INTRODUCTIONDiabetes mellitus is a group of metabolic disorders characterized by chronic hyperglycemia associated with disturbances of carbohydrate, fat and protein metabolism due to absolute or relative deficiency in insulin secretion and/or action.1 It is categorized into type 1 and type 2 diabetes mellitus. Type 1 Diabetes mellitus usually manifests before adulthood and accounts for about 5% of the cases. It arises through the autoimmune destruction of pancreatic beta cells, which leaves the patient with severe insulinopenia and extreme hyperglycemia. Type 2 diabetes mellitus (T2DM usually manifests in later adult life and accounts for about 95% of all cases. It develops mainly through a combination of insulin resistance and defective beta cell function. T2DM if not treated adequately, can lead to micro-vascular complications affecting the retina, renal glomerulus and the peripheral ABSTRACT Background: Type 2 diabetes mellitus (T2DM) and depressive disorders are among the major health problems in our community. Chronic medical conditions, like diabetes are affectively stressful for patients and may influence pathophysiologic mechanisms as well as mood. This can lead to depression and poor prognosis of T2DM. This study was done to assess the prevalence of depression among T2DM patients and its association with glycemic control. Methods: This descriptive cross sectional study was carried out among 300 T2DM patients attending Urban Health Training Center (UHTC), Anakaputhur, which belongs to the urban field practice area of our institution. Fasting Blood Sugar levels (FBS) were assessed retrospectively from their medical records; and they were screened for depression by administering the nine items, "Patient Health Questionnaire -9". Results: Of the 300 T2DM patients, 54% were females. The mean age of the participants was 53±9.7 years. 31% of the study participants had fasting blood sugar (FBS) levels above 125 mg/dl. Depression was present in 39.7% of the individuals, among which, 17.3% had mild depression, 13% had moderate depression, 6.7% had moderately severe depression and 2.7% had severe depression. Depression was found to be significantly associated with increasing fasting blood sugar levels, diabetic complications, female gender and diabetic treatment. Conclusions: This study shows that depression is highly prevalent among T2DM patients and is associated with poor prognosis, as reflected by poor glycemic control (FBS) and the occurrence of diabetic complications. So screening and counselling for depression among T2DM patients have to be carried out for optimum control and treatment of T2DM.
In the world, under-nutrition accounts for a large scale of infant and child mortality, one of the causes being suboptimal breastfeeding and complementary feeding. It is important that adequate nutrition have to be provided during the period of first and second year of life to prevent impaired developmental milestones and the overall health of the child since it is very common in India. The main aim of this study is to assess the knowledge and feeding practices among mothers of infants and children aged between 6 and 23 months. A cross-sectional study was conducted using a pre-tested structured questionnaire, which was developed based on (Infant and Young Children Feeding practices) IYCF, on 101 mothers of infants and children aged between 6 and 23 months in Thirumazhisai, Chennai. Among the 101 mothers interviewed, 93% of them had knowledge of early initiation of breastfeeding, but only 87.1% of the children were given breastfeeding within 1 hour of birth and exclusive breastfeeding practices were followed in 94% of the mothers. Statistical significant association was found between Exclusive breastfeeding and age< 25 years, socio-economic status and education. The prevalence of pre-lacteal feeding was 13.9%. Though there is adequate knowledge and feeding practices followed, further research is needed to quantify the gaps among the knowledge and practice of feeding practices among the study population.
Dengue is a systemic viral infection transmitted between humans by Aedes mosquitoes. Dengue is a viral infection which originates from mosquitoes. Dengue is caused by a virus called the dengue virus (DENV). Most notably, there are four major DENV serotypes. Therefore it is possible to be diseased by either four or all four of them. As seen in most cases, DENV infections usually cause a mild infection, but it can also lead to an acute flu-like illness. Occasionally this proliferates into a possibly deadly problem, called severe dengue. The Detection and mapping of Dengue risk areas is a multifaceted, tiring, complicated and extended task requiring evaluation of many criteria. It is not sure that always one single factor is liable for Dengue Fever transmission in all areas, but it differs with changing geographical location. The main objective of the present study is to prepare an environmental risk mapping for dengue transmission in a rural area, Tamil Nadu and access the level of risk the people of that area are in and how susceptible they are to dengue. A total of 40 houses were observed for risks of dengue using a questionnaire and by looking around the house for possible hotspots after screening for inclusion and exclusion criteria. There is hence a need for educational programs to facilitate awareness and promote sensible practices to avoid dengue. Every individual should also follow precautionary guidelines taking into consideration the risk dengue. This study serves to spotlight the possible current risk in contracting dengue due to poor household habits and lack of awareness in a rural area.
People suffering from immunosuppressive conditions like Human Immunodeficiency Virus (HIV) are more prone to suffer from non-communicable diseases like hypertension, which is not identified and treated at an earlier stage, can lead to significant mortality and morbidity in them. The study design was a cross-sectional study done in select Anti-Retroviral Therapy (ART) centers in Government hospitals in Tamil Nadu during a period from 2017-2018. Data regarding their HIV status, treatment history and Body Mass Index (BMI) were recorded and Blood Pressure (BP) was recorded by using mercury sphygmomanometer using standard guidelines. Data was entered in Microsoft excel and analyzed by using SPSS version 22 software. The study population comprised of 75% males and 25% females. Mean age of study participants was 45+8.2 years and the mean BMI was 22+3.4. The prevalence of hypertension among HIV affected individuals was found to be 14.63%. According to JNC criteria, 34% were having Stage 1 hypertension and 33% had Stage 2 hypertension and only 23% were on treatment. Significant association was found between increasing age, gender, BMI and hypertension. Health education and awareness creation has to be created among HIV patients on maintaining a healthy diet and lifestyle so that, obesity can be prevented or reduced which could play an important role in NCD’s like hypertension and also hypertensive patients have to be identified and treated at early stage to reduce the morbidity and mortality.
As defined by the World Health Organisation (WHO), physical activity is any bodily movement produced by skeletal muscles that require energy expenditure. Physical activity is split into exercise and non-exercise physical activity. Physical inactivity is associated with many chronic and non-communicable diseases such as hypertension, type II diabetes mellitus, carcinoma and mental health problems. According to the global statistical report of WHO, around 1.6 million deaths occur annually, and these deaths can be attributed to insufficient physical activity. This study would aim to assess the practice of physical activity among medical students and to study the factors associated with physical activity. A cross-sectional study was conducted in a private medical college between January 2020 and March 2020, 444 undergraduate students were included in the study, among which 401 responses were considered valid. A standard international physical activity questionnaire (IPAQ) was used. The data were entered in Microsoft Excel and analysed using Pearson’s chi-square test. The students belonged to 1st year 125(31.2%), 2nd year 128(31.9%), 3rd year 133(33.2%) and 4th year 15(3.7%). Majority of these students 233(58.1%) had an average Body Mass Index (BMI) and 184(45.9%) practised low level of physical activity. In comparison with the level of physical activity, batches(1st year, 2nd year,3rd year, 4th year) and gender(males, females) were significant at p<0.05, but BMI was not significant at p<0.05. Comparing the level of physical activity with the BMI of the students, it can be concluded that the level of physical activity is not associated with BMI.
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