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July 2010 VOL. Cl No. 7

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TNAI, L-17, Green Park, New Delhi-110016 by 31 July 2010.

Those in service are requested to bring no objection certificate from their present employers.

No TA/DA will be paid to the candidates called for interview.

:: POLICY & POSITION STATEMENT :: RESOURCES & PUBLICATION :: THE NURSING JOURNAL OF INDIAMEMBERSHIP DETAILS :: ADVERTISE WITH US :: EVENT DIARY :: WHAT'S NEW :: SIGN OUR GUEST BOOK :: CONTACT US :: NURSE PLEDGE

Trained Nurses' As sociation of India (TNAI)

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has only 8 nurses per ten thousand population in comparison to Sri Lanka which has 14, Indonesia which has 13, Thailand at 37 and Maldives at 33.We have a nurse to population ratio of 1:1100 as compared to developed country averages of 1:150. It is also estimated that of the 10.35 lakhregistered nurses, active nurses pursuing the profession in the country are only around four lakhs.

It is also anomalous that there are more doctors than nurses in the country and for every 3 doctors there are 2 nurses. In comparison, in mostdeveloped countries, there are three nurses per doctor. There are also significant regional disparities in the location of nursing educationalinstitutions and availability of nursing personnel in the country. Over 60 percent of the nursing educational institutions are in Southern and WesternIndia whereas the greatest shortfall of nursing personnel is in the high focus states in Northern and Eastern India. We have a huge gap of around 10lakh nurses who need to be trained in a time-bound manner to meet the shortfall and to achieve the Bhore Committee recommendation of a nurse topopulation ratio of 1:500.

On a different note, it must be acknowledged that nursing is not perceived as an attractive professional option in many areas in our country. One iscompelled to introspect about the possible cultural and social reasons behind it. The government remains committed to enhance resources for health care and bring about reforms and convergence in service delivery. The efforts of the Hon'ble Minister of Health and Family Welfare haveresulted in a vastly enhanced allocation during the 11th plan period with a focus on increasing the overall availability of nursing personnel and anemphasis on sk ills upgradation for nurses.

While we readily perceive the role of quality nursing care in the provision of high-end private healthcare to our citizens and foreigners, it is oftenforgotten that it is the General Nursing and Midwives along with the Auxiliary Midwives and Lady Health Visitors who have been instrumental intaking preventive, promotive and rehabilitative primary healthcare services to the doorsteps of our citizens. It is they who are the face of our publichealth services in the vast reaches of rural India and provide vital maternal and child care health services to the community.

I once again congratulate the winners of the awards today for being role models in their communities and societies. I thank Shri Ghulam Nabi AzadSaheb for inviting me to this function today.



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service in India, thus around 4.00 lakh nurses are available to country at the present. Based on estimates made by different agencies, around9.55 lakh more nurses are required at the present rates. In order to meet the shortage of nurses and bring the availability of nursing personnel atpar with the developed countries where the nurse doctor ratio is 3:1, compared to 1:1.5, we have taken major initiatives over the past one year,one such initiative being introduction of a new scheme for upgrdation and strengthening of nursing services. The scheme envisages:

Opening of 132 ANM sc hools at an estimated cost of Rs.5.00 crores per school.

Establishment of 137 GNM Schools at an estimated cost of Rs.10.00 crore per school. Care will be taken to open schools in 230 districts,where there are no such schools at present.

14 State Nursing Councils are being strengthened at est imated cost of Rs. 1.00 crore per council.

14 Nursing Cells in Directorate of Health Services in the States are being strengthened at an estimated cost of Rs.1.00 c rore per State.

6 more Nursing Colleges are being opened at estimated cost of Rs. 20.00 crore per college.

In addition, there is a faculty development programme, that would ease the strained availability position of faculty. Not only are we providing fundsfor opening of new nursing schools/colleges, we are also facilitating their opening in many other ways. For example, we have relaxed the studentpatient ratio from 1:5 to 1:3, adopted a pragmatic approach in respect of faculty requirements and the qualifications and experience norms andthe upper age limit of faculty has also been relaxed. Similarly, super speciality hospitals have been allowed to start M.Sc. programmes withoutinsisting on having graduate programs; married females have been allowed admission in nursing course. Similarly, 100 nursing seats would beallowed to parent hospitals without insisting on a medial college. I would also like to mention in brief the great strides that have been made under the National Rural Health Mission which not only aims at providing accessible and affordable health services to the common man but has alsoopened opportunities for the health providers from specialists and doctors to other equally important, if not more, health professionals like nurses.I take this opportunity to appeal to all present here to take this message among the colleagues to encourage the nursing personnel also to jointhe team working in rural areas, where the real India lives, as was said by the father of the nation, Mahatma Gandhi ji. Before I conclude, I onceagain congratulate the awardees for their marvellous fete and advise the nursing community to emulate the model set by these gem of persons.Thank you.



