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Introduction: All womens want to become mothers. Infertility is defined as unable to or failure to conceive within one or more years of regular unprotected coitus. Primary infertility denotes patients who have never conceived. Clinical Findings: The main symptom of primary infertility is the inability to get pregnant. A menstrual cycle is not continued. That's too long (35 days or more), too short (less than 21 days), irregular or absent results of patients not ovulating. Late menstrual cycle, pain in menstrual cycle, infertility, there might be no other signs or symptoms. Diagnostic Evaluation: serological test, semen test in her husband, sonography, hysteroscopy, laparoscopy. Investigation of BHCG value: BHCG value greater than 25 indicates positive results. Therapeutic Intervention: Inj. Chorion(Human chorionic gonadotropin) 500 IU, Inj. Filgastrium(Neupogen) 300IU every third day, Inj. Lomoh 20mg Alternate day, Tab. Esrobet 2mg×TDS, Tab. Ecosprin 150mg×OD. Outcomes: After In-vitro fertilization treatment patients show improvement. Patients can be pregnant,with the help of In-vitro fertilization treatment. Conclusion: My patient was admitted in gynaecology ward no. 08, AVBRH (Acharya Vinoba Bhave Rural Hospital) with case of primary infertility and complaints of infertility, late menstrual cycle and repeated abortion after IVF (In-vitro fertilization) treatment patient condition improved and got pregnant. ET(Embryo transfer) was done on 15/11/2021.

Introduction: The most prevalent condition seen in the gynecology outpatient department is abnormal uterine bleeding (AUB). AUB can be caused by a variety of conditions 1. A 42 year female who have chief complaints of abnormal uterine bleeding is bleeding from the uterus that is longer than usual or that occurs at an irregular time. several characteristics of underlying hereditary or acquired blood disorders increase the "anticipated" hormonal imbalance at this age, hence worsening the morbidity of the underlying condition axis .Despite the fact that blood problems can cause AUB, uterine structural and/or endocrine abnormalities are frequently missed when a blood illness is present [1]. Hematologists and gynecologists, as well as adolescent medicine experts, must work to get her to treat a complex etiology [2,3]. Patient History: A 42 year old female was admitted in AVBRH in gynec ward sawangi meghe wardha with chief complaint of abnormal uterine bleeding since 2 month, abdominal pain since 1 week, weakness. Medical Management: Patient treated with anticoagulant, antibiotic, iron supplement. Nursing Management: Administrative IV fluid monitor vital sign, and medication given by doctor’s order. Conclusion: Women should be asked about their previous menstrual cycle, regularity, desire for reproduction, contraception, and sexual health by their primary care providers. If abnormal uterine bleeding is detected at the primary care level, additional history, examination, and testing can be undertaken, and appropriate consultations can be scheduled. Timely treatment and management of abnormal uterine bleeding with anemia.

Introduction: Hydrocephalus is one of the commonest complications of meningitis in children with the disease. It is more severe in children than in adults. Fewer cases cause chronic Meningitis. Finding and treating the culprit organism is quite tough. In patients with chronic meningitis, complications such as hyponatremia, hydrocephalus, and neurological impairment should always be identified early and treated with a multidisciplinary team approach. We came across a case of severe brain damage due to Escherichia coli that progressed to meningitis which further also cause hydrocephalus, which she was treated for numerous times before being returned home with some neurological disability. Clinical Findings: A 1.5 month old female child was brought to A.V.B.R. Hospital Sawangi (meghe) wardha on date 18th November 2021 by her parents with High fever, refusal of feed, seizures like activity, bulging fontanel. Diagnostic Evaluation: Hb: 10.7, TLC : 21,500 . platelet: 5.1 eql CBC , elevated WBC count of 23,511/ul KFT and LFT are normal , Brain MRI showed restricted diffusion, Lumbar Puncture was also performed same day E.coli gram negative bacteria are present in CSF collection Therapeutic intervention: Injection Ceftriaxone 650 mg 6 hourly intravenous, Injection Pan 15 mg 24 hourly intravenous, Injection Emeset 2 ml 4 hourly intravenous DNS with injection KCL 3.8 ml 8 hourly intravenous. Outcome: After treatment of 6 days the child show improvement like fever and seizers decreased. Conclusion: After proper treatment like medication, monitoring vitals and also by continous observation her condition was improved.

Background: In the United States, the hemolytic–uremic syndrome of childhood typically follows gastrointestinal infection with Escherichia coli O157:H7. It is presumed that the absorption from the gastrointestinal tract of Shiga toxins 1, 2, or both (formerly called Shiga-like toxins) produced by E. coli O157:H7 causes microangiopathic hemolytic anemia as a result of endothelial-cell injury. Shiga-toxin–producing E. coli belonging to serotypes other than O157:H7 can also cause the hemolytic–uremic syndrome. However, even though such organisms have been implicated as causes of sporadic cases or outbreaks of gastroenteritis, they are not believed to be important causes of the hemolytic–uremic syndrome in this country. Hemolytic uremic syndrome (HUS) is a kidney disease characterized by damaged and inflamed small blood vessels. As a result of the damage, clots in the vessels may form. Clots impede the filtration function of the kidneys, causing renal failure, which can be deadly. Clinical Finding: Hemolytic uremic syndrome, nephropathy and thrombocytopenia, pallor, jaundice, edema. After eight hours of stomach and left-flank pain, vomiting, and dysuria, a previously healthy six-year-old girl was seen. The day before, an enema had been used to alleviate constipation. The child had not had diarrhoea during the two weeks before evaluation. On examination, the patient had an oral temperature of 39.8°C, a pulse rate of 120 per minute, and a blood pressure of 111/59 mm Hg. There was tenderness of the suprapubic area and left costovertebral angle. The white-cell count was 23,400 per cubic millimeter (58 percent neutrophils, 23 percent band forms, 9 percent lymphocytes, and 10 percent monocytes), the hematocrit was 40 percent, and the platelet count was 293,000 per cubic millimeter. Urine obtained by catheterization had a specific gravity of 1.028 and a ph of 5, and dipstick analysis was positive for leukocyte esterase (++), protein (++), ketones (++), and blood (+++). The urinary sediment contained 21 to 100 red cells, more than 100 white cells, 1 to 5 renal tubular cells, and 1 to 5 granular casts per high-power field. Many bacteria were observed by microscopy. The left kidney showed attenuation of fat and a possible collection of fluid on abdominal ultrasonography; the right kidney was normal. Before starting ceftriaxone medication, blood was taken for culture. Diagnostic Evaluation: HB-5.7 g/dL, total protein-7.4 g/dL, total Alcaline phosphatase -123 U/L , total platelet count-2,93,000 per cubic millimeter, total bilirubin-3.2 mg/dl, WBC 23400 per cubic meter, CRP 5.58 mg/L, Sodium level 136 mg/dl, potassium level 3.92mg/dl. Therapeutic Intervention: Tab Amlodepin 10 mg BD, Tab Prednisolone 10 mg TDS, Tab Envas 2.5 mg OD, Metropenum 340 mg BD, Inj. Pantop 20 mg OD. Outcome: The medication has started for thrombocytopenia, the patient is on dialysis and If is given to patient for movement of body because of patient is obese. The patient was sent home after 20 days of hospitalization. Three weeks later, a voiding cystourethrogram was normal, and six weeks later, ultrasonography revealed that the focal abnormality in the left kidney had disappeared. The patient's blood urea nitrogen and serum creatinine concentrations, iothalamate clearance, and blood pressure are all normal two years later, and her urine is protein and blood-free. She has not experienced a recurrence of a urinary tract infection or hemolytic–uremic syndrome. Conclusion: The atypical hemolytic uremic syndrome is an uncommon condition that must be diagnosed with a high index of suspicion. It's an exclusionary diagnosis. A better outcome will be achieved if the disease is detected early and treated promptly. In all patients with thrombotic microangiopathy, the atypical hemolytic uremic syndrome should be evaluated.

