- Rules for counselling.

Collected in the word " GATHER"

• Great the person and show respect and trust.
• Ask about his problem ,encourage him express himself with his own words.
• Tell him relevant information.
• Help them to make decisions,explore alternatives and ensure that nothing has been emposed.
• Explain any misunderstanding.
• Return to follow up visits.

Source:- Communication and ;health behavior p.g 28, Prof. Doctor,Nadia montaser, Mansoura Uni.

- 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