scholarly journals AWARENESS REGARDING DIABETES AND ITS MANAGEMENT AMONGST PATIENTS VISITING TERTIARY CARE HOSPITALS AND ITS IMPACT ON GLYCEMIC CONTROL

2021 ◽  
Vol 71 (5) ◽  
pp. 1815-19
Author(s):  
Anum Khan ◽  
Abdul Rehman Arshad ◽  
Asif Farooq ◽  
Sheharyar Raashid
Keyword(s):  
Glycemic Control ◽  
Rural Areas ◽  
Smoking Status ◽  
Demographic Data ◽  
Tertiary Care ◽  
Military Hospital ◽  
Level Of Education ◽  
Duration Of Diabetes ◽  
Disease Awareness ◽  
Hba1c Levels

Objective: To assess factors affecting disease awareness in diabetics, and its association with glycemic control. Study Design: Cross-sectional analytical study. Place and Duration of Study: Department of Medicine, Pak Emirates Military Hospital Rawalpindi from Jan to Apr 2019. Methodology: Outdoor patients with type-II diabetes mellitus were selected using a consecutive sampling technique. Disease awareness was assessed with a modified Diabetes Knowledge Questionnaire, with scores >70% considered satisfactory. Recent HbA1c levels were used to determine glycemic control (<7% reflecting good glycemic control). Demographic data, including age, gender, level of education, residence, duration of diabetes, mode of treatment, smoking status and co-existing hypertension, were also recorded. Results: There were 212 patients with equal gender distribution and mean age of 55.90 ± 11.96 years. Of these, 117 (55.18%) lived in rural areas, 77 (36.32%) were educated, 34 (16.03%) were smokers and 121 (57.07%) had co-existing hypertension. The mean duration of diabetes was 81.72 ± 71.67 months (range 3-360 months) and mean HbA1c levels were 9.55 ± 2.56%. Higher HbA1c levels were associated with poorer DKQ scores. The level of education and the duration of diabetes significantly predicted DKQ scores. Conclusion: Lack of disease awareness leads to poor glycemic control. Better education and longer disease duration impact the understanding of diabetes.

scholarly journals Clinicopathological Evaluation of Seronegative Arthritis in a Tertiary Care Hospital of Bangladesh

2016 ◽  
Vol 12 (2) ◽  
pp. 66-70
Author(s):  
Md Shameem Haidar ◽  
Md Abdur Razzak
Keyword(s):  
Demographic Data ◽  
Tertiary Care ◽  
Armed Forces ◽  
Military Hospital ◽  
Inflammatory Rheumatic Diseases ◽  
Case Report Form ◽  
Care Hospital ◽  
Seronegative Arthritis ◽  
Cross Sectional ◽  
Number Of Patients

Introduction: The seronegative arthritis is a heterogeneous group of inflammatory rheumatic diseases with predominant involvement of axial, peripheral joints and enthesitis. All of these have some distinct as well as some overlapping features, characteristic peripheral asymmetrical lower limb involvement and a negative rheumatoid factor. Involvement of joints is usually oligoarticular but rarely polyarthritis may be present. Diagnosis is usually made from clinical features rather than investigations. Objective: To evaluate the seronegative arthritis clinicopathologically by collecting and analyzing the relevant informations. Materials and Methods: A descriptive cross-sectional prospective study was conducted at Combined Military Hospital, Chittagong from November 2015 to October 2016. A total 74 patients of suspected seronegative arthritis were included. Detail socio-demographic data were collected from the informant and recorded in structured case report form. Clinical examination and relevant investigations were done meticulously to confirm the aetiology of seronegative arthritis. Results: Maximum number of patients was in the 3rd to 4th decade (62.1%), mean age of the patient was 37.4±8.7 and 38.7±8.1 years in male and female respectively. Malefemale ratio was 2.65:1. Symmetrical sacroiliitis was found in 15(20.2%) patients, asymmetrical sacroiliitis in 36(48.6%) and in 23(31.2%) cases sacroiliac joint was not involved. Common aetiology for seronegative arthritis showed that, reactive arthritis recognized in majority of patients 29 (39.1%) and second most common cause was seronegative rheumatoid arthritis in 23(31%) patients. Conclusion: The Seronegative arthritis is a social, economical and health-care burden. Patients who develop 66 JAFMC Bangladesh. Vol 12, No 2 (December) 2016 arthritis have high disability, discomfort and loss of quality of life. Seronegative arthritis is an interesting group of related conditions with overlapping features and genetic and familial association. That may alert the primary care physician to attain possible diagnosis of spondyloarthritis and to consider a rheumatological opinion. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 66-70

