Non-Communicable Diseases: NPCDCS ... - SIHFW Rajasthan

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Global Population 60 + Years : 1980-2020 1980 1990 2000 2010 2020 World 8.6 9.2 9.9 10.8 12.9 Developed e 15.2 16.8 68 18.4 19.7 22.4 Developing 6.3 7 7.7 8.7 10.9 Africa 4.9 4.8 4.8 4.9 5.6 Latin America 6.5 7 7.7 8.8 11 Asia (excl. Japan) 6.5 7.4 8.5 9.8 12.8 China 7.4 9 10.5 12.4 16.6 India 6.5 7.3 8.4 9.9 12.6 Source : United Nations , World Demographic Estimate and Projections <strong>SIHFW</strong>: An ISO:9001:2008 certified Institution 408
Ageing Progressive and generalized impairment of functions loss of adaptive response to stress and increasing risk of age-related diseases. UN -‘ageing population’ proportion of people over 60 reaches 7 per cent As per 2001 census people aged 60 and above constituted about 7.7% of the total population (up from 6.7 % in 1991). It is projected to rise to about 172 million by the year 2026 (about 12 % of the total population) <strong>SIHFW</strong>: An ISO:9001:2008 certified Institution 409
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Non-Communicable Diseases: NPCDCS &
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Risk factors and NCDs largely preve
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Drivers of NCDs SIHFW: an ISO 9001:
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SIHFW: an ISO 9001:2008 certified I
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Epidemiological Transition Communi
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Challenges Many communicable disea
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SIHFW: an ISO 9001:2008 certified I
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Magnitude SEAR-2008: 14.5million t
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50 45 40 35 30 25 Estimated %of pre
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Trends in estimated %of deaths 80%
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Estimated and Projected Deaths due
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Pop.(2010): 1 224 614 327 Age stand
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Metabolic Risk factor Trends 126 Me
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26 Mean BMI 24 22 Male 20 Female 18
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Reported Cases & Deaths due to NCD-
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Total Number of Diabetic Cases - Ra
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Reported Deaths :Type 1 DM- Distric
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District Reported Deaths of Type 2
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Reported Cases of Deaths Due to Can
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District -wise reported Cancer Deat
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SIHFW: An ISO:9001:2008 certified I
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Implications of ↑ burden of NCDs
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MDG-6 NCD burden threatenst the (Co
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2% annual reduction in Chronic Dise
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Answer to the problem: ACT NOW Prev
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Risk factor/disease Tobacco use: Us
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Action at National Level: Two comp
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Strategies Prevention through beha
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Services Preventive, promotive , c
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Facility DH Services Early diagnosi
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Institutional Framework Integratio
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Screening MO to do: To conduct com
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Work closely with other sectors/ de
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Surveillance Surveillance is the on
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Risk Factor Surveillance: Focus …
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Risk factors common to major non-co
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Levels of Risk Factor Surveillance
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Actions at Hospitals Proper depict
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Structure re of presentation Risk
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Risk factor in NCD Any attribute,
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Risk factors May be truly causativ
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NHD of NCD Changes in life style st
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The WHO STEP approach to Surveillan
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STEPS emphasizes that small amounts
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SIHFW: an ISO 9001: 2008 certified
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Step1:Questionnaire Based Assessmen
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Step 3: Biochemical Measurements D
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Core Items Expanded Items Optional
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Behavioral Risk Factors “Actions/
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Modifiable Risk Factor: 2008 estima
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B. Diabetes ‣ Obesity ‣ Sedenta
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D. Cancer ‣ Environment ‣ Life
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Risk factors and level of NCD preve
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Goals of implementing these guideli
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Follow up Once the condition of th
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High risk With established cardiov
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If cholestrol can not be measured S
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Prevention of CVD (according to ind
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NPCDCS Components Prevention throu
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Thank you SIHFW: An ISO:9001:2008 c
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Problem on the rise : NCDs MI HT CO
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Major diet related NCDs Diabetes Ca
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Type of cancers Risk factors Diet R
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Prominent risk factor Disease Heart
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Life Style Modification Primary Pr
