iosr-JNHS   Volume-3 ~ Issue-1 ~ Jan-Feb 2014

Paper Type	:	Research Paper
Title	:	Clinical Profile of Mid Day Meal Beneficiaries of Primary Schools in Kurukshetra District
Country	:	India
Authors	:	Sachdeva Monika, Davar Vinti
	:	10.9790/1959-03120104

Abstract: The various aspects of clinical profile in mid day meal beneficiaries, between the age group of 6-11 years from Kurukshetra district have been studied. One time observational study of five hundred government primary school children was conducted. A qualified medical practitioner was associated for clinical examination of children having mid-day-meal. Clinical symptoms observed were noted in the structured schedule. Observation of clinical signs reveal the anatomical changes due to malnutrition like deficiency disorders for iron, Vitamin A, B-complex, C and D. Symptoms of anemia were observed at a higher rate in girls than boys. Spongy (9.2%) and bleeding (5.3%) gums indicating Vitamin C deficiency was recorded in few subjects. Bones were found normal except few children who were diagnosed with distal wrist/ bowed legs/ pigeon chest. However, the prevalence of these nutritional deficiency disorders may be attributed to their poor nutritional status. Nutrition intervention in the form of supplementation and education in primary schools along with families, teachers and communities has to be strengthened to effectively address malnutrition.

Keywords: Clinical Signs, Mid-Day-Meal, Malnutrition.

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[4] Gibson, R.S., (1990). Principles of Nutritional Assessment. Oxford University Press, New York, Oxford, 257:577-855.
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[6] Indian Council of Medical Research, (2010). Nutrient Requirement and Recommended Dietary Allowances for Indians. NIN. Hydrabad, pp: 67-89.
[7] Jain, S., Chopra, H., Garg, S.K., Bhatnagar, M. and Singh, J. V. (2000). Anemia in children : Early iron supplementation. Indian J. Pediatr., 67 (1) : 19-21.
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Paper Type	:	Research Paper
Title	:	Estimate the prevalence of anemia among unmarried female college students attending nursing college and influence of socio-economic- demographic factors
Country	:	India
Authors	:	Babita
	:	10.9790/1959-03120508

Abstract: Anemia remains a public health challenge worldwide. Anemia is the most common disorder of blood in the world. According to a survey conducted by NFHS, the prevalence of anemia in young girls aged between 15-24 years is 56% with higher rates in rural than in urban India. Little is known about anemia among college female students. Aim: This study aimed to estimate the prevalence of anemia among unmarried female college students attending nursing college and influence of socio-economic- demographic factors. Methodology: Through convenient sampling 320 nursing students studying at Sant Baba Bhag Singh Institute of Nursing were selected. Hb estimation was done using Sahli's method. Baseline information was collected from study subjects through self structured questionnaire.

Keywords: Anemia, hemoglobin, young adult female students, sahli's method.

[1]. Paul RC. Prevalence of Iron deficiency anemia in India : Results from a nation wide survey. Journal of population and social studies 2010;19(1):2806
[2]. Kaur G, Chhatwal J, Verma M. Prevalence of anemia among urban school children of Punjab. Indian pediatr 1998;35(12):1181-86
[3]. Saratha A, Singh Z, Datta SS et al. Prevalence of anemia among adult female students in a medical teaching institution in Pondicherry. Indian jouranal of maternal and child health 2010 oct- dec ; 12(4)
[4]. Sultan AH. Anemia among female college students attending the university of Sharjah, UAE; Prevalence and classification .J Egypt Public Health Association 2007;82(3&4)
[5]. Patil MC, Shailja S, Algeer, Veena. A study of knowledge and prevalence of anemia among female students of BldeaA's Shri B M Patil nursing college, Yadavannavar. International journal of current research & review 2011; 3(11):80.

