From:
AKSHAY.S.GOWDA
Preliminary MD (AYU) scholar
Department of P.G. Studies in Swastha Vritta
S.D.M. College of Ayurveda and Hospital
P.B. No. 164, Hassan – 573 201
To,
The Registrar
Rajiv Gandhi University of Health Sciences,
Bangalore, Karnataka.
Through:
The Principal and
Head of the Department of P.G. Studies in Swasthavritta
S.D.M. College of Ayurveda and Hospital
Hassan – 573 201
Respected Sir,
Sub: Submission of completed Performa of synopsis for Registration-Reg
I request you to kindly register the below mentioned subject against my name for my Post Graduate dissertation to the Rajiv Gandhi University of Health Sciences, Bangalore for partial fulfillment of M.D. (Ayurveda).
Title of the Dissertation: “AN EPIDEMIOLOGICAL STUDY ON PREVALENCE OF MADHU MEHA (DIABETES MELLITUS) AND VYANAPRABALA (HYPERTENSION) AMONG ADULT POPULATION IN FIELD PRACTISING AREA OF PRIMARY HEALTH CENTER CHAKENAHALLI”
The detailed Performa is enclosed below. Kindly do needful in this regard
Thanking you,
Yours faithfully
Date:14-11-2007
Place:Hassan (AKSHAY.S.GOWDA)
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
BANGALORE, KARNATAKA.
ANNEXURE-II
COMPLETED PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION
1. Name of the candidate : AKSHAY.S.GOWDA
And address Preliminary MD Ayurveda,
Department of P.G. Studies in Swasthavritta,
S.D.M. College of Ayurveda and Hospital,
P.B. No. 164, Hassan – 573 201.
S/o.SURESH.S.
DODDAMANE AGRI CULTURAL FARM
NAEMBHIHALLI , ANEKERE(POST)
CHANNARAYAPATNA 573116
HASSAN
2. Name of the Institute : S.D.M. College of Ayurveda and Hospital,
Hassan –573 201
3. Course of study in Subject: M.D. (Ayurveda) – Swasthavritta.
4. Date of admission to the Institution: 28th may 2007
5. Title of the dissertation: “AN EPIDEMIOLOGICAL STUDY ON PREVALENCE OF MADHU MEHA (DIABETES MELLITUS) AND VYANAPRABALA (HYPERTENSION) AMONG ADULT POPULATION IN FIELD PRACTISING AREA OF PRIMARY HEALTH CENTER CHAKENAHALLI”
6 BRIEF RESUME OF THE INTENDED WORK
6.1 NEED FOR THE STUDY
Adult populations are the economic back bone of family. In the name of modernization and rapid urbanization has dramatically changed life style even among the rural population and this lead to emergency of chronic non communicable diseases. Diabetes mellitus and Hypertension are among the top list.
Diabetes mellitus and Higher blood pressure (Hypertension) are the major risk factor for cardiovascular diseases, stroke & renal diseases4. Diabetes Mellitus and Hypertension if undiagnosed or inadequately treated develop multiple chronic complications leading to irreversible disability and death. In accordance with the “RULES OF HALVES”. 50% of people do not know about their Higher Blood Pressure and Diabetes Mellitus 4.
In developing countries these diseases mainly affecting the productive period of their lives. In adequacies in primary health care system which are not designed to cope with the additional challenges posed by the chronic non-communicable diseases, results in poor detection of cases, suboptimal treatment and insufficient follow up leading to unnecessary disabilities and severe complication ,resulting in early death.
The life style acting as risk in causing the Madhu Meha (Diabetes mellitus) and Vyanapra Bala (Hypertension) has been explained in Ayurvedic classics.
Hence the present study is undertaken for early detection of these diseases and to find out remedial measures to reduce the disability and death.
6.2 REVIEW OF LITERATURE
1. Charaka describes excessive intake of Snigdha, Madura, Navanna, Medhavardaka aahara1. Sushruta describes sedentary life style like Avyayama, Divaswpna and etc are risk factors for Madhumeha2.
