Practical Book Group 1

MODULE 2: LEADERSHIP & TEAM BUILDING MODULE 3: COMMUNICATION & HEALTH EDUCATION
Self-filling
MODULE 4: PHC SERVICES

Page 44: Fill the mind map Health service items that needs intervention for improvement
Example (for group B): Pharmacy services (item 5) Availability of specialist & family holders (item 15) p/s: Then, write intervention for each item Health facility work environment (item 2) Infection Control (Item 3)
Health service items
MODULE 5: COMMUNITY ASSESSMENT

Refer to facebook
MODULE 6: SCHOOL HEALTH

Page 64, 65
TABLE 2: BMI CLASSIFICATION OF SCHOOL STUDENT BY SEX BMI (Weight/Height2) <18.5 18.5 25 30 + TOTAL NO 1 11 4 3 19 FEMALE % 5.26 57.89 21.05 15.79 100
TABLE 4: MEAN LIFESTYLE SCORES OF SCHOOL STUDENT BY SEX LIFE STYLE PERSONAL HYGIENE SANITARY BEHAVIOUR HEALTHY NUTRITION TOTAL SCORE TOTAL NUMBER OF STUDENTS FEMALES 181/19 = 9.53 87/19 = 4.58 74/19 = 3.89 (181 + 87 + 74) /19 = 18 19 % 95 91.6 48.71
MODULE 7: RURAL HEALTH

This task is filled according to the subgroup
MODULE 8: FEVER HOSPITAL

Page 74-79 (1) OVERVIEW OF HOSPITAL STRUCTURE & MANAGEMENT Hospital departments Health Manpower Specialties Vaccinations to FH staff Cases treated in outpatient clinics Cases admitted for inpatient services Types of lab investigation Bed occupancy rate Average no of outpatients per day Average hospital stay days for selected cases Infectious disease cases admitted to hospital (2) COMMENT ON INFECTIOUS DISEASES DIAGNOSIS SOURCE OF REFERRAL AGE, SEX, RESIDENCE SYMPTOMS SIGNS LAB INVESTIGATION CONTROL MEASURES DIAGNOSIS SOURCE OF REFERRAL AGE, SEX, RESIDENCE SYMPTOMS SIGNS LAB INVESTIGATION CONTROL MEASURES Hepatitis A positive Private Clinic 33, Female, Greater Cairo Yellowish discolouration of sclera and skin, fever, persistent vomiting (1 week) Dark frothy yellow urine, jaundice, fever, hepatosplenomegaly Total bilirubin 15, sonography (hepatosplenomegaly), elevated liver enzyme (SGOT=262, SGPT=685) Refer to book volume 1, page 106 Erysipelas Other hospital 50, female, Greater Cairo Fever, redness, hotness, tenderness, swelling of right leg Bullae, red demarcation, swollen, tender Total leucocytic count 10,000, diabetic Cari sendiri. CNS infection, hepatitis, fever of unknown origin tetanus, gas gangrene, rabies, ICU, dialysis & Flu Tropical medicine, general medicine, pediatric HBV vaccine, flu vaccine & cholera (according to the outbreak) Common cold, bronchitis, tonsillitis, UTI infection, hepatitis, typhoid CNS infection, tetanus, gangrene, rabies, typhoid, hepatitis Virology, microbiology, parasitology, chemistry, bacteriology, hematology 65 % - 70% 1500 outpatient per day depends on season Cholera (12 days), meningitis (2 weeks), tetanus (min 10 days & maybe up to months) Hepatitis A positive, erysipelas & CNS infection (meningitis)
DIAGNOSIS SOURCE OF REFERRAL AGE, SEX, RESIDENCE SYMPTOMS SIGNS LAB INVESTIGATION CONTROL MEASURES
CNS infection (2nd attack of meningitis) The community 20, female, Greater Cairo Disorientation,, fever, headache, fluid dripping from nose=CSF leak Neck rigidity, meningeal irritation Blood chemistry normal, total leucocytic count 21,000, CSF 600 cells, sugar content decrease=4 mg%, protein= 200 mg% & 85% neutrophil count Refer to book volume 1, page 64
(3) COMMENT ON DEPATRMENT MENINGITIS CASES a. 8 cases today b. Meningococcal meningitis c. Yes, when we suspected there is sign of meningitis and why? To diagnose the cases properly and for the proper treatment of the cases. d. Report to health authorities, check contact (classmates) and absentees, see if there are similarities in them, check carrier by doing swab, do chemoprophylaxis follow up for surveillance and shut down the school. HIV CASES a. Sexual, blood & vertical transmission b. Unnecessary HEPATITIS CASES a. b. c. d. e. YES YES YES No follow up as the patient is either cured or dead Yes because it can turn chronic and cause hepatoma and malignancy
SKIN CASES a. b. c. d. Erysipelas (strept infection) Contact (droplet, bullae discharge) Wear mask and gloves Swollen leg, heart failure, liver failure, renal failure, peripheral neuritis, diabetes, allergy/itching, immunocompromised patient and hypertension
MODULE 9: INFECTION CONTROL

