A Correlational study on quality of life and disease severity among Chronic Obstructive Pulmonary Disease (COPD) clients attending a pulmonary Medicine OPD of a Tertiary care hospital, Kolkata

Chronic obstructive pulmonary disease (COPD) is recently the most common chronic lung disease and presents a serious medical, economic, and social problem for people. A correlational survey research was adopted to identify relationship between quality of life and disease severity among Chronic Obstructive Pulmonary Disease (COPD) clients attending Pulmonary Medicine OPD in a selected hospital, Kolkata with the objectives to assess the quality of life of Chronic Obstructive Pulmonary Disease (COPD) clients and to find out correlation between disease severity and quality of life among Chronic Obstructive Pulmonary Disease (COPD) clients. Purposive sampling technique was adapted to select 138 Chronic Obstructive Pulmonary Disease (COPD) clients attending Pulmonary Medicine OPD in a tertiary care hospital, Kolkata. The structured interview schedule was used to collect on demographic data and standardized WHO QOL BREF tool was used to assess Quality of Life. Standardized GOLD criteria were used to assess disease severity of COPD clients. Reliability of the demographic data collection tool was established by inter- rater method and r was 0.77. All the tools were tried out before final data collection. The finding of the study revealed statistically non-significant relationship between all the domain of QOL and disease severity of COPD patients. Total Quality of Life score is also not significantly related with COPD Disease severity score. The study results also showed that QOL is not associated with sociodemographic characteristics. The study concluded that, there is no correlation between quality of life and disease severity.

Psychological impact on people Due to Pandemic of Covid-19 in selected Areas of Mumbai

Coronavirus disease 2019 (COVID-19) is defined as an illness caused by a novel coronavirus, now called Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2; formerly called 2019-nCoV). COVID-19 is an emerging respiratory infection that was first discovered in December 2019, in Wuhan city, Hubei Province, China.1 The 2019-nCoV has close similarity to bat coronaviruses, and it has been postulated that bats are the primary source. While the origin of the 2019-nCoV is still being investigated, current evidence suggests spread to humans occurred via transmission from wild animals illegally sold in the Huainan Seafood Wholesale Market.2 SARS-CoV-2 belongs to the larger family of ribonucleic acid (RNA) viruses, leading to infections, from the common cold, to more serious diseases, such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV).1 The main symptoms of COVID-19 have been identified as fever, dry cough, fatigue, myalgia, shortness of breath, and dyspnoea.1 COVID-19 is characterized by rapid transmission, and can occur by close contact with an infected person.1 COVID-19 has spread widely and rapidly, from Wuhan city, to other parts of the world, threatening the lives of many people 1. By the end of January 2020, the World Health Organization (WHO) announced a public health emergency of international concern and called for the collaborative effort of all countries, to prevent its rapid spread. Later, the WHO declared COVID-19 a “global pandemic” 1. It is mainly transmitted through respiratory and close contact, which leads to the phenomenon of clustering infection in families and hospitals. Because of the sudden nature of the outbreak and the infectious power of the virus, it will inevitably cause people anxiety, depression and other stress reactions.3 It is necessary to understand and investigate the public psychological states during this tumultuous time.3 The results of the survey are of great practical significance to the information provision, cognition, behavior guidance and psychological support of governments at all levels.3 Understanding and investigating the public psychological states during this tumultuous time is of practical significance.3 Social and family attention and mental health support are essential. 3However, we think that the psychological impact of this pandemic like stress and anxiety among the general population is also a grave concern. Hence, this study attempted to find the psychological impact of COVID 19 on people in selected areas in Mumbai. Objectives: (1) To assess the psychological impact on people due to the pandemic of COVID-19 (2) To find the association between psychological impact and their selected demographic variables (age, gender, religion, marital status, educational status, occupation, family type, income, area of residence, and housing type). Review of literature: 3 sections (1) Studies related to psychological impact of COVID 19 on general population (2) Studies related to psychological impact of COVID 19 on health professionals (3) Studies related to psychological impact of COVID 19 on students. The Conceptual framework for the study was based on Health Promotion Model. Methodology: The Research Design used was descriptive study. The sample size was 200 people from selected areas of Mumbai. The samples were selected by using snow ball method. The data were collected by using self- administered 4 point Likert scale which was developed by the investigators. The tool was validated by 5 experts. Reliability was established by split half method. (r = 0.8). The main study was conducted in selected areas of Mumbai. The data collected were tabulated, analysed and interpreted using statistical test such as chi square. Findings of the study: The findings of the study revealed that there was severe psychological impact due to the pandemic of COVID-19 among the people. There was no significant association between psychological impact and age, sex, religion, marital status, family type, income, area of residence, and housing type except educational status and occupation which were significant (chi square values 21.03) for the psychological impact on the people and the rest of the demographic variables are found to be non-significant. Conclusion: The study concluded by stating the fact that, the psychological impact of people due to the pandemic of covid-19 was severe. The findings, recommendation and conclusion were stated adequately.

