The ESRF Research Journal for Undergraduate Medical Students
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Chronic Groundwater Arsenic Poisoning: Clinical Insights from a Patient from Murshidabad District
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Teen-age pregnancy, knowledge and attitude towards it among pregnant women attending Ante-Natal Clinic of a tertiary health care hospital of the highest literate district of West Bengal
Full text linkAbstract: teen-age pregnancy is a rising social problem, can cause a lot of maternal and fetal complications. This study was conducted to find out proportion of teen-age pregnancy and knowledge and attitude towards it among the pregnant women.
Methods: This cross-sectional study included 205 pregnant women attending ante-natal clinic of a tertiary care hospital of Purba Midnapore, West Bengal with one month of duration. socio-demographic, marital, pregnancy related details and knowledge, attitude towards teen-age pregnancy were taken in a pre-designed, pretested questionnaire.
Results: Most of the participants were in the age-group of 20 years to 39 years (78.5%), from rural areas (88.3%), were literate mostly having education till secondary level (37.1%), belongs to lower-middle class socio-economic status (42.4%). Teen-age pregnancy proportion was 21%. Majority responded about ideal age of getting pregnant should be more than 21 years (70.2%). 77.1% responded positively about harmfulness of getting pregnant before 19 years of age. 65.3% knew about contraceptive methods. 67.8% thought education regarding contraceptives and reproduction is necessary in school. 94.7% agreed that pregnancy should be planned with their consent. 79% heard of The Prohibition of Child Marriage (PCMA) Act and 68% heard of Protection of Children from Sexual Offences Act (POCSO) act.
Conclusion: Teenage pregnancy remains a significant public health issue and gaps in awareness and practice persist. Strengthening school-based reproductive education, healthcare accessibility, and community engagement can improve knowledge and attitudes towards teenage pregnancy
Analyzing knowledge,attitudes and practices around reusable water bottles among Medical students
Full text linkIntroduction: Reusable plastic bottles have integral part of modern day life but poses significant public health and environmental challenges. In this context the present study was conducted among medical students about their knowledge, attitude & practice towards use of reusable plastics bottles as this groups are most concerned not only about their own health but also community & environment.
Objectives: The objectives of this were to evaluate the knowledge, attitude and practices of medical students regarding the plastic bottle usage and their socio-demographic profile.
Materials and methods: The descriptive cross sectional & institutional based study was conducted among 215 MBBS medical students of Calcutta National Medical College from 17th February to 2nd March 2025 by web based self administered questionnaires method with help of predesigned pretested semi-structured questionnaire. Data compilation and analysis were done in Microsoft office excel 2016.
Result: From the present study it was found among 215 study subjects 44.7% were 21-23 yrs of age group,71.1% were male, 67.4% were from urban area, 37.2% were living in hostel & 43.7% were from 1st year MBBS student. Majority of study subjects aware about single use plastics bottle(74.7%), demarcation of single use plastics bottle (33.9%), safest type of plastics bottle (32.3%) & microplastics (81%) but majority have wrong idea regarding number of plastics bottle type (77.3%). Though majority study subjects had favorable attitude towards single plastics bottle uses but practice were not correct.
Conclusion: From this present study it is concluded attitude and awareness regarding single plastics bottle uses are favorable or correct but practices are not according to their knowledge and attitude
Magnitude of ESKAPE Pathogens and Their Antimicrobial Resistance in a Tertiary Care Hospital
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Background: Antimicrobial resistance (AMR) among healthcare-associated pathogens poses a critical global threat, with the ESKAPE group of organisms( Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter species) being major contributors. Despite extensive global data, limited comparative studies across different wards is available. This study identifies this gap by observing the antibiotic sensitivity patterns of ESKAPE pathogens from the varied clinical samples collected from the critical and non-critical wards in the hospital.
Methods: A cross-sectional descriptive study was conducted over six months in the Department of Microbiology, Nil Ratan Sircar Medical College and Hospital, Kolkata. Out of 2736 samples processed in the Microbiology department, 375 clinically significant ESKAPE pathogens from adult ICU, NICU, PICU, and adult non-ICU wards were analysed.
Results: Incidence of ESKAPE pathogens are about 14%, among them Klebsiella pneumoniae was the most common isolate, predominantly from non-ICU sputum and urine samples, showing high sensitivity to gentamicin. Pseudomonas aeruginosa was frequent in ICU samples especially sputum samples, demonstrating high resistance to first line drugs and Pseudomonas isolated from non-ICU wards showed sensitivity to ciprofloxacin. Acinetobacter baumannii predominated in PICU and NICU. Enterococcus faecium and Staphylococcus isolates exhibited highest sensitivity to vancomycin.
Conclusion: The study highlights the incidence of ESKAPE pathogens and their antibiogram. Ward-specific antibiograms are essential to optimize empirical therapy, reduce treatment failures, and improve patient outcomes. Regular surveillance and updated antimicrobial stewardship programs are crucial to combat evolving resistance trends
Tackling Nosophobia in Medical Undergraduates: A Multi-level Approach
Full text linkNosophobia, or Medical Student Syndrome, affects 8-15.7% of medical undergraduates who misinterpret minor symptoms as serious illness. Current evidence shows conflicting findings regarding whether medical students have higher health anxiety than non-medical peers, with personality traits and individual vulnerability appearing more significant than discipline-specific factors. In Indian medical education contexts, academic pressure, clinical exposure to infectious diseases, and cultural stigma around mental health expression intensify these anxieties. This essay proposes a four-tiered intervention framework: personal-level strategies (structured routines, journaling, professional counselling), peer-level support (mentoring programs), institutional measures (early orientation, screening, faculty training, confidential mental health services), and national initiatives (mHealth applications, brief CBT integration, AI-assisted peer-support platforms). Current research limitations include predominantly cross-sectional designs and lack of intervention effectiveness studies specifically targeting nosophobia. Addressing this phenomenon requires systematic attention through multilevel approaches that acknowledge both individual psychology and systemic factors, moving beyond normalization to create supportive educational environments
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