Research designs are procedures for collecting, analyzing, interpreting, and reporting data in research studies. They represent different models for doing research, and these models have distinct names and procedures associated with them. Research designs are useful, because they help guide the methods decisions that researchers must make during their studies and set the logic by which they make interpretations at the end of their studies. Once the researcher has identified that the research problem calls for a mixed methods approach and reflected on the philosophical and theoretical foundations of the study, the next step is to choose a specific design that best fits the problem and the research questions in the study.

This brief review hopes to provide basic information about Scrub typhus a zoonotic disease, definition, epidemiological determinants, causes, mode of transmission, incubation period, description of pathology, signs and symptoms, diagnostic evaluation, management include medical, nursing and prophylactic treatment, prevention and health education. Correct and timely recognition of these zoonotic diseases help to prevent the further complications.

Breastfeeding is the best method of infant feeding because human milk continues to be the only milk which is tailor-made and uniquely suited to the human infant. All mothers should be encouraged to breast-feed their infants. When a mother, for some reason, is unable to feed her infant directly, her breast milk should be expressed and fed to the infant. If mother's own milk is unavailable or insufficient, the next best option is to use pasteurized donor human milk (PDHM). India faces its own unique challenges, having the highest number of low birth weight babies, and significant mortality and morbidity in very low birth weight (VLBW) population. Human Milk Banking Association should be constituted, and human milk banks should be established across the country. National coordination mechanism should be developed with a secretariat and technical support to follow-up on action in States. Budgetary provisions should be made available for the activities.

All people are no more than stories. Stories they tell themselves and others, and story of others will tell about them in the Tidal Model, we help people reclaim the stories of their Break down, their distress and their difficulties, so that, once again, they can own their experience. By talking about themselves, people become more aware of how they are =living\' and perhaps, by =doing whatever needs to be done\', they might move beyond their problems, into a new story of their own making.

Kawasaki's disease is otherwise called as mucocutaneous lymph node syndrome\' is a rare childhood illness that harm the coronary arteries. Kawasaki disease is caused by streptococcal/staphylococcal infection. It is manifested by fever, non puritic rashes, conjunctival infection, strawberry tongue, erythematous hand and periungual desquamation. It is treated with IV immunoglobulin and NSAIDS.

With a view to assess the effectiveness of self instructional module on home care management of patients with permanent pacemaker, a quasi experimental study with a quantitative approach was undertaken on 58 patients with permanent pacemaker. Purposive sampling technique was used in selecting permanent pacemaker patients. Prior to implementation of self instructional module the patients with permanent pacemaker had poor knowledge, whereas after implementation of self instructional module the patient with permanent pacemaker knowledge significantly improved with the difference of mean percentage revealing effectiveness of self instructional module. It was also found that the patients with permanent pacemaker were not aware of the importance of home care management.

Blood can save millions of life, and Young people are the hope and future of a safe blood supply in the world. India needs about 6 to 7.5 million units of blood annually and every year there will be a gradual increase in this demand. National blood donation policy of India highlights on the need of supplying safe and quality blood to the need through collecting blood from regular voluntary blood donor. To assess the pretest and post test score regarding knowledge on blood donation, to evaluate the effectiveness on knowledge of blood donation among higher secondary students, to find out the association between the posttest knowledge score with selected demographic variables. The investigator used quasi-experimental research design for one group pre test& posttest. Simple Random Sampling Technique was used. Sample size 100 school students. The investigator used planned structured teaching programme to assess the knowledge of blood donation among school students. The conceptual framework selected for the this study was based on modified General System Model - Ludwig Von Bertalanffy (2011).The data was analyzed by using descriptive and inferential statistics, paired =t\' test used for structured teaching programme. In this group of students pretest known mean score 12.31 and SD 2.452 and posttest mean score was 22.84SD 2.272 and =t\' test value 29.11 at the significant level of P<0.05 tabulated value 1.98. so hypothesis was accepted and STP effective.

Pregnancy is one of the most memorable movements in the life of women. Nowadays it is more common to find many antenatal motherscoming under the category called -high risk pregnancy. Globally considering the incidence rate of high-risk pregnancy keeps on increasing due to many factors like life style pattern, diet and also due to idiopathic causes.3 Maternal mortality rate is also higher among high risk pregnancy. The main aim of the study was to assess and compare the prevalence of High Risk Pregnancy among Primi and Multi gravida women. Descriptive research design was adopted for the study. Primi and Multi gravida women who were under high-risk pregnancy and those who fulfill the inclusion criteria were selected as samples. The study finding shows that the prevalence rate of Primi gravida women were higher than Multi gravidwomen.

The aim of this study was to assess the burnout among orthopedic nurses. Totally 30 sample were selected by using simple random sampling methods in orthopedic ward. The result revels that in relation to Emotional exhaustion majority 26(87%) of them had low level of burnout, 4(13%) had moderate level of burnout and none of them had high level of burnout. With regards to depersonalization majority 17(57%) of them 17(57%) had moderate level of burnout, 13(43%) had low level of burnout and 6(20%) had high level of burnout. With respect to Personal achievement majority 15(50%) of them had high level of burnout, 7(23%) had low level of burnout and 2(7%) had moderate level of burnout.