Effect of Structured Teaching Programme on Neonatal Resuscitation among the Staff Nurses of Selected Hospitals at Bhopal, Madhya Pradesh, India

The present study was conducted to assess the effectiveness of structured teaching programme on neonatal resuscitation among the staff nurses. An experimental design was chosen with pre-test and post-test of experimental and control group. The sample size was 60 registered staff nurses divided into two groups as 30 in experimental and 30 in control group. The tools used for conducting the study included demographic variables, self-structured questioner to assess knowledge of experimental and control group. The experimental group was given structured teaching programme and the control group was used for comparison only. The data were analyzed with the help of descriptive and inferential statistics. The study clearly shows that there was a significant gain in knowledge of staff nurses in experimental group with structured teaching programme which emphasizes neonatal resuscitation by the staff nurses. Therefore, the staff nurses can be benefited with structured teaching programme to improve knowledge on neonatal resuscitation

Risk analaysis of ethanol blending fuel in refinery industry using event tree analysis and Topsis method

Chemicals have always posed risks including fire, explosion, and the release of harmful substances in process industries like the Petroleum Industry. The occurrence of such catastrophes has a significant impact on the resources for finances and daily living. In this research paper, the major safety-related causes and effects are identified through event tree analysis based on accidents and incidents while using ethanol as fuel. For this purpose, the accident and incident data collected so far while using ethanol in the fuel industry, detailed information about ethanol, and even tree analysis. The event tree analysis (ETA) and Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) analysis method is utilized to Identifying an initiating event of interest of accident. The event tree\u27s structure also aids the analyst in identifying the locations where additional protocols or safety measures are required to mitigate accidents or lower their frequency

A Clinical Cross Sectional study on Palmoplantar Dermatoses

BACKGROUND: Dermatoses of palms and soles are common in daily practice. They limit the day to day activities of the patients. Often there will be difficulties to differentiate, diagnose and treat these conditions. Hence thorough knowledge about diseases affecting palms and soles is required. AIM OF THE STUDY: To study the clinical features and frequency of involvement of various palmoplantar dermatoses and their epidemiological aspects like age, sex distribution and occupation. MATERIALS AND METHODS: 200 patients with diseases involving palms, soles or both were selected from OPD of Dermatology, Coimbatore Medical College Hospital, for a period of one year. In every patient, details like name, age, sex, occupation and marital status were noted. A detailed history of symptoms and their duration were recorded. A complete general and dermatological examination were carried out in all the patients. For scaly lesions, microscopic examination of scrapings in 10 percentage of KOH was done, in case of pustular lesions Gram Staining was done and for selected cases skin biopsy was taken. RESULTS: A total of 200 patients were enrolled, among which 53.46% were males. The most common age group affected was 17-40 years. Seasonal variation was reported in 45.5% of patients. The most common symptom was pruritus. Eczema was the most common palmoplantar dermatoses, followed by fungal infections and psoriasis. Palms were the most common site involved. CONCLUSION: Most of the studies in the palmoplantar dermatoses were focused on the specific diseases, this study highlights the need for comprehensive studies in palmoplantar dermatoses

The effect of fuel and fuel-oxidizer combinations on ZnO nanoparticles synthesized by solution combustion technique

We report on the synthesis of nanocrystalline ZnO particles by solution combustion technique using new organic fuels such as l-Glutamine, Leucine and l-Valine. The thermal decomposition and combustion of nitrate-organic fuels (precursors) were investigated through TG-DTA and XRD techniques. The results show that, the nitrate-organic fuel (precursor) gels exhibit self-propagating behavior at 400 °C after ignition in air. The effect of fuel and fuel to oxidizer ratio on structural properties of as-synthesized ZnO powder was investigated. It was observed that, the particle size of as-synthesized ZnO powder depends on F/O ratio, which influences the combustion process. The detailed analysis on the structure of as-synthesized ZnO powder was carried out by Rietveld refinement on XRD data and through TEM studies. Further, adiabatic temperature (Tad) was calculated through thermodynamic theoretical calculations for different fuel to oxidizer ratios. The results were discussed on the basis of the correlations established between the Tad, nature of the combustion and structural properties of the resulting powders

