SPM Flashcards
HDI
Hey Don’t KIL at birth
Knowledge
-Mean year of schooling
-Expected year of schooling
Income
Life expectancy at birth
PQLI
QILL at 1 year
Infant mortality rate
Literacy
Life expectancy at 1 year
Global Hunger Index
GH mormalmal
Child mortality
Child malnutrition
Malnutrition in overall population
Multidimensional Poverty Index
Health
-Nutrition
-Child mortality
Education
-years of schooling
-School attendance
Standard of living
-Housing
-Sanitation
-Drinking water
-Cooking fuel
-Assets
-Electricity
-Bank Account
Best study
Exposure & outcome - cohort
Intervention & outcome - RCT
Less cost - case control
Rare diseases - case control
Case cohort vs nested case control
Case cohort - controls are allotted at the end of study (sub cohort)
Nested case control - controls are allotted alongside the identification of cases
Steps of meta analysis
Formulate
Protocol
Select studies
Abstraction of data
Quality assessment
Summarize
Validity
Validity between the two study groups - Internal validity - Randomization
Validity between sample and total population - Generalization - External validity - Random sampling
Guidelines in meta analysis
CARE - Case report
MOOSE - Observational
CONSORT - RCT
PRISMA - Systematic review and meta-analysis
STROBE - Observational
HEADSS assessment
For adolescents
Home
Education
Activities
Drugs
Sexuality
Suicide/Depression
Anti rabies vaccine
Pre exposure:
3 doses - 0, 7, 21 or 28
Re exposure:
2 doses - 0,3
Post exposure:
ID 4 doses - 0, 3, 7, 28
For immunocompromised - IM 5 doses - 0, 3, 7, 14, 28
Antibiotic - Amoxyclav
Anti rabies immunoglobulin
All category III
All immunocompromised cat II & III
Within 7 days of bite
Dose
Human: 20 IU/kg
Equine: 40 IU/kg
Primary case
secondary case
index case
Primary case - 1st case in community
secondary case - develop disease after exposure to primary
index case - 1st case to investigator
Child of HIV positive mother
Low risk
Mother on ART, Viral load <1000
Nevirapine x 6 weeks
High risk
Mother not on ART, viral load >1000
Nevirapine + zidovudine
x 6 weeks if Replacement feeding
x 12 weeks if breast feeding
Cotrimoxazole from 6 weeks
All vaccines
Pre transfusion screening for blood
Syphilis
Malaria
HIV
Hep B
Hep C
Opportunistic infection prophylaxis in hiv
Pneumocystis pneumonia : CD4 <350 start cotrimoxazole
Cryptococcal: CD4 <100 start fluconazole
Mycobacterium Avium complex: CD4<50 start Azithromycin
TB+HIV treatment
ATT first, ART after 2 weeks
4 weeks incase of TB meningitis
Chemoprophylaxis criteria for leprosy
Age >2 yrs
Close contact for 3 months, 20 hrs/week
Sharing same clothes, towels
Drugs given: Rifampicin
Adult vaccination
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Pneumococcal
Varicella
Meningococcal
Hep A
Zoster
HPV
Rabies
Tetanus
Hep B
Covid
Influenza
Max age for vaccines
1 year - BCG, Rota, IPV, Penta, PCV
5 years - Measles, OPV, Vitamin A
7 years - DPT
Parametric tests
T test - 2 parameters
ANOVA - >2 parameters
Non parametric tests
Chi square
Mc Nemar
Fischer exact
Glassgow coma scale type
Ordinal (in order from awake to coma)
VVM type of scale
Nominal (usable, non usable)