scholarly journals Frequency of depression in patients with Type 1 and Type 2 diabetes mellitus.

2020 ◽  
Vol 27 (06) ◽  
pp. 1291-1296
Author(s):  
Zainab Nawaz ◽  
Adil Afridi ◽  
Shakeel Asif ◽  
Asad Tamizzudin Nizami ◽  
Fareed Aslam Minhaas
Keyword(s):  
Diabetes Mellitus ◽  
Severe Depression ◽  
Management Plan ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
P Value ◽  
Mild Depression ◽  
Cross Sectional ◽  
Significant Difference ◽  
Patients With Diabetes

Objectives: To determine the frequency of depression in patients with diabetes mellitus and comparison of the frequency of depression in patients with diabetes mellitus (type1 & 2). Study Design: Descriptive Cross-Sectional Study. Setting: Diabetic Clinic of Benazir Bhutto Hospital, Rawalpindi. Period: From 6th June - 5th December 2016. Material & Methods: A total of 200 patients with diabetes mellitus were inducted in the study through Diabetic Out Patient Department at Benazir Bhutto Hospital, Rawalpindi. Patients screening was done by using ICD10-criteria &Beck Depressive inventory (depression diagnosis and severity assessment). Designed proforma was used for demographic details and variables. The data was analyzed using SPSS version 16.0. Depression frequency and severity was calculated. Chi Square test was applied depression and categorical variables associations. Results: Frequency of depression in the study sample came out to be 57% (114 out of 200 patients). Results concluded that 26 patients have mild depression (13%), 38 (19%) moderate depression, and 24 (12%) with severe depression. There is no significant difference in frequencies of depression in terms of type of Diabetes mellitus i.e. T1DM vs T2DM (39% vs 61%, P value > 0.05). Monthly income and BMI were factors leading to mental distress. Conclusion: Many of the patients with diabetes have co-morbid depression. Screening and appropriate treatment of depression should be part of the management plan of all patients having diabetes.

scholarly journals Burnout and Empathy: A Cross-Sectional Study among Resident Physicians in Public Sector Hospitals of a Developing Country

2021 ◽  
Vol 3 (4) ◽  
pp. 121-124
Author(s):  
Muhammad Hamza Khalid ◽  
Rafia Ishtiaq ◽  
Laiba Fatima ◽  
Hassaan Ahmed ◽  
Aqsa Masood ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Working Hours ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Resident Burnout

The main objective of our study was to determine the prevalence of burnout and to identify various socio-demographic factors which are associated with resident burnout. As a secondary objective, we aimed to assess levels of empathy among the residents. A descriptive cross-sectional study was performed among residents working in Holy Family Hospital, Benazir Bhutto Hospital, and District Headquarter Hospital, all of which are situated in district Rawalpindi of Punjab, Pakistan. Data were collected from January 2019 to April 2019 using a convenient sampling technique. The participants were requested to complete Maslach Burnout Inventory to measure burnout and Jefferson Scale of Physician Empathy to measure empathy from January 2019 to April 2019. For data analysis IBM SPSS © version 25.0 was used. Descriptive statistics were used to summarize the quantitative variables. Chi-square test was used to determine the association between burnout and categorical variables. Then, those independent variables with p-value < 0.05 were subjected to binary logistic regression to identify predictors of burnout. A P-value of < 0.05 was used as the criterion for statistical significance and OR with 95% confidence interval was used to indicate the strength of association. Independent sample t-test was used to assess empathy among the groups. The prevalence of burnout in our sample was 78%. The average burnout score of the sample was 81±13.45. Weekly working hours (p-value < 0.05) and the type of specialty (p-value < 0.05) were significantly associated with resident burnout. Residents working more than 80 hours were more prone to develop burnout [AOR 2.700(1.42-5.120)]. Medical residents were found to be at a higher risk of developing burnout as compared to surgical residents [(AOR 2.097(1.16-3.78)]. Residents working less than 80 hours per week had more empathy scores as compared to residents working more than 80 hours and this result was statistically significant (p-value < 0.05). However, no significant difference in empathy was found for age, gender, marital status, and posts. Therefore, weekly working hours should be reduced to diminish burnout and increase empathy, thereby, promoting the quality of care being delivered to the patient. Moreover, efforts should be made to reduce burnout in medicine residents so that we may promote the doctor-patient relationship.

