scholarly journals Knowledge of Urban Population Regarding Diabetes Mellitus and its Complication: A Community Based Study

2014 ◽  
Vol 3 (1) ◽  
pp. 62-65
Author(s):  
Nitendra Chaurasia ◽  
Bijay Thapa ◽  
Bhimagonda H Patil ◽  
Sagar Khandekar ◽  
Mubashir Angolkar ◽  
...  
Keyword(s):  
Urban Poor ◽  
Diabetic Patients ◽  
Community Based ◽  
Chi Square ◽  
Medical College ◽  
Multiple Organs ◽  
Chi Square Test ◽  
System Data ◽  
The Impact ◽  
Center Area

Aim: To assess the knowledge on diabetes among diabetic patients of urban poor. Background: Diabetes has been a major threat to public health as 3.2 million deaths are attributed to diabetes every year. The management of diabetes depends on knowledge of patient, self care activities and knowledge on symptoms and complications. Materials and methods: The study was carried out in the Urban Health Center area of Belgaum. The knowledge on diabetes, signs or symptoms and complications was assessed among diabetic patients, by using scoring system. Data were analyzed using percentages, proportions and statistical test (chi-square test) was used for categorical data. Results: The study revealed that 108(56.25%) knew about diabetes out of 192 diabetic patients. More than half, 142 (73.93%) patient knew the impact of diabetes on other organs. Sixteen (11.26%) said kidneys, 13(9.13%) as heart and 45(31.69%) said that diabetes affects multiple organs. Majority 142 (73.95%) of patients had knowledge of complications. DOI: http://dx.doi.org/10.3126/jonmc.v3i1.10057   Journal of Nobel Medical College Vol.3(1) 2014; 62-65

scholarly journals Analytical Study of Conjunctival Bacterial Flora in Diabetic and Non Diabetic Patients

2021 ◽  
Author(s):  
Tamojit Chatterjee ◽  
Shrutakirti Ghosh ◽  
Rinki Saha ◽  
Sandip Samaddar
Keyword(s):  
Staphylococcus Aureus ◽  
Analytical Study ◽  
Bacterial Flora ◽  
Microbial Flora ◽  
P Value ◽  
Diabetic Patients ◽  
Chi Square ◽  
Medical College ◽  
Significant Difference ◽  
Chi Square Test

Introduction: Conjunctiva is a transparent mucous membrane that lines inside of the eyelids and covers the sclera. It is composed of non keratinised, stratified columnar epithelium with goblet cells. Normal microbial flora constitutes organisms which are present in eyelids and conjunctiva without causing any disease. At birth eyes are sterile but they are later infected by various organisms. Gram positive organisms are mostly prevalent in ocular flora. Diabetes mellitus is a multifactorial disease that can affect all ocular structures. Aim: To compare the microbial flora between diabetic and non diabetic patients and to study there sensitivity to antibiotics. Materials and Methods: This was an analytical study conducted on a total of 100 patients attending Department of Opthalmology of Medical College and Hospital, Kolkata, India between June 2019 to July 2019. They were not using any topical ocular preparation. Conjunctival swab was taken from upper fornix of the patients and cultured and the results obtained were analysed using Chi-Square test. Results: Conjunctival flora of a total of 100 patients, 30 diabetic and 70 non diabetic, were screened. Among the 30 diabetic patients, there were 15 (50%) male and 15 (50%) female. The most common isolated bacteria in diabetic and non diabetic groups were staphylococcus aureus (diabetic 70%, non diabetic 85.7%). There was a statistically significant difference in microbial flora pattern between the diabetic and non diabetic group. There was higher proportion of staphylococcus epidermidis among diabetic patients compared to non diabetic patients (p-value<0.01) and there was a higher proportion of staphylococcus aureus among non diabetics (p-value<0.01). Conclusion: Present study found statistically significant difference in the microbial flora between diabetics and non diabetics. This will help the clinician to plan for the antibiotic prophylaxis before surgery for patients attending the Out Patient Department (OPD).