Introduction: Severe acute respiratory syndrome (SARS) is a potentially life-threatening. Severe acute respiratory syndrome (SARS) is the rapidly progressive respiratory illness which may be due to the pathogens that have potentials for large scale epidemics. MERSCOV AND H7N9 (Avian influenza) has been described by SARS. The causative organism of a SARS yet not being identified or it cannot be easily established. SARS increases morbidity and mortality which is associated with the COVID -19. COVID-19 can be complicated by severe acute respiratory syndrome (SARS) and may often cause multisystem involvement is encountered. SARS patients had mandatory needs of intensive care unit hospitalization and mechanical ventilation. Main Symptoms and/or Important Clinical Findings: A 50 years old female was admitted in A.V.B.R.H. with chief complaints of cold, cough (dry, non-productive, non-bloody), vomiting, loose stool, breathlessness since 3 days. The patient was hypertensive for which she was taking Tab Amlo. After undergone certain investigation like complete blood test, HRCT, ECG and diagnosed as SARS and shifted to Intensive care unit. The Main Diagnoses, Therapeutic Interventions, and Outcomes: A 50 years old female with severe acute respiratory syndrome (SARS) with chief complaints of cold, cough (dry, non-productive, non-bloody), vomiting, loose stool, breathlessness, the doctors manage her initially withantibiotic, steroids, vitamin C, multivitamin and anticoagulant and adequate nursing management. Nursing Perspectives: The nursing interventions initiated for managing present case aremonitor the vital sign i.e., blood pressure, pulse, respiration, temperature, maintain oxygen level and intake output. BIPAP site observed and ensure that the patients is comfortable. Patient assessed for GCS, Glucose level and sign of cyanosis, monitoring the ESR, D-DIMER, RT PCR, FERRITIN other investigations like HRCT. Conclusion: In the Present case the patient of 50-year-old female with severe acute respiratory syndrome (SARS) it has been managed with the therapeutic treatment, right now the patient condition is worsened.

Introduction: Malaria is caused by the parasitic protozoan Plasmodium. It is a vector-borne disease which is transmitted from person to person via bites from infected mosquitoes. Following a mosquito bite the parasites multiply in the liver and subsequently infect red blood cells. It is a mosquito-borne illness. Fever or flu symptoms include shivering chills, headaches, and muscle pains. Anemia, jaundice, nausea, and diarrhea are some of the symptoms of malaria. Main Symptoms and Important Clinical Findings: A 24-year-old woman was admitted in. Acharya vinoba bhave rural hospital with chief complaint of stomach pain as her primary complaint. Then after several days Fever, pain, fatigue, headache occur. Several diagnostic evaluations done which shows total Red blood cells count: 4.8 million cu mm; white cell count: 11.810 cells mm3; lymphocytes: 11.2% platelets drop on smear, RBCs are moderated. The Main Diagnoses, Therapeutic Interventions, and Outcomes: 24 years old women admitted in Acharya vinoba bhave rural hospital with the chief complaint of stomach pain, fever, fatigue, headache and after all investigation she has diagnosed as malaria. Doctor manage with Iv fluids, cap. Doxycycline 100 mg, tab.dolo 650 mg, tab.larigo 650 mg, emset 4 mg injection Once a day, she was also given the Calcium Tab. Her condition has improved as a result of the treatment. The fever and agony had subsided. Conclusion: My patient was admitted to Acharya vinoba bhave rural hospital with a known case of malaria and a fever and discomfort complaint. Her condition improved after she received proper therapy.

The absence of the tricuspid valve is one of the more unusual types of congenital heart illness. Before the introduction of heart surgery, it was only of scholarly interest, However, now that such conditions may be alleviated medically, the problem has taken on more significance, and every effort must be made to identify the anatomical weakness in cases of congenital cardiac disease.[1] Clinical Findings: Cyanosis, feeding difficulties, cyanosis, shortness of breath and fast breathing, sluggish development, and a heart murmur are the most common symptoms. Therapeutic Intervention: Tab .Lasix 40mg OD, dioxin drop0.5ml, Furoped drop 0.5 ml ,Syp A-2.5ML Outcomes: After treatment, the patient shows improvement. His breathing difficulty and heart rate arebeing improved. Conclusion: My child was admitted to the AVBRH's pediatric ICU with cyanosis of blurred vision and breathing difficulties. His condition has improved upon obtaining adequate therapy.

Alcohol is a natural product made by reacting lactose fermentation with yeast spores. Because it includes calories. With no nutritional value, alcohol is used as a source of energy Different sugar sources are used for fermentation to create a variety of alcoholic beverages. Patient Present History:-On September 3rd, 2020, a 32-year-old male patient was admitted to hospital with a specific complaint of abdominal pain for the past three years. He began drinking alcohol on a daily basis. Initially, he only drank at night, but later he began drinking during the day. Clinical Finding: Mood irritable, social withdrawal, mental confusion, seizure, vomiting, mood changes, lethargy and vomiting. Diagnostic Evaluation: Hb - 11.9 mg%, MCV – 87 cum/micron, MCH- 28.9 pico/gm, Total Bilirubin- 1.47.USG –He is appearance was natural once more. There was no localized lesion or oblivious mass lesion in the pelvis.