scholarly journals Correlation between severity of diabetes mellitus, polyneuropathy and nasal mucociliary clearance

2020 ◽  
Vol 7 (12) ◽  
pp. 726-729
Author(s):  
Mirac Aysen Unsal ◽  
Suphi Bulgurcu
Keyword(s):  
Diabetes Mellitus ◽  
Mucociliary Clearance ◽  
Diabetic Polyneuropathy ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Patients With Diabetes ◽  
Group 2 ◽  
Nasal Mucociliary Clearance

Objective:  To examine the relationship between the severity of polyneuropathy and nasal mucociliary clearance times in patients with polyneuropathy and investigate how the presence and severity of electrophysiological polyneuropathy might affect mucociliary clearance in patients with diabetes mellitus. Material and Methods: This prospective cross-sectional study was carried out in the Neurol-ogy and Ear, Nose and Throat (ENT) clinics in a tertiary hospital.  The study included three groups of patients with 20 participants in each group (Group 1, patients with diabetic poly-neuropathy; Group 2, patients with non-diabetic polyneuropathy; and Group 3, diabetes melli-tus patients with a normal nerve conduction study) Nasal saccharin test was performed on all patients. Results: There was a statistically significant difference in the duration of nasal mucociliary clearance among the groups (p= 0.001). There was a positive, statistically significant (p = 0.007) correlation between the nasal mucociliary clearance duration and the severity of poly-neuropathy. The nasal mucociliary clearance duration increased with the severity of polyneuropathy. Conclusion: Patients with diabetes mellitus are a special group, and preventable problems should be taken into consideration when examining nasal pathologies. It should be kept in mind that nasal mucociliary clearance dysfunction can be both a cause and a result in management of diabetes mellitus patients, and thus it should be evaluated carefully.

scholarly journals A cross sectional study on psychological status among patients with diabetes mellitus in Kancheepuram district

2018 ◽  
Vol 6 (1) ◽  
pp. 156
Author(s):  
B. Surya ◽  
S. Loganathan ◽  
G. Ravivarman
Keyword(s):  
Diabetes Mellitus ◽  
Cross Sectional Study ◽  
Emotional Disturbances ◽  
The Body ◽  
Psychological Status ◽  
P Value ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Psychiatric Disturbances ◽  
Patients With Diabetes

Background: Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Psychiatric problems are common in diabetes mellitus and nearly 33% suffer from mental disorders. According to the NHS people with diabetes are twice as likely to suffer with depression. The aim and objective of the study was to assess the psychological status in patients with diabetes mellitus.Methods: The sample of 100 participants was involved in the study. The patients with diabetes mellitus are included in the study but with known psychiatric disturbances were excluded from the study Standardized questionnaire was used for assessment. The collected data entered in MS-Excel and the analysis done using the SPSS.Results: Depression is the most common emotional disturbance among the female participants with diabetes while anxiety is common among the male subjects, prior with 58.2% and later with 54.5%. The emotional status of diabetic patient and their religion have a significant association with p-value 0.02.Conclusions: Emotional disturbances are common among the diabetic patients and the study revealed depression is common among the female participants where as anxiety is the common psychiatric problem among males.

scholarly journals A cross sectional study of prevalence of depression among patients with cerebrovascular accident

2019 ◽  
Vol 7 (11) ◽  
pp. 4306
Author(s):  
Chamelee A. ◽  
Iniyan Selvamani ◽  
Venkatraman N. ◽  
Shanthi Nambi ◽  
G. S. Chandraleka
Keyword(s):  
Cerebrovascular Accident ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Mild Depression ◽  
Chi Square ◽  
Cross Sectional ◽  
Madrs Score ◽  
Significant Difference ◽  
Prevalence Of Depression