scholarly journals Impact of Exclusive English Language Use in Physiology Lecture on Student’s Physiology Learning in Bangladesh

2017 ◽  
Vol 12 (1) ◽  
pp. 28-32
Author(s):  
Mohammad Uzire Azam Khan ◽  
Mohammad Mohaimenul Abedin
Keyword(s):  
English Language ◽  
Language Use ◽  
Individual Component ◽  
Pass Rate ◽  
First Year ◽  
Chi Square ◽  
Medical College ◽  
Significant Difference ◽  
Chi Square Test ◽  
The Impact

Background: Medical students of Bangladesh have to encounter English as learning media. But teachers often do not use English exclusively in their lectures thinking that students may not understand English clearly.Objective: To assess the impact of exclusive use of English language in physiology lectures on student’s learning.Method: This comparative study was conducted in the Department of Physiology, Abdul Malek Ukil Medical College, Noakhali, Bangladesh during January – November, 2013. One hundred and sixteen first year MBBS students of two sessions of a government medical college were enrolled for the study by purposive sampling. Exclusive English was used in physiology lectures of 1st term course for the students of 2012-2013 session (group EE) and mixed Bengali and English was used to teach the students of 2011-2012 session (group BE). First term examination results were compared by Student’s ‘t’ test and Chi-square test as applicable.Result: The students of EE obtained significantly higher mean marks both in written (p<0.001) and oral (p<0.001) examinations than those of group BE. However there was no significant difference between groups in pass rate (p>0.05)).Conclusion: The students who attended the lectures with exclusive English obtained better marks in individual component of assessment than the students who attended the lectures with mixed Bengali and English. However, English language use in teaching showed no effect on the pass rate.Bangladesh Soc Physiol. 2017, June; 12(1): 28-32

scholarly journals Study of the severity of stroke at the time of presentation in diabetic patients correlating with glycemic control

2017 ◽  
Vol 4 (2) ◽  
pp. 396
Author(s):  
Sivaji Patibandla ◽  
Tumbanatham Appikatla ◽  
Jayasingh K.
Keyword(s):  
Glycemic Control ◽  
Hba1c Level ◽  
Microvascular Complications ◽  
Neurological Impairment ◽  
Diabetic Patients ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Gandhi Medical College ◽  
The Impact

Background: Diabetes mellitus is a well-recognized risk factor for stroke. The NIHSS (National institute of health stroke scale) is a tool used objectively to quantify the impairment caused by a stroke. However, the effect of glycemic control regardless of the presence of DM on the clinical picture of stroke and its impact on the severity is not fully investigated. There are numerous studies on microvascular complications but there are only a few studies on strokes in diabetics. Therefore, this study was conducted to assess the impact of diabetes on the pattern and severity of stroke in our population.Methods: This is cross sectional observational study, carried at Mahatma Gandhi Medical College And Research Institute, Pondicherry, India from December 2014-15. Sixty patients who presented with features of stroke and satisfy inclusion criteria were enrolled in study. Stroke pattern was identified using CT scan and severity of stroke was assessed by NIHSS score. Statistical analysis was done by using chi-square test (p <0.005 = significant).Results: The mean age in patients was 61.683±12.97. The ratio of male to female was 2.1:1 showing male preponderance. With increase in HbA1c levels more number of cases were found to have severe stroke and it is statically significant (p = 0.0001) as per NIHSS score.Conclusions: In diabetic patients the severity of stroke is related to glycemic control. Higher the blood HbA1c level, more severe is the neurological impairment. Hence effective lowering of HbA1c level may reduce the occurrence of severe neurological impairment in diabetic patients. We suggest the need for routine monitoring of HbA1c level may be used as a measure for secondary prevention of stroke in diabetic patients.

scholarly journals Analytical Study of Conjunctival Bacterial Flora in Diabetic and Non Diabetic Patients