scholarly journals A Study of drug utilization pattern in gynaecology out-patient department of a tertiary care hospital

2019 ◽  
Vol 7 (11) ◽  
pp. 4280
Author(s):  
Manish B. Nandeshwar ◽  
Ashish D. Chakravorty
Keyword(s):  
Drug Utilization ◽  
Rural Areas ◽  
Demographic Data ◽  
Tertiary Care ◽  
Brand Names ◽  
Care Hospital ◽  
Essential Drug ◽  
Essential Drug List ◽  
Drug List ◽  
Patient Department

Background: Gynaecological diseases are common in India because of socioeconomic, hygienic and literacy problems. Gynaecological drugs are one of the strong selling drugs in pharmaceutical market. Drug utilization research facilitate appropriate use of drugs in patient, minimize the adverse event and lead to better patient outcome. So, the present study was carried out to examine the patterns of drug prescription.Methods: A retrospective, observational study was done by collecting the prescriptions of the patients who attended the Gynaecology out-patient department in our institute for the period of six months. Total 300 prescription were collected and analysed. Patient’s demographic data, total number and category of drugs prescribed, percentage of individual drug and their dosage forms, drugs prescribed by generic name, brand names and percentage of drugs prescribed from essential drug list were analysed.Results: The mean age of presentation was 36.6±10.98 years. Among infective group breast abscess were common and among non-infective cases dysmenorrhea was most common. Out of 754 drugs prescribed, minerals were most commonly prescribed (42.70%) followed by antimicrobials (24.53%). Tablet form were prescribed more commonly (96.02%) followed by capsules (2%) and injections (1.06%). The average no. of drugs per prescription was 2.51±1.26 SD. Percentage of drugs prescribed by generic name were 98.01% and drugs prescribed from essential drug list were 85.41%.Conclusions: The overall drug use pattern in our study correlates with various gynaecological diseases. Majority of the women from rural background depend on primary health services for gynaecological diseases in their areas so, strengthening of gynaecological health care services reduce the morbidity among the women from rural areas. 

scholarly journals Status of Ocular Complications in Type 2 Diabetes and Relationship Between Other Comorbidities

2016 ◽  
Vol 15 (1) ◽  
pp. 35-39
Author(s):  
Jishu Deb Nath ◽  
Mozammel Hogue Sharifi
Keyword(s):  
Smoking Status ◽  
Vascular Diseases ◽  
Ocular Complications ◽  
Current Smoking ◽  
Duration Of Diabetes ◽  
Minimum Age ◽  
Eye Examination ◽  
Unilateral Cataract ◽  
Hba1c Levels

