The Journal of the Association of Physicians of India, 2018
Background and Objective Renin-angiotensin system (RAS) blockers (angiotensin converting enzyme i... more Background and Objective Renin-angiotensin system (RAS) blockers (angiotensin converting enzyme inhibitors ACEI, angiotensin receptor blockers, ARB) are preferred drugs to control hypertension among diabetic patients. To determine frequency of RAS blocker use in hypertensive patients with type 2 diabetes, we performed a multisite study in India. Methods We evaluated physician prescriptions in consecutive patients with type 2 diabetes at 9 sites in India. Details of socio-demographic characteristics, clinical findings and prescription medicines were obtained. Descriptive statistics are reported. Results Hypertension treatment details were available in 8056 of 8699 diabetic patients (4829 men, 3227 women). No hypertension was in 3300 (40.9%), hypertension in 3625 (45.0%), and hypertension with vascular disease in 1131 (14.0%). In diabetics with no hypertension, hypertension, and hypertension with vascular disease, respectively, prescriptions of antihypertensive drugs was: RAS blockers...
OBJECTIVE Effect of Dietary diversity and other intervention in prevalence and determinants of an... more OBJECTIVE Effect of Dietary diversity and other intervention in prevalence and determinants of anaemia amongst tea tribe adolescent girls. DESIGN A community based before after intervention study was conducted covering 16 tea estates of Dibrugarh District, Assam. PROCEDURE Variables includes socio-demographic, environmental, anthropometry, history of present and past illness, clinical examination and laboratory investigation including haemoglobin, serum ferritin, haemoglobin typing and routine stool examination and dietary survey using 24 hour recall method and food frequency questionnaire. Interventions given were dietary diversification, health promotion by monthly NHED, cooking demonstration, cooking competition and kitchen garden promotion and counselling to improve IFA compliance and remove barriers and directly observed weekly IFA supplementation. SPSS and EpiInfo software, used to calculate of rates, ratios, chi-square test, Fisher Exact test and multiple logistic regression analysis.
The objective was to study a twenty year old hindu female with post partum gangrene of all four l... more The objective was to study a twenty year old hindu female with post partum gangrene of all four limbs and to assess the effect of ergometrine use. Complete history, clinical examination and relevant investigative support for confirmatory diagnosis were done. A 20 yrs. female Hindu lady presented to emergency department of Assam medical college & hospital (mrd no 46472/11) on 06.11.11, with history of child birth 10 days ago, and presented to us with pain and blackening of the skin in all four limbs for two days. On examination there was presence of pallor with mild rise of temperature with absence of peripheral arterial pulsations in all the four limbs. Lower limbs showed symmetrical gangrene distal to mid cuff, and upper limbs showed asymmetrical areas of gangrene from the mid arm downward along with involvement of tip of the nose and its surrounding areas. The patient had a normal vaginal delivery conducted in a garden hospital and seven to eight days later she developed the above...
The Journal of the Association of Physicians of India, 2018
Background and Objective Renin-angiotensin system (RAS) blockers (angiotensin converting enzyme i... more Background and Objective Renin-angiotensin system (RAS) blockers (angiotensin converting enzyme inhibitors ACEI, angiotensin receptor blockers, ARB) are preferred drugs to control hypertension among diabetic patients. To determine frequency of RAS blocker use in hypertensive patients with type 2 diabetes, we performed a multisite study in India. Methods We evaluated physician prescriptions in consecutive patients with type 2 diabetes at 9 sites in India. Details of socio-demographic characteristics, clinical findings and prescription medicines were obtained. Descriptive statistics are reported. Results Hypertension treatment details were available in 8056 of 8699 diabetic patients (4829 men, 3227 women). No hypertension was in 3300 (40.9%), hypertension in 3625 (45.0%), and hypertension with vascular disease in 1131 (14.0%). In diabetics with no hypertension, hypertension, and hypertension with vascular disease, respectively, prescriptions of antihypertensive drugs was: RAS blockers...
OBJECTIVE Effect of Dietary diversity and other intervention in prevalence and determinants of an... more OBJECTIVE Effect of Dietary diversity and other intervention in prevalence and determinants of anaemia amongst tea tribe adolescent girls. DESIGN A community based before after intervention study was conducted covering 16 tea estates of Dibrugarh District, Assam. PROCEDURE Variables includes socio-demographic, environmental, anthropometry, history of present and past illness, clinical examination and laboratory investigation including haemoglobin, serum ferritin, haemoglobin typing and routine stool examination and dietary survey using 24 hour recall method and food frequency questionnaire. Interventions given were dietary diversification, health promotion by monthly NHED, cooking demonstration, cooking competition and kitchen garden promotion and counselling to improve IFA compliance and remove barriers and directly observed weekly IFA supplementation. SPSS and EpiInfo software, used to calculate of rates, ratios, chi-square test, Fisher Exact test and multiple logistic regression analysis.
The objective was to study a twenty year old hindu female with post partum gangrene of all four l... more The objective was to study a twenty year old hindu female with post partum gangrene of all four limbs and to assess the effect of ergometrine use. Complete history, clinical examination and relevant investigative support for confirmatory diagnosis were done. A 20 yrs. female Hindu lady presented to emergency department of Assam medical college & hospital (mrd no 46472/11) on 06.11.11, with history of child birth 10 days ago, and presented to us with pain and blackening of the skin in all four limbs for two days. On examination there was presence of pallor with mild rise of temperature with absence of peripheral arterial pulsations in all the four limbs. Lower limbs showed symmetrical gangrene distal to mid cuff, and upper limbs showed asymmetrical areas of gangrene from the mid arm downward along with involvement of tip of the nose and its surrounding areas. The patient had a normal vaginal delivery conducted in a garden hospital and seven to eight days later she developed the above...
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Papers by Bhupendra Mahanta