scholarly journals Quality of Diabetes Care in Primary Health Centres in North Al-Batinah of Oman

2014 ◽  
Vol 8 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Mohammed Al-Shafaee ◽  
Yousuf Al-Farsi ◽  
Yousuf Al-Kaabi ◽  
Yajnavalka Banerjee ◽  
Najat Al-Zadjali ◽  
...  
Keyword(s):  
Diabetes Care ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Cross Sectional ◽  
Primary Health ◽  
Quality Of Diabetes Care ◽  
The Mean

Objective: To assess the quality of diabetic care provided in primary health care settings in Oman. Methods: This was a cross-sectional study of randomly selected 500 patients with diabetes mellitus (DM) attending 6 primary care diabetic clinics in the north Al-Batinah region of Oman from January to December 2010. Nine standards on the quality of diabetes care were audited. Results: The mean age of the sample was 51±13 years, ranging from 15 to 87 years; the majority (61%) were females. The mean duration of DM was 4±3 years, ranging from 1 to 18 years. Seventy-seven percent of the patients attended diabetic clinics at least 4 times per year. Of the 9 assessed diabetic standards, HbA1c was documented in 33% of the patients, body mass index in 12%, low-density lipoprotein cholesterol (LDL-C) in 40%, urinary albumin:creatinine ratio in 28%, creatinine in 63% and blood pressure (BP) in 96%. Optimal control among the documented indicators was noted in 32, 21, 25, 85, 95 and 19%, respectively. Twenty percent of the patients had their ECGs done while only 39% of the patients had foot examination. No patient had attained control in all of HbA1c., BP and LDL-C. Conclusion: There is a gap between the recommended DM care guidelines and current practice with consequent poor quality of care in these patients.

scholarly journals Changes in the quality of diabetes care in Japan between 2007 and 2015: A repeated cross-sectional study using claims data

2019 ◽  
Vol 149 ◽  
pp. 188-199 ◽  
Author(s):  
Hirokazu Tanaka ◽  
Takehiro Sugiyama ◽  
Noriko Ihana-Sugiyama ◽  
Kohjiro Ueki ◽  
Yasuki Kobayashi ◽  
...  
Keyword(s):  
Diabetes Care ◽  
Claims Data ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quality Of Diabetes Care

scholarly journals PENENTUAN KADAR LIPOPROTEIN RAPATAN TINGGI (HIGH DENSITY) DENGAN DUA PEREAKSI (REAGEN) BERBEDA MENGGUNAKAN HITACHI 902

2018 ◽  
Vol 15 (2) ◽  
pp. 46
Author(s):  
I. Hutagalung ◽  
Mansyur Arif
Keyword(s):  
High Density Lipoprotein ◽  
Pearson Correlation ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
High Density ◽  
Sectional Study ◽  
Cross Sectional ◽  
Laboratory Results ◽  
The Mean

Reagent selection is one of the factors that could influence the quality of laboratory results. The use of open system tools gives thepossibility to choose the best reagents, including the reagent for high density lipoprotein (HDL) determination. The aim of this studywas to compare HDL level determination using two different reagents measured by Hitachi 902. A cross sectional study was done fromJanuary to February 2007 in Ratulangi Medical Centre Laboratory, Makassar. From 47 samples we found that the mean HDL levelusing Daichi reagent was 50.47 mg/dl ranging from 45.99 mg/dl to 54.94 mg/dl and the mean using Roche reagent was 56.23 mg/dlranging from 50.93 mg/dl to 61.53 mg/dl with p = 0.098, and Pearson Correlation was 0.900 with p = 0.000. There was no significantdifference between HDL level measured by Hitachi 902 using Daichi and Roche reagents.

scholarly journals Trends and Disparities in Quality of Diabetes Care in the US: The National Health and Nutrition Examination Survey, 1999-2016

