Introduction:Depression, being the most common neuropsychiatric complication of HIV, is also associated with increased health-care utilization, decreased quality of life (QOL), and poor adherence to antiretroviral therapy (ART). Depression is a multidimensional disorder affected by a variety of biological, psychological, and social determinants and this relation becomes more complicated in HIV patients. The current study therefore aimed to investigate the sociodemographic and clinical determinants of depression and assess difference in the QOL of HIV patients not having depression and those suffering from depression.Materials and Methods:A cross-sectional study was conducted at an ART center in a tertiary care hospital in HIV/AIDS patients of 18 years of age. Sociodemographic and clinical characteristics were studied, depression anxiety and stress scale-21 was used to assess depression, and QOL assessment was done using WHOQOL-HIV BREF questionnaire.Results and Conclusions:Out of 754 study subjects, 377, i.e., 50% suffered from depression and nearly 75.9% of them were in the age group of 25–44 years. The prevalence of depression was higher in females, illiterates, and unemployed HIV patients as compared to males, literates, and employed subjects, respectively. HIV patients who were depressed had significantly lower QOL than the subjects not suffering from depression, more so in the environment and social relationships domains.

Background: Internet has become an integral part of our life and internet addiction is a growing problem affecting many spheres of our lives. Considering the potential negative effects of internet addiction on health this study aims to study the prevalence and pattern of Internet addiction among medical students by using Internet Addiction Test in Nagpur.Methods: The cross‑sectional study was conducted in 488 medical students in year 2016. Data was collected by using semi structured proforma including socio-demographic variables and Young’s 20-item Internet Addiction Test (IAT) questionnaire. Statistical analysis done by Epi info 7.1 and SPSS (20).Results: Prevalence of internet addiction by using Young’s original criteria was 3.68%. Internet addiction was significantly more common in males than females (p<0.05). This study reveals that according to IAT score, (61.47%) were average users, (34.83%) were possible addicts and (3.68%) were addicts. Chi square test is applied between average users and addicts, was found to be statistically significant (p<0.01). There was no statistically significant difference in the mean of total IAT scores between male and female students (p=0.27) and F statistics is applied between mean value of three groups (i.e. Average users, Possible addict and addict) was found to be statistically significant (<0.0001).Conclusions: Prevalence of internet addiction was 3.68% with male predominance indicate that internet addiction is growing problem. Prevalence of possible addict was also alarming which was 34.83%. Early recognition of internet addiction and appropriate preventive measures should be taken.

Background: Under nutrition is a global public health problem. There are numerous methods of assessment of malnutrition among which CIAF is the most recent, relatively robust since it envisages all the parameters for estimation of nutritional status of the children. So, this study was conducted to find the rates of composite index of anthropometric failure in the children attending the Immunoprophylaxis clinic in a tertiary care hospital of Nagpur and to find associations with the socio demographic variables.Methods: This descriptive cross-sectional study was conducted at the Immunoprophylaxis clinic of a tertiary care institute in Nagpur from September 2016 to January 2017. The study subjects were the children attending the OPD of Immunoprophylaxis clinic of a tertiary care hospital. Necessary permissions were taken before the start of the study. Data was collected using pretested and pre-designed questionnaire. Height and weight were measured using standard guidelines and categorized into groups of CIAF as described by Nandy et al.Results: A total of 460 study subjects were enrolled in the study. The mean age group of the study subjects was 2.47±1.56 years. According to the grades of CIAF, 48.51% were having no failure. Age and gender were factors which were associated with failure status by CIAF.Conclusions: We found high rates of anthropometric failure in our study. The age groups less than 3 years had higher odds of being in failure when compared to more than 3 years age. Further, males had higher odds of being into failure when compared to females. Community based studies are recommended.

BACKGROUNDChild survival is dependent on many survival factors including immunisation. Even though, vaccines are provided free of cost at all government healthcare centers, the immunisation coverage in India is very low. Delayed vaccination not only increases the risk of vaccine preventable disease, but also increases the risk of never fully completing the vaccination course. The present study assessed the timeliness of immunisation for children below one year of age and factors influencing the timeliness of vaccination.

Background: Social determinants of the health are the conditions in which individuals are born, grow, live and age. Increasingly, these are being recognized for their relationship to the soaring incidence of diabetes mellitus. So, we conducted a study to find the social factors of diabetes mellitus.Methods: A cross sectional study was conducted in adults having type 2 diabetes in outpatient department of tertiary care institute in Nagpur from July to September 2015. Socio demographic factors, health care access factors, stress related factors and self-care behavior of these patients were studied. Data was analyzed using Epi Info 7.1 software.Results: Out of 140 diabetic patients studied females were predominant (55.71%). Most of them were married (92.85%), were Muslim by religion (47.14%), were from nuclear families, (53.57%) and lower middle class (40%). 50% said that they have health care facilities nearby their house and 50.71% do not get drugs regularly in that health care facility. and only (27.14%) were insured. 64.28% of study subjects said that they were accompanied by relatives to hospital. The financial stress (73.57%) and family stress (72.85%) was more in the patients than work stress (49.28 %). 75.72% and 71.42 % checked their blood sugar levels every 6 monthly and blood pressure every monthly and very less patients kept follow up for complications.Conclusions: Our study showed that in spite of having health care facility nearby, the irregularity of drugs was a major concern. Very less study subjects were insured for their health, this implicates higher stress related factors. They had less compliance towards follow-up of complications of diabetes mellitus.