scholarly journals METABOLIC SYNDROME IN URBAN AND RURAL POPULATION OF GREATER NOIDA NATIONAL CAPITAL REGION OF INDIA

Author(s):  
Manoj Kumar Sharma ◽  
Sonali Pandey ◽  
Suryakant Nagtilak

Objective: The objective of this study was to evaluate the prevalence of metabolic syndrome (MetS) and to define its predictors in urban and rural patients presenting to tertiary care hospitals located in Greater Noida district Gautam Budh Nagar, India.Methods: A total of 367 participants recruited in the study, aged 20–55 years, comprising, 290 patients (149 rural and 141 urban) and 77 healthy age, sex-matched controls from the study area. Anthropometric, clinical and laboratory examination information was obtained. MetS was defined as per the National Cholesterol Education Program, Adult Treatment Panel III (NCEP, ATP III) report.Results: There were significant differences in biochemical and anthropometric measurements between control and patient population (p<0.05). There was a substantial difference in the prevalence of MetS among male and female patient population of urban as well as rural areas. As per NCEP, ATP III criteria, the prevalence of MetS in urban patient population was 21.7% in male and 27.8% in female whereas rural male and female exhibited 13.8% and 18.8% of MetS, respectively. Waist circumference was found as the strongest predictor of MetS among the patient population.Conclusion: Rapid urbanization of the cities is affecting the village life and indicating toward a major burden of diseases associated with MetS. A higher prevalence of MetS in female irrespective of the area of residence needs major health-care policy change. There is an urgent need to address this issue by adopting healthy eating, physical exercise, and weight reduction.

2020 ◽  
Vol 15 (1) ◽  
pp. 115-126
Author(s):  
Manchanda Rimple

AbstractMoney Attitude determines the financial behavior of an individual. Both males and females are expected to demonstrate different money attitude due to difference in socialization and childhood orientations. This preliminary study attempts to determine the contrast in money attitude of males and females in Delhi and National Capital Region and present a comparative analysis in terms of their spending and saving habits. Data from 117 male respondents and 126 female respondents was collected. Money attitude was measured by adopting four sub-dimensions of Money Attitude Scale (MAS) developed by Yamauchi & Templer (1982). Descriptive analysis and independent t-test has been devised to test the dissimilarity in money attitude between male and female in Delhi NCR. The results bring about contrast across gender in terms of the four sub-dimensions of MAS. The research has implications for marketers, sociologist, economists, psychologists, and financial planners. The further research can be extended in terms of demographic factors.


2018 ◽  
pp. 109-129
Author(s):  
Manisha Jain ◽  
Jörg Knieling

Managing urban growth has become one of the important challenges of the 21st century in the Global South, where agglomerations are being formed by the coalescence of urban and rural areas. The scale and speed of transformation have outstripped the capacity of local governments to provide adequate basic amenities. Using the National Capital Region as a case study, and census data and spatial boundaries, this chapter attempts to understand the process of urbanization underway in India. Results show that the region is currently in the stage of sub-urbanization, and that recent growth has been predominantly in ‘census towns' as informal urbanization. Three main reforms are required to achieve sustainable urbanization: First, integration of infrastructure development into spatial planning at the national level and in lower tiers of planning. Second, empowering local authorities to incentivize urban development in order to fund urban infrastructure. Third, notifying census towns with municipalities, thereby providing for urban infrastructure and controlling unplanned growth.


Author(s):  
Pradeep Kumar ◽  
Geeta Gupta ◽  
Gajendra Kumar Gupta ◽  
Vashishth Mishra ◽  
Gaurav Gupta

Background: Infections caused by Staphylococci are frequently linked to indwelling medical equipment. These are extremely difficult to treat with antibiotics. In India, the prevalence of Methicillin-Resistant Staphylococcus aureus (MRSA) varies from 30 to 70%, resulting in high mortality, increased economic burden, and high treatment failure in tertiary care hospitals. Rapid and reliable identification of MRSA is critical for infection management and avoiding the needless use of antibiotics. Materials and Methods: This prospective study was carried out in the Department of Microbiology, Santosh Medical College, Ghaziabad, from the 1st of August 2020 to the 31st of January 2021. MRSA isolates were screened and confirmed using standard methods recommended by the Clinical and Laboratory Standards Institute (CLSI). Methicillin resistance, in Staphylococcus aureus strains, was evaluated using oxacillin/cefoxitin. The Kirby-Bauer disc diffusion technique was used to assess the antibiotic susceptibility pattern of all MRSA strains. Results: In this investigation, MRSA was identified in 29.4% of the 384 Staphylococcus aureus strains. When compared to females, men outnumbered females. Cefoxitin detects a greater amount of MRSA than oxacillin. In this investigation, the majority of MRSA was found in pus samples. Conclusion: MRSA prevalence is known to vary depending on geographical region, hospital type, investigated population, and technique of detection used. Given the clinical implications of MRSA infection and its fast transmission capability, MRSA strains must be monitored on a regular basis.


Author(s):  
Joyce Felicia Vaghela ◽  
Amod Kumar ◽  
Amita Sharma ◽  
Vinita Gupta ◽  
Sayantan Bannerjee ◽  
...  

