Background: Despite significant progress in improvement of Government health care delivery system over past decade, community is reluctant to accept it because of substandard level of quality. "5S" is one of the strategies used to improve the physical quality and work efficiency of organization. 5S stands for five Japanese words which can be translated in English as Sort, Set in order, Shine, Standardize, and Sustain. Rajkot Municipal Corporation has adopted 5S strategy within its health centers with the aim to improve image of public health care facility among community and thereby to increase coverage of health services. This study was conducted to assess 5S implementation status at all Urban Heath Centers under health department of Rajkot Municipal Corporation, Gujarat, India. Methods: "5S" was implemented by the corporation in campaign mode in 18 Urban Health Centers in July 2014. Campaign included training, baseline assessment, and observing 5S week. A cross sectional study was carried out by personal observation and interview to assess the implementation of 5S campaign. Standard audit check list recommended by the State Quality Assurance Cell, Gujarat was used to evaluate. Results: Overall; all five components of 5S showed significant improvement (p<0.001) with highest improvement in Sorting and Setting in order. Significant improvement in utilization of Out Patient, laboratory services, immunization, family planning services etc were observed in comparison to previous year's corresponding period. Conclusions: Significant improvement in utilization in major health care services was noted in the study after implementation of 5S. '5S' practice can be sustained with sincere and continuous efforts.

Background: The explosive growth of the internet in the last decade has had a huge impact on communication and interpersonal behavior. More and more students are addicted to internet, while spending lots of time surfing on the internet. The present study was conducted considering the above facts, with the objective to assess the level of internet addiction and effects of it among the medical students. Methods: It was a cross sectional study conducted among medical students of PDU Govt. Medical College, Rajkot. Total 212 students were included in the study that were using internet daily and consented to participate. Young's Internet Addiction Test (YIAT20) was used to study the level of internet addiction. Results: Almost one third (35.4%) students were using internet for more than 2 years. Almost half (48.1%) students were using internet for more than 2 hours per day. Young's Internet Addiction Test showed that 61 (28.8%) students had scoring in the range of 50-79 (frequent problem due to internet usage). There was significant difference for level of internet addiction and problems of change of lifestyle change in dietary behavior and sleep distribution. Conclusions: This study's results imply that Internet addiction is a prevalent public health issue varied pattern of internet use. Close observation over the use of internet and changes due to it among students are required by parents and colleges to stop emerging internet addiction.

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