Professional Documents
Culture Documents
VOLUME - I
Roll No.
Name
Batch
CONTENTS
SECTION-A
SECTION B
MUSEUM DEMONSTRATIONS
SECTION C
MISCELLANEOUS
SECTION - A
VISIT TO HEALTH AGENCIES
Topics
DATE OF
VISIT
GRADE
PAGE
FACULTY
REMARKS
1. Anganwadi
2. Anti- Retroviral therapy
(ART) Centre
3. Central Sterilization and
Supply Department (CSSD)
4. Cold Chain Facility
5. Community Health Centre
(CHC), Manimajra
6. Directorate for the vector
borne diseases
7. District Tuberculosis
Centre (DTC)
8. Government Institute for
Mentally Retarded
Children (GIMRC)
9.
GRADE
A- >70%
B- 60-70%
C- 50-60%
D- <50%
I/C Academics (U.G.)
SECTION - B
MUSEUM DEMONSTRATION
S.
NO.
DATE
1.
TOPIC
GRADE
PAGE
FACULTY
REMARKS
VACCINES
NUTRITION
2.
FAMILY PLANNING
3.
DEVICES
4.
REPRODUCTIVE &
CHILD HEALTH
5.
ENTOMOLOGY
6.
INSECTICIDES
7.
DISINFACTANTS
8.
MISCELLANEOUS
OVERALL GRADING:
GRADE
A- >70%
B- 60-70%
C- 50-60%
D- <50%
I/C Academics (U.G.)
6
SECTION - C
MISCELLANEOUS
S.
NO.
DATE
1.
TOPIC
GRADE
PAGE
FACULTY
REMARKS
CASE
PRESENTATION
2.
EPIDEMIOLOGICAL
EXERCISES
3.
PROBLEM BASED
LEARNING
4.
CASE STUDY
5.
STATISTICAL
EXERCISES
6.
VIDEOS
7.
SEMINARS
8.
OTHERS
OVERALL GRADING:
GRADE
A- >70%
B- 60-70%
C- 50-60%
D- <50%
I/C Academics (U.G.)
7
Regarding the organizational structure, the staffing pattern, and the functioning of various health
agencies. By promoting interaction with the physically and mentally challenged, the under privileged and
the socially ostracized, the attempt is to help the students identify the specific problems and needs (i.e.
medical, social, emotional, vocational, etc) of these people and help them develop a more humane
approach towards them.
2.
About various insects of public health importance so that they are able to distinguish them, identify their
breeding habits, enumerate diseases transmitted by them, suggest suitable preventive and control measure
to be taken against them.
3.
Regarding different kinds of disinfectants and insecticides of public health importance, their method of
application, where and how to use, precautions to be taken while using them and management of cases of
toxicity, if any.
4.
Regarding vaccines under Universal Immunization Programme and newer vaccines, family planning
devices, reproductive and child health related specimens and nutritional samples so that to use this
knowledge for the promotion of health of individual and the community as well.
5.
Regarding different environmental models, their public health significance, their merits and demerits so
as to help the individual and the community to lead an eco-friendly life.
VISIT TO ANGANWADI
Address of Health Agency visited
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
a)
Staff
__________________________________________________
__________________________________________________
b)
Infrastructure
__________________________________________________
c)
Functioning
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
Skills Learnt
__________________________________________________
__________________________________________________
Remarks / Suggestions:
__________________________________________________
9
__________________________________________________
__________________________________________________
__________________________________________________
a) Staff
__________________________________________________
b) Infrastructure
__________________________________________________
c) Functioning
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
Skills Learnt
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
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__________________________________________________
__________________________________________________
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__________________________________________________
__________________________________________________
__________________________________________________
Remarks / Suggestions:
__________________________________________________
__________________________________________________
10
__________________________________________________
__________________________________________________
__________________________________________________
_____________________________________________________
_______________________________________________
a) Staff
__________________________________________________
b) Infrastructure
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
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__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
Services provided
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
Skills Learnt
__________________________________________________
__________________________________________________
Remarks / Suggestions:
__________________________________________________
11
VISIT TO
Address of Health Agency visited
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
a) Staff
b) Observation of Functioning
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
Skills Learnt
__________________________________________________
__________________________________________________
Remarks / Suggestions:
__________________________________________________
__________________________________________________
12
__________________________________________________
Type of Agency
__________________________________________________
__________________________________________________
__________________________________________________
a) Staff
b) Infrastructure
c) Observation of Functioning
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
13
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
___________________________________________________
a) Staff
___________________________________________________
b) Infrastructure
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
c) Observation of Functioning
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
14
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
___________________________________________________
a) Staff
b) Infrastructure
c) Observation of Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
15
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
___________________________________________________
a) Staff
b) Infrastructure
c) Observation of Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
16
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
___________________________________________________
a) Staff
b) Infrastructure
c) Observation of Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
17
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
___________________________________________________
a) Staff
b) Infrastructure
c) Observation of Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
18
VISIT TO INCINERATOR
Address of Health Agency visited
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
___________________________________________________
a) Staff
b) Infrastructure
c) Observation of Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
19
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
___________________________________________________
a) Staff
b) Infrastructure
c) Services provided
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
20
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
a) Staff
b) Infrastructure
c)
Services provided
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
21
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
___________________________________________________
a) Staff
b) Infrastructure
c) Observation of Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
22
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
___________________________________________________
a) Staff
b) Infrastructure
c) Observation of Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
23
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
___________________________________________________
a) Staff
b) Infrastructure
c) Observation of Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
24
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
___________________________________________________
a) Staff
b) Infrastructure
c) Observation of Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
25
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
a) Staff
___________________________________________________
b) Infrastructure
___________________________________________________
c) Observation of Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Services Provided:
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
26
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
a) Staff
___________________________________________________
b) Infrastructure