Introduction : Diabetes Mellitus is a multifactorial disease, associated with a number of micro vascular (Retinopathy, Neuropathy and Nephropathy) and macro vascular (Ischemic Heart Disease, Cerebrovascular Disease and Peripheral Vascular Diseases) complications. Duration of diabetes, current smoking and presence of co morbidities such as HTN, IHD all are significantly associated with the ocular complications in this study.Objective: The purpose of the study is to see the glycaemic status and co morbidities influencing the ocular complications.Methods: The patients for the study were randomly recruited from the Eye outpatient clinics in Chattagram Maa Shishu-O-General Hospital, Chittagong, Bangladesh, from July 2014 to October 2014. Risk factors of DR like age, sex, duration of diabetes and hypertension, IHD, smoking status were evaluated.Results: The study showed that 53 are male and 47 are female. Maximum age is 85 and minimum age is studied at 28. Cataract was the predominant complications presented our study. 22% patient had unilateral and 20% had bilateral cataract. 29% had retinopathy. Mean FPG , PPG & HBA1c levels in unilateral cataract were 7.0 mmol/L, 8.9 mmol/L and 7.03 mmol/L in comparative to retinopathy group was 8.4 mmol/L, 10.6 mmol/L and 8.6 mmol/L respectively. Major complications are retinopathy are found in 26% hypertensive and 24% IHD patients, prevalence of Diabetic retinopathy is 6.9% after 5 years onset of DM and 73.9% after 15 years of diabetes.Conclusion : Prevalence of Diabetic ocular complications is high in our country, Ocular complications increases proportionately to duration and presence of co morbidities. Tight control of DM and periodic eye examination can prevent complications.Chatt  Shi Hosp Med Coll J; Vol.15 (1); Jan 2016; Page 35-39

scholarly journals BREAST FEEDING

2011 ◽  
Vol 18 (01) ◽  
pp. 18-23
Author(s):  
ALIYA ISLAM ◽  
NUSRAT AJAB KHAN ◽  
USMA NAILA
Keyword(s):  
Breast Feeding ◽  
Post Partum ◽  
Demographic Data ◽  
Tertiary Care ◽  
Military Hospital ◽  
P Value ◽  
Tertiary Care Centre ◽  
Group I ◽  
Causative Factors ◽  
Group Ii

Objective: To study the causative factors responsible for avoidance of Breast Feeding in post-partum women attending the post-natal OPD in MH Rawalpindi. Design: Comparative cross sectional study. Setting: Dept of Gynae and Obstetrics, Military Hospital, Rawalpindi. Tertiary care centre from all the Pakistan dealing with other ranks of Pak Army. Duration: Nine months (From 01.01.2007 to 1.10.2007). Materials and Methods: Study was done on 1000 patients at post-natal Gynae OPD. Patients were divided into two groups of 500 each. Those patients who were exclusively breast feeding their babies were included in group-II while group-I included those patients who were not breast feeding their babies at all. Patients demographic data was entered on questionnaire and factors involved were interpreted. The most important causative factor responsible for avoidance of breast feeding in group-I were noted down. The mothers in group-II were enquired about that problem. Data was analyzed by using computer software programme SPSS version 11. Chi square test was used to see the significance of difference between group-I and group-II and results were considered significant if P value is less than 0.05. Results: The study showed that as compared to group-II causative factors involved in avoidance of breast feeding in group-I were pain at operated site 148, working women 38, Sick baby 26,Cracked nipples and mastitis 59, Breast abscess 4, Social Myths 58, Multiple Births 2, Inverted Nipples 5 and failure of proper counseling 160. Conclusions: Most of the factors responsible for avoidance of breast feeding are preventable and treatable. General population should be educated regarding the benefits of breast feeding in the mother and baby. Thus reducing mortality rate in woman and infants.

scholarly journals Effect of Tofogliflozin on Body Composition and Glycemic Control in Japanese Subjects with Type 2 Diabetes Mellitus

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Shinji Kamei ◽  
Masahiro Iwamoto ◽  
Miyuki Kameyama ◽  
Masashi Shimoda ◽  
Tomoe Kinoshita ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Skeletal Muscle ◽  
Type 2 Diabetes Mellitus ◽  
Body Composition ◽  
Glycemic Control ◽  
Skeletal Muscle Index ◽  
Duration Of Diabetes ◽  
Hba1c Levels

