Correlation of Ahlback grading and knee society score in patients with moderate to severe osteoarthritis of the knee

Background: Knee osteoarthritis (OA) is a most common rheumatological disorder that causes functional limitation and disability. The most common problem in knee OA are joint pain and stiffness. It will lead to decreased quality of life and it have a serious economic burden on any country due to effect of disability and treatment.Methods: A correlational study was conducted to find out correlation between Ahlback grading and knee society score (KSS) on a sample of 100 moderate to severe knee OA patients and 142 OA knees. Data was collected at orthopedics OPD, for a period of 3 months by purposive sampling.Results: On evaluation, mean age of the participants was 60.19±1.01. Out of 100 patients, 42 patients had bilateral knee OA, therefore total 142 knees included in the analysis. More than half (51%) participants were overweight. Only 34% subjects had compliament to physiotherapy. Around 76% subjects taking analgesics and massage therapy to reduce knee pain. Maximum 82.4% subjects had a poor knee condition in KSS and mean score is 49.07±1.06. Ahlback grading in X-ray had negative correlation -0.610 with KSS. Hence it is evaluated, both the scales have approximately same result as it is analyzed that both scales are moderately correlated. There is significant association of age, occupation and physiotherapy with Ahlback grading followed with KSS significant associated with BMI, occupation and physiotherapy.Conclusions: The study concluded that there is a moderate correlation found between Ahlback X-ray grading and knee society scoring. X-ray and knee society scoring (clinical evaluation) both are essential for effective treatment of OA

Carrier preference after graduation among AIIMS nursing students: higher education or government job as nursing officer

Background: Career by choice means that a student chooses a career of their own choice according to their interests and the demands of time. The present study aimed to investigate the preferences of pursuing government jobs or higher education among final-year nursing undergraduates and perceived barriers to pursuing higher education in nursing. Methods: A descriptive cross-sectional web-based study was conducted among 207 final-year B.Sc. nursing students from May 2021 to June 2021 at the various All India Institutes of Medical Sciences of India. Data collection was done using total enumerative sampling techniques by self-structured questionnaire. A descriptive statistic was applied to prepare the results. Results: Findings suggested that the government job after graduation was the priority among students (63.3%), and only (30.4%) of students were highly motivated to pursue higher education in nursing. The majority (42.9%) of respondents given a reason to choose a nursing course were not selected in NEET-UG. Further data revealed that the reason for choosing the job over higher education was financial independence. Findings also reported that the student's perspectives towards the nursing profession were a lack of respect as compared to other medical professions, stigma in society, socially less accepted professions, fewer opportunities in research and education, and gender discrimination in the profession. Conclusions: The findings necessitate the need for a sensitization program to develop awareness of the benefits of pursuing higher education. This may change the stigma and improve the social image of the profession

A study to assess the effectiveness of clinical teaching on the level of knowledge regarding nursing care bundle to prevent ventilator associated pneumonia among ICU nursing officers at AIIMS Bhopal

Background: Healthcare is a professional area bound to the ethical foundation of “do no harm.”, But in the current scenario, a rush to promote the curative scenario has led to the total downplay of the preventive aspect of care. The aim of this study was to assess the knowledge regarding nursing care bundle for the prevention of VAP among nursing officers before and after clinical teaching and to evaluate the effectiveness of clinical teaching. Methods: This pretest-post-test study was conducted on nursing officers working in the ICU of the All-India Institute of Medical Sciences, Bhopal, Madhya Pradesh. 100 nursing officers were enrolled in the study via convenience sampling technique. The self-structured tool was validated by 10 experts with a mean CVI value of 0.94. The reliability of the self-structured knowledge questionnaire was determined by the test-retest method and found to be 0.87. The collected data was analysed for frequency, mean, standard deviation, t-test, and association. Results: Findings showed that the mean knowledge score was 18.46±3.543 before intervention. After the intervention of video-assisted clinical teaching, a post-test was conducted, and the mean post-test knowledge scores was 25.07±2.801 at the p value <0.01. Knowledge of subjects about nursing care bundle for prevention of VAP was found to have a significant association with only educational qualification. Conclusions: This study's findings concluded that educational interventions are necessary for the enhancement of knowledge and better compliance of nursing officers with guidelines regarding the bundle of care for the prevention of ventilator-associated pneumonia