scholarly journals Understanding of Diabetes among Nurses in a Teaching Hospital of Bangladesh

2018 ◽  
Vol 29 (1) ◽  
pp. 10-15
Author(s):  
Md Nure Alom Siddiqui ◽  
Shahnaj Sultana ◽  
MMR Khan ◽  
MK Rahman ◽  
MN Islam
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Disease ◽  
Clinical Features ◽  
Diabetes Management ◽  
Health Workers ◽  
Public Health Problem ◽  
Medical College Hospital ◽  
World Health ◽  
College Hospital ◽  
Medical College

Objective: Diabetes mellitus is a growing public health problem in the world. Health education by health workers is a key factor in the prevention of this chronic disease. The objective of the study was to determine nurses understanding of diabetes mellitus.Methodology: This was a cross-sectional descriptive study carried out at Rajshahi Medical College hospital from August 2010 to February 2011. Registered nurses were questioned about the clinical features, diagnosis, complications and management of diabetes mellitus. The results were analyzed using appropriate statistical method.Results: A total of 86 nurses completed the questionnaire. Majorities were below 50 years and were ward nurses. About 97.7% correctly identified the definition of diabetes mellitus (p < 0.01) and 94.2% identified <7mmol/l as the fasting plasma glucose diagnostic cut off for DM. Cent percent agreed that DM is a chronic disease (p < 0.01). Polyuria (90.3%) and polydypsia (63.7%) were the commonest clinical features of DM identified. Insulin therapy was the most common form of management identified by 67.9% of the subjects. Majority (83.2%) agreed that weight reduction is useful. About two-thirds (67.2%) identified two oral hypoglycaemic drugs while 25 (22.1%) could not identify any type of insulin. Most subjects (94.7%) could correctly identify treatment for hypoglycaemia, with 7.1% of the nurses saying that insulin can be used to treat hypoglycaemic coma. The eye (82.3%) was the most common organ identified as being complicated with DM. Less than half of the nurses could identify the symptoms of diabetic ketoacidosis while about half (50.9%) of the nurses could identify at least one symptom of diabetic ketoacidosis.Conclusion: Nurses knowledge of diabetes mellitus in Rajshahi medical college hospital is good; however, there are deficits in certain aspects of diabetes management. Organization of regular diabetes educational programmes for nurses will improve these deficiencies of knowledge.TAJ 2016; 29(1): 10-15

STUDY OF OUTCOME OF CHRONIC KIDNEY DISEASE IN DIABETIC PATIENTS IN THANJAVUR MEDICAL COLLEGE HOSPITAL

2021 ◽  
pp. 17-20
Author(s):  
S.Hema Akilandeswari ◽  
K. Rajkanth ◽  
S. Janani
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Glycemic Control ◽  
Medical College Hospital ◽  
Diabetic Patients ◽  
Type I ◽  
Strong Positive Correlation ◽  
College Hospital ◽  
Medical College

Background: Diabetes Mellitus is one of the common causes of Chronic Kidney Disease which usually leads to end-stage kidney disease. Thus this study was planned to nd out the outcome of CKD in DM, disease progression, appropriate management and the complications. Methods: A cross sectional study among Diabetes Mellitus patients with Chronic Kidney Disease attending the Department of Nephrology and Department of Medicine in Thanjavur Medical College Hospital during the period of July and August 2018. The duration of study period was 2 months. All patients who attended the outpatient department (OPD) and in-patients departments with Type I and Type II diabetes mellitus associated with chronic kidney disease, on any line of management were included in this study. A total of 101 patients were included. Statistical Package for Social Sciences (SPSS for Windows V20) was used for data analysis. Results: Poor glycemic control, albuminuria, hypertriglyceridemia (greater than 150), increase in LDLlevels (greater than 100), BMI (greater than or equal to 25), poor BP control and a longer duration of diabetes mellitus had a strong positive correlation with decrease in eGFR less than 60 ml/min. Glycemic control, weight reduction and adequate BPcontrol retard the progression of CKD. Conclusion: Albuminuria and decline in eGFR both are independent risk factors for diabetic CKD and are strong predictors of morbidity and mortality from a major vascular event, especially cardiovascular complications and stroke.

