ABSTRACT
Background: Hypertension remains silent, being generally asymptomatic during its clinical course. As it is hidden beneath an outwardly asymptomatic appearance, the disease does immense harm to the body in the form of 'Target Organ' damage; hence, the WHO has named it the 'Silent Killer'. In our country, prevalence of hypertension has been estimated to be between 20% to 40% in urban adults which is likely to expand to 200 million by 2025, with equal numbers among men and women. Job related psychosocial stress and sedentary life styles may directly and indirectly contribute to development of hypertension among the IT professionals. Aims & Objective: To find out the association of the risk factors among per chance detected hypertensive of IT professionals of an IT company. Material and Methods: This cross sectional study was undertaken after getting informed verbal consent from 91 professionals of a IT company a predesigned self-employed questionnaire regarding demographic and lifestyle information were taken. Blood pressure was measured by using the standardized sphygmomanometer. All the participants were requested to take rest for ten minutes. Blood pressure was measured in the sitting posture with two separate readings were taken at an interval of minimum five minutes. The average of the two readings was taken and JNC VII classification was followed. Results: Among 91 IT professionals 14 were recorded to be detected per chance hypertensive. Of the known risk factors age (OR= 1.322; p=.001), Basal metabolic index (BMI) (OR=1.589; p=.000), smoking habit (OR=9.931; p= .004) were significantly associated with hypertension. Pack years of smoking and duration of alcohol consumption were also to be significantly associated with hypertension. Conclusion: As among the significant risk factors four are modifiable more emphasis to be given on life-style modification and periodically blood pressure check-up should be initiated to detect hypertension early.
ABSTRACT
Background: Dengue fever, the most common arbo viral illness transmitted worldwide. Dengue infection in adolescents and adults is also a potential hazard in endemic areas, especially South-east Asia. Aims & Objective: The present study was done to evaluate the magnitude of dengue death and its predictor factors in a tertiary care hospital of Kolkata. Material and Methods: This observational cross sectional study was conducted at a tertiary care centre of Kolkata over 1 year period with 77 patients with a diagnosis of dengue fever based on the serology positive for dengue IgM with fulfilling the inclusion and exclusion criteria. The data were collected on predesigned questionnaire which include gender, clinical findings, complications and laboratory test. Baseline laboratory tests obtained were complete blood count (CBC), partial thromboplastin time (PTT), serum glutamine pyruvate transaminase (SGPT), SGOT, bilirubin, urea, creatinine and IgM. SPSS 16.0 version was used for statistical analysis. Results: Dengue mortality rate was 28.57% in this study. Among 5 lab parameters chosen i.e. leukopenia, bilirubin > 6 mg/dl, thrombocytopenia, altered PT/APTT, enzyme > 4 fold rise, raised urea/cr. On multivariate logistic regression analysis hyperbilirubinemia (> 6 mg/dl) was statistically significant predictor for mortality (as p value < 0.05). Conclusion: The laboratory parameters could predict the dengue mortality, so proper emphasis should be given to address the situation.