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SPM Important Topics

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CONCEPT OF HEALTH AND DISEASE

 Definition of health
 Dimensions of health
 PQLI
 HDI
 Determinants of health
 DALY
 Levels of health care
 Epidemiological triad
 Natural history of disease
 Risk Factors
 Mortality indicators. How it indicates health condition of community & quality of service.
 Social agents of disease
 Advantages of ‘at risk’ approach. How to prevent disease in such groups.
 Iceberg disease/phenomenon
 Levels of prevention – primordial prevention
 Models of prevention/ intervention
 Health promotion
 Rehabilitation
 Community diagnosis
 Indicators of health
 Health for all 2000 AD
 Alma Ata Declaration

PRINCIPLES OF EPIDEMIOLOGY AND EPIDEMIOLOGIC METHODS

 Definition
 Distribution of disease
 Case fatality rate (ratio)
 Epidemiologic methods
 Descriptive epidemiology
 Time distribution
 Case control study
 Bias in case control studies
 Cohort study
 Randomized controlled trials
 Triple blinding
 Carriers
 Modes of transmission
 secondary Attack rate
 Immunizing agents
 The cold chain
 Vaccine vial monitor
 AEFI
 Definition
 Different types
 Investigation
 Isolation & Quarantine
 UIP, Immunizing schedule
 Disinfection
 Investigation of epidemics
 Vaccines given at birth
 Relative risk
 Community diagnosis

EPIDEMIOLOGY OF COMMUNICABLE DISEASES

 Measles – management and prevention


 Swine Flu – H1N1 infection
 Tuberculosis
 Symptoms
 Components of dots
 t/t under RNTCP
 Poliomyelitis
 Pulse polio program
 Strategies for eradication
 Line listing
 AFP surveillance
 Viral Hepatitis – hep B, E, A
 Gastroenteritis/Food poisoning
 Management + prevention
 Investigation
 Typhoid
 Dengue
 Diagnosis + control
 Complications
 Malaria
 t/t according to national drug policy
 Lymphatic filariasis
 DEC
 Rabies
 Epidemiology
 Management
 Japanese encephalitis
 Epidemiological factors + control
 Plague
 TSST
 recent zoonosis in Odisha
 acute flaccid paralysis
 syndromic approach STD,
 Tetanus
 Diagnosis
 Management
 Prevention
 Leprosy
 Control program
 Multidrug regimen
 Rehabilitation
 AIDS
 ART/PTCT
 STD

NATIONAL HEALTH PROGRAMME

 RCH Programs
 Components
 ASHA
 Demography of family planning
 Oral pills benefit
 Demographic cycle
 Sex ratio
 Swajaldhara
 First Referral Unit
 Minimum needs programme
 Provision of NBCP
 JSY and Maternal health

NUTRITION AND HEALTH

 Balanced diet
 Assessment of nutritional status
 Efforts to reduce prevalence of nutritional anaemia through lifecycle approach
 PEM
 IDD – Endemic, fluorosis, lathyrism, food adulteration
 Community nutrition programs
 Enumerate major public health problems related to nutrition in India, efforts to reduce
prevalence of nutritional anaemia through life cycle approach in India
 Undernutrition – medical and social factors
 Balanced diet, Vit A prophylaxis, leafy green vegetables, aminoacids, dietary fats, indicators
of nutritional status, food fortification
 Malnourishment – preventive measures according to different levels of prevention
MEDICINE AND SOCIAL SCIENCES

 Family – functions of family


 Cultural factors in health and diseases
 Social security
 SE status of family

ENVIRONMENT AND HEALTH

 Sanitary wellness
 Waste management
 Air pollution
 Noise pollution
 Controlled tipping, sanitary landfill, composting
 Mosquito borne diseases
 Classify zoonosis
 Chart of arthropod borne diseases
 Comfort zone
 Biological transmission
 Anti-larval measures
 BOD
 Blocked flea
 Breakpoint chlorination

HOSPITAL WASTE MANAGEMENT

 Hospital waste disposal


 Colour coding
 Bio medical waste

DISASTER MANAGEMENT

 Disaster mitigation
 Disaster cycle

OCCUPATIONAL HEALTH

 Pneumoconiosis
 The Employees State Insurance Act
 Silicosis
 Maternity benefit under ESI Act
 Causes of accident
 Radiation hazard, sickness absenteeism
 What is occupational health disease and how to prevent them using public health approach
 Occupational hazards of agriculture
 Preplacement examination
 Effect of heat on health
 Chart of occupational disease
GENETICS AND HEALTH

 Eugenics, Euthenics
 Genetic counselling
 Autosomal dominant trait
 Sex linked inheritance
 Prenatal diagnosis of genetic disorder
 PNDT ACt

