Using of Peer Assisted Learning to Conduct Pre-Training Situational Analysis for Nurse Intern

<strong>Background:</strong> Clinical placement is the main site for interns’ training, however clinical placement is an uncomfortable and inconvenient environment for learning. Trainees need intelligent conversation with self and others to advance in their careers. In this regard, Peers informally teach each other through discussion. Nowadays, there is an international need and interest in formal peer-assisted learning. Hence, Situational model for curriculum development is a suitable model for training as it is culturally driven and emphasizes context. The research objectives are to apply a situational curricular model, using a peer-assisted learning. In addition, to explore the students’ perception towards peer-assisted learning. <strong>Methods:</strong> A mixed method quantitative and qualitative design single group post-test design was applied in this study, where all the nursing interns in the current year were selected. Peers conducted orientation sessions to make situational analysis. After that, each intern, with his educational supervisor, develops personal objectives and a development plan. Selection of contents and learning opportunities is the responsibility of interns guided by the general outcomes and list of required competencies during the training year. The last step is assessment and evaluation of performance. Furthermore, interns’ perceptions towards using peers-assisted learning were measured through distribution of self-administered questionnaire, and conduction of focus group with interns. <strong>Results:</strong> Overall students’ perceptions toward this reform were positive, all means were above four, especially their perception towards Peer Assisted Learning (PAL) as a relaxed and comfortable environment and as a new learning opportunity. <strong>Conclusion:</strong> Interns found that reform of their training through conducting situational model for training is an effective method, especially when using Peer Assisted Learning (PAL) in its conduction, which, they recommended its implementation to all units’ orientation.

Prevalence and Risk Factors for Musculoskeletal Pain and Coping Strategies in School Teachers

<strong>Introduction:</strong> School teachers have high prevalence of work related musculoskeletal disorders which decrease productivity at work due to sick leave and absenteeism. In India, more traditional methods of teaching are used as compared to other countries, and this difference encouraged us to determine prevalence of musculoskeletal pain, risk factors and coping strategies adopted by teachers. <strong>Methods:</strong> A self-administered Questionnaire was distributed to 810 particcipants. 567 responses were received out of which 30 questionnaires were incomplete. The self-administered Questionnaire included 31 questions under 5 categories: General Profile, Occupational profile, Health/Musculoskeletal pain profile, Perceived risk factors and Coping Strategies. Descriptive statistics of mean and standard deviation, frequency were calculated for continuous and categorical variables respectively. Binary logistic regression analysis was performed to determine the association of musculoskeletal symptoms with demograpic factors and working conditions. <strong>Results:</strong> 112 (20.9%) reported having musculoskeletal pain. Low back (48.2%) was commonly affected. 50.9% had chronic pain and 71.4% reported pain interfered with occupational routine. 48.2% reported with sleep disturbances. Commonly percieved factor was standing for prolonged periods (76.8%). Risk factor analysis using logistic regression model on cause of pain showed statistical significance (χ2 (27)=77.169, p&lt;0.005). Females were 3.952 times more likely to exhibit pain than males (OR 3.952, 95% CI 1.694- 9.217). Commonly reported coping strategy was visiting a Physiotherapist (44.6%). While 33% coped up with pain using prescribed analgesics, none of them opted to rest. Despite high prevalence and severity, only 17% had frequented absenteism to work by taking sick leave.<strong> Discussion:</strong> Prevalence rate of musculoskeletal pain was found to be higher among school teachers as per the results of this present study. Prevalence and risk factor perceptions of school teachers as reported in this study can be of significance in understanding and addressing these factors and appropriate measures to prevent and overcome them can be devised based on these results. Since the risk factors for musculoskeletal symptoms can be multifactorial in nature, the results of this present study need to be correlated with all possible mechanisms related to this population and further studies to determine the effectiveness of appropriate ergonomic modifications should be taken into consideration.

Biodecolorization of Azo Dye Acid Blue 113 by Soil Bacterium Klebsiella variicola RMLP1

The present study was aimed to isolate a new bacterial strain for the degradation/decolorization of azo dye Acid Blue 113 (AB 113). The physico-chemical method is inadequate for degradation of azo dyes; therefore, an environmental friendly and competent method such as use of the biological organism was studied for decolorization of AB 113. Bushnell and Hass (BHM) medium containing AB 113 dye were used to perform the decolorization study. 16S rRNA gene sequencing approach was used for identification of bacterial isolate as a <em>Klebsiella variicola</em>. The optimum process parameters for the decolorization of AB 113 were found at pH 8, 35°C temperature and 100 mg/L dye concentration during 72 h incubation. Glucose and ammonium sulphate was the carbon and nitrogen source suited well for the decolorization of dye. The results proved that the <em>Klebsiella variicola</em>, offer huge ability in treating textile wastewater containing the color AB 113.