2021 ◽  
Author(s):  
Tamojit Chatterjee ◽  
Shrutakirti Ghosh ◽  
Rinki Saha ◽  
Sandip Samaddar
Keyword(s):  
Staphylococcus Aureus ◽  
Analytical Study ◽  
Bacterial Flora ◽  
Microbial Flora ◽  
P Value ◽  
Diabetic Patients ◽  
Chi Square ◽  
Medical College ◽  
Significant Difference ◽  
Chi Square Test

Introduction: Conjunctiva is a transparent mucous membrane that lines inside of the eyelids and covers the sclera. It is composed of non keratinised, stratified columnar epithelium with goblet cells. Normal microbial flora constitutes organisms which are present in eyelids and conjunctiva without causing any disease. At birth eyes are sterile but they are later infected by various organisms. Gram positive organisms are mostly prevalent in ocular flora. Diabetes mellitus is a multifactorial disease that can affect all ocular structures. Aim: To compare the microbial flora between diabetic and non diabetic patients and to study there sensitivity to antibiotics. Materials and Methods: This was an analytical study conducted on a total of 100 patients attending Department of Opthalmology of Medical College and Hospital, Kolkata, India between June 2019 to July 2019. They were not using any topical ocular preparation. Conjunctival swab was taken from upper fornix of the patients and cultured and the results obtained were analysed using Chi-Square test. Results: Conjunctival flora of a total of 100 patients, 30 diabetic and 70 non diabetic, were screened. Among the 30 diabetic patients, there were 15 (50%) male and 15 (50%) female. The most common isolated bacteria in diabetic and non diabetic groups were staphylococcus aureus (diabetic 70%, non diabetic 85.7%). There was a statistically significant difference in microbial flora pattern between the diabetic and non diabetic group. There was higher proportion of staphylococcus epidermidis among diabetic patients compared to non diabetic patients (p-value <0.01) and there was a higher proportion of staphylococcus aureus among non diabetics (p-value <0.01). Conclusion: Present study found statistically significant difference in the microbial flora between diabetics and non diabetics. This will help the clinician to plan for the antibiotic prophylaxis before surgery for patients attending the Out Patient Department (OPD).

Perceptions of Final Year Medical Students about Family Medicine as A Career Choice in Pakistan

2020 ◽  
Author(s):  
Dur-e- Nishat
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Medical Profession ◽  
Healthcare Services ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Chi Square Test

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.

Breastfeeding practices among mothers of infants in Peringara Panchayat in Pathanamthitta District

2018 ◽  
Vol 3 (01) ◽  
Author(s):  
Aswathy S. ◽  
Lakshmi M. K.
Keyword(s):  
Exclusive Breastfeeding ◽  
Cross Sectional Study ◽  
Community Based ◽  
Chi Square ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Chi Square Test ◽  
Type Of Delivery ◽  
Initiation Of Breastfeeding

The study was aimed to assess the breastfeeding practices among mothers of infants in Peringara Gramapanchayat in Kerala. Study was a community based cross-sectional study among mothers of infants in Peringara gramapanchayat using a pretested questionnaire. 142 breastfeeding mothers of infants in Peringara gramapanchayat were studied and mothers who were not present at home during the study were excluded from the study. Study period consisted of 18 days between December 2015 and January 2016. Study variables includes type of delivery, initiation of breastfeeding, breastfeeding practices and role of ASHAs in promoting good breastfeeding practices. Statistical analysis was done using Pearson’s Chi-square test and T test. The study found that exclusive breastfeeding has been done by 68.3% of mothers. There is no practice of giving pre-lacteal feed, 95.8% of mothers have given colostrum to the new born. Statistically significant association was found between the type of delivery and time of initiation of breastfeeding (p less than 0.05). Time of initiation of breastfeeding was prolonged in case of Caesarean section. 49.3% of mothers have breastfed the baby within one hour. 55.6% of mothers were informed about importance of breastfeeding by ASHAs and only 20.4% of mothers were informed about period of exclusive breastfeeding and period of complimentary feeding by ASHAs.

scholarly journals The impact of COVID-19 related national lockdown on ophthalmic emergency in Italy: A multicenter study