Paper Type	:	Research Paper
Title	:	Effectiveness Of Structured Teaching Programme Vs. Self Instructional Module Regarding Prevention Of Acute Respiratory Infections In Children Among Mothers
Country	:	India
Authors	:	K. Lakshmi Prasanna, Naveen Kumar Sharma
	:	10.9790/1959-03120915

Abstract: Acute respiratory infections are a major cause of mortality and morbidity in young children worldwide .ARIs are heterogeneous group of diseases with different causative factors and it affects different parts of respiratory tract. In this study two teaching strategies used to improve the knowledge of mothers regarding acute respiratory infections in under-five children. The aim of the study was to determine the effectiveness of STP and SIM on knowledge regarding prevention of ARI among the two groups; and compare the effectiveness of STP and SIM on knowledge regarding prevention of ARI among the two groups. The quasi experimental two group pretest post test design was adopted .Simple random technique was adopted to select 60 mothers .The data were generated structured interview schedule .STP &SIM developed on ARI .Content validity of self constructed knowledge questionnaire, STP and SIM were obtained from experts of related departments. Mother's knowledge regarding ARI was assessed by using structured interview schedule method. On the first day of data collection (pre test) for STP & SIM groups .STP was administered on the same day. On seventh day, again the same mother's knowledge was assessed (post-test) using the same tool. The reliability of tool was determined by using Spearman's Brown Prophecy formula. The reliability of the structured questionnaire was found to be 0.94 and validity of the tool found to be 0.973.The pilot was conducted on 10 mothers with constructed tool which it was found to be reliable.
Key words: Structured teaching programme, Self instructional module and Acute Respiratory Infections.

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[3]. Padmaja kanchi,M.K. Kakery. Original research table .of contents Bombay hospital journal .A hospital based observational study of ARI. [Serial online] 2005 April [cited 2008 Aug 29]; Available from:URL:http://www.bhj.org/journal/htm
[4]. World health organization ARI control programme in India. [Serial online] 2000 [cited 2008 July 29]; Available from:URL:http://www.pub med.com
[5]. Ibrahim M, et al. Greater knowledge gain with structured than student-directed learning in child health. Med Teach 2006 May;28(3):239-43
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[7]. Rashid S.F,Hadi A, Afsana K,Begu S.A.ARI in rural Bangladesh cultural understanding ,practices and role of the mother and community health volunteers.Trop med international health.2001 April ;6(4):249-55
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Paper Type	:	Research Paper
Title	:	Evaluate the Effectiveness of Planned Teaching Programme regarding Basic Life Support (BLS) among Intern (B.Sc Nursing) Student at Selected Nursing College, Bhubaneswar, Odisha
Country	:	Japan
Authors	:	Ms. Kabina Ratha, Ms. Swarnakanti Panda, Mrs. Rashmimala Pradhan
	:	10.9790/1959-03121619

Abstract: Heart disease is the world's largest killer claiming 17.5 million lives every year. About every 29 seconds, an Indian dies of heart problem. As many as 20,000 new heart patients develop every day. In India 9 crore Indian suffer from heart disease and 30% more are at high risk. Sudden Cardiac arrest is a major public health problem. Basic Life Support (BLS) is the provision of treatment designed to maintain adequate circulation and ventilation to the patient in cardiac arrest, without the use of drugs on specialist equipment.A structured knowledge questionnaire was prepared for the assessment of knowledge .Pre test was done on 1st day and planned teaching program was given on same day. On day 7th post test was done with same questionnaire. Post test knowledge score was more than pre test knowledge score. Pre test Mean-9.12, Median-9 SD-1.97 and Post test Mean – 13.4, Median-13 SD-2.89."t"value was 13.9 which is greater than the tabulated value at (p=0.001) level of significance and which highly significant. There is no significant association between the knowledge of student with age, gender and previous knowledge regarding Basic life support, as the Chi square value 0.46, 0.94 and 0.05 which is less than the tabulated value. There is significant association between the knowledge of students with the education qualification as the Chi square value is 1.04 which is more than the tabulated value at (p=0.001) level of significance.

Key words: Basic Life Support, Cardiac arrest, Effectiveness, planned teaching programme, nursing.