___________________________________________________
c) Observation of Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Services Provided:
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
27
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
a) Staff
b) Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Observation / Demonstration:
_____________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
__________________________________________________
28
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
b) Staff
___________________________________________________
b) Infrastructure
___________________________________________________
c) Observation of Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Services Provided:
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
29
___________________________________________________
Type of Agency
___________________________________________________
___________________________________________________
c) Staff
d) Functioning
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Observation / Demonstration:
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Skills Learnt
___________________________________________________
___________________________________________________
Remarks / Suggestions:
___________________________________________________
___________________________________________________
30
VACCINES
31
CONTENTS / DILUENT
________________________________________________
________________________________________________
________________________________________________
DOSE
________________________________________________
ROUTE OF ADMINISTRATION
SITE OF ADMINISTRATION
__________________________________________
__________________________________________
CONTRA - INDICATIONS
________________________________________________
________________________________________________
________________________________________________
PROTECTIVE EFFICACY
________________________________________________
CONTENTS / DILUENT
________________________________________________
________________________________________________
________________________________________________
DOSE
________________________________________________
__________________________________________
__________________________________________
__________________________________________
CONTRA - INDICATIONS
________________________________________________
________________________________________________
PROTECTIVE EFFICACY
________________________________________________
________________________________________________
32
DPT / DT / TT VACCINE
CONTENTS / DILUENT
________________________________________________
________________________________________________
________________________________________________
DOSE
________________________________________________
__________________________________________
__________________________________________
__________________________________________
CONTRA - INDICATIONS
________________________________________________
________________________________________________
________________________________________________
PROTECTIVE EFFICACY
________________________________________________
MEASLES VACCINE
CONTENTS / DILUENT
________________________________________________
________________________________________________
________________________________________________
DOSE
________________________________________________
__________________________________________
__________________________________________
__________________________________________
CONTRA - INDICATIONS
________________________________________________
________________________________________________
________________________________________________
PROTECTIVE EFFICACY
________________________________________________
33
HEPATITIS B VACCINE
CONTENTS / DILUENT
________________________________________________
________________________________________________
________________________________________________
DOSE
________________________________________________
__________________________________________
__________________________________________
__________________________________________
CONTRA - INDICATIONS
________________________________________________
________________________________________________
________________________________________________
PROTECTIVE EFFICACY
________________________________________________
CONTENTS / DILUENT
________________________________________________
________________________________________________
________________________________________________
DOSE
________________________________________________
__________________________________________
__________________________________________
__________________________________________
CONTRA - INDICATIONS
________________________________________________
________________________________________________
________________________________________________
PROTECTIVE EFFICACY
________________________________________________
34
CONTENTS / DILUENT
________________________________________________
________________________________________________
________________________________________________
DOSE
________________________________________________
__________________________________________
__________________________________________
__________________________________________
CONTRA - INDICATIONS
________________________________________________
________________________________________________
________________________________________________
PROTECTIVE EFFICACY
________________________________________________
HEPATITIS A VACCINE
CONTENTS / DILUENT
________________________________________________
________________________________________________
________________________________________________
DOSE
________________________________________________
__________________________________________
__________________________________________
__________________________________________
CONTRA - INDICATIONS
________________________________________________
________________________________________________
________________________________________________
PROTECTIVE EFFICACY
________________________________________________
35
CONTENTS / DILUENT
________________________________________________
________________________________________________
________________________________________________
DOSE
________________________________________________
__________________________________________
__________________________________________
__________________________________________
CONTRA - INDICATIONS
________________________________________________
________________________________________________
________________________________________________
PROTECTIVE EFFICACY
________________________________________________
OTHER VACCINES:
CONTENTS / DILUENT
________________________________________________
________________________________________________
________________________________________________
DOSE
________________________________________________
__________________________________________
__________________________________________
__________________________________________
CONTRA - INDICATIONS
________________________________________________
________________________________________________
________________________________________________
PROTECTIVE EFFICACY
________________________________________________
36
NUTRITION
37
CEREALS
FATS
CALORIES
(K cal)
SPECIFIC MINERALS
SPECIAL FEATURES
_______________________________________________________
_______________________________________________________
_______________________________________________________
RECIPES
_______________________________________________________
_______________________________________________________
_________________________________________________
_________________________________________________
MILLETS
FATS
CALORIES
(K cal)
SPECIFIC MINERALS
SPECIAL FEATURES
_______________________________________________________
_______________________________________________________
_______________________________________________________
RECIPES
_______________________________________________________
_______________________________________________________
_________________________________________________
_________________________________________________
38
PULSES
FATS
CALORIES
(K cal)
SPECIFIC MINERALS
_____________________________________
_____________________________________
SPECIAL FEATURES
_____________________________________
_____________________________________
RECIPES
_____________________________________
_____________________________________
_____________________________________
_____________________________________
SOYABEAN