Typhoid fever is a major health problem globally. Typhoid fever is an enteric fever characterized by systemic illness along with abdominal pain and fever in a "step-ladder" pattern. Typhoid fever is one of the major causes of mortality and morbidity in overcrowded and unhygienic areas though comprehensive research and public health interventions have decreased the occurrence. Patient is having sign symptoms as gastrointestinal symptoms, malaise, hepatomegaly, and high liver enzymes presented with a two-week fever. As a differential diagnosis, a Widal test is done and two blood cultures were requested; both came out positive, confirming the diagnosis of typhoid fever caused by Salmonella typhi. Treatment with ceftriaxone and metronidazole was stared prior to confirmation of the diagnosis, with a partial response; later, pharmacological therapy was altered based on ciprofloxacin susceptibility testing, with a satisfactory clinical response. We look at how to diagnose and treat enteric fever, with an importance to typhoid fever. Symptoms or important clinical finding:- A 6 year old male was admitted in A.V.B.R.H on date 12/03/2021 with chief complaint of abdominal discomfort, malaise, problems such as fever since 2 weeks, gastrointestinal symptoms, lethargy, hepatomegaly, and an increased liver enzyme. Diagnosis therapeutic intervention and outcome: A case is diagnosed as Typhoid Fever. After physical examination and investigation, doctor was detected a case of 6 week. Therapeutic intervention and outcome: Also provide a calcium supplements and iron supplements present case was stable but according to ultrasonography finding. Outcome- Good sanitation, improved water supply, and a suitable sewage waste matter system, as well as the successful use of existing typhoid vaccinations, can all help to avoid typhoid fever. Nursing Perspective: Administration fluid replacement .i.e DNS and RL monitored vital signs per hourly. Maintained temperature chart 2 hourly strictly, maintained intake output chart properly. Tablet paracetamol, antibiotics given as per doctor’s order. Conclusion: Good sanitation, improved water supply, and a suitable sewage waste matter system, as well as the successful use of existing typhoid vaccinations, can all help to avoid typhoid fever.

Mortality rate of chronic obstructive pulmonary disease (COPD) is more than 3 million people every year, making it 3rd largest cause of death in the world. It has been estimated that by the year 2030. chronic obstructive pulmonary disease will become the third biggest cause of death. chronic obstructive pulmonary disease (COPD) is a progressive irreversible airway disease characterized by emphysema and chronic bronchitis, resulting in breathlessness, cough and sputum as the disease progresses, subjects with COPD experience increasing deterioration of their health-related quality of life (HRQOL), with greater impairment in their ability to work and declining participation in social and physical activities. Hence practicing pursed lip breathing exercise in their daily routine will improve their breathing pattern and quality of life. Objectives: To assess the breathing pattern of chronic obstructive pulmonary disease patient. To assess the effectiveness of selected breathing exercises among the chronic obstructive pulmonary disease patients. To associate the effectiveness of selected breathing exercises among chronic obstructive pulmonary disease patient with their demographic variables. Materials and Methods: The research approach used for the study was interventional evaluatory approach. The study was conducted in respiratory unit at Wardha City Maharashtra, India, using one group pre test post test design without control group. Non probability purposive sampling technique was used for selecting 60 COPD patients. On the first day pre test assessment of breathing pattern with the help of borg rating scale and provided pursed lip breathing exercise for 20 minutes, 2 times in a day and it was continued for 15 days followed by post test on the 15th day. The data collected, tabulated and analysed in terms of objectives of study using descriptive and inferential statistics. Results: The mean post test score. The overall comparison of selected breathing exercise among COPD patients at rest pre test score was higher 3.48 with SD of ±1.25 when compare with at rest post test score which was 0.91 with SD of ±0.85.The statistical Student’s paired t test implies that the difference in the selected breathing exercise among COPD patients was found to be 18.98 which is statistically significant at 0.05% level of significance. Also the overall comparison of selected breathing exercise among COPD patients during activity pre test score was higher 7.95 with SD of ±1.50 when compared with during activity post test score which was 2.76 with SD of ±1.02. The statistical Student’s paired t test implies that the difference in the selected breathing exercise among COPD patients was found to be 18.98 which is statistically significant at 0.05% level of significance. Hence it is statistically interpreted that effectiveness of selected breathing exercises among COPD patients at rest and during activity in post test was effective. The tabulated values was much higher than the calculated’ values at 5% level of significance, also the calculated ‘p-value which was much higher than the acceptable level of significance i.e. ‘p’=0.05. Hence the association of effectiveness of selected breathing exercises is statistically not associated with demographic variables. Conclusion: According to the results of this study, patients with Chronic Obstructive Pulmonary disease patients who practiced pursed lip breathing exercise 20 minutes, 2 times a day for 15 days had improvement of the breathing pattern which was statistically proved. Hence pursed lip breathing exercise was cost effective, non invasive, and highly feasible. Hence the researcher concluded that pursed lip breathing exercise can be practice as an effective intervention on improving breathing pattern among chronic obstructive pulmonary disease patients.

The relative acidity or alkalinity of all substances in nature can be categorised. The term acid is derived from the Latin word "acidus," that is to state "to eat."" which meaning "sour or tangy." Several of them the typical substances that are acidic we come into touch with have these characteristics, such as salad dressing vinegar, Beverages, which contain phosphoric acid and carbon dioxide, and black tea, which contains tannic acid, all contain acetic acid. Grapefruits, oranges, lemons, and limes contain citric acid, while grapes have tartaric acid. The acid-alkaline diet, or alkaline ash diet, is another name for the alkaline diet. Food is divided into three groups in the alkaline diet: acidic, neutral, and alkaline. Red meat, poultry, fish, chocolate, wheat, and alcohol are all acidic foods. Natural fats such as butter, most oils, milk, and cream are all included in neutral meals. Foods that are alkaline make up the majority of fruits and vegetables.

