sheeloopoonam@yahoo.com's blog

Supporting Facilities
• National Institutes (3)
• National Reference Laboratories (6)
• Intermediate Reference Laboratories (29)
• State TB Training and Demonstration Centre (STDC)(26):
– Training State workers in TB control,
– Translating educational material in local language
– Technical assistance to STO e.g. quality assurance of sputum microscopy
– conducting Operational research
– AFB culture and sensitivity testing facilities etc.
• Culture and DST Laboratories (42)

TB Laboratory Services: 3-tier system

• For NMEP
Why the Chadha Committee?
• Malaria used to be rampant in India in 1950’s
– It was the greatest handicap in the socio-economic development of the country
• National Malaria Control Program (later NMEP) was launched in 1953
– to control the extremely high levels of Malaria infections

• The program operated in 4 phases
1. Preparatory
2. Attack
3. Consolidation
4. Maintenance: House to house visits to identify fever cases (Vigilance)

"Health Survey and Planning Committee" 1962
• "Health Survey and Planning Committee"
The system of successive 5-yr. plans
– For organized development of the country –Started in 1951
•As the Second Five Year Plan (1956-61) was ending
– >10 yrs. had elapsed following Bhore committee report
•Guidelines for further development of National health services were needed
– In the context of the Five year Plans
•In 1959, the Government of India appointed another Committee known as
– "Health Survey and Planning Committee",

• Health Survey and Development Committee, 1946
Appointed by the Government of India in 1943
– Sir Joseph Bhore as Chairman
1. 1. To survey the then existing position regarding the
– Health conditions and
– Health organization in the country
2. To make recommendations for the future development.

MBBS Case Presentation: Pneumonia
https://www.youtube.com/watch?v=NRzkFK7Fboc&t=20s&ab_channel=AETCMEmerge...

MBBS Case Scenario: Acute Breathlessness
https://www.youtube.com/watch?v=T_7apVcC7JQ&ab_channel=AETCMEmergencyMed...

Principles of Clinical History Taking
Blog: http://www.ihatepsm.com/blog/taking-meaningful-clinical-history
Lecture: https://www.youtube.com/watch?v=zbGwC6jNbpk
Format for Clinical History Taking: http://www.ihatepsm.com/blog/format-clinical-history-taking

Aspects to be Built – up During MBBS Course
1.Medical knowledge (theory)
2.Clinical skills
• Clinical History taking
• Physical Examination (General & Systemic)
3.Critical thinking for applying the medical knowledge, clinical skills and analyze the findings to
a. Arrive at the correct diagnosis/differential diagnoses
b. Advise further investigations
c. Suggest plan of treatment & Initiate first-line management

The difference between the terms ‘Standard Deviation (SD)’ and ‘Standard Error (SE)’ may be confusing.
Both SD and SE are measures of variation but of two DIFFERENT factors. What are they?
Let us take an example:
We want to weigh a population of 10,000 workers in a factory.
The ideal way to do that would be to:
Weigh each one of the population of 10,000
Calculate the mean weight of the population i.e. Add up all the 10,000 weights and divide by 10,000.