Currently, 314 million people in the world are Prediabetes, and it is predicted that around 500 million would be burdened by the year 2025. Continuing education of diabetes and its complications is crucial, but it should be accompanied with regular assessment of Knowledge Attitude and Practice (KAP) among the high-risk population. That would play a cost-effective role in prevention and control of the disease.This study was carried out to assess the Knowledge, Attitude and Practice among the newly diagnosed Prediabetes screened over selected districts of South India.This study was conducted through prediabetes screening camps over districts of Calicut, Wayanad and Malappuram in Kerala and The Nilgiris district in Tamilnadu from September 2017 to October 2019. A questionnaire survey was done as a part of a prospective open-label interventional study with 308 prediabetes individuals. Baseline characteristics of the participants were obtained, and their knowledge, attitude and practice regarding Prediabetes were assessed. The finding of the present study revealed 90% of the respondents had poor knowledge, 9% had average knowledge, and only 1% had good knowledge of Prediabetes. In the attitude assessment, only 1.9% had a strongly positive attitude, 14% had a positive attitude, 54% had neutral attitude while 17% had a negative attitude and 13% had a strongly negative attitude. Regarding healthy lifestyle practices, 35.4% had a deplorable practice that scored below 6. Around half of the population, 52.3% had poor practice, 12% had proper training, while only 0.3% had a perfect practice.Knowledge and practice regarding lifestyle modifications among prediabetes participants were found to be reduced.
Highlights A Prediabetes prevalence of 10.5% alarms the need for prediabetes management programs. KAP-PAQ was found to be an efficient tool to conduct KAP survey among prediabetes. Implementation of Prediabetes Education Program increased the self management skills among the prediabetes.
Background: Trauma management is an ever evolving part of orthopaedics and with the latest advancement in metallurgy, crafting processes and biomechanical studies, the implants used have been continuously changing. Distal femur fractures occur at a major joint and their management has always been complicated ranging from preoperative, intra-op to postoperative period. All the studies and research are aimed towards achieving the best functional outcome and functional outcome studies help in collecting and assimilation of the data for the same which further help in modification of techniques to further improve the same. This study focusses on the outcomes achieved by using the distal femur locking compression plate for the management of fractures distal end of femur. Materials and Methods: Prospective, unicentric, observational study from June 2018 -February 2020. All patients with distal femur facture were included. Pathological fractures, open fractures, fractures older than 3 weeks and patients with ipsilateral proximal tibia, patella and proximal femur were excluded. Surgical approach was surgeon's choice. Functional outcome was measured using Knee Society Knee Scoring system at 6weeks, 3 months, 6months and 12 months. Functional outcome measured at 12 months was used for evaluation. Results: 28 patients, 19(67.9%) males and 9(32.1%) females. 89.47% of males sustained the fracture due to road traffic accident and 66.66% of females sustained due to fall and all belonged to age group more than 60 years. The average range of motion achieved was 112.3° ± 8.2. Functional outcome at 12 months 71.4% patients had excellent, 25% had good and 3.6% patients had fair and no patient had poor outcome. Conclusion:Distal femur fracture is more common in the age group of 21-40 years. The average range of motion of knee achieved in Type A and Type B fractures are significantly better than Type C fractures. Excellent functional outcome was statistically significant in Type A and Type B fractures when compared to Type C fractures.
<p class="abstract"><span lang="EN-US">Nora’s lesion is a benign lesion involving mainly the proximal phalanges, metatarsals or metacarpals in the hands and feet. It may be easily confused with a malignant entity and was first identified and reported by Nora et al. in 1983. We present a case of a 12 years old female with complains of a swelling over the right foot noticed 4 months ago. Plain radiograph revealed heterotrophic calcification over the dorso-lateral aspect of the head of the first metatarsal. MRI scan of the foot was suggestive of a benign pathology with a differential of bizarre parosteal osteochondromatous proliferation (BPOP) or an osteochondroma. The patient was managed with excision biopsy and lesion was excised along with the pseudo-capsule and adjoining periosteum. Cortex appeared normal and wound was washed with hydrogen peroxide and incision closed. Histopathology report was suggestive of Nora’s lesion. One year follow up of the patient showed no recurrence. BPOP proliferation is a benign lesion however differentials need to be kept in mind and treatment with excision of the lesion along with the pseudo-capsule and periosteal tissue beneath the lesion has low rates of recurrence. </span></p>
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