Health Care Setup Research Articles

CLINICAL PROFILE OF RECURRENT HEADACHES AMONG THE CHILDREN RESIDING IN RURAL HABITATS

Introduction: Recurrent headaches can progress to very frequent or even daily episodes of headaches and could have an enormous impact on the life of the children and adolescents. Objective: To study the clinical profile of recurrent headaches among the children residing in rural area. Methodology: A cross- sectional study was conducted at rural tertiary health care centre among the children in an age group 5 to 14 years in year 2019. A total of 160 children were enrolled, interviewed and examined as per structured proforma includes study parameters. The data were analyzed using statistical software and presented in tabular and graphical form. Results: The mean age of participants was 4.43 years with a male to female ratio as 1.1:1. The proportion of primary recurrent headache was 76.2% of which tension and migraine type was 52.4% and 41.8% respectively. Among the total migraine cases, migraine without aura was reported in 90.1% children. Somatization disorder, 63.1% was the most common cause of a secondary headache. As the age increases, frequency of recurrent headache also increases denoted by p - value, 0.004* with higher proportion participants, 62.5% age group 11 to 14 yrs. The average duration of headache illness was 1.8± 0.9 years with the mean duration of headache episodes was 3.57 hours respectively. Conclusion: Recurrent headache is a commonly encountered entity in the children from rural background which was attributed to various etiologies. Most of the children with recurrent headaches in rural regions approach late to health care setup which leads to a crippling effect on productivity in various fields like education and development.

COVID-19 and older people in Asia: Asian Working Group for Sarcopenia calls to actions.

The coronavirus disease 2019 (COVID‐19) pandemic has casted a huge impact on global public health and the economy. In this challenging situation, older people are vulnerable to the infection and the secondary effects of the pandemic and need special attention. To evaluate the impacts of COVID‐19 on older people, it is important to balance the successful pandemic control and active management of secondary consequences. These considerations are particularly salient in the Asian context, with its diversity among countries in terms of sociocultural heritage, healthcare setup and availability of resources. Thus, the Asian Working Group for Sarcopenia summarized the considerations of Asian countries focusing on responses and difficulties in each country, impacts of health inequity related to the COVID‐19 pandemic and proposed recommendations for older people, which are germane to the Asian context. More innovative services should be developed to address the increasing demands for new approaches to deliver healthcare in these difficult times and to establish resilient healthcare systems for older people. Geriatr Gerontol Int 2020; 20: 547–558.

Tigecycline: Role in the Management of cIAI and cSSTI in the Indian Context

The current millennium has witnessed an increased antimicrobial resistance which poses a mammoth challenge for public health management. This has resulted in an increase in morbidity and mortality, resulting in an increase in financial burden to the patients. A recent analysis from 10 hospitals in India reported that mortality rate increases by 1.57 times in patients suffering from multidrug resistance (MDR) bacterial infections as compared to patients infected with similar but susceptible infections. Due to the emergence of MDR and extensively drug-resistant (XDR) bacteria, most of the broad-spectrum antibiotics have been rendered ineffective. The mortality rate with Gram-negative strains is higher than with Gram-positive strains. Tigecycline is the first in class glycylcycline antibiotic with an expanded broad-spectrum activity. Tigecycline enters bacterial cells through energy-dependent pathways or via passive diffusion, to reversibly bind to the 30S ribosomal subunit. It has potent in vitro activity against Gram-negative carbapenemase producers, except Pseudomonas aeruginosa and Proteus spp. It also has good in vitro activity against Carbapenem-resistant Klebsiella pneumoniae strains. Hence, it is considered as a therapeutic option in XDR isolates. Recent meta-analyses have shown tigecycline to be as effective as its comparators with reducing mortality rates. Due to increased resistance reported in carbapenem-resistant isolates in Indian health-care settings, a colistin/polymyxin B-based combination therapy as a treatment option is being sought. A lower mortality rate has been reported with colistin-based combination therapy in Carbapenem-resistant Enterobacteriaceae-associated infections. Combinations with tigecycline, Fosfomycin, and chloramphenicol have shown to improve treatment outcomes. Tigecycline can be a good alternative in MDR and XDR complicated intra-abdominal and complicated skin and soft tissue infections. Appropriately designed clinical trials in Indian health-care setups will reinforce clinician’s confidence in using tigecycline in complex clinical situations.

