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Background: Internet has become an essential part of one’s life in this modern era where technology is taking over the world. Risk of Internet addiction (IA) has increased in this year 2020, due to Coronavirus disease 2019 (COVID-19) pandemic, where most of time students are restricted to their homes thus relying on social media to be in touch with outer world, moreover surfing of web, as well as online learning practices increased their screen and internet exposure time. Hence, we conducted a study to assess internet addiction among medical undergraduate students of Government Medical College in Agra.Methods: This descriptive cross-sectional study was conducted among 600 medical undergraduate students of S.N. Medical College, Agra. A self-administered, pre-validated questionnaire was used and a total of 488 students responded. E-questionnaire consist of questions about demographic information and internet usage pattern, it also contains Young’s IA test scale to measure internet addiction. Data obtained was analyzed and inferences were drawn.Results: The prevalence of IA was 61.5%. Mean ± Standard deviation (SD) age of the participants was 22.27±1.59 years and 48.36% were males. IA was significantly associated with male students, higher family income group and higher year of academic course. IA was also statistically significant with higher number of years since using internet, greater screen and internet usage time.Conclusion: Internet addiction is a growing problem among students of professional courses especially in medical colleges. IA has psychological, physical, and social impact on student’s life. So, it is necessary to develop strategies for prevention of internet addiction.

Background: In India, after decriminalization of homosexuality, men who have sex with men (MSM) emerged as legal community but still one of the most stigmatized section of society. their health needs are distinct due to their distinct behaviour. To achieve ‘Universal health coverage’, this group health needs must be addressed as they had been living in shackles of exclusion.Methods: This mixed method study was conducted in men who have sex with men (MSM) population in Agra district of India. For qualitative part, Audio recorded in-depth interviews were transcribed into verbatim. Potential themes were extracted as a part of analysis as per respondents’ experiences. Data saturation was achieved after 13 IDIs. For quantitative assessment, the snowball technique for sampling was used. First participants were recruited through a non-profit peer group. Further participants were subsequently referred by the participants from their peer circles.Results: Easy /low cost availability of human immunodeficiency virus (HIV) and sexually transmitted disease (STD) testing (32.69%) was foremost cited health need. 26.92% of respondents were unable to tell anything about their health need. 25% of respondents told to increase the number of MSM friendly STD clinics. 15.38% of respondents think that doctor should be taught not to discriminate with MSM and 5.76% asked for psychiatric and medical counselling for MSM. Similarly, qualitative findings highlighted need of non-judgemental and discrimination free health facilities and also suggested MSM inclusive STD centres and psychiatric counselling.Conclusions: The main implication of this study was need to recognize the existence and their diverse health needs and link them to appropriate health care.

Background: Chronic non-communicable diseases (NCD) are increasing among the adult population in both developed and developing countries, resulting diabetes, cardiovascular diseases with high morbidity and mortality. Due to increase in life expectancy and change in life style and behavior of people and clustering of metabolic abnormalities in individuals leads to development of metabolic syndrome. To estimate the prevalence of metabolic syndrome and their associated risks factors belonging the age group of 18 years and above of urban Agra population. Methods: Cross sectional study was carried out among 18 years and above age group of urban population of Agra, Uttar Pradesh, India. A multi stage simple random sampling technique is used to reach the subjects. Results: Prevalence of metabolic syndrome was found 37.1% in study subjects, more common in females (65.9%). The metabolic syndrome was also found higher in the educated group between class 8 to class 12 and among socio economic status III. Higher risk showed by serum triglyceride component of metabolic syndrome among study group. Conclusions: The prevalence of metabolic syndrome in female study population is higher as compared to the male study population in every selected bio social characteristics.

Background: Fertility is only way for biological replacement of human being in order to continue its existence on earth. The fertility behavior of any population is influenced by various factors. Objective of the study is to study the fertility perception and behavior among urban women in Agra and understand the social factors on perception of women regarding fertility behavior among study group women. Methods: Community based, Cross-sectional study was done among 280 married women of reproductive age group residing in Agra City, using a standardized questionnaire to assess their fertility perception and behavior. Results: Mean age of marriage was 19.01 years. About 70% of women married before the age of 20. Mean gap between marriage and first child was 1.57 years. The mean least birth interval was 1.61 years. Less than one third of women desired for more than two children. Level of education, transition from lower to high SE status, significantly shifts the preferred family size. Conclusion: Majority of women considered appropriate age of marriage 18 year and above, gap between marriage and first child two years and above, wishes for two child norm. However, two third had confessed the necessity of mail child. Level of education and working status of women had positively effect.

