Background: Breast engorgement is a swollen, painful breast and overfilling with breast milk. In lactating mothers this condition is common during the puerperal period. Breast engorgement developed inside the breast due to expansion and pressure exerted by the synthesis and storage of breast milk. It is also a main factor in altering the ability of the infant to latch-on. Engorgement changes the shape and curvature of the nipple region by making the breast inflexible, flat, hard, and swollen. The nipples of an engorged breast are flat or inverted. Sometimes it may lead to striae on nipples, mainly a preceding symptom of mastitis. Objective: 1.To assess the effectiveness of lactational counseling on prevention of breast engorgement  among postnatal mother. 2.To find out association between lactational counselling of breast engorgement with selected  demographic variables. Methodology: A study will be conducted in AVBR Hospital Sawangi Meghe, Wardha. The 40 post-natal mothers will be selected as the study sample according to the inclusion/exclusion criteria. Sample size will calculated by using formula. In this study non probability purposive sampling technique will be used. In this study researcher will provide lactational counselling among postnatal mother after delivery. In lactational counselling researcher provide counselling regarding the importance of breastfeeding, Local breastfeeding situation, how breastfeeding works, breastfeed technique, learning exercises, health care practices, clinical practice after providing lactational counselling after that researcher will assess the breast engorgement for 4 days after the delivery of baby according to breast engorgement assessment scale. Its conclusion will made from the outcome & analysis of the study.

BACKGROUND Breast engorgement is swollen, painful breasts with overfilling of breast milk. It is normally due to an imbalance between supplying & sucking of milk from the breast. In lactating mothers, this condition is common during the puerperal period. If breast engorgement is not cured, it will cause mastitis. The incidence rate of mastitis in India is 2 - 5 % in lactating & 1 % in non-lactating women. Signs of breast engorgement are the inflamed and oedematous mammary gland & the shiny & diffusely red skin of breast. The female may have pyrexia & that usually reduces over a period of 24 hours. The nipples could stretch, be tight & flat which makes it difficult for the baby to suck milk from the breast. METHODS Research approach was interventional evaluatory approach. Research design was pre-experimental post-test design. The study was conducted in AVBR hospital Sawangi Meghe, Wardha district. Sample consisted of post-natal mothers. Sampling technique was a non-probability purposive sampling technique. Sample size was of 40. Tool used was a structured questionnaire including socio-demographic & breast engorgement assessment scale. RESULTS All postnatal mothers had normal breast engorgement score at day 1, at day 2; 92.5 % of the postnatal mothers had normal and 7.5 % had mild engorgement at day 3; 77.5 % of postnatal mothers had normal, 15 % had mild and 7.5 % had moderate engorgement; and at day 4, 7.5 % had mild and 7.5 % had moderate engorgement. By using the chi-square test statistically, no significant difference was found in breast engorgement score at day 1 and at day 2 (א2 = 3.11, p = 0.07), and a significant difference was found between day 1 and day 3 (א2-value = 10.14, p = 0.006) and between day 1 and day 4 (א2-value = 11.43, p = 0.003). CONCLUSIONS This study reveals that there was no significant difference on the first and second day but on the 3rd and 4th day, significant difference was there. After lactational counseling, breast engorgement score was reduced. Lactational counseling is important for the prevention of breast engorgement. KEY WORDS Evaluate, Effectiveness, Breast Engorgement, Lactational Counselling, Postnatal Mother

Background: One of the leading causes of mortality and morbidity is road accidents. The commonest cause of polytrauma is due to road traffic accidents, other causes may include self-harming activities, suicide, and murder. Nearly two- thirds deaths due to Road Traffic accidents are reported in India mostly in the age group of 15-44 years. Rescue of patients with polytrauma requires maintaining hemostasis while concurrently administering treatments and using proper triage management according to the severity of the injuries, especially in situations of severe trauma with pulmonary contusion and significant blood loss. Massive hemothorax and extensive tracheobronchial hemorrhage result from serious lung injury. Depending on the amount of chest leakage in cases with hemothorax, emergency surgery is advised. Here we report a case of a 20-year-old adult male who was brought by his parents to the emergency department in a conscious state. The patient reported sustained injuries over the face, chest, and left knee. All the necessary laboratory investigations were done after which the patient was shifted to the Surgery Intensive Care Unit. The primary therapeutic intervention was given to the patient and was treated with blood transfusion, antibiotics, antiemetics, and antacids, and a diet was planned during hospitalization.

An uncommon inherited condition of copper metabolism is known as Wilson disease. The copper-transporting enzyme ATP7B, which is mostly found in the liver and brain, has undergone several mutations that result in hereditary abnormality. Clinical symptoms are loss of vision for 2 days, and after eye examination, there was a yellowish discoloration in the eye. The patient did not want to eat anything due to the disease condition, and he has been having a loss of appetite for 2 days. Early infancy to young adulthood and even later ages can see the start of the condition. Clinical, biochemical, and molecular indicators are used in conjunction to make the clinical diagnosis. Early or even better pre-symptomatic disease stages are when chelating medicines and zinc salts are most useful as a treatment.

Background: Organophosphate poisoning can result from occupational or accidental exposure, intentional ingestion, or chemical warfare with nerve agents. Symptoms vary widely due to differences in dosage, drug toxicity, and mode of exposure. Of the 44 patients, features of the intermediate syndrome were observed in 40 (90.9%) of 95% of her CI patients (84.2 97.6) in the study. A frequency of intermediate syndrome signs such as weakness in neck flexion, inability to sit, and difficulty swallowing was observed in patients. The observed mortality in this study was 2 of his inpatients (4.5%). Case presentation: -A 52-year-old male who had ingested pesticide while spraying a farm was involved in an accident by a relative. He also had a cut on his right wrist from his older brother. He had 2-3 episodes of vomiting per day and had a generalized weakness. He was taken to hospital. He has struggled with chronic alcoholism for 15 years. He was admitted to the intensive care unit for further treatment. WBC raised (17800) in the blood study, but haemoglobin dropped (9.6), calcium levels dropped (7.2), and creatinine rose. The GCS score for the physical examination is 12. Constricted pupils in the eyes, tightness in the chest, wheezing, increased sweating, salivation, and lacrimation, as well as GI symptoms like nausea, vomiting, cramps, watery diarrhoea, and involuntary urine and defecation. He received Emset, antibiotics, and gastric lavage as treatment. Patients’ conditions improve after treatment. Conclusion: -Insecticide ingestion results in organophosphate poisoning and hypovolemic shock. The diagnosis of parenteral OP compound poisoning is difficult. The onset of symptoms may be delayed, and they may show differently than usual. He experienced a hypovolemic shock as a result of significant blood loss from a cut wound.