FATS
CALORIES
(K cal)
SPECIFIC MINERALS
_____________________________________
_____________________________________
SPECIAL FEATURES
_____________________________________
_____________________________________
_____________________________________
_____________________________________
RECIPES
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
39
FATS
CALORIES
(K cal)
SPECIFIC MINERALS
_____________________________________
_____________________________________
SPECIAL FEATURES
_____________________________________
_____________________________________
RECIPES
_____________________________________
_____________________________________
_____________________________________
_____________________________________
FATS
CALORIES
(K cal)
SPECIFIC MINERALS
_____________________________________
_____________________________________
SPECIAL FEATURES
_____________________________________
_____________________________________
RECIPES
_____________________________________
_____________________________________
_____________________________________
_____________________________________
40
GROUNDNUT
FATS
CALORIES
(K cal)
SPECIFIC MINERALS
_____________________________________
_____________________________________
SPECIAL FEATURES
______________________________________
______________________________________
RECIPES
_____________________________________
_____________________________________
______________________________________
______________________________________
OILS
FATS
CALORIES
(K cal)
SPECIFIC MINERALS
_____________________________________
_____________________________________
SPECIAL FEATURES
______________________________________
_____________________________________
RECIPES
_____________________________________
_____________________________________
_____________________________________
_____________________________________
41
ORANGE
FATS
CALORIES
(K cal)
SPECIFIC MINERALS
_____________________________________
_____________________________________
SPECIAL FEATURES
______________________________________
_____________________________________
RECIPES
_____________________________________
_____________________________________
________________________________________
________________________________________
BANANA
(gms)
FATS
(gms)
CALORIES
(K cal)
SPECIFIC MINERALS
_____________________________________
_____________________________________
SPECIAL FEATURES
______________________________________
_____________________________________
RECIPES
_____________________________________
_____________________________________
________________________________________
________________________________________
42
MILK
FATS
CALORIES
(K cal)
SPECIFIC MINERALS
_____________________________________
_____________________________________
SPECIAL FEATURES
______________________________________
_____________________________________
RECIPES
_____________________________________
_____________________________________
________________________________________
________________________________________
EGG
(gms)
FATS
(gms)
CALORIES
(K cal)
SPECIFIC MINERALS
_____________________________________
_____________________________________
SPECIAL FEATURES
______________________________________
_____________________________________
RECIPES
_____________________________________
_____________________________________
________________________________________
________________________________________
43
(K cal)
_____________________________________
_____________________________________
SPECIAL FEATURES
______________________________________
_____________________________________
_____________________________________
_____________________________________
RECIPES
_____________________________________
_____________________________________
_____________________________________
_____________________________________
________________________________________
________________________________________
________________________________________
FATS
CALORIES
(K cal)
SPECIFIC MINERALS
_____________________________________
_____________________________________
SPECIAL FEATURES
______________________________________
_____________________________________
RECIPES
_____________________________________
_____________________________________
________________________________________
________________________________________
44
OTHERS :
NUTRITIVE VALUE PROTEINS
FATS
CALORIES
(K cal)
SPECIFIC MINERALS
_____________________________________
_____________________________________
SPECIAL FEATURES
______________________________________
_____________________________________
RECIPES
_____________________________________
_____________________________________
________________________________________
________________________________________
45
(CONTRACEPTIVES)
46
CONDOMS
DESCRIPTION
_________________________________________________
_________________________________________________
_________________________________________________
TYPE
_________________________________________________
_________________________________________________
MECHANISM OF ACTION
_________________________________________________
METHOD OF USE
_________________________________________________
_________________________________________________
_________________________________________________
ADVANTAGES
_________________________________________________
_________________________________________________
_________________________________________________
DISADVANTAGES
_________________________________________________
_________________________________________________
CONTRA-INDICATIONS
_________________________________________________
COPPER-T
DESCRIPTION
_________________________________________________
_________________________________________________
_________________________________________________
TYPE
_________________________________________________
_________________________________________________
MECHANISM OF ACTION
_________________________________________________
METHOD OF USE
_________________________________________________
_________________________________________________
_________________________________________________
ADVANTAGES
_________________________________________________
_________________________________________________
_________________________________________________
SIDE EFFECT
_________________________________________________
_________________________________________________
CONTRA-INDICATIONS
47
_________________________________________________
DESCRIPTION
_________________________________________________
_________________________________________________
_________________________________________________
TYPE
_________________________________________________
_________________________________________________
MECHANISM OF ACTION
_________________________________________________
METHOD OF USE
_________________________________________________
_________________________________________________
EFFECTIVENESS
_________________________________________________
ADVANTAGES
_________________________________________________
_________________________________________________
_________________________________________________
SIDE EFFECT
_________________________________________________
_________________________________________________
CONTRA-INDICATIONS
_________________________________________________
_________________________________________________
DESCRIPTION
_________________________________________________
_________________________________________________
_________________________________________________
TYPE
_________________________________________________
_________________________________________________
MECHANISM OF ACTION
_________________________________________________
METHOD OF USE
_________________________________________________
_________________________________________________
_________________________________________________
48
ADVANTAGES
_________________________________________________
_________________________________________________
_________________________________________________
SIDE EFFECT
_________________________________________________
_________________________________________________
CONTRA-INDICATIONS
_________________________________________________
_________________________________________________
SPERMICIDE (TODAY)
DESCRIPTION
_________________________________________________
_________________________________________________
_________________________________________________
TYPE
_________________________________________________
_________________________________________________
MECHANISM OF ACTION