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Mrs Gladyes Sanjay Massey : Working as a Nursing Sister in emergency department in Dr Hedgewar Arogya Sansthan, Delhi, she is well known for her dedicated services and skillful management inNeurology Intensive Care Unit, Burns, Causality and Tetanus Ward. She has received appreciation for her hard work and skillful management during disasters namely, fire at petrol drum at Jagatpuri, DMRCpillar collapse in Laxmi Nagar, LPG Cylinder Burst in Maruti Van at Geeta Colony, and Dengueoutbreak.

Mrs Joanita Noronha: A Staff Nurse working in Hospicio Hospital, Margoa, Goa for the past 30 years.She has been appreciated for her punctuality, readiness to work, trustworthiness and excellent softskills. She is known for good caring services to the patients in the hospital.

Mr K Iqbal Abdulrehman : Working as Staff Nurse in Shri Sayaji General Hospital, Vadodara, Gujarat,he made countless contributions during incidents of Plague epidemic (1994), Earthquake in Latur (1997), Surat floods (1998), Orissa cyclone (1998), Naphtha Tanker fire in Surat 1999, building collapse2008, Kutch earthquake 2001 and Godhra carnage. He was instrumental in raising funds throughcultural functions to buy ambulances and to help people in crisis and grief. He has organised severalcamps for blood donation, eye donation, wheelchair donation and treatment camps for corrective surgery

of 300 polio-disabled persons.

Mrs Ram Devi Mattoo : Working as Nursing Superintendent in Indira Gandhi Hospital and MedicalCollege, Shimla, she saved the lives of many and helped critically ill patients to full recovery. Therecovery of a child with burn injury on both legs with maggots to normal, skillful management of a homedelivery without complication, helping the needy and poor family for treatment are a few examples of her dedication. She is a pillar of support in healthrelated problems for the people and nurses working indifficult hilly areas.

Sister Sunitha Chirayath : She is a Staff Nurse in the District Hospital, Kannur, Kerala. Through her association with many charitable and non-charitable societies she has served many poor and helplesspatients in the hospital. She finds time to pay visit to jail captives to help them come back to normal life.

Mrs Kalpana Deepak Nagare: Working as Staff Nurse in Rural Hospital, Raver, Jalgoan, Maharashtra,she received immense appreciation for her best operation assistance in various Family Planning Camp

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services from 2001 to 2008. Her performance during communal riots in Raver (2008), flood relief activities in 2006, Gastro Enteritis epidemic (1998) and assisting in 1037 Family Planning surgeries arepraiseworthy. She was awarded Savitri Bai Phule Samaj Sevika Puraskar by Maharashtra Dalit Sahitya

Academy in 2000 and Bharat Ratan Baba Sahib Ambedkar Adarsh Adhikari Karamchari Puraskar in2000 by Maharashtra State. She has received appreciations from President, Municipal Council,Karamchari Kalyan Mahasangh, Nagpur and other organisations for her services to the community.

Mrs Lhingneilam Kipgen: She is working as Staff Nurse at Jawaharlal Nehru Institute of MedicalSciences, Porompat, Imphal, Manipur. Her passion towards care of HIV/AIDS people took her toformulate a project titled Continuum of Care Programme for HIV /AIDS cases in 1994, which was later implemented by the Govt of Manipur in partnership with OXFAM (India) and World Health Organisation(WHO). Her fight against AIDS is still continuing in far flung remote hills, through activities of SarvaShiksha Abhiyan and Integrated Rural Management Association, Nehru Yuva Kendra Sanghatan,Fundamental Baptist Fellowship and the New Life Crusaders.

Mr Surendra Singh Bankawat: Staff Nurse in Sawai Man Singh Hospital, Jaipur, he came as an angelto save life of his neighbour girl Muskan, 9 years old, who after electrocution became unconscious andwas declared dead by Apex Hospital, Jaipur. When the family was grieving, Surendra was assessingMuskan for signs of life and immediately started cardio-pulmonary resuscitation and arranged for oxygen administration. As Muskan had hiccup, he immediately got her shifted to ICU of SMS Hospital.He was awarded State Merit Certificate by the Honble Governor of Rajasthan.

Prof. M. Vijayalakshmi : Working as Nursing Superintendent at Sri Ramakrishna Hospital,Sidhapudur, Coimbatore, Tamil Nadu, she started Department of continuing education and improved thecentral sterile department. Her contributions in care of victims of serial bomb blasts in February 1998and Tsunami in December 2004 at Coimbatore are highly appreciated. She provided free food to patientsof burns and operated cases of cleft lip and c left palate in the camps organized by Rotary Club.

Mrs Indra Wati : She is presently working as Lady Health Visitor (LHV) at ESI Hospital, Panipat. Sheis recipient of many citations and awards for her outstanding services in implementing the familyplanning and immunisation programmes in the year 2008 and 2009. Her initiative, interest, motivationand commitment in providing quality nursing services are highly commendable.

