Hypertension is one of the common medical complictaions of pregnancy and contributes significantly to maternal and perinatal morbidity and mortality. Hypertension is a sing of an underlying pathology, which may be pre-existing or appears for the first time during pregnancy. Preeclampsia and eclampsia are the leading causes of maternal mortality and morbidity in India and worldwide. The etiology of preeclampsia remains obscure, the treatment is mostly empirical and symptomatic. There is no place of domiciliary treatment in an established case of pregnancy induced hypertension. All the preeclamptic and eclamptic patient were admitted in Tertitary care hospitals for continued evaluation and treatment of the patient. The evaluations were monitored and though this hospital data analyzed the interpertation of the foetal outcome of the patient. Methods: A cross-sectional study was conducted over period of 6 month in the department of Obstetrics and Gynecology, Tertiary care, Hospital at Vellore. A total of 44 pregnant women with PIH were enrolled in this study with inclusion-exclusion criteria. Necessary information such as Socio demographic information, detailed clinical and obstetric history, clinical examination, investigations and foetal outcome was note by using preformed performa. Data were entered and analyzed by computer assisted personal Interviewing (CAPI) and face document Review. Results: most of the hypertensive disorder mothers were under the age group of 22 - 27 years, (58.66%), prevalence of pregnancy induced hypertension was more among younger primigravidae mothers (60.72%). Among hypertensive disorder mothers had headache (40.42%) either located over the occipital and frontal regional, 20.86% mothers had disturbed sleep followed by acute pain in the epigatric region associated with vomiting. Eye symptoms (10.45%) there must be blurring scotomata, dimness of vision or complete blindness. 17.89% mothers had intrapartum convulsion etc. Pregnancy induced hypertension mothers delivered 53.12% dead foetus due to spasm of uteroplacental due to chronic placental insufficiency, 8.71% of the mother were delivered Intrauterine Growth Restriction babies, and 23.67% of babies were admitted in neonatal intensive care unit due to Asphyxia and prematurity. 2.28% of neonatal death related to aggravation of the pre-eclampsia features inspite of medical treatment. Conclusions: Pregnancy induced hypertension is a common medical disorder associated with pregnancy. We noted that PIH is more prevalent in younger age groups and nulliparous mothers. PIH lead to a various clinical manifestation some of this may use as early recognition of PIH. PIH also lead to increase adverse foetal outcome. Thus fetal morbidity and mortality can be reduced among PIH patients by early recognition and institutional management.

According to Maslow’s Hierarchy of human being, self -esteem comes after an individual has met with first three needs. Having positive feelings about oneself is paramount to attain self-actualization. One need to connect themselves with physical and psychological well-being to achieve the peak experience of self-esteem benefits. The current study is conducted to identify the level of self-esteem on student’s academic achievement. The objectives of the study are to identify the level of self-esteem and the factors influencing it. 100 Undergraduates have shown willingness to attend this study. The result findings showed that, 24% of them were in the age group of 19 to 21 years, 54% of them were male students; 51% were in final year during data collection, 53% of the respondents said they had as many friends as people of their age. 33% of them said that they take own initiatives in studies. 33% answered that they are punctual in submitting the assignments in time. Hence, the study findings of the present study indicate that undergraduate student nurses’ perceptions of their own self-esteem are comparable to the normal ranges as assessed by the instrument. Further study is needed to find out the other factors that affects their self-esteem.

This present study was done to evaluate the effectiveness of buteyko breathing technique vs balloon therapy on respiratory parameters among school age children in selected hospitals in Coimbatore. A quasi experimental pretest and post-test design without randomization design was used in this study and 60 samples selected by using non probability convenient sampling technique in Masonic Medical Center for children and Siva Meds Hospital, Coimbatore. Data was collected before and after intervention by using Modified Pediatric Respiratory Assessment Scale was used. Both descriptive and inferential statistics were used for the analysis of data. The findings of the study reveal that the experimental group I, the mean Post-test score were 3.8 < 5.1 of the mean Post-test score experimental group II and the obtained unpaired’t’ value is 5.98 was significant at p<0.05 level. The mean post-test respiratory parameter score in experimental group I, have been lesser than the mean post-test respiratory parameter score in experimental group II. The study Concludes that the experimental group I, received Buteyko breathing technique is significantly effective than the experimental group II received Balloon therapy.

Stress is a universal word applied to different mental and physiologic (bodily) pressures practiced or felt by people right through their lives. The prime purpose of the study is to review the strength of stress between orphaned adolescents. Quasi investigational pretest post-test design amid the control group design is used in this study with 60 samples chosen by using non probability purposive sampling technique. Data was specified for both interventional group plus control group. Data’s were collected before and after intervention by using Modified DASS stress assessment scale with a prearranged questionnaire. Group art therapy was given for interventional group. Descriptive and inferential statistics intended for the examination of records the result shows that the obtain‘t’ value is 11.9*. It was significant at p<0.005 level. The conclusion states that group art therapy is efficient to handle stress and improve psychological security.

