Electromagnetic interference (EMI) from radiofrequency sources may cause a variety of medical devices to malfunction, compromising patient safety. An overview of Health Canada's efforts to ensure that medical devices are safe from EM1 is presented. Health Canada has identified and assessed the following EM1 issues: interference from wireless local area network systems, electronic article surveillance systems, metal detectors, and Bluetooth technology. Health Canada is assessing the susceptibility ofmedical devices to EM1 from these sources to develop suitable electromagnetic compatibility requirements and other solutions to minimize risk to patients.

Original Research Article Background: The study aimed to evaluate the relationship between Diabetic neuropathy and neutrophil lymphocyte ratio amongst patients with type 2 diabetes. Methodology: The study was conducted as a cross sectional study in outpatient Department of Medicine, Hamidia Hospital Bhopal for a period of 6 months. All the 100 known cases of type 2 diabetes belonging to age group of 18 to 80 years and giving consent were included in the study. Detailed data regarding sociodemographic variables, diabetes duration and treatment was obtained and entered in questionnaire. Height, weight, BMI was recorded. CBC, FBS, PPBS and HbA1c was also conducted. Results: The present study observed no statistically significant association between various baseline variables and Neutrophil to lymphocyte ratio (p>0.05).Neutrophil to lymphocyte ratio were significantly associated with duration of diabetes and presence of neuropathy i.e. NLR were significantly higher in patients with neuropathy and patients with longer duration of diabetes (p<0.05). Diabetic neuropathy was observed to be significantly correlated with neutrophil to lymphocyte ratio and duration of diabetes (p<0.01). Conclusion: Higher neutrophil to lymphocyte ratio may be considered as a prognostic indicator of diabetic neuropathy. This is a cost effective marker that is easily available and can be used in community settings as well as resource poor settings.

Background: Surgical Background: Impaired glucose tolerance is known precursor of type-2 diabetes mellitus and more prevalent in obese people, different studies have varied results and true prevalence is still debatable. Aims of this study  to investigate the prevalence of IGT in different grades of obesity.Methods: Authors have studied100 patients with obesity Grade1 (BMI >25 kg/m2 but <30) and Grade2 (BMI >30 kg/m2) at Gandhi Medical College, Bhopal during April to June 2019. Complete physical examination and blood tests including fasting blood glucose and oral glucose tolerance test (OGTT) were done.Results: Results shows that 16% male and 14% female subjects had IGT. Male of age more than 60yrs and female aged between 51 to 60 were more pre-diabetic. Males having weight 71 to 80 kg and female of 51-60 kg were more pre-diabetic. Subjects with grade 1 obesity, 6.12% male and 5.88% female had IGT. Similarly, in grade 2-obese subjects 10.20% males and 7.84% females had IGT.Conclusion: IGT is more prevalent in grade-1 and grade-2 obese population and a strong indicator of diabetes.

No abstract

Original Research Article Background: Type-2 Diabetes Mellitus (T2DM) with cardiometabolic risk factors poses the high risk of atherosclerosis. The Intima-Media Thickness (IMT) of carotid artery is reliable indicator of cardiovascular diseases. Aims and objectives: To study the Correlation of Serum Triglyceride level with Carotid Intima-Media Thickness (CIMT) in Type-2 Diabetes Mellitus patients. Materials and Methods: Presentretrospective study was performed on 250 T2DM patients at Department of Medicine, Gandhi Medical College and associated Hamidia Hospital from January 2018 to March 2019. T2DM patients having age 25-65 were enrolled. CIMT was measured with ultrasonography and its correlation was checked with triglyceride serum level. Results: Out of 250, 152 were male and 98 were females. Mean age of cohorts was 53.03 years. out of 250 subjects only 79 has normal fasting triglyceride(FTG) and post prandial triglyceride (PPTG) (mean CIMT was 0.95±0.27), 88 subjects has abnormal PPTG and normal FTG with (mean CIMT 1.63±0.40 mm) and 83 subjects had abnormal FTG and PPTG i.e. ≥150 mg/dl and significantly high CIMT as 1.96±0.61 mm. Conclusion: FTG and PPTG levels are significantly correlated with the carotid intima media thickness. PPTG is indecently and strongly associated with CIMT.