Mrs Mongjam Thaba Devi : She made significant contribution as a voluntary care provider to children,old people and clients suffering from sexually transmitted infections. She organised voluntarily a healthcamp for Hepatitis-B vaccination to 300 children from October 1998 to March 1999 and bore theexpenditure. She is known for donating books, food, clothes, cash and providing various servicesregularly to dest itutes, leprosy home and old age home.

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Mrs Kesang Youden Bhutia: Lady Health Visitor at Rangpo, Sikkim having 33 years of experience,she leaves no stone unturned to achieve 100 percent success in every health camp and programme. In1989, she was awarded Gold Medal and Certificate of merit in recognition for her selfless, dedicated anduntiring service to the people of her village by National Immunisation Mission.

Mrs Gauri Lama : She is a well known person for people of Malda District in West Bengal. Renovationof a sub-centre and construction of another subcentre by convincing and motivating the concernedGram Panchyat Pradhan are the success stories of her initiation and leadership qualities. Her untiring

services in flood-prone area of Malda District have been greatly appreciated. She is instrumental inmotivating the mothers for institutional deliveries.

Mrs Manika Roy: She is a sincere and dedicated Lady Health Visitor in Udaipur area of Tripura state.She is best known as a social worker. She has been promptly reacting and caring for patients sufferingfrom communicable diseases, accidents and disaster victims. She is an active member of HepatitisFoundation s ince 2003.

Mrs Shanti Teresa Lakra: She is an ANM posted at subcentre in Dugong Creek, a remote island inLittle Andaman. Being the only single medical staff, she performed medical and health care services to

Ongee Tribes. When Tsunami washed almost all parts of this island she bravely performed her dutiesstaying with Ongees adjacent to jungle in an open tent for more than two years. She rendered allpossible efforts to sustain li fe of the people, supplies and medicines.

Mrs Anasuyamma: She started her career in remote rural areas as Junior Health Assistant (Female),and has put in 21 years of service as an ANM in Karnataka state. She has won admiration of thegeneral public and the supervisory staff. She is wonderful team mate, a dedicated social worker, andalways a front line worker in delivering maternal and child health services.

Mrs AP Subadra: A Junior Public Health Nurse, she is looking after the tribal people at Pakkom,Pulpally, Kerala where many areas are inaccessible by road. Her determination and dedication toprovide health care and sanitation services to the people, educational activities for school children areappreciable. Her contribution in c ervical cancer project in ass ociation with Malabar Cancer Care Society,

Adolescent Health Programme of Lions Club etc. has been widely appreciated.

Mrs Annapurna Tiwari: A dedicated ANM, she is actively involved in providing health care services tothe people of Indore at the age of 75 years. She has made remarkable contribution in habitat

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improvement project of Overseas Development Administration, Family Planning programme inassociation with local community and NGOs. She was honoured by Authoress Club for her dedicatedservices especially for Family Welfare and Immunisation. Her message Tilak Holi to save water for thecommunity was well publicised in media. She was felicited as my woman of Indore by FM Radio in2009.

Mrs Binapani Sethy:: She is an ANM, working at Kakarudrapur, sub-centre Khordha, Orissa. Shespent five years in Nuapada an interior remote difficult hilly area. She was the first person to notice and

report the cases of fever with joint pain in her village, in 2001, which later turned out as an epidemic of chikinguniya. She is appreciated for her soft skills and enthusiasm to learn more. She was honoured for her excellent achievements in the Welfare Programmes of Mother & Child on International WomensDay-2008 by Distric t Administration, Khordha in Orissa.

Mrs Nirmala Pandey: She is a sincere Auxiliary Nurse Midwife working in Uttarakhand. Her contribution in implementation of National Health Programme has been appreciated by the community.She is honoured for her sincere, committed and and honest services.



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Seated on the dias (from left) Mrs. Annie Kumar, Mrs. Sheila Seda, Dr. Bimla Kapoor, Mr. A. B. Kulkarni, Prof G. K.Sharma, Miss K. K. Gulani and Mrs. Santosh Yadav.

assisted by students, felicitated the chief guest and the dignitaries gracing the occasion. Presenting a birds eye view of life of legendary Florence Nightingale, Mrs Annie Kumar, President, Delhi State Branch, TNAI, cited many examples from her lifedemonstrating her vision and inherent zeal to mitigate the sufferings of the ailing.

The chief guest and other dignitaries present at this occasion lighted the lamp and paid floral tributes to Florence Nightingale. Mr AB Kulkani, President TNAI & CNF Board Member, South Asia Region, after sharing his views on IND celebrations, referred to theefforts of TNAI in contributing to the national health goals set by the Government from time to time. An educated and empowerednurse can bring better results, he said. The occasion provides an opportunity to the nurse professionals to rededicate themselvesto the cause of the suffering, the ailing and the ageing, he added.

