Self-Medication Among Medical Students During the COVID19 Pandemic

Introduction: During the different wave of pandemic, due to various reasons self-medication practices among the public increased. Medical students are prone to such practices due to relevant background knowledge, and access to drugs. This study assessed the self-medication practice among the medial students during the different waves of pandemic of south Gujarat. Material and Methods: This descriptive study was conducted during May to June 2022 through self-administered form among medical students of south Gujarat, India. Study questionnaire included general de-mography; most frequently practice of self-medication. drug and the reason behind it. Result: Out of total 512 respondents, 381 (74.4%) did self-medication during the pandemic. 358 individuals (94.0%) did self-medication at least one drug since the start of pandemic. The most commonly utilizing medi-cines as prophylactic was Ayurvedic preparation, Multivitamins, Zinc and Vitamin C. For treatment of symp-toms during the pandemic paracetamol (650 mg) was frequently used specially for body ache and fever. The main source of information of self-medication was internet. Conclusion: This study depicted common self-medication practices among medical students during the pan-demic. It is a significant health issue especially during the pandemic times, with high consumption reported as a prevention or treating symptoms of COVID-19.

Sarcina ventriculi associated gastritis: Mimicking lymphoma on endoscopy

Sarcina Ventriculi is a gram-positive anaerobic coccus rarely reported in patients with delayed gastric emptying, emphysematous gastritis, gastric ulcers, and perforation. So far, less than 30 cases of sarcina isolated from the stomach have been reported. Herein, we describe a case of a 66-year-old male with a history of persistent epigastric pain and regurgitation. The upper gastrointestinal (GI) endoscopy revealed gastric erythema, edema, ulceration, and food bezoar. A gastric biopsy was done to rule out lymphoma. On histopathological examination, sarcina Ventriculi was identified. This organism is likely to get underreported as it may not be that obvious on routinely stained biopsies. Given its association with life-threatening illness such as emphysematous gastritis and perforation, awareness of this organism is important. It's presence in gastric biopsies must be mentioned in the report and should prompt the clinicians to investigate further for functional causes of delayed gastric emptying and gastric outlet obstruction like occult malignancy.

COVID-19: Clinical Course and Outcome of hospitalized Hemodialysis Patients: Single-center Experience

Background: There is a paucity of data regarding the consequences of coronavirus disease 2019 (COVID-19) infection in patients with maintenance hemodialysis (MHD). Our objective was to identify the clinical manifestations and prognostic factors and to assess the impact of treatment schemes on the outcome. Materials and methods: Here we present retrospectively collected data from medical records of patients on MHD hospitalized with COVID-19 infection from 1st June to 30th November 2020. Result: Around 69 patients were admitted with a median age of 51 years. About 81% had hypertension, 41% had diabetes, and 24% had body mass index (BMI) ? 23 kg/m2 . Of all who died, 73.33% had dialysis vintage of <12 months (p = 0.06). Common presenting symptoms were fatigue (67%), fever (58%), cough (42%), and dyspnea (35%). Milder, severe, and critical disease was found in 35, 45, and 20% of patients, respectively. About 54 patients were living 4 weeks after discharge. Around 15 patients died, that includes all who received invasive ventilatory support. Nonsurvivors were older and had lower oxygen saturation on admission, lower hemoglobin (Hb), and worst lactate dehydrogenase (LDH), interleukin (IL)—6, and D-dimer values than survivors, which were statistically significant. Use of remdesivir and anticoagulant improves chances of survival (p-value 0.035 and 0.034, respectively) Conclusion: About one-third of patients had mild disease. Those with critical disease displayed high mortality. Older age, male gender, short dialysis vintage, lower oxygen saturation on admission, anemia, leucocytosis, higher inflammatory markers [except C-reactive protein (CRP)], bilateral lung opacity, and requirement of the mechanical ventilator are poor prognostic factors. CRP, ferritin, and lymphopenia are not good prognostic markers unlike in the general population. These findings need to be verified in larger cohorts.

