Online ISSN: 2515-8260

Author : Agrawal, Sachin

Ankle Brachial Index And Its Correlation With Vascular Risk Factors In Pre Diabetics

Neha Phate; Sunil Kumar; Sourya Acharya; Anilwanjari .; Sachin Agrawal; Shilpa Gaidhane

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 3616-3622

Background: In 2015, it was declared by IDF that currently four hundred fifteen million subjects were suffering from diabetes globally which will surge continuously due to life style and increasing weight. According to IDF, people with diabetes increase to six hundred forty two million and they will also having more chances of heart problems as compared to subjects, who don’t have diabetes. This study will find out Association of ABI with vascular risk factors among subjects with Prediabetes.
1. To evaluate the association among ABI & demographics profile and anthropometric measurement like BMI, Waist hip ratio and neck circumference.
2. To evaluate the associationamong ABI and cardiovascular menacevariables viz lipid profile.
Methods:This study will be done in AVBH, Sawangi (Meghe) & it will be a observational cross sectional study.History and examination of the patients will be undertaken in detail. Family history and previous history of diabetes, H/O smoking and Alcohol intake along with medication history will be noted.H/O raised blood pressure, malignancy, CKD and CLD will analyze the evaluation of pre-existing comorbidities in patients, if any. Bydividing the average SBP of the indexankle artery by the average SBP of the indexarm, the ABI will be determined.As recommended in the literature, we too similarly take ABI score of <0.9 and more than 1.4 as possibly sign of PAD and incompressible arteries respectively.Expected results:We expect this study reveals high prevalence of low ABI in prediabetics which might lead to heart problems. We anticipate our research that ABI lower value i.e. ≤1.00 might give an indication of diabetes i.e. whether it will happen in future or not. However to validate this findings, further studies will be required in the upcoming time. Also from our findings we recommend that subjects with low ABI value must be given the required importance so that diabetes can be diagnosed as early as possible along with its prevention.

Assessment Of Nutritional Status By Modified Nutrition Risk In Critically Ill (M-NUTRIC Score) In Chronic Kidney Disease Patients And Outcome

Prerna Verma; Sunil Kumar; Sourya Acharya; Shilpa Bawankule; A.K. Wanjari; Sachin Agrawal; Anand Bakre

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 3721-3728

Background: Protein deficiency and lack of sufficient energy and chances of undernourishment are generally reported among CKD subjects. Sometimes lack of proper nutrition may lead to poor quality of life among CKD subjects due to which it is need of hour to diagnose nutritional problems among CKD subjects. In this study, we will try to assess the role of by m-NUTRIC Score in CKD subjects.
Aim: To assess the nutritional risk by m-Nutric score among subjects having CKD.
1. To assess nutrition among CKD subjects w.r.t stage by m-Nutric score.
2. To define outcome on the basis of m-NUTRIC score in terms of need of dialysis.
3. To compare m-Nutric score in patients on hemodialysis and patients not on hemodialysis.
Material and Method: This cross sectional study will be conducted in the Dept. of Medicine, at AVBR Hospital. 150 subjects having CKD with age more than 18 years, undergoing treatment in Medicine Department at AVBRH, Sawangi who have given written consent will be included in the study. NUTRIC points will be calculated without interleukin (IL)-6. Subjects having mNUTRIC scores more than equal to five will be graded in high risk category of undernourishment whereas scores less than equal to four will be categorised as low risk. Morbidity data, duration of stay of patients and mortality will be recorded.
Expected Results: We expect from our results that malnutrition in CKD patients with mNUTRIC scores ≥5, will be directly proportional to hospitalisation and death.