Alteration in Oxidative Stress Biomarkers and Cytoarchitecture of Hepatic Tissues in Freshwater Fish Clarias batrachus (Linn.) under Sub lethal Butachlor Stress: Spectrophotometric and TEM Study

<p>The present study addresses the deleterious impact of sub lethal exposure of butachlor 2-chloro-N-(2-6-diphenyl) acetamide on hepatic cells of air breathing fish <em>Clarias batrachus</em> (Linn.) based on light and transmission electron microscopy and estimation of oxidative stress biomarker enzymes <em>viz.</em> reduced glutathione and lipidperoxidase. Fishes were exposed to 1.0µl/L butachlor for 5, 10 and 15 days respectively. After schedule exposure, blood sample were collected and extracted serum were analyzed for quantitative estimation of serum reduced glutathione and lipid peroxidase activity by spectrophotometer. The liver tissues were processed for light and electron microscope. Light photomicrographs of hepatic cells reveal dose related abnormalities which increases with the duration of exposure. Major changes attributed to the hepatic cell were parenchyma degeneration, necrosis along with fibrosis, widening of sinusoids, vacuolation, and infiltration of eosinophilic inclusion, karyolysis, pyknosis and perivenular congestion. Transmission electron microscopy of hepatic cells also revealed degenerated hepatic parenchyma, accumulation of lipid and electron dense material, degenerated mitochondria, nuclear shrinkage and enlarged lysosomes engulfing cytoplasmic particles in contrast to control fish. On prolonged exposure, the most frequent pathological modifications were mitochondrial swelling with regression of cristae and giant lysosome with myelinated phospholipid membrane pointing towards phospholipidosis. The activities of all the marker enzymes showed high fluctuation indicating significant imbalance in comparison to control. The study highlights the oxidative stress caused by butachlor correlated with histopathological anomalies of hepatic cells. It can be used as sensitive index for assessing the magnitude of oxidative damage and physiological dysfunction of experimental fish under laboratory condition.</p>

Effects of Short Term Inspiratory Muscle Training in Hospitalised Chronic Obstructive Pulmonary Disease Patients - An Experimental Study

<p><strong>Background:</strong> Chronic obstructive pulmonary (COPD) is a progressive irreversible lung disorder characterised by air way limitation which worsens on expiration and may additionally lead to compression of small airway ensuring air trapping in the lungs and subsequent hyperinflation. <strong>Objective:</strong> to evaluate the effects of short term muscle training in hospitalised chronic obstuctive pulmanory disease patients in terms of blood pressure heart rate PFT values functional cappacity. Methods: This study was a randomized control trial. A total number of participants participated in this study was 17 (n=17) the purpose of the study was explained to the participants in their vernacular language and a written informed consent was obtained from all the subjects. <strong>Result:</strong> value&lt;0.05 was considered as significant. This shows that majority of the subjects in the sample are of the age group “51-60 years” followed by “61-70 years” 12(70.59%) subjects in the sample are males, mean BMI of subjects in the sample is 26.29 ± 5.23(kg/m2 ). 8(47.06%) of 17 subjects in the sample had normal BMI followed by 5(29.41%) had obesity and 4(23.53%) had overweight. mean respiratory rate of subjects in the sample is 24.06 ± 3.58.</p><p><strong> </strong></p>

A Study on Primigravida Mothers of Rural Karad Taluka, Maharashtra in Acknowledging the Child Developmental Milestones

<strong>Background:</strong> The best moment for any women in this world is to give birth to her child after months of wait and anticipation. She is accompanied with overwhelming feelings of bliss and divinity. The process of growth and development continues throughout the entire life of a human being; however, the duration in which the integral changes take place is from inception to the end of youth. The health workers need to understand this early period as well as the total life cycle of an individual and understand the behavior of parents and other adults who pond care for the child. Thus, it is necessary to educate mothers in the antenatal period about the developmental milestones so that they can impart this knowledge during the care of their children and also this will help them to rule out any developmental delay in their children at the earliest. Objective: To acknowledge child developmental milestones in primigravida mothers of rural Karad taluka, Maharashtra.<strong> Method:</strong> A study was conducted with 98 subjects from in and around Karad. They were selected on the basis of the criteria of inclusion and exclusion and a prior written consent was also taken. Primigravida mothers were included in the study. Then they were assessed with the help of a structured questionnaire on child development milestones. The data was then collected and analysed accordingly. <strong>Result:</strong> After analyzing the data, it was found that primigravida mothers had 53% knowledge about biological development, 34% knowledge about sensory development, 42% knowledge about social development, 28% knowledge about cognitive development, and 36% knowledge about moral development. <strong>Conclusion:</strong> The knowledge about child developmental milestones in primigravida mothers is inadequate. Out of all the developmental domains, they have considerable knowledge about biological development (53%) and the least knowledge about cognitive development (28%).