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Background: Emergency contraception are birth control measures that, if taken after unprotected sexual intercourse, contraceptive failure, incorrect use of contraceptives or in cases of sexual assault may prevent pregnancy. The aim of the study was to assess the knowledge and attitude of female living in urban part of Lucknow district from September 2015 to August 2016.Methods: This was a descriptive, cross-sectional study conducted at RML Hospital, Lucknow from September 2015 to August 2016. A cross sectional study design was conducted and Participants were selected using simple random sampling method. Data was collected by using self-administered questionnaires. Data processing and analysis: The collected data was entered into a computer and analyzed using statistical package of social science version 20.0.Results: In this study it was found that, Out of 385 subjects 54% (209) new the correct time interval for EC to be effective and 91% (350) new that this is for prevention of unplanned pregnancy. Out of 385 subjects 77% (345) reported that they had heard the word EC from different sources, however 23% (90) reported that they never heard about that it means that still there is a scope of health awareness activities and health education to improve the knowledge of EC. Different attitudes of females towards emergency contraception some different pair of questions was asked. Out of 385 subjects 85% (329) were reported that they have positive attitudes in terms of benefits of EC to reduce the risk of unplanned pregnancy. A few number of subjects i.e. 12% (48) reported negative attitudes towards EC where as 3 % (8) did not respond. The more than half subjects i.e. 68% (260) reported that they use EC even if their partners disagreed with them where as 11% (41). Cultural belief was found as an barrier in having negative attitudes towards EC. The Religion, Occupation and educational status affect knowledge and attitudes towards EC.Conclusions: The results show that there is a scope of health awareness activities and health education to improve the knowledge and attitude towards EC.

Background: This impression of multiple micronutrients during pregnancy emphasizes to relatively neglected issues. Objectives was to evaluate the status and benefits of multiple micronutrient during pregnancy.Methods: Total 180 healthy pregnant women were included, first trimester 60 cases, second trimester 60 cases and third trimester 60 cases in the age group of 18-40 years. Haemoglobin was estimated by cyanmethemoglobin method, estimation of iron was done by ferrozine method, for zinc colorimetric method, estimation of calcium OCPC method and estimation of urinary iodine was done by ammonium persulfate oxidation method.Results: Haemoglobin are found to be in the Ist trimester 11.3g/dl, in the IInd trimester of haemoglobin 10.5g/dl, and in the IIIrd trimester it was 11g/dl and Serum iron was 71.9ug/dl in Ist trimester, 74.8 ug/dl during IInd trimester, 80.9ug/dl in IIIrd trimester. The mean serum calcium during Ist trimester was found to be 8.0 ug/dl, in the IInd trimester 7.2 ug/dl and in the IIIrd trimester 8.1ug/dl. Serum zinc in the Ist trimester 72.6 ug/dl, in the IInd trimester 70.1ug/dl, in the IIIrd trimester 66.7 ug/dl respectively. Iodine level during Ist, IInd, IIIrd trimester was found to be 122.5ug/dl, 149.1ug/d, 158.7ug/dl respectively.Conclusions: Finding of our study shows that Poor nutrition during pregnancy has been associated with adverse maternal and child outcomes such as increased risks of infertility, abortion, fetal intrauterine growth restriction and prenatal mortality.

Objective: It has been explored that Vitamin D play role in various non-skeletal disorders including Diabetes Mellitus. The present study was designed with the aim to assess association among control, pre-diabetic and diabetic with vitamin D and association between lipid profile and vitamin D. Materials and Methods: A total of 109 subjects were recruited for the cross-sectional study including 37 as control, 41 pre-diabetic and 31 diabetic. A clinical examination was done for all the groups including fasting samples (12hrs) for lipid parameters, serum 25 (OH) vitamin D level and (HbA1/C). Results: It was found that in control subjects 37.9% have the sufficient vitamin D3 level whereas 17.1% subjects in pre-diabetic, 16.6% in diabetic with good glycemic control and no subject was found to have sufficient vitamin D3 level in diabetic with poor glycemic control. The mean vitamin D3 levels was highest in control i.e. -26.53±11.99 ng/ml followed by 20.23±4.12ng/ml in prediabetics,19.07±8.01ng/ml in diabetics with good glycemic control and 12.92±6.77ng/ml in diabetics with poor glycemic control. HBA1/c and serum vitamin D3level share a significant association (P-value< 0.01).Total cholesterol (P-value< 0.0), serum triglyceride (P-value< 0.01), serum LDL cholesterol (P-value< 0.01) and serum VLDL (P-value< 0.01) had inverse association with vitamin D levels. HDL cholesterol has no effect with vitamin D. Conclusion: The present study showed vitamin D3 deficiency as a risk factor for worsening glycemic control and dyslipidemia.

ABSTRACT-Background: Microalbuminuria in hypertension has been described as an early sign of kidney damage and a predictor for end stage renal disease and cardiovascular disease. More specifically it is seen amongst patients suffering from hypertension. Methods: This study was conducted at Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India in the department of emergency medicine and 84 subjects were included in the evaluation in the age of more than 30 years. All patients were diagnosed by clinical examination, anthropometric measurement, blood pressure, urinary microalbumin, and urinary creatinine. Statistical analysis was done by using SPSS, version 16.0 p-values were calculated by chi-square test, ANOVA unpaired t-test. The p <0.05 was considered statistically significant. Results: It was found that microalbuminuria among hypertensive patients increased steadily with the advancing age and the duration of hypertension. The features of high urinary microalbumin 52.09±8.62 mg/24hr and the urinary creatinine 2.37±0.86mg/dl were prevalent in hypertensive patients and it increased in both male and female patients. Conclusions: The prevalence of microalbuminuria in hypertensive individuals is high, and it revealed strong association between microalbuminuria and hypertension. Our findings suggest that microalbuminuria could be a useful marker to assess risk stratification and management of cardiovascular disease and renal disease.