Background: A public transport driver (Saarthi) if sick thinks twice before taking a day off. The community health department (CHD) of a tertiary care hospital started a ‘Swasth Saarthi (healthy drivers) Abhiyaan’ (SSA) for the public transport drivers (PTDs) for one year. The objectives of the study were to conduct 220 health check-up camps at selected compressed natural gas (CNG) stations in Delhi and National Capital Region; to improve health awareness and early detection of diseases in drivers and getting treated at base hospital.Methods: A cross-sectional study carried out from 15th March 2017 to 14th March 2018 at 36 Indraprastha Gas Limited (IGL) stations for all public transport drivers coming to IGL stations. Health camps conducted were - general health camp at IGL stations, NCD camps at community health department and clinical camps at the base hospital.Results: A total of 408 camps were held in which 14,945 drivers came for health check-up. The PTDs with Eye problems 5981 (40%), over-weight 5315 (35.56%), tobacco/gutka chewing 4687 (31.36%), drinking 3734 (24.98%), smoking 3616 (24.20%), obesity 1655 (11%), hypertension 1433 (9.59%) and diabetes 1057 (7.07%). Health awareness was improved through health education. Surgeries for cataract 20/155 and sleep apnoea 4/122, and de-addiction drugs for 15 drivers of ‘addiction’ were started at base hospital.Conclusions: The health check-up camps under SSA revealed that a large number of public transport drivers are at risk of various health related disorders. Innovative programme like ours is good to reduce “Treatment Gap” and is a step towards achieving Universal “Health for All”.


2021 ◽  
Vol 12 (3) ◽  
pp. 10-13
Author(s):  
Umesh Shukla ◽  
Nita Radhakrishnan ◽  
Bhanu Kiran Bhakhri ◽  
Ravi Shankar ◽  
Sohini Ghosh ◽  
...  

Background: Data on the outcome of children with SARS-COV-2 infection (COVID-19) is still evolving as the pandemic unfolds. Aims and Objective: The present study aims at describing the clinical severity, course and outcome of COVID-19 in children who had underlying illnesses or co-infections. Materials and Methods: Retrospective, single center, observational study, conducted in a pediatric tertiary care center at Noida (National Capital Region, India). Results: We analyzed the data of 15 children with co-morbidities associated with COVID-19. Cancer (n=4, 26.6%), co-infections (n=5, 33.3%), Thalassemia major (n=2, 13.3%) and one child each with celiac disease, cholelithiasis, Duchenne muscular dystrophy and multiple rib fractures were diagnosed with COVID-19. None were asymptomatic. 9 children (60%) had mild symptoms and 4 had moderate symptoms (26.6%) with respiratory distress. 2 children had severe respiratory distress requiring high flow oxygen. Convalescent plasma, IVIG, Oseltamivir, Azithromycin, Hydroxychloroquine were given as treatment in varying combinations. All children recovered from COVID-19. Conclusion: Active malignancy, hypogammaglobinemia, underlying lung disease were associated with moderate to severe symptoms in this series of patients. Convalescent plasma helped in both children with severe hypoxia.


Author(s):  
Manisha Jain ◽  
Jörg Knieling

Managing urban growth has become one of the important challenges of the 21st century in the Global South, where agglomerations are being formed by the coalescence of urban and rural areas. The scale and speed of transformation have outstripped the capacity of local governments to provide adequate basic amenities. Using the National Capital Region as a case study, and census data and spatial boundaries, this chapter attempts to understand the process of urbanization underway in India. Results show that the region is currently in the stage of sub-urbanization, and that recent growth has been predominantly in ‘census towns' as informal urbanization. Three main reforms are required to achieve sustainable urbanization: First, integration of infrastructure development into spatial planning at the national level and in lower tiers of planning. Second, empowering local authorities to incentivize urban development in order to fund urban infrastructure. Third, notifying census towns with municipalities, thereby providing for urban infrastructure and controlling unplanned growth.


2016 ◽  
Vol 53 (3) ◽  
pp. 286
Author(s):  
Ravinder Chadha ◽  
Renuka Pathak ◽  
Ishu Kataria

Metabolic Syndrome (MetS) is a complicated disorder that increases a person's risk to cardiovascular disease and diabetes mellitus and therefore, needs to be diagnosed early. Young adults in business process outsourcing industry (BPO) may be more susceptible to the syndrome owing to the sedentary nature of their work and other lifestyle factors. This study aimed at assessing the prevalence of MetS among young business process outsourcing industry employees (21-30 years). In this cross-sectional study conducted in the National Capital Region of India, MetS was diagnosed using the Adult Treatment Pattern III (NCEP ATPIII, 2001) and International Diabetes Federation (IDF, 2005) (ethnicity specific) criteria among 415 business process outsourcing employees (274 males; 141 females) working at the calling level. Prevalence of MetS was 11.8% according to ATPIII criteria (14.6% males; 6.4% females) and 18.3% according to IDF criteria (22.3% males; 10.6% females) and was significantly higher in males compared to females (ATPIII p = 0.014; 95% CI 0.02, 0.14; IDF:p = 0.004; 95% CI 0.05, 0.19). As per the ATPIII criteria, highest proportion of the employees had low levels of HDL cholesterol (48.2%) whereas as per the IDF criteria, they had high waist circumference (58.6%). MetS was significantly associated with being single (ATPIII p=0.003; IDF p=0.012), having monthly income more than 20,000 INR (ATPIII p=0.009), having waist to height ratio ≥ 0.5 (ATPIII p=0.002; IDF p=0.000) and BMI ≥ 23kg/m<sup>2</sup> (ATPIII p=0.000; IDF p=0.000). With nearly 1/5th of the BPO employees having MetS at a young age (21-30 years), there is an urgent need to initiate appropriate workplace screening and intervention strategies to prevent and reverse the syndrome among them.


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