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Chaturvedi, Manish
- Prevalence Study of Diabetes and Pre-diabetes in Relation to Food and Work Habit, Substance use and Stress in Small Grade Urban North Indian Population
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Authors
Shailesh Gupta
1,
Manish Chaturvedi
2,
Amit Gupta
3,
Sanjeev Kumar Syal
4,
Md. Rafi Anwar
5,
R B Singhal
6,
A K Gupta
7
Affiliations
1 Dept of Physiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, U.P., IN
2 Dept of Community Medicine, School of Medical Sciences & Research, Sharada University, Greater Noida, IN
3 Dept. of Cardiology, S. G. P. G. Institute, Lucknow, U.P., IN
4 Dept. of Anaesthesiology, Subharti Medical College, Meerut, IN
5 Dept. of Cardiology, V.M.M. College & Safdarjung Hospital, New Delhi, IN
6 Dept. of Physiology, S. N. Medical College, Agra, IN
7 Dept. of Medicine, S. N. Medical College, Agra, IN
1 Dept of Physiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, U.P., IN
2 Dept of Community Medicine, School of Medical Sciences & Research, Sharada University, Greater Noida, IN
3 Dept. of Cardiology, S. G. P. G. Institute, Lucknow, U.P., IN
4 Dept. of Anaesthesiology, Subharti Medical College, Meerut, IN
5 Dept. of Cardiology, V.M.M. College & Safdarjung Hospital, New Delhi, IN
6 Dept. of Physiology, S. N. Medical College, Agra, IN
7 Dept. of Medicine, S. N. Medical College, Agra, IN
Source
International Journal of Contemporary Medicine, Vol 1, No 2 (2013), Pagination: 90-96Abstract
India is ill fated to be the Diabetic capital by 2025 with the highest number and proportion of diabetics in its population. But unfortunately we have paucity of indigenous data as in all other spheres of national and health data. Diabetes is increasing its pandemic stretches crossing all barriers of region, demographics, culture etc. This is a multisystem disease which inflicts the human body unlike usual unifactorial or infective causes & courses. The disease is the modern day pandemic with etiologies running in large population and lifestyles. Few urban pockets and metropolitans have incomplete prevalence data in our country and it's essential to have a complete national picture of this disease. The present study was carried out in the Dept of Medicine, SNMC, Agra as a part of ongoing 25 years prospective study of the population of urban Agra and the adjoining area in north India including the various physiological and physical factors with association of community workers and agencies. The prevalence of Diabetes in urban Agra came out to be 14.38%, slightly higher than the national average while the prevalence of IFG and IGT was 12.87 % & 11.09 % respectively. Diabetes was also associated significantly with various other multisystem disorders and sociopsycho-physiological stressors.Keywords
Diabetes Mellitus, Impaired Fasting Glucose, Impaired Glucose Tolerance, Prevalence, North India, Agra.
References
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- Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK, et al. Diabetes Epidemiology Study Group in India (DESI). High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia 2001; 44 : 1094-101.
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- The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus: report of the Expert Committee on Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 1997; 20: 1183-1197,
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- Zargar AH, Khan AK, Masoodi SR, Laway BA, Wani AI, Bashir MI, Dar FA. Prevalence of type 2 diabetes mellitus and impaired glucose tolerance in the Kashmir Valley of the Indian subcontinent. Diabetes Res Clin Pract 2000; 47: 135-146,
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- Challenges of Tuberculosis Control through Private Practitioners
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Authors
Affiliations
1 Department of Community Medicine, Sharda Hospital, SMS & R, Greater Noida, IN
2 Department Medical Care & Hospital Administration, NIHFW, Munirka, New Delhi, IN
3 Department of Community Medicine, Sharda Hospital, SMS & R, Greater Noida, Uttar Pradesh, IN
1 Department of Community Medicine, Sharda Hospital, SMS & R, Greater Noida, IN
2 Department Medical Care & Hospital Administration, NIHFW, Munirka, New Delhi, IN
3 Department of Community Medicine, Sharda Hospital, SMS & R, Greater Noida, Uttar Pradesh, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 2 (2013), Pagination: 282-285Abstract
Setting: Privately practicing doctors trained in modern system of medicine in East Delhi area.
Objective: To ascertain the practices pertaining to diagnosis and treatment of tuberculosis&utilization of RNTCP by private practitioners.
Method: Quantitative data were obtained using a semi- structured interview schedule administered to 102 private practitioners trained in modern system of medicine, while qualitative data were obtained from key informant interviews (government functionaries) that focused on experiences regarding PPP in RNTCP.
Results: Data reveal that patients are started on ATT without baseline laboratory confirmations, record keeping is scanty & lack of trust in government run PPP schemes.
Conclusion: To improve private participation, network of accredited TB laboratory laboratories is needed along with bi directional treatment referrals.
Keywords
Tuberculosis, Private Public Partnership (PPP)References
- Khatri GR, Frieden TR. The status and prospects of tuberculosis control in India. lnt J Tuberc Lung Dis 2000;(4): 193.