Clinical features of the late onset myasthenia gravis in the Osaka Medical College Hospital

2017 ◽  
Vol 381 ◽  
pp. 1086-1087
Author(s):  
Y. Yoshimoto ◽  
A. Tsukahara ◽  
K. Unoda ◽  
K. Yamane ◽  
S. Ishida ◽  
...  
Keyword(s):  
Myasthenia Gravis ◽  
Clinical Features ◽  
Late Onset ◽  
Medical College Hospital ◽  
Osaka Medical College ◽  
College Hospital ◽  
Medical College

scholarly journals Multimorbidity Patterns Among Hospitalized Geriatric Patients in Medicine Wards of a Tertiary Care Hospital in Dhaka City

2021 ◽  
Vol 7 (1) ◽  
pp. 56-59
Author(s):  
Sumiya Bent Kalam ◽  
Sadia Islam ◽  
Mohammad Abdullah Az Zubayer Khan ◽  
Tanjina Akhter
Keyword(s):  
Diabetes Mellitus ◽  
Elderly Patients ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Medical College Hospital ◽  
Care Hospital ◽  
College Hospital ◽  
Cross Sectional ◽  
Female Ratio ◽  
Medical College

Background: Elderly people are posing a significant health burden in our country for their multi morbidity as economic growth has increased our life expectancy. Pattern of multi morbidity of this older people varies according to geography, ethnicity, culture and life style. Aim: The aim of this study was to identify the prevalence and pattern of multi morbidity of elderly patients admitted in a tertiary care hospital. Method: 50 random cases of elderly patients aged more than 60 years admitted in medicine and allied wards of Dhaka medical college hospital were observed at this cross-sectional study from January 2017 to June 2017(total 6 months period). Data were reviewed and analyzed using simple frequency and percentage. Protocol was reviewed by institutional ethical board (IRB) of Dhaka medical college hospital. Result: A total number of 50 elderly patients with age ranging from 60 to 95 years were observed with male and female ratio 1.3:1 having multi morbidity among 92.0% patients and female is more affected than male. Hypertension, ischemic heart disease, diabetes mellitus and stroke were found most common diseases as individual. Hypertension and diabetes mellitus was found as the most common multi morbidity pattern followed by hypertension and IHD, stroke & diabetes mellitus. Conclusion: This study sheds light on priority needs of elderly patients in terms of medical facility in tertiary care hospital of Bangladesh. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 56-59

scholarly journals Efficacy of Locally Adapted Dietary Regimen in the Treatment of Nutritional Marasmus: A Randomized Control Trial

2014 ◽  
Vol 41 (2) ◽  
pp. 45-49
Author(s):  
ME Rahman ◽  
K Qamruzzaman ◽  
MMR Bhuian ◽  
MN Karim ◽  
MM Rahman
Keyword(s):  
Initial Phase ◽  
Medical College Hospital ◽  
World Health ◽  
College Hospital ◽  
Dietary Regimen ◽  
Target Weight ◽  
Medical College ◽  
Resource Limited ◽  
Pedal Edema ◽  
Health Organization

