Objective: To evaluate the impact of counseling in terms of knowledge, attitude, practices (KAP) outcomes. To counsel the diabetic patients about their disease, medications, and lifestyle modifications that are necessary for proper disease management. Materials and Methods:A randomized prospective controlled study was conducted for 6 months in the general medicine outpatient department of SSIMS and RC. Patients enrolled were randomized into test and control groups. Suitably designed and validated KAP questionnaire was applied at baseline and final follow-up for both groups. Results:At the end of the study, knowledge and attitude levels were markedly improved in test group patients. The fasting blood sugar of the patients in the test group were found to be significant (p<0.00) when compared from baseline to second assessment whereas in control group, no significant changes were observed (*p>0.05). Conclusion:The study concluded that the improved knowledge and attitude clearly indicates the benefits of pharmacist-provided counseling although they did not translate into improved practice outcomes. The study observed that hospital pharmacists can play a key role in the management of diabetes mellitus and patient care.

Theileriosis is an important haemoparasitic disease of goats which causes serious economic losses to farmers. There is a paucity of information on the clinico-haemato-biochemical aspects of caprine theileriosis in Kerala. The present study was undertaken to evaluate the haemato-biochemical alterations associated with clinical cases of caprine theileriosis in twenty five smear positive goats in Thrissur district, Kerala. Major clinical signs observed were anaemia, fever, lymphnode enlargement, anorexia, respiratory distress. Haemato-biochemical analysis revealed macrocytic hypochromic anaemia with low Hb, Volume of Packed Red Cells (VPRC), platelet, Total Erythrocyte Count (TEC) and hyperproteinaemia with hyperglobulinaemia in the affected goats.

An 8 month old Modena breed of pigeon presented to teaching veterinary clinicalcomplex Mannuthy (TVCC) with the history of torticollis, anorexia, depression, inability to fly and two birds in the same flock were died due to same symptoms. On clinical examination bird appeared dull, depressed and circling of head showed. No visible ectoparasites could be detected on the detailed physical examination. Routine blood smear examination was done by taking blood from the peripheral wing vein and prepared thin blood smear. On blood smear examination characteristic halter shaped gametocytes were seen encircling the nucleus of erythrocytes. Faecal sample examination revealed the absence of intestinal parasites. Treatment was done with chloroquine @15mg per kg bodyweight in drinking water for two days along with the multivitamin supplementation. The whole flock in the house hold were treated with 2% permethrin spray by external application to control or eliminate the fly vector. After one week of the treatment reviewed the clinical condition of the bird. All signs suggesting of pigeon malaria were completely resolved, blood smear examination revealed no haemoparasites and the bird had an uneventful recovery. Pigeon malaria is considered as a fatal disease when there is a huge mortality occurred in a flock and hence the disease is getting less attention. Failure in the preventive measures to control the vector population or lack of better management practice in house keeped pigeons leads to unnoticed cause of mortality due to pigeon malaria. Keywords: Pigeon malaria, Haemoproteus columbae, torticollis, chloroquine

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