Cerebrovascular accidents or strokes are a major cause of mortality and morbidity in today's world. Post-stroke disabilities like paralysis, dementia, etc., can affect the quality of life of patients as well as their families. A combined increase in neutrophils and a decrease in lymphocytes during inflammation in stroke manifests as an elevated neutrophil-to-lymphocyte ratio (NLR), thereby indicating the severity of neural damage. We aimed to determine if an elevated NLR observed on the day of hospital admission can predict a higher risk of in-hospital mortality in stroke patients. Confirmatory results could aid in developing risk stratification for management, ultimately improving clinical and functional outcomes. Sixty stroke patients were monitored throughout their hospital stay in this prospective cohort study. NLR was calculated at admission using routine complete blood counts. The data were analyzed using SPSS Software v23.0 (IBM Corp., Armonk, NY). An unpaired t-test was used to compare the means between the two groups. Categorical data were analyzed using the chi-square test. The receiver operating curve (ROC) was plotted and used to ascertain if a cut-off value of NLR could be obtained to predict in-hospital mortality in stroke patients. P values 6.03 on the day of admission demonstrated a higher risk of in-hospital mortality (p=0.015 (95% CI: 0.577-0.855)). An area under the curve (AUC) of 0.72 with a sensitivity of 92.86% and a specificity of 54.35% was obtained. Elevated NLR (cut-off >6.03) obtained within 24 hours of hospital admission is an indicator of a higher risk of in-hospital mortality in stroke patients. Hence, patients presenting with a high NLR at admission can be prioritized for personalized targeted treatment, potentially reducing mortality and post-stroke complications.

Background: The study aimed to evaluate the implementation status of the National Tuberculosis Elimination Program (NTEP) at medical colleges in Karnataka, India, and identify the challenges encountered by the medical college core committee members. Methods: A cross-sectional study was conducted among 14 medical colleges in 2019-20, using a pre-tested, semi-structured questionnaire to collect data on various NTEP components. Results: The implementation status of NTEP activities was categorized as adequate, partially adequate, or inadequate. Results showed that certain activities such as TB notification, DMC infrastructure, TB-HIV coordination, and the formation of the NTEP core committee were adequately implemented. However, challenges such as work overload, lack of dedicated manpower, and salary constraints were encountered. Conclusions: Overall, the medical colleges involved in the study were actively implementing NTEP, but there is still room for improvement to fully optimize the implementation.

Background Internet is changing the way people access health related information and is used to learn about illness affecting them and make health related decisions. It offers people easy amp anonymous access to information about health and medicines accessible at their fingertips.1 Population seeking health information through web has exponentially increased in the present era. Information one finds on web vary a lot and there are risks including finding inaccurate or scary information or missing the best sources.Objective To determine the prevalence of the internet use as medical information resource by the patients utilizing the Out Patient services at Urban Health Training Centre and to determine the perceptions of the patients regarding the quality and reliability of the information available.Methodology A cross sectional study was conducted during the month of August ndash November 2019. Face validated semi structured questionnaire was used and data was collected by interviewing each patient attending Out Patient Department of UHTC after obtaining informed consent from them.Results Mean age of the study participants was 43.69plusmn10.30 years. 13545 participants acknowledged surfing the internet.48 35 of them used internet every alternate day and 68 50 of them spent an average of 1-3 hours of surfing the internet per week. 118 88 of the participants used the internet for seeking health related or medical information.

Background: Despite the substantial presence of persons with disabilities (PWD) in the population, they face many barriers in healthcare. Competency-Based Medical Education (CBME) is increasingly used to address these gaps. Aims and Objective: This study assesses the impact of disability competencies training on medical students' attitudes towards PWD. It aims to explore new perspectives, identify attitudinal shifts, evaluate training effectiveness, and promote solution-oriented learning. Materials and Methods: Five Focus Group Discussions (FGD) with 8 participants each, a series of themes related to the understanding of disability and empathy were explored. The participants, who had undergone training in disability competencies. The FGDs were facilitated by trained moderators and analysed employing thematic analysis and generating tree maps. Results: Key themes evolved from the students' new perspectives towards PWD, which included Inclusion and Responsibility, Empathy and Understanding, Managing patients with disabilities, Equity and rights, and Acceptance. Themes also emerged regarding the impact of training, revealing an Attitudinal Shift, Engagement and Interaction, Personal Impact, and Solution-Oriented Learning. Conclusion: Disability competency training significantly transforms medical students' attitudes, fostering a more inclusive, empathetic approach in healthcare. This shift is crucial for integrating disability competencies into medical education, especially in developing countries