Hepatitis C virus infection is a globally prevalent pathogen and is a major cause of health care burden in India. HCV is affecting about 170 million people annually throughout the world. The estimated prevalence of HCV in India is about 0.5-1.5% and is a leading cause of chronic liver disease and hepatocellular carcinoma rapidly transmitting as silent killer.This study was planned with an aim to determine awareness about Hepatitis C infection among medical students.A cross-sectional questionnaire-based survey containing 30 questions to assess the knowledge about Hepatitis C infection was conducted.Total 125 students participated, overall score of knowledge-based questions and about transmission of HCV infection were satisfactory. Majority of students were aware of HCV transmission and prevention but have not shown good results about laboratory diagnosis.Overall grasp of Hepatitis C by the studied group was good. However, there were serious gap in their knowledge of lab diagnosis which need to be filled. Knowledge about transmission was very good
Background: Non-ST elevation acute coronary syndrome (NSTE-ACS) patients are complex and varied population. Primarily thrombolysis in myocardial infarction (TIMI) risk score was developed to guide therapy and assess the short term (14 days) prognosis of these patients. However, few studies have evaluated the long term prognostic significance of TIMI risk score after revascularization. This study aims at assessing the long term prognostic significance of TIMI risk score, 36 months after revascularization in NSTE-ACS.Methods: This was a retrospective observational cohort study of consecutive NSTE-ACS patients (n=150) treated by percutaneous coronary intervention between January 2017 to June 2017 in a tertiary care center. TIMI risk score was calculated for each patient at admission. The primary endpoint was a composite of MACE (death, repeat target-vessel revascularization, and non-fatal recurrent MI) at the end of 36 months of follow up. Clinical secondary endpoints included the individual components of the primary endpoint, death, nonfatal recurrent MI, and repeat target vessel revascularization.Results: Baseline characteristics for 150 participants were as follows, age 56±9.5 years, 78.7% male, 25% diabetics, 82% hypertensives, and 36% had hypercholesterolemia. The event rates of the primary endpoint and its components after 36 months were 26.6%. Event rates increased significantly as the TIMI risk score increased as determined by regression analysis (p=0.004). The relative risk increased by 66% as the TIMI risk score increased from low risk category (TIMI score 0-2) to high risk (TIMI score 5-6).Conclusions: TIMI risk score can be used for long term prognostication of NSTE-ACS patients after revascularization, and thus can be used by clinicians for therapeutic decision making.
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