Knowledge, attitude and practice of menstrual hygiene among adolescent schoolgirls of rural area, Dakshina Kannada, India

Background: Adolescent girls constitute a vulnerable group not only with respect to their social status but also in relation to their health. Menstruation is accompanied by a cultural taboo in almost every society in the world. Although very common issue of everyday of life, menstruation is associated with many menstruations negative attitude in young girls. The young population is seen to be trapped and confused due to the different schools of thoughts at home and the outer world. This indicates an urgency to investigate girls, menstrual needs, to inform effective responses and educate them about the right strategies of menstrual hygiene, attitudes and practices. The aim of our study was to assess the knowledge, attitude and practices about menstrual hygiene among adolescent school girls from rural areas of Dakshina Kannada.Methods: This was a cross sectional study conducted from January 2020 to February 2020 among 130 secondary schools and high school girls of rural area of Dakshina Kannada, using predesigned questionnaire after obtaining informed consent.Results: In our study, most of the students had attained menarche by 12yrs of age. 86.15% were lacking primary knowledge about menstruation, and 80% of our participants had good knowledge about cleanliness of undergarments, and 65% of students knew that menstruation was a physiological phenomenon and 71% of the participants, still believed in the taboos and myths associated with menses and 30% were shy about carrying sanitary products to school. 63.85% participants still used cloth and most worrisome finding of our study is that 63% of our students did not feel comfortable to approach their family/elders/health care workers to solve their queries about menstruation.Conclusions: The study aimed at assessing the knowledge, attitude & practices of the adolescents regarding menstruation and menstrual hygiene. The low level of knowledge among participants is evident from their unpreparedness while entering menarche and their strong views of menstruation as social taboo can be judged from their various restrictions, owing to such strong socio-cultural beliefs and practices. Group discussions, media campaigns, sex education in schools are required to overcome taboo associated with menstruation.

Cloud Armor: A Conclusion Work on Trust Management System

Distributed computing gives Software as service (Saas) ,Platform as service(Paas) and Infrasrtucture as a service(Iaas).Cloud figuring condition having a few issues like protection and security. Trust administration is a standout amongst the most difficult issue. Shielding a specific cloud benefit from a few assaults like agreement attack(Such as client may give misdirecting criticism about specific cloud services)and Sybil attack(such as a solitary client can make numerous accounts..i.,e noxious user).In this paper we talk about cloudarmor that gives notoriety based trust administration to cloud administrations. A notoriety based trust administration system gives set of functionalities to convey Trust as a service(Taas) . Taas incorporates i)Zeroknowledge believability evidence convention to demonstrate validity of the consumers criticism and jam client security, ii)a validity show it will measures te validity of input to shield cloud administrations from malevolent client. what's more, iii)an accessibility model to deal with the accessibility of the trust administration

The challenges and opportunities of offering and integrating training in clinical molecular genetics and clinical cytogenetics: A survey of LGG Fellowship Program Directors

Purpose: The specialty of Laboratory Genetics and Genomics (LGG) was created in 2017 in an effort to reflect the increasing convergence in technologies and approaches between clinical molecular genetics and clinical cytogenetics. However, there has not yet been any formal evaluation of the merging of these disciplines and the challenges faced by Program Directors (PDs) tasked with ensuring the successful training of laboratory geneticists under the new model. Methods: An electronic multi-question Qualtrics survey was created and was sent to the PD for each of the Accreditation Council for Graduate Medical Education–accredited LGG fellowship programs at the time. The data were collected, and the responses were aggregated for each question. Results: All of the responding PDs had started training at least 1 LGG fellow. PDs noted challenges with funding, staff shortages, molecular/cytogenetics content integration, limited total training time, increased remote work, increased sendout testing, and a lack of prior cytogenetics knowledge among incoming fellows. Conclusion: This survey attempted to assess the challenges that LGG PDs have been facing in offering and integrating clinical molecular genetics and clinical cytogenetics fellowship training. Common challenges between programs were noted, and a set of 6 concluding comments are provided to facilitate future discussion