2021 ◽  
pp. 112067212110280
Author(s):  
Maria L Salvetat ◽  
Carlo Salati ◽  
Patrizia Busatto ◽  
Marco Zeppieri
Keyword(s):  
Gender Bias ◽  
Tertiary Care ◽  
Lower Number ◽  
Electronic Records ◽  
Chi Square ◽  
Efficient Access ◽  
Chi Square Test ◽  
Unpaired Student ◽  
The Impact ◽  
Wet Amd

Purpose: To assess ocular pathologies admitted to Italian Emergency Eye Departments (EEDs) during the COVID-19 pandemic national lockdown in 2020 in comparison with the same period in 2019. Methods: Electronic records of all patients presenting at EEDs of two tertiary-care Eye Centers during the COVID-19 national lockdown in Italy (March 10–May 3, 2020) were compared with the equivalent period in 2019. Main outcomes were patient age, gender, and diagnoses. Statistical analysis included unpaired Student t-tests, Poisson regression, and chi-square test. Results: Overall EED visits significantly decreased by 54.1% during the 2020 lockdown compared to 2019 (851 vs 1854, p < 0.001). During lockdown, patients showed comparable mean age (52.8 years in 2020 vs 53.3 years in 2019, p = 0.52) and significant male gender bias (61.1% in 2020 vs 55.8% in 2019, p < 0.0001). The most frequent pathologies were eye inflammations, trauma-related incidents, and spontaneous acute vitreous detachment. Patients with inflammation, headache/hemicrania, and spontaneous subconjunctival hemorrhages were significantly less, whereas those with trauma-related diagnoses were significantly higher during the lockdown as compared with 2019 ( p < 0.05). The proportion of non-urgent visits decreased from 17% in 2019 to 8% in 2020 ( p < 0.001). Conclusions: During the 2020 lockdown, there was a significant reduction of accesses to EED, especially for non-urgent pathologies. Potentially visual function threatening conditions, such as trauma-related pathologies, retinal detachment or ruptures, and wet AMD, showed lower number of cases but higher or stable proportion relative to the total caseload, suggesting a correct and efficient access to ophthalmic health care during the pandemic period.

scholarly journals 46 Effect of the addition of α-tocopherol to in vitro maturation media of bovine oocytes

2020 ◽  
Vol 98 (Supplement_2) ◽  
pp. 2-3
Author(s):  
Theisy P Acosta Pérez
Keyword(s):  
In Vitro Maturation ◽  
Cumulus Cells ◽  
Control Group ◽  
Chi Square ◽  
Cumulus Expansion ◽  
Minimum Concentration ◽  
Maturation Rate ◽  
Chi Square Test ◽  
System Data

Abstract α-tocopherol is known to be a powerful antioxidant, in this regard, it was added to bovine oocyte in vitro maturation media to evaluate its effect on oocyte maturation. Oocytes (n = 624) aspirated from ovaries of slaughtered cows were classified by quality and divided in four categories according to cytoplasm appearance and cumulus cells layers. Oocytes were washed in TCM-199 supplemented with fetal bovine serum (FBS) and FSH, then distributed in maturation media (TCM-199 supplemented with FBS, FSH and gentamicin). Three experimental groups of α-tocopherol (50, 100 and 200 mM) and a control group without α-tocopherol were used. Maturation was carried 22 h at 38.5°C in a 5% CO2 atmosphere. Oocytes were examined to determine cumulus expansion as categorical data (expansion or no expansion), as well as cumulus expansion Index (CEI). For CEI determination oocytes were graded 0 to 4, being 0 those with null expansion and 4 those with a noticeable cell expansion, then the number of oocytes were multiplied by the grade given and a sum of the totals was obtained, the new total was divided by the total of oocytes in the group and the result obtained corresponded to the CEI of the group. Results were analyzed with Chi Square test (for maturation rates) and an ANOVA (for the CEI) using the SAS system, data are presented as mean ± standard error. There was no statistical difference between control and α-tocopherol groups (P &gt;0.05). Numerically, the control group showed a higher maturation rate (100%) and obtained a higher CEI (2.44±0.20), followed by the 50 mM group (98.16%; 2.39±0.13), the groups 200 mM (97.40%; 2.00±0.14) and 100 mM (96.25%; 2.06±0.24) were the lowest. The addition of the minimum concentration (50 mM) of α-tocopherol to the maturation media could improve maturation rates without exposing oocytes to toxic effects.