Introduction: Hodgkin's and non-lymphomas Hodgkin's are malignant tumours of lymphoid tissue. Non-lymphomas Hodgkin's are a type of lymphoid tissue cancers that arise from T or B cells or their progenitors, and can be indolent or aggressive. B-cell lymphomas account for around 80% of all cases in the United States. Chronic lymphocytic leukaemia or small lymphocytic lymphoma, follicular lymphoma, diffuse large B-cell lymphoma, and primary cutaneous B-cell lymphoma are all examples of Non-Hodgkin's Lymphoma. Non-Lymphoma Hodgkin's is the sixth most prevalent malignancy in the United States, with incidence rates nearly doubling in the last 35 years. With each decade of life, the incidence rises; the median age upon diagnosis is 66. In India, the incidence rates in urban regions are many times higher than in rural areas, with the incidence being higher in metropolitan cities and among Indian immigrants, implying that urban lifestyles and economic advancement may boost cancer incidence. In 2010, NHL was projected to have caused roughly 0.36 million new cases and 0.19 million deaths. Case Presentation: A male patient of Two and half years from Shiwangaon MO, was admitted to Paediatric Ward, AVBRH on 31st May, 2021 with a known case of Non-Hodgkin Lymphoma which was diagnosed itself at AVBRH on 31st May,2021. My patient was brought with a chief complain of swelling in the testicular region for 6 days. As narrated by the patient’s father, my patient was apparently alright 6 months back and then patient develop swelling in temporal region suddenly, associated with pain on touch, as the swelling develops more and uncomfortable, patient was brought immediately to AVBRH and was admitted in Paediatric Ward for further investigation.

Introduction: A germ cell is a type of Tumor that arises from germ cell (GCT). Germ cell tumors are both cancerous and benign. The gonads contains majority of germ cell (ovary and testis). GCT that arise outside the gonads could be the result of embryo devlopment errors. Clinical Findings: Abdominal mass without pain, backache, and weight loss. Diagnostic Evaluation: HCG and alphafetoprotein level in the blood identifying women with malignant ovarian germ cell tumor is beneficial. Serum alphafetoprotein and HCG is elevated as condition progress. Therapeutic Intervention: Patient treated with inj. Bleomycin, inj. Cisplatin, inj.Etoposide, tab Pan 40 miligram and inj. Emset. Conclusion: A 3year old female was admitted in AVBRH Sawangi Meghe wardha with the major complaint of right abdominal swelling for 6 month, both when they observed abdominal mass without pain and swelling was small in size and backache and weight loss.

Background: A rarity of form of vasculitis, also known as TAK, induces inflammation in the walls of the major arteries in the body: the aorta and its main branches. The disease results from a body attack and inflammation of the walls of the arteries caused by the body's own immune system. Case Presentation: A 37-years-old women had complaints of fever, giddiness, weakness of right upper limb and lower limb since1 day. After undergoing whole blood count, liver function examination, renal and MRI function checks, CT scan, angiography, etc. was studied. She was diagnosed with takayasu arteritis. She had past medical history of neck pain and numbness since January 2020. For these complaints her family members referred her in private hospital. There is no significant history of surgery in present, lower segment caesarean section and piles operation was done previously. Physical findings were normal except the Glasgow Coma Scale score was 11 that is, patient was semi-conscious, In General appearance patient activity was dull and weak due disease condition, Patient’s all routine investigations were normal except few like Total WBC count was increased (21,500cell /cm) due to increased infection, Granulocytes were increased that is 75 % due to infection and autoimmune disease, ESR was increased that is52mm/h. Angiography showed block in the right common carotid artery, MRI- showed Acute infract in left fronto temporo parietal region involving insular par ventricular white matter, absent flow in distal M1 segment of MCA. Conclusion: The most frequently involved arteries and the angiographic trends in this Takayasu Arteritis study were subclavian arteries and carotid arteries. The difference between angiographic characteristics may lead to clinical differences. Operations and surgery should be carried out at various points in the course of the disease.

Introduction: As the healthcare programs focus on the relatively higher incidence, women have a fair level of awareness of breast cancer. Breast of male hence ignored in the community. Studies from India have shown that medical care is often taken in an advanced stage because of lack of awareness, and the aggressive nature of breast cancer in Indian men and seen at quite an early age. Video-assisted knowledge teachings about awareness of male breast cancer among adult males would improve their understanding and exploration of the perceptions and opinions of Indian male cancers. Aim: To determine the effectiveness of video-assisted education on male breast cancer knowledge among adult males in the city of Wardha. Methods and Materials: One group pretest and posttest design with a quantitative research approach has been used in this interventional study design. This study has been carried out in community set up. Sample size was100. Validated Pretested predesigned structured questionnaires were used. In Microsoft excel sheet, data collected was entered. SPSS-software was used to perform the statistical analysis. Frequencies and percentages for categorical variables have been presented. Results: The pre-test findings show that 15(15%) of the adult males had a poor level of knowledge score, 50(50%) had average knowledge and 31(31%) of them had good knowledge and 4(4%) of them had found a very good level of knowledge. After video-assisted teaching in the post-test 3(3%) had a good knowledge score and 97(97%) had very good knowledge, thus it shows that after the post-test the knowledge score was increased. The Mean value of the pre-test is 9.32 and the post-test is 23.14 (p-value is 0.001), the calculated t-value is 35.47. Hence it indicates that Teaching aided with video was effective. The post-test score was significantly associated with population variables such as occupation and bad habits. The post-testing knowledge score with demographic variables such as age, religion, family type, education, marital status, dietary pattern, and area of residence was not significantly linked. Conclusion: The study shows that the expected teaching on male breast cancer has helped adult males to gain a better understanding of the nature of the disease and to take measures to prevent male breast cancer.

Introduction: Child maltreatment and neglect are considered important issues in the US. However, parental-child violence is not studied enough to provide a comprehensive understanding of the underlying causes. Aim: To determine the parent's reported causes of actual children who are abusing the age bracket of 6 to 12 years. Methods and Materials: The descriptive survey study design was used with a quantitative research approach conducted in a selected community area of Wardha town. The sample size was 200 parents with children aged 6 to 12. Pre-tested and validated structured questionnaires were used. The data gathered was registered into the Microsoft Excel sheet. The statistical analysis ended up being done SPSS. The frequencies and percentages of categorical variables had been provided. Results: The parents reported causes for physical abuse among children of 6 to 12 years were seen into 4 categories, once in a week, sometimes, twice in a week, and never respectively. 37.5% of the parents reported twice in a week and 62.5% of them never reported causes. The mean score of parents who reported causes of physically abuse children in the age group of 6 to 12 years was 44.58 ± 4.66 and the range of the score was 32 to 56. Demographic variables such as age in years, gender, monthly income, education, area of residence, and relationship with parents were statistically associated with their reported causes. Conclusion: Community-based methods, such as house visits, are incredibly efficient in changing the behavior of parents at risk of misuse. Targeted programs for moms with mental disorders and substance abuse are also shown to be effective in stopping emotional abuse [1].