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university hospital NHS trust, Calcutta. Aug 2005; 288-955.
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Heart J 1985; 932-937.
[3] Brendan Docherty. Basic Life Support and AED. Clinical Manager Cardiology and Critical Care. 2003, August: 56-59.
[4] Pam Moule. Evaluation of the Basic Life Support CD-ROM, Its effectiveness as learning tool and user experiences. Educational
Technology & Society. 2002, 1436-4522
[5] Chaudhary A, Parikh H, Dave V. Current Scenario: Knowledge Of Basic Life Support In Medical College. Natl J Med Res. (2011),
[cited August 16, 2013]; 1(2): 80-82.
[6] Awareness of basic life support among medical, dental, nursing students and doctor, Indian Journal of Anaesthesia. Mar-Apr 2010;
54(2)121PMC.
[7] Wik L, Steen PA, Bircher NG. Quality Of Bystander Cardiopulmonary Resuscitation Influences Outcome After Pre hospital
Cardiac Arrest. Resuscitation 1994; 28: 195-203.
[8] Cardiopulmonary resuscitation: statement by the Ad Hoc Committee ,Cardiopulmonary Resuscitation of the Division of Medical
Sciences, National Academy of Sciences, National Research Council. Cardiopulmonary Resuscitation. JAMA1966;
198:372,379.Availablefrom,http://www.expresshealthcaremgmt.com/20041215/criticare06.shtml.
[9] American Heart Association Guidelines for CPR &Emergency Cardiovascular Care Circulation 2005; 112:1V1-203.
[10] World Health Organization Statistical Information System (WHOSIS). Cardiovascular Disease Statistics. 2009. Available From,.
http://www3.who.int/whosis/menu.cfm.

Paper Type	:	Research Paper
Title	:	Effectiveness of IMNCI guideline on feeding problem among young infants (0-2 months) admitted in a selected hospital at Bhubaneswar, Odisha
Country	:	India
Authors	:	Geetarani Nayak
	:	10.9790/1959-03122024

Abstract: Malnutrition and other preventable disease among the young children are caused mainly due to poor care and inappropriate infant feeding practices, delaying and restricting breast feeds and giving other products before six months. Development of feeding problem occur due to poor position and attachment. An evaluative approach was undertaken to assess feeding problem among 50 young infants (0-2months) admitted in IMS & SUM Hospital, Bhubaneswar. The study design adopted was quasi experimental with one group pre-test and post-test design. The samples were selected by non probability convenience sampling. Pre-test and post test assessment was done by standard IMNCI guideline. The reliability was established 0.78 by using chronback's formula. Finding of the study shows that, comparison of pre test and post test assessment of't' value was 5.8 which were significant at p<0.05 level. It revealed that feeding problem among young infant were improved after administration IMNCI guideline..

Keywords: Effectiveness, Feeding problem, young infant, IMNCI guideline.

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[2] Banerjee B. An intervention study in malnutrition among infants in a tribal community of West Bengal. Indian Journal of Community Medicine 30 (1), 2005; 46-50.
[3] Gupta Madhu. Feasibility study of IMNCI guidelines in rural areas of North India. Indian Journal of Community Medicine, 33 (3), 2008, 201-03.
[4] AREGAI W, GEBRIEL H, Determination of breast feeding practice, the Ethiopian journal of health development,18 (3 ) 2008 ,132-134.
[5] Kaur. Balwinder ,Bala Jyoti,Sheoran Poonam, Nutritional status , feeding problems of children, 8(7),2012,33-36.
[6] UNICEF Annual report –Global under Five Mortality (2008).
[7] Datta P. Text book of paediatric Nursing, 2nd edn, New Delhi: Jaypee Brothers Publication, 2012.
[8] Ghai Piyush, Essentials of Paediatrics, 8th edn, Indore :CBS publication, 2012.

Paper Type	:	Research Paper
Title	:	Effectiveness of Information Booklet on Knowledge & Practice about Prevention of Pneumonia among Mothers of Under Five Children
Country	:	India
Authors	:	Mamata Jena
	:	10.9790/1959-03122530

Abstract: Childhood pneumonia is one of the leadingcause of mortality in children aged less than five years. Mothers are the primary care giver, if they would possess adequate knowledge regarding prevention of pneumonia through information booklet then they can apply the same in their practice. Main objective of the study was to assess the effectiveness of information booklet on knowledge & practice about prevention of pneumonia among mothers of under five children admitted to paediatric ward of a selected hospital of Odisha. Pre-experimental one group pre test and post test research design was adopted in this study.50 mothers who met the inclusion criteria were selected as study subjects by using non-probability purposive sampling technique. Result of the study shows that 52% of mothers had no knowledge regarding prevention of pneumonia. The't' value for knowledge& practice test are 35.78& 14.68 respectively which are much greater than t(49) at 0.05 significance level(2.01) inboth indicating effectiveness of information booklet in increasing knowledge & knowledge on practice. The calculated 'r' value of post test knowledge and practice scores i.e. 0.2783 indicating positive significant relationship i.e.r (48)>0.273 significance at 0.05 level. The study has implications in various fields of nursing& based on the findings many recommendations were made for future research.