_________________________________________________
METHOD OF USE
_________________________________________________
_________________________________________________
_________________________________________________
ADVANTAGES
_________________________________________________
_________________________________________________
_________________________________________________
SIDE EFFECT
_________________________________________________
_________________________________________________
CONTRA-INDICATIONS
_________________________________________________
_________________________________________________
49
_________________________________________________
_________________________________________________
_________________________________________________
TYPE
_________________________________________________
_________________________________________________
MECHANISM OF ACTION
_________________________________________________
METHOD OF USE
_________________________________________________
_________________________________________________
_________________________________________________
ADVANTAGES
________________________________________________
________________________________________________
________________________________________________
SIDE EFFECT
________________________________________________
________________________________________________
CONTRA-INDICATIONS
________________________________________________
_________________________________________________
OTHERS:
DESCRIPTION
_________________________________________________
_________________________________________________
_________________________________________________
TYPE
_________________________________________________
_________________________________________________
MECHANISM OF ACTION
_________________________________________________
METHOD OF USE
_________________________________________________
_________________________________________________
_________________________________________________
50
ADVANTAGES
_________________________________________________
_________________________________________________
_________________________________________________
SIDE EFFECT
_________________________________________________
_________________________________________________
CONTRA-INDICATIONS
_________________________________________________
_________________________________________________
_________________________________________________________
OBJECTIVES :
________________________________________
________________________________________
________________________________________
FEATURES / COMPOSITION :
________________________________________
________________________________________
USE :
________________________________________
________________________________________
________________________________________
51
________________________________________
________________________________________
________________________________________
FEATURES / COMPOSITION :
________________________________________
USES :
________________________________________
METHOD OF USE:
________________________________________
DOSAGE :
________________________________________
52
________________________________________
FEATURES / COMPOSITION :
_____________________________________________
________________________________________
________________________________________
USE :
________________________________________
________________________________________
________________________________________
DOSAGE :
VITAMIN - A SOLUTION
OBJECTIVES :
________________________________________
________________________________________
________________________________________
FEATURES / COMPOSITION :
________________________________________
________________________________________
USE :
________________________________________
________________________________________
________________________________________
DOSAGE :
________________________________________
53
________________________________________
________________________________________
________________________________________
FEATURES / COMPOSITION :
________________________________________
________________________________________
USE :
________________________________________
OTHERS:
OBJECTIVES :
________________________________________
________________________________________
________________________________________
FEATURES / COMPOSITION :
________________________________________
________________________________________
USE :
________________________________________
________________________________________
DOSAGE :
________________________________________
54
ENTOMOLOGY
55
*ANOPHELES
EGG ___________________
DIAGRAMS
*CULEX
EGG ___________________
___________________
___________________
___________________
___________________
LARVA___________________
LARVA___________________
___________________
___________________
___________________
___________________
PUPA ___________________
PUPA ___________________
___________________
___________________
___________________
___________________
ADULT___________________
ADULT___________________
___________________
MALE ___________________
___________________
___________________
___________________
___________________
___________________
___________________
FEMALE
_______________
DIAGRAMS
FEMALE
_______________
_______________
_______________
_______________
_______________
__________________________________________
56
DIAGRAMS
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
CONTROL MEASURES
_______________________________________________
_______________________________________________
HOUSEFLY
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
CONTROL MEASURES
_______________________________________________
_______________________________________________
57
DIAGRAMS
LOUSE
DIAGRAMS
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
CONTROL MEASURES
_______________________________________________
_______________________________________________
_______________________________________________
RAT FLEA
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
58
DIAGRAMS
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
CONTROL MEASURES
_______________________________________________
_______________________________________________
_______________________________________________
TICK
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
CONTROL MEASURES
_______________________________________________
_______________________________________________
_______________________________________________
59
DIAGRAMS
ITCH MITE
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
CONTROL MEASURES
_______________________________________________
_______________________________________________
_______________________________________________
60
DIAGRAMS
INSECTICIDES
61
ABATE (Temephos)
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
PROPERTIES
________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
62
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
63
MALATHION
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
MINERAL OIL
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
64
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
65
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
66
OTHERS:
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
67
DISINFECTANTS
68
ALUM
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
69
CETRIMIDE
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
________________________________________________________
PRECAUTION
_________________________________________________________
70
DETTOL
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
ETHYL ALCOHOL
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
71
FORMALDEHYDE
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
72
IODINE
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
73
SAVLON
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
74
SODIUM HYPOCHLORIDE
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
OTHERS :
PROPERTIES
_________________________________________________________
_________________________________________________________
_________________________________________________________
ACTION
_________________________________________________________
_________________________________________________________
_________________________________________________________
PRECAUTION
_________________________________________________________
_________________________________________________________
75
SECTION - C
MISCELLANEOUS
a)
b)
EPIDEMIOLOGICAL EXERCISES
c)
d)
CASE STUDY
e)
BIOSTATISTICAL EXERCISES
f)
g)
SEMINARS
76
CASE PRESENTATIONS
NOTE:
