Introduction:The internet is an important modern means of obtaining information and communicating with others which has converted the world into a global village. At the same time, increasing internet use among adolescents is also likely to pose a major public health concern that is internet addiction (IA). The aim was to assess the prevalence of IA among school-going adolescents and factors associated with IA.Methods:A cross-sectional study was designed to survey adolescents studying in 8th to 11th standard of five schools of Vadodara. Information regarding sociodemography and various patterns of internet use were obtained using survey forms. IA test (IAT) was used to screen for IA. Descriptive analysis, univariate analysis, and logistic regression were done to analyze the data.Results:Seven hundred and twenty-four participants that completed IAT were analyzed. Internet use prevalence was 98.9%. Prevalence of IA was 8.7%. Male gender, owning a personal device, hours of internet use/day, use of smartphones, permanent login status, use of internet for chatting, making online friends, shopping, watching movies, online gaming, searching information online and instant messaging were found to be associated significantly with IA in univariate analysis. Internet use for online friendships was found to be a significant predictor of IA (odds ratio [OR] =2.4), and internet use for searching information was found to be protective (OR = 0.20) against IA on logistic regression.Conclusions:IA is prevalent in the adolescent population and requires awareness and intervention. Characteristics of internet usage found to be associated with IA needs to be considered while developing strategies for interventions.

No abstract

Background Neonates admitted in a tertiary neonatal intensive care unit (NICU) require multiple blood transfusions because of extended NICU stay and repeated sampling. The rookie organ systems and miniature blood volumes in the neonate call for regular audits in neonatal blood transfusion practice. Sharing component usage data with the blood bank will prepare them to store components according to demand, thus limiting wastage of components as well as make banks ready to face a shortage in case of ramped up requirements. Objective Auditing neonatal blood transfusion indications and identifying the most commonly used component. Methodology This retrospective cohort study was conducted by the department of pediatrics over 22 months from February 20, 2017, to December 30, 2018. Any preterm and term neonates admitted to the NICU and Neonatal Intermediate Care Unit (NIMC) and receiving any transfusion, i.e., fresh frozen plasma (FFP), red cell concentrate (RCC), platelets, and exchange transfusion were included in our study. We collected data from the medical records of NICU and NIMC admitted patients receiving blood component transfusions from 2011 to 2016. Patients were categorized according to the classification of neonatal conditions by the International Classification of Diseases 11th Revision (ICD-11). There were no exclusion criteria. A descriptive statistical analysis was done, and a Chi-square test was applied. Results Out of 340 neonates, 249 (73.2%) were low birth weight, 139 (40.9%) were small for gestational age (SGA), and 277 (81.5%) neonates required transfusion during the first week of life. The majority of neonates require multiple transfusions. Fourteen(4.12%) neonates required up to 10 transfusions, two neonates required up to 22 transfusions, and 58 neonates required more than five blood transfusions. The majority required transfusion due to neonatal sepsis, Disseminated intravascular coagulopathy, low birth weight, respiratory distress syndrome, and unconjugated hyperbilirubinemia. Thirty-seven point eighty-two percent (37.82%) transfusions were fresh frozen plasma, 31.34% transfusions were red cell concentrate, 28.14% transfusions were platelet concentrate, and 2.70% were whole blood. Out of 340 neonates, 317 survived and were discharged. Conclusion The most commonly transfused component was fresh frozen plasma, the indication was neonatal sepsis, and the group was preterm. Whole blood is still being used and needs to be stopped.

No abstract

BACKGROUND: Depression, the most common disorder in psychiatry, affects about 121 million people worldwide. World Health Organization states that depression is the leading cause of disability as measured by Years Lived with Disability and the fourth leading contributor to the global burden of disease. Today, depression already is the second cause of disability adjusted life years in the age category 15-44 years. There is paucity of studies done in undergraduate students in our country.AIMS AND OBJECTIVES: To find out the prevalence of depression among undergraduate students and finding correlation between various demographic variables and depression. Cross sectional study carried on 1066 under graduate students of medical, dental, engineering and basic science branches. METHODS AND MATERIAL: CRF (containing demographic details) & Beck Depression Inventory Scale-II were given. Students' ≥18years of all academic years were included in the study. Statistical Analysis used were multiple ANOVA test and student t test.RESULTS AND CONCLUSIONS: Prevalence of depression was found to be 26.54%. More males (29.75%) than females (23.36%) (P value=.0001). Highest depression was found in basic Science undergraduate students (34.53%) followed by engineering undergraduate students (22.82%) followed by MBBS students (18.99%) and least in dental undergraduate students (17.54%) (P value=.00003). Students living at hostel (24.10%) showed least depression and maximum depression was found in students living at private rooms (31.54%) (P value= .0002).There is a need to diagnose and treat undergraduate students with depression at an early stage. This will help them to overcome their difficulties and lead a healthier life.