Résumé
Early detection and compliance to prescribed treatment is the cornerstone to avert life threatening complications among those with non-communicable diseases (NCD). Assessing regularity of visits, adherence to medication and its correlates can help in devising effective strategies to improve medication adherence. The objective of the study was to review about regularity, treatment adherence and outcome among diabetic patients in primary care. In this literature review, electronic data sources viz. Pub Med, Proquest, Google Scholar, Research gate with the use of the keywords or Mesh words like “Diabetes,” “Primary Health care” “Treatment adherence” “Regularity of treatment” “process of care indicators” and “outcome indicators” were searched. The searches were limited to studies reported in English and were available as free full text from January 2009 to June 2018. Related articles including descriptive cross-sectional, cohort, randomized controlled trials, qualitative studies and systematic reviews were also extracted and refined further. From our review it’s clearly evident that the level of Diabetic care in terms of regularity and follow-up is suboptimal compared to standards established in developed nations. There is a wide scope for improvement in diabetic care as demonstrated successfully in many nations using regular clinical audit, which needs future introspection.
Résumé
Fungal thyroiditis is extremely rare and its true incidence still happens to be the tip of an iceberg. We present here the case of an immunocompetent 35-year-old woman who presented with a left thyroid nodular goiter, and an incidental detection of Aspergillus infection. The accurate diagnosis of thyroid Aspergillosis is important, since there is every need to prevent further complications due to the occurrence of a disseminated disease. We report a case of 35-year-old woman presenting with a solitary left thyroid nodule.