Background: Depression is one of the most common neuropsychiatric condition in patients with stroke. Early identification of depression for stroke patients can improve the outcome leading to better quality of life. Prevalence and determinants of post stroke depression are highly variable and there is paucity of data in Indian literature.Methods: This cross-sectional study was conducted at neurology department of Saveetha Medical College, Chennai. All patients with history of stroke within past one month attending neurology department who fulfilled the inclusion criteria were taken up for the study after getting consent. Neurological examination and CT brain findings were noted with the site of lesion. All patients were evaluated for depression using ICD 10 criteria. MADRS score was used to assess the severity of depression. Chi square was used for statistical analysis.Results: The mean age of subjects in the study was 56.54±10.82 years. The prevalence of depression among patients with stroke in our study was 75.8%. Among classifying those with depression based on severity using MADRS score, 35% had mild depression and 65% had moderate depression. There was no severe depression in our sample. There was no statistically significant difference between prevalence of depression based on side of lesion.Conclusions: In this study the prevalence of depression among patients with cerebrovascular accident was found to be 75.8%. From this study we learn that the prevalence of depression in patients with stroke is high and this shows that regular screening of patients with stroke for depression might help in earlier detection and management of depression.

scholarly journals Usage of Alternative And Complementary Medicine Among Patients With Diabetes Mellitus at Diabetic Clinic in Kirkuk City / Iraq

2020 ◽  
Vol 3 (2) ◽  
pp. 239-246
Author(s):  
Ali Ismail ◽  
Taghlub Ryhan ◽  
Zahrra Abdullah
Keyword(s):  
Diabetes Mellitus ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
Complementary Alternative Medicine ◽  
P Value ◽  
Cross Sectional ◽  
Accessible Information ◽  
Patients With Diabetes ◽  
Cam Use ◽  
Study Techniques

Constrained investigation on the utilization of complementary alternative medicine (CAM) among patients with diabetes mellitus (DM), especially in essential - care settings. This investigation looks to comprehend the commonness, types, consumptions, dispositions, convictions, and impression of CAM use among patients with DM visiting outpatient diabetic facility. use of CAM has increment lately. We assessed the augmentation CAM utilization by patients with diabetes mellitus; in spite of constrained proof bases. The point of this study was to decide the CAM use among individuals with analyzed diabetes mellitus at diabetic facility at Azadi Teaching Hospital. Prospective descriptive cross sectional study; up close and personal meeting poll and self-directed unknown study techniques to get results from 417 patients who were going to Azadi teaching hospital at Kirkuk city/Iraq. The information was analyzed by usage cross-tabulation analysis (X2 test). P value of 0.05 or less is medically significant. Therefor; about Of 417 members were overviewed, around two third of them utilized some type of CAM treatments were the most widely recognized modalities. The consequences of a strategic relapse examination demonstrated that the parallel use design was most clear in the gatherings matured more than 40. Likewise, numerous sociodemographic and wellbeing related qualities are identified with the examples of the parallel utilization of CAM.At end, utilization of CAM especially biologically base CAM treatments is normal and is bound to be utilized by those with diabetes mellitus. it is as yet lacking the proof to reach complete inference about the adequacy of individual herbs and enhancements for diabetes; be that as it may, they are seem, by all accounts, to be commonly sheltered. The accessible information recommend that few enhancements might be warrant further examination

Safety climate and related factors in rehabilitation nurses of hospitals in Iran

Work ◽  
2021 ◽  
pp. 1-8
Author(s):  
Javad vatani ◽  
Zahra Khanikosarkhizi ◽  
Mohammad Ali Shahabi Rabori ◽  
mohammad khandan ◽  
Mohsen aminizadeh ◽  
...  
Keyword(s):  
Safety Climate ◽  
Cross Sectional Study ◽  
P Value ◽  
Related Factors ◽  
Cross Sectional ◽  
Climate Assessment ◽  
Safety Work ◽  
Significant Difference ◽  
Training Courses ◽  
The Individual