2019 ◽  
Vol 10 (4) ◽  
pp. 17
Author(s):  
Shweta Kamat ◽  
Yolene Gousse ◽  
Jagannath Muzumdar ◽  
Anna Gu
Keyword(s):  
Health Insurance ◽  
Diabetes Care ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
The United States ◽  
Original Research ◽  
The Past ◽  
Diabetes Educator ◽  
Quality Of Diabetes Care

Objectives: To examine trends and disparities in the quality of diabetes care among US adults with diabetes. Methods: Individuals aged 20 years or older with diabetes from NHANES (1999-2016) were included in the study. Quality indicators for diabetes care included Hemoglobin A1c (HbA1c) < 8%, Blood Pressure (BP) < 130/80 mm Hg, Low-Density Lipoprotein (LDL-C) < 100 mg/dL, triglycerides < 150 mg/dL, receiving eye and foot examinations in the past year, and meeting with a diabetes educator in the past year. Results: A total of 7,521 adults with diabetes were identified. During the 18-year study period, significant improvements in diabetes care were observed in the overall study sample. Adjusted regression analyses showed that compared with their White counterparts, Blacks were more likely to have received eye (OR=1.37; P=0.01) and foot (OR=1.42;P=0.01) examinations and met a diabetes educator (OR=1.40;P<0.01) over the past year. However, Blacks were significantly less likely to achieve treatment goals for HbA1c (OR=0.77, P=0.02), BP (OR=0.75, P<0.01), LDL-C (OR=0.68, P<0.01). Hispanics in general had suboptimal healthcare utilization for diabetes but the Hispanic-white disparities in diabetes care outcomes were attenuated after controlling for patient sociodemographic, clinical and utilization characteristics. Overall, suboptimal quality of diabetes care were particularly prominent among adults without health insurance and those with lower educational attainment. Conclusions: In the United States, despite persistent efforts, racial disparities in quality of diabetes care still persist. Lack of health insurance and lower socioeconomic status are among the strongest predictors of poor quality of diabetes care. These findings provide valuable information in developing policies and practices to promote racial equity in diabetes care.    Article Type: Original Research

scholarly journals Evaluation of pharmaceutical assistance in public primary care in Brasília, Brazil

2005 ◽  
Vol 39 (2) ◽  
pp. 223-230 ◽  
Author(s):  
Janeth de Oliveira Silva Naves ◽  
Lynn Dee Silver
Keyword(s):  
Health Care ◽  
High Efficiency ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Cross Sectional ◽  
Essential Drugs ◽  
Essential Drug List ◽  
Drug Policies ◽  
The Mean

OBJECTIVE: Pharmaceutical assistance is essential in health care and a right of citizens according to Brazilian law and drug policies. The study purpose was to evaluate aspects of pharmaceutical assistance in public primary health care. METHODS: A cross-sectional study using WHO drug indicators was carried out in Brasília in 2001. From a random sample of 15 out of 62 centers thirty exiting patients per center were interviewed. RESULTS: Only 18.7% of the patients fully understood the prescription, 56.3% could read it, 61.2% of the prescribed drugs were actually dispensed, and mean duration of pharmaceutical dispensing was 53.2 seconds. Each visit lasted on average 9.4 minutes. Of prescribed and non-dispensed drugs, 85.3% and 60.6% were on the local essential drug list (EDL) respectively. On average 83.2% of 40 essential drugs were in stock, and only two centers had a pharmacist in charge of the pharmacy. The mean number of drugs per prescription was 2.3, 85.3% of prescribed drugs were on the EDL, 73.2% were prescribed using the generic denomination, 26.4% included antibiotics and 7.5% were injectables. The most prescribed groups were: cardiovascular drugs (26.8%), anti-infective drugs (13.1%), analgesics (8.9%), anti-asthmatic drugs (5.8%), anti-diabetic drugs (5.3%), psychoactive drugs (3.7%), and combination drugs (2.7%). CONCLUSIONS: Essential drugs were only moderately available almost 30 years after the first Brazilian EDL was formulated. While physician use of essential drugs and generic names was fairly high, efficiency was impaired by the poor quality of pharmaceutical care, resulting in very low patient understanding and insufficient guarantee of supply, particularly for chronic diseases.

