Background: More than 1.4 million people all over the world are suffering from infections acquired during hospital stays . Awareness regarding infection prevention and control techniques are important to reduce the burden of such infections, ensuring better quality healthcare. Infection control education is a core component of infection control programs. Objectives: To assess the knowledge and awareness of Medical students in a tertiary care teaching hospital in Central India and to evaluate the impact of educational interventions in eliminating any existing gaps in the same. Methods: This interventional study based on self-administered questionnaires (Google forms) involved fifty medical Students who were administered a pre-structured validated questionnaire as pre-test and post-test before and after an induction training program on infection prevention & control measures. The impact of the educational intervention was evaluated by determining the learning gain. Result: The study reveals a highly significant improvement in knowledge levels after training sessions (p<0.0001). Before training most of the study subjects (68%) showed poor levels of knowledge, 22% exhibited moderate levels while only 10% were found to have good levels of knowledge. After training 36% of trainees showed good levels of knowledge, 40% exhibited moderate levels while only 24% were left with poor knowledge. Conclusion: While evaluating the impact of training in this study, we have found a statistically significant absolute learning gain and a medium level of class average normalized learning gain. These findings prove the effectiveness of such targeted training sessions as an important strategic tool in preventing healthcare-associated infections.

Peripheral arterial disease is one of the major conditions that affect middle and old aged persons. Its prevalence ranges from 3% (for people aged 37- 69 years old) to 20% (for people aged over 70 years old) (1). In advanced stages (III and IV Leriche) the main symptoms are ulcers and pain- at rest, intolerable, nocturnal increased, needing analgesic treatment (inclusive opiates). Critical limb ischemia (CLI) is characterized by chronic ischemic rest pain, ulcers or gangrene attributable to objectively proven arterial occlusive disease (2,3). CLI is considered like a "malignant" disease - due to generalized atherosclerosis these patients are predisposed to various cardiovascular complications (e.g. myocardial infarction, strokes) which can cause death in few years (4).
The patients affected by CLI are patients generally considered difficult cases, destined to repeated approach to the health care services. Physicians have to take in charge not the pathology but to take in charge the patient. For the control of the pain it turns out essential, near the block of the perception of the pain, to act with psychological participation, in order to interfere with the perception of the pain and the meant one of the pain, modify the feelings associated to the pain, modify the behavior induced by pain (5).