Background: An evaluation by UNICEF India coverage survey (2009) showed that in India, 61% of children are fully immunized which is significantly low. Objectives of this study were to determine Immunization status of children in the age group of 2 to 5 years and study the social factors influencing immunization status of a child. To know the reasons for partial and non-immunization and study relation of socio-economic status with immunization status.Methods: A total 2000 children aged 2-5 years who are attending Pediatric OPD, Immunization clinics and admitted in Pediatric ward between May 2015 to May 2017 are enrolled in the present study. Subjects were selected by Simple random sampling method. Immunization status of these children was analyzed and the cause for partial and un-immunization were studied.Results: Of 2000 children studied, 1303 (65.2%) were fully immunized,681 were partially immunized (34%) i.e the child had received at least one of the immunization mentioned in NIP and 16 of them were un-immunized (0.8%) i.e they had not received even a single vaccine.Conclusions: The present study of immunization coverage of 65.2% among children attending pediatric hospital is far from satisfactory. The goal of achieving even 85% coverage seems to be an uphill task. Adverse effects following immunization, busy parents, lack of knowledge seems to be a major contributing factor for the non-success of this national programme. Age, birth order, parent’s occupation. parent’s education, mother’s age are statistically significant contributing factors for the poor immunization coverage among these children.

An infant is the most helpless gathering to get acclimates to the new condition. Following birth, during the initial months, they act as a momentary period during which the baby adjusts from the aquatic to the aerial environment. Nesting positions keeps up the flexion pose as such as intrauterine position and stances. As a fundamental obligation of the nurses, it is one of the most significant nursing procedures, positioning by nesting utilizes a non-pharmacological methodology to diminish torment and push and improve comfort. The present study aims to assess the effectiveness of nesting on posture comfort among low birth weight babies. A quantitative quasiexperimental research design was conducted among 30 low birth weight babies. Convenient sampling technique was used to select samples. A semistructured interview was used to collect demographic data, and posture comfort was assessed using a comfort scale. The babies in the experimental group were placed in a side-lying position inside the nest, which is then rolled blanket. After an hour, the posture comfort was re-assessed. The study results show significant improvement in the posture comfort among the experimental group than the control group after the intervention at the level of p<0.001. This reveals that nesting is highly signiϑicant in the experimental group because it improves posture comfort of the newborn, which in turn promotes growth and development of the low birth weight babies. This indicates that nesting is an effective and secure method to improve posture comfort, maintains the vital signs and helps in the development of low birth weight babies & promotes sound sleep in low birth weight babies.><0.001. This reveals that nesting is highly significant in the experimental group because it improves posture comfort of the newborn, which in turn promotes growth and development of the low birth weight babies. This indicates that nesting is an effective and secure method to improve posture comfort, maintains the vital signs and helps in the development of low birth weight babies & promotes sound sleep in low birth weight babies.

Pregnancy is a period of incredible changes and numerous mothers do feel worried eventually. This is totally common and not in any way surprising as observing a mothers need to adapt to the obligations that filled her life before she fell pregnant just as set herself up, mentally and physically for another appearance. While momentary pressure isn't hindering to the soundness of the mother or child and can really be useful in specific conditions, delayed times of stress have been connected to negative outcomes of pregnancy. Pregnancy in and of itself is a stressor, the changes one's body undergoes.Stress is a complex genetically determined pattern of response of the human physiology for the demanding situation. The component of recognition demonstrates that human stress reactions reflect contrast in personality, just as contrasts in physical quality or general health. Excessive stress in pregnancy can prompt likely issues with the pregnancy. The present study aims to assess the stress level among third trimester primigravida mother. A quantitative descriptive research design was conducted among 60 primigravida mothers. Convenient sampling technique was used to select samples. Semi-structured interview was used to collect demographic data and stress level was assessed using stress scale. Mothers were explained about the purpose of the study and the psycological changes during pregnancy. The data were collected and analyzed. The study results show that there is a moderate to severe level of stress among the third trimester primigravida mother. This reveals there is a need for the stress assessment among the primigravida mother and non-pharmacological practices to reduce stress to improve fetal development and pregnancy outcome.

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Objective: The study was focused on assessing the incidence of stroke and their association with types of the risk factor, with an emphasis on acute post complications and their symptomatic management for early detection. Methods:A prospective observational study was carried out on stroke patients visiting a medicine department of a tertiary hospital, Andhra Pradesh, India from August 2017 to November 2017. Patient's demographics and lab data was collected for analysis.Results: A total of 110 patients participated in the study. Among them high incidence is males (69%), 61-80yrs (48%), with 2 risk factors (35%) among which age (67%) and hypertension (66%) were related to the high degree of prevalence. 47% of the study population were identified with one complication, among which seizures account for 38% of patients. All the complications associated with the condition were treated with drug classes, in which anti-epileptic drugs (AEDs) were the mainstay in the management of epilepsy. Conclusion:Brain edema and seizure attack were the most accountable complications identified in the study population. The early detection of these problems can improve the stroke outcomes and can reduce the mortality or disability rate.