According to Joint National Committee-7 (JNC-7) guidelines, a systolic blood pressure (SBP) of 120 to 139 mm Hg and/or diastolic blood pressure (DBP) of 80 to 89 mm Hg is considered as pre-hypertension. Existing evidence suggest that the cardiovascular morbidities are increasing among pre-hypertensive individuals compared to normal. To assess the magnitude and factors associated with pre-hypertension among young adults (20–30 years) in coastal villages of Udupi Taluk (an area of land with a city or town that serves as its administrative centre and usually a number of villages), Udupi District, Karnataka state, India. Community based cross sectional study 6 (out of total 14) coastal villages of Udupi Taluk, Karnataka state, India. 1,152 young adults (age group: 20–30 years) selected by stratified random sampling in 6 coastal villages of Udupi Taluk, Karnataka state, India A semi structured pre-tested questionnaire was used to elicit the details on socio-demographic variables, dietary habits, tobacco use, alcohol consumption, physical activity, family history of hypertension and stress levels. Anthropometric measurements and blood pressure were recorded according to standard protocols. Serum cholesterol was measured in a sub sample of the study population. Multivariate logistic regression was applied to identify the independent correlates of pre-hypertension among young adults (20–30 years). Prevalence, Odds ratio (OR) and adjusted (adj) OR for pre-hypertension among young adults (20–30 years). The prevalence of pre-hypertension in the study population was 45.2% (95%CI: 42.4–48). Multivariate logistic regression analysis revealed that age group of 25–30 years (adj OR: 4.25, 95% CI: 2.99–6.05), white collared (adj OR: 2.29, 95% CI: 1.08–4.85) and skilled occupation (adj OR: 3.24, 95% CI: 1.64–6.42), students (adj OR: 2.46, 95% CI: 1.22–4.95), using refined cooking oil (adj OR: 0.53, 95% CI: 0.29–0.95), extra salt in meals (adj OR: 2.46, 95% CI: 1.52–3.99), salty food items (adj OR: 6.99, 95% CI: 3.63–13.48), pre-obese (adj OR: 1.66, 95% CI: 1.03–2.67) and obese (adj OR: 9.16, 95% CI: 2.54, 36.4) were the significant correlates of pre-hypertension. In the study population, prevalence of pre-hypertension among young adults (20–30 years) was high (45.2%). Biological (age 25–30 years, pre-obesity and obesity) and behavioral (sedentary occupation, intake of extra salt in meals/salty food and not using refined cooking oil) factors were associated with pre-hypertension. Study emphasizes the need of community based screening of pre-hypertension under National Rural Health Mission. It also provides apt information for the evidence based designing of interventions for lifestyle modifications among high risk young adults in the study area.

Introduction: Research experience gained by medical students during their under graduate tenure plays a significant role in their future endeavours in the field of medical research. The present study was a cross-sectional study conducted to know the attitudes and perceptions towards research among final year medical students in a private medical college. Methods: A total of 220 students participated in the study. Results: The majority of the students agreed that research is important in the medical field (88.6%, 195/220). The majority also believed that research methodology to be part of medical curriculum (72.7%, 160/220). 31.8% (70/220) felt that Research methodology will be helpful to enter competitive exams (USMLE, PLAB). The barriers for conducting research as believed by students were: Lack of interest (32.7%, 72/220), Lack of time (31.4%, 135/220), Inadequate knowledge about research methodology (51.4%, 113/230), Lack of guidance by faculties (27.7%, 61/220), Lack of research curriculum (34.1%, 75/230) Inadequate facilities for research (35.5%, 78/220), Inadequate financial support (30.9%, 68/220) and others 2.9% (6/220). Of the participating students, 23.2% (51/220) participated in research during medical school, while 76.8% (179/220) did not. Conclusion: Medical colleges should emphasize more on research among the undergraduate students. There is a need to reform the medical curriculum with more weightage towards research methodology.