BACKGROUND: Safety climate is a common insight of staff that indicates individuals’ attitudes toward safety and priority of safety at work. OBJECTIVES: Nursing is a risky job where paying attention to safety is crucial. The assessment of the safety climate is one of the methods to measure the safety conditions in this occupation. The aim of this study was to assess the safety climate of rehabilitation nurses working in hospitals in Tehran. METHODS: This is a cross-sectional study which was carried out on 140 rehabilitation nurses selected from all hospitals and clinics in Tehran in 2019. To collect the required data, a two-section questionnaire was used. The first section was related to demographic factors and the second part (22 statements) was to measure the safety climate using nurses’ safety climate assessment questionnaire. The collected data were analyzed by SPSS V16 using independent t-test, ANOVA, Kruskal-Wallis and Mann-Whitney U test at the 5% level. RESULTS: Findings showed that the total mean of safety climate was 3.06±0.56. According to the results, a significant difference was found between the positive and negative satisfaction of nurses with safety climates (P-value = 0.03), communication with nurses (P-value = 0.01) and supervisors’ attitude (P-value = 0.02). Furthermore, a significant difference in safety climate between the individual with the second job and the individual without second could be observed (P-value = 0.01). CONCLUSIONS: The results indicated that the safety climate was not at an acceptable level. Thus, it is essential to introduce safety training courses (e.g. safety, work-rest balance, and so on) and to improve the safety performance at work.

Phototherapy Induced Hypocalcemia in Neonates with Unconjugated Hyperbilirubinemia

2021 ◽  
Vol 11 (1) ◽  
pp. 4-8
Author(s):  
Amna Khan ◽  
Anila Farhat ◽  
Hamayun Anwar ◽  
Sajid Shamim ◽  
Mujeeb Ur Rehman ◽  
...  
Keyword(s):  
Serum Calcium ◽  
Calcium Level ◽  
Serum Calcium Level ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
P Value ◽  
Cross Sectional ◽  
Unconjugated Hyperbilirubinemia ◽  
Before And After

Objective: To determine the frequency of hypocalcemia in neonates with unconjugated hyperbilirubinemia receivingphototherapy.Study design and setting: Cross sectional study conducted at neonatal intensive care unit, King Abdullah Teaching Hospital,Mansehra for one year from December 2017 to November 2018.Methodology: Total 213 full term stable neonates of either gender with jaundice were studied in this study. Out of which,143 with unconjugated hyperbilirubinemia were exposed to phototherapy while 70 neonates with exaggerated physiologicalhyperbilirubinemia taken as control were not exposed to phototherapy. Serum calcium level was determined through bloodtest before and after 24 hours of phototherapy. SPSS version 22 was used to analyze the data. Frequency and percentageswere used to describe categorical variables like gender and hypocalcemia. Hypocalcemia was stratified by age and genderto see effect modifiers. Post stratified chi-square test was applied in which p value = 0.05 was considered as significancevalue.Results: In study group, 143 neonates who received phototherapy had mean age of 7 days ± 2.62 SD. Total 65% neonateswere male and 35% neonates were female. Mean serum calcium level of neonates before and after provision of phototherapywas 9.28 mg/dl ± 0.23 and 8.54 mg/dl ± 0.68 respectively, which is statistically significant. The frequency of hypocalcemiawas 40% in neonates with unconjugated hyperbilirubinemia after 24 hours of phototherapy.Conclusion: Hypocalcemia is an important complication in neonates with unconjugated hyperbilirubinemia after continuousphototherapy. Hypocalcemia has clinical impact and adds to morbidity, and if left untreated, can lead to mortality.

