lucknow. The analysis was performed for 18 months.When compared to CKD patients, the non-CKD group's mean BMI was marginally higher. Older age, female sex, hypertension, and diet plant were all linked to the involvement of CKD in multivariable study. There was same connection between CKD and haemoglobin in this study. The negative relationship between BMI, Hb and CKD could indicate reverse causality. While a diabetic patient's BMI does not cause them to develop CKD, it is possible that CKD causes them to have a lower BMI and Hb level.

scholarly journals A study to assess valvular heart disease in a tertiary care hospital: a single centre finding

2019 ◽  
Vol 6 (3) ◽  
pp. 774
Author(s):  
Prakash R. Ghogale ◽  
Shishir K. Wanjari ◽  
Daneshwar Singh ◽  
Hanumanth N. ◽  
Harshal G. Mendhe
Keyword(s):  
Heart Disease ◽  
Valvular Heart Disease ◽  
Heart Valves ◽  
Tertiary Care ◽  
Care Hospital ◽  
Longitudinal Case Study ◽  
Dominant Form ◽  
Medical College ◽  
Cardiovascular Morbidity And Mortality

Background: Diseases of the heart valves constitute a major cause of cardiovascular morbidity and mortality worldwide with an enormous burden on healthcare resources. The present study was undertaken to study incidence and demography of valvular heart disease, to assess echocardiography and colour doppler findings of patients with valvular heart disease and to find out complications in patients with valvular heart disease.Methods: A hospital based longitudinal case study was undertaken at medicine department of Dr. V.M. Government Medical College, Solapur, Maharashtra, India for a period of two years. One hundred and twenty-four (124) patients attending OPD participated in the study.Results: In the present study, out of 124 patients, mitral valve was most commonly involved, 105(84.67%) and the least common involved was tricuspid 1(0.81%). The most common aetiology was rheumatic origin 75(94.94%). In the present study the most common complication was pulmonary hypertension 69(55.65%), followed by congestive cardiac failure (33.87%), acute pulmonary edema (12.09%), infective endocarditis (4.84%), cerebrovascular accident (4.03%), left atrial thrombus (3.23%) and death (3.23%).Conclusions: Multiple valves were affected in more than a third of all cases, although recent research in India continue to demonstrate a declining trend in the prevalence of RHD, rheumatic involvement is still the dominant form of valvular heart disease in India.

scholarly journals Comparative study of post-partum intra uterine contraceptive device insertion and interval intra uterine contraceptive device insertion in a tertiary care hospital

2017 ◽  
Vol 6 (7) ◽  
pp. 2760
Author(s):  
Manimegalai R. ◽  
Suganthi R.
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Family Health ◽  
Common Reason ◽  
Contraceptive Device ◽  
Care Hospital ◽  
Medical College

Background: NFHS (National Family Health Survey) 2005-2006 in India revealed that the contraceptive prevalence rate is 53.5%. 10% of all pregnancies are mistimed and 11% of all pregnancies are unwanted in India. Objective of present study was to compare the benefits and complications of postpartum IUCD insertion (PPIUCD) over interval IUCD insertion in a tertiary care hospital.Methods: It is a retrospective study conducted in the Department of Obstetrics and Gynecology, Govt. Mohan Kumaramangalam Medical College, Salem from 2009-2014. The cases of interval IUCD for the year 2009-2014 and PPIUCD cases for the year 2012-2014 both vaginal insertion and intracaesarean insertion were taken for study. Complications, benefits and reasons for removal were compared between the two groups.Results: The total number of cases of IUCD insertion significantly increased after the introduction of PPIUCD programme in 2012. The acceptance of IUCD insertion was steadily increasing after the introduction of PPIUCD even though the follow up of PPIUCD cases was less (32%). The rate of removal in patients who came for follow up was less in PPIUCD group (18%) compared to interval IUCD cases (57%) when the reason was menorrhagia. The most common reason for removal was menorrhagia in interval IUCD patients. Abdominal pain was the most common reason for removal in PPIUCD patients. The rate of expulsion was higher in PPIUCD (6%) compared to interval IUCD patients (<1%). No cases of perforation and no cases of pregnancy in situ were reported in PPIUCD cases during the study period. Even though the rate of infection and missing strings were higher in PPIUCD patients when compared to interval IUCD patients who came for follow up the number of women with infection in PPIUCD patients is less and easily managed with appropriate antibiotics.Conclusions: In India PPIUCD insertion soon after delivery is a safe, effective, reversible and reliable method of long term contraception. Both vaginal and intracaesarean insertions are safe, efficacious and convenient even though there are few complications which are easily manageable. There are no incidences of perforations, pregnancy in situ, ectopic pregnancy and low rates of infection. Hence PPIUCD is a promising approach to decrease the fertility rate in the field of family planning.