Sodium-glucose cotransporter 2 inhibitor tofogliflozin is a new type of antidiabetic drug for individuals with type 2 diabetes mellitus (T2DM). The aim of this study was to examine in which type of individuals and/or under which conditions tofogliflozin could exert more beneficial effects on body composition and/or glycemic control in Japanese individuals with T2DM. We retrospectively evaluated the effects of tofogliflozin on body composition and/or glycemic control in individuals with T2DM who newly started taking tofogliflozin. After tofogliflozin treatment, body weight was significantly reduced and HbA1c levels were significantly decreased. Body fat mass, skeletal muscle mass, and skeletal muscle index, a marker for sarcopenia, were also reduced after the treatment. In univariate analyses, there was a statistically significant association between the decrease of HbA1c level after tofogliflozin treatment (Δ HbA1c) and the following parameters such as HbA1c levels at baseline, visceral fat area (VFA) at baseline, and reduction of VFA after the treatment (Δ VFA). Furthermore, in multivariate analyses, HbA1c levels at baseline and duration of diabetes were independently associated with Δ HbA1c. These results suggest that tofogliflozin would be more suitable for relatively obese individuals whose duration of diabetes is relatively short.

scholarly journals Association between Self-Reported Chewing Status and Glycemic Control in Japanese Adults

2021 ◽  
Vol 18 (18) ◽  
pp. 9548
Author(s):  
Komei Iwai ◽  
Tetsuji Azuma ◽  
Takatoshi Yonenaga ◽  
Daisuke Ekuni ◽  
Kazutoshi Watanabe ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Glycemic Control ◽  
Body Mass ◽  
Smoking Status ◽  
Cross Sectional Study ◽  
Current Smoker ◽  
Cross Sectional ◽  
Japanese Adults ◽  
High Hba1c ◽  
Hba1c Levels

This cross-sectional study investigated the relationship between self-reported chewing status and glycemic control in 30,938 Japanese adults who participated in health checkups. Chewing status was evaluated using a self-reported questionnaire. We defined high hemoglobin A1c (HbA1c) levels as a HbA1c level ≥6.5%; 692 (2.2%) respondents met this criterion. After adjusting for gender, age, smoking status, exercise habits, body mass index and eating speed, high HbA1c levels was found to be associated with male gender (odds ratio (OR), 1.568; 95% confidence interval (CI), 1.310 to 1.878; p < 0.001), older age (OR, 1.077; 95% CI, 1.068 to 1.087; p < 0.001), higher body mass index (OR, 1.246; 95% CI, 1.225 to 1.268; p < 0.001), current smoker status (OR, 1.566; 95% CI, 1.303 to 1.882; p < 0.001) and chewing difficulty (OR, 1.302; 95% CI, 1.065 to 1.591; p < 0.05). In conclusion, self-reported chewing difficulty was associated with high HbA1c levels in Japanese adults.

scholarly journals Impact of type 2 diabetes and microvascular complications on mortality and cardiovascular outcomes in a multiethnic Asian population

2021 ◽  
Vol 9 (1) ◽  
pp. e001413
Author(s):  
Jonathan Yap ◽  
Kamalesh Anbalakan ◽  
Wan Ting Tay ◽  
Daniel Ting ◽  
Carol Yim Cheung ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Cardiovascular Disease ◽  
Glycemic Control ◽  
Microvascular Complications ◽  
Population Based ◽  
Cardiovascular Outcomes ◽  
Microvascular Complication ◽  
The Impact ◽  
Hba1c Levels