Background: Biedl–Bardet syndrome (BBS) is an autosomal recessive disorder. It is classified as a "rare genetic disease" affecting about 1 in 250,000 persons worldwide. BBS is a disorder that affects many parts of the body and cause learning impairments, retinal degeneration, renal failure, obesity, post-axial polydactyly and hypogonadism. It is one of the most well-studied conditions in the family of diseases caused by defective cilia which is also known as ciliopathies. In this study, researcher provide an updated knowledge on clinical features, diagnostic developments and progress in the management of Bardet–Biedl syndrome. As Advancement occur in diagnostic technology including exome and whole genome studies and sequencing it is expanding the spectrum of patients who are diagnosed with this disorder and increasing the number of cases with diagnostic uncertainty. Materials and Methods: A one-group pre-test-post-test research design was used to evaluate the effects of an information booklet on nursing students' understanding of Bardet-Biedl syndrome. Non probability purposive sampling technique is used. In this study a total number of 300 students who fulfilled the inclusion criteria were selected the setting of the study is selected nursing college Wardha. Expected Results: This study is planned to evaluate the effectiveness of information booklet on knowledge regarding Bardet- Biedl syndrome among nursing students, as a result, it is expected to determine the nursing student's degree of knowledge of the Bardet-Biedl Syndrome and to improve that knowledge.

Sacrococcygeal teratomas are a type of germ cell tumour (GCTs) accounting for 40% of all GCTs of all GCT,s in children. Interestingly 75% occurs in females. Reporting here a case of 3 years old female baby hospitalized for surgical excision of sacrococcygeal teratoma. A female (3-year-old) patient was referred to the pediatric outpatient department at Acharya Vinoba Bhave Rural Hospital Wardha on 19th May 2021. Complaining of swelling on right gluteal region Since 6 month and swelling is increases day by day, pain in back side, fever (Temperature - 101˚F) and tenderness in back side, leg weakness, constipation and she was admitted to Pediatric ward. Surgical excision of sacrocogygeal teratoma was done during her hospitalization. She received one cycle of chemotherapy with antineoplastic medicines. The client discharged after 10 days stay in hospital.

Air pollution is the major environmental pollution that contains different types of gases, dust particles, small molecules, etc. Smoke and other hazardous gases, such as carbon, sulfur, and nitrogen oxides, are the primary causes of air pollution. Otherwise, air pollution is the contaminated air that poisonous effect on people's health. Most air pollution is affected by auto-rickshaw drivers. Auto drivers doing very stressful works which have been associated with environmental interaction factors. So the auto drivers are working within the environment, auto drivers are exposed to climate changes and poor road conditions. So the drivers are exposed to air pollution, dust, droplets, job insecurity, noise and vibration, business demands, damage to equipment, an excessive number of stops, schedule-related pressure, among others. Drivers’ social role is also reflected in the responsibility of passengers and pedestrians ‘lives and other vehicles.

Background: Venous thrombo embolism (VTE) its a form of vascular disorder becomes important disease condition now a days. Basically VTE is term used for both deep vein thrombosis (DVT) and pulmonary embolism (PE). DVT is defined as a blood clot (thrombus) in a deep vein usually in the legs, also in the calf and thigh veins. It is 3rd largest cause for mortality and morbidity. Deep vein thrombosis occur mostly there are no symptoms but in some cases lower extremity will be painful, warm redden, and also superficial veins may engorged. In such cases when there is massive embolism thrombolytic therapy agent as streptokinase or urokinase or tissue plasminogen activation used for dissolve the thrombus or resolve the obstruction. For relieving chances of venous thrombosis like range of motion, physiotherapy, graduated stocking can be categorized as important mechanical methods for the prevention of DVT. Objective: In this study 1. To Screen the deep vein thrombosis among factory workers To assess the risk factor of deep vein thrombosis among factory workers To associate the screening and risk factor of deep vein thrombosis among factory workers with their selected demographic variables Methodology: Descriptive research design will use for this research study. Sample will be factory workers. Non probability purposive sampling technique will use for the study. This research study will include 120 Factory workers from Mahalakshmi Steel factory Pvt. Ltd, Deoli, Dist.Wardha, Maharashtra. Factory workers must select according to requirements for inclusion and exclusion criteria. 1.Factory workers who were completed 5 years in steel factory & Factory workers who are willing participate in study are inclusion criteria. Exclusion Criteria: 1.Factory workers who already taking treatment for deep vein thrombosis. 2. Factory workers those were participated in similar kind of study. 3. Office workers are excluded in this study. Expected Results: Outcome includes Screening and risk factors associated with deep vein thrombosis among factory workers for the study are low probability, moderate probability, high probability with the clinical validated tool Wells criteria for screening of deep vein thrombosis. Risk factor associated with deep vein thrombosis assess with structure questionnaire. Ethical approval was obtained from (DMIMS(DU)/IEC/DEC-2019/8684). Conclusion: It will be drawn from the results.

Mycobacterium tuberculosis is the bacteria that cause tuberculosis. If the infection is not treated immediately the bacterium passes via the circulatory system and spread other organs and tissues. Pathogen will travel to the meninges and causes inflammation of membranes called as tubercular meningitis. Here, the authors report a case of tuberculous meningitis a 42- years-old male patient with the chief complaints of low grade fever with chills since 1 month, headache in frontal region since 5-6 days, altered sensorium, breathing difficulty, reduced speech and left side weakness of the body since 1 day. After admitting in the ward all investigation done like MRI brain, ECG, lumbar puncture, blood tests etc. and he diagnosed as tuberculous meningitis. Patient admitted in AVBRH in ICU, investigations done, where patient was on NIV support, nasogastric tube, foleys catheter and it has been removed as patient was improving the condition and shifted in ward. Patient medical treatment in the ward was inj. C-tri 2 gm, Inj.levoflox 500 mg, inj. thimine 100 mg, Inj.Dexamethasone 10 mg, tab. Pan 40 mg, tab. Akt4 3, Inj.manitol, tab. Lorazepam. History collection, Physical examination, neurological assessment and nursing care plan were done after all treatment patient condition has been improved.