Unfolding the theme of International Nurses Day Delivering Quality, Serving Communities: Nurses Leading Chronic Care. Ms KKGulani, former Treasurer TNAI, quoted and drew attention to the fore many challenges before the nurse professionals in the currentenvironment. Citing the statistics she said, though the ratio of nurse was quite low, yet they are doing their best in treatment andcure of the patients all over. She also suggested how with improved skills, nurses can improve the quality of service being providedby them.

Among others, the student nurses from Lady Reading Health School, Bara Hindu Rao in uniform, made their presence prominentin reciting the Nightingale Pledge being led by Dr Bimla Kapoor, Director, School of Health Sciences at IGNOU.

Release of a book, Essentials of Health Economics for Nurses by Ms AT Kora, Nursing Superintendent at St Stephens Hospital

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by Mr AB Kulkarni and Prof GK Sharma. A variety cultural programme was presented by students from various colleges andschools of nursing, were other features of the function. Vote of thanks was proposed by Mrs Nanthini Subbiah, Dy Secretary-General, TNAI.

The programme, part-sponsored by Reed Elsevier India Pvt Ltd, was held in LHMC auditorium.

Prof. Kiran Walia, Honble Health Minist er of Delhi; Mrs. Satish Chawla, CNF Vice President & Ex President of TNAI; Mr. T. DileepKumar, Nursing Advisor, Govt. of India & President, Indian Nursing Council alongwith other members sent messages on the eve of International Nurses Day Celebration.

12 3

4 5 6

PHOTO CAPTIONS:

1. Invocation song by Student Nurses from Lady Hardinge College of Nursing, NewDelhi.2. Lighting of the lamp by Prof. G. K. Sharma alongwith Mr. A. B. Kulkarni and Dr.Bimla Kapoor.3. Floral tribute by Mrs. Sheila Seda alongwith other senior nurses.4. Mrs. Santosh Yadav felicitating Miss K. K. Gulani.5. Student Nurses from Lady Reading Health School recit ing the NightingalePledge.6. A view of the audience.7. Mr. A. B. Kulkarni and Prof. G. K. Sharma releasing a book.


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L LTrained Nurses' As sociation of India (TNAI)

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Registration Fee 300/- 300/- 200/- 500/-

Boarding, Lodging and Transport (Per Day) 500/- 500/- 400/- 600/-

Late fee 500/- 500/- 300/- 700/-

Sight seeing To be announced later

-Refund of the Conference Registration Fee will be made only if cancellation information reaches the Registration Chairperson inadvance: One month before the Conference 75%; 15 days before the Conference 50% and no refund thereafter. Registration fee

is not refundable. Last date for Registration is October 15, 2010. After which late registration fee will be c harged.

The Registration fee and other charges should be sent in advance through a Demand Draft drawn in the name of TNAI NationalConference payable at Ernakulam . The Registration form along with the payment and a self addressed stamped envelope (Rs.10/-) should be sent to Sr. Ivan, Chairperson, Registration Committee, Principal, St. Josephs College of Nursing, Dharmagiri,Kothamangalam-686691, Kerala. Ph. No. 09747232113.

Arrangement for stay will be made in respect of only those delegates who submit the registration form alongwith the requiredcharges by the closing date of registration. The registration form can be obtained from the TNAI Headquarters, L-17, FlorenceNightingale Lane, Green Park, New Delhi-110016. However, members are free to use typed or photocopies of this form.

No accommodation will be given to those registering late. On the spot registration will be allowed but accommodationwill not be given unless intimated to the Chairperson, Registration Committee in advance within the deadline (October 15, 2010).

N.B.: (i) The State SNA Vice Presidents and SNA Secretaries are required to attend the House of Delegates and the Conferenceas observers, no other SNA members, apart from these two SNA Office bearers, should attend this Conference. However, there isno ban for local SNA members for attending the Conference, provided such an arrangement is made with the ConferenceRegistration Committee. (ii) No accommodation arrangement will be made for families friends/relatives/accompanying participatingmembers. They have to make arrangements on their own. However, the members concerned in such cases may get information for accommodation facilities available in the ci ty by writing to the Chairperson, Registration Committee.



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Description of Exhibition Topics (Poster P resentation)

Division & Section Topics Special Awards

I. Teaching Aids (Posters) :

(a) Anatomy & Physiology(b) Hygiene First Aid(c) Community Health

(d) General Nursing Procedure

(a) Structure of Heartb) Cardiac Pulmonary Resusc itation(c) Ways and means to achieve MDG 3 (promote gender

equality and empower women)(d) Patient Monitoring Technologies - Nurses Role

Miss A Cherian, RollingShield

Mrs. Pramada Bajaj ShieldJayadeb Chatterjee Shield

II. Innovative Approaches in:

(a) Medical Nursing(b) Surgical Nursing(c) Paediatric Nursing(d) Psychiatric Nursing(e) Primary Health Care

(a) Nurses role in promotion of patient safety(b) Care of patient with colostomy(c) Neonatal resuscitation(d) Nurses responsibilities in c are of patient with dementia(e) Urbanisation and Health

