Objectives-To find out the effectiveness of foot reflexology on psychological symptoms among patients with cancer. Method-Experimental research design with pre and post test control group design. Result-In the control group mean and standard deviation of psychological symptoms before foot reflexology (54.5 + 6.8, 23.6 + 2.6) and in post test (54.2 + 6.7, 23.5 + 2.6) and z test value (−0.345, −0.575). Conclusion-The mean and standard deviation of psychological symptom anxiety and depression of patient with cancer before foot reflexology was (51.0 + 6.6, 26.1 + 4.0) respectively and after foot reflexology was (42.0 + 4.53, 16.5 + 3.2) and z test value −3.792, −3.928 in experimental group. While comparing the pre test score to post test score there was a reduction of score in post test so it was very highly significant (P<0.001).

Objectives: To assess the knowledge on cervical cancer and its preventive measures among reproductive age group women during pretest, to assess the effectiveness of video assisted teaching programme on cervical cancer and its preventive measures among reproductive age group women during post test, to find out the association between knowledge on cervical cancer and its preventive measures among reproductive age group women and selected demographic variables. Methods: Pre-experimental with One group pre-test - post-test design was adopted for the study. Result: The Study finding showed that 72% of them had inadequate knowledge, 28% of them had moderately adequate knowledge and none of them had adequate knowledge about the cervical cancer and its preventive measures in the pretest. During post test no one had inadequate knowledge, 21.2% of them had moderately adequate knowledge and 78.8% of them had adequate knowledge about the cervical cancer and its preventive measures. Conclusion: The present study reveals that the proper video assisted teaching programme on cervical cancer and its preventive measures surely improves the knowledge on cervical cancer and its preventive measures which will prevent the early complications among reproductive age group women.

Objectives: To assess the socio-demographic characteristics of the study adults, To assess the effectiveness of planned teaching programme on mosquito control measures to find the association between posttest knowledge level with their selected socio-demographic variables. Methods: A Quasi experimental study design was used for this study. A total 30 adults between the age group of 21-60 years. Data collection was done by door to door survey method using pretested structured interview schedule before and after health education program at Muthialpet, Puducherry. The tool contained demographic profile of participants, knowledge about mosquito control measures. Pre-test was conducted using structured interview schedule followed by the teaching program was administered by using flash cards, charts and discussion with them. After a week (7-days) post-test data was collected. Results were analyzed statistically using percentage, proportions and Chi-square test was applied. Results: The results revealed that, in pre-test most of them 96.7% had inadequate knowledge and 3.3% had moderately adequate knowledge. During posttest 40% had adequate knowledge, 50% had moderate knowledge and 10% had inadequate knowledge. Highly significant difference was found between pre-test and post-test score (p< 0.01). Conclusion: The study concluded that, Planned teaching programme regarding mosquito control measures has been effective in gaining knowledge among adults

Objectives: The main aim of the study was to assess the effectiveness of deep breathing exercise with incentive Spirometer on the respiratory status of patients who have undergone cardio thoracic and vascular surgery in selected hospitals of Puducherry. Methods: Research design used for the study was quasi experimental one group pre-test post-test design. The study was conducted on 30 patients who have undergone cardio thoracic and vascular surgery at Cardio Thoracic and Vascular wards of Mahatma Gandhi medical College and Research Institute (MGMC&RI), Puducherry and A G Padmavathy hospital, Puducherry. Stratified random sampling technique was used. Data collection tool consisted of demographic variables and assessment of respiratory status using Respiratory Rate, Modified Borg Dyspnea Scale, Peak Flow Meter and Pulseoxymeter. Data were collected by pre assessment questionnaire and observation method. The collected data was tabulated, analyzed and interpreted by using descriptive and inferential statistics. Result: The result showed that deep breathing exercise with incentive spirometer was highly effective among patients who have undergone cardio thoracic and vascular surgery. The obtained P-value 0.000 was highly significant at p <0.001% level. Conclusion: The respiratory complications are the major post-operative complications which reduce the projected outcome of most of the cardio thoracic and vascular surgeries. This study reveals that deep breathing exercise with incentive spirometer can improve the respiratory status of the patients who have undergone cardio thoracic vascular surgery to a great extent.

