This present study was done to evaluate the efficiency of problem-based learning (PBL) over Lecture method in terms of enhancing critical thinking skills and problem solving ability among nursing students in selected Nursing Institutions of Coimbatore, Tamil Nadu. A Quasi Experimental study with control group pre test and post test design was adopted to determine the effectiveness of PBL in enhancing critical thinking skills and problem solving ability among nursing students. A total sample of 260 sample were included in this study, out of which 130 were allotted to the interventional group and the remaining 130 to the control group(Traditional Lecture Method) using purposive Sampling Technique. A structured questionnaire developed by the researcher to assess the higher level of cognitive skills was used to assess critical thinking skills and problem solving ability of nursing students. The result of the present study revealed that there was a significant increase in the overall level of critical thinking skills and problem solving ability in the interventional group than in control group.

The present study is amid at studying the histological changes that might occur at the kidneys as a result of consumption of comfrey plants. Twenty adult wistar rats weighing180-200g were used for the study and were allocated into four (4) groups of five animals each. Group a served as the control and received 0.3ml of distilled water orally; the experimental groups B, C, D orally received 0.2ml, 0.4ml and 0.6ml of aqueous leaf extract of Symphytum officinalerespectively for twenty eight days (28). Twenty four hours after the last administration, animals were weighed, sacrificed under the influence of chloroform vapour and dissected. Kidney tissues were harvested, weighed and trimmed down to a size of 3mm
3mm thick and fixed in 10% formalin for histological studies. The final body weight result showed significantly decrease in groups C and D when compared with the experimental control group A while group B increased significantly relative to the control group A. The relative organ weight result showed that groups Cand D animals had elevated weight when compared with the control group. The present study therefore suggests that consumption of aqueous leaf extract of Symphytum officinalecould cause histopathological leision in kidney cells.

Introduction: The occurrence of wound is a common phenomenon as long as the body is exposed to environmental forces, and the problems of treating them are as old as mankind. Objectives: This study aimed at developing an applicable and cost effective wound treatment agent, using indigenous material such as coconut oil, to enhance the wound healing processes via animal model. Materials and methods: Coconut oil was obtained from coconut milk extract of twenty (20) fresh coconuts, each weighing between 200-230 g. Fifteen (15) male wistar rats weighing approximately 192g - 226g were used. They were grouped into a control (C), standard (S) and experimental (E) groups, with each comprising of five (5) rats. A wound size of 2cm by 2cm was inflicted on the dorsolateral aspect of the thorax of the rats. The animals in the control group were dressed with distilled water, those in the standard group were dressed with hydrogen peroxide (methylated spirit) and those in the experimental group were dressed with coconut oil. Wound size measurement and dressing were done every three (3) days, until their wounds were completely healed. Results: The percentage (%) mean wound contraction on day 9 of the C group (39.3 ± 5.2) against the E group (69.8 ± 3.8) was found to be statistically significant (P < 0.05). The mean healing day of C group (28.8 ± 1.6) against the E group (18.6 ± 1.3) was found to be statistically significant (P < 0.05). The percentage mean wound contraction on day 9 of the S group (59.0 ± 5.5) against the C and E groups respectively, were found to be statistically significant (P < 0.05). The mean healing day of the S group (22.8 ± 1.6) against the C and E groups, were found to be statistically significant. Conclusion: This study has shown that rats treated with coconut oil extract had fewer days of wound healing and this was evident considering the wound contracture.

The aim: is to assess the Knowledge, Attitude and Practice (KAP) of the child bearing age mothers towards uvulectomy. Methodology: The Methodology of the study was quantitative descriptive cross sectional health center and health station based study, in Asmara during the months of February-June 2015. Non-probable quota sampling technique was used to select the respondents and a self-designed interview based questioner was used to direct and collect data. The targeted respondents were 300 child bearing age mothers who have last child aged5 years or below. Results: The results of the study were27% didn’t have any knowledge regarding uvulectomy, 43.3% were found to have inadequate knowledge, 28.3% had moderate knowledge and 1.4% had adequate knowledge. Regarding attitude and practice 65% had negative attitude and 68.6% had not practiced uvulectomy. This results were significant at p=0.00 for each factor. Chi-square test was used to see the association of biographic data in relation to KAP, and only age was found to have association with KAP. Logistic regression analysis was used to see if there is association among KAP, and shows as the level of knowledge towards uvulectomy increases, the attitude decreases besides that the practice of traditional uvulectomy also decreases. Conclusion: The main reason for inadequate knowledge was found to be lack of formal education, hence we recommend that, formal education, especially health education should be provided. Even though there is high negative attitude and low practice comparing with other studies done in Ethiopia and elsewhere in Africa, those who are practicing should not be disregarded.