Surgical Mask-the Saviour: from its Invention to the COVID-19 Era.

The earliest available evidence attributes the discovery of droplets as a mode of transmission of disease to Carl Flügge, a German bacteriologist, a contemporary of Emil Kocher, in 1897. This finding was instrumental in the development of the gauze mask introduced by Johann von Mikulicz Radecki in the same year. A surgical mask has become an indispensable tool in the armamentarium to fight the COVID 19 pandemic. Surgical masks which were once limited to the confines of healthcare setups are now donned by the members of the general public. It has become imperative that a healthcare worker selects the right kind of respiratory protective equipment to protect himself and his patients. The surgical mask has become essential, in a way, for survival.

Simultaneous Pancreas-Kidney Transplant: A Positive Stimulus in the Medical World.

Kidneys are one of the essential organs of our body, with chronic kidney disease being a very prevalent and emotionally, mentally and physically straining condition affecting 1 in 15 people worldwide. The prevalence is further escalating with every passing year. It is slowly progressive in nature, and many times goes unnoticed until symptoms start manifesting and presenting themselves much later in life. In this article, end-stage renal disease (ESRD) due to diabetes mellitus and its effect on different organs is examined, along with the role of simultaneous pancreas-kidney transplant (SPKT) in the management of this condition. Although proven to be an assured treatment with an outstanding allograft acceptance rate, the fact that it is still not widely adopted in many healthcare setups due to financial implications is also studied.Online databases such as PubMed and Google Scholar were searched for the purpose of data collection; due to the very limited number of randomized controlled trials conducted on this given topic, a limited discussion was retrieved. By applying the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method and several inclusion/exclusion criteria, approximately 66 articles were assessed for eligibility based on the title and abstract. A total of 44 articles were shortlisted and considered in the final review.Several systematic reviews that have been conducted in the past reveal the importance of SPKT at an early stage of diagnosis towards increasing longevity of the patient with freedom from multiple medications. Transplant is a cost-effective therapy when compared to the prolonged dependence on dialysis, insulin pens, and increased susceptibility to infections.A greater number of specialists must also train to carry out SPKT and identify the early stages of ESRD, and medical centers should be encouraged to carry out transplant procedures effectively both financially and medically. This can be achieved through the development of global policy mechanisms and establishment of universally adoptable standards.

Comparision of the various routine diagnostic modalities of malaria and a new method: the Parasight™ platform.

Malaria is one of most important parasitic disease, which is still much prevalent in India. The burden of malaria in India is complex and the proportions ofPlasmodium vivaxandPlasmodium falciparumvary across India, because of the highly variable malaria eco-epidemiological profiles, transmission factors, and the presence of multiplePlasmodiumspecies andAnophelesvectors. The diagnostic modalities which were being used currently, are at the risk of missing potential malaria cases, if a single test is being used for a given sample. There are some extremely sensitive and specific diagnostic methods available (e.g. PCR, LAMP), but they are expensive, complex, and not readily available in all healthcare setups. Therefore, this study aimed to compare three different types of routinely used diagnostic methods and a novel testing method, the Parasight™ platform, and compare them with the detection ability of the most accurate diagnostic method, that is, PCR. A total of 111 consecutive malaria-positive (proven positive by PCR) patients were taken and tested by the immunochromatographic test or the rapid diagnostic test (RDT), thin and thick blood smears, quantitative buffy coat (QBC). In the last year of study period, 26 PCR positive samples were also taken up for the Parasight™ platform diagnostic test, along with the other routine tests. Among 111 PCR-positive cases, 78.4% samples were positive by Giemsa-stained blood film examination, 80.2% by QBC, 87.4% by RDT. In the last year of study period, among the 26 PCR-positive malaria samples, 80.8% were positive by blood film examination, 84.6% by QBC, 96.2% by RDT and 100% by the Parasight™ platform test. A combination of tests is preferable than a single method, for better detection of Plasmodium species including automated methods. The new testing method, the Parasight™ platform, is emerging to be a very sensitive test for detection of Plasmodium spp., results of which are comparable to PCR.