1. As far as possible cases should be presented from the assigned families.
2. If cases are not available in the family, then case should be taken from the RHTC or UHTC
Date ______________
Date ______________
Date ______________
Date ______________
Date ______________
68
Date ______________
69
______________
Date ______________
70
Date ______________
71
______________
Date ______________
72
Date ______________
73
Date ______________
74
Date ______________
75
cases
Year
Cases
1986
1987
1988
1989
1990
1991
1992
1993
107,385
165,432
96,807
46,311
141,109
45,619
88,436
199,382
1996
1997
1998
1999
2000
2001
2002
2003
38,512
46,418
1,74,560
56,480
47,317
140,402
45,519
68,702
1994
1995
50,496
41,482
2004
2005
2,21,506
61,312
76
Present
160
40
200
Absent
360
1440
1800
Total
520
1480
2000
1. Calculate sensitivity, specificity, positive predictive value, negative predictive value, and yield of the
screening test.
2. Calculate the positive predictive value and the negative predictive value of the test at a prevalence
of :
1%
20%
Note the changes as compared to 10% prevalence?
77
In 2006 all the school children near Vellore were examined for evidence of leprosy. The procedure
was repeated again in2007. The following were the results.
2006
a.
b.
c.
2007
a.
b.
c.
d.
e.
f.
52,000
48,000
150
54,000
6,000
30
40,000
20
80
40
QUESTIONS :
1.
What was the prevalence of leprosy?.
a)
in 2006
b)
in 2007
2.
3.
4.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
78
II.
1.
2.
In the study period there were 320 deaths from all causes and 32 deaths due to T.B. in the same area.
QUESTIONS:Study the above data and calculate the following :i.
Prevalence of Infection.
ii.
Incidence of Infection.
iii.
Prevalence of Disease.
iv.
Incidence of Disease.
v.
Crude Death Rate.
vi.
Proportional Mortality rate of T.B.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
79
80
January
February
March
April
May
June
July
August
Sept.
Oct.
Nov.
Dec.
Measles is endemic in a village as a few cases occur round the year but sometimes incidence
takes epidemic form. The monthly incidence data in the village for 10 years were presented below
since 1992. Draw a Bar Diagram.
1992
4
10
18
16
7
5
3
4
4
4
2
1
1993
2
5
4
6
3
2
1
2
2
1
2
1
1994
1
4
4
5
1
2
2
2
3
4
3
5
1995
5
12
22
18
9
6
5
5
4
2
3
1
1996
3
6
7
7
4
3
4
3
3
2
2
1
1997
1
5
5
4
2
2
2
2
2
1
2
2
1998
2
12
15
15
4
3
3
2
2
2
1
2
1999
2
5
3
3
2
1
1
2
2
2
1
1
2000
2
6
4
4
1
1
1
1
2
1
1
1
2001
2
2
2
1
1
2
1
1
2
1
1
2
2002
3
2
2
1
1
2
1
1
1
1
1
1
QUESTIONS :
1.
Examine the data to delineate the epidemic and endemic behaviour of the measles in the area
(assuming the population has not changed appreciably during the period) by studying (a) secular
trend, (b) seasonal variation (c) cyclic variation.
2.
Have you noticed any deviation in the usual incidence pattern of diseases?. If so, could you explain
reason for the phenomenon?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
81
Village B
4,400
130
150
45
50
11
18
01
02
3.
a.
Diarrohea
16
18
b.
15
12
c.
Tuberculosis
01
02
d.
Accidents
08
10
e.
Heart disease
04
06
f.
4.
01
02
a.
Diarrohea
150
200
b.
250
300
c.
Tuberculosis
010
015
d.
Accidents
020
030
e.
Malnutrition
035
045
f.
Heart disease
010
015
g.
Eye problem
020
045
h.
Skin condition
450
650
i.
A.
Others
1,050
Study the above data and calculate the following mortality and morbidity rates.
1.
2.
A.
B.
C.
D.
E.
F.
1,200
B.
Compare the rates with National figures and comment on the health status of the two villages.
