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Background: Dengue is found in tropical and subtropical regions around the world, predominantly in urban and semi-urban areas. Dengue mortality can be reduced by implementing early case detection and referral systems for patients; managing severe cases with appropriate treatment; reorienting health services to cope with dengue outbreaks; and training health personnel at all levels of the health system. Many studies that focus on the difference between the frequency of clinical findings in DHF and dengue shock syndrome (DSS) with respect to classical DF has been published. The objectives of the study were to assess signs and symptoms of dengue among patients with severe dengue and patients with dengue fever and to evaluate laboratory and radiological profile among dengue patients.Methods: This Hospital based cross sectional study was conducted on 70 seropositive cases, admitted in the Paediatrics Department of Gandhi hospital during the period of July to December 2017 for 6months. Data was analyzed by using SPPS Version 17 and student t test was used for inferential statistics.Results: Out of 70 cases 38 were presented with severe dengue and 32 presented with dengue fever. Average age of presentation is 7.24 years among severe dengue group, 5.52 years among dengue fever group. In group of severe dengue, 60.5% of the cases were female, which was insignificantly more as compared to 40.6% of the cases from group of dengue fever.Conclusions: All levels of health personnel must be aware of clinical signs and symptoms of all dengue types. Careful monitoring of unusual presentations early recognition severe manifestation and timely intervention can reduce disease specific mortality rate.

Background: In India, in the last one and half decades longevity of the people has increased due to decline in mortality rate, better medical and health care facilities and improvements in overall quality of life of people. Presently India has the second largest geriatric population in the globe. In 2001, geriatric population was 77 million in India and it is estimated that in India total number of elderly will rise to 150 million by 2025 and by the year 2050 the number would rise to about 324 million.4  Methods: A community based cross sectional study was conducted in an urban slum located in Secunderabad. Almost 225 subjects more than 60 years were included in study after giving oral consent. People with severe morbidity and unable to give consent were excluded from study.Results: Majority (70%) of the resident experienced verbal abuse followed by physical abuse (13%) at least one time. About 11% felt they were being neglected by their family members. Daughter-in-law was the major person involved in the elder abuse accounting for 45.9%, followed by son 24.3%. Abuse from relatives accounted for 21.6%. Spouse and daughter were involved in elder abuse in about 5.4% and 2.7% cases respectively.Conclusions: As recently said by Financial Minister in Parliament of India, old age population growing drastically in India, especially in south India. Increasing geriatric population leading to increase in need of health care and psychological assistance.

Introduction: Anaemia during pregnancy is one of the important factors associated with a number of maternal and foetal complications. It decreases the woman's reserve to tolerate bleeding either during or after child birth and makes prone to infections. Anaemia during pregnancy also has been associated with increased risk of intra uterine growth restriction, premature delivery, low birth weight (LBW) and maternal and child mortality. World Health Organization (WHO)/World Health Statistics data shows that 40.1% of pregnant women worldwide were anaemic in 2016. The condition is prominent in Southeast Asian countries where about half of all global maternal deaths are due to anaemia and India contributes to about 80% of the maternal death due to anaemia in South Asia. There is marginally decrease in prevalence of anaemia in pregnant women in India from 58% in NFHS-3 (National Family Health Survey-2005-06) to 50% in NFHS-4 survey . Material and Methods: 1): To assess the prevalence of anaemia in pregnancy. 2): To determine association between social factors and anaemia in pregnancy. All pregnant women attending to OPD of ESIC hospital Hyderabad were considered for study. About 400 pregnant women include after obtaining oral consent. Women who don't have valid document about their Haemoglobin were not considered for study. Results: Overall prevalence of anaemia among pregnant women was found 72.75%. In the present study majority (59.5%) were in 20-30 years age group followed by (27.3%) below 20 years age group while only (13.2%) were above 30 years of age. Among the total study population, almost all the religions were equally distributed, with slightly higher proportion (27%) of Hindus, followed by Muslims (24.5%) and Christians and other religion are equally distributed 24%. Majority (67%) of them were Illiterate. Literates were 33%. Most (67.5%) of the subjects belongs to lower socio economic status. Middle and high class together constitutes 32.5%. Majority (64.8%) of study subjects were married below 18 years of age. Early pregnancies (pregnancies in < 18yrs) were seen in about 61.8% of the population. Conclusion: Anaemia among pregnant mothers is still highly prevalent in India. Majority physical, socio-demographic and cultural factors contributing for higher incidence.