Vol 1 Issue 1 2018

  •  Effectiveness of Adolescent Health Programme on knowledge regarding Iron deficiency Anaemia among adolescent girls at Kabirdham District, Chhattisgarh
    Kalpana B. Joshi  Page no:- 3-6  DOI: https://doi.org/10.46811/apjnh/1.1.2

    Adolescent period is a critical link between childhood and adulthood. Objectives of this study were to assess the effectiveness of adolescent health programme on knowledge regarding Iron deficiency Anaemia among adolescent girls and to associate the knowledge score with their selected demographic variables. An evaluative approach was used in the study, non-probability purposive sampling technique was used to select 120 adolescent girls from 60 adolescent girls from govt. higher secondary school and 60 from private higher secondary school and data was gathered using the structured knowledge questionnaire on iron deficiency anaemia. Data was analysed by using descriptive and inferential statistics .in selected school. The study result showed that majority (76%) of study sample had poor knowledge, 2% had good knowledge and 22% had average knowledge on prevention of iron deficiency anaemia.

  •  A case presentation on rheumatic heart disease with mitral regurgitation
    Jayasudha.A, Sreerenjini B, Kaveri P, Anitha P  Page no:- 7-9  DOI: https://doi.org/10.46811/apjnh/1.1.3

    In pregnancy there is increased pressure on the heart valves. Counseling of women with rheumatic heart disease gives appropriate surveillance of maternal and fetal well being, as well as planning and documentation of the management of elective and emergency delivery. However, many women with rheumatic heart disease have healthy pregnancies, healthy babies with the right medical care.

  •  What is the optimal opioid analgesic in the management of sickle cell pain crisis
    Eze Onyegbule Okubuiro (FWACS, FHEA (UK)), Chimaobi Tim Nnaji (FMCA, FWACS) and Chinwe Edith Okoli (FMCA, FWACS)  Page no:- 10-15  DOI: https://doi.org/10.46811/apjnh/1.1.4

    Sickle cell disease is an autosomal recessive disorder that is common in people of African, Middle-Eastern and Mediterranean ancestry and its incidence varies from 10 to 40% of the population across equatorial Africa. The homozygous sickle cell disease affects about 2% of neonates in Nigeria and accounts for 25% of deaths in children under 5 years in Africa annually. The most common clinical manifestations are pain and anaemia. Pain associated with sickle cell pain crisis is usually severe, requiring treatment with strong opioids in addition to other interventions such as oxygen therapy and hydration with isotonic solutions. In order to accommodate the complex biopsychosocial components of this condition, pharmacotherapy, psychotherapy, functional restoration and other nonopioid pharmacotherapies need to be integrated in a multidisciplinary protocol for optimal outcome. There is a dearth of studies on the ideal analgesic regimen in the management of sickle cell crisis. Adoption of morphine PCA as the Gold standard in this condition is derived from studies on acute pain management protocols that are nonspecific for sickle cell pain crisis. More research is needed to identify the most appropriate opioid analgesic protocol in the management of sickle cell pain crisis. Such study requires exploration of alternative methods of opioid administration as PCA equipment may not be universally accessible in places (especially, resource-limited settings) where sickle cell disease is most endemic.

  •  Effectiveness of Competency Training Program on Modified Early Warning System (MEWS) upon the Knowledge of Nurses in Selected Hospitals, Chennai
    Anju Chandran , Jaslina Gnanarani Latha Venkatesan  Page no:- 16-19  DOI: https://doi.org/10.46811/apjnh/1.1.5

    Background: Adverse events results in unintended harm to the patients including permanent disability and death. MEWS was introduced to identify and document the deteriorating patients in hospital settings. Adequate training and education of nurses will enhance early recognition and response in preventing adverse events. Objective: The objective of the study was to assess the effectiveness of competency training program on MEWS among nurses.

    Methodology: A Quasi experimental study was conducted among nurses who were working in inpatient units of selected hospitals, Chennai. 140 nurses were selected as participants out of which (n=70) is constituted to experimental group and (n=70) was constituted to control group. Pre-test knowledge was assessed in both groups. Competency training program on MEWS was given to experimental group of nurses and post test was assessed after one month.

    Results: The mean post-test knowledge scores was significantly higher in experimental group (M=18.2) to that of control group (M=10.6) which shows the effectiveness of competency training program on MEWS with (t=22.29, p<0.001).

    Conclusion: The present study reveals that Competency training program on MEWS had a significant increase in the knowledge of nurses in the experimental group.

  •  Knowledge and Attitude towards Homosexuality among College Students in selected Colleges of Rewa (M.P) A Descriptive Study
    Priyanka Mishra , Manisha Gupta  Page no:- 20-30  DOI: https://doi.org/10.46811/apjnh/1.1.6

    Homosexuality is attraction between the same sex peoples. A person’s sexual instinct (inborn pattern of romantic and sexual interest and identity) affects the attitudes of others toward him or her. In this time heterosexuality is the standard and most minority groups (counting lesbian Women and gay men) are subjected to stereotypes. The number of people associated with same-sex sexual activities ranges from 4 to17%.1The aim of the study is to assess knowledge and attitude towards homosexuality among college students. A non experimental descriptive survey research design was adopted. 100 college students were selected through purposive sampling technique. The standardized questionnaires were used for the data collection that is Knowledge about Homosexuality Questionnaire (KHQ) and Homosexuality Attitude Scale (HAS). Data was analyzed by using SPSS 20.0 version. The findings showed that the socio demographic variables of college students was found that the majority of 53(53.0%) were in the age group of 20-22 years, 69 (69.0%) of them were female, most of the students 85(85.0%) were Hindus, 93(93%) of students were unmarried, 33(33.0%) were III year students and most of the college students 90 (90.0%) received information towards homosexuality through mass media. Findings related to knowledge 63(63%) students had an average knowledge, 31(31%) had poor knowledge and 6 (6%) had good knowledge towards homosexuality.The attitude of college students towards homosexuality was found to be favorable. In the study 90(90%) of the college students had favorable attitude and 10 (10%) college students had unfavorable attitude towards homosexuality. There was significant association between knowledge score and demographic variables like age of the students and year of study where as no significant association between knowledge score and demographic variables like gender, religion, marital status and source of previous knowledge.The association between socio- demographic variables and attitude score. There was significant association between attitude score and demographic variables like age of the students and year of study where as no significant association between attitude score and demographic variables like gender, religion, marital status and source of previous knowledge.