Background: Eating disorders are one of the most under-recognised psychiatric conditions which can lead to considerable morbidity. With their high workloads, academic pressure, and peer influence, medical students may be more likely to develop eating disorders. This study aimed to assess the prevalence of eating disorders among medical students in a college in Kerala. It was also planned to find its association with body shape concerns, depression, anxiety and stress. Methods: A cross-sectional study was conducted among 472 undergraduate medical students and interns at a medical college in Kerala. Socio-demographic proforma, Eating Attitudes Test-26 (EAT-26), Body Shape Questionnaire-8C (vBSQ-8C), Depression, Anxiety and Stress Scale-21(DASS-21)-were administered after obtaining informed written consent. Statistical analysis was done using the chi-square test and Pearson correlation. Results: The prevalence of risk of eating disorders among medical students was 19.1%. Depression, anxiety and stress were significantly associated with the risk of eating disorders (p=0.034, p=0.001 and p=0.001, respectively). A positive correlation was found between the risk of eating disorders, body shape concerns and body mass index (p=0.001). Conclusion: A considerable risk of eating disorders was noted among medical students in Kerala. Body shape concerns and symptoms suggestive of depression, anxiety, and stress showed a significant association with the risk of eating disorders. Increased awareness and early identification can help institute timely interventions.

Nocturnal frontal lobe epilepsy (NFLE) is characterized by seizures with complex motor behaviors arising mainly during sleep. Varied clinical presentations and nonspecific electroencephalogram findings make it difficult to distinguish NFLE from other nocturnal paroxysmal events such as nonrapid eye movement (NREM) parasomnias and restless leg syndrome (RLS). Here, we present a case of NFLE, which had a complex clinical presentation resembling features suggestive of RLS and NREM parasomnia and posed a diagnostic challenge. Initiation of carbamazepine as the anti-epileptic led to rapid resolution of symptoms.

No abstract

Background: Internship is a vital phase in medical student's training which can have a bearing on the attitude they develop towards various specialities. Limited studies have tried to assess the effect of clinical rotation on the attitude of interns towards Psychiatry. This study was planned to assess the same before and after a 2 week posting in Psychiatry. Aim: To study the change in attitude of interns towards Psychiatry before and after clinical rotation in Psychiatry. Materials and Methods: The study sample comprised of 100 interns in a tertiary care teaching hospital. Written informed consent was taken from the interns before the study. Appropriate ethical approval procedures were followed while taking consent from subjects and also in conducting the research. Attitude towards Psychiatry-30 was used to assess the attitude of interns towards Psychiatry before and after a 2 week Psychiatry rotation. Semi structured questionnaire was filled by interns regarding socio-demographic details and views about psychiatry. Non parametric tests were used to analyze the data obtained using SPSS software. Results: This study showed favourable improvements in the ATP-30 score following exposure to the clinical rotation. There was a statistically significant change in mean difference of total global ATP 30 scores in males and females. Female gender found to have more positive attitude than males. The responses to 11 statements from ATP-30 scale showed statistically significant improvement after the posting. Conclusion: The attitude of interns towards Psychiatry improved following a 2 week clinical rotation in Psychiatry. Further studies are needed to better understand the factors that may influence the attitude of interns.

We report a case of hypermotor seizure activity. The patient presented behavioural changes with previous reports of normal electroencephalogram (EEG). A prolonged video EEG of this patient showed rare epileptic abnormalities over the left frontocentral region, which ruled out a conversion disorder diagnosis. Management using Antiepileptics proved beneficial in this case.