- Directorate General of Health Services, Central TB Division, Nirman Bhawan, New Delhi -110 011
- Selwyn, P.A., D. Hartel, V. A. Lewis, E. E. Schoenbaum, S. H. Vermund, R. S. Klein, A. Walker, G. H. Friedland. A prospective study of the risk of tuberculosis among intravenous drug users with immunodeficiency virus infection. N. Engl. J. Med. 1989;(320):545-550.
- Bhatt R. The private/public mix of health care in India. Health policy and Planning.1993;(8): 43-56.
- Annual Report Ministry Of Health; Government Of India ,2001-2002.
- Uplekar M et all, Private practitioners and public health: weak links in tuberculosis control, Lancet 2001; 358: 912-916.
- National Council of Applied Economic Research. Working Paper No 53, Household survey of health care utilization and expenditure .New Delhi; NCAER, 1995.
- Uplekar MW , Shephard DS . Treatment of tuberculosis by private general practitioners in India. Tubercle. 1991; 72:284-290.
- Narain JP, Tripathy SP, Pontali E. Tuberculosis and HIV infection. In Narain JP editor. Tuberculosis epidemiology and control. New Delhi: World Health Organization Regional Office for South East Asia; 2002.
- Narain JP, Raviglione MC, Kochi A. HIV associated tuberculosis in developing countries: epidemiology and strategies for prevention. Tuber lung dis 1992; 73; 311-321
- Sharma SK, Mohan A. Co infection of Human Immunodeficiency virus and tuberculosis: Indian perspective.Ind J Tuberc 2004; 51:5-16.
- Sophia Vijay,V.H. Balasangameshwara, P.S.Jagannatha , P. Kumar. Initial drug resistance among tuberculosis patients under DOTS programme in Bangalore city. Ind J Tuberc 2004; 51:17-21
- Veron L J, Suchi M , Raviglione MC , Blanc LJ. DOTS expansion; will we reach 2005 targets ? Int J Tuberc Lung Dis . 2004 Jan; 8(1) :139-146
- Quy HT, Lonnroth K :Lan N t; Buu TN. Treatment results among patients tuberculosis patients treated by private lung specialists. Int J Tuberc Lung Dis. 2003 Dec ; 7(12):1139-1146.
- Arora VK, Sarin R, Lonnroth K . Feasibility and effectiveness of a public – private mix project for improved TB control in Delhi. Int J Tuberc Lung Dis 2003 Dec ;7(12) ; 1131-1138
- Perception and Practices Regarding Menstruation in Women of Reproductive Age Group in Urban Slums
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Authors
Affiliations
1 Deptt.of Community Medicine, MLN Medical College, Allahabad, IN
2 School of Medical Science, Noida, IN
3 National Institute of Health and Family Welfare, New Delhi, IN
4 Sarojini Naidu Medical College, Agra, UP, IN
1 Deptt.of Community Medicine, MLN Medical College, Allahabad, IN
2 School of Medical Science, Noida, IN
3 National Institute of Health and Family Welfare, New Delhi, IN
4 Sarojini Naidu Medical College, Agra, UP, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 3 (2013), Pagination: 143-147Abstract
Background: There are various beliefs and practices which exist in the domain of reproductive health of women. Menstruation is one such area. Menstruation is a monthly cyclical change entirely of a women's body and yet it influences the quality of her life in her household, her interaction with the family, and her relation with the world outside her household. Menstruation is influenced by various beliefs&taboos. Perception and practices regarding menstruation are of considerable importance for reproductive health. Poor practices increase vulnerability to reproductive tract infection.
Objectives: To identify the gap between perception&practices during menstruation and know superstition and beliefs regarding the same.
Material and Method: This cross-sectional descriptive study was conducted amongst 300 reproductive age group 15-44 yrs group women in urban slums of Agra to determine their perceptions, problems, and practices on menstruation. Stratified simple random sampling technique was used for collecting information from the women of reproductive age group from the area attached to urban health center of Department of Social and Preventive Medicine, Agra.
Results: The correct perception regarding household work was found in about half (48%) of the women surveyed, and in practice it was 58%.Two thirds of the women had correct perception about dietary belief and taboos and only 35% women avoided certain foods. Out of 207 married women 33.3% had correct perception about intercourse during menstruation period, while in practice it was only15.2%.Out of 31 women who were involved in this activity during menstruation 16 were using condom.
Conclusion: It was found that half of the women had adequate knowledge regarding menstruation while practice was influenced by various beliefs and taboos. It is necessary to increase IEC (information, education and communication) for better perception, for discarding unhealthy practices and for adopting healthy practices. Counseling can be initiated early for the adolescent girls. Counseling is also required for the elderly women who perpetuate the tradition and practices in the family.
Keywords
Menstruation, Household Work, Dietary Belief & Taboos, IntercourseReferences
- Reproductive health research .The new direction. Biennial Report; 1996-97.
