HYGIEN&SANITATION-NEWBORN BABY

)for bath;-wait for seven days for umbillical stump to fall.2)till then clean baby with soapin wet cloth over axilla/neck/groin/genitals twice daily 3)elders with cough should wear mash 4)WASH FIRST
HANDSthen touch baby.5)DONT TOUCH BABY'S LIPS6).(CUT mother's knails twice a week)7)wash axilla ,change blouse before feeds 8)prevent mosquito bites(can cause 52 types of fevers)

VACCINATION-AGANST WHAT DISEASES:--
1)TUBERCULOSIS
2)POLIOMYELITIS
3)DIPHTHERIA
4)WHOOPING COUGH
5)TETANUS
6)MEASCLES
7)MUMPS
8)RUBELLA(GERMAN MEASCLES)--(DANGEROUS IN PREGNANCY)
9)CHICKEN POX
10)HIMOPHILUS INFLUENZA-TYPE B(AGAINST BRAIN/LUNG INFECTION)
11)TYPHOID
12)ROTO VIRUS DIARRHOEA

OTHER VACCINES
MENINGOCOCCAL--AGAINST BRAIN INFECTION
PNEUCOCCAL--AGAINST LUNG INFECTION(AT 2,4,6 MONTHSOF AGE ONLY)
HUMAN PAPPILLOMA VIRUS-AT
 AGE 12 FOR FEMALES PREFERABLY AGAINST CANCEROFCERVIX OF UTERUS.


DIET--UPTO AGE ONE YEAR
1)EXCUSIVE BREAST MILK UPTO AGE 3MONTHS(in case of non availability-formula feeds.)
2)BM +FORMULA UPTO 6 MONTHS.
3)BM+FORMULA+CEREAL AT AGE 6 MONTHS-I YR.
4)START EGG WHITE/FISH/DAL+GHEE AFTER 6 MONTHS ONCE DAILY+MILK I000 ML DAILY AFTER CHILDS WT AT8-10 KG
5)FULL FAMILY DIET AT AGE I YR.
^)FRUIT JUICE AFTER 6 MONTHS
7)AVOID FRESH COWS MILK/POCKET MILK ALLWAYS
8)WATER NOW &THEN FROM NEWBORN STAGE ONWARDS


CHILD HOOD ACCIDENTS
---------------------------------
1)STARTS FROM BIRTH ONWARDS--BY MULTIPLE MEANS
2)MILK ASPIRATION--DEADLIEST
3)SUDDEN INFANT DEATH SYNDROME
4)INSECTSTING
5)FALL FROM COT WINDOWS/HEIGHTS
6)BURNS /SCALDS/ DROWNING/ SUFFOCATIONWITH PLASTIC BAGS
7)PEER INDUCED DANGERS
8)BEWARE OF DOGS CATS  PETS RATS
9)MOSQUITONET
10)CHILD LIFTING
11)TABLET INGESTION
12)PHENYLE/DETTOL INGESTION.
13)KEROSENE OIL INGESTION
14)BIG WATER FILLED CONTAINERS WITHOUT LID
15)CHILD PROOFING ARRANGEMENTS-Eg-STAIR CASE.
16CHILD PROOFING WINDOWS-EgUSA HOUSES.
17)FIREIGN BODY-INGESTION/PUTTING INSIDE ,EAR/NOSE/THROAT
18)MANY MORE UN IMMAGINABLE WAYS

IMAGINABLE WAYS

HOW TO FEED THE NEW BORN BABY

1)Baby's position should be vertical
2)never feed baby in lying position(beware of aspiration-milk into respiratory pathway)-may lead to suffocation.3)dont give prolonged feeding-finish it in 10 mts.4)BURPING IS ESSENTIAL AFTER ALL FEEDS.5)PLACE BABY IN HEAD RAISED POSITION.6)MILK REQUIREMENT;-approximately 100 ml per kg per day in 8-10 devided dose7))breast feeding can be started after 2 hrs of delivery 8)first 3 days' milk is important,as it contains CHOLOSTRUM-a product not availble commercially,&it contains life savingchemical substance necessay to fight against disease producing microbes specially against neonatal diarrhoea.9)feeding bottle sterilisation is an art &learn it from adoctor.