scholarly journals Screening Cardiovascular Risk Factors of Diabetes Patients in the Primary Diabetes Clinics

2020 ◽  
Author(s):  
Lingwang An ◽  
Yanlei Wang ◽  
Chenxiang Cao ◽  
Tao Chen ◽  
Yonghong Zhang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Diabetes Care ◽  
Glycosylated Hemoglobin ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Ascvd Risk ◽  
Atherosclerotic Cardiovascular Diseases

Abstract Aim:To evaluate the atherosclerotic cardiovascular diseases (ASCVD) risk factors in type 2 diabetes (T2DM) patients from the primary diabetes clinics for further comprehensive intervention in China.Methods:A cross-sectional study was conducted in 5 primary diabetes chain hospitals in Beijing, Lanzhou, Harbin, Chengdu and Taiyuan in continuous patients with T2DM from March 2016 to December 2019. The data collected at the first visit were analyzed, and proportions of patients reached the targets (glycosylated hemoglobin (HbA1C) < 7%, blood pressure < 130 / 80mmHg, and low-density lipoprotein cholesterol (LDL-C) < 2.6mmol/l) were calculated. The differences among different hospitals, different treatment and numbers of aggregated ASCVD risk factors were compared.Results:A total of 20,431 participants, including 11,363 men (55.6%), with an average age of (59.4 ± 10.4) years were enrolled. Nearly 95% diabetes had one or more ASCVD risk factors other than hyperglycemia. The control rates of HbA1C, blood pressure, and LDL-C were 26.5%, 27.9%, and 42.6%, respectively. Only 4.1% patients achieved all 3 targets. Diabetes duration, family history and overweight/obesity were associated with the number of aggregated ASCVD risk factors. And the patients with short duration, no overweight/obesity, not smoking, less ASCVD risk factors and lived in Chengdu were associated with a higher control rates.Conclusions:In confront of poor control status, global management of ASCVD risk factors including weight loss and smoking stopping must be emphasized in the primary diabetes care settings.Highlights:The prevalence of ASCVD risk factors was high and control rates were low in the primary diabetes care hospitals in China.Overweight/obesity, smoking and resident area were associated with the aggregated ASCVD risk factors and worse control.Trial registration:Current ClinicalTrial.gov protocol ID NCT03707379. Date of Registration: October 16, 2018.https://clinicaltrials.gov

scholarly journals Prevalence of Dyslipidemia in Patients with Acute Coronary Syndrome Admitted at Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (224) ◽  
Author(s):  
Sahadeb Prasad Dhungana ◽  
Arun Kumar Mahato ◽  
Rinku Ghimire ◽  
Rupesh Kumar Shreewastav
Keyword(s):  
Risk Factors ◽  
Acute Coronary Syndrome ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Lipoprotein Cholesterol ◽  
Low Density Lipoprotein Cholesterol ◽  
Cross Sectional ◽  
Coronary Syndrome ◽  
The Mean

Introduction: Dyslipidemia is one of the major risk factors for acute coronary syndrome. Dyslipidemiawith an increase in total cholesterol, low-density lipoprotein cholesterol, triglycerides and decrease inhigh-density lipoprotein cholesterol is one of the major risk factors for the acute coronary syndromeand alone account for more than 50% of population attributable risk. This study was conducted tofind out the prevalence of dyslipidemia. Methods: This descriptive cross-sectional study was conducted in 105 patients admitted at thetertiary care center with a diagnosis of acute coronary syndrome from July 2018 to March 2019 afterapproval from the institutional review committee (Ref no. 205/2018). Fasting serum lipid profilewas obtained within 24 hours of hospitalization with the convenient sampling method. Data wereanalyzed with the help of the Statistical Package for Social Sciences version 20. Point estimation at95% Confidence interval was calculated along with frequency and proportion for binary data. Results: Out of 105 people, dyslipidemia was present in 51 (48.6%). The mean age of the participantswas 59.19±12.69 years. The majority 81 (77.1%) were male. The mean total cholesterol, triglycerides,low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol were 183.43±35.9 mg/dl, 140.59±46.83 mg/dl, 109.9±26.38 mg/dl and 41.17±4.78 mg/dl respectively. High total cholesteroland triglyceride were found in 34 (32.4%) each, low high-density lipoprotein in 31 (29.5%) and highlow-density lipoprotein in 22 (21%).  Conclusions: Dyslipidemia is a significant risk factor in patients with acute coronary syndromeand commonly associated with other risk factors. Careful attention to its management may help toreduce further events.