Steedmans Cup

III. Changing Concepts in:

(a) Obstetrics & Obstetrical Nursing(b) Midwifery

(a) Emergency Obstetric Midwifery Care

(b) Skilled Birth Attendance Process

Dettol ShieldMrs. Harriet Chabook

Shield

IV. Growth of Nursing in India (a) Quality Nursing Pract ice: A Challenge(b) Strengthening Midwifery practices for Safe Motherhoodin India(c) Role of Auxiliary Nurse Midwives in National RuralHealth Mission.(d) Shared Governance in Nursing(e) Amalgamation of Nursing Education & Practice

Mrs. K. S Ratra Shield

V. Perspective of TNAI (a) NJI 100 Years: Vision for next century(b) TNAI projects: (Central Institute of Nursing & ResearchCentre /Elderly Care Home : My responsibility)

Dr. Jeevraj Mehta Shield



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Chairperson Sr Rose Vypana, Community Health Department Head, LHM Hospital, Bharananganam, Kottayam-686578.Mobile: 9447284760

Co-ChairpersonsMr Biju SV, Jyothi, Veeralam, Attingal PO, Trivandrum. Mobile: 9447501775

Sr Suma, Principal, Lourde College of Nursing, Ernakulam. Mobile: 9496002220

Conference Minutes

Chairperson Smt Usha Marath, Principal, Lisie College of Nursing, Ernakulam. Mobile No9497039262

Co-Chairperson Prof VJ Mariakutty, Principal, College of Nursing, EMS Co-operative Hospital, Perinthalmanna, Malappuram.

Mobile No 9947290371Entertainment Committee

Chair Person Dr Reetha Devi S, Principal, College of Nursing, Kerala Co-operative Hospital, Nettoor PO, Thalasserry,Kannur. Mobile: 9847757001

Co-Chairperson Ms Lijimol Chacko, Lecturer, College of Nsg, Amritha Inst of Medical Sciences, Ponekkara PO, Kochi.

Press and Publication

Chairperson Mr Roy K George, Principal, Theophilus College of Nursing, MGDM Hospital, Kangazha, Devagiri, Kottayam.Mobile: 9447208669

Co-Chairperson Mr Biju S, Sr Lecturer, SME, TD Road, Ernakulam. Mobile No 9747123518

Health Committee

Chairperson Mrs Philomina, Associate Professor, Lissie College of Nursing, Ernakulam. Mobile No. 9446211516

Co-ChairpersonMrs Sathi Mohan, Principal, PVS School of Nursing, PVS Hospital, Ernakulam. Mobile No 9495162228

Mr Aboobacker, Govt School of Nursing Beach, Kozhikode, Mobile: 9846339291

Accommodation Committee

Chairperson Dr Sr Mary Lucita, Principal, SME, INE, Angamaly. Mobile: 9847347445

Co-Chairperson Mr Anfal Mithu, Lecturer, INE, SME, Angamaly. Office No 0484-2455946

Catering Committee

Chairperson Sr Doris, Principal, Holy Cross College of Nursing, Kottiyam, Kollam. Mobile: 9349455019

Co-ChairpersonsMrs Nirmala, Lecturer, INE,SME, TD Road, Ernakulam. Mobile No9446740948

Sr Vida, Nursing Superintendent, Lissie Hospital, Ernakulam. Mobile No. 9895756168

Transport Committee

Chairperson Sr Rubeena , Principal, Samaritan College of Nursing, Pazhaganadu, Aluva. Office No. 0484-2681450

Co-Chairperson Sr Marylet, Nsg Suptdt, Samaritan College of Nsg, Pazhaganadu, Aluva-683562. Office No. 0484-2681450

Sight Seeing

Chairperson Mr Ragee Raghunath, Principal, Amala College of Nursing, Thrissur. Mobile No. 9446606101

Co-Chairperson Mr Riyas KM, Sr Lecturer, Govt College of Nursing, Thrissur. Mobile No. 9495837181

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Exhibition Committee

Chair Person Prof Leelamma B, Principal, Aswini College of Nursing, Thrissur. Mobile: 9447290530

Co-Chairperson Sr Victrina Kavungal, Ward Incharge, Holy Cross Hospital, Kottiyam, Kollam. Mobile: 9961596167

Souvenir Committee

Chairperson Mrs Alice Daniel, Principal, Malik Dinar College of Nursing, Kasargode. Mobile: 9995892388

Co-Chairpersons Mrs Beena Basan, Principal, Pushapagiri College of Nursing, Thiruvalla. Mobile No. 9895837229

Election Committee

Chairperson Prof SA Samuel, BN 395, Babuji Nagar, Medical College PO, Trivandrum.Co-Chairperson Smt Saralabhai TK, Vysakh, 89, Chempaka Nagar, Oottukuzhy, Trivandrum. Mobile: 9446414881

Steering Committee

1. Prof Chandrakanthi C 2. Prof Salomey George 3. Prof SA Samuel 4. Smt Saralbhai TK 5. President - Dr KochuthresiammaThomas 6. Secretary - Prof Valsa K Panicker



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factors of CAD and introduction of earlylife style modifications in schoolcurriculum. By identifying risk factorsamong adolescents, the necessarymodification in life style can beintroduced early.

