Background: Diabetes mellitus is one of the major health problem and endemic with rapidly increasing prevalence in both developed and developing countries. It has strong association with dyslipidaemias in relation to glycaemic control and duration of the disease. Dyslipidaemias make diabetic patients more susceptible to coronary artery disease (CAD) which is the major cause of increased mortality and morbidity. Objectives were to estimate the blood glucose levels and lipid profiles among diabetics and to compare the lipid profiles among controlled and uncontrolled diabetic subjects.Methods: A cross sectional study was done including 100 diabetic subjects aged between 40 to 60 years of either sex. Patients were classified into 2 groups with 50 subjects in each group as per their glycemic index. Group 1 was controlled diabetic patients (HbA1c≤7.5%) and Group 2 was uncontrolled diabetic patients (HbA1c>7.5%). Venous blood samples were collected from the subjects. The serum was used for analyzing FBS, PPBS, HbA1c and lipid profiles.Results: FBS, PPBS, HbA1c, total cholesterol, triglycerides and LDL were more in females than male patients but the mean values were not significant statistically except FBS and total cholesterol. All the lipid parameters were elevated among uncontrolled diabetic patients compared to controlled diabetic patients which was statistically significant.Conclusions: Present study concluded that the blood glucose levels and lipid parameters were elevated among uncontrolled diabetics compared to controlled diabetics strongly depicting the co-relation between the glycemic levels and lipid abnormalities. Patients should be educated to monitor regularly and control blood glucose and lipid levels.
Background: Fixed dose combinations (FDCs) is a combination product of two or more active pharmacological ingredients (APIs) in a single dosage form. There is lot of debate over rationality and irrationality of FDCs presently. This study was focused on medical postgraduates to evaluate their knowledge, attitude and practices about prescribing fixed dose combinations as they are the physicians who are future practitioners and it is up to them to misuse it or use it judiciously by prescribing rationally. The objective of the study was to evaluate knowledge, attitude and practices about prescribing fixed dose combinations among postgraduate medical students. Methods: A cross-sectional questionnaire based study was conducted among postgraduate medical students of AIMS, B G Nagar, Nagamangala, Mandya, Karnataka, India. Results: Total respondents were 124. 81 participants (65.32%) were males and 43 participants (34.67%) were females. 73.38% of participants were aware of the term FDCs. Improvement in patient's compliance (68.54%) and improved efficacy of individual drugs (62.09%) were the advantages of using FDCs and irrational prescription of FDCs leading to drug resistance (70.96%) and difficulty in dose adjustments of individual drugs (54.83%) were the disadvantages mentioned. Knowledge of banned FDCs was lacking. More than half (58%) of them were not able to mention a single banned FDC in India. Medical representatives (45.16%), Internet (27.41%), textbooks (15.32%) were the most common sources of information of FDCs. Amoxicillin with clavulanic acid was the most common prescribed FDC (60.2%). Conclusions: Majority of the postgraduates have the knowledge about general aspects of FDCs, their advantages and disadvantages. However, knowledge about rational or irrational drugs, banned FDCs and availability of essential list is lacking. It is required that the concepts of rational drug use should be implemented in undergraduate curriculum vigorously and to strengthen their knowledge and skills to prescribe rationally.
BACKGROUNDMedical education is highly stressful and higher stress has been documented in medical students. Stepping entirely into a new environment, huge medical course syllabus which has to be mastered in a short period of time, continuous internal assessments, examinations, being far from family and other social and personal issues are more prone to develop negative emotional symptoms to a newly joined student.
BACKGROUND AIMSTo evaluate the self-learning habits via different learning styles which can influence and be a useful indicator for potential learning performance of an individual.
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