Study of Effectiveness of IDRS as a Screening tool in OPD attending Adults at a Medical College Hospital in Central India

Introduction: Type 2 Diabetes Mellitus (T2DM) has established itself as a silent pandemic with devastating multiorgan involvement. The only way forward is to nip it at its bud by proactive screening at every available circumstance. There are many types of cost-effective screening tools available at national and international level. Indian Diabetic Risk Score (IDRS) developed by Madras Diabetes Research Foundation (MDRF) is one of them. The sensitivity of this simple non-invasive tool has been studied mostly in the Southern part of India. Aim: To study the screening accuracy of the IDRS among Outpatient (OPD) attending adults at a tertiary health care setup. Objective: To screen the OPD attending adults aged between18 -60 years for risk of T2DM by IDRS score and check its sensitivity and specificity by univariate, bivariate and Receiver Operating Characteristic (ROC) Curve analysis taking Random Blood Sugar (RBS) as control. Method: A cross-sectional study was carried out on OPD attending patients at a Medical college in central India. A total of 101 subjects were screened over a one-month period by purposive sampling method and their pertinent sociodemographic information along with RBS was collected in addition to IDRS data. Data coding and analysis was done in SPSS version 20. Result: The participants mean age was 38.65±12.54), literacy rate at (63;62.4%).and male representation at 56 (56.5%). The prevalence of high risk, moderate risk and low risk for diabetes among participants as per IDRS were found to be 19.8 %,55.4% and 24.8 % respectively. 11 subjects (10.89%) recorded a RBS levels ? 140 mg/dl. The area under the ROC curve was in the acceptable range (.7-.8). Fixing the IDRS core ? 35 (moderate risk zone) the predicted risk of T2DM had a sensitivity of 90% and specificity of 64%. Conclusion: IDRS may be considered as a viable screening method for OPD attending patients in central India for risk evaluation in asymptomatic cases. How to cite this article: Barjatya P, Mishra BN, Panwar NKS, Chouhan DS. Study of Effectiveness of IDRS as a Screening tool in OPD attending Adults at a Medical College Hospital in Central India. J Adv Res Med Sci Tech 2019; 6(3&4): 19-24. DOI: https://doi.org/10.24321/2394.6539.201908

Prevalence and Antibiogram of Acinetobacter Species Isolated from Various Clinical Samples in a Tertiary Care Hospital

Background: Acinetobacter species has emerged as a significant hospital pathogen, and are becoming increasingly drug resistance. They cause outbreaks in intensive care units and health care units.
 Methods: A cross-sectional study was conducted to determine the prevalence and antibiotic susceptibility pattern of Acinetobacter spp isolated from various clinical samples collected from patients admitted in various wards and intensive care units of the hospital over a period of one year (March 2018 to Feb 2019). 
 Results: Out of 2,623 samples, 1,201(45.78%) yielded significant growth and out of these positive cultures, 138(11.49%) Acinetobacter spp were isolated. Majority of isolates 24(17.39%) were isolated from General intensive care unit (GICU). Maximum sensitivity of Acinetobacter spp was seen towards polymyxin B 138(100%) and colistin 138(100%), followed by tigecycline 127(92.02%). Hundred and one (80.43%) isolates were found to be multidrug resistant. 
 Conclusions: Acinetobacter isolates showed multidrug resistant pattern mostly in inpatients. To avoid resistance, antibiotics should be used judiciously. There is also an urgent need for emphasizing the importance of hand washing and use of disinfectants in prevention of transmission of infection in health care setup.
 Keywords: Acinetobacter spp; prevalence; antibiotic resistance; intensive care units; multidrug resistance.

A Communication Infrastructure for the Health and Social Care Internet of Things: Proof-of-Concept Study.