Quality of diabetes care in patients with schizophrenia and bipolar disorder: cross-sectional study

2007 ◽  
Vol 24 (12) ◽  
pp. 1442-1448 ◽  
Author(s):  
S. Whyte ◽  
C. Penny ◽  
M. Phelan ◽  
J. Hippisley-Cox ◽  
A. Majeed
Keyword(s):  
Bipolar Disorder ◽  
Diabetes Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quality Of Diabetes Care

scholarly journals GAMBARAN KADAR KOLESTEROL LOW DENSITY LIPOPROTEIN (LDL) PADA MASYARAKAT PEROKOK DI PESISIR PANTAI

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Aji M. Sanhia ◽  
Damajanty H. C. Pangemanan ◽  
Joice N. A. Engka
Keyword(s):  
Ldl Cholesterol ◽  
Descriptive Analysis ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
The Body ◽  
Low Density ◽  
Cross Sectional ◽  
The Mean ◽  
Cross Sectional Design

Abstract: Low Density Lipoprotein (LDL) is a type of lipoprotein that transports cholesterol most widely in the body. Smoking is one of the factors that can cause elevated levels of LDL cholesterol, which nicotine is one element in cigarettes cathecolamine that stimulates secretion, increases lipolysis, and also increases free fatty acids. Excessive levels of LDL cholesterol in the blood will increase the risk of cholesterol buildup in the arteries, followed by atherosclerosis. This study aimed to describe the levels of LDL cholesterol in seashores community smoker. This was a descriptive analysis with a cross sectional design. Samples in this study were 40 people. The results showed that the mean LDL cholesterol level of 40 samples was 132.93 mg / dl which 24 sample (60%) was at the above the borderline threshold. There was no subject with high LDL level. Conclusion: There was an increase in LDL level in smokers who lived in seashores.Keywords: low density lipoprotein (LDL), smokers.Abstrak: Low Density Lipoprotein (LDL) merupakan jenis lipoprotein yang paling banyak mengangkut kolesterol di dalam tubuh. Merokok merupakan salah satu faktor yang dapat menyebabkan terjadinya peningkatan kadar kolesterol LDL, dimana nikotin yang merupakan salah satu unsur pada rokok merangsang sekresi katakolamin, meningkatkan lipolisis, dan meningkatkan asam lemak bebas. Kadar kolesterol LDL yang berlebihan dalam darah akan meningkatkan resiko penumpukan kolesterol pada dinding pembuluh darah arteri yang diikuti dengan terjadinya aterosklerosis. Penelitian ini bertujuan untuk mengetahui gambaran kadar kolesterol LDL pada masyarakat di pesisir pantai. Penelitian yang digunakan bersifat deskriptif analisis dengan rancangan Cross Sectional Study. Sampel dalam penelitian ini berjumlah 40 orang yang sesuai kriteria inklusi dan bersedia menjadi responden. Hasil penelitian memperlihatkan tingkat kolesterol LDL rata-rata pada 40 sampel ialah 132,93 mg/dl, dengan 24 sampel (60%) berada di atas ambang batas dan sisanya memiliki kadar LDL di bawah ambang batas. Simpulan: Terdapat peningkatan kadar LDL pada perokok yang tinggal di pesisir pantai.Kata kunci: low density lipoprotein (LDL), perokok.

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