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Economical and Evidence Based "A Single Test Procedure" for Diagnosing GDM is Likely to be Globally Relevant | Chapter 5 | New Frontiers in Medicine and Medical Research Vol. 14

In pregnant women, an OGTT is performed by measuring plasma glucose in fasting or non-fasting conditions after ingesting 75 grammes of glucose for 2 hours (Monohydrate Dextrose Anhydrous). The Indian Guidelines (DIPSI Test) for detecting gestational diabetes (GDM) are straightforward. In low-resource situations when many pregnant women arrive for ANC check-ups, they can be completed rapidly. The severity of GDM worsens as Insulin action is reduced (insulin resistance) as a result of increased hormone release by the placenta. Other risk factors for GDM include being elderly, having a high BMI or obesity, gaining weight during pregnancy, having a family history of diabetes, having a stillbirth, or having a congenital defect in the past. deliveries. GDM was once thought to be temporary during pregnancy and would go away afterward, however pregnant women with hyperglycemia are more likely to acquire GDM in subsequent pregnancies. Within five to 10 years following delivery, around half of w...

Groundwater Nitrate | Chapter 04 | Current Perspectives to Environment and Climate Change Vol. 3

Groundwater is the main source of drinking water for many small agricultural communities. Nitrate concentration in groundwater is a major problem in Nira River basin area, which is mainly due to the run off or seepage of chemical fertilizers from the agricultural field. A total of 45 water samples were collected in the period of post-monsoon (POM) winter and pre-monsoon (PRM) summer seasons from bore wells. The water samples were analysed using standard methods of APHA suggested for analysis of nitrate. Groundwater quality parameter varies spatially in different seasons. In the present study, spatio-temporal variation in nitrate levels in bore wells of Baramati Tahsil area is examined. The results of analysis showed that nitrate concentration in POM and PRM was above the maximum permissible limit of WHO and BIS recommended for drinking purpose. In POM 74% groundwater samples from canal irrigated area and 11% from non-canal-irrigated area were above the standard limit of WHO and BIS....

Up Scaling Mental Health and Psychosocial Services in a Disaster Context: Lessons Learnt from the Philippine Region Hardest Hit by Typhoon Haiyan | Chapter 11 | Emerging Research in Medical Sciences Vol. 3

In the aftermath of typhoon Haiyan which struck Philippines in 2013, the World Health Organization Philippines in collaboration with the Philippine government acted to improve access to mental healthcare in affected regions. Eastern Visayas with population 4, 3 million had merely four psychiatrists and seven generalists providing mental health care. It was selected as a model region for integration of mental health care into primary and secondary care. This study was carried out to evaluate the intervention’s success in strengthening mental health services in Eastern Visayas with particular regard to availability, accessibility and affordability of these services. Between June 2014 and March 2015, 1038 community workers were trained in psychosocial care and support and 290 non-specialized healthcare providers received training on assessment and management of mental health conditions including on-the-job supervision. By the end of the March 2015, 155 of 159 or 97.5% of primary health...