A study assessed the knowledge regarding importance of calcium among women in selected village. Quasi experimental design was adopted 30 samples were selected using convenient sampling technique. A structured questionnaire was used to assess the knowledge. Descriptive and inferential statistics were used to analyze the data. The study finding revealed that there is significant increase in the knowledge level among women’s after nutritional education programme.
Aim of the study: To determine the precancerous lesion among adults with the habits of smoking, chewing tobacco and alcoholism cytological changes in the oral cavity through Oral exfoliative cytology investigation. To refer the identified cases of precancerous lesion for further treatment to C.S.I Dental college hospital. To create awareness among adults with the habits of smoking, chewing tobacco and alcoholism relating to oral cancer. Materials and Methods: The research design adopted for this study is Quasi- Experimental Case Control Design. The conceptual framework used for this study was Modified conceptual framework based on Web of Causation - Mac Mohan and Thomas Pugh 1970. The study was conducted in the rural settings of Madurai District in south Tamil Nadu. The sample size made using Power Analysis which was 1040. According to Cytological results 207 samples were identified with precancerous oral lesions. They were considered as Cases. Remaining 833 samples were considered as controls. Disproportionate stratified random sampling method used to select samples. Observational check list was used to identify the risk group of precancerous oral lesions through oral examination. Questionnaire was used to identify the pre-disposing factors on oral cancer among adults. Knowledge was assessed by using a questionnaire and the attitude was measured on a 3 point Likert scale and modified Fagerstrom. Addiction Scale were used to find the level of dependence among adults with precancerous oral lesions (cases). The data were analyzed based on the objectives of the study using descriptive and inferential statistics. Results: Totally 207 (100%) of cases had leukoplakia which is one of the ideal precancerous lesions. Majority 72.9% of Cases and 89.7% of Controls were having Pigmentation in the labial buccal mucosa and vestibule. High majority of the cases (90.3%) using biddies smoking and controls (78.9%) using cigarette smoking. Almost all of the cases (97.1%) and controls (96.6%) used below 5 packets of smokeless tobacco per day and the onset of smokeless tobacco were at the age of 25 and above in both cases and controls. The Level of knowledge on oral cancer was inadequate 134 (100%) before the structure teaching programme, and the level of attitude shows moderately favorable 39(29.1%) and low favorable 95(70.9%). After structured teaching programme the level of knowledge has considerably increased to moderate level 41(30.6%) and adequate level 90 (67.2%) and the level of attitude has highly increased to high favourable 134 (100%). Based on Level of dependence in smoking before the structure teaching programme among adults were moderately high 69(51.5%) and high 30(22.4%) and in smokeless tobacco were low 92(68.7) and moderately high 14(10.4%) and high 28(20.9%). After structured teaching programme the level of dependence has deliberately decreased to low level 134 (100%). Interpretation and Conclusion: The main conclusion of the present study is that many adults with the habit of smoking, smokeless tobacco, alcoholism and other substance abuse were unknowingly affected with pre-cancerous oral lesions. If it is detected earlier prevention from oral cancer is possible. Identification and rectification of pre disposing factors might reduce the risk of oral cancer. The structured teaching programme effectively improve the knowledge and Attitude of adults with pre-cancerous oral lesions (cases) regarding oral cancer which helps the adults to reduce the level of dependence in smoking and smokeless tobacco and the acceptance of treatment and thus reduces the prevalence of oral cancer.
The anticipation of beginning clinical has been identified as an event that can negatively impact a Registered Resident Nurse Anesthetist (RRNA) and inhibit the retainment of information and produce poor outcomes. The purpose of this mixed-methods research study was to investigate if a formalized mentorship mediated clinical site orientation will decrease stress and anxiety and improve self-confidence for RRNAs entering clinical for the first time. This initial effort serves as a foundation in which the Rutgers Nurse Anesthesia Mentorship Program can further efforts at professional collaboration and improved performance by decreasing stress and anxiety. A curriculum revision can be explored based on the results of this study. Future research can build upon this framework. It can be implemented in other nurse anesthesia programs across the country to determine its effectiveness in other settings and clinical sites.
A study was conducted in selected setting, a total of 30 Joint family women were selected using simple random sampling technique as per selection criteria. The data was grouped and analyzed using descriptive statistics and inferential statistics. On assessing the level of stress and coping among Joint family women majority 13(43.33%) of Joint family women had severe level of stress 9(30%) were in moderate level of stress, 8(26.67%) was in mild level of stress. Association was found between demographic variables, the Joint family women can be enlightened with stress and coping management strategies. The Joint family women should be taught regarding the various stress reduction techniques like meditation, yoga, relaxation exercise, exercise, music therapy etc.
Background: Biomedical waste carried high risk of infection and it is hazardous. Proper management and handling of biomedical waste is important for all the facilities. The health personnel working in health facility are having inadequate knowledge, negative attitude, and poor practice of biomedical waste management. Objectives: The aim of the study was to assess the knowledge, attitude and practice of biomedical waste management among health personnel and to suggest action for betterment of biomedical waste management. Methodology: A descriptive approach was used, thirty two health personnel includes doctors, nurses, senior health assistant, lab technician, ophthalmic assistant, Group D were selected from community health center, using purposive sampling technique. A structured questionnaire to assess knowledge, attitude and practice having 10 items each was given to collect the data. The data was collected analyzed using SPSS 16.0 version statistical software. Results: The present study found that the health personnel working in community health center had inadequate knowledge positive attitude and good practice towards biomedical waste management. However their practices were not matching the knowledge and attitude. The findings revealed the need for training program on biomedical waste management. Conclusion: The study concluded that the knowledge has to be improved by regular training, the attitude should be changed by soft skill training, behavioral change communication and the practice have to be standardized by understanding and applying the protocols and guideline on biomedical waste management. The study recommended to adapt the changes as per Biomedical Waste Management guidelines 2016 and to follow the amendment of 2018 in managing and handling biomedical waste.