A retrospective study of prevalence of multidrug resistant Gram-negative bacteria isolated from various clinical samples received at microbiology department of a tertiary care hospital

Background: Bacterial multidrug resistance (MDR) is particularly common in Gram-negative bacilli (GNB), with important clinical consequences regarding their spread and treatment options. The prevalence of drug-resistant cases is increasing globally. MDR has become a major problem for the treatment of bacterial infections and is becoming greatest challenge to public health. Quantification of the prevalence and the common antimicrobial coresistance patterns of MDR GNB (MDRGNB) isolates would have important implications for patient care. Aim and Objective: The aim of this study was to know the prevalence of multidrug resistant Gram-negative bacteria. Materials and Methods: This retrospective study was done from January 2021 to December 2021 at the Department of Microbiology, GMERS Medical College and Hospital, sola, Ahmedabad, Gujarat. Species identification was done by bacterial growth and standard biochemical reaction. Drug susceptibility testing of isolates was done by Kirby–Bauer disk diffusion method following Clinical Laboratory Standards Institute guidelines. MDR was defined as acquired resistance to at least one agent in three or more antimicrobial categories. Stool samples were not included in this study. Results: The 1-year records of a total of pathogens were studied. The highest number of pathogens were isolated from blood cultures (19%), followed by wound swabs (19%) then urine (10.3%) then sputum and pleural fluid (8.5%). The most frequently isolated pathogens were Klebsiella spp. (32.8%), Escherichia coli (28.8%), Acinetobactor spp. (20.8%), and Pseudomonas spp. (9.6%). Gram-negative isolates exhibited high overall resistance to all used antibiotic classes. All isolates showed 100% susceptibility to colistin. Conclusion: The results of the study showed that the most common MDR-GNB isolate is Klebsiella Pneumonii in intensive care units department in blood, pus, and sputum sample. The study findings will be part of a strict antibiotic stewardship (AMS) program and also indicate that AMS should begin at primary and secondary health-care centers to prevent antimicrobial resistance.

Study of success rate of vaginal birth after cesarean section in relation to FLAMM score

Background: Globally, there is an increased trend of cesarean section (CS). Repeat CS is associated with various complications. Successful vaginal birth after caesarean section (VBAC) helps to decrease CS rate and its associated morbidities. Practice of protocol of applying FLAMM score and monitoring by partogram reduces the rate of cesarean section in the previous one lower segment cesarean section patient. Aims and Objectives: The present study is conducted to evaluate the impact of FLAMM scoring for vaginal birth after CS on obstetrics and perinatal outcome in case of the previous one lower segment CS delivery. Materials and Methods: The prospective and observational study was conducted in Obstetrics and Gynaecology department of one of the teaching institutes of Ahmedabad over a period of 1 year. Total 100 pregnant women from labour room with history of the previous one CS, who gave consent for trial of labor after the previous cesarean (TOLAC) were selected and FLAMM score applied on them. Study participants were divided in two groups according to outcome. Group A: Successful TOLAC and Group B: Failed TOLAC. Maternal and neonatal outcome was measured in both groups. Results: Out of 98 patients <40 years, 74.48% had VBAC and 25% had failed TOLAC and two patients were >40 years of age had VBAC. Out of 94 patients with favorable FLAMM’s score, 79% (n = 75) had VBAC and 100% (n = 6) with unfavorable FLAMM had CS. Conclusion: Careful patient selection for TOLAC is of utmost priority to increase success rate and decrease complications. FLAMM scoring system is a very efficient guiding tool for this. By applying FLAMM score, we increase success rate of TOLAC and thereby decrease CS rate in case of previous CS.

Qualitative - Binary, Nominal and Ordinal Data Analysis in Medical Science

The outcome of any medical research is belonged to the human beings. The correct application of statisti-cal test has its paramount importance. This article provides the details of categorical data analysis test with example and with its interpretation. It is included when to use Chi-square test (2*2 & R*C), Yate`s Correction, Fisher Exact test, Mc Nemartest manually as well as using Open Epi and R codes.

Seropositivity of COVID-19 Among Healthy Voluntary Blood Donors and Its Association with Blood Groups: A Reflection of Burden of Asymptomatic COVID-19 Cases in The District of South Gujarat

Introduction: First case of COVID-19 in the district was reported on 19th March 2020, thereby increas-ing exponentially, presenting with various symptoms to having few or no symptoms, posing challenge to prevent disease transmission by being a significant source of infection. This study conducted to assess relationship between COVID-19 infection within blood groups and burden of reported cases in the dis-trict to seropositivity among donors. Methodology: This is a prospective observational study from second largest blood bank of south Guja-rat, catering to a population of seven million, 4916 donors from the month of August 2020 to May 2021 participated in the study. Observations: Seropositivity was found to be 54.6%, with higher prevalence (68.63%) among female compared to male (54.45%), there was no statistical difference among age groups & RH groups, blood group AB was found to have highest seropositivity followed by A, B and O group. First time donors sero-positivity was higher compared to frequent donors among the study participants. Seropositivity among donors was positively corelated with RTPCR Positivity rate reported in the district. Conclusions: Looking at similar trend of active surveillance and its correlation to blood bank positivity, we urge policy makers to strengthen hospital-based surveillance for real time insights.