Background: HIV/AIDS remains a significant global public health problem. With approximately 56% HIV patients in India receiving treatment, adherence to drugs is a crucial element for successful management. Sustainable development goals, National Strategic plan for HIV/AIDS and STI (2017-24) and 90-90-90 target pushing towards ending of AIDS epidemic require adequate adherence and this research estimates the adherence, associated factors and reasons for non-compliance.Methods: This analytical cross sectional study was undertaken on 160 HIV patients from an ART Centre. A pre-structured, pilot tested, face validated questionnaire was used and data collected by face to face interviews, through random selection of participants from outpatient department register. Data was analysed using Epi Info software and chi squared test applied.Results: Of the 160 study subjects, 86.8% remained adherent to the treatment with forgetfulness (71.4%) being the most common cause for non-adherence. Statistically significant treatment adherence was observed to be associated with socio-economic status (p=0.021) and period elapsed since diagnosis (p=0.041).Conclusions: Improving adherence to drug therapy through intensive counselling, streamlined drug supply and increased family participation would go a long way in reducing the menace of HIV.

Background: Hypertension once considered a problem of adults only in the high income countries, now dramatically is on the rise in low and middle income countries. An established predictor of adult hypertension and organ damage is childhood hypertension. Thus for the control, effective treatment and prevention of its complications, early diagnosis of hypertension in adolescents in an important strategy. The objective was to study the blood pressure profile and its socio-demographic determinants among school going adolescents in urban Agra.Methods: A cross-sectional survey was done among 534 adolescent in age group of 13-18 years studying in various government and private schools in urban Agra. Socio demographic details, anthropometric measurements and family history of hypertension were obtained. Also the dietary habits, physical activity, mode of transport to school were included in the present study. Blood pressure was measured at 0 and 30 minutes and average of two readings was taken as the final reading of that individual.Results: It was found that 49.82% of the study subjects had above normal blood pressure and among them 21.16% were hypertensive and 28.66% had pre-hypertension. Higher blood pressure showed a statistically significant (p

Background: Timely referral and safe transport form a crucial link for the survival and safety of sick newborn. Thus the study aimed at assessing referral and transport of sick neonates admitted to NICU of a tertiary care government hospital and the factors associated with direct referral and safe final transport.Methods: A hospital based cross-sectional study was carried out in among 450 neonates and was based on face to face interview with caregivers. The data was analyzed using proportions and mean values Chi square test of significance and independent t test were appropriately applied and p

Background: With antiretroviral therapy (ART) for human immunodeficiency virus infection (HIV) coming into picture, quality of life (QOL) has gained importance. Knowledge on the factors affecting QOL would be helpful in making important policy decisions and health care interventions. The aim of this study is to assess the quality of life of people living with HIV and to identify the factors influencing their QOL.Methods: The Cross-sectional study was done among 160 HIV patients registered with ART Centre, at SNMC Agra (UP), India. QOL was assessed using HIV specific WHOQOLHIV-BREF questionnaire which has six domains. Association were find out by using chi square test for categorical variables and ANOVA were used for comparisons means scores among continuous variables. Correlation between continuous quantitative variables was found out by Pearson correlation coefficient.Results: Mean age of the study subjects was 37.89 years and 61.2% of the participants were males. Quality of life score was highest in level of independence domain (12.79±2.28) and lowest in SRPB domain (10.51±3.63). A significant negative correlation (-0.49) was observed between age and physical domain. Male Subjects had significant better mean score in social and environmental domain. Family support associated with social relationship and psychological domain. Higher CD4 count is associated with better in psychological and SRPB domain. Younger age, female gender, rural background, shorter duration of HIV, non-intake of ART were the high risk factors of poor QOL.Conclusions: Interventions such as ART, family, vocational and peer counselling would address these modifiable factors influencing QOL, thereby improving the QOL of PLWH.

Background: Pregnancy and child birth are normal event in the life of women. Most pregnancy results in normal birth but any pregnancy can develop complication at any stage so timely provision of obstetric services is extremely important and to the care by a skill birth attendant. So knowledge, skills and practices of these are very important. In light of above the study was carried out with objective to assess the knowledge and practices of medical officer and paramedical staffs (staff nurses and ANM) regarding antenatal services, intra-natal services, postnatal services.Methods: A cross sectional study was conducted at first referral units (FRUs) of Agra district of Uttar Pradesh, India from June 2015–August 2016. Structured open ended interview schedule were use d to collect the desired information. Before commencing the interview, informed written consent were taken from respondents. All medical officer and all staff nurse, public health nurse and auxiliary nurse midwives (ANM) were included as study subjects. Data were collected by first author himself. A total of 25 medical officers and 30 paramedical staff were interview for the study.Results: Almost all the medical staffs (100%) have knowledge regarding antenatal care except minimum ANC visit (80%) as practice of ANC services concerned less than half of them doing it as routine, nearly 1/3rd of medical staff (32.0%) conducted or assists delivery (i.e. only LSCS) in routine practices.Conclusions: Knowledge about maternal health services was more among medical staffs than paramedical staffs. Paramedical staffs have less knowledge as well as practice about neonatal resuscitation and infection control measure. Only less than 1/3rd of medical staffs conducting or assisting deliveries.