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Burden of the Bulge In India 1 in
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Android : Upper-body obesity--apple
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Assessment of central obesity Wais
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Why is this happening Drivers of th
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Nutrition transitions: Absolute cau
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Body Mass Index (BMI ) Quetlet’s
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Classification BMI Classification W
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Sleep apnea and respiratory problem
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Weight management Weight gain Calor
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Weight loss goals Realistic Achie
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Lifestyle medicine: Need for change
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Dietary interventions Managing g /
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Life style modification & Diet Bala
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SIHFW: an ISO 9001: 2008 certified
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Total energy requirement Total ener
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Diet for NCD: Main focus ‣ Gradua
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Promoting Healthy lifestyle le Tra
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Strategies for Obesity Prevention e
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Tips for weight reduction Slow and
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‣ Avoid fried foods and bakery pr
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When to eat Set aside a time for
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Way to eat Eat slowly. Chew prop
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Recommendations in preventing diabe
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Calculating balanced diet Know Rec
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How to calculate balance diet Step
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Key recommendations -Diet • Frui
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Thank you SIHFW: an ISO 9001: 2008
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Structure re of presentation Basic
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What is Cancer SIHFW: an ISO 9001:
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Growth of Cells • Undesirable •
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Common Cancer sites Male- • Mout
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Prefix adeno- chondro- Meaning Nami
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India 0.8 million new cases/year
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Five Common Cancers Rank World Indi
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Issues in Cancer control Burden of
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Cancer patterns Predominance of To
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Prevention ention and screening Se
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Early diagnosis ‣ Individual’s
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Diagnosis Radiological Biochemica
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Cancer Interventions in different E
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350 Age wise distribution of deaths
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Common Cancer in Male 50000 45000 4
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No of Cancer Deaths -India 350 300
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Cancer Deaths -Rajasthan 60 50 40 5
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District wise Reported Cancer Death
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Projected Cases of Oral Cancer in I
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Age - wise distribution of Deaths d
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Symptoms of Cervical Cancer Post-m
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Evaluation and Management after Pap
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VIA Category Negative Positive Crit
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Cryotherapy (ablation) Management
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Age - wise distribution of Deaths d
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Sign and Symptoms A lump or thicke
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Diagnosis Breast awareness & breas
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Health professionals can - Key Mess
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Projected Cases of Lung Cancer in I
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Symptoms Persistent cough or worse
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National Programme SIHFW: An ISO:90
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National Cancer Registry Programme
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Schemes under NCCP Recognition of
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District Services under NCCP Healt
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Medical college Health Promotion &
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Why include Cancer In NPCDCS No u
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Objective e of TCC Scheme Develop
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Thank You For more details log on t
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Definition ‣ Group of brain dysfu
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Burden of Disease 7000000 6000000 5
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Risk Factors ‣ Age and Sex ‣ Hy
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Cerebrovascular Accident Risk Facto
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Cerebrovascular Accident Anatomy of
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Ischemic Cascade Cerebrovascular Ac
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‣ Trouble in walking Symptoms ‣
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Identification of an acute event S
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Diagnosis: CT without contrast Cer
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Cerebrovascular Accident Classifica
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CVA Recognition SIHFW: An ISO:9001:
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Cerebrovascular Accident Thrombotic