Objectives

This study sought to :

The author is Lecturer, LT College of Nursing, SNDT Womens University,Mumbai.

adolescent age group i.e. 13- 18 years of age in the Malvani area.

Sample: School children studying inselected municipal and private school inMalvani area.

Sample size: 600 students studying in7th, 8th and 9th s tandards of theselected private and municipal school.

Though the total strength was 600, only591 students were present during thedata collection period.

Criteria for sampling: Stu

administered first. Later, students height,weight, BP, HR, waist and hipcircumference were measured andrecorded. Auscultation of the heart andlungs was done. The BP of students withhigh BP was checked 3 times. Bodymass index and waist-hip ratio werecalculated.

Serum cholesterol levels were checked.

For those who had abnormal findings,cardiologists examined the children

who had abnormal findings. The studentswere then given health education aboutCAD, its risk factors and importance of lifestyle modification. On the day of

cardiology consultation, mothers wereeducated about CAD, its risk factors andneed for lifestyle modification in thefamily. Data regarding 24 hours foodintake, amount of oil used for cooking,family history of diseases were collectedfrom the parents.

Findings of the Study

Demographic Data: Among the 591samples, 511(86%) samples belonged tothe age group of 12-14 years and

80(14%) were of 15-17 years. 57 percentof the samples were male and 43percent of them were females. 40percent of the samples were Muslims,35 percent Hindus and 25 percent of them were Christians.

Risk Factors: In relation to heredity asrisk factor, 29 (5%) had positive familyhistory of heart disease among parents(first generation blood relation), 43 (7%)

based on the following normal values:

Female w/h = 0.8 is normal and >0.8increases the risk of CAD. Males w/h =

1 is normal and >1 increases the risk of CAD.

In this study, 99 percent of the femaleshad a w/h ratio >0.8, this can beattributed to their physiological changesduring adolescence and puberty.

Among male students, only 15 percenthad a w/h ratio >1.

Dietary Habits

Only 16 percent (93) of the sampleswere vegetarian whereas 84 percent of the sample consumed non-vegetarianfood. On an average 42 percent of thesample consumed less than one vativegetable per day, whereas only 5percent of the sample consumed non-vegetarian food more than 1 vati per week.

Fast food intake: 71 percent of the

consumed fruit was Banana (61%).

Habits: Active smoking was reported byonly one sample whereas 14 percent of

them had passive smoking. Pan chewingwas reported by 2 samples whereas 60percent of the children drank tea/coffee 2-3 cups a day.

Activity: Majority of the sample indulged inindoor activities; 23 percent of them spentmore than 7 hrs/week in indoor activities,20 percent of them watched TV more than2 hrs/day. 34 percent of them spent 2 hrsin reading and 38 percent of them likedlistening to music for 1 hr/day; 12 percentof them spent 1 hr daily on Computers

whereas 81 percent spent more than 2 hrson Computers, 31 percent of them playedCarom and 17 percent played Chess for less than an hour.

Outdoor Activity

Of the total sample, 24 percent spent lessthan 7hrs/week for outdoor activities; 32percent of them brought groceries for

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had history of diabetes mellitus (DM) intheir family and 36 (6%) had familyhistory of hypertension.

Body Mass Index (BMI): Body massindex analysis was done based on thefollowing parameters:Normal: 18-23Overweight: 23-29Obese : >30

Among the 591 samples 76 percent of the samples had BMI below18(underweight), 20 percent had normalBMI and 21(4%) had BMI between 23-29(overweight) and 2 samples had BMIgreater than 30 (obese).

Waist hip ratio was analysed

samples consumed fast foods daily. Thecommonly consumed food items wereVada Pav (82%), potato chips (60%),Samosa (56%), Kurkure (55%), PavBhaji (52%), Noodles (30%), Burger (29%), Pizza (23%), and Popcorn (5%),Cold drinks (58%), fruit juices (30%).Majority of the parents were not awareabout the intake of fast food of their children.

Consumption of oil for cooking: Only 12percent of the parents used oil less than3L/ month for a family of 5.54 percent of them reported the use of 6L/month. 6percent used 6- 9L/month and 3 percentused 9-12L/month.Intake of fruits: Majority of the sampleconsumed seasonal fruits daily. Themost commonly

home, 22 percent of them played cricket,20 percent of them played football, andgirls did dancing (22%) and sk ipping(18%) as physical activity.

Factors perceived a s Stressful Schoolenvironment : For 38 percent of thesamples, Exam was the most stressfulfactor. 53 percent of them found

assignments stressful, competition amongfriends was stressful for 20 percent of thesample whereas 18 percent of thesamples agreed that tuitions were stressinducing.