C.
Draw suitable diagrams to bring out the comparative features of these two villages.
D.
What priority services you recommend for these villages based on your finding?
82
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
83
1.
2.
3.
i.
j.
k.
l.
m.
n.
Village - A
Village B
5000
4000
130
45
11
01
150
50
18
02
16
15
01
08
04
01
18
12
02
10
06
02
QUESTIONS:A.
B.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
84
No. of Cases
03
07
10
12
15
07
05
02
02
01
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
85
86
87
Income
Score
12
6655.67
10
2499 33323.67
1666
2490.67
999.6 -
1657.67
333.2 -
991.27
< 333.2
88
PROBLEM BASED
LEARNING
89
PROBLEMS IN NUTRITION - I
1.
A North Indian vegetarian family of low socio-economic status, living at Ropar has the following
family composition. Prescribe a balanced diet for the family considering all the characteristics
given below, with appropriate and locally available foods, in pre-designed Performa as given
below:
S.No.
Name
1.
2.
3.
4.
5.
Sukhwinder
Amrit
Gurpreet
Jaswinder
Raju
Age
Sex
53
50
27
23
3
M
F
M
F
M
Occupation
Physiological Status
Agricultural Worker
Housewife
Mason
Housewife
-
S.No.
Names
Cereals
(Specify)
Pulses
(Specify)
Leafy
Veg.
Other
Veg.
1.
2.
3.
4.
5.
Total
Solution:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
90
PROBLEMS IN NUTRITION - 2
2.
A non-vegetarian family of upper-middle socio-economic status, living at Mohali, has the following
family composition. Prescribe a balanced diet for the family considering all the characteristics
mentioned below, with appropriate, locally available foods, in the Performa.
S.No.
Name
1.
Inderjeet
2.
Rupinder
3.
Harjeet
4
Lavanya
Solution:
Age
Sex
Occupation
Physiological Status
45
35
10
1
M
F
M
F
Manager
Clerical
School Going
Lactating
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
91
PROBLEMS IN NUTRITION
-3
3.
A vegetarian family, of upper-middle class socio-economic status, living at Doiwala, has the
following family composition. Prescribe a balanced diet for the family considering all the
characteristics mentioned below, with appropriate, locally available foods, in the Performa. There is
a family history of obesity.
S.No.
Name
1.
Krishan Bhat
2.
Kaushalya
3.
Ravinder
4.
Tara
Solution:
Age
Sex
Occupation
Physiological Status
35
30
5
2
M
F
M
F
Hotel-owner
Housewife
-
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
92
PROBLEM IN NUTRITION - 4
An anthropometric survey done in an under-fives clinic showed the following weights for your
children. With the following data, estimate the nutritional status and classify according to the degree of
malnutrition (if malnourished), according to classification of *Indian Academy of Paediatrics (given
below).
S.No.
1.
2.
3.
4.
Name
Age
Observed Weight
Expected Weight
11 Kgs
11 Kgs
9 Kgs
5 Kgs
12 Kgs
13.5 Kgs
11 Kgs
14 Kgs
Gopal
3 Yrs.
Krishana
4 Yrs.
Ashwath
2
Sumant
4
IAP Classification :
80% of expected weight for age
Normal
I0 Malnutrition
II0 Malnutrition
III0 Malnutrition
IV0 Malnutrition
Nutritional Status
Solution:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
93
PROBLEM IN NUTRITION - 5
An anthropometric survey in an Anganwadi Centre showed the following weights for your children.
With the following data, estimate the nutritional status and classify according to the degree of malnutrition
(if malnourished), according to *Gomez classification (given below).
S.No.
1.
2.
3.
4.
Name
Age
Observed Weight
Expected Weight
8 Kgs
12.8 Kgs
10 Kgs
8 Kgs
12 Kgs
13.5 Kgs
14.3 Kgs
12.9 Kgs
Surat
3 Yrs.
Samrat
4 Yrs.
Sarat
4
Prushart
3
Gomez Classification :
90% of expected weight for age
Normal
I0 Malnutrition
II0 Malnutrition
Nutritional Status
III0 Malnutrition
Solution:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
94
PROBLEM IN NUTRITION - 6
The following weights and heights were recorded for school children in a school health survey.
Estimate *Quetlet index (Body Mass Index) (given below) and classify the child into normal and
malnourished.
S.No.
Name
Age
Weight in Kg.
Height in Cms.
1.
2.
3.
4.
Sankar
Sruti
Sindhu
Dinkar
7 Yrs
10 Yrs
7 Yrs
8 Yrs
15
27
20
20
112
125
112
117
Quetlet Index =
Quetlet Index
Comment
Weight
---------- 2 X 100 (0.15 and 0.15 - normal, 0.15 - Malnourished)
Height
95
PROBLEM IN NUTRITION - 7
In a primary school of a village belonging to hilly region, in medical examination majority of
students show following characteristics: i.