Introduction: Excessive flooding is a worldwide problem. It causes loss of human life, extensive damage to infrastructure, and agriculture production. The loss due to floods increase severy year globally. The adequate knowledge and correct time intervention scan reduce the impacts of floods. At the time of such accidents and mass casualties volunteer groups like National Service Scheme has significant role in rescue services. The knowledge regarding first aid and emergency care, control and prevent communicable diseases, and management of floods help them to play a major role in emergency management in floods, where the medical professionals find difficulty to reach. Objectives: Identify the level of knowledge of NSS volunteers of Rajeev College of Nursing on management of floods in terms of pre-test score. Asses the level of knowledge of NSS volunteers of Rajeev College of nursing on management floods after administering Structured Teaching programme (STP). Evaluate the effectiveness of Structured Teaching Programme (STP) on management of floods for NSS volunteers of Rajeev College of nursing. Associate the level of knowledge of the NSS volunteers of Rajeev College of nursing with selected demographic variables. Methodology: The research approach adopted for this study was an evaluative research approach. The research design adopted for this study was a pre-experimental single group pre-test post-test design for assessing the knowledge of the NSS volunteers of Rajeev College of Nursing regarding management of floods. The sampling technique of the study is Non-probability convenient sampling technique, 100 NSS volunteers were selected as samples. Data was collected by using Structured questionnaire consisted of two sections. Section I: Demographic variables. Section II: Knowledge questionnaire on management of floods. Results: The result of this study shows that pre-test percentage of NSS volunteers on knowledge of management of floods was 43.03% (12.91). Post-test percentage of NSS volunteers on knowledge of management of floods was77.63% 23.29). Hence the enhancement of the knowledge regarding management of floods score of the study group was 34.6% (10.38). The overall mean post-test knowledge score (23.29) of the NSS volunteers were significantly higher than the pre-test knowledge score (12.91). The paired ‘t’ test value was 35.729 which is significant at p=0.000 level. Conclusion: The study concluded that the STP on management of floods was an effective method for providing moderate to adequate knowledge and National Service Scheme volunteers to enhance their knowledge regarding management of floods.

Introduction: Since clients satisfaction is an important indicator of the quality of care provided, which ultimately affects the outcome of care, health seeking behavior and the job satisfaction of health personnel’s in the Emergency Department(ED), meeting the needs of patients’ play a vital role in the health care system. Objective: To describe the clients level of satisfaction in adult ED of Orotta National Referral Hospital, variation of client satisfaction based on socio-demographic variables and results of client satisfaction on the days of the week and within the shifts of the day. Methodology: This research was descriptive cross-sectional survey type of study. The study samples was adult patients and bystanders of critically ill patients who visited to the ED of ONRH from 28 March to 3 April. Census method was used to obtain the respondents and closed ended Press Ganey questionnaire was used to direct and collect data by interview. The sample size was 144 respondents of above 15 years old patients and relatives of critically ill patients. Data was analyzed using SPSS version 20 using 95% confidence level as a test of significance. Ethical consent: An ethical consent was sought out from the study participant before the commencement of the study and permission was obtained from the Asmara College of Health Sciences and ethical committee of ONRH to conduct the study. Pilot study was held in Halibet hospital between the last week of February and first week of March. Results: One hundred forty-four clients who visited our ED were included in this study. Out of these study participants 70.4% were satisfied with the overall service they received. The lowest satisfaction rate was observed on the information provided by the health professionals [37.9%] and higher satisfaction was observed on the professional relationship with the client [77.2%]. The participants who were satisfied on the factors related to the time they waited till they were seen by the physician were 75.8%. And 60.6% of the respondents were satisfied by the environmental condition of the ED. Conclusion: This study provides about the level of satisfaction of adult clients at ED of ONRH. It indicates a higher rate of dissatisfaction in the overall information delivered by the health care professionals. Thus the responsible authority needs to consider different interactions between those predictive factors in order to develop a better quality health Care.