Background: Accident means-Unfortunate incident that happens unexpectedly and unintentionally, The common cause of school accident is playground equipment and risk factors of the school accident are age, Most common injury occurs in schoolers is hand injury and foot injury, a road traffic accident is the most common type of accident. Primary prevention of an accident first AID and supportive care of school accident is health education and health check-up is done by half-yearly.  Objectives: 1) To assess the knowledge of primary school teachers on the prevention of accidents among schoolers in selected schools in the Wardha district.2) To compare knowledge regarding prevention of accidents in schoolers between male and female primary teachers.3) To compare knowledge regarding prevention of accidents in schoolers between rural and urban area. 4) To associate the knowledge of primary teachers regarding the prevention of accidents among schoolers with selected demographic variables.   Methods: An descriptive research methodology, a non-experimental descriptive design was used to perform this analysis. Non-probability convenient sampling technique was used to select the available individual as a subject in the study. A structured questionnaire was developed to assess the knowledge of urban and rural 100 primary school teachers regarding the prevention of accidents among schoolers. 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 study findings show 0 (0%) of rural primary school teachers were having a poor level of knowledge score, 8(16%) of rural primary school teachers were having an average level of knowledge score, 21(42%) of rural primary school teachers were having a good level of knowledge score, 19 (38%) of rural primary school teachers had a very good level of knowledge score and 2 (4%) of rural primary school teachers had excellent knowledge score. The minimum score was 5 and the maximum score was 20, the mean score was 11.68 ± 3.13 with a mean percentage score of 58.40 ±15.69. The study findings show 1(2%) of urban primary school teachers were having a poor level of knowledge score, 5(10%) of urban primary school teachers were having an average level of knowledge score, 18(36%) of urban primary school teachers were having a good level of knowledge score, 20 (40%) of urban primary school teacher had a very good level of knowledge score and 6 (12%) of urban primary school teacher had excellent knowledge score. The minimum score was 5 and the maximum score was 20, the mean score was 12.62 ± 3.32 with a mean percentage score of 63.10 ±16.62. In the overall comparison of the rural primary school teachers having good knowledge regarding prevention of accidents of schoolers rather than urban primary school teachers. Conclusion: Schoolers accident is a common problem in rural and urban school children. The main aim of the study was to assess the knowledge regarding the prevention of accidents of schoolers among the primary school teachers of the selected rural and urban areas of Maharashtra.

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.

The first case found in 31 December 2019 in China, in Wuhan city but China reported this news to WHO in January 2020 after this corona virus can spread worldwide, and WHO declare this disease as a pandemic. As per survey now over the 4,444,670 cases of Covid-19 can identified in 188 countries globally and 1,588,858 can recovery rate of this disease worldwide.  Corona virus can caused by Severe Acute Respiratory Syndrome-Corona Virus-2 (SARS-CoV-2), is a single standard ribonucleic acid that enclose to corona virus and it is very infectious and spreading all over the world. It can be transmitted or spreading by droplets and come to direct contact with the patients compare to airborne spread. There is no any specific treatment strategy for corona virus, only supportive therapies such as respiratory care to the severe or acute patients, it’s especially in severe condition. Aim is to provide airway management to COVID 19 patients and what is the role of airway management in this patient condition. This can provide issues with the person who severely suffering from respiratory diseases in hospital settings. The COVID 19 predominantly causing infection like pneumonia. At the time of giving intervention for managing the patient with severe respiratory condition are managed by mainly tracheal intubation and forming a controlled ventilation. As far this disease condition can increase, there will be the many community people are not having any symptoms of COVID 19 but after few days or week, they showing symptoms. Then they patients come under the emergency services.

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

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.