Background: The explosive growth of the internet in the last decade has had a huge impact on communication and interpersonal behavior. More and more students are addicted to internet, while spending lots of time surfing on the internet. The present study was conducted considering the above facts, with the objective to assess the level of internet addiction and effects of it among the medical students. Methods: It was a cross sectional study conducted among medical students of PDU Govt. Medical College, Rajkot. Total 212 students were included in the study that were using internet daily and consented to participate. Young's Internet Addiction Test (YIAT20) was used to study the level of internet addiction. Results: Almost one third (35.4%) students were using internet for more than 2 years. Almost half (48.1%) students were using internet for more than 2 hours per day. Young's Internet Addiction Test showed that 61 (28.8%) students had scoring in the range of 50-79 (frequent problem due to internet usage). There was significant difference for level of internet addiction and problems of change of lifestyle change in dietary behavior and sleep distribution. Conclusions: This study's results imply that Internet addiction is a prevalent public health issue varied pattern of internet use. Close observation over the use of internet and changes due to it among students are required by parents and colleges to stop emerging internet addiction.

Background:Urban Social Health Activists (USHAs) are the grass root health care workers of urban areas. There are 290 USHAs distributed in various Urban Health Centers (UHCs) of Rajkot city.Objectives:To compare the (i) effectiveness of the training received by the USHAs on their knowledge and counseling skills (ii) knowledge and counseling skills of USHAs on the awareness and utilization of Maternal and Child Health (MCH) care services by their beneficiaries.Methods:This cross-sectional study involved 32 USHAs and 416 beneficiaries served by the same USHAs. 32 USHAs serving in the same field practice area for more than two years were randomly selected. The beneficiaries were those mothers who had a child between 1-2 years age, and who had availed their antenatal and postnatal services in the same area. A scoring system was used to assess the knowledge and counseling skills of the USHAs and the knowledge and utilization of services by their beneficiaries.Results:The utilization of health services was significantly more in the beneficiaries who were serviced by USHAs having comparatively better knowledge (72.7% vs. 35.3%) and counseling skills (62.2% vs. 30.6%). The median score for knowledge (41 vs. 30) and counseling skills (20 vs. 16) of the USHAs was found to be more (P < 0.05) in those who had undertaken induction training.Conclusions:Induction training helped the USHAs to improve their knowledge and counseling skills. Utilization of MCH services was more in those areas served by USHAs having better knowledge and counseling skills.

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