Introduction:Nursing has been identified as an occupation that has high levels of stress. Job stress brought about hazardous impacts not only on nurses’ health but also on their abilities to cope with job demands.Objectives:This study aimed at finding out the degree of work-related stress among the staff nurses and various determinants, which have a impact on it.Materials and Methods:Institutional-based cross-sectional study conducted on GNM qualified nurses. Predesigned and pre-tested questionnaire covering their sociodemographic variables in part I and professional life stress scale by David Fontana in part II. Analysis used was Chi-square test and logistic regression for various factors.Results:Risk for professional stress due to poor and satisfactory doctor's attitude was found about 3 and 4 times more than with excellent attitude of doctors toward the staff nurses. A statistically significant association (P < 0.024) between department of posting and level of stress. Nurses reported that they had no time for rest, of whom 42% were suffering from moderate-to-severe stress. The nurses who felt that the job was not tiring were found to be less stressed as those who perceived job as tiring (OR = 0.43).Conclusion:The main nurses’ occupational stressors were poor doctor's attitude, posting in busy departments (emergency/ICU), inadequate pay, too much work, and so on. Thus, hospital managers should initiate strategies to reduce the amount of occupational stress and should provide more support to the nurses to deal with the stress.

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Background:Gestational diabetes mellitus (GDM) is emerging as an important public health problem in India owing to its increasing prevalence since the last decade. The issue addressed in the study was whether the management of blood sugar levels in GDM cases can predict maternal and fetal outcomes.Materials and Methods:A prospective cohort study was done for 1 year from October 1, 2013, to September 31, 2014, at 652 diabetic screening units as a part of the Gestational Diabetes Prevention and Control Project approved by the Indian Government in the district of Kanpur, state of Uttar Pradesh. A total of 57,108 pregnant women were screened during their 24–28th weeks of pregnancy by impaired oral glucose test. All types of maternal and perinatal outcomes were followed up in both GDM and non-GDM categories in the 2nd year (2013–2014) after blood sugar levels were controlled.Results:It was seen that for all kinds of maternal and fetal outcomes, the differences between GDM cases and non-GDM cases were highly significant (P < 0.0001, relative risk >1 in every case). Moreover, perinatal mortality also increased significantly from 5.7% to 8.9% when blood sugar levels increased from 199 mg/dl and above. Perinatal and maternal outcomes in GDM cases were also significantly related to the control of blood sugar levels (P < 0.0001).Conclusion:Blood sugar levels can be an indicator of maternal and perinatal morbidity and mortality in GDM cases, provided unified diagnostic criteria are used by Indian laboratories. However, to get an accurate picture on this issue, all factors need further study.

Introduction:The use of mobile-health (m-health) technology in public health is rapidly growing in developing countries. Objective: The objective of this study was to critically analyze the role and incorporation of m-health into public health systems of developing countries. Materials and Methods: A systematic review of related studies in the literature published in the last 10 years on key search word "m-health role in developing countries" was conducted using abstracting databases such as PubMed, World Health Organization, Cochrane, Google scholar and Bio-med Central. m-health studies on impact, effectiveness and evaluation of m-health in public health were the three main criteria's taken for inclusion and studies on m-health in developed world as well data from thesis/dissertation were excluded in this review. This study is unique in methodology as similar kind of studies with this type of method and focus has not been carried out previously in the literature. Results and Discussion: From 23 articles, which fi nally met the inclusion criteria it was found that, a variety of m-health applications and m-health strategies are available in the mobile phone market of developing countries; however, lack of appropriate governmental regulation and oversight from health-care authorities are impacting the results in terms of costs, benefi ts and utility of these applications. Conclusions: m-health technology has the potential to impact greater health-care access to larger segments of rural populations and an improved capacity to meet the demand in developing countries as seen from Indian strategies, provided it is also intelligently used for improving health-care of people in developing countries.