No abstract

Background: Post 2015, the Millennium Development Goals (MDGs) will undergo a transition to Sustainable Development Goals (SDGs). Therefore, it becomes necessary to assess the determinants influencing the present status of MDGs. This study was conducted to assess the progress, short comings related to the transition from MDGs to SDGs in a metropolitan city. It provides practical insights for extrapolating need based strategies related to the SDGs. Methods: Study was conducted in a metropolitan city, Mumbai. Situational analysis of the city was done using monthly and annual performance reports and key informant's interviews at city level. Qualitative analysis was done using thematic analysis. Results: The current infant mortality rate of Mumbai is 26.72 and under-five mortality rate is 38.7/1000 live births. The current MMR of mumbai is 88. The responses from the key informants’ spanned three major themes: Concerns and challenges; Good practices and schemes in pipeline; and Opportunities envisioned. Eight major challenging areas were identified. Opportunities are sustainable models of public-private partnership; Involvement of NGOs and AYUSH practitioners; and IT sector involvement, HMIS, e- governance, and Corporate Social Responsibility (CSR). Conclusions: Significant progress has been made in the field of maternal and child health (MCH), and sustained efforts are required. Maternal mortality figures may be illusive because of the effect of migration and referral cases. Socio-demographic issues of development need to be addressed through governance. Mechanism for intersectoral coordination, IT support, surveillance, and tracking of pregnant mothers needs to be developed. The linkage of MCH services with developmental programs needed.

No abstract

Osteoarthritis (OA) increases the risk of CVD in multiple ways. Both OA and CVD share similar risk factors like decreased physical activity, hypertension, obesity, depression. Also, OA has chronic low-grade inflammation which is potential risk factor for CVD. The modifications of extracellular matrix typical of OA could further increase the risk of CVD. [3][4][5] Direct ischemic effects on the bone are known to reduce the cartilage nutrition and cause bone infarcts which is characteristic of advanced OA. 6,7 In obesity, the inflammatory enzymes ABSTRACT Background: Osteoarthritis (OA) and cardio-vascular diseases (CVD) share similar risk factors. Since OA may increase the risk of CVD through several mechanisms, this study was taken up to find the prevalence of cardiovascular risk factors and diseases in patients with OA knee. We also assessed the relationship between cardiovascular risk factors and the socio-demographic characteristics of the participants. Methods: This cross-sectional study was conducted during August 2018 to January 2019 in an Orthopaedic Outpatient Department of a tertiary care hospital in a metropolitan city. Sample size was 384. Patients above the age of 45 years who were radiologically diagnosed to be OA knee grade 2 and above were included. Questionnaire was used to collect data. Lipid profile and blood sugar were done. Perceived stress scale-10 was used for calculating stress level. Results: Physical inactivity was the most prevalent risk factor (79.68%) followed by tobacco consumption (69.27%), obesity (64.84%), unhealthy diet (56.77%), positive family history (48.43%), dyslipidaemia (48.17%), diabetes (38.54%), hypertension (27.60%), smoking, mental stress and excessive alcohol intake. Prevalence of CVDs like heart failure, heart attack, stroke and other cerebral atherosclerotic conditions were 5.98%. Prevalence among male and female was 6.16% and 5.88% respectively. Conclusions: Risk factors for cardiovascular diseases are common in patients of Osteoarthritis Knee. Physical inactivity is the most common risk factor followed by tobacco consumption, obesity and unhealthy diet. Prevalence of CVDs were 5.98%.

No abstract