Keywords: Knowledge, Mothers of under five children, Pneumonia, Practice, Prevention.

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[4] A report by Secretariat, Treatment and Prevention of Pneumonia.WHO, 63rd World Health Assembly, 25thMarch.2010. (1)
[5] Bansal A ,SahaA,Zinc supplementation in severe acute lower respiratory tract infection in children :A triple blind randomized placebo controlled trial ,The Indian Journal of Paediatrics,Jan 2011;78(1),33-37.(3)
[6] Bhutta ZA. Childhood Pneumonia in developing countries.BMJ-2006, 333:612-613. (5)
[7] Sukumaran T V,Air pollution and child health ,Paediatric Today,Sept.Oct.2009,XII(5),196.(40)
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Paper Type	:	Research Paper
Title	:	Development of Dietary Guidelines for Persons undergoing Haemodialysis
Country	:	India
Authors	:	Blessy Prabha Valsaraj, P. Valsaraj, Sripathy M. Bhat, Ravindra Prabhu, Anice George
	:	10.9790/1959-03123135

Abstract: Food occupies the consciousness of all living beings and it is all the more prominent concern among individuals with chronic illness. This fact can be easily understood by analysing the content of most of the patients' queries to the health care professionals that are centered on dietary intake i.e. what food stuffs they can eat and which all they should avoid. As the result of many restrictions in their dietary intake, they feel a loss of control over life that can lead to poor life satisfaction and depression. Methods: A cross sectional survey was conducted among 50 chronic kidney failure patients those who are undergoing maintenance haemodialysis in the dialysis unit of Kasturba Hospital, using a purposive sampling technique. A semi structured interview schedule was used to assess their knowledge and practice of dietary intake. Results: None of the subjects had a clear view on actual renal diet and 40% believed there is no need of any dietary modifications, 100% believed it is difficult to adhere to dietary restrictions and only 78% practiced some kind of dietary modifications. Based on the identified need, dietary guideline for persons undergoing haemodialysis was developed and validated with the experts.

Keywords: development, dietary guidelines, chronic kidney disease, persons undergoing haemodialysis.

[1]. World Health Organisation. Burden of disease project available at: http://www.3.who_int/whosis/menu.cfm?path= evidence, burden & language accessed on August 2007.
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[3]. Goodman WG. Vascular calcification in end-stage renal disease. J Nephrol. 2002;15(suppl 6):S82-S85.
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[6]. Zrinyi M, Juhasz M, Balla J, Katona E, Ben T, Kakuk G and Pall D. Dietary self-efficacy: determinant of compliance behaviours and biochemical outcomes in haemodialysis patientsNephrol Dial Transplant 2003;18:1869-1873
[7]. Johns S, Jenifer DJ. Essentials of nutrition and dietetics for nursing. New Delhi: BI Publications Pvt Ltd; 2007.
[8]. Diet - chronic kidney disease. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/002442.htm
[9]. Renal diet guide. Dietary department, KMC Hospital, Attavar, Mangalore.
[10]. CapicchianoD. Top 7 tips for a healthy renal diet. Available from: http://www.kidneycoach.com/1089/renal-diet-top-7-tips-for-renal-failure/.

Paper Type	:	Research Paper
Title	:	A descriptive study was designed "A study to assess the knowledge and practices of dietary regulations in chronic renal failure patients undergoing hemodialysis at K.L.E'S Hospital and MRC Belgaum
Country	:	India
Authors	:	Mr. Shashikumar Jawadagi
	:	10.9790/1959-03123645

Abstract:A descriptive study was designed on CRF patients undergoing hemodialysis.
The aim of the study was :
1. To assess the knowledge of dietary regulations in CRF patients undergoing hemodialysis.
2. To findout the practices regarding dietary regulations in CRF patients undergoing hemodialysis.
3. To findout the association between knowledge and practices of dietary regulations undergoing hemmodialysis.
The structured interview was used to assess the knowledge and practices of dietary regulation in CRF patients undergoing hemodialysis. A total of 51 patients were assessed. The highest level of knowledge was scored by 16.59% (8) subjects only. And the 56.86% (29) subjects had scored between the range of 10-18 practices scores.

