Miscellaneous Flashcards
Discard the following in the respective color coded wasate bag
- Urine bag
- Blood bag
- culture media
- Vaccine
- Nitrile gloves
- Red
- Yellow
- Yellow
- Yellow
- Red
Max tolerable sound
- 85 dB x 8h - who
2. 90dB x 8h- factory act
ESI benefits
- Sickness
- Extended Sickness
- Enhanced Sickness
- Maternity
- 70% of daily wage for 91 days
- 80% of wage for two years for 34 diseases
- 100% of wage up to 7 days for vasectomy and up to 14 days for tubectomy
- 100% - 26 weeks for confinement,
6 weeks for miscarriage
4 weeks for sickness arising out of pregnancy
ESI Benefits
- Temporary Disablement
- Permanent disablement
- Dependent
- 90% of daily wage till recovery
- 90% of daily wage whole life
- Pension at 90% of wages
Eugenics- negative and positive?
Euthenics?
- Negative eugenics- Killing weak or defective (sterilisation or debarring from having children)
- Positive eugenics - carrier of desirable genotype to assume the burden of parenthood
- Environmental manipulation
AIDS - which type of epidemic and explanation
Type 4 epidemic- disease spreads from high risk groups to bridge population to general population - when disease prevalence in high risk group is > 5%
Malariometric indicators
- Spleen rate
- Infant parasite rate
- Annual parasite index
- Annual blood examination rate
- Malaria prevalence in community
- Recent transmission
- Confirmed case / population under surveillance x 1000; if >=2 high risk
- No of slides prepared/population x100, operational efficacy
Elimination criteria for TB
Control of TB
- <1 case per 1 million population
2. Prevalence of TB infection in age group 0-14 years is 1%
Mid day meal program energy and protein provided per day to primary and upper primary?
Calorie - 1/3, protein- 1/2
Primary- 450kcal/day, 12 g/d
Upper prinary- 700kcal/d, 20g/d
1 AWC per ? Population
Mini AWC?
ASHA ? Population
1 AWC per 400-800 pop
Mini AWC per 150-300 pop
ASHA per 800 population
Criteria for AWC on demand
At least 40 children under six years but no AWC
Neurolathyrism - intervention?
Vit c prophylaxis - 500-1000mg/day for a week
Iodine deficiency indicators
- Goitre rate
- Urinary iodine excretion
- Neonatal hypothyroidism
- Chronic impact indicator
- Epidemiological Indicator
-  Environmental iodine deficiency indicator
Double fortified salt
DEC Medicated salt
- 40mcg Iodine + 1mg Fe/ gram of salt
2. 1gm DEC/kg of salt for 6-9 mo
IDD Elimination criteria
- Houses consuming iodised salt > 90%
- Goitre rate <5%
- Urinary excretion of iodine <50mcg/L - < 20%
- Urinary excretion of iodine <100mcg/L- <50%
Enumerate Tests of Pasteurisation
- Phosphatase test
- standard plate count
- coliform
- methylene blue reduction test
Protein requirement g/kg/day of veg protein
- 1-5 y
- 6-10 y
- Adolescent female
- Adolescent male
- Adult man/woman
- 0.94
- 0.91
- 0.86
- 0.88
- 0.83
Propagative transmission example
Plague bacilli in rat flea
Yellow fever virus in aedes
Cyclopropagative transmission example
Malarial parasite in anopheles mosquito
Cyclo developmental transmission
Filarial parasite in culex
Guineaworm embryo in cyclops
- Transstadial transmission example
2. Transovarial example
- Borrelia burgdorferi (ticks)
2. Rickettsia ricketsi ( scrub typhus) in ticks
Mosquito net criteria for protection
Size of opening is 0.0475 in diameter, 150 holes in 1 inch Square
Insecticide of choice
- Cyclops
- Fleas
- Sandfly
- Pediculus
- Anopheles
- Cyclops - abate
- Fleas- 10% DDT powder
- Sandfly- Pyrethrum (earlier- DDT)
