Background: Sedentary lifestyle is one of the important risk factors for cardiovascular diseases which is the leading cause of death globally. Workplace initiatives like promotion of staircase use are one among many simple measures to overcome the harmful effect of a sedentary workplace. Hence this study was conducted to assess effectiveness of ‘using staircase’ as a lifestyle modification among sedentary workers of a municipal corporation in improving fitness level.Methods: An interventional study was conducted over a period of 8 weeks among workers of a municipal corporation office. A semi structured questionnaire including socio demographic and morbidity details was administered. sitting-rising test (SRT) was administered before and after 8 weeks staircase use intervention to assess fitness levels among study participants.Results: The mean SRT score of 172 study population at baseline was 8.79 and 115 (67%) recorded above it. 3.5-5. Younger age was associated with higher SRT score and those with history of smoking, alcohol consumption, hypertension, diabetes, hyperlipidemia and higher BMI had lower SRT scores than their counterparts. Mean value of SRT significantly improved to 9.015 following intervention.Conclusions: Fitness level assessed using SRT score among office staff showed that people with higher age and higher BMI have low SRT score than their counterparts. This study has shown that staircase usage can be prescribed as effective method to improve fitness level at sedentary workplace.

Background: Foot ulcers are the principal cause of severe complications and hospitalization among patients with diabetes, substantially increasing the costs with this disease. Peripheral neuropathy, ulceration, infection, and peripheral vascular disease are the principal factors for ulcer complications and loss of a lower limb in diabetic patients. The aim of the present endeavor was to study the patients undergoing amputation for the diabetic foot ulcer.Methods: Total 150 patients with diabetic foot ulcer were included in this study. The variables investigated were related to diabetes, infection, and surgical treatment. In our series amputation were done at different levels anatomical levels ranging from toe level ranging from toe level to above knee amputation.Results: Pus culture and sensitivity done for diabetic foot ulcers reveal E. coil as the most common organism (40%). Skin biopsy done in these patients reveal neuropathic changes in 102 patients. 40% of patients had vaso-occlusive disease. Nine out of 150 patients showed osteomyelitis changes emphasizing those diabetic ulcer patients are prone for osteomyelitis of the underlying bone. 46% of patients with diabetic foot ulcer needed either minor or major amputation, which correlates with the standard study.Conclusions: Lack of awareness about diabetes mellitus and its lower limb complications, poor compliance to the treatment, poorly controlled blood sugar levels, delay in diagnosis, and late presentation to the tertiary care center are all factors which led to the occurrence of diabetic foot ulcer.