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Patil, S.
- An Epidemiological Investigation of Diabetes in Tribal Area
Authors
1 Department of Community Medicine, 1st Floor, College Bldg,Lokmanya Tilak Municipal Medical College & General Hospital, Sion, Mumbai, IN
2 Department of Community Medicine, Lokmanya Tilak Municipal Medical College & General Hospital, Sion, Mumbai, IN
Source
The Indian Practitioner, Vol 67, No 10 (2014), Pagination: 607-610Abstract
Context: Diabetes mellitus is one of the most prevalent non-communicable diseases in the world and a modern threat to public health. India has been termed as the 'Diabetes Capital' of the world. The Indian scenario shows a steady increase in the prevalence of diabetes both in urban and rural areas as reported by Indian Council of Medical Research (ICMR). The tribal areas pose an equal risk with the changes in their life-style, however this aspect has not been explored extensively. Aims: To study the prevalence and epidemiological determinants of type 2 diabetes mellitus in the rural tribal area. Setting and design: An analytical cross-sectional study was conducted in Tembha village, a tribal village in Taluka Shahapur, District Thane. Methods and material: A total of 568 adults aged 25 years&above were surveyed by questionnaires on demography, current and past dietary habits, social habits and family history. Physical examination and blood glucose measurement was done. Statistical analysis used: Statistical analysis was done using SPSS 15.0. Results: 568 subjects were studied. 296 (52.1%) were males and 272 (47.9%) were females. The prevalence of diabetes mellitus was 4.4% and that of impaired glucose tolerance was 1.2%. Significant association was found with risk factors like age, tobacco, alcohol addiction, obesity and hypertension. Independent risk factors like age over 40 years, obesity and hypertension were found statistically significant with logistic regression analysis. Conclusion: The present study shows a high prevalence of diabetes in tribal areas. Tribal diabetes should be addressed as a problem to curb the epidemic of diabetes.Keywords
Diabetes, Tribal- Isolated Musculocutaneous Nerve Injury After Fall from Height
Authors
1 KLE University's J N Medical College/Dr. Prabhakar Kore Hospital & Medical Research Centre, Belgaum, Karnataka, IN
Source
The Indian Practitioner, Vol 67, No 8 (2014), Pagination: 501-503Abstract
A 22 year previously healthy man presented to Orthopaedic department of our hospital with inability to flex his left elbow since 6 months. He complained of no pain. 6 months back he fell from a height of around 20 feet, when he sustained injury to his left shoulder, elbow and left leg. X-rays of shoulder and elbow showed no fracture.
On clinical examination and investigations (X-rrays, USG, MRI, EMG/NCV) he was diagnosed as isolated musculocutaneous nerve injury. He was treated in the form of physiotherapy by electrical muscle stimulation and strengthening of elbow flexors. At the latest follow up of 2 years he has regained normal muscle mass and power of elbow flexion. He is able to lift heavy weights without any discomfort or pain. He is back to his heavy labour work.