A cross-sectional comparative study of functioning in patients with bipolar depression and patients with unipolar depression

Background: Bipolar affective disorder is an episodic illness in which patient suffers from unexpected change in affect like elated mood episode (mania) followed by either depressed mood with period of inter episode euthymia. The disease in comparison to unipolar depression starts in early thirties, more severe symptoms and with more detriment in functioning and wellbeing. Aim and Objectives: The present study asses the level of global functioning of bipolar depressive patients in different domains and data compared with unipolar depressive patients. Materials and Methods: This study was done at a tertiary center in India. The study included 30 patients with bipolar depression in study group and 30 patients with unipolar depression included in control group. In all the patients of both groups, relevant scales, that is, back depression inventory and global assessment of functioning (GAF) were applied. These data were statistically analyzed by SPSS software. Results: On Comparison of global assessment of functioning scores between both groups the GAF score in bipolar depressive patients (SD ± 50.03 [4.75]) had significantly lower score as compared to unipolar depressive patients (62.37 [SD ± 11.50]), also patients show significant negative correlation. (?0.559) of GAF score and total Beck Depression Inventory score in case group (bipolar depressive patients). Conclusion: These findings of greater impairment in global functioning may be interpreted by understanding that life of patients with bipolar depression also complicated by having episode or episodes of manic symptoms in addition to their depressive episodes while patients with unipolar depression are experiencing depressive episodes only.

ISO 15189 Internal Auditor Training- Feedback From Participant To Make It More Effective And Convenient

Background:ISO 15189 will equip traineeswith effective auditing techniques and will increase understandingof audit methodologies. Trying to improve the quality of training that will be given underNABL ISO 15189. Material And Methods:The study was done forimproving the training of internal audit. Participants who have already taken training were asked to fill questionnaire in the google form regarding the cost effectiveness, mode of training, material of reference,No. of days of training, frequency at which training should be conducted and mock audit. For each question we had given certain option which will be chosen by earlier participants. For each question % of the answers are calculated individually to analyses whether the training is up to mark or has to be improved.Result:The results obtained are as follow s, for the cost of training to be 58.1% answered it to be five thousand. For the no of days maximum people gave the answer as 3 days. For mode of training results obtained was 80.23% offline.60.46% of trainees wanted weekdays as the days to be included for training session.60.4% of participants wanted power point presentation as the method for training to be conducted. Once in year was selected by 40.6% of trainees for how frequently the training should be conducted. All the participants have answered for the mock audit to be conducted.Conclusion:Most of them seem satisfactory with the training. Many of them suggested we have small break sessions during training. Live training sessions was also suggested as it could be more interactive.

Correlation Of Spirometry And Six Minute Walk Test (6MWT) In Patients Of Stable COPD

Background: Spirometryis the GOLD standard for the diagnosis of COPD. This test also grades the severity of the disease which helps in the management of patients.Many times Spirometry is not available in remote areas. In these situations 6MWT can be done. 6 minute walk test (6MWT) is a simple test to assess patient’s functional capacity (ability for day to day activities).Material And Methods:A prospective study was conducted in the department of Respiratory Medicine, AMC MET MEDICAL COLLEGE, L.G. HOSPITAL, AHMEDABAD for 6 months from date of Confirmation of IRB.The patient who was a confirmed and stable case of COPD and who gave consent was taken for the study.Conclusion:The 6MWT plays a major role in measuring the functional status and disease tolerance of COPD patients.Also, it is observed that as severity of FEV1 increses 6MWD decreses.This suggests that in the absence of spirometry 6MWT is a reasonable tool for the assessment of disease severity and functional status in COPD Patients.

