21/50 (42%) patients had post-stroke dysphagia during their hospital course. Among infarcts, Total Anterior Circulation Infarcts (TACI) had 100% incidence of dysphagia, followed by Partial Anterior Circulation Infarcts (PACI-36%), Posterior Circulation infarcts (POCI-33%), and Lacunar infarcts (LACI-18%). 67% of hemorrhages had post-stroke dysphagia. Staff swallowing assessment had a sensitivity and specificity of 75% and 73% respy., for predicting respiratory morbidity. The corresponding figures for Pulse oximetry were 79% and 91%.
Introduction: Reduced vitamin D levels are found in some autoimmune diseases like rheumatoid arthritis, multiple sclerosis and more recently psoriasis. Objective: This study was conducted to analyze vitamin D status of psoriasis patients in comparison to healthy controls. Materials and Methods: This prospective case control study was conducted on 100 patients (50 with psoriasis and 50 age and sex matched controls) from the outpatient clinic of our dermatology department. Results: Vitamin D levels were significantly lower in psoriasis patients compared with controls. Deficiency (<20 ng/mL) was seen in 96% psoriasis patients and 64% controls. (P value <0.0001) while the prevalence of insufficiency (<30 ng/mL) was 100% in psoriasis group compared with 80% in control group. Conclusion: Vitamin D levels are significantly low in psoriasis patients as compared to control group.
Objective: An estimated 72 million in India live with diabetes; the country faces an impending health-care crisis with prevalence and complications of diabetes forecasted to multiply in the next decade. Improving patients’ knowledge about diabetes to manage the disease better is an urgent and important public health goal.Methods: Knowledge about diabetes, its complications, and management was surveyed using a structured questionnaire among 167 Type 2 diabetes patients attending a tertiary care hospital in Mumbai, India.Results: None of the participants had ever received any formal diabetes self-management education previously. Respondents’ mean and median correct knowledge scores were 20 of 32 test items. Although majority answered statements about blood sugar levels and complications, there was lack of knowledge about the causes and management of diabetes. Around 82% stated that medication was more important than dietary intake and physical activity in managing diabetes. A multiple regression model showed that postgraduate or graduate level education, not being married, having two or less children, and visiting a doctor 1–3 times a year (as compared to more than three visits) was independently associated with higher diabetes knowledge scores (*p<0.05) in this sample.Conclusion: An information disparity exists between patients who have higher levels of education versus those with lesser education. Future research will have to examine the mechanisms by which higher education contributes to better knowledge, and facilitate the design of diabetes education programs that bridge information gaps and improve required competencies in patients to better manage their condition.
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