Effectiveness of awareness lecture in improving the knowledge about learning disability among primary school teachers

Background: This study was done to assess the pre-existing knowledge about' Learning Disability (LD) among primary school teachers and the effect of awareness lecture on improving their skills in' early identification and remediation of LD among children having poor scholastic performance.Method: The study was conducted as a part of the IAP state President's action plan 2018-2019 'VIBGYOR'. The study sample consisted of 709' primary school teachers of government schools in Malappuram district in Kerala. The teacher's knowledge level on LD was assessed using a questionnaire following which an awareness class was given. Their knowledge level was assessed again at the end of the class.Results: There is a significant increase in knowledge level about learning disability among the teachers after the awareness lecture (p value<0.001).Conclusion: This study implicates the need for intensive training programmes to primary school teachers on learning disability so as to identify it at an early stage among children with poor scholastic performance.

Study about the knowledge and attitude of antenatal women on postnatal care and immunisation

Background: Optimum postnatal care, exclusive breast feeding and vaccination are the most essential factors for the adequate growth and development of a child. Interventions to improve these can result in reduction in infant morbidity and mortality. The study was done to assess the knowledge level and attitude of antenatal mothers on postnatal care and immunisation.Methods: This is a cross-sectional descriptive study done in a private medical college in Kerala conducted during September 1 to 31st 2018. All pregnant ladies attending the medical college hospital for antenatal check-up during the study period and willing to participate were included. Data collection was done by interviewing the participants using pretested and edited questionnaire and analysed by applying proportions.Results: The awareness about postnatal care and breast feeding was good among participants while lacking in a few aspects. Majority of them had the right knowledge about pre-lacteal feeds, colostrum and timing of initiation of breast feeding. But there was a gap between the knowledge they possessed and what they practised when it comes to vaccination.Conclusions: There is a need to educate antenatal mothers about various aspects of vaccination and postnatal care.

Protective role of intracoronary shunt in off-pump coronary bypass operations

To investigate if there are any advantages in using intracoronary shunts compared to shuntless operations, in the context of whether it has a protective role for the myocardia. This prospective study, included 100 patients who underwent off-pump coronary bypass surgery at 2 different cardiovascular surgery departments, namely, the Social Security Ankara Ihtisas Hospital, and Hacettepe University Hospital, Turkey, between September 2002 and July 2006. Patients were divided into 2 groups. In group 1 [n=50] off-pump coronary bypass operations were performed with intracoronary shunts. In group 2 [n=50] shunts were not used during off-pump. Serum creatine kinase, myoglobin, and troponin were studied. There were significant increases in serum creatine kinase levels in group 2 at postoperative 6th, 12th, and 24th hours. In group 2, the increase of myoglobin was statistically significant at only the postoperative 24th hour. Troponin levels were significantly higher in group 2 at postoperative 6th, 12th, and 24th hours. There are some questions regarding myocardial protection while maintaining a bloodless secure surgical field in off-pump coronary surgery. However, use of intracoronary shunts provides distal coronary flow, and reduces the risk of myocardial ischemia, while maintaining a comfortable blood free anastomosis area

Antibiotic susceptibility of Neisseria gonorrhoeae in Trinidad and Tobago

Treatment failures with standard doses of penicillin have been observed in the Sexually Transmitted Diseases (STD) clinics in Trinidad and Tobago. In the absence of an ongoing surveillance system, the antimicrobial susceptibility of 518 Neisseria gonorrhoeae strains was determined in order to guide treatment. 39 (7.6) strains were resistant to penicillin, including 27 (5.2) positive for beta-lactamase; that is penicillinase-producing Neisseria gonorrhoeae (PPNG). 51 (10) strains were resistant to tetracycline, with 26 (5.0) of these exhibiting high levels of resistance compatible with tetracycline resistant Neisseria gonorrhoeae (TRNG). Six strains showed evidence of having both PPNG and TRNG plasmids, and five strains showed chromosomally-mediated resistance to both penicillin and tetracycline. The overall resistance rate to penicillin and tetracycline was 17.7. There was no resistance to spectinomycin, cefuroxime, ceftriaxone and norfloxacin. The resistance rates demonstrated in this study are sufficiently significant to preclude the use of penicillin and tetracycline in the STD clinics and to justify the use of newer antimicrobials. It is essential that resistance patterns be monitored by continued surveillance.

Study on Mycobacterium tuberculosis: the primary drug resistance pattern.

The study was carried out to investigate the primary drug resistance pattern of tubercle bacilli isolated from the pulmonary tuberculosis patient attended in Shyamoli TB clinic, Dhaka. Sputum from 961 suspected tuberculous patients were randomly collected and stained by Ziehl-Neelsen (Z.N) stain. 135 were microscopically positive for Acid Fast Bacilli (AFB). Among them 30 patients were excluded from the study as they received antitubercular treatment before. So only 105 microscopically positive cases were cultured on Lowenstein-Jensen (L-J) media and 100 showed pure growth and rest 5 were contaminated with fungus. These 100 cases were studied on 4 antitubercular drugs. Out of these 100 isolates, 91 were M. tuberculosis and rest 9 in the nonchromogen group of mycobacteria other than tuberculosis (MOTT) species. Among 91 M. tuberculosis species, 89 (97.80%) to Isoniazid (INH), 73 (80.21%) to Rifampicin (RMP) and 91 (100%) to Streptomycin (SM) and Ethambutol (ETHM) were sensitive. Of the 9 MOTT species, 4 (44.44%) to SM, 7 (77.78%) to ETHM were sensitive and all (100%) were resistant to INH and RMP. Among the 100 isolates, 27 (18 M. tuberculosis and 9 MOTT) were resistant to 4 drugs either single or in combination. Of the 18 (66.67%) M. tuberculosis species, 16 (59.26%) to RMP, and 2 (7.41%) to RMP and INH were resistant. Of the 9 (33.33%) MOTT species, 4 (14.81%) to RMP and INH, 3 (11.11%) to RMP, INH and SM and 2 (7.41%) to RMP, INH, SM and ETHM were resistant.