Research Article
Analysing Health Professionals' Adherence to National Guidelines and Comparing Diabetes Care in Specialized Care Centres and Hospitals
Haitham Alhussain,
Vemparala Priyatha,
Musa Bin Bashir*,
Saba Ijaz,
Umar Farooq,
Wondimagegn Tibebu Tilahun,
Abrham Workineh Azale,
Endalkachew Belayneh Melese,
Nathnael Abera Woldehana,
Ruth Betremariam Abebe,
Helina Endazezew Tebeje
Issue:
Volume 12, Issue 1, February 2024
Pages:
1-10
Received:
9 February 2024
Accepted:
1 March 2024
Published:
13 March 2024
DOI:
10.11648/j.ajim.20241201.11
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Abstract: The socioeconomic impact of diabetes treatment includes significant costs for diagnosis, treatments, hospitalizations, and associated social challenges. According to the International diabetic federation (IDF) guidelines, effective management entails a holistic strategy including nutritious diet, avoiding carbonated beverages, quitting smoking, and routine exercising. Targeted weight loss is critical, comprising antidiabetic medications, a specific food plan, and lifestyle changes to attain a 7-8% glycated hemoglobin level. Proper medicine and footwear use reduces ulcer risks and further complications. The IDF emphasizes detailed treatment plans and sequential screenings. Diabetes management is obligatory, focusing glycaemic control, lifestyle changes, and risk assessment. A study examines treatment programs, medical behaviour, and factors impacting diabetic care reception. This study examined diabetes mellitus treatment in medical facilities by conducting health information reviews in outpatient clinics with a sample size of 400 records. Java applets detected problems, indicating 95% confidence in therapy. Cross-sectional studies in Peshawar hospitals included 250 patients, whereas specialized diabetic treatment centers evaluated 150 patients. Documented care differed; public hospitals had lower foot inspection rates (16.4%) than specialized care (14%). Statistical analysis, such as the Chung test and binary logistic regression, was used to assess variable relationships. Smoking was common (86%), and 59.8% relied on oral anti-diabetic medications. Less than 30% follow up examinations were recorded in public hospitals which showed discrepancies in documentation. Diabetes management can be improved, particularly through better screening procedures. Discrepancies between provided and documented care underscore the need for higher documentation standards. Private clinics demonstrated comparatively better care, possibly influenced by consultation fees, facility availability, and a comfortable environment—attributes lacking in public hospitals in Pakistan.
Abstract: The socioeconomic impact of diabetes treatment includes significant costs for diagnosis, treatments, hospitalizations, and associated social challenges. According to the International diabetic federation (IDF) guidelines, effective management entails a holistic strategy including nutritious diet, avoiding carbonated beverages, quitting smoking, and...
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Case Report
Acute MI of Young Age: Unwarranted Dosing of Steroidal and Nutritional Supplementations
Issue:
Volume 12, Issue 1, February 2024
Pages:
11-15
Received:
24 March 2024
Accepted:
17 April 2024
Published:
17 May 2024
DOI:
10.11648/j.ajim.20241201.12
Downloads:
Views:
Abstract: Body shaping or body building is obsession of our times. This is achieved with over consumption of proteins, steroids and nutritional supplements. The resulting malnutrition manifest as coronary artery disease which further precipitates myocardial infarction in adults below the age of 40 years. A 25-year male patient was referred to emergency department and was diagnosed with MI- STEMI. He complained of chest pain after a treadmill exercise. He was not a habitual drinker and was performing his routine errands. He was consuming typical self-made and suggested nutritional diet along with whey proteins, fat shredder and anabolic steroids. He received stanozolol 2 ml injection, testosterone 1 mg and triiodothyronine 25 mcg., testosterone and Unwarranted consumption of anabolic steroids and testosterone injections coupled with malnutrition precipitated MI-STEMI. He underwent coronary angiography, echocardiography and was diagnosed with MI-STEMI. His echocardiogram showed ST-elevation in Lead I, aVR and V2-V6. His echocardiogram revealed 44% reduction in left ventricular ejection fraction. He was catheterized after loading with Aspirin 75 mg, Clopidogrel 300mg, Rosuvastatin 40 mg. after balloon angiography he further received Eptifibatide 180 mcg/kg followed by 2 mcg/kg/min as maintain ace dose. He was resuscitated with antiplatelets and statins and was discharged after a few days.
Abstract: Body shaping or body building is obsession of our times. This is achieved with over consumption of proteins, steroids and nutritional supplements. The resulting malnutrition manifest as coronary artery disease which further precipitates myocardial infarction in adults below the age of 40 years. A 25-year male patient was referred to emergency depar...
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,
Aishwar Dixit
