A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Kansal, H. M.
- Accreditation of Private Labs for Quality Participation by Private Practitioners in Rntcp: A Cross Sectional Study
Authors
1 Department of Chest & TB, Sharda Hospital, SMS & R, Greater Noida, IN
2 Department of Chest & TB, Rama Medical College, Pilkhuwa, Ghaziabad, IN
3 Department of Community Medicine, Sharda Hospital, SMS & R, Greater Noida, IN
Source
Indian Journal of Public Health Research & Development, Vol 5, No 3 (2014), Pagination: 58-62Abstract
Setting: Privately practicing doctors trained in modern system of medicine in East Delhi area
Objective: To determine the reliance on sputum microscopy as ordered by private medical practitioners for diagnosis of pulmonary Koch's as well as monitoring their progress
Method: Quantitative data was obtained using a semi- structured interview schedule administered to 102 private practitioners trained in modern system of medicine who were registered with the East Delhi Branch of Indian Medical Association as listed in its Directory 5th Edition. Corresponding qualitative data was obtained from key informants through interviews of government functionaries that focused on their experiences regarding PPP in RNTCP.
Results: It was found that although 50% of private doctors considered three consecutive sputum examinations for acid fast bacilli (AFB), as their most reliable criteria to diagnose pulmonary tuberculosis but this was actually carried out on only 38% of the patients. Various contributing factors cited being, inadequacy of laboratory services in terms of number as well as reliability, poor patient paying capabilities, lack of time and ignorance with the patients and medical practitioners
Conclusion: Network of accredited laboratories can increase reliance on sputum microscopy as the diagnostic&treatment tool.
Keywords
Tuberculosis, Sputum Microscopy, Accreditation
- Clinical and Biochemical Profile of Indians with Type 2 Diabetes Mellitus:A Study from a Tertiary Care Hospital in Greater Noida
Authors
1 Senior Consultant, Government Institute of Medical Sciences, Greater Noida, Gautam Buddh Nagar, UP, IN
2 Associate Professor,, Government Institute of Medical Sciences, Greater Noida, Gautam Buddh Nagar, UP, IN
3 Professor,, Government Institute of Medical Sciences, Greater Noida, Gautam Buddh Nagar, UP, IN
4 GDMO, 15th battalion, ITBP, Udhampur, IN
5 Ex Professor, Department of Medicine, SMS&R, Sharda University, Greater Noida, IN
Source
Indian Journal of Public Health Research & Development, Vol 11, No 1 (2020), Pagination: 647-652Abstract
Objective: To study the clinical and biochemical profile of newly detected type 2 diabetes mellitus patients from a tertiary care hospital in Greater Noida, Gautam Buddh Nagar.
Method: At total of 100 newly diagnosed type 2 diabetes mellitus patients presenting in the Department of Medicine were included and studied. A detailed clinical history, examination and investigations were recorded. The presence of microvascular and macrovascular complications of diabetes mellitus was assessed using this clinical and laboratory data.
Results: There were 52 males and 48 females. Maximum patients belonged to fourth decade and upperlower socioeconomic status. 20% patients had obesity and 50% people were overweight. Polyuria was the chief presenting complaint in 51% cases with polydipsia, weight loss and weakness being the other common symptoms. 62 % of the diabetics had hypertension. Increased cholesterol was reported in 44% and 53 %patients had altered triglyceride. The prevalence of neuropathy, retinopathy and nephropathy was 33%, 28% and21 % respectively.
Conclusion: Type 2 diabetes mellitus patients present with comorbidities and complications frequently. Significant proportion of patients in this study had poor glycemic control as well as microvascular complications at the very time of diagnosis. A vast majority were overweight with high waist circumference. Commonest observed comorbidities with diabetes were that of hypertensionand dyslipidemia.