Sero prevalence of C.trachomatis in patient of Bad Obstetric History (BOH).

Background : Bad obstetric history (BOH) implies previous unfavorable fetal outcome. Causes of BOH may be genetic, hormonal, abnormal maternal immune response and maternal infection. C.trachomatis is the most common bacterial sexually transmitted infection worldwide. Also it has been associated with adverse outcomes of pregnancy. The identification of C. trachomatis during pregnancy and its early treatment prior to delivery would therefore be an important strategy to prevent multiple complications in mother. Serology might act as a convenient tool for diagnosis. Methods:139 pregnant patients having history of BOH as study group and 30 normal pregnant as control group were tested by Indirect ELISA for detection of anti C.trachomatis IgM and IgG. Results: Anti C.trachomatis IgM was detected in 21 (15.11%) patients and anti C.trachomatis IgG was detected in 33 (23.74%) patients. Interpretation and Conclusion: Higher numbers of positive patients were found among younger age group. Statistical analysis shows that serological detection of anti C.trachomatis IgM and IgG antibodies for detection of current and past infection by C.trachomatis is significant in BOH patients.

Assesment of risk factors for cardiovascular diseases at tertiary care hospital.

Background: Hypertension is the commonest cardiovascular disorder posing a major public health challenge, a chronic condition of concern due to its role in causation of coronary heart disease, stroke and other vascular complications. Aim and Objectives: To assess the Cardiovascular Risk Factors in apparently healthy individuals of B.J. Medical College and Civil Hospital, Ahmedabad and to raise awareness among them. Materials and Methods : The present study was carried out on 422 (179 females, 243 males) apparently healthy individuals aged 18 to 72 years at B. J. Medical College canteen and affiliated hospital O.P.D. for a period of one month and their height, weight, BMI(Body mass index) and blood pressure were measured. Results: Number of subjects with above normal systolic blood pressure were 88, out of which 68.2% were males with p value<0.05. 38.86% persons found to be overweight (with BMI >24.99) out of which 49.39% were females and 50.61% were males. 20.85% persons had Above Normal BP (Systolic BP >139) out of which 79.5% were persons >40 yrs of age and 59.1 % were overweight (with BMI >24.99). Conclusion: Screening for the cardiovascular risk factors could be useful in detection of modifiable risk factors of cardiovascular diseases especially hypertension and obesity.