Impact of health education on unmet needs of contraception in urban slums of Chandigarh, India

Background: Unmet need points to gap between some women reproductive intention and their contraceptive behavior. Unmet need for contraception is mainly attributed to lack of information, negative attitude, fear of adverse effects and social influences. The objective of this study was to investigate awareness and practice of contraceptive usage. And to estimate unmet need of contraception in the studied population and to identify the factors associated with it, and to evaluate impact of health education on unmet needs of contraception.Methods: A community-based longitudinal study was conducted in four randomly selected urban slum areas (colonies) of Chandigarh, India. A systematic two-stage random sample design was adopted.Results: Overall contraceptive awareness rates among women and men were increased from 84.1% to 96.3% and from 82.2% to 95.5% in post-interventional survey as compared to baseline survey. Contraceptive prevalence rates were found to be 57.3% and 65.5% respectively in pre interventional and post interventional surveys, against contraceptive awareness rates of 81.7% and 95.5% respectively, resulting in gaps between knowledge and practice to be unmet needs of contraception to the extents of 24.4% and 30.0% respectively in the two surveys.Conclusions: There is an urgent need of adopting some population specific integral strategies for changing social norms and attitudes of couples regarding reproductive issues, increase in contraceptives awareness as well as practice for reductions in unmet needs of contraception and unwanted/unplanned pregnancies

Kikuchi-Fujimoto disease presenting as pyrexia of unknown origin

Background: Kikuchi-Fujimoto disease, a benign self-limited lymphadenopathy is an uncommon cause of pyrexia of unknown origin (PUO). Methods: We retrospectively studied the case-records of 13 patients presenting with PUO who were diagnosed to have Kikuchi-Fujimoto disease on peripheral lymph node excision biopsy and report the salient clinical manifestations and histopathological findings in them. All of them received symptomatic treatment. Results: Their median age was 28 [interquartile range (IQR) 18.5-38.0] years. Women (11/13, 84.6%) were more frequently affected. All of them were human immunodeficiency virus (HIV) seronegative. Prior to presenting to us, two were being treated for lymph node tuberculosis with DOTS. Cervical lymph nodes were predominantly involved, the distribution being: right cervical (n=10, 76.9%); left cervical (n=4); and bilateral cervical (n=2). Axillary and generalized lymphadenopathy were rare being seen in 2 and 1 patient respectively. The median (IQR) erythrocyte sedimentation rate (n=11) was 53 (35-89) mm at the end of first hour. Salient histopathological features were paracortical patchy zones of eosinophilic fibrinoid necrosis with karyorrhectic debris, large numbers of histiocytes, including histiocytes with peripherally placed “crescentic” nuclei. Spontaneous regression of fever and lymphadenopathy was observed over a median (IQR) period of 8 (6.75-10.25) months in all of them. Conclusions: Kikuchi-Fujimoto disease is a rare but important cause of PUO presenting with peripheral lymphadenopathy. Women are most often affected and cervical lymph nodes are the most frequently involved site. Clinical suspicion and thoughtful collaboration between clinicians and pathologists are essential for accurate diagnosis, and to minimize unnecessary investigations and inappropriate aggressive treatment

Genetic divergence assessment in Kale (Brassica oleracea L var. acephala (DC.) Alef.) by using the multivariate analysis

A total of 87 genotypes collected from different geographical areas of Kashmir valley evaluated at one site to determinate genetic variability. Considerable diversity was found in different traits of horticultural importance. High coefficient of variation and wide range and mean differences of studied traits indicated the existence of wide genetic variability. Three principal component having eigen value more than one and cumulatively accounted for 84.85 percent of total variability of evaluated horticultural traits. The leaf weight, leaf length, leaf width, leaf yield / plant and yield (q/ha) were major contributing traits towards the first principal component. Similarly number of number of leaves/plant was impotent contributed traits toward principal component -II, whereas plant height was main contributing traits to principal component -III. The maximum inter cluster D2 value (731.04) was observed between cluster IV and cluster -I and followed by between cluster -V and cluster- I (677.29) and between cluster II and I (430.13).It indicated that genotypes belongings with these groups were genetically most divergent and may be use for hybridization to get better segregants