scholarly journals Pattern of compliance to anti- hypertensive medications in hypertensive patients in a tertiary care hospital in Bangladesh

2016 ◽  
Vol 24 (1) ◽  
pp. 62-66
Author(s):  
Syed Zakir Hossain ◽  
Mohammad Rofiqul Islam ◽  
Sarmistha Biswas ◽  
Prodip Kumar Biswas ◽  
Mohammad Zaid Hossain ◽  
...  
Keyword(s):  
Negative Impact ◽  
Care Delivery ◽  
Tertiary Care ◽  
Health Care Delivery System ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Hypertensive Patients ◽  
Medical College ◽  
Physician Patient

Background: Non-adherence to anti-hypertensive medications can have a negative impact on long term cardiovascular outcome. Various studies have been conducted on this issue but factors are not yet explored properly, particularly in Bangladesh. This study was conducted to find out the prevalence and factors associated with pattern of compliance to anti-hypertensive medications in a tertiary level hospital.Methods: This descriptive study was done on 146 indoor hypertensive patients, included by purposive sampling in july’2015 who were taking anti-hypertensive for last 6 months. Data were collected through a questionnaire after obtaining informed consent.Results: This study revealed that 55.47% patients were compliant and 44.53% were noncompliant. Age >60 yrs. are more non-compliant (56.6%). Female (65.11%), house wife and urban population are more compliant. Population, with longer duration of hypertension are more non-compliant. Among the co-morbidities diabetic patients are more non-compliant. Population taking two anti-hypertensive are more compliant (76.47%).Conclusion: In our study most of the populations are compliant but yet significant number of populations are non-compliant. Collective participation of physician, patient and health care delivery system can improve the situation more. As consequence of non-compliance to antihypertensive is grave, community based studies should be conducted to explore the extent of non-compliance.J Dhaka Medical College, Vol. 24, No.1, April, 2015, Page 62-66

scholarly journals HOSPITAL BASED STUDY TO DETERMINE THE PREVALENCE OF GLAUCOMA IN TYPE 2 DIABETIC PATIENTS.

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Archana Kumari ◽  
Sony Sinha
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Tertiary Care ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Type 2 Diabetic Patients ◽  
Medical College ◽  
Department Of Ophthalmology ◽  
Type 2 Diabetic

Aim: to analyze the prevalence of glaucoma in type 2 diabetic patients. Materials and Methods: present observational study was undertaken in the Department of Ophthalmology, Patna Medical College and Hospital, Patna, Bihar, India for the period of one year. Total 100 patients of type 2 Diabetes Mellitus were included and detailed history was obtained. Results: Out of 100 diabetic patients 8 (8%) of them had glaucoma. Out of 8 diabetic patients with glaucoma 75.0% were male. The mean age reported was 58.16±4.81. Conclusion: This study highlights the prevalence and the demographic characteristics of glaucoma among diabetes mellitus patients in a tertiary care hospital of Bihar. Since, no such study has been done before in this region. Keywords: Type 2 diabetes, Glaucoma, Bihar

scholarly journals Assessment of Medication Adherence Among Diabetic Mellitus Patients in a Tertiary Care Hospital

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2124-2127
Author(s):  
Kaavya S ◽  
Srinivasan V
Keyword(s):  
Medication Adherence ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Care Hospital ◽  
Care Providers ◽  
Diabetic Mellitus ◽  
Chronic Patients ◽  
Patient Counselling ◽  
Medical College

Diabetic Mellitus is a commonly known disease referred to as diabetics, needs to follow medication consistently without a break to keep the blood sugar level in control. Consistent medication deals with a measure of how patients adhere to their medications and is done by health care providers. This is very important because it ensures that the patient follows the doctors order correctly and also ensure that the treatment is not just based on a therapeutic contract between doctor and patient. This monitoring is very high, with patients having serious problems with diabetics and is reported low for chronic patients. The aim of this study is to assess medication adherence in type 2 diabetes patients. The study was carried out at Saveetha Medical College. Data was collected using a standardized questionnaire. Data entered in MS Excel and analyzed using Weka 3.8.3 and results interpreted. The best way health professionals can tackle the adherence problem is through quality patient counselling, as done in this study.