2. Vagbhata in Astanga Hridaya describes Rasa and Rakta Dhatu are circulated
all over the body by Vyana Vata. By indulging in consumption of
Virudha Aahara, Vishada and etc, the Vyana Vata gets aggravated leading
to Vyana Bala3.
3. DIABETES MELLITUS and HYPERTENSION are Ice berg diseases.
According to RULES OF HALVES4 only 50% of the Victims will know
about it and among them 50% will under go proper treatment. So it is very
important to screen the population, find the undetected cases and suggest
remedies to improve health seeking behaviour.
6.3 OBJECTIVES OF THE STUDY
1. To study the prevalence of Diabetes Mellitus & Hypertension among the study population.
2. To find out socio- demographic profile among Diabetes Mellitus & Hypertensive
3. To study the health seeking behaviour among study population.
7 MATERIALS AND METHODS:
7.1 Selection of study area :
Adult population in age group of 25-60 years residing at the field practicing area of primary Health center Chakenahalli Holenarsipura taluk,
Hassan district are selected for study.
The estimated Sample Size for study will be 900 and houses are
selected by random sampling method.
7.2 Method of collection:
The Survey method is of the Interview Survey as this will help to provide general back ground data which affect the over all health pictures and show the various components of the Health problem in relation to each other. The data will be collected by using prestructured and pretested Questionnaire’s (WHO STEPS Manual).
Inclusion criteria and Exclusion criteria:
All persons who are willing to participate in the study are included and those who are not given the consent are excluded from study irrespective of their present health condition and treatment is included in the study.
7.3: STUDY DESIGN:
Study populations are selected by random sampling techinque5 and house-to-house visit. For the purpose definition the criteria formulated by WHO- International society of Hypertension and the U.S sixth joint National committee on Detection Evaluation and treatment of Hypertension – “Systolic B.P 140mmHg and a Diastolic B.P of 90mmHg or more and or treatment with antihypertensive medication are considered as hypertensive”. Blood pressure will be measured in sitting position and minimum 3 reading will be taken 3 minutes apart.
The urine sugar is detected by Dipstick method and positive will be sent to Random Blood Sugar estimation.
Statistical Analysis: The Data will be entered in computer and will be analysed by using SPSS analysis
7.4 Has ethical clearance obtained from your institution? YES
8 List of reference :
1. Charaka- Charaka Samhita of Agnivesha with the ‘Ayurveda dipika’ commentary by Chakrapani Datta edited by Vaidya Brahmanand Tripati, Chaukhambha Surabharati prakashana Varanasi: 2nd edition 2002,
Chikitsa Sthana 6thchapter 3rdShloka.
2. Sushruta- Sushruta samhita with Ayurveda tatwa sandipika commentary edited by Vaidya Ambika Dutta Shastri.part 1.choukambha Sanskrit Samshtana.14TH edition 2003, nidhana sthana 6th chapter, 4th Shloka, page no-60. ,
3. Vagbhata- Astanga hridaya author – Prof K.R Shrikanth murthy publishers : Krishnadas academy Varnasi Edition 3rd,, sharira sthana 3\ 68
4. K.park - “Park’s text book of Preventive and Social Medicine.” M\s
Banarsidas Bhanot Publisher, Jabalpur, 19th Edn, 309- 314, 327-332.
2006.
5. B.K. Mahajan – “Methods in Biostatistics” 6th edition – Jaypee, 2006.
9. Signature of the candidate:
10. Remarks of the Guide:
11. Name and designation of
11.1. Guide: Dr. T.B.Tripathy M.D (AYU)
ASST PROF
Department of P. G. Studies In
Swasthavritta,
SDMCA & H, HASSAN.
11.2. Signature:
11.3. Co – Guide: Dr.Kavita M.B
ASST.PROF Department of P. G. Studies In
Swasthavritta,
SDMCA & H, HASSAN
11.4. Signature:
11.5. H.O.D. : Dr. T.B.Tripathy M.D (AYU)
ASST PROF& H.O.D
Department of P. G. Studies In
Swasthavritta,
SDMCA & H, HASSAN
11.6 Signature:
12.
12.1. Remarks of the Chairman and Principal:
12.2. Signature :
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