Food-based strategies are currently in practice to meet the challenges of micronutrient malnutrition in malnourished children. World Health Organization (WHO) proposed a dietary regimen for such therapy. In resource limited country like Bangladesh, it is difficult to implement the WHO protocol properly. Current study aimed at evaluating the locally adapted peanut based Dhaka Medical College Hospital (DMCH) dietary formula in the treatment of nutritional marasmus. The trial was conducted in Dhaka Medical College Hospital (DMCH) from July 2009 to June 2010. Sixty marasmic patients (based on WHO criteria) admitted in the hospital aged 06 to 59 months who meet the inclusion criteria were enrolled. Children with major congenital anomalies, children having feeding difficulty and bi-pedal edema, severe anemia, severe dehydration, TB, congestive heart failure with shock, critically sick child were excluded. Children were allocated with one of the dietary formula (DMCH regimen or WHO regimen) randomly by box of eight randomization protocol. Both groups were managed in two phase's i.e. initial phase and rehabilitation phase. In the initial phase starter formula was used and during the rehabilitation phase catch-up formula was given. Heath and nutritional education for mother and caregiver was given, Non-immunized children were immunized and discharge was given after fulfilling the criteria. Independent t tests were applied to compare outcome of treatment. Child receiving DMCH regimen took on average 3.47 days to return to smile the time was 4.47 in WHO regimen group (P< 0.01). Rate of weight gain was also higher in the group by around 2.66 gm/kg/day. In DMCH group the time taken to achieve target weight was 13.4 days which was around one day more than that of WHO group (14.3 days). Total amount of F-75 was also required less in WHO group. Most importantly daily treatment cost was higher by around 17 BDT per day in WHO regimen group. Neither of the group experienced any serious adverse effect or fatality. Locally made peanut based DMCH protocol is more efficacious than the WHO regimen for treatment of treatment of nutritional marasmus in the age group 6 months to 59 months. DOI: http://dx.doi.org/10.3329/bmj.v41i2.18808 Bangladesh Medical Journal 2012 Vol. 41 No. 2: 45-49

scholarly journals Effectiveness of Educative Session on Knowledge, Attitude and Practice, on Diabetes and Dyslipidemia, of Patients Attending a Private Medical College Hospital in South-India

2021 ◽  
Vol 14 (4) ◽  
pp. 2199-2204
Author(s):  
Vasanthan M Vasanthan M ◽  
Vinodhini V. M ◽  
Kasthuri N
Keyword(s):  
Diabetes Mellitus ◽  
Healthy Lifestyle ◽  
Healthcare Providers ◽  
Community Support ◽  
Medical College Hospital ◽  
South Indian Population ◽  
College Hospital ◽  
Medical College ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Introduction Diabetes mellitus and dyslipidemia are non-communicable diseases that can be prevented and controlled by maintaining a healthy lifestyle. Knowledge, attitude, and practice (KAP) in patients will provide information of much importance in Advocacy (to set guidelines by the Healthcare providers), Communication (increase awareness in subpopulation), and Social mobilization (improve services and expand community support). The study aimed to assess the effectiveness of an educative session on Knowledge, attitude, and practice (KAP) in patients attending a private medical college hospital on diabetes and dyslipidemia in the South-Indian population. Methodology The study was cross-sectional which included 100 patients (41 female and 59 male) of 18-50 years of age attending the hospital and the Central clinical laboratory for various disease conditions. A self-administered questionnaire on personal aspects and diabetes and dyslipidemia was collected. Result Among the study participants, 18% completed school education, 74% completed under-graduation, and 8% completed post-graduation. The frequency of livelihood showed 84% from rural and 16% from an urban background. Nearly 71% were active and 29% were sedentary performing self-activity. The source of information regarding the treatment of patients was also obtained from the patients to implement the same in advocacy. The knowledge of the study group on various aspects including the causes, symptoms, tests, complications of diabetes mellitus, lipid profile, dietary fiber, and exercises was analyzed. We found clarity of explanation about diabetes improved well after the educative session. Around 80% of responders believed that both fiber and routine exercises would contribute to preventing diabetes. Analysis of the attitude and practice revealed a significant knowledge of practicing proper diet, exercises, and routine health care after the educative session. Conclusion We conclude that healthcare providers shall focus on educating the patients according to their needs with the knowledge to have positive attitudes on healthy lifestyle practices in addition to the appropriate treatment.

scholarly journals Prevalence, clinical presentation and complications of diabetes mellitus in obstetric patients attending a medical college hospital

2017 ◽  
Vol 6 (9) ◽  
pp. 4028
Author(s):  
Prajakta Ganesh Joshi ◽  
Ganesh Arun Joshi
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Obstetric Care ◽  
Medical College Hospital ◽  
Dietary Advice ◽  
College Hospital ◽  
Medical College ◽  
Medical Disorders ◽  
Obstetric Management ◽  
In Pregnancy