scholarly journals Prevalence of prediabetes in children and its association with risk factors

2019 ◽  
Vol 6 (5) ◽  
pp. 1957
Author(s):  
Amitha Rao Aroor ◽  
Tharun C. Varghese ◽  
Santosh T. Soans
Keyword(s):  
Risk Factors ◽  
Lifestyle Modification ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Included Study ◽  
Care Hospital ◽  
Younger Age ◽  
Frequent Consumption

Background: Type 2 Diabetes is becoming more common at younger age group. It is important to screen children and adolescents for prediabetes to prevent long-term complications of diabetes. This study was conducted to study the prevalence of prediabetes in children and its association with risk factorsMethods: It is a Prospective hospital-based study. Children aged 6 to 18 years admitted in the Pediatric ward of tertiary care hospital were included. Study was done over a period of 2 years November 2015-October 2017. Participants were screened to find out the prevalence of prediabetes. Prediabetes was defined as fasting glucose concentration (FBS)of 100-125 mg/dl or a HbA1c value of between 5.7% and 6.4%, or a two-hour post-glucose tolerance concentration (OGTT) of 140-199mg/dl.Results: 607 children participated in the study.56.3% were males. Prevalence of Prediabetes was 20.4% with a combination of OGTT, FBS and HbA1c tests. Prevalence by OGTT was 5.9%, HbA1c 4.1% and by FBS was 17.1%. Higher prevalence of prediabetes was associated with male gender, frequent consumption of junk foods, decreased physical activities, overweight, obesity and high waist to hip ratio. Combination of FBS with GTT and FBS with  HbA1c had better sensitivity and specificity when compared to combination of OGTT with HbA1c .Conclusion: Screening of children for prediabetes at younger age especially those with risk factors and intervention with lifestyle modification may help in delaying the progression of the disease. 

scholarly journals Diabetes mellitus related complications in out- patient clinic of tertiary care hospital

2012 ◽  
Vol 7 (2) ◽  
pp. 9-16
Author(s):  
R Maskey ◽  
DR Shakya ◽  
SK Sharma ◽  
P Karki ◽  
P Lavaju
Keyword(s):  
Diabetes Mellitus ◽  
Tertiary Care ◽  
Vascular Complications ◽  
Cardiovascular Complications ◽  
Lifestyle Changes ◽  
Care Hospital ◽  
Medical Sciences ◽  
Morbid Obese ◽  
Stage 1

We tried to explore the demographic profile and complications of the out patients suffering with Diabetes Mellitus (DM). It was hospital based descriptive study conducted among the 100 diabetic out-patients of B.P.Koirala Institute of Health Sciences, Dharan, Nepal during the period of 1-1-2010 to 29-2-2010. Patients above 14 years diagnosed as per ADA guidelines 2009 giving written informed consent were taken. The number of common diabetes related complications were searched and diagnosed clinically with the use of relevant investigations which included macro-vascular complications like ischemic heart disease, peripheral vascular disease, and micro-vascular complications like diabetic retinopathy, diabetic neuropathy, and diabetic nephropathy. Among 100 confirmed cases of diabetes mellitus (51 male and 49 female).Of all diabetes, 99% were type 2, 1% were type1. About 42% subjects were of age group between 40-60 yr. When BMI?23 kg/m2 (as recommended for Asians) is taken as the determining factor for overweight, 29% of patients were overweight, 56% obese and 6% morbid obese. About 83% of subjects were on OHA, 9% on Insulin and 8% on OHA and insulin both. The most common and frequent chronic complications were neuropathy (44.4%) followed by cardiovascular and retinopathy (27.7%), nephropathy (16.6%) and others (11.3%). About 25 % of subjects had hypertension (stage 1 hypertension-17%, and stage 2 hypertension 8%).As most of the patients are overweight with more neurological and cardiovascular complications so the lifestyle changes are required with regular antidiabetics and dietary restriction.Journal of College of Medical Sciences-Nepal, 2011, Vol-7, No-2, 9-16DOI: http://dx.doi.org/10.3126/jcmsn.v7i2.6674

scholarly journals Assessment of Gap between Knowledge and Practices among Type 2 Diabetes Mellitus Patients at a Tertiary-Care Hospital in Bangladesh