Introduction: Leptospirosis is an international zoonotic condition relay and rising prevalencethe causes of the infection Leptospira spirochete with popular exhibition of polluted clean water.Most asymptomatic diseases, but the symptoms are moderate, autonomous, specific febrile and respiratory non-specific disorder high mortality rates of renal failure. Case: A 33-years-old woman from rural area came to the hospital in casualty with a history of high grade fever (40 degree Celsius), with chilling, headache, stiff neck. Urinary retention along with productive cough for three days. Intervention: The patient underwent inpatient management, which included tablet Ceftriaxone 1gm twice a day, Tablet Doxycycline 100 mg bd given and intravenous fluids 5% dextrose and dextrose/sodium chloride solution, Injection Furosemide20 mg intravenously twice a day were given to the patients. Nursing management: monitoring the vital sign, maintain the O2 levels as well as the consumption and output. All basic nursing care has been provided. Her symptoms cured after two weeks of treatment, she was discharged. Results: Fever has been minimized. The therapy is reacted to and restored. Conclusion: Management was mainly aimed at protecting patient wellbeing, preventing complications and improving the quality of life. The patient received all medical therapy and the results show that the therapy and care was effective.

Introduction: Extra uterine pregnancy is a first-trimester pregnancy problem that affects 1.3–2.4 percent of all pregnancies. The key signs of the ectopic pregnancy are abdominal discomfort and vaginal bleeding along with Sharp, dull, or cramping pains may be experienced around 50% of the women who are suffering from ectopic pregnancy. The neglected ectopic pregnancy may results in the fallopian tube can burst, internal abdominal bleeding, shock, and serious blood loss and later complication is septicemia. As a health care professional it’s very important to manage certain complication with medical and surgical management. Main Symptoms and/or Important Clinical Findings: A 20 years old female with post operative case of Exploratory Laparotomy admitted in A.V.B.R.H. on 14/02/2021.with chief complaints of the after undergone certain investigation she has diagnosed as Exploratory Laparotomy with septicemia as post-op complication. The Main Diagnoses, Therapeutic Interventions, and Outcomes: A 20 years old female with post-operative Exploratory Laparotomy for Ruptured Ectopic Pregnancy operated case with septicemia, with chief complaints of acute abdominal pain, and vaginal bleeding the doctors manage her initially with I.V. fluids, antibiotics, Zonac suppository and adequate nursing management. Nursing Perspectives: The nursing interventions initiated for managing present case are fluid replacement therapy, monitoring vital sign per hourly, monitoring the CBC reports and other investigations like USG abdomen, blood glucose levels. Maintained TPR Chart, I/O Charting, abdominal girth charting. Conclusion: In the Present case the patient of A 20 year old female with post operative exploratory laparotomy for ruptured ectopic pregnancy with septicemia it has been managed with the therapeutic and surgical treatment ,right now the patient condition then patient has discharged on dated 22/2/21.

Background: Bronchial asthma (BA) is a chronic disease characterized by inflammation of the airway that triggers frequent cough, wheezing, dyspnea, and chest tightness. Bronchial asthma may be caused by exposure to multiple irritants and pollutants which include: pollen, dust mites, mold spores, pet dander, smoke, respiratory allergens.Treatment for bronchial asthma patients along with the medication for relieving the symptoms of asthma. Various alternative therapies alleviating the rate of wheezing, aiming to minimize asthma triggers. Aim: The study aim is to assess the effectiveness of selected relaxation technique on the breathing outcome among patients diagnosed with bronchial asthma. Methodology: It is an interventional evaluatory approach; time-series design will be used to conduct the bronchial asthma patients. A Non-Probability purposive sampling technique will be used to select the samples. This research study included 40 patients of AVBRH Rural hospital Sawangi (M) Wardha. Patients must select according to requirements for inclusion and exclusion criteria. The pretest-posttest will be taken with the assessment of peak expiratory flow rate, breath-holding time, and frequency of using the inhaler. After that, statistical and inferential analysis will be done. Expected Results: Outcome includes the selected relaxation technique on the bronchial asthma patients that are effective for relieving the symptoms and frequency of medication. Both relaxation method which is most effective for the bronchial asthma patients that are going to assess with the sample. Conclusion: The conclusion will be drawn from the statistical analysis.

DVT is a type of blood clot that occurs in the deep veins of the leg or pelvis. An embolus occurs when a thrombus, or blood clot, breaks off. Emboli can go to the lungs and cause a PE. DVT is the most found reason for maternal death in developing country, according to a 2017 analysis. In children, DVT is relatively uncommon. According to a 2016 report, DVT affects 0.30 out of every 100,000 children under the age of nine and 0.64 out of every 100,000 children between the ages of ten and nineteen. Throughout high-income nations, roughly 1.5 out of 1000 adults will get VTE for the first time each year, 5–11 percent of persons will have VTE their lifetime. As people get older, VTE becomes significantly more common. DVT has several risk factors, some of which are listed here. An injury to your veins, such as a bone fracture, Being overweight puts extra pressure on your legs and pelvis veins. Having a DVT family history, A catheter is put into a vein, Female who is taking hormonal treatment or pills of birth control. A common sign is edema in your foot, ankle, or leg, mostly one side. Cramping pain in the affected leg that usually starts in the calf Area of skin that is noticeably warmer than the rest of the body. Diagnosis of DVT includes Ultrasound, Venogram, d-dimer test. Medical Management of DVT pharmacological therapy i.e. unfractional heparin, low molecular heparin, anticoagulant, thrombolytic therapy used. Conclusion : Awareness and understanding its signs and symptoms are more effective and less expensive than the secondary prevention. Encouragement and education for the self-reporting and self-assessment help to the early detection and prevention of DVT.

Background: Air pollution is the major environmental pollution that contains different types of gases, dust particles, small molecules, etc. Air pollution is mainly caused by smoke or other harmful gases, such as oxides of carbon, sulfur, and nitrogen. Auto-rickshaw drivers are not only affected by air pollution, they are exposed to climatic changes, and. poor road conditions. They are exposed to air pollution, dust, infected droplets, job insecurity, noise pollution and vibration, business demands, damage to their vehicles, and, schedule-related pressure. Drivers also have the responsibility of their passengers and pedestrians- ‘lives and other vehicles. The objective of the study is to analyze knowledge among auto-rickshaw drivers regarding the health effects of air pollution and its prevention. Methods: An observational research methodology, a cross-sectional research design was used to perform this analysis. Probability purposive sampling technique was used to collect data from auto-rickshaw drivers based on the health effects of air pollution and its prevention utilizing structured questionnaires. The sample attributes have been defined by frequency, percentage, after data collection. The Chi-square test was also used to figure out the correlation between knowledge and specified demographic variables. Results: The findings show that 1.67% of auto-rickshaw drivers had an average level of knowledge score, 38.33% of them were having good and 60 % of them were having an excellent level of knowledge score and none of them were found to have a very poor level of knowledge. The minimum knowledge score was 7 and the maximum knowledge score was 14. Hence it indicates that auto-rickshaw drivers have good knowledge about the effect of air pollution and their prevention. Conclusions: The study shows that the auto-rickshaw drivers having good knowledge about air pollution to the management of respiratory diseases and along with their complications as well as to take the required measures to avoid respiratory complications.