Background: Diabetes mellitus (DM) may be present in the patient before the conception or it may appear during pregnancy. Obstetric management shall ensure prevention of diabetic embryopathy and early detection and management of diabetic complications in pregnancy.Methods: A descriptive observational study was undertaken on participants from a Medical College Hospital. The pre-existing medical disorders, blood sugar, routine antenatal investigations, type of delivery, ultrasound findings, complications of delivery, foetal outcome etc. were recorded. The participants were advised diet, exercise and pharmacotherapy. The intranatal and postnatal events were recorded. The results were compared with related literature.Results: The study had total 89 participants. Five participants (5.6%) had abnormal blood sugar values. Out of these, 2 participants were having pregestational DM and 3 were having gestational DM. Although all the participants who had abnormal blood sugar levels required caesarean section, two could not be operated. One participant with gestational DM who did not follow management advice delivered a macerated still born baby after shoulder dystocia. Another participant having gestational DM, who complied strictly as per dietary advice and exercise, could be managed well without insulin and delivered a healthy baby. The requirement of insulin increased in pregnancy in patients with pregestational diabetes.Conclusions: It is essential to ensure compliance on all three pillars of management of diabetes viz. diet, exercise and insulin during pregnancy. Hence health education for diabetes with special emphasis on obstetric care in pregnancy with diabetes should be promoted. 

scholarly journals Oral Health Status and Treatment Needs of Inpatients at a Medical College Hospital in Haryana

2018 ◽  
Vol 52 (1) ◽  
pp. 5-11
Author(s):  
Avijit Avasthi ◽  
Girish M Sogi ◽  
Koratagere L Veeresha
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Oral Hygiene ◽  
Oral Health Status ◽  
Medical College Hospital ◽  
World Health ◽  
Treatment Needs ◽  
College Hospital ◽  
Medical College ◽  
Significant Difference

ABSTRACT Aim To assess the oral health status and felt needs of patients admitted to medical/surgical wards. Materials and methods The cross-sectional study included 346 patients who were recruited from medical/surgical wards. Dental parameters were recorded using the World Health Organization (WHO) Oral Health Assessment Form for Adults, 2013. Results Mean age of patients was 40.77 [standard deviation (SD) ± 14.4] years; 36.4% aged > 45 years and 32.9% educated beyond 10 years of education. 77.2% used toothbrush and 75.7% toothpaste for cleaning of teeth. 91% brushed their teeth at least once a day and 77.7% performed tongue cleaning. Greater number of decayed teeth (3.43 ± 3.38) were seen in those educated ≤ 10 years when compared with those educated beyond this level (2.43 ± 2.55). Participants with low education attainment and higher age group (>45 years) had significantly more teeth missing due to caries/other reasons, and with deeper periodontal disease. Conversely, higher educated and younger aged group (<45 years) participants had significantly greater mean number of sound teeth and teeth without gingival and periodontal abnormalities. There was no significant difference between smokers and nonsmokers, those who ever visited a dentist or not, practicing or not practicing oral hygiene, using tobacco or not, those with diabetes mellitus and/or hypertension or without these conditions. Nearly 80% of the patients felt no requirement for dental treatment. Conclusion Despite adherence to oral hygiene practices, the oral health status of patients admitted to medical/surgical wards was poor. How to cite this article Avasthi A, Sogi GM, Veeresha KL. Oral Health Status and Treatment Needs of Inpatients at a Medical College Hospital in Haryana. J Postgrad Med Edu Res 2018;52(1):5-11.

scholarly journals Management Outcome of Infancy and Childhood Intussusception in Rajshahi Medical College Hospital - A Prospective Study

1970 ◽  
Vol 22 (1) ◽  
pp. 59-63
Author(s):  
MA Nowshad ◽  
A Moshtaque ◽  
R Hafizur
Keyword(s):  
Health Workers ◽  
Abdominal Mass ◽  
Health Centre ◽  
Medical College Hospital ◽  
High Morbidity ◽  
College Hospital ◽  
Developed Country ◽  
Mortality And Morbidity ◽  
Medical College ◽  
Infancy And Childhood

