Problems in the patient-provider relationship were a significant factor in decreasing healthcare use among SMW. Anderson's model helped to inform our understanding of who might be at risk of experiencing a negative experience but not subsequent changes in health care utilization. Modifiable variables related to the health care environment and patient coping responses predicted changes in health care use.

Background: Geriatric depression is becoming a global public health problem causing considerable morbidity and disability. This problem is also increasing in India but still not sufficient work has been done on depression in many parts of India. This study aimed to find out prevalence of and factors associated with depression in elderly population in Vadodara, Gujarat.Methods: A community based cross sectional study was performed among 176 participants of more than 60 years of age. Simple random sampling was done to select talukas, villages and participants. Depression was screened by Geriatric Depression Scale-15 (GDS 15). Person with score more than 5 was considered as depressed. Descriptive and bivariate analysis was conducted with the help of SPSS version 11.5 for windows.Results: The overall prevalence of depression in old age was 34.1% but in female it was higher (64.7%) than male (14.81%). Bivariate analysis revealed that gender (OR=10.64, 95% CI: 5.093 – 21.82), p<0.001), lower education (OR=4.167, 95% CI: 1.991 – 8.719, p<0.001) and cognitive impairment (MMSE score) (OR=121.333, 95% CI: 37.384 – 393.79, p<0.001) were independently associated with depression.Conclusions: Gender, lower education and cognitive impairment are some of the factors associated with depression in older population.

Endothelial cell injury, intravascular platelet-fibrin thrombi, and vascular damage are found in hemolytic uremic syndrome (HUS) and thrombotic thrombocytopenic purpura (TTP). The two disorders frequently manifest independently and are the important causes of acute renal damage. Acute kidney injury developed in our patient after blood transfusion and later on, the patient developed neurological complications. The patient was managed symptomatically and conservatively. Plasmapheresis and corticosteroid administration showed improved results.

Introduction: The birth weight of an infant is strongly conditioned by health and nutritional status of mother and is an important determinant of survival, healthy growth and development of the newborn. Low Birth Weight has been defined by World Health Organization as weight at birth of less than 2500 grams. Materials and Methods: 252 babies having birth weight between 2.0 Kg to 2.5 Kg born during August 2012 to January 2013 in Jamnabai Hospital of Vadodara city were included in this prospective study of six month for assessing Survival rate and morbidity among them. Results: All 249 babies (3 drop out), who were followed up 6 months survived. Prevalence rate (sick babies) varied from 17.27 % to 41.2 %, Prevalence rate (Morbidity) varied from 18.07 % to 42.4%. Common morbidities were fever, cough, cold, diarrhea, vomiting, rash. Babies who were fully immunized had lesser morbidity compared to babies who were not fully immunized. Conclusion: The 6 months prospective study which was carried out on small sample of specific group of babies in Urban area has value that it reflects the situation of babies in middle and lower middle class families.