Objective: To systematically map and critically analyze the provisions within Indian national frameworks (Digital Personal Data Protection Act 2023, ICMR guidelines) and key international ethical AI guidelines that address privacy and data security for AI-driven diagnostic tools, specifically within the Indian public health context. Methods: A scoping review was conducted following the PRISMA-ScR framework. A comprehensive search of government publications, intergovernmental organization reports, and academic literature was performed to identify relevant national and international guidelines. Data were charted and synthesized thematically. Results: The analysis reveals a fragmented Indian governance landscape, characterized by a principles-based national AI strategy (#AIforAll), sector-specific ethical guidelines (ICMR), and a new, general-purpose data protection law (DPDP Act). While the DPDP Act establishes foundational data fiduciary obligations, its broad exemptions for public health and research create ambiguities for data-intensive AI. International frameworks serve as comparative reference points; the EU AI Act, in particular, offers a contrasting granular, risk-based regulatory model. Key tensions emerge between the universalist principles of international guidelines and the need for a “situated ethics” approach that addresses India’s unique challenges, including the digital divide, data quality issues, and the difficulty of operationalizing meaningful consent. Conclusion: Existing guidelines provide a foundational but incomplete framework for the safe and ethical deployment of AI diagnostics in Indian public health. There is a critical need to bridge the gap between high-level principles and on-the-ground implementation. This requires developing sector-specific regulations under the DPDP Act, establishing robust standards for data and algorithmic audits, and fostering a cooperative federalism approach that harmonizes international standards with the socio-technical and constitutional realities of India.

The present study aims to analyse the road accidents in India at National, state and inter-city levels. According to the recent available statistics, there is age and gender-wise variations in the proportion of road traffic accidents and deaths where males have a very high percentage share of fatalities (85%) when compared to females (15%). Tamil Nadu had the highest percentage share of accidents (14.9) and Uttar Pradesh had the highest percentage share of fatalities (12.8). Some of the possible solution to combat this raising trend of road traffic accidents are-awareness initiatives, maintenance of good data base, planning and designing for road safety, remedial action at high crash sites, design for pedestrians and cyclists and implementation of strict speed limits. Thus there is an urgent need to provide emphasis on road safety and curtail the worsening situation of road traffic accidents, injuries and deaths in India which is the need of the hour.

Out-of-pocket expenditure (OOPE) comprises 62% of national health expenditure in India. This heavy reliance on direct payments has engendered economic vulnerability and catastrophic financial pressures (typically defined as out-of-pocket spending exceeding a certain threshold of household income, leading to financial hardship) on households in a country where public health spending remains below targeted levels. The onset of the COVID-19 pandemic intensified these financial hardships further, as both total healthcare spending and OOPE experienced significant escalations due to the increased need for emergency care, vaccination efforts, and expanded health infrastructure. A retrospective, single-center study was conducted using data from COVID-19 patients admitted between June 2020 and June 2022. Patient data were collected from the Medical Records, IT, and Finance departments. A validated proforma was used for data extraction. Descriptive statistics were calculated, and the Shapiro–Wilk test was applied to assess normality of billing and OOPE data. Patients were stratified into three groups based on their insurance status, allowing for comparative analysis of OOPE percentages and absolute expenditures. The 2715 COVID-19 patients were categorized into three groups according to their health financing: those covered under AB-PMJAY (42.76%), private health insurance (22.16%), and the uninsured (35%). While the median billing amounts were comparable across these groups (ranging between INR 85,000 and INR 90,000), a substantial disparity was observed in terms of financial burden. All patients covered under AB-PMJAY incurred no OOPE, whereas privately insured patients had a median OOPE that constituted approximately 21% of their total billing amounts, with significant variability among different insurers. The uninsured group represented 35% of the cases and experienced the highest median OOPE, indicating substantial financial risk. The COVID-19 pandemic has revealed critical gaps in India’s health financing framework. This study emphasizes the strong financial protection provided by AB-PMJAY, while also exposing the limitations of private health insurance in shielding patients from substantial healthcare costs. As the country progresses toward universal health coverage, there is a pressing need to expand public health insurance schemes that are inclusive, equitable, and effectively implemented. Additionally, strengthening regulation and accountability in the private insurance sector is essential. The study findings reinforce that AB-PMJAY has been highly successful in reducing OOPE and enhancing financial risk protection. Although private insurance reduced OOPE, patients still faced considerable expenses. The stark difference in OOPE of 100% for uninsured patients, 21.16% for privately insured, and 0% for AB-PMJAY beneficiaries underscores the importance of further expanding AB-PMJAY to reach more vulnerable populations.