Background: Intussusception is one of the major causes of bowel obstruction in infancy and childhood. Proper diagnosis and effective management have significantly reduced its mortality and morbidity in developed country. Aim: To document the mode of presentation and treatment outcome of Intussusception at Rajshahi Medical College Hospital. Patients and Methods: Thirty three consecutive cases of this condition seen at paediatric surgical ward over one year period were prospectively studied. Details of symptoms and signs, pre-hospital care, treatment and outcome were documented. Result: The triad of abdominal pain, bloody mucoid stools and palpable abdominal mass was seen in 24 (72%) of the cases. Twenty one (63%) had been admitted and treated with intravenous fluids in peripheral health centre for an average of 3 days before referral to this hospital. Prolonged mean duration of recognizable symptoms of 3 days accounted for a 58% bowel resection rate. Wound infection occurred in 11 (33.3%) and burst abdomen in 07 (21.2%) of cases. Faecal fistulae developed in 02 (06%) and incisional hernia developed in 03 (09%) of the patients. Overall, mortality rate was 09%. Conclusion: the early symptoms of Intussusceptions would seem to be missed by primary health workers, with consequently high morbidity and mortality. There is an urgent need to re- emphasize these symptoms to the first line healthcare providers and parents through public enlightenment campaigns. DOI: 10.3329/taj.v22i1.5020 TAJ 2009; 22(1): 59-63

scholarly journals Serum magnesium and copper levels in Bangladeshi women with gestational diabetes mellitus

2017 ◽  
Vol 11 (1) ◽  
pp. 25-28
Author(s):  
Farzana Akonjee Mishu ◽  
MA Muttalib
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Medical College Hospital ◽  
Control Group ◽  
Oral Glucose ◽  
Third Trimester ◽  
College Hospital ◽  
Medical College

Background and objectives: Alteration of magnesium (Mg) and copper (Cu) concentrations in blood has been observed in normal pregnancy as well as in gestational diabetes mellitus (GDM). The present study was aimed to evaluate the serum Mg and Cu levels in Bangladeshi women with GDM in their second and third trimester of pregnancy.Methods: The study was conducted at Mymensingh Medical College Hospital from July 2013 to June 2014. Pregnant women, in their second and third trimester, attending the outpatient department of Obstetrics and Gynecology and the Department of Endocrinology of Mymensingh Medical College Hospital were enrolled by purposive sampling technique. GDM was diagnosed on the basis of oral glucose tolerance test (OGTT) as defined in WHO criteria 2013. Blood glucose was estimated by enzymatic GOD-PAP colorimetric method. The cut off value for fasting plasma glucose level was ?6.1 mmol/L or ?7.8 mmol/L 2 hours after glucose load. Serum Cu was estimated by 3, 5-DiBr-PAESA method and Mg by Xylidyl Blue-I Method as per manufacturer’s instruction.Results: A total of 172 pregnant women in their second and third trimester were enrolled. Out of 172 participants, 86 had GDM and 86 were normoglycemic (control). The mean age of GDM and control groups was 28.6±3.2 years and 27.3±3.1 years respectively. The BMI was 26.4±1.5 m/kg2 and 26.3±1.3 m/kg2. Serum Mg level was significantly low (p< 0.001) in 2nd and 3rd trimesters in GDM cases (1.39±0.26 mg/dl and 0.93±0.15 mg/dl) compared to control group (1.67±0.3 mg/dl and 1.67±0.31mg/dl). On the contrary, serum Cu levels in GDM cases were significantly (p<0.002) higher in both trimesters (224±333.8 ?g/dl and 243.91±6.89 ?g/dl) compared to those without GDM (220.1±7.6 ?g/dl and 234.9±4.6 ?g/dl). There was significant (p<0.001) increase of serum Cu levels in 3rd trimester compared to 2nd trimester in both GDM and non GDM cases.Conclusion: There was distinct alteration of serum Mg and Cu levels in GDM compared to normal pregnancy.IMC J Med Sci 2017; 11(1): 25-28

Sign in / Sign up

Export Citation Format

Share Document