Relationship between new farming practices and chemical use and the consumption of giant cricket (Brachytrupes membranaceus Drury, 1770)

2018 ◽  
Vol 4 (4) ◽  
pp. 295-300 ◽  
Author(s):  
F.O. Miantsia ◽  
F. Meutchieye ◽  
S. Niassy
Keyword(s):  
Food Source ◽  
Farming Practices ◽  
Smallholder Farming ◽  
Chi Square ◽  
Pesticides Residues ◽  
Intensive Use ◽  
Chi Square Test ◽  
Dependence Relationship ◽  
The Impact ◽  
Persistent Pesticides

The current work is aimed at generating information on giant crickets and the impact of commonly used pesticides on the natural population of these crickets. Data was collected based on interviews and complemented with field observations. Out of 319 respondents surveyed, 290 were aware of the use of the giant cricket as a food source, and 161 were active consumers. Regarding the availability of the giant cricket, respondents reported that the crickets’ populations were diminishing because of farming practices. About 219 persons reported that commonly used herbicides harm giant crickets at different stages. This could be attributed to the scarcity of this species, as mentioned by 233 respondents. The results showed that 130 respondents were engaged in gathering giant crickets for consumption. This insect gathering is related to soil tilling. Chi-square test showed a significant dependence relationship between herbicides use and cricket scarcity. Although less than a majority (129) of respondents are making regular use of persistent pesticides (herbicides), it has been observed that intensive use of pesticides could become a popular practice in smallholder farming categories. This paper thus suggests the need for training and surveillance concerning the trade of pesticides in the region and proposes further investigations into pesticides residues or traces in collected giant crickets consumed in the study site and in all areas with similar conditions.

scholarly journals Knowledge of Pressure Ulcer Management among Nurses

2017 ◽  
Vol 9 (2) ◽  
pp. 47-51 ◽  
Author(s):  
Nisha Shrestha ◽  
P Shrestha
Keyword(s):  
Pressure Ulcer ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Current Evidence ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Adequate Knowledge ◽  
Chi Square Test ◽  
Experience Education

Background: Pressure ulcer (PU) development remains a significant complication among at-risk patients. It is considered “never events” because they are preventable and should “never” happen. It has been associated with increased morbidity, mortality, hospital cost and length of stay in the hospital. Prevention of pressure ulcers is considered a nurse-sensitive indicator hence nurses should have adequate knowledge about current evidence-based prevention and management of pressure ulcer. However, non adherence to these guidelines is frequent and lack of knowledge may act as barriers to using guidelines in clinical practice.Objectives: The objectives of the study were to 1. assess the knowledge of pressure ulcer management among nurses 2. determine the level of knowledge of pressure ulcer management among nurses 3. assess the association of knowledge of nurses and baseline variables.Methods: A descriptive cross sectional study was conducted, using pretested self administered questionnaire to assess the knowledge on pressure ulcer management among purposively selected 100 nurses working in Gandaki Medical College Teaching Hospital in 2015. Descriptive statistics as frequency and percentage were used and inferential statistics (Chi-square test) was done to find out association between knowledge and selected baseline variables.Results: The study revealed that 59% of the respondents had adequate knowledge where as 41% of nurse’s knowledge was found to be inadequate. Significant association was not found between age, working ward, experience, education, training, duration and knowledge of pressure ulcer management among Nurses.Conclusion: This result indicates that more than half of the nurses had the adequate knowledge but there is still need of education and training related pressure ulcer management.Journal of Gandaki Medical CollegeVolume, 09, Number 2, July December  2016, Page: 47-51

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