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Farzana Saleh ◽  
Ferdous Ara ◽  
Fadia Afnan
Keyword(s):  
Type 2 Diabetes ◽  
Diabetes Education ◽  
Tertiary Care ◽  
Negative Relationship ◽  
Knowledge Score ◽  
Female Gender ◽  
Care Hospital ◽  
Cross Sectional ◽  
Negatively Associated

Newly diagnosed type 2 diabetes (T2 DM) patients who do not receive diabetes education (DE) have average knowledge on DM, and their practices about diabetes need to be improved. This prompted us to evaluate what happens when old diagnosed patients receive DE. The study therefore assessed the association between knowledge and practices in terms of Hemoglobin A1c (HbA1c), body mass index (BMI), and waist circumference (WC) among 500 diagnosed T2 DM using a cross-sectional design. An interviewer-administered questionnaire was used for assessing their knowledge. The mean knowledge score of the patients was 15.29 ± 3.6. A significant negative association was found between the knowledge score and the HbA1c level. Age was positively associated with HbA1c and WC. Duration of DM was positively and education was negatively associated with HbA1c. Gender was negatively associated with BMI while income was positively associated with BMI and WC. All the associations were significant. The diagnosed T2 DM patients are deficient of sufficient knowledge; the knowledge score and HbA1c have a significant negative relationship, not other actions. The risk factors for the patients’ outcome include old age, female gender, years of education, economic status, and duration of DM.

SEROPREVALENCE OF HIV AND HBsAg AMONGST BLOOD DONORS IN A TERTIARY CARE HOSPITAL, CHHATTISGARH.

2019 ◽  
Vol 3 (8) ◽  
Author(s):  
Anusha P ◽  
Bankar Nandkishor J ◽  
Karan Jain ◽  
Ramdas Brahmane ◽  
Dhrubha Hari Chandi
Keyword(s):  
Hepatitis B ◽  
Blood Donors ◽  
Hepatitis B Surface Antigen ◽  
Tertiary Care ◽  
Laboratory Diagnosis ◽  
Blood Bank ◽  
Care Hospital ◽  
Medical College ◽  
The World ◽  
First Time

INTRODUCTION: India being the second highly populated nation in the world. HIV/AIDS has acquired pandemic proportion in the world. Estimate by WHO for current infection rate in Asia. India has the third largest HIV epidemic in the world. HIV prevalence in the age group 15-49 yrs was an estimate of 0.2%. India has been classified as an intermediate in the Hepatitis B Virus (HBV) endemic (HBsAg carriage 2-7%) zone with the second largest global pool of chronic HBV infections. Safety assessment of the blood supply, the quality of screening measures and the risk of transfusion transmitted infectious diseases (TTIs) in any country can be estimated by scrutinizing the files of blood donors. After the introduction of the blood banks and improved storage facilities, it became more extensively used. Blood is one of the major sources of TTIs like hepatitis B, hepatitis C, HIV, syphilis, and many other blood borne diseases. Disclosure of these threats brought a dramatic change in attitude of physicians and patients about blood transfusion. The objective of this study is to determine the seroprevalence of transfusion transmitted infections amidst voluntary blood donors at a rural tertiary healthcare teaching hospital in Chhattisgarh. MATERIAL AND METHODS: This retrospective study was carried out in Chandulal Chandrakar Memorial Medical College, Kachandur, Durg. Blood donors were volunteers, or and commercial donors who donated the blood and paid by patients, their families, or friends to replace blood used or expected to be used for patients from the blood bank of the hospital. After proper donation of blood routine screening of blood was carried out according to standard protocol. Laboratory diagnosis of HIV 1 and HIV 2 was carried out by ELISA test. Hepatitis B surface antigen was screened by using ELISA. RESULTS: A total of 1915 consecutive blood donors’ sera were screened at Chandulal Chandrakar Memorial Medical College, blood bank during study period. Of these 1914 were male and 1 female. The mean age of patients was found to be 29.34 years with standard deviation (SD) of 11.65 Years. Among all blood donors in present study, 759(39.63%) were first time donors and 1156(60.37%) were repeated donors. 1 patient was HIV positive in first donation group while 3 (75%) were positive in repeat donation group. 7 (38.9%) were HBsAg positive in in first donation group while 11(61.1%) were positive in repeat donation group. Two patients in first donation group had dual infection of HIV and HBsAg. CONCLUSION: Seropositivity was high in repeated donors as compared to first time donors. The incidence of HIV is observed to be 0.2% and that of HBsAg is 0.94%. Strict selection of blood donors should be done to avoid transfusion-transmissible infections during the window period.

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