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Cerebrovascular Accident Common Sit
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Cerebrovascular Accident Embolic St
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Cerebrovascular Accident Goals for
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Cerebrovascular Accident Hemorrhage
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Cerebrovascular Accident Hemorrhagi
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Delayed Neurological deficit in Re
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Hemorrhagic-Subarachnoid Cerebral A
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Cerebrovascular Accident Clinical i
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Cerebrovascular Accident Clinical M
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Cerebrovascular Accident Treatment
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Cerebrovascular Accident Diagnostic
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CVA - Treatment Goals Surgical Tre
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Drug Therapy Cerebrovascular Accide
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Cerebrovascular Accident Rehabilita
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Cardio-Vascular Diseases SIHFW: An
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Source: WHO Burden of Disease Numb
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Cardiovascular Diseases group of di
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Newly emerging CVD risk factors ‣
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Resource Scenario-1 Scenario-2 Scen
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Prevention of CVD Heart disease and
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Hypertension “ high blood pressur
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Classification Primary / Essential
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Epidemiological Determinants Risk/
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Symptoms ‣ Headache ‣ Drowsines
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Criteria for diagnosing high blood
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Headache (severe hypertension) < mo
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Physical examination should include
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Desirable: (at CHC/sub-district/dis
Page 357 and 358: Life style advice is advocated for
Page 359 and 360: Treatment Goals The aim should be
Page 361 and 362: Diuretics Thiazide Inhibit Na + /C
Page 363 and 364: Beta blockers Act by decreasing ca
Page 365 and 366: α adrenergic blockers Lower BP by
Page 367 and 368: Medicines are tailored depending on
Page 369 and 370: ‣ Start with calcium channel bloc
Page 371 and 372: Compelling Indications for Compelli
Page 373 and 374: Management of Hypertension at diffe
Page 375 and 376: Follow-up and Monitoring Patients
Page 377 and 378: Ischemic Heart Disease Myocardial i
Page 379 and 380: Burden of IH Disease 10000000 22367
Page 381 and 382: Symptoms ‣ Abrupt, unexpected car
Page 383 and 384: Treatment of IHD ‣ Medical treatm
Page 385 and 386: Management & Prevention: Modifying
Page 387 and 388: ‣ Weakness in sternocleidomastoid
Page 389 and 390: Prevention ention ‣ Strokes are p
Page 391 and 392: ‣ Physical therapy to improve str
Page 393 and 394: Rheumatic heart diseases ‣ Compli
Page 395 and 396: ‣ Breathlessness ‣ Fatigue ‣
Page 397 and 398: Prevention ‣ Seek immediate medic
Page 399 and 400: SIHFW: An ISO:9001:2008 certified I
Page 401 and 402: Conceptualization ation of NPHCE U
Page 403 and 404: Objectives es Provide Preventive,
Page 405 and 406: Ageing Ageing is a progressive biol
Page 407: Ageing means….. Demographers: A
Page 411 and 412: Some Facts! World population of 6.
Page 413 and 414: Projections 60+ 24 million in 1961
Page 415 and 416: India: Some Facts! Life expectancy
Page 417 and 418: Household population p + 60 Age By
Page 419 and 420: Ageing: Common Myths Most elderly
Page 421 and 422: Integumentary System Production of
Page 423 and 424: Circulatory System Heart muscle be
Page 425 and 426: Nervous System Progressive loss of
Page 427 and 428: Urinary System Decreased circulati
Page 429 and 430: Reproductive e System Female: vagi
Page 431 and 432: Psychosocial Changes of Aging Lone
Page 433 and 434: Psychosocial changes can be a major
Page 435 and 436: Dementia Term used to describe a l
Page 437 and 438: Alzheimer’s Disease (continued)
Page 439 and 440: Meeting the Needs of the Elderly G
Page 441 and 442: SIHFW: An ISO:9001:2008 certified I
Page 443 and 444: Gender and Ageing g in India Discr
Page 445 and 446: Care - Services for Elderly l in In
Page 447 and 448: Primary Health Center Training of
Page 449 and 450: How to achieve it Ati Active advoc
Page 451 and 452: Mental Health : Problem, Strategies
Page 453 and 454: Health "Health is a state of compl
Page 455 and 456: Mental Health Problems in India 1%
Page 457 and 458: Extent of the problem… Mental He
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Mental Health Resources In India Ma
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Mental Health Resources In India…
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Mental Health Resources in India 2
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Objectives National Mental Health P
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Essentials of DMHP 1. A decentraliz
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Restrategised NMHP 2003 Components
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Integration of NMHP in NRHM Nation
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DMHP Evaluation Independent evalua
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NMHP Achievement Scheme Financial S
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Failures It is top down approach
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Urban Mental Health Meta analysis b
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NGO Work In INDIA SCARF (Schizophr
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Mental Health NGO Activities Treat
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Community Awareness Role of media
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Tobacco As per Global Adult tobacc
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Stepped Care Approach in Substance
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Future Direction Vision i 2020: Roa
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For more details log on to www. sih
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