Browsing by Author "Rai, Rajendra"

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    Outcome Of Acute Stroke In Diabetic Vs Non-Diabetic Patients
    (Indian Society for Health and Advanced Research, 2024-12) Rai, Rajendra; Kumar, Ajay; Nayyar, Afroz
    Background: Diabetes mellitus significantly increases stroke risk, leading to higher incidence and mortality rates due to its impact on vascular health and glycemic control. This study compares the three-month outcomes and mortality rates of stroke in diabetic versus non-diabetic patients at a tertiary care hospital. Insights from this research aim to enhance therapeutic strategies and management to reduce stroke-related mortality in diabetic patients. This prospective cohort study was conducted in the Medicine ward at BRD Medical College, Gorakhpur. A sample ofMethod: 250 stroke patients was selected using simple random sampling, with a final count of 230 after accounting for follow-up losses. Patients were included after taking written informed consent based on criteria of acute ischemic or hemorrhagic stroke, with or without type 2 diabetes mellitus. Exclusions included patients with previous history of stroke or specific health conditions like subarachnoid hemorrhage, CAD, CKD, etc. Investigations included HbA1c, random blood sugar, complete blood count, and lipid profile. Out of 230, 138 patients were non-diabetic whereas 92 patients were diagnosed with diabetes mellitus. Data analysis was performed using SPSS, with statistical significance set at p-values less than 0.05. The study reveals that diabetic stroke patients have significantly higher blood sugar and HbA1c levels, leading toResult and Conclusion: worse clinical outcomes. They present with more severe neurological impairments and a potential trend towards a higher proportion of ischemic strokes. The 3-month follow-up shows a notably higher mortality rate among diabetic patients (62.0%) compared to non-diabetic patients (34.1%). These findings emphasize the need for strict blood sugar control and tailored treatment strategies to improve outcomes and reduce mortality in diabetic stroke patients.
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    Prevalence of rheumatic heart disease in school-going children of Eastern Uttar Pradesh.
    (2007-01-23) Misra, Mukul; Mittal, Mahim; Singh, Rk; Verma, Am; Rai, Rajendra; Chandra, Gyan; Singh, Dp; Chauhan, Rahul; Chowdhary, Vijay; Singh, Rp; Mall, Ak; Khan, Mohd J; Khare, Suyash; Yadav, Kb
    BACKGROUND: Rheumatic heart disease is a major health problem in our country. There is evidence from South India that its prevalence is declining. This study attempts to confirm whether this is so in North India as well. METHODS AND RESULTS: A total of 118,212 (68,357 males, 49,855 females) schoolchildren in the age group of 4-18 years were examined for the presence of heart disease. Evaluation, including echocardiography, confirmed that of a total of 389 suspected to have heart disease, 61 had rheumatic heart disease. Thus, the prevalence of rheumatic heart disease was found to be approximately 0.5 per 1000 children. CONCLUSION: In a fairly large school survey conducted by us, the prevalence of rheumatic heart disease turned out to be approximately 0.5 per 1000 children. This is the lowest figure reported from our country so far and confirms the decline of this disease in our country.