Finished
MODULE 11: CSPM

Page 105 (Report on CSPM)
CONCLUSION: The quality of care, amenities, financial acceptability has the highest % for the total 6 clinics which most of them are above 80%, meanwhile the continuity of care, integrated services and comprehensive services shower lower % RECOMMENDATIONS: CSPM should focus on improving this patients record keeping and other continuity of health services provider. In addition, CSPM must also provide laboratory services & medication services and if already had, they should be improved as some of the patients dont get the service.
MODULE 12: ANC

Page 107 TABLE 1: Relation between educations with knowledge about the iron sources Know NO 10 1 11 % Does not know NO % 1 1 2 TOTAL NO 11 2 13 %
Educated Not Educated TOTAL
TABLE 2: Relation between educations with knowledge about the effects of vitamin C deficiency Know NO 8 1 9 % Does not know NO % 3 1 4 TOTAL NO 11 2 13 %
Educated Not educated TOTAL
TABLE 3: Relation between ages with parity Children less than 3 NO % 6 1 7 Children more than 3 NO % 0 6 6 TOTAL NO 6 7 13 %
Less than 25 years old More than 25 years TOTAL
TABLE 4: Relation between co-morbidity with parity Co-morbidities Present Not present TOTAL Children more than 3 NO % 3 3 6 Children less than 3 NO % 3 4 7 TOTAL NO 6 7 13 %
MODULE 13: OCCUPATIONAL HEALTH

TABLE 1: % Distribution of Physicians & Nurses According to Identified Health Hazards to which they are exposed (Question 1) PROFESSIONAL HEALTH HAZARDS 1. Physical 2. Chemical 3. Biological 4. Ergonomics 5. Stress, burnout syndrome 6. Violence 7. Others TOTAL DOCTORS NO % 1 25 0 0 4 100 1 25 1 25 0 0 1 25 4 NURSES NO % 1 16.67 0 0 5 83.33 0 0 0 0 0 0 1 16.67 6 TOTAL NO 2 0 9 1 1 0 2 10 % 20 0 90 10 10 0 20
TABLE 3: % Distribution of Physicians & Nurses According to Predisposing Risk Behaviours they are responsible for (Question 3) ITEMS 1. Dont follow infection control principle 2. Didnt take the required vaccination 3. Dont know the rules of work 4. Not trained to cope with stressors 5. Others TOTAL DOCTORS NO % 3 75 0 0 1 25 1 25 0 0 4 NURSES NO % 4 66.67 1 16.67 1 16.67 0 0 0 0 6 TOTAL NO 7 1 2 1 0 10 % 70 10 20 10 0
TABLE 4: % Distribution of Physicians & Nurses According to Their Views about the Role of Hospital in Increasing Their Exposure to the Health Hazards (Question 4) ITEMS 1. 2. 3. 4. 5. There is no system for infection control Deficiency of resources There is no training for healthcare provider Psychological stressors due to work system There is no adequate security system in hospital 6. There is no knowledge about work rules 7. They know the work rules but they dont care 8. There is no monitoring & supervision 9. Others TOTAL DOCTORS NO % 1 25 1 25 0 0 0 0 1 25 0 1 0 0 4 0 25 0 0 NURSES NO % 4 66.67 2 33.33 0 0 0 0 2 33.33 0 1 0 0 6 0 16.67 0 0 TOTAL NO 5 3 0 0 3 0 2 0 0 10 % 50 30 0 0 3 0 2 0 0
TABLE 5: % Distribution of Physicians & Nurses According to Their Response if they are exposed to Needle Punctures (Question 9) ITEMS 1. 2. 3. 4. 5. Washed the hand rapidly Used alcohol Took hepatitis B antibodies Didnt do anything Didnt do anything because I have already taken hepatitis B vaccine 6. Others TOTAL DOCTORS NO % 2 50 3 75 0 0 0 0 0 0 0 4 0 NURSES NO % 2 33.33 1 16.67 1 16.67 1 16.67 0 0 0 6 0 TOTAL NO 4 4 1 1 0 0 10 % 40 40 10 10 0 0
TABLE 6: % Distribution of Physicians & Nurses According to Their Knowledge about Viruses Transmitted by Needle Puncture (Question 10) ITEMS 1. Hepatitis B 2. Hepatitis C 3. AIDS TOTAL DOCTORS NO % 1 25 3 75 0 0 4 NURSES NO % 1 16.67 4 66.67 1 16.67 6 TOTAL NO 2 7 1 10 % 20 70 10
TABLE 11: % Distribution of Physicians & Nurses According to Their Vaccination against Hepatitis B (TABLE ADDED) DOCTORS NURSES TOTAL NO % NO % NO & 1. YES 4 100 3 50 7 70 2. NO 0 0 3 50 3 30 TOTAL 4 6 10 COMMENT: Prevalence of doctors who taken vaccine against hepatitis B among all doctors is 100% ITEMS
MODULE 14: OUTBREAK INVESTIGATIONS

