In order

to facilitate deeper exploration of the known key themes and assumed barriers/facilitators selleck chemicals llc to help-seeking, the interviews use probes designed to ensure rich data are collected. However, the overarching interview topics are general to encourage the participant to tell their story and share their experience to ensure new themes are not missed. Investigating gender, help-seeking decisions and cardiac symptoms is complex, and few larger quantitative studies have produced convincing statistical results. Many studies have criticised the lack of inclusion of a specific valid instrument for gender, help-seeking and cardiac symptoms. Studies used generalised non-specific response-to-symptoms. In order to facilitate further study—a large quantitative trial with generalisable results—the qualitative data elicited in this study will be used to construct and undertake preliminary validation testing for a gender and help-seeking questionnaire with a specific focus on cardiac symptoms. Feedback and dissemination The investigators will send a written summary to participants at the end of the study to thank them for their involvement, let them know the study is concluded and provide key study findings. In addition, investigators will disseminate findings to the scientific community via publication

in peer journals, presentations and the creation of patient advice leaflet for chest pain clinics. Supplementary Material Author’s manuscript: Click here to view.(979K, pdf) Reviewer comments: Click here to view.(134K, pdf) Acknowledgments The University of Westminster for sponsoring this study and Dr Bob Odle for his help in obtaining sponsorship. Queen Mary’s Roehampton Cardiology Department for agreeing to be host site for this study, with special gratitude to Mona Chauhan for her assistance. Dr Beth Unsworth for helping us conceptualise this study. Adam Russell for help with editing the manuscript.

Footnotes Contributors: NS designed the study protocol with guidance from DR and AC. NS drafted the manuscript. DR and AC edited and gave feedback on multiple drafts of the manuscript. All authors Dacomitinib read and approved the final manuscript. Competing interests: None. Ethics approval: IRAS. Provenance and peer review: Not commissioned; externally peer reviewed.
According to a recent scenario, diabetes is becoming a global public health problem, especially in India. Obesity, especially central obesity, and increased visceral fat due to physical inactivity and consumption of high-calorie/high-fat and high-sugar diets are major contributing factors for it.1 In India, as urbanisation and economic growth occur, there are major deviations in the dietary pattern that are influenced by varied cultural and social customs.