Background Healthcare workers (HCWs) involved in administration and patient management during COVID-19 pandemic are at high risk of developing psychological problems related to fear and stress of contacting COVID infection. This is augmented by the stigma faced at home and society, owing to the nature of their job. Aim To assess the mental health issues and stigmaamongst health care workers involved in COVID care. Methodology We conducted a hospital based cross sectional study where 150 health care workers involved in the care of COVID-19 patients, directly and indirectly, were selected using systematic random sampling. They were assessed using Depression, Anxiety and Stress Scale (DASS-21) Hindi Version, The Impact of Event Scale - Revised scale and a Modified Stigma scale. Results Significant psychological stress, anxiety, depression and high risk for developing post-traumatic stress disorder was found in more than half of the healthcare workers, albeit more in those having direct contact with COVID patients (p<0.05). Stigma was significantly reported in most HCWs, especially with concerns regarding public attitude and disclosure of their work profile. Conclusion Healthcare Workersareat a higher risk for developing psychological disorders and post-traumatic stress disorder because of the immensely stressful work-related conditions and stigma related to working with COVID patients. Thismay lead to long lasting psychosocial consequences which may affectmore severely than the infection itself. Early identification of psychological issues of HCWs and timely intervention is the key.

Background: There is so many opportunistic infection is present in PL HIV patient when patient immunity disturbed and their CD4 count decreased .this study was conducted for frequency of opportunistic infection in PL HIV and its role in monitoring of ART 1 failure. Aims and objective was to study the frequency of opportunistic infection in PL HIV and its role in monitoring of ART1 failure.Methods: This study was conducted in ART plus centre K.P.S. Post Graduate Institute of Medicine (G.S.V.M. Medical College, Kanpur) tertiary care teaching hospital and is clinical (assessment with investigation) continuous longitudinal, prospective and retrospective, observational, single centre hospital based study at ART Centre, Kanpur and considered All the patient on 1st line ART treating attending in centre were screened for treatment failure decided by SACEP from 2016 to 2018.Results: In this study there was opportunistic infection present that maximum in oral candidiasis but overall tuberculosis is maximum that is considered pulmonary tuberculosis, extra pulmonary tuberculosis, tubercular lymphadenitis and tubercular pericarditis, Abdominal knocks, TBM. LRTI and chronic diarrhea is also present. The male and rural area are more having opportunistic infections and all are have CD4 count 100 to 200 micrometer /Litre.Conclusions: The opportunistic infection mostly are oral candidiasis and tuberculosis, present in CD4 count in the range of 100-200 /ml.it is the indication of ART failure during treatments.

Background: Medical students are more susceptible to stress associated with long working hours, arduous studies, and living alone away from the home, which may affect their psychological well-being. They may indulge in the use of internet and pornography to ameliorate their stress. Internet is one of the main sources of pornographic content as it is easily available, affordable, and accessible. Objective: The current study seeks to quantitatively estimate the extent of internet addiction and pornography use among medical students in India, and its effect on their general well-being. Methods: We conducted a cross-sectional study in a medical college in North India involving undergraduate (including interns) and postgraduate medical students. Those using internet for porn use were assessed using a semi-structured sociodemographic questionnaire, General Health Questionnaire 30, WHO Quality of Life Index (WHOQOL)-BREF, and Internet Addiction Test (IAT). Results: A total of 393 medical students who agreed on their pornography internet usage were recruited for the study. Problematic pornography internet usage (moderate and 0severe IAT scores) was seen in 11% (80) of the participants. Male and married students were more likely to be problematic users. The mean duration of pornography use was 8.02±6.32 h/week. The time spent on pornography use positively correlated with IAT and General Health Questionnaire scores, whereas it negatively correlated with WHOQOL-BREF scores. Conclusions: Internet pornography use is significantly prevalent amongst medical students in India. As the duration of pornography use increases, general health measures and quality of life decrease, which may impact their well-being and academic performance.

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