Background: Influenza is among the most important reasons of hospitalization and mortality in children. Compared to other age groups, children are excessively affected by influenza A (H1N1) pandemic. This study was planned to detect and study the clinical profile of H1N1 virus using real-time reverse transcriptase polymerase chain reaction (rRT-PCR) in pediatric patients. Materials and Methods: The H1N1 virus was detected in nasopharyngeal or throat swabs in 510 children suspected with influenza such as illness, using rRT-PCR assays as recommended by the World Health Organization and Centers for Disease Control and Prevention protocol. Patients' biodata and clinical history were recorded. Results: Out of 510 suspected influenza cases, majority (61.9%) were males and of 1-5 years' age (44.5%). H1N1 was positive in 100 (19.6%) cases. 6-10 years' age group was most affected (24.1% H1N1 positive). Clinically, all children had flu-like illness. Conclusions: The present study revealed that the 6-10 years' age group children were highly susceptible to H1N1 infection. Therefore, early intervention results in good outcome in terms of reduced requirement of invasive ventilation and decreased mortality rate.

Surgical site infection (SSI) was the predominant complication following cesarean delivery. Risk factors like increased Body Mass Index (BMI), emergency cesarean section (CS), prolonged hospital stay, previous CS, anemia, pre-existing chronic diseases, and failure to use preoperative antibiotic prophylaxis associated with SSI. Surgical site infections are responsible for cost burden, longer hospital stay increased maternal morbidity and mortality. Despite the advance, aseptic measures & control practice SSI was the most common nosocomial infection. To determine the prevalence, risk factors, bacterial profile, and antimicrobial resistance pattern of SSI in women following Cesarean section at tertiary care center western India. Women who developed SSI underwent cesarean delivery enrolled in the present study. Data were collected from patient records. Collection of swab samples, identification of microorganisms, and antimicrobial susceptibility testing was done by standard CLSI guidelines Results: Prevalence of SSI was 14.7% in this study. The risk factors significantly associated with SSI were emergency cesarean delivery, severe anemia, lack of preoperative antibiotics use, high Body Mass Index (BMI), preexisting disease, and previous history of CS, Klebsiella Pneumoniae & Staphylococcus aureus was the most predominant isolates. Imipenem was the most susceptible and Amoxycilline-Clavulanate was the most Resistance antibiotic. Prompt identification of risk factors, microbial agents, and susceptibility patterns of SSIs are beneficial for the selection of appropriate antimicrobial therapy to prevent the emergence of drug resistance, planning to make infection control & antibiotic policy, and taking appropriate steps to prevent risk factors.

As suggested by the National Medical Commission (NMC) of India recently, the elective module was implemented in our medical college for MBBS admission batch 2019. Since, this was the first of its kind implementation in our institute and across the country, we planned this study to know the perception of medical students regarding the implementation of elective module. We conducted a cross-sectional survey among MBBS students of 2019 batch. A pre-validated questionnaire was prepared by the Medical Education Unit (MEU) members of our institute using online Google form and was circulated to all via WhatsApp group and email. A total of 63 responses from medical students were included for data analysis. Majority students said that objectives of the elective module were largely met and the faculty members were very helpful and responsive, and that they actively participated in the electives. Majority of them agreed that it was a very good academic activity, the time duration was appropriate, and it provided an opportunity to show creativity and for teamwork. Most students rated the overall experience of electives as "good" and above, however they were worried about getting faculty signatures in the logbooks.