MENTAL HEALTH

 Features of mentally healthy and unhealthy people

HEALTH INFORMATION AND BASIC MEDICAL STATISTICS

 Census
 Sampling
 Normal curve
 Measures of dispersion
 Measures of central tendency – mean, median, mode
 Geriatrics
 Health problem of aged, school health and service

NON-COMMUNICABLE DISEASES

 CARDIOVASCULAR DISEASES
 Coronary heart disease
 CHD
 Epidemiology
 Prevention at community level by different levels of prevention
 Modifiable RF
 HYPERTENSION
 Rule of halves
 Risk factors
 Epidemiology, prevention, stages, stroke
 RHEUMATIC HEART DISEASE
 Prevention
 CANCER
 Cancer registry
 Cancer screening
 Infective causes of different cancers
 Environmental causes
 Sociocultural factors for very common cancer of women and their prevention
 Name common cancer in females
 Cancer warning signal
 CA cervix – RF Control
 DIABETES MELLITUS
 Primary preventive measures for those having family history of diabetes
 Family history of diabetes
 DM – RF, community prevention
 Agent factor for DM
 Screening for diabetes
 Burden of complication
 SCREENING NON COMMUNICABLE MALARIA?
 OBESITY
 Etiology assessment and control of obesity
 Consequences/hazards
 Definition + prevention and control
 VISUAL IMPAIRMENT AND BLINDNESS
 Etiology , prevention and control
 Vision 2020
 Causes of blindness in India
 ACCIDENTS
 Domestic accidents
 Levels of prevention
 Primordial prevention
 Iceberg phenomenon
 fat and cholesterol as a risk factor for NCD

PREVENTIVE MEDICINE IN OBS, PEDIA AND GERIATRICS

 PRENATAL CARE
 Objectives
 Essential obs care
 Emergency obs care – high risk cases
 Prenatal advice/ antenatal advice
 Prenatal genetic screening
 INTRANATAL CARE
 Aim
 Danger signs during labour
 POST NATAL CARE
 Objectives
 Complications – puerperal sepsis
 Family planning advice
 Health education
 NEONATAL CARE
 Early/essential new-born care
 Immediate core – APGAR score
 ANTENATAL CARE
 Objectives
 Essential obs care
 Advices
 Emergency obs care – at risk care
 Prenatal genetic screening
 MEASURING THE BABY
 Identifying at risk infants
 LOW BIRTH WEIGHT
 Low birth weight babies
 ICDS
 Geriatrics – health problem of aged
 FEEDING OF INFANTS
 Breast feeding
 Exclusive breast feeding
 Artificial breast feeding
 Complimentary feeding
 BFHC
 Growth chart
 Demographic
 INFECTIONS IN MOTHER AND CHILD
 MCH
 Objectives, components
 Indications – MMR, IMR
 IMNCI- factors affecting and prevention
 School health services and problems
 Juvenile deficiency
 Growth chart
 “you don’t heal old age; you protect it” explain
 ARL
 Battered baby syndrome
 Adolescent health
 Integrated package of services in RCH programme

COMMUNICATION FOR HEALTH EDUCATION

 The communication process


 Channels of communication
 HEALTH COMMUNICATION
 Counselling
 Barriers of communication
 Contents and principles of health education – practise of health education
 AV Aids
 Group discussion
 Panel discussion
 Symposium
 Workshop
 Types of learning
HEALTH PLANNING AND MANAGEMENT

 Planning cycle
 Prioritization – imp step in health planning, justify
 Monitoring and evaluation in a health program
 NHP 2002
 12th 5 year plan
 PERT
 Cost effective analysis
 Sampling, network analysis
 BCC
 Cost accounting

HEALTH CARE OF COMMUNITY

 Levels of health care


 Comprehensive health care – principles, components, elements, functions
 MDG
 Health care delivery system in India
 PHC, CHC (services provided by sub centre, function of sub centre), Health for all
 Average population catered in relation to health in village
 Health problems in India
 Pathological jaundice of new-born
 MPW
 MDSS
 Vaccine vial monitor
 Social marketing

INTERNATIONAL HEALTH

 WHO – functions
 UNICEF
 RED CROSS
 GOBI – FFF campaign

SCREENING OF DISEASE

 Definition
 Screening test vs diagnostic test
 Lead time
 Aims & objectives
 Uses, types
 Criteria
 Significance of true +ve in screening test
 Remerging disease

DEMOGRAPHY AND FAMILY PLANNING

 Couple protection rate


 Male participatory in family planning
 Pearl index
 National socio demographic goals
 Emergency, barrier contraceptive
 National Population policy

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