Curriculum Evaluation - A Cross-Sectional Study under selected Nursing College of KUHS

Aim: A cross-sectional design (analytic) was adopted for the study and the aim of this study was to discover whether the curriculum is fulfilling its purpose and whether students are actually learning. Background: According to the history of education, the term ‘curriculum’ was originally related to the concept of a course of studies followed by a pupil in a teaching institution. Curriculum is a set of specific knowledge, skills and activities for students and it may be defined as planned activities to foster teachers' teaching and student's learning1. The term curriculum refers to the lessons and academic content taught in a school or in a specific course or program. Curriculum evaluation is an essential phase of curriculum development. Through evaluation a faculty discovers whether a curriculum is fulfilling its purpose and whether students are actually learning. Curriculum evaluation is crucial to measuring curriculum effectiveness in any educational setting2. Methods: A cross-sectional design (analytic) was adopted for the study. Eighty two graduates were selected by total enumerative sampling technique. Results: The data was analyzed using descriptive statistics. The various categories of the curriculum evaluation tool were summarized using frequency and percentage, separately for B.Sc and PB.BSc graduates. Conclusion: Out of six areas evaluated, 100% satisfaction was ensured in all areas except in assessment of organization of teacher’s materials, which concluded that 20% of graduates asked for improvement in special facilities and equipments for the curriculum updation.

A Descriptive Study to Assess the Knowledge and Attitude regarding Self Administration of Insulin Injection among Diabetes Mellitus patient in selected Hospital of Visnagar City, in view of Information Booklet

Introduction: Diabetes Mellitus is an endocrine disorder, characterized by hyperglycemia that is, high blood sugar levels. This is caused due to a relative or absolute insulin deficiency, a hormone produced by the pancreas. Lack of insulin, either relative or absolute affects metabolism or breaking down of carbohydrates, proteins, fat, water and electrolytes leading to an accumulation of glucose in the blood. Till the earlier part of this century, it was believed that there was no effective treatment for this condition, until the discovery of insulin, in 1922, by Fredrick Banting and his student, John McCleod1 Design: A descriptive survey approach was used for assessing the knowledge and attitude of Diabetes Mellitus patients regarding Self-Administration of insulin injection. Participants: The target population consisted of 60 Diabetic patients who were on Insulin Therapy within the age group of 40-70 years. Half of the patients were admitted and a few were attending the OPD services in Nootan General Hospital at visnagar. Interventions: Booklet information was given to the patients. Tool: Structure questionnaire was used to assess the level of Knowledge regarding Self-Administration of insulin injection and used Likert’s attitude scale to assess attitude regarding Self-Administration of insulin injection among diabetes mellitus patients. Results: In this study. The total 60 sample under the study were 38.3% sample 61-70 years, 20% sample 51-60 years, 20% sample 41-50 years 8.3% sample below 40 years of age. Distributed sample according to gender were 73.3% are male and 26.7% are female. Distribution of sample based on education is 1.7% graduated 3.3% had higher secondary, 21.7% completed secondary and 73.3% sample had completed primary education as regards 53.3% samples were unemployed 23% self-employed. According to family history 36.7% had family history of DM 63.3% had no family history. The level of knowledge regarding self-administration of the insulin injection were 81.7% had average knowledge, 13.3% had poor knowledge and only 5% had good knowledge regarding self-administration of insulin injection. The overall mean value of the diabetic patients knowledge regarding self-administration of insulin injection was 14.45 with a standard deviation of 3.326. This finding showed that the most of the diabetic patients were not much aware of self-administration of insulin injection. The level of attitude regarding self-administration of insulin injection was assessed were, only 18.3% had most favorable and 81.7% had a favorable attitude towards self- administration of insulin injection. It revealed the mean percentage of the positive attitude, which was 69.05 with a standard deviation of 5.585. These results showed that most of the diabetic patients were not having a most favourable attitude towards self-administration of insulin injection. Conclusion: The finding indicates that the Booklet information was a suitable and effective method of instruction for updating and enhancing the knowledge and attitude among patients.

