A study to assess the effectiveness of self instructional module on prevention of nosocomial infection in Neonatal Intensive Care Unit ( NICU) among staff nurses in selected hospitals at Mangalore.

Health care associated infections (nosocomial) are responsible for significant morbidity and mortality among neonatal intensive care patients. The purpose of the study was to assess the effectiveness of Self instructional module in the prevention of nosocomial infection. The study also aimed at improving the knowledge of staff nurses regarding prevention of nosocomial infection. An evaluative approach with one group pre-test post-test design was used in the study.</p> <p>The result of the study showed that in the pre-test knowledge assessment, the mean percentage of response was 50.73% with mean and SD of 15.223 ± 2.5, which was increased to 92.83% with mean and SD of 27.85± 1.20 in the post-test. The results showed a significant difference suggesting that the self instructional module was effective in increasing the knowledge of staff nurses regarding prevention of nosocomial infection (t =26.82, p < 0.05).

P2L2A0 Emergency Lower Segment Caesarean Section (LSCS) with Atrial Septal Defect (ASD) with severe Pulmonary Arterial Hypertension (PAH) with Bidirectional flow with Pulmonary Edema with Sepsis.

Severe pulmonary Arterial Hypertension with Pulmonary Edema with Sepsis in a postnatal mother with Atrial Septal Defect (ASD) followed by LSCS is uncommon. Atrial Septal Defect (ASD) is the commonest adult congenital heart defect (CHD). 15 % of these patients will eventually develop pulmonary hypertension if left untreated. ASD closure is not recommended when pulmonary hypertension is irreversible. Congenital heart disease should be considered in the evaluation of dyspnoea in a young adult. The management of ASD with associated pulmonary hypertension is difficult. It is pertinent that a detailed hemodynamic assessment be undertaken. The present case report focusses on a patient with severe ASD with pulmonary hypertension with pulmonary edema and sepsis who was with 35 weeks of gestation and the control of symptoms during Caesarean section.