BackgroundIncreasing life expectancy and reducing birth rates indicate that the world population is becoming older, with many challenges related to quality of life for old and fragile people, as well as their informal caregivers. In the last few years, novel information and communication technology techniques generally known as the Internet of Things (IoT) have been developed, and they are centered around the provision of computation and communication capabilities to objects. The IoT may provide older people with devices that enable their functional independence in daily life by either extending their own capacity or facilitating the efforts of their caregivers. LoRa is a proprietary wireless transmission protocol optimized for long-range, low-power, low–data-rate applications. LoRaWAN is an open stack built upon LoRa.ObjectiveThis paper describes an infrastructure designed and experimentally developed to support IoT deployment in a health care setup, and the management of patients with Alzheimer’s disease and dementia has been chosen for a proof-of-concept study. The peculiarity of the proposed approach is that it is based on the LoRaWAN protocol stack, which exploits unlicensed frequencies and allows for the use of very low-power radio devices, making it a rational choice for IoT communication.MethodsA complete LoRaWAN-based infrastructure was designed, with features partly decided in agreement with caregivers, including outdoor patient tracking to control wandering; fall recognition; and capability of collecting data for further clinical studies. Further features suggested by caregivers were night motion surveillance and indoor tracking for large residential structures. Implementation involved a prototype node with tracking and fall recognition capabilities, a middle layer based on an existing network server, and a Web application for overall management of patients and caregivers. Tests were performed to investigate indoor and outdoor capabilities in a real-world setting and study the applicability of LoRaWAN in health and social care scenarios.ResultsThree experiments were carried out. One aimed to test the technical functionality of the infrastructure, another assessed indoor features, and the last assessed outdoor features. The only critical issue was fall recognition, because a slip was not always easy to recognize.ConclusionsThe project allowed the identification of some advantages and restrictions of the LoRaWAN technology when applied to the health and social care sectors. Free installation allows the development of services that reach ranges comparable to those available with cellular telephony, but without running costs like telephony fees. However, there are technological limitations, which restrict the scenarios in which LoRaWAN is applicable, although there is room for many applications. We believe that setting up low-weight infrastructure and carefully determining whether applications can be concretely implemented within LoRaWAN limits might help in optimizing community care activities while not adding much burden and cost in information technology management.

A study to isolate various bacteria causing osteomyelitis in a tertiary health care setup

Introduction: Osteomyelitis (OM), an inflammation of bone or bone marrow caused by various infectious agents, can cause any age. With this, a study was taken to isolate various bacterial etiological agents that cause OM. Material and Methods: It was a laboratory-based study, conducted in the Department of Microbiology, GSL Medical College from June to Nov 2019. Individuals of all ages, both genders, clinically, radiologically confirmed cases of OM were included in the study. Bone, tissue, and swabs collected with utmost sterile precautions were considered, cultured as per the standard methods. Antibiotic susceptibility test was performed for various pathogenic isolates using Kirby Bauer disc diffusion method; P<0.05 was considered statistically significant. Results: During the study period a total of 72 samples were collected, 61 were culture positive (CP). Age-wise, maximum (18%) CP results were identified in 31-40 years of age group followed by 41-50 years group. Gram-negative rods were isolated maximum (59%) and Staph. aureus was the maximum isolate. Conclusion: OM can occur at any age and there is no gender difference. Staph. aureus was a common isolate followed by Pseudomonas.

Knowledge, attitude and practices regarding no scalpel vasectomy in married men attending urban and rural health facilities in Maharashtra, India

Background: India will soon surpass China as the world’s most populous nation by 2022. Though India was the first to launch family planning in 1952, population stabilization remains a distant dream. No scalpel vasectomy (NSV) is a modified and sophisticated technique of vasectomy which can be performed in low resource settings. However, acceptance of NSV is declining in India including Maharashtra. Hence a study was conducted to evaluate factors affecting acceptance of NSV amongst married men visiting urban and rural health facilities of Maharashtra.Methods: A cross sectional study was conducted amongst randomly selected 50 married males of 21 years old and above each in conveniently selected urban and rural health centre under a medical college. After obtaining written informed consent from the participants, data was collected from November to December 2018 with the help of semi structured questionnaire. Socio-demographic information, knowledge, attitude and practices were entered and analyzed in Epi Info 7. Study was approved by the institutional ethics committee.Results: Majority (60%) of men attending the urban health care setup knew about NSV compared to those attending rural set up (34%). More number of participants from rural area (62%) were of opinion that NSV affects sexual performance as compared to urban area (44%). Willingness to recommend NSV to others was 62% and 32% in urban and rural men respectively. None of the participants (0%) underwent NSV.Conclusions: There is a huge gap between knowledge, attitude and practices regarding NSV in the study participants. It shows a need to revise strategies for its promotion.

Use of electronic health records among Saudi and Non - Saudi health providers - a comparative study at a secondary hospital, Saudi Arabia.

