- Components of Antenatal care.

Collected in the word " IRON chase المطاردة الحديدية"

• Immunization.
• Registration and  Record keeping.
• Outrech services (home visits).
• Nutritional care.

• Clinical services.
• Health education.
• At risk approach.
• Social care.
• Examination : 1st visit and periodic visits.

- Factors affecting hazardous effect of noise.

" Fetid "

Frequency of noise.

Exposed person age.

Type of noise.


Individual susceptibility.
Intensity of noise.

Duration of exposure.
Distance from source.

Enjoy...
Dr Ibrahim Samaha

- Nutritional problems in childhood.

" DO in pairs"

Dental caries (Ca,fluorine deficiency).
Obesity

PEM (protein energy malnutrition).
Pellgra.

Aribofilavinosis.
Vit A deficiency.

Iron deficiency anaemia.
Iodine deficiency.

Rickets (Vit D deficiency).

scurvy(Vit c deficiency).

Enjoy...
Dr Ibrahim Samaha

- Manifestations of Vit A toxicity.

" Haem + CL "

Hepatosplenomegaly.
Hair (sprase and coarse).
Hypoplastic anaemia.

Alopecia.
Abnormal bone growth.

Eczema.
Erythema.

Mitosis stop,Mortality of cell ( with dose of 100000 microgram/Kg/day)
+
Clubbing of fingers.
Congenital abnormalities.

Leucopenia.

Enjoy...
Dr Ibrahim Samaha

- Age specific death rates.

N.B:-
-from statistical point of view infant is who 1 year old.
- But from pediatric point of view infant is who 2 years old when early infancy is the first year of life and late infancy is the 2nd year of life.
- (1-4 years) child mortality rate from the end of the 1st year of life till the end of the 4th year of life.