IntroductionDiabetes mellitus is a growing public health epidemic in Asia. We examined the impact of type 2 diabetes, glycemic control and microvascular complications on mortality and cardiovascular outcomes in a multiethnic population-based cohort of Asians without prior cardiovascular disease.Research design and methodsThis was a prospective population-based cohort study in Singapore comprising participants from the three major Asian ethnic groups: Chinese, Malays and Indians, with baseline examination in 2004–2011. Participants with type 1 diabetes and those with cardiovascular disease at baseline were excluded. Type 2 diabetes, Hemoglobin A1c (HbA1c) levels and presence of microvascular complications (diabetic retinopathy and nephropathy) were defined at baseline. The primary outcome was all-cause mortality and major adverse cardiovascular events (MACEs), defined as a composite of cardiovascular mortality, myocardial infarction, stroke and revascularization, collected using a national registry.ResultsA total of 8541 subjects were included, of which 1890 had type 2 diabetes at baseline. Subjects were followed for a median of 6.4 (IQR 4.8–8.8) years. Diabetes was a significant predictor of mortality (adjusted HR 1.74, 95% CI 1.45 to 2.08, p<0.001) and MACE (adjusted HR 1.64, 95% CI 1.39 to 1.93, p<0.001). In those with diabetes, higher HbA1c levels were associated with increased MACE rates (adjusted HR (per 1% increase) 1.18, 95% CI 1.11 to 1.26, p<0.001) but not mortality (p=0.115). Subjects with two microvascular complications had significantly higher mortality and MACE compared with those with only either microvascular complication (adjusted p<0.05) and no microvascular complication (adjusted p<0.05).ConclusionDiabetes is a significant predictor of mortality and cardiovascular morbidity in Asian patients without prior cardiovascular disease. Among patients with type 2 diabetes, poorer glycemic control was associated with increased MACE but not mortality rates. Greater burden of microvascular complications identified a subset of patients with poorer outcomes.

scholarly journals Patterns of Alcohol Consumption in the PURE Poland Cohort Study and Their Relationship with Health Problems

2021 ◽  
Vol 18 (8) ◽  
pp. 4185
Author(s):  
Katarzyna Zatońska ◽  
Piotr Psikus ◽  
Alicja Basiak-Rasała ◽  
Zuzanna Stępnicka ◽  
Maria Wołyniec ◽  
...  
Keyword(s):  
Cohort Study ◽  
Alcohol Consumption ◽  
Rural Areas ◽  
Urban Areas ◽  
Level Of Education ◽  
Adult Participants ◽  
Frequent Consumption ◽  
Urban And Rural Areas ◽  
Socio Demographic Factors ◽  
High Level

(1) Background: Alcohol is a leading risk factor of premature morbidity and mortality. The objective of this study was to investigate the patterns of alcohol consumption in the PURE Poland cohort study baseline. (2) Methods: A Polish cohort was enrolled in the baseline study in 2007–2010. The study group consisted of 2021 adult participants of urban and rural areas from the Lower Silesia voivodeship in Poland (747 men and 1274 women). (3) Results: In the overall study population, 67.3% were current drinkers, 10.3% were former drinkers, and 22.4% were abstainers. Current use of alcohol products was more prevalent in men (77.2%), people living in urban areas (73.0%), and people with a higher level of education (78.0%). The percentage of current drinkers decreased with increasing age (from 73.4% in 30- to 44-year-olds to 48.8% in participants aged 64 and more). The majority of participants (89.2%) declared a low level of alcohol intake. The chance of high level of intake of alcohol was four times higher in men than in women (OR 4.17; CI 1.64–10.6). The majority of participants (54.6%) declared most frequent consumption of low-alcohol drinks (beer, wine) and 21% declared most frequent consumption of spirits. Current drinkers had almost 1.5-fold higher odds of diabetes and cardiovascular diseases (CVD) than never drinkers (OR 1.49, CI 1.03–2.17; OR 1.66, CI 1.27–2.18, respectively). Former drinkers had higher odds for hypertension and CVD than never drinkers (1.73, CI 1.05–2.85; OR 1.76, CI 1.22–2.53, respectively). (4) Conclusions: In our cohort study, we observed several socio-demographic factors differentiating the patterns of alcohol consumption. The preventive programs should focus predominantly on men, people aged <45 years, and those with a higher level of education.

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