ABSTRACT
Background: Random blood sugar (RBS) is a commonly performed screening test for type 2 diabetes in both programmatic as well as clinical settings. Previous calorie intake is known to affect the results of RBS. So, present study was conducted to assess the effect of previous calorie intake on sensitivity, specificity, positive and negative predictive values (NPV) and accuracy of RBS.Methods: A cross sectional study was done in 317 patients of 30 years or more using systematic random sampling in a general outpatient department of a district hospital. All the patients underwent RBS measurement. History of calorie intake in past 1-2 hours before undergoing RBS was taken. Screening test parameters of RBS was evaluated using oral glucose tolerance test as clinical reference.Results: This study found that calorie consumption of 200 kcal or more significantly affected the screening test result of RBS. When patient had consumed 200 kcal or more in last 1-2 hours, the sensitivity of RBS is 90.0%, specificity is 57.4%, positive predictive value (PPV) is 26.9% and NPV is 97.1%. Whereas, these parameters are 63.3%. 78.5%, 43.6% and 88.9% respectively when patient had consumed less than 200 kcal in last 1-2 hours before RBS.Conclusions: Sensitivity and NPV of RBS is higher if patient had consumed more than 200 kcal 1-2 hours prior to RBS whereas specificity and PPV is higher if patient had consumed less than 200 kcal. Taking history of quantity and time of last meal would be helpful to better interpret the screening test results of RBS.
ABSTRACT
The article "Prevalence of gestational diabetes mellitus and associated risk factors amongst antenatal women attending urban health centre of Rajkot City, Gujarat" is retracted by the Editor-in-Chief, due to violation of the policies and practices of International Journal of Community Medicine and Public Health. The article is retracted due to dispute in authorship.
ABSTRACT
Introduction :The National Population Policy 2000 and the Reproductive and Child Health (RCH) Programme Phase II emphasize the importance of achieving population stabilization and attaining the goal of replacement-level fertility. Sterilization services are largely being provided through a network of public and private sector facilities Objective:To assess the infrastructure and logistics at various health facilities of Rajkot District where Sterilization services provided Method:A cross-sectional study was conducted by Community Medicine department, PDU Government Medical College, Rajkot, during February-March 2015. All health facilities of Rajkot district where Laparoscopic Tubal Ligation (Lap TL) camps were organized including 4 Community Health Centers (CHCs), 5 Sub-District Hospital (SDHs) 1 district hospital, and 1 medical college and hospital were selected for the study. A standard checklist was used for infrastructure and logistics available at various facilities. The data entry was done in Microsoft Office Excel 2007 and analysis was done using the same software Results:Majority of places; infrastructure and facilities are available as well as clean.Storage facility for contraceptives was adequate at all the 11 facilities. All the 11(100.0%) facilities have vehicle/ambulance in running condition. At 3(27.27%) facilities there were no boards displaying service timings. Availability of staff as per sanctioned posts was at 3(27.27%) places and various categories of staff for the activities were present at 6(54.55%) facilities Conclusion:Improvement isrequired in displaying of IEC materials and sitting arrangement for beneficiaries.