Background: Being a mother involves many risks which are well known from an era of time. It can range from minor hyperemesis to life threatening hemorrhages. A very effective measure to counter these risks is Antenatal care involving antenatal checkups, investigations and specific protection measures like TT immunization and IFA tablets. All these services are provided to women in India through various schemes, a few like JSY, JSSK and PMSMA. Objective: This study was planned in an area where limitation of such services due to a density of population is there to estimate the utilization of Antenatal Care Services and to look for various factors responsible for the pattern of utilization. Method: A community based cross-sectional survey was done in Madlauda block of district Panipat having a population of 1.43 lakhs on recently delivered women residing in the study area during the period of study. The data were collected with the help of a semi-structured interview schedule. Results: Most of the women had antenatal registration and though a good number of women delivered their babies at a healthcare facility, still most of them did not avail the minimum required antenatal checkups i.e. a minimum of 4 antenatal visits. TT immunization rate was quite high while consumption of IFA tablets was relatively very low. Analyses of the socio-demographic factors revealed education status, caste, work and religion to be significantly associated (p<0.05) with antenatal checkups and type of family, education status, work status and religion to be significantly associated with institutional deliveries. (p<0.05) Conclusion: Utilization of antenatal services in terms of antenatal checkups was quite low as only one-third of the study participants had minimum Antenatal checkups.

Background: It has been estimated that more than half of the donations are paid in developing countries like India. People do not know about the organizations engaged in voluntary blood donation. They are afraid about the blood donation. They have wrong concepts about the blood donations. Objective: To study Knowledge, Attitude and Practices about Blood Donation among Urban Slums Dwellers Methods: A community based cross sectional study was carried out at an Urban slum area, Shapur, Hyderabad for 4 months among 210 people. Data was collected using a predesigned , Pretested and structured questionnaire Results: About half-half subjects were aware and not aware of their blood groups. Half of the subjects did not know their own blood group. Majority of the subjects i.e. 88.1% were aware that there is a phenomenon called blood donation and what is it. 17.6% of the subjects were aware that HIV test should be performed on the donated blood before it is given to the needed person. Only 2.4% knew about the malaria test. Overall 20.9% told about the other test names which are routinely done on the donated blood. But majority i.e. 59.1% did not know that any test should be performed on the donated blood. Majority i.e. 72.4% of the subjects were not aware about the knowledge on duration between each blood donation. The maximum subjects donated the blood only once contributing to 50%. The maximum subjects donated blood to their friends contributing to 38.46% and 31% of the subjects donated to their relatives. Conclusion: Knowledge and attitudes related to blood donation was poor among the slum dwellers. Only 12.4% had donated blood but voluntary blood donation rate was very poor.

Background: Mobile phone and other similar gadget use are now part of our life and it has acquired as an essential position in our life. It cannot be avoided. But judicious use is possible only after the severity of the problem is understood and risk factors are identified. Objective: To study the prevalence and risk factors of text neck syndrome among medical students of MRIMS Methods: This was a cross sectional study carried out among 306 medical students of one medical college. Data was collected in the pre designed, pre tested, and semi-structured study questionnaire developed based on the extensive review of literature. The questionnaire was given to the medical students and they were asked to submit after half an hour. Attempt was made to ensure that all questions were answered. Chi square test and Students t test was used for statistical analysis. Results: Almost 85% of students agreed that their virtual life orientation was affected. About 1/3^rd complained of stiffness sometimes, 57% of users suffered from headaches sometimes. 1/4^th suffered from numbness and weakness sometimes. The prevalence of pain in males was more i.e. 76.4% compared to 37.3% among females. The pain was significantly more in standing position (60%). The pain was found to be significantly more (68.9%) when the gadget was held at abdomen level. Conclusion: Almost all students used some or the other gadgets. But the use was actually misuse as it has affected majority. Disorientation of virtual life, stiffness, headache, pain was very common. Pain was associated with position and level at which the gadget was held.

Mixed Connective Tissue Disease (MCTD) is a rare systemic autoimmune disease and is the least common connective tissue disorder. The presence of high titers of serum anti-U1 small nuclear Ribonucleoprotein along with features of SLE, Systemic Sclerosis, Dermatomyositis and Rheumatoid Arthritis is typical of the disease. We present a case of a 38 year old female patient, a known case of hypothyroidism, who presented with symptoms indicative of gastroenteritis but on further evaluation with appropriate investigations and based on the diagnostic criteria was found to be suffering with MCTD and was treated accordingly. We discuss the prognosis and the importance of early diagnosis to reduce the morbidity and mortality associated with pulmonary arterial hypertension.