- Pediculus- 0.5% malathion
- Anopheles - adult = DDT ; larva = paris green
Cut offs for fluorosis
- Dental caries
- Enamel mottling
- Skeletal fluorosis
- Crippling fluorosis
- <0.5ppm
- > 1.5
- 3-6
- > 10
Define these measurements of light
- Luminous intensity
- Luminuous flux
- Illumination/ luminance
- Brightness
- Brightness of point source - candela
- Flow of light measured- lumen
- Amount of light reaching a surface - lux per unit area
- Amount of light reflected from a surface - lambens
Overcrowding cut offs (max normal)
1. Persons/ room
1. 1 room- 2 ppl 2 rooms- 3 3 rooms- 5 4 rooms - 7 5 rooms-10 (additional 2persons/room)
Overcrowding cut off
Area/ person
<= 50 ft.² - 0 50-70 = 0.5 70-90 = 1 90-100 = 1.5 110 = 2
Instrument and utility
- Horrocks apparatus
- Chloronome/chlorinator
- Chloroscope
- Chlorine demand
- Mixing/ regulating chlorine dose
- Residual chlorine
Level of chlorine
- Drinking water
- Post disaster
- Swimming pool
- Cholera outbreak
- Kill cyclops
- > 0.5
- > 0.7
- > 1
- 2
- 5
Rabies free area def
No indigenous case in the last 2 years
Maternal neonatal tetanus elimination criteria
Rate <0.1/1000 live births, TT 2 coverage >90% and attended deliveries >75%
Tetanus prophylaxis chart
- Minor clean wound or dirty wound?
For minor wound give full course of vaccine if unimmunised or if last immunisation was >10 years
For dirty wound give ig and vaccine if never immunised and , only vaccine full course if last immunisation >5 years ago
Meningococcal meningitis
- Endemicity criteria
- Epidemic criteria
- Low <2 cases per 1 lakh pop
Moderate - 2-10 cases per 1 lakh
High - >10 per 1 lakh - Epidemic - >100 per 1 lakh pop
All vaccines are contraindicated in pregnancy except
- Yellow fever
- rabies
- Cholera
- OPV
Effectiveness of contraception
- OCP and Sterilisation
- IUD
- Condom
- 100% or 0.1
- 95% or 0.95
- 50% or 0.5
Mission Parivar Vikas?
Increased use of contraception in areas where TFR is >= 3
New name of long lasting condoms?
Velvet
Dosage of ANTARA
Antara = DMPA
150 mg IM every 3 months
Fertility indices def
- General fertility rate
- Age specific fertility rate
- Total fertility rate
- Gross production rate
- Net reproduction rate
- (live births /women in reproductive age group (15-45yrs) ) x 1000
- (live births/ women in any specific age group) x 1000
- (Cumulative ASFR X interval)/ 1000
- Avg no of GIRLS born to a Woman if she experiences the current fertility pattern throughout her reproductive span, ASSUMING NO MORTALITY
- Number of daughters a newborn girl will bear during her lifetime assuming fixed ASFR and mortality rate
- NRR? For stable population and how can it be achieved
2. Population growing or declining- derivation from TFR
- NRR= 1, when CPR > 60%
- TFR < 2.1 , pop declines
TFR > 2.1 , pop increases
Supplementary nutrition provided in AWC
- 6mo-6 yr - 500 cal,12-15 grams protein
- 11-18y female: 500 cal, 20-25 grams protein
- Pregnant and lactating women - 600 cal, 18-20 grams of protein
- Malnourished child- 600 cal, 20-25 grams of protein
Limiting AA
- Cereal
- Maize
- Pulse
- Threonine and lysine
- Tryptophan and lysine
- Methionine and cysteine
1 Egg- 60 gm wt provides-
- Protein
- Fat
- Calcium
- Iron
- Energy
- Cholesterol
- 6gm
- 6gm
- 30mg
- 1.5 mg
- 70kcal
- Cholesterol-250mg
Nalgonda technique steps
To remove excess fluoride
- Lime
- Alum
- Flocculation
- Sedimentation
- Filtration
Herd immunity when status of vaccination reaches?
- Measles
- Polio
- Diphtheria
- 94%
- 90%
- 70%