Health care industry has come a long way from more than just Hospital Information Systems (HIS), Electronic Medical Records (EMR) to computer assisted surgeries and remote patient care, since the advent of information technology into the health care domain. With the advances in information technology, healthcare in all kinds of markets is becoming more digital, more collaborative, more patient-centric, more datadriven .It aims towards accessing information anytime, anywhere. The traditional technology infrastructure of health care sector will not be able to cater to this massive amount of data generated and the various health care services to be offered to the patients. Cloud Computing is a fast growing trend that includes several services, all offered on demand over the internet in a pay-as-you-go model. It promises to increase the speed with which applications are deployed and lowers costs. Cloud computing can play a critical role in managing the current trend of growth in digital data and anywhere anytime availability of medical services. Cloud computing can also contribute significantly to containing healthcare integration costs, optimizing resources and ushering a new era of innovations in healthcare. This paper examines in brief, some of the digital data challenges that the healthcare industry is facing .The paper describes a system that is capable of offering various health care services that utilize cloud computing . The paper also presents the implementation of one service offered as part of the system described.

India is a key nation which is endemic and epidemic to tuberculosis and diabetes. An association between diabetes and TB is biological plausible, where diabetes impairs the immune system and making it harder for the body to fight against infection. Methodology: Patients on DOTS therapy in continuation phase of anti-TB therapy, Patients with TB and Diabetes and Patients with TB alone were included in the study. Blood samples were collected and Fasting Blood Glucose (FBG), Post Prandial Glucose (PPG) and Glycated Hemoglobin (HbA1c) were measured to understand the glycemic status and its impact on TB treatment outcomes. Results: Our study confirms the fact that type II diabetes is a strong risk factor for tuberculosis and is associated with a slower response to TB treatment and a higher mortality rate. Incidence of TB is greatest among those with conditions impairing immunity such as DM. Diabetes impairs the immune system, making it harder for the body to fight against infection.

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Adherence to prescribed medication is an imperative issue which can be directly linked with the management of diabetes mellitus. WHO identifies poor adherence is the most significant cause of uncontrolled blood sugar level. A prospective observational study was conducted in in-patients admitted to general medicine department diagnosed with diabetes mellitus from September 2019 to February 2020. Data was collected from case sheets of patients for age, gender, and socio- economic data. Informed consent was obtained from patients or bystanders before study. Direct interview was conducted with patients using standardized questionnaire known as MMAS-8. Patient’s adherence to medications was assessed using scores obtained from the adherence scale. Among 100 in-patients 62 (62%) patients were male and 38 (38%) patients were female. Most of the patients had low adherence among both genders. Patients under age group of 41-60 years were more (58%) in which 46% had low adherence. It was observed that, married patients were more with low adherence (58%) followed by unmarried. When taking account of education of the patient, graduates and above were only 22 patients (22%) but most of them (16% ) had moderate/high adherence. Education of the patients had a significant positive correlation (i.e., p value = 0.0000002) between low adherence and high adherence of patients. This study showed that the adherence to anti-diabetic medications in diabetic patients were very less. It needs to be continuously evaluated in order to reduce complications and improve quality of life of patients. Keywords: Medication adherence, MMAS-8, Uncontrolled diabetes

Background: In the changing era of our community posing a challengeable situation to the senior support-needing population of the community, there is a need to know the different kinds of problems faced by the elderly. In the view of all these facts, this study was conducted to study the various health related problems among geriatrics. Objective: To study various health related problems in elderly population. Materials and methods: This cross-sectional study was carried out in May to August 2020 in Ernakulam district of Kerala, India. 150 elderly (aged above 60 years) were interviewed using a predesigned questionnaire. Results: In the present study, 45.33% were males and 54.67% were females. Among the total elderly, 27.33% were illiterate, 56.00% had received primary education, and 14.00% had received secondary education while only 2.67% had received education up to the graduate level. The common health problems elderly was decreased vision (35.33%), followed by arthritis (13.33%), hearing problems (12.00%), urinary problems (8.00%), diabetes(6.00%), weight loss (4.67%), dental problems (4.00%), Chronic obstructive pulmonary disease (3.33%), Hypertension (3.00%), asthma and anaemia with (2.67%) each, fatty liver and cancer with (2.00%) each and Ischemic heart disease (0.67%) . Conclusion: The study highlights the common health problems the elderly face. In this study, it was found that the most prevalent health problem among geriatrics was vision impairment followed by arthritis and hearing impairment. Keywords: Geriatrics; visual impairment; Health problems; Arthritis; Ageing.

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