Page 130
Post by Syaimaa Ahmad in Facebook
MODULE 15: RESEARCH METHODS

Finished
MODULE 16: VITAL STATISTICS

Page 138, 139
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. PROBLEM 1 Incidence rate of typhoid fever Crude death rate Infant mortality rate Case specific mortality rate Maternal mortality rate Maternal mortality ratio Case fatality rate General fertility rate Crude birth rate Proportionate death rate (Maternal) (Infant) (older than 1 year) (typhoid) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. PROBLEM 2 Crude death rate Infant mortality rate Children mortality rate U5 mortality rate General fertility rate Crude birth rate Proportionate death rate (children) (infant) (U5) Rate of natural increase
MODULE 17: MEDICAL RECORDS

MEDICAL RECORDS & HEALTH FACILITY STATISTICS (page 142) 1. In patient volume, out patient volume, outpatient/inpatient ratio & average length to study 2. Insurance cases, workers compensation & malpractice claims 3. Readmission rate less than 2% & hospital mortality rate USE OF COMPUTER IN PUBLIC HEALTH (page 143) 1. % distribution of group 1 students by sex, .. by age, .by result & by knowledge of E-learning 2. % distribution of group 1 students according to sex & result, according to sex & knowledge of Elearning, .according to result & knowledge of E-learning &.according to knowledge of Elearning & frequency of using E-learning 3. a) Gender distribution in group 1 students b) % distribution of group 1 students according to result c) % distribution of group 1 students according to knowledge of E-learning d) % distribution of group 1 students according to age
MODULE 18: COMPETITION

Interesting questions 1. Infectious disease which have carrier (answer: Tuberculosis) 2. Infectious disease with no naturally acquired immunity (answer: Tetanus) 3. Egypt food balance indicate that energy intake is more than requirement (answer: TRUE)
MODULE 19: ROUND CONFERENCE

Final revision by HOD (Dr Maha )
MODULE 20: OSPE

Revise on: 1. 2. 3. 4. 5. Community diagnosis Nutritional assessment PHC Preventive measure (Hand washing) Methodology & statistics

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MODULE 2: LEADERSHIP & TEAM BUILDING MODULE 3: COMMUNICATION & HEALTH EDUCATION

MODULE 4: PHC SERVICES

Health service items

MODULE 5: COMMUNITY ASSESSMENT

MODULE 6: SCHOOL HEALTH

MODULE 7: RURAL HEALTH

MODULE 8: FEVER HOSPITAL

MODULE 9: INFECTION CONTROL

MODULE 11: CSPM

MODULE 12: ANC

Educated Not Educated TOTAL

Educated Not educated TOTAL

Less than 25 years old More than 25 years TOTAL

MODULE 13: OCCUPATIONAL HEALTH

MODULE 14: OUTBREAK INVESTIGATIONS

MODULE 15: RESEARCH METHODS

MODULE 16: VITAL STATISTICS

MODULE 17: MEDICAL RECORDS

MODULE 18: COMPETITION

MODULE 19: ROUND CONFERENCE

MODULE 20: OSPE

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