Nephrotic syndrome (NS) is one of the common yet challenging childhood disease. Treating NS with immunosuppressants like corticosteroids is typically effective. However, there are significant evidences which displayed resistance patterns to the former drugs. Here in this case, a male patient came to the nephrology department with the history of steroid dependant nephrotic syndrome with complaint of its infrequent relapse. The condition was complicated since, the patient was on multiple steroids even after which there were recurrent episodes of syndrome. Considering the status, Mycophenolate mofetil was added as a supportive treatment for the management of the disease along with steroids, still the outcome was unremarkable. Hence, rituximab was ordered (four cycles). The outcome this time was appreciable, rituximab administration produced a positive result. No events were recorded during the treatment duration.

Objectives:To evaluate awareness among health care personnel about medication errors in a tertiary care teaching hospital. Methods: A questionnaire comprising of 17 questions pertaining to different aspects of medication error was prepared. The questionnaire was distributed to 171 healthcare professionals of various departments in the hospital. Respondents of the questionnaire were restricted to one sitting for answering the entire questionnaire and they were not allowed to consult with anyone for the purpose of answering the questions. Data was compiled and analysed. Results: It has been found that 15.78%, 32.15%, 19.29% and 30.72% of respondents were having excellent, good, average and poor knowledge respectively regarding the fundamentals of medication error. Knowledge regarding reporting medication errors was excellent in 26.37%, good in 26.90%, average in 24.56% and poor in 32.16% of respondents. About 63.15%, 18.12%, 7.60% and 11.09% of the healthcare professionals were excellent, good, average and poor for recommending or opine about the betterment of the system for reporting medication errors. Among the different healthcare professionals, Pharmacy personnel's are having superior knowledge about the medication error, its reporting system and the suggestion for betterment of its reporting system followed by Nursing and Medical professionals. Conclusion: The present study reveals that all the healthcare professionals are having good to average awareness about medication errors and its reporting system and all the healthcare professionals are strongly suggesting for the betterment of the reporting system.

Background: The present study is planned to assess the health related quality of life (HRQoL) in asthma patients by using HRQoL questionnaire (SF-36 v2).Methods: A prospective observational study was conducted for a period of 6 months (September 2017 to February 2018) in Navodaya Medical College Hospital and Research Centre, Raichur on a total of 108 patients of either sex suffering from persistent asthma. The HRQoL of asthma patients was measured by face-to-face interview using HRQoL questionnaire (SF-36v2).Results: Female patients were found to be more affected with asthma compared to male patients and the prevalence of asthma is found to be more in the middle aged and elderly patients compared to adults. The important triggering factors for the asthma were found to be exposure to dust, smoking, alcohol and cooking fuel. The mean physical component summary (PCS) scores is 47.46 (±15.56) and the mean mental component summary (MCS) scores is 66.73 (±13.59). The findings of our study reveals that the physical HRQoL is more affected compared to mental HRQoL as revealed by PCS and MCS scores.Conclusions: The findings of our study conclusively suggest that the physical HRQoL is more affected than mental HRQoL in asthma patients and also the need to improve the quality of life in these patients by appropriate patient education regarding the triggering factors of asthma, preventive measures and the medication adherence.