Electronic Health Record (EHR) system is now considered the backbone of effective storage and retrieval of patient records in a healthcare setup. This study is an attempt to assess the knowledge, attitude and practice of healthcare professionals in the use of Electronic Health Record system in patient care. It was a comparative cross-sectional study, conducted among the clinicians working in King Khaled Hospital, Almajmaah, Saudi Arabia. The data was collected from 260 clinicians using systematic random sampling technique. A pre-validated questionnaire was used to gather the data. Nineteen items were graded based on the adaptability, usability and knowledge of the participants. The total duration of the study from conception to completion was 6 months. There were 146 (56.2%) Saudis and 114 (43.8%) non - Saudi participants. Knowledge of computer was slightly more among Saudis 134 (51.5%) than non - Saudis 104 (40.0%) (p>0.05). Saudis had an overall positive attitude toward using the EHR as compared to non-Saudis (p<0.001).Frequency of accessing computers daily was more among Non-Saudi practitioners 93 (35.8%) as compared to the Saudis 85 (32.7%) which was statistically significant (p<0.001). This study has attempted to correlate that clinician's adaptability with an electronic record system that requires prior expertise in the use of computers. It recommends further foray into researching barriers associated with slow uptake and positive attitudinal change among clinicians using the electronic health records system in healthcare facilities across Saudi Arabia.

Infection prevention and control: The prime protagonist against covid-19 in a healthcare setup

Objectives: The coronavirus disease has brought the whole world to a halt, not sparing any continent from its wrath. As it is spreading at a rapid pace, the vaccine and drug development process is yet to keep up with it and the only measure that seems to work is to prevent its transmission. Infection prevention and control is the frontline shield in containing this high and mighty virus until the treatment strategies are sorted out. This review is an attempt to provide relevant information from national and international guidelines for infection prevention and control of the current pandemic of COVID-19. Data Sources: All the relevant data published till 4th May 2020 on COVID-19 has been systematically analyzed. PubMed, NCBI, WHO, Ministry of Health and Family Welfare (India) and Centers for Disease Control and Prevention (CDC) databases and bibliographies of relevant studies have been included. Conclusion: The most important challenges associated with COVID-19 are pertaining to its diagnosis as well as preventing its spread. It is also crucial to maintain or expand healthcare facilities’ capacity for COVID-19. Infection prevention and control is a major player in such a scenario to contain the pandemic and break the chain of transmission.

Utilisation of Laboratory Test Results for Patient Management by Clinicians at Two Large Referral Hospitals in Zambia

Background: Medical laboratory diagnosis is a critical component of patient management in the healthcare setup. Despite the availability of laboratory tests, clinicians may not utilise them to make clinical decisions. We investigated utilsation of laboratory tests for patient management among clinicians at Ndola Teaching Hospital (NTH) and Arthur Davison Children’s Hospital (ADCH), two large referral hospitals in the Copperbelt Province, Ndola, Zambia. Method: We conducted a descriptive cross-sectional study among clinicians. The study deployed self-administered questionnaires to evaluate clinicians’ utilisation, querying and confidence in laboratory results. Additional data on demographics and possible laboratory improvements were also obtained. Data were entered in Microsoft excel and exported to SPSS version 16 for statistical analysis. Results: Of the 80 clinicians interviewed, 96.2% (77) reported using laboratory tests and their results in patient management. 77.5% (62) of the clinicians indicated they always used laboratory results to influence their patient management decisions. Of the selected laboratory tests, clinicians were more confident in using haemoglobin test results (91.2%). There was no statistically significant association between the clinicians’ gender or qualification and use of test results in patient management. Conclusion: Our findings show that despite the majority querying laboratory results, most of the clinicians use laboratory results for patient management. There is need for interactions between the laboratory and clinical area to assure clinician’s confidence in laboratory results.

Indian Dermatologists Wield Technology to Combat COVID-19!

Indian Dermatologists Wield Technology to Combat COVID-19!

Study of Prevelance and Pattern of Senserineural Hearing Impairment in Stage 5 Chronic Kidney Disease Patients on Haemodialysis- at a Tertiary Health Care Setup in India

Study of Prevelance and Pattern of Senserineural Hearing Impairment in Stage 5 Chronic Kidney Disease Patients on Haemodialysis- at a Tertiary Health Care Setup in India

Managerial challenges in establishing a structured cardiopulmonary resuscitation program in a small health-care setup

