Background: The prevalence of diabetes is increasing all over the world and it is associated with different genetic factors as well as environmental factors. The increasing prevalence of type 2 diabetes among young people has led to an increase in number of pregnancies with this complication. As the incidence of diabetes is more in Kerala, the present study was undertaken to compare the socio-demographic determinants among pregnant mothers with normal gestation and mothers with GDM.Methods: A hospital based cross-sectional study was carried out and sample size was calculated using the formulae of (Zα + Zβ) 2 × 2 × P × Q/d2. The calculated sample size was 108 and consecutive sampling technique was used for data collection. A semi-structured questionnaire containing socio-demographic and obstetrics details were used as a study tool and an interview schedule was used for data collection.Results: Out of total 111 postnatal mothers, majority 80 (72.1%) belongs to the age group of 21-30 years, and more than half 64(57.66%) of mothers belongs to Hindu religion. When the socio-demographic and obstetrics details of mothers were compared among GDM and normal mothers it was found that there was statistically significant difference between religion, family history of diabetes and occurrence of GDM (p=0.001). Among obstetric details history of abortion, BMI of mothers and birth weight show statistically significant difference among two groups (p<0.001).Conclusions: The study reveals that the socio demographic factors and obstetric factors influence the occurrence of GDM.
Background: A detailed Knowledge of these variations in motor branching patterns will help the surgeons when certain procedures are done for calf reduction and also when selective neurectomy is required. It is also required by the anesthetists to give neurolytic blocks. Subjects and Methods: 40 formalin-fixed lower limbs of adult human cadavers were selected. The origin of the tibial nerve, variations in a branching pattern, number of muscular branches given was studied by dissection. The Level of origin of these nerves was taken to the apex of the head of the fibula (AHF). Results: In 70 % of specimens the origin of the Tibial Nerve was < 12 cm and in 30 % it was between 12-24 cm above the level of AHF. In 10% of cases, the sural nerve originated from the nerve to the medial head of gastrocnemius (MHG). In 82.5% of specimens, the MHG received one branch from the tibial nerve and in 17.5% it received two branches. The lateral head of Gastrocnemius (LHG) received one branch from the tibial nerve. In 10%, there was a common branch for the LHG and the soleus muscle. 90% of specimens had one branch and 10% had two branches that supplied the soleus muscle. A single branch supplied the plantaris muscle. The popliteus muscle also received a single branch. Conclusion : The results in the study provide information that is required by the anatomists, surgeons, radiologists and anesthetists.
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