Rheumatoid arthritis (RA) is an autoimmune disorder that inhibits the body's immune system that induces inflammation in the injured areas of the body. It is commonly caused the joints of the palms, wrists, and knees. An inflaming rheumatoid arthritis joint contributes to joint tissue damage. This condition may cause chronic or long term discomfort, instability, and deformation. Symptoms include exhaustion, pain, and depression. If the patient does not undergo early diagnosis and care for symptoms, a series of symptoms can arise including Osteoporosis, rheumatoid nodules, dry eye and mouth, carpal tunnel syndrome Case Report: The female patient name is Yogita Shinde 65-year-old religion Hindu lived in the kandhali. She was admitted to AVBR Hospital with the chief complaint of pain in her shoulder and hands, joints pain, swelling on both the hands. She started taking ibuprofen 800 mg 3 times per day to relieve discomfort and rigidity. Three months earlier, as she was doing her job, she had pain on her right and left shoulders. She still started to feel very sleepy and short-tempered. Tab ibuprofen was not an effective very long time for pain. One morning, Yogita couldn't lift her arms without the intense pain of her back. She was conscious that it was time for help. She had spoken to her parents, and they advised her to see a physician. The primary healthcare practitioner (PHP), who tested and carried out a variety of blood test. Positive-rheumatoid factors, CCP antibiotics, higher ESR, and C-reactive protein were seen via the blood samples. These findings were communicated to Yogita and the Rheumatologist was directed at her PCP to see her as soon as possible. The primary health care practitioner inquired about the medical records of Yogita parents and grandparents, family conditions, medical and operative records of yogita, and details on their family and working lives. And after that, the physician started the treatment, after which Yogita feels better for some days. After a few weeks she having recurrent pain in her hand and foot, this is intolerable to her. And then she is admitted to AVBR Hospital on date 20th Sept 2020

COVID-19 from Wuhan, China has spread easily all over the world. Most of the COVID-19 infected patients have fever and breathing disorders. Here, we report a case of Guillain-Barre syndrome (GBS) with a COVID-19 infection. GBS is a very rare disease with corona virus infection. It is really hard to diagnose. In this state the limbs of the patient are slowly weakened. The condition worsens daily with weakness of the limbs. The Guillain-Barre syndrome is a complex and acute or chronic neurological condition. Campylobacter jejuni and other viruses, including cytomegalovirus and Epstein Barr Virus, are causing this condition.1 It is a disorder that is progressive, symmetric, proximate, distal, and characterised by weakness. Muscle reflexes are reduced to absent. Aetiology is unclear, Death is uncommon. The diagnosis of GBS can be made by cerebrospinal fluid analysis and nerve conduction studies.2 We present a case of Guillain-Barre syndrome with COVID-19 infection, who presented to the emergency Outpatient department with complaints of weakness against his bilateral upper and lower limb.

Excessive growth of mature granulocytes in the bone marrow induces chronic myeloid leukemia. The excess neoplastic granulocytes travel massively into the peripheral blood and in the end invade the liver and spleen. The protein encoded on the Philadelphia chromosome by the newly created BCR-ABL gene interferes with normal cell cycle activities, including regulating cell proliferation. Philadelphia chromosome is present in 90 - 95 percent of chronic myeloid leukemia (CML) patients. Their involvement is often a vital indicator of persistent disease or posttreatment relapse. However, for the diagnosis of CML, the presence of the Philadelphia chromosome is not specific since it is also present in acute lymphocytic leukemia (ALL) and rarely in acute myeloid leukemia (AML). 1 Chronic myeloid leukemia is a myeloproliferative neoplasm (MPN) characterised by involvement of the fusion gene BCRABL1 located in the Philadelphia chromosome. In reactive neutrophilia or chronic neutrophilic leukemia, the Ph chromosome is pathognomonic to CML and is never registered.2,3

Background:In patients suffering from coronary heart disease ( CHD) after coronary artery bypass grafting(CABG), non-adherence to dietary guidelines, exercise, and prescription medication regimens is a majorhealth care concern worldwide. Aim of the Study:To assess the effectiveness of video-assisted teachingon adherence to lifestyle modifications and drug regimen among postoperative coronary artery bypassgraft (CABG) patients attending the outpatient department. Objectives:1. Assess the knowledge regardinglifestyle modifications and drugregimen among post-operative CABG patients attending OPD.2. Evaluatethe effectiveness of video-assisted teaching on knowledge regarding lifestyle modifications and drugregimenamong post-operative CABG patients attending cardiac and medicine OPD.3. Associate post-test knowledgescore with selected demographic variables of CABG patients. Material and Methods: A hospital-basedinterventional study was used one group pre-test and post-test study design with a Quantitative researchapproach. This study was conducted among 100postoperative CABGattending outpatient departments ofthe age group from 55 years to 70 and above in Wardha city of Maharashtra state. The demographic datasuch asage, sex, educational status, monthly income, dietary pattern and duration after CABGalong with30 knowledge questionnaire regarding lifestyle modifications and drugregimen in postoperativecoronaryartery bypass graftwas obtained using a structured pre-tested questionnaire.Data collected were enteredinto the Microsoft Excel sheet. The statistical analysis was done using SPSS software. Frequencies andpercentages were presented for categorical variables. Result: The pre-test findings show that 0-20%had apoor level of knowledge,21-40%had average knowledge,41-60% had good knowledge,61-80 % had verygood knowledge. Aftervideo-assistedteaching the post-test scorewas26-50%had average knowledge,51-75%had good knowledgeand76-100 %had very good knowledge, thus it shows that after post-test the knowledgescore was increased, applied to find the efficacy of video-assisted teaching’t’ test was applied and’t’ valuewas calculated, The post-test score was considerably higher at 0.05 level than that of pretest score. Hence itindicates that video-assistedefficient teaching.Conclusion:In general, knowledge of lifestyle changes and drug regimen in post-operative patients(CABG) has been average in the pretest and after video-assisted knowledge of adherence to drug regimenand regulation of lifestyle factors like high fat, high cholesterol diet, obesity, smoking and lack of regularexercise has been increased and understanding of the disease dimension has therefore been generated.