Introduction: Effective cardiopulmonary resuscitation (CPR) program is required in all health care organizations (HCOs). The focus is primarily on technical aspect of CPR training and managerial challenges encountered in establishment of CPR program are not discussed in detail previously. The aim was to study the managerial challenges in establishing a structured CPR program in a small HCO. A prospective, observational study conducted over a period of 3 months. All staff of the HCO was trained in basic life support. Materials and Methods: A CPR committee was constituted which formulated the CPR policy, CPR rapid response teams (CPR RRT), and training protocols and recorded observations during the study period. Statistical Analysis Used: Mean, percentage, and gain score were used for statistical analysis. Results: The major challenges encountered were unorganized work, lack of resources, old building structure with difficult to access areas, lack of knowledge upgradation, and nonmotivated staff. The clinical staff, involved in regular CPRs, although had basic CPR knowledge, they required continual refresher training. The nonclinical staff showed much larger improvement in scores post training. Conclusions: Flexible functional CPR policy with multidisciplinary CPR RRTs, low dose high frequency training, customized crash kits, interdepartmental liasoning, and mock drills were found useful in making “CPR a reflex manoeuvre” and effective implementation of CPR program. Concepts and principles implemented from organizational behavior, leadership, and motivation such as “Herzbergs Motivational hygiene theory” were useful. Continual training of staff is required for consistent delivery of high quality CPR and even nonmedical staff can be trained to provide high quality Basic Life Support (BLS) similar to clinical staff.

Novel COVID-19 Global Outbreak and a Need for Proactive Dental Care

The global pandemic Novel Coronavirus Disease (COVID-19), which originated in Wuhan, has affected the countries worldwide and has been declared as a public health emergency by World Health Organisation. Because of the exclusive features of dental healthcare set-ups, risk of cross-contamination is greater between patients and dental personnel due to high chances of getting in contact with suspected or asymptomatic COVID-19 patients. Preventive measures are essential to be taken for prevention of furthermore spread of nosocomial infection. The present article provides a brief overview on COVID-19 in dental settings and recommended protocols for screening/assessment, patient management and precautions for dental health care professionals.

Evaluation of hand hygiene compliance over the years, in an intensive care unit of a north Delhi hospital preparing for accreditation: A 3-year study.

Introduction:World Health Organization (WHO) initiated a global movement to achieve universal health coverage (UHC). Hand hygiene (HH) is critical for achieving UHC as it is a practical and evidence-based approach with a gaugeable impact on the quality of care and patient safety in healthcare.Material and Methods:A cross-sectional observational study was conducted in an intensive care unit of a government hospital spanning a period of 3 years. WHO single-observer direct observation technique was used and HH compliance was noted. The results were compared over the years since the hospital was preparing to undergo a National Accreditation Board for Hospitals and Healthcare (NABH) assessment.Results:The overall compliance significantly increased over the years (P < 0.0001). HH compliance for hand rub (HR) and hand wash (HW) was compared among doctors, nurses, and ICU technicians, respectively. HR compliance remained more or less the same over the years (P = 0.4738) while HW compliance significantly improved (P < 0.0001).Conclusions:This is one of the first studies from our country evaluating HH compliance over the years in a healthcare setup undergoing accreditation. During the course of the study, we observed a significant increase in HH compliance. This can be attributed to the unflinching support of our hospital's administration and relentless efforts of our infection control team. This is our first step initiative towards improving HH and thus preventing healthcare-associated infections (HCAIs) in our setup.

Prevalence of cardiac dysfunction in type 2 diabetes in a tertiary health care setup

Introduction: Diabetes mellitus (DM) may be one factor that specifically influences cardiac diastolic function. The present study was designed to examine cardiac dysfunction in diabetes subjects with non-chronic renal failure (CRF). Materials and methods: Study was approved by Institutional ethics committee, Informed consent from the study subjects. Diagnosis of diabetes was made according to WHO criteria. Plasma glucose concentration, serum lipids (total cholesterol, triglycerides, LDL cholesterol and HDL plasma cholesterol concentrations) were measured as per standard procedures. Glycosylated hemoglobin (HbA1c) was estimated by ion exchange resin method. ECG recording was obtained for every subject to rule out ischemic heart disease. Results: Of the 150 study Type 2 diabetes participants, the male female ratio was 1.1. The mean HbA1C was 9.112±1.36 %. 2D ECHO findings showed 34% left ventricular hypertrophy and 51.3% diastolic dysfunction. Dyslipidemia was identified in 54.7% and statistically there was no significant association between dyslipidemia and diastolic dysfunction (P = 0.532). Conclusion: In this study, diastolic dysfunction dyslipidemia was identified in 51.5% participants without dyslipedemia. Though, there was no significant difference, this number is to be considered. However, studies should be conducted with big samples size.