- K.Park,Park’s textbook of preventive and social medicine.21st ed. Jabalpur, India: M/S Banarsidas Bhanot Publishers;2011.p450.
- Arvind Pandey et al. International Institute for Population Science (IIPS) and ORC Macro.2001.National Family Health Survey (NFHS-2), India, 1998-99.p124: Uttar Pradesh. Mumbai: IIPS.
- SwensonI, HavensB.Menarche and menstruation. Community health nurs.1987; 4(4):199-200.
- Kulkarni, A.V.Attitudes towards menstruation, a study of the first experience of menstruation.Bombay.1985.
- UNICEF. Media center, bringing the issue out of closet, adolescent girls launch a guidance booklet on Menstrual Hygiene Management, New Delhi, 8 March 2008.
- Dasgupta, A. M.Sarkar, Menstrual Hygiene: How Hygienic is the adolescent girl? 2008.
- El-Gilany, A., K. Badawi, and S. El-Fedawy, Menstrual hygiene among adolescent schoolgirls in Mansoura, Egypt. Reproductive Health matters,2005.13(26):p147-152.
- Drakshayani Devi K, Venkata Ramaiah P.A study on menstrual hygiene among rural adolescent girls. Indian J MedSci.1994;48(6):139-43.
- Kathryn Seymour. Tacking menstruation hygiene taboos. Bangladesh, UNICEF Publication 2008.
- TranferK,AralSO. Sexual intercourse during menstruation. Available From: http:www.ncbi.nlm.nih.gov [Accessed on 2011 May 04]
- Diana Rodriquez. Having Sex During Your Period. Sex and Menstruation-Sexual Health- EverydayHealth_com.mht [Accessed on 2011 July 27
- An Analysis of Bacteriological Profile of Intensive Care Unit in Tertiary Care Hospital
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Authors
Affiliations
1 Department of Microbiology, School of Medical Sciences & Research, Gr. Noida, IN
2 Department of Community Medicine, School of Medical Sciences & Research, Gr. Noida, IN
1 Department of Microbiology, School of Medical Sciences & Research, Gr. Noida, IN
2 Department of Community Medicine, School of Medical Sciences & Research, Gr. Noida, IN
Source
Indian Journal of Public Health Research & Development, Vol 4, No 4 (2013), Pagination: 254-256Abstract
The frequency of infections at different anatomic sites and the risk of infection vary by the type of ICU. The samples like Intravenous line tip, pus, urine & blood from patients on ventilator, on central line and with urinary catheter from ICU of Medicine, Pediatric, Burn, Surgical, Respiratory and Trauma were taken for study and were transported immediately to the Microbiology Laboratory for culture of the sample on routine culture media and incubation at 37°C for overnight. This study was carried out on 650 samples. The 252 bacterial isolates from patients admitted in ICU were taken in account. The highest number of isolates were of Gram negative bacteria having cases of pseudomonas sp. are 98 (38.8%) cases followed by 50(19.84%) of Escherichia coli, 20(7.93%) Klebseilla sp & Proteus vulgaris were 16(6.34%) and Citrobacter sp. cases were 05(1.98%) and cases of Gram positive cocci includes 63(25%) cases of staphylococcus aureus. .Highest sensitivity of 89% is noticed with Imipenem and lowest sensitivity with gentamycin and norflox are 23% and 00 % respectively.References
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- Prevalence Study of Diabetes and Pre-diabetes in Relation to Food and Work Habit, Substance Use and Stress in Small Grade Urban North Indian Population
Abstract Views :1184 |
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Authors
Shailesh Gupta
1,
Manish Chaturvedi
2,
Amit Gupta
3,
Sanjeev Kumar Syal
4,
M. D. Rafi Anwar
5,
R. B. Singhal
6,
A. K. Gupta
7
Affiliations
1 Dept. of Physiology, SHKM Govt. Medical College, Mewat, Haryana, IN
2 Dept. of Community Medicine, School of Medical Sciences & Research, Sharada University, Greater Noida, IN
3 Dept. of Anaesthesiology, Subharti Medical College, Meerut, IN
4 Dept. of Cardiology, S. G. P. G. Institute, Lucknow, U.P, IN
5 Dept. of Cardiology, V.M.M. College & Safdarjung Hospital, New Delhi, IN
6 Dept. of Physiology, IN
7 Dept. of Medicine, S. N. Medical College, Agra, IN
1 Dept. of Physiology, SHKM Govt. Medical College, Mewat, Haryana, IN
2 Dept. of Community Medicine, School of Medical Sciences & Research, Sharada University, Greater Noida, IN
3 Dept. of Anaesthesiology, Subharti Medical College, Meerut, IN
4 Dept. of Cardiology, S. G. P. G. Institute, Lucknow, U.P, IN
5 Dept. of Cardiology, V.M.M. College & Safdarjung Hospital, New Delhi, IN
6 Dept. of Physiology, IN
7 Dept. of Medicine, S. N. Medical College, Agra, IN