A Descriptive Cross-Sectional Survey on Public Attitude Towards Nursing Profession in India

Introduction: There has been a tremendous growth in the nursing profession over the past 100 years and the attitude of the society towards it has transformed significantly. The general public attitude can be viewed as positive or negative. Though, in India, this field is not receiving its required respect, which can be determined by various factors like its low reputation in the society, no specific job description, no syllabus or subjects for different administrative fractions in nursing, no fruition of higher degrees for influential post, the governance of doctors, nor the sovereignty to the field, unattractive salary packages for nurses and so on. This study was aimed to assess the attitude of general public towards nursing profession. Methodology: A descriptive cross sectional survey on 391 samples collected all over India through snow ball sampling technique. The tool contains 10 demographic variables and the 5 point Likert scale to assess the attitude of general public. Likert scale contains 10 items with maximum score of 50. The internal consistency of the tool was 0.731 and acceptable range was 0.65 to 0.75. The data was collected by face to face contact and through mobile app (watts app and survey monkey app). The data was collected from Jan to Feb 2019. The recorded responses were coded in excel sheet and computed in SPSS-16. Result: It showed that the general public attitude was favorable towards nursing profession (Mean =38.5 ±4.844). Geographical area and member in the family is a nurse has significant association with level of attitude towards nursing profession. Conclusion: In spite of favorable attitude, still public have undesirable attitude in certain point towards this profession. People are still uncertain about gender orientation of nursing profession, duty schedule and marital life of nurses. People still believes that nursing is a female oriented profession and only female can practice nursing, and shift duty in nursing puts female nurses at risk, as well as doing nursing duty will affect marriage life. So general public need more awareness about nature, benefit, value and scope of nursing profession in order to have transparent, pure and coherent attitude towards nursing profession.

A Cross sectional study to assess the knowledge and attitude of primipara mothers regarding breast feeding, MES medical college hospital at Perinthalmanna

Objectives: This study was aimed to assess the knowledge and attitude of primipara mothers regarding breast feeding. Methodology: quantitative non experimental - descriptive research design was adopted. The study was conducted in MES medical college hospital with the sample size of 50 primipara mothers by using non probability- purposive sampling technique. Results: The knowledge score of primipara mothers regarding breast feeding were 4 (8.0%) had inadequate knowledge, 35 (70%) had average knowledge, 11 (22%) had adequate knowledge. The attitude score of the primipara mothers regarding breast feeding reveals that 2 (4.0%) had neutral attitude, 48 (96%) had positive attitude towards breast feeding. Correlation of knowledge and attitude of primipara mothers regarding breast feeding represents that mean knowledge and attitude score of primipara mothers regarding breast feeding was 14.3 and 48.74 respectively. Correlation coefficient(r) value is 0.041, which indicates statistically non significant. find the association between the knowledge and attitude with selected demographic data illutrates that there is a significant association of knowledge score with their type of family (p <0.05) and there is no significant association of knowledge score with the age, education, occupation, religion, residence, age at marriage, sex of the baby, previous knowledge on breast feeding ( p > 0.05). there is no significant association of attitude score with the with demographic data ( p >0.10). conclusion: This study was identified that 70% of the primipara mothers had average knowledge and 96% had positive attitude towards breast feeding. It implies that majority of the primipara mothers was received previous information regarding breast feeding in this study had a major role to enhance the knowledge and attitude of primipara mothers regarding breast feeeding.

Effectiveness of Video Assisted Teaching programme on knowledge regarding first aid management of foreign body aspiration among mothers of under-five children

Foreign body aspiration remains a significant cause of death in children for anatomic as well as developmental reasons. Foreign body aspiration is a potentially life-threatening event because it can block respiration by obstructing the airway, there by impairing oxygenation and ventilation. Mothers, as a primary care giver must be aware of first aid management of foreign body aspiration and measures to prevent it. Hence, the study was undertaken to assess the effectiveness of video assisted teaching programme on knowledge regarding first aid management of foreign body aspiration among mothers of under-five children in selected anganwadis under Nadathara Gramapanchayath, Thrissur. The other objectives of the study were to find out the association between level of knowledge with selected demographic variables of mothers regarding first aid management of foreign body aspiration. Quasi experimental one group pre testpost test design was conducted among 30 mothers of underfive children. Samples were selected by using purposive sampling method from 2 anganwadis. Pre test was conducted using structured knowledge questionnaire. It was followed by video assisted teaching of first aid management of foreign body aspiration with appropriate AV aids by the investigator. Post test was done after 7 days and the analysis shows that there is a significant increase in knowledge score of mothers regarding first aid management of foreign body aspiration. Also, the study findings revealed that there is no association between knowledge score of mothers with their selected demographic variables. Thus, the study concluded that the video assisted teaching regarding first aid management of foreign body aspiration was effective in improving the knowledge of mothers.