Background: Despite, the fact that there is an increased blood donation from voluntary unpaid donors in recent years, there is shortage of active blood donors to meet the increased demands of blood. Objectives: Thus, the objective of the study is to assess the knowledge and attitude of blood donation among degree students of Eritrean institution technology (EIT). Methodology: A descriptive cross-sectional study was conducted at Eritrean Institute of Technology from March to June 2018. A total of 1951 students, in their 2nd and above academic years, were registered to participate voluntarily and anonymously. However, data was collected from 338 randomly selected students who had fulfilled the inclusion criteria using self- administered questionnaire. Pearson co-efficient correlation and Chi-square test were used to compare mean differences and proportions between the groups, as appropriate. Data analysis was undertaken using SPSS version 20. Results: Out of the total participants (n=338), more than half (55.7%) had moderate knowledge whereas equivalent number (57.7%) of participants had unfavorable attitude. In addition, the level of knowledge was significantly associated with sex (p-0.025), previous blood donation (p-0.018) and source of information from mass-media (p-0.001) and peers (p-0.027). On the other hand, significant association was observed between the levels of attitude and frequency of blood donation (p-0.003). However, there was no significant correlation between the level of knowledge and attitude on blood donation (r-0.19). Conclusion: The result of this study shows that, majority of the participants had unfavorable attitude, nevertheless, they had good knowledge towards blood donation.

Objective: The purpose of this systematic literature review was to examine associations between selected themes related to nurses` job satisfactions in different nursing practice settings in Australia. Method: A systematic literature review based on the PRISMA Statement was conducted. Research articles published between the years 2013 until 2016 were screened in relation to prior selected themes and practice settings of interest. No distinction among the nursing workforce was applied in relation to the variables age, gender, contract type, and demographic location. The practice settings analysed were hospital, aged care, and community health care. The themes of interest included (1) absenteeism, (2) turnover, (3) rural and urban areas, and (4) organisational commitment. Primary Argument: The shortage in the nursing workforce is a crucial fact that needs to be addressed. Job satisfaction has a high influence on turnover, organisational commitment, and absenteeism. As the demand for professional registered nurses and midwives is increasing immensely in the near future, a better understanding about nurses’ needs is fundamental for the application of new methods and strategies to achieve higher retaining rates. Especially, as Australia is experiencing high turnover rates among the younger nursing generation. Conclusion: The systematic literature review demonstrated that there is available research in the practice settings of ‘aged care’ and ‘community health care’. A comparison of the examined practice settings, the selected themes and their correlation to job satisfaction was not feasible as the scope of findings were not equal among the practice settings. No study was found that conducted a comparison of the selected themes of interest, job satisfaction, and health care practice settings.

Background: The effects of incivility among nurses are multidimensional; it affects the nurses, patients and the organization. This literature review sought to identify the impact of educational and training programs on incivility among nurses. Method: Four databases (CINAHL, MEDLINE®, ERIC™ and Pub Med) were searched for studies measuring the impact of various intervention programs on incivility among nurses. Sixteen studies were found; consisting of quantitative (n = 11), qualitative (n = 1) and mixed methods (n = 4) studies. Results: Most interventions were administered face to face and incorporated cognitive rehearsal training. Four intervention strategy themes were identified and analyzed for their effectiveness, producing four outcome variables. Conclusions: Findings suggest that educational interventions that involve providing information and training on incivility, role-playing, reflective learning and reference materials reduced perceived incivility cases and positively impacted nurses' ability to identify, respond and resolve cases of incivility. Impaction to nursing and health care: It is recommended that institutions integrate an incivility educational program as part of new employees' orientation process.

A 17 year old female presented with the complaints of pain in right lower thigh and unable to weight bear for past 10 days, got admitted in a private hospital at Coimbatore, Tamil Nadu, India. She had the similar complaints to left thigh 5yrs back and treated for pathological fracture in local hospital. Her postoperative period was eventful. Fracture healing was appropriate but her unable to weight bear on affected limb. History of menstruation at 4yrs of age. While performing physical assessment, found that she had, Cafe-Au-Lait Spots over right side face and thigh. Normal vital signs noted. A provisional diagnosis of McCune- Albright syndrome ((MAS) and bone scan findings, Histo pathological report on femur tissue shows fibrous dysplasia. Mirel’s criteria scored as 11/12 in right femur. Patient was deliberately treated for the pathological fracture surgically and physiotherapy measures were implemented.