Attitude towards online classes among school and college going students during lockdown due to COVID-19 pandemic

2021 ◽  
Vol 8 (7) ◽  
pp. 3446
Author(s):  
Saurav Kumar ◽  
Shiv Prakash ◽  
Mona Srivastava
Keyword(s):  
Family Income ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Online Classes ◽  
Online Questionnaire ◽  
Chi Square ◽  
Cross Sectional ◽  
Academic Level ◽  
College Going ◽  
Significant Difference

Background: The aim of the study was to assess the attitude of the school and college-going students towards online classes. Methods: An online cross-sectional study was conducted on 228 school and college-going students fulfilling inclusion and exclusion criteria selected through purposive sampling methods. A semi-structured online questionnaire consisting of a socio-demographic questionnaire and Attitude towards online classes (ATOC) questionnaire was prepared by the researcher using Google form. The link of the questionnaire was sent to all the selected respondents through WhatsApp messages and emails. The data was analyzed using the IBM SPSS version 20 software. The reliability of the attitude questionnaire was assessed using Cronbach’s alpha test. The association between categorical variables was assessed using Chi-square tests. The comparison between variables was assessed using the students independent t-test.Results: More than half of the respondents (51.32%) were found with a positive attitude towards online classes. There was a significant association found between attitude towards online classes and socio-demographic variables such as age (p<0.05), academic level (p<0.05), and family income (p<0.01). The respondents who attended online classes (p<0.05), have technical knowledge (p<0.01), and got supported by their parents in the study (p<0.05) were found significantly high positive attitudes towards online classes. There was a significant difference found in the attitude of the respondents who faced psychological disturbances such as a decline in attention-concentration (p<0.05), irritation-anger (p<0.01), and tension (p<0.05) due to online classes.Conclusions: Although, online classes are more beneficial for the students and teachers in their academic activities during the lockdown period due to the COVID-19 pandemic but it can’t take place of traditional face-to-face classes. 

scholarly journals Association between obesity and depression in patients with diabetes mellitus type 2; a study protocol

F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 7 ◽  
Author(s):  
Eduardo De la Cruz-Cano ◽  
Carlos Alfonso Tovilla-Zarate ◽  
Emilio Reyes-Ramos ◽  
Thelma Beatriz Gonzalez-Castro ◽  
Isela Juarez-Castro ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Diabetes Mellitus Type 2 ◽  
Cross Sectional Study ◽  
Diabetes Mellitus Type ◽  
Sectional Study ◽  
Cross Sectional ◽  
The World ◽  
Patients With Diabetes

Background: Diabetes mellitus and depression are highly prevalent conditions throughout the world and have significant impact on health outcomes. It has been estimated that diabetes mellitus type 2 affects about 246 million people in the world; nevertheless, incidence varies among countries. There is evidence that depression is associated with a poor metabolic control in patients with type 2 diabetes mellitus that present other health problems (such as hypertension and obesity). The aim of this study protocol is to determine if obesity increases the risk for depression in patient with diabetes type 2.Methods: The analysis will be reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).The studies suitable for inclusion will be assessed by the Newcastle-Ottawa Scale (NOS) to determine their methodological quality. To identify the studies of interest, we will search on PubMed and EBSCO databases. We will use the following keyword combinations: "Diabetes Mellitus type 2 AND obesity AND depression", "depression AND Diabetes Mellitus type 2", "Diabetes Mellitus type 2 AND body mass index cross sectional study", "depression AND obesity cross-sectional study". Causes for exclusion will be publications that studied patients diagnosed with diabetes mellitus type 1; articles that focused on the treatment and complications of diabetes mellitus type 2; publications that have studied other clinical or psychiatric conditions (for instance, seizure disorder or history of schizophrenia, bipolar disorder, psychotic symptoms or dementia).Conclusion: The results of this study will form the basis for a better understanding of the association between obesity and depression in patients with diabetes mellitus type 2, and will allow development of prediction tools and better interventions. It is evident that several modifiable and non-modifiable risk factors play an important role in the pathogenesis of diabetes among population. Currently, evidence for the deleterious effects of diabetes mellitus type 2 are based on cross-sectional or other observational designs. Therefore, this study will have important implications for future research and public health guidance.

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