CONTEXT:Type 2 diabetes is the modern epidemic wherein patient care needs multiple approaches, education, and self-awareness being one of them. There are some knowledge, attitude, and practice (KAP) studies from India but very few relating it with disease control.AIMS:We tried to study KAP of treated type 2 diabetics and its correlation with glycemic control.SETTINGS AND DESIGN:Cross-sectional KAP study.SUBJECTS AND METHODS:We formulated KAP questionnaires in the form of KAP - 10 points for each and total 30. We recruited 200 type 2 diabetics (96 males, 104 females) treated by MD physicians with known current glycemic status. They were asked KAP questionnaires one to one by a direct interview in local language and results were associated with various factors and glycemic control.RESULTS:KAP score on was average 19 out of 30 in type 2 diabetics having mean age 58 years, mean duration 9 years. KAP score was unaffected by gender, occupation, duration of disease but significantly affected by current age, and education level. Only 40% patients had good glycemic control who scored better KAP than poor glycemic. There was positive correlation between KAP score and glycemic control, with significance for only glycosylated hemoglobin and not fasting blood sugar, postprandial blood sugar.CONCLUSIONS:Physician treated type 2 diabetics of our region had moderate KAP score, affected by age, education which suggested to affect glycemic control. Lacunae in knowledge regarding incurability of disease, attitudes toward complication, self-care, and good practices like walking, enriching knowledge need improvement so as an optimum glycemic control.
Abstract:Background : Liver is a major organ in our body which is vulnerable to various insults such as metabolic, toxic, microbial, circulatory and neoplastic. There may be no prominent sign and symptoms of chronic liver diseases and therefore, they may go undiagnosed or found incidentally. Objectives : T h e o b j e c t i v e of t h e s t u d y w a s to find out the prevalence of silent liver diseases. M e t h o d : 349 liver autopsies specimens were assessed and 10 cases were excluded due to autolysis. Specimens were examined grossly and microscopically and findings were recorded. R e s u l t s : Causes of death were-Myocardial infarction 52, RTA 39 and Poisoning 9. According to microscopic examination, majority of cases had fatty change 32.95% followed by congestion 18.91% and normal liver 17.48%. Interpretation and Conclusion: In this study of 349 cases, Males were 275 and Females were 74. Incidence of liver diseases was higher in 4 th and 5 th decades. The commonest finding was fatty change.
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