Complications Of Hypospadias Surgery Experience In A Tertiary Hospital

Background:To review the types of operations done for hypospadias to analyze the results and complications of different operations.Material And Methods:Patient case file and operation theater records of 40 pediatric patients from august 2020-July2021 used to obtain the required data.The age at surgery, types of hypospadias at presentation, types of operations done, complications, and results of surgeries were analyzed over a 1-year period. Result:This study in the pediatric age group showed the most common type of hypospadias being distal penile (45%) for which most common surgery being performed is Snodgrass (TIPU) (69%) with no acute (80%) and chronic complication (75%) at time of discharge. Complications rate highest when used for distal hypospadias(3-33 %). Commonest complication noted in literature is urethro-cutaneous fistula (29%). Also fistula rate is higher when TIPU is used for posterior hypospadias. Conclusion:Despite most challenging surgery in hypospadias, one may achieve desirable results by selecting appropriate surgical approaches in these patients. Careful selection of patients and attention to detailed technical factors may help reduce the complication rate. TIPU remains good option for most patients with anterior hypospadias.

Drug utilization study in ophthalmology outpatient department of a tertiary care teaching hospital

Background: Drug utilization studies (DUS) provide insight into recent trend of drug usage and facilitate rationality of prescribed drugs. Few DUS have been conducted in ophthalmology. Aim and Objective: To analyse the prescription pattern in outpatients of the ophthalmology department at a tertiary care teaching hospital. Materials and Methods: A prospective, observational and cross-sectional study was conducted at GCS Medical College Hospital and Research Centre, Ahmedabad. All patients who visited ophthalmic outpatient department were enrolled and necessary data were recorded regarding drugs prescribed in pre-defined case record form. Data analysis was carried out using Microsoft Excel. Results: A total of 388 prescriptions were analysed. Average number of drugs and fixed-dose combinations (FDCs) per prescription were 2.47 (95% CI, 2.29–2.64) and 0.44 (95% CI, 0.36–0.51), respectively. Drugs were prescribed in different dosage forms with eye drops being the most common (95.1%) followed by tablet (12.3%), ointments (8.5%), capsules (2.8%), syrup (1.1%), and injections (0.3%). One or more dosage forms were seen per prescription. Total 957 drugs were prescribed, out of which drugs with brands name and generic name were 88.4% and 11.6%, respectively. Total FDCs prescribed were 17.5%. Overall, 43.5% of prescriptions had antibiotics ranging from 1 to 5 per prescription and 25% of antibiotics were seen out of total drugs. Conclusion: Most of the drugs prescribed were in the form of drops. FDCs and antimicrobial use have been increasing in the management of ophthalmic diseases. Less numbers of drugs were prescribed by generic names.

Study Of Febrile Seizure In Pediatric Patients

Background:Febrile seizures are among the leading cause of pediatric emergency hospital admission and affect 2% to 5% of pediatric population1,2 and are by far the most common type of seizure in childhood.Various risk factors are said to play a role in aetiology of FS are gender, developmental delay, maternal history of smoking, family history, bacterial and viral infections, certain vaccinations and iron deficiency, low serum sodium at the time of presentation. Preventive measure to remove such risk factor could lead to lower the incidence of febrile seizure.Objective: To study occurrence of predictive risk factors like gender, age, low birth weight in children with febrile seizure. To study fever and seizure pattern in above children. To observe positive family history pertaining to febrile seizure. Material And Methods:An observational prospective study was conducted in the tertiary care hospital over a 2 year period. Children aged 6 months to 60 months diagnosed as febrile seizure and admitted at pediatric ward were included in the study. A total of 69 patients were enrolled in the study. All information was collected from parents and indoor case sheets after taking verbal consent. Data was entered in Microsoft excel and analysis was carried out using SPSS version 21. Result:Gender wise amale predominance was seen. Youngerage group isa risk factor. Majority of children (92.8%) presented with simple FS with seizure duration less than 5 minutes. Majority (82.6 %) had fever for < 24 hour prior to FS. Positive family history of FS is observed in 20.2% children. Conclusion:Identification of predictive risk factor will help clinician to educate and counsel parents regarding seizure recurrence, prophylactic use of antipyretic and measures during seizure activity.

Visual Impairment and its causes among elderly women of rural area of Maharashtra

Introduction: Visual impairment (VI) is a public health challenge affecting over 285 million people worldwide, including 39 million blinds. The research both from India and other parts of the world has revealed that VI increases with increasing age. It is also estimated that people aged 50?years and older comprise 65% and 82% of the total visually impaired and blind, respectively. The study is conducted to estimate the prevalence of visual impairment and its causes among elderly women of rural areas. Material and Methods: This study is a Community Based Cross-sectional study carried out in the field practice area of the rural health training center of the Department of Community Medicine. All women (n=260) aged 60 years and above in the study area formed the study population were interviewed by the house-to-house survey. Statistical analysis was done by SPSS .17. Results: Total out of 260 women, 212(81.53%) women had visual impairment. Out of 212 visual impairment participants, causes of low vision were 80.18% cataract, 35.37% operated cataract, 10.37% pterygium, and 2.35% any eye injury or infection. Conclusion: Cataract is the main cause of low vision. Pterygium, eye injury, and infection also cause visual impairment.