Liver Transplantation – A Case Report

Liver transplantation is a treatment option for patients with End-stage Liver disease for whom all possible modes of surgical and medical treatment have been exhausted. The indications for Liver transplantation can be either acute or chronic liver disease. The absolute contra indications are active alcohol or substance abuse, severe cardiopulmonary or other co morbid conditions that would preclude meaningful recovery after transplant. Patients are listed on the waiting list according to their blood type and Model of End- Stage Liver Disease (MELD) score. The surgical procedure entails the excision of both donor and recipient livers and transplantation of the donor liver into the recipient (Orthotopic Liver Transplantation). This article gives an overview about liver transplantation and its management. A case report is presented and the nursing care has been discussed in detail.

Evaluate Breathing Exercises on Improvement in Respiratory Status among Patients with Respiratory Diseases

Background: Respiratory diseases are typical issue of the airway that hampers the normal airflow and leads to airway inflammation. The impacts of breathing exercises on respiratory diseases have been concentrated to discover its role on improvement of respiratory status. Objective: To estimate breathing exercises on improvement in respiratory status among patients with respiratory diseases. Material and method: A pre experimental, one group pre-test post-test design was adopted on 50 samples with respiratory diseases selected by convenient sampling technique from Medicine (male and female), Pulmonary Medicine, CTVS ward of Guwahati Medical College and Hospital, Assam. Data collected through structured interview schedule for demographic and clinical variables and “modified respiratory status scale” for assessing respiratory status. The group received intervention for 3 minutes one time daily for 7 days. Post-test was done on 7th day. In this study, deep breathing exercise and pursed lip breathing exercise were used. Data were analyzed by using the software package SPSS 2.0 version. Results: the pre-test respiratory status mean was 7.6 and post-test respiratory status mean was 4.98 mean difference was 2.62. The difference in mean scores shows a significant improvement of Respiratory status among patients with Respiratory Diseases. The t’ value of the breathing capacity by using modified respiratory status scale (13.55) was much higher than the ‘p’ value at 0. 05 level of significance. So, Breathing Exercises (Deep Breathing Exercise and Pursed Lip Breathing Exercise) was effective which improve the respiratory status among Respiratory Disease patients. Respiratory status is associated with Gender, History of previous hospitalization and no association with clinical variables. Conclusion: The study concluded that breathing exercises is effective in improvement of respiratory status among patients with respiratory diseases.

Novel Coronavirus (COVID 19) Knowledge and Perception: A Survey of Healthcare workers

Background: Since December 2019, a novel coronavirus disease (COVID-19) began its journey around the world. The novel Coronavirus (2019-nCoV, officially known as SARS-CoV-2 or COVID-19) was first reported in December 2019, as a cluster of acute respiratory illness in Wuhan, Hubei Province, China, from where it spread rapidly to over 198 countries. It was declared as a global pandemic by WHO on 12th March 2020.Coronavirus disease (COVID-19) is a highly transmittable infection and India due to its geographical location is vulnerable to a worst outbreak. India is suddenly increasing its hike in number of positive cases including number of healthcare professionals (HCPs) also acquired infection. Therefore, the aim of study is to assess knowledge and perception among health care workers in Delhi NCR, a vulnerable region, regarding COVID-19. Method: A web-based, cross-sectional study was conducted using a survey instrument to obtain responses from health care workers in Delhi NCR region. A 45-item survey instrument was developed using course materials available on WHO’s website on emerging COVID-19. The survey covered health care workers socio demographic profile, awareness, information sources, and knowledge and perceptions related to COVID-19. Result: The study findings suggest that the level of knowledge was good among health care workers and overall a positive perception was found about COVID 19. Conclusion: As the global threat of COVID-19 continues to emerge, greater efforts through educational campaigns that target HCWs and the wider population beyond borders are needed.