Home environment: High expectations of parents was stressful

to 36 percent of them, alcoholic parentscaused stress for 11 percent, 5 percentof them felt sibling rivalry as stressfulwhereas 7 percent of them foundparental quarreling as stressful.

Stress related symptoms: Major stressrelated symptoms experienced by thestudents were head ache (55%) followedby abdominal pain (26%) and blurring of vision (25%).

Prevalence of Coronary Artery RiskFactors: 67 percent of the sample wasfound to have 3 or more risk factors of CAD whereas 22 percent of them had 2risk factors and 11 percent of them had 1risk factor.

Remedial Measures Sought: All thesamples that were overweight and hadhigh BP, Scholesterol test were advised.

The cholesterol value ranged from 150-220 mg/dl. The cardiologist examinedthem and advised further tests like renalfunction test (RFT) and thyroid functiontests. One boy with very high BP wasdiagnosed to have arterial thrombosis.

Conclusion

The study highlights the risk of theadolescents to the need of the hour today is to educate the community,regarding prevention of CAD. Every nurseshould make it her mission to teachfamilies specially mothers and childrenregarding life style modifications so thatfuture epidemic of CAD can be prevented

References

1. Czar ML, Engler MM (1997). PerceivedLearning ne eds of patients with coronary arterydisease. Heart Lung, 26 (2) March-April 2. Gup ta R,Sarna Mental (2007).

Fasting gl ucose levels and c ardiovascular risk

factors in an urban population: Journal of the Association o f Physici ans of India, Octob er Vol. 553. Skeinner JS, Cooper A, Feder GS (2007).Secondary prevention in patients after myocardialinfac tions: A summary of NICE guida nce, HeartJuly, Volume 93(7)4. Thatte AV (2006). Preparation & Evaluation of anInformation Booklet: Lifestyle Modifications inPatients Diagnosed with Coronary Artery Disease,Unpublished dissertation for masters in Nursing,SNDT Womens University.

Acknowledgement

Special thanks to (1) (Msc Nursing) my

students Ms Anita Z, Ms Juliet J, MsJyoti, Sr Shanty, Ms Pearl Fernandez, MsRajani S, Ms Tini J & Ms Veena V for their contribution towards this study as aproject for CH Nsg Post ing. (2) Specialthanks to Dr P Kelkar, Prof & Head of Cardiology, KEM Hospital & his team of doctors for their timely help. (3) Dr EJStephen, Director, Lok Hospital, for histimely financial help towards this s tudy.

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Ms Soumya Sonalika, Asst Lecturer, SUMNursing College, Bhubaneswar

Chairperson, Nursing Education &Research

Ms Debajani Nayak, Asst Lecturer, SUMNursing College, Bhubaneswar

Ms Manaswini Biswal, Asst Lecturer, SUMNursing College, Bhubaneswar

Chairperson, Nursing Service Section Mrs Renuka Das, Staff Nurse, Hqrs Hospital,Sambalpur

Mrs Minati Das, Staff Nurse, Capital Hospital,Bhubaneswar

Chairperson, Socio- EconomicCommittee

Mrs Nalini Prava Das, Principal Tutor, ANM TC,Jagatsinghpur

Mrs Basanti Jena, Sis ter Tutor, Sc hool of Nursing, SCB MCH, Cuttack

Representative ANM / FHS Section Mrs Kamala Panda, PHN Tutor, Health Worker (F) TC, Puri

Mrs Sandhyarani Sahu, Staff Nurse, MKCGMCH, Berhampur

* The contents, as per TNAI Byelaws Page 50, Clause 11(I) Election Procedure (g) contestants are requested to give consent inwriting to the Returning Officer and the choice of the office in case they nominated for more than one office

1 Election will be held in the General Body Meeting on August 28, 2010, between 10 am to 1pm at Conference Hall, SNC,SUM Hospital, Bhubaneswar.

2 Only Life members of TNAI are eligible to vote.

3 All the Voters are requested to bring their voters card/receipts of TNAI membership issued by the TNAI Headquarters alongwith Photo identity (Election card /PAN Card/Driving License) before entering the hall for voting.

4 No one shall be allowed to vote before or after the scheduled time of voting.

5 The Provisional Ballot Paper is published only for the information of the members A separate Ballot Paper will be provided for voting.

6 As per Clause 11(I) Election Procedure (g): contestants are requested to give their consent in writing to the ReturningOfficer and the choice of the office in case they are nominated for more than one office

7 Name of contestants who have not given their consent in writing to the Returning Officer will be deleted from the final BallotPaper.

8 It is expected that the Voters/Members are well versed with the TNAI Rules and Regulations and Byelaws A copy of the sameshall be available with the Returning Officer for ready reference.

