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Mehta, Anushree
- Hearing Impairment: A Public Health Issue
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PDF Views:0
Authors
Sanjana P Vengurlekar
1,
Anushree Mehta
2,
Nutan S Nabar
3,
Mona A Shah
4,
Aashish S Phadke
5,
Shubhada V Agashe
6,
Shobha A Udipi
7,
Rama A Vaidya
8
Affiliations
1 Consultant Audiologist & Speech Language Pathologist, ANSHU-Pediatric & Adult Rehabilitation Centre, Medical Research Centre-Kasturba Health Society (MRC-KHS), IN
2 Consultant Diabetologist, MRC-KHS, IN
3 Dean, MRC-KHS, IN
4 Head of the Dept- ‘Physio and Rehab Centre’- MRC-KHS, IN
5 Hon. Deputy Director, Division of Endocrinology and Metabolic Disorders-Lifestyle Modifications and Yoga Module- MRC-KHS, IN
6 Asst Director, Clinical & Endocrine Laboratory, MRC-KHS, IN
7 Research Director & Hon Director, Integrative Nutrition and Ayurceuticals, MRC-KHS, IN
8 Director, Division of Endocrine and Metabolic Disorders, MRC-KHS, IN
1 Consultant Audiologist & Speech Language Pathologist, ANSHU-Pediatric & Adult Rehabilitation Centre, Medical Research Centre-Kasturba Health Society (MRC-KHS), IN
2 Consultant Diabetologist, MRC-KHS, IN
3 Dean, MRC-KHS, IN
4 Head of the Dept- ‘Physio and Rehab Centre’- MRC-KHS, IN
5 Hon. Deputy Director, Division of Endocrinology and Metabolic Disorders-Lifestyle Modifications and Yoga Module- MRC-KHS, IN
6 Asst Director, Clinical & Endocrine Laboratory, MRC-KHS, IN
7 Research Director & Hon Director, Integrative Nutrition and Ayurceuticals, MRC-KHS, IN
8 Director, Division of Endocrine and Metabolic Disorders, MRC-KHS, IN
Source
The Indian Practitioner, Vol 75, No 2 (2022), Pagination: 34-38Abstract
Hearing impairment is one of the important components of the universe of all the disabilities. Compromised hearing health varies in its type and severity. Increasing prevalence of hearing impairment, globally and in India, is due to an increase in the aging population related to improved longevity, environmental reasons like chronic exposure to rising noise pollution and to that of ototoxic substances. Impact of hearing impairment to any age group– children, adolescents and young or old persons has life-time adverse consequences influencing education, job opportunities, socialization and quality of life. While visual disability attracts sympathy from society, hearing impairment more often causes societal-ridicule. Community awareness, parental education, improved screening programs for hearing health at all levels of health care with established network for appropriate referral are the need of the hour. Hearing impairment is considered as a disability and the person/s affected can avail the assistance from the ADIP scheme of the Government of India provided he/she has a disability certificate that depends on the severity of the hearing impairment.
Keywords
No Keywords.
References
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- Screening of Diabetic Patients for Non-Alcoholic Fatty Liver Disease Based on Liver Indices: A Retrospective Cross-Sectional Study
Abstract Views :55 |
PDF Views:0
Authors
Affiliations
1 Senior Research Fellow, Kasturba Health Society Medical Research Centre (KHS-MRC), IN
2 Physician, KHS-MRC, IN
3 Director-Integrative Medicine and Clinical Research, KHS-MRC, IN
4 Director-Division of Endocrinology, KHS-MRC, IN
1 Senior Research Fellow, Kasturba Health Society Medical Research Centre (KHS-MRC), IN
2 Physician, KHS-MRC, IN
3 Director-Integrative Medicine and Clinical Research, KHS-MRC, IN
4 Director-Division of Endocrinology, KHS-MRC, IN
Source
The Indian Practitioner, Vol 76, No 2 (2023), Pagination: 21-25Abstract
Background and Aims: Non-Alcoholic Fatty Liver Disease (NAFLD) includes a wide spectrum of liver pathophysiology, ranging between relatively benign Nonalcoholic fatty liver to a serious pathology like fibrosis and cirrhosis. NAFLD is commonly associated with Type 2 Diabetes Mellitus (T2DM) and Metabolic Syndrome and may increase the risk for mortality. American Diabetes Association and European Association for the study of Diabetes have recommended screening of all T2DM patients for NAFLD.
Materials and Methods: We did a retrospective analysis of medical records of T2DM patients who attended a diabetes clinic as ambulant patients for 1 year. Out of 215 patients, complete demographic, haemodynamic and biochemical data was available for 46 patients. Simple liver indices like Hepatic Steatosis Index (HSI) and Fibrosis score (FIB-4) were computed.
Results: Presence of steatosis was observed in30 patients based on HSI > 36. Out of these, intermediate risk of advanced fibrosis was observed in 4 patients based on FIB-4 > 1.3.
Conclusion: HSI based screening for steatosis and FIB-4 based screening for fibrosis should be part of liver monitoring in patients with type 2 diabetes mellitus to identify individuals with higher risk for NAFLD.
Keywords
Hepatic Steatosis Index, Fibrosis Score, Non-Alcoholic Fatty Liver Disease, Nonalcoholic Steatohepatitis.References
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