Diabetes is one of the important public health problem. There are currently 415 million people affected worldwide and number is increasing day by day to an epidemic proportion. Diabetes is a lifestyle related metabolic disorder; besides genetic factor other risk factors are also involved in causation. Gravity of situation is compounded by the fact that fifty percent cases of diabetes remain undiagnosed until complication appear. A change in lifestyle, weight reduction, activity and improved awareness about diabetes can delay diabetic related complication. METHODSA cross-sectional questionnaire based interview of 450 patients was carried out in diabetic OPD of Dr. Susheela Tiwari Memorial Hospital associated with Government Medical College, Haldwani, Nainital, Uttarakhand. The question regarding patient's demographic characteristic and awareness of various aspect of diabetes including general knowledge, cause, complication and prevention were asked. RESULTIn present study, 302 (67.1%) knew what diabetes is. Most of the patients, i.e. 383 (85.1%) patients in present study were not aware about symptoms of diabetes. Among studied patients, 249 (55.3%) did not know that diabetes can cause ocular complication. Nearly half (48.8%) patients were not aware about the cause of diabetes; 168 (37.3%) patients were not aware about specific organ involvement in diabetes. The main source of awareness about diabetes was family members and friends, i.e. 201 (44.7%). A large number of patients (n=215, 47.7%) were not aware about preventive measure of diabetes. CONCLUSIONThis study clearly indicates that despite a good literacy rate, patient's knowledge about preventive measures is still low. There is a need to improve awareness regarding diabetes and its different aspect in the community. KEYWORDSAwareness, Diabetes Mellitus, Systemic and Ocular Complication, Questionnaire-Based Survey, Kumaon.HOW TO CITE THIS ARTICLE: Satyawali V, Pandey S, Sharma V, et al. Assessment of level of awareness for diabetes mellitus, its systemic and ocular complications: a questionnaire-based survey at tertiary care centre of Kumaon region.

A 38 year old woman presented with one day history of acute onset frontal headache which progressively generalised over a few hours. The headache was dull in nature and did not respond to analgesics. A day prior to the onset of headache her family members and the patient had noticed a distinct change in the appearance of her eyes. The headache was not associated with symptoms of meningism, vomiting, seizures, syncope or loss of consciousness. She did not report any weakness in her extremities. There was no recent history of neck trauma or neck pain and no other systemic symptoms.

Childhood cancer survivors (CCS) treated with anthracyclines are at risk for cardiomyopathy. This study evaluated the feasibility and effects of aerobic and strength training among anthracycline exposed CCS with subclinical cardiomyopathy. Body composition, strength and cardiopulmonary fitness were evaluated before and after the 12‐week intervention. All equipment and materials were provided for an American College of Sports Medicine guideline based home exercise program to five 10+ year survivors of bone tumors (3 males, mean age 38.0±3.3 years). All 5 completed the study with no adverse events. Compliance with prescribed exercise was 86%. These results suggest that exercise training among survivors with subclinical cardiomyopathy is safe and may improve exercise capacity. Funding provided by a Cancer Center Support (CORE) grant CA 21765 and ALSAC.

Ocular trauma is an important public health hazard. A study done at a teaching referral hospital in Haldwani revealed 14.54% of blindness to be attributed to trauma alone. The objective of the study was to determine the pattern of ocular trauma among patients presenting in Dr. Sushila Tiwari Government Hospital, Haldwani. A 1 year retrospective review of records of 165 patients with ocular trauma seen from 1 st Feb 2011 to 31 st Jan 2012 was done using a structured format. Association between variables were checked by Chi square test and significance was considered when p<0.05. Ocular trauma accounted for s165 (1.03%) of the 15, 970 ocular patients seen at OPD and Emergency in the aforementioned 1 year period. Of the studied 165 cases, 93 patients were below 30 years of age. M: F ratio was 10:1.21(12.7%) patients presented to hospital within 2-7 days of injury. Duration of presentation has significant association with the presence of infection & other complication (p<0.05). The cause of injury were road traffic accidents, sports playing & recreational activities and occupational in 54(32.7%), 42(25.5%) and 33(20%) respectively. Closed globe injuries accounted for 54(32.7%) and open globe for 75(45.4%) and adnexal injuries constituted 36(21.8%). Delay in presentation was associated with complications.