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9 As per TNAI Byelaws, Clause 111(i): names of all contestants standing for the President and Vice-President areincluded, for other offices, the name of three contestants who received the highest nominations or minimum five nominations areincluded in the final ballot paper 10 The person so selected for a particular office at branch level shall hold the office for the fullterm (four years) and shall not contest and cross to another office prior to completion of the term of her/his exis ting enlacedoffice

11 The Returning Officer should be approached for any query or doubt about the election.

12 Any contestant wishing to withdraw from any office of contest should inform the Returning Officer 20 days prior to the election

date in writing at the following address: Ms Nayan Tara Dei, Returning Officer, TNAI Orissa State Branchs election-2010,Ashray, Arunday Market, Arunday Naga r, Cuttack-12, Orissa



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Dy Secreta ry-General & Coordinator, CEP, TNAI



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Chengalpattu Government College of Nursing,

Chengalpattu (TN) : Inauguration of BSc (Nursing)programme and lamp lighting ceremony of Basic BSc batchstudents was held on 16 Dec 2009. The programme wasinaugurated by Thiru VK Subburaj, IAS, Principal Secy, H&FWDept, Govt of Tamil Nadu as the chief guest. After the prayer song, welcome speech was given by Mrs N Sathyanarayani,Nsg Tutor of the College. Dr Shanmugam, Dean, ChengalpattuMedical College presided over the function. Prof Dr Vinayagam, MD, Director of Medical Education, Guest of honour, opened the Nightingale photo. Lighted lamps to thefreshers were distributed by Mrs P Sarojini, Jt Director of Medical Education (Nsg). Nightingale Pledge was recited by Dr Prasannababy, Principal of the College of Nursing, who also

presented the college report. Nursing faculty of College of Nursing, School of Nursing, and Chengalpattu Medical Collegeand Hospitals, besides students and parents attended theprogramme. Chief guest emphasised the importance of lamplighting in nursing profession which removes the darkness inhealth care. After culturals, Mr R Shanker Shanmugam, NsgTutor, proposed the vote of thanks. The programme concludedwith the national anthem

BLDEAs Institute of Nursing Scie nces, Bijapur, Bel gaum :The cultural programme, Milan 2010 Together lets rocktill wedrop was organised on 11 Feb 2010. Prof Sudha A Raddi,Chief Guest, graced the occasion. The function was presidedover by Shri GA Kshirasagar, Principal. SNA Advisor, Mr Dileep Natekar was also present. The programme began withinvocation followed by lighting of the lamp to mark the start of Milan 2010, which was anchored by Mr Shireesh Shindhe,Lecturer, Ms Frincy Francis, and Mr Mahaveer Kore, both AsstLecturers. The winners of various sports and cultural eventswere given prizes. A sumptuous dinner was served at the endof the annual day celebrations.

:: POLICY & POSITION STATEMENT :: RESOURCES & PUBLICATION :: THE NURSING JOURNAL OF INDIAMEMBERSHIP DETAILS :: ADVERTISE WITH US :: EVENT DIARY :: WHAT'S NEW :: SIGN OUR GUEST BOOK :: CONTACT US :: NURSE PLEDGETrained Nurses' As sociation of India (TNAI)

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containing salt in the proportion of a teaspoonful to a pint. Soapy water may be used instead if something st ronger is needed. For youngbabies one or two ounces is sufficient, and for those of two years two or three times this amount. For emptying the bowel a soap stick is alsoserviceable in many instances. It consists of a smooth conical stick of firm Castile soap, two or more inches long, half and inch thick at thebase, and tapering toward the other end to the thinness of a bout one-quarter of an inch. It should be greased with Vaseline before using it,inserted part way into the bowel, and held thee until a t endency to an evacuation shows its elf.

(condensed from The Care of the baby, by J.P. Crozer Griffth, M.D.

Nursing Journal of India, July 1910, Page 127



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However, with the work still ongoing, we look forward to the generous donors like you to continueproviding support for this noble endeavour. I reiterate at this juncture, my dear friends, that TNAIis a non-profit, philanthropic organisation, and does not undertake any commercial activity. Itdepends solely on the membership contribution and donations from wellwishing individuals andorganisations. We dont have any regular in-flow of funds to meet the expenses for executing theprojects. Giving shape to such big projects is poss ible only with help from like-mindedindividuals, corporates and bodies.

Staff Accommodation Block

We therefore avidly look forward to continued financial help from you, in your individual capacity in particular and from the nursingcommunity in general. My appeal to each of you kindly donate generously towards the cost of construction of windows/ doors or tiles (which costs Rs. 1250 per sq ft), in your or in your spouses or family member or near & dear ones name or in organisationsname. We solicit monetary contributions from you in multiples of Rs. 1250, which shall be acknowledged, apart from sense of having made sterling contribution for a noble cause.

I believe, you shall respond affirmatively to this appeal and also convince others to follow suit by donating for this noble cause. Theremittances in the form of cheque/ demand draft should be sent to: The Trained Nurses Association of India, L-17, FlorenceNightingale Lane, Green Park Main, NEW DELHI - 110 016.

Note: Donations to TNAI are exempt from Income Tax under section 80G of Income Tax Act.

Sheila Seda

Secretary General


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