The ESRF Research Journal for Undergraduate Medical Students
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Proportion and Risk Factors of Internet Addiction among Medical Students in A Medical College in A Non-Metropolitan City in West Bengal
Full text linkIntroduction: Internet addiction (IA) is an emerging public health problem worldwide, especially among adolescents and young adults. Medical students, due to high academic pressure and easy access to digital platforms, are particularly vulnerable. This study aimed to determine the prevalence of internet addiction and factors associated with moderate to severe internet addiction among undergraduate medical students in a government medical college of West Bengal.
Materials and Methods: A descriptive cross-sectional study was conducted June to August 2024 among 63 second-year MBBS students at Jalpaiguri Government Medical College. Data were collected using a pretested questionnaire and the Young’s Internet Addiction Test (IAT). Sociodemographic variables and internet use patterns were assessed. Univariate logistic regression was used to identify predictors of moderate to severe internet addiction.
Results: The mean age of participants was 21.9 (±1.5) years; 69.8% were male. Overall, 41.3% showed some level of internet addiction—23.8% mild, 14.3% moderate, and 3.2% severe. On univariate analysis, using more than one gadget for internet access (OR=3.7, 95% CI:1.0–13.9), internet use >6 hours/day (OR=13.2, 95% CI:1.2–140.7), and father’s postgraduate education (OR=6.6, 95% CI:1.5–28.5) were significant predictors. Initiating internet use at 16–20 years was protective (OR=0.22, 95% CI:0.07–0.69).
Conclusion: A substantial proportion of medical undergraduates were affected by internet addiction. Longer screen time, access via multiple devices, and socio-familial factors were strongly associated with higher odds of moderate to severe addiction.
Missed Window, Lost Life: The Deadly Course of TB Meningitis in a Pregnant Woman
Full text linkTuberculosis meningitis is the most severe form of extrapulmonary TB. TB meningitis has an insidious onset and atypical clinical manifestation. Thus, it is usually in its advanced stage when it is diagnosed resulting in poor therapeutic efficacy and often causing severe extrapulmonary tuberculosis with high mortality. Despite the presence of different diagnostic and treatment modalities, mortality remains unacceptably high. A pregnant female patient was referred to our hospital’s emergency with suspected meningitis with a history of fever and recurrent vomiting. She was being managed conservatively and several tests were done (Complete Hemogram, Metabolic Profile, and Infection Panel). After various neurological investigations, CT scan of the brain revealed a lesion, suspicious of TB meningitis, though not confirmed. She gave birth to a baby girl, after which she felt drowsy. ATT was initiated 5 days post admission, on the day following her delivery. Her condition was still deteriorating. The patient died at last, following which the final diagnosis of TB meningitis came. The following case illustrates the clinical presentation and diagnostic approach in a pregnant lady. TBM diagnosis has many intricacies though the disease is completely curable.
Prevalence and determinants of minimum acceptable diet among children between 6–23 months attending an immunization clinic in a tertiary care hospital
Full text linkBackground: The Minimum Acceptable Diet (MAD), a composite measure defined by WHO and UNICEF, assesses both Minimum Dietary Diversity (MDD) and Minimum Meal Frequency (MMF). However, only a small proportion of Indian children achieve MAD, increasing their risk of undernutrition and stunting.
Objectives: This study aimed to assess the prevalence of MAD and identify associated socio-demographic factors among children attending an immunization clinic at a tertiary care hospital.
Methods: A descriptive, cross-sectional study was conducted at the Immunization Clinic of Maharaja Jitendra Narayan Medical College and Hospital, Cooch Behar, from September 17 to October 26, 2024. Using purposive sampling, 51 children under two years of age were enrolled. Data collection involved caregiver interviews and anthropometric measurements. Socio-demographic characteristics, feeding practices, and nutritional indicators were analyzed using descriptive and analytical statistics in Microsoft Excel and IBM-SPSS.
Results: The study found that 61.5% of children met the criteria for MAD. MDD was achieved by 64.1%, while MMF was met by 89.7%. Bivariate analysis shows decreased odds of receiving mini-mum acceptable diet with caregiver’s age between 31-40 years (OR=0.429), and 21-30 years (OR=0.364), Islam religion (OR=0.350 and male child (OR=0.788. Higher odds of receiving mini-mum acceptable diet was seen in mothers with >10 years (OR= 6.750) and 5-10 years (OR=5.250) of schooling; nuclear families (OR=1.964); Middle class as per BG Prasad scale (OR=3.33); age of child (OR=2.8) and children with 0-1 siblings (OR=2.0).
Conclusion: The findings emphasize the importance of maternal education and socioeconomic status in achieving optimal infant and young child feeding (IYCF) practices. Strengthening educational programs and economic support initiatives for caregivers can significantly enhance child nutrition outcomes in India. Future research should explore seasonality and broader demographic variations to refine targeted nutrition interventions
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