Signs of mental retardation i.e. repeatedly poor school performance, subnormal intelligence.
ii.
iii.
iv.
b)
Solution:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
96
PROBLEM ON ENVIRONMENT
EXERCISE - I
A couple has shifted to a metropolitan city and is residing at the heart of city. Presently they were
staying in a town. Both husband and wife are showing symptoms of stress like annoyance, increased
arguments, lack of sleep, loss of appetite, loss of concentration etc. The average daytime noise level is
approximately 50 decibel and in the night it is 35 decibel. How can we help them?
Solution:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
97
PROBLEM ON ENVIRONMENT
EXERCISE - II
Mr. Ramesh is a trained Engineer in a heavy industry. He is exposed to 85-decibel noise level for 8
hours a day. For relaxation at home he watchs TV and enjoy pop music. For last few weeks Ramesh has to
raise the volume of TV and sound system to be able to enjoy.
What is wrong with Ramesh and how can wee help him?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
98
PROBLEM ON ENVIRONMENT
EXERCISE - III
A boy aged 14 years who is the only child in family is brought to your clinic with following
complaints: 1.
2.
3.
4.
5.
Inability to concentrate on studies (failed in Ist terminal examination), though has been a good
student
in last class.
Headache and body ache off & on and sleeplessness.
General examination did not show any abnormality except slight pallor.
The boy is not interested in eating proper meals he likes only fast food.
Family has recently been benefited financially and has acquired all the luxuries of modern timing.
What will be your approach in this case as "a community physician".
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
99
PROBLEM ON ENVIRONMENT
EXERCISE - IV
In a family of north India there are four members including head of the family, Mr. Narendra, 45
yrs old, working as a clerk in a govt. office, his wife Gurpreet, 42 yrs old is working as marketing executive
in a multinational company, their son Randhir who is 20 yrs old is preparing for pre-medical entrance
exams (PMET) for last three years and daughter Sumita, 17 yrs old who has just completed 10+2.
Mrs. Gurpreet, leaves her house at 7 o'clock in the morning and returns back at about 9 o'clock at
night. The head of the family comes to you with complaints of palpitation, giddiness, off and on chest pain
and moderate level of stress.
How will you manage the above stated health problem as family physician?
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
100
PROBLEM ON ENVIRONMENT
EXERCISE - V
A school health check up was conducted in a govt. primary school situated in colony no. 4,
Chandigarh and it was found out that out of 250 students, 140 were suffering from moderate level of
anaemia. History of passing worms and along with stool examination revealed that 90 students were
suffering from worm infestation.
70% of the students studying in the school belong to low socio-economic status with poor housing
condition.
You are the medical officer incharge of the area, suggest suitable measures to tackle the health
problem at individual level, family level and community level.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
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102
103
CASE STUDY - I
Jyoti is 10 months old. Her mother tells you that she has cough and difficult breathing since 3 days.
Although Jyoti is not eating well she is able to drink. Jyoti has a respiratory rate of 72 per minute and
axillary temperature of 39.4 deg. C. She has no chest indrawing. There is no stridor or wheeze. Her
nutritional status appears normal. Although she resents examination, she is otherwise alert.
a)
b)
c)
d)
CASE STUDY - II
Mohan is six months old. His mother tells you that Mohan has cough and difficult breathing for the past 2
days. On examination you find his respiratory rate to be 60 per minute and chest indrawing is present.
Mohan's temperature is 39.6 deg. C. Mohan is alert, does not have stridor or wheezing. Mohan is
undernourished but is able to drink.
a.
b.
c.
In the space below write the treatment you would prescribe for Mohan.
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When you reviewed Mohan the next day you find his respiratory rate has come down to 50 per minute.
Chest indrawing is still present. He is, however, unable to drink, is excessively sleepy and difficult to wake.
a.
b.
c.
106
CASE STUDY - IV
Chanchal, 24 years old, residing at Bhirwadi, was admitted to the District Hospital Alibaug for two months
amenorrhea (no menstruation) with fever and bleeding per vaginum. On enquiry, Chanchal had two full
term normal deliveries - both boys. She had a disturbed marital life. Her husband beat her up regularly
after being heavily drunk. Her mother in - law always supported her husband to beat her and abuse her.
Chanchal left her in law house and went to her parents with both her children. Occasionally; her husband
would visit her. She became pregnant after her husband's last visit: she asked her husband what to do.
Chanchals husband refused to let her have an abortion (MTP) with or without sterilization. Chanchals
mother -in-law wanted her to deliver six children like herself.
Chanchal and her friend, Shobha, went to an ANM for medical termination of pregnancy. The ANM gave
her the district hospital's address. Chanchal's mother took her to a local dai who conducts delivery in the
village, Maltibai (dai) introduced a stick and paste into her uterus and asked her to go home. Chanchal was
bleeding and had fever with chills two days latter. She started getting foul smelling discharge. She went to
Maltibai who told her to wait and observe the problem for a few days more. Meanwhile, Chanchal started
having high temperature, vomiting, and distension of abdomen and breathlessness. The ANM was called
after three days; and advised them to go to the district hospital.
The family went to primary health centre, and no doctor was there. They then went to the district hospital.