Prevalence of Non-communicable Diseases among Elderly Women

Introduction: NCDs are one of the major challenges for public health in the 21st century, not only in terms of human suffering but also the harm to the socio-economic development of the country. As the elderly population is likely to increase in the future, and there is a definite shift in the disease pattern i.e., from communicable to non-communicable, it is high time that the health care system gears itself to growing health needs of the elderly in an optimal and comprehensive manner. To provide aid for effective implementation of NCD program by measuring the prevalence of NCD among elderly women with an objective to assess the prevalence of Non-communicable diseases (cardiovascular disease, stroke, cancer, and diabetes) among elderly women has been conducted. Material and Methods: Community-based cross-sectional study was carried out in the RHTC, Seloo All women (n=260) aged 60 years and above of six Anganwadi areas were interviewed by the house-to-house survey. Statistical analysis was done by SPSS.17. Results: 33.46% of elderly women belonged to the age group of 60-64 years, 78.85% of the elderly were illiterate. Among all elderly women, 30.38% had hypertension, 7.30% had diabetes, and Ischemic heart disease 1.15% and cancer 0.38% were found in study participants. Conclusion: Our study shows that diabetes and hypertension are more common among elderly women. The occupation had a significant association with diabetes.

Poisoning Severity Score And Its Correlation With APACHE II And Glasgow Coma Scale In Predicting Outcome In Patients Presented With Poisoning In Emergency Department

Background:Standardized scales for scoring severity of poisoning is need of time in Emergency department(ED)to identify high risk patients for intensive monitoring and treatment before disposal and for compatibility of data. So in this study we try to evaluate utility of Glasgow coma scale (GCS), poisoning severity score (PSS) and Acute physiology and chronic health evaluation II (APACHE II) in estimating clinical severity and prognosis of poisoning patients.Material and methods: A Retrospective observational study was conducted between1stJune 2019 to 28thFebruary 2021 in the Emergency Department of tertiary care teaching hospital, Ahmedabad, India. Data was collected from computerized hospital information system and analysed in CDC software Epi Info (version 7.3.2.1).Results:Out of total 50 patients during study,majority of patients were in age group of 21-30 year (yr)with Male: Female ratio of 1:1. Out of 50 cases, 44 consumed chemical substances, 3 had corrosive and 3 had medication consumption with organophosphates (OP) being most common compound. Mean PSS in expired was significantly high in comparisonof survivors (p value= 0.0118). Present study found significant association between PSS within first 24 hours and GCS of patients pre sented with poisoning with p value 0.0117 (GCS on admission) and 0.0002 (GCS at 24 hr). A statistically significant correlation was found between PSS and APACHE II, with a p value= 0.0242 and also between GCS and APACHE II with a p value= 0.0018 (CI=95%).Conclusion:Both PSS and GCSare effective in predicting Severity and outcome of patients presented with poisoning in ED.GCSis more useful as it is easy to use, does not require any laboratory investigations and less time consuming.

Role Of Ultrasound In First Trimester Bleeding Per Vaginum

Background:Bleeding per vaginum in the first trimester is a common obstetric situation ranging from an insignificant episode to life threatening emergency. The major causes are abortion, ectopic, and molar pregnancy. Ultrasonography is playing an increasing role in the management of such patients. The aim of this study was to determine the role of first trimester bleeding on obstetrical ultrasound.Material And Methods:This was a retrospective observational study done at urban health care Hospital Ahemdabad, a tertiary care teaching hospital. All obstetric cases with a history of bleeding per vaginum in the first trimester of pregnancy between July2019 and December2019 were included. A complete general physical and pelvic examination was done to arrive at a clinical diagnosis. Patients were then subjected to ultrasound examination. Clinical diagnosis and ultrasound diagnosis were correlated.Result:150 of all 2000 obstetric cases had the first trimester bleeding (incidence of 7.5%). Commonest causes were abortion (78.66%), ectopic (6%), and molar pregnancy (2%). Of 150 cases, 106 cases were correctly identified by ultrasonography. 44 cases proved by sonography were misdiagnosed by clinical examination with a disparity of 52.38%. In this study, 56% pregnancies were clinically diagnosed as viable, but only 34% pregnancies were viable.Conclusion:When the first trimester of pregnancy is complicated by vaginalbleeding, the history and clinical findings are often misleading and if relied upon can only lead to a delay in diagnosis and management.This study reinforces that USG is important to establish a definitive diagnosis, differential diagnosis and subsequent management.