Objectives: To determine the relationship between morphometric parameters of intercondylar notch width (ICW) and the intercondylar height (ICH) with ACL measures of patients having ACL & Non ACL tear. Methods: The study included in experimental group 60 subjects with ACL injury and in Control group 51 subjects with no ACL injury. Experimental group subjects had the diagnosis of ACL rupture and the control group subjects had the diagnosis of Patellofemoral pain but no ACL lesion. The groups were matched on the basis of age and gender. Measurements were carried out using magnetic resonance imaging. (MRI) to analyze the morphometric parameters of ACL injured and Non ACL injured. Result: There is no significant difference found between the ACL and non ACL group based on their age, in contrast to gender as there was a significant difference at 0.00 level. Conclusions: Based on the findings of the study, it is concluded that aintercondylar notch morphometric factor may lead to rupture of the ACL.

Introduction: Tobacco consumption is perhaps the single largest cause of death. Around 20-25 years of them lost their productive life, leading to an irreparable loss of economic and human resource.¹ Objectives: To assess the knowledge, attitude and practice of women regarding hazards of tobacco consumption, to identify the health problem Methods: A descriptive design was used in this study. 60 women from urban and 60 women from rural was selected by using simple random method (Lottery method). Totally 120 women were selected for the study. Data were collected by using semi-structured interview questionnaire which consisted of questions related to Knowledge, Attitude, Practice Result: revealed that, in urban area 35% of the subjects were having average knowledge and 65% were having better knowledge on hazards of tobacco consumption. But in rural area the data showed that 25% were having average knowledge on hazards of tobacco consumption. Attitude and practice of tobacco consumption in rural and urban areas shows that in rural area 78.3% of the subjects were having uncertain attitude and 21.7% were having agreeing attitude where as in urban area the data shows that 68.3% of the subjects were having uncertain attitude and 31.7% were having agreeing attitude. As a result the investigator found that the rural women were having uncertain attitude when compared to urban area. Conclusion: The findings of this study showed that nurses has the responsibility in teaching and motivating regarding hazards of tobacco consumption among women in rural and urban area to prevent oral cancer.

Objectives: To assess the level of knowledge on cervical cancer among women with 30 years of age and above. Methods: The quantitative approach is used in this study. The research design selected for this study was descriptive research design. The study was conducted in St. Antony's Hospital, Madhavaram. The sample size was 30. Simple random sampling technique was used to select the samples for this study. Results: The findings of the study concludes that only 13.3% of samples had adequate knowledge about cervical cancer and there is a strong need for health awareness program to reduce the occurrence of cervical cancer in future.

Breaking bad news is if we do it badly, the patients are family members may never forgive us; if we do it well, they may never forget us. (Buckman, 1992)¹. ASCO survey identified several barriers to break bad news such as how to be honest with the patient and not destroy hope (55%), cannot deal with the patient's emotions (25%) and not find the right amount of time(10%).² Psychological Approaches of Breaking Bad News are ABCDE approach, SPIKES approach, SAAIQ - Emergency approach, IJPC approach and SAD NEWS approach³. SPIKES PROTOCOL Psychological approaches are the targets being done to correct the faulty behaviors and habits, along with damaging words, thoughts, interpretation and feedback that direct strategies for the daily living⁴. and it is often practiced by Psychiatrist, Psychiatric Nurse clinical psychologist, social workers and counselors. Breaking bad news in Psychological approach is a sensitive part of the health team member including physicians and Nurses need to be strong in effective therapeutic communication during the crisis situation⁵.

Tuberculosis (TB) is caused by bacteria (Mycobacterium tuberculosis) that most often affect the lungs. People infected with TB bacteria have a 10% lifetime risk of falling ill with TB. Tuberculosis (TB) is a top infectious disease killer worldwide. Over 95% of TB deaths occur in low- and middle-income countries, and it is among the top 5 causes of death for women aged 15 to 44.¹ Transforming our world: the 2030 agenda for sustainable development. It outlines global impact targets to reduce TB deaths by 90% and to cut new cases by 80% between 2015 and 2030, and to ensure that no family is burdened with catastrophic costs due to TB. WHO has gone one step further and set a 2035 target of 95% reduction in deaths and a 90% decline in TB incidence - similar to current levels in low TB incidence countries today². SDGs and End TB Strategy implementation will require very active engagement of all sectors and partners, from the highest level government officials to civil society. The ultimate goal of TB elimination requires that appropriate interventions are implemented everywhere and the underlying drivers are not only addressed, but sustainably addressed³.

The number of people with diabetes and pre-diabetes are exponentially increasing worldwide due to the population growth, aging, urbanization, unhealthy eating habits, increasing prevalence of obesity and physical inactivity. There are numerous type of diabetes which is not known by many health professions. It is very important to gain knowledge on recently diagnosed diabetes, this diabetes affects both children and adults. Thus this study explains about the some of the recent identified diabetes.