Keywords: Assessments; Knowledge; practice; Dietary regulations; Chronic renal failure patients; Haemodialysis; Compliance and Noncompliance; patient reduction.

[1] Kiyoshi Kurokawa et al. Current Issues and future perspectives of chronic renal failure. American Society of Nephrology 2002; 13:53-56.
[2] Ann-Louise Caress. Chronic Renal Failure. Nursing Times 1998 Oct 21; 42:94:48-49.
[3] Safdar N, Baakza H, Kumar H, Naqvi SA. Non-compliance to diet and fluid restrictions in hemodialysis. J Pak Med Assoc 1995 Nov; 45(11): 293-5.
[4] Shriangbichu. End Stage Renal Failure Bombay Hospital Journal 2003; 45(4):539-541.
[5] Durose CL, Holdsworth M, Waston V, Przygrodzka f. Knowledge of dietary restrictions and the medical consequences of non compliance by patients on hemodialysis are not predictive of dietary compliance. J AM diet Assoc 2004 Jan; 104(1): 35-41.
[6] Patel Z, Battacharjee W, Shah BV. The role of dietary protein restriction in Indian patients with chronic renal failure. J nephrology 2000 Nov;47(11):1068:81.
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[9] Rosman JB. Protein restriction in diet therapy in chronic kidney insufficiency. Ther Umseh 1995 Aug; 52(8):515-8.
[10] Safadr N, Baakza H, Kumar H, Naqvi SA. Non-compliance to diet and fluid restrictions in hemodialysis patients. J Pak Med Assoc 1995 Nov; 45(11): 293-5.

Paper Type	:	Research Paper
Title	:	Occupational Health Hazards among Commercial Motorcyclists in Ahmadu Bello University, Zaria
Country	:	Nigeria
Authors	:	Yunusa, U., Lawal, U. B., Idris A., Garba, S. N.
	:	10.9790/1959-03124652

Abstract: Commercial motorcycles have posed a lot of hazards usually in form of accidents which are often serious and fatal. Using ABU, Zaria as a case study, this survey aims to assess the occupational health hazards among motorcyclists. A cross sectional survey design was used for the study. Questionnaires were administered to 216 respondents. Majority of whom were in the age group of 30-34 years with mean age of 31.7 years. 83.4% had formal education ranging from primary to tertiary education and 74.5% of the respondents are of Hausa/Fulani extraction, 55.6% have been involved in an occupational hazard out of which 86.7% had road traffic accidents. Major outcome of accidents include bruises, lacerations and fractures. It is therefore concluded that accidental injury is a major form of occupational health hazard associated with commercial motorcyclists and recommended that the school management, motorcyclists and other stakeholders have a role to play in reducing these hazards.

Keywords: OCCUPATIONAL HEALTH, HAZARD, COMMERCIAL MOTORCYCLE.

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Paper Type	:	Research Paper
Title	:	A study to assess the knowledge and attitude of mothers regarding first feed (colostrum) of Hathras (U.P.)
Country	:	India
Authors	:	Dr. Sushma Yadava
	:	10.9790/1959-0301025356

Abstract: Breast milk has unique anti-infective properties and they attributed these properties to the presence of anti-infective factors in the human milk. One hundred postnatal mothers were selected from Hathras through multistage stratified random sampling technique. Questionnaire cum-interview schedule was used for collecting the required data for the study. Objective of the study was to knowledge of mothers regarding first feed (colostrum). The results of study were 80% gave breast feed to their child while 42% gave breast feed after two days of birth. Study were responses of the mothers regarding reasons for not given colostrum to their child after birth. Out of 79 respondents, majority (43.04%) have no knowledge. The study was an efforts to know the knowledge and attitude of mothers regarding first feed (colosturm) of Hathras (U.P.).

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