Morbidity And Mortality Of Whipple Procedure

Background:To ascertain the rate and factors affecting morbidity and mortality in patients undergoing Whipple Procedure. KEY WORDS:Morbidity,Whipple procedure, post operative complications INTRODUCTION: Pancreaticoduodenectomy, also called the Whipple operation, is a common operation in major centers worldwide. It is done mostly for periampullary cancers and very rarely for benign diseases. Over the years the operation and its morbidity and mortality have been subject to much research. Starting from the initial days postoperative mortality rate has come down but morbidity rate still remains high. Material & Methods:A study of 12 cases of whipple procedure carried out in dept of general surgery, VS AND SVP hospital from January 2019 to June 2020 OBSERVATION AND Results:There were 12 patients and half of them developed morbidity. Surgical site infection was the most common complication (33.33%) followed by pulmonary complications (16.67%) and bile leak (8.33%). Half of the Mortality rate was due to pulmonary complication. Conclusion:Pancreatoduodenectomy was studied with regards to morbidity and mortality in our hospital. The morbidity rate is comparable to that of other centres. Pulmonary complications were the most common cause of mortality. Preoperative Hypoalbuminemia is a significant predictor of postoperative morbidity. Surgical site infection was the most common morbidity. Whipple procedure is a complex procedure with comparatively less mortality, but more morbidity in our hospital.

Celastrus paniculatus oil ameliorates synaptic plasticity in a rat model of attention deficit hyperactivity disorder

Objective: To explore the effect and mechanism of action of Celastrus paniculatus oil on the treatment of perinatal rats with attention deficit hyperactivity disorder. Methods: In the perinatal stage, the rats were either isolated or administered with lead acetate to establish an animal model of attention deficit hyperactivity disorder. Atomoxetine served as the reference standard. Animals' behaviours were assessed through Y-maze, novel object preference, fear conditioning and resident-intruder aggression tests. Oxidative stress parameters, bioamine concentration (dopamine, noradrenaline and 5-hydroxytryptamine), nerve growth factor, interleukin-6, nuclear factor-κB, and tumour necrosis factor (TNF)-α were estimated. Synaptophysin immunohistochemical assay was performed. Results: Celastrus paniculatus oil significantly improved behavioural parameters in Y maze, novel object preference, discrimination index, fear conditioning and resident intruder aggressive tests. The treatment groups showed a decrease in malondialdehyde level. Changes in the levels of dopamine, noradrenaline, and serotonin were restored by Celastrus paniculatus oil. Celastrus paniculatus oil increased nerve growth factor and decreased interleukin-6, nuclear factor-κB, and TNF-α. Synaptophysin immunoreactivity was also improved by Celastrus paniculatus oil with alleviated reactive gliosis, degeneration, and vascular proliferation. Conclusions: This research shows the therapeutic potential of Celastrus paniculatus oil for the treatment of attention deficit hyperactivity disorder.

Smartphone addiction among undergraduate medical students and its association with academic performance

Background and aims: Smartphones have become an indelible part of a student’s life; but, their effect on academic performance of medical students is unclear with sparse data. The objective of the study was to estimate the prevalence of smartphone addiction among undergraduate medical students, pattern of its use, and the association of smartphone addiction with academic performance. Method: We conducted a cross-sectional study on all the undergraduate medical students in the Medical College Baroda, Anandpura, Vadodara, Gujarat, India, from second year to internship after getting written informed consent. Sociodemographic details, patterns of smartphone use, and scores of the final examination appeared for, were obtained to assess academic performance using a self-report semi-structured questionnaire. Smartphone addiction was diagnosed using the Smartphone Addiction Inventory (SPAI). Result: Out of the 523 students approached, 427 returned completed questionnaires. Ninety five students (22.2%) had smartphone addiction, with the addicted students being more likely to change their phone often, use it for longer periods and in restricted places. No association was found with gender, age, years of use, and academic performance. Conclusion: Nearly one-fifth of the medical undergraduate students were suffering from smartphone addiction. However, it does not seem to have an association with academic performance among undergraduate medical students.