INTRODUCTIONDiabetes mellitus (DM) has become major public health problem in India. It is a metabolic disorder caused by impaired insulin secretion, peripheral insulin resistance or both. It is characterised by raised blood glucose with diminished uptake and metabolism of cellular glucose as well as altered lipid and protein metabolism.1 Diabetes is not only increasing morbidity and mortality but also decreases the quality of life. Also disease and its complications are causing heavy economic burden for patients suffering from it. 2,3ABSTRACT Background: Diabetes is endemic globally with increasing prevalence in both developing and developed countries. Persistent hyperglycaemia of diabetes is associated with micro as well as macro vascular complications like coronary heart disease, stroke, diabetic renal disease, diabetic retinopathy and neuropathy etc. Dyslipidemia contribute to considerable increased risk of atherosclerosis and consequent mortality in diabetic patients. It often precedes onset of diabetes particularly type 2 DM and may persist inspite of adequate control of blood sugar. The objective of the study was to study prevalence and pattern of dyslipidemia in type 2 diabetes mellitus patients attending Rural Health and Training Centre of medical college in Bhopal, Madhya Pradesh. Methods: This was a cross sectional study carried out among 50 Type 2 diabetic mellitus patients attending OPD of Rural Health Training Centre (RHTC) of medical college in Bhopal Madhya Pradesh. Study population included known as well as newly diagnosed type 2 diabetic patients more than 30 years of age attending OPD at RHTC. Results: According to ATP III guidelines dyslipidemia was observed in 43 (86%) study subjects. Hypercholesterolemia was seen in 18 (36%) study subjects. Increased LDL and triglycerides was observed in 33 (66%) and 32 (64%) study subjects respectively. Lower HDL cholesterol values were observed in 26 (52%) study subjects. Out of 43 study subjects having dyslipidemia, 14 (32.6%) study subjects were having isolated single parameter dyslipidemia, while 10 (23.2%) had combined two parameter dyslipidemia and 19 (44.2%) study subjects showed mixed dyslipidemia. Conclusion: Results suggest high (86%) prevalence of dyslipidemia among type 2 diabetes mellitus study subjects. Most common pattern observed was mixed type dyslipidemia. These lipid abnormalities might be the important in view of development of cardiovascular or cerebrovascular diseases. Hence type 2 diabetic patient should undergo the routine monitoring of blood sugar and lipid profile so that any abnormalities can be identified and preventive measures along with interventions can be initiated at the earliest.
Background: Domestic violence against women is widely recognized as important public health problem, owing to its substantial consequences for women's physical, mental and reproductive health. This study tried to assess the frequency and patterns of domestic violence against women experienced by attendees of Domestic Violence counselling
BackgroundDuring disasters, the most pressing demands are those related to health, and hospital preparedness is an area that require special attention. Hospitals are viewed as resources that must be proactively utilized in the event of a disaster. If national and local systems, particularly health systems, are unprepared to deal with disasters, the vulnerability of both individuals and communities is amplified. The unexpected surge in demand for important health services caused by disasters frequently overwhelms health systems and institutions, leaving them unable to perform the life-saving measures that are required. This study aims to understand various domains of hospital disaster preparedness by critically synthesizing qualitative evidence from selected research on the topic.MethodsElectronic data base from PubMed, Google Scholar, key hospital disaster related journals was explored with search syntax focusing on hospital related disaster preparedness. Peer reviewed English articles published from January 2011 were systematically selected and critical interpretative qualitative synthesis was done to have comprehensive understanding of the said phenomenon.ResultsA total of 29 articles were included in the systematic review. Major resultant domains describing disaster preparedness were Human Resource, Logistics And Finance, Response, Communication, Coordination, Patient Care, Evacuation and Personal Protection. Some domains were more emphasised than others, this information can help prioritizing the action based on need especially in the times of disaster.ConclusionDisaster preparedness needs a comprehensive approach including context specific optimization with the effective use of available resources.
Objective: The objective of this study was to find out interrelationship of economic burden and dependency profile of families with COVID-19 mortalities and to make related recommendations. Methods: A mixed method research was conducted to understand the interwoven mechanisms of COVID-19 mortalities for the study of variables including level of education, type of family, and economic burden to guide and direct public health strategies among research vulnerable groups of population in the present and in the future. Results: The dependency has been high in nuclear and joint family combined (160) as compared to three-generation family (21). The gender-wise distribution shows females having two children in family in higher numbers (46.0%) as compared to males in the same age group (35.5%). There is observed high number of COVID-19 mortalities among graduate and above (79) followed by literate up to higher secondary (60). Mean annual income has been highest in the COVID-19 mortalities for subgroup of a number of children being 4 (5.58%), followed by one child (3.79 lacs), no child (3.11 lacs), two children (2.95 lacs), three children (2.90 lacs), and five and more children (2.79 lacs). Conclusion: Although there is observed intergroup difference in the gender vulnerabilities and varying threshold of dependencies including social, demographic, economic, and developmental areas, there is an appreciable public health need to achieve social gains and avert possible disparities of existence through intersectoral and envisioned strategic reform-based initiatives leading to gainful coexistence of deprived with other social masses to achieve the set target of social developmental goals as per international health actions.
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