Background: HIV has become a long-term condition, which not only affect the physical health, but also lead to psychological and social problems. Nurse directed rehabilitation programme may help people by improving their overall health and their ability to deal with stress. Objectives: To assess the pretest level of quality of life in both experimental and control group and to evaluate the effectiveness of nurse directed rehabilitation programme on quality of life. Methods: This is a randomized control study conducted at selected Care & Support Centers under the Medical College ART unit of Kottayam District. Purposive sampling was done for selection of care & support centers and simple random sampling for patients. 130 HIV infected patients were selected for the study and randomly divided into 2 groups with Mean ±SD age of 35.84±7.45years. Both groups were homogenous. Experimental group were given rehabilitation programme for 30 minutes 4 days / week for 6 months. QOL Scale (WHOQOLHIV-BREF) was used to assess quality of life and outcome of rehabilitation programme. Results: Findings show that there is mean quality of life (62.95) falls on the poor level among patient with HIV infection and 98% subjects experiences poor quality of life (χ 2 =0.341). Paired difference and t value proves that nurse directed rehabilitation programme highly significant in increasing quality of life (p<0.001) when compared with control group. Conclusion: The practice of nurse directed rehabilitation programme is effective as an adjunct therapy in patients with HIV infection that significantly improves the quality of life.

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Introduction: Passive smoking, it is the combination of side stream smoke given off by a burning tobacco product and mainstream smoke exhaled by a smoker. Exposure to passive smoking can take place in the home, the workplace or other environment that are accessible to the public places. Aim: To estimate the prevalence of exposure to passive smoking and awareness about its ill effects among Medical colliege undergraduate students in Mangalore. Materials and Method : This was a cross sectional study was conducted among 400 randomly selected undergraduate students in one of the medical college in Mangalore. Data was obtained by using a pre tested, structured questionnaire. Results: Among the total 400 students, 216 were males and 184 were females. Of the 400 students 10.25% were smokers (18.9% males, 0% females) 12.75% past smookers (20.3% males, 3.8% females) , 77.0% were non smokers. Awareness of passive smoking among all participants was 86.5%. Most of the people were exposed to passive smoking (96.25%) in public places in last thirty days. 61.5% students were exposed to passive smoking in their hostel daily (males=88.8%, females= 29.3%). 42.3% replied passive smoking causes serious health hazard, 2.8% told that it is not at all a health hazard. Conclusion: Self-reported tobacco use status, parents tobacco use, close friends smoking, and participants residence were the signaficant determinants of exposure to pasive smoking at home and outside the home. Knowledge regarding ill effects of passive smoking varied among students.