The Medical Officer examined the patient. Ampicillin injections were started within 48 hours. Chanchal
became more breathless, stopped passing urine and died.
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CASE STUDY - V
Sulochana Gajanand Patel, 17 years old has been married for eight months. Since her marriage , she did not
menstruate.
She started developing swelling of feet since four months for which was the advised to go to Primary
Health Centre for blood pressure, urine check up, etc. Sulochana contacted the ANM only after she got
swelling of the feet.
Her mother-in-law refused to take Sulochana to any institution, as she herself has delivered 10 children and
never seen a hospital. Two days later Sulochana had pain in the abdomen, difficulty in vision and was
irritable. The mother-in-law and realtives thought it was due to evil spirits, so they sent for the person
known for removing evil spirits. He arrived after two hours and performed the rituals for removing the evil
spirits from her. Suddenly the patient had fits. To stop the fit, they put lime, shoes and other items in front
of her nose. But the fits continued for sometime. They went to call ANM who asked them to transfer her to
a PHC. It was night time so they did not get transport. Next day morning, they took her in a cloth stretcher
to the primary health centre. She was found deeply unconscious, with high blood pressure and no urine
passed. There was swelling of the face and Sulochana's leg. The PHC doctor referred Sulochana to the
district hospital.
At district hospital she was treated for five days before Sulochana died.
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CASE STUDY - VI
Sumati, aged 31, died in King George Hospital, Luckhnow. She died after delivering a baby. She had five
children. Sumati never visited the sub-centre or primary health centre. Even though the ANM visited
Sumati's village, she never contacted the ANM.
On 30th August 1990, Sumati delivered a baby. Within 24 hours she started bleeding heavily. So Sumati's
relatives carried her to the primary health centre which was three kilometers away on cloth hammock on
their shoulders. But in the primary health centre, Dr. Yadav was not present. So the relatives carried her to
the next primary health centre where they reached at 11.00 p.m. at night. Dr. Srivastava examined Sumati
and advised them to go immediately to the district hospital as there was heavy bleeding and the primary
health centre had no blood transfusion facility. The relatives took Sumati to the District Hospital. There was
no blood available; nor were their any facilities to get the blood. So here again she was referred to
Lucknow. The relatives took her to the railway station where she delivered a dead baby. To save Sumati
they went on King George Hospital, Lucknow. Sumati died within six hours of admission.
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110
STATISTICAL EXERCISE- 1
1.
Test whether there is any evidence of association between jaundice among infants and taking of
contraceptive pills by mothers on the basis of a study results given below:
Mothers on Pills
Yes
No
33
14
24
45
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STATISTICAL EXERCISE- 2
From the following data, calculate the crude accident rates of the two factories A and B and also the
standardized (adjusted) accident rate of B taking factory A as the standard. Comment on your results.
Experience
in years
Under 5
5 15
15 25
25 and above
Total
Factory A
Factory B
No. of Workers
No. of Accidents
No. of Workers
No. of Accidents
100
1500
850
20
2500
40
150
37
108
335
1000
500
400
100
2000
300
40
24
6
370
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STATISTICAL EXERCISE- 3
Erythrocyte Sedimentation Rate (ESR) of 10 subjects was found :
7, 5, 7, 9, 6, 9, 7, 8, 10, 7
Calculate the Mean, Mode and Median.
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STATISTICAL EXERCISE- 4
A Community Health Director observes that exposure to a pesticide results in a higher rate
of
miscarriage. To test the hypothesis regarding exposure and miscarriage, he selects 40 women experiencing
a miscarriage and 160 women experiencing a normal pregnancy from the records of the hospital. The 200
subject were interviewed to determine their prior exposure to the pesticide. The results are summarized as:
Miscarriage
No Miscarriage
Exposed
30
70
Not Exposed
10
90
(i)
Name the study design and calculate the relative odds of exposure to pesticide.
(ii)
Total
40
160
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STATISTICAL EXERCISE- 5
The Table below present data on cumulative weight loss from excessive sweating during insulin induced
hypoglycemia for 12 patients treated with propranolol and 11 control patients.
Sample Size
Sample Mean
Sample Standard Deviation
Study Group
N
=
12
__
X1
=
120 g
s1
=
10
Control Group
N
=
11
__
X2
=
70 g
s2
=
8
Using 5% level of significance, test the hypothesis that mean cumulative weight loss differs between two
groups.
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STATISTICAL EXERCISE- 6
An epidemiological study was conducted for the association between smoking and hypertension. A total
of 1,000 individuals were surveyed and classified as:
Smokers
Non-Smokers
Total
Hypertensive
120
30
150
Normotensive
280
570
850
Total
400
600
1000
(i)
Name the study design and calculate the prevalence rate of hypertension, if valid, from this
(ii)
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study.
STATISTICAL EXERCISE- 7
In a hearing survey 246 urban school children, 36 were found with conductive hearing loss and
among
350 villages school children 61 were found with conductive hearing loss. Test whether there is any
evidence that conductive hearing loss is as common among urban and rural school going children?.
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117