ABSTRACT
Heart Failure and Type 2 Diabetes Mellitus are closely related. Diabetic patients have an increased risk of developing Heart Failure and those with Heart Failure are at higher risk of developing diabetes. The objective of the study was to estimate the prevalence of Type 2 Diabetes Mellitus in patients with heart failure. This analytical observational type of epidemiological study with case control design was conducted at in patient department of General Medicine of RG Kar Medical College & Hospital, Kolkata, West Bengal, India from July, 2019 to June, 2020. 100 study subjects by purposive sampling method were taken as per inclusion and exclusion criteria. Data were collected based on History, Clinical examination, relevant investigations and review of records. In this study proportion of Diabetes was much higher among cases with Heart Failure (30%) than controls (10%), among cases with NYHA class IV (56.3%) and among cases with reduced Ejection Fraction (100%). Thus pre-existing or newly development of Type 2 Diabetes Mellitus should be kept in mind in all hospitalized Heart Failure Patients.
ABSTRACT
A Sick Newborn Care Unit (SNCU), established in a district hospital in India, substantially reduced the neonatal mortality rate in the district; it, however, suffered from a dearth of trained nurses. Local girls with 10-12 years of school education underwent structured and hands-on training for six months, followed by a six-month internship at the SNCU and were assigned to it as stipendiary 'Newborn Aides'. Based on the results of formal examinations, internal on-the-job assessment and interview of doctors, nurses, and parents and their technical skills and motivation were rated very high. Although the incremental cost of training is small, the cost of sustaining them, i.e. stipend and replacing attrition, needs to be addressed. Trained Newborn Aides may substantially alleviate human-resource constraint for SNCUs and Sick Newborn Stabilization units in smaller peripheral hospitals for care of sick newborns at an affordable cost.