ABSTRACT
Objective: The objective of the study was to assess the compliance with clinic follow up in people with type I diabetes mellitus and its relation with their glycemic control
Methods: Total of 97 subjects with type 1 Diabetes Mellitus were included in this cross sectional study. In addition to the scheduled follow up, the patients were telephonically called by the clinic reception to make an additional appointment. We compared the glycemic control amongst the clinic follow up compliant and non-compliant group. To data was analyzed on SPSS 18.0 version
Results: Out of 97 subjects, 48 [49.5%] were male and 49 [50.5%] were female. The mean age of subjects was 17.03 +/- 6.54 years. Mean duration of diabetes was 4.61 +/- 5.2 years. Mean hemoglobin A1C [HbA1c] was 10.59 +/- 3.09%. There was a significant difference in glycemic control of subjects who were compliant towards clinic follow up as compared to those who were non-compliant. The turn up of people with type 1 Diabetes Mellitus who were asked for an additional appointment, was only 15%
Conclusion: It was concluded that there was a strong relation between compliance towards follow up visit and the glycemic control. It was also observed that majority of the subjects with type 1 Diabetes Mellitus responded to the phone calls however did not turn up
ABSTRACT
Objective: Physical activity is essential in maintaining a healthy lifestyle. Physical activity can improve general health, quality of life and diabetes management. The aim and objective of the study was to assess the physical activity trends in daily routine of people with type 2 diabetes
Methods: Two hundred persons with diabetes from four different clinical settings were included to access the trends of physical activity using a customized questionnaire EPIC-2. Pattern of physical activity was assessed across a set of domains including sleep time, hours of TV watch, preferred mode of transport for specific distance and household activities. Data was analyzed using SPSS 21
Results: Out of 200 persons with diabetes, 104[52%] were male and 96 [48%] were female. Out of the total sample of patients, 85 [81.7%] Male and 80 [83.3%] female patients preferred walk to cover a distance of less than one mile. There was a significant difference in selection of mode of transport for all other specified distance, esp. in female patients with both age groups. There was insignificant difference for physical activity pattern related to household activities in young and elderly male subjects. The mean sleeping time for younger male subjects on weekend was 464.31 +/- 88.88 minutes/day and for elder it was 418.65 +/- 102.66 minutes/day while for young female subjects was 476.25 +/- 113.74 minutes/day and in female elderly subjects it was 420.62 +/- 120.62 minutes/day respectively
Conclusion: In type 2 diabetics we observed a low level of physical activity which may be detrimental for the control of diabetes mellitus
ABSTRACT
Acute hepatitis C [HCV] infection has been identified as an important cause of fulminant hepatic failure [FHF], characterized by rapid deterioration of liver function from massive hepatic necrosis leading to encephalopathy and multi-organ failure. We admitted a female patient at Shalamar Hospital with jaundice, fever, encephalopathy and coagulopathy of short duration with no history of any comorbidity. Her hepatitis viral screen revealed positive anti HCV. Her viral loads were also high. A diagnosis of FHF due to acute HCV infection was made. Patient was treated conservatively and improved gradually. In summary, acute HCV can cause FHF and should be ruled out in patients with FHF of unknown cause in an endemic country for HCV like Pakistan
ABSTRACT
Hepatitis B is still a major cause of morbidity and mortality, but the disease is preventable, specially through awareness of its spread, screening and vaccination. Setting: Study was done at Sir Ganga Ram Hospital/Fatima Jinnah Medical College to examine the vaccination status against Hepatitis B among the doctors from the Departments of Medicine, Surgery, Gynae and Pathology. Material and In this descriptive study, a total of 110 doctors participated. It took into account different aspects like their vaccination status, status of the booster dose, whether they checked their immunologic status before or after vaccination and reason for not being vaccinated. A total of 71.8% of doctors working in the institution were vaccinated. The results showed that the status was better in the female doctors. A total of 81.5% consultants got themselves vaccinated followed by 74.3% house officers and only 63.6% medical officers who were probably most involved with the patients. Regarding the post-vaccination status 87.5% consultants, 7.1% medical officers and none i.e. 0% house officer had their post vaccine antibody titre checked. Among the house officers 66.6% received their booster dose [where applicable] followed by consultants and medical officers. Lack of awareness was mentioned as the biggest reason for not being vaccinated. Awareness through health education regarding Hepatitis B and bringing down the cost through other methods of vaccination is important in this country where the disease is very common