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Background: College students appear more vulnerable in developing a dependence on the internet. Individuals with hikikomori are frequently reported to have social contact predominantly via the internet. Objectives: To find the prevalence of Internet addiction, gaming Addiction, Hikikomori Trait and Insomnia amongst medical undergraduates and to study their association with various determinants. Methodology: The present Cross-Sectional study was conducted among first to final-year medical students studying at various medical colleges in Indian City from February to May 2021. Data collection was done after obtaining the ethical permission of the Institute. A total of 400 students who gave consent were sent an electronic questionnaire. Results: The mean age of study participants was 20 ± 1.58 years. Internet addiction was present in 189(47.2%) participants, gaming addiction in 128 (32%) students and Hikikomori Trait was found in 98(24.5%) students. There was a statistically significant association between different grades of insomnia and internet, gaming addiction, and hikikomori trait (<?0.0001) in the present study. Conclusion: Internet addiction was present in almost half of the medical students while gaming addiction was seen in nearly one third of the students. Male gender and hostel stay had a statistically significant association with internet addiction, gaming addiction, insomnia and hikikomori trait.

BACKGROUND Public health emergencies including a disaster are inevitable. Moreover, the vulnerability and health impacts are more profound in urban densely populated dwellings. Household preparedness for public health emergencies need to be focused to minimize the morbidity and mortality associated with such situations. METHODS An urban community, situated in field practice area of a tertiary care teaching institute of Ahmedabad, Gujarat was approached for a cross-sectional study through door to door structured interviews. A pre-designed questionnaire was administered to assess the knowledge as well as preparedness for public health emergencies among the respondents. The adult representative family member from each of the selected households formed the sampling unit. Statistical tests of association and logistic regression analysis were used to find our relationship between household preparedness and some of the independent factors. RESULTS From a total of 405 households, majority of the respondents were male (65.7 %), married (92.1 %), having secondary level education (43.7 %) and belonged to socio-economic class IV (37.8 %). Only 44 % of the respondents had experienced any form of public health emergency in the past and only 14.6 % had an experience of relief work. “Flash floods following heavy rains” and “earthquake” were the commonest disaster experienced by the respondents. None of the surveyed households had first aid kit or a fire-extinguisher. Majority of the respondents (N = 280, 69.1 %) were aware of emergency contact numbers in case of public health emergencies. The overall household level preparedness was only 12.59 %. Perceived susceptibility to public health emergencies and household preparedness had significant statistical associations with education, occupation, type of house and socio-economic class. CONCLUSIONS Education, occupation, and social class play roles in both perception as well as household preparedness for public health emergencies. A very low level of preparedness and their possible factors should be addressed through adequate channels so that the damage due to such emergencies could be minimized. KEYWORDS Disaster, Household Preparedness, Public Health Emergency, Urban Community

Background: Tertiary hospital care may vary from isolation bed ward care to high dependency units (HDUs) with oxygen support to intensive care unit (ICU) where patients may be intubated for mechanical ventilation The major risk factors for severe disease are age more than 60 years and underlying diseases like diabetes, hypertension. COVID-19 patients present at varying levels of severity. Understanding how long patients hospitalized with COVID-19 remain in hospital is critical for planning. Objectives: 1. To determine risk factors associated with disease severity 2. To determine risk factors associated with length of hospital stay in COVID-19 patients 3. To study the disease outcome Material & Methods: This was retrospective record-based study of inpatients with COVID-19 at Tertiary Care Hospital of Ahmedabad City. All patients admitted at tertiary care hospital diagnosed with COVID-19 between April 2020 to June, 2020, were included in present study. Inclusion criteria were all COVID-19 patients admitted at tertiary care hospital during the duration of April 2020 to June 2020. Results: A total of 916 COVID-19 patients were included in the study. Out of 916 total admitted patients 526 (57.4%) were male. 174 (19%) patients having one or more comorbidities like diabetes, hypertension, tuberculosis, heart diseases etc. Total 769 discharged (83.9%), 115 deaths (12.6%) and 32 transferred to other COVID-19 hospital (3.5%) out of total 916 patients admitted during study period. Conclusion: Severity of disease and deaths were associated with age and comorbidities. COVID-19 patients with comorbidities have more deteriorating outcomes compared with patients without.