IntroductionCerebrovascular accidents or strokes are a major cause of mortality and morbidity in today's world. Poststroke 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.

Background : Epicardial fat thickness and HBA1C level are usefull independent indicator for metabolic syndrome and type 2 diabetus mellitus respectively10,9 .studies on the correlation between HBA1C level and epicardial fat thickness in coronary artery disease are limited .Hence we aim to evaluate the correlation of HBA1C and epicardial fat thickness in acute coronary syndrome. Objective : The Target of this work was to investigate correlation link between HBA1C and epicardial fat thickness in acute coronary syndrome. Methodology : 123 patient of coronary artery syndrome .Electrocardiogram (ECG), Epicardial fat pad thickness was measured using transthoracic echocardiogram and glycosylated haemogloblin (HBA1C),fasting blood glucose (FBG) and fasting total cholesterol were documented . waist circumference (WC) ,Hip circumference (HC) were measured ,And Body mass index (BMI) and waist hip ratio (WHR)were calculated . Results : Total of 123 patient who fulfilled the criteria were taken into this studies. # - as these are normally distributed attributes, hence Pearsons r value has been used interpret correlation. All other attributes have used Spearmans correlation, the correlation between HBA1C level and epicardial fat thickness spearmans correlation r correlation analysis was performed .as shown in table 1 , (r value 0.402) with p value <0,001 shows strong relationship Conclusion : In acute coronary syndrome , HBA1C level were high with increasing epicardial fat thickness .This suggestive of epicardial thickness moderate correlation between HBA1C level.

Context/Background: Rapid urbanization has resulted in a growing number of people living in under-served areas with inadequate and overburdened infrastructure and services, worsening of environmental factors. Sustainable Development Goal 11: “sustainable cities and communities”, highlights, there is an ur-gent need to re-orient the community development strategies by adopting economically & technologically sustainable models. Aims/Objectives: An application-based household survey to assess the vulnerability and Health condi-tions among the urban poor of slums in Bengaluru. Methodology: The tool for Vulnerability Assessment by Government of India was modified to develop a user-friendly tool for Community Health Workers in an Android–based smartphone application (Namma Samudaya). Data was collected through house-to-house survey. Results: A total of 3165 households (HHs) were surveyed. Among these, 54.2% of the HHs belong to vul-nerable category and 45.8% to highly vulnerable group. Conclusions: Domain-wise analysis showed, Residential -25.2% of HHs were located besides polluted wa-ter Social - “No social support” and “disability” was reported by 3% of households each; Health-Related - Catastrophic Health expenditure in the past 1 year was reported by 40.4% HHs. The baseline information of slums & their geographic mapping obtained during the survey can be used as foundation for effective plan-ning of health care services.

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