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Introduction: Secondary hyperparathyroidism is a known and early complication of Chronic Renal Failure (CRF) patients. Renal hyperparathyroidism leads to a host of bone and cardiovascular problems that ultimately can cause fractures, decreased quality of life, and an increased risk of death. Aim: To determine the hospital-prevalence of secondary hyperparathyroidism in CRF patient and establish the correlation between Serum Parathyroid Hormone (PTH) level, Serum calcium and Serum phosphorus level. Materials and Methods: It was a cross-sectional study conducted on 50 patients with CRF at Government Hospital of Bhavnagar, Gujarat. Detailed medical history and blood investigations were done as a tool for data collection. The study variables were described by using statistical parameters like proportion, mean and standard deviation. Correlation coefficient was used for analysing relationship between Serum PTH, calcium and phosphorus. Results: Mean age of the patients was 42.57 (SD 15.19) years with almost equal representation of both genders. Hypertension was the most common aetiological morbidity (62%) among the study participants followed by diabetes (20%). The hospital prevalence of secondary hyperparathyroidism was 86% in Chronic Kidney Disease (CKD). Serum PTH negatively correlated with serum calcium and positively correlated with serum phosphorus with correlation coefficient value of -0.32 and 0.15, respectively. Conclusion: Parathyroid abnormalities and disorders of mineral metabolism are common among patients with CKD. Parathyroid abnormalities detected early may prevent future long term extra-renal complications.

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Background: The Mother and Child Protection card (MCP card) is used for tracking of each child right from conception till 3 years of age by community health workers. It is a rich source of information for HCPs about mother and child health. A well-versed health care provider (HCP) can deliver the services efficiently to the beneficiaries. Objectives: To assess knowledge of HCPs about information provided in the MCP card. Methodology: It was a descriptive cross-sectional study carried out in the rural area of Valsad. Nineteen HCPS were interviewed on VHND sessions for their knowledge about health information provided in MCP card. Results: Mean age of HCPs was 38.11 years with mean 9.3 years of work experience. Of these 94.7% were providing the MCP card while registering the beneficiary. Around 78.9% knew growth chart, 68.4% knew vaccination information and nearly half were aware about the various government schemes. About 36.84% could mention five cleans of safe delivery at home. Conclusion: HCPs were aware about vaccination, antenatal care, growth chart but their knowledge about five cleans of home delivery and postnatal care needs to be improved.

Medication is an important part of a patient's treatment by clinicians and is one of the measures taken by them during the entire period of treatment. This descriptive cross-sectional study aims to assess patients’ understanding about prescribed medication obtained after consultation with clinicians at the outdoor patient department of a tertiary care hospital in central Gujarat, India. 184 patients from different clinical departments were interviewed after their consultation with the clinician. Majority of the subjects (45.5%) were 25-44 years of age, while the rest ranged from 45-54 years of age group. Furthermore, 55.5% of the subjects were female, 20.4% were Illiterate people, and 32.5% were educated up to primary level. The results showed that 84.3% of the patients were informed about proposed treatment duration, while 13.9% were informed about diet relation. Therefore, the patients had fair knowledge about the disease they were suffering from and proposed duration of treatment, but they were not aware of about the line of treatment. In conclusion, patients need to be educated about the correct use of medications by clinicians.