LOOKING AFTER a new born baby

1) mother &grand mother alone should handle baby.
2)Avoid mosquito bite/flies sitting on baby's mouth
3)Those who cough should not come near the baby
4)put the baby on a hanging saree-better than other options
5)beware of scorpions/bees/pet animals/kidnappers
6)umbrella mosqito net helps in many ways

DELETERIOUS EFFECTS OF COW'MILK

1)ALERGY-SKIN,GASTROINTESTINAL TRACT(ABDOMINAL PAIN,VOMITING)
2)LACTOSE INTOLERANCE-CAUSES DIARRHOEL DISORDER IN INFANTS,SPECIALLY
NEW BORN BABIES3)ASTHMA-WHEEZY BRONCHITIS.4)COW'S MILK PROTIEN INDUCED ENTEROPATHY--DIARRHOEA(TREAT WITH SOYABEEN MILK)5)JUVENILE DELINQUENCY
--YOUNG CRIMINALS IN MINOR JAIL.6)POOR ACADEMIC PERFORMANCE---LOW MARKS IN SCHOOL/ SCHOOL DROP OUTS.(TREAT WITH FORMULA FEEDS UPTO AGE 5--AND NEVER WITH FRESH COW'S MILK/PACKET MILK)

mender of bad soles

1)itching-pruritis 2)painful soles #corn soles often give troubles to senior citizens,specially at nights--intolerable itching senseon soles of the feet.Though the problems are many like 1)itching-pruri tis2)painful soles 3)corn soles 4)numbness 5)loss of touch sense 6)hypersensitveness 7)ulcer feet due to diabetes mellitus with attendant complications.Many cases of dibetes diagnosed only after itching developed on the soles.now we will take up only itching sense for quick relief a reason for the same.
; In the older age group of persons many people suffer from&; arterial narrowing leading to 1)atherosclerosis(cholestrol blocking the vessel 2)calcium deposition  in the inner layer of blood arterial vessel wall of cappilaries. causing narrowing  leading to less blood supply to tissues-expressed as itching sense  specially at dead hour of the night disturbing.dermatologist will&; presc ribe a mosturising soap ,mosturising cream/lotion antihistamine tablet at night +tab trigobantin100 mg -od 10 DAYS,THEN 300 MG OD FOR FEW MONTHS

best solution:foot exercise& at 9-10; in lying position flexing &extending al 10 toews for 50 times thrice within 9-10 pm you will not have pruritis because the blood supply becomes adequate

pediatric medical camp

1) all new born baby problems
2)how to prevent AGE/PNEUMONIA
3)Immnisation procdures
4)NEW BORN SCREENING TESTS

PHENYL KETONURIA
mapple syrup urine disease
sickle cell disease
biotinase defficiency
congenital adrenal hyperplasia
hypothyroidism
galectosemia-blindness
toxoplamosiscystic fibrosis
tyrosinosis

5)how to detect intellectual develope ment
6)LBW BABY MANAGEMENT
7)feeding problems
8)bottle sterilisatinmanagement of cry problem
9)accidents
10)neonatal resusitation
11)asphyxia
12)prenatal advice to pregnanat mothers

inj-tt-2 doses
folicaciddd soya

eggs






complete rest
total rest if previous h/oabortion
cervical suturing
good food to increase baby weight
13)new born--prevent infection
14)immunisatione
aspiration/fall/sibblingcarrying the baby/ child lifting/smothering
18)diet
BM
formula
no fresh milk
egg white
lean fish
19)sleep-swoddling/gentle shaking/llullaby

OSTEOPOROSIS- SELF DIAGNOSIS

OSTEOPOROSIS IS A CONDITION WHERE THERE IS LESS BONE MASS,LESS BONE DENSITY DUE TO LESS CALCIUM IONS IN THE BONE,RESULTING IN EARLY&SPONTANEOUS FRACTURES ESPECIALLY IN WOMEN AFTER MENOPUASAL AGE.MORE THAN 50%OF WOMEN IN THE AGE GROUP OF 60-70YRS SUFFER FROM THIS DISABILITY,ALL OVER THE WORLD 90%COME TO KNOW THIS ONLY AFTER SUSTAINING A FRACURE.
SELF DIAGNOSIS BEFORE A FRACTURE&WITHOUT AN X-RAY:
THE NAILS ARE BRITTLE ,&BREAK EASILY,SPECIALLY IN THE TOE NAILS,WHICH PEEL EASILY,LIKE ONION SKIN.THEY ARE SOFT LIKE A PIECE OF SOFT CLOTH. THIS IS A THAT A FRACTURE SPINE IS INEVITABLR IN THE NEAR FUTURE.NOW THE PATIENT SHOULD TAKE A SUITALPREMONITARY SIGN.NOW THE PATIENT SHOULD TAKE A WLL QUAKIFIED DOCTOR"S ADVICE.

APLAIN XRAY CAN CONFIRM THE DIAGNOSIS