Introduction: The co-occurrence of diabetes and COVID-19 infection poses a significant medical challenge due to the increased risk of serious complications. Infection with SARS-CoV-2, the virus responsible for COVID-19, exacerbates these risks because of the systemic inflammation it causes and the direct and indirect effects of the virus on the cardiovascular system. Objective: The aim of this study was to explore cardiovascular risks in diabetic patients testing positive for COVID-19 in Pointe-Noire, Republic of Congo. Methods: We recruited a total of 206 participants for this study. Biomarkers were quantified from blood samples and sars cov-2 virus was identified using the PCR technique on nasopharyngeal swabs. Results: Analysis of our data shows that the following biological parameters are evidence of cardiovascular complications ESR: OR 1.91(1.84-1.97) p<0.001 DDI: OR 1.01(1.01-1.01) p<0.001, APTT: OR 1.67(1.33-2.09) p<0.001, TG/hdl: OR 1.78(1.48-2.13) p<0.001, CK-MB: OR 1.37(1.17-1.59) p<0.001. There was also a strong correlation between AIP and TG (r =0.86, p<0.001) and inversely with HDL (r= -0.56, p<0.0001). A strong association between AC with LDL (r=0.79, p<0.001) and TC (r=0.68, p<0.001). A strong inverse linear correlation of CRR with HDL (r= -0.79, p<0.001) and positive with TC (r=0.53, p<0.001). A strong correlation coefficient of between CPI with HDL (r=0.69, p<0.001) and negative with CT (r= -0.46, p<0.001) and, an inverse relationship with HbA1c(r= -0.22). Conclusion: The results of our study show that COVID-19 in T2DM can cause cardiovascular complications or deterioration of coexisting cardiovascular disease by direct or indirect mechanisms.
Dr. Shayla Shahadat, Dr. Dilruba Afrose Mili, Dr. Tofayel Uddin Ahmed, Dr. Nayem Sultana Suny, Dr. Shakila Taskin, Dr. Sadia Rubana Nila
Glob Acad J Med Sci, 2025; 7(1): 8-12
DOI : https://doi.org/10.36348/gajms.2025.v07i01.002
Background: Assessing the nutritional status of young children, especially those under age five, is vital for tackling acute malnutrition and enhancing health outcomes. The 24-hour dietary recall gives a detailed view of what a child eats, aiding in identifying nutritional gaps and dietary habits. Aim of the study: This study aimed to assess and compare the nutritional status of under-five tribal and non-tribal children with acute malnutrition using the 24-hour dietary recall method. Methods: This comparative observational study was conducted at the Department of Pediatrics Community Based Medical College Bangladesh from September 2023 to September 2024. The study enrolled 40 children under five years, divided into 10 tribal (Group A) and 30 non-tribal (Group B) participants, selected purposively. The 24-hour dietary recall method assessed their nutritional status. Data analysis was performed using SPSS version 26.0 programs. Results: For stunting, mild stunting occurred in 40% of Group A and 33% of Group B, moderate in 20% and 47%, and severe in 40% and 20%, respectively (p=0.333). For wasting, mild wasting affected 60% of Group A and 70% of Group B, with moderate wasting at 40% and 30%, and no severe cases in either group (p=0.173). For underweight, mild underweight was 80% in both groups, moderate was 10% in Group A and 17% in Group B, and severe was 10% and 3%, respectively (p=0.104). Differences were not statistically significant. Group B consumed more dairy, legumes, eggs, meat, fish, and fruits, and had higher energy (65%) and protein intake. Conclusion: There is no significant difference in stunting, wasting, or underweight status between tribal and non-tribal under-five children. However, non-tribal children consume more dairy products, legumes, eggs, meat, fish, and various fruits, leading to higher energy and protein intake compared to tribal children.
Bassey Immaculata E, Bassey Emmanuel E, Harmony Ibezim, Elusoji Christiana I, Okutepa Toyin E, Aragua David E, Anwuli Emina, Nwafor Amuchechukwu V, Osuagwu Chidubem P, Ifemenam Emeka V, Onyema Malachy
Glob Acad J Med Sci, 2025; 7(1): 13-26
DOI : https://doi.org/10.36348/gajms.2025.v07i01.003
Vaccination is crucial for disease prevention, particularly in rural Nigeria, where access to healthcare is limited. This study examines the challenges to immunization programs, the impact of government policies and local health systems, and the effectiveness of control measures. Key challenges include logistical issues, such as inadequate health facilities, storage for vaccines, and equipment, as well as socio-cultural barriers like lack of knowledge, traditional beliefs, myths, and rumors. Government policies and health systems play a significant role in immunization efforts but are often hindered by resource shortages and inconsistent implementation. Effective strategies, such as mobile vaccination units, community health education, and integrating immunization with other health services, have shown promise in improving vaccination coverage. However, concerns about the sustainability of these interventions highlight the need for systemic strengthening, including community involvement and a reliable vaccine supply chain. This study emphasizes the importance of coordinated efforts by government, healthcare providers, and community leaders to address both structural and cultural barriers. Achieving 100% immunization coverage in rural areas requires inter-sectoral strategies that address social determinants of health. By tackling these underlying factors, sustainable improvements in immunization programs can be ensured, ultimately reducing the burden of vaccine-preventable diseases in hard-to-reach rural areas.
Top Editors
Dr Akhtar Ali
Associate Editorial Board
MBBS, MD (Pharmacology) Senior Medical Officer District Hospital Baran, District- Baran (Rajasthan) 325205, India Email: drakhtar06@gmail.com
Dr Hozifa Mohammed Ali
Associate Editorial Board
Teaching Assistant, Department of Surgery, Alzaeim Al azhari University, Khartoum, Sudan Email: hozifa.m.ali@gmail.com
Dr. Tej Nath Nepal
Associate Editorial Board
Chie Medical Officer, Gedu Hospital, Ministry of Health, Royal Government of Bhutan Email: tnnepal@health.gov.bt
Dr. M. Shabnum
Associate Editorial Board
Assistant Professor, Department of Microbiology, Narayana Medical College, Nellore-524003, Andhra Pradesh, India Email: shabnummusaddiq@gmail.com
Dr Anslem Ajugwo
Associate Editorial Board
Department of Medical Laboratory Science, Madonna University Nigeria E-mail:slemjugwo@yahoo.com
Dr. Devika Singh
Associate Editorial Board
Senior Resident, Department of Dentistry, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India Email: devsika@yahoo.co.in
Dr. Nkporbu A.K. (AmbP)
Associate Editorial Board
Consultant Neuropsychiatrist/Mental Health Physician, Dept. of Neuropsychiatry/Mental Health, University of Port Harcourt Teaching Hospital, Nigeria Email: nakpigi2008@yahoo.com
Dr. Serkan Yazici
Associate Editorial Board
Dermatology and Venereology, Uludag University School of Medicine, Özlüce, Görükle Kampüsü, 16059 Nilüfer/Bursa, Turkey Email: serkanyazici@uludag.edu.tr
Dr. Anil Gowtham Manivannan
Executive Editor
Consultant Orthopaedic Surgeon, Arathana Hospital, Pollachi, Tamil Nadu, India Email: anilthambu91@yahoo.com
Tariq Dhiyab Al-Saadi
Deputy Chief-Editor
Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital- McGill University, Montreal, Canada Email: t.dhiyab@hotmail.com
Mohammed Ahamed Ahamed Abuelnour
Editor-in-Chief
Assistant Professor of Anatomy, College of Medicine, Dar-Al Uloom University, Kingdom of Saudi Arabia (KSA) Email: abuelnour88@yahoo.com
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