Several studies have reported prevalence rate of reproductive tract infections (RTIs) but very few studies have described health seeking behavior of patients. This paper critically looks at and summarizes the available evidence, systematically. A structured search strategy was used to identify relevant articles, published during years 2000–2012. Forty-one full-text papers discussing prevalence and treatment utilization pattern were included as per PRISMA guidelines. Papers examining prevalence of sexually transmitted diseases used biochemical methods and standard protocol for diagnosis while studies on RTIs used different methods for diagnosis. The prevalence of RTIs has not changed much over the years and found to vary from 11% to 72% in the community-based studies. Stigma, embarrassment, illiteracy, lack of privacy, cost of care found to limit the use of services, but discussion on pathways of nonutilization remains unclear. Lack of methodological rigor, statistical power, specificity in case definitions as well as too little discussion on the limitation of selected method of diagnosis and reliance on observational evidence hampered the quality of studies on RTIs. Raising awareness among women regarding symptoms of RTIs and sexually transmitted infections and also about appropriate treatment has remained largely a neglected area and, therefore, we observed absence of health system studies in this area.
Background: Diabetes mellitus being a metabolic disorder lot of alteration takes place in body composition parameters such increase in fat mass, decrease in muscle mass, increase visceral fat. With advancing age, the predominant feature develops which is more prevalent in diabetes. These changes in body composition should be monitored. The changes if monitored at an early age, can be well managed and proper interventions can be developed. The study was conducted to observe the changes taking place in the body composition parameters in individuals with type II diabetes with varied duration of the disease.Methods: This cross- sectional study was done in 228 type II diabetic subjects from the clinics of the Mumbai and Pune. The baseline data was collected from the all the subjects coming to the clinic through the general questionnaire, Anthropometric measurements and Body composition analysis was done by the BIA principle-based Analyser. Then these subjects were distributed according to the duration of the disease and then analysed. The data was analysed using SPSS version 22 and mean values p values were obtained.Results: The results showed that there is statistically significant increase in fat mass, visceral fat and decrease in muscle mass.Conclusions: There is change in body composition parameters like decrease in muscle mass, increase in fat and visceral fat along with the increase in the duration of the disease.
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