Corona virus (Covid-19) is a pandemic disease, it is a crisis situation faced all over the world The corona virus originated in bats and was transmitted to humans in the month of December 2019 from Wuhan China Corona virus is the infectious disease and it attacks on respiratory system and causes respiratory illness that can spread from one person to another person by droplets i e sneezing, coughing In India, as on date recorded Corona virus cases are 207615, recovered cases are 1, 00303, total deaths 5815 as on 30 August 2020 Indian Government has declared lockdown all over the states to save the life of the citizens This is a very critical situation mostly for vulnerable population means children After lockdown children are getting bored, due to separation from friends, peer group and their daily routine of playing is creating lots of anxiety for children Children’s social life and leaving have been affected Lockdown of pandemic disease, Closure of schools has affected the education of children and younger’s also The school closures are liable to boredom to the students and caused learning gap among the children belonging to lower or higher socioeconomic status families In this condition we have to understand the children psychology and we need to engage them in creative and interesting activities at home, also need to give them some learning task regarding studies so their cognitive and psychomotor function will be improved This short communication concludes with the key learning for the parents of children on how to engage school going children during lockdown in Covid 19(Pandemic) © 2021, Institute of Medico-Legal Publications All rights reserved

Introduction: One of the world’s most significant public health issues has been HIV infections and AIDS(HIV / AIDS). The 1 percent of deaths worldwide are responsible for HIV / AIDS Knowledge of HIV /AIDS among students is crucial to the elimination of disease propagation. Besides, young adult universitystudents may start their own families someday and some may be health care providers in the future. Dataabout Knowledge, regarding HIV/AIDS are needed to sensitize and create awareness among nursingstudents as they were becoming health care administrators and providers in the future. Aim: To determinethe knowledge regarding HIV/AIDS among new entrants of the nursing institute. Materials and Methods:A cross-sectional study was carried out among new entrants of the nursing institute in Wardha district. Thestudents were chosen randomly. This cross-sectional descriptive research was carried out by pre-designed,pre-tested, and semi-structured surveys of eligible 296 nursing students in their first year of life. First-yearBasic Bsc nursing100 students, GNM100 students, ANM 96students in the age-group of 17-19 years on 1st,4th, and 7th Oct’ 2016, respectively. After the study purpose was clarified, the students received 45 minuteswithout shared consultation under the supervision of the investigator, to obtain informed verbal consent andmaintain confidentiality. Students have been given the right to withdraw without fear or obligation fromthe study at any time during their data collection, but none declined to take part. The research variablesincluded demographic variables such as sex, professional education, the difference between HIV / AIDS,routes of transmission, prevention strategies, category of behavioral risk, and antiretroviral therapy, etc.Result: Out of 296 total students, 123 (51.9%) were women and 103 (44.0%) were rural native students.The mean knowledge score for the professional education of ANM was 17.35± 3.59, for GNM it was 13.00±3.61and for B.Sc. Nursing it was 17.37±4.31. The majority of the lot was aware of all four routes of infectiontransmission and methods of prevention. When the mean data score for the three new entrants is compared, nomajor statistical difference except ANM (P=.999) is noted.

Chronic kidney disease can occur in mostly those patient which having a history of hypertension anddiabetes, this disease also known as a chronic renal failure. In this disease condition kidney can decreasingthe rate of filteration or kidney function since month or a year. In the beginning period of Chronic KidneyDisease the person not showing any sign and symptoms about disease condition, after the months and yearpatient showing symptoms like nausea, vomiting, lethargy edema, confusion and loss of appetite. If theearly detection and treatment is not getting so the patient can goes in complication such as heart disease,hypertension, bone disease and anemia.1 Case Report: The female patient name is Rashida khan 63 yearold religion by Muslim lived in the yawatmal. She was admitted in the AVBRH with the chief complaintof breathing difficulty, fever, nausea and vomiting, swelling on both legs, lethargy weakness since 10 days.She having a history of HTN since 5 year and freshly diagnosed as DM2.Conclusion: This case presentedhow the prolong history of HTN which is uncontrollable causing the DM2 and it can leads to CKD. Thefirstly clinical presentation of the patient providing information about the history of HTN and DM2 and thelaboratory studies suggested a reducing function of kidney. So the patient sign, symptoms and the laboratoryvalues showing the condition of patient kidney with increasing volume of kidney, breathing difficulty,moderate anemia and uremia. Early detection of the HTN and DM2 and their management in early stage,also the modification in lifestyle and diet can help to reduce the chances of occurring Chronic KidneyDisease. Patient also have to complete the given treatment and counseling about the disease condition, andthe problem get solved by taking proper treatment.

COVID-19 is a new type of corona virus that causes the disease. ‘CO’ is for corona, VI’ for viruses, and‘D’ for illness. This disease was previously referred to as ‘2019 novel corona virus’ or ‘2019-nCoV. Coronavirus is the contagious disease (COVID-19) is arising from newly discovered. The COVID-19 virus getspeople of all ages infected. However, research to date shows that two classes of people are at greater riskof being strongly struck by COVID-19. The older people and others with existing health problems. WHOstresses that, in order to protect others, everyone must protect themselves from COVID-19. Old age peopleand individuals with underlying disabilities such as heart problems, asthma, chronic lung disease and cancerare more vulnerable to severe disease. Men is at a higher risk than females for COVID-19. ConclusionAccording to this short communication article, two groups of people are at higher risk of developing severeCOVID-19 disease. Old age people and individuals with underlying disabilities such as heart problems,asthma, chronic lung disease and cancer are more vulnerable to severe disease. These peoples have to takemore precaution to prevent covid -19 infections.

The current outbreak of the latest coronavirus [COVID-19] has created a global crisis of unparalleled dimensions As massive pandemics are significant community mental health threats Services of health demand is increasing drastically The pandemic has emotionally affected physicians, and the vast majority report they have one or more of the following effects: fear of illness, anxiety, tiredness, trouble sleeping, loneliness, depression, confusion, or irritability Those in the front line are particularly affected by fear of family and personal infection, work-related pressure, and fatigue Always, when contacting COVID-19 persons, they have been quarantined frequently Greater workloads, loneliness and prejudice contribute to physical exhaustion, anxiety, emotional distress and sleep disturbance In addition to the strategies used to prevent the spread of the virus, innovative strategies are required for health practitioners to tackle associated mental health concerns In light of almost all of these issues must be taken even more seriously by the respective governments and stakeholders of persons affected by any psychological disturbance This review summarizes the present health care professional’s psychological disturbances and the strategies to improve their mental health © 2020, Institute of Medico-Legal Publications All rights reserved